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Effectiveness of Mindfulness-Based Therapy on Resilience, Psychological Well-Being, and Blood Sugar Levels in Patients with Type II Diabetes 基于正念的治疗对II型糖尿病患者恢复力、心理健康和血糖水平的影响
Pub Date : 2021-04-01 DOI: 10.30483/RIJM.2021.254153.1008
Seyedeh Sareh Hosseini, Morvarid Ahadi, M. Hatami, J. Khalatbari
Background: Diabetes is one of the most common chronic diseases that has attracted the increasing attention of health professionals. The aim of this study was to evaluate the effectiveness of mindfulness-based therapy on resilience, psychological well-being, and blood sugar levels in patients with type 2 diabetes in Tehran.Methods: The method of this study was semi-experimental with pre-test, post-test and control group. The statistical population of the study consisted of all patients with type 2 diabetes referred to health centers in Tehran, from which 30 people were selected by convenience sampling method and randomly selected in the experimental group (15 people in each group). And the control group (15 people) were assigned. The mindfulness treatment experimental group was trained for 10 sessions of 90 minutes, and the control group remained on the waiting list. The instruments used in the present study included resilience (Connor and Davidson, 2003), psychological well-being (Ryff, 1980), and their blood glucose was measured by glycosylated hemoglobin test, which was used in two stages of pre-test and post-test. Data were analyzed using multivariate analysis of covariance and SPSS.19 software.Results: The results showed that the intervention used in this study could significantly improve resilience (p <0.001). psychological well-being (p <0.001), and blood sugar (p <0.001) in patients with type 2 diabetes.Conclusion: It can be concluded that mindfulness-based therapy was effective in improving resilience, psychological well-being, and decreasing blood sugar levels in patients with type 2 diabetes.
背景:糖尿病是最常见的慢性疾病之一,越来越受到卫生专业人员的关注。本研究的目的是评估正念疗法对德黑兰2型糖尿病患者恢复力、心理健康和血糖水平的影响。方法:采用半实验方法,分为前测、后测和对照组。本研究的统计人群为德黑兰各健康中心转诊的所有2型糖尿病患者,采用方便抽样法从中抽取30人,随机抽取为实验组(每组15人)。对照组(15人)被分配。正念治疗实验组接受了10次90分钟的训练,而对照组仍在等待名单上。本研究使用的工具包括恢复力(Connor and Davidson, 2003)、心理健康(Ryff, 1980),血糖测量采用糖化血红蛋白试验,分为前测和后测两个阶段。采用多变量协方差分析和SPSS.19软件对数据进行分析。结果:本研究采用的干预措施能显著提高心理弹性(p <0.001)。2型糖尿病患者的心理健康(p <0.001)和血糖(p <0.001)。结论:正念疗法对改善2型糖尿病患者的恢复力、心理健康和降低血糖水平有显著作用。
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引用次数: 2
Structural model of health-related quality of life in diabetic patients based on mental well-being and quality of sleep mediated by self-care behaviors 基于自我保健行为介导的心理健康和睡眠质量的糖尿病患者健康相关生活质量结构模型
Pub Date : 2021-04-01 DOI: 10.30483/RIJM.2021.254212.1059
Ismail Bahreini, S. Bakhtiarpour, P. Ehteshamzadeh, A. Heidari
Background: Diabetes has long-term complications and therefore affects the health of the community in addition to the individual. Diabetes can have significant psychological effects on health and delay the recovery of the disease. Objective: This study aimed to determine the causal model of health-related quality of life based on subjective well-being and sleep quality mediating by self-care behaviors in diabetic patients. Methods: This correlational study was conducted using the path analysis statistical method. The statistical population included all middle-aged patients with diabetes who were referred to the endocrinologists of Bushehr province in 2019, among whom 195 people were selected by the available sampling method. Data obtained by SF-36 Health-Related Quality of Life Questionnaire, Diabetes self-care questionnaire, Pittsburgh Sleep Quality Questionnaire, and Mental Well-Being Scale. The data were analyzed using the path analysis method using SPSS.22 and Amos.22 software. Results: The results showed that both the variables of sleep quality and mental well-being through self-care had a direct and significant relationship with quality of life (p <0.001). The direct relationship between sleep quality and quality of life was not significant. But there was a significant direct relationship between mental well-being and quality of life (p <0.001). Conclusion: It can be concluded that sleep quality and mental well-being affect the self-care that the patient chooses, they can predict the quality of life of diabetic patients.
