سیمین حسینیان

Aim : The aim of this study was to design and validate a serious game-based cognitive behavioral therapy (CBT) for adolescent girls with social anxiety, using a structured scenario-writing protocol based on Hoffman's Social Self-Appraisal Therapy Model. Method: The research employed a multi-phase approach encompassing scenario preparation, expert evaluation, face validity testing, usability assessment, and pilot implementation. Content validity was evaluated by ten psychologists and counselors utilizing the Content Validity Index (CVI) and Content Validity Ratio (CVR) metrics. Face validity was assessed utilizing the Story World Absorption Scale (SWAS) with a cohort of 10 adolescent participants. A pilot study including an additional cohort of 10 adolescents evaluated alterations in social anxiety utilizing the Liebowitz Social Anxiety Scale for Children and Adolescents (LSAS-CA). Usability and player experience were examined through the MEEGA+ instrument.   Results: The results demonstrated strong validity and efficacy of the serious game. Content validity was confirmed (overall CVI > 0.79, CVR > 0.62), along with robust face validity - evidenced by attention and transportation scores exceeding 0.81 (Kappa coefficients = 0.85, 0.81) and emotional engagement and mental imagery scores above 0.61 (Kappa coefficients = 0.78, 0.72). Additionally, a significant T-test result (t(9) = 16.74, p < 0.025) further supported these findings. Based on the MEEGA+ evaluation, the game was classified as 'good quality,' with θ scores ranging from 57.5 to 63.5 across usability and player experience subscales   Conclusion: The results revealed that the CBT-based serious game is both experientially effective and clinically promising. For adolescents with social anxiety, it provides a scalable and entertaining intervention tool, especially in situations where access to conventional therapy is restricted.

In the cultural and traditional context of Iran, individuals identified as gender dysphoria often encounter social ostracization and rejection sensitivity, leading to feelings of injustice, victimhood, and stigmatization, exacerbating suicidal ideation. This research aimed to determine the relationship between experiences of rejection & suicide propensity among people with gender dysphoria, while considering the mediating influence of depressive symptoms. A total of 266 people with gender dysphoria were selected to participate in the study in 2022-2023 using purposive and snowball sampling methods. The data collection instruments included the Beck Suicide Ideation Scale (1979), the Rejection Sensitivity Questionnaire(1996), and the Beck Depression Inventory(1961). Subsequent analysis involved Pearson correlation and structural equation modeling techniques facilitated by SPSS 28 and AMOS 24 software suites. The analysis revealed a statistically significant positive correlation between experiences of rejection and depression with suicidal propensity ( p < 0.05). A notable positive correlation emerged between experiences of rejection and depression (r = 0.55; p < 0.05). These variables accounted for 45% of the variance in suicide propensity. The mediating role of depression in the relationship between experiences of rejection and suicidal tendency was substantiated. The empirical insights gleaned from this investigation underscore the importance of addressing the interconnectedness of experiences of rejection with psychological maladies, such as depression, and consequent elevations in suicide risk.