درخت حوزه‌های تخصصی

The purpose of this study was the effectiveness of couple therapy based on acceptance and commitment on love schemas and emotional schemas in couples with extramarital relationships with a two-month follow-up period. In this research, a single case semi-experimental design of multiple baseline type was used. The statistical population of this research included all couples with experience of extramarital relations who referred to the family courts and prevention unit of Dezful city welfare department in 2021-22. After the diagnostic interview and specifying the couples who met the entry criteria, 4 couples (8 persons) were selected based on purposive sampling. The protocol of the couples therapy method was implemented in the form of three baseline stages and 8 90-minute sessions and a two-month follow-up. The participants responded to Yarmohammadi Vasil et al.'s Love Schema Questionnaire (2019) and Leahy Emotional Schema Scale (LES). The data were analyzed by visual drawing method, stable change index and recovery percentage formula. The results showed that couple therapy based on acceptance and commitment increased adaptive emotional schemas and decreased maladaptive emotional schemas of couples with extramarital relationships (p<0.05). Couple therapy based on acceptance and commitment has a significant effect on secure love schema, unstable love schema, clingy love schema, avoidant love schema, and non-serious love schema (p<0.05) and its results continued until the follow-up stage. Therefore, couple therapy based on acceptance and commitment as a stable intervention to increase love schemas and emotional schemas can be used in health and treatment centers in couples with extramarital relationships.

Objective: This study aimed to assess the effectiveness of Cognitive-Behavioral Stress Management (CBSM) on distress tolerance, pain perception, and interleukin-12 (IL-12) in patients with Multiple Sclerosis (MS). Method: The present study was a quasi-experimental design with pretest-posttest and follow-up with control group. The statistical population included all female patients with relapsing-remitting MS who had referred to Neuroscience and Rehabilitation Research Centers of Tehran University of Medical Sciences. 20 patients were selected by convenience sampling and were randomly assigned into experimental (10 patients) and control groups (10 patients). The experimental group received the CBSM. Participants completed scales. To measure IL-12, the Enzyme-Linked Immunosorbent Assay (ELISA) was used. The data were analyzed using multivariate analysis of covariance (MANCOVA) and Bonferroni post-hoc test. Results: CBSM increased the distress tolerance and components of pain perception (perceived influence of important people and doing daily affairs) (p <0.001) and it decreased pain severity and IL-12. Also, these changes remained stable during follow-up. Conclusions: CBSM is an effective to influence on distress tolerance, pain perception, and IL-12 in MS patients.