Effectiveness of Cognitive-Behavioral Intervention on Adherence to Health Promotion Behaviors and Psychological Flexibility in Autoimmune (Psoriasis) Patients

Document Type : Research Paper

Authors

1 Department of Health Psychology, Kish International Branch, Islamic Azad University, Kish Island, Iran

2 Professor, Faculty of Rehabilitation Sciences, Iran University of Medical Sciences, Tehran, Iran.

3 Assistant Professor, Department of Psychology, Allameh Tabatabai University, Tehran, Iran

Abstract

Abstract
Background and purpose: The incidence of chronic physical diseases such as Psoriasis causes psychological and physical traumas in the patients. Therefore the present study was conducted aiming to investigate the effectiveness of cognitive-behavioral intervention on health promotion behaviors and psychological flexibility in autoimmune (psoriasis) patients.
Materials and methods: The present study was quasi-experimental with pretest, posttest, control group and two-month follow-up design. The statistical population of the study included autoimmune (psoriasis) patients in Tehran in autumn and winter of 2019-20. 30 autoimmune (psoriasis) patients were selected through non-random volunteer and purposeful sampling method and they were randomly accommodated into experimental and control groups (15 patients in the experimental and 15 in the control groups). The experimental group received ten ninety-minute sessions of cognitive-behavioral intervention during two and a-half months. The applied questionnaires in the current study included the questionnaire of health promotion behaviors (Walker et.al, 1987) and psychological flexibility questionnaire (Denis and Wanderwall, 2010). The data from the study were analyzed through repeated measurement ANOVA.
Findings: The results showed that the cognitive-behavioral intervention has been effective on health promotion behaviors and psychological flexibility of autoimmune (psoriasis) patients, as this therapy has succeeded in the improvement of health promotion behaviors and psychological flexibility in these patients.
Conclusion: According to the findings of the present study it can be concluded that the cognitive-behavioral therapy can be used as an efficient therapy to improve health promotion behaviors and psychological flexibility in autoimmune (psoriasis) patients relying on following automatic thoughts to identify fundamental beliefs, training behavioral methods and cognitive errors and inefficient thoughts.

Keywords


Kivelä, K., Elo, S., Kyngäs, H., Kääriäinen, M.(2014). The effects of health coaching on adult patients with
chronic diseases: A systematic review. Patient Education and Counseling, 97(2), 147-157.
Li, C., Xu, D., Hu, M., Tan, Y., Zhang, P., Li, G., Chen, L.(2017). A systematic review and meta-analysis of randomized controlled
trials of cognitive behavior therapy for patients with diabetes and depression, Journal of Psychosomatic Research, 95, 44–54.
Li, J., Jin, J., Xi, S., Zhu, Q., Chen, Y., Huang, M., He, C.(2019). Clinical efficacy of cognitive behavioral
therapy for chronic subjective tinnitus. American Journal of Otolaryngology, 40(2): 253-256.
McElligott, D., Leask Capitulo, K., Lynn Morris, D.(2010). The effect of a holistic program on health-promoting behaviours in
hospital registered nurses. Journal of Holistic Nursing. The American Holistic Nurses Association, 20(10):1-9.
Morsi, T.S., Ghobashy, S., Younis, G.(2014). Quality of life and psychological disorders in Egyptian patients
with chronic lung diseases: Clinico-physiological correlation. Egyptian Journal of Chest Diseases and
Tuberculosis, 63(3), 731-743.
Oar, E.L., Johnco, C., Ollendick, T.H.(2017). Cognitive Behavioral Therapy for Anxiety and Depression in
Children and Adolescents. Psychiatric Clinics of North America, 40(4): 661-674.
Pender, N.J., Murdaugh, C.L., Parsons, M.A. (2002). Health promoting in nursing practice. 4 ed. Englewood Cliffs, NJ: Prentice
Hall.
Powers, M.B., De Kleine, R.A., Smits, J.A.J.(2017). Core Mechanisms of Cognitive Behavioral Therapy for
Anxiety and Depression: A Review. Psychiatric Clinics of North America, 40(4): 611-623.
Storer, M.A., Danesh, M.J., Sandhu, M.E., Pascoe, V., Kimball, A.B.(2018). An assessment of the relative
impact of hidradenitis suppurativa, psoriasis, and obesity on quality of life. International Journal of
Women's Dermatology, 4(4): 198-202.
Tsai, T., Ho, J., Chen, Y., Hsiao, P., Lee, W., Chi, C., Lan, C., Hui, R.C., Lin, Y., Yang, K., Wong, T., Sheu,
H., Hsu, H., Chu, G., Huang, Y.(2019). Health-related quality of life among patients with moderate-to-severe
plaque psoriasis in Taiwan. Dermatologica Sinica, 36(4): 190-195.
Waldeck, D., Tyndall, I., Riva, P., Chmiel, N. (2017). How do we cope with ostracism? Psychological
flexibility moderates the relationship between everyday ostracism experiences and psychological distress.
Journal of Contextual Behavioral Science, 6(4): 425-432.
Warwick, H., Reardon, T., Cooper, P., Murayama, K., Reynolds, S., Wilson, C., Creswell, C.(2017). Complete recovery from anxiety
disorders following Cognitive Behavior Therapy in children and adolescents: A meta-analysis, Clinical Psychology Review, 52, 77–
91.
Whitehead, B. (2004).Health promotion and health education: advancing the concepts. Journal of Advanced Nursing; 47(3): 311-320.
Young, P.M., Chen , A.Y., Ford, A.R., Cheng, M.Y., Lane, C.J., Armstrong, A.W. (2019). 542 The impact of
online care on mental health and functional measures in psoriasis patients. Journal of Investigative
Dermatology, 139(5), 93-100.
Yu, S., Tu, H., Huang, Y., CLan, C.E.(2019). The incidence of anxiety may not be correlated with severity of
psoriasis: A prospective pilot study. Medical Hypotheses, 130: 109-115.