جستجوی مقالات مرتبط با کلیدواژه "بیماران" در نشریات گروه "روانشناسی"

The premature termination of psychotherapy as a big problem has been found in the work of mental health professionals. Many factors are involved in causing it. The purpose of the present study was compare two groups of patients with successful termination of psychotherapy and premature termination of psychotherapy in the therapeutic alliance. Design of present study was a causal comparative in which to compare two groups in the Study variables were discussed. Statistical population of the present study was all patients referred to Mental Health Clinics, Pain Clinics and Substance Use Treatment Centers in Mashhad that the targeted sampling during 9 months from January 2021 to September 2021, 60 people were selected as sample. The research instruments were included Demographic information questionnaire, Working Alliance Inventory – Short Revised (WAI-SR) and Outcome Questionnaire (OQ®-42.2). For data analysis software was used from SPSS-19, descriptive findings and independent t-test. The mean and standard deviation age of the participants was respectively 37/38 and 6/98. The average of therapeutic alliance was in the group with successful termination of psychotherapy (42) higher than the group with premature termination of psychotherapy (26/13). The results of two independent groups t-test showed that the two groups were statistically significant differences together in therapeutic alliance (P<0/05). Results of this study showed that the therapeutic alliance between the two groups was significantly different. Experts in the field of mental health and psychiatry in order to reduce and prevent premature termination psychotherapy is required have great attention to process of psychotherapy and factors influencing its process.

Charcot-Marie-Tooth is a hereditary disease in which peripheral nerves are damaged, also known as hereditary sensory and motor neuropathy. The present study was conducted with the aim of comparing the effect of existentialism therapy and therapy based on acceptance and commitment on the resilience and existential anxiety of veterans with Charcot-Marie-Tooth disease.

The design of the current research was semi-experimental with a pre-test-post-test design with a control group. The statistical population of this research is all the veterans with Charcot-Marie-Tooth disease in Tehran, and after the necessary coordination with the veterans with Charcot-Marie-Tooth who had the necessary conditions to participate, 30 people were in the experimental groups (15 people in each group) and 15 people in the experimental group. The control group was replaced and selected randomly. To analyze the questions and hypotheses of the research, univariate covariance analysis (ANCOA) was used to examine the hypotheses, as well as independent t-tests and MANOVA to compare the groups in the research variables.

The findings of the research showed that both the existentialism treatment approach and the treatment based on acceptance and commitment have an effect on resilience and existential anxiety of Charcot-Marie-Tooth veterans. (P < 0.05

According to the obtained results, it is possible to benefit from existential treatments and treatment based on acceptance and commitment for a specific group of patients and take an effective step in reducing the mental pain of these patients.

This study aimed to investigate the effectiveness of multidimensional spiritual therapy for reducing patients' anxiety after cardiac bypass surgery. The study utilized a quasi-experimental with a pretest-posttest design and follow-up with a control group. The statistical population of this study included patients who had coronary artery bypass surgery and were referred to the Rehabilitation Center of Tehran Heart Hospital in 2018. Thirty patients who scored high for anxiety on the Depression, Anxiety, and Stress Scale (DAS-21) questionnaire were selected by convenience sampling and were randomly assigned to experimental and control groups. The experimental group was exposed to an independent variable (multidimensional spiritual intervention) for ten 90-minute sessions in the hospital rehabilitation center. The results of repeated measurement test showed that there was a significant difference in the anxiety scores for the experimental and control groups in the pre-test, post-test, and one-month and three-month follow-up stages. In addition, there was a significant difference in the pretest-posttest in the spiritual group. There was no significant difference in post-test scores between one-month and three-month follow-ups. Reducing negative emotions by multidimensional spiritual therapy plays an important role in preventing the more severe complications of heart disease, therefore, interventions based on the results of this study are recommended for heart patients.

Several studies have been conducted on the impact of acceptance-based and cognitive-behavioral therapy. But research comparing the efficacy of acceptance-based and commitment-based therapy and positive cognitive-behavioral therapy on pain self-efficacy in patients with chronic pain remains neglected.

To compare the efficacy of acceptance and commitment based therapy and positive cognitive-behavioral therapy on pain self-efficacy in patients with chronic pain.

This study was a quasi-experimental study with a 3-month-old instructor with 3 witnesses. The statistical population consisted of all patients with chronic pain referred to Hazrat Rasool Akram Hospital in Tehran in summer of 2019. 45 patients were selected as the sample and randomly assigned to one of the two groups. Research tools are: Nicholas Pain Self-efficacy Questionnaire (2007), Acceptance and Commitment Therapy Intervention (Hayes et al., 2013) and Positive Cognitive-Behavioral Therapy (Ben Nink, 2014). Descriptive statistics and repeated measures analysis were used.

There was a significant difference between acceptance and commitment based therapy and positive cognitive-behavioral therapy with the control group in pain self-efficacy in patients with chronic pain (P< 0/001). But there was no significant difference between acceptance and commitment based therapy and positive cognitive-behavioral therapy in pain self-efficacy in patients with chronic pain (P< 0/05).

