Hossein Pourshahriar, Marziyeh Dindoost, Samin Baharshanjani,
Volume 14, Issue 4 (2-2021)
Abstract
Covid-19 has had a significant impact on spouses' relationships. The high mortality rate from this disease is also a serious challenge. The aim of this study was to identify and investigate the differences between the life experiences of healthy spouses and mourning spouses during the corona virus epidemic. The research method was qualitative interpretive phenomenology. The statistical population was all healthy spouses of Tehran and Khorasan Razavi provinces, who have not been infected with the disease since the beginning of the outbreak and all spouses of these two provinces who lost their spouses due to corona virus. The sample included 9 healthy and 8 mourning spouses. The available sampling method was used for healthy spouses and targeted and snowball methods were used for mourning spouses. Interviews were conducted in a semi-structured manner, then implemented verbatim and analyzed by Colaizzi method. 4 main themes were identified in the experiences of both groups: worries, personal reactions, changes in social relationships and changes in attitudes. The main differences were in the sub-themes (e.g., illness concerns for healthy spouses and worries about survival for mourning spouses) and in main themes, they were similar due to the commonality of the questions. The results, by identifying the experiences of these two groups of spouses, showed that caring for self and for family against corona virus or death due to it, can cause significant problems and it is necessary to provide support systems for families according to their circumstances.
Maryam Payandehdarinejad, , , ,
Volume 15, Issue 1 (5-2021)
Abstract
This study examined the associations among the cognitive fusion, sense of coherence, rumination, and psychological distress, in cancer patients, as well as the mediating role of emotional dysregulation, in the relationship between this variables in cancer patients. Participants included 200 cancer patients who completed the DASS-21, Cognitive fusion questionnaire, sense of coherence scale, Rumination scale and the DERS-16. Structural equation modeling revealed was a direct associated between rumination with emotion dysregulation and emotion dysregulation with psychological distress. Also, the results indicated that no significant relationship between cognitive fusion and sense of coherence with psychological distress. Interaction-mediation analysis demonstrated that emotion dysregulation in the relationship between cognitive fusion and sense of coherence with psychological distress plays a full mediating role and in the relationship between rumination and psychological distress has minor mediating role. Therefore, considering the relationships between the studied variables and identifying the role of emotional dysregulation as a mediating variable in this regard, paying attention to the findings can be the first step in identifying the variables involved in psychological distress in cancer patients. This is followed by the design and application of evidence-based training and rehabilitation programs to reduce psychological pain and suffering in cancer patients, which can be considered by the mental health team of these patients.
Arefeh Hamideh Moghadam, Abbas Abolghasemi, Seyyed Mousa Kafie Masouleh, Marjan Mahdavi-Roshan,
Volume 15, Issue 1 (5-2021)
Abstract
| This study investigated the comparison of abuse experiences and mindful eating in women with high body mass index with and without binge eating disorder and women with normal weight. This study was descriptive with comparative design. The study population consisted of women referring to two nutrition counseling centers in Rasht in 1400. The sample consisted of 179 women who were selected by purposive sampling method. Data were collected using Stice's Eating Disorder Diagnostic Scale (2000), Bernstein's Childhood Trauma Questionnaire (2003), and Framson's Mindful Eating Questionnaire (2009). Results of univariate and multivariate analysis of covariance showed that the abuse experiences in overweight and obese women with binge eating disorder were higher than overweight and obese women without the disorder and in both groups were more than normal weight women. Women in the binge eating group had lower scores in mindful eating than women without the disorder, and both groups had lower scores than normal-weight women, even when controlling for age. According to the findings, abuse experiences and mindful eating have important role in the pathology of obesity, overweight and binge eating disorder. Designing educational/therapeutic programs aimed at reducing the psychological consequences of abuse and teaching mindful eating techniques can be helpful. |
Phd Student Maryam Akbarzadeh, Dr. Parviz Sabahi, Dr. Parvin Rafienia, Dr. Afsaneh Moradi,
Volume 15, Issue 2 (9-2021)
Abstract
The aim of this research was comparison of the effectiveness of Mindfulness Based Cognitive Therapy(MBCT) and Transcranial direct-current Stimulation(tDCS) in pain intensity and quality of life and their subcomponents on fibromyalgia patients. The study was semi-experimental pre-post treatment design. 36 fibromyalgia patients were selected and randomly classified into three MBCT, tDCS and sham group. The members of these groups were asked to complete short form of McGill Pain questionnaire and SF-36 Quality of life questionnaire before and after the intervention. Multivariate Covariance analysis showed that in terms of the pain intense variable, while both treatments were effective, but no significant differences between MBCT and tDCS treatment was seen(P<0.05) In terms of quality of life, the MBCT method was significantly more effective than both sham and tDCS groups(P<0.05) this paper showed significant results in effectiveness of MBCT and tDCS on fibromyalgia patients that could help the therapists to treat them and decrease their treatment costs.
