fa تأثیر درمان مبتنی بر پذیرش و تعهد بر پیامدهای روانشناختی اضطراب،شدت درد و خستگی زنان مبتلا به فیبرومیالژیا:مطالعه با اثر انتظار روانشناسي باليني Clinical Psychology پژوهشي Original <div class="rounded" style="background: rgb(238, 238, 238); border: 1px solid rgb(204, 204, 204); padding: 5px 10px; text-align: justify;"><span style="font-family:Tahoma;"><span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.1pt">سابقه و هدف:&nbsp;</span></span></span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">سندرم فیبرومیالژیابا اختلالات روان‌پزشکی عمده ازجمله اضطراب و خستگی ناتوان‌کننده همراه است. پژوهش حاضر با هدف بررسی تأثیر درمان مبتنی بر پذیرش و تعهد بر اضطراب، شدت درد و خستگی مزمن در زنان مبتلا به فیبرومیالژیا با اثر انتظار انجام شد.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.15pt">مواد و روش‌‌ها</span></span></span></span></span></span></b><b><span b="" lang="AR-SA" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.15pt">:&nbsp;</span></span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">در این‌ مطالعه نیمه‌آزمایشی با طرح پیش‌آزمون و پس‌آزمون، 40 نفر از بیماران بیمارستان بوعلی شهر تهران در سال 1398 از طریق نمونه‌گیری در‌دسترس انتخاب و به صورت تصادفی در دو گروه آزمایش و کنترل گماشته شدند. آزمودنی‌ها قبل و بعد از آموزش درمان مبتنی بر پذیرش و تعهد به پرسش‌نامه‌های اضطراب بک، درد مک‌گیل و شدت خستگی کروپ پاسخ دادند. برای تجزیه‌وتحلیل داده‌ها از آزمون تحلیل کوواریانس، اندازه‌گیری مکررو نرم‌افزار </span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">SPSS</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">نسخه22 استفاده شد.</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.2pt">یافته‌ها</span></span></span></span></span></span></b><b><span b="" lang="AR-SA" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.2pt">:&nbsp;</span></span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">نتایج تحلیل کوواریانس نشان داد درمان مبتنی بر پذیرش و تعهد بر کاهش نشانگان اضطراب (20/92=</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">F</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">، 0.001</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">P<</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">)، خستگی (13/66=</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">F</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">، 0.001</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">P<</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">) و شدت درد (6/17=</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">F</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">، 0.019</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">P<</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">) در بیماران مبتلا به فیبرومیالژیا تأثیر معنی‌داری دارد (0.001></span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">P</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">).</span></span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="direction:rtl"><span style="unicode-bidi:embed"><span ms="" trebuchet=""><span style="color:black"><b><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin=""><span style="color:#274cc3"><span style="position:relative"><span style="top:-1.0pt"><span style="letter-spacing:.2pt">نتیجه‌گیری:&nbsp;</span></span></span></span></span></span></b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">درمان مبتنی بر پذیرش و تعهد از طریق ایجاد و توسعه پذیرش و انعطاف‌پذیری روان‌شناختی از آسیب‌های روان‌شناختی بیماران می‌کاهد و موجب کاهش اضطراب، شدت درد و خستگی در زنان مبتلا به فیبرومیالژیا می‌شود.</span></span></span></span></span></span></span></span></div> <div class="rounded" style="background: rgb(238, 238, 238); border: 1px solid rgb(204, 204, 204); padding: 5px 10px; text-align: justify;"><span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#274cc3"><span style="letter-spacing:.15pt">Background and Objective:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Fibromyalgia syndrome is associated with major psychiatric disorders, such as anxiety and debilitating fatigue. This study aimed to determine the effect of Acceptance and Commitment Therapy on anxiety, chronic fatigue, and pain intensity in women with fibromyalgia with the effect of waiting.</span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#274cc3">Materials and Methods:</span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">This quasi-experimental study with a pretest-posttest design was conducted on 40 patients of Bouali Hospital in Tehran, Iran, in 2019. The samples were selected by the available sampling method and randomly assigned to the experimental and control groups. The subjects completed Beck Anxiety, McGill Pain, and Krupp Fatigue questionnaires before and after Acceptance and Commitment Therapy training. The collected data were analyzed in SPSS software (version 22) using analysis of covariance and repeated measures.</span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#274cc3"><span style="letter-spacing:.15pt">Results:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">The results of analysis of covariance showed that Acceptance and Commitment Therapy reduced anxiety ( F=20.92, P<0.001), fatigue (F=13.66, P=0.001), and pain intensity (F=6.17, P=0.019) in patients with fibromyalgia, which was significant (P<0.001).</span></span></span></span></span></span><br> <span style="font-size:12pt"><span style="unicode-bidi:embed"><span ms="" style="font-family:" trebuchet=""><span style="color:black"><b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:#274cc3"><span style="letter-spacing:.1pt">Conclusion:</span></span></span></span></b><span style="font-size:10.0pt"><span new="" roman="" style="font-family:" times="">Acceptance and Commitment Therapy through the creation and development of psychological acceptance and flexibility, can reduce patients&#39; psychological damage and lead to a decrease in anxiety, pain intensity, and fatigue in women with fibromyalgia.</span></span></span></span></span></span></div> اضطراب, درمان مبتنی بر پذیرش و تعهد, شدت درد Acceptance and Commitment Therapy, Anxiety, Pain Intensity 244 252 http://sjh.umsha.ac.ir/browse.php?a_code=A-12-1969-1&slc_lang=fa&sid=1 Mohsen Akbarian محسن اکبریان akbarianmohsen66@gmail.com 100319475328460015712 100319475328460015712 No PhD Candidate, Department of Health Psychology, Karaj Branch, Islamic Azad University, Karaj, Iran Narges Saeidi نرگس سعیدی nargessaeidi967@yahoo.com 100319475328460015713 100319475328460015713 No MSc, Department of Mental Health, Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran Ahmad Borjali احمد برجعلی borjali@atu.ac.ir 100319475328460015714 100319475328460015714 No Professor, Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Allameh Tabatabai University, Tehran, Iran Shahla Abolghasemi شهلا ابوالقاسمی shahlamarmin@yahoo.com 100319475328460015715 100319475328460015715 No Assistant Professor, Department of Internal Medicine, School of Medicine, Tehran Branch, Islamic Azad University of Medical Sciences, Tehran, Iran Hamid Reza Hassanabadi حمیدرضا حسن آبادی dr_hassanabadi@khu.ac.ir 100319475328460015716 100319475328460015716 Yes Associate Professor, Department of Educational Psychology, Faculty of Psychology and Educational Sciences, Kharazmi University, Tehran, Iran