.
MBSR(CBT)
MBSRCBT
SF36
SPSSv18
P
MBSR
CBT
CBTMBSR
http://orcid.org/https:/orcid.org/0000-0002-4599-3806http://orcid.org/https:/orcid.org/0000-0002-4599-3806
MBSRCBT
08
SLE:Systemic
Lupus Erythematosus
SLE
ANA
SLE
08
Cognitive Behavioral Therapy (CBT)
SLE
mindfulness based reduction stressMBSR
MBSR
MBSRCBT
CBT
MBSR
MBSR
SLE
SLE
MBSRCBT
08
SLE
MBSRCBT
MBSR
CBT
REC.SKUMS.IR.1394.161
IRCT201412018253N3
More Garland
SF36
SLE
SLESLEDAI-2k
08
ABCDA
BCD
MBSRCBT
08
MBSR
C
C3C4
nDNA
SPSSv18
08
MBSR
CBT
MBSR
CBT
MBSR
CBT
P,F,Boxs M
P,F,Boxs M
P,F,
Boxs M
F
MBSRCBT
≥P
MBSRCBT
08
MBSR
CBTCBT
P
MBSRCBT
≥P
MBSRCBT
MBSRCBT
MBSR
CBT
MBSRCBT
F P value
P
08
P value
MBSR CBT
CBT
MBSR CBT*
**
CBT *
MBSR CBT*
**
CBT *
MBSR CBT
CBT
MBSR CBT
**
CBT **
MBSR CBT
**
CBT **
P* , P**
MBSR
CBT
Navvarate
MBSRCBT
MBSRCBT
00
MBSR
CBT
MBSRCBT
MBSR
MBSR
CBT
MBSR
MBSRCBT
MBSR
MBSR
08
MBSRCBT
MBSR
MBSRCBT
References
1- Lau CS, Yin G, Mok MY. Ethnic and
geographical differences in systemic lupus
erythematosus: an overview. Lupus. 2006; 15:
715-9.
2- Davatchi F, Jamshidi AR, Banihashemi AT,
et al. WHO-ILAR COPCORD Study (stage 1,
Urban Study) in Iran. J Rheumatol. 2008; 35:
1384-90.
3- Hahn BH, Kasper DL, Braunwald E, Fauci AS.
Systemic lupus erythematosus. Harrison's
principles of internal medicine. 18th ed. New
York: McGraw Hill; 2012: pp: 319, 6-30.
4- Hochberg MC. Updating the American College
of Rheumatology revised criteria for the
classification of systemic lupus erythematosus.
Arthritis Rheum. 1997; 40: 1725-25.
5- Navarrete-Navarrete N, Peralta-Ramírez MI,
Sabio-Sánchez JM, et al. Efficacy of cognitive
behavioural therapy for the treatment of chronic
stress in patients with lupus erythematosus: a
randomized controlled trial. Psychother
Psychosom. 2010; 79: 107-15.
6- Neissiani Habib Abadi F, Neshat Doost HT,
Molavi H, Seied-Bonakdar Z. The efficacy of
http://www.ncbi.nlm.nih.gov/pubmed/?term=Davatchi%20F%5BAuthor%5D&cauthor=true&cauthor_uid=18464299http://www.ncbi.nlm.nih.gov/pubmed/?term=Jamshidi%20AR%5BAuthor%5D&cauthor=true&cauthor_uid=18464299http://www.ncbi.nlm.nih.gov/pubmed/?term=Banihashemi%20AT%5BAuthor%5D&cauthor=true&cauthor_uid=18464299
MBSRCBT
88
cognitive–behavioral stress management therapy
on perceived stress of female patients with
systemic lupus erythematosus. J Res Behav Sci.
2011; 9: 222-8.
7- Miranda JM, Prieto RE, Paniagua R, et al.
Clinical significanve of serum and urine prolactin
level in lupus glomerulonephritis. Lupus. 1998; 7:
387-91.
8. Cutolo M, Prete C, Walker J. Is stress a factor
in the pathogenesis of autoimmune rheumatic
diseases? Clin Exp Rheumatol. 1999; 17: 515-8.
