Comparison of the Effectiveness of Short-Term Psychodynamic Therapy and Integrated Acceptance and Commitment Therapy with Schema Therapy on, Sleep Quality, and Disability Caused by Tension-Type Headache in Insecurely Attached Nurses with Anxiety Symptoms

Abstract

Comparison of the Effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) and The present study aimed to compare the effectiveness of short-term psychodynamic therapy and integrated acceptance and commitment therapy with schema therapy on sleep quality and disability due to tension headaches in insecurely attached nurses with anxiety symptoms. This study was a quasi-experimental study with a pre-test-post-test design and a one-month follow-up. The statistical population of this study consisted of all nurses working in the intensive care units (ICU, CCU), emergency and cancer departments of Imam Reza Hospital (AS) in Mashhad in the second half of 1403 (N=420). To determine the sample size based on Cohen's table, 10 people were considered for each group. Accordingly, 30 of the aforementioned nurses were selected using the convenience sampling method and randomly assigned to three groups; (10 people in each group). The research instruments included the headache-induced disability Jacobson et al. (1994), Bayes et al. (1989) sleep quality. Short-term psychodynamic therapy based on the Duvanlo protocol (1400) and integrated therapy based on the McKay and Avigil protocol models (1397) were implemented in 8 70-minute sessions (two sessions per week). To test the hypotheses, univariate and multivariate analysis of covariance and Bonferroni post hoc test were used using SPSS 22 software package. The results showed that both treatments had significant effectiveness compared to the control group on sleep quality (P<0.001, F=10.23) and disability due to tension headache (P<0.001, F=13.89). However, regarding sleep quality and disability due to headache, short-term psychodynamic therapy showed greater effectiveness than integrated therapy at post-test (P<0.05), but at one-month follow-up, the difference between the two groups was not significant. In addition, in the follow-up period, both interventions showed significant effectiveness compared to the control group, indicating the stability of the effectiveness of both interventions. Therefore, according to the results obtained, although both interventions showed appropriate effectiveness, short-term psychodynamic therapy can be used to improve sleep quality and disability caused by headaches in the vulnerable group of anxious nurses with insecure relationships.