جستجوی مقالات مرتبط با کلیدواژه « پیروی از درمان » در نشریات گروه « روانشناسی »

inability to adherence treatment is a general and special health problem in the treatment of elderly people with diabetes. therapies Studies have reported on the effect of cognitive behavioral therapy to improvement adherence to treatment, also, motivational interviewing by empowering effect on this behavior. However, compares the effect these in elderly people with diabetes has been overlooked.

the aim of this study to compare the efficacy of cognitive behavioral therapy & motivational interviewing on adherence to treatment in elderly people with diabetes living in nursing homes and living at home.

Research method was quasi-experimental with pre-test, post- test with control group. The statistical population consist of all elderly diabetics were living at home and living in nursing homes in Tehran in 1400. Sampling method was Convenience Sampling. 75 people were selected and replaced in 5 groups of 15 people (60 people in 4 experimental groups and 15 people in a control group). Research tools include; The Adherence to treatment questionnaire Seyed Fatemi (1970), cognitive behavioral therapy protocols (Younk et al., 2011) and motivational interview by Miller and Rolink (2019). The data were analyzed using the statistical test of Analysis of covariance with repeated measures and Benferroni test.

The results showed that the two intervention methods of cognitive behavioral therapy and motivational interview had a significant effect on adherence to treatment scores in the post-test. The effect of the group was different according to the measurement time levels. The experimental intervention led to changes in the experimental group, which was 0.47 of the total changes caused by the experimental procedure (p< 0.01). Considering that the average of the motivational interview group was higher than the cognitive behavioral therapy, then motivational interviewing was more effective in increasing the adherence to treatment of elderly people with diabetes living in nursing homes and living at home.

Both cognitive behavioral therapy and motivational interviewing can improve adherence to treatment in nursing home and home-dwelling elderly with diabetes. The mentioned findings can help therapists to choose the type of treatment.

Adherence to treatment as a public health issue is critical in the treatment of chronic illnesses. therapies Studies have reported on the effect of acceptance and commitment therapy to improvement adherence to treatment, also, motivational interviewing by empowering effect on this behavior. However, compares the effect these in women with breast cancer has been overlooked.

the aim of this syudy is to compare the efficacy of acceptance and commitment therapy & motivational interviewing on adherence to treatment in women with breast cancer.

Research method was quasi-experimental with pre-test, post- test, three-month follow-up with control group. The statistical population consist of all patients (30-50) suffering from breast cancer and applied to Firoozgar Hospital located in Tehran City in 1401 years and operate by mastectomy surgery. Sampling method was Convenience Sampling. 45 available patients selected (fifteen in each experimental group) and replaced randomly in experimental group1 (acceptance and commitment therapy) and experimental group2 (motivational interviewing). Fifteen other patients placed in control group and did not receive any training. The adherence to treatment Inventory (Modanloo, 2013) was administered pre-test, post-test and follow-up. Packages were the training packages were ACT package (Dall et al, 2017) and motivational interviewing package (Miller & Rollnick, 2012). Both applied on experimental groups (sixty minutes each session) weekly and the control group did not receive any training. The data analyzed by mixed analysis variance.

Results showed that both of ACT & motivational interviewing were affected the same on increasing to adherence to treatment (p<0.001). Three- month follow-up confirmed these results. Use to ACT & motivational interviewing (especially ACT) can to increase to adherence to treatment in women with breast cancer.

ACT & motivational interviewing (especially ACT) affective to raise the adherence to treatment and is necessary for using from these methods to improve therapy of these women with breast cancer and these components affective to raise the health of these patients

Breast cancer is the most common disease and the second cause of death in women, which has many physical and psychological complications, and anxiety is one of them. Today, with the advancement of psychology, there are various ways to reduce stress and anxiety, especially for diseases such as cancer. Among these methods is treatment based on acceptance and commitment.

The purpose of this research was to evaluate the effectiveness of acceptance and commitment therapy (ACT) on disease perception, self-care behaviors and treatment adherence in female patients with breast cancer.

