اثربخشي آموزش گروهي مديريت خشم بر افزايش ميزان سازگاري اجتماعي و شغلي مبتلايان به ميگرن

The effectiveness of group anger management training on the increase in social and occupational compatibility of a migraine suffering people

هدف: هدف پژوهش حاضر بررسي اثربخشي آموزش گروهي مديريت خشم بر افزايش ميزان سازگاري اجتماعي و شغلي مبتلايان به ميگرن بود. روش‌بررسي: مطالعه از نوع شبه‌آزمايشي با طرح پيش‌آزمون - پس‌آزمون با گروه كنترل بود؛ جامعهٔ آماري پژوهش حاضر تمامي بيماران مبتلا به سردرد ميگرني بودند كه در نيمهٔ اول سال 1396 به كلينيك‌هاي شهر يزد مراجعه داشتند. با استفاده از نمونه‌گيري در دسترس و براساس معيارهاي ورود به پژوهش، 60 نفر از اين افراد انتخاب و بررسي شدند. از ميان اين افراد تعداد 30 نفر كه نمرهٔ كنترل خشم آن‌ها در پرسشنامهٔ كنترل خشم بالاتر از نمرهٔ برش بود، بعد از ارزيابي توسط پرسشنامهٔ سازگاري بل (1961) به‌صورت تصادفي در دو گروه آزمايش (15 نفر) و كنترل (15 نفر) قرار گرفتند. در ادامه 8 جلسهٔ دو ساعتهٔ آموزش مهارت‌هاي مديريت خشم براي گروه آزمايش اجرا شد و گروه كنترل آموزشي دريافت نكرد. نهايتاً داده‌ها با استفاده از آزمون تحليل كوواريانس يك‌راهه تحليل شد. يافته‌ها: نتايج آزمون نشان داد كه بين دو گروه در افزايش سازگاري اجتماعي و سازگاري شغلي در مرحلهٔ پس‌آزمون تفاوت معناداري وجود دارد (0٫001>p) و اين بدين‌معناست كه آموزش مديريت خشم بر ارتقاي سازگاري اجتماعي و شغلي اثربخش بوده است. نتيجه‌گيري: با توجه به يافته‌ها مي‌توان گفت آموزش گروهي مديريت خشم باعث بهبود سازگاري اجتماعي و شغلي بيماران مبتلا به ميگرن مي‌شود و بر اين اساس به روان‌شناسان و مشاوران توصيه مي‌شود در كار با اين افراد از مداخلهٔ مديريت خشم بهره جويند.

Background & Objective: A migraine, as one of the most common types of headaches with high prevalence, has a significant impact on the health of the affected person. Psychological and social problems are also common among these patients. In general, migraine patients are usually ambitious people who like to live according to the plan and are criticized for their disadvantages. These patients often respond to the failures that result from their association with the people in the form of anger and constant annoyance that will undoubtedly not be sufficiently evacuated. Persons with migraine are personally personally-minded, highly professional and have a lot of social and emotional incompatibilities. For this reason, if they fail, they can create problems for themselves and others. Some migraine susceptible people appear calm and relaxed, while the hidden anger and incompatibility may be due to their inability to do the work to the desirable perfection under their calm appearance. Accordingly, attention to their compatibility is essential. The purpose of this study was to evaluate the effectiveness of group anger management training on the increase in social and occupational compatibility of a migraine suffering people. Methods: This study was a semi-experimental and pre-test-post-test with the control group — all patients with a migraine who were referred to the clinics in Yazd. Selection of research sample with available sampling method included 60 of these subjects. They completed a questionnaire on anger control, and 30 of them were randomly selected. They were divided into two groups: experimental group (15 people) and control group (15 people). Then, eight sessions of two hours of training on anger management skills were performed for the experimental group, and the control group did not receive any training. The data obtained from the pre-test and post-test were analyzed by measuring the Bell's compatibility questionnaire (1961) with one-way covariance analysis. Results: Results showed that the experimental group compared to the control group, a significant difference regarding social adjustment and technical adjustment (p< 0.05), and anger management training has affected social and occupational compatibility. Conclusion: According to the findings, group anger management training can improve the social and occupational compatibility of migraine patients. It can be said that anger management training helps individuals to recognize their psychological causes of their negative emotions and their sense of instinct, thus enabling them to master themselves in confronting challenging situations. Also, by the appropriate expression, promote self-esteem and their psychosocial function, and subsequently promote their social and occupational advancement. In this regard, it can be said that when anger is out of control and destructive, it can lead to problems in work, interpersonal relationships, and overall quality of life. Anger Management training teaches people how to self-regulate and develop emotional management skills regarding behavioral skills and psychosocial function. Individuals, through engagement in the anger management training program, can learn the skills they need while undergoing cognitive reconstruction and, by enriching their behavioral creature, they can show adaptive responses in different situations. Therefore, psychologists and counselors are advised to use anger management intervention in working with these people.