درخت حوزه‌های تخصصی

The aim of this study was to compare the effectiveness of emotion-focused therapy and cognitive-behavioral therapy on pain coping strategies and pain catastrophizing in patients with pain disorder. The research method was a quasi-experimental with pretest-posttest design and a control group and a two-month follow-up. The statistical population of the study included all women with psychosomatic problems and pain who referred to Manoushan and Behsa counseling centers in Tehran. The sample size included 60 (three groups of 20). The research instruments included the Rosenstile and Keefe (1983) Pain Coping Strategies Questionnaire and the Bishop and Pivik (1995) Pain Catastrophe Scale. the emotion-focused experimental group received 12 training sessions and the cognitive-behavioral experimental group received 10 sessions training, but the control group did not receive any intervention during the study.. The results of mixed variance analysis and Benferroni pairwise comparison test showed that both emotion-focused therapy and cognitive-behavioral therapy have significant impact on the components of pain reinterpretation, pain catastrophizing, behavioral activity and coping efficiency (P <0.05), but they do not have significant effect on the components of return attention, ignoring pain, prayer and hope, and self-talking (P <0.05). The results also showed that both treatments have significant effect on pain catastrophizing (P <0.05). Also, no significant difference was observed between the two experimental groups (P <0.05). Therefore, the results of the present study show that emotion-focused therapy, like cognitive-behavioral therapy, can be used for patients with pain disorders and improve their cognitive factors.

Objective: The use of cohesive devices makes discourse comprehend. However, in the discourse of senile dementia of the Alzheimer's type (SDAT) participants, the lack of the use of cohesive devices hinders effective communication. The present study aims to investigate cohesion in the discourse of SDAT participants. Understanding how these people manage their interactions may lead to suitable approaches for them. Method: The methodology of this quantitative research was ex post facto type. The present study has been performed in one of the nursing home in Kermanshah in 2019. And also, the statistic population of this study included 20 participants (10 SDAT participants and 10 normal elderly participants (NE)) who were matched based on age (63-75 years old), gender, illiteracy, and Kurdish language (Kalhori dialect) speaker. To determine the severity of dementia, the Clinical Dementia Rating Scale (CDR) was performed. Then, the collected interviews were transcribed and coded. The data were analyzed based on Halliday and Hasan's theory (1976) and independent t-test was used to obtain the statistic results. Results: The findings indicate significant differences between groups using grammatical cohesive devices, such as reference (p=0.006), conjunction (p=0.004), ellipsis (p=0.007), and substitution (p=0.426) and lexical cohesive devices such as the same word (p=0.006), synonym (p=0.012), superordinate (p=0.001), general word (p=0.002), and collocation (p=0.387). Conclusion: The results show that grammatical and lexical cohesive devices are used less in the discourse of SDAT Kurdish speakers. However, in the discourse of both SDAT and NE groups, grammatical cohesive devices have more frequency than lexical cohesive devices.

Objective: One of the most important social factors that have been consistently identified as a predictor of healthy aging is marriage satisfaction. Therefore, the purpose of the present study was to investigate the effect of social support on marital satisfaction with mediating role of emotional loneliness and physical activity. Method: This study was descriptive and correlational based on structural equations. The statistical population consisted of all the elderly in the care centers of Shahrekord and Farsan in 2019, among whom 180 individuals were selected randomly. The participants filled out research instruments including Relationship Assessment scale (Hendrick, 1998), Perceived Social Support scale (Zimet, et al., 1988), Adult’s Social and Emotional Loneliness scale (DiTommasso, et al., 2004), and Leisure-time Activities scale (Godin, 1985). Structural equation modeling (SEM) was used through SPSS (version 23) and AMOS (version 23) software to analyze the data. Findings: The results demonstrated direct effect of social support, emotional loneliness and physical activity on marital satisfaction (p <0.001), and indirect effect of perceived social support on marital satisfaction through emotional loneliness and physical activity (p <.05). Conclusion: The SEM results of the current study support the proposed model which explains the interrelationships between perceived social support, loneliness, physical activity, and marital satisfaction. According to the findings of the present study, it is suggested to pay more attention to the variables of social support, emotional loneliness and physical activity in order to improve the marital relationships of the elderly. The findings of this study can help psychologists and other caretakers create more effective family matter programs for the older generations to enhance their marital satisfaction.

Abstract Objective: Multiple sclerosis is a chronic and disabling disease. The purpose of the present research was to examine the effectiveness of cognitive-behavioral stress management training on the resilience of patients with multiple sclerosis Method: This research was a quasi-experimental design with pre-test, post-test and follow-up, and a control group. The statistical population included female patients with MS referred to the Dr. Shahbigi Neurology Clinic in Tehran. 30 patients were selected by purposeful sampling method and assigned to the two groups experimental and control group randomly. The experimental group underwent ten sessions of stress management training based on the Cognitive Behavioral Model. Data were collected using the Connor Davidson Resilience Scale. Research data were analyzed using Mixed Repeated Measures ANOVA. Results: The results revealed that cognitive-behavioral stress management training can significantly enhance the resilience of patients with MS. Conclusion: Therefore, the use of cognitive-behavioral stress management training can be effective in improving the resilience of patients with MS.