scholarly journals Internet-based cognitive-behavioral therapy for premenstrual syndrome: a randomized controlled trial

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Sanam Borji-Navan ◽  
Sakineh Mohammad-Alizadeh-Charandabi ◽  
Khalil Esmaeilpour ◽  
Mojgan Mirghafourvand ◽  
Ali Ahmadian-Khooinarood

Abstract Background Premenstrual syndrome (PMS) is a common problem of women of reproductive age, affecting various aspects of their lives. However, limited studies have investigated the effect of internet-based cognitive-behavioral therapy (ICBT) on PMS. Therefore, we aimed to assess whether ICBT can reduce symptom severity of women with PMS and improve their quality of life during the perimenstrual and late follicular phases of menstrual cycle. Methods The study included 92 university students aged 18–35 years who had moderate to severe PMS. The participants were allocated into two groups of 46 using block randomization. The intervention group underwent ICBT for two menstrual cycles, while the control group received no intervention. Before and after the intervention, all participants filled the Daily Record of Severity of Problems (DRSP) for two menstrual cycles and the Quality of Life Enjoyment and Satisfaction Questionnaire—Short Form (Q-LES-Q-SF) on days 1–2 and 11–13 of the menstrual cycle. Data were analyzed using univariate general linear models. Results Four students in the intervention group were lost to follow-up. Following the intervention, the mean score of total PMS symptoms was significantly lower in the intervention group than in the control group (10.4 vs. 20.2, adjusted difference: − 9.9 [95% CI − 13.3 to − 6.6]), and the score of perimenstrual quality of life was significantly higher (64.2 vs. 50.3, 14.1 [8.5 to 19.8]). However, there was no significant intergroup difference in the late follicular quality of life (68.3 vs. 67.3, 1.9 [− 4.4 to 8.1]). Conclusions The ICBT could reduce the symptom severity of women suffering from PMS while improving their perimenstrual quality of life. However, it had no significant effect on the late follicular quality of life. Therefore, this intervention can be used for women with PMS. Trial registration The Iranian Registry of Clinical Trials, Identifier: IRCT20100414003706N34, Registered prospectively on 19 June 2019, https://www.irct.ir/trial/38394.

2021 ◽  
Author(s):  
Sanam Borji-Navan ◽  
Sakineh Mohammad-Alizadeh-Charandabi ◽  
Khalil Esmaeilpour ◽  
Mojgan Mirghafourvand ◽  
Ali Ahmadian-Khooinarood

Abstract Background: Premenstrual Syndrome (PMS) is a common problem among women of reproductive age, affecting various aspects of their lives. There are very limited studies investigating the effect of Internet-Based Cognitive-Behavioral Therapy (ICBT) on PMS. We aimed to investigate the effect of ICBT on symptom severity of women suffering from PMS and their quality of life in the perimenstrual and late follicular periods. Methods: Ninety-two university students aged 18-35 years with moderate to severe PMS were allocated into two groups of 46 using block randomization. The intervention group underwent ICBT for two menstrual cycles, while the control group received no intervention. All participants filled the Daily Record of Severity of Problems (DRSP) for two menstrual cycles and the Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) on days 1-2 and 11-13 of the menstrual cycle pre- and post-intervention. Data were analyzed using univariate general linear models. Results: Four students in the intervention group were lost to follow-up. Post-interventionally, the mean score of total PMS symptoms was significantly lower in the intervention group than the control group (10.4 vs. 20.2, adjusted difference: -9.9 [95% CI: -13.3 to -6.6]) and perimenstrual quality of life was significantly higher (64.2 vs. 50.3, 14.1 [8.5 to 19.8]). However, there was no significant intergroup difference in the late follicular quality of life (68.3 vs. 67.3, 1.9 [-4.4 to 8.1]). Conclusions: Internet-Based Cognitive-Behavioral Therapy could effectively reduce PMS symptom severity and improve perimenstrual quality of life, with no significant effect on the late follicular quality of life. Trial registration: The Iranian Registry of Clinical Trials, Identifier: IRCT20100414003706N34, Registered 19 June 2019, https://www.irct.ir/trial/38394


2021 ◽  
Author(s):  
Sanam Borji-Navan ◽  
Sakineh Mohammad-Alizadeh-Charandabi ◽  
Khalil Esmaeilpour ◽  
Mojgan Mirghafourvand ◽  
Ali Ahmadian-Khooinarood

