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

Seirafi, Mohammadreza and Namjoo, Sara and Sabet, Mehrdad (2018) Efficacy of cognitive-behavioral therapy for adherence, depression and negative illness representations in rheumatoid arthritis patients: A randomized controlled trial. The Journal of Qazvin University of Medical Sciences, 22 (2). pp. 48-62. ISSN 24235814

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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 ttest, 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<0.001), depression (P<0.001) and adherence (P<0.001) were statistically significant. Conclusion: CBT-AD is a potentially efficacious approach for individuals with RA struggling with depression at the same time, which leads to a reduction in depression, an increase in adherence and correction of negative illness representations. Keywords: Cognitive behavioral therapy, Rheumatoid arthritis, Illness representations, Adherence, Depression

Item Type: Article
Subjects: B Philosophy. Psychology. Religion > BF Psychology
Divisions: University Portal > vice chancellor > vcr
Depositing User: pr vcen research
Date Deposited: 23 Sep 2018 06:13
Last Modified: 02 Dec 2018 05:35
URI: http://eprints.qums.ac.ir/id/eprint/8095

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