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he Effectiveness of Acceptance and Commitment Therapy on Distress and Psychosomatic Symptoms in Patients with type D personality and Gastrointestinal Dysfunction 接受与承诺治疗对D型人格合并胃肠功能障碍患者痛苦及心身症状的疗效
Pub Date : 2021-07-01 DOI: 10.30483/RIJM.2021.254235.1077
Ali Bakhshi Bajestani, F. Shahabizadeh, S. Vaziri, F. Kashani
Background: Anxiety disorders and psychological manifestations play a significant role in the incidence of psychosomatic disorders. Moreover, Personality traits are one of the psychological constructs associated with psychosomatic symptoms. Objective: This study aimed to determine the effectiveness of acceptance and commitment therapy on distress and psychosomatic symptoms in patients with gastrointestinal dysfunction with type D personality.Methods: The present study was a semi-experimental pre-test, post-test design with a control group and follow-up. The statistical population in this study was all patients with functional gastrointestinal disorders (FGID) who were referred to behavioral sciences research center in Isfahan in 2019, 30 patients were selected by targeted sampling method (patients with gastrointestinal dysfunction, except gastrointestinal cancer patients, who had a high de-personality score). Data were obtained using the D-14 personality type scale, ROME III questionnaire, psychological distress, and stress-anxiety-depression disorders (DASS-21). Data analysis was performed using repeated measure analysis of variance by spss.22. Results: The results showed that acceptance and commitment therapy was effective in decreasing distress (p <0.001) and psychosomatic symptoms (p <0.001) in patients with gastrointestinal dysfunction with type D personality. Conclusion: It can be concluded that acceptance and commitment therapy effectively distress and psychosomatic symptoms of patients with gastrointestinal dysfunction with type D personality and improve psychological problems in patients with gastrointestinal dysfunction.
背景:焦虑障碍和心理表现在心身障碍的发生中起着重要作用。此外,人格特征是与心身症状相关的心理结构之一。目的:本研究旨在确定接受和承诺治疗对D型人格胃肠功能障碍患者痛苦和心身症状的有效性。方法:本研究采用半实验性的前测、后测设计,对照组和随访。本研究的统计人群为2019年转诊至伊斯法罕行为科学研究中心的所有功能性胃肠道疾病(FGID)患者,采用靶向抽样方法选择30名患者(胃肠道功能障碍患者,除胃肠道癌症患者外,其去人性得分较高)。使用D-14人格类型量表、ROME III问卷、心理困扰和压力焦虑抑郁障碍(DAS-21)获得数据。数据分析采用spss.22的重复测量方差分析。结果:结果显示,接受和承诺治疗在降低D型人格胃肠道功能障碍患者的痛苦(p<0.001)和心身症状(p<0.01)方面是有效的。结论:接受承诺治疗能有效缓解D型人格胃肠功能障碍患者的痛苦和心身症状,改善胃肠功能障碍患者心理问题。
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引用次数: 1
Structural Equation Modeling of Marital Boredom Based on Resilience through Emotional Self-Regulation 基于情感自我调节弹性的婚姻无聊结构方程建模
Pub Date : 2021-07-01 DOI: 10.30483/RIJM.2021.254265.1103
Marianos Ghobadi, O. Moradi, Y. Yarahmadi, H. Ahmadian
Background Among the factors affecting the rate of marital conflict reduction, we can mention the variable of marital boredom, which is directly and indirectly affected by various factors. Objectives This study aimed to develop a causal model of marital boredom based on the degree of differentiation and resilience mediated by couples' emotional self-regulation.Methods The present study was a correlation and structural equation modeling. The statistical population of the study included all couples who were referred to the counseling centers of Gachsaran in 2019 with the problem of marital conflict. To collect data from the emotional self-regulation strategies, the resilience questionnaire, the marital boredom scale, and the marital conflict questionnaire have been used. Pearson correlation coefficient and structural equation modeling with SPSS.22 and Smart.PLS software was used to analyze the research data. The significance level in this study was considered 0.05.Results The results showed that the direct path coefficient between resilience with emotional self-regulation (p <0.001, β=0.63). Also, the path coefficients between resilience and marital boredom (p= 0.009, β=-0.15), and emotional self-regulation with marital boredom (p <0.001, β=-0.48) were negative and significant. The calculated goodness-fit indices of RMSEA = 0.061, AGFI= 0.93 showed the emotional atmosphere of the family in the relationship between the variables of life expectancy and academic performance played a mediating role.Conclusion It can be concluded that the model of marital boredom and its components including resilience and emotional self-regulation has a significant effect on marital conflict.
