Volume 23, Issue 3 (8-2024)
TB 2024, 23(3): 46-65 |
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Research code: 401000555
Ethics code: IR.KMU.REC.1401.319
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Sanjari P, Hashemi M, Dehesh T, Ahmadi Tabatabaei S V, Faraji M. Effective factors on Migration to Kerman City and Immigrants’ Problems Using Analytical Hierarchy Process Model and Technique for Order of Preference by Similarity to Ideal Solution. TB 2024; 23 (3) :46-65
URL: http://tbj.ssu.ac.ir/article-1-3640-en.html
URL: http://tbj.ssu.ac.ir/article-1-3640-en.html
, m_faraji28@yahoo.com
Keywords: Migration, Analytical Hierarchy Process (AHP), Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS), Kerman.
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Investigating the Effectiveness of Integrated Cognitive-Behavioral Therapy (CBT) with Acceptance and Commitment-Based Therapy (ACT) on Reducing Psychological Distress and Reducing Mental Fatigue in Nurses with Burnout Symptoms in Imam Reza Hospital, Mashhad, Iran
Masoumeh Nabaei (Ph.D.s)1, Zahra Alizadeh Birjandi (Ph.D)2
1.PhD Student of Health Psychology, Department of Health Psychology, Torbat Jam Azad Islamic University, Torbat Jam, Iran
2.Corresponding author: Assistant Professor, Department of Clinical Psychology, Imam Reza University, Mashhad, Iran. Email: zahra.alizadeh.83@gmail.com Tel: 09158056064
Abstract
Introduction: Nurses as a large proportion of the healthcare workforce report significant distress and burnout, which can lead to poor patient care, and according to the latest report in 2018, the rate of burnout among nurses was 25%. Among several psychological interventions, integrated therapy can be effective in improving mental fatigue and distress. So, the purpose of the present research is to investigate the effectiveness of integrated( cognitive-behavioral- acceptance and commitment-based) therapy on reducing psychological distress and mental fatigue in nurses with burnout symptoms in Imam Reza Hospital in Mashhad, Iran.
Methods: This research was a semi-experimental pre-test-post-test study with a control group. The statistical population included all female nurses working in Imam Reza Hospital (Mashhad, Iran) which had symptoms of burnout, . 30 nurses were selected by purposive sampling considering the inclusion criteria and then they were randomly divided into an experimental and a control group. Subjects of both groups responded to Multidimensional Fatigue Inventory (MFI, Smets et al) and Kessler Psychological Distress Scale before and after the intervention. The therapeutic intervention was provided to the experimental group twice a week for 10 sessions of 45 minutes.
Results:The results showed that there was a significant difference between the two groups after the combined treatment intervention in terms of psychological distress and mental fatigue in nurses with signs of job burnout.
Conclusion:It is suggested to use CBT-ACT in a continuous and regular manner in hospitals and universities in the form of training classes in order to reduce psychological distress and mental fatigue and job burnout.
Keywords:Psychological Distress, Psychological Fatigue, Combined Therapy (Cognitive-Behavioral (CBT) and Acceptance and Commitment (ACT), Job Burnout, Mental Distress, Nurses
References
1-Karami Ajdari P, Aeenparast A, Masoudi Asl I. Burnout among nurses in selected hospitals of Tehran University of Medical Sciences. Payesh. 2017;16(5):595-603.
2-Dall’Ora C, Ball J, Reinius M, Griffiths P. Burnout in nursing: a theoretical review. Human resources for health. 2020;18:1-17.
3-Vaziri S, Shaydayi A, Nobakht L & et al. Comparison of physical symptoms in people with low and high psychological distress Patients Disease. Thoughts and Behavior in Clinical Psychology. 2018;13(49):57-66.
4-Aghbolaghi N, Aghdasi A, Rostami H & et al. Examining the Effectiveness of Mindfulness Based Stress Reduction on Mental Fatigue, Perceived Stress, and Emotion Regulation in Nurses. Journal of Health and Care. 2023;24(4):368-79.
5-Ellrich K. Burnout and violent victimization in police officers: A dual process model. Policing: An International Journal of Police Strategies & Management. 2016;39(4):652-66.
6-Bakhshi E, Mazloumi A, Hoseini SM. Relationship between mental fatigue and mental workload among nurses. Zahedan Journal of Research in Medical Sciences. 2019;21(1).
7-Rahimi Z, Esmaily H, Taghipour A & et al. Evaluation of the prevalence of psychological distress and its related demographic factors in 18-65 year-old population of Khorasan Razavi: a cross-sectional study. Iranian Journal of Epidemiology. 2021;16(4):316-24. .
8-Zamani Froshani Z, Dokaneifard F, Niknam M. The efficacy of acceptance and commitment therapy on psychological distress and dysfunctional attitudes. Journal of Psychological Science. 2023;22(125):1017-32.
9-Issazadegan A, Tajik F, Lajevardi SA & et al. Model of psychological distress based on metacognitive beliefs of students with the mediating role of mind-wandering. Rooyesh-e-Ravanshenasi Journal (RRJ). 2023;11(12):97-106.
