Lupus 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.
The 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.
Basic 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.
The 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.
Based 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.