Serial mediation of illness perception and beliefs about medicines in the relationship between patient satisfaction and medication adherence: An evaluation of self-regulatory model in rheumatoid arthritis and ankylosing spondylitis patients.

This study examined the effect of patient satisfaction on medication adherence through serial mediation of Self Regulatory Model (SRM) components which are illness perception and beliefs about medicines in patients with rheumatoid arthritis (RA) and ankylosing spondylitis (AS). The 222 outpatients (nRA = 112; nAS = 110) were administered a sociodemographic form, the Medication Adherence Report Scale, the Brief Illness Perception Questionnaire, the Short Assessment of Patient Satisfaction, and the Beliefs about Medicines Questionnaire. The results showed that SRM components fully mediated the relationship between patient satisfaction and medication adherence. This proposed model had acceptable and better fit indices than the alternative model where patient satisfaction was introduced as a direct predictor. Furthermore, patient satisfaction, illness perception, and beliefs about medicines had an extremely good relationship, so these may be interpreted as variables of a latent construct of the illness experience which deserves further research in these group of patients.

Psychometric Properties of the Turkish Version of the Dark Future Scale.

Objective: This study aims to investigate the psychometric properties of the Turkish version of the Dark Future Scale that measures future anxiety. Methods: The sample consisted of 478 university students aged 18-25 and used convenience sampling. They completed an online survey about sociodemographics, tobacco use, and life satisfaction, Dark Future Scale and Trait Anxiety Inventory-2 Trait Scale. Confirmatory factor analysis and Cronbach alpha values were used to test scale's structural validity and reliability. For convergent validity, we correlated the Turkish version of the Dark Future Scale with trait anxiety and examined the mean differences in smoking status and its association with life satisfaction. Results: Majority of the participants were female (73.6%), with a mean age of 21.5 (SD = 1.67). Majority (53.6%) were regular tobacco users. Results of the confirmatory factor analysis revealed a 1-factor solution to be most optimal (χ 2 = 17.091, df = 4, P = .002, χ2/df = 4.3, and root-mean-square error = 0.083, comparative fit index = 0.988, general fit index = 0.986, The Adjusted Goodness of Fit (AGFI) = 0.986, normalized fit index = 0.985). The alpha value for the scale reliability was 0.86. Turkish version of the Dark Future Scale was also significantly and positively correlated with trait anxiety (r(478) = .67, P <.01). Exploration of the association between smoking status and Turkish version of the Dark Future Scale showed that the mean score was significantly higher among smokers (M = 19.1, SD = 6.65) than nonsmokers (M = 17.7, SD = 7.69). Lastly, higher future anxiety was associated with lower life satisfaction (r(478) = -0.42, P < .01). Conclusion: Turkish version of the Dark Future Scale is a reliable and valid scale to measure future anxiety. A brief and easy to apply, reliable, and valid future anxiety measure may be useful for many researchers in psychology and psychiatry.

[A mixed method evaluation of cognitive-behavioral group psychotherapy-based relaxation in patients diagnosed with fibromyalgia syndrome]. / Fibromiyalji sendromlu hastalarda gevseme odakli bilissel davranisçi grup psikoterapisinin karma yöntemle degerlendirilmesi.

OBJECTIVES: The main purpose of this study is to examine the effectiveness of relaxation-oriented cognitive-behavioral group psychotherapy in FMS patients. It was aimed to improve the pain management, functional coping strategies, self-efficacy, and psychological well-being of the patients at the end of the intervention. Furthermore, relaxation exercise was used as a motivational and complementary technique. METHODS: The study was conducted with 25 women who were diagnosed with FMS and had the characteristics to carry out the group psychotherapy process. Mixed method including both quantitative and qualitative research methods was used in the data collection and analysis process of the study. Qualitative data were obtained through written records kept by the observers in the sessions and the observations of the therapists. In collecting quantitative data, Sociodemographic and Clinical Information Form, Visual Analog Scale, Patient Health Questionnaire-Somatic Anxiety and Depression Symptoms, Pain Self-Efficacy Questionaire-2, and Pain Coping Inventory were used. Thematic Analysis methods were used in the qualitative analysis of the interview contents. The analysis of the data obtained from the scales was carried out with the Wilcoxon Signed-Ranks Test. RESULTS: According to the qualitative analysis results, the group therapy process was considered three themes as 'pain related problems,' 'emotional and social problems,' and 'adherence with the group therapy process.' It was seen that the participants made improvements in the subcodes of the themes. CONCLUSION: Results indicate the importance of using quantitative and qualitative patterns together in demonstrating the effectiveness of the intervention.

Group Psychotherapy With Fibromyalgia Patients: A Systematic Review.

OBJECTIVES: This review aims to investigate the factors that play a role on the efficacy of group psychotherapy (GP) interventions for fibromyalgia syndrome (FMS). MATERIALS AND METHODS: We employed a search using keywords group psychotherapy and fibromyalgia in the databases of Scopus, Web of Sciences, CINAHL, BMJ, MEDLINE, ScienceDirect and EBSCOhost. RESULTS: A total of 30 original studies were identified. These studies, which aimed to improve primary outcomes (POs-pain and fibromyalgia impact) and/or secondary outcomes (SOs-psychosocial), indicated that 15 were conducted in a multidisciplinary (MT) fashion, and the rest were unidimensional as they employed only GPs. Cognitive behavior therapy, which modifies dysfunctional thoughts and accompanying behaviors, was the most utilized psychological intervention. Overall, MTs were only slightly superior to GPs; however, improvements in POs were more frequent than SOs in MTs, and the vice versa in GPs. CONCLUSION: Although studies varied in various methodological characteristics, the content of the interventions in MTs should be designed to cover the biopsychosocial nature of FMS.