10-Babapoor J, zeianli S, Azimi F & et al. Efficacy of Cognitive Behavior Therapy on Quality of life, Anxiety and Fatigue of cancer section’s nurses: A Clinical Trail study. 2 Journal of Nursing Education. 2019;8(4):26-32.
11-Akbarian M, Mohammadi Shirmahleh F, Borjali A & et al. Effect of Acceptance and Commitment Therapy on Depression, Chronic Fatigue, and Pain Intensity in Patients with Fibromyalgia Syndrome: A Study with Expectancy Effect. Internal Medicine Today. 2021;28(1):70-85.
12-Kazemeini SE, Ranjbaripour T, NezhadMohammad Nameghi A & et al. The Comparision of the Effectiveness of Mindfulness-Based Cognitive Therapy with Acceptance and Commitment Therapy on Psychological Distress and Hope in Males with Heart Failure. Journal of Nursing Education. 2024;11(6):101-18.
13-Babaee z, Mansoobifar M, Sabet M & et al. Comparison of the effectiveness of cognitive-behavioral therapy and mindfulness treatment on distress tolerance and suicidal ideation in adolescents with suicidal thoughts. Journal of Clinical Psychology. 2022;13(4):41-52.
14-Chong VK, Monroe GS. The impact of the antecedents and consequences of job burnout on junior accountants' turnover intentions: a structural equation modelling approach. Accounting & Finance. 2015;55(1):105-32.
15-Wu H, Zhao Y, Wang J-N & et al. Factors associated with occupational stress among Chinese doctors: a cross-sectional survey. International archives of occupational and environmental health. 2010;83:155-64.
16-Shakernegad S, Moazen N, Hamidy M & et al. Effectiveness of Acceptance and Commitment Therapy on Psychological Distress, Marital Satisfaction and Quality of Life in Women with Multiple Sclerosis. Journal of Health and Care. 2017;19(1):7-
17-Siyahposh Monfred M PS, Azizi S. The effectiveness of treatment based on acceptance and commitment on emotional avoidance and dimensions of mental fatigue in women with multiple sclerosis. Iranian Islamic Studies of Family. 2022;2(1).
18-Soleimani S, Tajoddini E. Effectiveness of cognitive behavioral therapy based on fatigue on dimensions of mental fatigue in patients with multiple sclerosis: a case study. Journal of clinical psychology. 2016;8(2):13-21.
19-Carlson RV, van Ginneken N.H, Pettigrew L. M & et al. The three official Language Versions of the Declaration of Hetsinti: what lost in Ytracsfation. Journal Med Ethics 2017;33(9):545-8.
20-Hallis L, Dionne F, Knäuper B & et al. Integrating acceptance and commitment therapy (ACT) into traditional cognitive behavior therapy (CBT). ACBS Annual World Conference X, Washington, DC; 2012.
Masoumeh Nabaei (Ph.D.s)1, Zahra Alizadeh Birjandi (Ph.D)2
1.PhD Student of Health Psychology, Department of Health Psychology, Torbat Jam Azad Islamic University, Torbat Jam, Iran
2.Corresponding author: Assistant Professor, Department of Clinical Psychology, Imam Reza University, Mashhad, Iran. Email: zahra.alizadeh.83@gmail.com Tel: 09158056064
Abstract
Introduction: Nurses as a large proportion of the healthcare workforce report significant distress and burnout, which can lead to poor patient care, and according to the latest report in 2018, the rate of burnout among nurses was 25%. Among several psychological interventions, integrated therapy can be effective in improving mental fatigue and distress. So, the purpose of the present research is to investigate the effectiveness of integrated( cognitive-behavioral- acceptance and commitment-based) therapy on reducing psychological distress and mental fatigue in nurses with burnout symptoms in Imam Reza Hospital in Mashhad, Iran.
Methods: This research was a semi-experimental pre-test-post-test study with a control group. The statistical population included all female nurses working in Imam Reza Hospital (Mashhad, Iran) which had symptoms of burnout, . 30 nurses were selected by purposive sampling considering the inclusion criteria and then they were randomly divided into an experimental and a control group. Subjects of both groups responded to Multidimensional Fatigue Inventory (MFI, Smets et al) and Kessler Psychological Distress Scale before and after the intervention. The therapeutic intervention was provided to the experimental group twice a week for 10 sessions of 45 minutes.
Results:The results showed that there was a significant difference between the two groups after the combined treatment intervention in terms of psychological distress and mental fatigue in nurses with signs of job burnout.
Conclusion:It is suggested to use CBT-ACT in a continuous and regular manner in hospitals and universities in the form of training classes in order to reduce psychological distress and mental fatigue and job burnout.