Abstract Background: Premenstrual Syndrome (PMS) is a common problem among women of reproductive age, affecting various aspects of their lives. There are very limited studies investigating the effect of Internet-Based Cognitive-Behavioral Therapy (ICBT) on PMS. We aimed to investigate the effect of ICBT on symptom severity of women suffering from PMS and their quality of life in the perimenstrual and late follicular periods. Methods: Ninety-two university students aged 18-35 years with moderate to severe PMS were allocated into two groups of 46 using block randomization. The intervention group underwent ICBT for two menstrual cycles, while the control group received no intervention. All participants filled the Daily Record of Severity of Problems (DRSP) for two menstrual cycles and the Quality of Life Enjoyment and Satisfaction Questionnaire - Short Form (Q-LES-Q-SF) on days 1-2 and 11-13 of the menstrual cycle pre- and post-intervention. Data were analyzed using univariate general linear models. Results: Four students in the intervention group were lost to follow-up. Post-interventionally, the mean score of total PMS symptoms was significantly lower in the intervention group than the control group (10.4 vs. 20.2, adjusted difference: -9.9 [95% CI: -13.3 to -6.6]) and perimenstrual quality of life was significantly higher (64.2 vs. 50.3, 14.1 [8.5 to 19.8]). However, there was no significant intergroup difference in the late follicular quality of life (68.3 vs. 67.3, 1.9 [-4.4 to 8.1]). Conclusions: Internet-Based Cognitive-Behavioral Therapy could effectively reduce PMS symptom severity and improve perimenstrual quality of life, with no significant effect on the late follicular quality of life. Trial registration: The Iranian Registry of Clinical Trials, Identifier: IRCT20100414003706N34, Registered 19 June 2019, https://www.irct.ir/trial/38394


Author(s):  
Marzieh Hajibabaei ◽  
Mohammad Bagher Kajbaf ◽  
Maryam Esmaeili ◽  
Mohammad Hossein Harirchian ◽  
Ali Montazeri

Objective: Multiple sclerosis (MS) is a chronic neurological disease that could aggressively affect patients’ quality of life in most instances. This study aimed to compare the effectiveness of an existential-spiritual psychotherapy with a cognitive-behavioral therapy on quality of life and meaning in life in women with multiple sclerosis. Method: A convenience sample of 43 women with multiple sclerosis participated in this quasi-experimental study. They were randomly assigned into 3 groups: an existential-spiritual intervention, a cognitive-behavioral intervention, and the control group. Participants were assessed for outcome measures (quality of life and meaning in life) at 3 points in time: pretest, posttest, and 5-months follow-up. The Multiple Sclerosis Quality of Life-54 (MSQOL-54) and the Meaning in Life Questionnaires (MLQ) were used as outcome measures. To compare outcomes among the study groups, repeated measures analysis of variance was performed. Results: The results showed that while no difference was observed for the control group, scores for meaning in life improved significantly for existential-spiritual intervention and cognitive-behavioral therapy (p = 0.027, p = 0.039). Also, both mental (p < 0.001, p = 0.014) and physical (p = 0.001, p = 0.013) health dimensions of quality of life increased significantly in the 2 intervention groups. However, the results indicated that women in the existential-spiritual intervention group showed greater improvement in some aspects of meaning in life (search for meaning) and quality of life (role physical and role emotional, pain and energy) compared to women in the cognitive-behavioral intervention group. However, the latter group showed better improvements on 2 subscales (physical function and health distress). Conclusion: Both existential-spiritual and cognitive-behavioral interventions can improve quality of life and meaning in life among women with multiple sclerosis. However, the findings suggest that although both interventions were effective, the existential-spiritual intervention resulted in more positive improvements in some aspects of meaning in life and quality of life.


2021 ◽  
pp. 1-8
Author(s):  
Anton Käll ◽  
Malin Bäck ◽  
Camilla Welin ◽  
Hanna Åman ◽  
Rasmus Bjerkander ◽  
...  

