درخت حوزه‌های تخصصی

Objectives: <span class="fontstyle2">Diabetes is a chronic, multifaceted and threatening disease which has significant psychological complications. The purpose of this study was comparing the efficacy of Acceptance and Commitment Therapy (ACT) and Dialectical Behavioral Therapy Skills Training (DBT-ST) on cognitive emotion regulation in patients with type II diabetes. Method: <span class="fontstyle2">The design of this quasi-experimental research was a pretest-posttest with a control group. The statistical population of the study included all patients with type II diabetes referred to Baghban (Touba) Medical Clinic in Sari in 2019, among whom 45 patients were selected through the convenience sampling method and then randomly assigned into three groups. The first group received ACT, the second group received DBT-ST, and the third group was considered as a control group. Data were collected using a 36-item Cognitive Emotion Regulation Questionnaire (Garnefsky et al., 2001) in three stages of pre-test, post-test, and follow-up, and were analyzed by repeated measurement variance analysis. Results: <span class="fontstyle2">The results showed that ACT and DBT-ST were significantly more effective on cognitive emotion regulation for the experimental groups compared to the control group (effect sizes 0.911 & 0.967, respectively). The effectiveness of DBT-ST compared to ACT was more significant on cognitive emotion regulation scores (effect sizes 0.967) at (P>0.01). Conclusion: <span class="fontstyle2">Based on the results of this study, it can be concluded that ACT improved psychological indexes and mental health of patients with type II diabetes due to acceptance of unfavorable emotions and thoughts, commitment, and DBT-ST for emotion regulation and mindfulness components

Objective: Chronic pain is one of the most important medical problems that affect many people every year. The highest prevalence of chronic pain is in adulthood. Sleep problems are one of common symptoms of chronic pain. The aim of this study was to compare sleep quality in mothers with chronic pain and healthy mothers. Methods: This study was comparative and its statistical population was included all women referred to the Pain Clinic of Imam Hossein Hospital, Tehran, Iran. Among them, 159 persons were selected using convenience sampling method. Pittsburgh Sleep Quality Index, Von korff Pain Intensity Scale and demographic information Form were used to collect data. Data analysis was done using t-test and one way analysis of variance. Results: The results showed that sleep quality in mothers with chronic pain was significantly different from healthy mothers, and with increase in pain intensity, sleep quality decreased. Conclusions: Results of this study have implications on need pay attention to quality of sleep in mothers with chronic pain and its impact on daily routine and their duties as a parent.

The purpose of the present study was to predict self-efficacy of women with breast cancer based on quality of life, religious orientation, resilience, death anxiety, psychological hardiness and perceived social support. The research method was descriptive and regression type. The statistical population in this study included all patients with breast cancer referring to Cancer Institute of Imam Khomeini and Milad hospitals in Tehran in 2018. Purposeful sampling method was used to select the sample. In this way, 300 patients with breast cancer patients were selected based on the criteria for entering and leaving the research. The research tool was a general self-efficacy questionnaire of Sherer et al. (1982), multi-dimensional perceived social support questionnaire (Zimt et al., 1989), Allport Religious Orientation (1967), Kobasa Psychological Hardiness Questionnaire (1979), Templar's Death Anxiety Scale (1970) ), The Conor-Davidson Resilience Questionnaire (2003) and the World Health Organization Quality of Life Scale (1996). Regression analysis was used to analyze the data. The results of data analysis showed that factors of quality of life, religious orientation, resilience, death anxiety, psychological hardiness and perceived social support have 21% ability to predict self-efficacy. The factors of quality of life, resilience, psychological hardiness and social support with self-efficacy are positive at 5% confidence level, and the positivity of these coefficients actually indicates that increasing these factors increases self-efficacy (p <0.05). Death anxiety also has a significant negative correlation with self-efficacy (p <0.05).

Objective: Dialectical Behavior Therapy (DBT) was originally developed to treat individuals with pervasive emotion dysregulation. Then it developed its approach in other disorders such as obesity. This research aims to found out the efficacy of DBT in the reduction of negative emotions (anxiety, depression, and anger) with weight loss in obese women with different reasons for obesity. Methods: The population of this quasi-experimental study consisted of 56 obese women with a body mass index more than 29.9 kg/m2. Descriptive statistics were computed for demographic information and self-report questionnaire. Anger, Anxiety and,, Depression are three subscales of feelings that were tested by the 25 items of Emotional Eating Scale that was developed by Arnow, Kenardy and Agras in 1994. Results: The results demonstrated that negative emotions such as anger, anxiety, and depression, significantly (ρ-value<0.001) decrease in obese women by weight loss during the time. Mixed-effect modeling ANOVA repeated measurements were performed to study changes in variables over time. Conclusions: The results of the present study show that DBT-skills can be effective in decreasing emotion dysregulations and Body Mass Index (BMI).