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Medication Adherence, Attitude Towards Medication, and Quality of Life in Outpatients With Neurotic Disorders in Tehran, Iran: A Six-Month Follow-up Study 伊朗德黑兰神经系统疾病门诊患者的药物依从性、用药态度和生活质量:一项为期六个月的随访研究
IF 0.9 Q3 Psychology Pub Date : 2022-10-01 DOI: 10.32598/ijpcp.28.3.2619.2
Somayeh Arabi Khalilabad, Nooshin Khademoreza, A. Homayooni, Shiva Sorayya, Sajjad Effatnejat, A. Kabir, Fatemeh Hadi, Mohammadreza Shalbafan
Objectives This study aims to investigate the attitude towards medication, medication adherence, and quality of life (QoL) in outpatients with neurotic disorders referred for the first time to the psychiatric clinic of Tehran Psychiatric Institute in Iran. Methods In this study, participants were adult outpatients with neurotic disorders referred to the psychiatric clinic of Tehran Psychiatric Institute for the first time, who had met the inclusion criteria (age 18-60 years, having a neurotic disorder diagnosed by the psychiatrist, and consent to participate in the study). At baseline and in one and six months after the first visit, they completed a demographic form, the World Health Organization Quality of Life-BREF (WHOQOL-BREF) and the drug attitude inventory (DAI-10). Their medication adherence was assessed using the medication possession ratio. Results Of 100 participants, 76 were females and had a mean age of 35.9 years. Favorable medication adherence significantly increased in the sixth month compared to the first month, and the number of patients with favorable medication adherence increased from 38 to 63. In comparing the overall score of QoL, a significant improvement was observed in the 1st and 6th months compared to baseline and in the sixth month compared to the first month (P<0.001). Regarding the domains of the QoL, mental health and general health in the first and sixth months were significantly increased compared to the baseline (P<0.001). Physical health domain was significantly increased in the sixth month compared to the first month (P<0.001). Social relationships domain was significantly increased in the first month compared to the baseline (P= 0.001). Environmental health domain was significantly increased in the first month compared to the baseline (P=0.019). Comparison of the QoL score between patients with favorable and unfavorable medication adherence showed no significant difference (P=0.6). Attitude towards medication was significantly improved from baseline to the sixth month (P<0.001). Conclusion The QoL and its some domains as well as medication adherence and attitude towards medication in outpatients with neurotic disorders seem to be improved after six months of follow-up. There is no significant difference in QoL between outpatients with favorable and unfavorable medication adherence.
目的本研究旨在调查首次转诊至伊朗德黑兰精神病研究所精神科诊所的神经症门诊患者对药物的态度、药物依从性和生活质量(QoL)。方法在本研究中,参与者是首次转诊至德黑兰精神病研究所精神科诊所的成年神经症门诊患者,他们符合纳入标准(年龄18-60岁,经精神科医生诊断为神经症,并同意参与研究)。在基线以及第一次就诊后的一个月和六个月内,他们完成了一份人口统计表,即世界卫生组织生活质量BREF(WHOQOL-BREF)和药物态度清单(DAI-10)。使用药物占有率来评估他们的药物依从性。结果在100名参与者中,76人为女性,平均年龄35.9岁。与第一个月相比,第六个月的药物依从性显著增加,药物依从性良好的患者人数从38人增加到63人。在比较生活质量总分时,与基线相比,第1个月和第6个月以及与第一个月相比,第六个月的生活质量有显著改善(P<0.001),与基线相比,第一个月和第六个月的心理健康和总体健康显著增加(P<0.001)。与第一个月相比,第六个月中的身体健康领域显著增加(P=0.001)。与基线比较,第一个月中的社会关系领域显着增加(P=0.000)。环境健康领域显著与基线相比,第一个月的生活质量有所提高(P=0.019)。良好和不良药物依从性患者的生活质量评分比较无显著差异(P=0.06)。从基线到第六个月,对药物的态度显著改善(P<0.001)门诊神经症患者的药物治疗在随访六个月后似乎有所改善。在药物依从性良好和不良的门诊患者之间,生活质量没有显著差异。
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引用次数: 0
Relationship of Identity Styles and Coping Strategies With Marital Adjustment in Nurses 护士认同风格、应对策略与婚姻适应的关系
IF 0.9 Q3 Psychology Pub Date : 2022-10-01 DOI: 10.32598/ijpcp.28.3.2822.4
Shima Nazari, Fateme Javid, R. Negarandeh, Pouya Farokhnezhad Afshar
