Cognitive-Behavioral Therapy on the Anxiety, Stress, and Despair of MS patients

Ghaffarzadeh, Mahsa; Aghdasi, Alinaghi

doi:10.30473/ijohp.2021.53953.1100

Document Type : research

Authors

¹ Department of Clinical Psychology, Faculty of Humanities, Islamic Azad University, Tabriz Branch, Iran

² Department of Educational Psychology, Islamic Azad University, Tabriz Branch, Iran.

https://doi.org/10.30473/ijohp.2021.53953.1100

Abstract

Objective: The aim of this study was to determine the effectiveness of group therapy of cognitive-behavioral approach on anxiety, stress, and despair of patients with Multiple sclerosis in Tehran.
Method: This study was quasi-experimental with a pre-test-post-test design and a control group. Twenty patients who were referred to the available medical centers were selected as the study samples and randomly assigned into two experimental and control groups. In this study, Kalmogorov-Smirnov, Levene, and Covariance tests were used to analyze data through IBM SPSS software.Beck Anxiety Inventory Questionnaire, Cohen's Perceived Stress Questionnaire (PSQ), and Beck's Hopelessness Scale questionnaire were used to collect data.
Results: The results of the present study showed that there is a significant difference between the experimental and control groups in terms of anxiety, stress, and despair with a 95% confidence level. Therefore, three main hypotheses were confirmed and the null hypothesis was rejected. It was found that cognitive-behavior group therapy was effective in reducing anxiety, stress, and despair in patients with MS.
Conclusion: Cognitive-behavioral group therapy reduced stress, anxiety, and despair in patients with MS and improved their mental health. Therefore, this treatment method can be useful in clinics.

Keywords

Article Title [Persian]

اثربخشی درمان گروهی به شیوه شناختی-رفتاری بر اضطراب، استرس و ناامیدی در بیمارانMS شهر تهران

Authors [Persian]

مهسا غفار زاده ¹
علی نقی اقدسی ²

² Department of Educational Psychology, Islamic Azad University, Tabriz Branch, Iran.

Abstract [Persian]

زمینه و هدف: هدف از این مطالعه تعیین اثربخشی گروه درمانی با رویکرد شناختی-رفتاری بر اضطراب استرس و ناامیدی در بیماران مبتلا به MS در شهر تهران بود.
روش مطالعه: این مطالعه از نوع نیمه آزمایشی با طرح پیش آزمون- پس آزمون با گروه کنترل بود. 20 بیمار مراجعه کننده به مراکز درمانی موجود به عنوان نمونه مورد مطالعه انتخاب و به طور تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. در این مطالعه از آزمونهای کالموگروف-اسمیرنف، لون و کواریانس برای تجزیه و تحلیل داده ها از طریق نرم افزار IBM SPSS استفاده شد. برای گردآوری داده ها از پرسشنامه اضطراب بک ، پرسشنامه استرس درک شده کوهن (PSQ) و پرسشنامه مقیاس ناامیدی بک استفاده شد.
نتایج: یافته های مطالعه حاضر نشان داد که بین گروه های آزمایش و کنترل از نظر اضطراب ، استرس و ناامیدی با سطح اطمینان 95 درصد تفاوت معنی داری وجود دارد. بنابراین ، سه فرضیه اصلی تأیید شد و فرضیه صفر رد شد. مشخص شد که درمان گروهی شناختی-رفتاری در کاهش اضطراب ، استرس و ناامیدی در بیماران مبتلا به MS موثر است.
نتیجه گیری: گروه درمانی شناختی-رفتاری باعث کاهش استرس ، اضطراب و ناامیدی در بیماران مبتلا به MS و بهبود سلامت روانی آنها شد. بنابراین ، این روش درمانی می تواند در کلینیک ها مفید باشد.

Keywords [Persian]

درمان شناختی-رفتاری
اضطراب
سلامت
ناامیدی
MS

References

Abolghasemi, A., Mikaeili, N., Khoshnoodnia Chomachaei, B., & Karimi Yousefi, S. H. (2018). Effectiveness of Cognitive Therapy on Emotional Distress and Stress Coping Strategies in Patients with Multiple Sclerosis. Iranian Journal of Health Psychology, 1(1), 29-36.

AGHABAGHERI, H., MOHAMMADKHANI, P., Omrani, S., & Farahmand, V. (2012). The efficacy of mindfulness-based cognitive therapy group on the increase of subjective well-being and hope in patients with multiple sclerosis.

Alghamdi, M., Hunt, N., & Thomas, S. (2015). The effectiveness of narrative exposure therapy with traumatised firefighters in Saudi Arabia: A randomized controlled study. Behaviour research and therapy, 66, 64-71.

Association, A. P. (2014). Diagnostic and Statistical Manual of Mental Disorders. Translated by Yahya Seyed Mohammadi: Agah Publications, Tehran.

Babushkina, E. A., Belokopytova, L. V., Grachev, A. M., Meko, D. M., & Vaganov, E. A. (2017). Variation of the hydrological regime of Bele-Shira closed basin in Southern Siberia and its reflection in the radial growth of Larix sibirica. Regional Environmental Change, 17(6), 1725-1737.

Chesin, M. S., Sonmez, C. C., Benjamin-Phillips, C. A., Beeler, B., Brodsky, B. S., & Stanley, B. (2015). Preliminary effectiveness of adjunct mindfulness-based cognitive therapy to prevent suicidal behavior in outpatients who are at elevated suicide risk. Mindfulness, 6(6), 1345-1355.

Fox, R. J., Bethoux, F., Goldman, M. D., & Cohen, J. A. (2006). Multiple sclerosis: advances in understanding, diagnosing, and treating the underlying disease. Cleveland Clinic journal of medicine, 73(1), 91-102.

