fa مقایسه‌ی اثربخشی مواجهه‌درمانی و درمان شناختی‌رفتاری بی‌خوابی بر آشفتگی روان‌شناختی زنان مبتلا به فیبرومیالژیا روانشناسي باليني Clinical Psychology پژوهشي Original <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:</span></span></span></span></span></span></b>&nbsp;<span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="">فیبرومیالژیا </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">یک </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="">بیماری مزمن با درد گسترده‌ی اسکلتی‌عضلانی است که</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""> در</span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin=""> زنان شایع‌تر از مردان است. مطالعه‌ی </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">حاضر با هدف مقایسه</span></span><span dir="LTR" style="font-size:10.0pt"><span arial="">‌</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">ی اثربخشی مواجهه‌درمانی</span></span> <span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">exposure therapy (</span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">EXP)</span></span><span style="font-size:10.0pt"><span b="" nazanin=""> و درمان شناختی‌رفتاری بی‌خوابی</span></span> <span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">cognitive behavioral therapy for insomnia (CBTI)</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">بر آشفتگی روان‌شناختی زنان مبتلا به </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="">فیبرومیالژیا </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">انجام شد.</span></span><span lang="AR-SA" style="font-size:10.0pt"><span style="font-family:"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:.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">:</span></span></span></span></span></b><b>&nbsp;</b><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">مطالعه‌ی حاضر یک کارآزمایی بالینی تصادفی‌‌شده‌‌ی یک‌سو</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">‌</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">کور با طرح پیش‌آزمون _- پس‌آزمون با گروه کنترل همراه با پیگیری دوماهه بود که در برهه‌ی زمانی بهمن‌ماه 1402 تا شهریورماه 1403 به‌صورت آنلاین اجرا شد. جامعه‌ی آماری شامل زنان ایرانی مبتلا به </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="">فیبرومیالژیا </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">بود که در گروه‌های مجازی </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="">فیبرومیالژیای </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">ایران عضو بودند. حجم نمونه،60 زن مبتلا به </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="">فیبرومیالژیا </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">بود که به‌صورت دردسترس انتخاب و به‌صورت تصادفی در دو گروه آزمایش و یک گروه کنترل گمارده شدند (هر گروه 20 بیمار). گروه‌های آزمایشی به‌صورت آنلاین مداخله‌های </span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">EXP</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""> و </span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">CBTI</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""> را دریافت کردند. سنجش متغیر وابسته با مقیاس افسردگی، اضطراب و استرس</span></span> <span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">DASS-21</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">و تحلیل داده‌ها با نرم‌افزار ۲۴ </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="">انجام شد.</span></span><span dir="LTR" style="font-size:10.0pt"></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">:</span></span></span></span></span></b>&nbsp;<span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">سه گروه ازنظر </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="">سن، وضعیت تأهل، تحصیلات، پایگاه اجتماعی‌اقتصادی و </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">مدت ابتلا به بیماری همسان بودند (0/05</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin=""><</span></span><span dir="LTR" style="font-size:10.0pt"><span new="" roman="" times="">P</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">). نتایج تحلیل واریانس اندازه‌گیری ‌مکرر نشان داد که هر دو مداخله‌ی </span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">EXP</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">و </span></span><span dir="LTR" style="font-size:9.0pt"><span new="" roman="" times="">CBTI</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">در کاهش آشفتگی روان‌شناختی زنان مبتلا به </span></span><span lang="AR-SA" style="font-size:10.0pt"><span b="" nazanin="">فیبرومیالژیا </span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">اثربخشی معناداری دارند (</span></span><span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">0/01</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">></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="">). بین اثربخشی دو درمان تفاوت معناداری وجود نداشت (0/946</span></span> <span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">=</span></span><span dir="LTR" style="font-size:8.0pt"><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:</span></span></span></span></span></span></b>&nbsp;<span lang="FA" style="font-size:10.0pt"><span b="" nazanin="">مواجهه‌درمانی و درمان شناختی‌رفتاری بی‌خوابی در کاهش آشفتگی روان‌شناختی زنان مبتلا به فیبرومیالژیا مؤثرند و درمان در قالب آنلاین می‌تواند برای این بیماران کاربرد بالینی بسیاری داشته باشد.</span></span></span></span></span></span></span><br> &nbsp;</span> <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:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3"><span style="letter-spacing:.15pt">Background and Objective:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">Fibromyalgia (FM) is a chronic condition with widespread musculoskeletal pain that is more common in women than men. The present study aimed to compare the effect of exposure therapy (EXP) and cognitive behavioral therapy for insomnia (CBTI) on psychological distress in women with FM.</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:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3">Materials and Methods:</span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">This study was a single-blind, randomized controlled trial that employed a pretest-posttest design with a two-month follow-up conducted online between February and September 2024. The statistical population included Iranian women with FM who were members of Iranian FM virtual groups. The sample included 60 women with FM who were selected via convenience sampling and were randomly assigned to two experimental groups and one control group (20 patients in each group). The experimental groups received EXP and CBTI interventions online. Depression, anxiety, and stress scale (DASS-21) was used to measure the dependent variable. The obtained data were analyzed in SPSS software (version 24).</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:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3"><span style="letter-spacing:.15pt">Results:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima">The three groups were matched in terms of age, marital status, education, socioeconomic status, and duration of illness (P>0.05). The results of repeated measures ANOVA demonstrated that both EXP and CBTI were significantly effective in the mitigation of psychological distress in women with fibromyalgia (P<0.01). There was no significant difference between the effectiveness of the two treatments (P=0.946).</span></span></span></span></span></span><br> <b><span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:#274cc3"><span style="letter-spacing:-.1pt">Conclusion:</span></span></span></span></b> <span style="font-size:9.0pt"><span style="font-family:Optima"><span style="color:black">As evidenced by the obtained results, EXP and CBTI are effective in the reduction of psychological distress in women with fibromyalgia, and the online treatment format might be of high clinical utility for these patients</span></span></span> آشفتگی روان‌شناختی, درمان شناختی‌رفتاری, فیبرومیالژیا, مواجهه‌درمانی Cognitive behavioral therapy, Exposure therapy, Fibromyalgia, Psychological distress 28 36 http://sjh.umsha.ac.ir/browse.php?a_code=A-12-2845-2&slc_lang=fa&sid=1 Amir Ghorbanzade BorBor امیر قربان‌زاده بوربور 100319475328460023712 100319475328460023712 No Department of Psychology, Faculty of Literature and Humanities, Urmia University, Urmia, Iran گروه روان‌شناسی، دانشکده ادبیات و علوم انسانی، دانشگاه ارومیه، ارومیه، ایران Esmaeil Soleimani اسماعیل سلیمانی soleymany.psy@gmail.com 100319475328460023713 100319475328460023713 Yes Department of Psychology, Faculty of Literature and Humanities, Urmia University, Urmia, Iran گروه روان‌شناسی، دانشکده ادبیات و علوم انسانی، دانشگاه ارومیه، ارومیه، ایران Ali Esazadeghan علی عیسی‌زادگان 100319475328460023714 100319475328460023714 No Department of Psychology, Faculty of Literature and Humanities, Urmia University, Urmia, Iran گروه روان‌شناسی، دانشکده ادبیات و علوم انسانی، دانشگاه ارومیه، ارومیه، ایران