Objectives Nursing profession is a stressful job. Nurses need to use appropriate coping strategies to maintain their focus on patient care and having marital adjustment and solving personal problems. The relationship between nurses’ identity styles with their used coping strategies and marital adjustment is not clear yet. Therefore, this study aims to determine the relationship of identity styles and coping strategies with marital adjustment in nurses. Methods This descriptive correlational study with cross-sectional design was conducted on 221 married nurses working in public hospitals in Rasht, Iran who were selected by a stratified random sampling method. Data were collected using the Billings and Moos’ coping responses inventory (CRI), Berzonsky’s identity styles inventory (ISI), and Locke-Wallace marital adjustment test (MAT). Data were analyzed in SPSS software, version 23. Results The mean MAT score was 111.68 ±11.97. The mean ISI score was 100.31±12.27. The mean CRI score was 38.58±7.25. Marital adjustment had a significant correlation with informational (r=0.14, P=0.03) and normative (r=-0.17, P=0.01) identity styles and problem-focused coping strategy (r=-0.15, P=0.03). Multiple regression analysis showed that only identity styles and working hours could explain 20% of changes in marital adjustment of nurses. Conclusion The marital adjustment of married nurses in Rasht, Iran is at a favorable level. Their informational and normative identity styles and working hours can predict their marital adjustment.
目的护理工作是一项压力很大的工作。护士需要使用适当的应对策略来保持对患者护理、婚姻调整和解决个人问题的关注。护士的身份风格与其所使用的应对策略和婚姻适应之间的关系尚不清楚。因此,本研究旨在确定护士的身份风格和应对策略与婚姻适应的关系。方法采用分层随机抽样方法,对伊朗拉什特公立医院221名已婚护士进行横断面设计的描述性相关研究。使用Billings和Moos的应对反应量表(CRI)、Berzonsky的身份风格量表(ISI)和Locke-Wallace婚姻适应测试(MAT)收集数据。数据采用SPSS软件23版进行分析。结果平均MAT评分为111.68±11.97。平均ISI评分为100.31±12.27。平均CRI评分为38.58±7.25。婚姻适应与信息型(r=0.14,P=0.03)、规范型(r=-0.17,P=0.01)、身份风格和以问题为中心的应对策略(r=-0.15,P=0.03。结论伊朗拉什特已婚护士的婚姻适应状况良好。他们的信息性和规范性身份风格和工作时间可以预测他们的婚姻适应。
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引用次数: 0
Psychometric Properties of the Persian Version of the COVID-19 Anxiety Syndrome Scale in Iranian College Students 伊朗大学生波斯版新冠肺炎焦虑综合征量表的心理测量特征
IF 0.9 Q3 Psychology Pub Date : 2022-10-01 DOI: 10.32598/ijpcp.28.3.2146.2
H. Rostami, F. Behrouzian, Esmaeil Mousavi Asl
Objectives The COVID-19 anxiety syndrome is characterized by threat monitoring, checking, avoidance, and worry. The COVID-19 anxiety syndrome scale (C-19ASS) is a self-report tool to measure this syndrome. The present study was aims to investigate the psychometric properties of the Persian version of C-19ASS in Iranian college students. Methods This is a correlational study. Participants were 251 students of Ahvaz University of Medical Sciences in 2020 who were selected using a convenience sampling method and filled self-report tools of compassion scale, C-19ASS and COVID-19 burnout scale (COVID-19-BS). The reliability using Cronbach’s alpha coefficient, convergent validity, divergent validity, and construct validity using confirmatory factor analysis were examined. the collected data were analyzed in SPSS v.25 and LISREL 8.8 applications. Results The results of the confirmatory factor analysis supported the one-factor and two-factor structure of the Persian C-19ASS, where the two-factor model had a better fit. Cronbach’s alpha for the overall scale and its subscales of Perseveration and avoidance were obtained 0.72, 0.71, and 0.70, respectively. The Persian C-19ASS score had a positive significant correlation with the COVID-19-BS score and a negative significant correlation with the compassion scale score, indicating the convergent and divergent validity of the Persian C-19ASS. Conclusion The Persian C-19ASS has good psychometric properties (validity and reliability) and can be used in evaluating different dimensions of COVID-19 anxiety syndrome in Iran. It is a short and practical tool that can be used in clinical and research settings.
