Showing 465 results for Type of Study: Research
Azam Mansourinik, Iran Davoudi, Abdolkazem Neisi, Mahnaz Mehrabizadeh Honarmand, Mohammad Reza Tamannaeifar,
Volume 12, Issue 4 (2-2019)
Abstract
Understanding the actual - ideal body discrepancy in individuals makes them use coping strategies to manage the distracting experiences of their body image. The purpose of this study was to investigate the relationship of body discrepancy with body image maladaptive coping strategies (experiential avoidance and appearance fixation) with the mediating role of self-compassion and body shame. Sample consisted of 300 female undergraduate students of Shahid Chamran University of Ahvaz who were selected by multi -stage random sampling. In order to collect information, we used the body-image ideals questionnaire, objectified body cnsciousness scale, body image coping strategies inventory, self-compassion scale (short form). The conceptual model of the present study was analyzed using path analysis method. The results indicated that the path coefficient of body discrepancy to experiential avoidance was not significant, but the path coefficient of body discrepancy to appearance fixation was significant. Furthermore, the path coefficient of self -compassion to body shame was significant. Also, indirect path of body discrepancy to body image maladaptive coping strategies through self-compassion and body shame was significant. Finding of this study is consistent with compassion focused therapy showed the role of shame and compassion as emotional aspect of body image disturbance.
Mahnaz Sharifain, Majid Saffarinia, Susan Alizadeh Fard,
Volume 12, Issue 4 (2-2019)
Abstract
The purpose of this study was to evaluate the structural model of the relationship between marital adjustment, sexual self-disclosure and sexual anxiety in vaginismus disorder by mediating social exchange styles. Population was composed of all women who referred to sexual disorder treatmernt centers in Tehran. Sample consisted of 220 women with vaginismus disorder. The research tool included marital adjustment scale, sexual anxiety questionnaires, sexual self-disclosure scale, multidimensional vaginal penetration disorder questionnaire and social exchange questionnaire.The results of structural equation modeling showed a rather good fit for the model. In addition, the results showed that all paths between the variables were statistically significant. According to the results, the indirect relationship of sexual self- disclosure, marital adjustment and sexual anxiety through mediation of social exchange styles was not statistically significant. However, marital adjustment and sexual anxiety directly predict the severity of vaginismus disorder, but thire indirect effects through social exchange styles on vaginismus was not significiant. Therefore, sexual anxiety and marital adjustment are important components in predicting vaginismus disorder and should be considered as one of the main goals of treatment in women with vaginismus disorder.
Fatemeh Shahisadrabadi, Zohreh Khosravi, Shokooalsadat Banijamali, Leyla Cheraghmolaee,
Volume 12, Issue 4 (2-2019)
Abstract
Emotional disturbance is a central attribute of pathology in various disorders, in particular OCD. Anger is one of the main emotions that has been neglected and these few findings have many contradictions and a lot of turmoil. Therefore, the present study was conducted to explore the lived experience of anger in these individuals. This research was qualitative research and was the kind of interperetative phenomenological analysis. Participants were 29 individuals with OCD who were selected by purposeful sampling and snowball sampling. Also Data collection was through semi-structured interviews, narrative interviews and imagery. In order to analyze, the data were used the principles of Interpretative Phenomenological Analysis. The results of the study included 7 themes. Themes included control, disgust, revenge, helplessness, combating anger, disgust, discomfort and uncontrollability. The results indicate that the experience of anger in an OCD has a wide range that can indicate the heterogeneity of this disorder. Since the two main themes related to the experience of disgust, the findings reveal the key role of disgust in the disorder. The relationship between anger and disgust can also be looked at more precisely in this disorder. However, the association of each of the themes with some of the features of this disorder can lead to studies shifting to another according to the quality of emotional experience. That means exceptional and clear emotional experiences in each category can mean different pathologies, resulting in a different therapeutic approach to treatment of the disorder. In addition, the comparison of the meaning of anger and other major emotion with anxiety disorders and OCD can also be effective in identifying and delimiting this disorder.
