scholarly journals Effectiveness of Solution-Focused Therapy in Mental Health and Hopefulness Among Patients with Cardiovascular Diseases

2020 ◽  
pp. 145-150

Background and Objective: Psychological factors possibly play a role in the process of cardiovascular disease and interact with biological agents to affect cardiovascular disease. Therefore, the present study aimed to determine the effectiveness of solution-focused therapy in mental health and hopefulness among patients with cardiovascular diseases. Materials and Methods: This was a quasi-experimental study with a pretest-posttest design, follow-up, and control group. The statistical population of this study included all cardiovascular patients referring to Isfahan Cardiovascular Research Center, Isfahan, Iran, within January to March 2018 with a history of heart attack or open-heart surgery in the last month. In this study, 30 patients with cardiovascular diseases willing to participate in the study were selected through convenience sampling. The patients met the study inclusion criteria and were randomly assigned to experimental (n=15) and control (n=15) groups. The data were collected by Snyderchr('39')s Hopefulness Scale and public health questionnaire and analyzed by repeated measures analysis of variance (ANOVA) and analysis of covariance in SPSS software (version 22). Results: The results of the present study indicated that the results of ANOVA was significant for within-group factor (i.e., time) and only for physical symptom variables among between-group factors. These results indicated that without considering the group influence, only the time effect was significant. However, the interaction between group and time was also significant (F=12.84; P<0.0001). Conclusion: Overall, the findings of this study showed that solution-focused therapy was effective in the mental health and hopefulness of patients with cardiovascular diseases and can be used in treatment centers to improve the status of patients with cardiovascular diseases

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Hamideh Iri ◽  
Behnam Makvandi ◽  
Saeed Bakhtiarpour ◽  
Fariba Hafezi

Background: Divorce is one of the most stressful life events leading to increased susceptibility to diseases and mood disorders such as hypochondriasis. Objectives: The present study aimed to investigate the effectiveness of acceptance and commitment therapy (ACT) on hypochondriasis and psychosocial adjustment in divorced women in Tehran. Methods: The research method was quasi-experimental with a pretest-posttest design and a control group. The statistical population in this study consisted of divorced women suffering from divorce-induced psychological distress who visited counseling centers in Tehran in 2018. The sample consisted of 30 divorced women selected by convenience sampling method. The participants were randomly divided into experimental and control groups (n = 15 per group), and the pretest was performed for the experimental and control groups before the intervention program. The experimental group underwent ten sessions of ACT (90-minute sessions per week), and the control group did not receive any treatment. The research instruments included the Health Anxiety Inventory (HAI) and the Psychosocial Adjustment to Illness Scale (PAIS). The Shapiro-Wilk test, Levene test, Pearson correlation coefficient, and analysis of covariance (ANCOVA) were used to analyze the data. Results: The results indicated that the ACT-based intervention significantly reduced hypochondriasis in divorced women (P = 0.043). In addition, ACT improved the psychosocial adjustment in these women (P = 0.0001). Conclusions: This intervention decreased anxiety under difficult conditions and also improved psychosocial adjustment in divorced women. Therefore, ACT can be used as an effective approach in reducing social and interactional problems and also anxiety in divorced women.


2021 ◽  
Vol 6 (3) ◽  
pp. 81-90
Author(s):  
Sara Moradi ◽  
◽  
Asghar Aghaei ◽  
Mohsen Golparvar ◽  
◽  
...  