背景:糖尿病具有长期并发症,因此不仅影响个人健康,还影响社会健康。糖尿病会对健康产生显著的心理影响,并延缓疾病的恢复。目的:探讨糖尿病患者自我护理行为对主观幸福感和睡眠质量影响健康相关生活质量的因果模型。方法:采用通径分析统计方法进行相关性研究。统计人群包括2019年布什尔省所有转诊到内分泌科就诊的中年糖尿病患者,通过现有抽样方法抽取195人。数据通过SF-36健康相关生活质量问卷、糖尿病自我护理问卷、匹兹堡睡眠质量问卷和心理健康量表获得。采用SPSS.22和Amos.22软件对数据进行通径分析。结果:睡眠质量和自我护理心理健康与生活质量有直接、显著的关系(p <0.001)。睡眠质量与生活质量的直接关系不显著。但心理健康与生活质量之间存在显著的直接关系(p <0.001)。结论:睡眠质量和心理健康状况影响糖尿病患者的自我护理选择,可以预测糖尿病患者的生活质量。
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引用次数: 0
A Study of Spirituality, Self-forgiveness and Self-blame in the Quality of Life of Patients with Breast Cancer 癌症患者生活质量中的精神性、自私性和自私性研究
Pub Date : 2021-04-01 DOI: 10.30483/RIJM.2021.249710.0
A. Arefpour, A. Izanloo, Fereshteh Shojaei, M. Mirkazemi, S. Sami
Introduction: Considering that the health and illness of women can directly affect the general health of the family and society, and the problems originated from this disease not only affect the patients, but also exert a deleterious effect on the members of the family and undermine the foundation of the family. Thus, research on factors associated with the psychological issues of these patients can urge policy makers and healthcare professionals to pay greater attention to this issue. The aim of this study is to determine whether the quality of life of patients with breast cancer could be predicted by spirituality, self-forgiveness and self-blame. Methods: This is a descriptive correlational study in which 120 cancer patients admitted to two university hospitals were selected using cluster-sampling method. The research instruments were the Paloutzian and Ellison’s Spiritual Well-Being Scale (1), self-forgiveness and self-blame scales and World Health Organization Quality of Life questionnaire. According to the level of data and statistical assumptions, multiple linear regression was used to test the hypotheses Results: The results of statistical analysis showed that the components of spiritual wellness, existential wellness, anxiety control and realistic perception were related to the quality of life at a significantly level of 5%. The positive value of these coefficients actually indicates that by improving these components, the quality of life could be enhanced. Also, it was found that negative attitude and self-blame were in a negative relationship with the quality of life. Conclusion: The present study investigated the relationship between spirituality, self-forgiveness and self-blame with quality of life, with the results indicating that personal-level variables, i.e. spirituality, self-forgiveness and self-blame affect the quality of life
引言:考虑到妇女的健康和疾病会直接影响家庭和社会的总体健康,而这种疾病引发的问题不仅影响患者,还会对家庭成员产生有害影响,破坏家庭的基础。因此,对这些患者心理问题相关因素的研究可以促使政策制定者和医疗保健专业人员更加关注这一问题。本研究的目的是确定癌症患者的生活质量是否可以通过精神、自我宽恕和自我谴责来预测。方法:采用描述性相关研究方法,采用整群抽样方法,对两所大学医院收治的120例癌症患者进行调查。研究工具是Paloutzian和Ellison的精神幸福感量表(1)、自我宽恕和自责量表以及世界卫生组织的生活质量问卷。根据数据水平和统计假设,采用多元线性回归对假设进行检验。结果:统计分析结果表明,精神健康、生存健康、焦虑控制和现实感知的组成部分与生活质量的相关性显著,达5%。这些系数的正值实际上表明,通过改善这些组成部分,可以提高生活质量。研究还发现,消极态度和自责与生活质量呈负相关。结论:本研究调查了精神、自我原谅和自责与生活质量之间的关系,结果表明,精神、自我宽恕和自责等个人层面的变量会影响生活质量
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引用次数: 0
Success Rate of Cardiopulmonary Resuscitation and Related Factors in Emergency Department of a Private Hospital in Mashhad 马什哈德某民营医院急诊科心肺复苏成功率及相关因素分析
Pub Date : 2021-04-01 DOI: 10.30483/RIJM.2021.249743.0
A. Tavakolian, R. Saeidi, Mahdi Foroughian, Seyyed Mojtaba Mirjalili, Morteza Shayeghi Rad
