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Ali Janadleh
Abstract
Objective: Multiple Sclerosis (MS) is one of the chronic illness that, due to its multiple and stable physical and mental dimensions, has major and continuous consequences on a wide range of aspects of the individual and social life of the patient. This illness has a female face based on its widespread ...
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Objective: Multiple Sclerosis (MS) is one of the chronic illness that, due to its multiple and stable physical and mental dimensions, has major and continuous consequences on a wide range of aspects of the individual and social life of the patient. This illness has a female face based on its widespread prevalence among women and also the specific effects it has on women. Nevertheless, in domestic studies, the experience of women with this illness has been less considered, and the few studies that have been conducted are often based on a clinical-medical and quantitative approach. Accordingly, in this article, an attempt is made to study the experience of women with Multiple sclerosis in the social context of Iranian society. Method: According to the main goal of this study, a feminist phenomenological approach has been adopted. Semi-structured interview was conducted with 25 women suffering from this illness who were selected using the purposeful sampling method and Criterion sampling strategy and the interviews were analyzed based on the procedure suggested by Moustakas. Results: Based on the narratives expressed in the interviews, the studied women's experience of Multiple sclerosis illness was formulated in the themes of living in suspension, shame of powerlessness, sexual inactivity, maternity risk and spousal apprehension. "Life in suspense" means that the women participating in this study, in describing and expressing their experience of MS illness, have mentioned the sense of uncertainty and not having a clear and reliable image of the future. "Shame of powerlessness" refers to the fact that the fatigue and disability caused by MS goes beyond the physical dimension, and women with MS feel a kind of shame due to their inability to perform daily activities. "Sexual inactivity" indicates that uncertainty and disability in MS affect the patient's most private activities, especially sexual performance, in such a way that it leads to a change in the research participants' self-perception and endangering personal relationships with their wives. The forth theme is “Risky motherhood”. In such a situation, "motherhood" in women with MS becomes a "risky" issue for both the patient and the child at various fetal stages and thereafter in terms of meeting the child's care needs. Finally, the theme of "marriage anxiety" that refers to research participant concerns about the continuity of married life, worry about the husband's lack of understanding of the patient's situation and etc. Such conditions make marriage and playing the role of a wife a problematic situation for women with MS. Conclusion: According to the extracted themes, the experience of female participants in this research was conceptualized under the main theme of "identity anxiety" that refers to the experience of anxiety and worry about unfulfilled gender identity. This experience and understanding of MS, is a result of the intersection of the experience of chronic illness with gender, the body, and the social context in which a woman's identity is closely tied to pre-defined expectations and roles such as sexual attractiveness, marriage, homemaking, wifehood, motherhood, etc.
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Forough Esrafilian; Hojjatollah Farahani; Farzin Bagheri Sheykhangafshe
Abstract
Objective: Multiple Sclerosis (MS) is a chronic and potentially debilitating disease that affects the central nervous system, which comprises the brain, spinal cord, and optic nerves. MS disrupts the flow of information within and between the brain and body, leading to a wide range of physical and cognitive ...
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Objective: Multiple Sclerosis (MS) is a chronic and potentially debilitating disease that affects the central nervous system, which comprises the brain, spinal cord, and optic nerves. MS disrupts the flow of information within and between the brain and body, leading to a wide range of physical and cognitive symptoms. This condition is characterized by an abnormal immune response that targets myelin, the protective sheath surrounding nerve fibers, resulting in inflammation and damage. The present study aimed to investigate the relationship between emotional adaptation and mindfulness with the mediation of cognitive emotion regulation in patients with MS. Method: The method of this research was descriptive and the research design was a correlation design. The statistical population of the present study consisted of all people with MS in Tehran in 2022. For this purpose, the Iranian MS Association was referred and 300 patients were selected through voluntary and accessible sampling. To collect research data, questionnaires on emotional adaptation (Rubio et al, 2007), mindfulness (Cardaciotto et al, 2008), and, cognitive emotion regulation (Garnefski & Kraaij, 2006) were used. A unified questionnaire comprising all the scales was prepared to conduct this research. Subsequently, in coordination with the Iranian MS Society, individuals were contacted. If they volunteered and were willing to participate in the study, they were asked to visit the MS Society or MS treatment centers in Tehran to complete the questionnaire. The questionnaires were distributed individually, and during the research implementation, necessary explanations regarding how to respond and the purpose of the research were provided to the patients. The research was conducted from September to December 2022. Additionally, to adhere to ethical considerations, patients were assured that the research data would be analyzed collectively. Ethical principles in