背景在影响婚姻冲突减少率的因素中,可以提到婚姻无聊的变量,它直接和间接地受到各种因素的影响。目的本研究旨在建立一个基于夫妻情绪自我调节介导的差异化程度和弹性的婚姻无聊因果模型。这项研究的统计人群包括2019年因婚姻冲突问题被转介到Gachsaran咨询中心的所有夫妇。为了收集情绪自我调节策略的数据,我们使用了韧性问卷、婚姻无聊量表和婚姻冲突问卷。利用SPSS.22和Smart.PLS软件建立皮尔逊相关系数和结构方程模型,对研究数据进行分析。结果复原力与情绪自我调节之间的直接路径系数(p<0.001,β=0.63),复原力与婚姻无聊之间的路径系数(p=0.009,β=-0.15),情绪自我调节与婚姻无聊(p<0.001,α=-0.48)均为负向显著。计算出的RMSEA=0.061、AGFI=0.93的优度拟合指数表明,家庭情感氛围在预期寿命和学习成绩变量之间的关系中起到了中介作用。结论婚姻无聊模型及其组成部分,包括弹性和情绪自我调节,对婚姻冲突有显著影响。
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引用次数: 0
The Mediating Role of Marital Commitment in the Relationship between Early Maladaptive Schemas and Distress Tolerance in Married People in Kerman 婚姻承诺在克尔曼已婚人士早期适应不良图式与痛苦耐受关系中的中介作用
Pub Date : 2021-07-01 DOI: 10.30483/RIJM.2021.254203.1053
Shifteh Shahabi, H. Jenaabadi, Bahman Kord Tamini
Background: Distress tolerance has been observed as an important structure in creating new insights against the onset and persistence of psychological trauma and prevention and treatment.Objective: This study aimed to investigate the role of commitment in the relationship between early maladaptive schemas and distress tolerance in conflicted couples. Method: The method of this study was descriptive-correlational. The study population consisted of married men and women residing in Kerman. The sampling method was cluster sampling method, through which 400 participants (200 females and 200 males) were selected. Data collection tools included Simmons Distress Tolerance Questionnaire (2005), Adams and Jones Marital Commitment Questionnaire (1997), and Young's Early Maladaptive Schemas Questionnaire (1990). Data were analyzed using correlation and structural equation analysis by spss.22 and Amos.22. Results: The results indicated the moderating role of marital commitment variable in the inverse relationship between maladaptive schemas of three areas of cuts/exclusion, impaired performance, and emotional inhibition with distress tolerance (p <0.01). Conclusion: It can be concluded that although the areas of early maladaptive schemas reduce distress tolerance and commitment of women, the high level of communication commitment among couples can increase distress tolerance in them.
