درخت حوزه‌های تخصصی

Methods This research was administered in three stages. First, a psycho-cognitive remediation treatment manual was developed based on the most reliable existing treatments: Cognitive Behavior Therapy (CBT) and Cognitive Remediation Therapy (CRT). In the second stage, the content validity of the manual was evaluated by 8 experts. Finally, the effectiveness of the developed treatment was evaluated by the quasi-experimental method with an active control group, pretest-posttest follow-up design. 28 adults aged 24-45 years who had been diagnosed with MDD were purposefully selected and assigned to one of the two experimental or control groups. The experimental group participated in 12 two-hour weekly sessions and the control group played video games at home. The Beck Depression Inventory-Second Edition (BDI-II) and the THINC-it tools as neuropsychological tests were used for gathering data. Only 25 patients remained in the study at week 12. To statistically analyze the data, One-way analysis of covariance was used (SPSS 26). Results Data analysis showed that depression and anhedonia were significantly lower at the post-test compared to the pre-test, according to the BDI-II and SHAPS scores. All objective and subjective cognitive functions were significantly improved. Follow-up scores remained significantly constant in the tests that had improved in the post-test which indicates the stability of therapeutic effects in the three-month follow-up. Conclusion This is the first study to evaluate two validated combined therapies in adults with MDD, as far as the authors are aware. It was evaluated based on feasibility, acceptability, and effectiveness. It is suggested that clinicians use these combined treatments in the field of clinical practice. Although this treatment manual had a good effect, some of its limitations must be addressed in future research.

Background and Aim: Considering the possible role of psychological factors in the process of cardiovascular disease and also the fact that these factors interact with biological agents to produce effects on cardiovascular disease, the present study aimed at evaluation of the effectiveness of acceptance and commitment therapy on mental health, hopefulness and meaningfulness in people with cardiovascular disease. Materials and Methods: The present study was an applied one and was done as pre-test, post-test and control group. The study population included all cardiovascular patients who were referred to Isfahan Cardiovascular Research Center between January to March 2017 and had a history of myocardial infarction or open heart surgery in the last month. The study sample consisted of 30 patients with cardiovascular disease who were willing to participate in the study and met the inclusion criteria. The subjects were randomly assigned to the case and control groups (each group consisting of 15 subjects). Data were obtained using Snyder Hope Questionnaire, Meaning-seeking Questionnaire, and General Health Questionnaire and analyzed by repeated measure ANOVA and SPSS software. Results: The results showed that analysis of variance was significant for intragroup factor (time). For the intergroup factor, only significant variables were found for somatic symptoms and social dysfunction and were not significant for the other variables. The results of the present study indicate that time effect alone is significant regardless of group effect. The interaction of group and time was also significant (F = 12.84, df = 2) and its effect was reported 0.50. Conclusions: Overall, the findings of this study showed that acceptance and commitment based therapy is effective on mental health, hope and Meaning-seeking in Patients with Cardiovascular Diseases.