The Effectiveness of Cognitive-Existential Group Therapy on Increasing Hope and Decreasing Depression in Women-Treated With Haemodialysis

Abstract

Introduction:Hopefulness is one of the most significant predictors of adaptation in hemodialysis patients, and plays a vital role in the recovery process. In contrast to hopefulness, depression is a frequent psychological reaction of the hemodialysis treatment with many negative consequences. The current research was designed to examine the effect of cognitive-existential treatment on the level of hopefulness and depression in hemodialysis patients.Materials & Methods:This quasi-experimental research included 22 female patients suffering from chronic kidney failure disease undergoing hemodialysis treatment for at least 3 months. The patients were randomly assigned into two groups of experimental and control conditions. The experimental group received a combination of treatment including some elements of “existentialism” philosophy and a “cognitive” approach designed for the Iranian population. The treatment protocol lasted for 12 sessions of 90 minutes twice per week prior to the entry of the patient to the dialysis session. Miller’s hope scale and BDI-II-21 were employed to collect the data. Statistical analysis was performed on the data using analysis of covariance by SPSS: 16 software.Results:The result of the analysis indicated that there was a significant improvement in hopefulness level and decrease in depression of the patients in the experiment condition (P<0.01).Conclusion:The result of analysis showed that cognitive-existential treatment resulted in the increase of hopefulness and decrease level of depression in the hemodialysis patients suffering from chronic kidney failure.

The effectiveness of existential psychotherapy on attitude to life and self-flourishing of educated women homemakers

“…study, cognitive-existential group therapy was effectiveness on increasing hope and decreasing depression in women;[39] it is similar to our results.…”

<p>The Effect of Peer Support on Hope Among Patients Under Hemodialysis</p>

“…39 In another study, cognitive-existential group therapy led to an increase in hope among patients under hemodialysis. 40 These two interventions are different from peer support, because peer support is done in the face-to-face manner by a person who is experiencing the disease and is not a healthcare worker, which seems to be more efficient. Thus, the present study aims to determine the effect of peer support on hope among patients under hemodialysis.…”

An Investigation into The Effect of Cognitive- Existential Therapy on The Rumination of Women Affected by Male Infidelity

“…Kissane believed that in individuals, who are involved in chronic disease, the meaning and hope will diminish over time and the feeling of depression is intensified. Therefore, existential therapies with a combination of cognitive strategies are the most suitable therapy methods for reducing depression and raising hope among this group of patients (Bahmani et al, 2016). Therefore, it was expected that the cognitive components of intervention in this research result in decreasing the distortive cognitive components of thoughts such as empathy and loneliness of the patients as was shown by the increase in hope that was observed in the results of this study (Kissane and Clark, 2002).…”

“…Research suggests the impact of Cognitive-Existential Therapy on increasing hope and reducing depression in women (Bahmani et al, 2016). Moreover, this approach can reduce the symptoms of morbidity in women (Farmani-Shahreza et al, 2016), improve the relationships, help better understand oneself and investigate the quality of life of married couples (Mumurdere and Saks, 2006).…”