writing the article were followed according to the guidelines of the National Ethics Committee and the COPE (Committee on Publication Ethics) code of conduct. For data analysis in this research, descriptive statistical indices (mean, standard deviation, skewness, and kurtosis) and inferential statistical indices (Pearson correlation coefficient, path analysis) were used via SPSS and LISREL software version 24. Results: The results obtained from this research showed that the dimensions of mind-awareness (awareness focused on the present moment and acceptance) as exogenous variables of the research on the dimensions of emotional adaptation (lack of regulation of emotional and physiological arousals, hopelessness, and wishful thinking) have both direct and indirect effects (P<0.001). These effects underscore the complex interplay between present-moment awareness, acceptance, and the emotional processes in individuals with MS. The indirect effects were mediated through various pathways, indicating that mind awareness influences emotional adaptation directly and through its impact on other intermediate variables and coping mechanisms. Conclusion: What can be concluded from the present findings is the importance of training mindfulness skills in MS patients and improving cognitive skills in emotional regulation. According to the stress perceived by these people, the more a person focuses on desires and destructive thoughts loses focus on the present, and cannot accept his illness, the course and process of the disease will undoubtedly be faster. Future research should continue to explore the benefits of mindfulness and emotional regulation training in MS patients. Longitudinal studies could provide deeper insights into how these interventions impact disease progression and quality of life over time. Additionally, research could investigate the optimal methods for delivering mindfulness training to MS patients, considering factors such as disease severity, cognitive function, and individual preferences.
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Sedigheh Khoshbavar Rostami; majid baradaran; Farzaneh Ranjbar Noushari
Abstract
Objective: Multiple sclerosis (MS) is a chronic progressive disease of the central nervous system that affects various aspects of a person's life. Evidence suggests that patients with more disabilities have lower levels of participation in social, home, work, and educational domains. Therefore, people ...
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Objective: Multiple sclerosis (MS) is a chronic progressive disease of the central nervous system that affects various aspects of a person's life. Evidence suggests that patients with more disabilities have lower levels of participation in social, home, work, and educational domains. Therefore, people with MS may be at risk of loneliness due to the changes in the social network that occur during the course of the chronic disease. Loneliness is the most painful experience of all human experiences that leads to severe psychological and physical problems. Considering the extensive physical, psychological and social consequences of this disease and the high cost of MS treatment and control, which can be aggravated by the psychological disturbance of patients, it will be important to examine psychological variables in people suffering from this disease. Based on this, the aim of this study was to investigate the role of pain catastrophizing, perceived tension and experiential avoidance in the loneliness of patients with multiple sclerosis. Method: The method of the present research was a descriptive-correlation study. The studied population included all patients with multiple sclerosis living in Rasht in 2022 who 120 people were selected as a sample group by available sampling method. In order to collect data, pain catastrophizing questionnaire (Sullivan et al., 1995), perceived stress scale (Cohen et al., 1983), acceptance and action questionnaire (Bond et al., 2011) and loneliness scale (DiTomaso et al., 2004) was used, all of which were valid and reliable. Participating in this research was optional and all participants were free to quit any time. The identities of the participants in this research were ethically confidential. The research data collected using descriptive statistics, Pearson's correlation coefficient, and step-by-step regression using SPSS-27 software. Results: The results showed that there is a significant positive correlation between loneliness and pain catastrophizing (r= 0.22, p< 0.05), perceived tension (r= 0.42, p<0.01) and experiential avoidance (r=0.51, p<0.01). In other words, the greater the pain catastrophizing, the perceived tension and the experienced avoidance it is more in patients with multiple sclerosis, loneliness is more. Also, the findings showed that among the predictor variables of this study, only experiential avoidance with a beta coefficient of 0.405 at the error level of 0.05 can predict social loneliness of patients with multiple sclerosis. Conclusion: Based on the results of this study, it can be acknowledged that pain catastrophizing, perceived tension and experiential avoidance through non-acceptance of feelings and thoughts have increased the loneliness of patients with multiple sclerosis. Therefore, considering the high levels of injuries and mental disorders in patients with multiple sclerosis, it seems necessary to identify the causal and underlying factors in maintaining and improving the mental health and well-being of this group of chronic patients. The findings of this study can strengthen theoretical models related to health and especially health psychology.
sahar bagheri; mohammad hatami; Hassan Rezaei-Jamalouei; moslem abbasi
Abstract
Objective: Considering the chronicity and long duration of multiple sclerosis and the importance of self-criticism and fatigue in these patients, the need to pay attention to the use of cognitive behavioral therapy and its third generation in these patients has been neglected. The aim of this study was ...