Background and Objectives: Most deaths occur unpredictably and usually outside of health care facilities; while could be predicted by Cardiopulmonary Resuscitation (CPR). Whatever, the success rate of this procedure is affected by many factors and the aim of this study was to evaluate CPR outcomes and determine theassociated factors.Materials and Methods: This descriptive retrospective study was conducted in 2018 in a private hospital in Mashhad. Census method was used for sampling, and all the patients who underwent CPR were included in the study. Meanwhile, those who had signs of death and/ or those with incomplete medical records excluded from the study. Moreover, data were provided through the Statistics, Medical Records as well as Quality Improvement units.Results:In this study, 394 medical records were evaluated, out of which 224(56.9%) were male and 170(43.1%) were female. Totally, 96(24.4%) successful and 298(75.6%) unsuccessful CPR were recorded. There was a significant correlation between age of the patientand successful CPR (P=0.011).Conclusion:Results of the study showed that the success rate of CPR will be higher, if the patient is young, duration of CPR is short, and the patient has a non-cardiac underlying disease.
背景和目标:大多数死亡发生在不可预测的情况下,通常发生在医疗机构之外;而可以通过心肺复苏(CPR)来预测。无论如何,这种手术的成功率受到许多因素的影响,本研究的目的是评估CPR的结果并确定相关因素。材料和方法:这项描述性回顾性研究于2018年在马什哈德的一家私立医院进行。采用普查法进行抽样,所有接受心肺复苏术的患者都被纳入研究。同时,那些有死亡迹象的人和/或那些医疗记录不完整的人被排除在研究之外。此外,数据是通过统计、病历以及质量改进单位提供的。结果:本研究共评估了394份病历,其中男性224份(56.9%),女性170份(43.1%)。共记录了96例(24.4%)成功和298例(75.6%)不成功的心肺复苏术。结论:研究结果表明,如果患者年龄小、心肺复苏时间短,且患者有非心脏基础疾病,心肺复苏的成功率会更高。
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引用次数: 0
The causal relationship between perceived stress, perceived social support, and resilience with emotional adaptation mediated by body image of breast cancer patients 乳腺癌患者身体形象介导的应激感知、社会支持感知、心理弹性与情绪适应的因果关系
Pub Date : 2021-04-01 DOI: 10.30483/RIJM.2021.254202.1052
Tahereh Kiaei, B. Makvandi, F. Manesh, F. Hafezi
Background: Breast cancer as a source of stress not only affects the patient separately but also is a major challenge for family relationships in this situation.Objectives: The aim of this study was to investigate the causal relationship between perceived stress, perceived social support, and resilience with emotional adjustment by mediating body image in breast cancer patients.Methods: In this descriptive correlational study, the statistical population of this study was cancer patients referred to Khatam hospital in Tehran from October to December 2019. Using the purposeful sampling method, 200 samples were selected by the Cochran formula. The instruments used in this study were the Perceived Stress Scale (1983), Perceived Social Support (1988), Resilience (2002), Emotional Adjustment (1961). The proposed model was evaluated using the path analysis method. Correlation tests such as Pearson correlation coefficient and regression test were used to test the relationships. Results: Based on the results of this study, the proposed model had the goodness of fit. The results showed that all direct pathways were significant except for perceived social support. Nonlinear correlations between perceived social support and body image adjustment were reported to be 0.22, which was statistically significant at p Conclusion: Body image played a mediating role in the relationship between perceived social support, perceived stress, and resilience with life satisfaction
背景:癌症作为压力的来源,不仅单独影响患者,而且在这种情况下也是家庭关系的主要挑战。目的:本研究的目的是通过调节癌症患者的身体形象,探讨感知压力、感知社会支持和复原力与情绪调节之间的因果关系。方法:在这项描述性相关研究中,本研究的统计人群为2019年10月至12月在德黑兰Khatam医院转诊的癌症患者。采用有目的的抽样方法,采用Cochran公式选取200个样本。本研究中使用的工具是感知压力量表(1983年)、感知社会支持量表(1988年)、韧性量表(2002年)和情绪调整量表(1961年)。使用路径分析方法对所提出的模型进行了评估。相关检验如Pearson相关系数和回归检验用于检验关系。结果:基于本研究的结果,所提出的模型具有拟合优度。结果表明,除了感知到的社会支持外,所有直接途径都是显著的。据报道,感知社会支持和身体形象调整之间的非线性相关性为0.22,在p处具有统计学意义。结论:身体形象在感知社会支持、感知压力和复原力与生活满意度之间的关系中起中介作用
