Volume 20, Issue 1 (April 2022)                   Nursing and Midwifery Journal 2022, 20(1): 17-30 | Back to browse issues page


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Alizadeh S, Taklavi S, Mahmoud Alilou M. THE EFFECTIVENESS OF EXISTENTIAL THERAPY ON INTOLERANCE OF UNCERTAINTY, ACCEPTING DEATH, AND FEELING EMPTY IN RECOVERED COVID-19 PATIENTS IN URMIA CITY. Nursing and Midwifery Journal 2022; 20 (1) :17-30
URL: http://unmf.umsu.ac.ir/article-1-4557-en.html
1- Ph.D Student of General Psychology, Department of Psychology, Ardabil Branch, Islamic Azad University, Ardabil, Iran
2- Assistant Professor, Department of Psychology, Ardabil Branch, Islamic Azad University, Ardabil, Iran (Corresponding Author) , s.taklavi@iauardabil.ac.ir
3- Professor, Department of Psychology, University of Tabriz, Tabriz, Iran
Abstract:   (2187 Views)
Background & Aims: COVID-19 is an epidemiological crisis that as a psychological disturbance has caused damages, ranging from a sense of personal security to social relationships and financial security. The aim of this study was to determine the effectiveness of Existential Therapy on intolerance of uncertainty, accepting death, and feeling empty in recovered COVID-19 patients. Materials & Methods: The research was a quasi-experimental design with pre-test and post-test and control groups. The statistical population in this study included all recovered COVID-19 patients in 2020 in Urmia, Iran. A sample of 30 subjects was selected by convenience sampling method and placed in two groups (N = 15 each). The experimental group received ten sessions of online existential therapy whereas the control group received no intervention. For the collection of data, the intolerance of uncertainty scale (Freestone, 1994) and the life attitude questionnaire (Ray Kerr, 1992) were used. The collected data were analyzed using the analysis of covariance. Results: The mean scores of intolerance of uncertainty, accepting death, and feeling empty in the pre-intervention stage were 75.47±5.15, 3.27±2.12 and 18.93±3.90 in the control group, respectively, and 73.13±5.41, 3.13±1.68 and 18.73±2.31 in the experimental group, respectively. After the intervention, the mean scores of intolerance of uncertainty, accepting death, and feeling empty were 74.73±6.91, 4.47±2.36 and 18.07±3.94 in the control group, respectively, and 54.93±5.55, 9.47±2.36 and 10.82±2.93 in the experimental group, respectively. The mean of intolerance of uncertainty and feeling empty after the intervention of existential therapy compared to before the intervention in the experimental group in comparison with the control group has decreased significantly (p
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References
1. Zhu H, Wei L, Niu P. The novel coronavirus outbreak in Wuhan, China. Glob Health Res Policy 2020;5:6. [DOI:10.1186/s41256-020-00135-6] [PMID] [PMCID]
2. Zhu N, Zhang D, Wang W, Li X, Yang B, Song J, et al. A novel coronavirus from patients with pneumonia in China 2019. N Engl J Med 2020;15: 1-6. [DOI:10.1056/NEJMoa2001017] [PMID] [PMCID]
3. Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet 2020; 395(10223): 507-13. [DOI:10.1016/S0140-6736(20)30211-7] [PMID]
4. Kaur A, Michalopoulos C, Carpe S, Congrete S, Shahzad H, Reardon J, et al. Post-COVID-19 Condition and Health Status. COVID 2022; 2(1):76-86. [DOI:10.3390/covid2010006]
5. Dong L, Bouey J. Public Mental Health Crisis during COVID-19 Pandemic, China. Emerg Infect Dis 2020; 26(7):1616-18. https://doi.org/10.3201/eid2607.200407 [DOI:10.3201/eid2607.202407] [PMID] [PMCID]
6. Li S, Wang Y, Xue J, Zhao N, ZhuT. The impact of COVID-19 epidemic declaration on psychological consequences: a study on active Weibo users. Int J Environ Res 2020;17(6):2032. [DOI:10.3390/ijerph17062032] [PMID] [PMCID]
7. Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. Factors Associated With Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Netw Open 2020; 2-3(3): e203976. [DOI:10.1001/jamanetworkopen.2020.3976] [PMID] [PMCID]
8. Rajapakse N, Dixit D. Human and novel coronavirus infections in children: a review. Paediatr Int Child Health 2020; 324: 1- 20. [DOI:10.1080/20469047.2020.1781356] [PMID]
9. Liu S, Yang L, Zhang C, Xiang YT, Liu Z, Hu S, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry 2020; 7(4):8-17 [DOI:10.1016/S2215-0366(20)30077-8] [PMID]
10. Liu D, Baumeister R F, Veilleux JC, Chen C, Liu W, Yue Y, et al. Risk factors associated with mental illness in hospital discharged patients infected with COVID-19 in Wuhan, China. Psychiatry Res 2020; 292: 113297. [DOI:10.1016/j.psychres.2020.113297] [PMID] [PMCID]
11. Holmes EA, O'Connor RC, Perry VH, Tracey I, Wessely S, Arseneaul L, et al. Multidisciplinary research priorities for the COVID-19 pandemic: A call for action for mental health science. Lancet Psychiatry 2010;7: 547-60. [DOI:10.1016/S2215-0366(20)30168-1] [PMID]
12. Rettie H, Daniels J. Coping and tolerance of uncertainty: Predictors and mediators of mental health during the COVID-19 pandemic. Am Psychol 2021; 76(3): 427-37. [DOI:10.1037/amp0000710] [PMID]
13. Voitsidis P, Nikopoulou VA, Holeva V, Parlapani E, Sereslis K, Tsipropoulou V, et al. The mediating role of fear of COVID-19 in the relationship between intolerance of uncertainty and depression. Psychol Psychother 2021;94(3): 884-93. [DOI:10.1111/papt.12315] [PMID] [PMCID]
14. Freeston MH, Rhéaume J, Letarte H, Dugas MJ, Ladouceur R. Why do people worry? Personal Individ Differ 1994; (17): 791-802. [DOI:10.1016/0191-8869(94)90048-5]
15. Zhuo L, Wu Q, Le H, Li H, Zheng L, Ma G, et al. COVID-19-Related Intolerance of Uncertainty and Mental Health among Back-To-School Students in Wuhan: The Moderation Effect of Social Support. Int J Environ Res Public Health 2021; 18: 81. [DOI:10.3390/ijerph18030981] [PMID] [PMCID]
16. Carleton RN. Into the unknown: A review and synthesis of contemporary models involving uncertainty. J Anxiety Disord 2016; 39: 30-43. [DOI:10.1016/j.janxdis.2016.02.007] [PMID]
17. Parlapani E, Holeva V, Nikopoulou VA, Sereslis K, Athanasiadou M, Godosidis A, et al. Intolerance of Uncertainty and Loneliness in Older Adults During the COVID-19 Pandemic. Front Psychiatry 2020; 11:842. [DOI:10.3389/fpsyt.2020.00842] [PMID] [PMCID]
18. Hromova HM. Interrelation between intolerance of uncertainty and the time perspective profile in the military. Curr Issues Pers Psychol 2022; 2021:111984. [DOI:10.5114/cipp.2021.111984]
19. Cai RY, Uljarevic M, Leekam SR. Predicting Mental Health and Psychological Wellbeing in Mothers of Children with Autism Spectrum Disorder: Roles of Intolerance of Uncertainty and Coping. Autism Res 2020; 13 (10): 1797-1801. [DOI:10.1002/aur.2341] [PMID]
20. Angehrn A, Krakauer RL, Carleton RN. The Impact of Intolerance of Uncertainty and Anxiety Sensitivity on Mental Health Among Public Safety Personnel: When the Uncertain is Unavoidable. Cognit Ther Res 2020; 44: 919-30. [DOI:10.1007/s10608-020-10107-2] [PMID] [PMCID]
21. Hill EM, Hamm A. Intolerance of uncertainty, social support, and loneliness in relation to anxiety and depressive symptoms among women diagnosed with ovarian cancer. Psychooncology 2019; 28, 553-60. [DOI:10.1002/pon.4975] [PMID]
22. Sevil Degirmenci S, Kosger F, Altinoz AE, Essizoglu A, Aksaray G. The relationship between separation anxiety and intolerance of uncertainty in pregnant women. J Matern Fetal Neonatal Med 2020; 33:2927-32. [DOI:10.1080/14767058.2018.1564030] [PMID]
