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: The primary objective of this study was to develop and validate a structural model of marital satisfaction among married women, based on self-differentiation, critical thinking, and emotional self-regulation, with happiness as a mediating variable. Methods and Materials: This study utilized a quantitative, descriptive-correlational design with a structural equation modeling (SEM) approach. The sample comprised married women who visited the counseling centers at the University of Tehran between January 2023 and August 2023. A total of 330 participants were selected using convenience sampling. Data were collected using validated questionnaires, including the Self-Differentiation Scale, Critical Thinking Questionnaire, Emotional Self-Regulation Scale, Oxford Happiness Questionnaire, and ENRICH Marital Satisfaction Scale. The data were analyzed using SEM to assess the model's fit and test the hypothesized relationships between variables. Findings: The results indicated that the proposed structural model fit the data well, with satisfactory model fit indices (χ²/df = 3.618, RMSEA = .061, CFI = .923). Self-differentiation (β = .217, p = .033), critical thinking (β = .230, p = .01), and emotional self-regulation (β = .201, p = .01) had significant direct effects on marital satisfaction. Additionally, happiness significantly mediated the relationships between self-differentiation (β = .229, p = .01), critical thinking (β = .178, p = .01), and emotional self-regulation (β = .200, p = .01) with marital satisfaction. Conclusion: This study underscores the importance of self-differentiation, critical thinking, and emotional self-regulation as key factors influencing marital satisfaction among married women. The mediating role of happiness highlights its significance in enhancing marital satisfaction by fostering positive emotions and reducing stress.

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: Multiple Sclerosis (MS) is one of the most common chronic diseases of the central nervous system, and the disability resulting from the disease impacts self-efficacy and various mental health dimensions of these patients. Therefore, the present study aimed to propose a structural model for predicting psychological well-being and emotional regulation based on resilience and self-efficacy among MS patients in Tehran. Methods: Given its objective, this research is of the applied type and descriptive in nature concerning data collection methods, specifically employing structural equation modeling. The statistical population of this study included all individuals with MS attending treatment centers in Tehran in 2021, with a minimum sample size estimated at 150. The variables studied were based on the Ryff's Psychological Well-being Scale, the Gross and John's Emotional Regulation Questionnaire, the Connor-Davidson Resilience Scale, and the Schwarzer and Jerusalem's Self-Efficacy Scale. Ultimately, data were analyzed using structural equation modeling in AMOS software. Findings: According to the study's findings, all standardized coefficient values related to the dimensions of the latent variables were higher than 0.4, indicating that this measurement model has adequate reliability regarding the items of latent variables. Critical ratio values are usually introduced as validity parameters associated with the structural model and, in this study, all values were significant and outside the range of (-1.96, 1.96), with Cronbach's alpha and composite reliability values greater than 0.7 and AVE values greater than 0.5. Conclusion: Thus, the model enjoys appropriate validity and reliability.