Rezaei Sohaila, Abedi Parvin, Maraghi Elham, Hamid Najmeh, Rashidi Homaira
1MS. c Candidate in Midwifery Department, Reproductive Health Promotion Research Centre, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
2PhD in Community Nutrition, Associate Professor in Midwifery Department, Menopause Andropause Research Centre, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Thyroid Res. 2020 May 20;13:6. doi: 10.1186/s13044-020-00080-z. eCollection 2020.
Worldwide, hypothyroidism affects 3.7% of the population, and is associated with impaired quality of life. This study aimed to evaluate the effect of cognitive- behavioral therapy (CBT) on the quality of life in women with hypothyroidism.
96 women with hypothyroidism randomly allocated into two groups: CBT group ( = 48) and control group (n = 48). Women in the CBT group were classified into four sub-groups of 12, and each sub-group received eight sessions of counseling (each session lasting 90 min). We collected data using a demographic questionnaire and the 36-Item Short Form Health Survey (SF 36) for measuring the quality of life. We used the independent t-test, chi-square test and ANCOVA to analyze the data.
Five women from each group withdrew from the study, leaving 43 women in each group. The scores on physical functioning, physical health problems, social functioning and pain improved in the CBT group after the intervention, but the differences between the two groups were not significant. The scores on emotional health, emotional health problems, energy and emotions, and general health were significantly better in the CBT group than those in the control group ( < 0.05).
Counseling using CBT can improve some aspects of quality of life, including emotional health, emotional health problems, energy and general health in patients with hypothyroidism.
Iranian Registry for Clinical Trials: 20190323043101 N1. https://www.irct.ir/.
在全球范围内，甲状腺功能减退症影响着3.7%的人口，并与生活质量受损相关。本研究旨在评估认知行为疗法（CBT）对甲状腺功能减退症女性生活质量的影响。
96名甲状腺功能减退症女性被随机分为两组：CBT组（n = 48）和对照组（n = 48）。CBT组的女性被分为4个亚组，每组12人，每个亚组接受8次咨询（每次咨询持续90分钟）。我们使用人口统计学问卷和36项简短健康调查（SF - 36）收集数据以测量生活质量。我们使用独立t检验、卡方检验和协方差分析来分析数据。
每组有5名女性退出研究，每组剩下43名女性。干预后，CBT组在身体功能、身体健康问题、社会功能和疼痛方面的得分有所改善，但两组之间的差异不显著。CBT组在情绪健康、情绪健康问题、精力和情绪以及总体健康方面的得分显著高于对照组（P < 0.05）。
使用CBT进行咨询可以改善甲状腺功能减退症患者生活质量的某些方面，包括情绪健康、情绪健康问题以及精力和总体健康。
伊朗临床试验注册中心：20190323043101 N1。https://www.irct.ir/
