Farzin Bagheri Sheykhangafshe, Maryam Saeedi, Vahid Savabi Niri, Mahdieh Deldari Alamdari, Golnaz Ghodrat, Ali Fathi-Ashtiani,
Volume 12, Issue 4 (1-2022)
Abstract
Aims and background: The coronavirus 2019 pandemic has caused psychological disorders in many people around the world, especially in vulnerable groups such as people with chronic diseases. In this regard, the present review study was conducted to investigate the anxiety, depression and stress of patients with rheumatoid arthritis and migraine during the COVID-19 pandemic.
Materials and methods: In this study, a systematic review of the keywords COVID-19, Arthritis, Migraine Depression, Stress, Anxiety, Mental Health, Pandemic in the titles and abstracts of articles published in Google Scholar, PubMed, Scopus and ScienceDirect databases in the period 2020 (From February) to 2021 (until July) searched. 408 English articles were retrieved in the electronic search. The abstracts of the published articles were reviewed and, in several stages, duplicate and unrelated items were removed from the study, and finally 22 final articles were selected for comprehensive review and data extraction. The PRISMA checklist was used to review and control the quality of articles.
Findings: Studies have shown a high prevalence of depression, anxiety, stress, poor sleep quality, recurrence and fear in people with rheumatoid arthritis and migraine during the COVID-19 epidemic. Factors such as female gender, age, rumination, marital status, income, education and disease severity were significantly associated with patientschr('39') psychological health. The results of the studies showed that receiving social support, having physical activity, job and proper lifestyle led to improving the quality of life and mental health of patients with rheumatoid arthritis and migraine during the COVID-19 pandemic.
Conclusion: Given that Coronavirus 2019 is still mutating and the psychosocial health of patients has been severely damaged. It is necessary to take measures such as tele-mentalhealth to improve the mental health of patients in order to prevent recurrence of the disease and progressive problems.
Vahid Sabri, Arezoo Ghasemkhanlo, Mohsen Madadloo,
Volume 13, Issue 1 (4-2022)
Abstract
Background and Aim: Pain is a multidimensional experience and is one of the symptoms of various physical and psychological problems. Some studies have shown that people with Covid-19 experience problems such as myalgia, headache, muscle aches, and anxiety after the acute phase of the disease. The aim of this study was to investigate the effect of progressive muscle relaxation on anxiety, pain intensity and interference in daily activities.
Methods: This study was a quasi-experimental study with a pretest-posttest design with a control group. Research community of patients with Covid-19 Khoy city who received positive PCR test. Among them, 96 patients with complaints such as muscle pain, headache, and low back pain with no history of pain experience were purposefully selected and randomly assigned to the experimental and control rounds. For the experimental group, progressive muscle relaxation exercises were taught in 12 sessions and patients were asked to practice 60 sessions of 20 minutes over 8 weeks. Data were collected using Beck pain intensity and anxiety questionnaires in pre-test and post-test. After data collection, multivariate analysis of covariance analysis was used in SPSS-26 software to control the effect of pretest.
Results: Levin test showed homogeneity of variances (significance level from 0.11 to 0.58); So analysis of covariance can be used. Analysis of scores of anxiety, pain intensity, interference in daily activities in both groups is a decreasing trend, and the difference in scores of anxiety, pain intensity, interference in daily activities between the experimental and control groups is significant at the level of P <0.01. The effect size for progressive muscle relaxation in reducing pain intensity experienced was 0.65, reducing pain interference in daily activities was 0.71 and for anxiety was 0.78, indicating the average effect size of muscle relaxation for all three components.
Conclusion: The findings of this study show that progressive muscle relaxation training can significantly and effectively reduce anxiety, pain intensity and interference in daily activities. Progressive muscle relaxation exercises with stimulation of the sympathetic nerves can reduce patients' anxiety and stress, and reducing stress in turn can reduce the experience of pain perception. Therefore, in addition to drug treatments to reduce anxiety and pain intensity, progressive muscle relaxation can be used.
