Comparison of the effect of Hope Therapy Based on Cognitive-Spiritual Approach and Tai chi Exercises on Anxiety due to Corona Disease in students

Document Type : Original Article

Authors
1 Assist. Prof., Department of Physical Education, Tabriz Branch, Islamic Azad University, Tabriz, Iran
2 Department of Physical Education, Farhangian University, Tehran, Iran
3 Assist. Prof., Physical Education, Urmia branch, Islamic Azad University, Urmia, Iran
Abstract
Introduction: According to experts, Stress and anxiety can weaken the immune system and make people vulnerable
to diseases such as corona virus. Accordingly, the aim of this study was to compare the effect of Hope Therapy Based on Cognitive-Spiritual Approach and Tai chi Exercises on Anxiety due to Corona Disease in students.
Materials and Methods: A Semi-experimental design was conducted (pre-test and post-test) with two experimental and one control groups. 45 female students of the Islamic Azad University of Tabriz who had higher scores on the Corona virus Anxiety Scale (CDAS8) were selected by convenience sampling and randomly divided into two experimental groups (15 people in each group) and one control group (15 people). For the first group, Hope Therapy Based on Cognitive-Spiritual Approach training (10 sessions; Week 2 sessions, one and a half hours) and for the second group, Tai chi Exercises (10 sessions; Week 2 sessions, 30 to 40 minutes) was applied and the control group did not receive any training. Prior and after the training, the subjects completed Corona virus Anxiety Scale Alipour et al. (2020). Analysis of covariance was used to analyze the data.
Results: The results showed that the mean scores of Corona Disease Anxiety and its components (psychological and physical symptoms) reduced significantly in the Hope Therapy Based on Cognitive-Spiritual Approach training group comparison to Tai chi exercises group and in the Tai chi Exercises group comparison to the control group in the post-test (P < 0.05). The difference between the three groups in the total score of students' Corona Disease Anxiety and its components (physical and psychological symptoms) are effect amount with 0.74, 0.70 and 0.62, respectively.
Conclusion: The results showed that Hope Therapy Based on Cognitive-Spiritual Approach is more effective in reducing corona disease anxiety in female students than Tai chi exercises.
Keywords