Dr Sanaz Dehghan Marvasti, Rezvaneh Ghorbani Ranjbar, Navid Khalesi, Ali Asghar Ranjbar Totoni ,
Volume 15, Issue 2 (9-2021)
Abstract
The aim of this study was to investigate the effect of art therapy-based education on the symptoms of overt and covert anxiety, depression, and chronic fatigue in patients with multiple sclerosis (MS). The study was a quasi-experimental clinical trial with pre-test and post-test research with a control group. Univariate analysis of covariance was used for the statistical analysis of data. The study population was all patients (319 people) referred to the clinic of the special disease of Ali Ibn Abi Taleb Hospital in Rafsanjan in the age range of 18 to 55 years. At the screening stage, a sample of 40 subjects was considered who were randomly divided into experimental and control groups. Art therapy-based training classes for the experimental group were held in 14 sessions on Mondays and Wednesdays, and the control group classes were held in 14 sessions (45-minute) with different content on Sundays and Mondays. The results showed that art-based education reduced the symptoms of anxiety, depression and fatigue In other words, 14 sessions of Art therapy-based training explained 30%, 11%, 22% and 11% of the variance of Explicit anxiety, hidden anxiety, depression, and fatigue.
Mrs Mahnoosh Kamranvand, Dr Fateme Dehghani-Arani, Dr Reza Rostami, Dr Khosro Sadeghniat, Dr Hojjatollah Farahani,
Volume 15, Issue 3 (12-2021)
Abstract
The aim of this study was to investigate the relationship between beliefs about stress and quantitative pattern of brain waves with post-traumatic growth dimensions in patients hospitalized due to Covid-19 disease. Post-traumatic growth is the mental experience of positive psychological changes caused by a person as a result of coping with challenging situations. In this study, 66 people with Covid-19 who were admitted to Baharloo Hospital in Tehran as an experience of stressful events were selected by convenience sampling and completed questionnaires beliefs about stress and post-traumatic growth and brain waves were recorded at rest. The results showed that brain components are a better predictor of post-traumatic growth components than beliefs about stress. According to the results, it can be said that more objective instruments such as EEG have good predictive power in complex psychological and multidimensional cases such as post-traumatic growth.
Najmeh Tavakoli, Masoud Taherinia, Dariush Jalali, Ebrahim Givaki,
Volume 15, Issue 3 (12-2021)
Abstract
The purpose of this research is sustainable investigating the effectiveness of group financial therapy based on acceptance and commitment (ACT) approach on financial stress in Shahrekord marketers was implemented. This research is practical and semi-experimental in terms of research methods which have pre-test, post-test designs with a one-year follow-up with the control group. The statistical population of the study was forty people of Shahrekord marketers in 2019. They were assigned randomly to two experimental and control groups and completed research questionnaires that related to financial stress.Then the experimental group received financial therapy interventions based on acceptance and commitment in 10 sessions of 120 minutes in person and online and the control group did not receive any intervention. Data were tested using repeated measures analysis of variance.
