مهدیه صالحی

Objective: Psychological factors play a decisive role in the occurrence and experience of pain disorders. This study aimed to compare the effectiveness of emotion-focused therapy and cognitive behavioral therapy on alexithymia and difficulty in emotion regulation in patients with pain disorder. Method : The method of the present study was quasi-experimental with a pretest-posttest design and control group and a two-month follow-up. The statistical population of the study included all women who were referred to Manoushan and Behsa counseling centers in Tehran with psychosomatic problems and pain. Sixty people from this population were selected and randomly divided into three groups (20 people in each group). Research instruments included the Toronto Emotional Dysfunction Scale (Bugby et al., 1994) and the Difficulty in Emotion Regulation Scale (DERS) (Gertz & Roemer, 2004). One group received 12 one-hour sessions of emotion-focused therapy, and another group received 10 one-hour sessions of cognitive behavioral therapy. However, the control group did not receive any intervention during the study. In addition to descriptive statistics, mixed variance analysis and Ben Foroni post hoc test were used to analyze the research data.   Results : The results for alexithymia showed that the emotionally focused therapy group had a significantly lower mean than the cognitive behavioral group (P= 0.02) and the control group (P 0.001), and the cognitive-behavioral group had a significantly higher mean compared to the control group (P = 0.001). Also, the results for the difficulty in emotion regulation showed that the emotionally focused group and the cognitive-behavioral group have significantly lower means compared to the control group (P = 0.001). Conclusions : The results of the present study, in addition to confirming the effectiveness of cognitive-behavioral therapy, indicated that emotion-focused therapy is a more effective treatment for alexithymia. As a result, emotion-focused therapy can be considered an effective treatment that can be used by health professionals to treat pain disorders.

Aim: This study aimed to investigate the relationship between stress, mindfulness, and binge eating in obese people with mediating role of experiential avoidance. Method: The current research was of quantitative type with correlational method. The statistical population included all overweight and obese people in the city of Karaj in 2019, and 414 people were selected as research samples through convenience sampling method. Data were collected by calculating participants' body mass index, Acceptance and Action Questionnaire (Bond et al,2011), Harry's stress questionnaire (2005), five-factor mindfulness questionnaire (Baer et al,2004), and binge eating scale (Gormally et al,1982). Collected data were analyzed using structural equation modeling in Amos software. Results: Stress and mindfulness are known variables in clinical interventions for people with binge eating problems but choosing the strategic and practical variable of experimental avoidance as a mediator between these categories and overeating confirmed these variables' theoretical and practical value. This research highlighted the role of experiential avoidance as a powerful and effective variable in the outcome of individual and social measures in the management and planning to correct overeating behavior in obese people.

Introduction: the role of cognitive, metacognitive and metaemotional factors in psychological distress has been clearly confirmed. The current research study aims to examine a psychological distress model based on intolerance of uncertainty and emotional schemas of cancer patients with the mediating role of metacognitive beliefs and cognitive avoidance. Method: regarding the methodology, the present study relies on correlation and structural equation modeling. The study sample included 300 cancer patients who visited various hospitals in Tehran and completed the questionnaires of uncertainty intolerance, stress, depression and anxiety, emotional schemas, metacognitive beliefs, and cognitive avoidance. Results: findings demonstrated that the proposed model has appropriate fitness among cancer patients. Also, the relationship between mediating variables and endogenous and exogenous variables is significant. The variables under investigation explained 46 percent of psychological distress variance in the patients. Conclusion: Psychological distress in cancer patients is affected by interaction of excessive emotional states, intolerance of uncertainty, such as metacognitive beliefs and emotional schemas.