فهرست مطالب رزا علی خانی

This research aimed to compare the effectiveness of dialectical behavior therapy and analytical cognitive psychotherapy in reducing the psychological symptoms of people with borderline personality disorder.

Methods and Materials: 

This research is an applied research based on the goal. Based on the collection and type of data, it was quantitative and cross-sectional in terms of time. In addition, it was a semi-experimental research design in the form of pre-test-post-test with a control group. The statistical sample of the research was 45 people in a non-random way. They were chosen voluntarily. Multivariate covariance analysis was used in quantitative data and SPSS version 26 statistical program was used.

The research findings indicated that the scores for Borderline Personality Inventory (BPI) and Self-harm Thoughts and Behaviors (STB) were higher for individuals who underwent Cognitive Analytic Therapy (CAT) compared to those who underwent Dialectical Behavior Therapy (DBT).

The results of the present study suggest that the Cognitive Analytic approach is more effective than Dialectical Behavior Therapy. Overall, it can be concluded that Cognitive Analytic Psychotherapy, by improving interpersonal relationships, emotional regulation, and self-concept in individuals with Borderline Personality Disorder, helps in reducing impulsive, unplanned, and thoughtless behaviors through a proper patient-therapist relationship, thereby improving the social functioning of these patients.

Psychiatric social work (PSW) is one of the most important areas of social work practice. So far, no protocol has been designed for these interventions in Iran. In this study, for the first time PSW protocol has been designed and presented.

This study was conducted in three phases: desk review, directed content analysis and group discussion for receiving experts' comments on the protocol. In the first phase, studies about PSW and psychosocial interventions in Iran and other countries were reviewed. In the second phase, semi-structured interviews were conducted with fifteen experts, three patients and five family members and they were asked about needs and interventions that should be provided by the PSW. Data were coded and interventions were classified. In the third phase, the draft protocol was prepared based on the previous two phases and shared with experts. The final version of the protocol was prepared based on the comments of the experts.

A total of seventy eight articles were reviewed in the first phase of this study. The most important approaches and models used for PSW interventions were ecological approach, case management and teamwork. Data were categorized as assessment, motivational interventions, response to basic needs, psychoeducational interventions, counseling, family and group interventions, peer education and support, follow-up, community-based interventions, home-based and outreach services, long-distance services, destigmatization, occupational rehabilitation.
Also in the qualitative phase, psychosocial training, activation of patient and family support network, case work, family social work, relapse prevention, advocacy, occupational rehabilitation, after discharge follow-up and community work interventions were classified. The panel designed the protocol based on case management, and ecological, contingency management and teamwork approaches. This protocol describes multidimensional assessment, planning for social work interventions at the individual, family, group and community levels. Requirements for monitoring and evaluation, documentation and termination of intervention are also included in the protocol.

The protocol of PSW interventions based the ecological approach, suggested specific services at different levels of individual, family, group and community. The use of case management approach and ICM model in this protocol ensures a comprehensive approach to the treatment and empowerment of patients with psychiatric disorders from admission to discharge and especially post-discharge services. It is recommended that policy makers and social workers use this protocol in decision making and service providing related to mental disorder patients.

Psychiatric symptoms are common in many cancer patients, especially in those with advanced cancer. Several factors including stress of cancer diagnosis, the effect of central nervous system (CNS) tumors, neurotoxicity from immune reaction to non-CNS tumors and adverse effects of cancer chemotherapy or radiotherapy may contribute to psychiatric comorbidity. Psychiatric symptoms are spectrum from mild symptoms like fatigue to sever disorders like anxiety disorder or mood disorders. Sometimes psychological adverse effect of treatment like anger or anxiety or worry are more severe than medical adverse effects like nausea and hair loss. Most common distress in these patients is hopelessness that lead to decrease coping strategies. Powerful coping strategies can help patients to tolerance well. Because several specialists contribute in treatment of end stage patients, so increase knowledge of treatment team about psychological status and correct empathy can help to improve patients’ general health.