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

Chemotherapy, as one of the common treatments for breast cancer, is associated with many side effects including pain, which negatively affects the physical and psychological health of patients. Some studies have shown that mindfulness-based interventions can lead to a reduction in cancer patient’s pain and life expectancy. However, some studies reported conflicting results.

The present study aimed to investigate the effectiveness of Mindfulness integrated Cognitive Behavioral Therapy (MiCBT) on the pain and life expectancy of women with breast cancer during chemotherapy.

The current research design was a semi-experimental pre and post test with a control group ans a one-month follow-up. For this purpose, 28 breast cancer patients aged 19-70 in 2022 were purposefully selected from medical centers in Shiraz city and randomly assigned to two groups of intervention and control (14 patients for each group). The intervention group received six-week sessions (90 minutes) of MiCBT group therapy (Cayoun et al., 2018), while the control group used the common chemotherapy method. Both groups were evaluated using a Brief Pain Inventory (Cleeland, 1991) and Hope Scale (Snyder et al., 1991). In addition, multivariate analysis, variance analysis with repeated measures and Bonferroni post hoc was used to analyze the data with SPSS26 software.

The intervention group had significantly lower pain scores (F(1,25)= 72312, p< 0.01, η2= 0.73) and higher life expectancy scores (F(1,25)= 9.62, p< 0.01, η2= 0.72) in the post-test. In addition, the differences remained significant in follow-up (p< 0.05).

Based on the findings, MiCBT moderated pain and life expectancy of breast cancer patients. Further studies are required to assess the efficacy of the MiCBT intervention in larger randomized trials.

The purpose of this study was the feasibility of a family-oriented psychological intervention focused on compassion on the pain intensity and disability in married women with migraine. The research method was semi-experimental with a pretest-posttest design and a control group with a three-month follow-up period. the statistical population of married women suffering from migraines who were referred to " Clinic Dard Mehr" in Rasht city in 2022. 40 people were selected in purposive sampling and were assigned to two intervention and control groups by a simple random method. Pain Intensity Scale (PIS) (Downie et al., 1978) and Pain Disability Index (PDI) (Pollard, 1984) were used in the measurement stages. The intervention group underwent weekly intervention during eight 90-minute sessions. Data analysis was done by Repeated measures ANOVA. The results showed that the variable of pain intensity in the intervention group from pretest to posttest with a mean difference (3.800) decreased significantly (p<0.05), but this change from pretest to follow-up with a mean difference (0.950) had no significant difference. Disability of pain in the intervention group has decreased significantly from the pretest to posttest with a mean difference (4.555), also this change has decreased from the pretest to the follow-up with a mean difference (of 3.400) (p<0.05). In general, it can be concluded that family-centered psychological intervention focused on compassion had an effective role in reducing pain intensity and disability in married women with migraines, but this reduction in pain intensity variable was not stable over time.

Pain is an unpleasant experience, usually accompanied by potential or actual tissue injury, and is composed of emotional, sensory, cognitive, and social components. Past research has shown that both cognitive and emotional factors play a significant role in experiencing pain. An important complication of cancer is pain. More than 70 % of cancer patients experience disease-related pain. The cancer-caused chronic pain affects the quality of life of people with cancer. It also increases the risk of depression and anxiety in these patients. Psychological factors play a significant role in how patients adapt to pain. The research design was descriptive-correlational and the statistical population included people with Leukemia who had referred to clinics and hospitals in Yazd for treatment and chemotherapy. In total, 240 individuals were selected by convenient sampling method. The results showed that there is a significant relationship between metacognitions, meta-emotions, psychological flexibility and experienced pain. The presence of negative emotions and decreased mental flexibility was associated with increased pain. The role of psychological flexibility as a mediating variable between metacognition and meta-emotion with the amount of pain experienced was confirmed. It was demonstrated that metacognitions and meta-emotions, through psychological flexibility affect the degree of the pain experienced.

Premenstrual syndrome is one of the most common problems of women of reproductive age, which has negative effects on their personal, social and academic health. The aim of this study was to determine the effect of metacognitive therapy on anxiety sensitivity, psychological distress and pain indices in premenstrual syndrome.

This study was a quasi-experimental with pretest, posttest and control group with two months follow-up. The statistical population included all the female students with premenstrual syndrome in the Islamic Azad University of Kermanshah during the year2021,from which 30 people were selected using the available method and based on the Fleiss equation and were assigned to two groups. Metacognitive therapy was applied to the subjects in the experimental group during10weekly sessions and each session lasted 90 minutes, but the control group did not receive therapeutic intervention. For data collection, premenstrual symptoms screening tool Steiner et al, psychological distress questionnaire Loibond and Loibund, anxiety sensitivity questionnaire Floyd et al, pain questionnaire McGill, and pain acceptance McCracken et al, were used. Data were analyzed with descriptive statistics, analysis of variance with repeated measurements and SPSS-26 statistical software.