目的新冠肺炎焦虑综合征以威胁监测、检查、回避和担忧为特征。新冠肺炎焦虑综合征量表(C-19ASS)是测量该综合征的自我报告工具。本研究旨在调查波斯版C-19ASS在伊朗大学生中的心理测量特性。方法采用相关研究方法。参与者是2020年阿瓦兹医学科学大学的251名学生,他们是使用方便抽样方法选择的,并填写了同情心量表、C-19ASS和新冠肺炎倦怠量表(COVID-19-BS)的自我报告工具。使用Cronbachα系数检验信度,使用验证性因素分析检验收敛有效性、发散有效性和结构有效性。收集的数据在SPSS v.25和LISREL 8.8应用程序中进行分析。结果验证性因素分析结果支持波斯C-19ASS的单因素和双因素结构,其中双因素模型拟合较好。总体量表的克朗巴赫α及其毅力和回避分量表分别为0.72、0.71和0.70。波斯C-19ASS评分与COVID-19-BS评分呈正相关,与同情心量表评分呈负相关,表明波斯C-19ASS的收敛和发散有效性。结论波斯C-19ASS具有良好的心理测量特性(有效性和可靠性),可用于评估伊朗新冠肺炎焦虑综合征的不同维度。这是一个简短实用的工具,可以在临床和研究环境中使用。
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引用次数: 0
Designing the Application of Verbal Fluency Test in Persian for Neurocognitive Evaluations 波斯语口语流利性测试在神经认知评估中的应用设计
IF 0.9 Q3 Psychology Pub Date : 2022-10-01 DOI: 10.32598/ijpcp.28.3.3287.3
S. Shariat, S. Shirdel, Shirin Kheradmand, Alireza Shirdel, Mehrdad Ghasemizadeh
Verbal fluency test is a useful method to evaluate cognitive executive functions. Studies have shown that both types of verbal fluency test (phonemic and semantic) are influenced by brain damage. This test is rarely used by clinicians because it takes too much time to perform. Therefore, we decided to increase its speed and accuracy by designing a verbal fluency test application in Persian language. The study on designing the application of verbal fluency test in Persian was published in the journal of Basic and Clinical Neuroscience entitled “Verbal fluency performance in normal adult population in Iran: norms and effects of age, education and gender”. To design the application, two software engineers, one programmer, and one graphic designer had cooperation with each other. First, the programming was done. During the programming, the programmer first implemented the tables related to the test. Then, by entering constant variables, an initial layout in the form of a look-up table was developed. Then, the graphic designs were added to the application. By testing 100 different scores with the relevant table and receiving the output, the accuracy of the initial version was confirmed. After designing the software, field tests were performed by 10 clinicians to evaluate the application in terms of ease of use and main structural errors. Finally, by testing 100 different scores, the accuracy of the final version was confirmed. The verbal fluency test application in Persian can increase the use of psychological and cognitive tests by Iranian clinicians by increasing the speed and accuracy of tests.
