جستجوی مقالات مرتبط با کلیدواژه « خودکارآمدی درد » در نشریات گروه « روانشناسی »

The purpose of the present study was to investigate the mediating role of pain acceptance and self-efficacy in the relationship between the tendency to addiction and difficulty in emotion regulation in patients with cancer. The current research was descriptive-correlation based on path analysis. The statistical population included all the cancer patients of Arak City in 2019-2020, out of which 215 people were selected by purposive sampling. The patients completed a battery of questionnaires including Difficulties in Emotion Regulation Scale (DERS, Gratzz & Roemer, 2004), Chronic  Pain Acceptance Questionaire (CPAQ, Aclestoon & Carken, 2004), Pain Self-Efficacy Questionaire (PSEQ, Nicholas, 2007) and Tendency to Addiction Questionaire (TAQ, Weed & Yacher, 1992). Data were analyzed by path analysis. Path analysis results showed that pain acceptance and pain self-efficacy had a direct and negative impact on addiction tendency (P< 0.01).  Difficulties in emotion regulation have a positive and indirect with addiction via pain acceptance and pain self-efficacy (P < 0.01). Fit indices also indicated approval of the suggested model. This suggests that pain acceptance and pain self-efficacy play a mediating role in the relationship between difficulties in emotion regulation and the tendency to addiction.

The present study aimed to determine the effectiveness of transdiagnostic treatment on pain self-efficacy and clinical symptoms in women with migraine. The research method was semi-experimental with a pre-test-post-test design and a control group with a two-month follow-up. The statistical population of the study included all women with migraine who were referred to the headache clinic of Shahrekord Hospital in 2022, from which 30 people were selected using the purposeful sampling method and randomly assigned to two groups (15 people in the experimental group and 15 people were placed in the control group). Measurement tools included Nicholas's Pain Self-Efficacy Questionnaire (PSEQ, 1990) and Derogatis & Melisaratos's Brief Symptom Inventory (BSI, 1983). The experimental group was subjected to an intervention based on Barlow et al's met diagnostic therapy (2011) during eight 90-minute sessions and once a week. Analysis of variance with repeated measurements was used to analyze the data. The results showed that there was a significant difference between the groups in the post-test and follow-up of pain self-efficacy and clinical symptoms (P<0.05), and the extra diagnostic treatment had a lasting effect in the follow-up period (P<0.05). As a result, transdiagnostic treatment can be used as an effective treatment to increase pain self-efficacy and reduce the clinical symptoms of women with migraine.

The present study aimed to determine the effectiveness of transtheoretical therapy on pain self-efficacy and adaptation to the disease in chronic pain sufferers. The research method was semi-experimental with a pre-test-post-test design including a control group. The statistical population for this research included all patients with chronic pain referred to medical clinics in Tehran in 1400. Twenty individuals were randomly selected using available sampling methods and were assigned to two groups – experimental and control (each consisting of 10 people). To collect information, Drogatis's (1990) Disease Adaptation Questionnaire (PAIS) and Nicholas's (1977) Pain Self-Efficacy Questionnaire (PSEQ) were utilized. The data obtained from this research were analyzed using multivariate covariance analysis. The findings indicated that, after controlling for the pre-test effect, a significant difference existed between the post-test results of the experimental group and the control group in terms of pain self-efficacy and adaptation to the disease (P<0.001). Therefore, it can be concluded that the intervention based on the transtheoretical model was effective in enhancing pain self-efficacy and adaptation to the disease in patients with chronic pain.

Breast cancer is one of the most common types of cancer in women worldwide, which has several negative consequences on the emotional, mental, and emotional states of women. Due to the psychological nature of breast cancer, psychological interventions have been the focus of some studies. It seems that it is necessary to pay more attention to psychological interventions to reduce the psychological suffering of women with breast cancer.

This study aimed to compare the efficacy of narrative therapy and cognitive-behavioral therapy on pain self-efficacy and hope in refractory metastatic breast cancer patients.