The results showed that anxiety sensitivity(F=17.75, P=0.005 and η=0.61), pain intensity(F=6.18, P=0.009 and η=0.54), pain acceptance(F=10.70, P=0.014 and η=0.62) and psychological distress(F=43.45, P=0.001 and η=0.60 in the experimental group compared to the control group significantly decreased and these positive effects remained stable during the two-month follow-up period.

Metacognitive therapy is effective in improving pain indicators and reducing anxiety sensitivity and psychological distress in premenstrual syndrome, and this program can be recommended as a useful treatment to trauma and pain clinics.

The aim of this study was to determine the structural pattern of perceived pain based on brain/ behavioral systems and social support mediated by distress tolerance.

The research method was descriptive-correlational and the statistical population of the present study included all migraine patients referred to Bouali Hospital and two neurology clinics in Tehran in 2020, from which 374 patients were selected by convenience sampling method. Research tools include Behavioral Inhibition/ Activation Systems Scales by Carver & White (1994); Multidimensional Scale of Perceived Social Support by Zimet et al. (1988); Distress Tolerance Scale by Simons, & Gaher (2005) and Chronic Pain Questionnaire by Mohammadian (1995). The data of the present study were analyzed using structural equation modeling and Amos software.

The results indicated that the structural model of the research fit with the collected data. Indirect path coefficient between behavioral activation system and perceived pain was negative (P=0.001, β=-0.109). The indirect path coefficient between perceived social support and perceived pain was negative (P=0.001, β=0.145).

It seems that perceived social support and behavioral activation system motivate the individual to endure pain-related distress in order to reduce it. Based on the results of the present study, interventions that modulate the manifestations of brain / behavioral systems and provide support groups to provide social support to patients with migraine pain are suggested.

Abstract The aim of this study was to determine the effectiveness of emotional schemas group therapy on pain and depression in patients with rheumatoid arthritis. The statistical population included all patients with rheumatoid arthritis referring to rheumatology clinics and rheumatology departments of Shiraz hospitals. 45 patients with rheumatoid arthritis who were also afflicted with depression were randomly assigned into 3 experimental, placebo and control groups. The questionnaires were used in this study included McGill Pain Questionnaire and Beck Depression Inventory. Emotional schemas group therapy was conducted for 16 sessions of 2 hours and a half for experimental group only. For data analysis, covariance analysis and variance analysis with repeated measurements were used. The results showed that emotional schemas group therapy) had a significant effect on pain (sensory, emotional, cognitive, and general components), and depression in patients with rheumatoid arthritis and reduced them, and their effects remained after 3 months follow up (p Keywords: Rheumatoid arthritis, Emotional schemas therapy, Pain, depression.

The purpose of this study was to examine a developmental model based on variety and acceleration in formation of the processes and strategies of emotion regulation for sadness, anger, fear and pain. Participants were one hundred eight children (age, 4- 12). A directive content analysis was used to gather data through individually standard interviews. Data were collected with semi-structured interviews and observation of children after presentation of emotional scenarios or encountering real situations generating emotion. Data were analysed based on coding the behaviours, sub-strategies, and emotion regulation processes for four emotions of sadness, fear, anger, and pain. Findings showed variety of emotion regulation processes and strategies in formation four emotions. Development of emotion regulation did not show an age-related different pathway for different emotions.

One of the ''third wave'' cognitive-behavioral intervention is Acceptance and Commitment Therapy (ACT), which employs innovative mindfulness-based strategies. The aim of this study is to determine the effectiveness of Acceptance and Commitment Therapy on reducing Intensity pain in patients with Multiple Sclerosis. The study method was semi-experimental pretest-posttest design with a control group. The study population included all multiple sclerosis in Arak in the summer of 2016. Thirty subjects were selected via purposive sampling among patients coming to Arak medical centers and they were randomly assigned into two experiments and control groups. The experimental groups then received 8 sessions Acceptance and Commitment Therapy. The West Haven-Yale Multidimensional Pain Inventory was used to collect data in the pre-test and post-test stages. The data were analyzed by covariance. Findings: The results showed that there was a significant difference between the pre-test and post-test scores of the experimental group in pain intensity, but this difference was not observed in the control group. The obtained results are based on the effect of the acceptance and commitment method on reducing the pain of patients with MS. Support. Also, based on the data obtained based on the positive effect of acceptance and commitment, it is recommended to use this method in treatment centers.

