اثربخشی آرام سازی پیشرونده عضلانی بر پریشانی روان شناختی زنان مبتلا به ام.اس

نوع مقاله : مقاله پژوهشی

نویسندگان

1 کارشناسی ارشد روان‌شناسی عمومی، دانشگاه آزاد اسلامی، واحد ساری، مازندران، ایران

2 کارشناسی ارشد روان‌شناسی بالینی، دانشگاه خوارزمی تهران، تهران، ایران

3 کارشناسی ارشد روان‌شناسی بالینی، دانشگاه آزاد اسلامی، واحد زنجان، زنجان، ایران

4 استادیار روان‌شناسی، دانشگاه زنجان، زنجان، ایران

چکیده

مقدمه و اهداف
مزمن بودن ماهیت بیماری مولتیپل اسکلروزیس، نداشتن پیش­ گهی و درمان قطعی و درگیر ساختن فرد در سنین جوانی باعث ایجاد مشکلات روان‌شناختی متعددی در بیماران می‌گردد. هدف پژوهش حاضر بررسی اثربخشی تکنیک آرام­سازی پیشرونده عضلانی بر پریشانی روان‌شناختی بیماران مبتلا به ام.اس بود.
مواد و روش ­ها
در پژوهش شبه­آزمایشی حاضر با پیش‌آزمون- پس‌آزمون با گروه کنترل، از میان کلیه زنان مبتلا به ام.اس عضو انجمن ام.اس شهرستان بهشهر (80 نفر) تعداد 30 نفر با توجه به معیارهای ورود به پژوهش و به ‌طور تصادفی انتخاب شدند و در دو گروه آزمایش و کنترل قرار گرفتند. گروه آزمایش تحت آموزش تکنیک آرام­سازی پیشرونده عضلانی به مدت 8 جلسه 30 دقیقه‌ای قرار گرفتند.همه بیماران در دو مرحله پیش از درمان و پس از درمان به وسیله مقیاس اضطراب و افسردگی بیمارستانی (HADS) و مقیاس افسردگی، اضطراب و استرس (DASS) مورد ارزیابی قرار گرفتند. داده‌ها از طریق آزمون تحلیل کوواریانس تجزیه‌ و تحلیل شد.
یافته ­ها
نتایج حاصل از تجزیه‌ و تحلیل داده‌ها حاکی از اثربخشی آموزش تکنیک آرام­سازی پیشرونده عضلانی در کاهش پریشانی روان‌شناختی بیماران گروه آزمایش در مقایسه با گروه کنترل بود (01/0P<).
نتیجه­ گیری
تکنیک آرام­سازی پیشرونده عضلانی همراه با ریلکسیشن از طریق تاثیرات عمیق بر سیستم اعصاب خودمختار موجب ایجاد وضعیت آرامش عمیق و افزایش توانایی فرد در تطابق با عوامل استرس‌زا می­شود؛ لذا تخصصی کردن و تقویت برنامه ­های درمانی برای درمان و بهبود بیماران مبتلا به ام.اس با توجه به بررسی نوع استرس­ها و اضطراب ­ها و منابع‌شان را در ایشان می‌طلبد.
 

کلیدواژه‌ها

موضوعات

عنوان مقاله [English]

Effectiveness of Progressive Muscle Relaxation Training on Psychological Distress of Woman's with Multiple Sclerosis

نویسندگان [English]

  • Shahrbanoo Tabarsi 1
  • Mohammad Mehdi Zakeri 2
  • Roya Rezapur 3
  • Loghman Ebrahimi 4
1 M.A in General Psychology, Islamic Azad University of Sari, Mazandaran, Iran
2 M.A in Clinical Psychology, Kharazmi University of Tehran, Tehran, Iran
3 M.A in Clinical Psychology, Islamic Azad University of Zanjan, Zanjan, Iran
4 Assistant Professor in Psychology, University of Zanjan, Zanjan, Iran
چکیده [English]

