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Rozita Goharshahi; Abdollah Mafakheri; mohammad mohammadipour
Abstract
Objective: Eating disorders are one of the common mental and psychosomatic disorders that cause many problems in the physical health and mental performance of a person. Many people with bulimia have mental rumination regarding their body type. Patients who engage in mental rumination consider it a way ...
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Objective: Eating disorders are one of the common mental and psychosomatic disorders that cause many problems in the physical health and mental performance of a person. Many people with bulimia have mental rumination regarding their body type. Patients who engage in mental rumination consider it a way to gain insight into their problem and through it they focus on themselves, the problematic situation and their feelings. In other words, they think that mental rumination helps them to solve their problems, while answering problems through mental rumination causes more tension and problems. On the other hand, self-acceptance in these people is lower than others. A person with low agreeableness tends to seek isolation and is afraid of and avoids communication with others. The purpose of this research was to compare the effectiveness of therapeutic schema training in comparison with acceptance and commitment therapy (ACT) with self-acceptance and rumination in women with diabetes and anorexia nervosa. Method: This is a semi-experimental study with a pre-test-post-test design and a control group with a two-month follow-up. The statistical population was all women with simultaneous disorder of diabetes and psychogenic anorexia in Mashhad city in the first half of 1402 who had referred to medical centers. 45 people were selected by purposeful sampling and randomly divided into three groups: schema therapy (15 people), acceptance and commitment therapy (15 people) and control group (15 people). Chamberland and Haga (2001) questionnaire was used to evaluate self-efficacy, and Trinoor et al. The therapeutic schema experimental group underwent the educational package intervention of Yang et al. (2003) and the acceptance and commitment experimental group underwent the therapeutic intervention of Hizo colleagues (2012) for ten one-hour sessions. The data was analyzed by the statistical method of analysis of variance with repeated measurements. Results: The results showed that the intervention of therapeutic schema and acceptance and commitment is effective on mental rumination (P<0.01), (F=29.63) and self-acceptance (P<0.01), (F=49.83) and this The effect is stable in the follow-up phase. The results of Shefe's follow-up test showed that there is a significant difference in self-acceptance and rumination between the two groups of acceptance and commitment and therapeutic schema (P<0.05); Therefore, acceptance and commitment have had a greater effect on reducing rumination and increasing women's self-acceptance. Conclusion: According to the results, it can be said that by teaching psychological treatment approaches such as schema and acceptance and commitment therapy, women can be helped in controlling diabetes and preventing their nervous overeating. Also, by controlling binge eating, they can be protected from the side effects of physical, psychological and social damage of binge eating, and thus have healthier mothers and a healthier society.
A
nahid khanbabaei; razieh zahedi; amin rafiepoor
Abstract
Objective: Rheumatoid arthritis is a preexisting chronic inflammatory autoimmune disease with a prevalence of 0.5 to 2.4 percent in the world. The present study aimed to investigate the effectiveness of the effectiveness of acceptance and commitment therapy (ACT) on the psychological distress and fear ...
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Objective: Rheumatoid arthritis is a preexisting chronic inflammatory autoimmune disease with a prevalence of 0.5 to 2.4 percent in the world. The present study aimed to investigate the effectiveness of the effectiveness of acceptance and commitment therapy (ACT) on the psychological distress and fear of disease progression in patients with rheumatoid arthritis. Methods: this quasi-experimental clinical trial study was performed on 30 people with rheumatoid arthritis selected through purposive sampling and randomly assigned in tow groups, experimental and control (n= 15 persons) the intervention was implemented 8 session per week is a one-half hour session in the experimental group. Data were collected using Psychological distressquestionnaire (DASS)and fear of disease progression and analysis was done by SPSS-22 software. Descriptive and inferential statistics and repeated measures ANOVAand Bonferroni post hoc test were used. Findings: Results of repeated measure ANOVA showed significant difference between the two groups in mean depression and stress (P> 0.05). Anxiety scores were not significantly different between the two groups (P Conclusion: the results indicate the effect of ACT on the psychological distress and fear of disease progression in patients with rheumatoid arthritis; therefore, this treatment can be used as a complementary treatment, along with medication, to improve the quality of life of these patients.
