جستجوی مقالات مرتبط با کلیدواژه "درمان شناختی" در نشریات گروه "پزشکی"

Given the negative effects of satellite series on marital commitment, and the quality of life of women, and the destabilization of family systems, the present study aimed to examine the effectiveness of cognitive-behavioral therapy on marital commitment and quality of life in women who follow satellite series in Tehran

This study was designed as a quasi-experimental intervention with a pre-test and post-test approach. The statistical population consisted of women who were viewers of satellite series and members of an active institute in marriage and psychological services for couples in East Tehran. Using convenience sampling method, the first individual was selected randomly, and then through snowball sampling, 120 individuals were introduced. After screening and selecting eligible individuals, the sample size was reduced to 30, and the participants were randomly assigned to experimental and control groups (15 in each group). The women in the experimental group participated in virtual cognitive-behavioral therapy sessions. Data collection tools included two standardized questionnaires: the World Health Organization Quality of Life Questionnaire and the Adams and Jones Marital Commitment Questionnaire which were distributed and completed in both groups before and after the intervention. For data analysis, descriptive statistics such as mean, standard deviation, Shapiro-Wilk test, skewness, and kurtosis were used, and for inferential statistics to examine the significance of the intervention's effectiveness, analysis of covariance (ANCOVA) was employed. Data were analyzed using SPSS version 26.

The results indicated a significant difference between the experimental and control groups in both pre-test and post-test (p<0/05). The scores of the experimental group after the intervention showed a significant increase in the post-test analysis of covariance for the variables of physical health, psychological health, social relationships, social environment, overall quality of life, personal commitment, moral commitment, structural commitment, and overall marital commitment, compared to the pre-test (p<0/05). At the same time, the control group did not show a significant difference (p>0/05).

The findings of this study suggest that cognitive-behavioral therapy has a positive impact on quality of life and marital commitment. This type of therapy can be utilized as an effective strategy to improve marital commitment and quality of life for women who watch satellite series.

Health anxiety is a common condition that can lead to high levels of psychological distress and impaired functioning and, if not properly treated, a worse prognosis. Therefore, providing an organized view of the work done and examining the effectiveness of psychological treatments in this field it can help specialists in choosing the most effective and efficient treatment from the perspective of the conducted research, accelerating the recovery of patients and reducing health costs. Therefore, the present research was conducted with the aim of reviewing the cognitive and metacognitive theories of health anxiety and the treatments resulting from them. The current narrative review in 2023, considering Persian and English keywords, was searched for articles in the time range of 1990 to now, in several famous databases (PubMed, Science direct, Scopus, Google Scholar and SID). By applying the inclusion and exclusion criteria, 38 articles were finally examined. The findings showed that in explaining the pathology of this disorder, there are important cognitive and metacognitive mechanisms and beliefs, each of which can play a role. Following that, studies showed a significant effect size in the relationship between cognitive and metacognitive therapies with health anxiety. The results of this article showed that each of the generalized or specific cognitive beliefs (such as anxiety sensitivity and Salkoskis and Varik's beliefs) and metacognitive beliefs accounted for unique variance in health anxiety scores. As a result, none of the content-based beliefs or metacognitive beliefs could explain the experience of health anxiety alone. Also, although the cognitive behavioral therapy performed on health anxiety showed a great effect, but more than half of the people did not show improvement. As a result, the effectiveness of metacognitive therapy was more encouraging than cognitive behavioral therapy in improving symptoms of health anxiety disorder and distress caused by it.

Human body needs an adequate amount of night’s sleep after a long day to regain its power. This study aims to investigate the effectiveness of cognitive-behavioral therapy (CBT-I) for insomnia on emotional regulation and dysfunctional sleep beliefs among insomniac patients.

