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Mahdi Rahmani; mohsen jalali; elnaz pourahmadi; Abdolsamad nikan
Abstract
Objective: Patients with Ménière's disease often report experiencing various psychological challenges, including heightened levels of anxiety, depression, and stress. Despite these concerns, research addressing the treatment of psychological aspects in Ménière's disease remains ...
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Objective: Patients with Ménière's disease often report experiencing various psychological challenges, including heightened levels of anxiety, depression, and stress. Despite these concerns, research addressing the treatment of psychological aspects in Ménière's disease remains limited. Individuals living with this condition face substantial difficulties, compounded by the absence of a definitive cure. A review of the literature, both within and outside Iran, highlights a scarcity of evidence supporting the efficacy of psychological interventions for this population. Furthermore, existing studies provide mixed findings regarding the effectiveness of schema therapy and cognitive-behavioral therapy (CBT) in alleviating anxiety, depression, and stress among these patients. This study aimed to address this gap by comparing the efficacy of schema therapy and CBT in reducing psychological symptoms in patients with Ménière's disease. Method: This quasi-experimental study employed a pre-test, post-test, and follow-up design to evaluate the interventions. The statistical population comprised patients diagnosed with Ménière's disease who exhibited comorbid depression and anxiety. From this population, 45 patients were selected using purposive sampling and assigned to three groups: schema therapy, CBT, and a control group. Participants were randomly distributed among these groups, with 15 patients in each. Inclusion and exclusion criteria ensured the selection of participants suitable for the study. The schema therapy group underwent intervention facilitated by the researcher in ten weekly group sessions, each lasting two hours over a 2.5-month period. The CBT group also participated in ten weekly two-hour sessions, administered by a therapist specializing in CBT. The control group received no therapeutic intervention but participated in the pre-test, post-test, and follow-up assessments. Psychological outcomes were measured at baseline, immediately following the intervention, and one month post-intervention using the Depression, Anxiety, and Stress Scale (DASS). Data were analyzed using repeated mesure variacnes. Results: The results revealed significant reductions in depression, anxiety, and stress among patients in both schema therapy and CBT groups compared to the control group at post-test and follow-up (P < 0.05). Notably, schema therapy demonstrated significantly greater efficacy than CBT in reducing depression (P < 0.05), while no significant differences were observed between the two therapies for anxiety and stress reduction (P > 0.05). These findings indicate that schema therapy was particularly effective in mitigating depressive symptoms during the follow-up phase, whereas both therapies were equally beneficial in addressing anxiety and stress relative to the control condition. Conclusion: This study underscores the effectiveness of schema therapy and CBT in alleviating psychological symptoms in patients with Ménière's disease. The findings suggest that these interventions may serve as valuable therapeutic approaches for improving the mental health of this population. Schema therapy, in particular, appears to offer superior benefits in reducing depressive symptoms. However, several limitations should acknowledged. The study's relatively small sample size and the geographic dispersion of participants posed logistical challenges. Additionally, the researcher’s dual role as therapist for the schema therapy group may have introduced bias, potentially impac the double-blind rigor of the study. Future research with larger, more diverse samples and independent therapists recommended to validate findings and refine treatment strategies
fatemeh abdollahzadeh; Seyed Reza Kamel Tabbakh Farizani; Yahya Forghani; Masood Niazi Torshiz; Hasan Abdollahzadeh
Abstract
Objective: Considering the importance of speaking in public and the negative impact of Public Speaking Anxiety in professional and everyday situations, researchers have turned to new technologies such as Virtual and Augmented Reality in addition to traditional psychological treatments to reduce this ...
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Objective: Considering the importance of speaking in public and the negative impact of Public Speaking Anxiety in professional and everyday situations, researchers have turned to new technologies such as Virtual and Augmented Reality in addition to traditional psychological treatments to reduce this anxiety. The purpose of this study is to compare the effectiveness of Cognitive Behavioral Therapy and Augmented Reality Technology in physical factors and Public Speaking Anxiety. Method: The current research is a semi-experimental type with a pre-test, post-test design and a control group. The statistical population is all students who suffered from Public Speaking Anxiety disorder and attended Mazandaran clinics during 2021-2022. The research sample consisted of 45 participants randomly assigned to two experimental groups and one control group (15 individuals in the cognitive behavioral therapy group, 15 individuals in the Augmented Reality technology group, and 15 individuals in the control group) using convenience sampling. The first group received cognitive behavioral therapy according to the protocol developed by Khodayari Fard and Abedini (2013). In the second group, patient's tests were assessed using physiological feedback (heart rate, body temperature, and sweating) from sensors attached to the patient's bodies and the simultaneous use of proposed Augmented Reality scenario. The (Bartholomay & Houlihan, 2016) Public Speaking Anxiety Scale was used for all three groups before and after therapy. Data were analyzed using univariate and multivariate statistical analysis of covariance tests. Findings: The results show that cognitive behavioral therapy is effective in Public Speaking Anxiety and some of its components, namely the cognitive (Eta factor 0.77), behavioral (Eta factor 0.74), and physiological (Eta factor 0.62) subscales of students. The results also show that Augmented Reality technology is effective in physical factors such as sweating (Eta factor 0.62), body temperature (Eta factor 0.58), and heart rate (Eta factor 0.61) of students. the average Public Speaking Anxiety of the experimental group in the Augmented Reality technology method (33.40) in the post-test phase is less than the cognitive-behavioral method (37.40). Also, treatment in the stage of (Psychologist + Sensors + proposed Augmented Reality scenario) has reduced the duration of recovery in comparison with Cognitive-Behavioral Therapy. Conclusion: Both treatment methods (Cognitive Behavioral Therapy and Augmented Reality Technology) are effective in reducing Public Speaking Anxiety and related physical factors; But the effect of Augmented Reality Technology, especially in reducing the duration of treatment, is greater than that of Cognitive Behavioral Therapy. These results suggest the necessity of using augmented reality technology in the treatment of Public Speaking Anxiety.
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.
Mohamad Hatami; Mitra GHasemi; Jafar Hasani
Volume 5, Issue 18 , July 2016, , Pages 69-86
Abstract
Objective: Chronic pain is a common medical illnesses . Purpose of this study is investigating the effectiveness of combination of Cognitive Behavior Therapy and Cognitive Emotion Regulation Strategies on mindfulness, resiliency and quality of life in patients with chronic pain in Tehran. Methods: ...
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Objective: Chronic pain is a common medical illnesses . Purpose of this study is investigating the effectiveness of combination of Cognitive Behavior Therapy and Cognitive Emotion Regulation Strategies on mindfulness, resiliency and quality of life in patients with chronic pain in Tehran. Methods: 2 patients with chronic pain were selected through convenience sampling and answered to these questionnaire; Connor and Davidson Resiliency Scale, Bauer and colleagues mindfulness questionnaire and quality of life questionnaire. This study was a basic, multiline, and single subject research. Results: CBT and Cognitive Emotion Regulation Strategies has significant effects on increasing the scores of all three scales in both cases. So that the percentage of improvement in the scale of the mind awareness, resiliency and quality of life, for the first case has been respectively -71/57, -63/04 and -64/93 and for the second case was -76/66, -76 and -72/09 . Conclusion: Cognitive behavior therapy and Cognitive Emotion Regulation Strategies is effective in increasing the mindfulness, resiliency and quality of life in patients with chronic pain.
