scholarly journals Effects of Mindfulness-Based Cognitive Therapy for Chronic Pain: A Multicenter Study

2021 ◽  
Vol 18 (13) ◽  
pp. 6951
Author(s):  
Estela María Pardos-Gascón ◽  
Lucas Narambuena ◽  
César Leal-Costa ◽  
Antonio Jesús Ramos-Morcillo ◽  
María Ruzafa-Martínez ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Cognitive Therapy ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Sleep Disturbances ◽  
Effect Sizes ◽  
Medium Effect ◽  
Depression Symptoms ◽  
Post Test ◽  
Quasi Experimental

The prevalence of chronic pain in Spain is 15%. The objective of this study was to evaluate the efficacy of mindfulness-based cognitive therapy on patients with chronic pain. A quasi-experimental design of repeated measures pre- and post-test (N = 57) was carried out at three hospitals from the province of Alicante. Self-reported assessment measurements of pain intensity, anxiety-depression symptoms, perception of health status, interference of pain on sleep, self-efficacy in pain, acceptance, and mindfulness attitude were included. The T-test indicates significant differences in intensity of present pain, mental quality of life, and depression (medium effect sizes), as well as in self-efficacy: total score, symptom management and pain control (medium effect sizes), sleep disturbances and quantity of sleep (large effect sizes). MBCT is effective in reducing many symptoms in patients with chronic pain, although its maintenance needs to be further investigated.

scholarly journals Couple Therapy Based on Mindfulness to Improve the Satisfaction of Life and Pain Self-Efficacy in Patients with Chronic Pain.

2020 ◽  
Vol 13 (1) ◽  
pp. 1-6
Author(s):  
Manijeh Firoozi ◽  
Shima Rouhi
Keyword(s):  
Chronic Pain ◽  
Life Satisfaction ◽  
Self Efficacy ◽  
Couple Therapy ◽  
Short Form ◽  
Future Research ◽  
Control Group ◽  
Post Test ◽  
Quasi Experimental ◽  
Experimental Group

Background: To manage chronic pain, in addition to medical interventions, several psychological treatments have been designed. In couple therapy based on mindfulness, in addition to the patients, their spouses, who care for the patients, were involved. The purpose of this research was to study the effectiveness of couple therapy based on mindfulness to improve life satisfaction and pain self-efficacy in patients with chronic pain. Methods: The present study is a quasi-experimental and clinical trial with a control group with pre-test and post-test. The research was performed at LABAFI NEJAD Hospital in Tehran on 30 patients with chronic pain and their spouses. To measure the efficacy of treatment, a short form of self-reported Pain Self-Efficacy Questionnaire (PSEQ) and the questionnaire of life satisfaction (SWLS) were utilized. Results: The results showed that the level of pain self-efficacy after the intervention in the experimental group increased, while in the control group, this value remained unchanged. Also, the intervention has improved the satisfaction of life among patients in the experimental group. Conclusion: Couple therapy based on mindfulness, an eclectic intervention, can increase social support, improve the quality of sex, and decentralize pain. Additionally, paying attention to neglected caregivers, and patients with chronic pain can rise pain self-efficacy, and life satisfaction. Finally, suggestions for future research are offered.

scholarly journals Effects of Emotion-focused Therapy and Existential Group Therapy on Depression, Anxiety, and Stress in the Victims of Child Sexual Harassment

2021 ◽  
Vol 7 (3) ◽  
pp. 227-236
Author(s):  
Behrad Zadafshar ◽  
◽  
Tayebeh Sharifi ◽  
Reza Ahmadi ◽  
Maryam Chorami ◽  
...  
Keyword(s):  
Group Therapy ◽  
Sexual Harassment ◽  
Repeated Measures ◽  
Control Group ◽  
Depression Symptoms ◽  
Control Group Design ◽  
Emotion Focused Therapy ◽  
Significant Difference ◽  
Post Test ◽  
Quasi Experimental

