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فهرست مقالات

Effectiveness of Cognitive Existential Approach on Decreasing Demoralization in Women with Multiple Sclerosis

نویسنده:

(6 صفحه - از 28 تا 33)

Objectives: Multiple Sclerosis is the most prevalent central nervous system diseases thatdue to being chronic, frequent recurrence, uncertainty about its progress, and disability, can lead to various distresses as well as demoralization . Rehabilitation method based on Cognitive-Existential therapy is an integratedapproach which can help to decrease demoralization syndrome in these patients. This study aimed to exploring effectiveness of rehabilitation method based on Cognitive-Existential approach on decreasing demoralization syndrome in patients with MS. Methods: Single subject design is used in this study. Among women who had referred to Tehran MS Association, 3 women (aged between 20-40) were selected through purposeful sampling and separately participated in 10 sessions (90 minutes). Participants were assessed during 7 phases of intervention (2 baselines, 3 measurement during intervention, 2 follow-up) through Demoralization Syndrome Scale (2004) and Cognitive Distortion scale (2010). Data were analyzed by calculating process variation index and visual analysis. Results: Comparing patients with MS scores on the diagram during 7 time measurement and calculating recovery percentage, represent decreasing in demoralization syndrome score scale. Discussions: Findings showed that rehabilitation method based on Cognitive Existential approach can decrease demoralization syndrome in patients with MS.

خلاصه ماشینی:

"In this method on the one hand, cognitive therapy techniques modify schemas, automatic thoughts and cognitive errors which lead patients to distress, and on the other hand, target patient’s existential concerns such as death anxiety, uncertainty, meaninglessness, loneliness, uncontrollability, which other interventions didn’t consider them methodically (20). Discussion The aim of present study was exploring effectiveness of rehabilitation method based on cognitive existential approach on decreasing demoralization syndrome in patients with Multiple Sclerosis. According to our findings in tables (2 and 3) and figures (1 and 2), this method can decrease demoralization and cognitive distortion scores in patients during intervention sessions through emphasis on here and now, help to expression of feelings and existential anxieties, modifying cognitive distortions, considering death anxiety, meaning, loneliness anxiety, and finally creating new meaning. Original Article Effectiveness of Cognitive Existential Approach on Decreasing Demoralization in Women with Multiple Sclerosis Nasim Pakniya; Bahman Bahmani*; Asghar Dadkhah Mojtaba Azimian; Maedeh Naghiyaee; Rahele Masudi Sani University of Social Welfare and Rehabilitation Sciences, Tehran, Iran Objectives: Multiple Sclerosis (MS) is the most prevalent central nervous system diseases that due to chronicity, frequent recurrence, uncertainty about progression, and disability, can lead to various distresses as well as demoralization. Rehabilitation method based on Cognitive-Existential therapy is an integrated approach to decreasing demoralization syndrome in these patients. This study aimed to exploring effectiveness of rehabilitation method based on Cognitive-Existential approach on decreasing demoralization syndrome in patients with Multiple Sclerosis. Discussion: Findings showed that rehabilitation method based on Cognitive Existential approach can decrease demoralization syndrome in patients with MS."


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