Background and Aim: Chronic nature of MS, lack of prognosis and definitive treatment, and engaging the individuals at young age lead to many psychological problems in patients. The aim of the present study was to investigate the effectiveness of progressive muscle relaxation trainingon psychological distress of patients with multiple sclerosis.
Materials and Methods: In the current quasi-experimental study with pre-test and post-test with experimental group and control group, from among all women with multiple sclerosis who were members of the M.S Society of Behshahr city, 30 were selected randomly and according to the inclusion criteria and then divided into two groups of control and experimental. The experimental group received 8 sessions of 30-minute progressive muscle relaxation training. All the patients were assessed in both pre-treatment and post-treatment stages using theHospitalAnxiety and Depression Scale (HADS) and Depression, Anxiety, and Stress Scale (DASS).Data were analyzed using covariance test.
Results: The results of data analysis indicated the effectiveness of progressive muscle relaxation training in decreasing psychologicaldistress of the experimental group compared with the control group (p<0/01).
Conclusion: Progressive muscle relaxation techniques with relaxation through deep breaths on the autonomic nervous system led to a state of deep relaxation and increase in the individuals's ability to cope with stressors. Therefore, specialization and strengthening of the therapeutic programs for treatment and recovery of patients with M.S, considering the type of stress and anxiety and their resources in them, is essential.

کلیدواژه‌ها [English]

  • Progressive muscle relation
  • Psychological distress
  • Multiple sclerosis

مراجع

  1. Liu Y, Morgan C, Hornung L, Tyry T, Salter AR, Agashivala N & Cutter GR. Relationship between symptom change, relapse activity and disability progression in multiple sclerosis. Journal of the neurological sciences. 2016;362:121-126##
  2. Walker LA, Osman L, Berard JA, Rees LM, Freedman MS, MacLean H, & Cousineau D. Brief International Cognitive Assessment for Multiple Sclerosis (BICAMS): Canadian contribution to the international validation project. Journal of the neurological sciences. 2016;362:147-152.‏ ##
  3. Loughran-Fjeldstad AS, Carlson NG, Husebye CD, Cook LJ, & Rose JW. Retinal nerve fiber layer sector-specific compromise in relapsing and remitting multiple sclerosis. eNeurologicalSci. 2015;1(2):30-37.‏‏ ##
  4. Milinis K, Tennant A, Young CA, & TONiC study group. Spasticity in multiple sclerosis: Associations with impairments and overall quality of life. Multiple sclerosis and related disorders. 2016;5:34-39.‏ ##
  5. Giordano A, Cimino V, Campanella A, Morone G, Fusco A, Farinotti M, ... & Ponzio M. Low quality of life and psychological wellbeing contrast with moderate perceived burden in carers of people with severe multiple sclerosis. Journal of the Neurological Sciences. 2016;366:139-145.‏ ##
  6. MCcabe MP. Mood and self-esteem of persons with multiple sclerosis following an exacerbation. Journal of psychosomatic research. 2005;59(3):161-166.‏ ##
  7. Winefield RH, Gill KT, Taylor WA, & Pilkington MR. "Psychological well-being and psychological distress: is it necessary to measure both?". Psychology of Well-Being: Theory, Research and Practice. 2012;2(1):3. ##
  8. Carlisle KN, & Parker AW. Psychological Distress and Pain Reporting in Australian Coal Miners. Safety and Health at Work. 2014;5:203-209. ##
  9. Mitchell AJ, Benito-León J, González JMM, & Rivera-Navarro J. Quality of life and its assessment in multiple sclerosis: integrating physical and psychological components of wellbeing. The Lancet Neurology. 2005;4(9):556-566.‏ ##

10. Anhoque CF, Domingues SCA, Carvalho T, Teixeira AL, & Domingues RB. Anxiety and depressive symptoms in clinically isolated syndrome and multiple sclerosis. Arquivos de neuro-psiquiatria. 2011;69(6):882-886. ##

11. Habek M, Brinar M, Brinar VV, & Poser MC. Psychiatric manifestations of multiple sclerosis and acute disseminated encephalomyelitis. Clin Neurol Neurosurg. 2006;108:290-94. ##

12. Chwastiak LA, Gibbons LE, Ehde DM, Sullivan M, Bowen JD, Bombardier CH, & Kraft GH. Fatigue and psychiatric illness in a large community sample of persons with multiple sclerosis. Journal of psychosomatic research. 2005;59(5):291-298.‏ ##

13. Ackerman KD, Heyman R, Rabin BS, Anderson BP, Houck PR, Frank E, & Baum A. Stressful life events precede exacerbations of multiple sclerosis. Psychosomatic Medicine. 2002;64(6):916-920.‏ ##

14. Feinstein A, & Feinstein K. Depression associated with multiple sclerosis: looking beyond diagnosis to symptom expression. Journal of affective disorders. 2001;66(2):193-198.‏ ##