Background: Traumatic childhood experiences, especially sexual harassment, are among the main factors causing anxiety disorders. The present study aimed to determine the effects of Emotion-focused Therapy (EFT) and Existential Group Therapy (EGT) on depression, anxiety, and stress in the victims of child sexual harassment. Methods: This was a quasi-experimental study with a pre-test-post-test and a control group design. The research population consisted of all men and women with a history of child sexual harassment referring to the counseling and psychological service centers of Isfahan City, Iran. In total, 45 subjects were selected by convenience sampling method and randomly assigned into two experimental groups and a control group (n=15/group). The experimental groups received EFT or EGT (eight 90-minute sessions), Accordingly, the obtained results were compared with the control group immediately after the intervention and 3 months later. The required data were collected by the Depression Anxiety Stress Scales (DASS-42) and analyzed by repeated-measures Analysis of Variance (ANOVA) in SPSS. Results: The current research results revealed that EGT effectively reduced depression symptoms (P<0.01); however, EFT did not significantly affect depression symptoms. Both interventions reduced anxiety symptoms in the study subjects (P<0.01). Furthermore, EFT was more effective than EGT in reducing stress symptoms (P<0.01). There was a significant difference between the pre-test, post-test, and follow-up stages as well as the time*group interaction in the mean scores of depression, anxiety, and stress (P<0.01). Conclusion: Based on the present study findings, psychotherapists and psychiatric nurses are recommended to apply these interventions for controlling depression, stress, and anxiety among the victims of child sexual harassment.

Efektivitas Comprehensive Breastfeeding Education terhadap Keberhasilan Pemberian Air Susu Ibu Postpartum

1970 ◽  
Vol 1 (2) ◽  
Author(s):  
Irma Nurbaeti ◽  
Kustati Budi Lestari
Keyword(s):  
Repeated Measures ◽  
Breastfeeding Support ◽  
Breastfeeding Practices ◽  
Breastfeeding Education ◽  
Repeated Measures Analysis ◽  
Post Test ◽  
Quasi Experimental ◽  
The Mean ◽  
Convenience Sampling ◽  
Postpartum Mothers

Pemberian Air Susu Ibu (ASI) masih merupakan masalah bagi pemenuhan kebutuhan nutrisi bayi baru lahir. Dukungan agar ibu menyusui bayi merupakan hal penting dalam menginisiasi dan mempertahankan pemberian ASI. Strategi dibutuhkan untuk mendukung keberhasilan menyusui. Tujuan penelitian adalah menganalisis efektivitas comprehensive breastfeeding education terhadap keberhasilan pemberian (ASI) pada periode postpartum. Jenis penelitian ini menggunakan kuasi eksperimen one group pre post test repeated measured design. Jumlah sampel sebanyak 22 ibu dengan menggunakan teknik accidental sampling. Pengumpulan data dilaksanakan pada bulan September–Oktober 2013 di Puskesmas wilayah Kota Tangerang Selatan. Intervensi dilakukan selama 30 menit. Pengumpulan data dilakukan sebelum intervensi, 3 hari setelah intervensi (post1), dan 10 hari setelah intervensi (post 2). Pengumpulan data menggunakan kuesioner dan observasi. Keberhasilan pemberian ASI berdasar pada parameter pengetahuan, langkah menyusui, perlekatan bayi, dan kecukupan ASI. Analisis data menggunakan general linear model repeated measureANOVA. Hasil penelitian menunjukkan adanya signifikansi comprehensive breastfeeding education (p=0.001). Rata-rata keberhasilan pemberian ASI sebelum dan setelah intervensi meningkat. Sebesar 93,9% intervensi memengaruhi tingkat keberhasilan. Rata-rata sebelum intervensi 56,74 (SD 5,92), post 1 sebesar 60,83 (SD 6,38) dan post2 sebesar 74,55 (SD 5,32). Subvariabel yang memiliki efek secara signifikan setelah intervensi adalah pengetahuan (p=0.001) dan langkah menyusui (p=0.001), sedangkan subvariabel perlekatan bayi (p=0.061) dan kecukupan ASI (p=0.162) tidak secara signifikan berbeda antara sebelum dan setelah intervensi. Pelaksanaanbreastfeeding education disarankan pada ibu agar dapat melakukan posisi perlekatan bayi yang benar sehingga dapat mengurangi masalah-masalah berkaitan dengan perlekatan yang tidak sesuai seperti puting perih, lecet atau berdarah, dan bayi kurang puas dalam menyusu yang bisa mengakibatkan gagalnya program ASI ekslusif.Kata kunci:Menyusui, pendidikan, perlekatan, postpartum AbstractBreastfeeding have still been problem for adequate newborn nutrition. Adequate breastfeeding support is essential for mothers to initiate and maintain optimal breastfeeding practices. A strategic needed to support successful breastfeeding. The purpose of research is to analyze the effectiveness comprehensive breastfeeding education on successful breastfeeding at postpartum periods. A quasi-experimental one group pretest, post test, repeated mesaured was used. This study was conducted at public health in Tangerang Selatan municipality in September–October 2013 among 22 postpartum mothers, convenience sampling methods. Intervention was done 30 minute. Data were collected before intervention (pretest), third day after intervention (post 1) and tenth day after intervention (repeated/post 2) using four parameter, that are knowledge, breastfeeding steps, proper lacth-on and adequate breastmilk. Using repeated measures analysis of variance there was a significant increase (p=0.001) in the overall Successful breastfeeding mean. Around 93,9% the effectiveness of intervention influence on successful. The mean before intervention is 56,74 (SD 5,92), increased at post 1:60,83 (SD 6,38) and post 2:74,55 (SD 5,32). Subvariable which has effect significantly after intervention is knowledge (p=0.001) and breastfeeding steps (p=0.001), in contrary, proper latch-on (p=0,061) and adequate breastmilk (p=0.162) have no significant effect after intervention. Suggestion to support breastfeeding education and counselling proper latch-on adequately that can decrease the problem such as painful, creaks or bloody putting.Key words: Breastfeeding, education, latch-on, postpartum