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Objective: Considering the chronicity and long duration of multiple sclerosis and the importance of self-criticism and fatigue in these patients, the need to pay attention to the use of cognitive behavioral therapy and its third generation in these patients has been neglected. The aim of this study was to compare the effectiveness of cognitive and behavioral training based on fatigue and cognitive self-compassion on the dimensions of fatigue and self-criticism in patients with multiple sclerosis. Method: The present study was a quasi-experimental study with a post-test and follow-up design (2 months). Subjects with an age range of 20-40 years and with a scale of physical disability (EDSS) one to 5.5 and targeted sampling and voluntarily selected and randomly divided into experimental groups and evidence of division Were. Both groups answered the fatigue Impact scale (1994), Thompson & Zuroff (2004) in the pre-test-post-test and 2-month follow-up. The collected data were analyzed using mixed analysis of covariance with repeated measures. Findings: The results of analysis of covariance mixed with repeated measures showed that cognitive and behavioral training based on fatigue and cognitive self-compassion are effective on the dimensions of fatigue and self-criticism in patients with multiple sclerosis. Also, the effects of the intervention were maintained after 2 months of follow-up on the reduction of fatigue and self-critical scores. Conclusion: Based on the results of this study, cognitive-behavioral training based on fatigue and cognitive self-compassion can be used along with drug interventions to reduce fatigue and self-criticism of multiple sclerosis patients in medical centers.
marie abdolghaderi; mohammad narimani; Akbar atadokht; Abbas Abolghasemi; mousa kafie; hamodreza hatamian
Abstract
Objective: The effect of a positive treatment approach on improving sleep and reducing pain in patients with multiple sclerosis. Method: This quasi-experimental study was conducted with pre-test and post-test design. The study population consisted of all patients with multiple sclerosis referred to Multiple ...
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Objective: The effect of a positive treatment approach on improving sleep and reducing pain in patients with multiple sclerosis. Method: This quasi-experimental study was conducted with pre-test and post-test design. The study population consisted of all patients with multiple sclerosis referred to Multiple Sclerosis Association in Rasht city in 2018. The sample were 24 multiple sclerosis patients which assigned to three group ( experimental and control group) by random sampling. For data gathering used to PETERSBURG Sleep Quality Questionnaire and Pain Management. The experiment groups received 8 sessions of positive psychotherapy and no intervention was done for control group. Findings: Multivariate analysis of covariance was used to analyze the data Results showed that positive psychotherapy therapy increases quality of sleep and pain management in MS patients (001/0>P). Conclusion: These findings suggest that positive psychotherapy is effective on psychological variables and can be used as complementary therapies in addition to drug therapies for patients with multiple sclerosis.
leila razi; daruosh jalali
Abstract
Objective: Disease perception, which plays an important role in the treatment process and following health instructions, is influenced by various psychological factors.. The aim of this study was to investigate the mediating role of coping strategies in the relationship between personality traits and ...
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Objective: Disease perception, which plays an important role in the treatment process and following health instructions, is influenced by various psychological factors.. The aim of this study was to investigate the mediating role of coping strategies in the relationship between personality traits and family functioning with perception of the disease in multiple sclerosis (MS) patients. Method: The method of this study was descriptive with a correlational design based on path analysis and statistical population of all patients with with multiple sclerosis disease referred to the offices of neurologists and Kashani Hospital in Shahrekord in 2020, from which 250 people were selected by purposive sampling method. Data collection tools included Bradbent et al.'s Awareness Questionnaire, Neo Personality Traits Questionnaire, Bishop and Baldwin Family Performance Scale, and Lazarus and Folkman Coping Strategies Questionnaire. Data were analyzed using SPSS-24 and Amos-19 software and path analysis. Findings: The results showed that the research model has a good fit. The results also showed that coping strategies in the relationship between neuroticism, conscientiousness, agreement, Openness, extroversion and family functioning play a mediating role in the perception of the disease. Conclusion: Family performance and personality traits can lead to a better perception of the disease for the individual with positive effects on the adoption of effective coping strategies.
nafiseh mohammad; mohammad hatami; Mojgan Niknam
Abstract
Objective: The aim of this study was to compare the efficacy cognitive-behavioral therapy,processing emotion regulation and mixed intervention on anxiety sensitivity of patients with multiple sclerosis. Method: The present study was a quasi-experimental study with pretest-posttest design and follow-up. ...