背景:在对心理创伤的发生和持续以及预防和治疗创造新的见解方面,痛苦容忍已被视为一种重要结构。目的:本研究旨在探讨承诺在冲突夫妇早期适应不良图式与痛苦容忍之间的关系中的作用。方法:采用描述性相关分析法。研究人群包括居住在克尔曼的已婚男性和女性。抽样方法为整群抽样法,共选取400名参与者(200名女性和200名男性)。数据收集工具包括Simmons痛苦容忍问卷(2005年)、Adams和Jones婚姻承诺问卷(1997年)和Young早期适应不良图式问卷(1990年)。使用spss.22和Amos.22对数据进行相关性和结构方程分析。结果:婚姻承诺变量在切割/排斥、表现受损和情绪抑制三个领域的不适应图式与痛苦容忍度的反比关系中起调节作用(p<0.01)。结论:尽管早期不适应图式的领域降低了女性的痛苦容忍度和承诺,夫妻之间高度的沟通承诺可以提高他们对痛苦的承受能力。
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引用次数: 1
The Effectiveness of Gottman Couple Therapy on Intimacy and Marital Adjustment of Couples with Marital Problems 戈特曼夫妻治疗对有婚姻问题夫妻亲密关系及婚姻调整的效果
Pub Date : 2021-07-01 DOI: 10.30483/RIJM.2021.254205.1054
Zeynab Shirin Tarkeshdooz, H. Jenaabadi, Bahman Kord Tamini
Background: It is necessary to help couples to solve problems related to marital life, identifying the factors affecting intimacy and marital adjustment of couples, which can be improved using different approaches. Objectives: This study aimed to investigate Gottman Couple Therapy's effectiveness on intimacy and marital adjustment of couples with marital problems. Methods: The present study was an applied and quasi-experimental design with pretest-posttest and follow-up with a control group. The statistical population of this study was all couples referred to counseling clinics in 2020. The sample consisted of 30 couples referred to counseling clinics in district 1 of Tehran, selected by convenience sampling method. The data were collected through the marital intimacy scale (Thompson and Walker, 1983) and marital adjustment questionnaire (Spanier, 1976). Data were analyzed by repeated measure analysis of variance and SPSS.22 software. Results: The results showed that Gottman couple therapy was effective in increasing intimacy (p <0.001) and marital adjustment (p <0.001) of couples with marital problems.Conclusion: Based on the findings of this study, it can be said that Gottman couple therapy is effective on intimacy and marital adjustment of couples with marital problems. Therefore, Gottman's couple therapy can improve couples' relationships and reduce their marital problems.
背景:有必要帮助夫妻解决与婚姻生活相关的问题,找出影响夫妻亲密关系和婚姻适应的因素,并通过不同的方法加以改善。目的:本研究旨在探讨Gottman夫妻疗法对有婚姻问题的夫妻亲密关系和婚姻调整的有效性。方法:本研究采用准实验设计,采用前测后测和对照组随访。这项研究的统计人群是2020年转诊到咨询诊所的所有夫妇。该样本由30对夫妇组成,他们被转诊到德黑兰第一区的咨询诊所,通过方便抽样法进行选择。数据是通过婚姻亲密度量表(Thompson和Walker,1983)和婚姻调整问卷(Spanier,1976)收集的。数据采用重复测量方差分析和SPSS.22软件进行分析。结果:Gottman夫妇治疗在增加有婚姻问题的夫妇的亲密度(p<0.001)和婚姻适应度(p>0.001)方面是有效的。结论:基于本研究的结果,可以说戈特曼夫妇疗法对有婚姻问题的夫妇的亲密关系和婚姻调整是有效的。因此,戈特曼的夫妻治疗可以改善夫妻关系,减少他们的婚姻问题。
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引用次数: 0
The evaluation of metabolic syndrome in patients diagnosed with non-alcoholic fatty liver disease (NAFLD): a cross-sectional study of Iranian population 诊断为非酒精性脂肪肝(NAFLD)患者代谢综合征的评估:伊朗人群的横断面研究
Pub Date : 2021-07-01 DOI: 10.30483/RIJM.2021.249754.0
S. Sajjadi, S. Hejazi, M. A. Rad, A. Khosravi, Abdollah Firoozi, Lida Jarrahi
Introduction:Our study is assessing the epidemiological aspects of nonalcoholic fatty liver disease (NAFLD) in Iranian population and evaluates the relationship between NAFLD and metabolic syndrome.Methods and Materials:We conducted this cross-sectional study on 145 subjects who were diagnosed with NAFLD and referred to the Gastroenterology clinics of Ghaem Hospital, Mashhad, Iran in the year of 2013. Using ultrasonography method, we diagnosed NAFLD as a fatty liver manifestation in the absence of other liver complications. We used National Cholesterol Education Program Adult Treatment Panel III criteria (ATPIII) as a guideline to establish metabolic syndrome diagnosis.Results:Metabolic syndrome had an overall prevalence of 49.7% among our subjects. The results showed no difference in mean AST and ALT levels between the groups of patients with and without metabolic syndrome. Our results were unable to maintain an association between our targeted liver enzymes (AST and ALT) and different features of metabolic syndrome. In multivariate linear regression models, the presence of metabolic syndrome was unable to predict AST (p=0.631, r2=0.002) or ALT (p=0.122, r2=0.017) abnormalities.Conclusion:The present study has shown a high prevalence of metabolic syndrome in Iranian patients who diagnosed with NAFLD. Contrary to previous reports, despite the high prevalence of metabolic syndrome conditions in NAFLD patients, we found that the presence of metabolic syndrome had not increased the risk of NAFLD in the population undergone our study.
