The Comparison of Effectiveness of Cognitive-Behavioral Therapy, Biofeedback Therapy and Integrating Therapy on Sleep Quality in Women with Generalized Anxiety Disorder

Introduction:The Sleep quality is the psychological sensation that affects the quality of life and feeling healthy and also leads to symptoms of mental and physical illness. The purpose of this study was to comparison of effectiveness of cognitive-behavioral therapy, biofeedback therapy and their Integrating  therapy on sleep quality in women with generalized anxiety disorder. Methods: This semi-experimental study was conducted with a pretest-posttest design with control group and follow-up two month. The statistical population of this study included all the women with generalized anxiety disorder in 1400 and 60 women with generalized anxiety disorder by convenience sampling were considered as the sample size in three experimental groups (each group of 15 women) and one control group (15 women). The experimental groups underwent cognitive-behavioral therapy (8 sessions 45 minutes), biofeedback therapy program (10 sessions 45 minutes) and Integrating  therapy (8 sessions of 45- minutes cognitive-behavioral therapy and 10 sessions of 45- minutes biofeedback therapy ), but the control group received no training and remained in the waiting list. To collect data generalized anxiety disorder scale and Pittsburgh sleep quality index. Data analysis was performed using SPSS-24 software in two sections: descriptive and inferential (analysis of variance with repeated measures and Bonferroni). Results: The results of the study showed that three types of treatment in post-test and follow up had a significant effect on sleep quality in women with generalized anxiety disorder (P<0.05).  Also, Integrating  therapy had stronger effects in improvement of sleep quality than cognitive-behavioral therapy and biofeedback (P<0.05). Conclusions: Based on the results of the present study and considering the greater effectiveness of Integrating  therapy, it is suggested that Integrating  therapy (cognitive-behavioral therapy with biofeedback therapy) as a treatment to reduce sleep problems in women with generalized anxiety disorder in centers