جستجوی مقالات مرتبط با کلیدواژه "rheumatoid arthritis" در نشریات گروه "روانشناسی"

This study aimed to compare the effectiveness of schema therapy and therapy based on acceptance and commitment to increasing the emotional processing and self-efficacy of people with rheumatoid arthritis. The present research method was semi-experimental with a pre-test-post-test design and a control group with a three-month follow-up period. The statistical population of this research was all people with rheumatoid arthritis in 2022-2023 from Loqman Hospital in Tehran. 60 people, as a sample, were randomly selected in 3 groups of 20 people (two experimental and one control group) using the purposeful sampling method. The emotional processing scale (EPS, Baker et al, 2007) and the general self-efficacy scale (GSE, Scherer et al., 1982) were used to collect data, as well as the 12-session protocol of schema therapy and the 11-session protocol of acceptance and commitment therapy were used for the intervention. The data were analyzed using variance analysis with repeated measures and Tukey's post hoc test. The findings showed that the schema therapy and acceptance and commitment groups significantly increased emotional processing and self-efficacy compared to the control group (p<001), and the schema therapy group performed significantly better in two dependent variables than the acceptance and commitment group (p<001). Therefore, using schema therapy and acceptance and commitment therapy can help to increase the emotional processing and self-efficacy of people with rheumatoid arthritis.

Abstract Rheumatoid arthritis is the most common chronic inflammatory autoimmune disease. Social factors and prolonged stress have an effect on Rheumatoid arthritis. Limitation of movement in these patients can cause mental disorders, especially anxiety and depression. The purpose of this study is to compare the effectiveness of short-term dynamic psychotherapy, schema therapy, cognitive behavioral therapy with drug therapy in reducing pain and pain dimensions in patients with rheumatoid arthritis with anxiety, depression and coping strategies.Research The research method was semi-experimental with a pre-test and post-test design and follow-up with the control group. The statistical population was all patients with rheumatoid arthritis with anxiety and depression in Tehran, who referred to the rheumatology clinics of Imam Khomeini Hospital in Tehran in the spring of 2014. There are 60 volunteers selecting by purposive sampling technique. According to Cohen's table the sample were divided into group of 20 people. We use Standard Depression questionnaires, anxiety, and Revised McGill pain questionnaire for collecting data. Data analysis has been done by using multivariate analysis of variance with repeated measurement at a significant level of 0.05 through SPSS version 26. The results showed that psychotherapies are effective in reducing pain, and schema therapy was the most effective method in reducing cognitive pain and various pain in patients with rheumatoid arthritis who have anxiety and depression and inconsistent coping strategies The use of psychotherapies along with drug therapy can be more effective than drug therapy alone and can help reduce the pain of patients with rheumatoid arthritis by treating anxiety and depression and correcting coping strategies.

The purpose of this study was to investigate the effectiveness of mindfulness-based stress reduction on perceived stress, negative mood, self-efficacy, and pain perception in patients with rheumatoid arthritis. This was a quasi-experimental study with pre-test and post-test with control group. The statistical population of this study included all patients with rheumatoid arthritis referred to Tehran Shariati hospital. A sample of 40 patients (20 females and 20 males) was selected with targeted sampling from this population and were randomly assigned into experimental (10 male and 10 female) and control (10 male and 10 female) groups. In this intervention, the experimental group underwent mindfulness-based stress reduction program during 8 sessions for 2 months, 2 hours per week, and the control group was placed on the waiting list. The experimental and control groups also completed the Perceived Stress Scale by Cohen et al (1983), the Depression, Anxiety and Stress Scale by Lovibond & Lov bond (1995), the Self-efficacy Scale by Sherer et al (1982), and the McGill pain questionnaire by Melzack (1975) at pre-test and post-test. Multivariate analysis of covariance was used to analyze the data. The results showed that in the post-test phase, mindfulness-based stress reduction treatment significantly (p<0/001) increased self-efficacy and significantly (p<0/001) reduced perceived stress, negative mood, and pain perception in patients with rheumatoid arthritis. Mindfulness-based stress reduction can be effective in increasing self-efficacy and decreasing perceived stress, negative mood, and pain perception in these patients.

This study was conducted to determine the effectiveness of schema therapy on coping styles in rheumatoid arthritis patients. 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. 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. 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.

