فهرست مطالب مهدی پوراصغرعربی

The aim of this study was to evaluate the effectiveness of analytical psychotherapy based on object relationships (transference–focused) on personality organization and defense styles of individuals with a borderline personality disorder. The research method was A-B-A single-subject design. The statistical population included all people with borderline personality disorder who were referred to the outpatient department of Zare Psychiatric Hospital and Mana Sari in the period from May to June 2019, which were 32 with the approval of a psychiatrist, of which 7 were selected by the targeted sampling method. And in two groups of analytical psychotherapy based on object relationships, 4 people and 3 people in the control group were randomly assigned and treated for 100 sessions. Data were collected in five baseline stages, intermediate stage, treatment progress, termination, and follow-up during one year, using Cronberg IPO Personality Organization Questionnaire (Kernberg, 2002) and DSQ-40 Defense Styles (Andorz & et al., 1993) Was collected. For statistical analysis, graph analysis, stable change, and recovery percentage were used. Findings showed that analytical psychotherapy based on object relationships (transference–focused) can have favorable results on the psyche of personality organization and defense styles of people with borderline personality. Successful treatment of borderline patients is much more complex than research literature shows, and treatment outcome is not successful versus failure but covers a number of functional areas. We also need more research to generalize the results

Fibromyalgia syndrome is a chronic disease with extensive musculoskeletal pain that primarily involves women and also it has negatively effects on many aspects of psychological and social life. Cognitive-behavioral therapy examines dysfunctional emotions and maladaptive cognitive behaviors, processes, and themes, and cognitive-behavioral hypnotherapy combines hypnotherapy with the methods and concepts of cognitive-behavioral therapy. The aim of this study was to compare the effectiveness of cognitive-behavioral therapy with cognitive-behavioral hypnotherapy on sexual satisfaction of women with fibromyalgia syndrome.

This clinical trial study was done on 9 women with fibromyalgia syndrome who referred to rheumatology clinic in Gorgan, northern Iran in 2020. The patients were randomly divided into three groups including cognitive-behavioral therapy, combination cognitive-behavioral hypnotherapy and control group. The treatments used were performed for 8 sessions separately for 2 groups of 3 people in Pars Tavan Comprehensive Center. Control group did not receive any intervention. A multidimensional sexual satisfaction questionnaire of Roshan 2014 was used to evaluate patients.

Sexual satisfaction in post-test on both interventional group showed a significant improvement compared to control group (P<0.05). Cognitive-behavioral hypnotherapy with 59.38% was more effective than cognitive-behavioral therapy with 43.01 and also it was the same 2 month after follow up (P<0.05).

Combined therapy of cognitive-behavioral hypnotherapy increased sexual satisfaction in women with fibromyalgia syndrome more than cognitive-behavioral therapy.

The aim of this study was to compare the effectiveness of clinical hypnosis and cognitive-behavioral hypnotherapy (CBH) treatment on physical symptoms and sexual satisfaction of women with fibromyalgia syndrome in Gorgan. In this study, single-subject designs (A-A-B) were used. The statistical population includes all women with fibromyalgia syndrome who have referred to medical centers in Gorgan. According to the present research design, 9 references were used. Of these, 3 patients received clinical hypnosis treatment and 3 patients received cognitive-behavioral hypnotherapy (CBH) treatment. Three patients were included in the non-intervention group as a control. In order to collect data, Powell and Enrightchr('39')s (1991) Physical Symptoms Questionnaire (PE_PSQ)  and Multidimensional Female Sexual Satisfaction Questionnaire (SSSW) (2014) were used. Therapeutic interventions for experimental groups were held for 8 sessions, and one group did not receive any intervention. To analyze the data, graph analysis methods, stable change index, clinical significance, recovery percentage were used. According to the obtained results, it can be stated that in terms of sexual satisfaction, cognitive-behavioral hypnotherapy treatment was more effective than clinical hypnosis with 59.36% improvement, also in physical symptoms of cognitive-behavioral hypnotherapy treatment compared to clinical hypnosis. The effectiveness was more effective with a 57.14% improvement. In general, based on the findings, it can be said that both treatments could have a greater impact on research variables than the non-intervention group. Therefore, it is recommended that physicians pay attention to treatment such as cognitive-behavioral hypnotherapy in the treatment of this syndrome

The aim of this study was to compare the effectiveness of cognitive-behavioral therapy (CBT) and cognitive-behavioral hypnotherapy (CBH) on resilience and sleep quality in patients with fibromyalgia syndrome in Gorgan. In this study, single-subject designs (A-B-A) were used. The statistical population includes all women with fibromyalgia syndrome who have referred to medical centers in Gorgan. According to the present research design, 9 references were used. Of these, 3 patients received cognitive-behavioral therapy and 3 patients received cognitive behavioral hypnotherapy. 3 patients were included in the control group. In order to collect data, Connor & Davidsonchr('39')s (2003) Resiliency Questionnaire and Pittsburgh Sleep Quality Questionnaire (Boyce, 1989) were used. Therapeutic interventions for experimental groups were held for 8 sessions, the control group did not receive any dermatological interventions. To analyze the data, graph analysis methods, stable change index, clinical significance, recovery percentage were used. According to the obtained results, it can be said that in relation to sleep disorder, was most effective related to cognitive-behavioral hypnotherapy with a recovery rate of 61.22 which was significant at the level of rate 0.05 (P<0.05) and in the resilience variable, the most effective was related to cognitive-behavioral hypnotherapy with a recovery rate 59/88 which was significant at the level of rate 0.05 (P<0.05). In general, based on the findings, it can be said that both treatments were able to affect the research variables compared to the non-intervention group. Therefore, it is recommended that physicians pay attention to cognitive-behavioral therapies and cognitive-behavioral hypnotherapy in the treatment of this syndrome.

There are various factors affecting mother’s feelings, pain, and excitement during pregnancy which play significant roles in making decision about terminating pregnancy and reducing its outcomes. This study aimed to systematically review the effect of hypnosis on pregnancy and childbirth outcomes.

In this systematic review, we thoroughly searched Google Scholar, PubMed, Web of Science, Scientific Information Database (SID), Cochrane Library, Scopus, Magiran, Registry of Clinical Trial (IRCT), and ProQuest with no time limitations. After removing unrelated studies, 21 English articles were included. The quality of these articles was determined by Jadad Scale. Finally, 13 studies entered into our meta-analysis. To assess the heterogeneity, Q and I2 tests were used and STATA 11 was used for data analysis.

According to the findings, the effects of hypnosis on pregnancy and delivery outcomes were classified into six categories as the following: hypnosis decreases the consumption of pain relief medicines (OR=0.21, CI95%: 0.12- 0.38, P<0.001), it does not decrease the consumption of oxytocin (P=0.880), it does not decrease the rate of Cesarean section (P=0.082), it leads to higher rates of natural vaginal delivery (OR=3.06, CI95%:1.75-5.32, P<0.001), it does not decrease the rate of preterm labor (P=0.051), and it does not increase neonatal Apgar score (P=0.27). 

Hypnosis interventions can reduce the consumption of pain relief medicines, and also increase the rate of normal vaginal delivery.