Afrooz Afshari, Maryam Homayoun Poor, Narges Seraj Poor, Zahra Taheri,
Volume 13, Issue 1 (5-2019)
Abstract
Cancer is an unpredictable stressor in children and has a psychological impact on their lives. Understanding the children's view about their condition, provide better services and eliminating barriers that effects on accepting treatment by the child. The aim of present study was to explore and understand the perspectives of children with cancer about their disease. The present study was a qualitative investigation that conducted by content analysis method in which 20 hospitalized children aged 4-12 years suffering from different type of cancer were selected through purposive sampling and sampling continued until data saturation. To explore the perspectives of children about cancer and its consequences, content analysis of the drawings (by psychoanalytic approach) and the recorded semi-structured interviews were conducted. Data analysis was conducted continuously and simultaneously with data collection and with a comparative method using MAXQDA software. Approximately 1020 codes were identified by the implementation of recorded interviews and drawings of children by open coding. The data coded were finally summarized in five categories: 1. Concerns relative to the place of treatment; 2. Concern with physical problems due to illness and pain; 3. post-traumatic growth, 4. negative problems due to illness, 5. Family consequences of the disease, and 6. The child's view of the process of the disease.
Himan Naderzadeh, Mahdea Salehy, Marjan Jafariroshan, Roya Kochakentazar,
Volume 13, Issue 1 (5-2019)
Abstract
Clinical and epidemiological studies have proved the role of cognitive processes in the formation and continuity of social anxiety. This study aimed to predict the social anxiety symptoms among adolescents based on the early maladaptive schemas and cognitive distortions. Population included all junior high-school students in Marivan city and among whom 400 students (200 males and 200 females) were selected as samples. To select sample size, the researcher referred to the selected high schools and distributed Connor’s social phobia index questionnaire among students who were suspicious of suffering from social anxiety (diagnosed by schools consultants and consistent with symptoms indicated in DSM-V). Upon the completion of the questionnaire, the students with confirmed social anxiety disorder were randomly selected as the sampling of the study. Data were gathered using social anxiety questionnaire, early maladaptive schemas questionnaire (short form) and cognitive distortions questionnaire. The collected data analyzed using Structural Equation Model. The results showed the structural model was fit. Five areas of the early maladaptive schemas (disconnection and rejection, impaired autonomy and performance, impaired limits, directedness, over-vigilance, and inhibition) can predict 63% of social anxiety. There was a direct and significant correlation between the variables of the early maladaptive schemas and social anxiety. Bootstrapping analysis revealed cognitive distortions served as a mediator between the early maladaptive schemas and social anxiety symptoms. The results of this study supported the role of the early maladaptive schemas as a vulnerability factor in social anxiety and the role of cognitive distortions as a linking mechanism between the early maladaptive schemas and social anxiety.
Valiollah Ramezani, Mohammad Saeed Abd Khodaee, Zahra Tabibi, Hamid Reza Aghamohammadian,
Volume 13, Issue 1 (5-2019)
Abstract
The aim of this study was to investigate the healthy and pathological aspects of parenting among Iranian’s families. This study had a qualitative design and the method used is Grounded Theory. The population consisted of all Muslim parents with children over 10 years of age, living in Tehran and Karaj during the summer of 2016 to the summer of 2017. The sample consisted of 44 Muslim parents who were investigated through semi-structured interviews. The interviews' data were analyzed on the basis of grounded theory coding (coding paradigm or Strauss and Corbine method). Final codings consisted of 216 initial codes, 9 clusteres and 3 themes. In the axial analysis of the initial codes, 9 main clusters were extracted: rejection; kindness/support; over protection; inflexibility; optimum structure; chaos; coercion; assertiveness; autonomy support; negligence/passivity. Althought Theses clusters can be conceptually distinguished, but they have common features. In the selective coding, 9 clusters were integrated around 3 major themes : Intimacy (rejection; kindness/support; over protection); structure/rule (inflexibility; optimum structure; chaos); autonomy/freedom of action (coercion; assertiveness; autonomy support; negligence/passivity). Among these three themes, the medium cluster draws a balanced and healthy situation and two other clusters represent the pathological aspects of parenting. The results of this study showed that most of the parents involved in the study used a kind of authoritarian parenting style(the combination of over protection, inflexibility and coercion) and Healthy parenting (the combination of kindness/support, optimum structure and autonomy support) is located in the second rank.
