نوع مقاله : مقاله پژوهشی
نویسندگان
1 فارغ التحصیل دکترای روانشناسی دانشگاه شهید چمران اهواز،اهواز ، ایران
2 عضو هیات علمی گروه روانشناسی دانشکده علوم تربیتی و روانشناسی دانشگاه شهید چمران اهواز،اهواز ، ایران
چکیده
این پژوهش به منظور بررسی میزان اثربخشی دو روش درمان شناختی- رفتاری و آموزش تن آرامی عضلانی تدریجی در کاهش خستگی، پریشانی هیجانی و اختلال کارکردی پرستاران مبتلا به نشانگان خستگی مزمن انجام شده است. جامعه آماری مورد مطالعه مشتمل بر پرستاران زن شاغل در بیمارستانهای زیر مجموعه دانشگاههای علوم پزشکی شهر تهران بوده است. از جامعه مورد نظر به شیوه تصادفی طبقه‌ای 1088 پرستار جهت تشخیص نشانگان خستگی مزمن (CFS) مورد غربال‌گری قرار گرفتند. بدین ترتیب، مجموعاً72 آزمودنی CFS در سه گروه 24 نفری به طور تصادفی گمارده شدند. از همان بیمارستانها، 24 پرستار بهنجار به طور تصادفی جهت گروه گواه بهنجار انتخاب شدند. پژوهش به شیوه آزمایشی با استفاده از طرح پیش آزمون- پس آزمون همراه با گروه گواه و بهنجار در چهار گروه انجام شد. سه گروه متعلق به پرستاران CFS و یک گروه مربوط به پرستاران بهنجار بوده است. نوع مداخله در گروههای CFS به روش تصادفی تعیین شد. متغیرهای وابسته (خستگی، پریشانی هیجانی و اختلال در کارکرد) با استفاده از مقیاس خستگی چالدر و فرم خودسنجی ارزیابی شد. نتایج نشان داد که درمان شناختی- رفتاری در کاهش خستگی، و اختلال کارکردی مؤثرتر از آموزش تن‌آرامی می‌باشد، در حالی که برای کاهش پریشانی هیجانی، آموزش تن آرامی درمان کارآمدتری است.
کلیدواژه‌ها
عنوان مقاله [English]
Comparing the Effectiveness of two Psychological Approaches in the Symptom Improvement of Chronic Fatigue Syndrome among Tehran Female Nurses
نویسندگان [English]
- S. Nasri 1
- B. Najarian 1
- M. Mehrabizadeh Honarmand 2
- H. Shokrkon 2
1 Graduated from Shahid Chamran University of Ahvaz, Ahvaz, Iran
2 Faculty member, Department of Psychology, Faculty of Educational Sciences and Psychology, Shahid Chamran University, Ahvaz, Ahvaz, Iran
چکیده [English]
This study was aimed at comparing the effectiveness of cognitivebehavioral therapy (CBT) and progressive muscular relaxation technique (PMRT) in the symptom improvement of nurses diagnosed, as suffering from Chronic Fatigue Syndrome (CFS). All female nurses working in Tehran Medical Sciences University Hospitals were considered as the population under study, 1088 of whom were selected through a stratified random sampling method for CFS screening. From those diagnosed with CFS, 72 subjects were randomly assigned to three experimental groups (24 subjects in each group), and then 24 “healthy nurses” (i.e., CFS nonsufferers) working in the same hospitals were also randbmly selected and assigned to the control group. Therefore, four groups were formed: CBT group, PMRT group, CFS control group, and a “normal group”. The recovery indices (i.e. dependent variables) employed were subjects fatigue, emotional distress, and dysfunctions, which were measured twice (i.e., before and after interventions) by Chalder’s Fatigue Scale. Results indicate that CBT was more effective than PMRT in the reduction of fatigue and dysfunctions, while PMRT was more effective than CBT in the improvement of subjects’ emotional distress. Both CBT and PMRT were found to be more effective than no treatment condition regarding all three dependent measures.
کلیدواژه‌ها [English]
- Chronic fatigue
- epidemiology
- cognitive-behavior therapy
- progressive muscular reiaxaton
- nurses
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