Bijan Pirnia, Seyyed Kazem Rasoulzadeh Tabatabaei, Alireza Pirkhaefi, Aliakbar Soleimani,
Volume 23, Issue 2 (8-2017)
Abstract
Objectives Anxiety is one of the most common disorders in childhood. Some of the treatment approaches in clinical psychology determined the treatment of the anxiety symptoms in the interactional field, and others defined it in cognitive framework. The present study aimed to evaluate the effect of cognitive behavioral treatment based on anxiety prevention program with parent-child interaction therapy on the anxiety index of pre-school children with parents under methadone maintenance therapy.
Methods This study is based on the combined design of pre-test, post-test and follow-up for six months. It included mothers under methadone maintenance therapy who were referred to two methadone treatment clinics in Tehran. Seventy-five mothers and children were randomly selected and grouped into three groups of cognitive-behavioral therapy, parent-child interaction therapy, and control group (n=25 each group). The treatment protocols were provided in two groups for eight sessions in two weeks, and control group was set in waiting list. The anxiety level of the children was evaluated in three stages of pre-test, post-test and follow-up by Spence Anxiety Scale (responding rate=91%), and data were analyzed using the chi-square, Independent Sample t-test and ANOVA with repeated measure.
Results The results of the study showed that both types of treatment had a significant effect on the anxiety index compared to the control group (P<0.01). However, there was no significant difference in the efficiency of both treatments (P>0.65).
Conclusion The findings of the study can be helpful in explaining the causes of the anxiety index in children and planning the preventive interventions.
Farzad Ghaderi, Nahid Akrami, Koroosh Namdari, Ahmad Abedi,
Volume 27, Issue 4 (3-2022)
Abstract
Objectives: This study aims to compare the effectiveness of integrated Cognitive Behavioral Therapy (CBT) and transdiagnostic treatment in improving symptoms of patients with Generalized Anxiety Disorder (GAD) comorbid with depression.
Methods: This is a single-case quasi-experimental study. The study population consists of all people with GAD comorbid with depression referred to counseling centers in Isfahan, Iran in 2019, from whom 10 were selected using a purposive sampling method and randomly assigned into two groups of CBT and transdiagnostic treatment. Subjects in both groups were assessed at baseline, 3rd, 4th, 8th, 10th sessions, and during a one-month follow-up period using the 7-item Generalized Anxiety Scale, the Beck Depression Inventory, and the Penn State Worry Questionnaire. To analyze the data, visual analysis, Reliable Change Index (RCI), improvement percentage, and statistical and clinical significance were used.
Results: Visual analysis, percentage of improvement, and RCI value showed that both treatments caused clinically and statistically significant changes in therapeutic outcomes and their therapeutic effects continued during follow-up period. However, the percentage of improvement in CBT group was higher than in the transdiagnostic treatment group.
Conclusion: CBT is superior to transdiagnostic treatment in terms of effect size and stability, but both are the same in terms of acceptance.
Mohammad Bagher Saberi Zafarghandi, Arash Javaheri, Mohsen Shati, Mohsen Roshanpajouh,
Volume 28, Issue 2 (7-2022)
Abstract
Objectives Sex addiction is one type of behavioral addiction that is characterized by extreme fantasies and hard-to-control sexual behaviors. This disorder causes problems in the lives of affected people and their victims. The treatment is non-pharmacological and psychological, which are time-consuming and expensive. Short-term interventions are one of the ways to help these people. This study aims to evaluate the effectiveness of short-term clinical guidelines to treat sexual addiction disorder in affected individuals.
