150
150
___________________________________________________________________________
__
)1
ﯽــﺳﺎﻨﺷرﺎﮐ يﻮﺠــﺸﻧاد(
ناﺮــﻬﺗ هاردازآ ياﺪــﺘﺑا ،ناﺮــﻬﺗ .ﺪﻫﺎــﺷ هﺎﮕــﺸﻧاد ،ﯽﻨﯿﻟﺎــﺑ ﯽــﺳﺎﻨﺸﻧاور ﺪــﺷرا -
ﻪــﺑور ،ﻢــﻗ :رﺎــﮕﻧرود .(هر) ﯽــﻨﯿﻤﺧ مﺎــﻣا ﺮــﻬﻄﻣ مﺮــﺣ يور 51212404
- 021
(لﻮﺌﺴﻣ هﺪﻨﺴﯾﻮﻧ) E-mail:[email protected]
)2 ؛ ؛ﺪﻫﺎﺷ هﺎﮕﺸﻧاد رﺎﯿﺸﻧاد ،ﯽﻨﯿﻟﺎﺑ ﯽﺳﺎﻨﺸﻧاور ﯽﺼﺼﺨﺗ ياﺮﺘﮐد( )3
.ﺪﻫﺎﺷ هﺎﮕﺸﻧاد ،ﯽﻨﯿﻟﺎﺑ ﯽﺳﺎﻨﺸﻧاور ﯽﺳﺎﻨﺷرﺎﮐ يﻮﺠﺸﻧاد(
1- Zborwski 2- Dworkin
3- Gitlin 4- Jacob
5- Kerns 6- self-control
7- Epping-Jordan 8- Bengoa
9- Kawar 10- Sabate
11- Von Korff
ﯽﮔﮋﯾو ناور يﺎﻫ
) درد ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻪﻫﺎﯿﺳ ﯽﺠﻨﺳ
( PSMC
ﻦﻣﺰﻣ درد ﻪﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ رد
ﭻﯿﻠﻗ يﺪﺑﺎﻋ دﻼﯿﻣ ﯽﻗﻼﺸﻗ
) 1
،(
ﯽﻠﻋﺪﻤﺤﻣ ﺮﺘﮐد يﺮﻐﺻا
)مﺪﻘﻣ
2
ﻞﯿﻠﺧ ﻪﯿﺿﺮﻣ ،(
ﻞﮕﺘﺸﭘ هداز
) 3
(
هﺪﯿﮑﭼ
فﺪﻫ :
ﯽـﮔﮋﯾوﯽـﺳرﺮﺑ ناوريﺎـﻫ
) دردﯽﺘﯾﺮﯾﺪـﻣدﻮﺧﻪﻫﺎﯿـﺳﯽﺠﻨـﺳ
PSMC
ﻣﺰـﻣدردﻪـﺑﻼﺘـﺒﻣنارﺎـﻤﯿﺑرد (
.دﻮـﺑﺮـﺿﺎﺣﺶﻫوﮋـﭘفﺪـﻫ،ﻦ
شور : دﺮﺑرﺎﮐﺎﺑ ﻪﻧﻮﻤﻧ
،سﺮﺘﺳدرديﺮﯿﮔ 186
ﻦﻣﺰـﻣدردﻪـﺑﻼﺘـﺒﻣرﺎﻤﯿﺑ ﺮﻬـﺷودزا
ﻞـﯿﺑدرا ) 100 (ﺮـﻔﻧ ناﺮـﻬﺗو ) 86 (ﺮـﻔﻧ راﺮـﻗﯽـﺳرﺮﺑدرﻮـﻣ
ﺪﻨﺘﻓﺮﮔ . 30 هداديروآدﺮـﮔياﺮـﺑ .ﺪﻧﺪﺷﯽﺳرﺮﺑﯽﯾﺎﻣزآزﺎﺑﯽﯾﺎﯾﺎﭘﻪﺒﺳﺎﺤﻣياﺮﺑﺰﯿﻧﺮﮕﯾدﺮﻔﻧ
ﺮﯾﺪـﻣدﻮﺧﻪﻫﺎﯿـﺳﺮـﺑنوﺰـﻓاﺎـﻫ ) دردﯽﺘﯾ
،(PSMC
) ﯽﻤﺴﺟﯽﻧاﻮﺗﺎﻧﻪﻣﺎﻧﺶﺳﺮﭘ ﻪﺨﺴﻧ،(PDQ
ﻪﯾﻮﮔ21 يا سﺎﯿﻘﻣ ) سﺮﺘﺳا،باﺮﻄﺿا،ﯽﮔدﺮﺴﻓا DASS-21
ﺶـﺳﺮﭘ،( ) دردﯽﻬﺟوﺪـﻨﭼﻪـﻣﺎﻧ (MPI
ﺶﺳﺮﭘو ﻪﺑﻦﻣﺰﻣدردﯽﺑﺎﯾدرﻮﻣﻪﻣﺎﻧ ﯽﮕﺘﺴﺒﻤﻫ،ﯽﯾاورﯽﺑﺎﯾزراياﺮﺑ .ﺖﻓررﺎﮐ
PSMC
شورﻪـﺑﺰـﯿﻧﯽﯾﺎـﯾﺎﭘوﯽﺳرﺮﺑﺎﻫراﺰﺑاﺮﯾﺎﺳﺎﺑ يﺎـﻔﻟآيﺎـﻫ
نﻮﻣزآوخﺎﺒﻧوﺮﮐ -
.ﺪﺷﻪﺒﺳﺎﺤﻣنﻮﻣزآزﺎﺑ ﻪﺘﻓﺎﯾ
ﺎﻫ : ﻢﻬﻣﺎﺑPSMC هزﺎـﺳﻦﯾﺮـﺗ ﻢـﻫيﺎـﻫ ﯽﻧاﻮﺗﺎـﻧوسﺮﺘـﺳا،باﺮﻄـﺿا،ﯽﮔدﺮـﺴﻓا) درديﻼﺘـﺑا
ﻻﺎﺑﯽﮕﺘﺴﺒﻤﻫ (ﯽﻤﺴﺟ رادرﻮـﺧﺮﺑﯽﺒـﺳﺎﻨﻣهزﺎـﺳرﺎـﺒﺘﻋازاﻦﯾاﺮﺑﺎـﻨﺑوﺖﺷاد
ﯽﯾﺎـﯾﺎﭘ .دﻮـﺑ PSMC
نﻮـﻣزآوخﺎـﺒﻧوﺮﮐيﺎـﻔﻟآشورودﻪـﺑﺰـﯿﻧ -
ﺐﺳﺎﻨﻣنﻮﻣزآزﺎﺑ .دﻮﺑ
ﻪﺠﯿﺘﻧ يﺮﯿﮔ : ﯽﮔﮋﯾوزاPSMC ناوريﺎﻫ .ﺖﺳارادرﻮﺧﺮﺑﯽﻧاﺮﯾاﺖﯿﻌﻤﺟرددﺮﺑرﺎﮐياﺮﺑﺐﺳﺎﻨﻣﯽﺠﻨﺳ
:هژاوﺪﯿﻠﮐ
؛ﯽﯾاور ؛درد ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻪﻫﺎﯿﺳ ﻦﻣﺰﻣ درد ؛ﯽﯾﺎﯾﺎﭘ
:ﻪﻟﺎﻘﻣ ﺖﻓﺎﯾرد] 21
/ 10 / 1389 :ﻪﻟﺎﻘﻣ شﺮﯾﺬﭘ ؛ 11
/8 / 1390 [
ﻪﻣﺪﻘﻣ لﺎﺳ زا
ﻪـﮐ ﺖـﺳا هﺪـﺷ رﺎﮑـﺷآ ﺖـﯿﻌﻗاو ﻦﯾا ﺶﯿﭘ ﺎﻫ داﺮـﻓا
ياﺮـﺑ ﺖـﺒﻏر ،ﺖﯾﺎﮑـﺷ ناﺰـﯿﻣ ﺮﻈﻧ زا ،كﺮﺘﺸﻣ يرﺎﻤﯿﺑ ﻪﺑ ﻼﺘﺒﻣ نﺎﻣرد ﻪﺑ ﺦﺳﺎﭘ و ﮏﺷﺰﭘ ﻪﺑ ﻪﻌﺟاﺮﻣ توﺎـﻔﺘﻣ رﺎﯿـﺴﺑ ،ﻪﺑﺎﺸﻣ يﺎﻫ
) ﺪﻨﺘـﺴﻫ ز ﯽﮑـﺳرﻮﺑ ،1
