Efficacy of cognitive-behavioral therapy for adherence, depression and negative illness representations in rheumatoid arthritis patients: A randomized controlled trial

MR Seirafi; Sarah Namjoo; M Sabet

Journal of Inflammatory Diseases

The Official Journal of Qazvin University of Medical Sciences

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Efficacy of cognitive-behavioral therapy for adherence, depression and negative illness representations in rheumatoid arthritis patients: A randomized controlled trial

Author(s):

MR Seirafi¹,

Sarah Namjoo^1,*,

M Sabet²

1Department of Health Psychology, Islamic Azad University, Alborz, Iran

2Department of Psychometrics and Quantitative Psychology, Department of Psychology, Islamic Azad University, Roudehen, Iran

Journal of Inflammatory Diseases:Vol. 22, issue 2; 48-62

Article type:Research Article

How to Cite:MR SeirafiSarah NamjooM SabetEfficacy of cognitive-behavioral therapy for adherence, depression and negative illness representations in rheumatoid arthritis patients: A randomized controlled trial.J Inflamm Dis.22(2):e156082.

Abstract

Background: Rheumatoid arthritis (RA) is a chronic inflammatory polyarthritis with multiple clinical symptoms and psychological problems, such as depression. Psychotherapy can play an important role in achieving therapeutic goals. Objective: The purpose of this study was to determine the effect of cognitive behavioral therapy for adherence, depression (CBT-AD) and negative illness representations in people with RA. Methods: A clinical trial was conducted in Rheumatology’s clinic in a Shariaty hospital in Tehran during 2016-2017, Iran. Then, among 151 patients with rheumatoid arthritis, 28 patient were selected using the sampling judgment and half of them were randomly assigned to the CBT-AD (14 patients) and the others were in the control group (14 patients). Psychological questionnaires including the illness perception questionnaire-revised, beck depression inventory and general adherence Scale were measured. All data were analyzed by independent t-test, Chi-square and multivariate covariance analysis. Findings: The results showed that the baseline, post-test score between two intervention and control groups in three dimensions of illness representations (P

Keywords

Cognitive behavioral therapy

Rheumatoid arthritis

Illness representations

Adherence

Depression

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