مقایسه باورهای فراشناختی در افراد مبتلا به خستگی مزمن و افراد عادی

نویسندگان
سمیه سعیدی دهاقانی
جلیل باباپور خیرالدین
خلیل اسماعیل پور
دانشگاه تبریز
10.18869/acadpub.rph.10.2.68
چکیده
مقدمه: خستگی احساس ناخوشایند ذهنی است که فرد در آن وضعیت احساس تحلیل قوا در ابعاد جسمانی، شناختی و روانی می­کند. شکل مزمن این موضوع امروزه در بین متخصصین بهداشت روانی به موضوعی شایع تبدیل شده است. این پژوهش با هدف مقایسه­ی فراشناخت در افرد دارای خستگی مزمن و افراد عادی انجام گرفت. در این پژوهش 120 (60 نفر دارای خستگی مزمن و 60 نفر عادی) نفر از بین دانشجویان دختر کارشناسی دانشگاه تبریز، به­روش نمونه­گیری تصادفی خوشه­ای چندمرحله­ای و از طریق سرند کردن، انتخاب شدند. شرکت­کنندگان مقیاس تأثیر خستگی (FIS) و فرم کوتاه پرسشنامه فراشناخت ولز (MCQ-30) را تکمیل کردند. داده­های آماری با بکارگیری آزمونt گروه­های مستقل مورد تحلیل قرار گرفت. نتایج پژوهش نشان داد که افراد دارای خستگی مزمن و افراد عادی در زیرمقیاس خودآگاهی شناختی و عقاید منفی درباره کنترل­ناپذیری افکار، تفاوت معناداری با هم ندارند اما در زیرمقیاس­های باورهای مثبت درباره نگرانی، فقدان اطمینان شناختی و اعتقاد درباره­ی نیاز به کنترل افکار، تفاوت به نفع گروه دارای خستگی مزمن معنی­دار است.بر مبنای یافته­های این پژوهش، تمرکز بر نقش متغیرهای فراشناختی در مداخلات درمانی افراد مبتلا به سندرم خستگی مزمن، می‌تواند بخش مهمی از درمان این افراد را تشکیل دهد.
کلیدواژه‌ها
فراشناخت
خستگی مزمن
سندرم خستگی مزمن

عنوان مقاله English

Comparison of Meta-cognition among People with and without Chronic Fatigue

نویسندگان English

somayyeh saeadi dehaghani
Jalil Babapour kheiroddin
Khalil Esmaeilpour
university of tabriz
چکیده English

Background: fatigue is an unpleasant mental feeling that has also been shown to decrease physical and Mental performance. Fatigue is a very common complaint and it is important to Healthcare Experts. Aim: this study was aimed to compare the meta-cognition of people with cronic fatigue and healthy. Metods: In this study, 120 undergraduate students (60 cronic fatigue and 60 healthy) of Tabriz University were selected by multi-stage cluster sampling and screening metods. The participants filled Fatigue Impact Scale (FIS) and short form of Wells meta-cognition scale (MCQ-30). Analyzing data was performed via independent samples t test. Results: Research findings revealed no diffrences in subscales of cognitive self-consciousness and negative beliefs about thoughts concerning uncontrollability, but there were diffrences in positive beliefs about worry, lack of cognitive confidence and beliefs about the need to control thoughts, significantly. Conclusion: On the basis of results, focusing on the role of meta-cognition could be the important part of therapeutic interventions for the people with chronic fatigue syndrome.

کلیدواژه‌ها English

meta-cognition
chronic fatigue
chronic fatigue syndrome
Aggarwal, V .R., McBeth, J., Zakrzewska, J .M., Lunt, M., & MacFarlane, G .J. (2006). The epidemiology of chronic syndromes that are frequently unexplained:Do they have common associated factors? International Journal Epidemiology; 35: 468–76.

Balogun, J .A., Titiloye, V. , Balogun, A., Oyeyemi, A., Katz, J. (1999). Prevalence and determinants of burnout among physical and occupational therapists. Journal Allied Health, 31(3):131–139.

Chaudhuri, A., Behan, P. O. ( 2004). Fatigue in neurological disorders. Lancet; 363: 978–88.

Davey, G. L., & Wells, A. (2006). Worry and its psychological disorders. John Wiley & Sons, Ltd, England.

