مرضیه پهلوان

Objective: Both of the defense mechanisms of ego and depression, affects the intensity of the pain in the patient with chronic pain. The present study investigates the mediating role of depression in the relationship between immature ego defenses and perceived pain intensity in patients with chronic pain. Method: Research was conducted on 503 patients with chronic pain who were referred to pain centers in Tehran. Participants were asked to answer Numerical Rating Scale (NRS) for perceived pain intensity, Defense Styles Questionnaire (DSQ-40), and Depression, Anxiety, and Stress Scale (DASS). Results: The results indicated that depression plays a mediating role in the relationship between immature ego defenses and perceived pain intensity in patients with chronic pain. Conclusion: the relationship between immature ego defenses and the perceived pain intensity is not a simple linear one, but is mediated by depression. So, depression has an important role in Transforming of defense mechanisms to the pain.

Objective: Spiritual therapy is recognized as an effective treatment for most psychological problems. The aim of this study was to investigate the effectiveness of group spiritual therapy on resilience and coping styles of families of addicts who are quitting drugs. Method: The reasech method was quasi-experimental with a pre-test-post-test and a control group design. The statistical population included all families of addicts who were quitting in a camp in Shahrekord city for a period of 3 months in 2020. The statistical sample consisted of 30 families of these addicts who were selected through the purposeful sampling method and randomly assigned into experimental and control groups. The instruments used in this study were the Connor and Davidson Resilience Scale, and the Moss and Billings Coping Styles Questionnaire. Spiritual group therapy was held in 11 sessions of 90 minutes for a month and a half for the experimental group. The collected data were analyzed by covariance analysis using SPSS-21 software. Results: The results showed that group spiritual therapy increased resilience (p≤0.001) and using problem-focused coping style (p≤0.001), and decreased using emotion-focused coping style (p≤0.001) in the family of addicts quitting drugs in the experimental group. Conclusion: The results indicated that spiritual group therapy can explain the high rate of change related to resilience and coping styles of families of addicts seeking treatment.