درخت حوزه‌های تخصصی

Objective: The purpose of this study was to compare the effects of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) on negative automatic thoughts and negative affect in depressed women. Methods: The design of this study was applied and quasi-experimental, featuring pre-test and post-test stages with two experimental groups and one control group, followed by a two-month follow-up period. The study population included all women diagnosed with depression who visited a private counseling center in Tehran in 2023. A convenience sample of 30 participants was randomly assigned equally to the two experimental groups and one control group. The Watson and Tellegen (1985) Positive and Negative Affect Schedule (PANAS) and the Hollon and Kendall (1980) Automatic Thoughts Questionnaire (ATQ) were used for data collection. Data were analyzed using SPSS-26 software, applying three-way repeated measures analysis of variance (ANOVA) and Bonferroni post hoc tests. Findings: Results indicate significant differences between pre-test and post-test scores for both therapies in terms of negative affect and negative automatic thoughts (p < .01), demonstrating the significant efficacy of both treatment modalities. No significant differences were found between post-test and follow-up scores (p > .05). Analysis using the Bonferroni test shows no significant difference in the efficacy of the two approaches on problem-solving components (p > .05). Conclusion: Based on the findings, it can be concluded that both Cognitive Behavioral Therapy and Acceptance and Commitment Therapy are effective in reducing negative affect and negative automatic thoughts in depressed women, with no significant difference in the effectiveness of these therapeutic approaches.

Objective: This study aimed to compare the effectiveness of cognitive-behavioral play therapy and resilience-based play therapy on anxiety, executive functioning behaviors, and emotional expression in children aged 6 to 8 years undergoing dental treatment. Methods: The current research was a quasi-experimental study with a pre-test, post-test design, including a control group and a two-month follow-up period. All children aged 6 to 8 visiting specialty dental clinics in Isfahan during the first six months of 2021 constituted the research population. Forty-five children were selected using purposive sampling based on inclusion criteria and were randomly assigned to three equal groups of fifteen. Data collection was carried out using the Revised Children's Anxiety Scale - Short Form (Ahlen et al., 2018), the Emotion Expression Questionnaire - Child Form (Penza-Clyve & Zeman, 2002), and the Executive Functioning Questionnaire (Gioia et al., 2000). Cognitive-behavioral play therapy sessions were conducted based on the protocol by Hall, Kaduson, and Schaefer (2002), and resilience-based play therapy sessions followed the protocol by Nikneshan et al. (2019), each lasting for eight weekly sessions of 60 minutes. However, the control group did not receive these interventions. Data analysis was performed using descriptive statistics and mixed ANOVA with SPSS software, version 26. Findings: Results indicated that the mean scores of executive functioning behaviors and their dimensions significantly improved in the experimental groups at post-test compared to the control group, and these improvements remained stable at follow-up (p < 0.05). Moreover, therapeutic interventions (both cognitive-behavioral and resilience-based play therapy) significantly improved scores on anxiety and emotional expressiveness compared to the control group. Additionally, post hoc Bonferroni tests showed that cognitive-behavioral play therapy was more effective than resilience-based play therapy in reducing anxiety scores and increasing skills in emotional expression and executive functioning in children undergoing dental treatment (p < 0.05). Conclusion: These findings further clarify the role of play therapy in children undergoing dental treatment and highlight the necessity of using therapeutic approaches derived from the cognitive-behavioral model to modulate symptoms in these children.

Objective: This study aimed to evaluate the effectiveness of a strength-based intervention on altering attitudes toward marital infidelity and enhancing sexual self-concept among women experiencing marital conflict. Methods: A randomized controlled trial design was employed with 30 women from the Mehravar Counseling Center in Tehran, divided equally into intervention and control groups. The intervention consisted of eight 75-minute sessions based on strength-based principles. Data were collected at three points using the Attitudes Towards Infidelity Scale (ATIS) and the Sexual Self-Concept Inventory (SSCI). Statistical analysis was conducted using ANOVA with repeated measurements and Bonferroni post-hoc tests, utilizing SPSS-27. Findings: The intervention group showed significant improvements in both measured outcomes. Attitudes toward marital infidelity decreased from a pre-test mean of 42.53 (SD = 5.67) to 37.82 (SD = 5.12) at follow-up. Sexual self-concept increased from a pre-test mean of 30.88 (SD = 4.45) to 35.64 (SD = 3.72) at follow-up. The ANOVA results revealed significant time effects and time x group interactions for both variables (p < .001). Conclusion: The strength-based intervention was effective in significantly improving attitudes toward marital infidelity and sexual self-concept among women with marital conflicts. These findings suggest that such interventions can be beneficial in marital counseling settings, offering a promising approach for enhancing marital satisfaction and individual well-being.

