درخت حوزه‌های تخصصی

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: The present research aimed to compare the effectiveness of assertiveness training and Logotherapy on cognitive emotional regulation and psychological well-being in mothers of children with autism spectrum disorders. Methods: The research design was a quasi-experimental pre-test post-test with a control group. The study population included all mothers of children with autism spectrum disorders in Tehran during the years 2022-2023. Sixty eligible individuals were randomly sampled into three groups: Experimental Group 1, Experimental Group 2, and a Control Group. The research variables were measured using the Gratz and Roemer (2004) Emotion Regulation Questionnaire and the Ryff (1989) Psychological Well-being Scale. Experimental Groups 1 and 2 received eight 2-hour sessions of Logotherapy and assertiveness training respectively, while the control group received no intervention during this period. Data analysis was conducted using SPSS software. Findings: The results indicated that there was a significant difference in the effectiveness of assertiveness training and Logotherapy on cognitive emotional regulation among mothers of children with autism spectrum disorder (p = 0.05). There was also a significant difference in the effectiveness of assertiveness training and Logotherapy on the psychological well-being of these mothers (p = 0.05). Conclusion: Therefore, it can be concluded that both assertiveness training and Logotherapy enhance cognitive emotional regulation, with Logotherapy being a more effective method for increasing psychological well-being compared to assertiveness training.

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: The aim of this study was to analyze the sexual health of adolescents living in residential centers based on the opinions of experts in the city of Isfahan. Methods: This qualitative study was conducted using thematic analysis. The participants included sexual health experts from the city of Isfahan, selected through purposive sampling based on inclusion criteria. These individuals were examined using semi-structured interviews, and data saturation was achieved with 10 interviews. Findings: After data analysis and coding, 94 initial codes, 11 axial codes, and 4 core codes were extracted. The core codes included the experience of negative emotions, various sexual disorders, experiences of neglect and rejection in the environment, and incorrect sexual upbringing. The axial codes were classified as feelings of hatred towards one's body due to sexual exploitation and income, belief in one's own badness due to sexual abuse, sexual problems of abused adolescents, inclination towards same-sex attraction, confusion about sexual orientation, sexual abuse of adolescents living in centers, lack of proper sexual education in the adolescents' families, inability to protect oneself due to the absence of support in situations of sexual abuse, compensating for rejection through non-committal sexual-emotional relationships, sexual vulnerability related to insecure attachment, and incorrect sources of sexual information. Conclusion: Based on the findings, it can be concluded that adolescents living in residential centers face sexual health problems. It is recommended that psychologists and supervisors of these centers use the findings of this study to improve the sexual health of adolescents.

Objective: The present study aimed to investigate the moderating role of interpersonal mindfulness in the relationship between social media use and marital satisfaction. Methods: This study was descriptive and correlational in terms of its objectives and the manner of data collection. The sample population consisted of married individuals who used social media and resided in Tehran, from whom 160 people were selected using a convenience sampling method. In this research, the Interpersonal Mindfulness Scale by Steven Puchter et al. (2018), the Social Networks Scale by Mojdeh et al. (2014), and the Marital Satisfaction Scale by Enrich were used. To evaluate the structural model of the study, the four-stage structural assessment model proposed by Hair et al. (2017) was utilized. Findings: The results indicated a significant positive correlation between interpersonal mindfulness and marital satisfaction, and a significant negative correlation between the extent of social media use and marital satisfaction (P = 0.05). Conclusion: Ultimately, the findings demonstrated that the moderating role of interpersonal mindfulness in the relationship between social media use and marital satisfaction is significant.

Objective: The present study aimed to analyze the role of intimacy-based communication therapy intervention on emotional abuse in betrayed women who seek to improve their relationship with their spouse. Methods: This study employed a quasi-experimental design with a pre-test and post-test, including a control group. The study sample consisted of 30 women experiencing marital difficulties due to spousal infidelity, who were selected through convenience sampling from among women referring to counseling centers in Qeshm County. Participants were randomly assigned to two groups of 15 (15 participants in the control group and 15 in the experimental group). The sampling method involved identifying women with marital problems who reported experiencing spousal infidelity. The researcher then assessed their willingness to participate in educational sessions before selecting the final sample. The experimental group underwent an intimacy-based communication therapy intervention, which was conducted in eight 90-minute sessions, held twice a week. Data collection was carried out using the Emotional Abuse Questionnaire developed by Brehimi (2008). The data were analyzed using SPSS software, employing both descriptive statistics (demographic tables and charts) and inferential statistics (covariance analysis). Findings: The findings indicated that intimacy-based communication therapy intervention had a significant effect on emotional abuse and all its dimensions—except for social restriction—among betrayed women seeking to improve their relationship with their spouse. Conclusion: Therefore, intimacy-based communication therapy intervention can be effectively utilized for supporting women and girls who have experienced emotional distress.

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: The aim of the present study was to design a model of self-care culture for the elderly, which was conducted using a mixed approach. Methods: This research is developmental in terms of its objective and is descriptive-correlational based on its methodology, utilizing Excel software for analysis. The statistical population in the qualitative section consisted of 28 academic experts in the fields of medicine, nursing, and sociology. These experts were selected based on criteria such as experience, relevance of academic discipline, educational degree, university teaching, and research and publication background in this area, using purposive and snowball sampling methods. Findings: The output of this stage included 47 categories in the form of 6 components (self-care knowledge, self-care self-efficacy, self-care skills, spiritual self-care discipline, self-care self-centeredness, and social self-care norms). Self-care knowledge is the foundation for developing a self-care culture among the elderly. Spiritual self-care discipline and self-care self-centeredness fall into the dependent cluster, meaning they are primarily the result of the elderly self-care culture model and changes in other components of the model lead to changes in these components. Additionally, self-care self-efficacy is in the interdependent cluster, indicating that this component is dynamic and any change in it can affect the model. Self-care knowledge also lies in the independent cluster and influences other components. Conclusion: The self-care culture model provides the groundwork for creating conditions and infrastructures that lead to the empowerment of individuals and society for self-care.