This was a quasi-experimental study with a pretest, posttest, follow-up test, and a control group. The sample included 43 people referring to sleep disorders clinics in Rasool-e-Akram Hospital and two private clinics for psychiatrists with a sleep fellowship in Tehran City, Iran in 2020. Of the 43 patients suffering from insomnia, according to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5), 36 individuals were selected based on the inclusion and exclusion criteria, of which 20 cases were selected and randomly assigned to an experimental (n = 10) and a control group (n = 10).

The results demonstrated a significant difference between the emotional regulation and dysfunctional beliefs scores of the experimental and control groups in the posttest (P < 0.05). The results of the follow-up test indicated the sustainable effects of the therapeutic intervention on emotional regulation and dysfunctional sleep beliefs of the experimental and control groups compared to the pretest (P < 0.05).

Considering the significant effects of CBT-I on insomnia and dysfunctional sleep beliefs in the insomniac, this treatment can be used to improve their condition in sleep laboratories or other clinics.

Multiple Sclerosis (MS) is an autoimmune disease that destroys the nervous and central systems and is the main cause of non-traumatic neurological disability in adults. The purpose of this study was to evaluate the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in anxiety, rumination and fatigue in women with MS.

The research method was quasi-experimental with a pretest-posttest design with a control group. The statistical population included all women with MS who were covered by the MS Association of Mazandaran province in 2021. The sample of this study was 30 women from the statistical population who were selected based on inclusion criteria and then randomly divided into two groups of 15 people. Data collection tools in this study included the Zung Anxiety Questionnaire, the Nolen-Hoeksema & Morrow rumination questionnaire, and the Krupp & Pollina fatigue questionnaire. Then, Therapeutic interventions (MBCT) were performed on the experimental group during 8 sessions, 90-minutes each session, once a week. The control group did not receive any training. Data were analyzed by SPSS22 software using multivariate analysis of covariance

The findings revealed that the mean scores of anxiety and rumination were significantly reduced compared to the control group (p<0/001). However, no significant decrease was observed in fatigue scores compared to the control group (p>0/05).

Based on the findings of this study, it can be concluded that MBCT reduces anxiety and rumination in women with MS but does not have any effects on their fatigue.

Eight years of imposed war between Iran and Iraq has caused a considerable number of soldiers and disabled war veterans to experience symptoms of post-traumatic stress disorder (PTSD).

This applied study was conducted in the form of a quasi-experimental study with a pretest-posttest design and a control group at Sadr Psychiatric Hospital in Tehran during the year 2017-18. A total of 30 disabled war veterans with PTSD were selected through an available sampling method, and were divided into two groups: an experimental and a control group. The experimental group underwent cognitive-behavioral therapy for 14 sessions. The Depression, Anxiety and Stress Scales (DASS-21) was used for data collection, Data were analyzed with the aid of SPSS 21 software and a univariate analysis of covariance (ANCOVA). An analysis of covariance (ANCOVA) was used to eliminate the pretest effect. And Levene’s test was used to homogenize variances.

After modifying pretest scores, the difference between the experimental and control groups became significant. Based on the one-way ANCOVA carried out on the subjects’ total scores, there was a significant difference between the experimental and control groups in the variable “anxiety” (P < 0.05) and (F 8/227).

This intervention showed that cognitive-behavioral therapy had increased resilience among disabled war veterans with PTSD.

The   present   study   aimed   to   implement   a   mixed   treatment   package   to   reduce depressive   symptoms.   The   research   method   was   a   quasi-experimental   design,  pretest-posttest,   and   follow   up   with   a   control   group.   The   study's   statistical population   consisted   of   depressed   women   who   had   been   referred   to   Atieh Medical  Center  in  Tehran  in  2019-20.  The  sample  of  the  present  study  consisted of 60   individuals   who   were   diagnosed   as   depressed   patients.   These   individuals were randomly   assigned   to   four   groups.   Each   group   received   one   type   of therapeutic intervention   for   12   sessions   of   90   minutes.   The   Instrument   of   the study   included:  Beck  Depression  Inventory-II,  1988.  The   data  were  analyzed  by  Mixed   analysis   of variance   and   repeated   measurement.   The   results   showed   that  there  was  a  significant difference  between  reducing  depressive  symptoms  in  four  groups.   It   can   be   concluded that   a   mixed   treatment   package   is   effective   in  reducing  depressive  symptoms  in the  short  and  long  term.

