Showing 69 results for Therapy
Mohammad Khalili Kelaki, Ruholah Karimzadeh , Neda Soleimani, Seyed Masoud Hosseini, Maghsud Arshadi,
Volume 22, Issue 3 (8-2019)
Abstract
Background and Aim: Background and Aim: Photodynamic therapy is a minimally invasive approach to cancer, which is used to combine non-toxic photosensitizer and visible light to produce reactive oxygen species and destroy tumors. This study aimed to investigate the cytotoxicity effect of Graphene Oxide (GO)as an organic matter with many oxygen groups on photodynamic on destroying cancer cells.
Materials and Methods: This study was performed on breast cancer cells (MCF-7) in vitro. The study groups included the first group of drug with different concentrations of graphene oxide (333.3, 285.7, 230.7, 166.6, 90.9,
47.6 µg/ml), the second group co-drug and laser light irradiation and the control group consisted of cells treated only with laser irradiation and the control group was treated with no treatment. Cells were exposed to visible laser irradiation (405 nm) at 0.1 W / cm2. Cell viability was determined by MTT assay.
Ethical Considerations: This study with research ethics code SBU/S.1397.46A has been approved by research ethics committee at Shahid Behesht University of Tehran, Iran.
Findings: The results of in vitro experiments showed that the dark toxicity of graphene oxide at concentrations of less than the 90.9 μg / ml concentration had no significant effect on cancer cells. Also, laser light alone don’t has toxic effect on cells. But graphene oxide-mediated dynamic light therapy has reduced the bioavailability of cancer cells on average by 21% over dark toxicity. Results are presented as mean of three independent replications, standard error, and p< 0.05 was considered significant.
Conclusion: In this study, graphene oxide is fully biodegradable at concentrations below a certain value, but with increasing concentration, the toxicity effect increases. With exposure to light and graphene oxide, viability decreses that it is more effective for in vivio studies.
Ali Ganji, Amir Mohammad Saeedi, Ali Ghazavi, Ghasem Mosayebi,
Volume 22, Issue 4 (9-2019)
Abstract
Cancer is one of the leading causes of death worldwide. Thus, it is important to find newer, more selective, and more effective therapies for this disease. One of these methods that have attracted many researchers is using anticancer peptides regarding their specificity, lower side effects, and higher effectiveness on the cancer cells. One type of anticancer peptides is antimicrobial peptides. Although they have already been studied and introduced as potential agents to fight infectious diseases, only recently they have been used as a new way of cancer treatment. For decades, antimicrobial peptides have been considered a component of the native immune system; however, they can also be used as anticancer peptides due to their mechanisms and properties. This new therapeutic approach can provide a promising pathway for optimal cancer treatment with fewer side effects.
Seyed Vali Kazemi Rezaei, Keivan Kakabraee, Saeedeh Sadat Hosseini,
Volume 22, Issue 4 (9-2019)
Abstract
Background and Aim Psychological factors play a significant role in the exacerbation of cardiovascular diseases. This study aimed to investigate the effectiveness of teaching emotion regulation skill (based on dialectical behavioral therapy) on cognitive emotion regulation and Quality of Life (QoL) of patients with cardiovascular diseases.
Methods and Materials The present study has a quasi-experimental design with pretest-posttest and the control group. The statistical population of the study included all patients with cardiovascular diseases in Kermanshah City, Iran in 2018. Among them, 30 participants were selected by simple random sampling method. Then, they were randomly assigned to the two groups of experimental and control (each group 15 patients). We performed the intervention of excited ordering education based on dialectical behavioral therapy for the experimental group in eight 90-minute sessions, while the control group did not receive any intervention during this period. To collect study information, we used a short form of the emotional cognitive regulation questionnaire and MacNew Quality of Life Questionnaire. To analyze the data, we used the multivariate analysis of covariance in SPSS V. 20.
Ethical Considerations The Research Ethics Committee of Kermanshah University of Medical Sciences approved this study (Code: IR.KUMS.REC.1397.39).
Results The results showed that the scores of Positive Cognitive-Emotional Strategies and quality of life of cardiovascular patients after training of emotional regulation skills based on dialectical behavioral therapy in experimental group significantly increased in comparison with control group, and also Negative Strategies Scores were decreased (P<0.01).