Methods This was a randomized clinical trial study with pre-test-post-test and follow-up. The studied population in this research included all people with sexual addiction disorder who live in Isfahan City, Iran. The statistical population was those who had the chance to be included in the study. These were individuals who were referred to outpatient and residential drug abuse treatment centers, psychiatric treatment centers, and sexual disorders treatment clinics. Using the balance block randomization method, 30 male subjects who were diagnosed with sex addiction disorder based on the cut-off point of the hypersexual behavior inventory (HBI) with a score of 53 and above were randomly divided into 2 intervention and comparison groups. The intervention group received ten 120-min therapy sessions held weekly. Because of the coronavirus pandemic, the treatment sessions had to be held virtually (Skype). The comparison group was put on hold so that they could benefit from the treatment if the guide was effective. Both groups completed the HBI three times. The first time was immediately before the treatment, the second time immediately after the intervention, and the third time 3 months later in the follow-up phase. The results were analyzed via repeated measures analysis of variance (RM-ANOVA) in the SPSS software, v. 22.
Results In the present study, there were 30 patients with a sexual addiction disorder, of which 15 were in the intervention group and 15 were in the comparison group (the Mean age of the participants was 26.4 years). The Mean scores of HBI in the intervention group in the pretest, post-test, and follow-up stages were 67, 49, and 57, respectively, while the mean scores of HBI in the comparison group were 64, 60, and 59 for the pretest, post-test, and the follow-up, respectively. Repeated measurement findings showed that this clinical guideline is effective in reducing participants’ sexual addiction symptoms (P<0.01).
Conclusion Clinical guideline for short-term treatment of sexual addiction disorder is effective in reducing the symptoms of sexual addiction disorder. Using this method, which can be held online, and considering its short time and reduced cost of treatment, allows more people to benefit from it.
Somayeh Arabi Khalilabad, Nooshin Khademoreza, Amirsina Homayooni, Shiva Sorayya, Sajjad Effatnejat, Ali Kabir, Fatemeh Hadi, Mohammadreza Shalbafan,
Volume 28, Issue 3 (12-2022)
Abstract
Objectives This study aims to investigate the attitude towards medication, medication adherence, and quality of life (QoL) in outpatients with neurotic disorders referred for the first time to the psychiatric clinic of Tehran Psychiatric Institute in Iran.
Methods In this study, participants were adult outpatients with neurotic disorders referred to the psychiatric clinic of Tehran Psychiatric Institute for the first time, who had met the inclusion criteria (age 18-60 years, having a neurotic disorder diagnosed by the psychiatrist, and consent to participate in the study). At baseline and in one and six months after the first visit, they completed a demographic form, the World Health Organization Quality of Life-BREF (WHOQOL-BREF) and the drug attitude inventory (DAI-10). Their medication adherence was assessed using the medication possession ratio.
Results Of 100 participants, 76 were females and had a mean age of 35.9 years. Favorable medication adherence significantly increased in the sixth month compared to the first month, and the number of patients with favorable medication adherence increased from 38 to 63. In comparing the overall score of QoL, a significant improvement was observed in the 1st and 6th months compared to baseline and in the sixth month compared to the first month (P<0.001). Regarding the domains of the QoL, mental health and general health in the first and sixth months were significantly increased compared to the baseline (P<0.001). Physical health domain was significantly increased in the sixth month compared to the first month (P<0.001). Social relationships domain was significantly increased in the first month compared to the baseline (P= 0.001). Environmental health domain was significantly increased in the first month compared to the baseline (P=0.019). Comparison of the QoL score between patients with favorable and unfavorable medication adherence showed no significant difference (P=0.6). Attitude towards medication was significantly improved from baseline to the sixth month (P<0.001).
Conclusion The QoL and its some domains as well as medication adherence and attitude towards medication in outpatients with neurotic disorders seem to be improved after six months of follow-up. There is no significant difference in QoL between outpatients with favorable and unfavorable medication adherence.
Ivanna Shubina,
Volume 28, Issue 4 (3-2023)
Abstract
The impact of coronavirus disease 2019 (COVID-19) on people’s life was high, influencing almost all aspects of human functioning, causing sleeping disorders, eating disorders, stress, anxiety, depression, and other mental health problems due to the increasing levels of sickness, fear of death, and imposing various restrictions such as travel ban, social distancing, and quarantine which increased the need for mental health support for people and health workers. Cognitive-behavioral therapy (CBT) is a promising method to treat patients with psychological disorders such depression, anxiety, etc.