Rheumatoid arthritis is an autoimmune disease that causes joint pain, inflammation, and physical, and mental problems. Considering the high interaction of body image, personality traits, and perceived stress with complications caused by rheumatoid arthritis, it seems necessary to investigate their simultaneous role in a structural model.

This study aimed to provide a model to investigate the effect of personality traits on body image with the mediation role of perceived stress in people with rheumatoid arthritis.

Using the purposive sampling method, 350 people with rheumatoid arthritis referred to the rheumatology centers of Tehran hospitals were selected considering the inclusion and exclusion criteria. The data was collected by the MBSRQ (Cash, 1990), NEO (Costa & McCrae, 1985), and PSS-14 (Cohen et al., 1983) questionnaires. In this study, descriptive data analysis and hypothesis testing were done using a path analysis approach with a structural equation method.

Findings revealed that neuroticism (-0.311) and perceived stress (-0.453) have a significantly negative effect while agreeableness 0.355 and openness (0.272) have a significantly positive effect on body image. Further, extroversion has a positive effect of (0.321) whereas conscientiousness and agreeableness have negative effects of -0.251 and –(0.276) on perceived stress. When Perceived stress was assessed the indirect effect of extroversion on body image turned negative at -0.1454, the indirect effect of agreeableness on body image turned positive at 0.1251, and the indirect effect of conscientiousness on body image turned positive at 0.1137 (p<0.01).

According to the findings, the final model has a good fit, thus personality traits and perceived stress are strong predictors of body image changes in people with rheumatoid arthritis. Considering the prominent role of psychological factors in the body image of people with rheumatoid arthritis, it is suggested to use complementary treatments that include cognitive, emotional, and behavioral factors.

The purpose of the present study was to compare strategies for coping with stress and self-compassion in women with and without rheumatoid arthritis. The method of this study was descriptive and causal-comparative. The statistical population of this study was all women with rheumatoid arthritis in Ardabil city in 2018. 80 women with rheumatoid arthritis and 74 women without rheumatoid arthritis were selected through available sampling. Were. Billings & Mouse (1981) and Self-Compassion (2003) were used to collect data. Research data were also analyzed using a multivariate analysis of variance. Findings from the analysis of research data showed that women with rheumatoid arthritis used cognitive and behavioral coping and compassionate behavior less than normal women and more avoidant coping (p<0.001). Given that there are fewer strategies for coping with stress and self-compassion in women with rheumatoid arthritis, these variables can play an important role in preventing the exacerbation and relapse of rheumatoid arthritis pain. Therefore, the specialists and psychologists in this field need to pay more attention to the psychological aspects of the disease.

The purpose of the present study was to investigate the role of pain catastrophizing and neuroticism in the prediction of fear of movement in patients with rheumatoid arthritis.

This study was a correlational study. From patients with rheumatoid arthritisexperiencing chronic pain who referred to Gilan health centers, 100 patients were selected through convenience sampling method. Instruments used in this study included the Tampa scale of kinesiophobia (TSK), the Pain catastrophizing Scale (PCS), and the NEO five-factor inventory-short form (NEO-FFI).

The results showed that pain catastrophizing and neuroticism significantly predicted fear of movement. The standardized regression coefficient for pain catastrophizing was 43.33 and for neuroticism was 0.278.

neuroticism and pain catastrophizing can affect the quality of life by increasing the patient's fear of movement and avoiding activity, and increase chronic pain problems. Therefore, these factors need to be considered in the management and treatment of these patients

Pain Catastrophizing and pain anxiety are important variables in chronic pain perception, but little is known about their role in pain intensity in patients with rheumatoid arthritis.

The purpose of this study was to investigate the role of pain catastrophizing and pain anxiety in predicting pain intensity in women with rheumatoid arthritis.

This study was a correlational study. From women with rheumatoid arthritis referring to Imam Khomeini Hospital and private clinics in Tehran, 100 patients were selected using convenience sampling method. Instruments used in this study included the Pain Catastrophizing Scale (Sullivan et al, 1995), the Pain-Anxiety Symptom Scale (McCracken et al, 1996), and the Visual Analogue Scale.

The results showed that pain catastrophizing and pain anxiety significantly predicted pain intensity in women with rheumatoid arthritis. The standardized regression coefficient for pain catastrophizing was 0/51 (P<0/001) and for pain anxiety was 0/30 (P<0/01).