Conclusion Based on our positive study results, we recommend the therapists to use psychological treatments as complementary therapies for these patients.
Zahra Ahmadi Ganjeh, Mohammad Eslami-Kalantari, Ali Asghar Mowlavi,
Volume 22, Issue 6 (1-2020)
Abstract
Background and Aim: Sicne in many dosimetry calculations, the water and soft tissue phantoms are used, this study aimed to investigate the difference of these two phantoms with a phantom consisted of realistic liver materials in proton therapy for liver cancer.
Methods & Materials: Three phantoms with different materials of water, soft tissue and realistic liver materials were used for the study. A spherical tumor with 2 cm radius was considered in the liver. The Spread-out Bragg Peaks (SOBPs) were measured to cover the complete tumor for the three phantoms. Dose distribution and deposited dose ratio in tumor and surrounding organs were calculated using Monte Carlo N-Particle Extended (MCNPX) code.
Ethical Considerations: The best proton energy interval to complete the coverage of tumor in the liver for phantoms with realistic and soft tissue materials was 90-120 MeV and for water phantom, it was 88-116 MeV. The shift of the Bragg peaks depth per energy in the water phantom mm relative to two other phantoms was about 4.5. The dose parameters were evaluated according to the International Commission on Radiation Units and Measurements (ICRU), and the results showed no any significant difference between them. The dose distribution in the tumor and surrounding organs showed that for all three phantoms, the dose distribution around the tumor was negligible.
Results: The use of soft tissue phantom has more acceptable results than water phantom in simulating treatment and can be replaced with realistic liver tissue. More realistic phantoms should be used in treatment plan.
Conclusion: The use of soft tissue phantom has more acceptable results than water phantom in simulating treatment and can be replaced with realistic liver tissue. More realistic phantoms should be used in treatment plan.
Ali Esfahani, Shirin Zeinali, Roghayeh Kiani,
Volume 23, Issue 2 (5-2020)
Abstract
Background and Aim: Breast cancer is the most common cancer among women which leaves a profound impact on their psychosocial health and pain experience. The aim of this study was to determine the effect of group psychotherapy based on Acceptance and Commitment Therapy (ACT) on pain-related anxiety and cognitive emotion regulation of women with breast cancer.
Methods & Materials: In this quasi-experimental study, subjects were 68 women with breast cancer refereed to Shahid Ghazi Hospitalin Tabriz, Iran who were selected using a convenience sampling method. Then, they were randomly assigned into two groups of intervention (n = 34) and control (n = 34). The intervention group underwent eight 90-min sessions of ACT-based group therapy, while the control group received no any intervention. They completed Pain Anxiety Symptom Scale Short Form and Cognitive Emotion Regulation Questionnaire before and one week after treatment. Collected ata were analyzed by using t test, chi-square test, ANCOA and MANCOVA.
Ethical Considerations This study has obtained its ethical approval from the Research Ethics Committee of Tabriz University of Medical Sciences (code: IR.TBZMED.REC.1397.287) and has been registered by Iranian Registry of Clinical Trials (code: IRCT2017100615590N5).
Results: The ACT-based intervention improved the dimensions of pain-related anxiety (8.44±1.5) and cognitive regulation of negative (8.40±3.5) and positive (8.39±7.5) affects (P<0.001).
Conclusion: ACT-based intervention can help breast cancer patients to accept their negative thoughts and current conditions.
Atefe Zarastvand, Taher Tizdast, Javad Khalatbari, Shahnam Abolghasemi,
Volume 23, Issue 4 (9-2020)
Abstract
Background and Aim: The purpose of this study was to determine the effectiveness of mindfulness-based cognitive therapy on marital self-regulation, marital burnout, and self-criticism of infertile women.
Methods & Materials: This experimental study was conducted with a pretest-posttest design with the control group. The statistical population of this study included all the infertile women of Mazandaran Province, Iran, in 2018-2019. In this study, 30 infertile women were considered the sample size in the experimental group mindfulness-based cognitive therapy (of 15 infertile women) and control (15 infertile women). The experimental group underwent mindfulness-based cognitive therapy (10 sessions 60 minutes), but the control group received no training. To collect data, we used the marital self-regulation scale of Wilson and et al., the marital burnout scale of Pines, and the self-criticism scale of Thompson and Zuroff. Data analysis was performed in SPSS V. 24 with descriptive and inferential statistics (multivariable analysis of covariance).