15. Zhou K, Li X, Li J, Liu M, Dang S, Wang D, & Xin X. A clinical randomized controlled trial of music therapy and progressive muscle relaxation training in female breast cancer patients after radical mastectomy: Results on depression, anxiety and length of hospital stay. European Journal of Oncology Nursing. 2015;19(1):54-59.‏ ##

16. Hayes JA, & Cox C. Immediate effects of a five-minute foot massage on patients in critical care. Complementary Therapies in Nursing and Midwifery. 2000;6(1):9-13.‏ ##

17. Hamidizadeh S, Ahmadi F, & Asghari M. Study effect of relaxation technique on anxiety and stress in elders with hypertension. 2006; pp:45-51. ##

18. Brunelli S, Morone G, Iosa M, Ciotti C, De Giorgi R, Foti C, & Traballesi M. Efficacy of progressive muscle relaxation, mental imagery, and phantom exercise training on phantom limb: a randomized controlled trial. Archives of physical medicine and rehabilitation. 2015;96(2):181-187.‏ ##

19. Nickel C, Kettler C, Muehlbacher M, Lahmann C, Tritt K, Fartacek R, ... & Loew TH. Effect of progressive muscle relaxation in adolescent female bronchial asthma patients: A randomized, double-blind, controlled study. Journal of psychosomatic research. 2005;59(6):393-398.‏ ##

20. Conrad A, & Roth WT. Muscle relaxation therapy for anxiety disorders: it works but how?. Journal of anxiety disorders. 2007;21(3):243-264.‏v

21. Emery CF, France CR, Harris J, Norman G, & VanArsdalen C. Effects of progressive muscle relaxation training on nociceptive flexion reflex threshold in healthy young adults: a randomized trial. Pain. 2008;138(2):375-379.‏ ##

22. de Lorent L, Agorastos A, Yassouridis A, Kellner M, & Muhtz C. Auricular Acupuncture Versus Progressive Muscle Relaxation in Patients with Anxiety Disorders or Major Depressive Disorder: A Prospective Parallel Group Clinical Trial. Journal of Acupuncture and Meridian Studies.‏ 2016;9(4):191-199. ##

23. Devineni T, & Blanchard EB. A randomized controlled trial of an internet-based treatment for chronic headache. Behaviour research and therapy. 2005;43(3):277-292.‏ ##

24. Kobayashi S, & Koitabashi K. Effects of progressive muscle relaxation on cerebral activity: An fMRI investigation. Complementary therapies in medicine. 2016;26:33-39. ##

25. Safi SZ. A Fresh Look at the Potential Mechanisms of Progressive Muscle Relaxation Therapy on Depression in Female Patients with Multiple Sclerosis. Iranian journal of psychiatry and behavioral sciences. 2015;9(1).‏ ##

26. Masoudi R, Sharifi Faradonbeh A, Mobasheri M, & Moghadasi J. Evaluating the effectiveness of using a progressive muscle relaxation technique in reducing the pain of multiple sclerosis patients. Journal of Musculoskeletal Pain. 2013;21(4):350-357.‏ ##

27. Zhao L, Wu H, Zhou X, Wang Q, Zhu W, & Chen J. Effects of progressive muscular relaxation training on anxiety, depression and quality of life of endometriosis patients under gonadotrophin-releasing hormone agonist therapy. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2012;162(2):211-215.‏‏ ##

28. Mackereth PA, Booth K, Hillier VF, & Caress AL. Reflexology and progressive muscle relaxation training for people with multiple sclerosis: a crossover trial. Complementary therapies in clinical practice. 2009;15(1):14-21.‏ ##

29. Jensen MP, Barber J, Romano JM, Molton IR, Raichle KA, Osborne TL, ... & Patterson DR. A comparison of self-hypnosis versus progressive muscle relaxation in patients with multiple sclerosis and chronic pain. Intl. Journal of Clinical and Experimental Hypnosis. 2009;57(2):198-221.‏ ##

30. Ghafari S, Ahmadi F, Nabavi M, Anoshirvan K, Memarian R, & Rafatbakhsh M. Effectiveness of applying progressive muscle relaxation technique on quality of life of patients with multiple sclerosis. Journal of clinical nursing. 2009;18(15):2171-2179.‏ ##