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Objective: The aim of this study was to compare the efficacy cognitive-behavioral therapy,processing emotion regulation and mixed intervention on anxiety sensitivity of patients with multiple sclerosis. Method: The present study was a quasi-experimental study with pretest-posttest design and follow-up. The population of the research includes all M.S. patients with registered medical records in M.S. Association of Tehran in2020. 30 patients were selected by available and random sampling in three experimental groups. Training groups were treated for 3 months based on cognitive behavioral therapy, emotion regulation and mixed intervention. Anxietysensitivity were measured by Reiss and Peterson anxietysensitivity questionnaire before, after, and 3 months after the intervention. Findings: The results showed that there was a significant difference (p≤0.05) between the effectiveness of the three treatments on patients' anxiety sensitivity. The results of the Tukey test showed that group with mixed intervention compared to the other interventions and processing emotion regulation respect to cognitive-behavioral therapy had lower mean in both post-test and follow-up stages. Conclusion: The results of this study showed the effect of cognitive behavioral therapy, processing emotion regulation and mixed intervention on decrease of anxiety sensitivity in patients with Multiple sclerosis.
Maryam Malekan; majid saffarinia; mehrdad sabet; Mastooreh Sedaghat
Abstract
Objective: Multiple Sclerosis (MS) as a chronic disease with sudden and unpredictable onset reduces the mental well-being in different emotional, psychological and social dimensions. The present study aims at investigating of diet on mental well-being by health hardiness mediation among women suffering ...
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Objective: Multiple Sclerosis (MS) as a chronic disease with sudden and unpredictable onset reduces the mental well-being in different emotional, psychological and social dimensions. The present study aims at investigating of diet on mental well-being by health hardiness mediation among women suffering from MS. Method: The present study used descriptive research method from correlation and Structural Equation Model (SE) type. The statistical population of the study are all women suffering from MS referred to Tehran specialized clinics in 2018. The number of 60 women selected through convenience sampling method. Concern Over Weight and Dieting Scale (COWD) by Kagan and Squires, Health Hardiness Inventory (HHI) by Gebhardt and colleagues and Subjective Well-being Scale (SWS) by Kiz and Magiarmo were data collecting instruments. The hypotheses of this study tested by means of Partial Least Squares-Structural Equation Modeling (PLS-SEM) method. Findings: Results out of investigating the direct effects of variables showed that there is a direct and significant relationship between diet and mental well-being, between mental well-being and health hardiness and between health hardiness and mental well-being (p<0/05). Considering indirect effect, there is a significant relationship between diet and mental well-being by health hardiness mediation to 0/25 (p<0/05). Conclusion: According to the results of the study, in order to increase the mental well-being of patients with multiple sclerosis, it is recommended to pay attention to the role of diet and psychological factors such as health hardiness mediation.
fahimeh amini; Alireza Aghayousefi; Ahmad Alipour; Valli Allah Farzad
Abstract
Objective: The use of stress coping methods in multiple sclerosis patients can lead to significant changes in the level of cognitive immune biomarkers. Therefore, the aim of this research was Investigatin on the Effect of Coping Therapy on Immunological Biomarkers among Multiple Sclerosis Patients. Method: ...