Acceptance and commitment based therapy and positive cognitive-behavioral therapies are important in increasing my pain self-efficacy.

Getting a new disease and unknown Covid 19 In addition to the risks to physical health leads to difficult and different psychological experiences due to the specific nature and characteristics of the disease. In addition to physical symptoms patients have a variety of psychological reactions that can act as a barrier to the healing process and increase their suffering during illness. Therefore the present study aims to discover the lived experience of these people to help reduce the suffering of these patients. The study method was qualitative with a phenomenological approach. The number of participants was 15 and they were selected by purposeful sampling method. A semi-structured interview was used to gather information. Data analysis was also performed by Colaizzi method. To Trustworthiness and validate the findings were used participantschr('39') review and monitoring methods, the researcherchr('39')s self-observation in the data collection and analysis process and the recording of all their mental presuppositions in advance and their non-consideration in the analysis and review process and recoding of interviews by two other researchers. The research findings included 278 initial codes, which were extracted 6 main themes and 24 sub-themes according to the purpose and question of the research. Death anxiety, the experience of stigma, the experience of ambiguity, the positive emotional experiences, the emotions experienced in relation to family members and the emotions caused by quarantine were the main themes. Painful emotional experiences in these patients can lead to delays and difficulties in the recovery process of these people and in addition to the pain of the disease, it can also impose psychological suffering. Awareness of the disease to reduce the experience of ambiguity, psychological strategies to control death anxiety and social stigma, and strategies to manage the behavior and excitement of family members can be considered in the specific psychological interventions of these patients and reduce negative emotions and possibility better deal with the disease and psychological suffering caused by it.

One of the issues that should be considered for methadone-treated patients is the quality of sleep in these patients. But the key question is, does the behavioral analysis approach affect the sleep quality of methadone-treated patients?

The purpose of this study was to evaluate the effect of group training on behavioral analysis on improving sleep quality and its components in male patients treated with methadone.

The study was a quasi-experimental study with pre-test, post-test and follow-up and control group. The statistical population of this study consisted of all patients treated with methadone in one of Tehran's drug abuse treatment centers in 2015-2016. 40 patients were selected by convenience sampling method and randomly divided into experimental and control groups. (20 people) were replaced. The tools are: Pittsburgh Sleep Quality Questionnaire (Daniel J. Bayes et al., 1989) and Group Training Protocol on Mutual Behavior Analysis (Attadakht, Jafarian Dehkordi, Bashirpour & Narimani, 2015). Data were analyzed using covariance analysis test.

Interaction analysis approach had a significant effect on improving sleep quality of patients treated with methadone (P<0/05).

Mutation therapy can be used to improve sleep quality of patients treated with methadone.

Depression is one of the most common chronic diseases among people with high levels of comorbidity with other mental disorders. But the key question is, does the interpretation of interpretation bias affect the repair and reduction of behavioral and cognitive symptoms in patients with depression?

The purpose of this study was to evaluate the efficacy of correction of interpretation bias on the repair and reduction of behavioral and cognitive symptoms in patients with depression.

This was a quasi-experimental study with pretest-posttest design and follow-up. The statistical population of this study consisted of 15 patients with mild to severe depression who were selected by convenience sampling method. Tools include the Beck Depression Inventory (1961), an edited version of the Symptom Checklist (SCL-90-R), Baron and Cohen's Eye Reading Test (1), and the Persian Version of the Mind Reading Test by Sound (Nejat). Et al., 2015). Data analysis was performed using one-way ANOVA with repeated measures.

Interpretation bias correction has an effect on repair and reduction of behavioral and cognitive symptoms in patients with depression (p<0/001)

Interpretation bias correction can be used to reduce cognitive and behavioral symptoms of depression.

The main aim of the current study was to compare the effectiveness of spiritual therapy based on Iranian culture with mindfulness based on reduction stress (MBSR) in reducing depression, anxiety and stress in patients with chronic pain. All subjects who are suffer from Muscular-Skeletal disease were recruited from Hazrat-e-Rassoul Hospital, (Iran University of Medical Sciences, Tehran, Iran). Design of the study was quasi experimental pretest-posttest-control group design with follow-up stage. 45 patients randomly were assigned in three groups: Spiritual therapy,  mindfulness therapy and control group. Each group constituted of intervention comprised of eight 90-minutes-sessions. Demographic information’s and depression, anxiety and stress scale were used to gather data. Data were analyzed with analysis of variance with repeated measurement.  Analysis of data revealed that spiritual therapy and mindfulness therapy were not significantly different in reduction depression, anxiety and stress in patients with chronic pain (These treatment were equally effective). More ever, comparing pairs in groups revealed that depression, anxiety and stress were different in treatment and follow up stages. Both spiritual therapy and mindfulness therapy were different from the control group.  Spiritual therapy and mindfulness therapy were lower in depression, anxiety and stress in compare to control group. In other word effectiveness of spiritual therapy and mindfulness therapy were more than control group in patients with chronic pain. Results showed that spiritual therapy and mindfulness therapy were effective in reduction of depression, anxiety and stress in patients with chronic pain.  