<b><i>Introduction:</i></b> Chronic loneliness has been linked to many adverse outcomes, including mental health problems. Psychological treatment of loneliness can be effective, but the evidence base is limited. <b><i>Objective:</i></b> To investigate the efficacy of 2 internet-based interventions based on cognitive behavioral therapy (ICBT) and interpersonal psychotherapy (IIPT) relative to a wait-list control group and each other. <b><i>Methods:</i></b> A total of 170 participants were recruited and randomized to either 9 weeks of ICBT (<i>n</i> = 68), IIPT (<i>n</i> = 68), or a wait-list condition (<i>n</i> = 34). The primary outcome was loneliness, measured using the UCLA Loneliness Scale before, during, and after treatment. Secondary measures of psychiatric disorders and quality of life were administered before and after treatment. Follow-up was conducted 4 months after the treatment had ended. Primary outcome data were analyzed using growth curve modeling. Secondary outcomes were analyzed using robust regression models. The trial was preregistered (ClinicalTrials.gov ID: NCT03807154). <b><i>Results:</i></b> The ICBT condition had a significantly greater impact on loneliness compared to the wait-list and IIPT conditions. Effect sizes were moderate to large (Cohen <i>d</i> = 0.71) compared to the wait-list and moderate (<i>d</i> = 0.53) compared to IIPT. The IIPT condition did not differ significantly from the wait-list. Both active treatments led to significant increases in quality of life. Only the ICBT group had significantly lower symptoms of depression and generalized anxiety compared to the wait-list group. Treatment gains were maintained but not improved at follow-up. <b><i>Conclusions:</i></b> ICBT can be an efficacious option for alleviating loneliness. The IIPT intervention was not as effective.


2020 ◽  
Vol 26 (2) ◽  
pp. 170-187
Author(s):  
Seyed Reza Eshaghi Farahmand ◽  
◽  
Hassan Ahadi ◽  
Maryam Kalhornia Golkar ◽  
Mastoreh Sedaghat ◽  
...  

Objectives: The purpose of this study was to compare the effectiveness of Music Therapy and Cognitive Behavioral Therapy on Quality of Life (QoL), craving, and emotional regulation in patients under methadone maintenance therapy. Methods: The method of the study was quasi-experimental and multi-group pre-test and post-test design. The statistical population consisted of all clients treated with methadone maintenance therapy in addiction treatment clinics affiliated with Tehran Health Organization in 2018. Then 54 people of whom (18 in each group) were selected through purposeful sampling in two experimental groups (Music-Therapy and Cognitive Behavioral Therapy) and a control group was included. The data was collected using the Cognitive Emotion Regulation Questionnaire, the Quality of Life Questionnaire, and Craving Questionnaire. The ANCOVA was used for data analysis. Results: The results showed that both Music Therapy and Cognitive Behavioral Therapy Improved the QoL, emotion regulation in the experimental group compared to the control group and significantly reduced craving (P<0.01). The results of the follow-up test showed that the mean scores of the experimental groups in the study variables were significantly different from the control group. Conclusion: There was a significant difference between the treatment groups in terms of their effect on the QoL and negative cognitive emotion regulation so that Cognitive Behavioral Therapy was more effective in regulating negative emotions and enhancing the QoL but there was no significant difference in regulating for positive emotions and reducing craving. These results suggest that both treatments significantly increase the QoL, emotional regulation, and it reduces craving.


2021 ◽  
Vol 10 (16) ◽  
pp. 3544
Author(s):  
Estela María Pardos-Gascón ◽  
Lucas Narambuena ◽  
César Leal-Costa ◽  
Antonio Jesús Ramos-Morcillo ◽  
María Ruzafa-Martínez ◽  
...  

The objective of this study is to evaluate the differential efficacy between Mindfulness-Based Cognitive Therapy (MBCT) and Cognitive Behavioral Therapy (CBT). A quasi-experimental design of repeated measures before and after the test (n = 57) was used with a non-equivalent control group from a previous cohort treated with CBT (n = 105). The t-test revealed significant differences in subjective quality of life for the MBCT group, and in quantity, optimum, and adequate sleep for the CBT group. The pre–post effect size comparison mostly showed slightly larger effect sizes in the MBCT group. CBT and MBCT had comparable efficacies, although a slight trend towards larger effect sizes in MBCT was found. Likewise, CBT seemed to improve sleep-related variables, while MBCT was associated with improvements in pain and quality of life.


