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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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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.