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Volume 13, Issue 4 (1-2024)
cmja 2024, 13(4): 54-64 |
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Ganjoori M, Golshani F, Baghdasarians A, Vahed E. Comparing the Effectiveness of Ayurveda, Cognitive-Behavioral Therapy and Combining These Two Treatments with Each Other on Anxiety in Depressed Women. cmja 2024; 13 (4) :54-64
URL: http://cmja.arakmu.ac.ir/article-1-949-en.html
URL: http://cmja.arakmu.ac.ir/article-1-949-en.html
1- PhD Student in General Psychology, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
2- Assistant Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran ,fa_golshan@yahoo.com
3- Assistant Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
4- Assistant Professor, Department of Psychology, North of Tehran Branch, Islamic Azad University, Tehran, Iran
2- Assistant Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran ,
3- Assistant Professor, Department of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran
4- Assistant Professor, Department of Psychology, North of Tehran Branch, Islamic Azad University, Tehran, Iran
Abstract: (1012 Views)
Introduction: Depression is one of the most common psychiatric disorders a high percentage of patients with depression (two-thirds of them) have prominent anxiety symptoms. Hence, the existence of a natural, simple, accessible, and affordable treatment method is required by every person suffering from depression. The purpose of the study is to compare the effectiveness of Ayurveda knowledge as a complementary medicine approved by the World Health Organization (WHO), with cognitive-behavioral therapy (CBT) and the combination of the two, on reducing anxiety in depressed women.
Methods: The research was a semi-experimental pre-test-post-test type with a control group. The statistical population includes 40 women aged 45-25 who were diagnosed with moderate depression by a psychiatrist and took the Beck depression test. They volunteered to participate in this research by filling and signing the informed consent form. Participants were placed in four groups of 10 people with a simple random allocation method, underwent cognitive-behavioral therapy, Ayurveda and combination of the two for 10 weeks based on the protocols. Data collection tools were Beck depression inventory (BDI-II) (1996) & Spielberger State-Trait Anxiety Inventory (STAI) (1983). The data were analyzed using two-way ANOVA with repeated measures.
Results: The intergroup effect test was significant in state anxiety (P=0.003) and trait anxiety (P<0.001). The partial ETA value indicated that approximately 31% of the variation in state anxiety and 46% in trait anxiety could be explained by the treatment groups. The results of comparing the averages between the groups with Tukey's test showed that there was a significant difference in trait anxiety between cognitive-behavioral therapy and Ayurvedic therapy as well as combined therapy (1.53 ± 7.4) (P<0.001). ), also there was a significant difference in state anxiety between cognitive-behavioral therapy and Ayurvedic treatment 1.88 ± 5.43 and between cognitive-behavioral therapy and combined therapy 1.88 ± 7.133 (p=0.003). There was no significant difference between the experimental group of Ayurveda and combined treatment. (P = 1.00)
Conclusions: According to the obtained results, the combination of cognitive behavioral therapy and Ayurveda can have a better and more stable effect in reducing the anxiety of depressed women.
Methods: The research was a semi-experimental pre-test-post-test type with a control group. The statistical population includes 40 women aged 45-25 who were diagnosed with moderate depression by a psychiatrist and took the Beck depression test. They volunteered to participate in this research by filling and signing the informed consent form. Participants were placed in four groups of 10 people with a simple random allocation method, underwent cognitive-behavioral therapy, Ayurveda and combination of the two for 10 weeks based on the protocols. Data collection tools were Beck depression inventory (BDI-II) (1996) & Spielberger State-Trait Anxiety Inventory (STAI) (1983). The data were analyzed using two-way ANOVA with repeated measures.
Results: The intergroup effect test was significant in state anxiety (P=0.003) and trait anxiety (P<0.001). The partial ETA value indicated that approximately 31% of the variation in state anxiety and 46% in trait anxiety could be explained by the treatment groups. The results of comparing the averages between the groups with Tukey's test showed that there was a significant difference in trait anxiety between cognitive-behavioral therapy and Ayurvedic therapy as well as combined therapy (1.53 ± 7.4) (P<0.001). ), also there was a significant difference in state anxiety between cognitive-behavioral therapy and Ayurvedic treatment 1.88 ± 5.43 and between cognitive-behavioral therapy and combined therapy 1.88 ± 7.133 (p=0.003). There was no significant difference between the experimental group of Ayurveda and combined treatment. (P = 1.00)
Conclusions: According to the obtained results, the combination of cognitive behavioral therapy and Ayurveda can have a better and more stable effect in reducing the anxiety of depressed women.
Type of Study: Research |
Subject:
Traditional medicine
References
1. Sadock BJ, Sadock VA, Ruiz P. Synopsis of psychiatry: behavioral sciences, clinical psychiatry: Arjamand Publications;2022.
2. WHO. Division of mental health & prevention of subtance abuse, programme on mental health.2013.
3. Prisnie JC, Sajobi TT, Wang M, Patten SB, Fiest KM, Bulloch AGM, et al. Effects of depression and anxiety on quality of life in five common neurological disorders. General hospital psychiatry. 2018;52:58-63. [DOI:10.1016/j.genhosppsych.2018.03.009] [PMID]
4. Muramatsu K, Miyaoka H, Kamijima K, Muramatsu Y, Fuse K, Yoshimine F. Prevalence and comorbi dity of anxiety and depressive disorders in studies of PRIME-MD and PHQ (Patient Health Questionnaire) in Japan. Anxiet Disorder Achieve. 2021:93. [DOI:10.5772/intechopen.97218]
5. American Psychiatric Association. Diagnostic and statistical manual of mental disorders. Rezaei F, Fakhraei A, Fermand A, Nilufri Ali, Jeanette Hashemi A, Shamlou F (Persian translator).5th edition. Arajmand Publications;2021.
