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998 References
1. Chambers D, Bagnall AM, Hempel S, Forbes C.
Interventions for the treatment, management and rehabilitation of patients with chronic fatigue syndrome/myalgic encephalomyelitis:
an updated systematic review. Journal of the Royal Society of Medicine. 2006 Oct;99(10):506-520.
2. Christley Y, Duffy T, Martin CR. A review of the definitional criteria for chronic fatigue syndrome. Journal of evaluation in clinical practice. 2012 Feb;18(1):25-31.
3. Bleijenberg G, Prins JB, Bazelmans E.
Cognitive behavioural therapies. In L. A.
Jason, P. A. Fennell, & R. R. Taylor (Eds.), Handbook of chronic fatigue syndrome. New York: Wiley & Sons; 2013.
4. Cho HJ, Hotopf M, Wessely S. The placebo response in the treatment of chronic fatigue syndrome: a systematic review and meta- analysis. Psychosomatic Medicine. 2005 Mar.1;67(2):301-313.
5. Cella M, Stahl D, Reme SE, Chalder T.
Therapist effects in routine psychotherapy practice: An account from chronic fatigue syndrome. Psychotherapy Research. 2011 Mar 1;21(2):168-178.
6. Holmes GP, Kaplan JE, Gantz NM, Komaroff AL, Schonberger LB, Straus SE, Jones JF, Dubois RE, Cunningham-rundles C, Pahwa S, Tosato G. Chronic fatigue syndrome: a working case definition. Annals of internal medicine. 1988 Mar 1;108(3):387-389.
7. Knoop H, Bleijenberg G, Gielissen MF, Van der Meer JW, White PD. Is a full recovery possible after cognitive behavioural therapy for chronic
fatigue syndrome? Psychother Psychosom.
2007; 76(3): 171-176.
8. Narimani M, Roshan R. Investigating the prevalence of depression and efficacy of cognitive therapy in reducing depression among children. J Psychol. 2002; 6(3): 244- 254. (In Persian)
9. Neshatdoost H. Depression in adolescents and personal and family related factors. Isfahan University’s Journal of Human Sciences. 2002;
14(2): 157-180. (In Persian)
10. Grover N, Kumaraiah V, Prsadrao PS, Souza G. Cognitive behavioural intervention in bronchial asthma. J Assoc Phys India. 2002;
50(7): 896 – 900.
11. Sanchez RS, Velasco FL, Rodrigues C, Branda S J. Effectiveness of a cognitive- behavioral program to reduce anxiety in medically ill patients. Rev Invest Clin. 2006;
58(6): 540-546.
12. Deshmukh VM, Toell BG, Usherwood T, Grady B, Christine RJ. Anxiety, panic and adult asthma: A cognitive– behavioural perspective. Respir Med. 2006; 101(2): 194- 202.
13. Hanifi N, Ahmadi F, Memarian R, Khani M.
Comparative study on two methods, Benson relaxation Vs premeditation, and their effect on respiratory rate and pulse rate of patients experiencing coronary angiography, HAYAT.
2005; 11(3-4): 47-54. (In Persian)
14. Podell J, Mychailyszyn M, Edmunds J, Puleo CM, Kendall PC. The coping Cat program for Anxiety Youths: The FEAR plan comes to Life. Cognitive and Behavioral Practice. 2010;
17(2):132-141.
/
1098
15. Hamidizade S, Ahmadi F, Asghari M. Study effect of relaxation technique on anxiety and stress in elders with hypertension. JSKUMS.
2006; 8 (2):45-51. (In Persian)
16. Castell BD, Kazantzis N, Moss-Morris RE.
Cognitive behavioral therapy and graded exercise for chronic fatigue syndrome: a meta- analysis. Clinical Psychology: Science and Practice. 2011; 18(4): 311-324.
17. Jason LA, Wagner l, Rosenthal S. Estimating the Prevalence of Chronic fatigue syndrome among nurses. Am,J.Med. 1998; 105(3S):91- 93.
18. Wiborg JF, Knoop H, Frank LE, Bleijenberg G. Towards an evidencebased treatment model for cognitive behavioral interventions focusing on chronic fatigue syndrome. J Psychosom Res. 2012; 72(5): 399-404.
19. Pouladi Reishahri AK, Najarian B, Shokrkon H, Mehrabizadeh M. Evaluation of the effectiveness of Cognitive, Relaxation and Behavior therapy on chronic low back pain in male teachers of Ahvaz. J Educ Psychol. 2011;
3(1):49–72. ( In Persian)
20. Nasri S. Epidemiological Study of Chronic Fatigue Syndrome and its Relation to Psychiatric Difficulties in Nurses. IJPCP. 2004;
9(4): 25-33. (In Persian)
21. Sadoughi M, Akkashe G. Effectiveness of cognitive-behavioral therapy on reduction of chronic tension headache. J Shahrekord Univ Med Sci. 2009; 11(3):85-92. (In Persian) 22. Lotfi Kashani F. The effectiveness of group
cognitive– behavioral instruction on decreasing physical symptoms of premenstrual syndrome.