23. Tan HJ, Marks LS, Hoyt MA, Kwan L, Filson CP, Macairan M, et al. The Relationship between Intolerance of Uncertainty and Anxiety in Men on Active Surveillance for Prostate Cancer. J Urol 2016; 195: 1724-30. [DOI:10.1016/j.juro.2016.01.108] [PMID] [PMCID]
24. Gvozden TV, Baucal A, Krstic K, Filipovic' S. Intolerance of Uncertainty and Tendency to Worry as Mediators Between Trust in Institutions and Social Support and Fear of Coronavirus and Consequences of the Pandemic. Front Psychol 2021; 12:737188. [DOI:10.3389/fpsyg.2021.737188] [PMID] [PMCID]
25. Cardoso MFPT, Martins MMFPS, RibeiroOMPL, Trindade LL, Fonseca EF. Nurses' attitudes to death: changes with the COVID-19 pandemic. Rev Eletr Enferm 2021; 23:66598. [Google Scholar]
26. Kolahdozan SA, Kajbaf MB, Arizi HR, Abedi MR, Mokarian F. Compilation and study of the effect of "Death Anxiety" educational package based on the teachings of the Abrahamic religions with emphasis on Islamic education on mental health and avoiding the death of cancer patients in Isfahan. EDU 2021; 16(37): 121-139. (Persian) [DOI:10.32598/ijpcp.26.1.3044.2]
27. Abbasi F, Ganji M, Mosavi SK. Development and psychometrics of the death attitude tool and its relationship with organ donation after brain death(Based on structural equation model). KAUM J 2020; 24(1): 99-108. (Persian) [Google Scholar]
28. Hajizadeh Meymandi M, Shams Alddini MM, Falak Alddin Z. Attitude towards death among the citizens of Yazd and socio-cultural factors affecting it. Journal of Islam and Social Sciences 2021;13(25): 167-88. [URL]
29. Kokou-Kpolou CK, Fernández-Alcántara M, Cénat JM. Prolonged grief related to COVID-19 deaths: do we have to fear a steep rise in traumatic and disenfranchised griefs? Psychol Trauma 2020; 12: S94-5. [DOI:10.1037/tra0000798] [PMID]
30. Van Tongeren DR, Showalter Van Tongeren SA. Finding Meaning Amidst COVID-19: An Existential Positive Psychology Model of Suffering. Front Psychol 2021; 12:641747. [DOI:10.3389/fpsyg.2021.641747] [PMID] [PMCID]
31. George, L S, Park, CL. The multidimensional existential meaning scale: a tripartite approach to measuring meaning in life. J Posit Psychol 2016; (12): 613-27. [DOI:10.1080/17439760.2016.1209546]
32. Mohammadi Ahmad Abadi A. Meaning and meaninglessness of life, FHI 2016; 3(3):155-70.
33. Pyszczynski T, Solomon S, Greenberg J. Thirty years of terror management theory: from genesis to revelation. In Berkowitz L. Advances in Experimental Social Psychology. New York, NY: Academic Press; 2015. [DOI:10.1016/bs.aesp.2015.03.001]
34. Sheikh M, Mansor Jozan Z, Amini MM. The effect of physical activity and training of progressive muscle relaxation on the level of anxiety and perceived stress in patients with Covid-19. Sport Psychology Studies 2020; 9(32): 227-48. [Google Scholar]
35. Hoffman L. Existential-Humanistic Therapy and Disaster Response: Lessons From the COVID-19 Pandemic. J Humanist Psychol 2021; 61(1):33-54. https://doi.org/10.1177/0022167820931987 [DOI:10.1177/002216788002000103]
36. Weixel-Dixon K. Existential Group Counselling and Psychotherapy. Taylor &Francis Group; 2020. [DOI:10.4324/9780429020117]
37. Mokhtarzadeh boneh Khalkhal M, Shafi AbadiA, Heidari H, Davoodi H. Determining the effectiveness of existential therapy on metacognitive skills and feelings of loneliness and tolerance for failure of undergraduate psychology students.MEJDS 2021; 11:118. (Persian) [URL]
38. Khodadadi Sangdeh J, Sepehrtaj SA, Mirzaesmaeeli M, Sepehrtaj FS. The effectiveness of group existential psychotherapy on the care pressure of mothers of children with thalassemia major. JPM 2020; 79(3): 42-52. (Persian) [DOI:10.29252/jpm.7.3.52]
39. Classen CC, Krug OT, Dezelic MS, Ansell L, Haigh R, Hamilton S, et al. Existential Group Therapy: Therapy Illustrations. In van Deurzen E, Craig E, Längle A, Schneider KJ, Tantam D, du Plock S. The Wiley world handbook of existential therapy. Wiley Blackwell; 2019. P. 459-78. [DOI:10.1002/9781119167198.ch28]
