نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی دکتری، گروه روانشناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران
2 دانشیار، گروه روانشناسی، واحد تبریز، دانشگاه آزاد اسلامی، تبریز، ایران
3 دانشیار، گروه راهنمایی و مشاوره، دانشگاه فرهنگیان، تهران، ایران
4 استاد، گروه روانشناسی، دانشگاه پیام نور، تهران، ایران
چکیده
زمینه و هدف: شروع بیماری پسوریازیس ممکن است به دلیل برخی عوامل از جمله اضطراب باشد. لذا پژوهش حاضر با هدف مقایسه اثربخشی کاهش استرس مبتنی بر ذهنآگاهی با و بدون تحریک الکتریکی فراجمجمهای بر اضطراب در بیماران مبتلا به پسوریازیس انجام گرفت.
مواد و روشها: این پژوهش نیمهآزمایشی از نوع پیشآزمون، پسآزمون و پیگیری یک ماهه با گروه کنترل بود. جامعه آماری شامل تمامی بیماران با تشخیص پسوریازیس مراجعهکننده به متخصصان درماتولوژی شهر تهران در سال 1403 بود. از بین آنها تعداد 45 بیمار با پسوریازیس به شیوه نمونهگیری در دسترس انتخاب شد و به صورت تصادفی در سه گروه (15 نفره) قرار داده شدند. گروه آزمایشی اول تحت آموزش کاهش استرس مبتنی بر ذهنآگاهی قرار گرفتند؛ گروه آزمایشی دوم کاهش استرس مبتنی بر ذهنآگاهی با تحریک الکتریکی فراجمجمهای را آموزش دیدند؛ و گروه کنترل در فهرست انتظار بودند. ابزار پژوهش شامل مقیاس اضطراب بک بود. دادهها با استفاده از روش تحلیل واریانس با اندازهگیری مکرر (طرح آمیخته) در نرمافزار SPSS نسخه 23 تجزیهوتحلیل شدند.
یافتهها: نتایج نشان داد که تأثیر آموزش مداخلة کاهش استرس مبتنی بر ذهنآگاهی با تحریک الکتریکی فراجمجمهای بر متغیر اضطراب بیشتر از مداخلة کاهش استرس مبتنی بر ذهنآگاهی بود (05/0P<).
نتیجهگیری: باتوجهبه یافتههای پژوهش میتوان نتیجه گرفت که مداخلات کاهش استرس مبتنی بر ذهنآگاهی با و بدون تحریک الکتریکی فراجمجمهای میتوانند برای بهبود اضطراب بیماران مبتلا به پسوریازیس کارآمد باشند. توصیه میگردد که درمانگران و مشاوران در راستای بهبود اضطراب بیماران مبتلا در کنار سایر مداخلات درمانی از این درمآنها استفاده کنند
تازه های تحقیق
https://scholar.google.com/citations?user=fR--lZYAAAAJ&hl=en
https://share.google/mTlg2edrp5mO5A0zn
https://scholar.google.com/citations?user=14J4o1oAAAAJ&hl=en&oi=sra
https://scholar.google.com/citations?user=P2pIb4EAAAAJ&hl=en
https://www.ncbi.nlm.nih.gov/myncbi/
https://scholar.google.com/citations?user=5kpigCgAAAAJ&hl=en
https://www.ncbi.nlm.nih.gov/myncbi/1duCU8nLidrQts/bibliography/public
کلیدواژهها
- کاهش استرس مبتنی بر ذهن آگاهی
- کاهش استرس مبتنی بر ذهن آگاهی با تحریک الکتریکی فراجمجمهای
- اضطراب
- پسوریازیس
موضوعات
عنوان مقاله [English]
Comparison of the Effectiveness of Mindfulness Based Stress Reduction (MBSR) with and without Transcranial Direct-Current Stimulation (TDCS) Treatment on Anxiety in Patients with Psoriasis
نویسندگان [English]
- Nasrin Hassanzadeh 1
- Masoumeh Azmoudeh 2
- Ali Eqbali 3
- Akbar Rezaei 4
1 Ph.D. Student, Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran
2 Associate Professor, Department of Psychology, Tabriz Branch, Islamic Azad University, Tabriz, Iran
3 Associate Professor, Department of Guidance and Counselling, Farhangian University, Tehran, Iran
4 Professor, Department of Psychology, Payame Noor University, Tehran, Iran
چکیده [English]
Background: Anxiety is among the factors contributing to the onset of psoriasis. Therefore, the present study aimed to compare the effectiveness of mindfulness-based stress reduction with and without transcranial direct-current stimulation therapy on the anxiety of patients with psoriasis.