The results showed that financial therapy based on acceptance and commitment (ACT) has led to a reduction in financial stress (P <0.001), due to the sustainable effectiveness of financial therapy based on acceptance and commitment (ACT). It can be said that in order to improve the health of people and reduce their financial stress during the Covid 19 pandemic, which leads to financial and psychological problems, such interventions and training seem necessary and important
Dr Mohsen Akbarian, Miss Narges Saeidi, Mr Mehrab Mafakheri,
Volume 15, Issue 4 (2-2022)
Abstract
This study was conducted with the aim of predicting the components of chronic pain based on insecure attachment style, mentalization and emotional regulation with a cross-sectional descriptive design and correlational method and the statistical population includes all patients with chronic pain who were referred the Yalda Clinic of Imam Khomeini Hospital in Tehran from April to August 2020. The research sample consisted of 339 people who were selected by available sampling method and answered the Chronic Pain, adult attachment, mentalization and difficulty in emotion regulation questionnaires. The effect of predictors of difficulties in emotion regulation, mentalization and insecure attachments on pain inability indicates a positive effect of difficulties in emotion regulation (β =0.52) and anxiety insecure attachment (β =0.30) at a significance level of less than 0.05 (Gives p-value (<0.001) and (p-value =0.001). In the study of pain intensity, difficulties in emotion regulation with (β =0.53) and avoidant insecure attachment with (β =0.13) with (p-value <0.001) and (p-value =0.01) indicates significance at the significance level less than 0.05 with a positive value of these two predictor variables. Using these findings, effective measures can be taken to improve and enhance the psychological health of patients with chronic pain.
Dr Azra Zebardast, Dr Sajjad Rezaei, Mrs Fatemeh Rezvandel-Ramzi,
Volume 15, Issue 4 (2-2022)
Abstract
| One of the main challenges in treating chronic disease is patients' adherence to treatment instructions. The aim of this study was to determine the mediating role of resilience in the relationship between attachment styles and treatment adherence in patients with chronic disease. The research design was descriptive-correlational. The statistical population included all patients with diabetes and hypertension in Guilan province in 2020. A sample of 399 people were selected by purposive sampling method. Data were collected through the Collins and Reed's Adult Attachment Scale (RAAS), the Connor-Davidson Resilience Scale(CD-RISC), and the Modanloo Adherence to Treatment Questionnaire. Data processing was performed using path analysis technique in AMOS-24 software setting and bootstrap analysis in Macro program of Preacher and Hayes (2008). There was a significant direct relationship between adherence to treatment with resilience and secure and avoidant attachment style(p<0.01). However, there was no relationship between adherence to treatment and ambivalent attachment(p>0.05). The fit of the mediator model was improved after deleting the two non-significant paths and it was obtained a good fit by releasing the covariance error between the ambivalent attachment and the secure and avoidant attachment (CFI=1.00, RMSEA=0.086). Bootstrap analysis revealed that resilience mediates the associations between endogenous and exogenous variables. The coefficient of determination in the final model demonstrated that all exogenous and mediating variables predict 21% of the changes in the adherence to treatment. Resilience and attachment pattern are important in patients' adherence to the treatment procedure and it is suggested that skills and strategies for coping with the disease stress and increasing the capacity to adaptive coping to life-threatening conditions be included in the treatment program of patients with chronic diseases. |
Mrs Masomeh Tadris Tabrizi, Dr Majid Saffarinia, Dr Mahnaz Aliakbari Dehkordi, Dr Ahmad Alipour,
Volume 16, Issue 1 (6-2022)
Abstract
The aim of this research was to investigate the relationship of Alexithymia and female sexual function by mediating social exchange styles. the research method was a descriptive correlational. The Statistical population was composed of all married women living in Tehran, of which 550 individuals participated in the study through online recall. The research tool included Toronto alexithymia scale, the Women's Sexual Function Scale and Social Exchange Styles Scale. Fitness of the proposed model was estimated through structural equation modeling (SEM) and using Lisrel software package. The mediating relationship in the proposed pattern were tested using the bootstrap procedure. The results of structural equation modeling indicating fitness of model and showed that alexithymia with the mediation of benefit-seeking style and overinvestment style had an indirect effect on sexual function. According to the results, in order to improve sexual function should be considered in social exchange styles. The findings of the present study provide a useful framework for identifying the influential components in the field of social psychology in women's sexual function that should be considered in prevention and treatment programs.
