Volume 6, Issue 1 (Spring 2018 2018)                   Jorjani Biomed J 2018, 6(1): 44-54 | Back to browse issues page

XML Persian Abstract Print

Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Alavi M S, Jabal Ameli S. The Effectiveness of Cognitive-Behavioral Therapy on Emotional Control of MS Patients in the City of Isfahan. Jorjani Biomed J. 2018; 6 (1) :44-54
URL: http://goums.ac.ir/jorjanijournal/article-1-592-en.html
1- Department of Psychology, Najaf Abad Branch, Islamic Azad University, Najaf Abad, Iran
2- Department of Psychology, Najaf Abad Branch, Islamic Azad University, Najaf Abad, Iran , sh.jabalameli@yahoo.com
Abstract:   (944 Views)
Background and objectives: Cognitive-behavioral therapy is one of the interventions used in the treatment of chronic medical conditions such as MS in recent years. Hence, this study was designed to determine the effectiveness of cognitive-behavioral therapy on emotional control of MS patients in the city of Isfahan.
Methods: The present study was a semi-experimental research which was conducted by using a pretest-posttest design with the control group. The study population consisted of all members of the MS Society of Isfahan in 2016-2017. Using the available sampling method, 30 subjects were selected and randomly divided into two experimental and control groups (15 subjects for each group). Both groups completed Williams and Chambless emotional control questionnaire as the pre-test. After eight sessions (two one-hour sessions per week for four weeks) of cognitive-behavioral therapy, the posttest was performed for the groups. The data were analyzed using descriptive statistical methods, including mean and standard deviation and inferential statistics including univariate covariance analysis in the SPSS 20 software.
Results: The study participants included 16 married women and 14 married men. The mean age of the participants in the experimental and control groups was 30.23 ± 7.06 and 29.34 ± 7.15, respectively. The results of the univariate covariance analysis showed that a significant difference in the mean scores of emotional control from the pre-test to the post-test stage between the experimental group and the control group (P = 0.001). Thus, in the experimental group, the mean total score of emotional control in the pretest and post-test phases was equal to 71.66 and 31.33, respectively, while these values in the control group in the pre-test and post-test phases were 67.06 and 62.93, respectively. Also in the experimental group, the scores of four sub-scales of anger, depressed mood, anxiety, and positive emotions revealed significant differences between the post-test stage and the pre-test stage (P =0.001). Therefore, the cognitive-behavioral therapy was effective in improving the emotional control of MS patients.
Conclusion: Considering the effectiveness of cognitive-behavioral therapy, we recommended the use of this therapeutic method to improve the emotional control of the patients with MS.
Full-Text [PDF 475 kb]   (336 Downloads)    
Type of Article: Original article | Subject: General medicine
Received: 2018/08/25 | Revised: 2018/10/2 | Accepted: 2018/08/25

