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07-09-2022 | Rheumatoid Arthritis | Original Paper

Comparison of Mindfulness-Based Stress Reduction Therapy and Cognitive-Behavioral Therapy of Chronic Fatigue, Sleep Quality, Executive Function and Disease Activity in Patients with Rheumatoid Arthritis

Authors: Shafigheh Yousefi, Zahra Zanjani, Abdollah Omidi, Batool Zamani, Mansour Sayyah

Published in: Journal of Contemporary Psychotherapy | Issue 2/2023

Abstract

Rheumatoid Arthritis (RA) is a chronic inflammatory disease that leads to physical disabilities and psychological problems. The study aimed to examine and compare Mindfulness-Based Stress Reduction (MBSR) and cognitive-behavioral therapy (CBT) for the treatment of patients with RA. The study was a clinical trial in which Fifty-seven patients with RA were randomly assigned to the three groups of MBSR, CBT, and control group (treatment as usual). Data were collected using the Chalder Fatigue Scale, Pittsburg Sleep quality, Tower of London test, and Activity disease (DAS-28) in three stages: baseline, post-treatment, and Follow-up. The data were analyzed using a mixed repeated-measures analysis of variance. At post-treatment, both MBSR and CBT groups were significantly more effective than the control group on all variables (P < .001) except disease activity (P > .05). According to the results, in the post-test and Follow-up stages, the mean of chronic fatigue and sleep quality in the intervention groups (MBSR and CBT) was significantly lower than in the control group; also, concerning the executive performance variable, in the post-test stage, the average executive performance in the CBT group was significantly higher than the control group and in the Follow-up stage, the average of both intervention groups was significantly higher than the control group. Therefore, in general, it can be concluded that MBSR and CBT treatments had a significant effect on all variables (sleep quality, chronic fatigue, and executive function) except disease activity.

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Title: Comparison of Mindfulness-Based Stress Reduction Therapy and Cognitive-Behavioral Therapy of Chronic Fatigue, Sleep Quality, Executive Function and Disease Activity in Patients with Rheumatoid Arthritis
Authors: Shafigheh Yousefi
Zahra Zanjani
Abdollah Omidi
Batool Zamani
Mansour Sayyah
Publication date: 07-09-2022
Publisher: Springer US
Keywords: Rheumatoid Arthritis
Fatigue
Published in: Journal of Contemporary Psychotherapy / Issue 2/2023
Print ISSN: 0022-0116
Electronic ISSN: 1573-3564
DOI: https://doi.org/10.1007/s10879-022-09558-3

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Comparison of Mindfulness-Based Stress Reduction Therapy and Cognitive-Behavioral Therapy of Chronic Fatigue, Sleep Quality, Executive Function and Disease Activity in Patients with Rheumatoid Arthritis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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