‌‌تدوين مداخله درماني تركيبي درمان فراتشخيصي، ذهن آگاهي و رفتار درماني ديالكتيكي و مقايسه اثر بخشي آن با درمان شناختي رفتاري بر انعطاف ناپذيري روانشناختي درد، تاب آوري درد، عاطفه مندي ذهني و كاهش علايم هيجاني در افراد مبتلا به درد مزمن همبود با مشكلات هيجاني

combined Intervention based on transdiagnostic treatment , mindfulness an‎d dialectical behavior therapy , cognitive behavior therapy , psychological inflexibility of pain , resiliency of pain , mentalized affectivity , chronic pain disorder , emotional problems

Developing a combined Intervention based on transdiagnostic treatment, mindfulness an‎d dialectical behavior therapy an‎d comparing its effectiveness with cognitive behavior therapy on psychological inflexibility of pain, resiliency of pain, Mentalized Affectivity an‎d reduce emotional symptoms in chronic pain disorder comorbid with emotional problems

روان شناسي

The aim of this study was to develop a combined Intervention based on transdiagnostic treatment, mindfulness an‎d dialectical behavior therapy an‎d comparing its effectiveness with cognitive behavior therapy on psychological inflexibility of pain, resiliency of pain, Mentalized Affectivity an‎d reduce emotional symptoms in chronic pain disorder comorbid with emotional problems. The research method was mixed an‎d included both qualitative an‎d quantitative parts. In the qualitative part, which aimed to develop a treatment package using the three-tier method, first by using the review of research texts an‎d literature using thematic analysis method, combined treatment of meta-diagnostic therapy, mindfulness an‎d dialectical behavior therapy was designed an‎d developed an‎d monitored according to the needs of the patients. Accreditation specialists. The research sampling method was purposive sampling. In this way, among the people with chronic pain disorder accompanied by emotional problems, 45 people were selec‎ted according to the criteria for entering the research an‎d entered the research process, an‎d then they were assigned to three combined treatment groups, cognitive behavioral therapy an‎d control group. became. The purposeful sampling method an‎d the sample size were determined based on the saturation law. Thematic analysis method was used to discover the combined treatment components of metadiagnostic therapy, mindfulness an‎d dialectical behavior therapy. In the quantitative part of the research, which was a clinical trial, a semi-experimental design was used to implement therapeutic interventions. To collect data, multidimensional pain screening questionnaire, pain psychological inflexibility scale (PIPS), subjective emotionality scale (MAS), pain resilience scale an‎d metadiagnostic scale of mood an‎d anxiety symptoms (MASQ-D30) were used. In the quantitative part, the method of analysis of variance with repeated measurements was used for specific validation an‎d to check the effectiveness of the interventions. The mean emotion identification scores of the combined treatment group were significantly higher than those of the cognitive-behavioral an‎d control groups. The average scores of emotion processing an‎d emotion expression of the combined treatment group were not significantly different from the cognitive behavioral therapy group. The average scores of pain avoidance an‎d psychological pain inflexibility of the whole combined treatment group were not significantly different from the cognitive behavioral therapy group. The average cognitive fusion scores of the combined therapy group were significantly lower than the cognitive behavioral therapy an‎d control groups. The mean scores of behavioral persistence, emotional cognitive dimension an‎d resilience of the whole combined treatment group were significantly higher than the control an‎d behavioral cognitive treatment groups. The average scores of general distress an‎d lack of pleasure of the combined treatment group were not different from the cognitive behavioral therapy group. But the mean anxiety arousal scores of the combined treatment group were significantly lower than those of the cognitive-behavioral an‎d control groups. Therefore, combined therapy can be used to improve pain tolerance an‎d some subscales of psychological inflexibility of pain an‎d mental emotionality an‎d emotional problems.

5

146502