1.Delavar A, Shokouhi amirabadi L. The Status ofHappiness and Satisfaction with Life amongUniversity students during the Corona Crisis Newvirus (Cowide-19). Edu Psych. 2020;16 (55):1-25.2.Venkatesh A, Edirappuli S. Social distancing in covid-19: what are the mental health implications? Bmj.2020;369.3.Ahmed MZ, Ahmed O, Aibao Z, Hanbin S, Siyu L,
Ahmad A. Epidemic of COVID-19 in China andassociated Psychological Problems. Asian J Psych.2020;51:102092.4.Alipour A, Ghadami A, Alipour Z, Abdollahzadeh H.Preliminary validation of the Corona Disease AnxietyScale (CDAS) in the Iranian sample. Quart J HealthPsych. 2020;8 (32):163-75.5.Starcevic V. Hypochondriasis and health anxiety:conceptual challenges. Bri J of Psych6.Cao W, Fang Z, Hou G, Han M, Xu X, Dong J, et al.The psychological impact of the COVID-19 epidemicon college students in China. Psych Res.2020;287:112934.7.Rashidi Fakari F, Simbar M. Coronavirus Pandemic
and Worries during Pregnancy; a Letter to Editor.Arch Acad Emerg Med. 2020;8 (1):e21.8.Geravand P, Manshaee G, Nadi M. Effectiveness ofHope Therapy Based on Cognitive-SpiritualApproach on the Worry and Subjective Burden ofMothers with Children with Cancer Disease. Qrt ChildMent Health. 2018;5 (2):174-84.9.Khesali Z, Mohammadi Shahboulaghi F, Khankeh H,Biglarian A. Eeffect of “Tai Chi Chuan” on Anxietyamong elderly women. Sci J Nurs Midwifery ParamedFac. 2018;3 (4):15-23.10.Moayed Ghaedi t, Ghorban Shiroodi S. The Efficacyof Group Hope TherapyonDepression,Loneliness,and Self-Efficacy in Female Students. Quart J ChildMent Health. 2016;3 (2):65-75.11.Sheykholeslami A, Ghamari Qivi H, Ramezani S.The Effectiveness of Hope Therapy on Happiness ofPhysical-Motor Disable Male. J Couns Res. 2016;15(58):96-112.12.Rahimipour Anaraki M. Effect of hope therapy ondepression, anxiety and stress among the patientsundergoing hemodialysis in selected hospitals inIsfahan in 2013. [dissertation]. School Nurs Mid:Isfahan Uni Med Sci; 2014.13.Mirbagher-Ajorpaz N, Aghajani M, Morsaee F,Zabolian Z. The Relationship between Hope andDepression-Anxiety in Patients UndergoingHemodialysis. J Health Care. 2016;18 (1):55-62.14.Jafar Tabatabaee TS, Ahadi H, Bahrami H,Khamesan A. The Effects of Teaching PositiveThinking on the Anxiety of Students of Psychology atthe Islamic Azad University of Birjand. J Edu PsychStud. 2018;15 (29): 97-124.15.Nejati V, Shahidi S, Maleki G, Darvishi Lord M.Cognitive Correlates of Hope; Evidence fromNeuropsychological Tests. Advanc Cogn Sci. 2013;14 (4): 29-38.16.Kiani J, Jahanpour F, Abbasi F, Darvishi S,Gholizadeh B. Evaluation of effectiveness of spiritualtherapy in mental health of cancer patients. NursVulner J. 2016; 2 (5): 40-51.17.Kajbaf MB, Rezvani R, Ashuri J. The comparison ofeffectiveness of spiritual therapy and meta-cognitivetherapy on anxiety in girl university students. J ApplPsych Res. 2013; 4 (1):1-12.18.Shirvani H, Rostamkhani F. Exercise Considerationsduring Coronavirus Disease 2019 (COVID-19)
Outbreak: A Narrative Review. J Mil Med. 2020; 22(2):161-8.19.DiGiacomo M, Lam P, Roberts BL, Lau TC, Song R,Davidson PM. Exploring the reasons for adherence tot'ai chi practice. J Alter Compl Med (New York, NY).2010;16 (12):1245-6.
20.Chan AW, Lee A, Suen LK, Tam WW. Tai chiQigong improves lung functions and activity tolerancein COPD clients: a single blind, randomizedcontrolled trial. Compl Therap Med. 2011;19 (1):3-11.21.Chore G. Tai Chi healthy lifestyle. Tehran: Roshd;2010.22.Kabiri Dinani S, Mehrabi T, Sadeghi R. The Effectof Tai Chi Exercise on Stress, Anxiety, Depression,and Self Confidence of Nursing Students. Jundi JChron Dis Care. 2019;8 (3):e92854.23.Zheng G, Lan X, Li M, Ling K, Lin H, Chen L, et al.Effectiveness of Tai Chi on Physical andPsychological Health of College Students: Results ofa Randomized Controlled Trial. PLOS One. 2015;10(7):e0132605-e.24.Liao WS. The essence of Tai Chi. Tehran: Laden;2000.25.Jafartabatabaee T, Ahadi HH, Khamesian A. Theeffect of optimism training on the anxiety anddepression of students of psychology at theAzadUniversity of Birjand (2012) Print. Mod Care J.2013;10 (1):34.26.Webster CS, Luo AY, Krägeloh C, Moir F, Henning
M. A systematic review of the health benefits of TaiChi for students in higher education. Prev Med Report.2016; 3:103-12.
27.Lee SA, Mathis AA, Jobe MC, Pappalardo EA.Clinically significant fear and anxiety of COVID-19:A psychometric examination of the CoronavirusAnxiety Scale. Psych Res. 2020:113112.28.Bustin S, Vahidifard M, Bahadivand chegini AH,
Biranvand H. Covid-19 and its PsychologicalConsequences. Rooyesh. 2020;9 (7):35-44.29.Asadi H, Hosiani RS, Jalili P. Prediction ofuniversity students suicide based on religious beliefs,social support, coping strategies and general health. J
Appl Psych. 2013; 6 (4):87-101.30.Paterson M, Green JM, Basson CJ, Ross F.Probability of assertive behaviour, interpersonal
anxiety and self-efficacy of South African registereddietitians. Journal of human nutrition and dietetics :the official journal of the British Dietetic Association.2002;15 (1):9-17.31.Gholami A, Bashildeh K. The Effect of SpiritualTherapy on Mental Health of Divorced Women.Family Counseling and Psychotherapy. 2012;1(3):331-48.32.abdolrahemi l. Therapeutic effect of hope on mentalhealth promotion for the elderly. Journal of GeriatricNursing. 2018;4 (3):0-.33.Dashtianeh L, Golestaneh SM, Amini Khoei N. Theeffect of cognitive-behavioral therapy and hope141178therapy in reducing anxiety and depression in patientswith multiple. Contemporary Psychology.2015;10:589-93.34.Seligman ME. The optimistic child: A provenprogram to safeguard children against depression andbuild lifelong resilience: Houghton Mifflin Harcourt;2007.35.Bahrke MS, Morgan WP. Anxiety reductionfollowing exercise and meditation. Cognitive therapyand research. 1978;2 (4):323-33.36.Irwin MR, Olmstead R, Oxman MN. Augmentingimmune responses to varicella zoster virus in olderadults: a randomized, controlled trial of Tai Chi.Journal of the American Geriatrics Society. 2007;55(4):511-7.37.Field T, Diego M, Hernandez-Reif M. Tai chi/yogaeffects on anxiety, heartrate, EEG andmathcomputations.Complementary therapies in clinicalpractice. 2010;16 (4):235-8.38.Biglari N, Arshadi S, Sadeghian M. The effect of 8weeks taichi chouan training and walking oncardiovascular disease biomarkers in old women’s.Advances in Nursing & Midwifery. 2018;26 (95):25-32