The current research design is a quasi-experimental pre-test-post-test type with a control group and follow-up. The statistical population of the research includes all female patients with breast cancer aged 25 to 45 who were referred to the oncology department of Imam Hossein Hospital in the second half of 2018, 40 of whom were selected through purposive sampling along with screening and based on Cohen's table, using The effect size and power of the test was selected as sample people, these people were replaced in two experimental and control groups using a random method. The experimental group underwent Acceptance and Commitment Therapy (ACT). In order to collect research data, a long-form disease perception questionnaire, a Madanlo treatment adherence questionnaire, and a self-care ability questionnaire were used.

The results of analysis of variance with repeated measurements showed that acceptance and commitment-based treatment (ACT) was effective on the perception, adherence to treatment, and self-care ability of female breast cancer patients, and this effect was stable in the follow-up phase.

According to the findings of this research, it can be said that acceptance and commitment therapy (ACT) as an effective intervention can be effective on the perception, adherence to treatment, and self-care ability of female patients with breast cancer. Therefore, the use of psychological services in parallel with the process of treating people with breast cancer is necessary for faster treatment.

The purpose of the present study was to investigate the efficacy of compassion-focused therapy on Irritable Bowel Syndrome (IBS) patients’ treatment adherence and perceived stress. It was a quasi-experimental study consisting of a pre-test, a post-test, a control group, and a two-month follow-up period. In 2019, the statistical population of the present study included IBS patients referred to Bandarabbas therapy centers and gastroenterologists. Using the available sampling technique, 32 IBS patients were randomly assigned to the experimental and control groups. During two and a half months, the experimental group received ten 75-minute sessions of compassion-focused therapy. Perceived Stress Scale (PSS) and Adherence to Treatment Questionnaire (ATQ) were among the questionnaires utilized. The data were analyzed using statistical software version 23 and repeated-measurement ANOVA and Bonferroni follow-up tests. The results showed that compassion-focused therapy has a significant effect on IBS patients’ treatment adherence and perceived stress (P<0.001). According to the findings of the present study, compassion-focused therapy can be used as an efficient therapy to increase treatment adherence and decrease perceived stress in IBS patients by employing techniques such as increasing positive experiences, training compassion expression, and identifying incorrect evaluations.

The purpose of the present study was to compare the effectiveness of acceptance and commitment-based therapy and mindfulness-based therapy on adherence to treatment in People with drug addiction. The research method was semi-experimental with a pre-test-post-test design and a control group with a one-month follow-up. The statistical population included People with drug addiction who visited the addiction treatment clinics of Arak City in the year 2021. Using the available sampling method, 60 people were selected and randomly replaced in experimental and control groups (20 people in each group). The medication adherence scale (MMAS-8) Morisky (2008) was used to measure the research variable. Mindfulness therapy and therapy based on acceptance and commitment sessions were performed in 8 sessions of 90 minutes once a week. The analysis of variance of repeated measurements was used to analyze the data. The results showed that in the post-test and follow-up stages, the average of both experimental groups was significantly higher than the control group (P=0.001). Also, the results showed that the acceptance and commitment treatment group obtained a significantly higher average in both the post-test phase (P=0.002) and the follow-up phase (P=0.001) compared to the mindfulness treatment group. The results showed that the treatment based on acceptance and commitment is probably a more efficient treatment compared to mindfulness-based treatment for improving the adherence to the treatment of addicts.

The purpose of the present study was to compare the effectiveness of compassion focused therapy and positivist psychology with well-being approach on alexithymia, adaptive behavior and adherence to treatment of patients with type 2 diabetes. The research design was a quasi-experimental pretest-posttest with control group. The sample size included 45 patients with type 2 diabetes who were selected by purposive sampling. Of these, 15 were assigned to the experimental group of compassion focused therapy, 15 to the experimental group of positivist psychology with well-being approach and 15 to the control group by simple random sampling. To collect research data, the Toronto Alexithymia Scale (Bagby et al., 1994), the Psycho-social Adjustment with Illness Scale (Derogatis, 1990) and the Adherence Questionnaire (Modanloo, 2013) were used. The compassion focused experimental group received 8 sessions of two-hour intervention and the experimental group of positive psychology with well-being approach received 8 two-hour sessions, too. Multivariate Analysis of Covariance (MANCOVA) was used to analyze the data. The results showed that both therapeutic approaches in the post-test phase had a significant effect on alexithymia, adaptive behavior and adherence to treatment of patients with type 2 diabetes (p<0.05). There was no significant difference between the two intervention methods in each of the dependent variables. Based on the findings, it can be said that the application of both therapeutic approaches is effective in reducing alexithymia and increasing the level of adaptive behavior as well as adherence to treatment.

