fa اثر بخشی درمان شناختی- رفتاری متداول درد با نسخه کامپیوتری آن بر کاهش شدت درد و خشم کودکان مبتلا به سرطان روانشناسی بالینی Clinical Psychiatry پژوهشي Research <strong><span style="color:#0070c0;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">زمینه و هدف:</span></span></span></strong> <span style="font-family:B Mitra;"><span style="font-size:10.0pt;">هدف این پژوهش بررسی اثر بخشی درمان شناختی- رفتاری متداول درد و نسخه کامپیوتری آن بر کاهش شدت درد و خشم کودکان مبتلا به سرطان</span></span> <span style="font-family:B Mitra;"><span style="font-size:10.0pt;">در شهر اهواز بود.</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;"></span></span></span><br> <strong><span style="color:#0070c0;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">روش کار:</span></span></span></strong><span style="font-family:B Mitra;"><span style="font-size:10.0pt;"> این پژوهش دارای طرح آزمایشی با پیش آزمون، پس آزمون و پی&shy;گیری با گروه کنترل بود که اثربخشی دو مداخله درمان شناختی رفتاری متداول درد و نسخه کامپیوتری آن، در مقایسه با گروه کنترل بررسی شدند</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">.</span></span></span><span style="font-family:B Mitra;"><span style="font-size:10.0pt;"> نمونه مورد بررسی شامل 45 نفر کودک ۸ تا ۱۲ ساله مبتلا به انواع سرطان بوده اند که بر اساس ملاک های ورود و خروج انتخاب شدند. سپس این افراد به طور تصادفی به سه گروه 15 نفره(دو گروه آزمایش و یک گروه کنترل) تقسیم شدند. ابزار پژوهش شامل پرسشنامه خشم اسپیلبرگر(</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Brunner & Spielbeger</span></span></span><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">، 2009)</span></span><span style="font-family:B Mitra;"><span style="font-size:10.0pt;"> و مقیاس بین المللی اندازه گیری درد (</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Wong & Baker</span></span></span><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">، 2002</span></span><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">) بوده است. اولین گروه آزمایش، به مدت 6 هفته در جلسات درمان شناختی رفتاری متداول درد شرکت داشتند و دومین گروه آزمایش به مدت 6 هفته تحت برنامه درمانی آموزشی نسخه کامپیوتری درمان شناختی رفتاری درد قرار گرفتند، اما گروه کنترل هیچ&shy;گونه مداخله&shy;ای دریافت نکردند. این برنامه توسط محققین این پژوهش، طراحی و ساخته شد که مشتمل بر یک قسمت سایکو اجوکیشن، انیمیشن و بازی کامپیوتری می&shy;باشد (</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">Hamedy & et.al.2017</span></span></span><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">). </span></span><br> <strong><span style="color:#0070c0;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">یافته‌ها:</span></span></span></strong><span style="font-family:B Mitra;"><span style="font-size:10.0pt;"> نتایج حاصل نشان داد که میزان خشم و درد در دو گروه </span></span>&nbsp;<span style="font-family:B Mitra;"><span style="font-size:10.0pt;">مداخله نسبت به پیش آزمون و گروه کنترل&nbsp; به طور معنی‌داری کاهش یافته بود</span></span> <span style="font-family:B Mitra;"><span style="font-size:10.0pt;">(</span></span><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">0001/0</span></span><span dir="LTR"><span style="font-family:Times New Roman,serif;"><span style="font-size:10.0pt;">p<</span></span></span><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">).</span></span> <span style="font-family:B Mitra;"><span style="font-size:10.0pt;">این نتایج در دوره ی پی&shy;گیری به طور معناداری تداوم داشت. در دوره&shy;ی پی&shy;گیری گروه شناختی رفتاری نسخه کامپیوتری درد نسبت به گروه شناختی رفتاری متداول در کاهش خشم به طور معنی&shy;داری مؤثرتر بوده است.</span></span><br> <strong><span style="color:#0070c0;"><span style="font-family:B Mitra;"><span style="font-size:10.0pt;">نتیجه‌گیری:</span></span></span></strong><span style="font-family:B Mitra;"><span style="font-size:10.0pt;"> استفاده از مداخله شناختی رفتاری کامپیوتری درد مانند درمان شناختی رفتاری متداول درد، برای کاهش درد و خشم کودکان مبتلا به سرطان مفید است، اما تأثیر درمانی برنامه مداخله کامپیوتری شناختی رفتاری در کاهش درد و به ویژه خشم، مؤثر&shy;تر است. </span></span> &nbsp;<br> <strong>Background:</strong> Cancer is a medical problem that has always been associated with pain. Because the experience of pain is associated with negative emotions such as anxiety, depression and anger, these negative emotions themselves reduce the quality of life, disrupt sleep habits and even people eating. Today, with the development of new technologies and pervasive influence of these technologies, the field of psychological therapies is also try to use the computer-based interventions. In this research, the effectiveness of conventional cognitive-behavioral pain therapy and its computer prescription on reducing the severity of pain and anger in children with cancer in Ahvaz was investigated.