درخت حوزه‌های تخصصی

Objective: The aim of the present study was to investigate the effectiveness of intensive short-term dynamic psychotherapy on pain perception and pain catastrophizing in women with breast cancer. Methods: In this quasi-experimental study, 30 women with breast cancer who referred to Imam Khomeini Hospital in Sari in 2024 were studied using convenience sampling. They were then randomly assigned to two groups: the short-term intensive psychodynamic intervention group (15 participants) and the control group (15 participants) without any intervention. The short-term intensive psychodynamic intervention was implemented according to the protocol by Teska et al. (2005) over 16 weekly sessions, each lasting one and a half hours. The samples were assessed at two stages, pre-test and post-test, using the Pain Perception Questionnaire by Schaal et al. (2010) and the Pain Catastrophizing Scale by Rahmati et al. (2017). Data were analyzed using repeated measures multivariate analysis of variance in SPSS24 software. Findings: In the intervention group, the mean scores for pain catastrophizing were (17.20±36.60) and for pain perception were (36.33±80.80) in the pre-test and post-test stages, respectively. Post-test scores significantly decreased compared to pre-test scores in the components of pain catastrophizing and pain perception in the experimental group compared to the control group. Additionally, the results showed that intensive short-term dynamic psychotherapy had a statistically significant effect on pain catastrophizing (P<0.05, F=24.41) and pain perception (P<0.05, F=56.201) after adjusting the means of the two groups based on the pre-test score. Conclusion: The results indicate the effectiveness of intensive short-term dynamic psychotherapy on pain catastrophizing and pain perception in women with breast cancer. Therefore, this therapy can be used alongside other medical treatment methods in hospitals and clinics dedicated to breast cancer patients to reduce the psychological needs and problems of women with this condition.

Objective: This study aimed to evaluate the effectiveness of Acceptance and Commitment Therapy (ACT) on reducing depression and cognitive biases in married women. Methods and Materials: A randomized controlled trial was conducted with 30 married women in Tehran who exhibited elevated depressive symptoms and cognitive biases. Participants were randomly assigned to an experimental group (n = 15) receiving eight weekly 75-minute ACT sessions or a control group (n = 15) receiving no psychological intervention. Depression and cognitive biases were assessed at pretest, posttest, and five-month follow-up using the Beck Depression Inventory-II and the Cognitive Bias Questionnaire. Data were analyzed using repeated measures ANOVA with Bonferroni post-hoc tests in SPSS-27. Findings: Repeated measures ANOVA indicated significant time × group interactions for depression (F(2, 54) = 45.22, p < .001, η² = .63) and cognitive biases (F(2, 54) = 39.52, p < .001, η² = .60). Bonferroni tests showed significant reductions in depression and cognitive bias scores from pretest to posttest (p < .001) and pretest to follow-up (p < .001) in the experimental group. No significant differences were found between posttest and follow-up scores (p > .05), indicating stability of treatment effects. Conclusion: Findings suggest that Acceptance and Commitment Therapy is effective in reducing depressive symptoms and cognitive biases in married women and that these benefits persist over a five-month follow-up. ACT may offer a promising therapeutic option for addressing both emotional and cognitive vulnerabilities in this population by promoting psychological flexibility and values-based action.

