Mohamadpour Fahimeh
Department of Clinical Psychology, Faculty of Educational Sciences and Psychology, Shiraz University, Shiraz, Iran.
Front Psychol. 2023 Dec 11;14:1128308. doi: 10.3389/fpsyg.2023.1128308. eCollection 2023.
According to research, multiple sclerosis is related to suicidal thoughts and pain catastrophizing as psycho-pathological variables, and on the other hand, compassion-based treatment can reduce mental disorders by targeting dimensions such as self-compassion. Also, since this disease is progressive and over time can cause movement restrictions in these people, online psychotherapy can be a better option for these people. So, the purpose of this study was to investigate the effectiveness of online compassion therapy on suicidal thoughts and pain catastrophizing in female patients with multiple sclerosis.
The current research was applied and quasi-experimental in a pre-test-post-test manner with a control group. The research sample consisted of 30 patients with multiple sclerosis living in Shiraz in 2019, who were randomly divided into two 15-person experimental and control groups. The participants were tested on scales of suicidal thoughts and pain catastrophizing, and the treatment plan based on compassion therapy was presented to the participants of the experimental group in 8 two-hour sessions online. The control group was placed on the waiting list until the completion of the treatment sessions and the post-test implementation, and after the post-test implementation, they received the treatment. Control variables in this study included gender and disease phase. Then, their scores were measured, after completing the treatment, and a three-month follow-up period. Descriptive statistics and covariance test were used to analyze the data.
Patients showed a clear improvement in the severity of symptoms in both variables. So that the scores of suicidal thoughts and pain catastrophizing in the experimental group after receiving the treatment, as well as after a three-month follow-up period, were significantly reduced ( < 0.001).
Confirming the effectiveness of online therapy based on compassion on improving psychological outcomes in these patients, as an effective and online treatment method, is a clear step towards continuing the implementation of psychological interventions and paying attention to the dimension of mental health in this group of people.
根据研究,多发性硬化症与自杀念头和疼痛灾难化等心理病理变量有关,另一方面,基于同情的治疗可以通过针对自我同情等维度来减少精神障碍。此外,由于这种疾病是进行性的,随着时间的推移会导致这些人行动受限,在线心理治疗对这些人来说可能是一个更好的选择。因此,本研究的目的是调查在线同情疗法对患有多发性硬化症的女性患者自杀念头和疼痛灾难化的有效性。
本研究采用前测-后测方式并设有对照组,属于应用研究和准实验研究。研究样本包括2019年居住在设拉子的30名多发性硬化症患者,他们被随机分为两个每组15人的实验组和对照组。对参与者进行自杀念头和疼痛灾难化量表测试,并在8次为时两小时的在线疗程中向实验组参与者提供基于同情疗法的治疗方案。对照组被列入等待名单,直到治疗疗程结束和后测实施,后测实施后他们接受治疗。本研究中的控制变量包括性别和疾病阶段。然后,在完成治疗后以及三个月的随访期后测量他们的分数。使用描述性统计和协方差检验分析数据。
患者在两个变量的症状严重程度上均有明显改善。以至于实验组在接受治疗后以及三个月随访期后的自杀念头和疼痛灾难化得分均显著降低(<0.001)。
证实基于同情的在线治疗对改善这些患者心理结果的有效性,作为一种有效且在线的治疗方法,是朝着继续实施心理干预以及关注这组人群心理健康维度迈出的明确一步。