The aim of this study was to compare the effectiveness of emotion regulation- focused cognitive-behavior therapy (CBT) and acceptance and commitment therapy (ACT) on backache symptoms, depression and life satisfaction in women suffering from chronic backache with comorbid major depressive disorder (MDD). This study was a quasi-experimental research conducted in the form of pretest-posttest with control group. 30 women with chronic backache and comorbid MDD were selected and were included randomly in two experimental groups (n=20) and one control group (n=10). One experimental group received the emotion regulation-focused CBT and another experimental group received the ACT, with control group on a waiting list. Participants completed the McGill Pain Questionnaire, Beck Depression Inventory-II (BDI-II) and Life Satisfaction Questionnaire in the pretest and posttest. The data were analyzed using multi-variable covariance analysis. The Emotion regulation-focused CBT and the ACT reduced backache symptoms and depression, and increased life satisfaction. the results showed no significant differences between the two therapies.

The aim of this study was to Compare the effectiveness of cognitive therapy Based on meta-theoretical models and meta-cognitive therapy on amount pain and Thoughts Fusion in patients suffering from chronic pain in broken who were referred to medical centers in broken and diagnosis of chronic pain.
In this semi-experimental study with pretest-posttest control group design was used.105 people who were given a diagnosis of about them, were assigned to two experimental and control groups.this study was used to analyze the data from the test MANCOVA.
Results showed that meta-cognitive therapy and cognitive therapy Based on meta-theoretical models in reducing amount pain and Thoughts Fusion In patients suffering from chronic pain were significantly effective.
The results revealed that meta-cognitive therapy focuses on the challenge and cognitive therapy Based on meta-theoretical models focuses on the change process to create positive change and appropriate in patients with chronic pain used.

Aim: The aim of the current study was the determination of the effectiveness of Cognitive Behavioural Therapy in comparison with psycho-education, on the fear of childbirth and its related variables.
Method was quasi-experimental and the statistical population of nulliparous women from Ahvaz was 8000. Among them 54 women who had the entrance criteria for being considered in the research were selected. Selection was based on participants’ availability and they were randomly assigned to three groups of 18 women. Research tools were Wijma, Wijma and Zar’s Delivery Expectancy Questionnaire (1998) McCracken and Dhingra’s Pain Anxiety Symptoms (2002), Lowe’s Childbirth Self-Efficacy Inventory (1993), also nine sessions of 90-minute of Cognitive Behavioral Therapy Niminen (2016) and six sessions of 90-minute of psycho-education (Rouhi, Salmela‐Aro, Toivanen, Tokola, Halmesmäki & Saisto, 2013) for two times a week. After removing eight persons due to their absentees in two-thirds of sessions, the data of 46 persons were analyzed by the use of covariance method and comparison of two independent ratios.
Result revealed that Cognitive Behavioural Therapy decreases the fear of childbirth (F= 70.64, P= 0.001), fear of pain (F= 4.25, P= 0.02) and increases the tendency to natural childbirth (Z= 3.12, P= 0.002) and self-efficacy of childbirth (F=108.73, P= 0.001) and its effectiveness on these variables is more than psych education. Psych education only led to the increase of self-efficacy of childbirth (F=108.73, P= 0.001) and a decrease of fear of childbirth (F= 70.64, P= 0.01). The difference in the final frequency of natural childbirth in the experimental group with the control group (Z= 1.56, P= 0.1) and psych education (Z= 0.7, P= 0.4) group was not significant.
Since Cognitive Behavioural Therapy uses behavioural strategies and targets the irrational thoughts of women toward natural childbirth, it leads to the decrease of fear of childbirth and more effective than psychological training in the aforementioned fields.

The main purpose of this study is to determine the Effectiveness of Decisional and Self-Efficacy Therapy Transtheoretical model (TTM) on Cognitive-Emotional regulation , Mind control and pain Patients with chronic pain. This study was a semiexperimental study with a pretest, post-test and follow-up. Subjects were first screened using the inclusion and exclusion criteria.Therefore 70 hypertensive patients who referred to the chronic pain Hospital in bukan city were selected and randomly divided into experimental and control groups. The TTM group was treated in 8 sessions, Results showed that there were significant differences between two groups in Cognitive-Emotional regulation , Mind control and pain. so, TTM is an effective intervention in essential chronic pain patients.