PERBEDAAN PENGARUH COGNITIVE THERAPY (CT) DAN LOGO THERAPY TERHADAP DEPRESI PADA PASIEN DENGAN HEMODIALISIS DI RS WAVA HUSADA KEPANJEN

2017 ◽  
Vol 3 (2) ◽  
Author(s):  
Nia Agustiningsih ◽  
Setyawati Soeharto ◽  
Rinik Eko Kapti
Keyword(s):  
Cognitive Therapy ◽  
Hemodialysis Patient ◽  
Sampling Procedure ◽  
Mean Value ◽  
T Test ◽  
Physical Aspect ◽  
Test Design ◽  
Test Analysis ◽  
Post Test ◽  
Quasi Experimental

Abstract : Patient with chronical diease such as Hemodialysis more likely need psycotherapy because until now medical atention only focus on physical aspect. Psycotherapy that can be used on Hemodialysis that going through depression is cognitive therapy and logo therapy. This study was to analysed the difference of influence between cognitive therapy and logo therapy on Hemodialysis patient that going through depression. This study was used quasi experimental pre–post test design. Respondent taking part in this study was 15 respondent for cognitive therapy and 15 respondent for logo therapy with puporsive sampling procedure. Study was conducted on Hemodialysis unit on RS Wava Husada Kepanjen from 21 April until 26 Mey 2017. Data analysis used on this study was dependent t test  and independent t test. Dependent t test  analysis showed  significant value is 0,000 (less than < 0,05).Analysis showed  significant value is 0,000 (less than < 0,05) that means there is difference between cognitive therapy and logo therapy to decrease depression on hemodialysis patient with mean value cognitive therapy (1,62) dan logo therapy (3,82). Conclussion on this study is that logo therapy more effective to reduce depression on Hemodialysis patient than cognitive therapy so logo therapy can applicated in hemodialysis patient.Keyword : cognitive therapy, logo therapy, depression in hemodialysis patient Abstrak : Pasien dengan penyakit kronis dengan hemodialisis diperlukan psikoterapi karena selama ini fokus penanganan di pelayanan kesehatan hanya pada masalah fisik. Psikoterapi yang bisa digunakan pada pasien hemodialisis yang mengalami depresi adalah cognitive therapy dan logo therapy. Penelitian ini bertujuan untuk menganalisis perbedaan pengaruh cognitive therapy dan logo therapy terhadap depresi pada pasien dengan hemodialisis. Penelitian ini menggunakan desain penelitian quasi experimental pre – post test design. Jumlah responden dalam penelitian ini 15 responden untuk kelompok cognitive therapy dan 15 responden untuk kelompok logo therapy yang didapatkan dengan menggunakan tehnik purposive sampling. Penelitian dilakukan di unit hemodialisis RS Wava Husada Kepanjen mulai tanggal 21 April – 26 Mei 2017. Pemberian terapi dilakukan oleh peneliti sendiri yang telah mendapatkan lisensi dari perawat spesialis jiwa. Analisis data yang digunakan dalam penelitian ini adalah dependent t test dan independent t test. Hasil analisis dependent t test  pada kelompok sebelum dan setelah diberikan cognitive therapy dan logo therapy didapatkan hasil nilai signifikansi 0,000 < 0,05 yang berarti bahwa ada perbedaan skor depresi antara sebelum dan sesudah diberikan pemberian cognitive therapy dan logo therapy  Sedangkan hasil analisis independent t test menunjukkan bahwa nilai signifikansi 0,000 < 0,05 yang berarti  ada perbedaan yang bermakna antara cognitive therapy dan logo therapy dalam menurunkan depresi pada pasien dengan hemodialisis yaitu dengan rata – rata penurunan terhadap depresi untuk cognitive therapy dan logo therapy masing – masing yaitu 1,62 dan 3,86.  Hal ini berarti bahwa logo therapy lebih efektif menurunkan depresi pada pasien hemodialisis dari pada cognitive therapy. Berdasarkan hasil penelitian tersebut diharapkan bahwa logo therapy bisa diaplikasikan sebagai alternatif psikoterapi pada pasien hemodialisis.Kata Kunci: cognitive therapy, logo therapy, depresi pada pasien hemodialisis

