Discussion
cognitive distortions, Anxiety, anxiety, anxiety disorders, cognitive behavioral skills, PSI-SF, stress reduction, autism
HYPERTENSION, PRECOCIOUS PUBERTY
The results showed that CBT was effective in reducing stress and anxiety and promoting the quality of life of mothers of girls with precocious puberty symptoms.CBT significantly reduced the mean stress score in our study. In the study conducted by Izadi et al. (2015), the stress in mothers of children with autism was measured with the Parenting Stress-Short Form (PSI-SF) questionnaire. CBT was provided in seven sessions of 90 min using relaxation techniques, identification of automatic thoughts, and cognitive distortions. It was significantly effective for stress reduction [CBT significantly reduced the mean anxiety score in our study. In the study of Koochaki et al. (2017), mothers with preterm children who were diagnosed with anxiety disorders by Beck Anxiety Inventory (BAI) participated in 8 sessions of CBT. The sessions were conducted based on the principles of teaching skills, behaviors, and interactions. The participants were followed up immediately after the intervention and three weeks later. They reported a significant reduction in anxiety scores in both stages [CBT significantly improved the quality of life score in our study. The study of Isazadegan et al. (2013) aimed to investigate the effect of CBT on the lifestyle and quality of life of patients with hypertension. The results showed that CBT increased the lifestyle score and quality of life of patients in the intervention group [The review of studies shows the positive effect of CBT on reducing stress and anxiety and increasing quality of life. When using cognitive behavioral skills in stressful situations, people would realize they can make better decisions to achieve the desired results [