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Showing 3 results for Treatment Adherence
The role of meaning in life and time perspective in predicting adherence to treatment of cardiovascular patients with a history of angiography
Miss Maryam Habibpour Dehkordi, Ph.d Azra Zebardast, Ph.d Sajjad Rezaei,
Volume 17, Issue 2 (9-2023)
Abstract

 The present study was conducted to investigate the role of meaning in life and time perspective in predicting treatment adherence of cardiovascular patients with a history of angiography. The research design is descriptive. The population included all cardiovascular patients with a history of angiography referred to Shahid Chamran Cardiac Hospital of Isfahan in 1402. The sample included 169 patients with a history of angiography who were selected purposefully. For collecting data, questionnaires about treatment adherence Seyed Fatemi et al (2017), time perspective Zimbardo and Boyd's (1999), meaning in life Steger et al (2006) were used. The results showed that dimensions of meaning in life and dimensions of time perspective have a significant relationship with adherence. The results of the hierarchical multiple regression analysis showed that the dimensions of meaning in life explain 46% of the variance of treatment adherence. These findings show that treatment adherence is influenced by meaning in life and time perspective. Therefore, it is possible to develop educational programs based on meaning in life and to adjust the time perspective to increase treatment adherence of cardiovascular patients who have been diagnosed at risk using an angiography diagnostic test to prevent the worsening of the disease through secondary prevention.

Structural Relationship Analysis of Treatment Adherence Based on Emotional Awareness in Patients with Psoriasis: The Mediating Role of Perceived Social Support
Amir Yousefi, Mohsen Jalali, Mohmmad Taghi Badelleh Shamushki, Leila Sadat Azizi Ziabari,
Volume 18, Issue 2 (9-2024)
Abstract
The aim of the present study was to analyze the structural relationships of treatment adherence based on emotional self-awareness in patients with psoriasis and to examine the mediating role of perceived social support. This research employed a descriptive-correlational design using structural equation modeling. The statistical population included psoriasis patients referred to three specialized dermatology hospitals in Tehran. Convenience sampling was used, and ultimately, 250 psoriasis patients meeting the inclusion and exclusion criteria were enrolled in the study. Various tools were utilized for data collection, including the Treatment Adherence Questionnaire (Ziaei, 2011), the Perceived Social Support Questionnaire (Zimet et al., 1988), and the Emotional Self-Awareness Questionnaire (Reef et al., 2007).The results of the structural equation modeling analysis indicated that emotional self-awareness has a direct and significant effect on treatment adherence in patients with psoriasis. Additionally, perceived social support and concerns about body image also had a direct impact on treatment adherence. Furthermore, the findings revealed that emotional self-awareness indirectly and significantly affects treatment adherence through the mediation of body image concerns and perceived social support.These results highlight the importance of considering psychological and social dimensions, such as emotional self-awareness and social support, in the treatment process of patients with psoriasis, as they can improve treatment adherence and therapeutic outcomes.

Comparing the Effectiveness of Mindfulness Based Stress Reduction (MBSR) and Intensive Short Term Dynamic Psychotherapy (ISTDP) on Reducing Obsessive Compulsive Symptoms and Improving Treatment Adherence in Patients with Non Alcoholic Fatty Liver Disease
Mohammad Mehdi Zeidabadinejad, Ahmad Torabi, Fatemeh Mohammadifar, Zahra Nori, Roya Tovakoli,
Volume 19, Issue 3 (12-2025)
Abstract
The aim of the present study was to compare the effectiveness of Mindfulness‑Based Stress Reduction (MBSR) and Intensive Short‑Term Dynamic Psychotherapy (ISTDP) on reducing obsessive‑compulsive symptoms and improving treatment adherence in patients with non‑alcoholic fatty liver disease (NAFLD). This study employed a quasi‑experimental design with a pretest‑posttest and one‑month follow‑up, including two experimental groups and one control group. The statistical population comprised all patients with non-alcoholic fatty liver disease (NAFLD) who attended treatment centers in Tehran during autumn 2025. From this population, 72 individuals were initially selected using purposive sampling; after attrition, the final sample consisted of 45 participants who were randomly assigned to three groups (15 participants per group). MBSR and ISTDP were each delivered individually over eight 90‑minute sessions to the experimental groups, while the control group was placed on a waiting list. Data were collected using the Maudsley Obsessive‑Compulsive Inventory (MOCI) and the Morisky Medication Adherence Scale (MMAS). Results of repeated‑measures analysis of variance (ANOVA) indicated that both MBSR and ISTDP significantly reduced obsessive‑compulsive symptoms and improved treatment adherence, and these effects remained stable for at least one month post‑intervention. Furthermore, Bonferroni post‑hoc tests showed that MBSR was significantly more effective than ISTDP in reducing obsessive‑compulsive symptoms and improving treatment adherence (p < 0.05). This superiority may be attributed to MBSR’s capacity to enhance emotion regulation, reduce stress, and increase body awareness—factors that play a decisive role in managing chronic diseases and health‑oriented behaviors. Therefore, incorporating mindfulness‑based interventions as an effective approach alongside other psychological treatments may help improve treatment outcomes and quality of life in patients with NAFLD.

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