言语流利性测试是评价认知执行功能的一种有效方法。研究表明,两种类型的语言流利性测试(音位和语义)都会受到大脑损伤的影响。临床医生很少使用这种测试,因为它需要花费太多时间。因此,我们决定通过设计一个波斯语语言流利性测试应用程序来提高其速度和准确性。设计波斯语语言流利性测试应用的研究发表在《基础与临床神经科学》杂志上,题为“伊朗正常成年人群的语言流利性表现:年龄、教育和性别的规范和影响”。为了设计应用程序,两名软件工程师、一名程序员和一名平面设计师相互合作。首先,编程完成。在编程过程中,程序员首先实现了与测试相关的表。然后,通过输入常量变量,以查找表的形式开发了初始布局。然后,将图形设计添加到应用程序中。通过用相关表格测试100个不同的分数并接收输出,确认了初始版本的准确性。在设计软件后,10名临床医生进行了现场测试,以评估该应用程序的易用性和主要结构错误。最后,通过测试100个不同的分数,最终版本的准确性得到了证实。波斯语的语言流利性测试应用程序可以提高测试的速度和准确性,从而增加伊朗临床医生对心理和认知测试的使用。
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引用次数: 1
Mediating Role of Difficulties in Emotion Regulation and Experiential Avoidance in the Relationship between Attachment Styles and Severity of Relationship Obsessive -compulsive Disorder Symptoms 情感调节困难和经验回避在依恋类型与关系强迫症症状严重程度关系中的中介作用
IF 0.9 Q3 Psychology Pub Date : 2022-10-01 DOI: 10.32598/ijpcp.28.3.4175.1
Fatemeh Naji Meydani, Hoda Doos Ali Vand, I. Abasi, M. Noori
Objectives Relationship obsessive-compulsive disorder (ROCD) is one of the forms of Obsessive-Compulsive Disorder, focusing on intimate relationships. Identifying the mechanisms of ROCD can significantly expand our knowledge of the factors related to its development and exacerbation. This study aims to determine the mediating role of difficulties in emotion regulation and experiential avoidance in the relationship between attachment styles and the severity of ROCD symptoms. Methods Five hundred thirty-one participants (455 females and 76 males) were selected using convenient sampling from the general population of Iran. They completed the Experiences in close relationships-revised (ECR-R), the difficulties in emotion regulation scale (DERS), the acceptance and action questionnaire-II (AAQ-II), and the Relationship Obsessive-Compulsive Inventory (ROCI) online. SPSS software, version 22 and AMOS version 24 were used to analyze data. Results Attachment styles had a significant correlation with difficulties in emotion regulation, experiential avoidance, and ROCD symptoms (P<0.01). Moreover, the two variables of difficulties in emotion regulation and experiential avoidance had a mediating role in the relationship between attachment styles and ROCD symptoms. Conclusion Attachment styles can predict the ROCD symptoms directly and indirectly by the difficulties in emotion regulation and experiential avoidance. Difficulties in emotion regulation and experiential avoidance should be considered in treatment of ROCD symptoms, especially in those with insecure attachment styles.
关系强迫症(Relationship obsessive-compulsive disorder, ROCD)是强迫症的一种表现形式,主要表现在亲密关系上。确定ROCD的机制可以显著扩展我们对其发展和恶化相关因素的认识。本研究旨在探讨情绪调节困难和体验回避在依恋类型与抑郁障碍症状严重程度关系中的中介作用。方法采用方便抽样方法,从伊朗普通人群中抽取531名研究对象,其中女性455人,男性76人。他们在线完成了亲密关系体验修正量表(ECR-R)、情绪调节困难量表(DERS)、接受与行动问卷(AAQ-II)和关系强迫症量表(ROCI)。采用SPSS软件22版和AMOS软件24版进行数据分析。结果依恋类型与情绪调节困难、体验回避、ROCD症状有显著相关(P<0.01)。此外,情感调节困难和体验回避这两个变量在依恋类型与ROCD症状的关系中起中介作用。结论依恋类型可通过情绪调节困难和体验回避直接或间接预测ROCD症状。在治疗ROCD症状时应考虑情绪调节困难和体验性回避,特别是不安全依恋类型的患者。
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引用次数: 1
Comparing the Effectiveness of Schema Therapy Augmented Exposure and Response Prevention With Exposure and Response Prevention and Pharmacotherapy in Obsessive-compulsive Disorder 图式疗法、增强暴露和反应预防与暴露和反应预防及药物治疗对强迫症的疗效比较
IF 0.9 Q3 Psychology Pub Date : 2022-07-01 DOI: 10.32598/ijpcp.28.2.2497.2
S. Masoumian, B. Gharraee, Abbas Ramezani Farani, M. Shaeiri, Ali Asghar Asgharnejadfarid
Objectives: Obsessive-compulsive disorder (OCD) is defined in the diagnostic and statistical manual of mental disorders, 5th Edition (DSM-5) as annoying and unpleasant thoughts or images (obsession) associated with repetitive and unwanted actions (compulsion). This study aims to compare emotional schema therapy augmented exposure and response prevention (ESTERP) with exposure and response prevention (ERP) and pharmacotherapy in improving the symptoms of OCD patients. Methods: This was a randomized clinical trial study. The participants included all patients with OCD who were referred to hospitals and clinics in Tehran, Iran. A total of 45 patients with OCD were selected through purposeful sampling, of which 15 patients were randomly assigned to the ESTERP group, 15 to the ERP group, and 15 to the pharmacotherapy group. After randomly placing the patients in the three groups, all patients completed the Yale-Brown obsessive-compulsive scale-2nd edition (Y-BOCS-II), the four systems anxiety questionnaire (FSAQ), and the Beck depression inventory-2nd edition (BDI-II) before, in the end, and 2 months after the treatment. Then, the data were analyzed using nonparametric tests and the reliable change index. Results: There was a significant difference between the treatment of ESTERP with ERP and pharmacotherapy in the symptoms and severity of OCD and anxiety (except for the depression variable) in patients with OCD. In addition, the findings of the clinical significance of ESTERP compared to the other two treatments showed more significant changes in symptoms and severity of OCD and depression (except for the anxiety variable). Conclusion: Both ESTERP and ERP treatments are effective in patients with OCD and both lead to more improvements in patients’ symptoms than pharmacotherapy.