Hypertension is a common disease which affects people's health. Individuals who are week in stress coping and respond to stress with bias are more likely to suffer from chronic physical and mental disease. Therefore, this study aimed to determine the effectiveness of cognitive-behavioral based stress management training on sleep quality and cognitive bias in patients with primary hypertension.

in this experimental study with pretest-posttest and control group. 32 females with hypertension were selected based on inclusion criteria and randomly divided into control (n = 16) and intervention (n = 16) groups. Both groups completed the standard questionnaire of Petersburg sleep quality and cognitive bias before and after the intervention. The intervention group received eight sessions of cognitive-behavioral based stress management training and the control group did not receive any training from the research team during study. Data were analyzed by descriptive and inferential statistical methods.

The results indicated there was a significant difference in the quality of sleep between the intervention and control groups after intervention (p> 0.05). Self-focused (0.03) and others (3.74) focused attention components of cognitive bias were not significantly different with control group (P > 0.05). This finding showed that there was no significant difference between the experimental and control groups in this component.

Based on the findings of the present study, it can be concluded that cognitive-behavioral based stress management training is effective on sleep quality and women with primary hypertension and can be used as an effective and safe complementary therapy.

Post-traumatic stress disorder (PTSD) is a syndrome that occurs after hearing or observing a severe stressful and damaging factor and can lead to death, although it can be improved with treatment. This study aims to investigate the effect of cognitive behavioral therapy (CBT) on post-traumatic stress disorder among the earthquake-affected people of Sarpol Zahab city, Kermanshah province in 2017. This research is a single-case design with multiple baselines that was used to analyze the data obtained from graphical analysis. After confirmation by psychiatrists and with clinical interviews, one person among the clients to the relief camp of local psychologists was selected based on available samples randomly. The findings indicated that cognitive behavioral therapy had a positive effect on reduction of post-traumatic stress disorder and patient's recovery was 81.7% which has somewhat prolonged during follow-up. According to the results, cognitive behavioral therapy is effective in reducing and improving the symptoms of post-traumatic anxiety disorder.

Mentalization based therapy (MBT) and cognitive-analytical therapy (CAT) are special methods for the treatment of borderline personality disorder (BPD). The purpose of this study was to compare the effectiveness of MBT and CAT on improving the object relationship of people with BPD.
This was an experimental study using pretest- posttest design with a control group. Thepopulation of this study consisted all the men with BPD admitted to two psychiatric hospitals in Ardabil, Iran. In all 45 men with BPD were selected by convenience sampling and were assigned randomly to two experimental groups and one control group. The first experimental group received 20 sessions of MBT, the second experimental group 16 sessions of CAT, the control group did not receive any intervention. Data were collected at baseline and posttest using structured clinical interviews, Millon Clinical Multiaxial Inventory and Object Relations Scale. Data were analyzed by covariance and Tukey analysis.
After controlling the effects of pretest data, there was a significant difference between the mean post-test scores of the experimental groups and the control group in the object relations and its components (P Both treatment methods are effective interventions to improve the object relationships of people with BPD.

Aim and Positive cognitive behavioral therapy (CBT) is a new approach in psychotherapy that combines cognitive behavioral therapy with positive psychology and solution-focused therapy. The purpose of this study was to determine the effectiveness of positive cognitive behavioral therapy on resilience and self-esteem among the adolescents with depression signs.
Methods and Materials: This was a semi-experimental study with pretest/posttests design, and with control group. Beck's Depression Inventory (BDI) was administered among the students in first grade of 5 randomly-selected high schools. Among the students who had scores upper than cut-off point of depression, and with consideration of inclusion and exclusion criteria, 34 students were selected, and randomly divided into two equal groups of control and experimental. Connor-Davidson resilience scale (CD-RISC), and Rosenberg self-esteem scale (RSES) were administered among the selected sample as pretest. Positive cognitive behavioral therapy was performed in experimental group, and again, the questionnaires were administered among the participants as posttest.
Findings: Positive cognitive behavioral therapy significantly increased students’ scores of resilience and self-esteem in experimental group compared to control group.
It seems that positive cognitive behavioral therapy can be applied as an effective approach for enhancing positive function components in adolescents with depression signs; further researches on this topic are recommended.

