نادر منیرپور

Objective: The objective of this study was to propose a structural model explaining the quality of life based on early maladaptive schemas and the mediating role of self-care in female patients with type 2 diabetes. Methods: This descriptive-correlational study employed structural equation modeling. The statistical population included all female patients with type 2 diabetes in Tehran who visited medical centers in 2021. The sample consisted of 250 female patients with type 2 diabetes from Tehran in 2021, selected through convenience sampling based on inclusion and exclusion criteria. Data were collected using the short form of the World Health Organization Quality of Life Questionnaire (WHO, 1996), the short form of the Young Schema Questionnaire (Young, 1998), and the Diabetes Self-Care Activities Questionnaire (Toobert et al., 2000). Data analysis was conducted using structural equation modeling and Pearson correlation methods with SPSS.22 and AMOS.22 software. Findings: Fit indices indicated a good fit of the proposed model with the data: PCFI = 0.655, PNFI = 0.661, CMIN/DF = 2.90, RMSEA = 0.089, IFI = 0.917, CFI = 0.914, GFI = 0.903. The highest coefficient (-0.47) was related to the pathway from the domain of impaired autonomy and performance to quality of life. The determination coefficient for the marital relationship quality variable in the proposed structural model was 0.889, indicating that exogenous variables could predict 89% of the changes in quality of life, which is considered strong. Conclusion: It can be concluded that the structural model explaining quality of life based on early maladaptive schemas and the mediating role of self-care in female patients with type 2 diabetes was well-fitted.

Objective: The aim of the present study was to explain the structural model of quality of life based on early maladaptive schemas and the mediating role of self-care in women with type 2 diabetes. Methods: This research is classified as descriptive-correlational using structural equation modeling. The statistical population included all women with type 2 diabetes in Tehran who visited healthcare centers during 2021. The sample comprised 350 women with type 2 diabetes in Tehran in 2021, selected through convenience sampling based on inclusion and exclusion criteria. Data were collected using the World Health Organization Quality of Life Brief Questionnaire, the Young Schema Questionnaire-Short Form, and the Diabetes Self-Care Activities Questionnaire. Data were analyzed using structural equation modeling and Pearson correlation statistical methods with SPSS.22 and AMOS.22 software. Findings: The results showed the fit indices were PCFI=0.655, PNFI=0.661, CMIN/DF=2.90, RMSEA=0.089, IFI=0.917, CFI=0.914, and GFI=0.903, indicating a good fit of the proposed model with the data. The highest coefficient (-0.47) was attributed to the pathway from the domain of impaired autonomy and performance to quality of life. Conclusion: The coefficient of determination for the quality of marital relationship variable in the proposed structural model was 0.889, indicating that exogenous variables could predict 89% of the variations in quality of life, which is a strong prediction.

Purpose : Most couples have communication problems in their married life, the existence of chaotic relationships has destructive effects on formation of emotional divorce among couples: purpose of this study was to present a model of emotional divorce based on differentiation with mediating role of attachment styles and experience of we-ness. Methodology : the research method was descriptive-correlational and the statistical population included all parents of students referring to counseling and guidance centers of association of parents and educators of Tehran in 2020 that their number was1836 people.the statistical sample size was considered based on Sample Power statistical software (350 people),and sampling method was multi-stage random.research tools included, Guttman (2008) Emotional Divorce Scale, Skorn and Friedlander (1989) Differentiation inventory, Collins and Reed(1990)Attachment Styles Scale, Vedes, Nussbeck,Bodenman (2013) Experience of We-ness Questionnaire,in this study, data analysis was performed using SPSS software and Smartpls Structural Equations. Findings : the results showed,presenting the model of emotional divorce based on differentiation with mediating role of attachment styles and experience of we-ness, accordance with the theoretical model and has a good fit,also,the study of direct path showed that there is asignificant negative relationship between the components of differentiation, attachment styles and experience of we-ness with emotional divorce and the results of the indirect path also showed that differentiation has a significant negative relationship with mediating role of attachment styles and experience of we-ness with emotional divorce and intensity of desired effect. Conclusion : Inordertocreate cohesion and create asatisfying marital relationship based on recognizing the emotions of each couple and modifying the attachment style and type of differentiation of couples,we can confront the psychological elements to improve the relationship between couples during medical considerations