Tavallaei Vahid, Rezapour-Mirsaleh Yaser, Rezaiemaram Peyman, Saadat Seyed Hassan
Counseling Department, Education & Psychology Faculty, Ardakan University, Ardakan, Iran.
Psychology Department, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran.
Eur J Transl Myol. 2018 Apr 24;28(2):7380. doi: 10.4081/ejtm.2018.7380.
Our aim was to investigate effectiveness of mindfulness by bibliotherapy on disability, distress, perceived pain and mindfulness in women with tension headaches and migraines. Primary headaches have been of great interest to mental health researchers because of the high prevalence, as well as significant disability and distress in the affected people. Despite the promising results of in-person treatment and some limitations that such interventions may cause, patients may be encountered with problems when using health care services. The present study is a quasi-experimental randomized design with pre-test, post-test, and control group. The study population consisted of 1396 women with migraine headache referring to headache clinic of Baqiyatallah Hospital in Tehran. Of these, 30 patients (including tboh experimental and control group) were selected by objective sampling method and were randomly assigned to the two groups. The experimental group, in addition to medical treatment as usual, was treated for a period of 8 sessions by Mindfulness-based Stress Reduction Internet-based Bibliotherapy, but the control group used only the medical treatment. The sample had no attritions. Data were collected by the four scales of (DASS-21), Migraine Disability Assessment Test (MIDAS), McGill's Short Form Questionnaire (MPQ-SF), and Mindfulness Inventory (MAAS). We used covariance analysis to analyze the findings in the measured scales. MBSR-IBB treatment had no significant effect on pain sensory dimension (P <0.44), despite improvement of mindfulness (P <0.0001). In contrast, the greatest effect was on the level of disability (P <0.0001). We observed also a significant improvement in distress (P <0.0001). In conclusion, in spite of the presence of headaches, the mindfulness improved the quality of life and reduced the level of mental distress. In addition, using the Internet-based bibliotherapy method, these services can be used with easier access, lower cost, and more flexibility.
我们的目的是研究通过阅读疗法进行正念训练对紧张性头痛和偏头痛女性的残疾状况、痛苦程度、感知疼痛及正念水平的有效性。原发性头痛一直是心理健康研究人员极为关注的问题，因为其患病率高，且给患者带来严重的残疾和痛苦。尽管面对面治疗取得了一些有前景的成果，同时这类干预措施可能存在一些局限性，但患者在使用医疗服务时仍可能遇到问题。本研究是一项采用前测、后测和对照组的准实验随机设计。研究对象为1396名前往德黑兰巴基亚塔拉医院头痛门诊就诊的偏头痛女性。其中，通过客观抽样方法选取了30名患者（包括实验组和对照组），并随机分为两组。实验组除常规药物治疗外，还接受了为期8节的基于正念减压的网络阅读疗法治疗，而对照组仅采用药物治疗。样本无流失情况。通过抑郁焦虑压力量表（DASS - 21）、偏头痛残疾评估测试（MIDAS）、麦吉尔疼痛问卷简表（MPQ - SF）和正念觉察量表（MAAS）这四个量表收集数据。我们使用协方差分析来分析各测量量表的结果。尽管正念水平有所提高（P <0.0001），但基于正念减压的网络阅读疗法（MBSR - IBB）治疗对疼痛感觉维度无显著影响（P <0.44）。相比之下，其对残疾水平的影响最大（P <0.0001）。我们还观察到痛苦程度有显著改善（P <0.0001）。总之，尽管存在头痛问题，但正念提高了生活质量并降低了心理痛苦程度。此外，通过基于网络的阅读疗法方法，这些服务可以更便捷地获取、成本更低且更具灵活性。
