درخت حوزه‌های تخصصی

Objective: When individuals encounter stressful and potentially life-threatening situations, they often experience significant tension that can be challenging to manage without adequate emotional regulation and effective coping mechanisms. This study seeks to explore the function of coping strategies as a mediating factor in the connection between stressful experiences and resilience in university students. Method: The research population consists of all university students enrolled in the academic year 2017-2018, characterized by a basic correlation approach. A total of 373 students were chosen using Morgan’s table and a multi-stage cluster sampling method. Data collection was done utilizing the resilience questionnaire (CD-RSC), the coping strategies questionnaire (CISS), and the stressful events questionnaire (LEQ-12). Research hypotheses were tested using correlation analysis, path analysis, and simultaneous multiple regression techniques. Results: The findings indicate a significant negative correlation between stressful events and resilience (p < 0.01), while a positive correlation exists between problem-oriented strategies and resilience (p < 0.01). Additionally, there is a negative association between emotion-oriented strategies and resilience (p < 0.01), as well as between avoidance strategies and resilience (p < 0.01). Furthermore, a negative relationship is observed between problem-oriented strategies and stressful events (p < 0.01), alongside a positive correlation between emotion-oriented strategies and stressful events (p < 0.01), and a positive relationship between avoidance strategies and stressful events (p < 0.01). Conclusions: According to the results, teaching coping strategies can lead to increased resilience.

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.

Objective: This study aimed to examine the effectiveness of neurofeedback in reducing symptoms of depression, anxiety, and stress in high school deaf girls. Method: A total of 24 deaf female students were randomly assigned to experimental (n=12) and control (n=12) groups. The experimental group received 15 neurofeedback training sessions targeting the F3 and F4 regions. Both groups completed the DASS-21 questionnaire before and after the intervention.. Results: Multivariate analysis of covariance indicated significant reductions in depression (F = 15.680, p<.05), anxiety (F = 5.991, p<.05), and stress (F = 6.100, p<.05) scores in the experimental group compared to the control group. Conclusion: Neurofeedback appears to be an effective intervention for improving mental health among deaf adolescents.

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 : Despite significant antiemetic advances, almost 50 % of treated cancer patients still experience nausea and vomiting. The purpose of this study was to investigate the mediating role of avoidant coping in the relationships between psychological well-being and chemotherapy-induced delayed nausea in women with breast cancer in Shiraz. Method : The research method was descriptive-correlational. The statistical population of this study consists of women with breast cancer in Shiraz with an average age of 51 to 56 years. In this research, a non-random and voluntary sampling method was used; thus, 211 female patients with breast cancer treated by chemotherapy voluntarily completed the relevant questionnaires, which included psychological well-being questionnaire (Ryff, 1989), chemotherapy-induced delayed nausea questionnaire (Rhodes & McDaniel, 1999), and coping style questionnaire (Endler & Parker, 1990). The data were analyzed by AMOS software. Results : Research findings showed a negative and significant relationship between psychological well-being and avoidant coping style, and a positive and significant relationship between avoidant coping style and delayed nausea. The Sobel test confirmed the mediating role of avoidant coping style in the relationship between psychological well-being and delayed nausea. Therefore, it can be concluded that there was a relationship between psychological well-being and delayed nausea, with the mediation of avoidant coping style. Also, psychological well-being had an indirect effect on delayed nausea. Conclusion : Chemotherapy-induced delayed nausea can be reduced by improving coping skills and strategies and the psychological well-being of women with breast cancer.

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: Some factors, such as personality type, coping styles, and psychological capital, have an effect on the resilience of women with breast cancer. The purpose of the study is to investigate the structural relationship of these factors with each other. Method : The subjects of this study were 231 women (20-55 years old) diagnosed with breast cancer and treated at the breast cancer department of Imam Khomeini Hospital in Tehran in 2022-2023. The Tebachnik and Fidel's formula (2007) was used to estimate the sample size. Psychological resilience (Connor & Davidson, 2003), NEO-PI personality questionnaire (Costa & McCrae, 1992), and coping strategies questionnaire (Endler & Parker, 1990) were used to measure the research variables. Results Therefore, five personality factors can lead to an increase in resilience through coping strategies and psychological capital. In addition, the path coefficients of the two-way relationship of the variables showed that 44% of the changes in resilience were influenced by personality, 97% of the changes in coping strategies were influenced by personality, 91% of the changes in psychological capital were influenced by personality and 20% of the changes in resilience were influenced by personality. The effect of coping strategies and 36% of the changes in resilience showed the effect of psychological capital.   Conclusion : One of the determining factors of resilience in a chronic disease such as breast cancer is the role of personality traits, which is influenced by positive psychological variables such as coping strategies and psychological capital of the patient  

Objective : This study aimed to investigate the effectiveness of mindfulness-based stress reduction (MBSR) training on pain beliefs and dimensions of anger in women with rheumatoid arthritis. Method : The research design was quasi-experimental with a pre-test-post-test and a control group. The statistical population of the study consisted of women with rheumatoid arthritis referred to medical centers in Tabriz City in 2022. The sample included 25 women with rheumatoid arthritis selected through convenience sampling based on inclusion and exclusion criteria, who were then randomly assigned to two groups. The research instruments used were Williams and Thorne's Belief in Pain Questionnaire and Spielberger's State-Trait Anger Questionnaire, which were provided to both groups to collect the required data. The control group remained on the waiting list, while the experimental group underwent MBSR training over eight weekly sessions (90 minutes per week) following Jon Kabat-Zinn's approach. The research data were analyzed using multivariate analysis of covariance (MANCOVA). Results : The results indicated significant differences between the MBSR and control groups in pain beliefs and anger. Specifically, MBSR treatment led to a reduction in pain-related beliefs and anger in the experimental group ( P <0.001). Eta-squared values showed that 76.3%, 71.8%, 74.4%, and 69.6% of the variance in pain beliefs and anger could be attributed to the effects of MBSR, respectively. Conclusion : Based on the findings, mindfulness-based stress reduction (MBSR) training can be considered as a complementary and protective treatment technique for patients with chronic and painful conditions such as rheumatoid arthritis.