Fundamentals of Mental Health

Fundamentals of Mental Health

The effectiveness of group-based cognitive-behavioral stress management on somatic symptoms and satisfaction with therapy and therapist in obese females

Document Type : Research Paper

Authors
Khadijeh Babakhani 1
Shahram Vaziri 2
1 PhD. student in health psychology, Department of Psychology, Karaj Branch, Islamic Azad University, Karaj Iran
2 Associate professor, Department of Psychology, Roudehen Branch, Islamic Azad University, Roudehen, Iran
10.22038/jfmh.2021.18304
Abstract
Introduction: Today, obesity is one of the health problems and a risk factor in many diseases, such as diabetes, cardiovascular diseases, hypertension and various types of cancers. The purpose of this study was to investigate the effectiveness of group-based cognitive-behavioral stress management on somatic symptoms and satisfaction with therapy and therapist in obese females.  
Materials and Methods: The statistical population of this clinical trial consisted of women referring to health centers in Zanjan city, Iran in 2018. Three centers were chosen and 30 obese women were selected by the convenient sampling method. They were randomly divided into two groups of experimental and control (n=15). Before and after the intervention and also 3 months later, the subjects completed Somatic Symptoms and Client Satisfaction Questionnaires. The experimental group received cognitive-behavioral stress management based on Michael, Anthony, Ironson and Schneiderman protocol and no intervention was carried out on control group during this period. Data analyzed through variance analysis and SPSS-24.
Results: The results of variance analysis with repeated measures showed that F value of somatic symptoms is 12.02 of satisfaction with therapy and therapist is 36.02 which are significant at the level of 0.001. These findings showed that the experimental and control groups were significantly different considering research variables in the three stages of pre-test, post-test and follow-up.
Conclusion: According to the results, it seems that cognitive-behavioral stress management approach improves somatic symptoms and satisfaction with therapy and therapist in obese females.
Keywords
Cognitive-behavioral therapy
Obesity
Satisfaction
Stress
Somatic symptoms
  1. van den Akker K, Schyns G, Jansen A. Altered appetitive conditioning in overweight and obese women. Behav Res Ther 2017; 99: 78-88.
  2. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a World Health Organization Consultation. Geneva: WHO Obesity Technical Report Series; 2017.
  3. Godfrey KM, Juarascio A, Manasse S, Minassian A, Risbrough V, Afari N. Heart rate variability and emotion regulation among individuals with obesity and loss of control eating. Physiol Behav 2019; 199: 73-8.
  4. Hruby A, Manson JE, Qi L, Malik VS, Rimm EB, Sun Q, et al. Determinants and consequences of obesity. Am J Public Health 2016; 106(9): 1656-62.
  5. Busutil R, Espallardo O, Torres A, Martínez-Galdeano L, Zozaya N, Hidalgo-Vega Á. The impact of obesity on health-related quality of life in Spain. Health Qual Life Outcome 2017; 15(1): 197. 
  6. Schrepf A, Harte SE, Miller N, Fowler C, Nay C, Williams DA, et al. Improvement in the spatial distribution of pain, somatic symptoms, and depression after a weight loss intervention. J Pain 2017; 18(12): 1542-50. 
  7. Lal S, Malla A. Service engagement in first-episode psychosis: current issues and future directions. Can J Psychiatry 2015; 60(8): 341-5. 
  8. Knuuttila V, Kuusisto k, Saarnio P, NummiT. Early working alliance in outpatient substance abuse treatment: Predicting substance use frequency and client satisfaction. Clin Psychol 2012; 16(3): 123-35.
  9. Fortin M, Bamvita JM, Fleury MJ. Patient satisfaction with mental health services based on Andersen's behavioral model. Can J Psychiatry 2018; 63(2): 103-14.
  10. Lin FH, Tsai SB, Lee YC, Hsiao CF, Zhou J, Wang J, et al. Empirical research on Kano's model and customer satisfaction. PLoS One 2017; 12(9): e0183888.
