Effect of cognitive behavioral stress management program on psychosomatic patients’ quality of life

Zahra Ghazavi, Esmat Rahimi, Mohsen Yazdani, Hamid Afshar

Abstract


Background: Level of stress and its management affects the dimensions of psychosomatic patients’ quality of life (QoL), which is an important psychological issue. The present study aimed to investigate the effect of cognitive behavioral stress management program on psychosomatic patients’ QoL. In cognitive behavioral method, patients discover thought and behavioral mistakes and recover them. The criterion to evaluate the success of the present study was measurement of the patients’ QoL and its notable improvement after intervention.
Materials and Methods: This is a before-and-after clinical trial with a control group. The study participants comprised 70 psychosomatic patients referred to subspecial psychiatry clinic in Isfahan who were selected through convenient sampling and allocated to the study and control groups. Quality of Life Questionnaire (SF36) was adopted to collect the data. The questionnaire was completed by the participants in three stages of before-and-after up to a month after intervention. Cognitive behavioral stress
management program was administrated in study group for eight straight sessions, two month, and a month after intervention.
Along with this, conventional medical treatments were conducted for both the groups. Data were analyzed by ANOVA. The significance level was P < 0.001.
Results: There was no significant difference in QoL mean scores between the two groups before intervention (44, 43.1), but mean scores of QoL were significantly higher in intervention G (55.7, 59.1), compared to control (39.8, 35.7), after intervention (P < 0.001) and one month after intervention (P < 0.001).
Conclusions: Cognitive behavioral stress management, conducted in the present study, had a notable effect on QoL. Therefore, designing psychological interventions based on cognitive behavioral stress management is suggested as an efficient clinical intervention.


Keywords


Cognitive behavioral therapy; Iran; nursing; psychosomatic disorder; quality of life stress management

Full Text:

PDF

References


Kocalevent RD, Levenstein S, Fliege H, Schmid G, Hinz A, Brähler E, Klapp BF. Contribution to the construct validity of the Perceived Stress Questionnaire from a population‑based survey. J Psychosom Res 2007;63:71‑81.

Han KS. The effect of an integrated stress management program on the psychologic and physiologic stress reactions of peptic ulcer in Korea. Int J Nurs Stud 2002;39:539‑48.

Stuart GW. Principles and practice of psychiatric nursing. Elsevier Health Sciences; 2014.

Monti DA, Mago R, Kunkel EJ. Practical geriatrics: Depression, cognition, and anxiety among postmenopausal women with breast cancer. Psychiatr Serv 2005;56:1353‑5.

Sadock BJ, Sadock VA. Kaplan and Sadock’s Synopsis of Psychiatry: Behavioral Sciences/Clinical. 2009.

Liza V. Stress management techniques: Evidence‑based procedures that reduce stress and promote health. Health Sci J 2011;5:74‑89.

Jin P, Yeung AS, Tang TO, Low R. Identifying teachers at risk in Hong Kong: Psychosomatic symptoms and sources of stress. J Psychosom Res 2008;65:357‑62.

Seligman MEP, Walker E, Rosenhan DL. Abnormal psychology. (4th ed.) New York: W.W. Norton. 2001.

Mattila AK, Saarni SI, Alanen E, Salminen JK, Kronholm E, Jula A, et al. Health‑related quality‑of‑life profiles in nonalexithymic and alexithymic subjects from general population. J Psychosom Res 2010;68:279‑83.

Kane PP. Stress causing psychosomatic illness among nurses. Indian J Occup Environ Med 2009;13:28.

Diagnostic and Statistical Manual of Mental Disorders. American Psychiatric Association. Revised text translators, Nikkho MR, Hamayak AY. Second edition published by Sookhan Tehran, 2000.

Boye B, Lundin KE, Mokleby K, Leganger S, Wojniusz S, Dahlstrom A, et al. The INSPIRE study stress‑management psychotherapy improves disease specific quality of life in distressed patients with ulcerative colitis but not in distressed patients with Crohn’s disease. Brain Behav and Immun 2008;22:21

Guthrie E, Jackson J, Shaffer J, Thompson D, Tomenson B, Creed F. Psychological disorder and severity of inflammatory bowel disease predict health‑related quality of life in ulcerative colitis and Crohn’s disease. Am J Gastroenterol 2002;97:1994‑9.

Landsman‑Dijkstra JJ, van Wijck R, Groothoff JW. The long‑term lasting effectiveness on self‑efficacy, attribution style, expression of emotions and quality of life of a body awareness program for chronic aspecific psychosomatic symptoms. Patient Educ and Couns 2006;60:66‑79.

