Journal of Rafsanjan University of Medical Sciences
مجله دانشگاه علوم پزشکی رفسنجان
JRUMS
Medical Sciences
http://journal.rums.ac.ir
69
journal69
1735-3165
2008-7268
10.66224/jrums
fa
jalali
1402
7
1
gregorian
2023
10
1
22
6
online
1
fulltext
fa
اثربخشی شناخت درمانی مبتنی بر ذهنآگاهی بر انعطافپذیری شناختی و آشفتگی روانشناختی در بیماران مبتلا به سوءهاضمه: یک مطالعه نیمهتجربی
The Effectiveness of Cognitive Therapy Based on Mindfulness on Cognitive Flexibility and Psychological Disturbance in Patients with Dyspepsia:
A Quasi-Experimental Study
روانپزشكي
Psychiatry
پژوهشي
Research
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><a name="_Hlk113374001"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">زمینه و هدف: </span></span></span></b></a><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">بیماران مبتلا به سوء هاضمه دارای مشکلات روان­شناختی می­باشند که نیاز به مداخلات درمانی دارند. پژوهش حاضر با هدف تعیین اثربخشی شناخت درمانی مبتنی بر ذهن­آگاهی بر انعطاف­پذیری شناختی و آشفتگی روانشناختی در بیماران مبتلا به سوء هاضمه انجام شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">مواد و روشها:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> این پژوهش نیمه­تجربی با طرح پیش­آزمون-پس­آزمون با گروه کنترل بود. جامعه آماری شامل بیماران ۲۵ تا ۵۰ ساله با تشخیص سوء هاضمه در کلینیک تخصصی گوارش طوبی در شهرستان ساری و قائم­شهر در سال ۱۴۰۱ بود. تعداد 30 نفر با روش نمونه­گیری در دسترس </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">انتخاب و به­صورت تصادفی در گروه آزمایش (15 نفر) و کنترل (15 نفر) جایگزین شدند. گروه آزمایش، شناخت درمانی مبتنی بر ذهن­آگاهی (8 جلسه)، هر هفته یک جلسه و به­مدت 90 دقیقه دریافت نمودند. جمع­آوری داده­ها با استفاده از پرسشنامه­ انعطاف­پذیری ­شناختی </span></span></span><span dir="LTR" lang="X-NONE" style="font-size:9.0pt"><span style="line-height:122%">Dennis</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> و </span></span></span><span dir="LTR" lang="X-NONE" style="font-size:9.0pt"><span style="line-height:122%">Vander Wal</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> و پرسشنامه آشفتگی روان­شناختی </span></span></span><span dir="LTR" lang="X-NONE" style="font-size:9.0pt"><span style="line-height:122%">Lovibond</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> انجام ­شد. جهت تجزیه­ و تحلیل داده­ها از آنالیز کوواریانس چند متغیره استفاده شد.</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">یافتهها:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> شناخت درمانی مبتنی بر ذهن­آگاهی بر انعطاف­پذیری شناختی و آشفتگی روانشناختی در بیماران مبتلا به سوء هاضمه تأثیر داشت (001/0></span></span></span><span dir="LTR" lang="X-NONE" style="font-size:9.0pt"><span style="line-height:122%">P</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">). میانگین و انحراف معیار نمره انعطاف­پذیری شناختی گروه آزمایش در پیش­آزمون 11/5 </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%">±</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> 53/47 و در پس­آزمون 23/7 </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%">±</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> 80/61 (001/0></span></span></span><span dir="LTR" lang="X-NONE" style="font-size:9.0pt"><span style="line-height:122%">P</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">) و نمره آشفتگی روان­شناختی گروه آزمایش در پیش­آزمون 38/6</span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%">±</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">40/59 و در پس­آزمون 28/4 </span></span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%">±</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> 35/44 به­دست آمد (001/0></span></span></span><span dir="LTR" lang="X-NONE" style="font-size:9.0pt"><span style="line-height:122%">P</span></span><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:122%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Times New Roman",serif"><b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin"">نتیجهگیری:</span></span></span></b><span lang="FA" style="font-size:11.0pt"><span style="line-height:122%"><span style="font-family:"B Nazanin""> نتایج مطالعه نشان داد شناخت درمانی مبتنی بر ذهن­آگاهی بر انعطاف­پذیری شناختی و آشفتگی روانشناختی در بیماران مبتلا به سوء هاضمه مؤثر است. بنابراین، استفاده از این رویکرد جهت کاهش مشکلات روان­شناختی بیماران مبتلا به سوء هاضمه، پیشنهاد می­گردد.</span></span></span></span></span></span></span></span><br>
