درخت حوزه‌های تخصصی

Objective: The aim of this study is to examine the strategies and consequences of non-marriage among single men. Methods and Materials: The study was carried out using a qualitative approach and grounded theory methodology. The study population consisted of men whose age ranged between 33 and 45 years, considering the average age of marriage for men in the city of Kazerun in 2023 was 30.9 years. All participants were residents of Kazerun County in Fars Province. Sampling was conducted using purposive sampling based on inclusion/exclusion criteria until theoretical saturation was reached (15 participants). Data were collected through semi-structured interviews and analyzed using Strauss and Corbin's (1998) grounded theory approach, including open, axial, and selective coding. Findings: In the open coding phase, out of 232 identified codes, 33 open codes related to strategies and 56 open codes related to consequences were extracted. These codes were categorized into different concepts during axial coding. Finally, in the selective coding phase, the main categories and related outcomes of non-marriage were identified. The most significant strategies for not pursuing marriage included improving economic conditions, enhancing mental and physical well-being, developing alternative relationships, and seeking emotional or financial bonds. On the other hand, mental and psychological consequences, objective consequences, and environmental consequences were among the major outcomes associated with prolonged singlehood in men. These included negative emotions such as depression, isolation, wasted time and energy, and economic and social problems. Conclusion: This study revealed that the decision not to marry among men is the result of a combination of psychological, social, cultural, and economic factors that influence individual choices. Based on the findings, it is recommended that social and cultural policies aimed at supporting youth and facilitating marriage are essential. Moreover, identifying and thoroughly examining cultural and social barriers to marriage could help reduce the rate of singlehood and increase the willingness to marry among young people.

Objective: This study aimed to compare the effectiveness of compassion-focused therapy (CFT) and schema therapy on psychological well-being and sense of coherence among infertile women. Methods and Materials: A quasi-experimental, pretest-posttest-follow-up design with a control group was used. Thirty infertile women referring to Saarem Hospital in Tehran during the first half of 2024 were randomly assigned to three groups: CFT (n=10), schema therapy (n=10), and waitlist control (n=10). The CFT group received eight sessions, and the schema therapy group received ten sessions. Psychological well-being was assessed using the 18-item Ryff Psychological Well-Being Scale, and sense of coherence was measured with the Flensborg et al. (2006) Sense of Coherence Questionnaire. Data were analyzed using multivariate analysis of covariance (MANCOVA) and Bonferroni post-hoc tests. Findings: MANCOVA results showed significant differences between groups on both psychological well-being and sense of coherence at posttest (Wilks’ Lambda = .350, F(4,54)=18.76, p<.001). Univariate tests indicated significant group effects on psychological well-being (F(2,27)=18.45, p<.001) and sense of coherence (F(2,27)=22.13, p<.001). Post-hoc analyses revealed that CFT significantly improved psychological well-being compared to schema therapy and control at posttest (p<.05), while schema therapy led to greater improvements in sense of coherence compared to CFT and control (p<.05). Both interventions maintained their effects at the one-month follow-up. Conclusion: The findings suggest that compassion-focused therapy is more effective in enhancing psychological well-being, whereas schema therapy is more effective in strengthening sense of coherence among infertile women. Both interventions showed sustained benefits over time, highlighting the importance of incorporating structured psychological treatments into infertility care to promote adaptive functioning and resilience.

Objective: The purpose of this research was the effectiveness of Imago Therapy on love styles and communication problems of married women. Methods: The research design was quasi-experimental with pre-test post-test control group. The statistical population of this study consisted of all women attending counseling centers in Alborz province in 2022. Since the research method was semi-experimental, 76 married women volunteered to participate in the study through availability sampling. After completing the Love Scale questionnaires (Hatfield & Sprecher, 1986) and the Queendom Communication Skills Questionnaire (CSTR), those who obtained the lowest averages on these two questionnaires were selected using simple random sampling (30 individuals, 15 in the experimental group and 15 in the control group). The data analysis in this research was conducted in the inferential statistics section, taking into account the nature of the study and the distance of the scale of the dependent variables. The parametric analysis of covariance test was used in the SPSS-22 software environment. Results: Findings showed that the value of F resulting from the analysis of covariance of multiple variables (Wilks Lambda=0.347.0, 2=653, P=0.001, F (25 and 2) =23.56) is significant. This indicates that the implementation of Imago Therapy has had a significant effect on communication skills and passionate love. Conclusions: Based on this, the hypothetical test concluded that Imago Therapy affects the styles of love and communication issues of married women.

Objective : This research aims to propose a multi-criteria decision-making model for ranking hospital departments. The primary purpose of this model is to assist managers in the optimal allocation of limited resources, thereby reducing costs while increasing patient satisfaction. The ranking results help managers in decision-making processes such as equipment development, staff training, and addressing patient complaints. Methods : This study evaluated the performance of five hospital departments (Emergency, Ophthalmology, Cardiovascular, Infectious, and Neurology) in Shiraz, Iran, using the fuzzy DEMATEL-MARCOS multi-criteria decision-making method. Firstly, criteria were prioritized using the fuzzy DEMATEL method, after which hospital departments were ranked using the fuzzy MARCOS method. A sensitivity analysis was conducted to validate the results. Results : Performance metrics for the hospital departments were identified based on the Lean, Agile, Resilient, Green, and Sustainable (LARGS) paradigm. The results revealed that patient satisfaction and job satisfaction had the most substantial influence on performance, while reducing excess transportation and over-processing had the least impact. Utilizing the fuzzy MARCOS method, the hospital departments were ranked according to their overall desirability. The sensitivity of these rankings was assessed by adjusting the weights of the criteria. A comparative analysis with four other fuzzy methods (ARAS, COCOSO, EDAS, and WASPAS) confirmed that the fuzzy MARCOS method was the most effective tool for prioritizing hospital departments. Conclusion : The fuzzy MARCOS results indicated that the “Infectious Department” performed well, while the “Ophthalmology Department” required improvement. Enhancing the “Infectious Department” hinged on better staff training, cost reduction, and safe waste management. This research introduces a novel approach using the fuzzy DEMATEL-MARCOS model, enabling hospitals to assess performance through modern methodologies, such as Lean, Agile, Resilient, Green, and Sustainable, even in uncertain conditions