جستجوی مقالات مرتبط با کلیدواژه "رفتار درمانی شناختی" در نشریات گروه "پزشکی"

Sexual dysfunction is usually associated with imbalance and emotional expression. Cognitive- Behavioral Analysis System of Psychotherapy(CBASP) is one of the evidence-based treatment used for a wide range of psychological and interpersonal problems. This study was conducted with the aim of investigating the effectiveness of cognitive-behavioral analytic psychotherapy on the self-conscious emotions of women with symptoms of sexual dysfunction.

The research method is semi-experimental with a pre-test, post-test and follow-up plan. The statistical population were married women suffering from sexual harassment referred to Tehran counseling centers from the months of January 2022 to May 2023. Thirty (30) women were selected by purposeful method and randomly assigned into two groups (15) for the case and (15) for the control group. The Women's Sexual Performance Index Questionnaire (SFSI), the Self-Conscious Affect Test (PFQ-2) and the Short Form of the Women's Sexual Self-Esteem Index (SSEL-W-SF) were used to collect the data. The experimental group underwent 12 sessions of analytic cognitive-behavioral psychotherapy and each session lasted 90-minutes while the control group did not receive any treatment. The data was analyzed using SPSS.27 software.

The results of variance analysis with repeated measures showed that there is a significant difference between the post-test and the follow-up of the experimental and control groups in the scores of conscious emotions, sexual self-esteem and sexual performance (P≥0.001).  The therapeutic effects were maintained on the variables in the 3-months follow-up.

Cognitive- behavioral analysis system of psychotherapy decreases the feeling of guilt and shame in sexual relationship and has positive effect on women's sexual self-esteem, which improve their sexual function.

The aim of this study was to compare the effectiveness of cognitive-behavioral therapy, brief intervention and combination intervention on reducing depression in recovering Covid-19 in Andimeshk.

The present research method was quasi-experimental with a pretest-posttest design with a control group. The sample consisted of 80 patients with Covid-19 virus recovered under the auspices of Andimeshk Comprehensive Health Service Centers who were purposefully selected and randomly assigned to experimental and control groups (20 people in each group). The experimental group underwent cognitive behavioral therapy interventions for 8 sessions of 90 minutes once a week and the control group did not receive any intervention. Beck Depression Inventory (BDI-II) was used to collect data and analysis of covariance was used to test the research hypotheses.

The results showed that there was a significant difference between the effectiveness of cognitive-behavioral therapy and brief intervention on depression in Covid-19 in Andimeshk, but there was no significant difference between the effectiveness of cognitive-behavioral therapy and combined intervention on depression in Covid-19 in Andimeshk.

Based on the results, it can be concluded that cognitive-behavioral therapy has been effective in reducing depression. And there is no difference between the effectiveness of cognitive-behavioral therapy and combination intervention (cognitive-behavioral therapy and brief intervention)

This study aimed at comparing efficacy of cognitive behavioral therapy, Zolpidem 10 mg, and waiting list group on illness perception and sleep efficiency in individuals with chronic insomnia disorder. 

Participants included 74 (female = 43) individuals with chronic insomnia disorder who were recruited from 2018 December to 2020 February by purposive sampling (inclusive & exclusive criteria). Then, patients randomly allocated to one of the three conditions, including cognitive behavioral therapy (N=25), pharmacotherapy (Zolpidem 10 mg.; N=29), and the waiting list (N=20). All patients were assessed three times at pretreatment, post-treatment, and 3-month follow-up by the Persian version of Brief Illness Perception Questionnaire and Sleep Efficiency Index. The data were analyzed by mixed analysis of variance with Bonferroni post-hoc test and repeated measure analysis of variance. 

All stages of the research have been carried after taking supervising and approving of Kharazmi Universitychr('39')s ethics in research committee. 

The patients who received cognitive behavioral therapy compared to patients in waiting list group, obtained significantly lower scores in illness perception and sleep efficiency during post-treatment and 3-month follow-up. Efficacy of pharmacotherapy only observed during post-treatment but there were no significant differences between pharmacotherapy and waiting list patients during 3-month follow-up.

Cognitive behavioral therapy for insomnia reduced significantly illness perceptions and sleep efficiency during 3 months. All the treatment gains remain stable even 3 months later treatment ends. In addition, not receiving any treatment in waiting list and gradually discontinued the treatment in pharmacotherapy group leads to decreasing of sleep efficiency and increasing of illness perception.

Implementation of psychological interventions in prisoners in order to improve their mental health is one of the necessary measures in the state prisons and security and corrective measures organization. Due to the importance of this issue, the present study was conducted to investigate the effect of cognitive behavioral therapy (CBT) on cognitive flexibility (CF) in prisoners.

