امین رفیعی پور

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.

The aim of this study was to compare the effectiveness of emotion-focused therapy and cognitive-behavioral therapy on pain coping strategies and pain catastrophizing in patients with pain disorder. The research method was a quasi-experimental with pretest-posttest design and a control group and a two-month follow-up. The statistical population of the study included all women with psychosomatic problems and pain who referred to Manoushan and Behsa counseling centers in Tehran. The sample size included 60 (three groups of 20). The research instruments included the Rosenstile and Keefe (1983) Pain Coping Strategies Questionnaire and the Bishop and Pivik (1995) Pain Catastrophe Scale. the emotion-focused experimental group received 12 training sessions and the cognitive-behavioral experimental group received 10 sessions training, but the control group did not receive any intervention during the study.. The results of mixed variance analysis and Benferroni pairwise comparison test showed that both emotion-focused therapy and cognitive-behavioral therapy have significant impact on the components of pain reinterpretation, pain catastrophizing, behavioral activity and coping efficiency (P <0.05), but they do not have significant effect on the components of return attention, ignoring pain, prayer and hope, and self-talking (P <0.05). The results also showed that both treatments have significant effect on pain catastrophizing (P <0.05). Also, no significant difference was observed between the two experimental groups (P <0.05). Therefore, the results of the present study show that emotion-focused therapy, like cognitive-behavioral therapy, can be used for patients with pain disorders and improve their cognitive factors.

Background and Aim: Considering the possible role of psychological factors in the process of cardiovascular disease and also the fact that these factors interact with biological agents to produce effects on cardiovascular disease, the present study aimed at evaluation of the effectiveness of acceptance and commitment therapy on mental health, hopefulness and meaningfulness in people with cardiovascular disease. Materials and Methods: The present study was an applied one and was done as pre-test, post-test and control group. The study population included all cardiovascular patients who were referred to Isfahan Cardiovascular Research Center between January to March 2017 and had a history of myocardial infarction or open heart surgery in the last month. The study sample consisted of 30 patients with cardiovascular disease who were willing to participate in the study and met the inclusion criteria. The subjects were randomly assigned to the case and control groups (each group consisting of 15 subjects). Data were obtained using Snyder Hope Questionnaire, Meaning-seeking Questionnaire, and General Health Questionnaire and analyzed by repeated measure ANOVA and SPSS software. Results: The results showed that analysis of variance was significant for intragroup factor (time). For the intergroup factor, only significant variables were found for somatic symptoms and social dysfunction and were not significant for the other variables. The results of the present study indicate that time effect alone is significant regardless of group effect. The interaction of group and time was also significant (F = 12.84, df = 2) and its effect was reported 0.50. Conclusions: Overall, the findings of this study showed that acceptance and commitment based therapy is effective on mental health, hope and Meaning-seeking in Patients with Cardiovascular Diseases.

Background & Objective: The majority of cancer patients have a poor quality of life. It seems mindfulness-based cognitive group therapy can improve quality of life in these patients. Therefore this study was conducted with the purpose of evaluating the effectiveness of mindfulness-based cognitive group therapy in improving quality of life among patients with cancer. Materials & Methods: This study was a quasi-experimental research conducted by pre- and post-testing. The sample population consisted of 30 cancer patients selected by purposive sampling and randomly placed in two groups of experimental and control (15 individuals per group). All subjects completed the quality of life questionnaire in the two stages of pre-test and post-test. The findings were analyzed by the SPSS software and multivariate analysis of covariance tests. Results: The results showed that there is a significant difference between the control and the experimental group and that mindfulness-based cognitive group therapy had a significant effect in improving quality of life in the members of the experimental group (p< 0/01). Conclusion: According to the results, it can be proposed that it is necessary for therapeutic centers and support forums related to refractory patients to use mindfulness-based cognitive group therapy in their plans to improve patients’ quality of life.