درخت حوزه‌های تخصصی

Objective: The purpose of this study was to predict marital satisfaction based on health anxiety and self-efficacy with the mediation role of mindfulness in women with multiple sclerosis. Method: The present research method was descriptive-correlational using structural equation modeling (path analysis). The statistical population included 14899 married women with diplomas and higher education who were members of the Tehran MS Association in 2021. Using the Cochran formula, 342 women were selected as research samples through convenience sampling. All participants responded to four questionnaires, including Olson et al.’s Marital Satisfaction, Salkovskis et al.’s Health Anxiety, Schwarzer and Jerusalem’s Self-efficacy, and Baer et al.’s Mindfulness questionnaires. Results: The results showed the direct effect of marital satisfaction through self-efficacy and health anxiety was significant (P<0/05). Also, the indirect effect of marital satisfaction through mindfulness was significant (P<0/05). Conclusion: According to the results, mindfulness plays a mediating role in the relationship between health anxiety, self-efficacy, and marital satisfaction.   

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.  

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).

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. 

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: 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.

Introduction: Whenever there is an outbreak of infectious diseases, psychosocial impact has been observed on individual and social levels globally. The psychological and social effects of the COVID-19 epidemic are potential and widespread, which affect people's mental health in the long term. The present study aimed to investigate the role of neuroticism in predicting psychological distress through perceived stress and loneliness in covid-19.Method: This research was carried out in the form of correlation and structural equations. The statistical population of the research was all the students of Azarbaijan Shahid Madani University, 300 of whom were selected through convenience sampling, and the neuroticism scale was from the short form of the Neo questionnaire, the Cohen et al.'s perceived stress questionnaire, the Kessler psychological distress questionnaire, and the loneliness scale. Social Emotional Assessment for Adults (SELSA-S) was administered to them. Then the obtained data were analyzed using Spss26 and Amos22 software.Results: The results showed that neuroticism is related to psychological distress through loneliness and perceived stress. Also, there is a positive and significant relationship between the components of loneliness, perceived stress, and neuroticism with stress, anxiety, and depression.Conclusion: Therefore, considering the increasing spread of psychological distress, it is necessary to reduce people's psychological distress by teaching self-care skills and stress management.