1962 ﮏـﯾ زا ﺮــﺘﻤﮐ .(
ﻪــﮐ يداﺮـﻓا مﻮــﺳ
ﻪﻧﺎــﺸﻧ ﯽــﻣ ﻪــﻌﺟاﺮﻣ ﮏــﺷﺰﭘ ﻪــﺑ ،ﺪــﻧراد ﯽﻨﯿﻟﺎــﺑ ﻢــﻬﻣ يﺎــﻫ ﺪــﻨﻨﮐ
و 50 - 30
ـﺼﺨﺸﻣ ﯽـﺼﯿﺨﺸﺗ لﻼﺘﺧا داﺮﻓا ﻦﯾا ﺪﺻرد ﺪـﻧراﺪﻧ ﯽ
ﻦﯿــﮐرود) ﻦﯿــﻠﺘﯿﮔ و2
،3
1991 مﺰﻠﺘــﺴﻣ درد ﻊﻣﺎــﺟ ﯽﺑﺎــﯾزرا .(
ناور ﻞــﻣاﻮﻋ ﺶــﻘﻧ ﯽــﺳرﺮﺑ و ﻪــﺑﺮﺠﺗ رد ﯽﻋﺎــﻤﺘﺟا و ﯽﺘﺧﺎﻨــﺷ
ﯽﮔﮋﯾو ﺮﯿﺛﺄﺗ ؛ﺖﺳا نآ راﺮﻤﺘﺳا ﺮـﺑ رﺎـﻤﯿﺑ ﯽﺘﺧﺎﻨﺷ و ﯽﻘﻠﺧ يﺎﻫ
و ﯽـﻘﻠﺧ ،ﯽﺘﺧﺎﻨﺷ تﻻﺎﺣ ﺮﺑ درد ﺮﺛا ﺰﯿﻧ ،درد راﺮﻤﺘﺳا و ﻪﺑﺮﺠﺗ
ـﺳرﺮﺑ رد ﻪـﮐ ﺖـﺳا ﯽﻋﻮﺿﻮﻣ ،رﺎﻤﯿﺑ يرﺎﺘﻓر ﯽ
نﻮﮔﺎـﻧﻮﮔ يﺎـﻫ
بﻮﮐﺎـﺟ) ﺖـﺳا هﺪﺷ ﺪﯿﯾﺄﺗ ﺰـﻧﺮﮐ و4
،5
2001 ﺮـﮕﯾد نﺎـﯿﺑ ﻪـﺑ .(
ﯽﺳرﺮﺑ ﻦﯾا زا هﺪﻣآﺮﺑ ﯽﺸﻫوﮋﭘ و ﯽﻨﯿﻟﺎﺑ هﺎﮔﺪﯾد روﺎـﺑ ﻦـﯾا ﺮـﺑ ﺎﻫ
ﯽـﻧاور ﺖـﻓﺎﺑ رد ﺪـﯾﺎﺑ ار درد ﻪﮐ ﺖﺳا -
ﻒـﯾﺮﻌﺗ نآ ﯽﻋﺎـﻤﺘﺟا
يﺮﻐﺻا) دﺮﮐ مﺪﻘﻣ
،نﺎﯾرﺎﺠﻧ و 2002
.(
ﺶﯿﭘ ﻪﯾﺎﭘ ﺮﺑ ﯽﻨﯿﺑ
يرﺎـﻤﯿﺑ ،ﺎﻫ
ﯽﻠـﺻا ﻦﻣﺰـﻣ يﺎـﻫ ﻦﯾﺮـﺗ
ﻞـﯿﻟد
لﺎـﺳ رد ﯽﻣﻮـﻤﻋ ﯽﻧاﻮﺗﺎـﻧ و ﺮﯿﻣ و گﺮﻣ 2020
و دﻮـﺑ ﺪـﻨﻫاﻮﺧ
يرﺎــﻤﯿﺑ مﺎــﻤﺗ مﻮــﺳود .داد ﺪــﻨﻫاﻮﺧ صﺎــﺼﺘﺧا دﻮــﺧ ﻪــﺑ ار ﺎــﻫ
ﯽﻟﺮﺘﻨﮐدﻮــﺧ ﻂﯾاﺮــﺷ ﻦــﯾا رد يرﺎــﻤﯿﺑ6
ﺖــﯿﻤﻫا زا ،ﻦﻣﺰــﻣ يﺎــﻫ
ﮓﻨﯿﭘا) ﺖﺳا رادرﻮﺧﺮﺑ نوﺰﻓازور -
7ندﺮﺟ اﻮﮕﻨﺑ ، راوﺎـﮐ ،8
و9
ﺖﺒـــﺳ ،10
2001 نو ؛ فﻮـــﮐ ،نارﺎـــﮑﻤﻫ و11
1997 فﺪـــﻫ .(
Iranian Journal of Psychiatry and Clinical Psychology, Vol. 18, No. 2, Summer 2012, 150- 156
ﯽﺸﻫوﮋﭘ ﻪﻟﺎﻘﻣ ﻞﯿﺻا
Original Article
Downloaded from ijpcp.iums.ac.ir at 6:10 CEST on Tuesday October 7th 2014
151
151
لﺎﺳﻢﻫﺪﺠﻫرﺎﻤﺷ /ه 2 / نﺎﺘﺴﺑﺎﺗ1391 Vol. 18 / No. 2 / Summer 2012
نﺎﻣرد ﯽﺘﺧﺎﻨـﺷ يﺎﻫ -
يرﺎـﺘﻓر )1
CBT
ﻪـﻠﺧاﺪﻣ ﻪـﯾﺎﭘ ﺮـﺑ ،(
يﺎـﻫ
ﯽﯾﺎـﻧاﻮﺗﺎﻧ ﺶﻫﺎـﮐ ياﺮـﺑ نارﺎـﻤﯿﺑ ﻪـﺑ ﮏـﻤﮐ ،ﯽﻟﺮﺘﻨﮐدﻮﺧ و ﺎـﻫ
ﯽﮕﺘﻔﺷآ ﻦﯾﺪـﺑ ،ﺖﺳا درد دﻮﺟو زا ﯽﺷﺎﻧ يﺎﻫ ﻪـﺑ ﻪـﮐ ترﻮـﺻ
ﯽﻣ شزﻮﻣآ رﺎﻤﯿﺑ ناور ﻒﯾرﺎﻌﺗ ﺮﺑ ﺪﻨﻫد
درد يرﺎـﺘﻓر و ﯽﺘﺧﺎﻨﺷ
ﻦﯾﺎﻣ) دﻮﺷ هﺮﯿﭼ ،2
2008 ﻢﻫ .(
ﻪﺑ يدﻮﺒﻬﺑ يراﺪﻬﮕﻧ ﻦﯿﻨﭼ تﺪﻣ
ﻦﯾﺮـﻤﺗ رﺎـﻤﯿﺑ ﻪـﮐ ﺖﺳا نآ ﻪﺑ ﻪﺘﺴﺑاو ،ﯽﻧﻻﻮﻃ ﻪـﺑ طﻮـﺑﺮﻣ يﺎـﻫ
دﺮﺒﻫار
دﺮـﺒﻫار زا و ﺪـﻫد ﻪـﻣادا ار ﯽﻟﺮﺘﻨﮐدﻮـﺧ ﺮﺛﺆﻣ يﺎﻫ يﺎـﻫ
) ﺪـــﯾﺎﻤﻧ ﺰـــﯿﻫﺮﭘ ﻦﯿـــﺸﯿﭘ ﺮﺛﺆـــﻣﺮﯿﻏ كﺮـــﺗ
يدور و3
،4
1991 .(
ﺖﺴﺟ
شور ﻦﺘﻓﺎـﯾ ياﺮـﺑ ﻮﺟو يدﻮـﺒﻬﺑ يراﺪـﻬﮕﻧ ياﺮـﺑ ﯽﯾﺎـﻫ
ﺶﻫوﮋﭘ ،نﺎﻣرد زا ﻞﺻﺎﺣ
ﺖـﺳا هﺪـﺷ ﺐـﺟﻮﻣ ار يرﺎﯿـﺴﺑ يﺎﻫ
نﻮﺘﻨﯿﻟ) نﺪﻟﺎﻫ و5
،6
1997 ﻪﻤﻫ ﺪﻫاﻮﺷ .(
ﺮﯿﮔ نﺎﺸﻧ ﯽﺳﺎﻨﺷ نآ ﺮـﮔ
نﺎﻣرد ﻪﮐ ﺖﺳا ﯽﺘﺧﺎﻨﺷ يﺎﻫ
- ﺖـﯿﻘﻓﻮﻣ يرﺎﺘﻓر
هدﻮـﺑ ﺰـﯿﻣآ .ﺪـﻧا
دﺮﺒﻫار دﺮﺑرﺎﮐ لﺎﺜﻣ ياﺮﺑ شﻼـﺗ ﻞـﺜﻣ) درد ﺎـﺑ ﻪـﻠﺑﺎﻘﻣ لﺎﻌﻓ يﺎﻫ
