اثر بخشي شناخت درماني مبتني بر ذهن آگاهي(MBCT) بر افزايش تاب آوري و كاهش سردرد در بيماران مبتلا به ميگرن

Mindfulness-Based Cognitive Therapy (MBCT) on Increasing Resilience and Reducing Headache in Migraine Patients

ﺧﻼﺻﻪ ﻣﻘﺪﻣﻪ: ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺑﺎ ﻫﺪف ﺑﺮرﺳﯽ اﺛﺮ ﺑﺨﺸﯽ ﺷﻨﺎﺧﺖ درﻣﺎﻧﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦ آﮔﺎﻫﯽ)MBCT( ﺑﺮ اﻓﺰاﯾﺶ ﺗﺎب آوري و ﮐﺎﻫﺶ ﺳﺮدرد در ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﻣﯿﮕﺮن اﻧﺠﺎم ﺷﺪ. روش ﮐﺎر: ﭘﮋوﻫﺶ ﺣﺎﺿﺮ از ﻧﻮع ﻧﯿﻤﻪ ﺗﺠﺮﺑﯽ ﺑﺎ ﻃﺮح ﭘﯿﺶ آزﻣﻮن -ﭘﺲ آزﻣﻮن ﺑﺎ ﮔﺮوه ﮐﻨﺘﺮل ﺑﻮد. ﺟﺎﻣﻌﻪ آﻣﺎري ﭘﮋوﻫﺶ ﺣﺎﺿﺮ ﺷﺎﻣﻞ ﮐﻠﯿﻪ ﺑﯿﻤﺎران ﻣﺒﺘﻼ ﺑﻪ ﻣﯿﮕﺮن ﻣﺮاﺟﻌﻪ ﮐﻨﻨﺪه ﺑﻪ ﺑﯿﻤﺎرﺳﺘﺎن ﺷﻬﯿﺪ دﮐﺘﺮ ﻟﻮاﺳﺎﻧﯽ ﺷﻬﺮ ﺗﻬﺮان در ﭘﺎﯾﯿﺰ 1397 ﺑﻮد ﮐﻪ از ﺑﯿﻦ ﺑﯿﻤﺎران آﻧﻬﺎ 35 ﻧﻔﺮ ﺑﻪ روش ﻧﻤﻮﻧﻪ ﮔﯿﺮي ﻫﺪﻓﻤﻨﺪ اﻧﺘﺨﺎب ﺷﺪﻧﺪ و ﺑﻪ ﺻﻮرت ﮐﺎﻣﻼ ﺗﺼﺎدﻓﯽ در دو ﮔﺮوه آزﻣﺎﯾﺶ و ﮐﻨﺘﺮل ﮔﻤﺎرده ﺷﺪﻧﺪ. در ﻫﺮ دو ﮔﺮوه ، ﺗﺎب آوري و ﺳﺮدرد ﺑﯿﻤﺎران از ﻃﺮﯾﻖ ﭘﺮﺳﺸﻨﺎﻣﻪ ﺗﺎب آوري ﮐﺎﻧﺮ و دﯾﻮﯾﺪﺳﻮن و ﭘﺮﺳﺸﻨﺎﻣﻪ ﺳﺮدرد ﻣﯿﮕﺮن اﻫﻮاز ﻣﻮرد ارزﯾﺎﺑﯽ ﻗﺮار ﮔﺮﻓﺘﻨﺪ، ﮔﺮوه ﻧﺨﺴﺖ، در 8 ﺟﻠﺴﻪ ﺷﻨﺎﺧﺖ درﻣﺎﻧﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦ آﮔﺎﻫﯽ درﯾﺎﻓﺖ ﮐﺮدﻧﺪ؛ اﻣﺎ ﮔﺮوه دوم ﻣﺪاﺧﻠﻪ اي ﻧﺪاﺷﺘﻨﺪ. ﺳﭙﺲ ﻣﺠﺪداً در ﭘﺲ آزﻣﻮن ﺗﺎب آوري و ﺳﺮدرد ﻫﺮ دو ﮔﺮوه ﻣﻮرد ارزﯾﺎﺑﯽ ﻗﺮار ﮔﺮﻓﺖ. داده ﻫﺎ ﺑﺎ اﺳﺘﻔﺎده از ﺗﺤﻠﯿﻞ ﮐﻮارﯾﺎﻧﺲ ﭼﻨﺪ ﻣﺘﻐﯿﯿﺮه ﺗﺠﺰﯾﻪ و ﺗﺤﻠﯿﻞ ﺷﺪﻧﺪ. ﻧﺘﺎﯾﺞ: ﻧﺘﺎﯾﺞ ﻧﺸﺎن داد ﮐﻪ ﺷﻨﺎﺧﺖ درﻣﺎﻧﯽ ﻣﺒﺘﻨﯽ ﺑﺮ ذﻫﻦ آﮔﺎﻫﯽ ﺑﺮ ﺗﺎب آوري و ﺳﺮدرد ﺑﯿﻤﺎران اﺛﺮ ﺑﺨﺶ ﺑﻮد )0/01

Introduction: The present study was performed with aim to investigate the effectiveness of mindfulness-based cognitive therapy (MBCT) on increasing resilience and reducing headaches in patients with migraines. Methods: The present study was a quasi-experimental study with pretest-post-test design and a control group. The statistical population included all patients with migraine referred to Shahid Dr. Lavasani Hospital in Tehran at 2018. 35 patients were selected by targeted sampling method and were randomly assigned to two groups of experimental and control. In both groups, patient resilience and headache were assessed through Connor and Davidson Resilience Questionnaire and Ahwaz Migraine Headache Questionnaire. The first group received mindfulness-based cognitive therapy in 8 sessions, but the second group did not receive any intervention. Then, in posttest, the resilience and headache of both groups were evaluated. Data were analyzed using multivariate analysis of covariance. Results: The results showed that cognitive therapy based on mindfulness was effective on patients' resilience and headache (P <0.01). Conclusion: Due to the effectiveness of treatment, the use of different psychological therapies, including MBCT, as a complement to medical therapies is recommended for patients with migraines.