Iranian Journal of Health Psychology

Iranian Journal of Health Psychology

Iranian Journal of Health Psychology, Volume 5, Issue 3 - Serial Number 13, Summer 2022 (مقاله علمی وزارت علوم)



Predicting Emotion Regulation Strategies of Coronary Heart Disease Patients by Reinforcement Sensitivity(مقاله علمی وزارت علوم)

تعداد بازدید : 371 تعداد دانلود : 950
Objective: Coronary Heart Disease (CHD) is a pathological process in the coronary arteries that deserves special attention. This cross-sectional descriptive study aimed to predict the emotion regulation strategies, i.e., cognitive reappraisal and expressive suppression, adopted by patients with Coronary Heart Disease (CHD) using reinforcement sensitivity components, namely Behavioral Approach System (BAS), Behavioral Inhibition System (BIS), fight, flight, and freeze. Methods: To this end, 322 patients with CHD were recruited from three medical centers in Tehran, Iran. Emotion Regulation Questionnaire and Jackson-5 scales of revised Reinforcement Sensitivity Theory were administered to the patients, and the data were analyzed by regression analysis. Results: The results revealed that BAS significantly predicted cognitive reappraisal strategy and also made the strongest contribution to the explanation of expressive suppression strategy; furthermore, flight and freeze were both equally the second most significant predictors of expressive suppression. Conclusion: Therefore, the interaction between emotion regulation and reinforcement sensitivity components should be considered in patients with CHD. Keywords: Coronary Heart Disease (CHD), emotion regulation, reinforcement sensitivity, patients, behavioral activation

Structural Model of Women’s Sexual Health Based on Alexithymia, Differentiation of Self, and Gender Roles Mediating by Social Exchange Styles(مقاله علمی وزارت علوم)

تعداد بازدید : 389 تعداد دانلود : 173
.Objective: The purpose of this study was to evaluate the structural model of the relationship between alexithymia, Differentiation of Self, and gender roles in women’s sexual function with the mediation of social exchange styles. Method: This research was a descriptive correlational study. The statistical population of the study included all married women living in Tehran, of whom 550 people participated in the study through an online call. The instruments used in this study to collect data were the Toronto Alexithymia Scale (1994), the Differentiation of Self Inventory (1999), the Bem Sex Role Scale (1981), the Women's Sexual Function Scale (Rosen et al., 2000), and the Leybman et al.’s (2011) Social Exchange Questionnaire. The structural Equation Modeling (SEM) and using LISREL software were applied to evaluate the proposed model. Intermediate relationships in the proposed model were also tested using the bootstrap method. Results: The results of structural equation modeling indicated the model fitness and showed that alexithymia has a negative impact on sexual performance by the mediation of utilitarianism and extreme investment styles. In addition, the masculine gender role directly affects women's sexual function. Conclusion: According to the results, social exchange styles should be considered in improving sexual function. 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.

Effectiveness of Emotion-focused therapy on Anxiety and Quality of Life in Women With breast cancer(مقاله علمی وزارت علوم)

تعداد بازدید : 501 تعداد دانلود : 789
Abstract Objective: The aim of this study was to evaluate the effectiveness of emotion-focused therapy on anxiety and quality of life in women with breast cancer. Method: A quasi-experimental design was used to collect pre-test, post-test and follow-up data (three months after) from treatment and control groups. The sample consisted of 30 women with breast cancer in Tehran who had a high score in anxiety after screening. They were selected based on purposive sampling and randomly placed in experimental and control groups of size 15. The experimental group received 12 sessions (50 minutes) of emotion-focused therapy (Greenberg, 2010). The control group did not receive an intervention. Data were collected using Beck Anxiety Inventory and Functional Assessment of Cancer Therapy - Breast Cancer (FACT-B) in three stages: pre-test, post-test, and follow up, and analyzed using mixed variance analysis. Findings: Results showed significant within and between subject differences (P<0.01) on measures of anxiety and quality of life. Emotion-focused therapy significantly reduced anxiety and increased quality of life in the treatment group relative to the control group. Moreover, post-test and follow-up levels of anxiety and quality of life differed significantly from pre-test levels, but not from each other. Conclusion: Emotion-focused therapy targeting emotional processing and expression improved [d1] regulation of clients' emotions and can be used as an appropriate intervention method to reduce anxiety and increase quality of life in women with breast cancer.

The Effectiveness of Spiritual Group Therapy on Resilience and Coping Styles of Families of Addicts Quitting the Drug(مقاله علمی وزارت علوم)

تعداد بازدید : 73 تعداد دانلود : 242
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.

Predicting Health-Related Quality of Life based on Emotion Regulation with Mediating Role of Self-Care in Patients with Coronary Artery Disease(مقاله علمی وزارت علوم)

تعداد بازدید : 813 تعداد دانلود : 203
Objective: Coronary Artery Disease is a chronic and complex disease requiring continuous medical care. The current study was conducted to for predicting Health-Related Quality of Life based on Emotion Regulation with mediating to Self-Care in Patients with Coronary Artery Disease (CAD). Methods: The research method was a descriptive study and correlation type. The statistical population comprised all patients with CAD (N=350) referring to Shohadaye Tajrish Hospital in Tehran, Iran, in the second half of 2020. Based on the Tabachnick Fidell formula, 184 subjects were selected using a convenient sampling method. Research instruments were the Self-Care Scale (Jaarsma, Halfens, Tan & et al, 2003), Emotion Regulation Questionnaire of Garnefski & Graich, 2001), and HRQol Survey (Ware, Kosinski, Keller, 1996). Data analysis was done using Structural Equation Modeling (SEM) and path analysis. Results: The data indicated a positive and significant mediating role of self-care in the relationship between emotion regulation (β= 0.175, p<0.01) and HRQoL of patients with CAD. Moreover, self-care and emotion regulation had a positive impact on HRQoL. Conclusion: According to findings, a part of the mutual effect of self-efficacy and emotion regulation on HRQoL is explained by self-care. On the other hand, high emotion regulation, and self-care led to better HLQoL of CAD patients.

Comparison of Mental Toughness and Sense of Coherence in Natural and Steroid Bodybuilders(مقاله علمی وزارت علوم)

تعداد بازدید : 93 تعداد دانلود : 396
Objective: Bodybuilding has attracted a lot of people in recent years, but despite the popularity of using unauthorized and steroid drugs, it has caused many problems for athletes. The purpose of the present study was therefore to compare mental toughness and sense of coherence in natural and steroid bodybuilders. Method: This study was a descriptive and causal-comparative study. The statistical population consisted of all natural and steroid bodybuilders in Rasht in 2019 from 120 individuals (60 natural bodybuilders and 60 steroid bodybuilders) they were selected purposefully and included questionnaires on sport mental toughness Sheard, Golby & Van Wersch (2009) and Sense of coherence Antonovsky (1993) responded. Data were analyzed using multivariate analysis of variance by SPSS 24 software. Results: The findings of this study showed that there was a significant difference between the components of mental toughness and sense of coherence in the two groups (P<0.01). Natural bodybuilders had higher levels of Confidence (24.93, P<0.001), Constancy (15.60, P<0.006), Control (14.43, P<0.001), and sense of coherence (21.88, P<0.001) compared to steroid bodybuilders. Discussion: The results obtained from this research show that the abuse of steroid drugs has a significant impact on the psychological and physical aspects of bodybuilders. For this purpose, it is necessary to prevent possible injuries by providing proper information and providing psychological services to professional athletes.


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