درخت حوزه‌های تخصصی

Objective: Infertility is not merely a medical condition affecting women but a biopsychosocial health issue that encompasses lower quality of life, psychiatric disorders, and even marital conflicts. The aim of this study was to predict marital intimacy based on infertility stigma and coping strategies in infertile women. Method: This applied research was descriptive-correlational in nature. The population included all infertile women in Tehran in the year 2020. From this group, 250 participants were selected using purposive sampling. The participants were assessed using the Thompson and Walker (1983) Marital Intimacy Scale, Fu’s (2014) Perceived Infertility Stigma Scale, and Folkman and Lazarus’s (1985) Coping Strategies Scale. Data were analyzed using SPSS software, version 23. Findings: Data analysis revealed that infertility stigma and coping strategies significantly predict marital intimacy in infertile women at the 0.01 level (p < .01, F(6, 249) = 45.877). Infertility stigma and coping strategies explained 53.1% of the variance in marital intimacy. The t-tests for significance in regression for self-devaluation (β = -.189, p = .001), social rejection (β = -.143, p = .003), family shame (β = -.279, p = .001), emotion-focused coping style (β = .351, p = .001), and problem-focused coping style (β = .251, p = .001) were significant at the level below .01. Among the sub-scales of infertility stigma, family shame and among the coping strategies, emotion-focused coping style had a more significant unique contribution in predicting marital intimacy. Conclusion: Infertility stigma and coping strategies can be used to predict marital intimacy among infertile women.

Objective: This study aimed to validate the Persian version of the Relationship Flourishing Scale (RFS) on a sample of married Iranian students. Method: The study was descriptive-correlational and applied in nature. The sample consisted of 352 individuals (89% female), selected through multi-stage cluster sampling. The data collection tools included the Fowers et al.'s Relationship Flourishing Scale (2016), Adams et al.'s Sexual Mindfulness Questionnaire (2015), and the short form of Booth et al.'s Marital Instability Questionnaire (1989). Data analysis was performed using SPSS26 and AMOS24 software, utilizing descriptive statistics and confirmatory factor analysis (Cronbach's Alpha, Pearson correlation, and construct validity and reliability). Findings: The results of the confirmatory factor analysis were satisfactory, confirming the psychometric properties of the Relationship Flourishing Scale. The factor structure of the questionnaire, consisting of four factors (having meaning, shared goals, personal growth, and being in a relationship), was validated. Cronbach's Alpha calculated for the overall questionnaire was 0.83, and for the factors having meaning, shared goals, personal growth, and being in a relationship, it was 0.82, 0.83, 0.89, and 0.80 respectively, confirming the construct reliability. Fit indices (GFI = 0.90, NFI = 0.92, CFI = 0.94, TLI = 0.91, CMIN/df = 4.92) were within acceptable ranges, and construct validity was confirmed. Conclusions: The factor structure of the original English version of the Relationship Flourishing Scale was replicated, and satisfactory internal reliability was found. Consequently, the translated Persian version of the Relationship Flourishing Scale can serve as a valid tool for assessing the quality of marital relationships in research and clinical settings within the Iranian community.

Objective: This study aimed to present a structural model of the quality of life for the elderly based on self-care with the mediating role of social support. Methods: The research employed a correlational design using structural equation modeling. The study population consisted of individuals aged 60 to 75 years living in urban homes in Tehran, with 314 participants selected as the research sample. The data collection tools included the Iranian version of the Phillips Social Support Questionnaire (1986), the World Health Organization's Quality of Life Questionnaire (1989), and the Elderly Self-care Questionnaire by Younesi et al. (2020). The statistical technique used was a full latent variable structural equation model, and the data analysis was performed using SPSS version 26, AMOS version 24, and R software version 4.3.1. Examination of the model fit indices indicated that the model overall is in excellent condition for explaining and fitting the data. Findings: The results showed that both social support and self-care have a significant positive effect on the quality of life variable for the elderly. Moreover, the self-care variable also has a significant positive impact on the social support variable at a 95% confidence level. Additionally, the self-care variable significantly affects the quality of life of the elderly through the mediating variable of social support. Conclusion: According to the findings of this study, the mediating role of social support can play a significant role in examining changes in the quality of life of the elderly. It is recommended that the importance of social support be emphasized and taught in elderly care centers and other counseling and guidance centers.