و ﯽﻧاﻮﺗﺎــﻧ ﻪــﺑ (وراد زا ﺰــﯿﻫﺮﭘ و شزرو ﺎــﯾ ﺖــﯿﻟﺎﻌﻓ ﻪــﻣادا ياﺮــﺑ
رﻮـﺻرد ،ﺖـﺳا هﺪـﺷ ﺮﺠﻨﻣ ﺮﺘﻤﮐ ﯽﮕﺘﻔﺷآ ﯽﺗ
دﺮـﺒﻫار ﻪـﮐ يﺎـﻫ
و ﺖــﯿﻟﺎﻌﻓ زا ﺰــﯿﻫﺮﭘ ،ﺖﺣاﺮﺘــﺳا ﻞــﺜﻣ) درد ﺎــﺑ ﻪــﻠﺑﺎﻘﻣ ﻞــﻌﻔﻨﻣ نﺎﻣرد ﻪﺑ نﺪﺷ ﯽﮕﺘﻔﺷآ و ﯽﻧاﻮﺗﺎﻧ زا ﯽﺷﺎﻧ ﺞﻧر ﺎﺑ (ناﺮﮕﯾد ﻪﻠﯿﺳو
ﺲﯿﻠﺑ) ﺖﺳا هدﻮﺑ هاﺮﻤﻫ ،نارﺎﮑﻤﻫ و7
2005 رﺪﻨﯿﺒﭼﺎﺑ .(
ﯽﻟﻮﺗ ،8 9
تﺎـﯾ و )10
2001
ﻢــﮐ ﺪـﻧداد نﺎـﺸﻧ ( ﮓـﻧر
زا ﺰــﯿﻫﺮﭘ ِروﺎـﺑ نﺪـﺷ
ﺖﺴﺟ و ﺖﯿﻟﺎﻌﻓ ﺮﺑ ﻮﺟو
دردﺮـﻤﮐ ﺖﯾﺮﯾﺪـﻣ ﻪـﺑ ،نﺎـﻣرد يا يﺎـﻫ
و رﺎـﮐ نﺎـﻣز ﺮـﺘﻤﮐ فﻼـﺗا ﺚﻋﺎﺑ ،هدﺮﮐ ﮏﻤﮐ مواﺪﻣ ﻒﯿﻔﺧ ﻪﻨﯾﺰﻫ ﺶﻫﺎﮐ ﯽﻣ ﯽﻧﺎﻣرد يﺎﻫ
ﻪـﮐ دراد دﻮـﺟو يﺪﻫاﻮـﺷ .دﻮـﺷ
ﯽــﭘ ﺮــﺑ ،درد ﯽﻟﺮﺘﻨﮐدﻮــﺧ ﯽﯾﺎــﻧاﻮﺗ دﻮــﺒﻬﺑ يﺮــﯿﮔ
نﺎــﻣرد يﺎــﻫ
ﯽﺘﺧﺎﻨﺷ - .ﺖﺳا ﺮﺛﺆﻣ درد ِيرﺎﺘﻓر
ﯽـﺳرﺮﺑ ﻪـﮐ ﺪﻨﭼ ﺮﻫ
ﻪـﻨﯿﻣز يﺎـﻫ
ﯽﻨﯿﻟﺎـﺑ ﯽﺑﺎـﯾ
، دﺮـﺒﻫار يﺎـﻫ
ﻪﺑ ﻪﺑ ﻪﺘﻓررﺎﮐ ﻪﺑ ار درد ﯽﻟﺮﺘﻨﮐدﻮﺧ ياﺮﺑ ﻪﻌﻣﺎﺟ داﺮﻓا ﻪﻠﯿﺳو
رﻮـﻃ
ﯽﻣ ﯽﻔﻧ ﯽﻠﮐ ﯽﻣ ﺪﻣآرﺎﮐﺎﻧ ار ﺎﻬﻧآ و ﺪﻨﮐ
ﻧاد ﺪ زا ﯽﻤﮐ رﺎﻤﺷ رد ،
ﯽﺳرﺮﺑ ﺎـﻫ
،كﺮـﺗ) 1983 ( نﺎـﺸﻧ ﻪـﮐ يداﺮـﻓا ﺖـﺳا هﺪـﺷ هداد
درد شور ،ﺪــﻧراد ﻦﻣﺰــﻣ يﺎــﻫ ﻪــﺑ ﯽﺒــﺳﺎﻨﻣ يﺎــﻫ
ﯽــﻣ رﺎــﮐ .ﺪــﻧﺮﺑ
ﻢﻫ ﺶﻫوﮋﭘ ﻦﯿﻨﭼ هداد نﺎـﺸﻧ ﺎﻫ
ـﺧ ﺪـﻧا ﻞـﻣاﻮﻋ ﺎـﺑ درد ﯽﻟﺮﺘﻨﮐدﻮ
ﻞـﯿﻠﺧ ،يﺪﺑﺎﻋ) درد تﺪﺷ و تﻼﯿﺼﺤﺗ ﺢﻄﺳ ،ﯽﺘﯿﺼﺨﺷ ،هداز
و ﯽﻧﺎﻤﺣر يﺮﻐﺻا
،مﺪﻘﻣ 2010 .دراد ﻪﻄﺑار (
ﻪﺑ ﺖﺒﺴﻧ دﺮﻓ شﺮﮕﻧ ﻦﯾا ،ﯽﺸﻫوﮋﭘ تﺎﯿﺑدا ﻪﺑ ﻪﺟﻮﺗ ﺎﺑ ﻦﯾاﺮﺑﺎﻨﺑ لﺮﺘﻨﮐ درﻮﻣ رد وا ﺮﮑﻔﺗ عﻮﻧ و يرﺎﻤﯿﺑ ﺮﯾﺬـﭘ
ﻪـﮐ ﺖـﺳا درد ندﻮـﺑ
ار يرﺎﻤﯿﺑ ﺖﻓﺮﺸﯿﭘ ﺪﻧور زا ﯽﮔرﺰﺑ ﺶﺨﺑ ﯽـﻣ ﻦﯿﯿﻌﺗ
ﻦـﯾا زا .ﺪـﻨﮐ
ﺞـﻧر ﻦﻣﺰـﻣ درد زا ﻪـﮐ ﯽﻧارﺎـﻤﯿﺑ رد درد ﯽﻟﺮﺘﻨﮐدﻮﺧ ﯽﺳرﺮﺑ ور ﯽﻣ
ﻪـﻣﺎﻧﺮﺑ رد و ﺪـﯿﻔﻣ رﺎﯿﺴﺑ نﺎﺼﺼﺨﺘﻣ ياﺮﺑ ،ﺪﻧﺮﺑ ﯽﻧﺎـﻣرد يﺰـﯾر
درد ﯽﺘﯾﺮﯾﺪــﻣدﻮﺧ ﻪﻫﺎﯿــﺳ .ﺖــﺳا ﺮﺛﺆــﻣ و يروﺮــﺿ )11
(PSMC
) سﻻﻮﮑﯿﻧ
،12
يﻮﻟﺎﻣ ﻦﯿﮑﻣﺎـﺗ ،13
نﻮﺘـﺴﯿﺑ و14
،15
2000 ( ﻪـﺑ ﻪﻠﯿـﺳو
يﺮﻐـﺻا مﺪـﻘﻣ يﺪـﺑﺎﻋ ، ﭻﯿــﻠﻗ ـﺸﻗ ﻼ ﻗ ﯽ ﻞـﯿﻠﺧ و ز هدا ) 2008 ﻪــﺑ و (
ﻪﻤﺟﺮﺗ شور -
.ﺖـﺳا هﺪـﺷ نادﺮـﮔﺮﺑ ﯽـﺳرﺎﻓ ﻪـﺑ ،نوراو ﻪﻤﺟﺮﺗ
ﯽــﮔﮋﯾو ﯽــﺳرﺮﺑ ﻪــﺑ ﺮــﺿﺎﺣ ﺶﻫوﮋــﭘ ناور يﺎــﻫ
نآ ﯽﺠﻨــﺳ
.ﺖﺧادﺮﭘ 1
شور ﺶﻫوﮋــﭘ رد دﺮﺑرﺎــﮐ ﺎــﺑ ﺮــﺿﺎﺣ
ﻪــﻧﻮﻤﻧ
،سﺮﺘــﺳد رد يﺮــﯿﮔ
186 ﻦﻣﺰﻣ درد ﻪﺑ ﻼﺘﺒﻣ رﺎﻤﯿﺑ -
نآ درد ﻪﮐ هﺎـﻣ ﺶـﺷ زا ﺶﯿﺑ ﺎﻫ
ﺷاد ﻪﻣادا ﺖ و ﺎﺑ دﻮﺟو دﻮﺑ ﻪﺘﻓﺎﯿﻧ دﻮﺒﻬﺑ ﯽﻧﺎﻣرد تﺎﻣاﺪﻗا -
ود زا
ﺮﻬﺷ ﻞﯿﺑدرا نﺎﺘﺳرﺎﻤﯿﺑ و دﺎﯿﺘﻋا كﺮﺗ ﺰﮐﺮﻣ ﮏﯾ) ،ﯽﻤﻃﺎـﻓ يﺎـﻫ
ﯽــﻨﯿﻤﺧ مﺎــﻣا ) (رﺎــﺜﯾا ﯽﮑــﺷﺰﭙﻧاور ﯽــﺼﺼﺨﺗ و(هر)
100 (ﺮــﻔﻧ و
ناﺮﻬﺗ ) (ﺎﻨﯿـﺳ نﺎﺘـﺳرﺎﻤﯿﺑ و هداﻮﻧﺎـﺧ ﺖﻣﻼﺳ ﮏﯿﻨﯿﻠﮐ) 86
(ﺮـﻔﻧ
ﺪﻨﺘﻓﺮﮔ راﺮﻗ ﯽﺳرﺮﺑ درﻮﻣ ﺖﺳا ﯽﻨﺘﻔﮔ .