31. Isa MR, Moy FM, Razack AHA, Zainuddin ZM, & Zainal NZ. Impact of applied progressive deep muscle relaxation training on the health related quality of life among prostate cancer patients—A quasi experimental trial. Preventive medicine. 2013;57:37-S40.‏ ##

32. Cosco TD, Doyle F, Ward M, & McGee H. Latent structure of the Hospital Anxiety and Depression Scale: a 10-year systematic review. Journal of psychosomatic research. 2012;72(3): 180-184.‏ ##

33. Montazeri A, Vahdaninia M, Ebrahimi M, & Jarvandi S. The Hospital Anxiety and Depression Scale (HADS): translation and validation study of the Iranian version. Health and quality of life outcomes. 2003;1(1):1.‏ ##

34. Kaviani H, Seyfourian H, Sharifi V, & Ebrahimkhani N. Reliability and validity of Anxiety and Depression Hospital Scales (HADS): Iranian patients with anxiety and depression disorders. Tehran University Medical Journal. 2009;67(5):379-385. ##

35. Osman A, Wong JL, Bagge CL, Freedenthal S, Gutierrez PM, & Lozano G. The depression anxiety stress Scales—21 (DASS‐21): further examination of dimensions, scale reliability, and correlates. Journal of clinical psychology. 2012;68(12):1322-1338.‏ ##

36. Lee EH. Review of the psychometric evidence of the perceived stress scale. Asian Nursing Research. 2012;6(4):121-127. ##

37. Samani S, & Jukar, B. The reliability and validity of the short form of Depression, Anxiety and Stress Scale (DASS).  Journal of Social Sciences and Humanities of Shiraz University. 2006;3(26): 65-76. ##

38. Huntley A, & Ernst E. Complementary and alternative therapies for treating multiple sclerosis symptoms: a systematic review. Complementary therapies in medicine. 2000;8(2):97-105.‏ ##

39. Heravi M, Jadid MM, Regea N, & Valaei N. The effect of relaxation training on exam driven anxiety level among nursing students.‏ 2004##

40. Deckro GR, Ballinger KM, Hoyt M, Wilcher M, Dusek J, Myers P, ... & Benson H. The evaluation of a mind/body intervention to reduce psychological distress and perceived stress in college students. Journal of American College Health. 2002;50(6):281-287.‏ ##

41. Crocker PR, & Grozelle C. Reducing induced state anxiety: effects of acute aerobic exercise and autogenic relaxation. The Journal of sports medicine and physical fitness. 1991;31(2):277-282.‏ ##

42. Halloway NM. Nursing the critically ill adult. California: Addison Wesley Pub. 1999;p:865-6. ##

43. Sadock BJ, Sadock VA, & Kaplan HI. Kaplan and Sadock's concise textbook of child and adolescent psychiatry. Lippincott Williams & Wilkins. 2009‏##

44. Matourypour P, Zare Z, Mehrzad V, Musarezaie A, Dehghan M, & Vanaki Z.  An investigation of the effects of therapeutic touch plan on acute chemotherapy-induced nausea in women with breast cancer in Isfahan, Iran, 2012–2013. Journal of education and health promotion. 2015;4.‏ ##

45. Sadeghi A, Sirati-Nir M, Ebadi A, Aliasgari M, & Hajiamini Z. The effect of progressive muscle relaxation on pregnant women's general health. Iranian journal of nursing and midwifery research. 2015;20(6):655.‏ ##

46. Smith M.  Healing through touch. Nursing times. 1990;86(4):31.‏ ##

47. Benson H, Beary JF, & Carol MP. The relaxation response. Psychiatry. 1974;37(1):37-46.‏ ##

48. Bohachick P. Progressive relaxation training in cardiac rehabilitation: effect on psychologic variables. Nursing research. 1984;33(5):283-288.‏ ##

49. Randolph GL. Therapeutic and physical touch: physiological response to stressful stimuli. Nursing research. 1984;33(1):33-36.‏ ##

دوماهنامه علمی - پژوهشی طب توانبخشی
دوره 7، شماره 4
آذر و دی 1397
صفحه 71-79

فایل ها

سابقه مقاله

  • تاریخ دریافت: 23 آذر 1396
  • تاریخ بازنگری: 13 بهمن 1396
  • تاریخ پذیرش: 18 اردیبهشت 1397
  • تاریخ اولین انتشار: 01 دی 1397

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