درخت حوزه‌های تخصصی

Cognitive flexibility is critical for psychiatric nurses facing high-stress environments, yet effective interventions to enhance this skill are underexplored. This quasi-experimental study aimed to evaluate the impact of Acceptance and Commitment Therapy (ACT) on cognitive flexibility among psychiatric nurses. Sixty-two nurses from Razi and Saraye Ehsan psychiatric centers in Tehran were randomly assigned to experimental and control groups (n = 31 each). The experimental group participated in eight 90-minute group-based ACT sessions, adapted from Mohagheghi et al. (2015), incorporating interactive exercises, mindfulness practices, and homework to foster psychological flexibility. The control group received no intervention. Cognitive flexibility was assessed using the Cognitive Flexibility Inventory (CFI) at pretest and post test. Paired t-tests and analysis of covariance (ANCOVA) were employed to analyze within-group and between-group differences, controlling for pretest scores. The experimental group showed a significant increase in CFI scores (M_diff = 17.14, SD = 5.27; t(30) = 18.12, p < .001). ANCOVA revealed a significant group effect (F(1, 60) = 19.63, p < .001, η² = 0.71), with 71% of post test score variance attributed to the intervention. No significant demographic differences were found between groups. The findings suggest that ACT is an effective intervention for enhancing cognitive flexibility among psychiatric nurses, potentially improving their ability to cope with workplace stress. However, the small sample size and lack of long-term follow-up limit generalizability. Future research should explore ACT’s sustained effects and applicability across diverse healthcare settings.

Objective: Family risk factors such as ineffective parenting by parents, especially mothers, can affect emotional and behavioral problems in adolescents and increase psychological problems of parents such as stress and parenting self-efficacy. The purpose of this research was to investigate the effectiveness of the positive parenting program on parenting stress and parenting self-efficacy of female heads of households with teenage children. Methods: The current research was Pre-test - post-test with a control group. The research population consisted of all female heads of households under the support of the Yazd Relief Committee in 2020 who had teenage children. The research sample consisted of 20 females as heads of households, who were selected in an available manner and were randomly assigned to two experimental and control groups. In order to measure the research variables, Domka et al.'s parenting self-efficacy questionnaire (1996) and Abdin's parental stress questionnaire (1967) were used. The interventions were conducted during 8 weekly sessions for 90 minutes, and the covariance method was used for data analysis. Results: The findings showed that positive parenting education has an effect on reducing parenting stress and improving parenting self-efficacy of females as heads of households with teenage children (P<0.05). Conclusion: According to the results, mental health professionals can use a positive parenting program to improve females' psychological health and parenting self-efficacy.