目的:强迫症(OCD)在精神障碍诊断和统计手册第5版(DSM-5)中被定义为与重复和不想要的行为(强迫)相关的令人讨厌和不愉快的想法或图像(痴迷)。本研究旨在比较情绪图式疗法增强暴露和反应预防(ESTERP)、暴露和反应防止(ERP)和药物治疗在改善强迫症患者症状方面的作用。方法:这是一项随机临床试验研究。参与者包括所有被转诊到伊朗德黑兰医院和诊所的强迫症患者。通过有目的的抽样,共选择45名强迫症患者,其中15名患者被随机分配到ESTERP组,15名被分配到ERP组,15人被分配到药物治疗组。在将患者随机分为三组后,所有患者在治疗前、治疗结束时和治疗后2个月完成Yale-Brown强迫症量表第二版(Y-BOCS-II)、四系统焦虑问卷(FSAQ)和Beck抑郁量表第2版(BDI-II)。然后,使用非参数检验和可靠变化指数对数据进行分析。结果:在强迫症患者的症状、严重程度和焦虑(除抑郁变量外)方面,ERP治疗ESTERP与药物治疗有显著差异。此外,与其他两种治疗相比,ESTERP的临床意义发现,强迫症和抑郁症的症状和严重程度发生了更显著的变化(焦虑变量除外)。结论:与药物治疗相比,ESTERP和ERP治疗对强迫症患者都是有效的,并且都能更好地改善患者的症状。
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引用次数: 0
Effectiveness of Mindfulness-based Stress Reduction (MBSR) on Patients With Chronic Pain: A Randomized Clinical Trial 基于正念的减压(MBSR)对慢性疼痛患者的疗效:一项随机临床试验
IF 0.9 Q3 Psychology Pub Date : 2022-07-01 DOI: 10.32598/ijpcp.28.2.1627.2
Farshad Sheybani, P. Dabaghi, S. Najafi, M. Rajaeinejad
Objectives: This research aims to investigate the effectiveness of mindfulness-based stress reduction (MBSR) on pain intensity, anxiety, depression, and quality of life (QoL) of patients with chronic pain via randomized clinical trials. Methods: The study population consisted of all patients with chronic pain referred to Imam Reza Hospital. Of these patients, 50 cases who met the inclusion criteria and were willing to participate in the study were selected through convenience sampling and randomly assigned to the experimental (n=25) or control groups (n=25). After selecting the patients and randomly assigning them to the two groups, the research questionnaires were completed by the patients before and after the treatment. After obtaining a written consent letter from the research participants, the experimental group received MBSR therapy (8 weekly sessions) while the control group did not receive any intervention. The questionnaires included the numeric pain rating scale (NPRS), the World Health Organization quality of life (WHOQOL) (WHOQOL-BREF), the Beck anxiety inventory (BAI), and the Beck depression inventory-2nd edition (BDI-II). To comply with the ethical principles, after the end of the study, MBSR therapy was administered to the control group as well. The data were analyzed via analysis of variance and multivariate analysis of covariance in the SPSS software, v. 19. Results: The results of the analysis showed that MBSR therapy reduces pain severity, anxiety, and depression in patients with chronic pain (P<0.05). The findings also showed that MBSR therapy improves the QoL of patients with chronic pain (P<0.05). Conclusion: Along with the common medications for chronic pain, MBSR therapy can be used to improve the QoL and reduce the severity of pain, anxiety, and depression in patients with chronic pain.