Keywords:Psychological Distress, Psychological Fatigue, Combined Therapy (Cognitive-Behavioral (CBT) and Acceptance and Commitment (ACT), Job Burnout, Mental Distress, Nurses
References
1-Karami Ajdari P, Aeenparast A, Masoudi Asl I. Burnout among nurses in selected hospitals of Tehran University of Medical Sciences. Payesh. 2017;16(5):595-603.
2-Dall’Ora C, Ball J, Reinius M, Griffiths P. Burnout in nursing: a theoretical review. Human resources for health. 2020;18:1-17.
3-Vaziri S, Shaydayi A, Nobakht L & et al. Comparison of physical symptoms in people with low and high psychological distress Patients Disease. Thoughts and Behavior in Clinical Psychology. 2018;13(49):57-66.
4-Aghbolaghi N, Aghdasi A, Rostami H & et al. Examining the Effectiveness of Mindfulness Based Stress Reduction on Mental Fatigue, Perceived Stress, and Emotion Regulation in Nurses. Journal of Health and Care. 2023;24(4):368-79.
5-Ellrich K. Burnout and violent victimization in police officers: A dual process model. Policing: An International Journal of Police Strategies & Management. 2016;39(4):652-66.
6-Bakhshi E, Mazloumi A, Hoseini SM. Relationship between mental fatigue and mental workload among nurses. Zahedan Journal of Research in Medical Sciences. 2019;21(1).
7-Rahimi Z, Esmaily H, Taghipour A & et al. Evaluation of the prevalence of psychological distress and its related demographic factors in 18-65 year-old population of Khorasan Razavi: a cross-sectional study. Iranian Journal of Epidemiology. 2021;16(4):316-24. .
8-Zamani Froshani Z, Dokaneifard F, Niknam M. The efficacy of acceptance and commitment therapy on psychological distress and dysfunctional attitudes. Journal of Psychological Science. 2023;22(125):1017-32.
9-Issazadegan A, Tajik F, Lajevardi SA & et al. Model of psychological distress based on metacognitive beliefs of students with the mediating role of mind-wandering. Rooyesh-e-Ravanshenasi Journal (RRJ). 2023;11(12):97-106.
10-Babapoor J, zeianli S, Azimi F & et al. Efficacy of Cognitive Behavior Therapy on Quality of life, Anxiety and Fatigue of cancer section’s nurses: A Clinical Trail study. 2 Journal of Nursing Education. 2019;8(4):26-32.
11-Akbarian M, Mohammadi Shirmahleh F, Borjali A & et al. Effect of Acceptance and Commitment Therapy on Depression, Chronic Fatigue, and Pain Intensity in Patients with Fibromyalgia Syndrome: A Study with Expectancy Effect. Internal Medicine Today. 2021;28(1):70-85.
12-Kazemeini SE, Ranjbaripour T, NezhadMohammad Nameghi A & et al. The Comparision of the Effectiveness of Mindfulness-Based Cognitive Therapy with Acceptance and Commitment Therapy on Psychological Distress and Hope in Males with Heart Failure. Journal of Nursing Education. 2024;11(6):101-18.
13-Babaee z, Mansoobifar M, Sabet M & et al. Comparison of the effectiveness of cognitive-behavioral therapy and mindfulness treatment on distress tolerance and suicidal ideation in adolescents with suicidal thoughts. Journal of Clinical Psychology. 2022;13(4):41-52.
14-Chong VK, Monroe GS. The impact of the antecedents and consequences of job burnout on junior accountants' turnover intentions: a structural equation modelling approach. Accounting & Finance. 2015;55(1):105-32.
15-Wu H, Zhao Y, Wang J-N & et al. Factors associated with occupational stress among Chinese doctors: a cross-sectional survey. International archives of occupational and environmental health. 2010;83:155-64.
16-Shakernegad S, Moazen N, Hamidy M & et al. Effectiveness of Acceptance and Commitment Therapy on Psychological Distress, Marital Satisfaction and Quality of Life in Women with Multiple Sclerosis. Journal of Health and Care. 2017;19(1):7-
17-Siyahposh Monfred M PS, Azizi S. The effectiveness of treatment based on acceptance and commitment on emotional avoidance and dimensions of mental fatigue in women with multiple sclerosis. Iranian Islamic Studies of Family. 2022;2(1).
18-Soleimani S, Tajoddini E. Effectiveness of cognitive behavioral therapy based on fatigue on dimensions of mental fatigue in patients with multiple sclerosis: a case study. Journal of clinical psychology. 2016;8(2):13-21.
19-Carlson RV, van Ginneken N.H, Pettigrew L. M & et al. The three official Language Versions of the Declaration of Hetsinti: what lost in Ytracsfation. Journal Med Ethics 2017;33(9):545-8.
20-Hallis L, Dionne F, Knäuper B & et al. Integrating acceptance and commitment therapy (ACT) into traditional cognitive behavior therapy (CBT). ACBS Annual World Conference X, Washington, DC; 2012.
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Received: 2024/03/31 | Accepted: 2024/06/9 | Published: 2024/08/31
Received: 2024/03/31 | Accepted: 2024/06/9 | Published: 2024/08/31
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