Background: Psychological factors affect marital conflict and happiness; in other words, they strengthen and shape marital relations. The present study aimed to investigate the effectiveness of training based on Healthy Human Theory (HHT) and Emotion-Focused Therapy (EFT) in marital happiness of couples living in Isfahan City, Iran. Materials & Methods: This research has a pretest-posttest control group design. The statistical population included all couples referring to mental health centers in Isfahan in 2020. The study sample consisted of 39 couples selected by the convenience sampling method. The participants were randomly divided into two experimental groups (training based on HHT and EFT) and control group (n=13 couples per group). The research instrument included the marital satisfaction scale. Follow-up was performed after 90 days. Repeated-measures ANOVA in SPSS software was used to analyze the data. Results: The results showed that training based on HHT significantly affected marital happiness compared to EFT and control group (P=0.001). The Mean±SD of the posttest scores of marital happiness in the HHT-based training, EFT, and control groups were 97.92±1.54, 87.50±5.56, and 75.38±8.71, respectively. There was no significant difference between the effects of HHT-based training and EFT on happiness in couples. Conclusion: Based on the results, the HHT-based training and EFT are appropriate methods for improving marital happiness.


2021 ◽  
Vol 10 (2) ◽  
Author(s):  
Nasrin Alizadeh ◽  
Bahram Mirzaian ◽  
Ghodratollah Abbasi

Background: Cancer causes psychological problems, such as anxiety, depression, post-traumatic stress, feelings of sadness, and anger, and family problems. Objectives: This study aimed to evaluate the effect of schema therapy on psychological capital and vulnerable attachment in women with breast cancer. Methods: The research method was quasi-experimental with a pretest-posttest design and a control group. The statistical population included all women with breast cancer admitted to the Imam Khomeini Hospital, Tehran, Iran, from 23/07/2019 to 20/11/2019. The total number of the patients was 51, of whom 30 were purposefully selected and randomly assigned to an experimental and a control group (15 people in each group). The experimental group was exposed to schema therapy for 11 weekly 90-minute sessions, while the control group did not receive any training. The Luthans Psychological Capital Questionnaire and the Vulnerable Attachment Questionnaire were used to collect data. The collected data were analyzed using multivariate analysis of covariance in SPSS-21 software. Results: The results of paired t-test showed a significant difference between the mean scores of the components of psychological capital and vulnerable attachment in the two experimental and control groups. Therefore, it can be stated that the effectiveness of schema therapy was associated with increased self-efficacy (P = 0.013), hope (P = 0.001), resilience (P = 0.034), optimism (P = 0.001), and decreased vulnerable attachment (P = 0.029). Conclusions: Based on the findings of this study regarding the effect of schema therapy on improving psychological capital and reducing vulnerable attachment, it can be concluded that schema therapy can be used as an effective intervention along with other therapies to reduce the problems of women with breast cancer.


Author(s):  
Leonardo De Sousa Fortes ◽  
Jeferson Macedo Vianna ◽  
Delton Manoel dos Santos Silva ◽  
Marcio André Gouvea ◽  
Edilson Serpeloni Cyrino

DOI: http://dx.doi.org/10.5007/1980-0037.2016v18n3p341 The aim of this study was to analyze the effect of tapering on maximum aerobic power (VO2max) in young male indoor soccer athletes. Participants were 78 athletes aged 12-17 years randomly divided into experimental (EG) and control group (CG). Both groups did the same training planning until the last three weeks (tapering phase). Only EG performed tapering. Tapering lasted three weeks adopting the linear tapering method. VO2max was estimated by Yo-Yo intermittent Recovery Level 1 early in the season and in the last week of each. Univariate analysis of covariance (ANCOVA) was conducted for repeated measures to compare VO2max among groups according to mesocycle. The results presented effect of time (F (4.74)= 42.02, p = 0.01) and group (F (2.76) = 35.87, p = 0.01). Overall, the findings of this study suggest that the implementation of the tapering strategy in the last weeks of training is more efficient to improve VO2max than the constant maintenance of loads.


