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nazafarin Paknahad; majid saffarinia
Abstract
Objective: The purpose of this study was to investigate the effectiveness of mindfulness-based stress reduction on perceived stress, negative mood, self-efficacy, and pain perception in patients with rheumatoid arthritis. Method: This was a quasi-experimental study with pre-test and post-test with control ...
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Objective: The purpose of this study was to investigate the effectiveness of mindfulness-based stress reduction on perceived stress, negative mood, self-efficacy, and pain perception in patients with rheumatoid arthritis. Method: This was a quasi-experimental study with pre-test and post-test with control group. The statistical population of this study included all patients with rheumatoid arthritis referred to Tehran Shariati hospital. A sample of 40 patients (20 females and 20 males) was selected with targeted sampling from this population and were randomly assigned into experimental (10 male and 10 female) and control (10 male and 10 female) groups. In this intervention, the experimental group underwent mindfulness-based stress reduction program during 8 sessions for 2 months, 2 hours per week, and the control group was placed on the waiting list. The experimental and control groups also completed the Perceived Stress Scale by Cohen et al (1983), the Depression, Anxiety and Stress Scale by Lovibond & Lov bond (1995), the Self-efficacy Scale by Sherer et al (1982), and the McGill pain questionnaire by Melzack (1975) at pre-test and post-test. Multivariate analysis of covariance was used to analyze the data. Findings: The results showed that in the post-test phase, mindfulness-based stress reduction treatment significantly (p<0/001) increased self-efficacy and significantly (p<0/001) reduced perceived stress, negative mood, and pain perception in patients with rheumatoid arthritis. Conclusion: Mindfulness-based stress reduction can be effective in increasing self-efficacy and decreasing perceived stress, negative mood, and pain perception in these patients.
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Mahnaz Ali Akbari; Maryam Hassanzadeh Hanoui; Ahmad Alipor; Noshin Bayat
Abstract
Objective: This study was conducted to determine the effectiveness of schema therapy on coping styles in rheumatoid arthritis patients. Method: The research method was semi-experimental with a pre-test-post-test and a control group design. The 30 patients with rheumatoid arthritis who met the study's ...
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Objective: This study was conducted to determine the effectiveness of schema therapy on coping styles in rheumatoid arthritis patients. Method: The research method was semi-experimental with a pre-test-post-test and a control group design. The 30 patients with rheumatoid arthritis who met the study's inclusion criteria were selected by purposeful sampling and entered the study randomly. Schema therapy was performed based on the model of Rizzo et al. Descriptive statistics and inferential statistics indicators, including ANOVA with repeated measures, multivariate analysis of covariance, and one-way covariance in MANCOVA were used for data analysis. Findings: The effectiveness of schema therapy on the coping styles of patients with rheumatoid arthritis is stable. Comparing the pre-test-post-test and pre-test-follow-up stages showed a significant difference in all coping styles between the research groups. Also, the results showed a significant difference between the mean scores of problem-oriented, emotion-oriented, and avoidance coping styles. Conclusion: Performing schema therapy for rheumatoid arthritis patients can reduce the pain and suffering of these patients to some extent. It is suggested that in the policy of the country's health care system, plans be made to use schema therapy to reduce the pain of these patients.
zeinab khajavi; Reza Rostami; maryam hadizadeh shaldehi; fatemeh pourkhaghan
Abstract
Objective: The purpose of the present study was to investigate the role of pain catastrophizing and neuroticism in the prediction of fear of movement in patients with rheumatoid arthritis. Method: This study was a correlational study. From patients with rheumatoid arthritisexperiencing chronic pain who ...
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Objective: The purpose of the present study was to investigate the role of pain catastrophizing and neuroticism in the prediction of fear of movement in patients with rheumatoid arthritis. Method: This study was a correlational study. From patients with rheumatoid arthritisexperiencing chronic pain who referred to Gilan health centers, 100 patients were selected through convenience sampling method. Instruments used in this study included the Tampa scale of kinesiophobia (TSK), the Pain catastrophizing Scale (PCS), and the NEO five-factor inventory-short form (NEO-FFI). Findings: The results showed that pain catastrophizing and neuroticism significantly predicted fear of movement. The standardized regression coefficient for pain catastrophizing was 43.33 and for neuroticism was 0.278. Conclusion: neuroticism and pain catastrophizing can affect the quality of life by increasing the patient's fear of movement and avoiding activity, and increase chronic pain problems. Therefore, these factors need to be considered in the management and treatment of these patients
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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.
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minoo bahrami rad; Zohreh Rafezi
Abstract
Objective: The aim of this research was predicting pain acceptance based on perceived stress and coping strategies in individuals with rheumatoid arthritis. Method: The current research method was correlation. The statistical population was all patients with rheumatoid arthritis who referred to rheumatology ...
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Objective: The aim of this research was predicting pain acceptance based on perceived stress and coping strategies in individuals with rheumatoid arthritis. Method: The current research method was correlation. The statistical population was all patients with rheumatoid arthritis who referred to rheumatology centers of districts 2,3,5,6,7,18 of Tehran city in 1396 that 214 of them, based on the Kerjcie and Morgan table (1970) and using the available sampling method, were selected as statistical samples, but 210 patients remained as the final sample. The data for the research were collected through Perceived Stress Scale by Cohen, Kamarak and Mermelstein (1983), Coping Inventory for Stressful Situations by Calsbeek, Mieke, Dekker, and Henegouwen (2002) and Chronic Pain Acceptance Questionnaire by McCracken, Wolves and Eccleston (2004) and analyzed by using multiple regression method. Results: The results showed that perceived stress (β=-0.13, p=0.001), emotion-oriented strategy(β=-0.16, p=0.001) and avoidant strategy(β=-0.21, p=0.001 negatively and significantly and problem-oriented strategy (β=0.58, p=0.001) positively and significantly can predict pain acceptance. Conclusion: Overall, the results showed that perceived stress and coping strategies can be used to control the pain of patients with rheumatoid arthritis
