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图式疗法和正念对伴有精神病理学症状的银屑病患者所持适应不良图式的影响。

Effects of the Schema Therapy and Mindfulness on the Maladaptive Schemas Hold by the Psoriasis Patients with the Psychopathology Symptoms.

作者信息

Gojani Parvin Jamali, Masjedi Mohsen, Khaleghipour Shahnaz, Behzadi Ehsan

机构信息

Department of Clinical Psychology, Najafabad Branch, Islamic Azad University, Najafabad, IR Iran.

Department of Immunology, Faculty of Medicine, Islamic Azad University, Naein, IR Iran.

出版信息

Adv Biomed Res. 2017 Jan 31;6:4. doi: 10.4103/2277-9175.190988. eCollection 2017.

Abstract

BACKGROUND

This study aimed to compare the effects of the schema along with mindfulness-based therapies in the psoriasis patients.

MATERIALS AND METHODS

This semi-experimental study with post- and pre-tests was conducted on the psoriasis patients in the Dermatology Clinic of the Isfahan Alzahra Hospital, Iran using the convenience sampling in 2014. The patients had a low general health score. The experimental groups included two treatment groups of schema-based ( = 8) and mindfulness ( = 8). Both groups received eight 90-min sessions therapy once a week; they were compared with 8 patients in the control group. To evaluate the psoriasis patients' maladaptive schema, Young schema questionnaire was used. Data were analyzed through the covariance analysis test.

RESULTS

There was a significant difference between the schema-based therapy and mindfulness groups with the control group. There was also a significant difference between the schema-based therapy groups consisting of the defeated schema, dependence/incompetence schema, devotion schema, stubbornly criteria schema, merit schema, restraint/inadequate self-discipline schema, and the control group. Moreover, a significant difference existed between the maladaptive schema of mindfulness therapy group and the controls. There was a significant difference concerning the improvement of the psychopathologic symptoms between the mindfulness therapy group and the control group.

CONCLUSIONS

This study showed similar effects of both the schema and mindfulness-based therapies on the maladaptive schemas in improving the psoriasis patients with the psychopathologic symptoms.

摘要

背景

本研究旨在比较图式疗法与正念疗法对银屑病患者的疗效。

材料与方法

2014年,在伊朗伊斯法罕阿尔扎赫拉医院皮肤科诊所,采用便利抽样法,对银屑病患者开展了这项有前后测的半实验性研究。这些患者的总体健康评分较低。实验组包括基于图式疗法的治疗组(n = 8)和正念疗法治疗组(n = 8)。两组均每周接受一次,每次90分钟,共八次治疗;并与对照组的8名患者进行比较。采用杨氏图式问卷评估银屑病患者的适应不良图式。数据通过协方差分析检验进行分析。

结果

基于图式疗法组和正念疗法组与对照组之间存在显著差异。在由失败图式、依赖/无能图式、奉献图式、固执标准图式、功绩图式、约束/自律不足图式组成的基于图式疗法组与对照组之间也存在显著差异。此外,正念疗法组的适应不良图式与对照组之间存在显著差异。正念疗法组与对照组在心理病理症状改善方面存在显著差异。

结论

本研究表明,图式疗法和正念疗法在改善伴有心理病理症状的银屑病患者的适应不良图式方面具有相似的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b8f6/5309440/391fc28479c5/ABR-6-4-g001.jpg

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