Behzad Salmani, Jaafar Hasani, Hamid Reza Hasan Abadi, Shahram Mohammad Khani,
Volume 13, Issue 1 (5-2019)
Abstract
The aim of this study was to evaluate the efficacy of cognitive behavioral therapy (CBT) with or without metacognitive techniques and Zolpidem (10 mg) for people with chronic insomnia disorder. After assessing eligibility criteria, six patients included four female and two male entered the study. All patients allocated randomly to three treatments (CBT, CBT+ & Zolpidem 10 mg.) and assessed 6 times by research instruments. Results were analyzed by recovery percent, clinical significant index, effect size and diagnostic recovery. Results of the study showed that during post-treatment and 1-month & 3-months follow-up, patients who received CBT+ have higher rate of recovery in sleep efficiency and sleep quality than other patients. In terms of insomnia severity, CBT & CBT+ have no significant difference but both were superior to patients who received Zolpidem 10 mg. Also, patients who received Zolpidem (10 mg) failure to keep treatment achievements in follow-up. Adding metacognitive techniques to CBT increased its efficacy. Findings of this study could regard as a pilot information about new ways for raising efficacy of cognitive behavioral therapy for chronic insomnia disorder.
Marzieh Paghandeh, Saeid Hassanzadeh, Sogand Ghasemzadeh,
Volume 13, Issue 1 (5-2019)
Abstract
Hearing Impairment is one of the most complicated sensory impairments that has an effect on parenting stress and parent-child interaction. Parent-child interaction program taken from parent-child interaction therapy (PCIT) theory which was developed by Sheila Eyberg resulted from her wide background on actor theory, traditional child psychotherapy and the first child development. In fact this program has used both attachment theory and social learning theory to gain access to ways of powerful parenting. So parent-child interaction is effective for a correct performance with the child and reduction of parenting stress especially for those who are hearing-impair and have parents who are not. Parents who have a child who is hearing-impaired have a negative cognitive evaluation of their abilities as parents so causing a reduction in mental health and well-being of parents. The present study aimed to investigate the effectiveness of educational program of parent-child interaction for mothers who have a hearing-impaired child on reduction of parenting stress and relationship of parents with the child. The present study was of semi-experimental kind and used pre-test and post-test model and a follow-up step with control group. Sample included 30 preschool children with hearing impairment and their parents were purposefully selected and randomly put in two groups of experimental and control. Then before performing, parent-child interaction program was designed and edited by the researcher. This program included providing need assessment form and defining parent education parameters. In child directed interaction (CDI), reward, mimicry, reflection, description, enthusiasm, getting attention and in parent directed interaction (PDI) issuing good orders, encouraging discipline, punishing by standing on the chair because of disobedience and making authentic rules at home were considered. Subjects of experimental group received parent-child interaction program in 12 sessions during one month. To study parent-child interaction and parenting stress, parent-child relationship scale and parent stress scale were used. The findings showed mean of scores in parent-child interaction and parenting stress has been effective in father; but it increased more in control group in post-test in comparison with pre-test in mother. The results of the study showed the importance of parents' cooperation in parent-child interaction. It seems effectiveness of parent-child interaction program showed on improving the relationship of parents with child having a hearing impairment.
Amir Nabizadeh, Mehran Farhadi, Khosro Rashid, Rasoul Kordnoghabi,
Volume 13, Issue 1 (5-2019)
Abstract
The purpose of this study was to examine the effectiveness of the neutralization of tactical defenses in Intensive Short-Term Dynamic Psychotherapy (ISTDP) on Defensive Styles, Anxiety, and Fear of Intimacy. In fact, the purpose of this research that distinguishes it from the few studies in the Psychotherapy field is to study the structure of the conflict triangle (feeling, anxiety and defense) with an emphasis on interpersonal defenses. The method of this research was quasi-experimental (pre-test and post-test with control group). Population of this study was all students from Bu-Ali Sina University in Hamedan (dormitories-central site) in the years 2017-2018. Twenty-six of them selected by voluntarily accessible sampling (non-randomized and random replacement sampling) in both experimental and control groups. Data of the research were collected by defense styles questionnaires, state- trait anxiety and fear of intimacy. Clients in the experimental group received each of the interventions (Questioning technique, Pressure, and challenge of the therapeutic protocol ISTDP) during 10 sessions in 45 minutes. Control group received no intervention. Results indicated that the neutralization of tactical defenses reduces the use of immature and neurotic defensive styles, and state and trait anxiety. However, treatment was not effective for increasing the use of mature defensive style and reducing fear of intimacy. The results of this study indicate that the removal of tactical or external defenses that rooted in fear of re-failure in the intimacy and emotional closeness can be effective in reducing interpersonal and interpersonal tensions. In addition, this kind of intervention could change some kind of defensive styles.