Objective: Dealing with stress is one of the transformative changes that divorce introduces in personal and family lives, leading to the disruption of mental health, cognitive conflicts, and identity crises among women. Thus, the current study aimed to investigate the effectiveness of a strength-based approach on distress tolerance and frustration tolerance in divorced women. Methods: The research was applied in nature and semi-experimental in design, featuring a pre-test and post-test with one experimental group and one control group, along with a two-month follow-up. Consequently, the study population consisted of all divorced women who visited counseling centers in District 6 of Tehran in 2022. From this population, 40 women were selected through purposive sampling and randomly assigned to an experimental group (20 participants) and a control group (20 participants). The experimental group underwent a strength-based approach program based on a protocol developed by Darbani and Parsakia (2022). Data collection tools included the Harrington Frustration Tolerance Questionnaire (2005) and the Simons and Gahr Distress Tolerance Questionnaire (2005). Descriptive statistics utilized frequency distribution tables, and inferential analysis was conducted using mixed ANOVA with repeated measures and Bonferroni post-hoc tests, employing SPSS software version 26. Findings: Considering the F-values and significance levels in the mixed ANOVA for frustration tolerance (F = 10.49, p = 0.002) and distress tolerance (F = 8.81, p = 0.003), it can be concluded that the intervention employed in this study, namely the strength-based approach as an independent variable, significantly altered the dependent variables (frustration tolerance and distress tolerance). Conclusion: Based on the findings, it can be concluded that the strength-based approach is effective in improving distress tolerance and frustration tolerance among divorced women. Therefore, techniques from this approach can be utilized in post-divorce counseling for divorced women.

Objective: This study aimed to investigate the effectiveness of Dialectical Behavior Therapy (DBT)-based skill training on distress tolerance, emotional cognitive regulation, and marital quality of life in women with recurrent miscarriages. Methods: The population consisted of all women attending infertility clinics in Tehran during 2019-2020. A sample of 30 women was selected through convenience and purposive sampling based on inclusion and exclusion criteria, and randomly assigned to experimental and control groups (15 in each group). The instruments used in this study included: the Distress Tolerance Scale by Simons and Gaher (2005), Cognitive and Emotional Regulation Scale by Garnefski, Kraaij, and Spinhoven (2006), and Marital Quality of Life Scale by Fletcher, Simpson, and Thomas (2000). Repeated measures and a significance level of .05 were used for statistical analysis. Findings: The results showed significant differences in means between the two groups at pre-test, post-test, and follow-up stages, with significant improvements in distress tolerance, emotional cognitive regulation, and marital quality of life. The effect sizes of this treatment were 0.885, 0.910, and 0.983, respectively. Conclusion: Given the confirmed effectiveness of the treatment, it is recommended that these women receive psychological treatments in conjunction with medical treatments.

Objective: This study aimed to investigate the effectiveness of Acceptance and Commitment-Based Couple Therapy (ACT) on communication patterns and marital infidelity among married individuals in Yazd. Methods: The research method was quasi-experimental. The population consisted of all married individuals attending psychological counseling and service centers in Meybod. Using questionnaires on communication patterns and marital infidelity, and employing purposive sampling, 20 couples with higher scores were selected from a pool of 50 couples. They were randomly assigned to either the experimental group (10 couples) or the control group (10 couples). The experimental group underwent Acceptance and Commitment Therapy, while the control group received no treatment. Post-tests were administered to both groups. Results, analyzed using covariance analysis. Findings: Findings showed that Acceptance and Commitment-Based Couple Therapy significantly impacts the communication patterns of married individuals. Additionally, it significantly affects marital infidelity among married individuals. Conclusion: Thus, ACT can be used to enhance couple’s relationship and prevent infidelity and divorce.

Objective: Shame is a multi-faceted self-conscious emotion which occurs when one considers themselves to not have fulfilled internalized societal standards and can be viewed as a social, psychological as well as a cultural phenomenon. The current study aimed to explore the lived experience of individuals receiving psychotherapy or pharmacotherapy. Research Methodology: The study used a qualitative research method and described, in-depth, what shame is and how it’s experienced from the participants' point of view. The participants in the study were nine males and seven females who participated in an in-depth unstructured interview. Data were analyzed based on the seven-step Colaizzi's method. Findings: Based on the findings of this study, eight themes of “physical reactions,” “accompanying emotions,” “making mistakes,” “other,” “being subject to judgment,” “blame,” “annihilation,” and “having a negative view of self,” in addition to three sub-themes of “incompetence,” “worthlessness” and “inadequacy” were common in the lived experience of individuals of shame. The resulting themes were explored and discussed. Conclusion: The findings of this study can be used to develop shame assessment scales considering the Iranian culture and to plan interventions that target these common themes.