درخت حوزه‌های تخصصی

 Objective: Being overweight and obese in adolescence is associated with severe health effects during their lifetime The purpose of this study was to explain the mediating role of self-compassion in the relationship between family cohesion, stress, and quality of life with body mass index in adolescent girls Method: The current research was descriptive-multiple linear regression From among the statistical population of the research, 250 teenage girls were selected as the research sample using a multi-stage cluster sampling method, and finally, after dropping 50 people from the sample group, the data of 200 of them were analyzed. The tools of data collection included the Samani Family Cohesion Questionnaires (2001), Byrne and Mazano Stress (2002) Scale, the World Health Organization Quality of Life (1996) questionnaire, and the NAF Self-compassion (2003) inventory. For data analysis, structural equation modeling was performed using SPSS26 and AMOS24 software. Results: The results showed that the model of body mass index based on the quality of life, family cohesion, and stress with the mediating role of self-compassion has a good fit. It also indicated that family cohesion, stress, and quality of life did not predict body mass index in adolescent girls, But quality of life predicts body mass index in adolescent girls. Conclusion: It seems that self-compassion plays a mediating role in the relationship of body mass index with family cohesion, stress, and quality of life in adolescent girls. 

 Objective: This study aimed to examine the effects of reality therapy on improving psychological capital and sense of cohesion among Iranian Patients with Multiple Sclerosis. Method: This study was performed in Tehran in 2021. Sampling was employed to select 36 participants who completed the Psychological Capital Questionnaire and Sense of Cohesion Scale in the pretest, posttest, and onemonth follow-up stages. The participants of the experimental group underwent eight weekly 90-minute sessions to receive the online reality therapy; However, the control group received no intervention. Results: Data analysis showed a significant difference in psychological capital and sense of cohesion in the experimental group compared to the control group (P< 0/05). There was a significant difference in three subscales of psychological capital (i.e., self-efficacy, resilience, and hope) and two subscales of the sense of cohesion (i.e., perceptibility and controllability) in Patients with MS in the experimental group (P <0.05), but no significant difference in optimism (a subscale of the psychological capital) and significance (a subscale of sense of cohesion) (P> 0.05). Conclusion: Due to the effects of reality therapy on patients with multiple sclerosis, this psychological therapy can be employed to improve the psychological capital and sense of cohesion.

Objective: Type 2 diabetes is a chronic and complex disease that requires constant medical and psychological care. This study aimed to compare the effectiveness of acceptance, commitment, and mindfulness therapy in improving blood sugar control and weight control in people with type 2 diabetes. Method: The research method was quasi-experimental with a pre-test-post-test design and a two-month follow-up with a control group. The statistical population of this study included all men with type 2 diabetes and overweight in Tehran in 2021. The research samples were 60 patients who were selected through the purposeful sampling method and randomly assigned into three equal groups including experimental group A (under acceptance and commitment therapy), experimental group B (under mindfulness therapy), and control group (without intervention). The data collection tool in this study was the HBA1C test to control blood sugar and BMI to control weight. Data were analyzed using repeated measures analysis of variance. Results: The results showed a significant difference between the mean scores of blood sugar control and weight control in the acceptance and commitment therapy group and the control group (p < 0.001). Also, there was a significant difference between the blood sugar control and weight control scores of the mindfulness therapy group and the control group (p < 0.05). Conclusion: It is concluded that both interventions, especially acceptance and commitment therapy to reduce the psychological and physical problems of patients with type 2 diabetes.

