fa اثربخشی هیپنوتراپی شناختی ‌رفتاری بر درد و تنظیم هیجان مبتلایان به اختلال ملال پیش از قاعدگی تخصصي Special پژوهشی-کمی Quantitative-Research <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">مقدمه</span></span></span></b><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">: </span></span></span><span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">با</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">توجه</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">شیوع</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">رو</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">فزونی</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">اختلال ملال پیش از قاعدگی و</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">با عنایت</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">به</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">لزوم</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">استفاده</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">از</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">اثربخش‌ترین</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">درمان</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">بهبود</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">علایم این</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">سندرم،</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">این</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">پژوهش</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">با هدف، </span></span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">اثربخشی هیپنوتراپی شناختی‌ رفتاری بر درد و تنظیم هیجان مبتلایان به اختلال ملال پیش از قاعدگی انجام شد.</span></span></span><span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"></span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">روش کار</span></span></span></b><span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">: </span></span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">روش پژوهش حاضر از نوع نیمه&shy;&shy;آزمایشی از نوع پیش‌آزمون و پس‌آزمون همراه با گروه </span></span></span><span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">آزمایش و</span></span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> کنترل و پیگیری است که در آن یک گروه آزمایش و یک گروه کنترل در سه مرحله پیش&shy;آزمون و پس&shy;آزمون و دوره پیگیری یک ماهه با یکدیگر مورد مقایسه قرار گرفتند.</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">جامعه</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">آماری پژوهش</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">شامل</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">کلیه</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">زنان 25 تا 40 ساله بودند که</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">در طی یکسال گذشته حداقل 3 بار طی یک بازه زمانی 12 ماهه به علت دردهای ناشی از قاعدگی به متخصص زنان شهر ساری مراجعه کردند و با تشخیص اختلال ملال پیش از قاعدگی به مرکز مشاوره و روانشناختی این شهر ارجاع داده شدند که از بین این گروه تعداد </span></span></span><span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">24 نفر </span></span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">با</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">استفاده</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">از</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">روش</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">نمونه‌گیری</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">در دسترس انتخاب</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">شدند</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">و</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">به صورت تصادفی</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">در</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">یک </span></span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">گروه</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">آزمایش (12 نفر)</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">و</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">گروه کنترل (12 نفر)</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">قرار</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">گرفتند.</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">ابزارهای پژوهش شامل پرسشنامه‌ تنظیم شناختی هیجان گارنفسکی و همکاران (2001)، پرسشنامه درد مزمن محمدیان (1995) و ابزار غربالگری علایم قبل از قاعدگی سیه&shy;بازی و همکاران (2011) بود. مداخله</span></span></span> <span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">هیپنوتراپی شناختی ‌رفتاری<b> </b></span></span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">در 8 جلسه 90 دقیقه‌ای برای گروه آزمایش اجرا شد. داده‌ها&nbsp; با نرم افزارآماری </span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">SPSS</span></span></span><span style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> نسـخه 25 و با استفاده از روش </span></span></span><span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">تحلیل واریانس با اندازه&shy;گیری مکرر، </span></span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">آزمونهای تعقیبی و آزمون </span></span></span><span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">تی مستقل</span></span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> جهت بررسی برابری میانگینها </span></span></span><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">در سـطح معنـی‌داری 05/0 تحلیل شـدند.</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">یافته‌ها</span></span></span></b><span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">: نتایج</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">کواریانس</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">نشان</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">داد</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">هیپنوتراپی شناختی ‌رفتاری بر </span></span></span><span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">کاهش درد،</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">تنظیم هیجان و خرده مقیاس‌های راهبرد سازش یافته و راهبردهای سازش نایافته در زنان مبتلا به اختلال ملال پیش از قاعدگی به</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">طور</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">معناداری</span></span></span> <span lang="AR-SA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">موثر است</span></span></span><span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black"> (001/0</span></span></span><span dir="LTR" style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">P <</span></span></span><span lang="FA" style="font-size:8.0pt"><span b="" mitra="" style="font-family:"><span style="color:black">).