Volume 8, Issue 1 (2023)
IJMPP 2023, 8(1): 836-845 |
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Research code: IR.IAU.TON.REC.1400.038
Ethics code: IR.IAU.TON.REC.1400.038
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Farzadkia M, Farhangi A, Abolghasemi S. Effectiveness of Mindfulness-Based Stress Reduction and Intensive Short-Term Dynamic Psychotherapy in Improving Mental Health and Mitigating Alexithymia in Fibromyalgia Patients. IJMPP 2023; 8 (1) :836-845
URL: http://ijmpp.modares.ac.ir/article-32-64617-en.html
URL: http://ijmpp.modares.ac.ir/article-32-64617-en.html
1- Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran
2- Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran ,abdolhasanfarhangi@gmail.com
2- Department of Psychology, Tonekabon Branch, Islamic Azad University, Tonekabon, Iran ,
Abstract: (1664 Views)
Aim: The pain and disability caused by chronic diseases such as fibromyalgia disrupt physical, mental, and social activities and job performance. These factors, in turn, diminish mental health in such patients. The present study aimed to investigate the effectiveness of Mindfulness-Based Stress Reduction (MBSR) and Intensive Short-Term Dynamic Psychotherapy (ISTDP) in improving mental health and mitigating alexithymia in fibromyalgia patients.
Method and Materials: This quasi-experimental research adopted a pretest-posttest design with a control group and a three-month follow-up. The statistical population consisted of all females with fibromyalgia in the rheumatology clinic of Rasoul Akram Hospital in Tehran, Iran. Thirty-six of them were selected via convenience sampling based on inclusion criteria. The participants were randomly divided into a control group and two experimental groups, one receiving eight 120-min MBSR sessions and the other one receiving eight 120-min ISTDP sessions. The research instruments included the Mental Health Inventory (MHI) and the Toronto Alexithymia Scale (TAS-20). The data were analyzed via repeated measures ANOVA.
Findings: It was found that MBSR and ISTDP interventions were effective in mitigating alexithymia and improving mental health in fibromyalgia patients (P<0.001). There was a significant difference between MBSR and ISTDP, which ISTDP having higher effectiveness and more extended durability in the follow-up stage (P<0.05).
Conclusions: The MBSR and ISTDP interventions effectively mitigate alexithymia and improve mental health in fibromyalgia patients. Therefore, it is suggested that clinical psychologists use such interventions to improve the Quality of Life (QoL) for patients with fibromyalgia
Method and Materials: This quasi-experimental research adopted a pretest-posttest design with a control group and a three-month follow-up. The statistical population consisted of all females with fibromyalgia in the rheumatology clinic of Rasoul Akram Hospital in Tehran, Iran. Thirty-six of them were selected via convenience sampling based on inclusion criteria. The participants were randomly divided into a control group and two experimental groups, one receiving eight 120-min MBSR sessions and the other one receiving eight 120-min ISTDP sessions. The research instruments included the Mental Health Inventory (MHI) and the Toronto Alexithymia Scale (TAS-20). The data were analyzed via repeated measures ANOVA.
Findings: It was found that MBSR and ISTDP interventions were effective in mitigating alexithymia and improving mental health in fibromyalgia patients (P<0.001). There was a significant difference between MBSR and ISTDP, which ISTDP having higher effectiveness and more extended durability in the follow-up stage (P<0.05).
