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Nagezadeh N, Karimisani P, sharifzadeh M. The Effectiveness of Stewart's Cognitive-Behavioral Family Therapy on Hippocandry and Hysteria of Female Teachers of Education. RJMS 2020; 27 :209-218
URL: http://rjms.iums.ac.ir/article-1-5630-en.html
Payame Noor University, Tehran, Iran , sharifzad2007@yahoo.com
Abstract:   (1798 Views)
Background & Aims: Physical disorder is defined as the presence of physical symptoms because of internal relations of mind, body and without physical justification and even after a medical examination. Physical disorder consists of several different types of symptoms that begin before the age of 30, last for several years, and are characterized by a mixture of pain symptoms, gastrointestinal disorders, sexual problems and false neurological symptoms. Becomes. The use of theoretical cognitive-behavioral therapeutic psychological therapies can help to eliminate the underlying psychological causes of psychiatric disorders and resolve the underlying conflicts. Especially considering that life stressors play a major role in the occurrence of these disorders and emphasizing that many of these stressors are related to the family and the family can use Teaching correct patterns of strengthening logical behaviors, thoughts and beliefs and recognizing patterns of beliefs, negative expectations and interactions and replacing them with positive patterns of interactions play a key role in establishing healthy emotional relationships and thus the physical and mental health of their people. Teachers, especially female teachers, have a critical and decisive role in advancing the goals of education, and on the other hand, they are closely related to students and study and identify methods of treating psychological disorders of teachers, especially female teachers in Our current society, especially in the city of Naqadeh, seems to be necessary and therefore the present study tries to answer the question: Does Stuart's behavioral-cognitive family therapy affect the self-morbidity and hysteria of female teachers? The aim of this study was to determine the effectiveness of Stewart behavioral-cognitive family therapy on self-morbidity and hysteria in female teachers.
Methods: The method of the present study is quasi-experimental, pre-test and post-test with the control group. The statistical population of the present study was 24 female secondary school teachers in Naghadeh city who were selected by purposive sampling method and were grouped into two experimental (12) and control (12) groups. During eight sessions, Stuart underwent cognitive-behavioral family therapy and the results were compared with the control group. To analyze the data, descriptive statistics (frequency, percentage of frequency) and inferential statistics were used by Holograph-Smirnov test, Levin test to check the homogeneity of variances and regression slope test for slope homogeneity and also to test all hypotheses. The study used univariate analysis of covariance (ANKOVA) and Manova test. Based on gender criteria and high score of physical disorder of their shape from 65 in Minnesota Multiphasic Personality Inventory (MMPI) in scales 1 and 3 and based on the same work experience, being married, and not having mental problems Another was selected and the Minnesota MMPI personality test was used to collect information about self-morbidity and hysteria. This questionnaire is scored in two categories of scales. Includes a set of narrative scales that are scored and interpreted before clinical scales are interpreted. Validity scales include: L scale (good pretend). Lie. A person tries to present himself / herself better and better while answering the test. Scale F (pretend to be bad). During the answer to the test, the person tries to make himself worse. K scale (deny). The person has taken a defensive stance during the response. Accordingly, the subjects' scores are interpreted on a clinical scale. Clinical scales deal with a person's personality traits in various dimensions. These scales are reduced to 71 questions. Residual scales include the following: HS or hypochondria scale: refers to a person's self-morbidity characteristics. People who get high scores on this scale pay more attention to their physical problems and often feel sick and uncomfortable, without actually having a specific physical problem. Scale D or Depression: A person's score on this scale indicates a person's level of depression. Hy or Hysteria Scale: Indicates a tendency to attract attention and display species reactions. Pad scale or psychosocial deviation: shows the subject's antisocial reactions. Pa or Paranoia Scale: Measures a person's level of trust or distrust of others. People who have high scores on this scale are people who do not have general trust in others and their thoughts and behavior indicate strong suspicion. PT or Psychotic Scale (mental weakness): refers to fatigue and mental weakness. SC or schizophrenia scale: refers to the identification of schizophrenic or schizophrenic disorder. Ma or Mania Scale (mild mania): Symptoms measured on this scale are the opposite of depression. People who score higher on this scale are happier and more energetic, which is known to some degree as a disorder.
Results: In this study, the statistical indicators used are number, average, standard deviation, minimum and maximum. The results of descriptive statistics of the variables of this research are divided into experimental and control groups and pre-test and post-test in Table 1. According to Table 2, the mean post-test for the rate of "hysteria" in the experimental group (53.92) is less than the mean of the pre-test for the rate of "hysteria" in that group (72.75); Therefore, it can be concluded that "the implementation of Stewart behavioral-cognitive family therapy reduces the symptoms of hysteria in female teachers of education." According to Table 3, the mean post-test for the rate of "physical symptom of self-morbidity" in the experimental group (60.83) was lower than the mean of the pre-test for the rate of "physical symptom of self-morbidity" in that group (76). Be; Therefore, it can be concluded that "the implementation of Stuart Behavioral Cognitive Family Therapy reduces the physical symptoms of self-morbidity in female teachers of education."
Conclusion: The results show that Stuart-based behavioral-cognitive family therapy has an effect on self-morbidity and hysteria in female teachers. The results are consistent with those of Jay et al., Saunders et al. And Lizzie, Robert and LaFalce et al .; Because they found in their research that cognitive-behavioral family therapy is the most effective treatment for controlling physical symptoms. Explaining this result, it can be said that teachers' mental health is affected by job stress because people who are responsible to others experience high levels of stress. On the other hand, they have to play various roles and are influenced by physical signs due to their occupational nature. By participating in Stuart Cognitive-Behavioral Psychotherapy sessions, subjects were equipped with skills such as effective communication, love days, behavioral changes, etc., and were able to effectively deal with situational and social factors that cause stress and achieve more rational cognitive processing. Overcome their interpersonal conflicts. The results of this study are also consistent with the results of Saunders et al., Because they found that cognitive-behavioral family therapy is more effective than standard medical and medical care in the treatment of chronic abdominal and back pain. Stewart Cognitive-Behavioral Family Therapy helps people to increase their marital and work satisfaction by providing practical assignments in meetings and by teaching them effective methods for resolving conflicts and interactions in life and work. Strengthen the cognitive and behavioral interpretation and processing of individuals.
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Type of Study: Research | Subject: Psychiatry

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