目的:本研究旨在通过随机临床试验,研究基于正念的减压(MBSR)对慢性疼痛患者疼痛强度、焦虑、抑郁和生活质量(QoL)的有效性。方法:研究人群包括所有转诊至伊玛目礼萨医院的慢性疼痛患者。在这些患者中,通过方便抽样选择了50例符合纳入标准并愿意参与研究的患者,并将其随机分配到实验组(n=25)或对照组(n=25)。在选择患者并将其随机分配到两组后,患者在治疗前后完成研究问卷。在获得研究参与者的书面同意书后,实验组接受了MBSR治疗(每周8次),而对照组没有接受任何干预。问卷包括数字疼痛评定量表(NPRS)、世界卫生组织生活质量量表(WHOQOL)、贝克焦虑量表(BAI)和贝克抑郁量表第2版(BDI-II)。为了遵守伦理原则,研究结束后,对照组也接受了MBSR治疗。数据通过SPSS软件中的方差分析和协方差多变量分析进行分析。结果:分析结果表明,MBSR治疗可减轻慢性疼痛患者的疼痛严重程度、焦虑和抑郁(P<0.05)。MBSR治疗还可改善慢性疼痛患者生活质量(P<0.05),以及慢性疼痛患者的抑郁症。
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引用次数: 0
Comparing of Compassion-Based Emotion Focused Therapy With Compassion-Focused Treatment on Quality of Life of Primary Headache Patients 以同情为基础的情绪治疗与以同情为中心的治疗对原发性头痛患者生活质量的影响比较
IF 0.9 Q3 Psychology Pub Date : 2022-07-01 DOI: 10.32598/ijpcp.28.2.4025.1
Neda Behvandi, Felor Khayatan, M. Golparvar
Objectives: The formulation of emotion-focused and compassion-focused behavioral intervention therapy can explain the relationship between the dimensions of problems and the health promotion of patients with headache symptoms and present the first combined treatment for emotional problems and the sedation of the nervous system to investigate and comprehensively prevent the symptoms of primary headaches. Methods: This was a quasi-experimental study with a pre-test, post-test, and follow-up with a control group. The sample consisted of 45 patients with primary headache symptoms who were referred to the neurology clinic of Khatam Al-Anbia Hospital in Tehran City, Iran. They were selected by the purposive sampling method and randomly divided into two experimental groups and a control group (15 people in each group). The experimental groups underwent a combination of compassion-based emotion therapy (ten 60-min sessions) and compassion-focused treatment (eight 60-min sessions). The control group received no intervention. After collecting the data, they were entered into the SPSS software, version 24. Descriptive statistical indices (mean and standard deviation) and statistical inference (repeated measures analysis of variance and the Bonferroni post hoc test) were used to analyze the data. Results: The findings showed that the quality of life (QoL) variable is not significant because of the non-compliance with the spheric default in the intragroup effect and time factor (F=3.47, df=1.15, and P<0.05); However, the interaction of the factor of time and group (F= 8.25, df= 2.31, and P<0.01) shows a significant difference (P<0.01) in the QoL variable between pre-test, post-test, and follow-up and time interaction with the group (between the three groups). Conclusion: Compassion-based emotion-based combination therapy packages can help control the current situation and subsequent decisions of patients in the face of the signs and symptoms of early headaches by creating a calm mental environment and relieving any pressure or stress. Therefore, compassion-based emotion-based combination therapy is a treatment option that can be used to increase the QoL of people with primary headaches.
