Volume 10, Issue 2 (Spring 2021)                   JOHE 2021, 10(2): 86-92 | Back to browse issues page

XML Print


Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:

Tavakkoli R, Nazer M, Zeinaddiny Meymand Z. Effects of Stress Inoculation Training on General Health and Occupational Adjustment Strategies in Patients with Multiple Sclerosis. JOHE. 2021; 10 (2) :86-92
URL: http://johe.rums.ac.ir/article-1-429-en.html
1- MSc in Psychology, Sirjan Branch, Islamic Azad University, Sirjan, Iran.
2- Assistant Prof, Dept. of Psychiatry, Rafsanjan University of Medical Sciences, Rafsanjan, Iran. , nazerm47@gmail.com
3- Assistant Prof, Dept. of Psychology and Educational Sciences, Kerman Branch, Islamic Azad University, Kerman, Iran.
Abstract:   (105 Views)

Background: Due to its chronic and debilitating nature, multiple sclerosis (MS) affects various psychological dimensions of patients’ life, thereby disturbing their adjustment to their situation and the environment. This study aimed to investigate effects of stress inoculation training (SIT) on general health and occupational adjustment strategies in MS patients.
Materials & Methods: In this educational trial, 40 people were selected by random sampling from all MS patients who referred to a special clinic in Rafsanjan (Kerman, Iran, 2018) and randomly assigned to intervention and control groups. Dimensions of general health and adjustment strategies were evaluated before and after SIT by the General Health Questionnaire (GHQ) and Bell Adjustment Inventory. The intervention group received SIT treatment weekly for seven sessions. Besides, data were analyzed using analysis of covariance.
Results: The participants' mean age was 34.92 ± 7.32 years. Regarding general health dimensions, the results showed that the mean scores of physical health (11.40 ± 30.8), anxiety (6.10 ± 1.94), social health (6.70 ± 1.56), and depression (5.80 ± 1.32) did not change significantly after SIT (p > 0.05). Concerning adjustment strategies, SIT was effective in improving occupational (13.6 ± 1.35) and emotional strategies (13.2±2.74) with p = 0.038 and p = 0.021, respectively.
Conclusion: According to the results, SIT was effective in improving occupational and emotional adjustment, yet it was not effective in improving the dimensions of public health. Moreover, it seems in order to improve general health in MS patients, various variables are essential along with stress control.

Full-Text [PDF 322 kb]   (23 Downloads)    
Type of Study: Original Article | Subject: Occupational Health
Received: 2021/05/9 | Accepted: 2021/06/21 | ePublished: 2021/10/30

