جستجوی مقالات مرتبط با کلیدواژه « نشانگان خستگی مزمن » در نشریات گروه « پزشکی »

The aim of this study was to compare the effectiveness of schema therapy and treatment based on acceptance and commitment on chronic fatigue syndrome and health anxiety in patients with multiple sclerosis. The research method is quasi-experimental with pre-test-post-test design with two experimental groups and one control group. From the community of patients with multiple sclerosis in Markazi province in 1400, 45 people were randomly selected and then randomly assigned to 3 groups of 15 people. The research instruments included the Chronic Fatigue Questionnaire (CFS) and the Health Anxiety Inventory (2002). Finally, analysis of covariance was used using SPSS software version 22 to analyze the data. The results showed that there was a significant difference between the effect of schema therapy and acceptance and commitment based therapy on chronic fatigue syndrome and health anxiety (p <0.001). There is no significant difference between changes in mean chronic fatigue and health anxiety among patients with multiple sclerosis after one month in the schema therapy group and acceptance and commitment based treatment in the follow-up phase and these results confirm Schema therapy and treatment based on acceptance and commitment to chronic fatigue and health anxiety among patients with multiple sclerosis has been well established.

The present study investigated the effectiveness of Acceptance and Commitment Therapy (ACT) on Chronic Fatigue Syndrome (CFS) and Pain Perception (PP) in people with Multiple Sclerosis (MS). 

This was a quasi-experimental study with a pre-test, post-test and a control group design. The statistical population was all individuals with MS referring to the MS Society of Ahvaz, Iran, in 2018. Thirty patients with SFS were selected and randomly assigned into two groups of test and control (15 per group). Moreover, Multidimensional Fatigue Inventory (MFI) (was used to measure chronic fatigue symptoms) and Fatigue Severity Scale (FSS) and McGill Pain Questionnaire (MGPQ) were used for data collection. The achieved data were analyzed by Multivariate Analysis of Covariance (MANCOVA) in SPSS. 

The MANCOVA results revealed a significant difference between two groups in the following variables: perception of sensory pain (F=14. 70, P≤ 0. 001), perception of pain assessment (F=70. 50, P≤0. 01), perception of various pain (F=8. 13, P≤0. 001), PP (F=14. 68, P≤0. 001,) and CFS (F=4, P≤0. 05). 

The study finding suggested that ACT was effective in reducing the severity of CFS and PP in the experimental group; this reduction has led to a relative improvement in MS condition. Therefore, clinicians working in health centers can use this treatment along with pharmacotherapy.

The first technique for relaxing the body's muscles and relieving fatigue is relaxation, but another method for improving chronic fatigue is cognitive-behavioral therapy. According to these definitions, the purpose of this study was to compare the effectiveness of two methods of psychological treatment (cognitive-behavioral therapy) and muscle relaxation (relaxation) in reducing the symptoms of chronic fatigue syndrome in nurses. The research method was semi-experimental with control and experimental groups. The statistical population of the study consisted of all nurses working in public hospitals in Tehran. The research sample consisted of 36 subjects in two control groups and 36 subjects in two experimental groups. The sampling method used was available sampling. Firstly, in both control and experimental groups, nurses' fatigue was evaluated with a Chaldean Fatigue Questionnaire (1993) before teaching cognitive-behavioral therapy and muscular relaxation with a pre-test. Then the first experimental group was exposed to cognitive-behavioral education in 6 sessions of 1 hour, and the second experimental group was exposed to muscle relaxation training in 6 sessions of 1 hour and again the fatigue questionnaire was evaluated in all 4 groups with a post-test. Data analysis was done with Spss18 software, independent and dependent T tests and covariance analysis. The findings of the study showed that cognitive-behavioral therapy and gradual muscular relaxation therapy had a significant effect on nurses' fatigue. According to the Eta coefficient squared at the level of α = 0.05, the effect of cognitive-behavioral therapy training on nurses' fatigue reduction was 79.6%. There was no significant difference between the fatigue reduction of the two groups under different training groups (α = 0.05). Fatigue reduction in the group that received cognitive-behavioral education was more than fatigue reduction in the group that received gradual muscular relaxation therapy, but this difference was not statistically significant.

The present project studied epidemiology of Chronic Fatigue Syndrome (CFS) and its relation to psychiatric difficulties in female nurses. These nurses were employed at educational hos- pitals under the auspices of Tehran and Ahvaz Universities of Medical Sciences.The project’s subjects were 1263 nurses;175 of them were selected through census sampling from the city of Ahvaz and 1088 were selected from Tehran via stratified random sampling.To collect data, the followings were used: General Health Questionnaire (GHQ), Chalder of Fatigue Scale (COFS), Krupp Fatigue Severity Scale (KFSS), Whitely Index (WI), and clinical interviews. This evaluation showed that the prevalence of CFS was 7.3% in all nurses under study. The prevalence was 3.4% and 7.9% in nurses from Universities of Ahvaz and Tehran respectively. Furthermore,the prevalence of the syndrome was 7.9% in married nurses and 6.5% in nurses who were single.There was a significant correlation between fatigue and hypochondriasis, somatic com- plaints, anxiety and sleep disturbances, social dysfunction and depression. The nurses employed at Universities of Tehran and Ahvaz lack suitable mental health con- dition.