本研究旨在评估伊朗人群中非酒精性脂肪性肝病(NAFLD)的流行病学方面,并评估NAFLD与代谢综合征之间的关系。方法和材料:我们在2013年对145名被诊断为NAFLD并转介到伊朗马什哈德Ghaem医院胃肠病学诊所的患者进行了这项横断面研究。在没有其他肝脏并发症的情况下,我们通过超声检查将NAFLD诊断为脂肪肝表现。我们使用国家胆固醇教育计划成人治疗小组III标准(ATPIII)作为建立代谢综合征诊断的指南。结果:代谢综合征的总体患病率为49.7%。结果显示,有代谢综合征和无代谢综合征患者组间的平均AST和ALT水平无差异。我们的结果无法维持我们的目标肝酶(AST和ALT)与代谢综合征的不同特征之间的关联。在多元线性回归模型中,代谢综合征的存在不能预测AST (p=0.631, r2=0.002)或ALT (p=0.122, r2=0.017)异常。结论:目前的研究表明,伊朗NAFLD患者中代谢综合征的患病率很高。与之前的报道相反,尽管NAFLD患者中代谢综合征的患病率很高,但我们发现代谢综合征的存在并未增加我们研究人群中NAFLD的风险。
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引用次数: 0
Investigation of the Mediating Role of Academic Self-Efficacy in the Relationship of Social Adjustment with Academic Engagement and Achievement Goals Among High School Students 高中生学业自我效能感在学业投入、成就目标与社会适应关系中的中介作用研究
Pub Date : 2021-07-01 DOI: 10.30483/RIJM.2021.254156.1011
Mahboob Mohammadi Komar Sofla, S. Jahanian
Background: One of the important goals of the educational system is to provide the ground for all-round growth and training healthy.Objectives: Present study aimed to investigate the mediating role of academic self-efficacy in the relationships between academic engagement and achievement goals with social adjustment among high school students.Methods: The research method was descriptive-correlation with the path analysis-based design. The statistical population included all male high school students in Tehran in 2017-18 such that 546 students were randomly selected by multi-stage cluster sampling. For the data collection, Morgan-Jinks Student Efficacy Scale (MJSES), Zarang Educational Conflict Questionnaire, Sinha and Singh’s Adjustment Inventory and Elliott and Church’s Achievement Goal Questionnaire were used. Results: The results showed that the coefficient of academic engagement (0.50) and achievement goals (0.30) were significant in predicting self-efficacy. The self-efficacy coefficient in adjustment prediction was also significant (0.82). The direct effects of academic engagement (0.06) and achievement goals (-0.29) on predicting adjustment were insignificant and significant, respectively. Based on this data, academic self-efficacy mediates the relationship between academic engagement and adjustment. The role of academic self-efficacy is in the relationship between achievement goals and adjustment was partly.Conclusions: The implication of the findings is that educational approaches, while emphasizing students’ mastery of prerequisites and successful experiences, should consider academic self-efficacy as a fundamental principle and rely on persuasion and explanation in interactions.
