جستجوی مقالات مرتبط با کلیدواژه « psychosomatic symptoms » در نشریات گروه « پزشکی »

For years, psychological treatments for acute biological patients, along with other drug treatments, have been the answer to patients' psychological problems. The present study aimed to compare the effectiveness of group training of psychological capitals with cognitive therapy based on mindfulness on the psychosomatic symptoms of migraine patients in Isfahan city.

The design of this research was a semi-experimental type of pre-test, post-test and follow-up with a control group. The statistical population of the study was made up of all migraine patients in Isfahan city in 1400. The research sample consisted of 54 patients with migraine and were selected by purposeful sampling and randomly assigned to two experimental groups and one control group. The experimental groups underwent 14 sessions of psychological capital training, and the second experimental group underwent 8 sessions of cognitive therapy based on mindfulness, and the control group did not receive any intervention. The research tool included the Beck Depression Questionnaire and the data were analyzed using two-way analysis of variance with repeated measurements.

The difference in the psychosomatic symptoms scores in the pre-test and follow-up test in the three groups is significant (p<0.001) and the difference between the groups in the research stages (interaction of time in the group) is equal to 72.9%.

Considering the effect of mindfulness based cognitive therapy and psychological capital training on the psychosomatic symptoms of migraine patients, these treatments become an effective factor in improving the symptoms of these patients.

The aim of this study was to evaluate the effectiveness of mindfulness-based stress reduction program on reducing psychosomatic symptoms and test anxiety in the University entrance exam candidates.

Methods and Materials: 

The present study was an experimental study with pre-test and post-test design with a control group. The statistical population included the senior female high school students in Bonroud district of Isfahan province in the educational year (2020-2021), who were selected by multi-stage random cluster sampling method and among students who had high anxiety scores (1 standard deviation above average). 12 students were randomly assigned to the experimental group and 12 students were randomly assigned to the control group. The experimental group underwent mindfulness-based stress reduction program intervention for 8 sessions. The control group did not receive any intervention. TAI test anxiety (Abolghasemi et al., 2006) and psychosomatic complaints (Takata and Sakata, 2004) questionnaires were used to collect data. The collected data were analyzed using statistical methods of Analysis of Covariance. Participants were allowed to leave the study whenever they wished. The informed consent form was completed by the individuals before the study began.

The results of ANCOA analysis showed that the experimental intervention could significantly reduce test anxiety (P<001) and reduce psychosomatic symptoms (P<001) in students of the experimental group.

According to the findings, it can be concluded that mindfulness-based stress reduction program has been able to have a positive effect on reducing test anxiety and psychosomatic symptoms in the University entrance exam candidates.

High blood pressure is one of the most common chronic diseases and the world's third leading cause of death. More than one in five adults worldwide have high blood pressure. Primary hypertension is thought to be caused by psychological and physiological factors. Psychophysiological factors include rumination, emotion regulation, and psychosomatic symptoms. Metacognitive therapy is an emerging therapy that emphasizes reducing ineffective cognitive processes and facilitating metacognitive processing instead of focusing on the content of thinking. The main goal of metacognitive therapy is to enable patients to interact with their thoughts differently, develop flexible metacognitive control and awareness, and prevent processing through worry, rumination, and threatening feminism. This study aimed to determine the effectiveness of metacognitive therapy on mental rumination, emotion regulation, and psychological symptoms of female patients with high blood pressure in the health care clinic of the northwestern oil industry.

The research method was quasi–experimental with a pretest–posttest with a 3–month follow–up design with a control group. The statistical population was all female patients with hypertension referred to the northwestern oil industry health clinic in 2020. From the above population, 30 people were selected by the available sampling method and randomly assigned to experimental (15 people) and control (15 people) groups. The inclusion criteria include satisfaction with participating in group meetings, no substance abuse, and minimum diploma education. The age range was 40–55 years, and the exclusion criteria were the absence of more than two sessions in the experimental group and non–participation and cooperation during the sessions. The experimental group underwent metacognitive therapy for 10 sessions, and the control group received no intervention. Measuring instruments were Ruminative Response Scale (Nolen–Hoeksema & Morrow, 1991), Psychosomatic Complaints Scale (Takata & Sakata, 2004), and the Difficulties in Emotion Regulation Scale (Gratz & Roemer, 2004). Data analysis using descriptive statistics indicators, including mean and standard deviation, and inferential statistics, including the Chi–square test, independent t test, and analysis of variance with repeated measurements, was done in SPSS software version 22. The significance level of the tests was considered 0.05.

The results showed that in the experimental group compared to the control group, the mean scores of the variables of non–acceptance of emotions, lack of emotional awareness, limited access to emotional strategies, psychosomatic symptoms, and mental rumination in the posttest and follow–up stages were significantly lower than the pretest (p<0.05). However, no significant difference was observed between the mean scores of the follow–up and posttest stages in the mentioned variables, indicating the intervention's continued effectiveness in the follow–up stage (p>0.05).

According to the findings, metacognitive therapy through strategies such as practicing disconnected mindfulness, delaying mental rumination, examining positive beliefs, continuing to challenge positive beliefs, and identifying negative beliefs reduces the difficulty in regulating emotion and rumination and psychosomatic symptoms.

The aim of this study was to determine the contribution of emotion regulation, defense mechanisms and attachment in predicting psychosomatic symptoms by adjusting gender and level of anxiety.

The research method was path analysis. For this purpose, 540 patients with psychosomatic disorders in Tehran were selected by purposive sampling method. They answered the questionnaires of distress tolerance, emotion regulation, defense mechanisms and psycho-somatic symptoms PHQ-15. To analyze the data, path analysis with the observed variables was used.

Findings showed that gender differences in regard to emotion regulation, attachment styles, and defense mechanisms in predicting psychosomatic symptoms were not the same with respect to the level of anxiety in individuals. In terms of attachment and emotional regulation, the difference in predictive path coefficients at low and high anxiety levels is not significant, but there is a significant difference in neuroprotective defense mechanism at low anxiety levels. In conditions of high anxiety, there are no gender differences between any of the path coefficients, and the level of anxiety is still an important factor in the contribution of attachment styles, defense mechanisms and emotional regulation in predicting psychosomatic symptoms.

In other words, when the level of anxiety is low, more neurotic women show more psychosomatic symptoms than men with low levels of anxiety.