目的:制定以情绪为中心和以同情为中心的行为干预疗法,可以解释问题维度与头痛症状患者健康促进之间的关系,并首次提出情绪问题和神经系统镇静的联合治疗,以调查和全面预防原发性头痛的症状头痛。方法:这是一项准实验研究,包括测试前、测试后和对照组的随访。样本包括45名有原发性头痛症状的患者,他们被转诊到伊朗德黑兰市Khatam Al-Anbia医院的神经科诊所。他们采用有目的的抽样方法,随机分为两个实验组和一个对照组(每组15人)。实验组接受了基于同情的情绪治疗(10次60分钟疗程)和以同情为中心的治疗(8次60分钟课程)。对照组未接受干预。收集数据后,将其输入SPSS软件24版。使用描述性统计指数(平均值和标准差)和统计推断(重复测量方差分析和Bonferroni事后检验)来分析数据。结果:研究结果表明,生活质量(QoL)变量在组内效应和时间因素上不符合球形缺省,因此不显著(F=3.47,df=1.15,P<0.05);然而,时间因素与组的交互作用(F=8.25,df=2.31,P<0.01)显示,在测试前、测试后和随访之间,生活质量变量与组的时间交互作用(三组之间)存在显著差异(P<0.01)。结论:基于同情、基于情绪的联合治疗包可以通过创造一个平静的心理环境和缓解任何压力或压力,帮助控制患者在面对早期头痛的体征和症状时的现状和随后的决定。因此,基于同情和情绪的联合治疗是一种治疗选择,可用于提高原发性头痛患者的生活质量。
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引用次数: 0
Effectiveness of Cognitive-Behavioral Therapy for Insomnia on Emotional Regulation and Dysfunctional Sleep Beliefs Among Insomniac Patients 失眠认知行为疗法对失眠患者情绪调节和功能障碍性睡眠信念的影响
IF 0.9 Q3 Psychology Pub Date : 2022-07-01 DOI: 10.32598/ijpcp.28.2.1979.2
Masoomeh Yarahmadi, F. Hafezi, B. Makvandi
Objectives: Human body needs an adequate amount of night’s sleep after a long day to regain its power. This study aims to investigate the effectiveness of cognitive-behavioral therapy for insomnia (CBT-I) on emotional regulation and dysfunctional sleep beliefs among insomniac patients. Methods: This was a quasi-experimental study with a pretest, post-test, follow-up test, and a control group. The sample included 43 people referring to sleep disorders clinics in Rasoul Akram Hospital and two private clinics for psychiatrists with a sleep fellowship in Tehran City, Iran in 2020. Of the 43 patients suffering from insomnia, according to the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM-5), 36 individuals were selected based on the inclusion and exclusion criteria, of which 20 cases were selected and randomly assigned to an experimental (n‌=‌10) and a control group (n‌=‌10). Results: The results demonstrated a significant difference between the emotional regulation and dysfunctional beliefs scores of the experimental and control groups in the post-test (P‌<‌0.05). The results of the follow-up test indicated the sustainable effects of the therapeutic intervention on emotional regulation and dysfunctional sleep beliefs of the experimental and control groups compared to the pretest (P‌<‌0.05). Conclusion: Considering the significant effects of CBT-I on insomnia and dysfunctional sleep beliefs in the insomniac, this treatment can be used to improve their condition in sleep laboratories or other clinics.
目的:经过漫长的一天,人体需要充足的夜间睡眠来恢复体力。本研究旨在探讨失眠认知行为疗法(CBT-I)对失眠患者情绪调节和功能失调睡眠信念的有效性。方法:这是一项准实验研究,包括前测、后测、随访和对照组。该样本包括43名2020年在伊朗德黑兰市Rasoul Akram医院的睡眠障碍诊所和两家拥有睡眠奖学金的精神科医生私人诊所就诊的人。根据《精神障碍诊断与统计手册》第5版(DSM-5),在43名失眠患者中,根据纳入和排除标准选择了36名患者,其中20名患者被随机分配到实验组(n‌=‌10) 以及对照组(n‌=‌10) 。结果:实验组和对照组在后测中的情绪调节和功能失调信念得分存在显著差异(P‌<‌0.05)。随访测试结果表明,与预测试相比,治疗干预对实验组和对照组的情绪调节和功能障碍性睡眠信念的持续影响(P‌<‌结论:考虑到CBT-I对失眠患者失眠和睡眠信念障碍的显著影响,该疗法可在睡眠实验室或其他诊所用于改善失眠患者的状况。
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引用次数: 0
Evaluating the Effectiveness of Short-term Clinical Guideline to Treat Sexual Addiction Disorder in People With Sexual Addiction: A Clinical Trial 评估短期临床指南治疗性成瘾患者性成瘾障碍的有效性:一项临床试验
IF 0.9 Q3 Psychology Pub Date : 2022-07-01 DOI: 10.32598/ijpcp.28.2.3864.1
M. B. Saberi Zafarghandi, Arash Javaheri, Mohsen Shati, M. Roshanpajouh