30 ﮕﯾد ﺮﻔﻧ ياﺮـﺑ ﺰـﯿﻧ ﺮ
نﻮﻣزآ ﯽﯾﺎﯾﺎﭘ ﻪﺒﺳﺎﺤﻣ -
نﻮﻣزآزﺎﺑ ﻪﻧﻮﻤﻧ .ﺪﻧﺪﺷ ﯽﺳرﺮﺑ16
يﺮـﯿﮔ
ﻪﻧﻮﻤﻧ ﺪﻧور .ﺪﯿﺸﮐ لﻮﻃ هﺎﻣ ﺞﻨﭘ دوﺪﺣ دﻮﺑ ترﻮﺻ ﻦﯾﺪﺑ يﺮﯿﮔ
ﻪـﻌﺟاﺮﻣ داﺮـﻓا زا ﺶـﺳﺮﭘ ﺎﺑ ﻪﮐ
ﻪـﻧﻮﻤﻧ ﺰـﮐاﺮﻣ ﻪـﺑ هﺪـﻨﻨﮐ ،يﺮـﯿﮔ
دﻮﺟو ترﻮﺻرد رد ﺖﮐﺮـﺷ ﻪﺑ ﺖﯾﺎﺿر ﺰﯿﻧ ،ﻦﻣﺰﻣ درد كﻼﻣ
ﺶﺳﺮﭘ ،ﺶﻫوﮋﭘ ﻪﻣﺎﻧ
ﺎـﻬﻧآ رﺎﯿﺘﺧا رد ﺎﻫ
ﯽـﻣ راﺮـﻗ ياﺮـﺑ .ﺖـﻓﺮﮔ
هداد يروآدﺮﮔ ﻪﺑ ﺮﯾز يﺎﻫراﺰﺑا ﺎﻫ
:ﺖﻓر رﺎﮐ
ﺶﺳﺮﭘ ﯽﻤﺴﺟ ﯽﻧاﻮﺗﺎﻧ ﻪﻣﺎﻧ )17
(PDQ
) ﺪﻨﻟور ﺲﯾرﻮﻣ و18
،19
2004 ( ياراد 24 هدﺮﺘﺴﮔ ﻪﻨﻣاد و ﺖﺳا ﻪﯾﻮﮔ ﺖﯿﻟﺎﻌﻓ زا يا
يﺎﻫ
ﻪــﺑ ﻪــﮐ ار ﻪــﻧازور ﺶــﺷﻮﭘ ،ﺖــﺳا هﺪــﺷ ﻞــﺘﺨﻣ دردﺮــﻤﮐ ﻞــﯿﻟد
ﯽﻣ لﺎﺜﻣ ياﺮﺑ ؛ﺪﻫد
» ﻪـﺑ
ا ﺮﺘـﺸﯿﺑ دردﺮـﻤﮐ ﻞـﯿﻟد لﺰـﻨﻣ رد تﺎـﻗو
ﯽــﻣ ﻢﻧﺎــﻣ « ﺎــﯾ
» ﻪــﺑ ﻪﺘــﺴﻫآ دردﺮــﻤﮐ ﻞــﯿﻟد هار لﻮــﻤﻌﻣ ﺪــﺣ زا ﺮــﺗ
ﯽﻣ مور .«
هﺮﻤﻧ ﻪﻨﯿﺸﯿﺑ و ﻪﻨﯿﻤﮐ ﻪﺑPDQ
و ﺮﻔﺻ ﺐﯿﺗﺮﺗ 24
هﺮﻤﻧ و
يﺮﻐـﺻا) ﺖـﺳا ﺮﺗﺪﯾﺪـﺷ ﯽﻤـﺴﺟ ﯽﻧاﻮﺗﺎـﻧ ﻦﯿﺒﻣ ،ﺮﺗﻻﺎﺑ و مﺪـﻘﻣ
ﮏــﻠﮔ ، 2008 .(
ﯽــﺳرﺮﺑ ردPDQ
و ﺪــﻨﻟور) ﯽﻧﻮﮔﺎــﻧﻮﮔ يﺎــﻫ
،ﺲﯾرﻮـﻣ 2004
ﻪــﺑ ﻼﺘــﺒﻣ نارﺎــﻤﯿﺑ ﺎــﺑ ( ﺮﯾﺎــﺳ و ﻦﻣﺰــﻣ دردﺮــﻤﮐ
ﻪﺑ نﺪﺑ يﺎﻀﻋا ﺮﮕﯾد رد ﻦﻣﺰﻣ يﺎﻫدرد ﯽﮔﮋﯾو و ﻪﺘﻓر رﺎﮐ
يﺎـﻫ
_______________________________________
1- Cognitive Behavior Therapies
2- Main 3- Turk
4- Rudy 5- Linton
6- Hallden 7- Blyth
8- Buchbinder 9- Tolley
10- Wyatt
11- Pain Self-Management Checklist
12- Nicholas 13- Molloy
14- Tonkin 15- Beeston
16- test-retest reliability
17- Physical Disability Questionnaire
18- Roland 19- Morris
Downloaded from ijpcp.iums.ac.ir at 6:10 CEST on Tuesday October 7th 2014
152
152
لﺎﺳﻫﺠﻢﻫﺪرﺎﻤﺷ /ه 2 / نﺎﺘﺴﺑﺎﺗ 1391
Vol. 18 / No. 2 / Summer 2012
ناور
ﯽﻧدﻮـﻣزآ ﻪـﮐ ﺎـﺠﻧآ زا .ﺖـﺳا هﺪـﺷ ﺪﯿﯾﺄﺗ نآ ﯽﺠﻨﺳ يﺎـﻫ
ﻼﺘـﺒﻣ نﺪـﺑ نﻮﮔﺎـﻧﻮﮔ يﺎـﻀﻋا رد ﻦﻣﺰﻣ درد ﻪﺑ ﺮﺿﺎﺣ ﺶﻫوﮋﭘ
ﯽـﺳرﺮﺑ زا ﺮـﮕﯾد يرﺎﯿﺴﺑ ﺪﻨﻧﺎﻤﻫ ،ﺪﻧدﻮﺑ ﺮـﯿﯿﻐﺗ ﺎـﺑ ،ﻦﯿـﺸﯿﭘ يﺎـﻫ
ﺶﺳﺮﭘ رد ﯽﮐﺪﻧا ﻪﻤﻠﮐ ،ﻪﻣﺎﻧ
رد د ﻦﯾﺰﮕﯾﺎﺟ دردﺮﻤﮐ
.ﺪﺷ
ﻪﺨﺴﻧ 21 ﻪﯾﻮﮔ يا سﺎـﯿﻘﻣ
سﺮﺘـﺳا ،باﺮﻄـﺿا ،ﯽﮔدﺮـﺴﻓا
1
) DASS-21
)(
يﻮﻟ
2ﺪﻧﺎﺑ يﻮﻟ و ،ﺪﻧﺎﺑ 1995 :(
ﻦـﯾا ﯽﻠـﺻا ﻪﺨـﺴﻧ
سﺎﯿﻘﻣ ﯽﺷراﺰﮔدﻮﺧ
، 42 و باﺮﻄـﺿا ،ﯽﮔدﺮـﺴﻓا و دراد ﻪﯾﻮﮔ
ﯽﻣ ار سﺮﺘﺳا خﺎﺒﻧوﺮﮐ يﺎﻔﻟآ .ﺪﺠﻨﺳ
DASS3
هدﺮـﺧ ﻪﺳ ياﺮﺑ -
سﺎﯿﻘﻣ سﺮﺘﺳا و باﺮﻄﺿا ،ﯽﮔدﺮﺴﻓا ﻪـﺑ
ﺗ ﺐـﯿﺗﺮ 91 /0 ، 84 /0 و
90 /0 نﺎﻤﻫ) ﯽـﺳرﺮﺑ رد ﻪﮐ دﻮﺑ (ﺎﺟ ﺪـﯿﯾﺄﺗ ﺰـﯿﻧ ﺮـﮕﯾد يﺎـﻫ
ﺪـﺷ
ﯽﻧﻮﺘﻧآ)
،4
ﮓﻨﯿﻠﺑ ﺲﮐﺎﮐ ،5
،6 7ﺰﻧا نﻮﺴﻨﯿﯾﻮﺳ و
،8
1998 (.
ﻞﯿﻠﺤﺗ
ﻪﻔﻟﺆﻣ ﺎﺑ ﯽﻠﻣﺎﻋ ﯽﻠﺻا يﺎﻫ
و9
يﺪـﯿﯾﺄﺗ ﯽﻠﻣﺎﻋ ﻞﯿﻠﺤﺗ نﺎـﺸﻧ10
ﺮـﮔ
ﻪﺳ يﻮﮕﻟا ﻪﮐ دﻮﺑ نآ ﻠﻣﺎﻋ
ﯽـﻣ ﻢﻫاﺮﻓ ار ﺐﺳﺎﻨﺗ ﻦﯾﺮﺘﻬﺑ ،ﯽ ؛ﺪـﻨﮐ
ﻪﺑ ﻪﮐ ﯽﺒﺳﺎﻨﺗ رﻮﻃ
ﯽﻨﻌﻣ ﺖﺳا ﯽﻠﻣﺎﻋ ود يﻮﮕﻟا زا ﺮﺘﻬﺑ راد .
