Health Psychology
mojtaba aghili; Zahra Poorbahman; Ensiyeh Babaee
Abstract
IntroductionLupus is an autoimmune disease in which the immune system mistakenly activates against the body's cells and causes damage to the body's tissues. The prevalence of lupus in women is about 9 times higher than in men. Usually, people between 15 and 45 years old get this disease. Symptoms of ...
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IntroductionLupus is an autoimmune disease in which the immune system mistakenly activates against the body's cells and causes damage to the body's tissues. The prevalence of lupus in women is about 9 times higher than in men. Usually, people between 15 and 45 years old get this disease. Symptoms of this disease include skin rashes, sensitivity to light, mouth ulcers, arthritis and fever. This disease, with alternating phases of recovery, exacerbation of clinical symptoms, and the involvement of almost all organs and tissues, which is sometimes irreversible, can affect various aspects of the patients' lives and mental and physical health and lead to a disruption in their quality of life.MethodsThe current research is semi-experimental with a pre-test-post-test design and control group. The statistical population of the study was all the patients with lupus hospitalized in Ghaem and Razavi hospitals of Mashhad in 2022, using available sampling method, 45 people were selected as a sample and randomly divided into 3 groups of experiment 1 (admission-based treatment and commitment), experiment 2 (compassion-focused therapy) and the control group were included.Research toolsBasic Psychological Needs Questionnaire: This questionnaire was created by LaGuardia et al in 2000 and contains 21 questions graded on a 7-point Likert scale. The reliability coefficients obtained from the implementation of this questionnaire on the subjects' mother, father, romantic partner and friends were reported as 0.92, 0.92, 0.92 and 0.92 respectively. Incongruent Magnification Questionnaire: This questionnaire was created by Riskind et al in the year (2000) and consists of six display texts that respondents answer each item on a 5-point scale from 1 (not at all) to 5 (very much). they give. The reliability coefficient of this questionnaire in the study of Riskind et al. (2000) was obtained by Cronbach's alpha method of 0.84. Stress Coping Strategies Questionnaire: This questionnaire was created in 1990 by Endler & Parker in order to evaluate how people deal with their problems. This test has 48 statements and includes three coping styles, i.e. problem-oriented coping, emotion-oriented coping, and avoidant coping style. The reliability of the whole test is reported as 0.85 and its validity as 0.78. ResultsThe results of the research showed that therapy based on acceptance and commitment and therapy focused on compassion on basic psychological needs, maladaptive magnification and stress coping strategies are effective in patients with lupus (P<0.05). Also, compassion-focused therapy has more effectiveness on basic psychological needs, maladaptive magnification, and stress coping strategies in lupus patients.ConclusionBased on this, the results of the research indicate that treatment focused on compassion leads to the inhibition of automatic emotional reactions and the cultivation of a sense of human commonality in patients, leading to an increase in the feeling of satisfaction of basic psychological needs and a decrease in maladaptive magnification and stress coping strategies.
Bahram Peymannia; Najmeh hamid; Majid Mhmudalilu
Abstract
Intoduction Researches has recently provided convincing evidence about diagnosing borderline personality disorder in youth. Therefore National Institute for Clinical Excellence (NICE) acknowledged the diagnosis of borderline personality in individuals under 18 years old and if necessary supports treatment ...
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Intoduction Researches has recently provided convincing evidence about diagnosing borderline personality disorder in youth. Therefore National Institute for Clinical Excellence (NICE) acknowledged the diagnosis of borderline personality in individuals under 18 years old and if necessary supports treatment and early intervention in this age group. ACT matrix is an approach based on route selection and upgrading the ability of individuals to approach valuable goals, despite the problems in life. Therefore, in the matrix model getting viewpoints of clients considered as the basis of treatment and by examining actions of getting away and getting close to values and compassion in commitment and change strategies helps them achieve a live, purposeful and meaningful life. In fact mindfulness due to taking viewpoints provides context for getting compassion and mindfulness. Mindfulness and compassion are two wings of a bird that both play effective role in inspiring for man, their transition and also individual evolution to fly. Overall, on the one hand according to evidence-based researches about effectiveness of ACT with compassion treatment on a wide range of borderline personality disorder symptoms and on the other hand lack of this kind of researches in Iran, this question arises that whether ACT with compassion is effective on self-injury behaviors and quality of life of female students with symptoms of borderline personality disorder. Method Present study is an experimental design by using pre and posttest with a control group. Therapeutic intervention in experimental group implemented 16 sixty minute sessions weekly for female students between 15-17 years old who have Borderline personality symptoms. During this time participants in experimental and control group responded to Self-Injury behavior Scale of Klonsky and Glenn (2009) and Quality of Life Index of Cummins (2002), before and after intervention and in follow-up (8 weeks after the end of intervention). Results The findings of covariance analysis showed that ACT matrix with Compassion has significantly reduced symptoms of self-injury and improved quality of life. Eta coefficient shows that ACT with Compassion therapy explain 47% of self-injury behaviors and 46% of life quality and these results has been maintained in follow-up stage. Discussion The results of this study showed that despite the cultural and social differences between the present research group and the groups studied in other societies and cultures, ACT matrix with Compassion therapy has significantly reduced symptoms of self- injury and improved quality of life in teenagers with symptoms of borderline personality disorder. This approach seeks to teach teens how to break up from thought content by taking viewpoints, instead of stuck the past and conceptualizing on future live sort their life story, recognizing values and important individuals of their lives and ultimately taking step to achieve these goals and values without getting stuck in trap of their attention and with compassion for themselves and others.
