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Sa’di Bayazidi, Abbas Bakhshipour, Marziyeh Alivandi Vafa,
Volume 12, Issue 1 (Volume 12, No 1 2021)
Abstract

Background and Aim: The presence of variables such as stress, depression and anxiety can overshadow the life of any individual and deviate them from the main path and consequently, from achieving their goals. Therefore, the present study aimed to investigate the efficacy of commitment  and acceptance based therapy (ACT) on reducing stress, depression and anxiety in people with gastrointestinal and skin disorders.

Methods: The research method was quasi-experimental with pretest-posttest design, utilizing a control group. The recraited population included all patients with skin and hair disorders, as well as gastrointestinal disorders of psychosomatic origin who visited the clinics of internal medicine physicians and dermatologists and the clinics and hospitals in Bukan in 2019. Among 30 patients who had the highest score in the short form of DASS-21 Depression, Anxiety and Stress Questionnaire were purposefully selected and then randomly divided into experimental (15) and control groups (15). The protocol of ACT sessions based on Hayes's (2002) approach was administered to the experimental group for eight 1.5 hour sessions in one month, two sessions per week. The data were analyzed by SPSS software using covariance analysis.

Results: The results showed that there was a significant difference between the means of the experimental and control groups in the variables of stress, depression and anxiety. In fact, ACT reduced the mean stress (7.47±1.959), depression (6.47±1.187), and anxiety (6.67±1.345) in the posttest stage.

Conclusion: Considering the efficacy of this type of treatment, this program is deemed to be a good option for therapists who work in counseling centers and psychological clinics.


Mahbobeh Dehghan Nayeri, Mohammadhossein Bayazi,
Volume 14, Issue 1 (Volume 14, No 1 2023)
Abstract

Background and Aim: The purpose of this research was to compare the effectiveness of cognitive behavioral and emotion-focused group therapy on reducing the symptoms of psoriasis, psychological distress and perception of body image.

Methods: This was a semi-experimental research of pretest posttest type with a control group. The statistical population of this research included all patients who were diagnosed with psoriasis in spring of 2022 by referring to dermatologists in Mashhad. 45 psoriasis patients were selected by available sampling method and replaced randomly in two experimental groups (CBT and EFT) and control group (each groups 15). The experimental groups was treated for 8 sessions, one session of 90 minutes per week. The control group received no intervention. Parents completed the Psychological Distress Scale, Body Image Concern Inventory and the Physical Symptoms Questionnaire with Psoriasis Area Severity Index before and after the treatment sessions. The data were analyzed by Analysis of covariance. 

Results: The findings showed that cognitive-behavioral and emotion-focused reduced psychological distress (P<0.01, F=21.06), improved perception of body image (P<0.01, F=33.65) and reducing the severity of psoriasis symptoms (P>0.01, F=12.67) are effective. Also, cognitive behavioral therapy is more effective method to reduce psychological distress and improve perception of body image (P<0.01). However, there is no significant difference between the effectiveness of cognitive-behavioral therapy and emotion-focused therapy in reducing psoriasis symptoms of patients (P<0.05).

Conclusion: Both therapies can play a key and effective role in controlling the symptoms of psoriasis.



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