درخت حوزه‌های تخصصی

Objective: The objective of this study was to propose a structural model explaining the quality of life based on early maladaptive schemas and the mediating role of self-care in female patients with type 2 diabetes. Methods: This descriptive-correlational study employed structural equation modeling. The statistical population included all female patients with type 2 diabetes in Tehran who visited medical centers in 2021. The sample consisted of 250 female patients with type 2 diabetes from Tehran in 2021, selected through convenience sampling based on inclusion and exclusion criteria. Data were collected using the short form of the World Health Organization Quality of Life Questionnaire (WHO, 1996), the short form of the Young Schema Questionnaire (Young, 1998), and the Diabetes Self-Care Activities Questionnaire (Toobert et al., 2000). Data analysis was conducted using structural equation modeling and Pearson correlation methods with SPSS.22 and AMOS.22 software. Findings: Fit indices indicated a good fit of the proposed model with the data: PCFI = 0.655, PNFI = 0.661, CMIN/DF = 2.90, RMSEA = 0.089, IFI = 0.917, CFI = 0.914, GFI = 0.903. The highest coefficient (-0.47) was related to the pathway from the domain of impaired autonomy and performance to quality of life. The determination coefficient for the marital relationship quality variable in the proposed structural model was 0.889, indicating that exogenous variables could predict 89% of the changes in quality of life, which is considered strong. Conclusion: It can be concluded that the structural model explaining quality of life based on early maladaptive schemas and the mediating role of self-care in female patients with type 2 diabetes was well-fitted.

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.