Fatemeh Behroozfar, Dr Marjan Al Behbahani,
Volume 19, Issue 3 (12-2025)
Abstract
Cancer, as one of the most prevalent chronic and life-threatening diseases, is accompanied by numerous physical and psychological challenges, including chronic pain that affects patients' quality of life. The present study aimed to predict pain tolerance based on spiritual well-being and self-control in cancer patients. This descriptive-correlational study was conducted on a population of 260 cancer patients referred to Nemazi Hospital in Shiraz in 2024, with a sample of 150 individuals selected via convenience sampling. Research instruments included the Pain Catastrophizing Scale (Sullivan et al., 1995; for inverse measurement of pain tolerance), the Spiritual Well-Being Scale (Paloutzian & Ellison, 1982), and the Self-Control Scale (Tangney et al., 2004), with reliability confirmed by Cronbach's alpha ranging from 0.80 to 0.85. Data were analyzed using Pearson correlation and multiple regression in SPSS-21 software. Pearson correlation results indicated significant positive relationships between spiritual well-being (r=0.285, p<0.001), self-control (r=0.328, p<0.001), and pain tolerance. Regression analysis revealed that spiritual well-being and self-control together explained 36% of the variance in pain tolerance (R²=0.360, F=56.993, p<0.001). Spiritual well-being and self-control are effective predictors of pain tolerance in cancer patients, and it is recommended to integrate interventions focused on enhancing these factors into clinical programs to improve patients' quality of life.
Leila Kabiri, Molouk Khademi Ashkzari, Saeed Akbari-Zardkhaneh, Keyvan Salehi, Hossein Pourshahriar,
Volume 20, Issue 1 (4-2026)
Abstract
The increasing socio-cultural changes in recent years, coupled with the high prevalence of psychological health issues during the critical adolescent years and a research gap in this area, highlight the importance of investigating the factors that create a sense of well-being in adolescents. This study aimed to identify the conditions for sense of well-being and to present a conceptual framework of well-being for Iranian adolescents. A qualitative, constructivist approach and a grounded theory research design were used with the aim of conceptual ordering. The study population consisted of Iranian adolescents, mainly residing in the city of Qazvin, aged 16 to 19 years, who were selected using purposive sampling. Data were collected from 2024 to 2025 through face-to-face, semi-structured interviews and Coding was performed manually in two stages initial and focused Coding based on the Charmazian approach, and themes were sorted using Excel 2019. This process yielded twelve core concepts: engagement, optimism, happiness, self-relationship, relationships with others, relationship with God, relationship with existence, self and family health, personal growth, flourishing community, moral values, and material resourcesThe findings of this research provide insights for policymakers and educators to create a suitable environment for fostering well-being.
Amineh Jalali, Leyla Sadat Modarresi, Parisa Kolahi, Arsalan Barekat, Taiebe Delshad, Soheila Rahmani,
Volume 20, Issue 1 (4-2026)
Abstract
The present study aimed to investigate the effectiveness of compassion-focused therapy (CFT) on survivor guilt and psychological well-being by explaining the mediating role of self-forgiveness in elderly people exposed to war trauma (Battle of Ramadan). This study was a quasi-experimental study with a pre-test-post-test design and a control group. The statistical population included all elderly people living in Kerman city in January 1404 who had experienced war-related trauma. The sample was selected using convenience sampling and randomly assigned to two experimental and control groups. The experimental group received the compassion therapy intervention, while the control group remained on the waiting list. The research instruments included the Survivor Guilt Questionnaire, the Riff Psychological Well-Being Scale, and the Self-Forgiveness Scale. The results of data analysis showed that compassion therapy led to a significant reduction in survivor guilt and an increase in psychological well-being in the elderly. The results of the path analysis also confirmed that self-forgiveness, as a mediating variable, positively affects the relationship between compassion therapy and reducing guilt and improving mental health. Based on the findings of this study, compassion therapy, by strengthening the mechanism of self-forgiveness, is an effective approach to reducing psychological pain caused by war trauma in old age and can be used as a specialized intervention in nursing homes.
