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The present study was conducted to evaluate the effectiveness of cognitive therapy on emotional distress and stress coping strategies in patients with Multiple Sclerosis. The design of study was semi-experimental with pre and post-test, with a control group. The participants were 30 patients with Multiple Sclerosis living in Tehran who were randomly assigned in the experimental and control groups. The data was gathered by Stress Coping Strategies Questionnaire, and Depression, Anxiety, and Stress Scale. The experimental group participated in 12 sessions of cognitive therapy, while the control group received no help. Results of Multivariate Covariance Analysis confirmed the effectiveness of cognitive therapy on improvement of anxiety, depression, and stress coping strategies in patients suffering MS (P

The studies since the second half of the 20th century have revealed the effect of stress on the heart and vessels with mediating neurological indicators and techniques of dysfunctional coping techniques. They also have shown that stress management and the improvement of coping techniques improve the indicators. The present study examined the appraisal of the effect of coping-therapy on cortisol, Interleukin 6 (IL-6) and Interleukin 1β (IL-1β) in comparison with the control group. The study was a quasi-experimental research with pre-test and post-test design conducted on 44 patients (randomly assigned into two experimental and control groups) suffering from coronary heart disease who were hospitalized in Shahid Rajaei Heart Hospital in Tehran in 2011. The experimental group was treated with coping-therapy, and the immunological indicators of both groups were measured using ELISA at the beginning, the fourth, the eighth, (immediately after the end of treatment), the tenth, and the fourteenth weeks. The collected data were analyzed using repeated measures ANOVA by SPSS version 17. The gender and education of the sample was controlled statistically. The results revealed that coping-therapy could significantly decrease cortisol, IL-6, IL-1β from the eighth to the end of the fourteenth week (follow-up). Considering the cognitive limitations of the present study, one can conclude that coping-therapy may decrease the negative effects of stress on immunological indicators through improving dysfunctional techniques to effective ones, and in this way, reveal the positive effects on health.

Background: The affectivity system is a complex dynamic system, thus, it needs to be seen as a whole-system unit that is best studied by analyzing four profiles: self-destructive (low positive affect, high negative affect), low affective (low positive affect, low negative affect), high affective (high positive affect, high negative affect), and self-fulfilling (high positive affect, low negative affect). Our purpose was to examine individual differences in psychological well-being and self-regulatory strategies (assessment/locomotion). Additionally, we investigated if the effect of psychological well-being on self-regulatory strategies was moderated by the individual’s type of profile. Method: Participants (N = 567) answered the Positive Affect Negative Affect Schedule, Ryff’s Scales of Psychological Well-being, and the Regulatory Mode Questionnaire. We conducted a Multivariate Analysis of Variance using age as covariate and Structural Equation Modeling in a multi-group for moderation analysis. Result: Individuals with a self-fulfilling profile scored highest in all psychological well-being constructs and locomotion and lowest in assessment. Nevertheless, matched comparisons showed that increases in certain psychological resources might lead to profile changes. Moreover, while some psychological well-being constructs (e.g., self-acceptance) had an effect of self-regulatory mode independently of the individual’s profile, other constructs’ (e.g., personal growth) effect on self-regulation was moderated by the person’s unique type of profile. Conclusions: Although only theoretical, these results give an idea of how leaps/changes might be extreme (i.e., from one profile at the extreme of the model to the other extreme), while other might be serial (i.e., from one profile to another depending on matching affective dimensions).

Objective: Due to unpleasant consequences of depression in patients suffering from cardiac diseases, such as increase in mortality rate during the first year, especially after undergoing a surgery; this study addresses structural relationships between cognitive and behavioral variables including illness perception and coping strategies in predicting depression after undergoing Coronary Artery Bypass Grafting (CABG) and Percutaneous Coronary Intervention (PCI). Besides, one of the cognitive models for assessing psychological adaptation with chronic medical diseases was outlined for the first time. Method: The sample comprised 245 coronary patients confronted with the diagnosis for the first time, who had undergone PCI and CABG interventions. They were chosen and interviewed through convenience sampling following one month of initiating treatment process. For this purpose, Beck Depression Inventory for Primary Care (BDI-PC), Coping Inventory for Stressful Situations (CISS-21) and the short format of Disease Perception Questionnaire were administered. Data was analyzed using structural equations modeling (LISREL software). Results: findings indicated that applying emotion-focused coping strategies determined 40% of depression variance in these patients, whereas problem-focused strategies determined 4.5% of it and avoidant coping strategy didn’t have a significant role in depression. On the other hand, illness perception as a cognitive variable, could directly determine 26% of depression and 4.5% of it through emotion-focused strategies and 0.25% by means of problem-focused strategies. Also illness perception, could meaningfully determine 50% of emotion-focused coping variance, 7% of problem-focused variance and 8% of avoidance variance. Conclusion: Overall results of this study supported Leventhal’s theoretical model of self-regulation and verified the role of cognitive variables (illness perception) and behavioral ones (coping strategy) in emerging depression. Therefore it is recommended that much attention be drawn to the process of developing patient’s illness perception through personal or group trainings and if necessary, offering effective cognitive and behavioral treatments by practitioners.

Background: This study aimed to compare quality of working life and memory self-efficacy beliefs in people with different circadian rhythms and physical activity levels. Materials and methods: The study took a causal-comparative method. Subjects consisted of 149 fixed and rotating shift employees, working in health enters and hospitals that were participated based on inclusion criteria. The subjects completed demographic, international physical activity, quality of working life and memory self-efficacy questionnaires. All data were analyzed using two-way ANOVA and Bonferroni post hoc test. Result:The results show that the quality of working life and memory self-efficacy are different in fixed and rotating shift employees at three levels of high, medium and low physical activity. Employees with fixed shift and high and medium physical activity level have higher quality of working life and memory self-efficacy than other employees. Moreover, quality of work life of fixed shift employees with medium and low physical activity is better than quality of working life of rotating shift employees with medium and low physical activity, and quality of working life of rotating shift employees with high physical activity levels were significantly better than quality of working life of rotating shift employees with medium and low levels of physical activity (PConclusion: Choosing active lifestyle is recommended to fixed and rotating hospital employees in order to avoid reduction of quality of working life and memory self-efficacy.