背景:教育体系的重要目标之一是为全面成长和培养健康的人提供基础。目的:探讨学业自我效能感在高中生学业投入与社会适应成就目标关系中的中介作用。方法:采用描述相关法,采用基于路径分析的设计。统计人群为2017-18年度德黑兰市所有男高中生,采用多阶段整群抽样法随机抽取546名学生。数据收集采用Morgan-Jinks学生效能量表(MJSES)、Zarang教育冲突问卷、Sinha and Singh调整量表和Elliott and Church成就目标问卷。结果:学业投入系数(0.50)和成就目标系数(0.30)对自我效能感有显著的预测作用。调整预测的自我效能系数也显著(0.82)。学业投入(0.06)和成就目标(-0.29)对调整的直接影响分别不显著和显著。基于这些数据,学术自我效能在学术投入和适应之间起中介作用。学业自我效能感在成就目标与适应的关系中起部分作用。结论:研究结果表明,教育方法在强调学生掌握先决条件和成功经验的同时,应将学业自我效能作为基本原则,并在互动中依靠说服和解释。
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引用次数: 0
Comparison of the Effectiveness of Emotionally Focused Therapy and Self-Compassion Skills Training on Differentiation of Self and Sexual Intimacy of Women Affected by Marital Infidelity 情感聚焦治疗与自我同情技能训练对受婚姻不忠影响的女性自我和性亲密区分的效果比较
Pub Date : 2021-07-01 DOI: 10.30483/RIJM.2021.254236.1079
Mahnaz Farshchiyan Yazdi, Zahra Bagherzadeh Golmakani, A. Mansouri
Background: The main purpose of this study was to compare the effectiveness of Emotionally Focused Therapy and self-compassion skills training on differentiation of self and Sexual Intimacy in women affected by Infidelity.Methods: It was a quasi-experimental study and the statistical population included all women affected by Infidelity in Mashhad in 2019-2020. A statistical sample of 45 women were selected using available sampling and were randomly assigned to experimental and control groups (15 people in each group). The intervention groups received emotionally focused training and self-compassion separately for 8 sessions of 90 minutes and the control group was on the waiting list. The Differentiation of Self-Inventory Revised(DSI-R) of Skowron and Schmitt (2003) and the Sexual Intimacy Questionnaire of Batlani et al. (2010) were used to collect data. Data were analyzed by repeated measures analysis of variance using the SPSS 24 software.Results: The results showed that both treatments were effective in increasing the level of differentiation of self and Sexual Intimacy, but the effectiveness of training of the emotionally focused approach to self-compassion in the differentiation of self was tangible and significant (p <0.05).Conclusion: The findings showed that the emotionally focused therapy training can be used as an effective intervention to improve the psychological resilience of women affected by Infidelity through creating new patterns in the relationship.
背景:本研究的主要目的是比较情绪聚焦疗法和自我同情技能训练对出轨女性自我和性亲密区分的效果。方法:采用准实验研究,统计人群包括2019-2020年马什哈德所有受出轨影响的女性。统计抽样45名妇女,随机分为实验组和对照组(每组15人)。干预组分别接受8次90分钟的情感集中训练和自我同情训练,对照组在等待名单上。采用Skowron和Schmitt(2003)的《自我量表修订版分化量表》(DSI-R)和Batlani等人(2010)的《性亲密度问卷》收集数据。数据采用SPSS 24软件进行重复测量方差分析。结果:两种治疗方法均能有效提高自我分化和性亲密的水平,但情感聚焦自我同情训练在自我分化方面的效果明显且显著(p <0.05)。结论:本研究结果表明,情感聚焦治疗训练可以通过在关系中创造新的模式,作为一种有效的干预手段,提高出轨女性的心理弹性。
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引用次数: 1
Comparison of the Effectiveness of Metacognitive Therapy and Behavioral Activation on Executive Functions of Elderly People with Type 2 Diabetes 元认知疗法与行为激活对老年2型糖尿病患者执行功能的影响比较
Pub Date : 2021-07-01 DOI: 10.30483/RIJM.2021.254187.1039
K. Bayegan, N. Sotodehasl, A. Karami, Hasan Asadzadeh Dahraei
Background: Diabetes mellitus is a metabolic disorder in the body whose prevalence is constantly increasing. Objectives: The aim of this study was to compare the effectiveness of metacognitive therapy and behavioral activation on executive functions of elderly people with type 2 diabetes.Methods: This study was a quasi-experimental study with pretest, posttest, and control group design, and a three-month follow-up. The statistical population included people with type 2 diabetes who were referred to five endocrine clinics located in area 11 and were at least 60 years old and 75 years old at most. Forty-five women and men participated in this study through a purposeful and voluntary sampling method. Wisconsin card was used for data collection. Data were analyzed using descriptive statistics such as mean and standard deviation and inferential statistics by analysis of covariance and repeated measure ANOVA with SPSS.25 software. Results: The results showed that show that there is no statistically significant difference between metacognitive and behavioral activation groups in the subscales of executive function, and the mean post-test of the groups is almost equal (p 0.05).Conclusion: It can be concluded that meta-cognitive therapy and behavioral activation increased effective executive functions.