References
1. Dilokthornsakul P, Valuck RJ, Nair KV, Corboy JR, Allen RR, Campbell JD. Multiple sclerosis prevalence in the United States commercially insured population. Neurology 2016; 86(11):1014-21. [DOI] [PMID] [PMCID]
2. Pakdel M, Hedstrom A, Marufi N, Hooshmand E, Mohammadi AA, Marashi R, et al. Dramatic changes in multiple sclerosis prevalence in Iran: A descriptive study in ten regions of Iran. International Archives of Health Sciences 2020; 7(4):182-6. [DOI]
3. Etemadifar M, Sajjadi S, Nasr Z, Firoozeei TS, Abtahi SH, Akbari M, et al. Epidemiology of multiple sclerosis in Iran: a systematic review. Eur Neurol 2013; 70(5-6):356-63. [DOI] [PMID]
4. Dorans KS, Massa J, Chitnis T, Ascherio A, Munger KL. Physical activity and the incidence of multiple sclerosis. Neurology 2016; 87(17):1770-6. [DOI] [PMID] [PMCID]
5. Aminoff M, Greenberg D, Simon R. Clinical Neurology 9/E. 9th ed. New York, United States: McGraw-Hill Education / Medical; 2015.
6. Harand C, Defer G. Psychological interventions in multiple sclerosis: Improving cognition and quality of life. Ann Phys Rehabil Med 2020; 63(2):148-53. [DOI]
7. Ahmadi MA. The Effectiveness of Stress Immunization Training on Students' Expression and Social Adjustment. [MSc thesis]. Ardabil: University of Mohaghegh Ardabili; 2018.
8. Briones-Buixassa L, Milà R, Mª Aragonès J, Bufill E, Olaya B, Arrufat FX. Stress and multiple sclerosis: A systematic review considering potential moderating and mediating factors and methods of assessing stress. Health Psychol Open 2015; 2(2):2055102915612271-. [DOI] [PMID] [PMCID]
9. Ghafari Someeh H. The Effectiveness of Stress Immunization Training on Adaptation and Quality of Life of Mothers of Educable Mentally Retarded Children [MSc thesis]. Tehran: Islamic Azad University, Central Tehran Branch; 2016.
10. Ghamari Givi H, Mohebbi Z, Maleki K. The effectiveness of stress inoculation training and drug therapy on blood pressure and quality of life in woman suffering from hypertension. International Journal of Behavioral Sciences 2015; 8(4):405-11. [Article]
11. Ghasemi M, Ghobadzadeh S. The Effectiveness of Stress Immunization Training Method on Mental Health of Multiple Sclerosis Patients. Paper presented at: The 2nd National Conference on Sustainable Development in Educational Sciences and Psychology, Social and Cultural Studies; 2015 May 26; Tehran, Iran.
12. Meichenbaum DH, Deffenbacher JL. Stress Inoculation Training. The Counseling Psychologist 1988; 16(1):69-90. [DOI]
13. Kashani F, Kashani P, Moghimian M, Shakour M. Effect of stress inoculation training on the levels of stress, anxiety, and depression in cancer patients. Iran J Nurs Midwifery Res 2015; 20(3):359-64. [PMID] [PMCID]
14. Abedini E, Ghanbari-Hashem-Abadi BA, Talebian-Sharif J. Effectiveness of Group Therapy Based on Hope Approach on Hope and Depression in Women with Multiple Sclerosis. Journal of Clinical Psychology 2016; 8(2):1-11. [DOI]
15. Karimi S, Andayeshgar B, Khatony A. Prevalence of anxiety, depression, and stress in patients with multiple sclerosis in Kermanshah-Iran: a cross-sectional study. BMC Psychiatry 2020; 20(1):166. [DOI] [PMID] [PMCID]
16. Hashemi Fesharaki M, Shahgholian N, Kashani F. Effect of stress inoculation training on the levels of stress, anxiety, and depression in hemodialysis patients. Nursing and Midwifery Journal 2016; 14(1):88-99. [Article]
17. Goldberg DP, Hillier VF. A scaled version of the General Health Questionnaire. Psychol Med 1979; 9(1):139-45. [DOI] [PMID]
18. Tabatabaei S, Rasouli Z. The Reliability and Validity of Persian Version of the General Health Questionnaire (GHQ-60) in Industry Staff. Iran Occupational Health Journal 2018; 15(3):45-54. [Article]
19. Hjelle EG, Bragstad LK, Zucknick M, Kirkevold M, Thommessen B, Sveen U. The General Health Questionnaire-28 (GHQ-28) as an outcome measurement in a randomized controlled trial in a Norwegian stroke population. BMC Psychol 2019; 7(1):18. [DOI] [PMID] [PMCID]