Shahram Vakili Heris, Sholeh Livarjani, Naeimeh Moheb,
Volume 13, Issue 1 (5-2019)
Abstract
The aime of this study was to investigate a transdiagnostic model for explaining comorbidity between anxiety and depression based on the overcontrolling, sensivity to reward and sensivity to threat.The participants were 586 students of Islamic Azad University Tabriz Branch, University of Tabriz and Azarbaijan Shahid Madani University in Iran. Data were collected by Depression Anxiety Stress Scale (DASS-21), Acceptance and Action Questionnaire (AAQ-II), behavioural inhibtion/Behavioural activation scale (BAS/BIS), Intolerance of Uncertainty Scale (IUS), Ambivalence over Emotional Expression Questionnaire (AEQ) and Frost Multidimensional Perfectionism Scale (FMPS). Sensitivity to reward with overcontrolling mediation affects anxiety and depression with standard coefficients of -0.29 and -0.36. Also, sensitivity to threat with standardized coefficients of 0.31 and 0.39, respectively, have a significant effect on anxiety and depression by the mediation of overcontrolling. Our findings proposes a suitable framework for explaining comorbidity between depression and anxiety. Low sensitivity to reward and high sensitivity to threat by the mediation role of overcontrolling could predict comorbidity between anxiety and depression. These findings can be useful in understanding the etiology of comorbid emotional disorders, and developing efficacious therapeutic interventions and prevention of comorbid emotional disorders.
Fatemeh Abdi, Shokoohsadat Banijamli, Hassan Ahadi, Shirin Koushki,
Volume 13, Issue 2 (9-2019)
Abstract
According to the prevalence of cancer in Iran and the importance of women’ s suffering from breast cancer psychological survey, credit scoring of Resilience instrument has been used in this research. The questionnaire of Connor-Davidson (CD-RISC) - including 25 questions-was answered by 202 breast cancers women who had been under treatment all over Tehran’s hospitals. Confirmatory Factor Analysis(CFA) and Exploratory Factor Analysis (EFA) has been used for validity consideration.In the confirmatory factor analysis, all fitting indices have been found to be optimal and factor matrix has been calculated based on 2 factors. These two factors had totally 48/37% of total variance. The First Value was 10/75 that was 43/025% of total variance and the ratio of the first value to the second was 1/33 that it was 5/319 %of total variance. According to the results, in general the highest Cronbach’s Coefficient Alpha was related to the first factor (α=0/935) and the least was relevant to the second factor (α=0/792) and for the whole factors, (α=0/942) is calculated which shows the high internal coordination. In conclusion, results have proved the accessibility of Connor-Davidson (CD-RISC) instrument in women with breast cancer.
Shahrokh Makvand Hosseini, Fatemeh Azarfar, Parviz Sabahi,
Volume 13, Issue 2 (9-2019)
Abstract
The purpose of this study was to evaluate the effectiveness of short-term dialectical behavior therapy (DBT) techniques on quality of life in adolescent girls with symptoms of borderline personality disorder. In a semi-experimental design ,after screening, among the eligible individuals and 54 applicants were randomly divided into two equal groups according to the score level, Experimental group received dialectical behavior therapy in intensive group method (12 sessions twice a day, 3 times a week), while control group did not receive treatment. Participants completed the Quality of Life Scale (SF-36) in three stages of pre-test, post-test and follow-up. Data were analyzed using Multivariate Analysis of Variance (MANCOVA). The results showed significant differences between the two groups in the post-test for the mean components:
1- Physical Function (0.003) 2- Role / Emotional Restriction (0.042) 3- Energy / Fatigue (0.001) 4- Emotional Well-being (0.001) 5- Social Function (0.003) 6- Pain (0.0010) 7- General Health (0.001) as well as total quality of life score (0.003).At 4-month follow-up, the results were also consistent in the components of physical performance (0.013), social performance (0.030), total quality of life (0.049).