Females are sensitive and vulnerable during pregnancy in terms of mental health. Psychotherapy may be an effective intervention to improve the mental status of the mothers. Regarding this, the present study aimed to investigate the effect of cognitive-behavioral group therapy on depression during pregnancy.
This clinical trial was conducted on 60 pregnant women with the gestational age of 12-12 weeks, who referred to the health centers of Qazvin, Iran, within 2016-2017. All selected mothers had mild to moderate depression based on the Beck’s Depression Inventory. The participants were randomly divided into two groups of intervention (n=30) and control (n=30). The intervention group was subjected to cognitive-behavioral group therapy for six weeks, while the control group received no training. The Beck’s Depression Inventory was administered to all participants both immediately after the intervention and two months later as a post-test. The data were analyzed in SPSS software (version 23) using ANOVA and Chi-square test. P-value less than 0.05 was considered statistically significant.
According to the results of the Mann-Whitney U test, there was a significant difference between the intervention and control groups at the post-test (P=0.001) and follow-up (P≤0.001). In addition, the results of ANOVA revealed a significant difference in the intervention group in terms of the reduction of depression symptoms (P≤0.001) at the post-test and follow-up stages. However, no significant changes were observed in the control group in this regard.
Cognitive-behavioral group therapy was effective in the improvement of depression in pregnant women.

Ego-strength and object relations are key concepts in the psychoanalytic approach which are important in the etiology of borderline personality disorder. Therefore, the present study was conducted with the aim of evaluating the effectiveness of cognitive-analytical therapy on ego-strength and object relations of persons with borderline personality disorder.
This research was a semi-experimental and pretest- posttest design with the control group. The statistical population of this study consisted of all men (N=70) with borderline personality disorder admitted to Isar Psychiatric Hospital and psychiatry section of Fatemi Hospital in 2017 in Ardabil city. The research sample consisted of 30 men with borderline personality disorder selected by convenience sampling and were randomly divided into experimental and control groups. Data collection tools in this study included structured clinical interviews for diagnosis of axis II disorders, Millon clinical multiaxial inventory, psychological inventory ego strength and Bell Object Relations Scale. Pretest and posttest were performed from both groups. Data were analyzed by multivariate analysis of covariance analysis and in SPSS 23 statistical software.
The results showed that there was a significant difference between the mean posttest scores of both groups in both ego-strength and object relations variables (p Cognitive-analytical therapy is a suitable strategy for improving the ego-strength and object relationships of persons with borderline personality disorder and can be used as an effective intervention method.

Diabetes mellitus type 1 is one of the most common metabolic disorders in childhood and adolescence that has long-term physical and psychological complications such as anxiety, depression and behavioral problems. These complications lead to poor control of blood glucose and consequently, increased blood glucose levels. The present study was conducted to evaluate the effectiveness of cognitive-behavioral therapy on psychological problems and blood glucose control in children with Diabetes Mellitus Type I.
This study used a clinical trial with a control group pre-test and post-test design with control grop that was performed on 38 children with diabetes mellitus type I. The children were selected by convenience sampling and were replacing experimental group and control group randomly. In this study, were used Child Symptom Inventory-4 (CSI-4) : parent checklist and HbA1C test and were performed 12 sessions of individual cognitive behavioral therapy for them.
Finding: The study hypotheses were analyzed by ANCOVA and MANCOVA.The results showed that there was a significant difference between the experimental and control groups regarding to the effect of cognitive-behavioral therapy on the studied variables. In other words, cognitive-behavioral therapy significantly (P The study results showed that cognitive-behavioral therapy can be used as one of the new effective therapeutic interventions in the field of diabetes, especially in diabetic children, along with other treatments available.