Objective: This study was conducted to examine the structural model describing the connection between sexual function and psychosocial factors with life satisfaction based on the mediator role of cognitive emotion regulation in women with endometriosis. Method: This present study was a descriptive correlational research based on structural equations. The statistical population of the study included all women with endometriosis, referring to Arash Hospital as a referral Women's Center and Gynecological office in Tehran, Iran, in 2023-2024. According to Morgan's formula, a sample of 357 participants was chosen through convenience sampling. The tools employed in this study for data collection were the Women’s Sexual Function Index (Isidori et al., 2010), Short Form Symptom Checklist-25-Revised (Derogatis et al., 1973), Social Health Questionnaire (Keyes, 2004), Emotion Regulation Questionnaire (Garnefski & Kraaij, 2006), and Satisfaction with Life Scale (Diner, 1985). Data analysis was done using Structural Equation Modeling (SEM) and path analysis, and AMOS22 software was utilized to assess the proposed model, and the mediating relationships within it were also calculated using the bootstrap method. Results: The findings from structural equation modeling supported the model's goodness of fit and indicated that psychological factors negatively affect life satisfaction through the mediating role of cognitive emotion regulation in women with endometriosis (β= -0.114, p<0.001). In addition, the relationship between biological and social factors and life satisfaction through the mediating variable was not found to be significant. Nevertheless, the overall effect of psychological, social, and biological factors (including the sum of direct and indirect pathways) in connection with life satisfaction was significant (p<0.001). Conclusion: According to the findings, the model has a good fit, and cognitive emotion regulation has a mediating role in the relationship between sexual function and psychosocial factors with life satisfaction. This study offers a valuable framework for recognizing key factors influencing life satisfaction in women with endometriosis, which should be taken into account in psychological treatment programs.

Objective: Family dynamics play a significant role in establishing emotional relationships among its members and fostering psychological well-being, which extends to individual and collective members' peace of mind. This study aimed to investigate the impact of parenting styles and sexual education styles of parents, with anxiety as a mediating variable, on the sexual performance of married women. Method: The study population consisted of married women who presented with sexual dysfunction at psychiatric and women's clinics in Tehran. Since the minimum number of samples in structural equation modeling is 200 individuals, 200 individuals were selected through convenience sampling. The research instruments included Baumrind's Parenting Styles Scale (1972), Parental Sexual Education Styles Scale (2010), Beck Anxiety Scale (1990), and Rosen et al.'s Sexual Performance Scale (2000). Structural equation modeling was employed to analyze the data. Results: The findings of the present study showed that anxiety does not have a mediating effect on the effect of parents' strict sexual education style on the sexual performance of married women, but it has a complete mediating effect on the sexual performance of married women in the authoritative sexual education style of parents. Also, anxiety has a partial mediating effect on the impact of parents' authoritarian parenting style on married women's sexual performance, and it does not have a mediating effect on the parents' authoritarian parenting style on married women's sexual performance (p > 0.05). Conclusion: The study concludes that the sexual performance of married women is significantly influenced by the styles of parenting and sexual education they received, with anxiety playing varied mediating roles. An authoritative approach to sexual education, coupled with parenting styles that manage to reduce anxiety, tends to enhance sexual performance in women.

Objective: The purpose of this study was to provide a structural equation modeling for the effect of personality traits on bulimia nervosa with the mediating role of emotional intelligence in nurses. Methods: This research was a descriptive-correlational study that employed structural equation modeling with partial least squares. The research population consisted of all nurses of medical sciences hospitals in Tabriz in 2022. The research sample was 335 people who were selected using stratified sampling. The research tools employed for this purpose were the shorter form of NEO-FFI (NEO Five-Factor Inventory; 1985), the Binge Eating Scale (BES; Gormally et al., 1982), and Schering's Emotional Intelligence Questionnaire (1996). Partial least squares structural equation modeling (PLS-SEM) and Smart PLS 3 plus SPSS 26 were used for data analysis.  Results: The results showed that in the proposed model, the five main personality traits, except the extroversion variable, have a significant direct and indirect effect on bulimia nervosa,  and another implication of this research is the significant direct effect of emotional intelligence on bulimia nervosa. Another finding was the significant direct effect of the main personality traits on emotional intelligence. Conclusion: The results suggest that interventions for bulimia nervosa should embed education on personality traits and emotional intelligence because, according to the findings, the lower the personality traits, such as neuroticism and higher emotional intelligence, the lower the probability of bulimia nervosa.