The research method was applied in a semi -experimental way with a pre -test -post -test design and a one-month follow-up with a control group.. The statistical population included all female patients with refractory metastatic breast cancer referred to Imam Khomeini Hospital in Urmia. 45 patients were selected using a targeted sampling method from the available type. They were randomly replaced into two experimental groups (narrative therapy and cognitive-behavioral therapy) and a control group (15 people in each group). Data collection tools included Pain Self-Efficacy Scale (PSEQ), and Schneider Hope Scale (SHS). The first and second experimental groups were treated with narrative therapy by White and Epston (1990) and cognitive-behavioral intervention by Wildermut (2008) for eight sessions each. Follow-up was done after 1 month. Data were analyzed using SPSS-26 software and repeated measure analysis of variance and LSD.

According to the results of the LSD test, people who experienced narrative therapy had higher scores in pain self-efficacy and hope compared to people who participated in cognitive-behavioral therapy (p<0.05). This means that narrative therapy was more effective than cognitive behavioral therapy on pain self-efficacy and hope, and in the follow-up phase, this level of meaning was permanent.

Both approaches of narrative therapy and cognitive behavioral therapy are practical in pain self-efficacy and hope, but narrative therapy is more effective than the other two groups in improving pain self-efficacy and hope of patients with metastatic breast cancer resistant to treatment. Therefore, the results of this study can help therapists, psychologists, and policymakers in the field of health and mental health. Hence, it is suggested to repeat this research in more groups and samples

Without a doubt, breast cancer is one of the most stressful events for women, and patients usually experience a severe shock when faced with a cancer diagnosis. The present study was conducted with the aim of comparing the effectiveness of cognitive-behavioral hypnosis-based therapy and mindfulness-based therapy on pain perception and pain self-efficacy in women with breast cancer.

The design of the research was semi-experimental and pre-test-post-test and follow-up with the control group. The statistical population of the present study was all women with breast cancer who referred to Mirdamad Radiotherapy and Oncology Center in Gorgan city in the second half of 2018. For this purpose, 45 people were selected and randomly divided into three groups. In the first test group, Donald Robertson's (2012) cognitive-behavioral hypnotherapy treatment protocol was used. In the second experimental group, mindfulness-based therapy sessions were conducted based on the mindfulness-based therapy guide of Segal et al. (2002) during 8 sessions. The control group did not receive any intervention. The research tools included Nicholas Pain Self-Efficacy Scale (1998) and McGill Pain Perception Questionnaire (1997). The research data were analyzed using the analysis of variance test with repeated measurements.

The results of data analysis showed that compared to the control group, both treatment methods had a significant effect on pain perception (F=55.19, P<0.001) and pain self-efficacy (F=7.16, P/001). P<0) in women with breast cancer (P<0.05). Treatment based on cognitive-behavioral hypnosis and mindfulness-based therapy did not have different effectiveness in reducing pain perception and increasing pain self-efficacy of patients (P>0.05).

It can be concluded that the treatment based on cognitive-behavioral hypnosis and the treatment based on mindfulness were effective on pain perception and pain self-efficacy in women with breast cancer.

Physiologic and chronic diseases damage the children’s psychological, communicative, social and emotional processes. Therefore, the present study was conducted aiming to investigate the effectiveness of child-oriented mindfulness on pain self-efficacy and pain anxiety of the children with rheumatism.

It was a quasi-experimental study with pretest, posttest, control group and two-month follow-up period. The statistical society included the children with rheumatism in the city of Isfahan in the autumn of 2018. 30 children with rheumatism were selected through non-random convenient sampling and randomly replaced into experimental and control groups. Then the experimental group received ten sixty-minute sessions of child-oriented mindfulness interventions during three months. The applied questionnaires included pain anxiety signs (Mc Cracken, et.al, 1992) and pain self-efficacy scale (Nicholas, 1989). The data from the study were analyzed through repeated measurement ANOVA.

The results of the study showed that mindfulness therapy has significantly influenced pain self-efficacy and pain anxiety of the children with rheumatism (F=83.54, F=311.23, p<0.001). Moreover, the results showed that this therapy was able to significantly maintain its effect in time (p<0.001). The degree of statistical effect of mindfulness therapy on mindfulness on pain self-efficacy and pain anxiety was 74% and 91% respectively in the children with rheumatism.

According to the findings of the present study it can be concluded that mindfulness therapy employing techniques such as thoughts, emotions and mindful behavior can be applied as an efficient therapy to increase pain self-efficacy and decrease pain anxiety of the children with rheumatism.