Regarding the importance of generalized anxiety disorder, this study aimed to investigate the effect of an integrated cognitive-behavioral, acceptance, and commitment intervention on generalized anxiety disorder among students of Islamic Azad University of Toyserkan, Iran.
This interventional study was conducted on 18 students referring to the counseling center of Toyserkan Azad University to receive counseling services using a pretest -posttest design in 2017. The study population was selected by a psychiatrist based on the diagnostic and statistical manual of mental disorder criteria through convenience sampling technique. The data were collected using a two-part questionnaire, including the demographic information and Standardized Beck Depression Inventory .The integrated program consisted of 12 educational sessions. Data analysis was performed in SPSS software (version 16) by means of paired sample t-test and Chi -square test.
According to the results, the integrated intervention reduced the student's mean generalized anxiety disorder to 8.27%. Moreover, this intervention led to anxiety reduction from severe level to moderate level in 83.3% of the students.
As the findings of the present study indicated, the integrated intervention was effective in the mitigation of generalized anxiety disorder symptoms among the students. Therefore, this intervention was concluded to be as efficient as other interventions, such as the cognitive-behavioral, acceptance, and commitment programs, in decreasing the symptoms of generalized anxiety disorder.

In recent decades, cognitive-behavioral programs for reducing weight have had remarkable success. Generally, in these programs, many components are involved which lengthen the duration of therapy, and also it is not clear which one of the components is more practical for individuals. The present research attempted to answer the question regarding which components of cognitive-behavioral therapy were more practical in peoples’ everyday life for keeping the lost weight or losing weight.
This was a qualitative study based on directed content analysis. A purposeful sampling procedure was used which aimed at women who had undergone cognitive-behavioral therapy for weight loss, and who were able to keep their weight loss or had lost more weight at least 6 months after therapy. The semi-structured interviewing by cognitive-behavioral psychotherapist specialized in weight loss was ended with 18 people of these participants. Primary coding was done deductively based on Cooper and colleagues’ program for cognitive-behavioral therapy for weight loss. In addition, final components were approved by a matched group of women not in the sample, and by cognitive-behavioral psychotherapist specialized in weight loss.
From 35 primary components which were extracted deductively from the cognitive-behavioral protocol, only 17 components were approved by individual women who had undergone cognitive-behavioral therapy; such that the majority of these women reported using most of these 17 components in their everyday lives, or evaluated them as highly important and practical for losing weight during therapy.
The findings indicate that among many components involved in cognitive-behavioral therapy, only part of them are executed and practical, and that the rest of methods or components are forgotten or are not used. Therefore, it seems possible to focus cognitive-behavioral therapy on most practical components.

Aim and Today, due to changes in lifestyle and weight gain, the age of diabetes is reduced, and the prevalence of diabetes is increasing. The aim of this study was to determine the effectiveness of cognitive-behavioral group therapy on weight loss, and blood glucose level in women with type 2 diabetes mellitus.
Methods and Materials: In a semi-experimental, and pretest, posttest study with control group, 40 obese (body mass index of more than 30 kg/m2) women with an age range of 30-65 years and with type 2 diabetes mellitus were randomly selected and divided into two equal groups of experimental and control. The patients were referred to the Iranian Diabetes Association (Central Branch), Tehran, Iran. The experimental group participated in a program of 24 sessions of 60 minutes based on cognitive-behavioral obesity intervention, that included two phases of reduction and weight retention; but the control group did not receive any training. Weighing and taking blood samples (for evaluation of the average level of three-month blood glucose) were performed at the first and last session of the intervention.
Findings: The cognitive-behavioral obesity therapy led to weight loss in patients with type 2 diabetes mellitus, and also reduced the level of blood glucose in them.
The results indicate the effectiveness of cognitive-behavioral therapy in patients with type 2 diabetes mellitus. These findings are of great importance in controlling the weight, and blood glucose level in these patients; since it is possible to use alternative therapies, such as cognitive-behavioral therapy in treatment of obesity, as non-conventional medical treatments.

