Background: Patients with cancer experience high levels of psychological distress, which leads to depressive symptoms, severe anxiety, and decreased quality of life. The present study aimed to determine the effectiveness of cognitive-behavioral therapy (CBT) and mental imagery exercises (MIE) on health-related quality of life (HRQOL) of patients with leukemia and lymphoma in Babol province- Iran. Methods: It was a field trial with a pretest-posttest design and a control group. The statistical population consisted of all male and female patients with leukemia and lymphoma referring to the hematology department of Ayatollah Rouhani Hospital of Babol province in 2019. A total of 45 patients were recruited based on the inclusion criteria and were randomly assigned into two experimental groups and one control group (15 per group). The first experimental group received eight 90-minute sessions of individual CBT and the second experimental group received ten 90-minute sessions of MIE. The control group received no intervention. Data were collected by the 36-Item Short Form Survey (SF-36) before and also 45 days after the last treatment session and were analyzed using descriptive and inferential statistics, such as mean, standard deviation, and analysis of covariance (ANCOVA) in SPSS software version 23.0. Results: The results indicated that CBT and MIE had a positive significant effect on HRQOL in patients with leukemia and lymphoma (P<0.001). There was no significant difference between the effectiveness of the two therapies. Conclusions: Considering the effectiveness of the CBT and MIE on HRQOL in patients with cancer, they are suggested to be utilized extensively along with medical and clinical interventions in order to improve the HRQOL of cancer patients.
Introduction: Patients with dental anxiety avoid receiving medical care. This anxiety poses a threat to oral health. The present study aimed to investigate the effectiveness of muscle relaxation training and mindfulness training on fear and resilience in patients with dental anxiety. Methods: This was a clinical trial (pretest-posttest design and a control group). The statistical population comprised all patients with dental anxiety who went to dental clinics in the city of Ahvaz in 2018-2019. The research sample included 45 patients with dental anxiety selected through convenience sampling. The participants were randomly divided into two experimental (muscle relaxation training and mindfulness training) and one control group (n=15 each). The research tools included the Dental Fear Survey (DFS), the Connor-Davidson Resilience Scale (CD-RISC), and the Modified Dental Anxiety Scale (MDAS). Multivariate analysis of covariance was used to analyze the data. Results: The mean±standard deviation (SD) of the post-test scores of fear and resilience were 49.53±9.67 and 84.80±7.89 in the muscle relaxation training group and 58.26±12.67 and 55.60±8.83 in the mindfulness training group, which were significantly different from the control groups (83.80±3.50 and 40.46±5.65). Muscle relaxation training reduced fear and increased resilience in patients with dental anxiety in the experimental groups compared to the control group (P<0.001). Furthermore, in terms of fear and resilience in patients with dental anxiety, muscle relaxation training and mindfulness training were significantly different (P<0.001). Conclusion: In addition to decreasing fear, muscle relaxation training and mindfulness can increase resilience in patients with dental anxiety. Also, muscle relaxation training was more effective than mindfulness training in reducing fear and increasing resilience in patients with dental anxiety.
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