The effectiveness of cognitive- behavior therapy on illness representations of multiple-sclerosis and improving their emotional states

Farhad Hazhir; Hasan Ahadi; Abbas Pourshahbaz; Mansour Rezaei

Journal of Kermanshah University of Medical Sciences

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The effectiveness of cognitive- behavior therapy on illness representations of multiple-sclerosis and improving their emotional states

Author(s):

Farhad Hazhir^1,*,

Hasan Ahadi¹,

Abbas Pourshahbaz²,

Mansour Rezaei³

1Dept. of Health Psychology, Islamic Azad University, Karaj, Iran

2Dept. of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran

3Dept. of Biostatistics, Social Development of Health Promotion Research Center, Kermanshah, University of Medical Sciences, Kermanshah, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 15, issue 6; e78893

Published online:Mar 19, 2012

Article type:Research Article

Received:May 23, 2011

Accepted:Sep 06, 2011

How to Cite:Farhad HazhirHasan AhadiAbbas PourshahbazMansour RezaeiThe effectiveness of cognitive- behavior therapy on illness representations of multiple-sclerosis and improving their emotional states.J Kermanshah Univ Med Sci.15(6):e78893.

Abstract

Background: Illness representations (based on Leventhal's model) are associated with chronic illness outcomes. It has been suggested that targeting these cognitive components improves illness outcomes. Multiple sclerosis is a common disorder between neural and immune systems that creates physical and psychological consequences. There are few pre psychological trails on these patients. The aim of this study was to determine effectiveness of cognitive-behavior therapy on altering illness representations and improving emotional states of the patients.

Methods: By using a randomized controlled trial design, among 52 selected patients, 35 volunteers randomly were allocated into intervention and control groups. An extensive interventional cognitive behavior therapy based package was conducted to intervention group in 10 weekly sessions. The control group stayed in waiting list and participated in 5 group meeting sessions. (IPQR) and (DASS-42) psychological scales were administered, Leven and T statistical tests were applied for dat analysis.

Results: The results showed positive changes in four illness representation components of patients including illness (identity, consequences, coherence) and personal control. Associated improvement occurred in depression, anxiety, stress and emotional representations.

Conclusion: Mooney and Padeskey's theoretically based cognitive-behavior therapy, is effective on illness representations modification and improving emotional states of the patients. The findings are less similar to Goodman's trial on Systemic Lupus Erythematosus patients and more similar to Petrie's trail on cardiac patients.

Keywords

cognitive behavior therapy

multiple sclerosis

illness representations

emotional states

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