ﺶــﺳﺮﭘ درد ﯽﻬﺟوﺪــﻨﭼ ﻪــﻣﺎﻧ )11
(MPI
و كﺮــﺗ ،ﺰــﻧﺮﮐ)
،يدور 1985 ،درد ﯽﻋﺎــﻤﺘﺟا و ﯽــﻧاور ،ﯽﺘــﺴﯾز ﻪــﺒﻨﺟ ﻪــﺳ (
ﺮـﺑ درد ﺮﯿﺛﺄـﺗ ناﺰـﯿﻣ زا ﯽﻫﺎﮔآ ،درد زا رﺎﻤﯿﺑ ﯽﺑﺎﯾزرا ﯽﮕﻧﻮﮕﭼ ﺖﯿﻟﺎﻌﻓ ﻪﻧازور يﺎﻫ رﺎـﻤﯿﺑ نﺎـﯿﻓاﺮﻃا ﺶﻨـﮐاو ﯽﮕﻧﻮـﮕﭼ و رﺎﻤﯿﺑ
رﺎﺘﻓر ﻪﺑ ﺖﺒﺴﻧ ﺎﻫ
ﯽﻣ ار درد ي .ﺪﺠﻨﺳ
ﺖﺸﻫMPI
هدﺮﺧ سﺎـﯿﻘﻣ
:دراد
،ﻪـــﻧازور ﯽﮔﺪـــﻧز رد لﻼﺘـــﺧا ،درد تﺪـــﺷ ﺖـــﯾﺎﻤﺣ
ﯽﻋﺎﻤﺘﺟا
،
،ﯽﮔﺪـﻧز ﺮﺑ لﺮﺘﻨﮐ ﯽﻧﺎـﺸﯾﺮﭘ
،ﯽﻧﺎـﺠﯿﻫ ،ﯽـﻔﻨﻣ ﺦـﺳﺎﭘ
.ﻪـﺟﻮﺗ فاﺮﺤﻧا و يزﻮﺴﻟد ﮏـﯾ رد
ﺑﺮ
يﺮﻐـﺻا) ﯽـﺳر مﺪـﻘﻣ
و
ﮏﻠﮔ ، 2008 ( هدﺮﺧ خﺎﺒﻧوﺮﮐ يﺎﻔﻟآ ﺐﯾاﺮﺿ سﺎﯿﻘﻣ
يﺎـﻫ
MPI
92 /0 - 77 /0 ﯾاﺮــﺿ ﻦﯿﮕﻧﺎــﯿﻣ و
ﻪــﯾﻮﮔ نﺎــﯿﻣ ﯽﮕﺘــﺴﺒﻤﻫ ﺐ ﺎــﻫ
40 /0 - 25 /0 ﯽﺼﯿﺨﺸﺗ ﯽﯾاور .دﻮﺑ كﻼﻣ و12
MPI13
ﺪـﯿﯾﺄﺗ ﺰﯿﻧ
.ﺪﺷ
ﺶــﺳﺮﭘ ﻦﻣﺰــﻣ درد ﻪــﻣﺎﻧ )14
(CPI
) يﺮﻐــﺻا ،مﺪــﻘﻣ 2011 (
ﺖـﯿﻌﻤﺟ و يدﺮـﻓ تﺎـﺼﺨﺸﻣ ﺮـﺑ نوﺰﻓا ،درد تﺪـﺷ ،ﯽﺘﺧﺎﻨـﺷ
ﺮﯿﺛﺄـﺗ ،درد عوﺮﺷ نﺎﻣز ،ﻦﯿﺸﯿﭘ هﺎﻣ ﺶﺷ رد درد تﺪﺷ ﻦﯿﮕﻧﺎﯿﻣ داﻮﻧﺎــﺧ و ﯽﻋﺎــﻤﺘﺟا ﻂــﺑاور ﺮــﺑ درد ﯽــﺣاﺮﺟ ﻞــﻤﻋ داﺪــﻌﺗ ،ﯽﮔ
ﻪﺑ ﻞﺤﻣ و درد ﻞﯿﻟد ار ...و نﺪﺑ رد درد ﯽﻠﺻا ﻞﺤﻣ و ﯽﻋﺮﻓ يﺎﻫ
ﯽﻣ ﯽﺳرﺮﺑ ﺪﻨﮐ
.
ﻪـﯾﻮﮔ زا ﯽـﺧﺮﺑ ،ﺮـﺿﺎﺣ ﺶﻫوﮋﭘ رد ﻦـﯾا يﺎـﻫ
ﺶﺳﺮﭘ فﺬـﺣ نآ هﺪﻧزﺎـﺳ ﺮـﻈﻧ و ،ﺶﻫوﮋـﭘ فاﺪﻫا ﻪﯾﺎﭘ ﺮﺑ ﻪﻣﺎﻧ
و ﺪﺷ 31 ﻪﺑ ﻪﯾﻮﮔ ﯽﻧدﻮﻣزآ ﻪﻠﯿﺳو .ﺪﺷ هداد ﺦﺳﺎﭘ ﺎﻫ
) درد ﯽﺘﯾﺮﯾﺪــــﻣدﻮﺧ ﻪﻫﺎﯿــــﺳ
(PSMC
ﻧ) سﻻﻮــــﮑﯿ و
نارﺎــﮑﻤﻫ
، 2000 ياراد ( 18 ﺞﻨــﭘ ﻪــﯾﻮﮔ ﻪــﻨﯾﺰﮔ
ﻪــﮐ ﺖــﺳا يا
شور رد ار ﯽﺘﺧﺎﻨــﺷ و يرﺎــﺘﻓر ﯽﺘﯾﺮﯾﺪــﻣدﻮﺧ و ﻪــﻠﺑﺎﻘﻣ يﺎــﻫ
ﯽﻣ ﯽﺳرﺮﺑ درد ﺎﺑ يرﺎﮔزﺎﺳ ﻪـﯾﻮﮔ .ﺪﻨﮐ
ﻪـﺑ ﺎـﻫ سﺎـﯿﻘﻣ ترﻮـﺻ
هﺮـﻤﻧ رﺎـﻬﭼ ﺎـﺗ ﺮﻔﺻ تﺮﮑﯿﻟ
ﯽـﻣ يراﺬـﮔ ،ﺮـﺘﻤﮐ هﺮـﻤﻧ و ﺪﻧﻮـﺷ
نﺎﺸﻧ
ـﺒﻧوﺮﮐ يﺎـﻔﻟآ ﺐﯾاﺮـﺿ .ﺖـﺳا ﺮﺘـﺸﯿﺑ ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﺮﮔ خﺎ
هدﺮﺧ سﺎﯿﻘﻣ ﺎﻫ 92 /0 - 77 /0 نﺎـﯿﻣ ﯽﮕﺘﺴﺒﻤﻫ ﺐﯾاﺮﺿ ﻦﯿﮕﻧﺎﯿﻣ و
ﻪــﯾﻮﮔ هدﺮــﺧ ﺮــﻫ ياﺮــﺑ ﺎــﻫ سﺎــﯿﻘﻣ
40 /0 - 25 /0 هﺪــﺷ شراﺰــﮔ
1.ﺖﺳا
هداد ﻞـﯿﻠﺤﺗ و ﻪـﯾﺰﺠﺗ ﺎـﻫ
مﺮـﻧ ﮏـﻤﮐ ﺎـﺑ راﺰـﻓا
SPSS-16 15
ﻢـﻬﻣ ﺎـﺑ سﺎﯿﻘﻣ ﯽﮕﺘﺴﺒﻤﻫ ،ﯽﯾاور ﯽﺳرﺮﺑ ياﺮﺑ .ﺪﺷ مﺎﺠﻧا ﻦﯾﺮـﺗ
ﻢﻫ دﻮﺑ سﺮﺘـﺳا ،باﺮﻄـﺿا ،ﯽﮔدﺮﺴﻓا ﯽﻨﻌﯾ درد يﺎﻫ ﯽﻧاﻮﺗﺎـﻧ و
شور ﻪﺑ ﺰﯿﻧ ﯽﯾﺎﯾﺎﭘ .ﺪﺷ ﯽﺳرﺮﺑ ﯽﻤﺴﺟ
ﻢـﻫ ﺐﯾﺮـﺿ يﺎـﻫ ﯽﻧﺎـﺳ
ﯽــﻧورد نﻮــﻣزآ و (خﺎــﺒﻧوﺮﮐ يﺎــﻔﻟآ)16
- ﻪﺒــﺳﺎﺤﻣ نﻮﻣزآزﺎــﺑ
.ﺪﺷ ﻪﺘﻓﺎﯾ ﺎﻫ ﯽﻧدﻮﻣزآ ﻦﺳ (رﺎﯿﻌﻣ فاﺮﺤﻧا و) ﻦﯿﮕﻧﺎﯿﻣ ) نز يﺎـﻫ
41
= ،(n
) دﺮﻣ 59
= ﻪﺑ ﯽﻠﯿﺑدرا ﻪﻧﻮﻤﻧ رد ﻞﮐ و (n
ﺐﯿﺗﺮﺗ 29 / 43 ) 74 / 13 ،(
57 / 48 ) 08 / 17 و ( 41 / 46 ) 94 / 15 فاﺮــــﺤﻧا و) ﻦﯿﮕﻧﺎــــﯿﻣ و (
لﺎﺳ (رﺎﯿﻌﻣ ﺐـﯿﺗﺮﺗ نﺎـﻤﻫ ﻪـﺑ نﺎـﻧآ ﻞﯿﺼﺤﺗ يﺎﻫ
51 /7 ) 13 /4 ،(
71 /8 ) 29 /4 و ( 22 /8 ) 24 /4 (رﺎـﯿﻌﻣ فاﺮـﺤﻧا و) ﻦﯿﮕﻧﺎﯿﻣ .دﻮﺑ (
ﯽﻧدﻮﻣزآ ﻦﺳ ) نز يﺎـﻫ
65
= ) دﺮـﻣ ،(n
22
= ﻪـﻧﻮﻤﻧ رد ﻞـﮐ و (n
ﻪـــﺑ ﯽـــﻧاﺮﻬﺗ ﺐــــﯿﺗﺮﺗ
78 / 35 ) 36 / 11 ،(
63 / 36 ) 96 / 12 و ( 36
) 71 / 11 و) ﻦﯿﮕﻧﺎﯿﻣ و ( لﺎﺳ (رﺎﯿﻌﻣ فاﺮﺤﻧا
ﻪﺑ نﺎﻧآ ﻞﯿﺼﺤﺗ يﺎﻫ
ﺐــﯿﺗﺮﺗ نﺎـﻤﻫ 38
/ 21 ) 49 /3 ،(
45 / 11 ) 53 /2 و ( 15 / 12 ) 29 /3 (
ﯽﻧدﻮﻣزآ ﯽﻨﺳ ﻦﯿﮕﻧﺎﯿﻣ ﺮﮕﯾد نﺎﯿﺑ ﻪﺑ .دﻮﺑ زا ﺶﯿـﺑ ﯽـﻠﯿﺑدرا يﺎﻫ
ﯽﻧدﻮﻣزآ ﯽﻧدﻮﻣزآ تﻼﯿﺼﺤﺗ ناﺰﯿﻣ و ﯽﻧاﺮﻬﺗ يﺎﻫ ﯽـﻧاﺮﻬﺗ يﺎﻫ
ﯽﻧدﻮــﻣزآ زا ﺮﺗﻻﺎــﺑ .دﻮــﺑ ﯽــﻠﯿﺑدرا يﺎــﻫ
ﯽــﮔﮋﯾو ﺮــﮕﯾد يﺎــﻫ
ﺖــﯿﻌﻤﺟ و هداﻮﻧﺎــﺧ داﺮــﻓا رﺎﻤــﺷ ،ﯽﻟﺎــﻣ ﻊــﺿو ﺪــﻨﻧﺎﻣ ﯽﺘﺧﺎﻨــﺷ
