Mehri Seyed Mousavi1 
, Ali Reza Homayouni *2 , Seyyedeh Tahereh Faezi3 , Ali Khanekeshi4 , Jamal Sadeghi5
, Ali Reza Homayouni *2 , Seyyedeh Tahereh Faezi3 , Ali Khanekeshi4 , Jamal Sadeghi5
1- دانشجوی دکتری روان شناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران
2- دانشیار گروه روانشناسی، واحد بندر گز، دانشگاه آزاد اسلامی، بندر گز، ایران
3- مرکز تحقیقات روماتولوژی، بیمارستان شریعتی، دانشگاه علوم پزشکی تهران، تهران، ایران
4- استادیار گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران
5- دانشیار گروه روانشناسی، واحد بابل، دانشگاه آزاد اسلامی بابل، ایران
2- دانشیار گروه روانشناسی، واحد بندر گز، دانشگاه آزاد اسلامی، بندر گز، ایران
3- مرکز تحقیقات روماتولوژی، بیمارستان شریعتی، دانشگاه علوم پزشکی تهران، تهران، ایران
4- استادیار گروه روانشناسی، واحد تنکابن، دانشگاه آزاد اسلامی، تنکابن، ایران
5- دانشیار گروه روانشناسی، واحد بابل، دانشگاه آزاد اسلامی بابل، ایران
Abstract: (35 Views)
Background & Objectives: One of the most complex and chronic psychiatric disorders is Systemic Lupus Erythematosus (SLE). SLE is a chronic inflammatory disease that occurs in the form of kidney, blood, heart, pulmonary, neurological, or immunological involvement. Individuals with SLE experience decreased mental health levels and present high anxiety, depression, and physical discomfort. Most neuropsychological manifestations are often critical and present significant adverse impacts on patients' increased Feeling of Fatigue and Alexithymia; thus, they require early pharmacotherapy according to each patient's condition. Various pharmacological and non–pharmacological interventions are available for treating these patients; of which, Metacognitive Therapy (MCT) has a strong theoretical basis. Thus, this research aimed to investigate the Effectiveness of Metacognitive Therapy on the Feeling of Fatigue and Alexithymia of Women with lupus.
Methods: The research method was semi experimental with a pretest–posttest and two–month follow–up design with a control group. The statistical population of this research included all all female patients with lupus who had referred to the Lupus Association of Tehran in 2024 for lupus counseling and treatment. Among the statistical population, 30 qualified volunteers were available entered into the study and randomly assigned to two experimental and control groups (each group includes 15 people). The criteria for entering participants to the research include: having at least eighteen years of age; having a history of more than one year of lupus disease and a higher than average score in research questionnaires. The exclusion criteria of patients from the research included the history of hospitalization in the psychiatric department and not attending two psychotherapy sessions. In this research, ethical standards including obtaining informed consent and guaranteeing privacy and confidentiality were observed. Also, at the time of participating in the research, the participants were free to withdraw from the research at any time and provide personal information. They were assured that the information would remain confidential and this was also fully respected also, after the end of the research, communication skills training was implemented for the people in the control group. Both groups completed the Multidimensional Fatigue Inventory (Smets et al., 1995) and Toronto Alexithymia Scale (Bagby et al., 1994). The Metacognitive Therapy training program was implemented in the experimental group as a 8 session’s 60–minute and every session one a week, but the control group did not receive any treatment plan. Descriptive and inferential statistics were used to describe the data. Descriptive statistics included mean and standard deviation. Regarding inferential statistics, variance analysis with repeated measures and Bonferroni post hoc test were used to compare the means between the stages of the research. Data analysis was done using SPSS software version 27. The significance level of the tests was considered 0.05.
Result: The effects of time, group, and the interaction of time*group on the scores of Fatigue and Alexithymia variables were significant (p<0.001). The significant difference in the average scores between the pretest and posttest stages, as well as pretest and follow–up for the variables of Fatigue and Alexithymia in the experimental group, indicated a significant decrease in scores in the posttest and follow–up compared to the pretest (p=0.001). While regarding the variables of Fatigue and Alexithymia (p=1.000) in the experimental group, no significant difference was observed between the posttest and the follow–up, which indicated the stability of the treatment effects over time
Conclusion: This research showed that teaching the Metacognitive Therapy (MCT) program to Women with lupus is suitable for improving the Feeling of Fatigue and Alexithymia.
Methods: The research method was semi experimental with a pretest–posttest and two–month follow–up design with a control group. The statistical population of this research included all all female patients with lupus who had referred to the Lupus Association of Tehran in 2024 for lupus counseling and treatment. Among the statistical population, 30 qualified volunteers were available entered into the study and randomly assigned to two experimental and control groups (each group includes 15 people). The criteria for entering participants to the research include: having at least eighteen years of age; having a history of more than one year of lupus disease and a higher than average score in research questionnaires. The exclusion criteria of patients from the research included the history of hospitalization in the psychiatric department and not attending two psychotherapy sessions. In this research, ethical standards including obtaining informed consent and guaranteeing privacy and confidentiality were observed. Also, at the time of participating in the research, the participants were free to withdraw from the research at any time and provide personal information. They were assured that the information would remain confidential and this was also fully respected also, after the end of the research, communication skills training was implemented for the people in the control group. Both groups completed the Multidimensional Fatigue Inventory (Smets et al., 1995) and Toronto Alexithymia Scale (Bagby et al., 1994). The Metacognitive Therapy training program was implemented in the experimental group as a 8 session’s 60–minute and every session one a week, but the control group did not receive any treatment plan. Descriptive and inferential statistics were used to describe the data. Descriptive statistics included mean and standard deviation. Regarding inferential statistics, variance analysis with repeated measures and Bonferroni post hoc test were used to compare the means between the stages of the research. Data analysis was done using SPSS software version 27. The significance level of the tests was considered 0.05.
Result: The effects of time, group, and the interaction of time*group on the scores of Fatigue and Alexithymia variables were significant (p<0.001). The significant difference in the average scores between the pretest and posttest stages, as well as pretest and follow–up for the variables of Fatigue and Alexithymia in the experimental group, indicated a significant decrease in scores in the posttest and follow–up compared to the pretest (p=0.001). While regarding the variables of Fatigue and Alexithymia (p=1.000) in the experimental group, no significant difference was observed between the posttest and the follow–up, which indicated the stability of the treatment effects over time
Conclusion: This research showed that teaching the Metacognitive Therapy (MCT) program to Women with lupus is suitable for improving the Feeling of Fatigue and Alexithymia.
Type of Study: Original Research Article |
Subject:
Psychology
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