40. Bauerei N, Obermaier S, Ozunal S, Baumeister H. Effects of existential interventions on spiritual, psychological, and physical well‐being in adult patients with cancer: Systematic review and meta‐analysis of randomized controlled trials. psycho-oncology 2020; 27(11): 2531-45. [DOI:10.1002/pon.4829] [PMID]
41. Amanzadeh Z, Husseinian S. The effectiveness of group counseling based on existential approach on life attitude and spiritual health of patients with type 2 diabetes. Journal of Woman and Family Studies 2018; 6(1): 49-67. (Persian) [URL]
42. Kajbaf MB, Ghasemiannejad Jamhari AN, Ahmadi Foroshani SHA. The effect of spiritual and existential group therapy on the rate of depression, death anxiety and belief in survival after death based on reports of people experiencing death in students. Knowledge & Research In Applied Psychology 2017; 16(4):4-13. (Persian) [Google Scholar]
43. Esameeli Ghazi Vlouee F, Ghomi M, Jamali A, Shafiee Z. The effectiveness of group existential psychotherapy on psychological well being and disturbance tolerance of physical and motor disabi ities. quarterly journal of Social Work 2018; 6(2): 24-34. (Persian) [URL]
44. Kim TK. T test as a parametric statistic. Korean J Anesthesiol 2015;68(6):540. [DOI:10.4097/kjae.2015.68.6.540] [PMID] [PMCID]
45. Buhr K, Dugas MJ. Investigating the construct validity of intolerance of uncertainty and its unique relationship with worry. J Anxiety Disord 2006; 20(2): 222-36. [DOI:10.1016/j.janxdis.2004.12.004] [PMID]
46. Ebrahimzadeh Z. Evaluation of cognitive beliefs, materialism and solving social problems of intolerance in people with obsessive-compulsive disorder and major disorder. (Dissertation). Ardabil: Mohaghegh Ardabili University; 2006. (Persian)
47. Reker GT. Life attitude profile-revised manual. Peterborough, Ontario, Canada: Student Psychologists; 1992. [URL]
48. Khayat Farahani A. Validation of life attitude questionnaire and its relationship with students' self-esteem, (Dissertation). Tehran: Islamic Azad University, Central Tehran Branch; 2011. [URL]
49. Yalom I. Existential therapy: Translated by: Dr. Sepideh Habib, Second Edition, Nashr-e Ney Publications, Tehran;2011. (Persian) [URL]
50. Yalom I, Molyn L. Group psychotherapy (theoretical and practical topics), Translated by Mahshid Yassaie,First Edition, Danjeh Publications;2011. (Persian) [URL]
51. Thaghipour B, Barzgaran R. The effectiveness of existential group therapy on self-compassion and resilience of mothers of mentally retarded children. Knowledge & Research in Applied Psychology 2019; 20(2):100-9. (Persian) [URL]
52. Yusefi N, Aslani Kh. A Comparative Study of the Impact of Logotherapy and Gestalt Therapy in Symptom Improvement of Obsessive-Compulsive Clients Referring to Pre-marital Counseling. Clinical Psychology Studies 2012; 2(6):113-49. (Persian) [URL]
53. Sadri Damirchi E, Ramazani SH.The effectiveness of existential therapy on loneliness and death anxiety in the elderly. Psychol Aging 2016;2(1):12. (Persian) [Google Scholar]
54. Tarkhan M. The effectiveness of group therapy on depression and aggression in drug addicts. Journal of Modern Psychological Researches 2011; 6(24): 19-38. (Persian) [URL]
55. Khodadadi Sangdeh J, Ghomi M. The effectiveness of group existential psychotherapy on increasing the psychological well-being of mothers with children with cancer. Journal of Psychological Studies 2017;13(4): 125-40. (Persian) [URL]
56. Daei Jafari MR, Aghaei A, Rashidi Rad M. Existential Humanistic Therapy with Couples and its Effect on Meaning of Life and Love Attitudes. J Fam Ther 2020; 48(5): 530-45. (Persian) [DOI:10.1080/01926187.2020.1770142]

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