Fatemeh Abbasi Tehrani, Dr Mohammad Naghi Farahani, Dr Mahnaz Shahgholian Ghahfarrokhi, Dr Balal Izanloo,
Volume 16, Issue 2 (9-2022)
Abstract
This study aimed to develop and introduce training package of chronic pain self-management interventions and evaluate its effects on improving pain self-management (PSM), mindfulness skills (MS), metacognitive beliefs (MB), and cognitive emotion regulation strategies (CERS) in people with chronic musculoskeletal pain (CMP). The statistical population included all patients with CMP who were referred to Tehran hospitals between June 2020 and December 2021. Among these, 22 people (two experimental and control groups) of eligible individuals were selected by voluntary sampling method and examined during a quasi-experimental design. The experimental group underwent 8 online intervention sessions and were evaluated online by GSCS-7, PSMC-18, FFMQ-39, MCQ-30 and CERQ-18 during tree sessions (pre-test, post-test and follow-up). Data were analyzed by MANKOVA. According to the results, the overall effects of the self-management interventions were significant (p < 0.05). Also the interventions had a significant effects on improving PSM, increasing the use of MS, and improving CERS (p<0.05), however, the interventions had no significant effects on reducing dysfunctional MB (p < 0.05). Considering the evidence from this study, the authors believe that the use of chronic pain self-management interventions for people with CMP has significant clinical benefits, so its use is recommended to health care providers.
Dr Shahrbanoo Aali, Marziyeh Dindoost, Hajar Aliyaki,
Volume 16, Issue 2 (9-2022)
Abstract
Objective: The life situation of women with disabilities is complex and full of attitudinal, social and economic barriers to their socio-psychological well-being. Now, if these women are also mothers, there will certainly be consequences for the children of such mothers. Therefore, the aim of this study was to understand the lived experiences of girls who had a mother with a physical and mental disability. Method: The method of the present study was qualitatively phenomenological. The study sample consisted of 11 girls with a mean age of 20.5 years who had a mother with physical and mental disabilities and were selected by purposive and snowball sampling. Semi-structured interviews were conducted, then implemented verbatim and analyzed by Smith and Osborne interpretive phenomenology. Results: In this study, 4 main themes were identified: coping with maternal disability, feeling of maternal emptiness, perceiving differences in family structure and personal challenges created for the child. Some of the main themes included subsets. Conclusion: According to the findings, it can be said that the lives of girls have been affected by the mother's disability and it is necessary to provide a support system for families who face such problems.
--- Seyedeh Hamideh Naghibi, --- Reza Pourhosein, --- Mehdi Reza Sarafraz, --- Ali Sadeghinia,
Volume 16, Issue 3 (1-2023)
Abstract
Defense mechanisms are a determining factor for the level of psychological pathology, and this is of particular importance in atopic dermatitis patients. The aim of the present study was to determine the effectiveness of intensive short-term dynamic psychotherapy on the defense mechanisms of patients with atopic dermatitis. The present study is a semi-experimental design of single subject type. The statistical population of this study included patients with atopic dermatitis who referred to Razi Hospital in Tehran in 2019, of which 5 people were selected through available sampling. These people underwent 10 individual sessions of intensive short-term psychodynamic therapy. Subjects completed the defense mechanisms questionnaire during the baseline phase, during the intervention, and during follow-up. To analyze the data, visual analysis and calculation of recovery percentage were used. According to the scores of the patients in the charts of changes, all patients showed an acceptable improvement in defense styles. The overall improvement rate of patients in underdeveloped, developed, and neurotic defense styles at the end of the intervention were 37.6%, 49.2%, and 40.4%, respectively, which indicates the effectiveness of short-term intensive dynamic psychotherapy in reducing Underdeveloped and neurotic defensive styles and increased defensive style are developed.
