مقایسه اثربخشی مدیریت استرس به شیوه شناختی- رفتاری بر علائم افسردگی و اضطراب در بیماران مبتلا به صرع و میگرن

Background and Aim: Patients with chronic diseases are markedly at the risk of psychiatric disorders, particularly depression and anxiety. Results of various researches have shown the effectiveness of cognitive behavioral stress management on depression and anxiety. The aim of the current study was a comparative effectiveness of cognitive behavioral stress management on “depression” and “anxiety” of patients with epilepsy and migraine. Materials and Methods: In this semi-experimental clinical trial study 21patients with epilepsy and 19 patients with migraine were selected based on clinical interview and Beck’s depression and anxiety questionnaires. .Mild to moderate depression and generalized anxiety were diagnosed in these patients..Then, the cases were divided into two treatment groups Patients in both groups received cognitive behavioral stress management. Beck depression and anxiety pre-post test was used to compare the recovery rate of depression and anxiety.Finally, the obtained data was analyzed by means of SPSS (V:15), using paired and independent T- statistical .tests at the significant level of P<0.05. Results: Cognitive behavioral stress management was significantly effective on the depression and anxiety symptoms of epileptic and migraine patients and there was a significant difference between pre- and post-test scores (p<0.001), but there was no significant difference between the two groups in terms of efficacy. Conclusion: According to the results of this study, cognitive behavioral stress management was effective on the depression and anxiety of epileptic and migraine patients, and chronic disease has no effect on this effectiveness. This method can be used in combination with drug therapy.