Ethical Considerations: This study with research ethical code IR.IAU.TON.REC.1397.030 was approved by the Research Ethics Committee at Islamic Azad University Tonekabon Branch.
Results: The results showed that the scores of marital self-regulation of infertile women after mindfulness-based cognitive therapy in the experimental group significantly increased in comparison with the control group, and also marital burnout, and self-criticism scores were decreased (P<0.01).
Conclusion: Therefore, it is suggested that counselors and therapists use mindfulness-based cognitive therapy to improve marital self-regulation, marital burnout, and self-criticism of infertile women.
Mohammad Sadegh Maschi, Sheida Sodagar, Farhad Jomehri, Marjan Hosseinzadeh Taghvai, Mojgan Forootan,
Volume 23, Issue 6 (11-2020)
Abstract
Background and Aim: Patients with the symptoms of gastrointestinal diseases and ulcers constitute a large number of patients referring to general and internal clinics. Furthermore, preliminary studies on gastric ulcers highlighted the role of psychological factors in the development of a susceptible gastric ulcer. The current study aimed to determine the effects of Cognitive-Behavioral Therapy (CBT) on pain intensity and stress coping styles in patients with gastric ulcers.
Methods & Materials: This was an experimental study with a pretest-posttest-follow-up and a control group design. The statistical population included all patients with a gastric ulcer who were referred to public health centers in Tehran City, Iran, in the winter of 2018. Among the volunteers participating in the study, 30 patients with gastric ulcers were selected by the convenience sampling method. Next, they were randomly assigned to the experimental and control groups (n=15/group). Measurement tools included the McGill Pain Questionnaire (MPQ) and the Coping Inventory for Stressful Situations (CISS; Endler & Parker, 1990). The experimental group subjects participated in eight 90-minute sessions of CBT. However, the controls received no psychological treatment in this period. For data analysis, repeated-measures Analysis of Variance (ANOVA) and post-hoc tests were applied.
Ethical Considerations: This study was approved by the Research Ethics Committee of the Islamic Azad University, Karaj Branch (Code: IR.IAU.K.REC.1397.85).
Results: The present research results signified that CBT improved problem-oriented coping styles (P<0.01) and decreased emotion-focused coping styles (P<0.01) and avoidance (P<0.01) in the test group. Besides, the mean scores of pain intensity decreased in the experimental group, compared to the controls (P<0.01).
Conclusion: The provided CBT was effective on pain intensity and stress coping styles in patients with gastric ulcers.
Shohreh Mortezaei Shemirani, Bagher Sanaei Zaker, Biuok Tajeri, Sheida Sodagar, Farahnaz Meschi,
Volume 23, Issue 6 (11-2020)
Abstract
Background and Aim: Despite numerous advances in treating various diseases and increased life expectancy, obesity will be the leading cause of hopelessness in the next 100 years. The present study aimed to compare the effects of Acceptance and Commitment Therapy (ACT) and Cognitive-Behavioral Therapy (CBT) on lifestyle habits, disordered eating behavior, and health-promoting lifestyle in obese women.
Methods & Materials: The statistical population consisted of all women referring to obesity clinics in district 2 of Tehran City, Iran, in 2019. Forty-Five patients were selected by convenience sampling method and replaced in 3 groups of 15 (two experimental & one control groups). The study participants were assessed using the Assessment of Life Habits Scale (LIFE-H)), the Eating Attitudes Test (EAT), and the Health Promoting Lifestyle Profile-II (HPLP-II). The ACT group underwent nine 90-minute sessions and the CBT group received eight 90-minute sessions. The control group received no training. The collected data were analyzed using Mixed Design and repeated-measures Analysis of Variance (ANOVA) in SPSS.
Ethical Considerations This study was approved by the Research Ethics Committee of Islamic Azad University, Karaj Branch (Code: IR.IAU.K.REC.1398.039).
Results: The present research results signified that ACT and CBT were effective on the habits of eating disorders and health-promoting lifestyles in the explored obese women. The achieved changes remained stable until the follow-up phase (P<0.001). Moreover, ACT was more successful than CBT in improving the components of life habits and health responsibilities in the study subjects (P<0.001).