The aim of this study was to compare the effectiveness of acceptance and commitment based therapy and cognitive-behavioral therapy on the place of health control, irrational health beliefs and adherence to treatment in people with type II diabetes.

This quasi-experimental study was a pre-test, post-test and follow-up design with experimental and control groups. The statistical population in this study was men and women with a diagnosis of type II diabetes referred to Imam Hossein Clinic in Sari. During a public call (Imam Hossein Clinic located in Sari), men and women eligible to participate in the study were available to 45 people. They were selected and then randomly assigned to three groups of cognitive-behavioral therapy (n = 15), acceptance and commitment therapy (n = 15) and control group (n = 15). The cognitive-behavioral therapy group received the Free (2005) treatment protocol in twelve sessions and the Hayes (2004) protocol commitment acceptance therapy group received eight sessions. All three groups were evaluated in three stages of pre-test, post-test and follow-up with the Healthy Rational Beliefs Questionnaire by Christensen et al. (1999), the Multistage Center of the Walton and Walton Health Control Center (1982) and the Madanloo Treatment Adherence Questionnaire (2013). The collected data were analyzed using repeated measures variance.

The results showed that cognitive-behavioral therapy and group acceptance and commitment therapy on irrational health beliefs (P = 0.043 and F = 3.497), external control (P = 0.022 and F = 4.342). ), Internal control (P = 0.023 and F = 5.236) and treatment adherence (P = 0.001 and F = 12.606) have an effect in the post-test phase and this effect was reported in the stable follow-up phase.

The aim of this study was to evaluate the effectiveness of mindfulness-based stress reduction (MBSR) on emotional regulation, perceived stress and adherence of treatment in overweight patients with type 2 diabetes.

The statistical population consisted of men with type 2 diabetes and overweight in Tehran. By available sampling, 40 men with diabetes who were overweight and members of the Iranian Diabetes Association were selected and Voluntarily completed research questionnaires in the pre-test phase, which included the Gratz and Roemer (2004) Difficulty Scale for Emotion Regulation, Cohen, Kamarck & Mermelstein (1983) Perceived Stress, and Morisky (1992) Treatment Adherence, and randomly completed Were included in the study plan. The experimental group was treated with MBSR for 8 sessions, then in the post-test phase, both groups answered the research questionnaires. Data were analyzed by multivariate analysis of covariance (MANCOVA) with repeated measures.

The results showed that MBSR improved emotional regulation, perceived stress, and adherence to treatment in the experimental group and the post-test phase (P<0.0001).

Considering the effectiveness of MBSR treatment on emotional regulation, perceived stress and following treatment in overweight patients with type 2 diabetes, this treatment can be used to reduce the psychological problems of diabetics. Took. In addition, organizations and associations related to diabetes can use the results of the present study to improve the quality of life of patients with diabetes.

Breast cancer is the most common cancer among women around the world, which poses many challenges to professionals, including adherence to ttreatment. This study aimed to investigate the effectiveness of acceptance and commitment therapy on the adherence to treatment among women breast cancer. The research method was semiexperimental with pretest, posttest design and control group with 60-day follow-up. The statistical population of the study included women with breast cancer who referred to Tehran Haft-e-Tir Hospital in 2017, which people 24 from them selected by available sampling method and randomly assigned to experimental and control groups .Experimental groups received 8 sessions of 90 minutes acceptance and commitment therapy. Two groups filled out the Adherence to treatment questionnaire patients with breast cancer (ADQ) in the pre-test, post-test and follow-up. Data analysis was performed using repeated-measures ANOVA. Findings showed Acceptance and commitment therapy in comparison with the control group significantly increased the perceived utility component (P <0.05, F = 3.57) of the adherence to treatment at the level of 0.05 and the components, subjective norms (P <0.01, F = 9.101) and intentions (P <0.01, F = 12.824) make it at a significant level of 0.01 mproved. And this improvement continued until 2 months later. The overall result of the research showed that Acceptance and commitment therapy led to improved adherence to treatment in breast cancer patients and was recognized one of the psychological methods in improving adherence to treatment.