</span></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:107%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span lang="AR-SA" style="font-size:8.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"><span style="color:black">نتیجه&shy;گیری</span></span></span></span></b><span lang="AR-SA" style="font-size:8.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"><span style="color:black">:</span></span></span></span> <span lang="FA" style="font-size:8.0pt"><span style="line-height:107%"><span b="" mitra="" style="font-family:"><span style="color:black">هیپنوتراپی شناختی‌ رفتاری<b> </b>باعث بهبود جسمی- حسی، احساسی- هیجانی و شناختی- ارزیابانه، راهبرد سازش یافته و راهبردهای سازش‌نایافته، سلامت روان، روابط اجتماعی، سلامت محیطی و سلامت کلی زنان مبتلا به اختلال ملال پیش از قاعدگی شده و کیفیت زندگی را در این دوران بالا می‌برد.</span></span></span></span></span></span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Introduction</span></span></span></b><span style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">: Considering the increasing prevalence of premenstrual dysphoria and considering the need to use the most effective treatment in improving the symptoms of this syndrome, this study aims to investigate the effectiveness of cognitive behavioral hypnotherapy on pain and emotion regulation in premenstrual dysphoria sufferers.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Methods</span></span></span></b><span style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">: The current research method is a semi-experimental type of pre-test and post-test with experimental and control and follow-up groups, in which an experimental group and a control group in three stages of pre-test and post-test and the follow-up period of a Months were compared with each other. The statistical population of the research included all women aged 25 to 40 years who visited a gynecologist in Sari city at least 3 times in a 12-month period during the past year, and with the diagnosis of premenstrual dysphoria, went to the counseling center and 24 people were selected from this group using available sampling method and were randomly divided into an experimental group (12 people) and a control group (12 people). The research tools included the cognitive emotion regulation questionnaire of Garnevsky et al. (2001), the chronic pain questionnaire of Mohammadian (1995) and the premenstrual symptoms screening tool of Siehbazi et al. (2011). Cognitive-behavioral hypnotherapy intervention was implemented in 8 sessions of 90 minutes for the experimental group. The data were analyzed with SPSS version 25 statistical software and using the method of analysis of variance with repeated measurements, post hoc tests and independent t-test to check the equality of means at the significance level of 0.05.</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Results:</span></span></span></b><span style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"> The covariance results showed that cognitive-behavioral hypnotherapy is significantly effective on pain reduction, emotion regulation, and subscales of compromised strategies and compromised strategies in women with premenstrual dysphoric disorder (P < 0.001).</span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black"></span></span></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="text-justify:inter-ideograph"><span style="line-height:normal"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Conclusion: </span></span></span></b><span style="font-size:8.0pt"><span new="" roman="" style="font-family:" times=""><span style="color:black">Cognitive-behavioral hypnotherapy improves physical-sensory, emotional-emotional and cognitive-evaluative, compromised strategies and non-compromised strategies, mental health, social relationships, environmental health and overall health of women with premenstrual dysphoria disorder and quality it elevates life in this era.</span></span></span></span></span></span></span></span><br> &nbsp; هیپنوتراپی شناختی‌ رفتاری, درد, تنظیم شناختی هیجان, اختلال ملال پیش از قاعدگی Cognitive-Behavioral Hypnotherapy, Pain, Cognitive Emotion Regulation, Premenstrual Boredom Disorder 101 116 http://jne.ir/browse.php?a_code=A-10-1180-1&slc_lang=fa&sid=1 Marziyeh Amin Sorkhi مرضیه امین سرخی 100319475328460024744 100319475328460024744 No PhD student, Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran دانشجو دکتری روانشناسی عمومی، گروه روانشناسی، واحد گرگان، دانشگاه آزاد اسلامی، گرگان، ایران Ramazan Hassanzadeh رمضان حسن‌زاده Hasanzadeh@iausari.ac.ir 100319475328460024745 100319475328460024745 Yes Professor, Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran استاد گروه روان شناسی،واحد ساری، دانشگاه آزاد اسلامی،ساری،ایران Javanshir Asadi جوانشیر اسدی 100319475328460024746 100319475328460024746 No Assistant Professor, Department of Psychology, Gorgan Branch, Islamic Azad University, Gorgan, Iran استادیار، گروه روانشناسی، واحد گرگان، دانشگاه آزاد اسلامی، گرگان، ایران Mehdi Pourasghar مهدی پوراصغر 100319475328460024747 100319475328460024747 No Fellowship of Psychotherapy, Associate Professor of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Addiction Institute, Department of Psychiatry, Mazandaran University of Medical Sciences, Sari, IR Ira. فلوشیپ رواندرمانی- دانشیار گروه روان پزشکی ، مرکز تحقیقات روان پزشکی و علوم رفتاری، پژوهشکده اعتیاد، دانشگاه علوم پزشکی مازندران، ساری، ایران