2020 ◽  
pp. 169-176

INTRODUCTION: Mental health which is recognized as one of the leading health indicators and a key component of a healthy life can be influenced by multiple factors. METHODS: The current study aimed to develop a mobile self-regulatory concepts training program and determine its effectiveness on the mental health of Red Crescent Society relief workers in Yazd. This quasi-experimental applied research was conducted based on a control group pretest-posttest design. The statistical population of the study included all 500 Red Crescent aid workers in Yazd in 2019, out of whom 30 cases were selected by convenience sampling method and were randomly assigned to two groups of experimental and control (n=15). The General Health Questionnaire developed by Goldberg (1972) was used for data collection. The experimental group received 11 60-minute sessions of mobile self-regulatory training. FINDINGS: Based on the results, mobile self-regulatory concepts training was effective in the mental health of Red Crescent Society aid workers in Yazd. CONCLUSION: As evidenced by the obtained results, mobile self-regulatory training improves physical symptoms, anxiety and insomnia, social dysfunction, and depression


2020 ◽  
pp. 77-84

Background: Marital conflict results from the disharmony of husband and wife needs and the way to meet them, egocentrism, difference in requests and irresponsible behavioral schemas for marital relationship and marriage. The goal of the current study is to compare the effectiveness of structural couple therapy and re-decision couple therapy on the reduction of marital conflicts in infertile couples of Sanandaj. Materials and Methods: to do this goal semi experimental pre and post test method using to control and experimental groups was applied. Statistical population of this research was infertile couples referring to infertility center of Besat Hospital in Sanandaj in 2018 who were selected by convenient sampling method and replaced randomly on 3 groups of 12 persons. To collecting data, marital conflicts questionnaire was used. Data were analyzed using statistical tests of multivariate analysis of covariance and spss-22 software. Results: The results showed that cooperation component (F=14.17, P<0.001), decreased sex (F=28.53, P<0.009), increasing emotional reactions (F=16.99, P<0.001), increasing personal relationship with onechr('39')s relatives (F=24.02, P<0.001), decreasing family relationship with spousechr('39')s friends and relatives (F=21.81, P<0.001), separating financial affairs from each other (F=18.70, P<0.001), decreasing effective relationship (F=28.53, P<0.001), but there is no significant difference between three groups of experimental and control in increasing childrenchr('39')schr('39') support component (F=0.091, P<0.05). There is a significant difference between the effectiveness of the Minuchin structural couple therapy and the re-decision couple therapy and control group in decreasing marital conflict (P<0.001). Conclusion: the results showed the importance of couple-therapy Interventions through re-decision on decreasing marital conflicts in infertile couples. Generally, the results indicated that Minuchin structural couple therapy is more effective than re-decision couple therapy on decreasing marital conflicts in infertile couples.


2019 ◽  
pp. 9-14

Background and Aims: Generalized anxiety and depression are prevalent in patients with type 2 diabetes. Type 2 diabetes is one of the most common chronic diseases leading to many complications. This study aimed to compare the effectiveness of metacognitive therapy and behavioral activation on depression in the elderly with type 2 diabetes. Materials and Methods: This quasi-experimental study was conducted based on a pretest-posttest design using a follow-up and control group. The study population consisted of elderly with type 2 diabetes who referred to five endocrine and metabolism clinics in region 11 of Tehran, Iran, during 2017. A total of 45 males and females were selected by purposive sampling method based on the inclusion criteria. Then they were assigned randomly to one control and two case groups. The Beck Depression Inventory (Second Edition) was utilized to measure the depression scale. In total, eight 90-min group intervention sessions were held weekly. The data were analyzed in SPSS software (version 25) through analysis of covariance and repeated measures ANOVA. Results: The results showed that metacognitive therapy (F=15.07, P<0.001) and behavioral activation (F=7.09, P<0.008) were significantly effective on depression in the elderly with type 2 diabetes, and there was a significant difference between the experimental and control groups in this regard (P<0.001). Conclusions: This study was conducted to compare the effectiveness of metacognitive therapy and behavioral activation on depression in the elderly with type 2 diabetes. The results showed that metacognitive therapy and behavioral activation were significantly effective on depression in this population with type 2 diabetes. Moreover, behavioral activation was more effective than metacognitive therapy on depression reduction.