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Objective: The use of stress coping methods in multiple sclerosis patients can lead to significant changes in the level of cognitive immune biomarkers. Therefore, the aim of this research was Investigatin on the Effect of Coping Therapy on Immunological Biomarkers among Multiple Sclerosis Patients. Method: The present research was quasi-experimental with pretest-posttest method with control group. The study population included all patients with multiple sclerosis support member with MS. S. Tehran province was in 1397, 30 patients with M. S. Among eligible and volunteer patients, they were selected and randomly assigned to two experimental and control groups. The experimental group received eight sessions of treatment as copping therapy, and the control group received the same number of routine care sessions. To measure of the hypothesis, human Immunological Biomarkers kits were used to measure and blood samples collected 3 times and psychologically intervention was coping therapy. Findings: The results showed pre-test and post-test and follow-up component of IL-6, IL-10, TNF-α, INF-gama, white blood cells, lymphocytes and a significant difference (05/0> P) and grades stage follow-up measures remained fairly stable and lasting effect of the intervention is still coping therapy. Conclusion: The course of coping therapy improves the Immunological Biomarkers in patients with multiple sclerosis. In addition, this approach reduces the effectiveness of the intervention, follow-up time after the test had no effect
Marzieh Hajibabaei; MohammadBagher Kajbaf; Maryam Esmaeili; Mohammad Hossein Harirchian; Ali Montazeri
Abstract
Objective: Multiple sclerosis (MS) is the most prevalent neurologic disabling disease in young ages accompanied by psychological side effects. Recently prevalence of MS has been rising in Iran. The aim of the present study was to explanation of psychological problems and coping behaviors among women ...
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Objective: Multiple sclerosis (MS) is the most prevalent neurologic disabling disease in young ages accompanied by psychological side effects. Recently prevalence of MS has been rising in Iran. The aim of the present study was to explanation of psychological problems and coping behaviors among women with multiple sclerosis. Method: This was a qualitative study. In all 15 women with MS participated in study. Patients were selected in a convenience sampling method. Semi-structured interview was used for data collection. The data were collected until saturation achieved. After coding, the data was analyzed through conventional content analysis. Findings: In general, five themes emerged from analysis as psychological problems. These were poor life skills, inadequate (avoidant) coping strategies, depression and emotional- cognitive distortions, relationship problems and fear of solitude including emotional dysregulation, marital, family and social relationships, cultural beliefs and MS stigmatization. In addition, extra five themes emerged as coping behaviors. These were, spiritual-religious coping, acquiring moral values, confidence on god strength and belief in eternal life, search of meaning and being purposeful, active (problem-focused) coping strategies. Conclusion: The findings suggest that to overcome problems among women with MS, developing a comprehensive caring intervention and coping strategies are needed insuring that they include active (problem-focused), and spiritual-religious coping strategies.
Zahra Abdekhodaie; Shahriar Shahidi; Mohammad Ali Mazaheri; Laily Panaghi; Vahid Nejati
Abstract
Objective: This study aimed to investigate the effectiveness of existential based spiritual intervention on quality of life and life meaning in patients with multiple sclerosis (MS). Method: Qualitative single case method with multiple baseline was applied. 5 patients were selected through purposive ...
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Objective: This study aimed to investigate the effectiveness of existential based spiritual intervention on quality of life and life meaning in patients with multiple sclerosis (MS). Method: Qualitative single case method with multiple baseline was applied. 5 patients were selected through purposive convenience sampling and were interviewed. Intervention was developed in 12 topics and applied weekly in two one-hour sessions. The process and mechanisms of changes were evaluated using the quality of life and life meaning scales. After obtaining of baseline in pretest stage, the participants were evaluated during six stages treatment process and two stages follow-up. The data were analyzed via visuals inspection, reliable change index (RCI) and improvement percentage strategies. Findings: The percentage of improvement was calculated in two scales and at three stages for five participants. The average improvement rate in the intervention stage was 114.32% for the Meaning-in-Life and 79.4% for Quality of Life, and in the follow-up stage it was obtained 185.5% for the Meaning-in-Life and 123.28% for Quality of Life. Intervention has positive and stable effect on Quality and Meaning of Life, but the subscales changed in different manner. Conclusion: Existential based spiritual intervention, which had affections on different level in meaning life, enhanced the patients’ quality of life in physical and psychological level. So this psychological intervention will be useful for MS patients.
ezatollah ghadampour; leila heidaryani; farnaz radmehr
Volume 8, Issue 29 , June 2019, , Pages 153-167
Abstract
Introduction: The aim on present study was to evaluate the effectiveness of acceptance and commitment group therapy on cognitive flexibility and life satisfaction women with multiple sclerosis. Methods: The present study design was method experimental included with pretest-posttest and follow-up with ...