Materials and Methods: This semi–experimental study was conducted with a pre-test, post-test, and one-month follow-up design with a control group. The population included all patients with psoriasis referring to dermatologists in Tehran, Iran in 2024. Among them, 45 patients with psoriasis were selected by convenience sampling and were randomly assigned to 3 groups (n=15). The first experimental group received mindfulness-based stress reduction, the second experimental group received mindfulness-based stress reduction with transcranial direct-current stimulation therapy, and the control group was in the waiting list. The research instrument included the Beck Anxiety Inventory (BAI). The obtained data were analyzed using repeated measure of variance analysis (mixed design) with SPSS 23.
Results: The findings showed that the effectiveness of mindfulness-based stress reduction with transcranial direct-current stimulation training intervention on anxiety was higher than mindfulness-based stress reduction training intervention (P<0.05).
Conclusion: It can be concluded that mindfulness-based stress reduction with and without transcranial direct-current stimulation therapy interventions can be effective in improving anxiety of patients with psoriasis. It is recommended that therapists and counselors use these therapies for improving the anxiety of patients with psoriasis.
کلیدواژهها [English]
- Psoriasis
- Anxiety
- Mindfulness Based Stress Reduction
- Mindfulness Based Stress Reduction with Transcranial Direct-Current Stimulation
- Bakhshi Sh, Sepahvandi M, Gholamrezaei S. The efficacy of mindfulness based stress reduction on cognitive emotion regulation in patients with psoriasis. Dermatology and Cosmetic. 2019; 10(4): 201-213. [Persian]
- Talayry A, Bavi S. Comparison of the Effectiveness of Mindfulness-based Stress Reduction Therapy and Emotional Schema Therapy on Perceived Stress and Distress Tolerance of Women Undergoing Drug Treatment with Psoriasis. Iranian Journal of Psychiatric Nursing (IJPN). 2023; 11(5): 40-52. [Persian]
- Kim WB, Jerome D, Yeung J. Diagnosis and management of psoriasis. Canadian Family Physician. 2017; 63(4): 278-85.
- Wu Y, Tang L, Shi X, Zhou Z, Li Y, Shan C. Effects of tDCS on Depression and Comorbid Generalized Anxiety Disorder: A Brain Function Imaging Case Report. Front Neurol. 2022; 13: 879339. doi: 10.3389/fneur.2022.879339
- Korman AM, Hill D, Alikhan A, Feldman SR. Impact and management of depression in psoriasis patients. Expert Opin Pharmacother. 2016; 17(2): 147–52. https://doi.org/10.1517/14656566.2016.1128894
- Lamb RC, Matcham F, Turner MA, Rayner L, Simpson A, Hotopf M, et al. Screening for anxiety and depression in people with psoriasis: a cross-sectional study in a tertiary referral setting. Br J Dermatol. 2017;176(4):1028–34. https://doi.org/10.1111/bjd.14833
- Ferreira BI, Abreu JL, Dos Reis JP, Figueiredo AM. Psoriasis and associated psychiatric disorders: a
- systematic review on etiopathogenesis and clinical correlation. J Clin Aesthet Dermatol. 2016; 9(6): 36–43.
- Kwon CW, Fried RG, Nousari Y, Ritchlin C, Tausk F. Psoriasis: Psychosomatic, somatopsychic, or both?. Clinics in dermatology 2018; 36(6): 698-703.
- Perera A. Psychological factors in psoriasis management. New Zealand Medical Student Journal. 2017; 24: 23-26.
- Kwan Z, Bong YB, Tan LL, et al. Socioeconomic and sociocultural determinants of psychological distress and quality of life among patients with psoriasis in a selected multiethnic Malaysian population. Psychol Health Med 2017; 22:184-95.
- Azad M, Bagherzadeh Golmakani Z, Mansouri A, Doustkam M. Comparing the Effectiveness of Behavioral Activation and Metacognitive Therapies on Body Image Concern, Anxiety, and Depression in Patients with Psoriasis. MEJDS. 2022; 12(233): 1-10. [Persian]
- Bakhshi Sh, Sepahvandi M. A, Gholamrezaie S. The efficacy of mindfulness based stress reduction (MBSR) on quality of life and perceived stress in patients with psoriasis. Journal of Research in Psychological Health. 2021; 15 (1), 65-81. [Persian].
- Creswell JD. Mindfulness Interventions. Annual Review of Psychology. 2017; 68: 491–516. https://doi.org/10.1146/annurev-psych-042716-051139
- Salmoirago-Blotcher E, Druker S, Frisard C, Dunsiger SI, Crawford S, Meleo-Meyer F, Pbert L. Integrating mindfulness training in school health education to promote healthy behaviors in adolescents: feasibility and preliminary effects on exercise and dietary habits. Preventive medicine reports. 2018; 9(1): 82-95.