背景:糖尿病是一种发病率不断上升的体内代谢性疾病。目的:本研究的目的是比较元认知疗法和行为激活对老年2型糖尿病患者执行功能的影响。方法:本研究为准实验研究,采用前测、后测和对照组设计,随访3个月。统计人群包括在11区5家内分泌诊所就诊的2型糖尿病患者,年龄不小于60岁,不大于75岁。45名女性和男性通过有目的和自愿的抽样方法参与了这项研究。威斯康星卡用于数据收集。数据分析采用均数、标准差等描述性统计,采用SPSS.25软件进行协方差分析和重复测量方差分析进行推理统计。结果:元认知组和行为激活组在执行功能亚量表上差异无统计学意义,两组后验均值基本相等(p < 0.05)。结论:元认知治疗和行为激活可提高有效执行功能。
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引用次数: 0
Prevalence of Sternal Wound Infections and Saphenous Harvesting Site Infection in Patients Undergoing Coronary Artery Bypass Graft Surgery 冠状动脉搭桥术患者胸骨伤口感染和孤雌生殖器官采集部位感染的患病率
Pub Date : 2021-07-01 DOI: 10.30483/RIJM.2021.254273.1111
B. Mottahedi, M. Kahrom, Kambiz Alizadeh, Zahra Aghajani Aliabadi, A. Izanloo, Anita Alizadeh
Introduction: Surgical site infection is a risky complication following coronary artery bypass graft (CABG) surgery that may increase mortality and morbidity. Hence, it seems that further investigation regarding this complication may be necessary, in order to improve prevention and treatment processes. Objective: The aim of this study was to determine the frequency of sternal wound infection and saphenous vein wound infection in patients undergoing CABG and its correlation with the determinants. Methods: This is a cross-sectional study that was undertaken from 2015 to 2019 on 2459 patients undergoing CABG surgery with off-pump and on-pump methods. Demographic and background information of our patients were recorded. After infection, secretions were sampled and cultured.Results: Results of the study showed that the frequency of sternal and saphenous harvesting site infection in patients was 3.7% (n=91), and these infections were often diagnosed two weeks after surgery (50 patients, 54.9%). Age and sex were identified as two significant risk factors of surgical site infection after CABG surgery (p=0.0001). Most patients came back with an infection two weeks after surgery (54.9%). Gram-positive bacteria had the greatest role in infection (35.2%) with Staphylococcus epidermidis acting as the predominant strain (n=13).Discussion and Conclusion: The results suggested that two factors with a crucial role in the incidence of infection, are female gender and age of 50-60 years old. Diabetes, previously identified in the literature as a risk factor for surgical site infection, did not have a significant effect in this study and further research is warranted.