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Introduction: The aim on present study was to evaluate the effectiveness of acceptance and commitment group therapy on cognitive flexibility and life satisfaction women with multiple sclerosis. Methods: The present study design was method experimental included with pretest-posttest and follow-up with control group which was performed on 30 women with multiple sclerosis, who were randomly assigned into two groups of experimental and control group. Intervention acceptance and commitment therapy during 8 sessions, 90-minute, two sessions a week for the experimental group, while control group received no the intervention. After finishing session, posttest and three months after intervention follow-up was administrated to experimental and control group. Analysis of raw data using descriptive and inferential and tests, including analysis of covariance was performed. Results: The results revealed that the acceptance and commitment therapy had a significant positive effect on increase cognitive flexibility and life satisfaction (P
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Hiva Mahmoodi
Volume 7, Issue 25 , June 2018, , Pages 21-34
Abstract
Objective: Multiple sclerosis affects the physical and psychological state of many patients. The purpose of this study was to compare perceived social support and self-compassion among patients with multiple sclerosis and normal people. Method: The present study was a causal-comparative study. In this ...
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Objective: Multiple sclerosis affects the physical and psychological state of many patients. The purpose of this study was to compare perceived social support and self-compassion among patients with multiple sclerosis and normal people. Method: The present study was a causal-comparative study. In this study, 200 individuals with multiple sclerosis and 200 healthy individuals were selected by sampling method as a sample of this study in the years 1396-97. The research tools included perceived social support scale and self-compassion scale. Data were analyzed by multivariate analysis of variance. Results: The results showed that there is a significant difference between the group of patients with multiple sclerosis and healthy people in terms of perceived social support and self-compassion. Conclusion: People with multiple sclerosis uses perceived social support and self-compassion for more adaptation to disease.
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Zahra Abdekhodaie; Shahriar Shahidi; Mohammad Ali Mazaheri; leyli panaghi; vahid Nejati
Volume 6, Issue 24 , March 2018, , Pages 7-30
Abstract
Objective: This study aimed to investigate quality psychological strategies which were applied by MS patients. Method: A phenomenological approach was adopted using a qualitative method and 15 participants were chosen none randomly on the basis of their availability. Deep interviews were carried out ...
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Objective: This study aimed to investigate quality psychological strategies which were applied by MS patients. Method: A phenomenological approach was adopted using a qualitative method and 15 participants were chosen none randomly on the basis of their availability. Deep interviews were carried out with fifteen MS patients and detailed information obtained from these interviews was analyzed using the Colizzi and the Interpretative Phenomenological Analysis methods. Result: Result of the present study indicated that two major categories in applied psychological strategies can be identified. Each of which was consist of several sub-categories. These were labeled as follows: 1. Defense mechanisms; “pathologic”, “neurotic”, “immature” and “mature”. 2. Coping strategies; “problem-focused coping”, “emotion-focused coping” and “coping based on spirituality and religion”. Conclusion: Use “denial” as a most common defense mechanism with the “neurotic” and “immature” defense mechanism lead to reduce the level of individual ability in dealing with disease. Although each of the three categories of coping strategies was used but often the participants use the emotion-focused coping. In most common case, using of “denial” as a defense mechanism was viewed in relation with “seeking social support” and “avoidance – escape” as a coping strategy. Adaptive coping and religion/ spirituality strategies was used in patients with higher levels of self-integrity.
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S.Fateme Manafi; GHolamreza Dehshiri
Volume 6, Issue 22 , September 2017, , Pages 115-130
Abstract
Introduction: Fear of disease progression is common problems and the main causes of distress in chronic disease. This fear can have destructive effect, including emotional problems of patients with chronic physical diseases. The purpose of this study was to investigate the relationship between fear of ...
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Introduction: Fear of disease progression is common problems and the main causes of distress in chronic disease. This fear can have destructive effect, including emotional problems of patients with chronic physical diseases. The purpose of this study was to investigate the relationship between fear of disease progression with anxiety, stress and depression among multiple sclerosis and cancer patients. Methods: The sample of this research consisted of 212 female patients with multiple sclerosis and 102 cancers that were selected by convenience sampling method. The assessment tools have been including fear of progression questionnaire and depression, anxiety and stress scale. Results: The results showed that significant positive relationships were found for fear of progression and anxiety, stress and depression. All in all, the result of this analysis showed that the tested model explain 48 percentage of the variance of emotional problems. Another finding of this study was that the fear of disease progression in patients with cancer was much more than in patients with multiple sclerosis. Conclusion: Thus, due to administration and planning health care of chronic diseases, including multiple sclerosis and cancer, the consideration of fear of disease progression in these patients is important.