Conclusion: Considering the significant effect of group-based ACT and CBT, it is recommended to use these methods to increase the mental health of obese individuals.
Seifollah Aghajani, Sahar Khoshsorour, Sara Taghizadeh Hir,
Volume 24, Issue 1 (3-2021)
Abstract
Background and Aim: Breast cancer is among the most prevalent cancers in women with extensive associated biopsychological problems. The present study aimed to determine the effects of holographic reprocessing therapy on cognitive flexibility and posttraumatic growth in women with breast cancer.
Methods & Materials: This was a quasi-experimental study with pretest-posttest and a control group design. The statistical population included all patients with breast cancer who underwent mastectomy and who were being treated in the chemotherapy ward of Imam Khomeini Hospital in Ardabil City, Iran, in 2020.
By convenience sampling method, 30 women with breast cancer were selected and randomly divided into the experimental and control groups (n=15/group). The experimental group, while receiving pharmacotherapy, collectively underwent holographic reprocessing therapy in 9 one-hour sessions (two sessions per week) for 5 weeks; however, the control group received only pharmacotherapy. Both research groups were assessed in pretest and posttest phases by the Cognitive Flexibility Inventory (Dennis & Vander Wal, 2010) and the Posttraumatic Growth Inventory (Tedeschi & Calhoun, 1996). Finally, the obtained data were analyzed using Multivariate Analysis of Covariance (MANCOVA) in SPSS v. 23.
Ethical Considerations: All study subjects provided a signed written informed consent form. The Research Ethics Committee of Ardabil University of Medical Sciences approved this study (Code: IR.ARUMS.REC.1399.393).
Results: The current study results indicated that holographic reprocessing therapy was effective on cognitive flexibility (F= 42.319, P<0.01) and posttraumatic growth (F= 18.300, P<0.01) in women with breast cancer; this method also increased their cognitive flexibility and posttraumatic growth.
Conclusion: Considering psychological factors and information processing methods in patients with cancer is highly important. Thus, counselors and psychotherapists are advised to use holographic reprocessing therapy as a complementary treatment without adverse effects along with medical treatments to reduce the psychosocial problems caused by the disease.
Nasrin Goodarzi, Javid Peymani, Hasan Ashayeri, Farahnaz Meschi, Mehrdad Sabet, Mohammad-Esmaeil Akbari,
Volume 24, Issue 2 (5-2021)
Abstract
Background and Aim: In every age of history, human beings have been afflicted with the fear of disease. Undoubtedly, cancer is among the most concerning diseases; cancer pain is among the major pains. The present study aimed to compare the effects of cognitive-behavioral group therapy and mindfulness-based cognitive therapy on multidimensional pain symptoms in patients with breast cancer.
Methods & Materials: The present study was applied concerning the purpose and applied a quasi-experimental with pretest-posttest, a two-month follow-up, and control group design. The statistical population was all women with breast cancer referring to Tehran Cancer Research Center in 2018 who were selected by convenience sampling method, consisting of 30 patients. They were randomly divided into two groups of intervention and the control group. The repeated-measures Analysis of Variance (ANOVA) was used to analyze the obtained data. The research instrument was a multidimensional pain questionnaire (West Hyun-Yale) to evaluate multiple pain indices.
Results: The current study results suggested that cognitive-behavioral therapy and mindfulness-based cognitive therapy were effective on pain experience (P<0.001); however, there was no significant difference between the intervention groups respecting pain experience.
Conclusion Based on the present research findings, cognitive-behavioral therapy and mindfulness-based cognitive therapy impacted the management and pain intensity of patients with breast cancer.
Behzad Salmani, Jaafar Hasani,
Volume 24, Issue 2 (5-2021)
Abstract
Background & Aim: This study aimed at comparing efficacy of cognitive behavioral therapy, Zolpidem 10 mg, and waiting list group on illness perception and sleep efficiency in individuals with chronic insomnia disorder.
Materials & Methods: Participants included 74 (female = 43) individuals with chronic insomnia disorder who were recruited from 2018 December to 2020 February by purposive sampling (inclusive & exclusive criteria). Then, patients randomly allocated to one of the three conditions, including cognitive behavioral therapy (N=25), pharmacotherapy (Zolpidem 10 mg.; N=29), and the waiting list (N=20). All patients were assessed three times at pretreatment, post-treatment, and 3-month follow-up by the Persian version of Brief Illness Perception Questionnaire and Sleep Efficiency Index. The data were analyzed by mixed analysis of variance with Bonferroni post-hoc test and repeated measure analysis of variance.