- Słomian A, Łakuta P, Bergler-Czop B, Brzezińska-Wcisło L. Self-esteem is related to anxiety in psoriasis patients: a case control study. J Psychosom Res. 2018; 114: 45–9. https://doi.org/10.1016/j.jpsychores.2018.09.005
- Hosseini Ashkezary P, Mottaghi Sh, Saeidmanesh M, Moradi A. Comparison of the Effectiveness of Mindfulness Therapy based on Stress Reduction and Electrical Stimulation of the Cerebral Cortex (TDCS) in Improving Anxiety Symptoms of Students with Test Anxiety. Neuropsychology. 2022; 7(4): 79-93.
- Shapero BG, Greenberg J, Mischoulon D, Pedrelli P, Meade K, Lazar SW. Mindfulness-based cognitive therapy improves cognitive functioning and flexibility among individuals with elevated depressive symptoms. Mindfulness. 2018; 9(5): 1457-1469.
- Strohmaier S. The relationship between doses of mindfulness-based programs and depression, anxiety, stress, and mindfulness: a dose-response meta-regression of randomized controlled trials. Mindfulness. 2020; 11(6): 1315-1335.
- Browning A, Romer N. Mindfulness-Based Practices for Schools. WestEd; 2020.
- Tianchen W, Xiaoqian J, Huifeng Sh, Jieqiong N, Xiaohan Y, Jialei X, Xiaoli W. Prevalence of mental health problems during the COVID-19 pandemic: A systematic review and meta analysis, Journal of Affective Disorders. 2021; 281: 91-98,. doi.org/10.1016/j.jad.2020.11.117
- Lefaucheur JP, Antal A, Ayache SS, Benninger DH, Brunelin J, Cogiamanian F,... Garcia-Larrea L. Evidence-based guidelines on the therapeutic use of transcranial direct current stimulation (tDCS). Clinical Neurophysiology. 2017; 128(1): 56-92. https://pubmed.ncbi.nlm.nih.gov/27866120/
- Akbarzadeh M, Sabahi P, Rafieinia P, Moradi A. Effectiveness of mindfulness-based cognitive therapy and transcranial direct-current stimulation on worry and emotion regulation in fibromyalgia patients. Koomesh. 2022; 24(5): 648-660.
- Shiozawa P, Leiva AP, Castro CD, da Silva ME, Cordeiro Q, Fregni F, et al. Transcranial direct current stimulation for generalized anxiety disorder: a case study. Biol Psychiatry 2014; 75: e17-18. https://doi.org/10.1016/j.biopsych.2013.07.014
- Afshar R, Kazemi R, Taklavi S. Effectiveness of Combined of Cognitive Therapy based on Mindfulness with Transcranial Electrical Stimulation on Reducing Anxiety in Chronic Tinnitus Sufferers. Journal of Islamic Life Style Centered on Health. 2023; 6(4): 422-431.
- Rezaei Sharif A., Taghizadeh Hir S., Fattahzadeh Ardalani GH. Effectiveness of Transcranial Direct Current Stimulation (tDCS) on Reducing Anxiety in Martial Athletes, Journal of Sabzevar University of Medical Sciences. 2023; 30(3): 384-392.
- Pasyar S, Baghooli H, Barzegar M, Sohrabi N. Comparing the Effectiveness of Acceptance and Commitment Therapy and Mindfulness-Based Stress Reduction Program on Negative Feedback, Health Anxiety, Psychological Well-Being, and Body Image in Women Undergoing Mastectomy. Psychological Achievements. 2023; 30(1): 285-314. https://doi.org/10.22055/psy.2023.43119.2969
- Delavar A. Probability and Applied Statistics in Psychology and Educational Sciences. Tehran: Roshd Publication, 2022. https://www.adinehbook.com/gp/product/9642802166
- Beck AT, Steer RA. Beck Anxiety Inventory Manual. San Anto: Psychological Corporation, 1990.
- Rafiei M, Seifi A. An Investigation into the Reliability and Validity of Beck Anxiety Inventory among the University Students. Journal of Thought & Behavior in Clinical Psychology. 2013; 7(27): 43-50.
- Kabat-Zinn J. Full Catastropher Living: Using the Wisdom of Your Body and Mind to Face Stress. Pain and Illness. 2nd ed. NY; Bantam 1990.
- Boggio PS, Zaghi S, Fregni F. Modulation of emotions associated with images of human pain using anodal transcranial direct current stimulation (tDCS). Neuropsychologia. 2009;47(1):212-217.
)