Comparing the effectiveness of schema therapy with cognitive-behavioral therapy and drug therapy in reducing pain in patients with rheumatoid arthritis who have anxiety and depression and inconsistent coping strategies

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.