Ethical Considerations: All stages of the research have been carried after taking supervising and approving of Kharazmi University's ethics in research committee.
Findings: The patients who received cognitive behavioral therapy compared to patients in waiting list group, obtained significantly lower scores in illness perception and sleep efficiency during post-treatment and 3-month follow-up. Efficacy of pharmacotherapy only observed during post-treatment but there were no significant differences between pharmacotherapy and waiting list patients during 3-month follow-up.
Conclusion: Cognitive behavioral therapy for insomnia reduced significantly illness perceptions and sleep efficiency during 3 months. All the treatment gains remain stable even 3 months later treatment ends. In addition, not receiving any treatment in waiting list and gradually discontinued the treatment in pharmacotherapy group leads to decreasing of sleep efficiency and increasing of illness perception.
Vahid Hemmati Sabet, Saeedeh Alsadat Hoseini, Karim Afsharinia, Mokhtar Arefi,
Volume 24, Issue 4 (9-2021)
Abstract
Background and Aim: The main objective of the current study was to compare the effectiveness of schema therapy and dialectical behavior therapy (DBT) on health-promoting lifestyle (HPL) and quality of life (QoL) of HIV/AIDS patients.
Methods & Materials: The current study was an experimental study based on a pre-test-post-test design with a control group, and based on the objectives, it can be considered an applied study. The statistical population of the study included all HIV patients monitored by behavioral disorders clinics of the Healthcare Organization Centers in Hamedan County in Iran in 2019-2020. Using simple random sampling method, 45 patients were randomly selected from Shohada Clinic in Hamedan as the sample of the study, followed by randomly assigning them to three 15-member groups, i.e., two intervention groups and a control group. In order to measure the research variables, the Health-Promoting Lifestyle Profile (HPLP) (1987) and the Short Form (36) Health Survey (SF-36, 2001) were utilized. The obtained data were analyzed using ANCOVA in SPSS v. 12.
Ethical Considerations: The Ethics Committee of Hamedan University of Medical Sciences approved the study (Code: IR.UMSHA.REC.1398.1063). This study has been registered in the Iranian Registry of Clinical Trials (Code: IRCT20120215009014N348).
Results: The results of ANCOVA indicate that schema therapy and DBT affect HPL and quality of life, and there was a significant difference between the two groups (P<0.001).
Conclusion: The results show that while both therapy methods affect the selected variables, schema therapy is more effective than DBT on HPL and Quality of Life (QoL).
Anis Moradi, Pouya Ramin,
Volume 24, Issue 5 (11-2021)
Abstract
Background and Aim: The research results show tobacco use increases cardiovascular and lung disorders or the probability of periodontitis in humans, while no definitive relations were yet confirmed. This study evaluates the relationship between periodontitis and tobacco use by panoramic radiography in Bandar Abbas City.
Methods & Materials: A total of 198 panoramic radiographs were classified into periapical healthy (n=99) and patient (n=99) groups. Radiologists assessed radiographs for periodontitis via Total Teeth Numbers (TTN), the quality and length of Root Filling Treatment (RFT), the number (NoRFT), and inadequate root filling treatment (RFTin), age, gender, the cigarette and hookah use, and dental debris. Data were analyzed by Chi-Square, t-test, and logistic regression.
Ethical Considerations: Due to the lack of therapeutic intervention and the preservation of patients’ characteristics, ethical considerations are not included in this study (Code: IR.HUMS.REC.1399.384)
Results: Tobacco, hookah use, TTN, and RFTin were different (P<0.01) in groups, but cigarette smoking, debris, RFT, NoRFT, and age were not. Women in the periodontitis group showed high (P<0.01) in tobacco, hookah use, and RFTin, while no gender differences were observed in other parameters. The logistic regression results showed that based on the Odd Ratio NoRFT (39.7), RFTin (36.8), `hookah (8.1), tobacco (6.57), debris (3.62), smoking (3.59), RFT (1.4) and TTN (0.89) were the highest (P<0.01). At the same time, age and gender did not affect periapical tissues.