Edwards, L. M., Fernie, B. A., Murphy, G., Wells, A., Spada, M. M. (2011). Metacognitions and negative emotions as predictors of symptom severity in chronic fatigue syndrome. Journal of Psychosomatic Research, 70, 311–317.

Edwards, R., Suresh, R., Lynch, S., Clarkson, P., Stanley, P. (2001). Illness perceptions and mood in chronic fatigue syndrome. Journal Psychosomatic Research, 50,65–8.

Ferrell, B.R., Grant, M., Dean, G.E., Funk, B., Ly, J. (1996). Bone tired: The experience of fatigue and impact on quality of life. Oncology Nursing Forum 23(10),1539-47.

Fisk, J. D., Ritvo, P. G., Ross, L., Haase, D. A., Marrie, T. J., & Schlech, W. F. (1994). Measuring the functional impact of fatigue: Initial validation of the Fatigue Impact Scale. Clinical infectious diseases, 18, S79-83.

Grafman, J., Schwartz, V., Dale, J.K., Scheffers, M., Houser, C., Straus, S.E. (1993). Analysis of neuropsychological functioning in patients with chronic fatigue syndrome. Journal Neurol Neurosurg Psychiatry, 56,684–9.

Heijmans, M.J. (1998). Coping and adaptive outcome in chronic fatigue syndrome: Importance of illness cognitions. Journal Psychosomatic Research ,45, 39–51.

Hou, R., Moss-Morris, R., Bradley, B.P., Peveler, R., Mogg, K. (2008). Attentional bias towards health-threat information in chronic fatigue syndrome. Journal Psychosomatic Research ,65, 47–50.

Knoop, H., Prins, J.B., Moss-Morris, R., Bleijenberg, G. (2010). The central role of cognitive processes in the perpetuation of chronic fatigue syndrome Journal Psychosomatic Research; 68:489–94.

McDonald, E., Cope, H., David, A. (1993). Cognitive impairment in patients with chronic fatigue: A preliminary study. Journal Neurol Neurosurg Psychiatry, 56, 812–5.

Miike, T., Bell, S.D. (2008). Chronic fatigue syndrome in childhood and adolescence. In:.Watanabe, Y., Evenga˚rd, B., Natelson, B.H., Jason L,A., Kuratsune, H., editors. Fatigue science for human health. New York. Springer, pp: 153–71.

Moss-Morris, R., Petrie, K,J. (2003). Experimental evidence for interpretive but not attention biases toward somatic information in participants diagnosed with chronic fatigue syndrome. British Journal of Health Psychology, 8, 195–208.

Prins, J., Bleijenberg, G. (1999). Cognitive behavior therapy for chronic fatigue syndrome: a case study. Journal Behavoral Ther Exp Psychiatry, 30, 325–39.

Resk, D., Pukrop, R., Scheining, K., Haupt, W.F., Petereit, H.F., (2006). Measuring fatigue in patients with multiple sclerosis with standardized methods in German speaking areas. Fortschr Neurol Psychiatr. 74(9), 497–502.

Taylor, R. R., Jason, L. A., (2002). Chronic fatigue, abuse-related traumatization, and psychiatric disorders in a community-based sample. JasonSocial Science & Medicine. 55 247–256.
Vercoulen, J.H.M.M., Swanink. C.M.A.. Galama. J.M.D.. Fennis. J P.M. Jongen. P.J.H, Hommes, OR.. Meer, J.W.M. van der & Bleljenborg, G. (1998). The persistence of fatigue in chronic fatigue syndrome and multiple sclerosis : the development of a model. Journal of Psychosomatic Research. 45, 507-517.
Watanabe, N., Stewart, R., Jenkinsb, R., Bhugrab, D. K., Furukawa, T. A. (2008). The epidemiology of chronic fatigue, physical illness, and symptoms of common mental disorders: A cross-sectional survey from the second British National Survey of Psychiatric Morbidity. Journal of Psychosomatic Research. 64, 357–362.
Wells, A. (1995). Meta-cognition and worry: A cognitive model of generalized anxiety disorder. Behavoral & Cognitive Psychology, 23, 301–20.
Wells, A. (2009). Metacognitive therapy for anxiety and depression. New York: The Guilford Press.
Wells, A., Cartwright-Hatton, S. (2004). A short form of the metacognitions questionnaire: Properties of the MCQ-30. Behavior and Therapy, 42, 385-396.