sara taheri; ilnaz sajjadian
Abstract
Introduction Chronic fatigue syndrome is a complex disabling disorder and the symptoms of the disease are common. It can be named as weakness, muscle aches, memory weakness and mental disorientation, insomnia, chest pain, confusion, night sweats, weight loss and psychiatric problems such as depression ...
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Introduction Chronic fatigue syndrome is a complex disabling disorder and the symptoms of the disease are common. It can be named as weakness, muscle aches, memory weakness and mental disorientation, insomnia, chest pain, confusion, night sweats, weight loss and psychiatric problems such as depression and early suffering, anxiety, and so on. People with this syndrome, often show the occurrence of a unique fatigue that differs from other symptoms of fatigue. Most patients with diagnostic criteria for chronic fatigue syndrome, also receive some diagnostic criteria for psychiatry, in particular, anxiety and depression disorders. Method The purpose of this research was to determine the effectiveness of mindfulness-based cognitive therapy on fatigue, anxiety, depression of staff of Islamic Azad university, Isfahan (Khorasgan) branch, suffering from chronic fatigue syndrome. Research method was quasi-experimental with a pre- and post-test design with a control group. For this purpose, 200 staff, according to Cohen et al. (2000), who had entry criteria for research, were selected by a randomized sampling method and responded to chronic fatigue syndrome (Jason, 2010), and quality of life questionnaire (Ware and Hays,1998). Twenty-eight persons who received diagnosis of fatigue syndrome were selected and assigned randomly to experimental and control groups (each group 14 persons). The subjects in the two groups, before and after intervention, and one month later, answered to research instruments, including fatigue scale (Chalder, 1993), hospital anxiety and depression scale (Zigmond and Snaith, 1983). Mindfulness based cognitive therapy was applied to experimental group, in 8 sessions with each session of 90 minutes, but no intervention was carried out in control group. Results For data analysis, multiple analysis of covariance was used. Findings indicated a reduction in means of fatigue, anxiety and depression in experimental group, in comparison to control group (p ≤ 0.05). Findings indicated that mindfulness-based cognitive therapy has been effective on fatigue, anxiety and depression of staff with chronic fatigue syndrome. Conclusions Based on the findings of this research, reduction of fatigue, anxiety, and depression in staff suffering from chronic fatigue syndrome, mindfulness-based cognitive therapy can be a useful as intervention.
Reza Pasha; Azar Sarraj khorami
Abstract
IntoductionMajor depression and obsessive-compulsive disorders are chronic and disabling disorders that affect the ability to experience normal mood and causing impairment in all performances of the individual. To improve these patients, effective factors must be known, recognized and treated or ...
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IntoductionMajor depression and obsessive-compulsive disorders are chronic and disabling disorders that affect the ability to experience normal mood and causing impairment in all performances of the individual. To improve these patients, effective factors must be known, recognized and treated or controlled. One of the most influential factors is rumination, thinking which is involved in the onset and recurrence of these disorders. One of the most important concepts that has been taken into consideration by many experts in the formation and survival of many disorders, including depression, are dysfunctional attitudes. One of the new therapies used for these disorders is mindfulness based cognitive therapy. Mindfulness based cognitive therapy is designed to reduce the relapse of depression. For the same reason, the purpose of the present research was to determine the effectiveness of mindfulness based cognitive therapy on the use of rumination thinking and dysfunctional attitudes of people with depression and obsessive compulsive disorders. Materials and methodsThe design of research was experimental with the pre and post-test with control group. The sample included 80 patients with major depression and obsessive-compulsive disorders that according to psychiatric diagnosis and DSM-5 had been diagnosed and were divided randomly into experimental and control groups. The used instruments included Thinking Rumimination Questionnaire and Dysfanctional Attitude Scale. First, for both groups pre-test was taken. Then, experimental group, at 8 sessions, were trained with mindfulness based cognitive therapy, and after finishing sessions, both groups were taken post-test. To analys6is data, multivariate analysis of covariance (MANCOVA) was used. ResultsThe results of research showed that mindfulness based cognitive therapy caused reduction in rumination thinking in patients suffering from majar depression (F = 330/96, P < 0.05) and obsessive-compulsive disorder (F = 482/27, P < 0.05) at post-test level. Also, the treatment reduced the from dysfunctional attitudes of patients suffering majar depression (F= 167/31, P < 0.05) and obsessive-compulsive (F = 436/10, P < 0.05) at post-test level. ConclusionsFinally, it can be concluded that in mindfulness based cognitive approach, individuals feel better through new relationships that make up their thoughts. For this reason it is anticipated that this treatment can be used both exclusively and in combination with the treatment of mental and physical disorders. On the basis of research findings, it is predicted that mindfulness based cognitive therapy will play important role in treating mental disorders and prevention of the onset and relapse of these disorders.