Objectives Sex addiction is one type of behavioral addiction that is characterized by extreme fantasies and hard-to-control sexual behaviors. This disorder causes problems in the lives of affected people and their victims. The treatment is non-pharmacological and psychological, which are time-consuming and expensive. Short-term interventions are one of the ways to help these people. This study aims to evaluate the effectiveness of short-term clinical guidelines to treat sexual addiction disorder in affected individuals. Methods This was a randomized clinical trial study with pre-test-post-test and follow-up. The studied population in this research included all people with sexual addiction disorder who live in Isfahan City, Iran. The statistical population was those who had the chance to be included in the study. These were individuals who were referred to outpatient and residential drug abuse treatment centers, psychiatric treatment centers, and sexual disorders treatment clinics. Using the balance block randomization method, 30 male subjects who were diagnosed with sex addiction disorder based on the cut-off point of the hypersexual behavior inventory (HBI) with a score of 53 and above were randomly divided into 2 intervention and comparison groups. The intervention group received ten 120-min therapy sessions held weekly. Because of the coronavirus pandemic, the treatment sessions had to be held virtually (Skype). The comparison group was put on hold so that they could benefit from the treatment if the guide was effective. Both groups completed the HBI three times. The first time was immediately before the treatment, the second time immediately after the intervention, and the third time 3 months later in the follow-up phase. The results were analyzed via repeated measures analysis of variance (RM-ANOVA) in the SPSS software, v. 22. Results In the present study, there were 30 patients with a sexual addiction disorder, of which 15 were in the intervention group and 15 were in the comparison group (the Mean age of the participants was 26.4 years). The Mean scores of HBI in the intervention group in the pretest, post-test, and follow-up stages were 67, 49, and 57, respectively, while the mean scores of HBI in the comparison group were 64, 60, and 59 for the pretest, post-test, and the follow-up, respectively. Repeated measurement findings showed that this clinical guideline is effective in reducing participants’ sexual addiction symptoms (P‌<‌0.01). Conclusion Clinical guideline for short-term treatment of sexual addiction disorder is effective in reducing the symptoms of sexual addiction disorder. Using this method, which can be held online, and considering its short time and reduced cost of treatment, allows more people to benefit from it.
性成瘾是一种以极端幻想和难以控制的性行为为特征的行为成瘾。这种紊乱会给患者及其受害者的生活带来问题。治疗是非药物和心理治疗,既耗时又昂贵。短期干预是帮助这些人的方法之一。本研究旨在评估短期临床指南对性成瘾患者的治疗效果。方法采用随机临床试验方法,采用前测后测和随访。本研究的研究对象包括居住在伊朗伊斯法罕市的所有性成瘾患者。统计人口是指那些有机会被纳入研究的人。这些人被转介到门诊和住院药物滥用治疗中心,精神治疗中心和性功能障碍治疗诊所。采用平衡块随机化的方法,将30名根据亢进性行为量表(hypersexual behavior inventory, HBI)分值在53分及以上诊断为性成瘾的男性受试者随机分为2个干预组和对照组。干预组每周进行10次120分钟的治疗。由于冠状病毒大流行,治疗过程必须通过虚拟方式(Skype)进行。对照组被搁置,这样如果指南有效,他们就可以从治疗中受益。两组都完成了三次HBI。第一次在治疗前,第二次在干预后,第三次在随访3个月后。结果通过SPSS软件v. 22中的重复测量方差分析(RM-ANOVA)进行分析。结果本研究性成瘾患者30例,干预组15例,对照组15例,平均年龄26.4岁。干预组HBI在前测、后测和随访阶段的平均得分分别为67、49和57分,对照组HBI在前测、后测和随访阶段的平均得分分别为64、60和59分。反复测量结果表明,该临床指南在减减性成瘾症状方面是有效的(P < 0.01)。结论性成瘾短期治疗临床指南能有效减轻性成瘾症状。使用这种可以在线进行的方法,考虑到它的时间短,治疗费用低,可以让更多的人从中受益。
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引用次数: 0
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Iranian Journal of Psychiatry and Clinical Psychology
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