Mohamad oraki; Puran sami
Volume 5, Issue 20 , January 2017, , Pages 34-47
Abstract
Objective: the purpose of this research is studying of : Mindfulness Integrated Behavior- Cognitive Therapy Effect on psychological well-being, quality of life among multiple sclerosis patients.Method: Materials and Methods: This research is a quasi-experimental design of which the corpus is all multiple ...
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Objective: the purpose of this research is studying of : Mindfulness Integrated Behavior- Cognitive Therapy Effect on psychological well-being, quality of life among multiple sclerosis patients.Method: Materials and Methods: This research is a quasi-experimental design of which the corpus is all multiple sclerosis patients that have a file at MS Society of Iran. Of these30 were selected by Voluntary sampling and were randomly divided into two groups: experimental and control group , then testing group were under Mindfulness- Integrated Cognitive Behavior Therapy. Instruments that used is quality of life’ 54 items, and psychological well-being questionnaires that completed by patients. Behavior- Cognitive Therapy based on Mindfulness was used to the experimental group. After completion of the process both experimental and control groups were filled in the questionnaires again .data were then analyzed using Co-variance test (Ancova and Mancova).Results: Multi-variable covariance(Ancova and Mancova) analyze showed that there was a significant difference among two groups in the case of psychological well-being and quality of life in MS patients in psychological dimension (p< 0/001).Conclusion: Mindfulness- Integrated Cognitive Behavior Therapy may increase psychological well-being in MS patients and also improves quality of life in MS patients in psychological dimension.
Elham zamani; Abdollah Moatamedy; Maryam Bakhtiari
Volume 5, Issue 20 , January 2017, , Pages 152-167
Abstract
Objective: acceptance and commitment therapy is a third generation behavioral therapy that uses mindfulness skills, acceptance and cognitive defusion in order to achieve psychological flexibility. The main purpose of this research was to evaluate the effectiveness of acceptance and commitment therapy ...
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Objective: acceptance and commitment therapy is a third generation behavioral therapy that uses mindfulness skills, acceptance and cognitive defusion in order to achieve psychological flexibility. The main purpose of this research was to evaluate the effectiveness of acceptance and commitment therapy on anxiety in patients with Multiple Sclerosis( MS). Method: This research was carried out based on questionnaire survey and Beck Anxiety Inventory. The method of the experimental design of pretest - posttest control group design was used. The respondents of the survey were chosen from members of MS community of Tehran and randomly classified in two experimental/control groups. In pre-test the severity of anxiety was assessed by Beck Anxiety Inventory. The experimental group received 8 , one and half hour-sessions of ACT twice a week for a month but the control group did not receive any intervention. Again in post-test and 3 month follow up BAI was conducted. Results: The findings of this study showed significant differences between control and experimental groups. Acceptance and commitment therapy has a significant effect on reducing anxiety in multiple sclerosis. Conclusion: It can be concluded that acceptance and commitment therapy is effective in reducing anxiety in patients with multiple sclerosis.
M. Hatami; F. Farmani; S. Safavi; A. Najafizadeh; Mahdi Asadi Qale Shidi
Volume 4, Issue 16 , October 2015, , Pages 109-120
Abstract
Objective: Psychological aspects of chronic diseases, due to their suddrn oneset and uncontrolability of symptoms, couse varioty of stresses and negative emotion and mood in patient. This issue, have attracted many professional's attention. The aim of this study was to investigate the effectiveness of ...
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Objective: Psychological aspects of chronic diseases, due to their suddrn oneset and uncontrolability of symptoms, couse varioty of stresses and negative emotion and mood in patient. This issue, have attracted many professional's attention. The aim of this study was to investigate the effectiveness of group therapy with emphasis on choice theory on reducing loneliness feeling in patients with MS (multiple sclerosis). Method: This study is semi-experimental with pretest-posttest and control group. The study population included all patients with MS referred to MS Society of Iran located in Tehran. At first the UCLA questionnaire was performed and who was scored higher than the mean of 40 was selected assigned into two experimental (20 subjects) and control groups (N=20 subjects) by random. Both groups were tested by pre-test and post-test. The data of pre-test and post-test were analyzed using descriptive and inferential statistics (analysis of covariance). Results: Findings demonstrated that the significant reduction in mean of loneliness feeling score was occurred after the intervention in the experimental group (P