Rezvan Shafiee, Maryam Salehzadeh, Fahimeh Dehghani, Muhammad Reza Motazavizadeh,
Volume 13, Issue 2 (9-2019)
Abstract
This study aimed to investigate The Role Emotional Expressiveness and Fear of Intimacy at Prediction of Quality Interpersonal Relationship at the Individuals with Cancer. This research was a descriptive study of correlational and causal-comparative. The population of this study was all Cancer Individuals of shahid Ramezanzadeh Center of Yazd. From this community, 115 people were selected via Convenience Sampling. There King & Emmons’s emotional expressiveness, Descutner and Thelen’s Fear of intimacy and Pierce, Sarason, Sarason’s quality of interpersonal relationships were used for this research. Pearson correlation and Enter regression were used for statistical analyze. The data were analysis using spss22 software. . Findings indicated that there is a significant and Negative relationship between Fear of intimacy with quality of interpersonal relationships (-0/379) and there is a significant and Positive relationship between emotional expressiveness with quality of interpersonal relationships (0/598). According to the findings, 49 percent of the variance in quality of interpersonal relationships are explained by emotional expressiveness and Fear of intimacy.
Mahsa Jabbari, , Leili Panaghi, Mohammad Ali Mazaheri Mazaheri,
Volume 13, Issue 2 (9-2019)
Abstract
The purpose of this study was to investigate how Iranian experts and adolescents define the 24 character strengths. With this aim in mind, through on purpose method of sampling, semi-structured interviews about definitions of the 24 character strengths were conducted with ten specialists (including psychologists, counselors, and teachers). Furthermore, the opinions of two gender-segregated groups of nine grade students about character strengths’ definitions were discussed in focus groups for girls (N= 7) and for boys (N= 6). Students were selected based on their availability at the time of research and their willingness to take part in discussion groups. Data were analyzed using content analysis and directive approach. Results showed that there was conformity with Peterson and Seligman’s (2004) definitions and Iranian experts-adolescents’ definitions in twelve character strengths and also there were some differences in definitions of other character strengths (e.g., bravery, zest, and honesty). These similarities and differences were discussed. Based on the findings of this research, it can be claimed that there is almost compliance between definitions of the 24 character strengths in Iranian society and the definitions of the character strengths and virtues classification and this classification can be used in research related to this topic.
Majedeh Khosravi Larijani, Fatemeh Bahjati, Azadeh Choobforoush Zade,
Volume 13, Issue 2 (9-2019)
Abstract
Diabetes is a chronic disease that adherence requires admission and care, therefore it is recommended to increase the knowledge and to increase the motivation of patients to take care of themselves. This study was conducted in order to investigate the effect of Intervention based on Informational–Motivational and Behavioral Skills (IMB) Self-Care Model on quality of life in students with diabetes. This study was an applied and quasi-experimental study with a pre-test-posttest with control group design with a population of children and adolescents with diabetes referring to diabetes mellitus center in Yazd. In addition, number of children and adolescents aged 10 to 17 who were selected by available sampling method. The quality of life questionnaire used. Based on covariance analysis. There was a significant difference between the mean scores of quality of life in terms of group membership. In addition, the intervention improved the quality of life in students with an impact rate of 23.6%. Given that information, patient motivation as well as his behavioral skills on recovery His life is effective. the informational–motivational and behavioral skills self-care model could be regarded as a useful model for promoting health among individuals with diabetes.
Somayeh Zare, Ahmad Alipoor, Mahnaz Aliakbari Dehkordi,
Volume 13, Issue 2 (9-2019)
Abstract
The purpose of is study, comparison the resiliency and health promoting lifestyle between thyroid dysfunction disease patients and healthy people. The method of present study is causal-comparative. The 200 patients (100 thyroid dysfunction patients and 100 healthy people) in endocrine clinics in Rasht city that was in 2017-2018. Tools for measuring the research variables were Resiliency (Connor-Davidson, 2003), health promoting lifestyle test (Walker,1987). Data were analyzed by multiple analysis of variance. The result showed that the relationship resiliency and health promoting lifestyle between thyroid dysfunction disease patients and healthy people is significant (P=0/001, β=0/22). The mean scores of patients with thyroid dysfunction in resiliency and health-promoting lifestyle and their components (except in stress management) is significantly lower than the healthy people (P<0.05). According to the study, of thyroid dysfunction disease with indicators of resiliency and health-promoting lifestyle was a significant relationship, It seems that the levels of resiliency and health-promoting lifestyle can be associated with the prevalence of thyroid dysfunction disease.
