Comparison of the Effectiveness of Short-Term Dynamic Psychotherapy, Schema Therapy, Cognitive-Behavioral Therapy, and Pharmacotherapy in Reducing Pain in Rheumatoid Arthritis Patients with Anxiety and Depression
Subject Areas : general PsychologyPeyman Aramesh Seddigh 1 , Majid Bahreinian 2 * , Ahmad Mansoori 3
1 - PhD Student, Department of Clinical Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran. d95arameshpeyman@stumail.birjand.iau.ac.ir
2 - ( Corresponding author), Professor, Department of Clinical Psychology, Birjand Branch, Islamic Azad University, Birjand, Iran, tell: 09127786737, bahrainian@birjand.iau.ac.ir
3 - Assistant Professor, Department of Psychology, Neishabour Branch, Islamic Azad University, Neishabour, Iran, a.mansouri@iau-neyshabur.ac.ir
Keywords: anxiety, depression, drug therapy, pain, Rheumatoid arthritis, short-term dynamic psychotherapy, schema therapy,
Abstract :
Abstract: Introduction: Rheumatoid arthritis is the most common chronic inflammatory autoimmune disease. Continuous pain and chronic movement restriction in these patients can cause anxiety and depression. The purpose of this study was to compare the effectiveness of short-term dynamic psychotherapy, schema therapy, cognitive behavioral therapy with drug therapy in reducing pain and pain dimensions in patients with rheumatoid arthritis who have anxiety and depression and inconsistent coping strategies. Research method: The research method was semi-experimental with a pre-test and post-test design and follow-up with the control group. The statistical population was all patients with rheumatoid arthritis with anxiety and depression in Tehran who referred to the rheumatology clinics of Imam Khomeini Hospital in Tehran in the spring quarter of 1400. 80 qualified volunteers were divided into four groups of 20 people according to Cohen's table. The second edition of Beck Depression Questionnaire, Beck Anxiety Questionnaire and McGill Pain Questionnaire were used to collect data. Data analysis was done using repeated measures analysis of variance and Bonferroni's post hoc test at a significance level of 0.05 with SPSS version 26 software. Findings: The results showed that psychotherapies are effective in reducing pain, and schema therapy was the most effective method in reducing perception of pain and various pains in patients with rheumatoid arthritis who have anxiety and depression and inconsistent coping strategies (P<0.001). Conclusion: The use of psychotherapies along with drug therapy can be more effective than drug therapy alone and help reduce the pain of patients with rheumatoid arthritis by treating anxiety and depression and improving coping strategies
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