MEDICAL SCIENCES. 2011; 21(2): 114- 120. (In Persian).
23. Nasri S, Najarian B, Mehrabizadeh Honarmand M, Shokrkon H. Comparative efficacy of two psychological treatment in reducing symptoms of chronic fatigue syndrome in female nurse in Tehran. J Educat Sci Pschol Ahvaz Uni Med Sci. 2002; 1(2):53- 88. (In Persian).
24. Deale A, Husain K, Chalder T, Wessely S.
Long term Outcome of cognitive behavior therapy versus relation therapy for chronic fatigue syndrome: A 5year follow-up Study.
Am.J.of. Psychiatry. 2001; 158(12): 2038- 2042
25. Gruess DG, Antoni MH, Kumar M, Ironson G, Mecabe D. Cognitive-behavioral stress management reduces serum cortisol by enhancing benefit finding among women being treated for early stage breast cancer.
Psychosom Med. 2010; 62(3):304-308.
26. Sharpe M. Chronic fatigue Syndrome.
Cansulation Liaison Psychiatry. 2012; 35: 549- 567.
27. Delavr A. Research and Evaluation Guide.
Tehran: Arasbaran Publications; 2006. (In Persian)
28. Chalder T, Berelowitz G, Hirsch S.
Development of a fatigue scale. jpsychores.
1993; 37(2):147-153.
29. Rees C. Proto-professionalism and the three questions about development. Med Educ.
2005; 39(1): 9-11.
30. Rahimian Booger I, Rezaei AM. Quality of Life in Patients with Chronic Fatigue: The Role of Psychological and Demographic Factors. Journal of Clinical Psychology. 2012;
4 (3): 43-52. (In Persian)
/
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Comparison of the Effect of Cognitive-Behavioral Therapy and Relaxation Therapy (Relaxation) on Reducing Signs of Chronic Fatigue Syndrome in Nurses
Sadati beladehi M1, Taghi pour javan A*2, hassan nattaj jelodar F2
1. PhD student. Faculty of Humanities, Department of Psychology, Islamic Azad University, Saveh, Iran
2. PhD Student of Exceptional Children Psychology, Department of Psychology and Exceptional Education, Faculty Psychology and Educational, University of Tehran, Iran, [email protected]
Received: 29 Dec 2018 Accepted: 2 Feb 2019
Abstract
Background: The first technique for relaxing the body's muscles and relieving fatigue is relaxation, but another method for improving chronic fatigue is cognitive-behavioral therapy.
According to these definitions, the purpose of this study was to compare the effectiveness of two methods of psychological treatment (cognitive-behavioral therapy) and muscle relaxation (relaxation) in reducing the symptoms of chronic fatigue syndrome in nurses.
Materials and Methods: The research method was semi-experimental with control and experimental groups. The statistical population of the study consisted of all nurses working in public hospitals in Tehran. The research sample consisted of 36 subjects in two control groups and 36 subjects in two experimental groups. The sampling method used was available sampling. Firstly, in both control and experimental groups, nurses' fatigue was evaluated with a Chaldean Fatigue Questionnaire (1993) before teaching cognitive-behavioral therapy and muscular relaxation with a pre-test. Then the first experimental group was exposed to cognitive-behavioral education in 6 sessions of 1 hour, and the second experimental group was exposed to muscle relaxation training in 6 sessions of 1 hour and again the fatigue questionnaire was evaluated in all 4 groups with a post- test. Data analysis was done with Spss18 software, independent and dependent T tests and covariance analysis.
Results: The findings of the study showed that cognitive-behavioral therapy and gradual muscular relaxation therapy had a significant effect on nurses' fatigue. According to the Eta coefficient squared at the level of α = 0.05, the effect of cognitive-behavioral therapy training on nurses' fatigue reduction was 79.6%. There was no significant difference between the fatigue reduction of the two groups under different training groups (α = 0.05).
Conclusion: Fatigue reduction in the group that received cognitive-behavioral education was more than fatigue reduction in the group that received gradual muscular relaxation therapy, but this difference was not statistically significant.
Keywords:cognitive-behavioral therapy, muscular relaxation, chronic fatigue syndrome, nurses.
*Citation: Sadati Baladehi M, taghipour javan A, hassan nattaj F. Comparison of the Effect of Cognitive-Behavioral Therapy and Relaxation Therapy (Relaxation) on Reducing Signs of Chronic Fatigue Syndrome in Nurses. Yafte. 2019;
21(1):1-11.
