In collaboration with Payame Noor University and Iranian Health Psychology

Document Type : research


1 Ph.D. student, Department of clincal Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

2 Associate professor ,Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran

3 Assistant professor, Department of Psychology, Payame Noor University, Tehran, Iran


Objective: This study aimed at evaluating the effectiveness of mindfulness-based cognitive therapy, logo therapy, and schema therapy on reducing stress, anxiety, and depression in patients with multiple sclerosis.
Methods: The present study was a quasi-experimental study with a pre-test-post-test design with a control group. The study population consisted of all members of the MS Society of Iran located in Tehran in 2019, and the sample consisted of 60 members of the Association who were selected using the convenience sampling method and were randomly assigned to three experimental groups and one control group (15 people for each group). All four groups were tested by DASS-21 scale, and then the experimental groups underwent mindfulness-based cognitive therapy, logo therapy, and schema therapy in 12 Two-hour sessions for 12 weeks, but the control group did not receive any training. Analysis was performed using SPSS22 in two parts: descriptive and inferential statistics.
Results: The results of analysis showed that mindfulness-based cognitive therapy has been effective on reducing stress (f= 110.90, P<0,001), anxiety (f= 88.92, P<0,001), and depression (f= 32.29, P<0,001) in patients with multiple sclerosis. Also it was shown that logo therapy was effective on stress (f= 264.60, P<0,001), anxiety (f= 175, P<0,001), and depression (f= 305.07, P<0,001), and schema therapy was effective on reducing stress (f=110.90, P<0,001), anxiety (f= 88.92, P<0,001), and depression (f= 32.29, P<0,001) in patients with multiple sclerosis. Also, the comparison of means showed that in the variables of stress, anxiety, and depression, mindfulness-based cognitive therapy, logo therapy, and schema therapy were effective.
Conclusions: The findings of this study confirmed that mindfulness-based cognitive therapy, logo therapy, and schema therapy were effective in reducing stress, anxiety, and depression in patients with multiple sclerosis.


Article Title [Persian]

بررسی اثربخشی ذهن آگاهی ، معنا و طرحواره درمانی بر استرس ، اضطراب و افسردگی بیماران مبتلا به مولتیپل اسکلروزیس

Authors [Persian]

  • مریم فرهادی 1
  • شهرام وزیری 2
  • محمد مهدی پسندیده 3

1 دانشجوی دکترای روانشناسی بالینی دانشگاه آزاد واحد رودهن

2 دانشیار دانشگاه ازاد اسلامی رودهن

3 عضو هیات علمی دانشگاه پیام نور،تهران، ایران.

Abstract [Persian]

مقدمه: هدف از پژوهش حاضر بررسی اثربخشی درمان های ذهن آگاهی ، معنا درمانی و طرح واره درمانی در کاهش استرس، اضطراب و افسردگی بیماران مبتلا به MS می باشد.
روشها:مطالعه حاضر یک مطالعه نیمه آزمایشی با طرح پیش آزمون ، پس آزمون با گروه کنترل بود.جامعه آماری شامل افراد مبتلا به MS عضو انجمن MS شهر تهران در سال 1397 بود ,60 نفر از افراد داوطلب و حاضر به همکاری برای شرکت در پژوهش انتخاب و به چهار گروه 15 نفره تقسیم شدند. سپس با پرسشنامه (21-DASS) در دو مرحله(پیش‌آزمون - پس‌آزمون) مورد بررسی قرار گرفتند. گروه های آزمایش در 12 جلسه‌ی دو ساعته تحت آموزش درمان ذهن آگاهی، معنا درمانی و طرحواره درمانی قرار گرفتند و گروه کنترل هیچ‌گونه مداخله درمانی تجربه نکرد.
یافته‌ها: نتایج تحلیل واریانس نمرات اختلافی نشان داد که اثربخشی درمان ذهن آگاهی بر کاهش استرس(f= 110.90 , p < 0,001) ، اضطراب (f= 88.92 , p < 0,001) افسردگی (f= 32.29 , p < 0,0001), معنا درمانی: استرس(f= 264.60 , p < 0,001)، اضطراب (f= 175 , p < 0,001) افسردگی(f= 305.07 , p < 0,001) و طرحواره درمانی: استرس(f= 110.90 , p < 0,001),، اضطراب (f= 88.92 , p < 0,001) افسردگی(f= 32.29 , p < 0,001) می باشد.مقایسه میانگین ها نشان داد ;کاهش استرس ، اضطراب و افسردگی ، در درمان ها به ترتیب 1- ذهن آگاهی ، 2- معنادرمانی و 3- طرحواره درمانی می باشد.
نتیجه‌گیری: یافته های این پژوهش اثربخشی درمان‌های ذهن آگاهی، معنا درمانی و طرح واره درمانی در کاهش استرس، اضطراب و افسردگی بیماران مبتلا به MS را تایید می‌کند.

Keywords [Persian]

  • "مولتیپل اسکلروزیس"
  • "ذهن آگاهی"
  • "معنا درمانی "
  • "طرح واره درمانی"
  • " استرس"
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