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Shahidi, Shokooh, Zargar, Fatemeh, Aghaee Khajelangi, Hassan, Tarrahi, Mohammad Javad. (1402). The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial. سامانه مدیریت نشریات علمی, 11(2), 110-121. doi: 10.30476/ijcbnm.2023.97271.2172
Shokooh Shahidi; Fatemeh Zargar; Hassan Aghaee Khajelangi; Mohammad Javad Tarrahi. "The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial". سامانه مدیریت نشریات علمی, 11, 2, 1402, 110-121. doi: 10.30476/ijcbnm.2023.97271.2172
Shahidi, Shokooh, Zargar, Fatemeh, Aghaee Khajelangi, Hassan, Tarrahi, Mohammad Javad. (1402). 'The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial', سامانه مدیریت نشریات علمی, 11(2), pp. 110-121. doi: 10.30476/ijcbnm.2023.97271.2172
Shahidi, Shokooh, Zargar, Fatemeh, Aghaee Khajelangi, Hassan, Tarrahi, Mohammad Javad. The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial. سامانه مدیریت نشریات علمی, 1402; 11(2): 110-121. doi: 10.30476/ijcbnm.2023.97271.2172

The Effect of Internet-delivered Mindfulness Stress Reduction Combined with Acceptance and Commitment Therapy on Health Anxiety and Quality of Life of Caregiver of Patients Infected by COVID-19: A Randomized Clinical Trial

International Journal of Community Based Nursing & Midwifery
مقاله 4، دوره 11، شماره 2 - شماره پیاپی 42، تیر 2023، صفحه 110-121    اصل مقاله (529.56 K)
شناسه دیجیتال (DOI): 10.30476/ijcbnm.2023.97271.2172
نویسندگان
Shokooh Shahidi1؛ Fatemeh Zargar* 2؛ Hassan Aghaee Khajelangi3؛ Mohammad Javad Tarrahi4
1Department of Nursing, School of Medicine, Khomein University of Medical Sciences, Khomein, Iran;
2Department of Health Psychology and Behavioral Sciences Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran;
3Research center of Addiction and Behavioral Sciences, Shahid Sadoughi University of Medical Sciences, Yazd, Iran;
4Department of Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Science, Isfahan, Iran
چکیده
Background: Coronavirus disease-19 (COVID-19) is a widespread disease all over the world that has caused many psychological complications such as health anxiety (HA) and low quality of life (QOL). Mindfulness-based approaches could improve these complications. Therefore, this study aimed to investigate the effect of Internet-delivered mindfulness stress reduction combined with acceptance and commitment therapy (IMSR-ACT) on QOL and HA of caregivers of patients infected by COVID-19.
Methods: In this randomized clinical trial, 72 people from Golpayegan city, Iran, who had a patient with COVID-19 in their family were selected from March to June 2020. A caregiver with a score above 27 on the Health Anxiety inventory (HAI-18) was selected using simple random sampling. Participants were assigned in the intervention or control group by permuted block random allocation. The intervention group was trained by MSR and ACT techniques for 9 weeks accomplished via WhatsApp. All participants completed the QOLQuestionnaire-12 (SF-12) items and HAI-18 before and after completing IMSR-ACT sessions. The data were analyzed through SPSS-23 software, using Chi square, independent and paired t-test, and analysis of covariance, and P-value<0.05 was considered as significant.
Results: The results showed that the intervention group compared to the control group had a significant decrease in all subscales of HAI after the intervention including worry about consequences (5.78±2.66 vs. 7.37±1.34, P=0.004) and awareness of bodily sensation or changes (8.90±2.77 vs. 11.75±2.30, P=0.001), worry about health (10.94±2.38 vs. 13.09±1.92, P=0.001), and total score of HAI (25.62±4.93 vs. 32.25±3.93, P=0.001). Also, the intervention group compared to the control group had better QOL after the intervention in general health perceptions (3.03±0.96 vs. 2.43±0.95, P=0.01), mental health (7.12±2.25 vs. 6.34±1.85 and P=0.01) and mental component summary) 16.78±3.75 vs. 15.43±3.05, P=0.01), physical component summary (16.06±2.66 vs. 15.19±2.25, P=0.01), and total score of SF-12 (32.84±5.39 vs. 30.62±4.34, P=0.004).
Conclusion: Internet-delivered MSR combined with ACT could improve the HA and QOL of caregivers with patients infected by COVID-19. Thus, it can used in other similar situations for now and future. Also, it seems to be a useful approach for caregivers of the other illnesses.
Trial Registration Number: IRCT20180909040974N5
کلیدواژه‌ها
Mindfulness؛ Internet-based intervention؛ Quality of life؛ Health anxiety؛ Coronavirus
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