20. Dwivedi SK, Kumar V. A Study on Adjustment Level of Siblings of Individual with Down Syndrome. IOSR Journal Of Humanities And Social Science 2017; 22(8):56-62. [Article]
21. Ahmadi Tahour Soltani M, Asgari M, Daneshvar Z. The effect of inoculation training against stress on adjustment of the war veterans. J Milit Psychol 2014; 5(19):29-39.
22. Golrokh Clozi Z. The Effectiveness of Stress Management Group Training Against Anxiety on General Health of Pre-university Girl Students. J Educ Stud 2016; 2(5):95-108. [Article]
23. Mazlom RS, Darban F, Kashani Lotfabadi M. The Effect of Stress Inoculation Program on the Quality of Life of Nurses Working in Psychiatric Wards. Iran Journal of Nursing 2012; 25(76):42-54. [Article]
24. Agland S, Lydon A, Shaw S, Lea R, Mortimer-Jones S, Lechner-Scott J. Can a stress management programme reduce stress and improve quality of life in people diagnosed with multiple sclerosis? Mult Scler J Exp Transl Clin 2018; 4(4):2055217318813179. [DOI] [PMID] [PMCID]
25. Tavakolizadeh J, Mohammadi Z, Safarzade S. Effect of stress inoculation training on coping styles and psychological well-being status of mothers with mental retard children. Journal of Research and Health 2017; 7(5):1055-64. [Article]
26. Amiri M, Aghyee A, Abedi A, Safari Y. The effect of stress inoculation training on depressive symptoms diabetes. Quarterly Journal of Health Psychology 2014; 3(9):15-30. [Article]
27. Piri-Kamrani M, Dehghan F, Bashiri H. The Effectiveness of Stress Management Skills Training on Perceived Stress and Resiliency of Women with Multiple Sclerosis. Journal of Health and Care 2016; 17(4):319-28.
28. Navidian A, Navaee M, Kaykha H. Effectiveness of stress inoculation training on occupational stress of midwives in healthcare centers of Zahedan in Health Transformation Plan in 2017. J Educ Health Promot 2019; 8(1):66-. [Article] [DOI]
29. Mehraban S, Bahmani B, Azimian M, Soltani PR. The Effectiveness of Cognitive-Behavioral-Based Stress Management Training on Anxiety in Female MS Patients. Iranian Rehabilitation Journal 2015; 13(3):48-52. [Article]
30. Sokol L, Fox M. The Comprehensive Clinician's Guide to Cognitive Behavioral Therapy. USA: PESI Publishing & Media; 2019.
31. Vazirinejad R, Jafarzadeh A, Yassini SM, Rahimdel A, Sayadi AR. Effectiveness of psychological training combined ‎with gradual muscular stress relaxation technique on quality of life of patients with multiple sclerosis. Journal of Occupational Health and Epidemiology 2016; 5(1):45-52. [DOI]
32. Sanderson WC, Arunagiri V, Funk AP, Ginsburg KL, Krychiw JK, Limowski AR, et al. The Nature and Treatment of Pandemic-Related Psychological Distress. J Contemp Psychother 2020; 1-13. [DOI] [PMID] [PMCID]
33. Sadock BJ, Sadock VA, Ruiz P. Kaplan and Sadock's Synopsis of Psychiatry: Behavioral Science/Clinical Psychiatry. 11th ed. New York, United States: Lippincott Willa and Wilkins; 2014.
34. Jackson S, Baity MR, Bobb K, Swick D, Giorgio J. Stress inoculation training outcomes among veterans with PTSD and TBI. Psychol Trauma 2019; 11(8):842-50. [DOI] [PMID]
35. Serrano Pintado I, Delgado Sánchez-Mateos J, Escolar-Llamazares MC. A Stress Inoculation Program to Cope with Test Anxiety: Differential Efficacy as a Function of Worry or Emotionality. Advances in Latin American Psychology 2016; 34(1):3-18. [Article] [DOI]
36. Saadat S, Kalantari M, Kajbaf MB, Hosseininezhad M. Comparison of Psychological Symptoms in Multiple Sclerosis Patients and Normal People. Razi Journal of Medical Sciences 2019; 26(6):73-83. [Article]

Add your comments about this article : Your username or Email:
CAPTCHA

Send email to the article author


Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

© 2021 CC BY-NC 4.0 | Journal of Occupational Health and Epidemiology

Designed & Developed by : Yektaweb