Background
Breast cancer is one of the most common cancers in Iranian women. They will experience a mental health problem like depression before, during or after treatment. This study aimed to determine the effectiveness of group metacognitive therapy on depression, cognitive-emotional regulation, and meta-cognitive beliefs in women with breast cancer.
Methods
In this randomized controlled clinical trial, a total of 24 depressed patients with breast cancer were randomly allocated to experimental and control groups. The experimental group received meta-cognitive therapy in 8 weekly sessions, but the control group received treatment as usual. Beck Depressive Inventory, cognitive emotion regulation questionnaire, and meta-cognitions questionnaire were completed before, after and one month after the intervention. Data were analyzed using Wilcoxon and Chi-square tests.
Results
The mean score of depression in the experimental group was reduced from 21.6 ± 4.83 in the pre-test to 13.83 ± 8.12 in one-month follow-up (p = 0.16); however, there was no significant difference in the control group. The mean score of cognitive emotion regulation did not show a significant change in the two groups during the study and follow-up period. The mean score of meta-cognitive beliefs reached 68.75 ± 15.74 from 79.51 ± 10.72 in the experimental group during the follow-up period (p = 0.006); however, there was no significant difference in the control group in the score of metacognitive beliefs.
Conclusion
These findings support the efficacy of meta-cognitive therapy as a viable psychosocial intervention in depressed patients with breast cancer.
Trial registration IRCT201606288473N5. Registered on: 05/09/2016 https://www.irct.ir/trial/8946.
Attachment styles are considered important not only for adults' close relationships but also for individual's well-being, reflecting the subjective quality of life, covering positive mood, vitality, and interest in things. Emotion regulation is considered to be in direct relation with these variables and expected to play a mediating role in the association between attachment and well-being. The aim of this study was to obtain better insight into the associations between attachment styles and subjective well-being, by testing the possible mediating role of emotion regulation skill. The methodology employed in this study was descriptive methodology. Sample demographics were 130 students of University of Isfahan, Iran, who were selected based on multi-stage simple sampling method. Direct effects of attachment styles on emotion regulation skill were all significant (p<.05). Direct effects of secure and avoidance styles on SWB were both significant (p<.05). Indirect effects of attachment styles on SWB were all significant (p<.05). Indirect effects of avoidance style on SWB was-0.11, indirect effects of secure style on SWB was 0.4, and indirect effects of ambivalence style on SWB was-.21 (p<.05). Model fit indices were:
Background: This study aims to investigate the effectiveness of cognitive-behavioral therapy on reducing the symptoms of premenstrual syndrome based on the moderator variable of therapy compliance in an Iranian sample. Methods: This was a semi-experimental study, in which 56 patients with premenstrual syndrome disorder were selected using the accessible sampling method. They were all the female patients who had been referred to the gynecologic and psychiatric centers in Isfahan city, and were randomly assigned into two experimental and control groups, each one comprising 28 patients. The experimental group received 10 sessions of cognitive-behavioral therapy. The patients were tested before and after intervention using the screening questionnaires of premenstrual syndrome symptoms. Additionally, subjects in both experimental and control groups were divided into two groups based on the rate of their therapy compliance (from high to low or noncompliant). Data was Analyzed using of covariance and Cohen's size effect with SPSS-22.
Results:The results showed that the effectiveness of cognitive-behavioral therapy on reducing the symptoms of premenstrual syndrome was statistically significant. Moreover, research findings have shown that the therapy was more effective on the compliant group. Conclusion: According to the results, cognitive behavior therapy can be suggested as an effective therapeutic approach in reducing the symptoms of premenstrual syndrome, especially for the patients who are complient.
Introduction: Depression is recognized as one of the most common disabling and recurrent disorders with changes in emotional, cognitive, and neurobiological functions over a twoweekperiod. Aim: The purpose of this study was to determine the effectiveness of cognitive therapy based on mindfulness on positive affect, psychological flexibility and mind-awareness components of people with depression symptoms. Method: The research method was semi-experimental with control and experimental group as pre-test and post-test. 30 students with depression symptoms were selected using purposeful sampling. They were randomly assigned to control and experimental groups. The experimental group received 8 sessions of cognitive therapy based on mind-awareness while the control group received no training at al. Beck Depression Inventory, Acceptance and Practice Questionnaire-II (AAQ-II), Positive and Negative Affect Scale, and Five-Point Mindfulness Questionnaire were used for data collection. Results: The results showed that cognitive therapy based on Mindfulness increases the scores of the experimental group in the positive affection, psychological flexibility and component of mindfulness and decreased levels of negative affect. Conclusion: cognitive therapy based on Mindfulness is effective to enhance positive affec, psychological flexibility and mindfulness components.
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