Comparison of efficacy of eye movement, desensitization and reprocessing and cognitive behavioral therapy methods in the Treatment of stress disorder

According to symptom oriented of drug therapy in the treatment of post-traumatic stress disorder [PTSD], eye movement, desensitization and reprocessing [EMDR] and cognitive behavioral therapy [CBT] were increasingly used. The aim of this study was to compare effects of EMDR and CBT in acute stress. In this case-control study, 51 combatants with PTSD hospitalized in Isar Hospital of Ardabil province or were inhabited in Ardabil were randomly divided to three groups. The method was extended test method and study design was multi-group test-retest. Used tools included boring memories test, subjective units of distress or anxiety [SUD] scale, validity of cognitions [VOC] scale and hospital anxiety and depression scale. EMDR and CBT significantly decreased boring memories, mental distress, anxiety and depression, and also increased positive cognition. Although both EMDR and CBT caused significant reduction of anxiety and depression, EMDR was superior to CBT in reduction of PTSD symptoms of Iranian combatants. Regarding efficacy of EMDR and CBT in the treatment of PTSD, it is suggested to prevent and decrease symptoms of post traumatic stress disorder [PTSD]

On the relationship between coping strategies and mental health of diabetic patients

Diabetes mellitus is one of the common chronic illnesses which endanger mental health. The present study was planned to assess the relationship between mental health of diabetic patients and their coping strategies. In this cross-sectional study 193 patients who were referred to diabetes clinic of Imam Khomeini Hospital were selected by available sampling method in Ardabil city [north western part of Iran] in 2006. Samples were assessed by General Health Questionnaire-28 and Folkman-Lazarus questionnaire. Data were analyzed by SPSS version 13 software, using logistic regression analysis and independent t tests. Fifty four percents of diabetic patients were suspected to have a mental disorder and need more diagnostic assessments. Escape-avoidance [P<0.001], confronting [P<0.01] and plan-full problem solving coping strategies [P<0.01] could predict the mental health in diabetic patients. Inappropriate and emotion-based coping strategies throw patients in vicious cycle of medical and mental illnesses; for example, escape-avoidance method could predict the mental health in diabetic patients