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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.
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heman mahmoud fakhe; ,Razie Rahimi Cham Heydari
Abstract
Objective: In today's era, human knowledge has made many advances in the field of controlling and treating various diseases and medical science. However, cancer is still the second leading cause of death, and in other words, breast cancer is considered one of the most important diseases of the present ...
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Objective: In today's era, human knowledge has made many advances in the field of controlling and treating various diseases and medical science. However, cancer is still the second leading cause of death, and in other words, breast cancer is considered one of the most important diseases of the present century, which is one of the most common cancers in women, accounting for 32% of women's cancers. Even though this disease has a traumatic nature and causes problems in all aspects of life, fighting it after diagnosis and treatment can lead to positive changes, which is referred to as post-traumatic growth. Another variable that can affect various aspects of the lives of people with breast cancer and act as a shield against diseases and traumatic events is psychological capital. Therefore, it is important to promote post-traumatic growth and psychological capital in people with breast cancer. In this regard, the current research seeks to answer the question of whether schema therapy has a significant effect on post-traumatic growth and psychological capital in women with breast cancer. Method: The design of the current research was a quasi-experimental type of pre-test and post-test. The research population consisted of women with breast cancer who were referred to the oncology clinic of Imam Khomeini Hospital (RA) in Tehran from 2019 to 2020. Among these people, 20 people were selected by the available sampling method and were randomly placed in the experimental and control groups (each group includes 10 people). To collect data, the tools of Tedeschi and Calhoun's post-traumatic growth Inventory (1996) and Luthans’s Psychological Capital Questionnaire (2007) were used. Young’s (2006)schema therapy training sessions were conducted in 20 60-minute sessions weekly, while the control group received no intervention. Data analysis was also done using covariance analysis in the SPSS-23 environment. Results: The findings showed that schema therapy has an effect on post-traumatic growth and psychological capital in women with breast cancer (P<0.05). So the average post-traumatic growth and psychological capital in the experimental group increased in the post-test phase compared to the pre-test. According to the results presented about the descriptive indicators and the difference between the two test and control groups in the post-test of these indicators, it can be said that schema therapy increases post-traumatic growth and psychological capital in women with breast cancer. Conclusion: Schema therapy focuses on the deepest levels of cognition, i.e. schemas and the internalized voice of parents, and teaches clients to become aware of the root of their thoughts. It also helps them to evaluate the correctness of their schemas and examine the evidence that confirms and rejects them, and in this way, question negative thoughts and schemas, and change your approach to the future, the world, and yourself. In other words, first the early maladaptive schemas are identified and then they change and adaptive schemas replace them. In the behavioral pattern-breaking stage, clients were taught how to replace the schema behavioral pattern with healthier coping styles. Also, by correcting the schema of incompetence and shame, people realized their personal abilities and strengths and were able to think about their own values and set goals for themselves, which led to their lives becoming meaningful and valuable and they were able to make spiritual changes in their lives. In this way, schema therapy can help a person to achieve post-traumatic growth and psychological capital. Based on the obtained results, it can be said that by using schema therapy, post-traumatic growth and psychological capital can be increased in women with breast cancer.
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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.
Reza Afzali; Parvin Ehteshamzadeh; Parviz Asgari; Farah Naderi
Abstract
Objective: Eating disorder is a common disorder that has not received much psychological treatment. The purpose of this study was to investigate the effect of schema therapy on food craving، attentional bias to food، and cognitive flexibility in people with eating disorder. Method: This study was an ...
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Objective: Eating disorder is a common disorder that has not received much psychological treatment. The purpose of this study was to investigate the effect of schema therapy on food craving، attentional bias to food، and cognitive flexibility in people with eating disorder. Method: This study was an experimental study with pre-test and post-test with control group. The population of this study consisted of 40 persons with eating disorder who were purposefully selected using Gormal Eating Questionnaire and General Health Questionnaire and clinical interview based on DSM-5 criteria. Subjects were randomly divided into two experimental and control groups. Pre-test was performed using craving questionnaire، cognitive flexibility questionnaire and researcher-made attentional bias assessment tool. The intervention consisted of 10 sessions of schema therapy. Data were analyzed using SPSS 23 software and MANCOVA method. Findings: The results of this study showed that schema therapy had a significant effect on attentional bias، cognitive flexibility and food craving in people with overeating. The results remained stable at the 45-day follow-up after the posttest. Conclusion: Based on the results، it can be concluded that schema therapy can be used as an effective treatment method in people with binge eating disorder.