Conclusion: Hokka, tobacco, and cigarette use negatively affected the periapical tissues, respectively. The decrease in TTN and increase in debris and RFT were probably the effects of tobacco smoking on the periapical tissues. Age and gender were not related to the periapical lesions.
Hamid Reza Joneidi Jafari, Parisa Nejati, Ahmad Nazari, Azar Moezy,
Volume 24, Issue 6 (1-2022)
Abstract
Background: Rotator cuff injuries are one of the most common causes of shoulder pain.
There are different therapeutic approaches in this disease. The evidence of the positive effect of exercise therapy in this pathology is inconclusive. This study aimed to investigate the effect of a complete exercise protocol on improvement of the patients with rotator cuff injuries.
Methods: The patients with shoulder pain received the 12-week exercise protocol in 4 phases if they had confirmed rotator cuff injuries in clinical examination and shoulder MRI.
Pain was measured by visual analog scale (VAS) and function was measured by two questionnaires; disabilities of the arm, shoulder and hand (DASH) and western Ontario rotator cuff index (WORC). Range of shoulder joint motion (ROM) was measured in five directions by goniometry. All of the outcomes were evaluated before intervention and in 6, 12, 24 weeks after starting the intervention.
Ethic: This study was registered in Iranian Registry of Clinical Trials (IRCT20100718004409N13). A written consent was taken from All participants before the study.
Results: In this study Twenty-four patients with rotator cuff tendinopathy and tear were analyzed finally in terms of effectiveness of exercise therapy. The average of their age was 51.7 years old. 14 patients (53.8%) with Supraspinatus tendinopathy, 6 patients (23%) with Supraspinatus tear, 3 patients (12.5%) with Supraspinatus plus biceps tendinopathy, and one patient (4.16%) with Subscapularis plus Biceps tendinopathy were assessed. The pain score (Visual Analog Scale) decreased at all fallow-ups specially after 24 weeks (3±0.1) versus before intervention (8±0.1) (P value < 0.001). Shoulder range of motions by goniometer and also the patients function based on WORC and DASH Questionnaires were improved after 24 weeks versus before intervention that was significant statistically and clinically (P value < 0.001).
Conclusion: A 12- week exercise protocol including strengthening, stretching, PNF and dynamic stabilizer exercises was effective on pain reduction and improvement of function and shoulder joint range of motion improvement in the patients with shoulder rotator cuff tendinopathy and partial tear. The improvement of the variables lasted 6 months.
Pardis Mirmoeini, Mohammad Hosseini Bayazi, Javad Khlatbari,
Volume 25, Issue 1 (3-2022)
Abstract
Background and Aim Given the increasing number of patients with multiple sclerosis and the psychological complications that affect this group, the present study was conducted to compare the effectiveness of acceptance and commitment therapy and compassion-focused therapy for these patients
Methods & Materials This research was a quasi-experimental study with a pre-test-post-test design with a control group. A total of 45 patients with multiple sclerosis were selected from MS patients in Tehran Clinic, Tehran City, Iran, in 2020. They were randomly divided into three groups: the first group was under treatment based on acceptance and commitment therapy, the second group was assigned to the compassion-focused therapy, and the third group was the control. The participants completed the Connor and Davidson resilience questionnaire and the Pennsylvania concern questionnaire in the pretest and post-test stages. The first and second groups participated in eight sessions of acceptance and commitment therapy and ten sessions of compassion-focused therapy, respectively. The control group did not receive any intervention. The post-test was done at the end of the therapy sessions. Data were reported by analysis of covariance.
Ethical Considerations This research was approved by the Torbat Jam Branch, Islamic Azad University (Cod: IR.IAU.TJ.REC.1399.012).
Results The results of univariate analysis of covariance were obtained at the statistical level of P<0.05. In this regard, F=5.88 for resilience and F=42.60 for anxiety intensity were obtained, which indicated the greater effectiveness of acceptance and commitment treatment.
Conclusion Considering the effectiveness of both treatments, it is suggested that these treatments be given more attention to controlling patients’ psychological symptoms.