- Masood Taghadossi, - Mohamad Naghi Farahani, - Morteza Manteghi,
Volume 16, Issue 3 (1-2023)
Abstract
The collapse of a marital relationship has many damages; research in this field is importance. The purpose is to identify effective factors in the collapse marital relationship in Iran. 10 experts and 12 experienced divorce people were interviewed. The interviews were first conducted with couple relationship specialists and the data extracted from these interviews formed a semi-structured interview to interview selected people. data identified 3 main categories, extra-couple, intra-couple and individual factors. cultural differences, religion, cyber space and media, social interactions, inappropriate social context, economic factors, destructive interaction between couple and family, negative influence of family, misplaced intervention, lack of support from extramarital factors; Lack of skills, conflict of roles, sexual problems, childbearing, differences, poor interaction, destructive behavior between couples, lack of understanding, change of couple's style, the way it is formed from factors between couples and lack of trust, indifference to obligations, individualism, lack of knowledge. indifference to other issues, feeling of loss, loss of attractiveness, change in values, psychological, personality and physical disorders, destructive attitudes towards couple relationship, behavioral characteristics and personality traits are the factors of the collapse of couple relationship. The data obtained can be used to improve the health of the individual, family and society.
Soheil Redaei, Mohammad Ali Goodarzi, Mahdi Imani,
Volume 16, Issue 4 (3-2023)
Abstract
Pain is an unpleasant experience, usually accompanied by potential or actual tissue injury, and is composed of emotional, sensory, cognitive, and social components. Past research has shown that both cognitive and emotional factors play a significant role in experiencing pain. An important complication of cancer is pain. More than 70 % of cancer patients experience disease-related pain. The cancer-caused chronic pain affects the quality of life of people with cancer. It also increases the risk of depression and anxiety in these patients. Psychological factors play a significant role in how patients adapt to pain. The research design was descriptive-correlational and the statistical population included people with Leukemia who had referred to clinics and hospitals in Yazd for treatment and chemotherapy. In total, 240 individuals were selected by convenient sampling method. The results showed that there is a significant relationship between metacognitions, meta-emotions, psychological flexibility and experienced pain. The presence of negative emotions and decreased mental flexibility was associated with increased pain. The role of psychological flexibility as a mediating variable between metacognition and meta-emotion with the amount of pain experienced was confirmed. It was demonstrated that metacognitions and meta-emotions, through psychological flexibility affect the degree of the pain experienced.
Mrs Leila Soleimanian, Mrs Fatemeh Mohammadi Shirmahaleh, Mr Javid Peymani, Mrs Marzieh Gholami Tooranposhti, Mrs Nahid Havasi Soomar,
Volume 16, Issue 4 (3-2023)
Abstract
The purpose of this study was to cmpare the effectiveness of Cognitive behavioral therapy and compassion-based therapy on glycosylated hemoglobin and coronaanxiety diabetic patients. This research was semi-experimental with a pre-test-post-test design and with a control group. The research population of patients with diabetes were members of the Hamedan Diabetes Association in 2020. Among them, 48 people were selected using available sampling method and they were divided into two experimental groups and one control group with the help of lottery. In one group, cognitive-behavioral therapy intervention program and in the other group, compassion-based interventions were trained for 8 sessions of 90 minutes each, and the control group was placed on the waiting list for training.Blood tests of patients were used to measure glycosylated hemoglobin, and the Corona Virus Anxiety Scale (2018) was used to measure the anxiety of Corona virus. The research data were analyzed using the Mancova statistical method and appropriate post hoc tests. The results indicate that compassion-based therapy on glycosylated hemoglobin was more effective than cognitive-behavioral therapy.No significant difference was observed between the compassion-based therapy and the cognitive-behavioral therapy regarding the corona anxiety In ordertoincrese thephsical andpsychological improvement.using of these treatmentin indiviual or group coursesseemes be effective
Miss Sanaz Nabipour, Dr Moradi Moradi, Dr Robabeh Nouri, Dr Hadi Parhoon, Dr Maryam Moghadasin,
Volume 17, Issue 1 (6-2023)
Abstract
Death anxiety is commonly experienced by individuals with advanced cancer who have a limited life expectancy. The Death and Dying Distress Scale (DADDS) is a validated measure that was created to capture this experience; but no Persian version is available to date. We conducted a cross-sectional study to explore the psychometric properties of a Pearsion version DADDS (DADDS) in patients with advanced cancer.200 patients with advanced cancer were recruited from the Imam Khomeini, Shohada Tajrish and Baqiyatallah hospitals. Measures administered included: DADDS-C, Patient Health Questionnaire (PHQ-9), and General Anxiety Disorder-7(GAD-7). McDonald's Omega, Cronbach's alpha, Confirmatory Factor Analysis were used to test DADDS reliability and validity.The Persian version of DADDS has good reliability (internal consistency between 0.67 and 0.91 and test-retest reliability between 0.73 and 0.89) and appropriate convergent validity through correlation with PHQ-9 and GAD-7 in the range was between (0.47 to 0.51). Also, according to construct validity, SEM showed that the two-factor model is the best fitting model for DADDS in Persian language.The DADDS is a valid measure of death anxiety in Iranian patients with advanced cancer. It may provide useful information in the assessment and treatment of distress in patients near the end of life.