<br> <strong>Methods: </strong>This research method was an experimental with pre-test, post-test and follow-up with the control group in which the effectiveness of two psychological interventions (cognitive behavior therapy of pain management and its computer version) were compared with the control group. The statistical population of the present study consists of all children with cancer who met the criteria for this study. There were about 73 subjects. The sample consisted of 45 children aged 8 to 12 years with various types of cancer, based on inclusion and exclusion criteria such as age, socioeconomic status, clinical diagnostic interview and other criteria among the cancer patients in the pediatric ward of Shafa Hospital. 2 Ahvaz were selected. Then randomly divided into three groups of 15 (two experimental groups and one control group). The research instruments included the Spielberger Anger Questionnaire (Brunner & Spielbeger, 2009) and the International Pain Measurement Scale (Wong & Baker, 2002). The first experimental group participated in routine cognitive-behavioral pain therapy sessions for 6 weeks and the second experimental group administered a computer-based training program for cognitive-behavioral pain management therapy for 6 weeks, but the control group did not receive any intervention. However, for ethical reasons, they were provided with a computerized training program, a computerized version of cognitive-behavioral pain therapy. This program was designed and developed by the researchers of this study, which includes a part of psycho-education, animation and computer games (Hamedy. & Et.al. 2017). After 6 weeks, all three groups were evaluated as post-test and finally after one-month follow-up period.<br> <strong>Results:</strong> The results showed that there was a significant difference between the intervention and control groups in terms of anger and pain variables (p<0.0001), the rate of anger and pain in the two intervention groups compared to the pretest and control groups decreased. These results were significantly continued after the follow-up period. During the follow-up period, the computer version of pain management was significantly more effective in reducing anger than the conventional cognitive-behavioral therapy of pain management, although computer intervention during the follow-up period reduced the pain better than the other intervention, but this reduction has not reached a significant level.<br> <strong>Conclusion:</strong> Children with cancer face a lot of pain and anger. The introduction of psychological interventions based on new technologies will help these children to recover. The results of this study showed that the use of computer cognitive-behavioral pain intervention such as conventional cognitive-behavioral pain therapy has been effective to reduce pain and anger in children with cancer, but the therapeutic effect of cognitive-behavioral computer intervention program is effective in reducing pain and especially anger. Therefore, prescription of cognitive-behavioral pain management intervention and computerized prescription cognitive-behavioral pain management intervention, especially the recent approach, are recommended to reduce pain and anger in children with cancer along with drug therapies. درمان شناختی- رفتاری متداول درد, نسخه کامپیوتری درمان شناختی- رفتاری درد, درد, خشم, سرطان Cognitive-behavioral therapy of pain management, Computerized version of cognitive-behavioral therapy, Pain, Anger, Cancer 223 238 http://rjms.iums.ac.ir/browse.php?a_code=A-10-4093-2&slc_lang=fa&sid=1 Najmeh Hamid نجمه حمید n.hamid@scu.ac.ir 3900319475328460054960 3900319475328460054960 Yes Shahid Chamran University of Ahvaz, Ahvaz, Iran دانشکده علوم تربیتی و روان شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران Vajiheh Hamedy وجیهه حامدی 3900319475328460054961 3900319475328460054961 No mran university دانشگاه شهید چمران اهواز، اهواز، ایران Kiomars Beshlideh کیومرث بشلیده 3900319475328460054963 3900319475328460054963 No mran university دانشکده علوم تربیتی و روان شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران Seyedali Marasy سیدعلی مرعشی 3900319475328460054962 3900319475328460054962 No mran university دانشکده علوم تربیتی و روان شناسی، دانشگاه شهید چمران اهواز، اهواز، ایران