Naghmeh Shokoohi Nejad, Mohammad Reza Bayat, Firoozeh Zanganeh Motlagh,
Volume 25, Issue 1 (3-2022)
Abstract
Background and Aim Fibromyalgia syndrome is a chronic disease that causes widespread musculoskeletal pain. It primarily affects women and negatively impacts many aspects of a person’s psychological and social life. This study aimed to compare the effectiveness of cognitive therapy based on mindfulness and compassion therapy on automatic negative thoughts, psychological symptoms, pain intensity, and quality of life in patients with fibromyalgia syndrome.
Methods & Materials This research is a quasi-experimental study with a pre-test-post-test design with two experimental and one control group. The statistical study population consisted of all individuals with fibromyalgia syndrome referred to Mehregan Pain Clinic in Mirdamad (District 3), Seyed Khandan Clinic (District 4), and Taleghani Hospital Pain Clinic (District 1) in Tehran City, Iran. Of them, 30 patients were randomly selected and divided into three groups of experimental 1, experimental 2, and control; each group will include 10 people. The instruments used in this study included the World Health Organization quality of life questionnaire (WHOQOL BREF), pain intensity questionnaire (PIS), psychological symptoms questionnaire (Anxiety, Stress and Depression [DASS]), and automatic negative thoughts (QNS).
Ethical Considerations This study was approved by the Research Ethics Committee of Arak Branch, Islamic Azad University (Code: IR.IAU.ARAK.REC.1400.005).
Results The analysis of covariance showed the effectiveness of both cognitive therapies based on mindfulness and compassion therapy on four variables of pain intensity, psychological symptoms, automatic negative thoughts, and quality of life (P<0.05). Comparing the two intervention methods showed that both therapies had almost the same effect on pain intensity, psychological symptoms, and automatic negative thoughts (P<0.05) but the effectiveness of mindfulness intervention on the quality of life was significantly higher than compassion intervention (P<0.05).
Conclusion The results indicate that cognitive therapy based on mindfulness and compassion therapy are suitable for people with fibromyalgia under appropriate treatment.
Fatemeh Rostamkhani, Mohammad Ghamari, Vahideh Babakhani, Effat Sadat Merghati Khoei,
Volume 25, Issue 3 (8-2022)
Abstract
Background and Aim Sexual function is an important part of menopausal women's lives, and changes in it, especially during menopause, can affect their health. The aim of this study was to compare the effectiveness of cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) on the sexual function of postmenopausal women.
Methods & Materials This research was a quasi-experimental with pre-test, post-test and follow-up design with control group. The statistical population of the study included postmenopausal women who referred to Zanjan Health Center in 2020 to receive services. Among them, 45 were selected using the available sampling method and were randomly assigned to three groups of 15, and control group using randomly assigned block allocation method. Therapeutic sessions were held in 8 sessions and each session was held for 2 hours. Data were collected by FSFI (Female Sexual Function Index) and were analyzed using ANOVA with repeated measures analysis via SPSS software, version 24.
Ethical Considerations This study was approved by the ethics committee of the Zanjan University of Medical Sciences (Code: IR.ZUMS.REC.1398.328).
Results In the post-test and follow-up phase, there was a significant difference between both CBT and ACT methods compared to the control group in sexual function respectively (P<0.05, F=17.857), (P<0.05, F=12.115). That is, treatment with CBT and ACT improved the sexual function of postmenopausal women, which had a lasting effect for three months, and there was no significant difference between the groups involved in sexual function (P>0.05, F=0.494).
Conclusion Cognitive-behavioral therapy and acceptance-based therapy have improved sexual function in postmenopausal women, so it is recommended that these therapies be used to improve the sexual function of postmenopausal women in health centers.
Mr Abbas Bayat Asghari, Mr Javad Javaheri, Mr Alireza Manzari Tavakoli, Mr Hamid Mollayi Zarandi,
Volume 25, Issue 6 (3-2023)
Abstract
Introduction: The purpose of this study was to compare the effectiveness of cognitive-behavioral therapy and motivational interviewing on self-esteem in divorced women.
Methods: The current study was a semi-experimental pre-test and post-test design. The statistical population consisted of 260 divorced women aged 20 to 50. 60 women were selected based on the inclusion criteria and randomly assign to three groups of cognitive-behavioral therapy, motivational interview therapy and control group. The instrument of data collection was Rosenberg Self- Esteem Questionnaire. For the experimental groups, 12 sessions of 75 minutes were held. No intervention was done for the control group. Before the interventions and at the end of the study, people in all groups filled out the questionnaire. The data was analyzed using SPSS version 25 software and analysis of covariance (ANCOVA).
