A
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 ...
Read More
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.
Mina Moghtaderi; Majid Saffarinia; Hossein Zare; Ahmad Alipour
Abstract
Objective: The emergence of chronic diseases such as Parkinson seriously damages the patients’ psychological health besides physical health. Therefore, the present study was conducted with the purpose of investigating effectiveness of the package of hope therapy based on positivist approach on ...
Read More
Objective: The emergence of chronic diseases such as Parkinson seriously damages the patients’ psychological health besides physical health. Therefore, the present study was conducted with the purpose of investigating effectiveness of the package of hope therapy based on positivist approach on Self-efficacy and loneliness of patients with Parkinson. Method: The present study was quasi-experimental with pretest, posttest, control group and two-month follow-up period. The statistical population of the present study included the people with Parkinson in the city of Isfahan in the winter of 2018-19. 40 patients with Parkinson were selected through non-random available sampling and were randomly replaced into experimental and control groups (20 patients in the experimental group and 20 in the control group). The experimental group received training intervention of hope therapy based on positivist approach in ten ninety-minute sessions during three months. The applied questionnaires in this study included Self-efficacy (Sherer and Adams, 1994) and loneliness questionnaire (Russell, 1996). The data from the study were analyzed through repeated measurement ANOVA. Findings: The results showed that the training package of hope therapy based on positivist approach has significant effect on Self-efficacy and loneliness of Parkinson patients (p<0/001). However, this effect on the follow-up was also maintained. Conclusion: The findings of the present study showed that training package of hope therapy based on positivist approach can lead to the improvement of Self-efficacy and loneliness of Parkinson patients due to enjoying the methods of hope therapy and positivist psychotherapy.
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 ...
Read More
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