Improving Humanization Skills through Simulation-Based Computers Using Simulated Nursing Video Consultations

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 37
Author(s):  
Diana Jiménez-Rodríguez ◽  
Mercedes Pérez-Heredia ◽  
María del Mar Molero Jurado ◽  
María del Carmen Pérez-Fuentes ◽  
Oscar Arrogante
Keyword(s):  
Nursing Students ◽  
Self Efficacy ◽  
Virtual Simulation ◽  
Emotional Understanding ◽  
Undergraduate Nursing Students ◽  
Undergraduate Nursing ◽  
Validated Questionnaire ◽  
Simulation Based ◽  
Post Test ◽  
Quasi Experimental

During the COVID-19 confinement, we converted our clinical simulation sessions into simulated video consultations. This study aims to evaluate the effects of virtual simulation-based training on developing and cultivating humanization competencies in undergraduate nursing students. A quasi-experimental study was conducted with 60 undergraduate nursing students. A validated questionnaire was used to evaluate the acquisition of humanization competencies (self-efficacy, sociability, affection, emotional understanding, and optimism). The development of humanization competencies in this group composed of undergraduate nursing students was evaluated using virtual simulation-based training, comparing the levels obtained in these competencies at baseline (pre-test) and after the virtual simulation experience (post-test). After the virtual simulation sessions, students improved their levels in humanization total score and the emotional understanding and self-efficacy competencies, obtaining large effects sizes in all of them (rB = 0.508, rB = 0.713, and rB = 0.505 respectively). This virtual simulation modality enables training in the humanization of care with the collaboration of standardized patients in the form of simulated nursing video consultations and the performance of high-fidelity simulation sessions that comply with the requirements of best practices. Therefore, this methodology could be considered as another choice for virtual simulation. Additionally, this virtual modality could be a way to humanize virtual simulation.

What are the similarities and differences between healthy people with and without pain?

2018 ◽  
Vol 18 (1) ◽  
pp. 39-47
Author(s):  
Jennifer N. Baldwin ◽  
Marnee J. McKay ◽  
Joshua Burns ◽  
Claire E. Hiller ◽  
Elizabeth J. Nightingale ◽  
...  
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Risk Factors ◽  
Chronic Pain ◽  
Clinical Practice ◽  
Self Efficacy ◽  
Effect Sizes ◽  
Healthy Individuals ◽  
Sit To Stand ◽  
Clinically Significant

