Montazeri Sahar, Aghaei Asghar, Golparvar Mohsen
Department of Psychology, Faculty of Education and Psychology, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran.
Department of Educational Science and Psychology, Islamic Azad University, Isfahan Branch (Khorasgan), Isfahan, Iran.
Caspian J Intern Med. 2022 Summer;13(3):634-638. doi: 10.22088/cjim.13.3.634.
Patients with chronic diseases such as multiple sclerosis (MS) suffer more from psychiatric consequences than others, and their quality of life may be drastically affected, causing syndromes like depression and anxiety. Mindfulness-integrated cognitive behavioral therapy (Mi-CBT) seems to improve stress coping strategies in chronically ill patients, but its effectiveness has been little studied in MS. So, in this study, we aimed to assess its effectiveness on stress coping strategies in women suffering from MS in Mazandaran province, Iran.
In this semi-experimental study, we selected 40 women with MS who had been referred to a neurologist in Mazandaran province, Iran during the year 2016 by convenient sampling and randomly assigned to the Mi-CBT and control group with a one-to-one ratio. Patients in the intervention group were under treatment for eight 120-minutes session, while the control group only stayed on the waiting list. After obtaining the ethics committee's approval (IR.IAU.CHALUS.REC.1397.018) and patient's informed consent, both groups underwent a pre-test assessment with a stress status questionnaire developed by Endler and Parker in 1988. The same assessment was done for both groups two times more, one after compilation of all sessions, and one 45 days later. Repeated measures analysis of variance was done using SPSS Version 24 software.
There was a difference between intervention and the control group for avoidance-oriented, and problem-oriented stress coping strategies (p<0.01), but there was not a significant difference for emotion-oriented strategy between groups (P=0.22).
MiCBT is effective in improving stress coping strategies in women with MS, and overall mental health.
患有诸如多发性硬化症（MS）等慢性病的患者比其他人更容易受到精神方面的影响，他们的生活质量可能会受到严重影响，从而引发抑郁和焦虑等综合征。正念整合认知行为疗法（Mi-CBT）似乎可以改善慢性病患者应对压力的策略，但在MS患者中对其有效性的研究较少。因此，在本研究中，我们旨在评估其对伊朗马赞德兰省患有MS的女性应对压力策略的有效性。
在这项半实验性研究中，我们通过方便抽样选择了40名2016年期间转诊至伊朗马赞德兰省一位神经科医生处的MS女性患者，并以一对一的比例将她们随机分配到Mi-CBT组和对照组。干预组的患者接受为期8次、每次120分钟的治疗，而对照组仅留在等待名单上。在获得伦理委员会批准（IR.IAU.CHALUS.REC.1397.018）和患者知情同意后，两组均使用Endler和Parker于1988年编制的压力状态问卷进行了预测试评估。两组在所有疗程结束后以及45天后又分别进行了两次相同的评估。使用SPSS 24版软件进行重复测量方差分析。
在以回避为导向和以问题为导向的压力应对策略方面，干预组和对照组之间存在差异（p<0.01），但两组在以情绪为导向的策略方面没有显著差异（P=0.22）。
MiCBT在改善MS女性患者的压力应对策略和整体心理健康方面是有效的。