ﻞــﯿﻠﺤﺗ .ﺖــﺷاﺪﻧ ﻪــﻧﻮﻤﻧ ود رد ﯽﺗوﺎــﻔﺗ ﻞــﻫﺄﺗ ﺖﯿﻌــﺿو يﺎــﻫ
ﯽﻧدﻮﻣزآ) ﻪﻧﻮﻤﻧ ﻞﮐ درﻮﻣ رد ﯽﻔﯿﺻﻮﺗ (ﯽـﻠﯿﺑدرا و ﯽﻧاﺮﻬﺗ يﺎﻫ
لﺎـﺳ ،ﻦـﺳ (رﺎﯿﻌﻣ فاﺮﺤﻧا و) ﻦﯿﮕﻧﺎﯿﻣ داد نﺎﺸﻧ ،ﻞﯿـﺼﺤﺗ يﺎـﻫ
ﻪـﺑ ﯽـﺣاﺮﺟ ﻞـﻤﻋ رﺎﻤﺷ و رﺎﮐ ﻪﻘﺑﺎﺳ ،درد تﺪﻣ ﺐـﯿﺗﺮﺗ
56 / 41
_______________________________________
1- Depression, Anxiety, Stress Scale
2- Lovibond 3- Cronbach α
4- Antony 5- Bieling
6- Cox 7- Enns
8- Swinson
9- factor analysis with principle components 10- confirmatory factor analysis
11- Multidimensional Pain Inventory 12- distinction validity
13- criterion
14- Chronic Pain Inventory
15- Statistical Package for the Social Science-version 16 16- internal consistency
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153
لﺎﺳﻢﻫﺪﺠﻫرﺎﻤﺷ /ه 2 / نﺎﺘﺴﺑﺎﺗ1391 Vol. 18 / No. 2 / Summer 2012
) 02 / 15
،(
04 / 10 ) 29 /4
،(
16 /3 ) 22 /1
،(
28 / 23 ) 61 / 14 و (
38 /0 ) 88 /0 .دﻮﺑ ( 7/
56 و ﺪـﻧدﻮﺑ نز ﻪﻧﻮﻤﻧ ﻞﮐ ﺪﺻرد 39
ﺮـﻔﻧ
ﻪﺑ .ﺪﻨﺘﺷاد ﯽﺣاﺮﺟ ﻞﻤﻋ ،درد ﻞﯿﻟد
هداد ﻞﯿﻠﺤﺗ ﻪﺑ يﺎﻫ
ﺖﺳد ﺶـﺳﺮﭘ زا هﺪﻣآ ﯽﺑﺎـﯾدرﻮﻣ ﻪـﻣﺎﻧ
ﻪﺑ ﻞﯿﻟد (ﺪﺻرد و) ﯽﻧاواﺮﻓ داد نﺎﺸﻧ ﻦﻣﺰﻣ درد نﺪـﻣآدﻮﺟو
ﻪﺛدﺎﺣ دراﻮﻣ ياﺮﺑ ،درد ﻪﺑ
مﺎﮕﻨﻫ مﺎﮕﻨﻫ ؛رﺎﮐ
،رﺎﮐ ﺎﻣا ﻪﻧ ﻪـﺑ
ﺖﻠﻋ ﻪﺛدﺎﺣ ؛ﻪﺛدﺎﺣ رد
ﻪﺤﻧﺎﺳ ؛لﺰﻨﻣ فدﺎﺼﺗ
ﺲﭘ ؛ﻦﯿﺷﺎﻣ زا
ﻞﻤﻋ ﻪﺑ ؛ﯽﺣاﺮﺟ لﺎﺒﻧد
نوﺪﺑ ؛يرﺎﻤﯿﺑ ﺖـﻠﻋ
ﺮﯾﺎـﺳ و صﺎـﺧ
ﻪﺑ ﻞﻠﻋ زا دﻮـﺑ ترﺎـﺒﻋ ﺐـﯿﺗﺮﺗ 11
) 9/
5 ،(ﺪـﺻرد 20
) 7/
10
،(ﺪﺻرد 5 ) 7/
2 ،(ﺪﺻرد 12 ) 4/
6 ،(ﺪﺻرد 5 ) 7/
2 ،(ﺪﺻرد
14 ) 5/
7 ،(ﺪﺻرد 90 ) 1/
48 و (ﺪـﺻرد 22
) 8/
11 .(ﺪـﺻرد
8 ) ﺮﻔﻧ 3/
4 .ﺪﻧداﺪﻧ ﺦﺳﺎﭘ ﺶﺳﺮﭘ ﻦﯾا ﻪﺑ ﺰﯿﻧ (ﺪﺻرد ،باﺮﻄـﺿا ،سﺮﺘـﺳا ،ﯽﮔدﺮﺴﻓا (رﺎﯿﻌﻣ فاﺮﺤﻧا و) ﻦﯿﮕﻧﺎﯿﻣ
ﻪــﺑ درد ﯽﻟﺮﺘﻨﮐدﻮــﺧ و ﯽﻤــﺴﺟ ﯽﻧاﻮﺗﺎــﻧ نﺎــﻧز رد ﺐــﯿﺗﺮﺗ
61 /8
) 31 /5
،(
04 / 10 ) 53 /5
،(
83 /8 ) 32 /5
،(
73 / 10 ) 59 /5 و (
75 / 37 ) 66 /8 نادﺮﻣ رد ،(
35 /8 ) 98 /4 ،(
51 / 10 ) 45 /4 ،(
31 /8
) 15 /5 ،(
8/
11 ) 72 /5 و ( 48 / 34 ) 88 /8 ﯽﻧدﻮـﻣزآ ﻞﮐ رد و ( ﺎـﻫ
5/
8 ) 16 /5
،(
24 / 10 ) 08 /5
،(
32 /8 ) 23 /5
،(
19 / 11 ) 66 /5 و (
36 / 36 ) 88 /8 .دﻮﺑ (
ياﺮـﺑ خﺎـﺒﻧوﺮﮐ يﺎـﻔﻟآ ناﺰﯿﻣ 18
ﻪـﯾﻮﮔ يورPSMC
179
ﯽﻧدﻮﻣزآ 602 /0 ﻪﺑ
نﻮـﻣزآ ﯽﯾﺎـﯾﺎﭘ .ﺪـﻣآ ﺖـﺳد -
ﺎـﺑ نﻮﻣزآزﺎـﺑ
ﻪﺳ ﻪﻠﺻﺎﻓ يور ﻪﺘﻔﻫ
30 ،ﯽﻧدﻮﻣزآ 678
/0 ) 001 /0
≤ .دﻮﺑ (p
هزﺎــﺳ ﯽـﯾاور
PSMC1
ﻪــﺑ نﺎــﯿﻣ ﯽﮕﺘــﺴﺒﻤﻫ ﻪﺒــﺳﺎﺤﻣ ﻪﻠﯿـﺳو
ﻢﻬﻣ ﺎﺑPSMC
ﺪﻨﯾﺎﻤﻫ ﻦﯾﺮﺗ ،ﯽﮔدﺮـﺴﻓا ﯽـﻨﻌﯾ ،ﻦﻣﺰـﻣ درد يﺎـﻫ
ﺪـﺷ ﯽـﺳرﺮﺑ ﯽﻤـﺴﺟ ﯽﻧاﻮﺗﺎﻧ و سﺮﺘﺳا ،باﺮﻄﺿا )
لوﺪـﺟ
.( 1
لوﺪﺟ 1 - نﺎﯿﻣ ﯽﮕﺘﺴﺒﻤﻫ درد ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ﻪﻫﺎﯿﺳ
)
( PSMC
ﺎﻫﺮﯿﻐﺘﻣ ﺮﯾﺎﺳ ﺎﺑ
)
1 ( ) 2 ( ) 3 ( ) 4 ( ) 5 ( ) 6 ( ) 7 ( ) 8 ( ) 9 ( ) 10 (
) درد ﯽﻟﺮﺘﻨﮐدﻮﺧ 1
( 1
) 179
= (n 35***
/0
) 177
= (n 413***
/0
) 177
= (n 323***
/0
) 179
= (n 341***
/0
) 179
= (n 364***
/0
) 178
= (n 466***
/0
) 179
= (n 233**
/0
) 179
= (n 195**
/0
) 179
= (n 004 /0
) 179
= (n
) ﯽﻤﺴﺟ ﯽﻧاﻮﺗﺎﻧ 2
(
1
) 185
= (n 362***
/0
) 185
= (n 229**
/0
) 185
= (n 323***
/0
) 185
= (n 343***
/0
) 184
= (n 328***
/0
) 185
= (n 315***
/0
) 185
= (n 184**
/0
) 185
= (n 133 /0 -
) 185
= (n