Objective: The present study aimed to investigate the mediating role of emotional information processing in the relationship between attachment styles and positive feelings towards the spouse in infertile couples. Method: The method of the present research was a correlational description based on the practical purpose . The statistical population included infertile couples in Tehran, among whom 200 were selected by convenience sampling. The data were collected by the Experiences in Close Relationships (ECR) Scale (Brennan et al., 1998), Positive Feelings toward Spouse Questionnaire (The State University of New York., 1975), and Emotional Processing Scale (Baker et al., 2010) and analyzed by Pearson correlation and structural equation modeling using SPSS25 and AMOS24. The results of structural equation modeling demonstrated that avoidant and anxious attachments had a significant indirect effect, with effect sizes of -0.10 and -0.20, respectively, on positive feelings toward the spouse mediated by emotional information processing (p<0.01). Conclusion: The obtained results showed that avoidant attachment has a positive and significant relationship with the components of avoidance and emotional control, and anxious attachment has a positive and significant relationship with the components of suppression, unpleasant emotional experience and unprocessed emotional symptoms.The result highlighted the importance of designing and evaluating interventions based on attachment and improving emotional processing to foster and repair the relationships of infertile couples.

 Objective: Patients suffering from psychosomatic disorders such as peptic ulcers struggle with many psychological and physical problems. This study aimed to compare the effectiveness of group mindfulness-based cognitive therapy (MBCT) with emotion-focused therapy (EFT) on cognitive emotional regulation of patients with peptic ulcer. Method: This semi-experimental study was conducted with a pre-test-post-test-3-month follow-up design and a control group. For this purpose, 45 patients were selected through convenience sampling method among patients referred to specialized internal medicine clinics during Jan-March 2023. The participants were randomly assigned to three groups i.e. control (15 people), EFT (15 people), and mindfulness-based cognitive therapy (15 people). The intervention groups received eight sessions of mindfulness-based cognitive therapy/ emotion-focused therapy. The control group did not receive any treatment during the study. The participants completed the standard cognitive emotion regulation questionnaire of Garnefski and Kraaij before, after and three months after the interventions. The obtained data were analyzed by repeated measurement analysis of variance and Bonferroni test. Results: Overall, the obtained results showed that EFT and mindfulness-based cognitive therapy are effective in the emotional regulation of patients with peptic ulcers (P=0.001). Comparing the effectiveness of mindfulness-based cognitive therapy with emotion therapy on adaptive (P=0.56) and maladaptive (P=0.22) emotional regulation showed no significant difference in patients with peptic ulcer. Conclusion: Therefore, it can be said that both emotional therapy methods and mindfulness-based cognitive therapy have a positive effect on the emotional regulation of patients with peptic ulcers, and these two methods can be used for the improvement of emotional improvement in patients. 

 Objective: This study aimed to investigate the effectiveness of the integrated approach of meaning therapy and hope therapy on tolerance of ambiguity, alexithymia, and psychological hardiness of women with breast cancer in Dezful City. Method: The statistical population of this study consisted of all women with breast cancer in Dezful in 2021, from whom 30 people were randomly selected and assigned to experimental and control groups. Toronto Alexithymia Scale (Taylor, 1986), Ambiguity Tolerance Scale, and Hardiness Questionnaire (Kobasa et al.,1982) were administered to both groups. Then the experimental group was subjected to group therapy of the integrated approach of meaning therapy and hope therapy. The number of therapy sessions was eight 90-minute sessions, and after the end of the training course, both experimental and control groups completed the research questionnaires again. After collecting data, multivariate and univariate analyses of variance were used to analyze data via SPSS software. Results: The results of the data analysis confirmed the effectiveness of this integrated approach on tolerance of ambiguity, alexithymia, and psychological hardiness (p≤ 0/001). Also, the results showed the effect of this integrated approach on the dimensions of alexithymia (difficulty in recognizing emotions, difficulty in describing feelings, and extrovert thinking) and the dimensions of psychological hardiness (commitment, control, and struggle). Conclusion: The findings of this study could lead to positive consequences of the integrated approach of meaning therapy and hope therapy in women with breast cancer