Pain catastrophizing and pain anxiety can increase chronic pain in women with rheumatoid arthritis by increasing their pain intensity. Therefore, these factors need to be considered in the management and treatment of these patients.

Rheumatoid arthritis is a preexisting chronic inflammatory autoimmune disease with a prevalence of 0.5 to 2.4 percent in the world. The present study aimed to investigate the effectiveness of the effectiveness of acceptance and commitment therapy (ACT) on the psychological distress and fear of disease progression in patients with rheumatoid arthritis.

this quasi-experimental clinical trial study was performed on 30 people with rheumatoid arthritis selected through purposive sampling and randomly assigned in tow groups, experimental and control (n= 15 persons) the intervention was implemented 8 session per week is a one-half hour session in the experimental group. Data were collected using Psychological distress questionnaire (DASS) and fear of disease progression and analysis was done by SPSS-22 software. Descriptive and inferential statistics and repeated measures ANOVA and Bonferroni post hoc test were used.

Results of repeated measure ANOVA showed significant difference between the two groups in mean depression and stress (P> 0.05). Anxiety scores were not significantly different between the two groups (P <0.05). Bonferroni post hoc test results showed a significant difference between the stress, depression and fear of disease progression in the pre-test, post-test and follow-up.

the results indicate the effect of ACT on the psychological distress and fear of disease progression in patients with rheumatoid arthritis; therefore, this treatment can be used as a complementary treatment, along with medication, to improve the quality of life of these patients

Abstract The aim of this study was to determine the effectiveness of emotional schemas group therapy on pain and depression in patients with rheumatoid arthritis. The statistical population included all patients with rheumatoid arthritis referring to rheumatology clinics and rheumatology departments of Shiraz hospitals. 45 patients with rheumatoid arthritis who were also afflicted with depression were randomly assigned into 3 experimental, placebo and control groups. The questionnaires were used in this study included McGill Pain Questionnaire and Beck Depression Inventory. Emotional schemas group therapy was conducted for 16 sessions of 2 hours and a half for experimental group only. For data analysis, covariance analysis and variance analysis with repeated measurements were used. The results showed that emotional schemas group therapy) had a significant effect on pain (sensory, emotional, cognitive, and general components), and depression in patients with rheumatoid arthritis and reduced them, and their effects remained after 3 months follow up (p Keywords: Rheumatoid arthritis, Emotional schemas therapy, Pain, depression.

The aim of this research was predicting pain acceptance based on perceived stress and coping strategies in individuals with rheumatoid arthritis. The current research method was correlation. The statistical population was all patients with rheumatoid arthritis who referred to rheumatology centers of districts 2,3,5,6,7,18 of Tehran city in 1396 that 214 of them, based on the Kerjcie and Morgan table (1970) and using the available sampling method, were selected as statistical samples, but 210 patients remained as the final sample. The data for the research were collected through Perceived Stress Scale by Cohen, Kamarak and Mermelstein (1983), Coping Inventory for Stressful Situations by Calsbeek, Mieke, Dekker, and Henegouwen (2002) and Chronic Pain Acceptance Questionnaire by McCracken, Wolves and Eccleston (2004) and analyzed by using multiple regression method. The results showed that perceived stress (β=-0.13, p=0.001), emotion-oriented strategy (β=-0.16, p=0.001) and avoidant strategy (β=-0.21, p=0.001 negatively and significantly and problem-oriented strategy (β=0.58, p=0.001) positively and significantly can predict pain acceptance. Overall, the results showed that perceived stress and coping strategies can be used to control the pain of patients with rheumatoid arthritis

The present study aimed at comparing pain perception and alexithymia between patients suffering from rheumatoid arthritis, familial Mediterranean fever, and healthy people. The research method was casual-comparative and the sample was drawn from all patients afflicted with rheumatoid arthritis, familial Mediterranean fever, and healthy people in Ardabil city in 2017. The sampling procedure was Convenient. This way, 40 rheumatoid arthritis patients, familial Mediterranean fever patients and healthy people, collectively amounting to 120 subjects, were selected. The data collection procedure involved using McGill pain questionnaire and Toronto alexithymia scale as the instruments. To analyze the data, Manova and Post hoc tests were conducted. The results indicated that there is a meaningful difference in the perception of pain and alexithymia between people with rheumatoid arthritis, familial Mediterranean fever and healthy people. The intensity of pain perception among patients with alexithymia was more than its intensity among patients with familial Mediterranean fever. It can be concluded, therefore, that the disorder of pain perception and alexithymia in patients with rheumatoid arthritis and familial Mediterranean fever can worsen these diseases and affect their treatment process.