9- Arch JA, Craske MG. Laboratory stressors in
clinically anxious and nonanxious individual: the
morderating role of mindfulness. Behav Res Ther.
2010; 48: 495-505.
10. Jafskesh Moghadam A, Shahabizadeh F,
Bahrainian A. Comparative effectiveness of
mindfulness-based psychotherapy versus
acceptance or commitment therapy on stress level
in dialysis patients. J Zanjan Univ Med Sci . 2016;
24: 84-93.
11- Bajaj B, Gupta R, Pande N. Self-esteem
mediates the relationship between mindfulness
and well-being. Person Indiv Diff. 2016; 94: 96-
100.
12- Haugland T, Veenstra M, Vatn MH, Wahl
AK. Improvement in stress, general self-efficacy,
and health related quality of life following patient
education for patients with neuroendocrine
tumors: A pilot study. Nurs Res Pract. 2013;
2013: 695820.
13- Dobkin PL, Da Costa D, Joseph L, et al.
Counterbalancing patient demands with evidence:
results from a pan-Canadian randomized clinical
trial of brief supportive-expressive group
psychotherapy for women with systemic lupus
erythematosus. Ann Behav Med. 2002; 24:
88-99.
14- Edworthy SM, Dobkin PL, Clarke AE, et al.
Group psychotherapy reduces illness intrusiveness
in systemic lupus erythematosus. J Rheumatol.
2003; 30: 1011-6.
15- Neg P, Chan W. Group psychosocial program
for enhancing psychological well-being of people
with systemic lupus erythematosus. J Soc Work
Disabil Rehabil. 2007; 6: 75-87.
16- Drenkard C. Benefits of a self-management
program in low-income African-American women
with systemic lupus erythematosus: results of a
pilot test. Lupus. 2012; 21: 1586-93.
17- Beck AT, Rush AJ, Shaw BF, Emery G.
Cognitive therapy of depression. New York:
Guilford Press; 1979.
18- Greco CM, Rudy TE, Manzi S. Effects of a
stress-reduction program on psychological
function, pain and physical function of systemic
lupus erythematosus patients. Arthritis Rheum.
2004; 51: 625-34.
19- Kabat-Zinn J, Lipworth L, Burney R. The
clinical use of mindfulness meditation for the self-
regulation of chronic pain. J Beha Med. 1988; 8:
163-90.
20- Kabat-Zinn J. Full catastrophe living: Using
the wisdom of your body and mind to face stress,
pain and illness. 5th ed. New York: Dell
Publishing; 2005: p 121-45.
http://www.sciencedirect.com/science/article/pii/S0191886916300204http://www.sciencedirect.com/science/article/pii/S0191886916300204http://www.sciencedirect.com/science/article/pii/S0191886916300204http://www.sciencedirect.com/science/journal/01918869http://www.sciencedirect.com/science/journal/01918869/94/supp/Chttp://www.ncbi.nlm.nih.gov/pubmed/?term=Dobkin%20PL%5BAuthor%5D&cauthor=true&cauthor_uid=12054324http://www.ncbi.nlm.nih.gov/pubmed/?term=Da%20Costa%20D%5BAuthor%5D&cauthor=true&cauthor_uid=12054324http://www.ncbi.nlm.nih.gov/pubmed/?term=Joseph%20L%5BAuthor%5D&cauthor=true&cauthor_uid=12054324
88
21- Kabat-Zinn J. An outpatient program in
behavioral medicine for chronic pain patients
based on the practice of mindfulness meditation:
theoretical considerations and preliminary results.
Gen Hosp psychiatry. 1982; 4: 33-47.
22- Moore RG, Garland A. Cognitive therapy for
chronic and persistent depression. John Wiley &
Sons; 2004.
23- Baer RA. Mindfulness-based treatment
approaches: clinician’s guide to evidence base and
applications. New York: Academic Press is an
imprint of Elsevier; 2014.
24- Chaskalson M. The mindful workplace:
developing resilient individuals and resonant
organizations with MBSR: John Wiley & Sons;
2011.
25- Montazeri A, Goshtasebi A, Vahdaninia M,
Gandek B. The Short Form Health Survey (SF-
36): translation and validation study of the Iranian
version. Qual Life Res. 2005; 14: 875-82.
