درخت حوزه‌های تخصصی

Objective: <span class="fontstyle2">This study aimed at evaluating the effectiveness of mindfulness-based cognitive therapy, logo therapy, and schema therapy on reducing stress, anxiety, and depression in patients with multiple sclerosis. Methods: <span class="fontstyle2">The present study was a quasi-experimental study with a pre-test-post-test design with a control group. The study population consisted of all members of the MS Society of Iran located in Tehran in 2019, and the sample consisted of 60 members of the Association who were selected using the convenience sampling method and were randomly assigned to three experimental groups and one control group (15 people for each group). All four groups were tested by DASS-21 scale, and then the experimental groups underwent mindfulness-based cognitive therapy, logo therapy, and schema therapy in 12 Two-hour sessions for 12 weeks, but the control group did not receive any training. Analysis was performed using SPSS22 in two parts: descriptive and inferential statistics. Results: <span class="fontstyle2">The results of analysis showed that mindfulness-based cognitive therapy has been effective on reducing stress (f= 110.90, p <0,001), anxiety (f= 88.92, p <0,001), and depression (f= 32.29, p <0,001) in patients with multiple sclerosis. Also it was shown that logo therapy was effective on stress (f= 264.60, p <0,001), anxiety (f= 175, p <0,001), and depression (f= 305.07, p <0,001), and schema therapy was effective on reducing stress (f=110.90, p <0,001), anxiety (f= 88.92, p <0,001), and depression (f= 32.29, p <0,001) in patients with multiple sclerosis. Also, the comparison of means showed that in the variables of stress, anxiety, and depression, mindfulness-based cognitive therapy, logo therapy, and schema therapy were effective. Conclusions: <span class="fontstyle2">The findings of this study confirmed that mindfulness-based cognitive therapy, logo therapy, and schema therapy were effective in reducing stress, anxiety, and depression in patients with multiple sclerosis.

People with social anxiety face barriers to treatment under the pretext of avoiding interaction and the discomfort of self-disclosure. Using remote health services may be an alternative, but there is no research evidence on the effectiveness of Internet-based methods in social anxiety.Therefore, this study aimed to compare the effectiveness of face-to-face and Internet-based cognitive-behavioral therapy on cognitive distortions and emotion regulation in adolescents with social anxiety.The present study was a field experiment. A total of 51 adolescents with social anxiety disorder were selected by cluster sampling method and randomly assigned to three face-to-face, Internet-based, and control therapy groups. Three groups were interviewed at the beginning and end of the study and answered the social anxiety screening questionnaire (SASA) Levpušček & Videc (2008 ), cognitive distortion questionnaire (CDQ) Beck and Wismann(1978), and emotion regulation questionnaire (ERQ) Jojn and Gross(2003).The two experimental groups underwent therapeutic intervention during ten weekly sessions.The results of ANKOVA analysis showed that both forms of intervention effectively reduced cognitive distortions, improved emotion regulation, and reduced symptoms of social anxiety.Also, the results of MANKOVA analysis showed that in the components of the need to please others and repression, face-to-face intervention only was effective.None of the intervention methods significantly affected the two components of success and perfectionism. In general, in all variables, the impact of the face-to-face intervention was greater than the Internet-based intervention.These results can support the use of Internet-based cognitive-behavioral therapy for adolescents with social anxiety disorder who, due to circumstances, are unable to benefit from face-to-face treatment