tahereh haji seyed javadi
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Background
Alexithymia is a symptom that most psychosomatic patients experience and can affect their performance, psychological state, and the severity of their physical symptoms. Therefore, we aimed to determine the effectiveness of group therapy based on acceptance and commitment on the severity of fatigue and depression with the moderating role of alexithymia in patients with multiple sclerosis (MS) in Tehran.
MethodsIn this research, a semi-experimental pre-test post-test design was used with three months of follow-up. Using convenience sampling, 40 patients with MS were randomly assigned to two experimental and control groups. Before and after the intervention and three months later in the follow-up phase, all participants responded to fatigue severity, depression, and alexithymia questionnaires. The intervention consisted of ten 90-minute group therapy sessions based on acceptance and commitment, which was performed only for the experimental group.
ResultsAnalysis of covariance indicated a significant difference between the mean scores of fatigue severity, depression, and alexithymia in the experimental and control groups in post-test and follow-up stages.
ConclusionGroup therapy based on acceptance and commitment with the moderating role of alexithymia effectively reduced the severity of fatigue and depression in patients with MS
Keywords: Acceptance, commitment therapy, Severity of fatigue, Depression, Alexithymia, Multiple sclerosis -
Objective
Considering the prevalence of migraine and its detrimental effects on functioning, physical health, and quality of life as well as its psychosocial and social risks, the purpose of this study was to compare the effectiveness of mindfulness-based stress reduction treatment with treatment based on acceptance and commitment on the severity of pain and health-related quality of life in migraine patients.
MethodologyIn this study, a semi-experimental design was used with pre-test, post-test, a three-month follow-up, and a control group. Using purposive sampling and considering the inclusion criteria, 45 patients with migraine diagnosis were selected from among those referring to the neurology department of Imam Hossein Hospital in Tehran. They were then randomly assigned to two experimental groups and a control group. The first experimental group received group therapy based on mindfulness (n = 15; 90-minute sessions), the second experimental group received acceptance and commitment based intervention (n = 15; 90-minute sessions), and the control group (n = 15) received no intervention. All subjects responded to pain intensity and health-related quality of life questionnaires before the intervention (pre-test), after the intervention (post-test), and 3 months after the intervention (follow-up). Collected data were analyzed by one-way ANOVA.
FindingsThe findings showed that mean scores for the two experimental groups were significantly different from the control group in the post-test and follow-up phases in terms of severity of pain and health-related quality of life, while the mean scores for the two experimental groups did not differ significantly. The results emphasize the importance of these interventions for chronic diseases and offer new horizons in clinical interventions.
ConclusionThe results of this study showed that mindfulness-based stress reduction therapy and acceptance and commitment therapy can positively affect the severity of pain and health-related quality of life in migraine patients, and any of them can be used to improve the above-mentioned variables.
Keywords: Mindfulness-based therapy, Acceptance, Commitment, The severity of pain, Health-related quality of life, Migraine -
BackgroundThe present study aimed to compare the effectiveness the metacognition treatment (MCT) and mindfulness-based cognitive therapy (MBCT) on anxiety, depression, and stress in the females with breast cancer.MethodsThe planning of this study is through a quasi-experimental method of pretest and posttest type with control group. The target society of the research included every cancer patient who admitted to Tehran hospitals for breast cancer. Through assigned randomly, 12 patients were selected for the MCT group and 12 patients for the MBCT group, and the other were assigned control group. The data collection tools included depression, anxiety and stress scale - 21 items (DASS-21) questionnaire. For statistical analysis, descriptive tests and repeated measures analysis of variance were performed.ResultsData analysis with repeated multivariate measurements illustrated that there is a significant difference in the rate of depression, anxiety and stress, in three groups.ConclusionAccording to our results, MBCT was more effective compared to metacognitive therapy.Keywords: Mindfulness-based cognitive therapy, Metacognition therapy, Anxiety, Depression, Stress, Breast cancer, Female
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BackgroundParents of children with cancer face numerous physical, social and economic problems during the care process. Their family, marital, occupational and social life is negatively affected by the process of caring children with cancer which in turn leads to reduced quality of life. The present study examines the effectiveness of eye movement desensitization and reprocessing (EMDR) on quality of life in parents of children with cancer.MethodsThis is a quasi-experimental study based on pretest-posttest and follow-up design with a control group. Accordingly, 30 mothers of children with cancer were selected based on targeted sampling method and divided into control and experiment groups. Both groups were pre-tested using the quality of life questionnaire (QoL) (SF=36). Then the experiment group was treated for EMDR for 8 sessions while the control group received no treatment. Following, both groups were post tested and collected data were analyzed using one-way ANOVA on SPSS21.ResultsFindings of the study showed that the scores of mothers in experiment group on quality of life increased compared to the control group and maintained at follow-up. The highest increase was on general health, vitality, emotional health, social function while more reduction was on emotional problems of the experiment group (PConclusionRegarding the fact that illness of children affects all aspects of parents life, and also results of the present study indicating the effectiveness of EMDR on increasing the quality of life in parents of children with cancer, it is suggested to consider psychological training and treatment as the top priority for children with cancer to improve the family function.Keywords: Eye Movement Desensitization, Reprocessing, Quality of Life, Children, Cancer
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