悖论疗法对伊朗Jahrom成年人群COVID-19焦虑的疗效

Razieh Eatesamipour, Khadigeh Ramazanzade Moghadam, Borzo Amirpor
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摘要

背景:COVID-19是一种具有全球破坏性影响的新型疾病,它的出现和传播引起了公众的困惑、焦虑和恐惧。目的:本研究旨在评估悖论疗法对伊朗Jahrom地区成人COVID-19焦虑的疗效。方法:本研究为准实验研究,采用前测后测设计,随访2个月。研究人群包括2020-2021年期间居住在Jahrom的所有愿意参与本研究的个人。根据新冠肺炎焦虑量表,采用方便抽样法,选取30名新冠肺炎焦虑水平较高的参与者,随机分为实验组(n = 15)和对照组(n = 15)。实验组接受8次悖论治疗;然而,对照组仍在等待名单上。研究工具包括结构化临床访谈和COVID-19焦虑量表。最后,采用Friedman的统计方法对收集到的数据进行分析。结果:悖论疗法能有效降低患者的新冠焦虑(P = 0.001)及其心理(P = 0.001)和身体(P = 0.002)症状,干预组后测期新冠心理和身体症状得分均显著低于对照组(P < 0.001)。在随访阶段也注意到这种下降。结论:根据研究结果,悖论疗法可有效减轻新冠肺炎患者的焦虑及其心理和生理症状。
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Effectiveness of Paradox Therapy on COVID-19 Anxiety in Adult Population in Jahrom, Iran
Background: Since COVID-19 is a new disease with devastating effects worldwide, its emergence and spread aroused confusion, anxiety, and fear among the public. Objectives: The present study aimed to evaluate the effectiveness of paradox therapy on the COVID-19 anxiety in adult population in Jahrom, Iran. Methods: This research was a quasi-experimental study with a pretest-posttest design and a two-month follow-up. The research population encompassed all individuals willing to participate in the present study who were residing in Jahrom during 2020-2021. According to the COVID-19 Anxiety Scale, 30 participants with high levels of COVID-19 anxiety were selected using the convenience sampling method and were randomly assigned to experimental (n = 15) and control (n = 15) groups. The experimental group received eight sessions of paradox therapy; however, the control group remained on the waiting list. The research tools included structured clinical interviews and the COVID-19 Anxiety Scale. Finally, the collected data were analyzed using Friedman’s statistical method. Results: The results showed that paradox therapy was effective in decreasing COVID-19 anxiety (P = 0.001) and its psychological (P = 0.001) and physical (P = 0.002) symptoms, and the scores of the COVID-19-induced psychological and physical symptoms in the posttest phase were significantly lower in the intervention group than the control group (P < 0.001). The decrease was noticed in the follow-up phase as well. Conclusions: According to the results, paradox therapy can effectively reduce anxiety and its psychological and physical symptoms due to COVID-19.
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