Jahan Sadat Asadi Bijaeyeh - PhD in Counseling and Counselor of Comprehensive Center of NeurologicalRehabilitation in Lahijan, Iran
Alireza Eivazi - Neuropsychiatrist and director of Comprehensive Center of Neurological Rehabilitationin Lahijan, Iran
Seyedeh Zahra Mir MousaviNalkiasheri - Master of Clinical Psychology and Counselor of Comprehensive Center of NeurologicalRehabilitation in Lahijan, Iran

Introduction: Psychosomatic illnesses are physical illnesses in which psychological factors are influential in their onset or exacerbation and their range is very diverse. Purpose: The aim of this study was "comparison anxiety and quality of life in psychosomatic clients undergoing cognitive-behavioral and drug treatment with clients undergoing drug treatment." method: The research method was quasi-experimental and causal-comparative. The statistical population includes ۷۰ patients referred to the Specialized counseling and mental health clinic of Lahijan city from different cities of Guilan province with a diagnosis of psychosomatic illness from ۲۰۱۳ to ۲۰۲۲. ۳۸ people were selected as a statistical sample among them, in a purposeful manner and were randomly divided into two groups and ۱۹ people in each group. The first group received both drug treatment and ۸ sessions of cognitive-behavioral therapy intervention, based on the content of Beck treatment protocol, one and a half hours per session and one session per week. But the second group used only medication and did not receive cognitive-behavioral therapy. Both groups were tested by the Anxiety Questionnaire (Cattle) and the World Health Organization Quality of Life Questionnaire. Statistical analysis method was multivariate analysis of variance using SPSS⓴ software. results: The results of multivariate analysis of variance showed that the average anxiety in the cognitive-behavioral and drug group (first group) and in the drug therapy group (second group), were different and this difference was significant (at the level of P < ۰.۰۵). Also, the findings showed that the average quality of life in the first group and in the second group, were different from each other and this difference was significant (P < ۰.۰۵). conclusion: Therefore, along with drug therapy, counseling expertise can be effectively used to reduce anxiety and increase the quality of life of psychosomatic patients and treat mental disorders, in psychiatric centers

anxiety, psychosomatic, quality of life, cognitive, behavioral