) سﺮﺘﺳا 3 (
1
) 185
= (n 709***
/0
) 185
= (n 692***
/0
) 185
= (n 528***
/0
) 185
= (n 482***
/0
) 185
= (n 180**
/0
) 185
= (n 431***
/0
) 185
= (n 166*
/0
) 185
= (n
) ﯽﮔدﺮﺴﻓا 4 (
1
) 187
= (n 817***
/0
) 187
= (n 566***
/0
) 186
= (n 461***
/0
) 187
= (n 012 /0 -
) 187
= (n 268***
/0
) 187
= (n 118 /0 -
) 187
= (n
) باﺮﻄﺿا 5 (
1
) 187
= (n 563***
/0
) 186
= (n 447***
/0
) 187
= (n 064 /0
) 187
= (n 387***
/0
) 187
= (n 108 /0 -
) 187
= (n
) دﺮﮑﻠﻤﻋ رد لﻼﺘﺧا 6
(
1
) 186
= (n 541***
/0
) 186
= (n 104 /0
) 186
= (n 429***
/0
) 186
= (n 010 /0 -
) 186
= (n
) درد تﺪﺷ 7
(
1
) 187
= (n 234***
/0
) 187
= (n 441***
/0
) 187
= (n 074 /0 -
) 187
= (n
) ﯽﻋﺎﻤﺘﺟا ﺖﯾﺎﻤﺣ 8
(
1
) 187
= (n 044 /0
) 187
= (n 123 /0 -
) 187
= (n
) ﯽﻧﺎﺠﯿﻫ ﯽﻧﺎﺸﯾﺮﭘ 9
(
1
) 187
= (n 175*
/0
) 187
= (n
) ﯽﮔﺪﻧز ﺮﺑ رﺎﻬﻣ 10
(
1
) 187
= (n
* p≤ /005 ; ** p≤ /001; *** p≤ /0001
_______________________________________
1- construct
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154
لﺎﺳﻫﺠﻢﻫﺪرﺎﻤﺷ /ه 2 / نﺎﺘﺴﺑﺎﺗ 1391
Vol. 18 / No. 2 / Summer 2012
ﺚﺤﺑ ﻪـﻠﺑﺎﻘﻣ ﮏـﯾ ،درد ﺎـﺑ ﻪـﻠﺑﺎﻘﻣ ﻪـﮐ ﺪﻧروﺎﺑ ﻦﯾا ﺮﺑ ناﺮﮕﺸﻫوﮋﭘ
ﯽﺘﺴﯾز - ﯽﻧاور - ﺮـﺘﻬﺑ درد نﺎـﻣرد ﻪـﺑ ﯽـﺣﺮﻃ و ﺖﺳا ﯽﻋﺎﻤﺘﺟا
ﯽﻣ باﻮﺟ وﮋﭘ .دﺮﯿﮕﺑ ﺮﻈﻧ رد ار هزﻮﺣ ﻪﺳ ﺮﻫ ﻪﮐ ﺪﻫد
ناﺮﮕـﺸﻫ
ﻒــﯿﮐ) ،1
1982 ،ﺰــﻧﺮﮐ و كﺮــﺗ ؛ 1983
،كﺮــﺗ ؛ 1988 هرﺎــﺷا (
هدﺮﮐ زا ،دﻮـﺧ درد ﺎـﺑ ﯽﺘﺧﺎﻨـﺷ و يرﺎـﺘﻓر ﻪـﻠﺑﺎﻘﻣ رد داﺮـﻓا ﺪـﻧا
شور
ﯽـﻣ هﺮـﻬﺑ نﻮﮔﺎﻧﻮﮔ يﺎﻫ
شور ﻦـﯾا زا ﯽـﺧﺮﺑ ؛ﺪـﻧﺮﯿﮔ ﺎـﻫ
ﺖﯿﻌــﺿو و نﺎــﻣرد ﯽــﺸﺨﺑﺮﺛا رد ﻞﯿﻬــﺴﺗ و درد دﻮــﺒﻬﺑ ﺐــﺟﻮﻣ ﯽﻣ دﺮﻓ ﯽﮔداﻮﻧﺎﺧ و ﯽﻋﺎﻤﺘﺟا ﻨﺷ زا ﺮﮕﯾد ﯽﺧﺮﺑ و دﻮﺷ
ﺖﺧﺎ ﺎﻫ
رﺎـــﺘﻓر و ﻪـــﺑ يﺎـــﻫ ﺐـــﺟﻮﻣ ،درد ﺎـــﺑ ﻪـــﻠﺑﺎﻘﻣ ياﺮـــﺑ ﻪـــﺘﻓررﺎﮐ
هﺪﯿﭽﯿﭘ ﺦﺳﺎﭘ و ﺖﯿﻌﺿو نﺪﺷﺮﺗ ﯽﻣ نﺎﻣرد ﻪﺑ نداﺪﻧ
ﻦﯾا رد .دﻮﺷ
ﻪﺑ ،يﺮﻈﻧ بﻮﭼرﺎﻬﭼ حﺮﻃ مﺎﮕﻨﻫ
ﯽﻨﯿﻟﺎﺑ ﺺﺼﺨﺘﻣ ،نﺎﻣرد يﺰﯾر
درد ﻪـﮐ يﺮﯿﺛﺄﺗ ناﺰﯿﻣ و درد زا رﺎﻤﯿﺑ ﯽﺑﺎﯾزرا ﯽﮕﻧﻮﮕﭼ زا ﺪﯾﺎﺑ ﺖﯿﻟﺎﻌﻓ ﺮﺑ
ر ﯽﮔﺪـﻧز نﻮﮔﺎـﻧﻮﮔ هﻮـﺟو و ﺎـﻫ ﺎـﺟﺮﺑ رﺎـﻤﯿﺑ هﺮـﻣزو
راﺰﺑا ﻦﯾاﺮﺑﺎﻨﺑ .ﺪﺷﺎﺑ هﺎﮔآ ،ﺖﺳا ﻪﺘﺷاﺬﮔ رﺎـﻤﯿﺑ كاردا ﻪـﮐ ﯽﯾﺎﻫ
رﺎﺘﻓر و دﻮﺧ درد زا ﻪﻠﺑﺎﻘﻣ يﺎﻫ
ﺮﺑ درد ﺮﯿﺛﺄﺗ ناﺰﯿﻣ ﺰﯿﻧ ،درد ﺎﺑ يا
ﺖﯿﻟﺎﻌﻓ دﺮﮑﻠﻤﻋ و ﺎﻫ ﻪﺑ ار رﺎﻤﯿﺑ يﺎﻫ
ﯽﺑﺎـﯾزرا درﻮﻣ ﻖﯿﻗد ترﻮﺻ
.دراد ﺖﯿﻤﻫا رﺎﯿﺴﺑ ،ﺪﻫد راﺮﻗ
ﯽﮔﮋﯾو ناور يﺎﻫ ﯽﺠﻨﺳ
وﮋﭘ ردPSMC
بﻮـﺧ ﺮﺿﺎﺣ ﺶﻫ
ﯽﺳرﺮﺑ ﺮﮕﯾد رد .دﻮﺑ ﺰﯿﻧ ﺎﻫ
هزﺎﺳ ﺎﺑPSMC
ﻢﻫ يﺎﻫ طﺎﺒﺗرا ،ﺪﻨﯾآ
،دراﻮــﻣ ﺮﺘــﺸﯿﺑ رد و رادﺎــﻨﻌﻣ ) ﻂــﺳﻮﺘﻣ
يزﺎﺘــﺳﺎﻧآ و2
ــﻨﯿﺑرﻮﯾ
3ﺎ ،
1997 ﻪﺘــﺷاد (
؛ﺖــﺳا هدﺮــﺧ ود يﺎﻨﺜﺘــﺳا ﻪــﺑ ﯽﻧﺎــﺸﯾﺮﭘ سﺎــﯿﻘﻣ
ِﯽﮔﺪــﻧز ﺮــﺑ رﺎــﻬﻣ و ﯽﻧﺎــﺠﯿﻫ ﺎــﺑ ﯽﻔﯿﻌــﺿ ﯽﮕﺘــﺴﺒﻤﻫ ﻪــﮐMPI
ﯽﯾﺎﯾﺎﭘ .ﺪﻨﺘﺷادPSMC
ﻪﺑ ﺰﯿﻧPSMC
خﺎﺒﻧوﺮﮐ يﺎﻔﻟآ شور ود
نﻮﻣزآ و -
ﯽـﻣ لﺎـﻤﺘﺣا ﺪـﻨﭼﺮﻫ ،دﻮـﺑ بﻮـﺧ نﻮﻣزآزﺎﺑ ﺎـﺑ دور
ﻪﯾﻮﮔ ﻦﺘﺳﺎﮐ و ندوﺰﻓا ،رﻮـﺸﮐ ﯽـﮕﻨﻫﺮﻓ ﺖـﻓﺎﺑ ﻪـﺑ ﻪـﺟﻮﺗ ﺎﺑ ،ﺎﻫ
ﯽﻣ ﻢﻫ ناﻮﺗ ﯽﻧﻮـﻨﮐ ناﺰـﯿﻣ زا ﺮﺗﻻﺎـﺑ ار سﺎـﯿﻘﻣ ﻦﯾا ﯽﻧورد ﯽﻧﺎﺳ
.دﺮﺑ ﺖﯾدوﺪﺤﻣ زا
ﻪـﺘﻓﺎﯾ ﻢﯿـﻤﻌﺗ ﻞﮑـﺸﻣ ،ﺮﺿﺎﺣ ﺶﻫوﮋﭘ يﺎﻫ ﺎـﻫ
ﺑ ﻼﺘﺒﻣ نارﺎﻤﯿﺑ ﻪﺑ ﺎﻬﻨﺗ ﻞـﯿﺑدرا و ناﺮﻬﺗ ﺮﻬﺷ ود ﻦﻣﺰﻣ درد ﻪ
.دﻮـﺑ
ﻪﺑ نﺎﺘﺳرﺎﻤﯿﺑ ﻪﺑ ﻪﻧﻮﻤﻧ ندﻮﺑدوﺪﺤﻣ ﻞﯿﻟد ﻪـﺑ ،ﯽﺘﻟود يﺎﻫ
لﺎـﻤﺘﺣا