6. Gorka SM, Young CB, Klumpp H, Kennedy AE, Francis J, Ajilore O, et al. Emotion-based brain mechanisms and predictors for SSRI and CBT treatment of anxiety and depression: a randomized trial. Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology. 2019;44(9):1639-48. [DOI:10.1038/s41386-019-0407-7] [PMID] []
7. Ali S, Rhodes L, Moreea O, McMillan D, Gilbody S, Leach C, et al. How durable is the effect of low intensity CBT for depression and anxiety? Remission and relapse in a longitudinal cohort study. Behaviour research and therapy. 2017;94:1-8. [DOI:10.1016/j.brat.2017.04.006] [PMID]
8. Mishra LC. Scientific basis for Ayurvedic therapies: CRC press;2004. [DOI:10.1201/9780203498583]
9. Ghodke Y, Joshi K, Patwardhan B. Traditional Medicine to Modern Pharmacogenomics: Ayurveda Prakriti Type and CYP2C19 Gene Polymorphism Associated with the Metabolic Variability. Evidence-based complementary and alternative medicine : eCAM. 2011;2011:249528. [DOI:10.1093/ecam/nep206] [PMID] []
10. Chatterjee B, Pancholi J. Prakriti-based medicine: A step towards personalized medicine. Ayu. 2011;32(2):141-6. [DOI:10.4103/0974-8520.92539] [PMID] []
11. Ell C, Heidel RE, Sunega J, Drisko J. Ancient Wisdom: Can Ayurvedic Prakruti Provide Invaluable Insights into Integrative Medicine? Ayu J Health. 2017;15(3):27-34.
12. Mills PJ, Peterson CT, Wilson KL, Pung MA, Patel S, Weiss L, et al. Relationships among classifications of ayurvedic medicine diagnostics for imbalances and western measures of psychological states: An exploratory study. Journal of Ayurveda and integrative medicine. 2019;10(3):198-202. [DOI:10.1016/j.jaim.2018.02.001] [PMID] []
13. Cardona Sanclemente LE. Ayurveda for Depression An Integrative Approach to Restoring Balance and Reclaiming Your Health. Berkeley, California: North Atlantic Books;2020.
14. Delavar A. Educational and psychological Research. Tehran, publishing house.2009.
15. Wilson CR, Voorhis V, Morgan BL. Understanding Power and Rules of Thumb for Determining Sample Sizes. Tutorial Quantitative Method Psychol. 2007;3(2):43‐50. [DOI:10.20982/tqmp.03.2.p043]
16. VanVoorhis CW, Morgan BL. Understanding power and rules of thumb for determining sample sizes. Tutorial Quantitative Method Psychol. 2007;3(2):43-50. [DOI:10.20982/tqmp.03.2.p043]
17. Frawley D. Ayurveda and the Mind: The Healing of Consciousness: Lotus Press (WI);1997.
18. Beck AT, Steer RA, Brown G. Beck Depression Inventory-II (BDI-II) [Database record]. APA PsycTests.1996. [DOI:10.1037/t00742-000]
19. Rajabi G, Karjuksmai S. Psychometric properties of a Persian language ver-sion of the beck depression inventory second edition (BDI-II). Educat Measure Quarter. 2011;3(10):139-57.
20. Zsido AN, Teleki SA, Csokasi K, Rozsa S, Bandi SA. Development of the short version of the spielberger state-trait anxiety inventory. Psychiatry research. 2020;291:113223. [DOI:10.1016/j.psychres.2020.113223] [PMID]
21. Spielberger CD, Gorsuch RL. State- trait anxiety inventory for adults.
22. Mehram B. Normization of Spielberger anxiety test in Mashhad city. Master's thesis, Ministry of Science, Research and Technology, Allameh Tabatabai University1373.
23. Gholami Booreng F, Mahram B, Kareshki H. Construction and Validation of a Scale of Research Anxiety for Students. IJPCP. 2017;23(1):78-93. [DOI:10.18869/nirp.ijpcp.23.1.78]
24. Null G, Pennesi L. Diet and lifestyle intervention on chronic moderate to severe depression and anxiety and other chronic conditions. Complementary therapies in clinical practice. 2017;29:189-93. [DOI:10.1016/j.ctcp.2017.09.007] [PMID]
25. Kolarević M. Depression between biomedicine and Ayurvedic medicine: a case of patient experiences in Slovenia (Doctoral dissertation, Univerza v Novi Gorici, Fakulteta za podiplomski študij.
26. Shahriari H, Zare H, Aliakbari MGD, Sarami Foroushani R. Effectiveness of Cognitive-Behavioral Interventions in the Treatment of Generalized Anxiety Disorder: A Systematic Review and Meta-analysis. J Rafsanjan Univ Med Sci Health Serv. 2018.
27. Beck AT, Freeman A, Davis DD. Cognitive therapy of personality disorders (2nd ed.). Guilford Press.2004.
28. Rao PR. A multiple case study of practitioners and patients in the ayurvedic treatment of anxiety disorder (Doctoral dissertation, Saybrook University).
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