---

Aim and Background: Obsessive-compulsive disorder (OCD) is kind of anxiety disorder that can manifest in religious practices in religious individuals. Stress plays a role in the worsening of the symptoms of OCD. Appropriate coping strategies can reduce the effects of this factor on the patient. The aim of the present study was to investigate the effects of religious cognitive behavioral therapy (RCBT) on stress coping strategies in patients with OCD with religious content. Methods and Materials: This randomized clinical trial (non-pharmacological methods) was conducted with a before-after the intervention design. The subjects received psychotherapy in 10 sessions (1.5 hour session weekly). A psychiatrist and a clergyman, who was familiar with fiqh and the scientific aspects of OCD, managed the meetings. A Yale-Brown Obsessive Compulsive Scale (Y-BOCS) score of higher than 17 was the primary inclusion criteria. Before the intervention and at the end of the intervention (10 th session), a clinical psychologist completed a demographic characteristic questionnaire, and the Y-BOCS and Coping Scale-Revised (CS-R). The collected data were analyzed using the Wilcoxon and Mann-Whitney U tests and Spearman correlation coefficient in SPSS software. Findings: The average Y-BOCS score of the 15 patients changed from 29.39 ± 6.00 before the intervention to 24.1 ± 5.6 after the intervention (P = 0.012). The average CS-R score of the subjects changed from 36.5 ± 12.9 before the intervention to 35.3 ± 12.0 after the intervention (P = 0.442). Conclusions: The results of this study showed that CBT with a religious approach can have a significant impact on obsession in individuals with OCD, but these meetings did not affect the stress coping strategies of these patients.

---

Aim and Background: Assisting a cognitive disorder patient can drain the emotional resources of any individual extensively. Since the caregiver can be confronted by developing mental and physical symptoms with strong possibility, she/he can be defined as hidden patient. The aim of the present study is to investigate the prevalence of depression, anxiety and burden in caregivers of patients with dementia. Methods and Materials: This cross sectional study was conducted on 96 caregivers of patients with dementia by using convenient sampling method. After obtaining informed consent, demographic data was recorded and the severity of depression was measured by Beck Depression Inventory (BDI-II), the severity of anxiety was measured by Zung Self-rating Anxiety Scale (SAS) and the severity of burden was measured by Iranian Version of Caregiver Burden (IVCB). To analysis the data, we use descriptive inferential statistics by using SPSS 22. Findings: The results illustrate that 69.8% of the caregivers were in the range of depression. Moreover, 28.1% of the caregivers were in the range of anxiety and 33.3% of the caregivers scores were in the range of moderate to high level of burden. In Pearson correlation test, we found that the age of caregivers have a significant relationship with the burden test scores. (p=0.026). In t test, we found a significant relationship between the gender of the patient and the anxiety scores. The mean of anxiety scores of the caregivers of the men and women patients were 37.7 and 32.9 respectively (p=0.039). In our research, we also found significant relationships between the illness duration and the scores of anxiety and burden. In addition, the scores of all of three tests showed having relationships with the support of other family member and severity of dementia illness. Furthermore, in one-way analysis of variance (ANOVA), we found a relationship between educational level of the caregivers and the scores of anxiety and burden tests. Conclusions: In the presence of high level of depression, anxiety and burden in the caregivers of dementia patients, more attention to the caregivers is necessary; especially from the healthcare managers and clinicians. In addition, the family of dementia patients should be encouraged to care as a group or help main caregivers as much as possible since our research showed support of other family members reduces anxiety, depression and burden of caregivers.