Conclusions: The MBSR and ISTDP interventions effectively mitigate alexithymia and improve mental health in fibromyalgia patients. Therefore, it is suggested that clinical psychologists use such interventions to improve the Quality of Life (QoL) for patients with fibromyalgia
Article Type: Original Research |
Subject:
Occupational Therapy
Received: 2022/10/5 | Accepted: 2022/12/13 | Published: 2023/01/20
Received: 2022/10/5 | Accepted: 2022/12/13 | Published: 2023/01/20
References
1. Siracusa R, Paola RD, Cuzzocrea S, Impellizzeri D. Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update. Int J Mol Sci. 2021; 22(8):3891. [DOI:10.3390/ijms22083891]
2. Maffei ME. Fibromyalgia: Recent Advances in Diagnosis, Classification, Pharmacotherapy and Alternative Remedies. Int J Mol Sci. 2020; 21(21):7877. [DOI:10.3390/ijms21217877]
3. Bair MJ, Krebs EE. Fibromyalgia. Ann Intern Med. 2020; 172(5):ITC33-ITC48. [DOI:10.7326/AITC202003030]
4. Jahanshahi Hesari N, Asgari P, Naderi F, Heidari A. Effectiveness of Positive Mindfulness Therapy and Emotion-Focused Cognitive-Behavioral Therapy in Improving Pain Perception and Sleep Quality in Fibromyalgia Patients. IJMPP. 2021; 6(4):564-572. [DOI:10.52547/ijmpp.6.4.564]
5. Ceca D, Elvira L, Guzmán JF, Pablos A. Benefits of a self-myofascial release program on healthrelated quality of life in people with fibromyalgia: a randomized controlled trial. J Sports Med Phys Fitness. 2017; 57(7-8):993-1002. [DOI:10.23736/S0022-4707.17.07025-6]
6. Goodarzi AM, Tavafian SS, Delshad MH. Educational Intervention for Promoting Low Back Pain Preventive Behaviors. Int J Musculoskeletal Pain Prev. 2021;6(3):538-544. [DOI:10.52547/ijmpp.6.3.538]
7. Goerlich KS. The Multifaceted Nature of Alexithymia - A Neuroscientific Perspective. Front Psychol. 2018; 9:1614. [DOI:10.3389/fpsyg.2018.01614]
8. Hemming L, Haddock G, Shaw J, Pratt D. Alexithymia and Its Associations With Depression, Suicidality, and Aggression: An Overview of the Literature. Front Psychiatry. 2019; 10:203. [DOI:10.3389/fpsyt.2019.00203]
9. Luminet O, Nielson KA, Ridout N. Having no words for feelings: alexithymia as a fundamental personality dimension at the interface of cognition and emotion. Cogn Emot. 2021; 35(3):435-448. [DOI:10.1080/02699931.2021.1916442]
10. Martino G, Caputo A, Schwarz P, Bellone F, Fries W, Quattropani MC, et al. Alexithymia and Inflammatory Bowel Disease: A Systematic Review. Front Psychol. 2020; 11:1763. [DOI:10.3389/fpsyg.2020.01763]
11. Marino C, Grimaldi M, Sabatini P, Amato P, Pallavicino A, Ricciardelli C, et al. Fibromyalgia and Depression in Women: A 1H-NMR Metabolomic Study. Metabolites. 2021; 11(7):429. [DOI:10.3390/metabo11070429]
12. Yepez D, Grandes XA, Talanki Manjunatha R, Habib S, Sangaraju SL. Fibromyalgia and Depression: A Literature Review of Their Shared Aspects. Cureus. 2022; 14(5):e24909 [DOI:10.7759/cureus.24909]
13. Galvez-Sánchez CM, Duschek S, Reyes Del Paso GA. Psychological impact of fibromyalgia: current perspectives. Psychol Res Behav Manag. 2019; 12:117-127. [DOI:10.2147/PRBM.S178240]
14. Henao-Pérez M, López-Medina DC, Arboleda A, Bedoya Monsalve S, Zea JA. Patients with Fibromyalgia, Depression, and/or Anxiety and Sex Differences. Am J Mens Health. 2022; 16(4):15579883221110351. [DOI:10.1177/15579883221110351]
15. Maugars Y, Berthelot JM, Le Goff B, DarrieutortLaffite C. Fibromyalgia and Associated Disorders: From Pain to Chronic Suffering, From Subjective Hypersensitivity to Hypersensitivity Syndrome. Front Med [Lausanne]. 2021; 8:666914. [DOI:10.3389/fmed.2021.666914]