Test anxiety is a common phenomenon among students and is one of the problems of educational system. Therefore, the aim of this study was to investigate the effectiveness of cognitive therapy based on self-talk in reducing the test anxiety in nursing students of Islamic Azad University of Birjand.
This research was a semi-experimental study, using pre-test and post-test with control group. The statistical population of this study was all nursing students of the Islamic Azad University of Birjand who were studying at this college in 2018. In this research, the students were selected by cluster sampling method. Among them, 30 subjects who were the highest in the Test Anxiety Inventory (TAT) were selected as the sample and randomly divided into two groups of 15 experimental and control groups. The experimental group received 10 sessions of 1 hour self-talk educational program and the control group did not receive any special treatment. Anxiety questionnaire was used to collect data.
The results showed that there was a significant difference between the test anxiety in the experimental group and the control group after the experimental intervention (teaching self-talk strategies) at a meaningful level (P≥0.05). Mean and standard deviation of the test anxiety score in the two experimental groups and control were 53.03 ± 6.78 and 46.96 ± 10.25, respectively.
Therefore, cognitive therapy based on self-talk can be effective in reducing the test anxiety of nursing students of Islamic Azad University of Birjand and can be considered as a treatment method.

Anger, natural excitement and adaptive value, but when it comes out of control, can lead to problems at work, interpersonal relationships, and overall quality of life. The purpose of this study was to compare the effectiveness of two methods of cognitive-behavioral therapy (CBT) and Acceptance and Commitment Therapy (ACT) on anger control in male students.
In this quasi-experimental study, which was conducted as a pre-test-post-test with control group, using a multistage cluster sampling method, 45 male secondary school students of district 2 of education Tehran, who were studying in the academic year 2016-2017, were randomly divided into three groups of 15 (two experimental and one control group). The first group was subjected to 9 sessions of 60 minutes of cognitive-behavioral therapy and the second group received 9 sessions of 120 minutes of treatment based on acceptance and commitment. Data were collected by Spielberger's Anger Questionnaire. For analysis of data, covariance analysis was performed using the SPSS22.0.
Cognitive-behavioral therapy and acceptance and commitment therapy in the experimental groups reduced anger (P0.05).
Based on the findings, it can be concluded that cognitive-behavioral therapy and acceptance and commitment therapy reduced the student's anger. Therefore, the formulation of these therapeutic interventions can reduce student's anger and their educational problems.

Aims: The existence of eight years of imposed war in Iran has caused a significant group of warriors and veterans to suffer from symptoms of post traumatic stress disorder (PTSD). PTSD is associated at least with signs of another psychiatric disorder. The purpose of this study was to investigate the effect of cognitive-behavioral therapy on emotional control and signs of suicide in veterans with PTSD.
In this semi-experimental study with pre-test and post-test design with a control group in 2017, 40 veterans with posttraumatic stress disorder hospitalized to Ghods Hospital of Sanandaj city were selected using available sampling. They were randomly assigned into two groups: experimental group (20 veterans) and control group (20 veterans). The data collection tools were Beck Scale for Suicidal Ideation (BSSI) and Emotional Control Questionnaire (ECQ). Patients in the experimental group received cognitive-behavioral therapy for 9 sessions. Data were analyzed by SPSS 16 software using univariate and multivariate covariance analysis.
Findings: After modifying the pretest scores, there was a significant difference between experimental and control groups and cognitive-behavioral therapy increased emotional control (F=25.40) and its subscales and reduced suicidal ideation (F=38.19) and subscales in experimental group (p=0.001).
Cognitive-behavioral therapy is effective in increasing emotional control and reducing suicidal signs in veterans with posttraumatic stress disorder.