فهرست مطالب mohamadreza seyrafi

The present study was conducted to investigate illness attitude based on patient coping styles and caregiver burden. This is an applied research work, and with regard to data collection it is correlational-descriptive research. The statistical population consisted of all the disabled veterans referring to Sasan Hospital in Tehran, Iran in 2017-2018, from among whom a group of 50 people were selected as the sample according to the formula of sampling without alternative using a pre-study. The data collection instruments were three questionnaires: the Illness Attitudes Scale, the Caregiver Burden Inventory and Stress Coping Styles Questionnaire. The obtained data were analyzed, and first the research was assumed to be normal and the results indicated that the research data had a normal distribution. Based on Pearson correlation coefficient and simultaneous regression analyses in SPSS23 software at the significance level of 0.05, the results of the first hypothesis showed that time-dependent burden and emotional burden had a significant negative relationship with illness attitude. The regression results also showed that time-dependent burden and emotional burden variables can predict attitude toward illness, and also problem-oriented coping style had a significant negative relationship with attitude toward illness. Regression results further revealed that problem-oriented coping style can predict attitude toward illness. Therefore, attitude toward illness can be explained with stress coping style and caregiver burden variables.

This study aimed to determine the effectiveness of cognitive and behavioral therapy and motivation-based education on medication adherence among people with type II diabetes.

The present study was a quasi-experimental design and pre-test and post-test with a control group and follow-up and applied in terms of objective. The statistical population of the study consisted of all individuals aged 40-65 years, who referred to the Diabetes Association of Tehran for diabetes. The sample consisted of 45 individuals (15 for each group) based on available and purposeful sampling. Research tools were Morisky's Compliance Questionnaire (2010), Cognitive-Behavioral Therapy Protocol, and Protective Motivation-Based Training Protocol. Multivariate analysis of variance was used to analyze the data.

Results showed that two methods of cognitive-behavioral therapy and motivation-based education on medication adherence were significant in the post-test (p<0.01). Also, the effect of the time factor on medication adherence scores in the follow-up area was significant (p<0.01). There was a difference between the medication adherence scores in the three stages of pre-test, post-test, and follow-up regardless of group (p<0.01). The effect of interaction between group and time was also significant (p<0.01).

It can be concluded that the group that received cognitive behavioral therapy and motivation-based training showed a significant increase in medication adherence compared to the group that did not receive medication. The hypotheses were then confirmed. Cognitive-behavioral therapy and motivation-based education can improve medication adherence in patients with type II diabetes.

The nature of systematic scleroderma is very threatening and debilitating and affects mental health, including the destruction of self-esteem in the patient. Therefore, the purpose of this study was to investigate the effect of integrated psychotherapy with the orientation of four common factors on self-esteem and its four components (general, social, familial, and occupational or educational) in women with scleroderma. Therefore, in a Semi-experimental research was carried out with pretest design, post-test with control group and follow-up after 3 months of intervention. The statistical population included women with scleroderma referred to Shariati Hospital and Iran's Rheumatism Center in 2016. Of these, 30 patients were selected as available samples and randomly were placed in two control and treatment (experiment) groups, each of which consisted of 15 individuals. The instrument of this research was Cooper Smith's (1967) Self-esteem Questionnaire. The results of repeated measures analysis of variance showed that integrated psychotherapy with the orientation of four common factors, self-esteem and all its components increased in women with scleroderma, and this effect was lasting after three months. Therefore, integrated therapy with four commonality orientations (relationship, hope enhancing, awareness promotion and behavior regulation) is considered as an effective intervention in patients with scleroderma.