This study was a quasi-experimental design with pre-test, post-test and control group, which was conducted in 2019 in the statistical population of non-financial prisoners in Ahvaz Central Prison. By purposeful sampling method, 40 prisoners were placed in two experimental and control groups. After receiving the pre-test, the experimental group underwent 8 sessions of CBT. The Cognitive Flexibility Inventory-CFI (Dennis & Vander, 2010) was used in the assessment process. Data analysis was performed using SPSS-21 statistical software.

The results indicated that the intervention played an effective role in increasing the perceptual components of different options (P = 0.002, F = 11.632) and controllability perception (P = 0.002, F = 12.044) as well as the CFI (P = 0.0001, F = 27.298) (P <0.001); However, no significant difference was observed in the behavior perception component (P = 0.942, F = 0.005). Generally, CBT intervention was able to explain 0.50 of the changes in CF.

CBT Intervention has the potential to increase cognitive flexibility by modifying dysfunctional beliefs and behavioral activation. Based on this, it is suggested that the role of CBT intervention be considered in line with security and corrective measures.

Migraine is a major, common and debilitating headache disorder that affects 10 to 20 percent of the population, especially the working age, and is one of the 20 most debilitating diseases in the world. The aim of this study was to determine and compare the effectiveness of the treatment group based on acceptance and commitment and cognitive behavioral therapy on the experimental and cognitive avoidance of patients with migraine headaches.

This study is a semi experimental study that was done in 2016. The statistical population of the study consisted of 30 patients with migraine headaches who were selected through targeted sampling and after randomized entry and exit of the research conditions in three groups; treatment based on acceptance and commitment, cognitive behavioral therapy and allocation control. Were given. In order to collect information, Ahvaz Najarianian Migraine Questionnaires, Admission and Practice - Second Edition(AAQ-II) and Cognitive Misunderstanding of Guilders et al. were used. The scores obtained from the evaluations were analyzed in three stages (pre-test, post-test and follow-up) with the help of one-way analysis of variance(Anova), Levin and Toki follow-up.

The results indicated the effect of acceptance-based therapy and commitment on experimental avoidance and cognitive coherence at two levels: short-term (p<0.05) and long-term (p<0.05) and the effect of cognitive-behavioral therapy on short-term cognitive coherence(p<0.05). And the ineffectiveness of cognitive-behavioral therapy on experimental avoidance at both short-term (p <0.05) and long-term (p <0.05) and cognitive coherence at the long-term (p<0.05) are significant. Furthermore, in comparing the effectiveness of cognitive-based therapy and commitment and cognitive-behavioral therapy, the findings show a significant difference between the two therapies on reducing experimental avoidance at both short-term (p<0.05) and long-term (p<0.05) and cognitive experimentation. It was short-term (p<0.05) and long-term (p<0.05).

Due to the lack of definitive drug treatment for people with migraine headaches and the fact that different aspects of their lives are affected by the recurrence of headaches in these patients, it is better for these patients to undergo a course of treatment based on acceptance and commitment so that they can continue to have headaches. The normal course of life will go smoothly and the quality of their life will not be adversely affected by the headache.

The obsessive-compulsive disorder is one of the major problems in mental health. Growth experiences such as attachment play an important role in the formation of mental harm. This research has been designed with the aim of investigating schema therapy on attachment styles (secure, insecure anxiety& insecure avoidance) and symptoms of patients with obsessive-compulsive disorder. In this clinical trial study, the statistical population of the patients referring to Birjand psychiatric clinic was that based on entry criteria, thirty- two persons were randomly assigned with a replacement entered studying. The data collection tool was Yale-Brown obsessive and the Hazen and Shaver attachment style questionnaire. The collected data were analyzed by SPSS software (Version 22) by independent t-test, repeated measures ANOVA and Post-Hoc Bonferroni, at a significant level (P <0.05). The mean scores of post-test and fallow up in three attachment styles and obsessive scores in the experimental group had a significant difference with the control group (P<0.001). In the schema group, the mean score of the two insecure attachment styles (secure, insecure anxiety& insecure avoidance) (avoidance and anxiety) and obsessive- compulsive symptoms in the post-test had a significant decrease with the score of pre-test and the scores of secure attachment style showed a significant increase (P<0.001). According to the results, attachment styles especially insecure anxiety and insecure avoidance attachment styles are associated with obsessive-compulsive symptoms and schema therapy through the effect of adjusted attachment styles can reduce the symptoms of obsessive-compulsive disorder.
Keywords: Obsessive- Compulsive Disorder, Attachment,