Spirituality and Practice of Religious Beliefs as related variables to psychological and physical well-being are able to explain most of positive consequences in chronic pain sufferers. The aim of this study was to determine predictor role of those variables in predicting pain experience acceptance in Rheumatoid arthritis patients. In this correlative descriptive study, 80 Rheumatoid arthritis patients were chosen by purposive non-random sampling method. They accomplished Spirituality Insight Appraisal Questionnaire, Practice of Religious Beliefs Inventory (MABAD), and Chronic Pain Acceptance Questionnaire- Revised (CPQA-R). Data was analyzed by Pearson correlation and multiple regression statistical tests. Spiritual ability (a spirituality component) had significant role in predicting Activity engagement (a pain acceptance component) (p

Rheumatoid arthritis is the most prevalent inflammatory disease of the joints in addition to physical disability, psychological distress is frequently seen in these patients; The aim of this study was to prevalence of Obsessive beliefs in Rheumatoid Arthritis patients and compared with healthy peoples. In a causal-comparative study, 100 persons (50 patients with rheumatoid arthritis and 50 healthy peoples were selected using convenience sampling method and Demographic questionnaires and Obsessive beliefs (OBQ-44) completed. Data using descriptive statistics and statistical analysis Independent T-test were analyzed.The results showed that 92% of RA patients were eligible and obsessive beliefs and about the components of obsessive beliefs 88% in the field of "Perfection and certainty", 84% in the field of "responsibility and risk assessment and threat", 50% in the field of "the importance and thought control", 42% in the field of "common factor" and 8% in the field of "completing the" obsessive beliefs were eligible. Compare the two groups showed that in the field of "obsessive beliefs (total)", "Perfection and certainty", "sense of responsibility and threat assessment" and "common cause" significant differences, but on "the importance of thought control" and "Full perform the" difference was not significant.

Nowadays, it has become clear that psychological interventions to stimulate the immune system processes are making positive health outcomes. This study examined the effectiveness of cognitive behavioral stress management intervention on psychological and immune factors among patients with Arthritis Rheumatoid.
The study population consisted of patients referred to the rheumatology clinics. The 44 patients with rheumatoid arthritis using purposive sampling in accordance with the inclusion and exclusion criteria were selected in two groups of 22 individuals were studied. Psychological and immune evaluation in the two tests of depression, anxiety and stress scale and blood samples was conducted in two stages of pretest and posttest.
using of multiple covariance analysis, the results showed a significant effect of the stress management intervention on depression, of patients with RA. The use of this intervention in reducing the immune parameter (CRP) became effective.
According to the results, considering and studying this issue and strengthen this aspect of health is very important.

The aim of this study was to design and test the effectiveness of a couples oriented emotional-cognitive-behavioral intervention model and patient-oriented cognitive-behavioral intervention model of sexual problems in women with rheumatoid arthritis. The research used a quasi-experimental design with pretest, and post-test, and a 3 month of follow-up. The research samples consisted of 90 women with rheumatoid arthritis recruited from Imam Khomeini hospital’s rheumatology corridor as well as 2 rheumatology medical offices in northern and central Tehran. They were divided to three groups, including the first experimental group (intervention based on the couples-oriented emotional-cognitive-behavioral model), the second experimental group (intervention based on the patient-oriented cognitive-behavioral model), and the control group. The measuring instrument used was Golombok Rust Inventory of Sexual Satisfaction (GRISS-F) which was filled by participants at the pre-test, post-test, and 3-month follow-up stages. The inflammatory marker (CRP) levels also were measured through blood tests before and after interventions. The result of repeated measures analysis showed that both models can be effective, but in comparison with the patient–oriented intervention, the couple–oriented intervention seemed to have a more significant positive impact on the reduction of sexual symptoms. However, there was still no difference in the level of the inflammatory marker (CRP) in pre and post tests of the 3 groups. According to the findings, it can be concluded that the couples-oriented emotional-cognitive-behavioral intervention can be used as an effective intervention to reduce sexual problems in patients with rheumatoid arthritis even though it does not seem to have any impact on the inflammatory marker (CRP).