خستگی شناختی

The nursing profession seeks to provide evidence-based and competent care, especially based on humane and ethical principles. Providing ethical care requires an appropriate level of ethical reasoning.

The purpose of this study was to investigate the effect of cognitive fatigue based on ego depletion on the moral judgment of nursing students.

The study design was semi-experimental with two intervention and control groups before and after the test. The statistical population of this research included all female nursing students of Kerman University of Medical Sciences in 2019. 44 female nurses were selected as a sample and divided into two control groups (22 people) and intervention group (22 people). The measuring instrument was Viarah's moral judgment questionnaire (2014). Sedak and Kafta (1990) were presented with solvable (easy/controllable) diagnostic cognitive problems to the control group and unsolvable problems (hard/uncontrollable) to the experimental group. After answering the homework and math problems, the moral judgment post-test was performed on two groups. SPSS 23 software and covariance analysis test were used for data analysis.

The results showed that the treatment of cognitive fatigue based on the ego depletion approach had an effect on the moral judgment of nursing students. The mean (standard deviation) of the experimental group changed from 125.82 (9.019) in the pre-test phase to 152.05 (12.44) (P<0.001). The value of this effect was 0.42 based on eta square.

The results indicated that the treatment of cognitive fatigue based on the ego depletion approach increased the moral judgment of nurses. Therefore, it is suggested that counselors and therapists use the cognitive fatigue treatment based on the ego depletion approach to reduce the psychological problems of nurses.

Psychosomatic disorders are debilitating and widespread disorders. These disorders, like chronic fatigue syndrome, are debilitating and cause physical and mental breakdown. Among these, nurses in the healthcare field are among the people who are more at risk of chronic fatigue syndrome than others. This syndrome has symptoms similar to depression, it does not recover easily and it overshadows the quality of a person's life.

The current research method was descriptive and correlational and retrospective. The statistical method was structural equation method. Sampling was non-random and available, and finally, among 1000 nurses, 291 nurses were eligible based on the entry criteria and were selected. In this research, tools such as the Pittsburgh Sleep Quality Questionnaire (1989), Maslesh and Jackson's (1981) emotional exhaustion, Salkoskis and Varik's (2001) health anxiety, Granfsky et al.'s cognitive regulation of emotion (2001) and Smets' multidimensional measurement of fatigue ( 1996) was used. All the tools mentioned had validity and validity confirmed in domestic and foreign researches.

The research Results showed that sleep quality, health anxiety, and cognitive regulation of emotions cannot predict emotional exhaustion directly and only if cognitive fatigue plays a mediating role. to have Finally, the indirect paths of the model were significant, and this showed that cognitive fatigue is a mediator (P<0.05).

According to the Results of the research, to reduce emotional exhaustion in the nursing profession, attention should be paid to cognitive fatigue. Cognitive fatigue is a state of helplessness that makes a person unable to make decisions in important and different life situations. Improvement of cognitive fatigue can ultimately reduce the symptoms of emotional exhaustion and increase sleep quality, reduce health anxiety and use positive emotion cognitive regulation strategies in nurses.

Nowadays, the quality of marital relationships and cognitive fatigue is a concept widely used in family and marital studies.

The present study aimed to determine the effectiveness of schema-based cognitive therapy on cognitive fatigue and the quality of marital relationships of married women in the city of Amol.

The present research was quasi-experimental with a pretest-posttest design with a control group. The statistical population consisted of all women referring to Navid-e-Aramesh and Tolou-e-Mehr clinics in the city of Amol to receive counseling services concerning family problems in 2022, among them 30 people were selected by the convenience sampling method and were randomly assigned to two experimental and control groups (15 people each group). The Quality of Marital Relationships Questionnaire (1995), the Fatigue Questionnaire (1994), and Young et al.’s Schema-Based Cognitive Therapy Protocol (2003) were used for ten 60-minute sessions for data collection, and multivariate analysis of covariance (MANCOVA) and SPSS software version 22 were used for data analysis.

The analysis of covariance (ANCOVA) results demonstrated a significant difference between the scores of the control and experimental groups (P=0.001). In general, schema-based cognitive therapy led to increasing the total score of the quality of marital relationships and decreasing cognitive fatigue.

Using cognitive techniques, schema-based cognitive therapy culminates in improving the quality of marital relationships and decreasing cognitive fatigue of married women. Therefore, this program can be recommended as an appropriate intervention to improve marital relationships.

The aim of this study is to investigate the effect of Acceptance and Commitment Therapy (ACT) on cognitive fatigue in female patients with multiple sclerosis (MS).

This was a quasi-experimental study with a pre-test and post-test design and three months of follow up performed on three groups of therapy, placebo, and waiting list. Thus, among the female patients with MS referred to the MS Society of Ahwaz, Iran, 41 patients were chosen with the convenience sampling method and divided into therapy (n = 13), placebo (n = 13), and waiting list (n = 14) by random sampling.

All patients completed the Modified Impact of Fatigue Scale (MFIS) in the pretest and posttest stages and after the three-month follow-up period. The results of the mixed analysis of variance (ANOVA) showed that the interaction between time and therapy can reduce the cognitive fatigue in patients with MS (F = 3.53, P = 0.014, effect size = 0.16, statistical power = 0.84) and this reduction will remain and until the follow-up.

According to fatigue as a main and pervasive complaint of this group, the results of this study can be used as an appropriate method to reduce cognitive fatigue in patients with MS.