1. Tabrizi N, Etemadifar M, Sharif A, Mirmahdi R. Multiple sclerosis (MS). Volume 3. 7th ed. Tehran: Ghaed. 2012: 53- 62. (Persian).
2. Pourafkary N. Comprehensive dictionary of psychology-psychiatry: English-Persian. Vol. 2. 6th ed. Tehran: Farhang Moaser. 2007: p.962. (Persian).
3. Taghizadeh M, Asemi M. Assess the nutritional status of patients with MS. 3Th International Congress of MS. Iran. 2006; 152-153. (Persian).
4. Currie R. Spasticity: a common symptom of multiple sclerosis. J nurs stand. 2001; 15(33): 47- 58. [DOI:10.7748/ns2001.]
5. Kenner M, Menon U, Elliott DG. Multiple sclerosis as a painful disease. Int Rev Neurobiol. 2007; 79: 303-321. [DOI:10.1016/S0074-7742(07)79013-X]
6. Pugliatti M, Rosati G, Carton H, Riise T, Drulovic J, Vecsei L, Milano I. The epidemiology of multiple sclerosis in Europe. Review Article, Eur J Neurol. 2006; 13, 700-22. [DOI:10.1111/j.1468-1331.2006.01342.x]
7. Merkelbach S, Sittinger H, Koenig J. Is there a differential impact of Fatigue and physical disability on quality of life in Multiple Sclerosis? J Nerv Ment Dis. 2002; 190(6):13-22. [DOI:10.1097/00005053-200206000-00007]
8. Soleimani S, Tajoddini E. Effectiveness of Cognitive Behavioral Therapy Based on Fatigue on Dimensions of Mental Fatigue in Patients with Multiple Sclerosis: a case study, Journal of Clinical Psychology. 2016; 2(3):13-22. (Persian).
9. Chwastiak AL, Gibbons EL, Ehde MD, Sullivan M, Bowen DJ, Bombardier HC. et al. (2005). Fatigue and psychiatric illness in a large community sample of persons with multiple sclerosis. J Psychosom Res; 59, 291-298. [DOI:10.1016/j.jpsychores.2005.06.001]
10. Amstadter A. (2008). Emotion regulation and anxiety disorders. Anxiety Disorders; 22, 211- 222. [DOI:10.1016/j.janxdis.2007.02.004]
11. Dunham GD. (2008). Emotional Skill Falnes and Marital Satisfaction Unpublished Doctorral Disseration. University of okran.
12. Omrani S, Mirzaeian B, Aghabagheri H, Hassanzadeh R, Abedini M. Effectuality of Cognitive-Behavioral Therapy on the Life Expectancy of Patients with Multiple Sclerosis, Mazand Univ Med Sci. 2012; 22(93): 58-65 (Persian).
13. Van Kessel k, Moss-Morris R, Willoughby E, Chalder T, Johnson MH, Robinson E. A randomized controlled trial of cognitive behavior therapy for multiple sclerosis fatigue. Psychosom Med. 2008; 70(2): 205-13. [DOI:10.1097/PSY.0b013e3181643065]
14. White CA. Cognitive Behaviour therapy for choronic medical problems: A guide to assessment and treatment in practice. John Wily & Sons Ltd, Baffins Lane, Chichester. 2001.
15. Asghari M, Hashemi Nasab B, Faraji F. Effect of Cognitive - Behavioral Stress Management quality of life and depression in female patients with MS Arak, Journal of Clinical Psychology Studies. 2011; 5(2): 1-24 (Persian).
16. Moss-Morris R, Dennison L, Landau S, Yardley L, Silber E, Chalder T. A randomized controlled trial of cognitive behavioral therapy (CBT) for adjusting to multiple sclerosis. J Cons clin psychol. 2013; 81(2): 251-62. [DOI:10.1037/a0029132]
17. SarafrazNasab M, Moen Z. The effectiveness of cognitive-behavioral group therapy on reducing symptoms of anxiety, depression and create hope for MS patients, Third National Conference on Psychology and Behavioral Sciences; Tehran: Iran. 2015: 1-23. (Persian).
18. Mokhtari S, Neshat Doost HT, Molavi H. The Effect of Cognitive-Behavior Group Therapy on Depression and Dogmatization of Patients with Multiple Sclerosis (M.S.). Journal of Psychology. 2008; 12, 242-251. (Persian).
19. Mohr DC, Hart SL, Goldberg A. Effects of treatment for depression on fatigue in multiple sclerosis. Psychosomatic Medicine. 2003; 65, 542-547 [DOI:10.1097/01.PSY.0000074757.11682.96]
20. Williams KE, Chambless DL, Ahrens AH. Are emotions frightening? An extension of the fear of fear concept. Behaviour Research and Therapy. 1997; 35, 239-248. [DOI:10.1016/S0005-7967(96)00098-8]
21. Fagih S. Couples effectiveness of Emotionally Focused distress tolerance, emotional adjustment and emotional control in infertile couples in Isfahan. [M. A. Dissertation]. Khorasgan Islamic Azad University. 2016. (Persian).
22. Del Vecchio T, O'Leary KD. Effectiveness of anger treatments for specific anger problems: A meta-analytic review. Clinical Psychology Review. 2004; 24,15-34 [DOI:10.1016/j.cpr.2003.09.006]
23. Qamari Kiwi H, Sheikh Eslami A, Adel Z. Cognitive - behavioral on anger and psychological well-being in aggressive female. Journal of Research Consulting. 2015; 14(55): 56-72. (Persian).
24. Zamani N, Barati F, Jahangir AH, Zamani S. Effectiveness of Cognitive Behavioral Therapy on Mental Health in Patients with Multiple Sclerosis. Health Research Journal. 2016; 1(4): 215-223. (Persian). [DOI:10.18869/acadpub.hrjbaq.1.4.215]
25. Zamani N, Rahmati A, Fazilat-Pour M. The Effect of Cognitive - Behavioral Stress Management Training on Anxiety, Depression and Cognitive Disorder of Individuals with Multiple Sclerosis. Journal of Clinical Psychology. 2014; 5(4): 43-54. (Persian).
26. Patrizia C, Nadav A, Llona B. TeachingMindfulness Based Cagnitive Therapy (MBCT) to students: The effect of MBCT on The Levels of mindfulness and Subjective Well-being. J couns Psychol Q. 2008; 4, 323-336. [DOI:10.1080/09515070802602112]
27. Hazhir F, Ahadi H, Pourshahbaz A, Rezaei M. The application of cognitive behavioral therapy on Leventhals' model for improving quality of life in multiple-sclerosis patients. Journal of Kermanshah University of Medical Sciences. 2012; 16(2):100-108. (Persian).

Add your comments about this article : Your username or Email:

Send email to the article author

© 2019 All Rights Reserved | Jorjani Biomedicine Journal

Designed & Developed by : Yektaweb