GHALEBANDI, M. F., Ahadi, H., Pourshahbaz, A., & Rezaei, M. (2012). The effectiveness of cognitive-behavior therapy on illness representations of multiple-sclerosis and improving their emotional states.

Halgin, R., & Whitbourne, S. (2007). Abnormal psychology: Clinical perspectives on psychological disorders. Translated by: Yahya seyed Mohammadi: Ravan Publications.

Jameson, J. L. (2018). Harrison's principles of internal medicine: McGraw-Hill Education.

Kalat, J. W. (2015). Biological psychology: Cengage Learning.

Karimi, S., Kakabaraee, K., Yazdanbakhsh, K., & Moradi, G. R. (2014). Effect of cognitive behavioral therapy on subjective well-being of patients with cardiovascular diseases. Journal of Kermanshah University of Medical Sciences, 18(3).

Khayam Nekouei, Z., Yousefy, A., & Manshaee, Q. (2010). The effect of cognitive-behavioral therapy on the improvement of cardiac patients' life quality. Iranian Journal of Medical Education, 10(2), 148-153.

Kikuchi, H., Niino, M., Hirotani, M., Miyazaki, Y., & Kikuchi, S. (2019). Pilot study on the effects of cognitive behavioral therapy on depression among Japanese patients with multiple sclerosis. Clinical and Experimental Neuroimmunology, 10(3), 180-185.

Lilly, L. S., & Braunwald, E. (2012). Braunwald's heart disease: a textbook of cardiovascular medicine (Vol. 2): Elsevier Health Sciences.

Linden, W. (2004). Stress management: From basic science to better practice: Sage Publications.

Mehdipour, F., Rafiepoor, A., & Hajializade, K. (2019). The Effectiveness of Mindfulness-Based Cognitive Group Therapy (MBCT) In Improving Quality of Life Among Patients with Cancer. Iranian Journal of Health Psychology, 2(1) 125-134.

Pervichko, E., Zinchenko, Y., & Martynov, A. (2013). Peculiarities of emotional regulation with MVP patients: a study of the effects of rational-emotive therapy. Procedia-social and behavioral sciences, 78, 290-294.

Peterson, C. (2000). Optimistic explanatory style and health.

Pillai, M. (2012). Efficacy of cognitive–behaviory therapy (CBT) on depressed spouses of cancer patients in an adjubvant care setting. Journal of pharmacy and Biological sciences (IosrIpbs) ISSN, 2278-3008.

Prochaska, J. O., Norcross, J. C., & DiClemente, C. C. (2013). Applying the stages of change. Psychotherapy in Australia, 19(2), 10-15.

Saadat, S., Kalantari, M., Kajbaf, M., & Hosseininezhad, M. (2020). Psychological Status of Multiple Sclerosis Patients: A Qualitative Study. J Health Syst Res, 15(4), 296-303.

Saadat, S., Kalantari, M., Kajbaf, M. B., & Hosseininezhad, M. (2019). Comparison of psychological symptoms in multiple sclerosis patients and normal people. Razi Journal of Medical Sciences, 26(6), 73-83.

Shahabizadeh, F., & Khaje Aminiyan, F. (2018). The effectiveness of narrative therapy based on cognitive-behavioral perspective on anxiety of primary school female students. Knowledge & Research in Applied Psychology, 19(1), 70-80.

Shareh, H., & Robati, Z. (2018). Effectiveness of cognitive-behavioral group therapy in quality of life and hope among patients with multiple sclerosis. Researcher Bulletin of Medical Sciences, 23(1), e1-e1.

Snyder, C. R. (2000). Handbook of hope: Theory, measures, and applications: Academic press.

Snyder, C. R., Rand, K. L., & Sigmon, D. R. (2002). Hope theory. Handbook of positive psychology, 257-276.

Spence, S. H., Barrett, P. M., & Turner, C. M. (2003). Psychometric properties of the Spence Children’s Anxiety Scale with young adolescents. Journal of anxiety disorders, 17(6), 605-625.

Stouffer, G. A., Sheahan, R. G., Lenihan, D. J., Jacobs, W., & Chamoun, A. (2001). Mitral valve prolapse: a review of the literature. The American Journal of the Medical Sciences, 321(6), 401-410.

Thimm, J. C., Holte, A., Brennen, T., & Wang, C. E. A. (2013). Hope and expectancies for future events in depression. Frontiers in psychology, 4, 470.

Thompson, A. J., Rompani, P., Dua, T., Douglas, I., Battaglia, M., & Porter, B. (2008). WHO/MSIF: Atlas of MS: multiple sclerosis resources across the world.

van den Akker, L. E., Beckerman, H., Collette, E. H., Twisk, J. W., Bleijenberg, G., Dekker, J., . . . Group, T.-A. S. (2017). Cognitive behavioral therapy positively affects fatigue in patients with multiple sclerosis: Results of a randomized controlled trial. Multiple Sclerosis Journal, 23(11), 1542-1553.

Zell, J. A., Cinar, P., Mobasher, M., Ziogas, A., Meyskens Jr, F. L., & Anton-Culver, H. (2008). Survival for patients with invasive cutaneous melanoma among ethnic groups: the effects of socioeconomic status and treatment. Journal of clinical oncology: official journal of the American Society of Clinical Oncology, 26(1), 66-675.

Cognitive-Behavioral Therapy on the Anxiety, Stress, and Despair of MS patients

References

References

Volume 4, Issue 3 - Serial Number 9September 2021Pages 67-80

Volume 4, Issue 3 - Serial Number 9
September 2021
Pages 67-80