Maryam Shafaghdoost, Fatemeh Shahamat Dehsorkh,
Volume 13, Issue 3 (12-2019)
Abstract
This study has aimed to investigate the mediating role of the object relations and defense mechanisms in relation between family function and percived mental health. relations. General health questioner, family assessment device, Bell's object relation inventory and defense style questionnaire were administrated on a sample of 300 students (195 girls and 105 boys). Participants were selected, using multi-stage cluster sampling, from Khayyam University. Data were studied through path analysis method. Results indicated that object relations and mature defense mechanisms of ego played a mediating role in relation between family function and mental health. However, the immature and neurotic mechanisms of ego did not have a mediating role. Being compatible with object relation theory, this research revealed that family functions enhance mental health through affecting object relation and defense mechanisms.
Mehdi Akbari,
Volume 13, Issue 3 (12-2019)
Abstract
The aim of the present study was to investigate the mediating role of personal values in the relationship between neuroticism and problematic internet use (PIU) in the student population. The statistical population of this study included all university students of Tehran city. 358 undergraduate students of Tehran, Kharazmi and Shahid Beheshti universities were selected by convenience sampling method. Participants responded to the Internet Abusive Use questionnaire, the Valued Living Questionnaire, and the Neuroticism-NEO-Five Factor Inventory. Data were analyzed by structural equation modeling as implemented in SPSS-20 and LISREL-8.53 software. The results of structural equation modeling showed that the conceptual model of the research fitted well with the experimental data and the personal values played a full mediating role in the relationship between neuroticism and PIU. The results of path analysis also showed that neuroticism has the most indirect effect on PIU through family relations value, intimate relation value, spirituality-religion value, physical well-being value, social relations value and learning. It can be concluded from the results of the study that personal values play as a full mediating role in the relationship between neuroticism and PIU and in the presence of personal values, direct path neuroticism and PIU was no longer meaningful.
Kobra Ghasemi, Tahereh Elahi,
Volume 13, Issue 3 (12-2019)
Abstract
The purpose of this study was to investigate the mediating role of experiential avoidance in relationship of early maladaptive schemas with illness anxiety. The research was carried out using correlation method on 308 students of Qazvin University who were selected with convenience sampling method. Data were collected using Early maladaptive Scheme (Young), hypochondrias (Evans) and Acceptance and Action Questionnaires (Hayes). Results showed a significant role of schemas of impaired autonomy - performance and impaired limits domains in illness anxiety. Also, the role of vulnerability to harm or illness and entitlement/undeveloped schemas was significant predictor of illness anxiety. The results of hierarchical regression showed that the mediating role of experiential avoidance in the relationship between vulnerability to harm or illness and entitlement/ undeveloped schemas with illness anxiety severity was significant. It could be concluded the experiential avoidance and early maladaptive schemas were contributed in the maintenance of illness anxiety.
Niloofar Kianrad, Dr Hamid Taher Neshatdoost, Dr Mehdi Reza Sarafraz,
Volume 13, Issue 3 (12-2019)
Abstract
The human mental organization has a behavioral regulative principle that operates based on certain conscious and unconscious needs. Experience of stress disrupts human mental structure and results in symptoms of psychological and physical disorders. One source of stress is having ailing children. Accordingly, this study investigates self-regulation mediational processes in the context of perceived stress in mothers of children diagnosed with cancer. The convenience sample of this study consisted of 245 mothers, who volunteered to participate and were administered the following questionnaires: Integrative self-knowledge; Self-control Scale; Self-compassion Scale; perceived stress and Chronic Self-destructiveness Scale, body-symptoms checklist. Analysis of the survey data was carried out using structural equation modeling (SEM). The analysis suggests that perceived stress is mediated through self-regulation for self-destructiveness, physical symptoms, and unpleasant self-relevant through. Therefore, exposure to stress has destructive effects both in terms of physical symptoms and on an emotional and behavioral level. The authors concluded that self-regulation was a supportive variable, helping individuals cope better with unpleasant events, retrieve their ideal mental balance and maintain their mental organization. It is implied that based on a self-regulation model, effective management of one’s mental organization can improve an individual’s capacity to effectively cope with inevitable sources of stress.
