Effect of Mindfulness-based stress reduction and Cognitive behavior Therapy in Rheumatoid Arthritis Patients

INTERVENTION: Intervention 1: Intervention group: MBSR : Therapeutic intervention is an 8 session that lasts once a week for 90 minutes, during which participants are taught to communicate at an instant, without judgment, with full attention and awareness to the world inside and outside. This approach comes in line with the CABAT Zein treatment protocol (2013). Intervention 2: Intervention group: CBT In this research, cognitive‐behavioral therapy education is a cognitive‐behavioral group method that is provided by the researcher based on therapeutic packages available in this area during 11 sessions of 60 minutes to modify the mental, emotional and behavioral patterns of the members. To be Additionally, being in the group, members can use the feedback from others and decide on the changes they want to do. That is, members can compare their own perceptions of their own with the perceptions of others and then decide what they can do with this information. Intervention 3: Control group: The control group is the same group that does not receive any treatment except its medication. CONDITION: Rheumatoid Arthritis. ; Rheumatoid arthritis, unspecified PRIMARY OUTCOME: Anxiety. Timepoint: Before the intervention, after intervention, three months after the intervention. Method of measurement: DASS‐21. Chronic fatigue. Timepoint: Before the intervention, after intervention, three months after the intervention. Method of measurement: Chronic fatigue syndrome (CFS). Depression. Timepoint: Before the intervention, after intervention, three months after the intervention. Method of measurement: DASS‐21. Disease activity. Timepoint: Before the intervention, after intervention, three months after the intervention. Method of measurement: blood test. Executive functions. Timepoint: Before the intervention, after intervention, three months after the intervention. Method of measurement: Tower of London test. Quality of life. Timepoint: Before the intervention, after intervention, three months after the intervention. Method of measurement: Short Form Health Survey (SF‐36). Sleep Quality. Timepoint: Before the intervention, after intervention, three months after the intervention. Method of measurement: Pittsburgh Sleep Quality Questionnaire (PSQI). Stress. Timepoint: Before the intervention, after intervention, three months after the intervention. Method of measurement: DASS‐21. INCLUSION CRITERIA: Diagnosis of RA with arthritis At least six months have passed since the diagnosis of rheumatoid arthritis Age of 18 to 60 years Minimum Cycle Education Diagnosis of other joints