Lee V, Guthrie E, Robinson A, Kennedy A, Tomenson B, Rogers A, Thompson D. Functional bowel disorders in primary care: Factors associated with health‑related quality of life and doctor consultation. J Psychosom Res 2008;64:129‑38.

Tanaka M, Kazuma K. Ulcerative colitis: Factors affecting difficulties of life and psychological well being of patients in remission. J Clin Nurs 2005;14:65‑73.

Al‑Arabi S. Quality of life: Subjective descriptions of challenges to patients with end stage renal disease. Nephrol Nurs J 2006;33:285‑92.

The Economist Intelligence Unit’s. Quality-of-life index. The world in 2005. p. 1-4.

Hinds PS, King CR. Nursing and patient perspectives on quality of life. Quality of Life: From Nursing and Patient Perspectives. 2nd ed. Jones and Bartlett; 2011. p 457.

Van De Ven MO, Engels RC. Quality of life of adolescents with asthma: The role of personality, coping strategies, and symptom reporting. J Psychosom Res 2011;71:166‑73.

Linden W. Stress management: From basic science to better practice. Sage Publications; 2004 Oct 5.

Franken R. Motivation and excitement. Translated by Shams EH, Mahmoodi GH, Emamipoor S. Tehran: Nei Publishing; 2010. p 428.

Shamloo S, Psychopathology. 10th ed. Tehran: Rooshd Publications; 2011. p 173.

Kazdin AE, Weisz JR. Identifying and developing empirically supported child and adolescent treatments. J Consult Clin Psychol 1998;66:19‑36.

Hoff LA, Morgan BD. Psychiatric and mental health essentials in primary care. Routledge; 2011. p 144.

Antoni MH, Ironson G, Schneiderman N. Practical guide of cognitive-behavioral stress management. Translated by Alimohammad SJ, Jookar S, Neshat Doust HT; 2007. p. 33.

Masaeli N, Kheirabadi GR, Afshar H, Daghaghzadeh H, Maracy MR, Assadolahi FD, et al. Validity, reliability, and factor analysis of Persian version of quality of life questionnaire for irritable bowel

syndrome (IBS‑QOL‑34). J Res Med Sci 2013;18:492‑6.

Neshat Doust HT, Nilforoushzadeh MA, Dehghani F, Molavi H. Efficacy of cognitive behavioral stress management on the quality of life in patients with alopecia areata. Arak University of Medical Sciences Journal 2009;12:125-33.

Davazdah Emamy MH, Roshan R, Mehrabi A, Attari A. The effectiveness of cognitive‑behavioral stress management training on glycemic control and depression in patients with type 2 diabetes. Iranian J Endocrinol and Metabol 2009;11:385‑92.

Choobforush Zadeh A, Kalantari M, Molavi H. The effectivness of Cognitive Behavioral Stress Management on Subjective Well‑Being in Intertile Women. J Clin Psycol 2010;1:1‑9.

Parsamanesh F, Borjali A, Mansoobi FM. Effect of stress management training program in the quality of life of working women. Journal of modern Industrial/Organization Psychology 2011;2:43‑52.

Stauber T, Petermann F, Bachmann H, Bachmann C, Hampel P. Cognitive‑behavioral stress management training for boys with functional urinary incontinence. J Pediatr Urol 2007;3:276‑81.

Jabalameli S, Moulavi H. Efficacy of cognitive‑behavioral stress management intervention on quality of life and blood pressure in female patients with hypertension. Scientific J Kurdistan University of Medical Sci 2010;15:88‑97.

Drosdzol A, Skrzypulec V. Quality of life and sexual functioning of Polish infertile couples. European J Contracep Reprod Health Care 2008;13:271‑81.

Montazeri A, Goshtasbi A, Vahdaninia M. Reliability and validity of Persian version of sf-36. Payesh Journal 2005;5:49-56.

Hamid N. Effects of stress management training on glycemic control in women with type 2 diabetes. Iranian J Endocr Metab 2011;13:346‑53.

Kamkar A, Golzary M, Farrokhi NA, Aghaee SH. The effectiveness of cognitive–behavioral stress management on symptoms of patients with irritable bowel syndrome. Armaghane danesh 2011;16:300‑10.

Neissiani HA, Neshat DH, Moulavi H, Seied BZ. The efficacy of cognitive behavioral stress management therapy on perceived of female patients with systemic lupus erythematosus. J Behav Sci Res 2012;9:222‑9.

Khosravi S, Bostanyan N, Rezaei F. Compared the self‑ efficacy in psychosomatic patients with normal individuals. Paper accepted at the Fourth International Congress of Psychosomatic Islamic Azad University 2012.

Bandura A. Social cognitive theory: An agentive perspective. Annual Review of Psychology 2001;52:1-26.


Refbacks

  • There are currently no refbacks.