Results: There was a significant difference between the three groups of cognitive-behavioral therapy, motivational interview and the control group in the comparison of the mean score of self-esteem variables (P<0.05). Also, in the one-by-one comparison of the cognitive-behavioral therapy and motivational interview therapy groups with the control group, there was a significant difference in the post-test stage (P<0.05).
Ethical considerations: In this research, the principle of confidentiality, preservation of personal information and non-disclosure of the identity of the participants were ensured and it was reminded that the obtained information will only be used statistically.
Conclusions: The findings indicate that cognitive-behavioral therapy and motivational interviewing are effective in enhancing self-esteem in divorced women. It suggests that these two methods are used along with other psychological and pharmaceutical therapies for divorced women as a clinical intervention.
Hamid Akhavein Mohammadi, Majid Baradaran,
Volume 26, Issue 2 (7-2023)
Abstract
Introduction: Generalized anxiety disorder can be described as a debilitating disorder characterized by negative evaluation by others, internal shame, negative self-concept, as well as high levels of anxiety and avoidance in specific social and functional situations. The purpose of this study was to investigate the effective of hypnotherapy in promotion subjective well-being and sleep quality in people with generalized anxiety disorder.
Methods: This was a quasi-experimental study with pretest-posttest and a control group design and conducted on 40 persons who had generalized anxiety disorder in Rasht, Iran in 2023 and were randomly divided into two experimental and control groups (20 persons in each group). The hypnotherapy was conducted during 6 sessions in the experimental group, while the control group did not receive any treatment. The data were collected through the subjective well-being and sleep quality Inventory. Multivariate analysis of covariance was used to analyze the data. This study was approved by the Research Ethics Committee of Payame Noor University (Code: IR.PNU.REC.1402.070).
Results: The results indicated that hypnotherapy was effective on subjective well-being (F= 33.38, P=0.001) and sleep quality (F= 5.10, P=0.03) in people with generalized anxiety disorder; this method also increased their subjective well-being and sleep quality.
Conclusions: The based on the results of the present study, hypnotherapy is effective in promotion subjective well-being and sleep quality in people with generalized anxiety disorder. It suggests that these method are used along with other psychological and pharmaceutical therapies for people with generalized anxiety disorder as a clinical intervention.
Arezoo Fathi, Ahmad Alipour, Aliakbar Malekirad,
Volume 26, Issue 2 (7-2023)
Abstract
Introduction: Infertility is one of the bitter events of married life that has various psychological consequences. On the other hand, there are different treatments to reduce its psychological effects. The purpose of this research was to compare the effectiveness of emotion-focused couple therapy and Gottman couple therapy on marital burnout and depression in infertile couples.
Methods: The present research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population of this research included infertile couples of Arak city in 1400, of which 54 couples were selected using available sampling method and 18 couples were randomly assigned in three groups (two experimental groups and one control group). The experimental intervention groups received emotion-focused couple therapy (10 sessions of 90 minutes) and Gottman couple therapy (10 sessions of 90 minutes), and the control group did not receive any intervention. After two months, the follow-up phase was done. In order to collect data, Beck's (1967) depression questionnaire and Pines' (1966) marital burnout questionnaire were used, and the data were analyzed using repeated measures analysis of variance and SPSS version 26 software. This research is approved by the ethics committee with the code IR.IAU.B.REC.1400.026. Also, the principles of confidentiality, written informed consent and destruction of participants' information have been observed.
Results: The results showed that Gottman couple therapy and emotion-focused couple therapy reduce couples' depression (2 = 0.265, P = 0.001, F = 18.94) and marital burnout (2 = 0.348, P = 0.001, F = 27.99) has been effective. In addition, emotion-focused couple therapy has been more effective in reducing couples' depression (p=0.033) and marital burnout (P=0.001) than Gottman's couple therapy.
Conclusions: According to the results of the research, it can be said that emotion-focused couple therapy is more effective than Gottman's couple therapy in reducing couples' depression and marital exhaustion. Therefore, couple therapists are advised to use emotion-focused couple therapy to improve depression and marital burnout of infertile couples.