ﺎـﺑ ،ﺮـﺿﺎﺣ ﺶﻫوﮋـﭘ ﻪـﻧﻮﻤﻧ يدﺎـﺼﺘﻗا ناﻮـﺗ و داﻮـﺳ ﺢﻄﺳ دﺎﯾز .ﺖــﺳا توﺎــﻔﺘﻣ ﻦﻣﺰــﻣ درد ﻪــﺑ ﻼﺘــﺒﻣ نارﺎــﻤﯿﺑ ﯽــﻠﮐ ﺖــﯿﻌﻤﺟ ﺶﻫوﮋﭘ هداد نﺎﺸﻧ ﺎﻫ هوﺮﮔ رد درد ﯽﺘﯾﺮﯾﺪﻣدﻮﺧ ناﺰﯿﻣ ﺪﻧا
يﺎـﻫ
ﻒــﻠﺘﺨﻣ ﻠﯿـــﺼﺤﺗ
يﺪـــﺑﺎﻋ) ﺖـــﺳا توﺎـــﻔﺘﻣ ﺮﮕﯾﺪــﮑﯾ ﺎـــﺑ ﯽ
،
ﯽﻠﯿﻠﺧ يﺮﻐﺻا و ﯽﻧﺎﻤﺣر ،هداز ،مﺪﻘﻣ
2010 (
، دﺎﻬﻨـﺸﯿﭘ ﻦﯾاﺮﺑﺎﻨﺑ
ﯽﻣ ﺶﻫوﮋﭘ رد دﻮﺷ تﻼﯿـﺼﺤﺗ ﺢﻄﺳ ،يدﺎﺼﺘﻗا ناﻮﺗ ﯽﺗآ يﺎﻫ
ﯽــﮔﮋﯾو ﺮﯾﺎــﺳ و ﺖــﯿﻌﻤﺟ يﺎــﻫ
راﺮــﻗ ﻪــﺟﻮﺗ درﻮــﻣ ﯽﺘﺧﺎﻨــﺷ
.دﺮﯿﮔ يراﺰﮕﺳﺎﭙﺳ
هﺎــﻨﭘ يﺪــﻬﻣ ﺮــﺘﮐد يﺎــﻗآ زا ﮏــﯿﻨﯿﻠﮐ ﺺــﺼﺨﺘﻣ ،ﯽﻫاﻮــﺧ
ﯽﺼﺼﺨﺗ
ﻪـﺑ ،ناﺮـﻬﺗ يﺎﻨﯿـﺳ نﺎﺘـﺳرﺎﻤﯿﺑ درد
ﻢﻫاﺮـﻓ ﻞـﯿﻟد ندﻮـﻤﻧ
يﺮﯿﻌـﺷ ﺎﺿرﺪﻤﺤﻣ ﺮﺘﮐد يﺎﻗآ و نﺎﺘﺳرﺎﻤﯿﺑ نآ رد ﺖﯿﻟﺎﻌﻓ نﺎﮑﻣا ،نﺎـﺷﺮﺛﺆﻣ يﺎـﻫﺮﻈﻧ ياﺮـﺑ و
رد ﻪـﮐ يﺰـﯾﺰﻋ نارﺎـﻤﯿﺑ ﯽﻣﺎـﻤﺗ ﺰـﯿﻧ
ﯽﻣ ﯽﻧادرﺪﻗ ﻪﻧﺎﻤﯿﻤﺻ ،ﺪﻧدﺮﮐ ﺖﮐﺮﺷ ﺮﺿﺎﺣ ﺶﻫوﮋﭘ
1.دﻮﺷ
،ﻪﻟﺎﻘﻣ لﻮﺌﺴﻣ هﺪﻨﺴﯾﻮﻧ رﺎﻬﻇا ﻪﺑ ﺎﻨﺑ]
وﮋـﭘ زا ﯽﻟﺎـﻣ ﺖـﯾﺎﻤﺣ و ﺶﻫ
ﺖﺳا ﻪﺘﺷاﺪﻧ دﻮﺟو ﻊﻓﺎﻨﻣ ضرﺎﻌﺗ .[
ﻊﺑﺎﻨﻣ
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_______________________________________
1- Keefe 2- Anastasi
3- Urbina
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Psychometric characteristics of Pain Self-Management Checklist (PSMC) in Patients with Chronic Pain
Abstract
Objectives: The purpose of this research was to investigate the psychometric characteristics of Pain Self-Management Checklist (PSMC) in the population with chronic pain. Method: First, the checklist was administered to 186 patients with chronic pain, selected through random sampling in Tehran (n=86) and Ardebil (n=100). Then, test-retest reliability coefficient was evaluated with another 30 patients with chronic pain. In addition to the PSMC, some other checklists including Physical Disability Questionnaire (PDQ), Depression, Anxiety, Stress Scale (DASS-21), Multidimensional Pain Inventory (MPI), and chronic pain case-finding questionnaire were used for data collection. To validate the PSMC, its correlation with other instruments was investigated, and the reliability was calculated using Chronbach’s alpha and test-retest. Results:
The results indicated that this checklist has high correlation with most important pain co-morbidity constructs (depression, anxiety, stress and physical disability). Therefore, it has appropriate construct validity. Moreover, the reliability of this checklist using Chronbach’s alpha and test-retest was appropriate. Conclusion: This study provides evidence for the advantage of using this checklist for Iranian patients.
Key words: chronic pain; validity; reliability
[Received: 11 January 2011; Accepted: 2 November 2011]
Milad Abedi Ghelich Gheshlaghi *, Mohammad Ali Asghari-moghaddam a, Marziye Khalilzade Poshtgol a
* Corresponding author: Shahed University, Tehran, Iran, IR.
Fax: +9821-51212404
E-mail: [email protected]
a Shahed University, Tehran, Iran.
Original Article
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