Comparison of the Effect of Lazarus Multimodal Approach and Cognitive-Behavioral Therapy on Psychological Distress, Working Memory, and Anxiety in Patients with Multiple Sclerosis

Soha Shahlapour, M. Sedaghat, Sara Pashang
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引用次数: 0

Abstract

Background: Multiple sclerosis is considered a chronic disease in which physical and mental disorders are common among these patients.Objectives: This study aimed to compare the effectiveness of Lazarus multimodal therapy and cognitive-behavioral therapy on psychological distress, working memory, and anxiety in patients with multiple sclerosis.Methods: The research method was a quasi-experimental research with pre-test, post-test, and follow-up and a control group. The statistical population of the study was the patients who were members of the "MS Patient Support Society" in Tehran who had been referred to this center during January and March 2017. The sample consisted of 48 people selected by convenience sampling method from members of the MS community. The data were obtained through the Kessler psychological distress scale (K10), the Wechsler's Working Memory Index, and the Beck Anxiety Inventory (BAI). The repeated measurement method and SPSS.22 software were used to analyze data. Results: Findings showed that Lazarus Multimodal Approach and cognitive behavioral therapy had a significant effect on decreasing anxiety (p <0.001), psychological distress (p <0.001), and increasing working memory (p <0.001). The Lazarus Multimodal Approach was more effective than cognitive-behavioral therapy in decreasing anxiety, psychological distress, and increasing working memory (p <0.001).Conclusion: It can be concluded that Lazarus' Multimodal Approach and cognitive behavioral therapy was effective on anxiety, psychological distress, and working memory and can be used to reduce psychological problems in patients with multiple sclerosis.
拉撒路多模态方法与认知行为疗法对多发性硬化症患者心理困扰、工作记忆和焦虑的影响比较
背景:多发性硬化症被认为是一种慢性疾病,在这些患者中,身体和精神障碍是常见的。目的:比较拉撒路多模式治疗与认知行为治疗对多发性硬化症患者心理困扰、工作记忆和焦虑的影响。方法:研究方法为准实验研究,采用前测、后测、随访和对照组。该研究的统计人群是德黑兰“MS患者支持协会”的成员,他们在2017年1月至3月期间被转介到该中心。样本采用方便抽样法从MS社区成员中抽取48人。数据通过Kessler心理困扰量表(K10)、Wechsler工作记忆指数和Beck焦虑量表(BAI)获得。采用重复测量法和SPSS.22软件对数据进行分析。结果:拉撒路多模态方法与认知行为治疗在降低焦虑(p <0.001)、心理困扰(p <0.001)和提高工作记忆(p <0.001)方面均有显著效果。在减少焦虑、心理困扰和增加工作记忆方面,拉撒路多模态方法比认知行为疗法更有效(p <0.001)。结论:拉撒路多模式疗法结合认知行为疗法对多发性硬化症患者的焦虑、心理困扰和工作记忆均有较好的治疗效果,可用于减轻多发性硬化症患者的心理问题。
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审稿时长
20 weeks
期刊介绍: The Razavi International Journal of Medicine aims at publishing the high quality materials, both clinical and scientific, on all aspects of Medicine and medical sciences. The Razavi International Journal of Medicine is an international, English language, peer-reviewed, open access, free access journal dealing with general Medicine and medical sciences, clinical and basic studies, public health, Disaster Medicine and Health Policy. It is an official Journal of the education and research department, Razavi Hospital and is published quarterly.
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