سمانه اکبری

This study aimed to determine the mediating role of ambiguity intolerance and worry in the relationship between resilience and fatigue compassion in nurses. The research method employed a descriptive-correlational design, and the statistical population of this study consisted of all nurses working in hospitals in Tehran Province in 2024. A convenience sampling method was used to select 220 nurses from this population. The study tools were included Connor-Davidson Resilience Scale (2003), the Compassion Fatigue Inventory by Saberi et al. (2017), Penn State Worry Questionnaire by Meyer et al. (1990), and the Ambiguity Tolerance Scale-II by McLain (2009). Structural equation modeling was used to analyze the data. The results showed that worry mediates the relationship between resilience and fatigue compassion negatively and significantly (β=-0.096, P=0.001). Ambiguity intolerance mediates the relationship between resilience and fatigue compassion negatively and significantly (β=-0.050, P=0.029). Based on the results of the present study, it seems that the lack of resilience among nurses in ambiguous and worrying situations causes burnout and fatigue compassion.

The present study aimed to determine the effectiveness of Emotionally Focused Couple Therapy on alexithymia and marital disaffection in working women experiencing marital conflicts. This research was applied in terms of purpose and used a semi-experimental method with a pre-test, post-test, and follow-up design, including a control group. The statistical population consisted of all working women with marital conflicts who were referred to counseling centers in Tehran in 2024. The sample included 30 participants who were randomly selected and homogenized by age into two groups: intervention and control. Participants completed the Toronto Alexithymia Scale by Bagby et al. (1994) and the Marital Disaffection Scale by Kayser (1996) during the pre-test, post-test, and follow-up phases. Couple Emotion-Focused Therapy was conducted according to Johnson's protocol (2019) over 12 weekly sessions, each lasting 90 minutes. Data were analyzed using repeated measures ANOVA with significance levels set at 0.05 and 0.01, employing SPSS-22 software. The results showed that Couple Emotion-Focused Therapy significantly reduced alexithymia (P=0.001). The interaction effect of time and group also resulted in a significant decrease in alexithymia (P = 0.001) compared to the control group. Additionally, the therapy significantly reduced marital disaffection (P=0.001), with the time*group interaction showing a significant decrease in marital dissatisfaction (P=0.001) relative to controls. Overall, the findings indicate that Couple Emotion-Focused Therapy targeting emotional alexithymia and marital disaffection is effective for working women with marital conflicts.