Abstract Premenstrual syndrome (PMS) is defined as a set of physical and psychological symptoms that occur during the Luteal phase of the menstrual cycle. Among this complaint, anxiety is more common and aversive. This study was designed to reduce anxiety through comparison of the effectiveness of group cognitive behavioral therapy and group cognitive hypnotism in women with premenstrual syndrome. The study was done using semi-experimental method on women and girls who were referred to 12 Health centers of Rasht city in 2013. Available sampling was used and 30 women with premenstrual syndrome were selected and divided into 3 groups of 2 experimental groups and 1 control group randomly. The first experimental group, received 8-week group cognitive behavioral therapy, and the second group received hypnosis cognitive therapy group. The third group received no special treatment: 8 item Premenstrual syndrome inventory and the Beck’s questionnaires anxiety were used in pre-test and Post- test. Data were analysed using covariance analysis and Tukey. The results show both therapies were effective on reducing anxiety in women with PMS (p<0/001). Also, CBGT, in comparison with hypnotism group was not different in reducing anxiety signtificantly in women with PMS. The results showed that psychological therapies were effective for Premenstrual syndrome and given their fewer complications, such therapies are more recommended than the medication treatment. In addition, considering similar effectiveness of CBGT and hypnotherapy, using the latter as a substitute for CBGT is recommended, especially in women’s diseases.

Within chronic pains، back pain has the highest percentage. Psychological factors play an important role in the establishment and continuation of physical disability as well as in functional limitation in patients with chronic low back pain. Therefore، the purpose of this study was to compare the effectiveness of Mindfulness Based Cognitive Therapy (MBCT) and Cognitive Behavior Therapy (CBT) on decreasing the pain، depression and anxiety of patients with chronic low back pain. This study was an experimental study by pretest- posttest design with a control group. Thirty patients were selected by random sampling among patients with chronic low back pain who referred to Imam Reza and Behsat clinics in Rasht from 2012 to 2013. The study participants were placed in three groups (two experimental and one control group). MBCT (first experimental group) and CBT (second experimental group) were administered in 8 sessions for 90 minutes. The short-form McGill pain Questionnaire (Dworkin et al، 2009) and depression، anxiety، stress scale (Lavibond & Lovibond، 1995) were used for collecting the data in pre-test and post-test stages. One way and multivariate Analysis of Variance were used for analyzing the data. The results showed that there was no meaningful difference between two experimental groups in the mean score of pain، depression، anxiety، though a meaningful difference was observed between these two groups and the control group in regard to above variables. The results support the effectiveness of MBCT and CBT in decreasing pain، depression and anxiety. Therefore، taking account of these two therapeutic methods is very important for patients with chronic low back pain.

The aim of this research was to study the comparison of cognitive-behavioral therapy, cognitive-behavioral therapy with exposure and response prevention, drug therapy and control group on Obsessive-Compulsive Disorder. The research method was experimental with pre-post test and control group. The sample consisted of 48 obsessive-compulsive patients who were matched from age, educational statues, duration of disease and other criteria considered in this research. Then randomly selected in to three groups as experimental and one group as control. The instruments were Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI) and Moudsley Obsessive-Compulsive Inventory (MOCI). Also we analyzed the data by ANOVA and Tokey method. ¬The results indicated that cognitive-behavioral therapy, cognitive-behavioral therapy with exposure and response prevention, drug therapy significantly decreased the OCD symptoms (P<0.001). Also in long term period, the effect of cognitive-behavioral therapy with exposure and response prevention was significantly better than cognitive-behavioral therapy and drug therapy but there was not a significant difference between cognitive-behavioral therapy and cognitive-behavioral therapy with exposure and response prevention (p<0.001). Cognitive-behavioral¬ therapy, cognitive-behavioral therapy with exposure and response prevention, drug therapy were effective on reduction of OCD symptoms; but in long term, CBT and CBT with exposure and response prevention was effective than the drug therapy.

Aim and This research aimed to compare the effects of cognitive behavioral therapy and Islamic-based spiritual-religious psychotherapy on reducing overt anxiety level of male students residing in dormitory. Methods and Materials: This clinical trial study used Cattell''s anxiety questionnaire to identify anxious students. Afterwards، 45 students from Allame Tabatabaie University selected and randomly assigned into 3 groups of cognitive behavioral therapy، spiritual-religious psychotherapy، and control. They received therapeutic methods in the form of groups for two hours per week (12 sessions). Data was analyzed using analysis of covariance (ANCOVA). The results showed that no significant difference between the two therapeutic methods in reducing anxiety levels. In fact، both methods were significantly effective in reducing overt anxiety of students. Islamic-based spiritual-religious psychotherapy and cognitive behavioral therapy can reduce overt anxiety.

