Volume 9, Issue 3 (summer 2024)
Abstract
Aims: Fibromyalgia is a chronic pain disorder characterized by widespread musculoskeletal pain, fatigue, and tenderness in localized areas. The objective of this study is to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on pain anxiety, perfectionism, and aggression among women diagnosed with fibromyalgia.
Method and Materials: The current research design was semi-experimental with a pre- test-post-test design with a control group. The statistical population of the research included women with fibromyalgia in Ardabil province of Iran in 2024. In this study, 34 women with fibromyalgia were selected through purposive sampling and divided into experimental (n=17) and control (n=17) groups. The experimental group participated in eight 90-minute sessions of ACT, while the control group did not undergo any intervention. Data collection involved administering the assessment Pain Anxiety Symptoms Scale (PASS), Perfectionism Inventory (PI), and Eysenck Aggression Questionnaires (EAQ). The collected data were then analyzed using multivariate analysis of covariance in SPSS-27.
Findings: The results showed that ACT significantly decreases cognitive (F=41.42, P=0.001, η2=0.61), avoidance (F=37.21, P=0.001, η2=0.59), fear (F=54.71, P=0.001, η2=0.68), physiological anxiety (F=46.72, P=0.001, η2=0.64), perfectionism (F=63.20, P0.001, η2=0.71), and aggression (F=52.11, P=0.001, η2=0.66) in women with fibromyalgia.
Conclusion: This research offers valuable insights into the effectiveness of ACT in enhancing psychological well-being among women diagnosed with fibromyalgia. Subsequent studies should delve deeper into the enduring effects of ACT and its viability within comprehensive treatment strategies for fibromyalgia, striving to deliver tailored and holistic care for individuals grappling with this complex condition.
Volume 10, Issue 1 (2-2025)
Abstract
Aims: Diabetic Neuropathy Pain (DNP) is a chronic condition that arises from nerve damage caused by prolonged hyperglycemia. It leads to burning, tingling, and sharp pain, primarily in the extremities. This study examines the effectiveness of Cognitive-Behavioral Therapy (CBT) in mitigating recurrent negative thoughts, reducing anxiety sensitivity, and enhancing emotional adjustment in individuals with DNP.
Method and Materials: The study employed a quasi-experimental pre-test-post-test design with a control group, involving 36 patients with DNP from Ardabil clinics located in Ardabil, Iran in 2024. Patients were purposively sampled and randomly assigned to intervention (n = 18) and control (n = 18) groups. The intervention group underwent eight 90-minute CBT sessions, while the control group received no intervention. Data were gathered using the Repetitive Negative Thinking Questionnaire, Anxiety Sensitivity Index-3, and Emotional Adjustment Measure. The collected data were analyzed using MANCOVA in SPSS-27.
Findings: The results demonstrated that CBT significantly improves emotional adjustment (F = 49.46) and reduces recurrent negative thoughts (F = 45.41), as well as physical (F = 52.27), cognitive (F = 59.61), and social dimensions of anxiety sensitivity (F = 38.34) in individuals with DNP (P < 0.001).
Conclusion: The findings highlight CBT's transformative impact on the psychological resilience of DNP patients, fostering adaptive emotional regulation and diminishing maladaptive thought patterns. By addressing the interconnected dimensions of anxiety sensitivity and emotional adjustment, CBT offers a pathway to holistic pain management, emphasizing its potential as a cornerstone in the psychological care of chronic pain conditions.
Farzin Bagheri Sheykhangafshe, Nazanin Haghighat Bayan, Mona Baheri, Vahid Savabi Niri, Forough Esrafilian,
Volume 31, Issue 4 (11-2024)
Abstract
Post-traumatic stress disorder (PTSD) is a devastating mental health condition that can arise following exposure to traumatic events. This study aims to investigate the effects of cognitive behavioral therapy (CBT) on the sense of coherence, social support, and spiritual well-being among students diagnosed with PTSD. The research employed a semi-experimental, pre-, post-test design with a control group. The statistical population included students diagnosed with PTSD at the University of Tehran during the 2023-2024 academic year. A total of 36 students with PTSD were selected using purposive sampling and were divided into experimental (n=18) and control (n=18) groups. The experimental group attended eight 90-minute CBT sessions, while the control group received no intervention. Data collection involved administering the Post-Traumatic Stress Disorder Scale (Keane et al., 1998), the Sense of Coherence Scale (Antonovsky, 1993), the Social Support Questionnaire (Sherbourne & Stewart, 1991), and the Spiritual WellBeing Scale (Paloutzian & Ellison, 2012). The data were analyzed using multivariate covariance (MANCOVA) analysis in SPSS-24. The results indicated that CBT significantly increased the sense of coherence (F=40.69, p=0.001, η²=0.58), social support (F=60.50, p=0.001, η²=0.67), religious well-being (F=52.16, p=0.001, η²=0.64), and existential well-being (F=54.50, p=0.001, η²=0.65) in students with PTSD. These results support the incorporation of CBT into therapeutic programs for students with PTSD to foster resilience and holistic well-being. Future research could explore the long-term effects of CBT and its impact on other psychological and behavioral outcomes in diverse student populations.
