درخت حوزه‌های تخصصی

Objective: Psychological defense mechanisms reflect how individuals cope with conflicts and stress. This study aimed to describe defense mechanisms in medical interns and their correlation with spiritual health. Method: This cross-sectional study, characterized by its descriptive nature, was carried out among medical students during the 2019-2020 academic year. The participants were 168 medical interns who met the established study criteria and completed two questionnaires: The Defense Mechanisms Questionnaire (DSQ-40), devised by Andrews et al. (1993), and the Spiritual Health Questionnaire by Paloutzian and Ellison (1982). Data analysis was conducted utilizing SPSS version 25, employing Pearson correlation, t-tests, and ANOVA for statistical evaluation. Results: The mean score of mature defense mechanisms (43.31±16.83) among medical interns was higher than immature (98.52±52.8) and neurotic (36.75±18.3) defense mechanisms. The immature defense mechanism was significantly higher in males than in females (99.43±23.41 vs 108.47±23.21, p=0.014). Also, the mean score of immature defense mechanisms in single individuals was considerably higher than in married ones (106.66±24.02 vs 93.12±19.56, p=0.001). The spiritual health of interns had a significant and direct correlation (r=0.249) with mature defense mechanisms and a significant negative correlation (r=-0.336) with immature defense mechanisms. Conclusion: Higher spiritual health in medical interns is associated with greater use of mature defense mechanisms and lesser use of immature defense mechanisms.

Personality disorders can play a significant role in creating and perpetuating sexual function problems in women. Therefore, the present study was conducted to investigate the relationship between personality patterns and types of female orgasms. The method of the present study was correlational, and a sample of 400 women in Tehran was selected by convenience sampling method. Tests used to collect data were Millon 3 questionnaires (MCMI-III), Women's Sexual Function Questionnaire (FSFI), and Orgasm Scale Assessment (ORS). According to the results, the highest disorder was related to the satisfaction subscale, and the lowest percentage of the research sample was in the orgasm subscale (25.9%) in the subscales of desire, arousal, humidity, and pain, respectively. The percentage of the research sample was 31, 32, 26.3, and 31.4%. According to the results, the narcissism and negativity subscales had a significant relationship with the types of orgasm (P <0.05) and the other subscales had no significant relationship. According to the results of logistic regression, avoidance, sadism, and borderline subscales were able to predict the types of orgasms and the coefficients of other paths in the regression model did not have significant coefficients (P <0.05).

The creativity of employees is a key factor for achieving success in organizations and sustaining their competitive edge. Job burnout and poor organizational health are elements that can either hinder or foster organizational creativity; hence, the current study aimed to explore the predictive influence of components of organizational creativity on job burnout and the organizational health of high school educators. The study utilized a correlation-predictive research design. The study population consisted of all educators teaching in high schools in Zahedan City, Iran, during the academic year 2024-2025. From the aforementioned statistical population, a random cluster sampling method was used to select a sample of 150 teachers. To gather the data, Amabile's Organizational Creativity Questionnaire (2001), Maslach and Jackson's Burnout Questionnaire (1981), and Hoy and Feldman's Organizational Health Questionnaire (1996) were employed, and the data of this research were examined using Pearson's correlation test and stepwise regression through SPSS version 16 software. The correlation findings indicated a notable negative connection between the components of creativity (fluidity, flexibility, innovation, and expansion) and burnout, as well as a significant positive connection with organizational health (P<0.05). The regression analysis results indicated that within the organizational creativity elements, the innovation element displayed a predictive impact (Beta=-0.23) on burnout, while the expansion element exhibited a predictive influence (Beta=0.34) on organizational health (P<0.05). Consequently, due to the impact of organizational creativity on lowering burnout and enhancing organizational well-being, it is advised that practitioners focus closely on the creativity of teachers.

Objective: This research was conducted to study the role of sleep quality moderators in the relationship between depression and treatment compliance.   Method : The research design was descriptive and correlational, and the research population included all patients with multiple sclerosis living in Tehran. 229 subjects with Multiple Sclerosis were selected in a convenient method, and they were asked to answer Morinsky's treatment compliance, Petersburg sleep quality, and Beck's depression questionnaires using the pencil and paper method. Results : Evidence of the predictive role of depressive symptoms for poor adherence to treatment in patients with multiple sclerosis was found. In addition, evidence of the predictive role of sleep quality in treatment adherence was found, but its mediating role in the relationship between depression and treatment adherence was not found. Conclusion : The findings indicated the importance of depression symptoms and sleep quality in the treatment compliance of multiple sclerosis patients. Considering the importance of treatment compliance in the prognosis of the disease, it is suggested that doctors consider this issue to formulate treatment plans to target cognitive and emotional problems parallel to the main treatment of the disease and thereby increase treatment compliance.  

Objective: Somatic symptoms consist of a wide range of symptoms and until yet clustering them has been very challenging for researchers and therapists. The present study aims to explore underlying psychological factors of various functional somatic symptoms and determine if there are any similarities or differences in these factors that could help classify these symptoms as one syndrome or discrete ones. Method: This study adopted an association rule mining method based on data mining. 643 participants were recruited using a convenience sampling technique. Data were collected using the checklist of somatic symptoms (Lacourt et al., 2013), Attachment Questionnaire (Hazan & Shaver, 2017), Defense Style Questionnaire (Andrews et al., 1993), and Levels of Emotional Awareness Scale (Lane, 2006). Results: Cognitive, gastrointestinal, and fatigue symptoms are related more to immature defense mechanisms. Musculoskeletal, respiratory, and cardiac symptoms are associated with neurotic defenses. Fatigue symptoms are associated with ambivalent attachment and musculoskeletal symptoms are related more to avoidant attachment. Indeed, it could be said that there are two clusters of somatic symptoms, one of which is attachment and the other is defense mechanisms. This supports the splitters’ view about somatic syndromes. Conclusions: These findings show various types of somatic symptoms have qualitatively different risk factors. Our findings imply that psychotherapists should consider the kind of syndromes a patient has and their underlying psychological predispositions to manage the problem better.  

Objective: In this study, the intervention of mindfulness-based cognitive therapy (MBCT) on resilience, rumination, and dysfunctional attitudes in infertile couples is studied.Method: The research design was quasi-experimental with pre-test-post-test and a one-month follow-up with control groups. The statistical population of the study consisted of infertile couples referred to Ibn Sina Infertility Center in Tehran, where 30 infertile couples aged 24-40 were selected as research samples by using a purposive sampling method based on inclusion and exclusion criteria, who were then randomly assigned into two groups of 15 couples. The research instruments were Connor and Davidson's (2003) Resilience Questionnaire, the Nalen and Huxma (1991) rumination, and the Weissman and Beck (1978) dysfunctional attitude questionnaire that were provided to both groups to collect the required data. The control group stayed on the waiting list, and the mindfulness training was performed for the experimental group during eight weekly sessions (two 90-minute sessions per week), according to Segal, Williams, and Tisdale MBCT Protocol (2018). The sessions were performed online and on Skyroom's platform. The research data were analyzed using descriptive statistics and multivariate analysis of covariance (MANCOVA).Results: The results showed that MBCT treatment improved resilience and reduced rumination and dysfunctional attitudes in the experimental group and the post-test and follow-up phase (P<0/001).Conclusion: According to the results, employing this approach for infertile couples is helpful and it can be suggested for improving their psychological conditions.