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引用次数: 1
Strategic Planning for Supply Chain of Health Tourism in Iran: Razavi Hospital 伊朗健康旅游供应链战略规划:拉扎维医院
Pub Date : 2021-04-01 DOI: 10.30483/RIJM.2021.254150.1005
Zahra Mojaradi, A. Bozorgi-Amiri, Saeed Hashemzadeh
abstractGiven the importance of health tourism in Iran and the body of problems surrounding the implementation of health tourism along with the challenges of attracting tourism in Iran, after an analysis of the external environment based on PESTEL and PORTER methods and internal environment based on performance indicators and EFQM method, along with an analysis of high-level documents and stakeholders, we determined to formulate a strategy of health tourism supply chain in Razavi hospital of Mashhad in through an experimental study. Strategies were developed using SWOT matrix are based on comments and views of health tourism experts. They were then prioritized by QSPM matrix and following the implementation of strategies, strategic objectives and indicators were determined as a balanced scorecard. The results suggest that the use of above techniques can contribute to health tourism industry. Keywords: health tourism supply chain, health tourism, strategy, strategic objective,PORTER, PESTEL, EFQM, BSC SWOT, KAPLAN, NORTON & QSPM
摘要考虑到健康旅游在伊朗的重要性以及围绕健康旅游实施的一系列问题以及在伊朗吸引游客的挑战,在基于PESTEL和PORTER方法的外部环境分析和基于绩效指标和EFQM方法的内部环境分析以及对高级文件和利益攸关方的分析之后,通过实验研究,我们决定在马什哈德的拉扎维医院制定健康旅游供应链战略。根据健康旅游专家的意见和观点,利用SWOT矩阵制定策略。然后通过QSPM矩阵对它们进行优先排序,并在战略实施后,将战略目标和指标确定为平衡计分卡。结果表明,上述技术的应用对健康旅游产业有一定的促进作用。关键词:健康旅游供应链,健康旅游,战略,战略目标,PORTER, PESTEL, EFQM, BSC, SWOT, KAPLAN, NORTON & QSPM
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引用次数: 0
Effectiveness of Stress Management and Acceptance and Commitment Therapy in Psychological Capital among Patients with Type 2 Diabetes 压力管理与接受承诺治疗对2型糖尿病患者心理资本的影响
Pub Date : 2021-04-01 DOI: 10.30483/RIJM.2021.254154.1009
N. Almasi, K. Hajializadeh, Buick Tajeri
Background and Aim: Type 2 diabetes is a chronic and complex disease. This study aims to compare the effectiveness of stress management and acceptance and commitment therapy on psychological capital in patients with type 2 diabetes. Methods: The present study was a quasi-experimental study with pre-test, post-test, and follow-up design with a control group. The statistical population of the study consisted of all patients with type 2 diabetes referred to Milad Hospital in Tehran in 2019. In order to form three groups using the purposive sampling method, 90 patients were selected first by convenience sampling method, and then 30 patients were randomly grouped in the first experimental group and 30 in the second experimental group, and 30 in the control group. Follow-up phase was performed on all three groups three months after the post-test. The research instrument was The Lotans Psychological Capital Questionnaire (2007). Data were analyzed using a mixed analysis of variance by Spss.22. Results: The results showed that stress management and acceptance and commitment therapy had a significant effect on psychological capital components in patients with type 2 diabetes compared to the control group (p <0.00). Also, the mean scores of post-test and follow-up of hope component in the acceptance and commitment group increased more than the stress management group (p <0.00). Conclusion: It can be concluded that stress management and acceptance and commitment therapy were effective in psychological capital in patients with type 2 diabetes. Acceptance and commitment therapy was more effective than stress management on the hope component.