26- Asgharnejad T, Ahmadi dah Qutb al-Dini M,
Farzad V, Khodapanahi M. Psychometric
properties of the scherer self efficacy scale.
Psychology. 2006; 10: 269-74.
27. Liang MH, Socher SA, Larson MG, Schur PH.
Reliability and validity of six systems for the
clinical assessment of disease activity in systemic
lupus erythematosus. Arthritis Rheum. 1989; 32:
1107-18.
28- Masumian S, Shairi MR, Hashemi M. The
effect of mindfulness-based stress reduction on
quality of life of the patients with chronic low
back pain. Anesthesiol Pain. 2013; 4: 25-37.
29- Dobkin PL. Mindfulness based stress
reduction: What processes are at work?
Complement Ther Clin Pract. 2007; 14: 8-16.
30- Jalali D, Aghaei A. Mindfulness based
cognitive behavioral stress management. 2nd
ed.
Tehran: Ebnesina, 2015; p: 65-78. [Persian]
31- Biegel GM, Brown KW, Shapiro SL, Schubert
CM. Mindfulness-based stress reduction for the
treatment of adolescent psychiatric outpatients: A
randomized clinical trial. J Consult Clin Psychol.
2009; 77: 855-66.
32- Feldman G, Dunn E, Stemke C, Bell K,
Greeson J. Mindfulness and rumination as
predictors of persistence with a distress tolerance
task. Person Indiv Diff. 2014; 56: 154-8.
https://www.ncbi.nlm.nih.gov/pubmed/?term=Liang%20MH%5BAuthor%5D&cauthor=true&cauthor_uid=2775320https://www.ncbi.nlm.nih.gov/pubmed/?term=Socher%20SA%5BAuthor%5D&cauthor=true&cauthor_uid=2775320https://www.ncbi.nlm.nih.gov/pubmed/?term=Larson%20MG%5BAuthor%5D&cauthor=true&cauthor_uid=2775320https://www.ncbi.nlm.nih.gov/pubmed/?term=Schur%20PH%5BAuthor%5D&cauthor=true&cauthor_uid=2775320https://www.ncbi.nlm.nih.gov/pubmed/2775320
88
Comparison of the Effectiveness of Cognitive Behavioral Based and Mindfulness-Based Stress
Management Program on Activity, Quality of Life and Self-Efficiency of Patients with
Systemic Lupus Erythematosus
Fazlian F1, Solati SK
2, Mousavi M
3, Ghasemi Pirbaloti M
1
1Dept. of Psychology, Islamic Azad University, Shahrekord Branch, Shahrekord, Iran
2Dept .of Psychology, Shahrekord University of Medical Sciences, Shahrekord, Iran
3Dept .of Rheumatology, Shahrekord University of Medical Sciences, Shahrekord, Iran
Corresponding Author: Fazlian F, Dept. of Psychology, Islamic AzadUniversity, Shahrekord Branch, Shahrekord,
Iran.
E-mail: [email protected]
Received: 5 Aug 2016 Accepted: 3 Jul 2017
Background and Objective: Systemic lupus erythematosus is an autoimmune disease and its prevalence in Iran is
estimated to be 40 in 100,000 people. The psychological manifestations are common in patients with clinical
manifestations. The purpose of this study was to investigate the effectiveness of MBRI and cognitive-behavioral
therapy (CBT) on disease activity, quality of life and self-efficiency among these patients.
Materials and Methods: In this semi-experimental study, via a pre-test and post-test, 45 patients with lupus in
Shahrekord were selected by available sampling method based on American College of Rheumatology criteria and
were randomly divided into two experimental and one control groups . Three groups underwent the common
medical care. The first group received 8 sessions of MBSR and the second group received 8 sessions of CBT. In
the pre-test, post-test and 3-month follow-up, the SF36 quality of life questionnaire, Sherer’s self-efficiency and
lupus disease activity index were completed. Data were analyzed using the SPSS software and descriptive and
inferential statistics (variance analysis with repeated measures) were similarly carried out.
Results: The mean scores of disease activity in different stages of the study did not differ significantly (P