اثربخشی آموزش مدیریت استرس به شیوه شناختی رفتاری بر کاهش مشکلات روان شناختی و علائم سندرم پیش از قاعدگی

نوع مقاله : اصیل پژوهشی

نویسندگان

1 کارشناس ارشد روان شناسی بالینی، دانشگاه پیام نور کاشمر، مشهد، ایران.

2 دانشیار گروه روان پزشکی، مرکز تحقیقات روان پزشکی و علوم رفتاری، بیمارستان ابن سینا، دانشکده پزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران.

چکیده

مقدمه: سندرم پیش از قاعدگی، یکی از شایع ترین اختلالات سنین باروری می باشد که زندگی زنان را به میزان قابل توجهی مختل می سازد و لزوم انجام مطالعات بیشتر در این زمینه احساس می شود. بنابراین مطالعه حاضر با هدف بررسی اثربخشی آموزش مدیریت استرس به شیوه شناختی رفتاری بر کاهش مشکلات روان شناختی و علائم سندرم پیش از قاعدگی در زنان مبتلا به آن انجام شد.
روش کار: مطالعه حاضر یک مطالعه مداخله ای با طرح پیش آزمون پس آزمون با گروه کنترل است. جامعه آماری شامل کلیه زنان آموزش و پرورش شهرستان کاشمر در سال تحصیلی 90-1389 بود. از بین این افراد، بعد از مرحله غربالگری به وسیله پرسشنامه غربالگری علائم پیش از قاعدگی، 40 زن مبتلا به سندرم پیش از قاعدگی به شیوه نمونه‌گیری تصادفی انتخاب و به طور تصادفی در دو گروه آزمایش (20 نفر) و کنترل (20 نفر) قرار گرفتند. گروه آزمایش به مدت 8 هفته آموزش مدیریت استرس به شیوه شناختی رفتاری را تجربه کردند در حالی که گروه شاهد بدون مداخله پیگیری شدند. پرسشنامه‌ غربالگری علائم پیش از قاعدگی و پرسشنامه افسردگی، اضطراب و استرس (DASS) به عنوان ابزار ارزشیابی در پیش‌آزمون و پس‌آزمون به کار گرفته شد. داده‌ها پس از گردآوری با استفاده از نرم افزار آماری SPSS (نسخه 16) و شاخص‌های آمار توصیفی و آزمون تحلیل کواریانس مورد تجزیه و تحلیل قرار گرفت. میزان p کمتر از 05/0 معنی‌دار در نظر گرفته شد.
یافته‌ها: بیش از نیمی از افراد مورد مطالعه (3/53%) در محدوده سنی40-36 سال قرار داشتند. 18 نفر (60%) از افراد گروه کنترل و آزمایش دارای مدرک تحصیلی لیسانس، 10 نفر (4/33%) دارای مدرک تحصیلی فوق دیپلم و 2 نفر (6/6%) دارای تحصیلات دیپلم و فوق لیسانس بودند. اکثر زنان مورد مطالعه (34/63%) دارای دو فرزند بودند. افراد گروه آزمون در نمره‌ کل سندرم پیش از قاعدگی (01/0>p) و نمرات افسردگی (05/0>p) و استرس (01/0>p) کاهش معنی‌داری نسبت به گروه کنترل در پس‌آزمون نشان دادند.
نتیجه‌گیری: آموزش مدیریت استرس به شیوه شناختی رفتاری بر کاهش مشکلات روان‌شناختی و علائم سندرم پیش از قاعدگی مؤثر است.
 

کلیدواژه‌ها

عنوان مقاله [English]

Investigating the Efficacy of Cognitive- Behavioral Stress-Management Training on Decreasing the Psychological Problems and Symptoms of Premenstrual Syndrome of Afflicted Women

نویسندگان [English]

  • Akram Armand 1
  • Ali Talaee 2
1 M.Sc. of Clinical Psychology, Payam Noor University of Kashmar, Mashhad, Iran.
2 Associate Professor of Psychiatry, Psychiatry and Behavioral Sciences Research Center, Ebn-e-Sina Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
چکیده [English]

Introduction: Since the premenstrual syndrome (PMS) is one of the most prevalent disorders in fertility age that disturbs the women's life considerably which seems it need to do more study in this area. The present study was planned to investigate the effectiveness of training of cognitive- behavioral stress-management on decreasing psychological problems and symptoms of premenstrual syndrome of afflicted women in Kashmar city.
Methods: This interventional study was conducted with pretest- posttest design by using the experimental-control groups. Statistical population was consisted of all female members of educational system in Kashmar city in academic year of 2010-2011. After screening by PSST test, 40 participants who have taken PMS diagnosis, were selected randomly based on cluster sampling method and divided randomly into two equal (20 participants) experimental and control groups. While no intervention was carried out on the control group, the experimental group experienced 8 weeks of cognitive-behavioral stress-management training. The questionnaires of PSST and Depression anxiety and stress scale (DASS) were used in pretest and posttest as evaluating tools. Data were analyzed using statistical SPSS software version 16, descriptive indices and covariance analysis. P value less than 0.05 was considered statistically significant.
Results: More than half of the participants (53.3%) were between 36 to 40 years. 18 persons (60%) were graduated, 10 persons (33.4%) had Associate degree, 2 persons (6.6%) had diploma, and master degree in both groups. Most of the participants (63.34%) had two children. The experimental group showed significant decreases in general score of PMS (p<0.01), the ones of depression (p<0.05), and stress (p<0.01) posttests.
Conclusion: Training of cognitive-behavioral stress-management is effective on decreasing psychological problems and symptoms of premenstrual syndrome of afflicted women.

کلیدواژه‌ها [English]

  • Premenstrual Syndrome
  • Psychological problems
  • stress management
  • Training of cognitive-behavioral

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مجله زنان، مامایی و نازایی ایران
دوره 15، شماره 21 - شماره پیاپی 21
هفته سوم مهرماه 1391
مهر 1391
صفحه 24-31

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