Present research aimed to investigate the effectiveness of training based on forgiveness on resilience and marital burnout of patients with multiple sclerosis. This study was a quasi-experimental with a pre-test and post-test design with a control group. The research statistical population was all women with multiple sclerosis, member of the association for the support of multiple sclerosis patients of Tehran city in 2017 year. Totally 30 people selected through available sampling method and randomly assigned to two equal groups (each group 15 people). The experimental group trained 8 sessions of 90 minutes undergoing the forgiveness training. Groups completed the questionnaires of resilience (Connor & Davidson, 2003) and marital burnout (Pines, 1996) in the pre-test and post-test stages. Data was analyzed with multivariate analysis of covariance method. The findings showed that training based on forgiveness was effective on forgiveness on resilience and marital burnout of women with multiple sclerosis. In the other words training based on forgiveness led to increase resilience and decrease marital burnout of women with multiple sclerosis (P<0/05). As a result, training based on forgiveness is an effective method to improve the resilience and marital burnout of women with multiple sclerosis.

Poor sleep quality may result in disturbed daily functioning. The aim of this study was to compare of sleep quality and quality of life between patients using soporific drugs and normal individuals.
This study was a descriptive ex-post facto one with causal comparative design. The statistical population of the present study was all patients taking hypnotic drugs that 274 patients were selected by a random stratified sampling method from Sari, Noor and Chaloos. As well as, 274 normal individuals from the above mentioned cities were selected by convenient sampling method after matching with the first group on demographic variables. The data collected using quality of sleep and quality of life questionnaires. The results analyzed with Multivariate Analysis's of Variance (MANOVA).
The results of MANOVA indicated that there is a significant difference between ordinary people and those taking hypnotic drugs in quality of sleep (P According to the results of this study, patients with using soporfic drugs compared with normal individuals had a lower quality of sleep and quality of life. Consistent with this results, drug therapy in combination with psychological treatment is recommended in the treatment of sleep disorders.

Liver transplantation is the most effective treatment for many patients with acute or chronic liver disease from a variety of causes. Pain-related self-efficacy is an important resiliency factor impacting the influence of liver transplantation-related pain. The aim of this study was prediction of pain self-efficacy base on of childhood trauma (physical abuse, sexual abuse, emotional abuse and neglect) and resilience in liver transplant patients.

This study utilized a descriptive correlational design and statistical population of this study was included of all inpatients and patients who had who had referred to with liver transplant surgery to Emam Khomeini in the fall and winter of 2015. 85 patients with liver transplantation were selected through purposive sampling. Research instruments were the resiliency of Connor & Davidson (2003), pain self-efficacy of Nicholas (1989) and childhood trauma of Bernstein & Fink (1988). To analyze the data, multiple regressions were used.

Results of the analysis showed resilience in the 0.01 significant predicted pain self-efficacy in liver transplant patients. Among dimension of childhood trauma just childhood sexual abuse negatively and in the 0.01 significant predicted pain self-efficacy in liver transplant patients.

Cognitive factors such as childhood trauma and resilience during the period of growth influence development of self-efficacy in coping with pain.

The purpose of this study is to investigate primary unadjusted schemes in patients suffering from obsession-obligation personality disorder with a non-clinical group. To this end، 50 respondents who were randomly selected from a group having obsession-obligation personality disorder (7 females and 18 males) and a non-clinical group (8 females and 17 males)، completed Yang’s 90-item questionnaire of primary unadjustedschemes. The results showed that the mean and the standard deviation of the two groups were significantly different in some schemes. The Independent Samples T-Test results showed that the two groups were significantly different in self-sacrifice (t (2، 48) = 4. 17; p<. 001)، emotional prevention (t (2، 48) = 18. 81; p<. 001)، perseverance criteria (t (2، 48) = 18. 6; p<. 001)، superiority (t (2، 48) = 2. 82; p<. 005)، and self-punishment (t (2، 48) = 3. 19; p<. 005). The results suggest that study of schemes is an effective way for exploring fundamental factors causing personality disorder. It is suggested that further studies investigate other personality disorders.

Actual physical illness may be a major vulnerability factor in promoting health anxiety, and there is evidence of this from general medical setting to determination the health anxiety in Iranian patients that refer to medical clinics, this study was done. In this descriptive- comparative study, sample contains 212 patients attending to 6 clinics at two general hospital of Shahid Beheshti university of medical sciences were evaluated.  After informing consent, the health anxiety inventory (short form) and demographic question air were administered to patients. We used one way ANOVA test to determine differences in outcomes among groups. The data were analysed by SPSS 19 software. The present study included 65 (30.7%) male and 147 (60.3%) female with mean age 38.64 (SD=12.7). There were no significant difference between two sexes in health anxiety scores. The results of one way ANOVA test for comparison among six groups showed significant difference in health anxiety in patients. Our results indicated significant difference in health anxiety scores in medical patients.