Multiple sclerosis (MS) can affect the quality of life in individuals with this illness by posing numerous nervous disorders. Clearly, there is a gap in studying the efficacy of educational programs about pain self-efficacy and distresses tolerance in patients with MS.

In this study, the aim was to investigate the difference between the efficiency of mindfulness-based group therapy and motivational interviewing efficiency regarding pain self-efficacy and distresses tolerance in patients with MS.

This quasi-experimental study was conducted using a control group pre-test, post-test, and follow up design. The population included all patients with MS who were referred to Shahid Vafaee center in Boroujen, Iran, by 2019. Among the 138 patients with MS, a total of 36 were selected through convenience sampling and placed in the experimental and control group via using the random assignment method. An intervention program (Kabat-Zinn et al., 1992) associated with mindfulness-based group therapy was held for 12 sessions, each session lasted 90 min. For the experimental group, the researcher held 12 sessions of 90 minutes using motivational interviewing group therapy (David Rosengren, 2005). The instruments used in this study were the pain self-efficacy questionnaire (Nikolas, 2007) and the distress tolerance questionnaire (Simons and Gaher, 2005). To perform data analysis, an analysis of variance on repeated measure design was used via SPSS software version 22.

It was found that both the mindfulness-based group therapy and the motivational interviewing group therapy were significantly correlated with the pain self-efficacy variable (p=0.002). Another significant association was also found between the distresses tolerance variable and both mindfulness-based group therapy and the motivational interviewing group therapy (p=0.001). Yet, there was seen no significant difference between the efficiency of mindfulness-based group therapy and that of the motivational interviewing group therapy in the pain self-efficacy and distresses tolerance of patients with MS. The present study showed that both mindfulness-based group therapy and motivational interviewing group therapy improve the rate of pain self-efficacy and distress tolerance in MS patients. Throughout the process of mindfulness- and motivational interviewing group therapy, patients learn to become aware of their mental processes through behavioral, cognitive, and metacognitive strategies. Such a process also helps them improve their pain self-efficacy and distresses tolerance.

the mindfulness-based group therapy and the motivational interviewing group therapy can effectively influence the pain self-efficacy, tolerance, distresses tolerance, and experiential avoidance of patients with MS.

Several studies have been conducted on the impact of acceptance-based and cognitive-behavioral therapy. But research comparing the efficacy of acceptance-based and commitment-based therapy and positive cognitive-behavioral therapy on pain self-efficacy in patients with chronic pain remains neglected.

To compare the efficacy of acceptance and commitment based therapy and positive cognitive-behavioral therapy on pain self-efficacy in patients with chronic pain.

This study was a quasi-experimental study with a 3-month-old instructor with 3 witnesses. The statistical population consisted of all patients with chronic pain referred to Hazrat Rasool Akram Hospital in Tehran in summer of 2019. 45 patients were selected as the sample and randomly assigned to one of the two groups. Research tools are: Nicholas Pain Self-efficacy Questionnaire (2007), Acceptance and Commitment Therapy Intervention (Hayes et al., 2013) and Positive Cognitive-Behavioral Therapy (Ben Nink, 2014). Descriptive statistics and repeated measures analysis were used.

There was a significant difference between acceptance and commitment based therapy and positive cognitive-behavioral therapy with the control group in pain self-efficacy in patients with chronic pain (P< 0/001). But there was no significant difference between acceptance and commitment based therapy and positive cognitive-behavioral therapy in pain self-efficacy in patients with chronic pain (P< 0/05).

Acceptance and commitment based therapy and positive cognitive-behavioral therapies are important in increasing my pain self-efficacy.

The present study aimed to investigate the effect ofeducation on stress reduction based on mind-awareness onPain self-efficacy in patients with major thalassemia major.

This is a quasi-experimental study with pre -testand post-test design with control group. The statistical population included all patients with thalassemia major whoreferred to thalassemia center of Chabahar Hospital on aweekly basis for treatment and blood donation. In this study,30 subjects have been selected by convenience samplingmethod and randomly were assigned to two groups of 15(mindfulness and control stress reduction) group. Theexperimental groups consisted of eight 60-minute sessionswith Kabat-Zein Mental Awareness Stress Reduction (2013),2 weekly training sessions and a control group in the waitinglist for training. Pain self-efficacy Questionnaire (PSEQ)were used for data collection. Data analysis was analyzedusing frequency, percentage, mean and standard deviationand one-v ariable covariance.