2020 ◽  
pp. 13-18

Background and Aim: Unresolved and dysfunctional marital conflicts are always accompanied by frustration and daily tensions, leading to ignoring the needs of the couples and declining the quality of their marital relationships. This study aimed to investigate the effectiveness of satisfactory marriage intervention on marital conflicts and marital frustration. Materials and Methods: The present research method was semi-experimental with pre-test, post-test design with a control group. The statistical population of this study consisted of all married men and women with a spouse of 25 years and older in Zanjan, of which 30 people were selected by available sampling method and randomly divided into two experimental and control groups. The data were obtained through Sanaei and Barati Marital Conflict Questionnaire and Kayser’s Marital Frustration Questionnaire and analyzed with descriptive statistics methods such as mean, standard deviation, and inferential statistics by multivariate analysis of covariance and Spss.22 Software. The Shapiro-Wilkes test was used to test the normality of the covariance analysis test, and the Loon test was used to investigate the homogeneity of the variances. Also, the significance level of the tests was considered to be 0.05. Results: The results indicated that satisfactory marriage intervention was effective in marital conflicts and marital frustration (p <0.001). Conclusion: It can be concluded that satisfactory marriage intervention was effective on marital conflicts and marital frustration. Therefore, satisfactory marriage education leads to reducing marital conflicts and marital frustration, which is used to improve the quality of life of couples.


2011 ◽  
Vol 5 (2) ◽  
pp. 65-74
Author(s):  
Denise L. Uehara ◽  
Christy M. Nishita ◽  
Tammy Tom ◽  
Landry Fukunaga

Self-management is a key component of diabetes care and enhancing patient self-efficacy is an important factor. Typical diabetes education programs include strategies to increase self-efficacy, but little information exists about the effectiveness of such programs within Asian and Pacific populations. The Hawai'i Demonstration to Maintain Independence and Employment was a federally funded, community-based randomised trial in which treatment group participants received individualised life coaching and pharmacist counselling over a 12-month period. The study measured changes in diabetes self-efficacy among treatment and control group participants using repeated measures analysis of covariance. Focus group findings provided a comprehensive picture of participants' perception of their experiences in the trial and more specifically the individualised intervention. There was a significant effect of the intervention on diabetes self-efficacy at the p < .01 level [F(1, 187) = 10.40, p = .002]. These findings demonstrate the efficacy of individually tailored approaches to diabetes self-management within a diverse, employed sample.


2020 ◽  
Vol 9 (6) ◽  
pp. 43
Author(s):  
Aglaia Zafeiroudi

Spending time outdoors fosters a sense of connectedness and empathy with nature and has a clear effect on attitudes and behaviour towards the environment. The purpose of this study was to examine the impact of an outdoor activities intervention program on adolescents’ sense of responsibility towards the environment. Participants included 262 adolescents (135 girls and 127 boys) aged 13-17 years who were divided into experimental (n = 141) and control groups (n = 121). The 15-day outdoor intervention program included trekking, mountain biking, orienteering, archery, ropes courses, canoeing on a lake, via ferrata rock climbing, night hiking, and overnight camping. Participants completed an Environmental Responsibility questionnaire (Zafeiroudi & Hatzigeorgiadis, 2013) before and after participation in the activities program. The questionnaire included five scales that focused on perceptions of information on environmental issues, environmental cognitive and affective beliefs, predisposition for environmental action, and environmentally responsible behaviour. Analysis of variance with repeated measures revealed improved scores amongst adolescents who participated in the intervention program, notably within the specific scales used to evaluate perceived information, affective beliefs, predisposition for individual action, and predisposition for encouraging others. A follow-up analysis of covariance revealed that participants in the experimental group scored higher overall than did those in the control group. Taken together, these findings add to the current literature focused on psychosocial and behavioural mechanisms associated with environmental awareness. Our findings also suggest that outdoor recreational activities may be an effective supplement and a more challenging alternative to programs currently provided by environmental and active leisure associations.


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