There is evidence of a relationship between mind and body about pain. The aim of this study was to study the structural relations among chronic pain, mindfulness and behavioral activation and inhibition systems.
The present research is descriptive-correlative, retrospective, and cross-sectional.In this research from 300 students, 166 students with chronic pain from the Payam-E-Noor University of Tehran were selected by voluntary and available sampling. McGill pain questionnaire, and five-facet mindfulness scale and behavioral activation and inhibition systems scale were used as research tools for data collection.Data were analyzed using correlation and structural equation.
The results showed that the hypothesized model fit is good and acceptable. Behavioral Activation System has a direct and negative effect on pain) β=0/38) and behavioral inhibition system direct and positive effect on pain) β=0/36). The Behavioral Activation System through the mediation of mindfulness has an indirect effect on pain and behavioral inhibition system through mindfulness has an indirect effect on pain.
It can be concluded that behavioral activation and inhibition systems and mindfulness important determinants of pain.

the aim of this study was to examine the role of meaning of life and perceived social support in pain intensity. Based on a correlational study, 158 patients with cancer were selected by convenience sampling method from radiation therapy wards of two hospitals in Tehran. The participants completed the pain intensity subscale of the Multidimensional Pain Inventory (MPI), the Medical Outcomes Study-Social Support Survey (MOS-SSS; Sherborne & Stewart, 1991), and the Meaning of Life Questionnaire (Steger, Frazier, Oishi & Kaler, 2006).The results of multivariate regression analysis indicated that the meaning of life and social support correlated with the reported pain intensity.The social support and the meaning of life accounted for 83% of the variation in perception of pain intensity. The findings suggested the need to pay more attention to perceived social support in treatment of cancer patients.

Theaim of this study was to examin and compare the effectiveness of cognitive therapy Based on meta-theoretical models and meta-cognitive therapy on thought control and reducing the pain in patients suffering from chronic pain.
This study was quasi-experimental with pretest-posttest and control group. The statistical population included all chronic pain patients aged over 30 years old who referred to Shahid Gholipur Hospital’s centers of Bukan city for treatment in 2015. 105 patients with chronic pain were selected among those who referred to these centers and assigned into the experimental and control groups randomly. The experimental groups received eight sessions of 90-minutes. The McGill Pain Questionnaire and Wells Score were used to collect data.
The Results of multiple analysis of covariance indicated that there was a significant difference between three groups in posttest scores of thought control and reducing the pain. The results of post hoc test indicated more effective and more reliable effectiveness of meta-transtheoretical therapy rather than meta-cognitive model in post-test and follow-up of two months on thought control and reducing the pain.
According to the results of this study, meta-transtheoretical therapy more increased in thought control and reducing the pain. Thus, mental health expert can use this treatment method for increasing patients’ thought control and reducing the pain

Pain is the most generalized mental stress that human faces it. The current research has been done to determine the fitness of emotion regulation model of generalized anxiety disorder to explain pain perception in patient with chronic pain.

 The statistical sample consisted of 210 patients referred to pain clinics in Rasht, Iran who had generalized anxiety disorder symptoms based on clinical interview. They were selected by available sampling and completed perception of pain, emotion dysregulation, and Alexithymia (TAS), meta-mood and affect control questionnaire. Data were analyzed by descriptive measures of frequency, percentage, mean, standard deviation and Pearson’s correlation coefficient and structural equation model.

Results showed that emotion regulation has a direct effect on pain perception (p<0.01). Moreover, variables such as expressiveness, meta-mood, affect control and Alexithymia have direct effect on emotion regulation and indirect effect on pain perception.

Findings show that emotion regulation could be effective in the degree of pain perception in patient with chronic pain.

Aims: The present study was conducted to investigate the relationship between alexithymia and quality of life in patients with clinical pain complain and healthy people.
The study sample consists of 200 participants (100 patients with pain complain and 100 healthy people between 18-60 years old) which were selected at convenience. Data were collected by the Toronto Alexithymia Scale (TAS-20) and the 36-Item Short-Form Health Survey (SF36) and analyzed by independent samples t test, Pearson moment correlation method and Enter regression.
Based on the findings, the two groups of patients and healthy participants were significantly different both in alexithymia scale and quality of life. Also correlation between alexithymia and quality of life in patients was stronger, particularly in difficulties describing emotions and external-oriented thinking subscales.
Results showed that pain causes strong relationship between alexithymia and quality of life; and the mental aspect of quality of life is more affected by alexithymia than others.

Dysmenorrhea or painful periods is one of the problems of women in childbearing age which has negative effects on their individual and social health. It is one of the most important reasons for going to doctor and generally affects the quality of life in childbearing age. The goal of this research was to study the effectiveness of EMG biofeedback in curing primary Dysmenorrhea. This research was a quasi-experimental design. Statistical population of this study was all of the patients who had experienced the primary Dysmenorrhea and had been visited in Hakim and Qamar Bani Hashem hospitals in Neyshabour in spring 1394. The sampling method was convenience one. The samples were selected by Verbal Multi Dimension Scale (VMDS). The patients in 6 sessions and in the first three days of the period time were cured by EMG biofeedback and were trained progressive relaxation. In this study, the data were collected by Biofeedback device output and West Haven-Yale Multidimensional Pain Inventory (WHYMPI) implementation. Data was analyzed by ANCOVA method. The results showed reducing of pain in patients with primary Dysmenorrhea (p-value <0/05).