The resultsshowed a significant improvement in Pain self-efficacy bymindfulness training in the experimental group (p<0. 01).

It seems that reduction of mental-based stressis effective in improving Pain self-efficacy in patients withmajor type of thalassemia. It is suggested that, along withmedical therapies, education for the reduction ofmindfulness-related stress should also be conducted

The aim of this study was to investigate the multiple relationships between emotional regulation strategies, pain self-efficacy and disease perception with psychological well-being in women with breast cancer in Isfahan city. A descriptive  correlational research design were administered and statistical population included all breast cancer women referred to Isfahan health centers in the Spring 2018. Consequently, 160 breast cancer women were selected by available sampling method and based on inclusion/exclusion criteria. Data collection tools consisted of Gross and John's Emotion Regulation Questionnaires, Nicholas Pain Self-Efficacy Inventory (PSEQ), Bradbent et.al Illness Perception Questionnaire (IPQ) and Reif's Psychological Well-being Questionnaire(RPWS). The results showed that there is a positive and significant correlation between re-evaluation strategy(0/20), understanding the outcomes(0/16), personal control(0/17), treatment control(0/16) and total score of Perception of Disease(0/17) with psychological well-being in women with cancer.The results of a regression analysis showed that among all variables 1- perceived illness outcome and 2- re-appraisal strategy could significantly predict changes in the psychological well-being of breast cancer women. Two variables could explain 8% of the variance of psychological well-being. According to the results, changes in the re-evaluation strategy and understanding the outcomes of the disease are associated with changes in the psychological well-being of women with breast cancer. Therefore, by recognizing and understanding deeper psychological characteristics and beliefs about the disease in women with breast cancer, they can take steps to increase their psychological well-being with new conditions.

Liver transplantation is the most effective treatment for many patients with acute or chronic liver disease from a variety of causes. Pain-related self-efficacy is an important resiliency factor impacting the influence of liver transplantation-related pain. The aim of this study was prediction of pain self-efficacy base on of childhood trauma (physical abuse, sexual abuse, emotional abuse and neglect) and resilience in liver transplant patients.

This study utilized a descriptive correlational design and statistical population of this study was included of all inpatients and patients who had who had referred to with liver transplant surgery to Emam Khomeini in the fall and winter of 2015. 85 patients with liver transplantation were selected through purposive sampling. Research instruments were the resiliency of Connor & Davidson (2003), pain self-efficacy of Nicholas (1989) and childhood trauma of Bernstein & Fink (1988). To analyze the data, multiple regressions were used.

Results of the analysis showed resilience in the 0.01 significant predicted pain self-efficacy in liver transplant patients. Among dimension of childhood trauma just childhood sexual abuse negatively and in the 0.01 significant predicted pain self-efficacy in liver transplant patients.

Cognitive factors such as childhood trauma and resilience during the period of growth influence development of self-efficacy in coping with pain.

There is considerable individual variation in the levels of pain-related disability among people with chronic pain. Pain self-efficacy and fear of movement have been proposed to explain individual differences in the level of pain-related disability. This study aims to investigate whether pain self-efficacy and fear of movement mediate the relationship between pain intensity and disability in patients with chronic pain. In a cross-sectional design, 195 chronic pain patients completed measures for pain intensity, disability, pain self-efficacy and fear of movement. The mean age (SD) of the sample was 45.6 years (12) and 73% of the sample reported their main pain sites as low back and legs. Regression analyses were used to test the mediational hypothesis. The first regression analysis indicated that pain self-efficacy beliefs partially mediated the effects of pain intensity on disability. The results of the Sobel test confirmed this mediational effect (Z = 3.40, p < 0.001). The second regression analysis indicated that fear of movement partially mediated the effect of pain intensity on disability. The results of the Sobel test confirmed this mediational effect (Z = 4.43, p< 0.001). Pain self-efficacy and fear of movement are important in terms of understanding the relationship between pain and disability. The clinical implications of these findings are discussed in the paper.