The effectiveness of cognitive behavioral therapy on treatment-resistant depression

BACKGROUND: Treatment-resistant depression (TRD) is a severe and chronic form of major depression. It poses significant clinical, personal, and economic burden and does not respond to antidepressants. Psychotherapy can be a suggested option. The aim of this study was to survey the effectiveness of cognitive behavioral therapy (CBT) on patients with TRD.METHODS: The present study was a quasi-experimental study with pretest, posttest, and follow-up. The statistical population included patients with TRD in Rafsanjan City, Iran, in 2018. 30 subjects were randomly selected and placed into experimental and control groups. Data were collected by Beck Depression Inventory (BDI), Rumination Questionnaire, and Brunel Mood Scale (BRUMS). To analyze data, multivariate analysis of covariance (MANCOVA) was used with SPSS software.RESULTS: CBT led to reducing depression and rumination and improving mood and this outcome was better than control group (P < 0.05).CONCLUSION: TRD is a chronic and disabling disorder that little research has been done about its treatment. CBT can be a good treatment offer for TRD

Early Maladjustment Schemas in Individuals with and without Type 2 Diabetes Mellitus

Objective. This study explored Early Maladjustment Schemas (EMSs) among individuals with and without type 2 diabetes mellitus and examined potential moderating roles for gender, level of education, and occupation. Methods. The sample included 371 adult participants (120 patients with diabetes and 251 individuals without diabetes), from Shiraz City, Fars province; Iran. The Young Schema Questionnaire-Short Form (YSQ-SF) was used to assess early maladjustment schemas. Results. Findings showed that patients with type 2 diabetes had significantly higher scores than controls on a number of EMSs, including abandonment, failure, vulnerability, enmeshment, self-sacrifice, entitlement, and insufficient self-control schemas as well as the over-vigilance and inhibition schematic domains. However, results did not support roles for gender, the level of education, and occupation on any of EMSs and schematic domains. Conclusions. Medical and health professionals may find these results helpful for assessment, treatment, and prevention goals in patients with type 2 diabetes

The Effectiveness of Self-Compassion Cognitive Training on Experiential Avoidance & Cognitive Fusion in Patients with Chronic Pain

One of the health problems is chronic pain which, in addition to the physiological factors of psychological factors, also plays an important role in its continuity. The purpose of this study was to investigate the effectiveness of self-Compassion cognitive training on the experiential avoidance & cognitive fusion in patients with chronic pain. This study was a semi-experimental study with a pre-test, post-test with control group A total of 30 patients with chronic pain referring to Khorramabad health centers were selected by available sampling method , And randomly assigned to two experimental and control groups, Then, 30 questionnaires of acceptance and practice (Bound et al.) And cognitive fusion (Guillanderz et al.) Were completed as pre-test. The experimental group participated in 8 sessions of 1 hour of group counseling and did not receive any interventional control group Both groups completed the questionnaires as follow-up after the end of treatment sessions. Data were analyzed using covariance analysis. The results of this study showed that cognitive dyslexia education reduced the avoidance of cognitive and cognitive fusion and consequently the reduction of chronic pain in the experimental group

The effectiveness of cognitive behavioral therapy on treatment-resistant depression

BACKGROUND: Treatment-resistant depression (TRD) is a severe and chronic form of major depression. It poses significant clinical, personal, and economic burden and does not respond to antidepressants. Psychotherapy can be a suggested option. The aim of this study was to survey the effectiveness of cognitive behavioral therapy (CBT) on patients with TRD. METHODS: The present study was a quasi-experimental study with pretest, posttest, and follow-up. The statistical population included patients with TRD in Rafsanjan City, Iran, in 2018. 30 subjects were randomly selected and placed into experimental and control groups. Data were collected by Beck Depression Inventory (BDI), Rumination Questionnaire, and Brunel Mood Scale (BRUMS). To analyze data, multivariate analysis of covariance (MANCOVA) was used with SPSS software. RESULTS: CBT led to reducing depression and rumination and improving mood and this outcome was better than control group (P < 0.05). CONCLUSION: TRD is a chronic and disabling disorder that little research has been done about its treatment. CBT can be a good treatment offer for TRD

Sleep Quality and its Associated Factors in Iranian Patients with Breast Cancer

Background: Sleep disturbances are common, but widely underdiagnosed in cancer patients. Thus, the aim of the present study was to evaluate sleep quality and its associated factors among women with breast cancer.Methods: This cross-sectional study was conducted on women with breast cancer referring to 2 outpatient clinics in Isfahan, Iran. Sleep quality [Pittsburgh Sleep Quality Index (PSQI)], severity of anxiety and depression [Hospital Anxiety and Depression Scale (HADS)], cancer symptoms [M.D. Anderson Symptom Inventory (MDASI‎)], and quality of life (QOL) [European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-‎Core 30 (EORTC QLQ-C30)] were assessed in the present study.Results: The study population consisted of 101 patients with mean age of 49.7 years and mean cancer duration of 2.3 years. The mean global PSQI score of patients was 8.5 and 80.2% had poor sleep quality. Factors associated with global PSQI score in univariate analyses were body mass index (BMI) (r = 0.445), severity of cancer symptoms (r = 0.580), anxiety (r = 0.363), and depression (r = 0.332). BMI and symptom severity were independently associated with poor sleep quality (standardized coefficient = 0.388 and 0.480, respectively). With regards to QOL, patients with poor sleep quality had lower physical and psychosocial functioning than good sleepers.Conclusion: Sleep disturbances are highly common in women with breast cancer in our society and significantly affect their QOL. Obesity, cancer symptoms, and psychological symptoms are important factors associated with and contributing to sleep problems in these patients. Cancer care programs must have a comprehensive approach, including sleep assessment and management, toward the treatment of these patients

Fereidooni, Fatemeh

Objective. This study explored Early Maladjustment Schemas (EMSs) among individuals with and without type 2 diabetes mellitus and examined potential moderating roles for gender, level of education, and occupation. Methods. The sample included 371 adult participants (120 patients with diabetes and 251 individuals without diabetes), from Shiraz City, Fars province; Iran. The Young Schema Questionnaire-Short Form (YSQ-SF) was used to assess early maladjustment schemas. Results. Findings showed that patients with type 2 diabetes had significantly higher scores than controls on a number of EMSs, including abandonment, failure, vulnerability, enmeshment, self-sacrifice, entitlement, and insufficient self-control schemas as well as the over-vigilance and inhibition schematic domains. However, results did not support roles for gender, the level of education, and occupation on any of EMSs and schematic domains. Conclusions. Medical and health professionals may find these results helpful for assessment, treatment, and prevention goals in patients with type 2 diabetes