2021 ◽  
Author(s):  
Hyunjung Kim ◽  
Younjae Oh ◽  
Sun Ju Chang

BACKGROUND Irritable bowel syndrome is a common functional gastrointestinal disorder that negatively affects all aspects of life. With the widespread use of the Internet, internet-delivered cognitive behavioral therapy has been developed and applied to control symptoms and improve the quality of life of those with irritable bowel syndrome. OBJECTIVE This study aimed to systematically review studies that examined the use of internet-delivered cognitive behavioral therapy in patients with irritable bowel syndrome and to evaluate the effects of internet-delivered cognitive behavioral therapy on the improvement of symptom severity, quality of life, and psychological status, and on cost-effectiveness. METHODS This meta-analysis involved the search of six databases for relevant publications. Nine randomized controlled trials were finally included in the analysis. RESULTS Internet-delivered cognitive behavioral therapy had medium to large effects (standardized mean difference, 95% confidence interval) on symptom severity (-0.633; -0.861 to -0.4304), quality of life (0.582; 0.396 to 0.769), and cost-effectiveness (-0.372; -0.704 to -0.039) at post-intervention, and the effects on symptom severity remained over time even after the intervention. There was no significant difference in psychological status, including anxiety and depression, in those with irritable bowel syndrome compared to the controls during the post-intervention period. CONCLUSIONS This review demonstrated that internet-delivered cognitive behavioral therapy could be a cost-effective intervention for improving symptoms and the quality of life in patients with irritable bowel syndrome. However, studies are still insufficient regarding the use of internet-delivered cognitive behavioral therapy in these patients; therefore, more high-quality studies are required in future.


Author(s):  
Jamileh Kiani ◽  
AliReza Hajiuni ◽  
Fatemeh Gholizadeh ◽  
Farhad Abbasi

Introdution: The aim of the present study was to investigate the efficacy of cognitive-behavioral therapy and hope therapy on quality of life, life expectancy, resiliency in patients with thalassemia who went to Bushehr Thalassemia Therapy Center in 2017. Methods: The study was experimental and census was used. It consisted of 21 patients with thalassemia in Bushehr province who were randomly divided into two experimental groups of cognitive-behavioral therapy and hope therapy and one control group. To conduct the research, World Health Organization Quality of Life Questionnaire, Life Expectancy Questionnaire by Schneider and Connor–Davidson Resilience Scale were used. All the patients completed the questionnaires before and after the intervention. In order to analyze data, analysis of covariance was performed. Results: In the therapy group, the majority of the patients were female, single and held a bachelor's degree. Similarly, in the control group, the highest proportion belonged to females and married patients, whereas a minority held a bachelor's degree. Compared with the control group, the findings of analysis of covariance revealed that both cognitive-behavioral therapy and hope therapy were significantly effective (p-value<0.05). Cognitive-behavioral therapy significantly increased quality of life, life expectancy and resiliency (37%), (14%) and (20%), respectively. Also, hope therapy significantly increased quality of life, life expectancy and resiliency (98%), (29%) and (11%), respectively. The findings showed that hope therapy was more effective than cognitive-behavioral therapy in increasing quality of life, life expectancy and resiliency. Conclusion: The results indicated that cognitive-behavioral therapy and hope therapy were effective in enhancing the quality of life, life expectancy and resiliency in the patients with thalassemia. Hence, considering psychological interventions, in addition to physical therapies, is of particular importance.


2012 ◽  
Vol 70 (11) ◽  
pp. 864-868 ◽  
Author(s):  
Martha M. C. Castro ◽  
Carla Daltro ◽  
Durval Campos Kraychete ◽  
Josiane Lopes

Chronic pain causes functional incapacity and compromises an individual's affective, social, and economic life. OBJECTIVE: To study the cognitive behavioral therapy (CBT) effectiveness in a group of patients with chronic pain. METHODS: A randomized clinical trial with two parallel groups comprising 93 patients with chronic pain was carried out. Forty-eight patients were submitted to CBT and 45 continued the standard treatment. The visual analogue, hospital anxiety and depression, and quality of life SF-36 scales were applied. Patients were evaluated before and after ten weeks of treatment. RESULTS: When the Control Group and CBT were compared, the latter presented reduction of depressive symptoms (p=0.031) and improvement in the domains 'physical limitations' (p=0.012), 'general state of health' (p=0.045), and 'limitations by emotional aspects' (p=0.025). CONCLUSIONS: The CBT was effective and it has caused an improvement in more domains of quality of life when compared to the Control Group, after ten weeks of treatment.


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