<b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin"">واژههای کلیدی:</span></span></span></b><span dir="RTL" lang="FA" style="font-size:11.0pt"><span style="line-height:107%"><span style="font-family:"B Nazanin""> آشفتگی روانشناختی، انعطاف­پذیری شناختی، شناخت درمانی مبتنی بر ذهن­آگاهی، سوءهاضمه</span></span></span>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><a name="_Hlk114425361"><b><span style="font-size:9.0pt"><span style="line-height:150%">Background and Objectives:</span></span></b></a> <span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Patients with dyspepsia suffer from psychological problems that require therapeutic interventions. The present study was conducted with the aim of determining the effectiveness of cognitive therapy based on mindfulness on cognitive flexibility and psychological disturbance in patients with dyspepsia.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Materials and Methods:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> The current research was quasi-experimental with a pretest and posttest design and a control group. The statistical population included patients aged 25 to 50 years with dyspepsia diagnosed at Tuba Gastroenterology Clinic in Sari and Qaim Shahr Cities in 2020. Thirty patients were selected by convenience sampling method and randomly (lottery) assigned in an experimental group (15 people) and a control group (15 people). The experimental group received cognitive therapy based on mindfulness (8 sessions), once a week for 90 minutes, and the control group did not receive training. Data collection was done using Dennis and Vander Wal's Cognitive Flexibility Questionnaire and Lovibond's Psychological Disturbance Questionnaire. Multivariate analysis of covariance (MANCOVA) was used to analyze the data.</span></span><span style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Results:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> According to the results of this research, cognitive therapy based on mindfulness had an effect on cognitive flexibility and psychological disturbance in patients with dyspepsia (p<0.001). The mean and standard deviation of the experimental group's cognitive flexibility in the pretest was 47.53±5.11 and in the posttest 61.80±7.23 and the psychological disturbance of the experimental group in the pretest was 59.40±6.38 and in the posttest 44.35±4.28 (p<0.001). </span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Conclusion:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> The results of the study showed that cognitive therapy based on mindfulness is effective on cognitive flexibility and psychological disturbance in patients with dyspepsia. Therefore, the use of cognitive therapy approach based on mindfulness is recommended by counselors and therapists to reduce the psychological problems of patients with dyspepsia.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">Key</span></span></b><b> </b><b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">words:</span></span></b><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"> Psychological disturbance, Cognitive flexibility, Cognitive therapy based on mindfulness, Dyspepsia</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%"></span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Funding:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> This study did not have any funds.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Conflict of interest:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> None declared.</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">Ethical approval:</span></span></b><span style="font-size:9.0pt"><span style="line-height:150%"> The Ethics Committee of Islamic Azad University of Sari approved the study (IR.IAU.SARI.REC.1401.001).</span></span></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><i><span lang="EN" style="font-size:6.0pt"><span style="line-height:150%"></span></span></i></b></span></span></span></span></span><br>
<span style="font-size:10pt"><span style="line-height:150%"><span style="tab-stops:-45.0pt"><span style="text-autospace:none"><span style="font-family:"Times New Roman",serif"><b><span style="font-size:9.0pt"><span style="line-height:150%">How to cite this article:</span></span></b><b> </b><span style="font-size:9.0pt"><span style="line-height:150%">Cheraghpoor Khonakhdar Roghayeh, Hasanzadeh Ramezan, Abbasi Ghodratallah. The Effectiveness of Cognitive Therapy Based on Mindfulness on Cognitive Flexibility and Psychological Disturbance in Patients with Dyspepsia: A Quasi-Experimental Study</span></span><span lang="EN" style="font-size:9.0pt"><span style="line-height:150%">. </span></span><i><span style="font-size:9.0pt"><span style="line-height:150%">J Rafsanjan</span></span></i><span style="font-size:9.0pt"><span style="line-height:150%"> <i>Univ Med Sci</i> 2023; 22 (6): 567-80. [Farsi]</span></span> <b><span style="font-size:8.0pt"><span style="line-height:150%"></span></span></b></span></span></span></span></span><br>
آشفتگی روانشناختی, انعطافپذیری شناختی, شناخت درمانی مبتنی بر ذهنآگاهی, سوءهاضمه
Psychological disturbance, Cognitive flexibility, Cognitive therapy based on mindfulness, Dyspepsia
567
580
http://journal.rums.ac.ir/browse.php?a_code=A-10-5092-5&slc_lang=fa&sid=1
Roghayeh
Cheraghpoor Khonakhdar
رقیه
چراغپور خنکدار
cheraghpoor@gmail.com
6900319475328460055174
6900319475328460055174
No
دانشگاه آزاد اسلامی، واحد ساری، ساری، ایران
Ramezan
Hasanzadeh
رمضان
حسن زاده
hasanzadeh@gmail.com
6900319475328460055175
6900319475328460055175
Yes
دانشگاه آزاد اسلامی، واحد ساری، ساری، ایران
Ghodratallah
Abbasi
قدرت الله
عباسی
ghanbari.z@gmail.com
6900319475328460055176
6900319475328460055176
No
دانشگاه آزاد اسلامی، واحد ساری، ساری، ایران