Abstract Background and aims: Knowledge of pain characteristics among the healthy population or among people with minimal pain-related disability could hold important insights to inform clinical practice and research. This study investigated pain prevalence among healthy individuals and compared psychosocial and physical characteristics between adults with and without pain. Methods: Data were from 1,000 self-reported healthy participants aged 3–101 years (1,000 Norms Project). Single-item questions assessed recent bodily pain (“none” to “very severe”) and chronic pain (pain every day for 3 months in the previous 6 months). Assessment of Quality of Life (AQoL) instrument, New Generalised Self-Efficacy Scale, International Physical Activity Questionnaire, 6-min walk test, 30-s chair stand and timed up-and-down stairs tests were compared between adults with and without pain. Results: Seventy-two percent of adults and 49% of children had experienced recent pain, although most rated their pain as mild (80% and 87%, respectively). Adults with recent pain were more likely to be overweight/obese and report sleep difficulties, and had lower self-efficacy, AQoL mental super dimension scores and sit-to-stand performance, compared to adults with no pain (p<0.05). Effect sizes were modest (Cohen’s d=0.16–0.39), therefore unlikely clinically significant. Chronic pain was reported by 15% of adults and 3% of children. Adults with chronic pain were older, more likely to be overweight/obese, and had lower AQoL mental super dimension scores, 6-min walk, sit-to-stand and stair-climbing performance (p<0.05). Again, effect sizes were modest (Cohen’s d=0.25–0.40). Conclusions: Mild pain is common among healthy individuals. Adults who consider themselves healthy but experience pain (recent/chronic) display slightly lower mental health and physical performance, although these differences are unlikely clinically significant. Implications: These findings emphasise the importance of assessing pain-related disability in addition to prevalence when considering the disease burden of pain. Early assessment of broader health and lifestyle risk factors in clinical practice is emphasised. Avenues for future research include examination of whether lower mental health and physical performance represent risk factors for future pain and whether physical activity levels, sleep and self-efficacy are protective against chronic pain-related disability.

scholarly journals The influence of a ropes course development programme on the self-concept and self-efficacy of young career officers

2006 ◽  
Vol 32 (1) ◽  
Author(s):  
K Stadler ◽  
M E Kotze
Keyword(s):  
South African ◽  
Self Efficacy ◽  
The Self ◽  
Measuring Instruments ◽  
Course Development ◽  
Ropes Course ◽  
Post Test ◽  
Quasi Experimental ◽  
General Self Efficacy ◽  
Experimental Group

The aim of this study was to determine whether adventure training could be utilised to enhance the self-concepts and self-efficacy of young career officers in the South African National Defence Force. A quasi-experimental design with a pre-test, post-test and post-post-test was used. Two measuring instruments were administered, namely the Self-description Questionnaire III and the General Self-efficacy Scale. No statistically significant improvement was measured in the various dimensions of the self-concepts and self-efficacy of members of the experimental group, but some encouraging indications of change in the experimental group were observed after the intervention. The implications of the findings are discussed further. Opsomming Die doel van hierdie studie was om te bepaal of avontuurgerigte opleiding gebruik kan word om die selfkonsep en selfdoeltreffendheid van jong beroepsoffisiere in die Suid-Afrikaanse Nasionale Weermag te bevorder. ’n Kwasieksperimentele ontwerp met ’n voortoets, na-toets en na-na-toets is gebruik. Twee meetinstrumente is aangewend, naamlik die 'Self-description Questionnaire III' en die 'General Self-efficacy Scale'. Hoewel geen statisties beduidende verbetering in die verskillende dimensies van die selfkonsep en selfdoeltreffendheid van lede van die eksperimentele groep gemeet is nie, is bemoedigende aanduidings van verandering in die eksperimentele groep na die intervensie waargeneem. Die implikasies van die bevindinge word verder bespreek.

scholarly journals Pain Acceptance Predicts Expansive Outlooks on the Future in Older Chronic Pain Patients

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 432-432
Author(s):  
Gillian Fennell ◽  
Abby Pui Wang Yip ◽  
M Cary Reid ◽  
Susan Enguidanos ◽  
Elizabeth Zelinski ◽  
...  
Keyword(s):  
Chronic Pain ◽  
Time Perspective ◽  
Future Time Perspective ◽  
Therapeutic Interventions ◽  
Effect Sizes ◽  
Depression Symptoms ◽  
Future Time ◽  
Pain Acceptance ◽  
Chronic Pain Patients ◽  
Pain Patients