Objective: The primary goal of this study was to present a forgiveness model based on childhood maltreatment and attachment styles, with the mediating role of early maladaptive schemas in betrayal victims. Methods: This descriptive correlational study involved betrayal victims who had sought counseling in Tehran in 2022, with a sample of 653 individuals selected through convenience sampling. The instruments used included Bernstein et al.'s (2003) Childhood Trauma Questionnaire, Hazan and Shaver's (1987) Attachment Style Questionnaire, Young's (1999) Early Maladaptive Schema Questionnaire, and the Forgiveness Questionnaire by Ray et al. (2001). Data were analyzed using SPSS version 25 and AMOS version 24. Findings: The results indicated a negative relationship between childhood maltreatment, insecure attachment styles, and early maladaptive schemas with forgiveness, while secure attachment showed a positive relationship with forgiveness. Furthermore, the results suggested that early maladaptive schemas mediated the relationship between childhood maltreatment, attachment styles, and forgiveness in betrayal victims. Conclusion: Overall, the results indicated that the evaluated structural model was well-fitted, and the findings could assist therapists and counselors in better understanding the forgiveness process in betrayal victims.

Objective: The aim of the present study was to test the structural model of relationships between personality pathology dimensions and cyberbullying mediated by contingent self-worth in adolescent girls. Methods: This study was tested using the structural equation modeling method. The statistical population of this research included all adolescent female students in District 2 of Tehran during the 2020-2021 academic year. According to the data obtained from the Tehran Department of Education, their total number was 145,398. Based on Michel’s criteria (1993) and using multi-stage cluster sampling, 300 participants were selected as the sample. They responded to the Contingent Self-Worth Questionnaire by Crocker et al. (2003), the Cyberbullying Questionnaire by Antoniadou et al. (2016), and the short form of the Personality Inventory for DSM-5 (PID-5-BF). SPSS.22 and AMOS.22 software were used for data analysis. Findings: The findings from testing the structural model showed that the direct effect of abnormal personality on contingent self-worth was (-0.33), on cyberbullying (0.26), and the direct effect of contingent self-worth on cyberbullying was (-0.40). Contingent self-worth mediated the relationship between abnormal personality and cyberbullying, with the indirect effect of this relationship being (0.13) (P<0.01). Overall, the results indicated that the tested model had a good fit with the conceptual model (RMSEA=0.06; GFI=0.91). Conclusion: It can be concluded that contingent self-worth mediates the relationship between dimensions of abnormal personality and cyberbullying.

Objective: Proper sexual functioning is among the factors affecting marital satisfaction. A satisfactory sexual relationship plays a crucial role in individuals' sexual satisfaction, increased life satisfaction, and, consequently, family stability. The aim of this study was to explore the lived experiences of women dealing with sexual separation. Methods: To this end, a qualitative research approach was employed using a descriptive phenomenological method. Data were collected through semi-structured interviews with thirteen married women who reported having experienced sexual separation for more than a year and were living with their husbands at the time of the interview. Data analysis was conducted using Colaizzi's method. Findings: Ultimately, two main themes emerged: the nature of sexual separation and the reasons for sexual separation. The nature of sexual separation was divided into two sub-themes: lackluster relationship and wrong path. The reasons for sexual separation were coded into six sub-themes: personal injuries, emotional divorce, emotional wounds, beyond tolerance, unilateral pleasures, and backgrounds. Conclusion: According to the research findings, it can be inferred that sexual separation has different culturally dependent meanings. However, what stands out more prominently in the categories derived from this study is the reduction in frequency and duration of sexual relations and the lack of sexual desire and enthusiasm towards the spouse. Additionally, the factors causing sexual separation are an intertwined set of various reasons, with the most influential being emotional wounds and emotional divorce. The findings of this study indicate that some cases of sexual separation lead to sexual divorce.