背景与目的:2型糖尿病是一种复杂的慢性疾病。本研究旨在比较压力管理和接受承诺疗法对2型糖尿病患者心理资本的有效性。方法:本研究是一项准实验研究,包括前测、后测和对照组的随访设计。该研究的统计人群包括2019年转诊至德黑兰米拉德医院的所有2型糖尿病患者。为了使用目的性抽样方法形成三组,首先采用方便抽样方法选择90名患者,然后将30名患者随机分为第一实验组、30名患者分为第二实验组和30名患者组。试验后三个月,对所有三组患者进行随访。研究工具为洛坦心理资本问卷(2007)。数据采用Spss.22的混合方差分析进行分析。结果:与对照组相比,压力管理和接受承诺治疗对2型糖尿病患者的心理资本成分有显著影响(p<0.00),接受和承诺组的希望成分测试后和随访的平均得分比压力管理组增加更多(p<0.00)。结论:压力管理和接受和承诺治疗对2型糖尿病患者的心理资本是有效的。在希望部分,接受和承诺疗法比压力管理更有效。
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引用次数: 1
Factors affecting the social skills in the curriculum of mentally retarded students from the viewpoints of educational managers in Bushehr Province, Iran 从伊朗布什尔省教育管理者的角度看影响弱智学生社交技能课程的因素
Pub Date : 2021-01-01 DOI: 10.30483/RIJM.2021.249706.0
Aghdas Safari, E. Deyreh
Background: Due to considerable importance of education among children with intellectual disability, present study aimed at examination of effective factors on social skills curriculum among the students with mental retardation. Materials and methods: The statistical universe included all experts in organization of exceptional students’ education, all curriculum planning specialists in vocational high-school grade and all teachers of high-school mentally retarded students in Busher Province. Using Cochran’s formula, the statistical sample was selected through simple random sampling. A total number of 40 experts of exceptional students’ education, 80 curriculum planners and 93 teachers answered the questionnaire. The researcher-generated questionnaire was used for data collection. Results: The analyses suggest teachers’ belief on less suitability of vocational high-school curricula to social interests of such students, less individual self-sufficiency achievement among graduates and an insignificant role in vocational rehabilitation of mentally retarded students. Conclusion: More efforts should be taken to improve social interests and willingness, self-sufficiency and vocational rehabilitation of intellectual disabled children.
背景:鉴于智力障碍儿童教育的重要性,本研究旨在探讨智力障碍学生社会技能课程的影响因素。资料与方法:统计范围包括布什尔省所有特殊学生教育组织专家、所有职高年级课程规划专家和所有高中弱智学生教师。采用Cochran公式,通过简单随机抽样选择统计样本。共有40名特殊学生教育专家、80名课程策划者和93名教师参与了问卷调查。数据收集采用研究者自行制作的问卷。结果:分析表明,教师对职业高中课程与弱智学生社会兴趣的契合度较低,毕业生的个体自给成就较低,对弱智学生职业康复的作用不显著。结论:提高智障儿童的社会兴趣和意愿、自力更生能力和职业康复能力有待进一步努力。
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引用次数: 0
Comparison of the Effectiveness of Dialectical Behavior Therapy and CompassionFocused Therapy on Blood Cortisol and Serotonin Levels in Drug Abusers 辩证行为疗法与同情疗法对药物滥用者血液皮质醇和血清素水平的影响比较
Pub Date : 2021-01-01 DOI: 10.30483/RIJM.2021.249763.0
A. Torbati, A. Samari, Hoseyn Akbari Amarghan, H. Nejat, H. Toozandehjani
Abstract Background: This study aimed at comparing the efficacy of dialectical behavioral therapy and compassionate focused therapy on blood cortisol and serotonin levels among drug abusers. Materials: It was a quasi-experimental study with pretest-posttest design and control group. The statistical population consisted of all men with drug abuse referring to Torbat-e-Heydariyeh Adult Drug Abuse Clinic in 2018, 60 of whom were selected by simple random sampling for two experimental groups (DBT, CFT) and a control group. The experimental group was trained for 10 90-min sessions, but the control group was on the waiting list and