atefeh pourkaveh; zabih Pirani; Mehdi Pourasghar; Anahita Sadeghi; Hossein poustchi
Abstract
Objective: Irritable bowel syndrome is a chronic and debilitating digestive disorder that is more common in people withpsychological disorders than in the general population. This study is aimed at the effectiveness of cognitive-behavioraltherapy in the mitigating of chronic pain and cognitive-emotional ...
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Objective: Irritable bowel syndrome is a chronic and debilitating digestive disorder that is more common in people withpsychological disorders than in the general population. This study is aimed at the effectiveness of cognitive-behavioraltherapy in the mitigating of chronic pain and cognitive-emotional regulation in patients with Irritable bowel syndrome.
Method: This study investigates the efficacy of cognitive-behavioral therapy on chronic pains and cognitive emotion regulation in patients with IBS. The research method is quasi-experimental with a pretest-posttest and control group and a six-month followup. All patients with IBS who had presented to the Shariati Hospital of Tehran and Masoud Gastroenterology and Liver Clinic from autumn 2019 to winter 2020 comprised the statistical population. The sample size was 48 people selected by convenience sampling, then divided into an experimental group and a control group using a block randomization procedure (with each group containing 24). Chronic Pain Grade Scale and Cognitive Emotion Regulation Questionnaire were the research tools provided to the two groups. However, the control group remained on the waiting list and received no interventions. The cognitive-behavioral therapy intervention was performed for the experimental group for eight 90-minute sessions. Descriptive statistics and Repeated Measures analyzed research data.
Results: Findings indicated that cognitive-behavioral therapy reduced chronic pain and increased cognitive regulation (p0.01>). This efficacy remained stable until a six-month follow-up (p0.05>).
Conclusion: This finding can also be associated with reducing and improving cognitive emotion regulation within psychological interventions planning vision among patients with IBS, and thus have clinical usages.
Marzieh Pahlevan; Mohammad Ali Besharat; Ahmad Borjali; Morteza Naghipoor
Abstract
Objective: Both of the defense mechanisms of ego and depression, affects the intensity of the pain in the patient with chronic pain. The present study investigates the mediating role of depression in the relationship between immature ego defenses and perceived pain intensity in patients with chronic ...
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Objective: Both of the defense mechanisms of ego and depression, affects the intensity of the pain in the patient with chronic pain. The present study investigates the mediating role of depression in the relationship between immature ego defenses and perceived pain intensity in patients with chronic pain. Method: Research was conducted on 503 patients with chronic pain who were referred to pain centers in Tehran. Participants were asked to answer Numerical Rating Scale (NRS) for perceived pain intensity, Defense Styles Questionnaire (DSQ-40), and Depression, Anxiety, and Stress Scale (DASS). Results: The results indicated that depression plays a mediating role in the relationship between immature ego defenses and perceived pain intensity in patients with chronic pain. Conclusion: the relationship between immature ego defenses and the perceived pain intensity is not a simple linear one, but is mediated by depression. So, depression has an important role in Transforming of defense mechanisms to the pain.
