Ali Akbar Haddadi Kuhsar; alireza moradi; Bagher Ghobari Bonab; Farnad Imani
Volume 8, Issue 31 , July 2018, , Pages 1-30
Abstract
The main aim of the current study was to compare the effectiveness of spiritual therapy based on Iranian culture with mindfulness based on reduction stress (MBSR) in reducing depression, anxiety and stress in patients with chronic pain. All subjects who are suffer from Muscular-Skeletal ...
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The main aim of the current study was to compare the effectiveness of spiritual therapy based on Iranian culture with mindfulness based on reduction stress (MBSR) in reducing depression, anxiety and stress in patients with chronic pain. All subjects who are suffer from Muscular-Skeletal disease were recruited from Hazrat-e-Rassoul Hospital, (Iran University of Medical Sciences, Tehran, Iran). Design of the study was quasi experimental pretest-posttest-control group design with follow-up stage. 45 patients randomly were assigned in three groups: Spiritual therapy, mindfulness therapy and control group. Each group constituted of intervention comprised of eight 90-minutes-sessions. Demographic information’s and depression, anxiety and stress scale were used to gather data. Data were analyzed with analysis of variance with repeated measurement. Analysis of data revealed that spiritual therapy and mindfulness therapy were not significantly different in reduction depression, anxiety and stress in patients with chronic pain (These treatment were equally effective). More ever, comparing pairs in groups revealed that depression, anxiety and stress were different in treatment and follow up stages. Both spiritual therapy and mindfulness therapy were different from the control group. Spiritual therapy and mindfulness therapy were lower in depression, anxiety and stress in compare to control group. In other word effectiveness of spiritual therapy and mindfulness therapy were more than control group in patients with chronic pain. Results showed that spiritual therapy and mindfulness therapy were effective in reduction of depression, anxiety and stress in patients with chronic pain.
Soheila Ghomian; mohammad reza shaeiri
Abstract
The purpose of this study is to evaluate the effect of acceptance and commitment therapy for children with chronic pain on internalizing symptoms of 7 to 12 year-old children. In this quasi-experimental study, a number of children suffering from chronic pain were selected by available sampling method ...
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The purpose of this study is to evaluate the effect of acceptance and commitment therapy for children with chronic pain on internalizing symptoms of 7 to 12 year-old children. In this quasi-experimental study, a number of children suffering from chronic pain were selected by available sampling method from specialty and subspecialty pediatric hospitals of Tehran (Such as Children's Mofid, Children's Medical Center, Hazrat Ali Asghar and Bahrami), in 2014. Then, among the children, 20 children who according to their parents were prepared to participate in this study and met the inclusion criteria, were selected and placed in the experimental group (n = 10) and control group (n = 10). The CHACT protocol applied on the experiment group, for 8 sessions. The Child Behavior Checklist (CBCL) was administered in both groups at the pre-test, post-test, first and second follow-up (Respectively, 1.5 and 5 months after treatment) and analyzed with MANCOVA analysis of variance. The results showed that the experimental group compared with the control group showed significant change in internalizing symptoms in multiple stages. These changes continued after the treatment, first and secondary follow-up. Generally, it can be said that this protocol can be used in clinical fields, especially in the area of improving the internalizing symptoms of children.
Najmeh Hamid; Leili Ramezan Sa’atchi; Mahnaz Mehrabizadeh Honarmand
Volume 3, Issue 10 , February 2013, , Pages 96-113
Abstract
In the present study, the effect of cognitive-behavioural therapy on pain severity and mental health of women with chronic low back pain has been investigated. The research method was experimental with pre-post, follow-up, and control group. The statistical society of this study was consisted of all ...
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In the present study, the effect of cognitive-behavioural therapy on pain severity and mental health of women with chronic low back pain has been investigated. The research method was experimental with pre-post, follow-up, and control group. The statistical society of this study was consisted of all women outpatients with chronic low back pain who referred to Tehran’s clinical institutions during winter 2011. 30 out of 88 women who had referred to four chronic-pain specialized clinics and physiotherapy centres of Tehran and whose chronic low back pain was confirmed by chronic-pain questionnaire were randomly selected to represent the sample. The subjects were assigned to one of the experimental or control groups, randomly. In pre-post, both groups of experimental and control replied to mental health questionnaire and pain intensity scale of multifaceted questionnaire. The experimental group was treated in 11 sessions of 70 minutes cognitive-behavioural therapy. In contrast, the control group was not subjected to any treatment. Furthermore, both groups were subjected to fallow-up test. The result of MANCOVA method indicated that cognitive-behavioural therapy significantly reduced pain and increased mental health of patients with chronic low back pain compared to control group (p<0.001). These results were also observed during follow-up period.
Mohammad-Ali Asghari Moqaddam; Narjes Rahmati; Mohammad-Rezā Sho’eyri
Volume 2, Issue 6 , February 2012, , Pages 141-168
Abstract
Background: There is considerable individual variation in the levels of pain-related disability among people with chronic pain. Pain self-efficacy and fear of movement have been proposed to explain individual differences in the level of pain-related disability.
Objective: This study aims to investigate ...
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Background: There is considerable individual variation in the levels of pain-related disability among people with chronic pain. Pain self-efficacy and fear of movement have been proposed to explain individual differences in the level of pain-related disability.
Objective: This study aims to investigate whether pain self-efficacy and fear of movement mediate the relationship between pain intensity and disability in patients with chronic pain.
Method: In a cross-sectional design, 195 chronic pain patients completed measures for pain intensity, disability, pain self-efficacy and fear of movement.
Results: The mean age (SD) of the sample was 45.6 years (12) and 73% of the sample reported their main pain sites as low back and legs. Regression analyses were used to test the mediational hypothesis. The first regression analysis indicated that pain self-efficacy beliefs partially mediated the effects of pain intensity on disability. The results of the Sobel test confirmed this mediational effect (Z = 3.40, p < 0.001). The second regression analysis indicated that fear of movement partially mediated the effect of pain intensity on disability. The results of the Sobel test confirmed this mediational effect (Z = 4.43, p< 0.001).
Conclusion: Pain self-efficacy and fear of movement are important in terms of understanding the relationship between pain and disability. The clinical implications of these findings are discussed in the paper.