The purpose of this study was to compare the effectiveness of schema therapy with acceptance and commitment therapy on type D personality and adherence to treatment in coronary heart disease patients.

A  single-subject design with multiple baseline control and 6-week follow-up was applied. Ten men with heart disease were selected by convenience sampling method among patients of Razavi Hospital in Mashhad. The efficacy of treatment protocol in three stages (baseline, 10-session treatment and 6-weeks follow-up) was examined using Type D Personality Questionnaire and  Morisky Medication Adherence Scale (MMAS-8). Data were analyzed using visual charting, Reliable Change Index (RCI), Percentage Recovery Formula and Clinical Significance.

In the post-test phase, schema therapy significantly reduced type D personality and increased adherence to treatment for cardiac patients compared to acceptance and commitment therapy (P< 0.05), but at follow-up, Schema therapy was more effective in reducing type D personality and increasing adherence to treatment.

The results showed that schema therapy significantly improved target behaviors. No clinically important difference evident between schema therapy and acceptance and commitment therapy in term of target behaviors.

The aim of the present study was to evaluate the effectiveness of acceptance and commitment therapy(ACT) based on type D personality and adherence to treatment in patients with coronary heart moderating role of working memory and prospective memory.
This experimental study was performed in congruent multiple baseline single case study design with six-week follow-up. Five men with heart disease were selected with using purposeful sampling method. The efficacy of treatment Protocol was evaluated in three phase (Baseline, treatment and follow-up) by using the Type D personality questionnaire, Prospective Memory Questionnaire, Wechsler working memory test and Morisky Medication Adherence Scale. Data analyzed with visuals inspection, improvement percentage, and reliable change index strategies.
Results showed that intervention based ACT is both clinically and statistically (p Adherence .
the ACT has appropriate efficacy in reducing Type D personality and increase Prospective Memory, working memory and adherence to treatment.

The purpose of this study was to investigate the effect of perceived social support on adherence through resilience and hope in patients with type 2 diabetes. 234 patients with type 2 diabetes among files available with diagnosis type 2 diabetes in health center Lamerd were selected by simple random sampling method. Participants were asked to complete Multidimensional Scale of Perceived Social Support, Hope Scale, Resilience Scale and General Adherence Scale. Structural equation modeling through AMOS-16 software packages were used for data analysis. Analysis of structural equation modeling indicated that default model don’t fit for data and require to improvement. As a result, by eliminating non-significant routes final model fit to the data was confirmed. Other analyses revealed that the support of friends and other important people support were able to predict resiliency. As well the support of friends and other important people support indirectly predicted resilience through adherence. Hope also hadn’t a role mediating variable in the model. The findings of this study can be concluded that the resilience can be reinforced as the mediator variable effect of perceived social support (eg, support of friends and other important people support) on adherence to treatment in patients with type 2 diabetes.

The aim of this research was to evaluate the Effectiveness of Cognitive Behavioral Anger Management Training on Treatment Adherence and Glycemic Control in Patients with Type 2 Diabetes.

in a clinical cuasiexperimantal design of two group with pretest and post test from 200 diabetic Patients referred to a private clinic in Tehran city 28 patients with type2 diabetes were selected who had high score in state-trait anger expression scales(staxi2 in this study. the Patients were selected randomly assigned to experimental and control groups. the experimental group received 10 weekly Cognitive Behavioral Anger Management Training session each for 90 minutes. the maesurment instruments were Hba1c rate and Diabetes Self- Care Activities questionnaier and state-trait anger expression scales(staxi2) were used. Rsults: the rsults based on BeVariat Analsis of covariancen(ANCOVA) showed that Cognitive Behavioral Anger Management Training created a statistically significant increas in Diabetes Self- Care Activities and statistically significant decrease in the HbA1c rate.