引言:手术部位感染是冠状动脉搭桥术后的一种危险并发症,可能会增加死亡率和发病率。因此,似乎有必要对这种并发症进行进一步的调查,以改进预防和治疗过程。目的:本研究的目的是确定冠状动脉旁路移植术患者胸骨伤口感染和隐静脉伤口感染的频率及其与决定因素的相关性。方法:这是一项横断面研究,于2015年至2019年对2459名接受非体外循环和体外循环冠状动脉旁路移植术的患者进行了研究。我们记录了患者的人口统计学和背景信息。感染后,对分泌物进行取样和培养。结果:患者胸骨和大隐静脉采集部位感染发生率为3.7%(n=91),这些感染通常在手术后两周被诊断出来(50名患者,54.9%)。年龄和性别被确定为CABG手术后手术部位感染的两个重要风险因素(p=0.0001)。大多数患者在手术后二周再次感染(54.9%),革兰氏阳性菌在感染中起最大作用(35.2%),表皮葡萄球菌作为优势菌株(n=13)。讨论和结论:研究结果表明,女性和50-60岁年龄是影响感染发生率的两个关键因素。糖尿病,先前在文献中被确定为手术部位感染的风险因素,在本研究中没有显著影响,需要进一步研究。
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引用次数: 0
Comparison of the Effect of Lazarus Multimodal Approach and Cognitive-Behavioral Therapy on Psychological Distress, Working Memory, and Anxiety in Patients with Multiple Sclerosis 拉撒路多模态方法与认知行为疗法对多发性硬化症患者心理困扰、工作记忆和焦虑的影响比较
Pub Date : 2021-07-01 DOI: 10.30483/RIJM.2021.254169.1022
Soha Shahlapour, M. Sedaghat, Sara Pashang
Background: Multiple sclerosis is considered a chronic disease in which physical and mental disorders are common among these patients.Objectives: This study aimed to compare the effectiveness of Lazarus multimodal therapy and cognitive-behavioral therapy on psychological distress, working memory, and anxiety in patients with multiple sclerosis.Methods: The research method was a quasi-experimental research with pre-test, post-test, and follow-up and a control group. The statistical population of the study was the patients who were members of the "MS Patient Support Society" in Tehran who had been referred to this center during January and March 2017. The sample consisted of 48 people selected by convenience sampling method from members of the MS community. The data were obtained through the Kessler psychological distress scale (K10), the Wechsler's Working Memory Index, and the Beck Anxiety Inventory (BAI). The repeated measurement method and SPSS.22 software were used to analyze data. Results: Findings showed that Lazarus Multimodal Approach and cognitive behavioral therapy had a significant effect on decreasing anxiety (p <0.001), psychological distress (p <0.001), and increasing working memory (p <0.001). The Lazarus Multimodal Approach was more effective than cognitive-behavioral therapy in decreasing anxiety, psychological distress, and increasing working memory (p <0.001).Conclusion: It can be concluded that Lazarus' Multimodal Approach and cognitive behavioral therapy was effective on anxiety, psychological distress, and working memory and can be used to reduce psychological problems in patients with multiple sclerosis.
背景:多发性硬化症被认为是一种慢性疾病,在这些患者中,身体和精神障碍是常见的。目的:比较拉撒路多模式治疗与认知行为治疗对多发性硬化症患者心理困扰、工作记忆和焦虑的影响。方法:研究方法为准实验研究,采用前测、后测、随访和对照组。该研究的统计人群是德黑兰“MS患者支持协会”的成员,他们在2017年1月至3月期间被转介到该中心。样本采用方便抽样法从MS社区成员中抽取48人。数据通过Kessler心理困扰量表(K10)、Wechsler工作记忆指数和Beck焦虑量表(BAI)获得。采用重复测量法和SPSS.22软件对数据进行分析。结果:拉撒路多模态方法与认知行为治疗在降低焦虑(p <0.001)、心理困扰(p <0.001)和提高工作记忆(p <0.001)方面均有显著效果。在减少焦虑、心理困扰和增加工作记忆方面,拉撒路多模态方法比认知行为疗法更有效(p <0.001)。结论:拉撒路多模式疗法结合认知行为疗法对多发性硬化症患者的焦虑、心理困扰和工作记忆均有较好的治疗效果,可用于减轻多发性硬化症患者的心理问题。
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引用次数: 0
期刊
Razavi International Journal of Medicine
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