Objective: The Healthy Adult mode is one of the primary modes in schema therapy, reflecting maturity, mental health, and good judgment. The present study aimed to qualitatively investigate the psychological empowerment of women with a Healthy Adult mode. Methods: This qualitative study was conducted using a phenomenological approach. Participants included women aged 20-40 from Isfahan Province in 2023, selected through purposive sampling based on inclusion criteria. Data were examined using semi-structured, in-depth interviews. Data saturation was achieved with 20 interviews. Data were analyzed using Colaizzi's seven-step method. Findings: After interviewing women with a Healthy Adult mode and analyzing the data, 80 initial codes, 8 sub-themes, and 2 main themes were extracted. Coping and self-awareness were classified under the main themes, and self-compassion, self-regulation, problem-solving ability, mindfulness, developed social relationships, assertiveness, self-awareness, and the concept of a "good enough" parent were classified under the sub-themes. Conclusion: Based on the findings of this study, it can be concluded that Iranian women with a Healthy Adult mode have developed components of psychological empowerment. Ultimately, it is suggested that counseling centers and organizations use practical services based on the findings of this research to enhance the psychological empowerment and promote the adult state of personality in women.

Objective: This study aimed to evaluate the effectiveness of self-compassion training on reducing loneliness and improving health-related quality of life in infertile women. Methods: A randomized controlled trial design was used, involving 30 infertile women recruited from a specialized infertility treatment center. Participants were randomly assigned to an experimental group (n = 15) receiving eight sessions of self-compassion training or a control group (n = 15) with no intervention. Assessments were conducted at baseline, post-intervention, and at a five-month follow-up using the Loneliness Questionnaire and the Health-Related Quality of Life Questionnaire. Data were analyzed using repeated measures ANOVA and Bonferroni post-hoc tests. Findings: The experimental group showed significant reductions in loneliness from pre-test (M = 45.32, SD = 6.45) to post-test (M = 30.21, SD = 5.28) and follow-up (M = 31.12, SD = 5.34), while the control group remained stable. Health-related quality of life significantly improved in the experimental group from pre-test (M = 62.45, SD = 7.34) to post-test (M = 78.53, SD = 6.78) and follow-up (M = 77.95, SD = 6.65), with minimal changes in the control group. ANOVA results indicated significant time and group interactions for both loneliness (F(2, 56) = 67.03, p < .001, η² = .71) and health-related quality of life (F(2, 56) = 113.20, p < .001, η² = .80). Conclusion: Self-compassion training is effective in reducing loneliness and improving health-related quality of life in infertile women. These benefits were sustained at the five-month follow-up, highlighting the long-term potential of self-compassion interventions in supporting the psychological well-being of infertile women.

Objective: The study aimed to investigate the predictive roles of self-compassion and marital self-regulation on marital adjustment among married women attending counseling centers in Tehran in 2023. It sought to enrich the understanding of how these psychological constructs contribute to marital satisfaction and stability. Methods and Materials: A cross-sectional design was employed with a sample of 350 married women selected through available sampling from various counseling centers in Tehran. Measures included the Dyadic Adjustment Scale (DAS) to assess marital adjustment, the Self-Compassion Scale developed by Neff (2003) for evaluating self-compassion levels, and a 16-item scale by Wilson et al. (2005) for measuring marital self-regulation. Data analysis was conducted using SPSS 27, with linear regression analyses performed to explore the relationships between the constructs. Findings: The findings revealed that both self-compassion and marital self-regulation significantly predicted marital adjustment among the participants. Specifically, higher levels of self-compassion and marital self-regulation were associated with better marital adjustment. The regression model explained 37% of the variance in marital adjustment scores, highlighting the substantial impact of these factors on marital satisfaction. Conclusion: This study underscores the critical importance of self-compassion and marital self-regulation in fostering marital adjustment. The findings suggest that interventions aimed at enhancing these psychological resources could contribute significantly to improving marital satisfaction and relationship stability among couples, particularly those seeking counseling services.

Objective: The present study aimed to determine the effectiveness of mindfulness-based cognitive therapy (MBCT) on resilience and self-efficacy in female heads of households. Methods: This research employed a quasi-experimental method with a pre-test and post-test control group design. The statistical population included female heads of households who sought counseling services at centers in Tehran in 2023. From this population, 30 individuals were selected using convenience sampling and were randomly assigned to two groups: an experimental group (15 participants) and a control group (15 participants). The instruments used in this study were the Resilience Questionnaire and the Self-Efficacy Questionnaire. The experimental group received eight two-hour sessions of mindfulness-based cognitive therapy, while the control group did not receive any specific intervention. Findings: The findings indicated that the mean scores of resilience and self-efficacy in the post-test were significantly higher than those in the pre-test for the experimental group. Conclusion: Consequently, it can be concluded that mindfulness-based cognitive therapy has an effect on enhancing resilience and self-efficacy in female heads of households.