  11. Tryon GS. Goals and psychotherapy research. In: Cooper M, Law D. (editors). Working with goals in psychotherapy and counseling. Oxford: Oxford University Press; 2018: 87-109.
  12. Geller J, Iyar M, Srikameswaran S, Zelichowska J, Dunn EC. Social support satisfaction in adults with eating disorders: Does stance matter? Int J Eat Disord 2017; 50(7): 842-46.
  13. Kwakkenbos L, Willems LM, van den Hoogen FH, van Lankveld WG, Beenackers H, van Helmond TF, et al. Cognitive-behavioural therapy targeting fear of progression in an interdisciplinary care program: a case study in systemic sclerosis. J Clin Psychol Med Settings 2014; 21(4): 297-312.
  14. Petroni ML, Caletti MT, Calugi S, Dalle Grave R, Marchesini G. Long-term treatment of severe obesity: are lifestyle interventions still an option? Expert Rev Endocrinol Metab 2017; 12(6): 391-400.
  15. Poorgholami F, Rahmanian Koshkaki A, Kargar Jahromi M, Parniyan R. A study of the influence of group-based learning of stress management on psychology symptoms levels of hemodialysis patients. Glob J Health Sci 2016; 8(11): 62-8.
  16. Riley KE, Park CL, Wilson A, Sabo A, Antoni MH, Braun TD, et al. Improving physical and mental health in frontline mental health care providers: Yoga-based stress management versus cognitive behavioral stress management. J Workplace Behav Health 2017; 32(1): 26-48.
  17. Kazantzis N, Luong HK, Usatoff AS, Impala T, Yew RY, Hofmann SG. The processes of cognitive behavioral therapy: A review of meta-analyses. Cognit Ther Res 2018; 42(4): 349-57.
  18. Antoni MH. Stress management intervention for women with breast cancer. Washington. D.C.: American Psychological Association; 2017.
  19. Kroenke K, Spitzer RL, Williams JB. The PHQ-15: validity of a new measure for evaluating the severity of somatic symptoms. Psychosom Med 2002; 64(2): 258-66. 
  20. Kroenke K, Spitzer RL, Williams JB, Löwe B. The patient health questionnaire somatic, anxiety, and depressive symptom scales: a systematic review. Gen Hosp Psychiatry 2010; 32(4): 345-59.
  21. Abdolmohammadi K, Ghadiri Sourman Abadi F, Sadat Seyed Pourmand N, Falsafinejad MR. The validation of somatization inventory in the students of Tabriz universities (Iran). Journal of Qom University of Medical Sciences 2018; 11(12): 61-67.
  22. Attkisson CC, Greenfield T. The client satisfaction questionnaire (CSQ) scales. Outcome assessment in clinical practice. Baltimore, MD: Williams and Wilkins; 1995: 2-10.
  23. Sanaei B, Hooman A, Alaghmand S. [Family and marriage measurement scales]. Tehran: Besat ; 2008. (Persian)
  24. Shirotsuki K, Nonaka Y, Takano J, Abe K, Adachi SI, Adachi S, et al. Brief internet-based cognitive behavior therapy program with a supplement drink improved anxiety and somatic symptoms in Japanese workers. Biopsychosoc Med 2017; 11(1): 1-7.
  25. Sockalingam S, Cassin SE, Wnuk S, Du C, Jackson T, Hawa R, et al. A Pilot study on telephone cognitive behavioral therapy for patients, six-months post-bariatric surgery. Obes Surg 2017; 27(3): 670-5.
  26. Blumenthal JA, Sherwood A, Smith PJ, Watkins L, Mabe S, Kraus WE, et al. Enhancing cardiac rehabilitation with stress management training: a randomized, clinical efficacy trial. Circulation 2016; 133(14): 1341-50.
  27. Ogata K, Koyama KI, Amitani M, Amitani H, Asakawa A, Inui A. The effectiveness of cognitive behavioral therapy with mindfulness and an internet intervention for obesity: a case series. Front Nutr 2018; 5: 56.
  28. Berkowitz B. The patient experience and patient satisfaction: measurement of a complex dynamic. Online J Issues Nurs 2016; 21(1): 1. 
  29. Diegmann P, Basten D, Pankratz O. Influence of communication on client satisfaction in information system projects: a quantitative field study. Project management journal 2017; 48(1): 81-99.



 

Fundamentals of Mental Health
Volume 23, Issue 2
March and April 2021
Pages 131-139