received no training. Demographic questionnaire and in vitro serum levels of cortisol and serotonin were used for data collection before and after the intervention. Data were analyzed using multivariate analysis of covariance (MANCOVA) in spss 24 software. Results: The results of multivariate analysis of covariance showed that in the two groups of dialectical and compassionate-focused behavioral therapy, intervention on self-control and blood cortisol had a significant effect on post-test (p
摘要背景:本研究旨在比较辩证行为疗法和同情聚焦疗法对药物滥用者血液皮质醇和血清素水平的影响。材料:准实验研究,采用前测后测设计,对照组。统计人群为2018年在Torbat-e-Heydariyeh成人药物滥用诊所就诊的所有男性药物滥用患者,采用简单随机抽样的方法抽取60名患者分为两个实验组(DBT、CFT)和一个对照组。实验组接受了10次90分钟的训练,而对照组则在等候名单上,没有接受任何训练。采用人口统计学问卷和干预前后体外血清皮质醇、血清素水平收集数据。采用spss 24软件进行多变量协方差分析(MANCOVA)。结果:多变量协方差分析结果显示,在辩证和同情行为治疗两组中,自我控制和血液皮质醇的干预对测试后有显著影响(p
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引用次数: 1
Effectiveness of Cognitive Behavioral Therapy and Rational Emotive Behavior Therapy in Reducing Social Anxiety among Overweight Adolescents 认知行为治疗与理性情绪行为治疗在减轻超重青少年社交焦虑中的效果
Pub Date : 2021-01-01 DOI: 10.30483/RIJM.2021.254170.1023
N. Habibi, Saeedeh Bazzazian, H. Ahadi
Background and objective: In recent decades, emphasis on diet and thinness has been considered by all social and racial classes. This study aimed to compare the cognitive-behavioral approach's effectiveness and rational-emotional behavior therapy in reducing social anxiety in overweight adolescents. Methods: The research method was quasi-experimental with pre-test and post-test design with the control and two-month follow-up. The statistical population of this study consisted of male and female adolescents who had been referred to clinics in Tehran in 2019 with overweight and obesity problems, among whom 60 were selected by convenience sampling method. After selecting the subjects, they were randomly assigned to experimental and one control groups. Interventions in both groups were group therapy and consisted of eight sessions for 120 minutes. Data were obtained by social anxiety questionnaire and analyzed using repeated-measures ANOVA and SPSS.22 software. The significance level in this study was considered to be 0.05. Results: The results showed that cognitive-behavioral approaches and rational-emotional behavior therapy effectively reduced social anxiety in overweight adolescents (p <0.001). However, there was no significant difference between the effectiveness of cognitive-behavioral and rational emotional behavior therapy on social anxiety. Conclusion: It can be concluded that the cognitive-behavioral approach and rational-emotional behavior therapy can have positive effects on reducing social anxiety in adolescents.
背景和目的:近几十年来,所有社会阶层和种族阶层都认为饮食和苗条是重点。本研究旨在比较认知行为疗法与理性情绪行为疗法在减轻超重青少年社交焦虑方面的效果。方法:采用准实验研究方法,采用前测和后测设计,对照组和随访2个月。本研究的统计人群包括2019年在德黑兰诊所转诊的超重和肥胖问题的男女青少年,其中60人通过方便抽样方法选择。选定受试者后,将其随机分为实验组和对照组。两组的干预措施均为小组治疗,共8次,每次120分钟。数据采用社交焦虑问卷获取,采用重复测量方差分析和SPSS.22软件进行分析。本研究的显著性水平为0.05。结果:认知行为疗法和理性情绪行为疗法能有效降低超重青少年的社交焦虑(p <0.001)。而认知行为疗法与理性情绪行为疗法对社交焦虑的治疗效果无显著差异。结论:认知行为疗法和理性情绪行为疗法对减轻青少年社交焦虑具有积极作用。
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引用次数: 0
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Razavi International Journal of Medicine
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