Chronic pain is one of the most prevalent reasons of referral to health centers. Cognitive Behavioral Therapy (CBT) has been shown to be an effective treatment for chronic pain. The current study was conducted to evaluate the efficacy of Cognitive Behavioral Therapy in patients with chronic musculoskeletal pain. CBT was evaluated in 8 sessions of up to 50 minutes in 4 patients with chronic musculoskeletal pain. A multiple baseline with a follow up of 1 month was used. Patients were randomly allocated to baselines and outcome and assessed via Beck Depression Inventory (BDI), Pain Catastrophizing Scale (PCS), Visual Analogue Scale (VAS) and Cognitive Coping Strategies Inventory (CCSI). Results showed that Cognitive Behavioral Therapy was effective in reduction of depression, pain Catastrophzing and pain intensity, and improvement of coping strategies. These effects were maintained to some extent in the follow up. Psychological as well as medical treatment can be helpful in the patients with chronic pain.

Caring for patients with dementia especially Alzheimer, is the most hardship, damaging and challenging of cares that caregivers expose to it. The lack of education about it increases the problems. The aim of this study was to evaluate the effect of group discussion and telephone counselling on perceived stress of women as caregivers of patient with Alzheimer disease. In this study, 150 women who had 18-60 years old as a close relative to elderly patient with Alzheimer and at least being direct caregivers for six months, with convenience method were selected and by blocking randomization were allocated to control and experimental groups. The experimental group was participated in the group discussion and telephone counselling. Post-test was carried out six weeks after the program. The instruments for data gathering were demographic items and perceived stress Questionnaire. Independent t-test, paired t-test, Chi-square and ANOVA test were used. The study findings showed that before group discussion and telephone counselling 50.7% of samples in intervention group and 57.3% of samples in control group had high level of stress. Our results demonstrated that after the intervention, the mean of perceived stress in experimental group was decreased from 28.38±8.62 to 22.45±5.55 (p≤0.001) which shows decrease of stress. In the control group mean was increased from 29.88±8.66 to 31.92± 6.31 (p=0.009) which shows increase of stress. There were significant relationship between perceived stress and the variables of education (p= 0.03), and economic status (p= 0.01). Caregiver women of patient elders with Alzheimer disease as the main resource of informal caregivers, experience high levels of stress that this problem treats health of women and their elderly. Group discussion and telephone counselling are effective to decrease perceived stress of women as caregivers of patient with Alzheimer disease. Thus, this method of education is suggested.

Gender Identity Disorder (GID) is a strong and persistent cross gender identification and persistent discomfort with his or her sex. Those extreme forms of GID involve attempts to simulate phenotype of the opposite biological sex. Nowadays treatment of GID is complex and rarely successful when the goal is to reverse the disorder. Psychotherapy prepares patients to deal with their disorder, not to alter it. This case series presents 4 cases of GID that were treated successfully. A 16 year old male, a 19 year old male, a 18 year old female and a 20 year old female have been treated for 4-6 months successfully by weekly psychotherapy. Successful treatment of these cases shows the efficacy of non hormonal and nonsurgical treatment of GIDs, and discourages premature sex reassignment surgery.

Background and Infertility and its numerous treatment programs create crisis in infertile women’s life and is a potent source of anxiety. There is evidence that cognitive behavioral therapy might be efficacious for emotional aspect of infertility. Therefore we designed a study for evaluation of cognitive behavior therapy effect on anxiety level in primary infertile women undergoing IUI in Montaserieh Infertility Research center from May to August 2001. In this randomized controlled clinical trial, 110 women with primary infertility that were undergoing IUI for first time randomly allocated to two groups (55 experimental, 55control group). In first visit for IUI treatment (beginning of study) state and trait anxiety of all subjects measured by Spielberger Anxiety Inventory. The experimental group complete a cognitive behavior therapy program include cognitive restructuring and relaxation for 12-13 days. Control group received only routine cares. State and trait anxiety were measured in 30 minute before and after IUI for two groups. Findings showed that state and trait anxiety scores in beginning of study were not significantly different between groups. But state anxiety score before (p<0.001) and after (p<0.0001) IUI were significantly different. Trait anxiety score were not significantly different, before and after IUI. The difference between state and trait anxiety score at beginning and before IUI [State anxiety (p<0.0001), trait anxiety (p<0.0001) were significantly different. The results of study showed that cognitive behavior therapy is effective in reduction of anxiety in women undergoing IUI treatment, so we recommend it to securing psychological well – being in women undergoing infertility treatment.

Stress is a major problem of the modern world, causing psychological and physiological diseases. Object of this study was to evaluate the effects of cognitive behavioral therapy on coping styles of non-medical students of Shahrekord university of medical scences. This two phases experimental study was performed on 60 students, having non-effective coping styles. They were randomly divided into the control (n=30) and case (n=30) groups. Billingz & Mouse coping questionnaire was used to assess coping styles. The case group was treated with 8 weeks of group cognitive behavioral therapy. Quantitative analysis of data was undertaken by using dependent and paired t-tests. The results showed that cognitive behavioral therapy had significant effects on improvement and effectiveness of the coping strategies (P<0.001).