16. Cuijpers P, Auerbach RP, Benjet C, Bruffaerts R, Ebert D, Karyotaki E, et al. The World Health Organization World Mental Health International College Student initiative: An overview. Int J Methods Psychiatr Res. 2019; 28(2):e1761. [DOI:10.1002/mpr.1761]
17. Gómez-de-Regil L. Psychoeducation for Patients with Fibromyalgia: A Systematic Review. Healthcare [Basel]. 2021; 9(6):737. [DOI:10.3390/healthcare9060737]
18. Kriakous SA, Elliott KA, Lamers C, Owen R. The Effectiveness of Mindfulness-Based Stress Reduction on the Psychological Functioning of Healthcare Professionals: a Systematic Review. Mindfulness [N Y]. 2021; 12(1):1-28. [DOI:10.1007/s12671-020-01500-9]
19. He L, Han W, Shi Z. The Effects of Mindfulness Based Stress Reduction on Negative Self Representations in Social Anxiety Disorder-A Randomized Wait-List Controlled Trial. Front Psychiatry. 2021; 12:582333. [DOI:10.3389/fpsyt.2021.582333]
20. Accoto A, Chiarella SG, Raffone A, Montano A, de Marco A, Mainiero F, et al. Beneficial Effects of Mindfulness-Based Stress Reduction Training on the Well-Being of a Female Sample during the First Total Lockdown Due to COVID-19 Pandemic in Italy. Int J Environ Res Public Health. 2021; 18(11):5512. [DOI:10.3390/ijerph18115512]
21. Kabat-Zinn J. Mindfulness-Based Interventions in Context: Past, Present, and Future. Clinical Psychology: Science and Practice. 2003; 10(2):144-56. [DOI:10.1093/clipsy.bpg016]
22. Rocco D, Calvo V, Agrosi V, Bergami F, Busetto LM, Marin S, et al. Intensive short-term dynamic psychotherapy provided by novice psychotherapists: effects on symptomatology and psychological structure in patients with anxiety disorders. Res Psychother. 2021; 24(1):503. [DOI:10.4081/ripppo.2021.503]
23. Caldiroli A, Capuzzi E, Riva I, Russo S, Clerici M, Roustayan C, et al. Efficacy of intensive shortterm dynamic psychotherapy in mood disorders: A critical review. J Affect Disord. 2020; 273:375- 379. [DOI:10.1016/j.jad.2020.04.002]
24. Abbass A. Intensive Short-term Dynamic Psychotherapy in a private psychiatric office: clinical and cost effectiveness. Am J Psychother. 2002; 56(2):225-32. [DOI:10.1176/appi.psychotherapy.2002.56.2.225]
25. Veit CT, Ware JE. Mental Health Inventory [MHI] [Database record]. APA PsycTests. 1983. [DOI:10.1037/t02354-000]
26. Mousavi A, VaezMousavi M, Yaghobi H. Psychometric Properties of the Persian Version of Mental Health Inventory [MHI-38] in Elite Athletes. Sport Psychology Studies [ie, mutaleat ravanshenasi varzeshi]. 2015; 4(11):27-40.
27. Bagby RM, Parker JDA, Taylor GJ. The twentyitem Toronto Alexithymia Scale: I. Item selection and cross-validation of the factor structure. J. Psychosom. Res. 1994; 38(1):23-32. [DOI:10.1016/0022-3999(94)90005-1]
28. Besharat MA. Assessing reliability and validity of the Farsi version of the Toronto Alexithymia Scale in a sample of substance-using patients. Psychol Rep. 2008; 102(1):259- 70. [DOI:10.2466/pr0.102.1.259-270]
29. Kabat-Zinn J. Mindfulness. Mindfulness. 2015; 6(6):1481-3. [DOI:10.1007/s12671-015-0456-x]
30. Davanloo H. Intensive short-term dynamic psychotherapy. Selected papers of Habib Davanloo. Toronto: John Wiley and Sons. 2001.
31. Bolourani A. Mindfulness Moderates Pain Severity and Pain-related Disability among Chronic Pain Patients. Int J Musculoskeletal Pain Prev. 2022; 7(2):679-681.
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