Volume 14, Issue 8 (October 2020)
Qom Univ Med Sci J 2020, 14(8): 39-49 |
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Saadat Momeni N, Aghayousefi A, Khajevand Khoshli A, Rostamian A. Comparison of the Effectiveness of Coping Therapy and Cognitive-Behavioral Therapy in Cognitive Immunity and Psychological Well-being Indicators of Patients with Rheumatoid Arthritis Referring to Imam Khomeini Hospital, Tehran, Iran. Qom Univ Med Sci J 2020; 14 (8) :39-49
URL: http://journal.muq.ac.ir/article-1-2911-en.html
URL: http://journal.muq.ac.ir/article-1-2911-en.html
Nafiseh Saadat Momeni1 
, Alireza Aghayousefi * 2, Afsaneh Khajevand Khoshli3 , Abdolrahman Rostamian4
, Alireza Aghayousefi * 2, Afsaneh Khajevand Khoshli3 , Abdolrahman Rostamian4
1- Department of Health Psychology, Islamic Azad University of Gorgan
2- Department of Clinical Psychology, Payame Noor University of Tehran ,arayeh1100@gmail.com
3- Department of Child Psychology, Islamic Azad University of Gorgan
4- Department of Rheumatology, Tehran University of Medical Sciences
2- Department of Clinical Psychology, Payame Noor University of Tehran ,
3- Department of Child Psychology, Islamic Azad University of Gorgan
4- Department of Rheumatology, Tehran University of Medical Sciences
Abstract: (2827 Views)
Background and Objectives: Rheumatoid arthritis is one of the most common diseases of the immune system which is increasing rapidly. The results of the recent literature review confirm the roles of stress and psychosocial stressors on physiological mechanisms, such as psychoneuroimmunology, as causal factors leading to the development of rheumatoid arthritis. Considering the effectiveness of psychological problems in the development of this disease, the present study was conducted to compare the effectiveness of coping therapy and cognitive-behavioral therapy in cognitive immunity and psychological well-being indicators of patients with rheumatoid arthritis referring to Imam Khomeini Hospital, Tehran, Iran.
Methods: This was a quasi-experimental study with a pretest-posttest control group design. In the present study, the effectiveness of two independent variables (i.e., coping therapy and cognition-behavioral therapy) on dependent variables (i.e., immune-cognitive and psychological well-being indicators) was examined. The statistical population consisted of patients with rheumatoid arthritis referring to Imam Khomeini Hospital from March-August in 2019. The final sample (n=60) was selected by the purposive sampling method and the subjects were randomized into two groups of experimental and control (n=20 each). Subsequently, the experimental group was subjected to coping therapy and cognitive-behavioral therapy interventions. The instruments used in the present study included Psychological Welfare Scale, C-reactive protein (CRP) immunological indicators test, and erythrocyte sedimentation rate (ESR) test. The collected data were analyzed using the analysis of covariance model.
Results: The results of the analysis of covariance model were indicative of a p-value of < 0.05 as significant. Moreover, it was found out that the effectiveness of coping therapy and cognitive-behavioral therapy on CRP, ESR, psychological well-being was significant (P<0.001, P<0.001, and P=0.004, respectively).
Conclusion: The results of this study revealed that coping therapy and cognitive-behavioral therapy were effective in cognitive immunity and psychological well-being indicators. Therefore, this treatment can be adopted as a complementary therapy, alongside conventional medicines, for patients with rheumatoid arthritis.
Methods: This was a quasi-experimental study with a pretest-posttest control group design. In the present study, the effectiveness of two independent variables (i.e., coping therapy and cognition-behavioral therapy) on dependent variables (i.e., immune-cognitive and psychological well-being indicators) was examined. The statistical population consisted of patients with rheumatoid arthritis referring to Imam Khomeini Hospital from March-August in 2019. The final sample (n=60) was selected by the purposive sampling method and the subjects were randomized into two groups of experimental and control (n=20 each). Subsequently, the experimental group was subjected to coping therapy and cognitive-behavioral therapy interventions. The instruments used in the present study included Psychological Welfare Scale, C-reactive protein (CRP) immunological indicators test, and erythrocyte sedimentation rate (ESR) test. The collected data were analyzed using the analysis of covariance model.
Results: The results of the analysis of covariance model were indicative of a p-value of < 0.05 as significant. Moreover, it was found out that the effectiveness of coping therapy and cognitive-behavioral therapy on CRP, ESR, psychological well-being was significant (P<0.001, P<0.001, and P=0.004, respectively).
Conclusion: The results of this study revealed that coping therapy and cognitive-behavioral therapy were effective in cognitive immunity and psychological well-being indicators. Therefore, this treatment can be adopted as a complementary therapy, alongside conventional medicines, for patients with rheumatoid arthritis.
Keywords: Rheumatoid arthritis, coping therapy, cognitive behavioral therapy, cognitive immunology, psychological well-being
Type of Study: Original Article |
Subject:
روانشناسی
Received: 2020/09/1 | Accepted: 2020/10/12 | Published: 2020/11/30
Received: 2020/09/1 | Accepted: 2020/10/12 | Published: 2020/11/30
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