Abstract As chronic conditions continue to rise in the US, associated pain symptoms are rising as well, affecting 65% of those 65 and older. In an attempt to help patients lessen the burdensome physical/psychological effects of chronic pain, researchers have investigated the effectiveness of therapeutic interventions with pain acceptance-based models yielding the most promising effect sizes. However, these interventions do not explicitly account for how patients perceive their future. Qualitative work has shown that chronic pain patients with positive and expansive views of their futures report fewer pain-related anxiety and depression symptoms, and are more likely to engage in long-term (and often more effective) treatment regiments. This study aims to investigate whether pain acceptance scores predict future time perspective to enhance treatment effects of chronic pain interventions. Multivariate linear regression analyses were conducted with a sample of 148 non-cancer patients age 45 and older with chronic pain, i.e. pain lasting three or more months. Pain duration, neuroticism, sex, race, income, and age were included in the model to explore potential mediating or moderating effects. A significant positive association was found between pain acceptance and future time perspective (r=.42, p&lt;.001, r2=.17). Additionally, with the inclusion of all covariates, our model significantly explained 24.1% of the variance in future time perspective in the sample, F(7,132)=5.99, p&lt;.001. With an established association between these two psychological constructs, strategies to bolster future time perspective can easily be integrated into pain acceptance interventions for older chronic pain patients, hopefully pushing effect sizes past the ‘moderate’ level.

scholarly journals The Effectiveness of the Dealing with Homophobia Psycho-Education Program on Psychological Counselor Candidates

2020 ◽  
Vol 10 (3) ◽  
pp. 1
Author(s):  
Meryem Vural-Batık
Keyword(s):  
Education Program ◽  
Repeated Measures ◽  
Mixed Model ◽  
Control Group ◽  
Post Test ◽  
Quasi Experimental ◽  
And Control ◽  
Quantitative And Qualitative Methods ◽  
Experimental Group

The aim of this research is to investigate the effect of the Dealing with Homophobia Psycho-Education Program on homophobia levels of psychological counselor candidates. This research was conducted with a mixed model and utilized quantitative and qualitative methods. 2 (experimental and control groups) x 3 (pre-test, post-test, follow-up) research design which is a type of quasi-experimental design was used and content analysis was applied to the data obtained via interviews. The study was conducted with a total of 24 psychological counselor candidates, 12 in the experimental group and, 12 in the control group. The Homophobia Scale was used to determine the homophobia levels of psychological counselor candidates. The Dealing with Homophobia Psycho-Education Program was developed by the researcher. In order to determine the effectiveness of the program, The Two-Way Analysis of Variance with Repeated Measures was used. As a result of the research, it was determined that the Dealing with Homophobia Psycho-Education Program is effective in decreasing the levels of homophobia of the psychological counselor candidates. Also, according to the participant&#39;s views, it was determined that the psycho-education program was effective in decreasing homophobia and caused changes in attitudes. The importance and necessity of using the program on psychological counselor education are discussed.

scholarly journals Comparison of Effectiveness of the Mindfulness-Based Cognitive Therapy and the Metacognition Treatment on Anxiety, Depression and Stress Among Breast Cancer Patients

2018 ◽  
Vol 5 (2) ◽  
pp. 62-66
Author(s):  
Tahereh Haji Seyed Javadi ◽  
Fakhri Tajikzadeh ◽  
Hossein Bayat ◽  
Nasim Eshraghi ◽  
Zahra Roshandel ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cognitive Therapy ◽  
Repeated Measures ◽  
Control Group ◽  
Breast Cancer Patients ◽  
Repeated Measures Analysis ◽  
Significant Difference ◽  
Quasi Experimental ◽  
Comparison Of Effectiveness ◽  
Anxiety Depression

Background: The present study aimed to compare the effectiveness the metacognition treatment (MCT) and mindfulness-based cognitive therapy (MBCT) on anxiety, depression, and stress in the females with breast cancer. Methods: The planning of this study is through a quasi-experimental method of pretest and posttest type with control group. The target society of the research included every cancer patient who admitted to Tehran hospitals for breast cancer. Through assigned randomly, 12 patients were selected for the MCT group and 12 patients for the MBCT group, and the other were assigned control group. The data collection tools included depression, anxiety and stress scale - 21 items (DASS-21) questionnaire. For statistical analysis, descriptive tests and repeated measures analysis of variance were performed. Results: Data analysis with repeated multivariate measurements illustrated that there is a significant difference in the rate of depression, anxiety and stress, in three groups. Conclusion: According to our results, MBCT was more effective compared to metacognitive therapy.

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