The Korean Journal of Pain

  • 제28권2호
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  • Pages.88-95
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  • 2015
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  • 2005-9159(pISSN)
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  • 2093-0569(eISSN)
대한통증학회 (The Korean Pain Society)
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Reducing Irrational Beliefs and Pain Severity in Patients Suffering from Non-Cardiac Chest Pain (NCCP): A Comparison of Relaxation Training and Metaphor Therapy

  • Bahremand, Mostafa (Kermanshah University of Medical Sciences) ;
  • Moradi, Gholamreza (Kermanshah University of Medical Sciences, Imam Ali Hospital, University of Medical Sciences) ;
  • Saeidi, Mozhgan (Cardiac Rehabilitation Center, Imam Ali Hospital, Kermanshah University of Medical Sciences) ;
  • Mohammadi, Samira (Kermanshah University of Medical Sciences) ;
  • Komasi, Saeid (Cardiac Rehabilitation Center, Imam Ali Hospital, Kermanshah University of Medical Sciences)
  • 투고 : 2014.12.23
  • 심사 : 2015.02.27
  • 발행 : 2015.04.01
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초록

Background: Patients suffering from non-cardiac chest pain (NCCP) can interpret their chest pain wrongly despite having received a correct diagnosis. The objective of this study was to compare the efficacy of the relaxation method with metaphor therapy for reducing irrational beliefs and pain severity in patients with NCCP. Methods: Using a randomized controlled trial, 33 participants were randomly divided into a relaxation training group (n= 13), a metaphor therapy group (n = 10), and a control group (n = 10), and were studied for 4 weeks. The two tools used in this research were the Brief Pain Inventory (BPI) index for determining the degree of pain and the short version of the Jones Irrational Belief Test. Metaphor therapy and a relaxation technique based on ${\ddot{O}}$st's treatment were used as the interventions. The collected data were analyzed with a multivariate analysis of covariance (MANCOVA), a Chi-square test, and the Bonferroni procedure of post-hoc analysis. Results: The relaxation training method was significantly more effective than both metaphor therapy and the lack of treatment in reducing the patients' beliefs of hopelessness in the face of changes and emotional irresponsibility, as well as the pain severity. Metaphor therapy was not effective on any of these factors. In fact, the results did not support the effectiveness of metaphor therapy. Conclusions: Regarding the effectiveness of the relaxation method as compared with metaphor therapy and the lack of treatment in the control group, this study suggests that relaxation should be paid greater attention as a method for improving the status of patients. In addition, more studies are needed to determine the effectiveness of metaphor therapy in this area.

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피인용 문헌

  1. Non-Coronary Patients with Severe Chest Pain Show More Irrational Beliefs Compared to Patients with Mild Pain vol.36, pp.4, 2015, https://doi.org/10.4082/kjfm.2015.36.4.180
  2. Irrational beliefs predict pain/discomfort and emotional distress as a result of pain in patients with non-cardiac chest pain vol.29, pp.4, 2016, https://doi.org/10.3344/kjp.2016.29.4.277
  3. Comparison of Depression, Anxiety, and Stress Between Mild and Severe Non-cardiac Chest Pain vol.5, pp.2, 2016, https://doi.org/10.5812/thrita.32752
  4. Those Who Perceive Their Disease as a Physiological or Psychological Risk Factor Experience More Anxiety at the Beginning of the Cardiac Rehabilitation Program vol.5, pp.4, 2016, https://doi.org/10.5812/cardiovascmed.29291
  5. Cognitive Restructuring Based on Metaphor Therapy to Challenge the Irrational Beliefs of Drug Addicts Undergoing Buprenorphine Treatment vol.6, pp.1, 2016, https://doi.org/10.5812/ijhrba.31450
  6. Psychological symptoms predicted chest pain intensity and discomfort in cardiac rehabilitation patients vol.5, pp.4, 2016, https://doi.org/10.4103/2249-4863.201166