Malihe Pazooki, Khadige Abolmalihoseini,
Volume 17, Issue 1 (6-2023)
Abstract
This research aimed to validate and validate Ferguson and Negi's (2014) Dramatic Personality Disorder questionnaire in college students. The research method was descriptive-contextualization. The statistical population of this research included undergraduate, graduate and doctoral students who were studying in the universities of Tehran in the academic year of 2019. 307 students were selected as a sample using online sampling (available). Ferguson and Nagy's (2014) expressive personality questionnaire and MMPI scale were used to collect data. The results of the confirmatory factor analysis indicated that the items of this questionnaire had the necessary power to measure the components of seduction, attracting attention and dramatic personality symptoms, and Cronbach's alpha of the mentioned components was 0.78 and 0.69, respectively, and the overall internal consistency of the questionnaire was equal to 0.7, the total score of the personality syndrome questionnaire was positively correlated with the scores of the psychological/social deviance, paranoia, mental weakness and schizophrenia components of the MMPI at a significance level of 0.01. Therefore, the questionnaire of demonstrative personality syndromes has good validity and reliability, and its use in research and treatment work is recommended to researchers and therapists.Key words: personality, Theatrical character, standardization, validity, reliability.
Dr. Fatteme Raiisi,
Volume 17, Issue 2 (9-2023)
Abstract
The purpose of this study was to design, make and evaluate the psychometric characteristics of a pain metaphorical perception questionnaire in Persian-speaking who suffer from chronic diseases. The method of this study was descriptive and psychometric and it was a survey type of research. At first, based on the cognitive analysis of Raiisi's pain metaphors (2021), nine metaphorical mappings were extracted, which were respectively object, causality, path and direction, human, place, taste, container, force, and circle. Based on obtained source domains, a questionnaire with 25 questions was created using a Likert response scale. The content validity of questions was evaluated by three cognitive linguistics experts, two health psychologists, three physicians, and two psychometric experts. No questions were found to be irrelevant or inappropriate. At last, the questionnaire was completed availability and voluntarily by 250 monolingual Persian-speaking patients with chronic diseases in 2022-2023. The results indicated that there was a reliability coefficient by using Cronbach's alpha for the whole questionnaire and its components. Moreover, the result of the factor analysis showed that this questionnaire consists of four factors including object, force, human, and causality, which explain 24.66% of the total variance of the factors. Consequently, the questionnaire on pain metaphorical perception has good validity and reliability for Persian speakers
Dr Mojtaba Aghili, Mrs Masoomeh Zarif, Dr Ensiyeh Babaee,
Volume 17, Issue 2 (9-2023)
Abstract
This research was conducted with the aim of investigating the effectiveness of treatment based on acceptance and commitment on psychological symptoms, quality of life and stress in patients with physical symptoms disorder. The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population consisted of people with physical symptoms who referred to psychological counseling centers in West Tehran in 2001, and 30 people were selected by purposive sampling and placed in two experimental and control groups (15 people in each group). The research tools were questionnaires on psychological symptoms by Najarian and Davoudi (2010), quality of life by War et al. (1993) and perceived stress by Cohen et al. (1983). The research data were analyzed by multivariate analysis of covariance test. The findings showed that the treatment based on acceptance and commitment is effective on psychological symptoms, quality of life and stress in patients with physical symptoms disorder. The results of the research indicate that treatment based on acceptance and commitment by using cognitive skills leads to a reduction in psychological symptoms, perceived stress and an increase in the quality of life of patients with physical symptoms.
