درخت حوزه‌های تخصصی

Objective: Somatic symptoms consist of a wide range of symptoms and until yet clustering them has been very challenging for researchers and therapists. The present study aims to explore underlying psychological factors of various functional somatic symptoms and determine if there are any similarities or differences in these factors that could help classify these symptoms as one syndrome or discrete ones. Method: This study adopted an association rule mining method based on data mining. 643 participants were recruited using a convenience sampling technique. Data were collected using the checklist of somatic symptoms (Lacourt et al., 2013), Attachment Questionnaire (Hazan & Shaver, 2017), Defense Style Questionnaire (Andrews et al., 1993), and Levels of Emotional Awareness Scale (Lane, 2006). Results: Cognitive, gastrointestinal, and fatigue symptoms are related more to immature defense mechanisms. Musculoskeletal, respiratory, and cardiac symptoms are associated with neurotic defenses. Fatigue symptoms are associated with ambivalent attachment and musculoskeletal symptoms are related more to avoidant attachment. Indeed, it could be said that there are two clusters of somatic symptoms, one of which is attachment and the other is defense mechanisms. This supports the splitters’ view about somatic syndromes. Conclusions: These findings show various types of somatic symptoms have qualitatively different risk factors. Our findings imply that psychotherapists should consider the kind of syndromes a patient has and their underlying psychological predispositions to manage the problem better.  

 Objective: Irritable bowel syndrome is a chronic psychosomatic disease. Stressful events play a critical role in this disease, and lifestyle modification is one of the treatment priorities for these patients. The present study aimed to examine the role of health-enhancing lifestyles among stressful life events and salutogenic health indicators in these patients. Method: Data analysis was done by structural equation modeling. The statistical population included all patients with irritable bowel syndrome referred to Imam Sajjad Hospital in Tehran in 2019 and 2020. The statistical sample was 229 patients selected through Purposive sampling and diagnosed by a psychiatrist based on ROME-IV criteria. Research tools included the Bringsen Salutogenic Health Indicators Scale, Sarason Life Events Inventory, and Walker HealthPromoting Lifestyle Profile-II. Data analysis was done by SPSS-20 and LISREL-8 software. Ethical considerations based on confidentiality, respect for the rights of individuals, human dignity, and avoiding harming the participants and distorting information were observed. Also Participants had full authority to withdraw from the study at any time. Results: The relationship between lifestyle (t=2.723, ß=0.17) and stressful events (t=-2.31, ß=-0.42) with salutogenic health indicators was significant. The mediating role of lifestyle between life events and salutogenic health indicators was meaningful at P<005 and a standard coefficient (0.0-13.11). Conclusion: It seems that lifestyle and control over stressful events affect the health indicators of patients with irritable bowel syndrome. Therefore, it is suggested to provide appropriate training programs to control and manage stressful events and provide strategies to modify lifestyle to improve health. 

 Objective: This study aimed to examine the effects of reality therapy on improving psychological capital and sense of cohesion among Iranian Patients with Multiple Sclerosis. Method: This study was performed in Tehran in 2021. Sampling was employed to select 36 participants who completed the Psychological Capital Questionnaire and Sense of Cohesion Scale in the pretest, posttest, and onemonth follow-up stages. The participants of the experimental group underwent eight weekly 90-minute sessions to receive the online reality therapy; However, the control group received no intervention. Results: Data analysis showed a significant difference in psychological capital and sense of cohesion in the experimental group compared to the control group (P< 0/05). There was a significant difference in three subscales of psychological capital (i.e., self-efficacy, resilience, and hope) and two subscales of the sense of cohesion (i.e., perceptibility and controllability) in Patients with MS in the experimental group (P <0.05), but no significant difference in optimism (a subscale of the psychological capital) and significance (a subscale of sense of cohesion) (P> 0.05). Conclusion: Due to the effects of reality therapy on patients with multiple sclerosis, this psychological therapy can be employed to improve the psychological capital and sense of cohesion.

The aim of this study is to investigate the role of personality traits in prediction of perceived rejection, age feeling, and social exclusion among retirees in Zahedan city. The statistical population of this study includes all retirees in Zahedan city in 2021 – 2022, of which 123 people were selected as samples through the convenience sampling method. To collect data for this study, questionnaires on personality traits, cognitive health, perception of rejection, feeling of aging, and social isolation were used. Pearson correlation coefficient, stepwise multiple regression, and simple linear regression were used to analyze the research data. The results showed that the perception of rejection had a positive and significant correlation with neuroticism (p<.05) and a negative and significant correlation with extraversion, agreeableness, and conscientiousness (p<.01). However, there was no significant correlation between perceived exclusion and openness to experience. According to the results of the study, it can be concluded that personality traits play a significant role in predicting perceived exclusion, feeling of aging, and social isolation in retirees.

 Objective: Being overweight and obese in adolescence is associated with severe health effects during their lifetime The purpose of this study was to explain the mediating role of self-compassion in the relationship between family cohesion, stress, and quality of life with body mass index in adolescent girls Method: The current research was descriptive-multiple linear regression From among the statistical population of the research, 250 teenage girls were selected as the research sample using a multi-stage cluster sampling method, and finally, after dropping 50 people from the sample group, the data of 200 of them were analyzed. The tools of data collection included the Samani Family Cohesion Questionnaires (2001), Byrne and Mazano Stress (2002) Scale, the World Health Organization Quality of Life (1996) questionnaire, and the NAF Self-compassion (2003) inventory. For data analysis, structural equation modeling was performed using SPSS26 and AMOS24 software. Results: The results showed that the model of body mass index based on the quality of life, family cohesion, and stress with the mediating role of self-compassion has a good fit. It also indicated that family cohesion, stress, and quality of life did not predict body mass index in adolescent girls, But quality of life predicts body mass index in adolescent girls. Conclusion: It seems that self-compassion plays a mediating role in the relationship of body mass index with family cohesion, stress, and quality of life in adolescent girls. 

Objective : Despite significant antiemetic advances, almost 50 % of treated cancer patients still experience nausea and vomiting. The purpose of this study was to investigate the mediating role of avoidant coping in the relationships between psychological well-being and chemotherapy-induced delayed nausea in women with breast cancer in Shiraz. Method : The research method was descriptive-correlational. The statistical population of this study consists of women with breast cancer in Shiraz with an average age of 51 to 56 years. In this research, a non-random and voluntary sampling method was used; thus, 211 female patients with breast cancer treated by chemotherapy voluntarily completed the relevant questionnaires, which included psychological well-being questionnaire (Ryff, 1989), chemotherapy-induced delayed nausea questionnaire (Rhodes & McDaniel, 1999), and coping style questionnaire (Endler & Parker, 1990). The data were analyzed by AMOS software. Results : Research findings showed a negative and significant relationship between psychological well-being and avoidant coping style, and a positive and significant relationship between avoidant coping style and delayed nausea. The Sobel test confirmed the mediating role of avoidant coping style in the relationship between psychological well-being and delayed nausea. Therefore, it can be concluded that there was a relationship between psychological well-being and delayed nausea, with the mediation of avoidant coping style. Also, psychological well-being had an indirect effect on delayed nausea. Conclusion : Chemotherapy-induced delayed nausea can be reduced by improving coping skills and strategies and the psychological well-being of women with breast cancer.