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Background and Aim: Bipolar disorder is the fifth leading cause of disability worldwide. Type I bipolar disorder is thought to affect one percent of the population. The concept of polarity refers to severe mood swings over weeks and months, ranging from high intensity shingles or irritability to depression. The purpose of this study was to compare schema therapy and cognitive behavioral therapy in patients with bipolar I disorder.
Methods: This study is a quasi-experimental study with pretest posttest design with control group. The statistical population of this study was all patients with bipolar disorder type 1 in Gorgan who had medical records in health centers. 24 participants, 19 males and 5 females, were selected by purposive non-random sampling method. Then the members of the sample group were randomly divided into two experimental and one control group. Inclusion criteria were: Psychiatric diagnosis of bipolar I disorder, having a history of bipolar disorder based on medical records and history of hospitalization, absence of acute disorder during intervention and patient's symptoms stability. Over the past three months, appropriate adherence to treatment and medication use during the intervention and before, age 25 to 55 years, no other acute or chronic physical, psychological, or drug or drug abuse, consent From participating in the project, there was no psychological intervention during the project. In the absence of any of these conditions, participants were excluded. The method of conducting the study was that after initial interview with eligible patients and explaining the purpose and necessity of the research and obtaining the consent of the clients and evaluating the criteria for participation in the study, when the patients reached the quorum for the study, the remaining The subjects were randomly divided into three groups of eight. One of the experimental groups underwent a 10-minute 70-minute intervention and the other experimental group under a 10-minute 70-minute cognitive-behavioral intervention. The duration of the sessions was selected based on studies of therapeutic protocols. The control group received only drug treatment and received no psychological treatment during the study. Experimental groups received psychological interventions and continued drug therapy. The pre-test was administered to all three groups before the intervention, and one week after the end of the sessions, the post-test was also administered. Finally, after a three-month follow-up period, the tests were again administered to all three groups.
Results: The results showed that the effect of Schema Therapy and Cognitive Behavioral Therapy with drug therapy on symptom reduction was more than drug therapy alone (p<0.001). In addition, the results indicate that schema therapy has been significantly more effective in treating the severe symptoms of the disorder, and that effectiveness remains stable after three months of treatment.
Conclusion: According to the findings of this study indicating that the effects of mixed symptoms are significant, it can be concluded that schema therapy has the greatest effect in reducing the symptoms. Given that the mixed symptoms include problems that have a more pronounced and serious representation of the patient's condition, Yang's notion that when reducing the acute symptoms of the disease, schema therapy can be an appropriate option for the treatment of many refractory patients with mood disorders. Cognitive is chronic, confirmed. Therefore, it can be used to improve the clinical symptoms of bipolar I disorder.
     
Type of Study: Original Research Article | Subject: Psychology
Received: 2019/08/31 | Accepted: 2019/12/9

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