اثربخشی درمان حساسیتزدایی با حرکات چشم و پردازش مجدد بر نشانههای اختالل استرس پس از سانحه در بیماران تحت جراحی بایپس عروق کرونر The efficacy of eye movement desensitization and reprocessing on the symptoms of posttraumatic stress disorder in patients undergoing coronary artery bypass surgery
Description
زمینه: طبق مطالعات انجام شده بیماریهای قلبی عروقی علت اصلی مرگ و میرها در ایران میباشند. برخی بیماران پس از جراحی با اختالالتی مانند اختالل استرس پسازسانحه مواجه میشوند. درمان حساسیتزدایی با حرکات چشم و پردازش مجدد میتواند منجر به بهبودی معناداری در عالئم اختالل ذکر شده شود اما در تأثیر این درمان بر نشانههای اختالل استرس پس از سانحه در جامعه مورد پژوهش شکاف تحقیقاتی دیده میشود. هدف: پژوهش حاضر با هدف بررسی اثربخشی درمان حساسیتزدایی با حرکات چشم و پردازش مجدد بر عالئم اختالل استرس پس از سانحه در بیمارانی که تحت عمل جراحی بایپس عروق کرونربودند، انجام شد. روش: این پژوهش ازنوع طرح پیشآزمون – پسآزمون همراه با گروه کنترل و جامعه آماری، بیمارانی هستند که 4 الی 0 هفته پس از جراحی بایپس عروق کرونر به کلینیک بازتوانی قلب تهران ارجاع داده شدند. از این میان، نمونهای به تعداد 43 نفر با روش نمونهگیری تصادفی در 2 گروه مداخله و کنترل قرار گرفتند و سنجش افراد براساس مقیاس تجدید نظر شده تأثیر رویداد وایس و مارمر در سه مرحله پیشآزمون، پسآزمون و پیگیری )پس از شش ماه( در هر دو گروه انجام شد. برای تحلیل دادهها نیز از آزمون تحلیل واریانس با اندازهگیری مکرر و SPSS 21 استفاده شد. یافتهها: تحلیل آماری نشان میدهد که درمان حساسیت زدایی با حرکات چشم و پردازش مجدد منجر به کاهش معنادار متغییر اجتناب، بیشانگیختگی و افکار ناخواسته میشود )3/338 ≤P )و اثر آن تا پایان دوره پیگیری شش ماهه ماندگار بود. نتیجهگیری: مطابق با یافتههای مطالعهی حاضر، درمان حساسیتزدایی با حرکات چشم و پردازش مجددبا استفاده از مواجهه و بازپردازش رویدادآسیبزا، عالئم اختالل استرس پس از سانحه در بیماران قلبی عروقی را کاهش میدهد. توصیه میشود مطالعاتی با نمونههای بیشتر ا
Background
According to the studies, cardiovascular diseases are the main cause of death in iran. Some patients suffer from post-traumatic stress disorder after surgery. Desensitization treatment with eye movements and reprocessing can lead to a significant improvement in the symptoms of posttraumatic stress disorder, but little research has been done on the effect of this treatment on the symptoms of post-traumatic stress disorder in the research community.
Aims
This study was conducted with the aim of the effectiveness of desensitization treatment with eye movements and reprocessing on the symptoms of post-traumatic stress disorder in patients who underwent coronary artery bypass surgery.
Methods
This study is a pre-test, and post-test design with a control group, and the statistical population is patients who were referred to Tehran Cardiac Rehabilitation Clinic 4-6 weeks after coronary bypass surgery. Among these, a sample of 40 people was placed in 2 intervention and control groups by random sampling, and the assessment of people was based on the revised Weiss and Marmer impact of event scale in three stages: pre-test, post-test and follow-up (after six months) was done in both groups. Analysis of variance with intergroup repeated measurement was also used for data analysis.
Results
Statistical analysis shows that the desensitization treatment with eye movements and reprocessing leads to a significant reduction in the variables of avoidance, hyperarousal and unwanted thoughts (P≤0.001), and its effect was sustained until the end of the six-month follow-up period.
Conclusion
According to the present study, desensitization treatment with eye movements and reprocessing using exposure and reprocessing of the traumatic event reduces the symptoms of posttraumatic stress disorder in cardiovascular patients. It is recommended to conduct studies with more samples.
Background
According to the studies, cardiovascular diseases are the main cause of death in iran. Some patients suffer from post-traumatic stress disorder after surgery. Desensitization treatment with eye movements and reprocessing can lead to a significant improvement in the symptoms of posttraumatic stress disorder, but little research has been done on the effect of this treatment on the symptoms of post-traumatic stress disorder in the research community.
Aims
This study was conducted with the aim of the effectiveness of desensitization treatment with eye movements and reprocessing on the symptoms of post-traumatic stress disorder in patients who underwent coronary artery bypass surgery.
Methods
This study is a pre-test, and post-test design with a control group, and the statistical population is patients who were referred to Tehran Cardiac Rehabilitation Clinic 4-6 weeks after coronary bypass surgery. Among these, a sample of 40 people was placed in 2 intervention and control groups by random sampling, and the assessment of people was based on the revised Weiss and Marmer impact of event scale in three stages: pre-test, post-test and follow-up (after six months) was done in both groups. Analysis of variance with intergroup repeated measurement was also used for data analysis.
Results
Statistical analysis shows that the desensitization treatment with eye movements and reprocessing leads to a significant reduction in the variables of avoidance, hyperarousal and unwanted thoughts (P≤0.001), and its effect was sustained until the end of the six-month follow-up period.
Conclusion
According to the present study, desensitization treatment with eye movements and reprocessing using exposure and reprocessing of the traumatic event reduces the symptoms of posttraumatic stress disorder in cardiovascular patients. It is recommended to conduct studies with more samples.
Format
Journal
Language
Persian
Original Work Citation
Safaeian, S., Pournaghash Tehrani, S. S., Gholamali Lavasani, M., & Abdoli Bidhendi, M. R. (2023). [The efficacy of eyemovement desensitization and reprocessing on the symptoms of post-traumatic stress disorder in patients undergoing coronary artery bypass surgery]. Journal of Psychological Science, 22(127), 1303-1318. doi:10.52547/JPS.22.127.1303. Persian
Citation
“اثربخشی درمان حساسیتزدایی با حرکات چشم و پردازش مجدد بر نشانههای اختالل استرس پس از سانحه در بیماران تحت جراحی بایپس عروق کرونر The efficacy of eye movement desensitization and reprocessing on the symptoms of posttraumatic stress disorder in patients undergoing coronary artery bypass surgery,” Francine Shapiro Library, accessed May 9, 2024, https://francineshapirolibrary.omeka.net/items/show/28340.