درخت حوزه‌های تخصصی

Objective: The aim of this study was to examine the effectiveness of mindfulness-based compassion therapy and positive cognitive-behavioral therapy on ambiguity tolerance in female heads of households in Shahrekord. Methods: The research design was a quasi-experimental one, employing a pre-test, post-test, and follow-up with a control group. The statistical population included female heads of households in Shahrekord. Sixty participants were selected through purposive sampling and randomly assigned to three groups (20 participants per group). The experimental groups underwent 8 sessions of mindfulness-based compassion therapy and positive cognitive-behavioral therapy, each lasting 120 minutes. To determine the effectiveness of the interventions, the McLain Ambiguity Tolerance Questionnaire (1993) was used, and the data were analyzed using repeated measures analysis of variance. Findings: The findings showed that the effectiveness of mindfulness-based compassion therapy and positive cognitive-behavioral therapy compared to the control group on ambiguity tolerance in the post-test were (0.691) and (0.560), and in the follow-up were (0.755) and (0.632), respectively. Additionally, the results indicated that mindfulness-based compassion therapy was more effective than positive cognitive-behavioral therapy. Conclusion: Based on the results of this study, mindfulness-based compassion therapy can be used as a more sustainable and effective intervention than positive cognitive-behavioral therapy to increase ambiguity tolerance in female heads of households.

Objective: The present study aimed to design an educational package based on Motivational Interviewing, Acceptance and Commitment Therapy, and Compassion-Focused Therapy and evaluate its effectiveness on alexithymia and quality of life in patients with Multiple Sclerosis (MS) in Tehran. Method: This study employed a quasi-experimental design with a control group and pre-test, post-test, and follow-up assessments. Forty women with MS, who visited the MS Association in Tehran Province from October to February 2021, were selected based on research criteria through purposive sampling and were randomly assigned to two groups (using a random number table). After random assignment, one of the groups was randomly designated as the experimental group, receiving the researcher-developed integrative treatment package, and the other as the control group (n=20). The data collection tools included a demographic information questionnaire, the Toronto Alexithymia Scale (Bagby, Taylor, & Parker, 1994), and the Multiple Sclerosis Quality of Life-54 Instrument (Ware et al., 1988). Data were collected at three stages: baseline, post-intervention, and three-month follow-up. The research hypotheses were analyzed using repeated measures ANOVA and Bonferroni post hoc tests. Findings: The results of this study indicated that the educational package based on Motivational Interviewing, Acceptance and Commitment Therapy, and Compassion-Focused Therapy significantly improved alexithymia (F=24.31, P<0.001) and quality of life (F=22.67, P<0.001) in women with MS. Conclusion: It can be concluded that the educational package based on Motivational Interviewing, Acceptance and Commitment Therapy, and Compassion-Focused Therapy is effective in improving alexithymia and quality of life in women with MS.

Objective: The study aimed to compare the effectiveness of an integrative pre-marital training package based on Bowen's intergenerational theory and life design model with the SYMBIS approach on marital choice orientation. Methods: A quasi-experimental research design with a pretest-posttest-follow-up model and two experimental groups and one control group was utilized. The statistical population consisted of university students in Isfahan. The sample included 45 female students selected through convenience sampling based on inclusion and exclusion criteria and randomly assigned to three groups (integrative training group, SYMBIS group, and control group), each containing 20 participants. The experimental groups received eight 90-minute training sessions, while the control group was placed on a waiting list. All three groups completed research instruments at the pretest, posttest, and follow-up stages. The research instrument was the Marital Choice Orientation Questionnaire (Yousefi, 2023). Data were analyzed using repeated measures ANOVA. Findings: Results indicated that both the integrative training group and the SYMBIS group significantly influenced marital choice orientation (F = 15.5, P = 0.001), and this effect remained stable during the follow-up phase (P < 0.05). Conclusion: The findings revealed that both methods had a significant and comparable impact on improving the dependent variable, suggesting their utility in enhancing marital choice orientation.

Objective: The aim of the present study was to predict psychological pain based on emotional expression with the mediation of fear of intimacy in girls with emotional breakup experience. Methods: The research design was applied in terms of purpose and descriptive-correlational in terms of method. The statistical population of the study included girls aged 20 to 35 with emotional breakup experience in Tehran in 2020, of whom 392 were selected using the convenience sampling method. They responded to the Auerbach and Mikulincer (2003) Mental Pain Questionnaire, the King and Emmons (1990) Emotional Expression Questionnaire, and the Descutner and Thelen (1991) Fear of Intimacy Scale. Data were analyzed using structural equations and SPSS and AMOS software. Findings: The findings showed that the direct path coefficient of fear of intimacy (ß = 0.15, p < 0.01) to psychological pain was positive and significant, but the path coefficients of the types of emotional expression to psychological pain were not significant (p > 0.05). The direct path coefficients of positive emotional expression (ß = -0.10, p < 0.05) and expression of intimacy (ß = -0.15, p < 0.01) to fear of intimacy were negative and significant, while the path coefficient of negative emotional expression (ß = 0.15, p < 0.01) to fear of intimacy was positive and significant. The indirect path coefficients of the types of emotional expression to psychological pain in girls with emotional breakup experience through fear of intimacy were not significant (p > 0.05). Conclusion: The results indicated that although fear of intimacy neutralized the effects of different types of emotional expression on psychological pain in girls with emotional breakup experience, it did not mediate the relationship between the types of emotional expression.

Objective: This study aimed to present a structural model of the quality of life for the elderly based on self-care with the mediating role of social support. Methods: The research employed a correlational design using structural equation modeling. The study population consisted of individuals aged 60 to 75 years living in urban homes in Tehran, with 314 participants selected as the research sample. The data collection tools included the Iranian version of the Phillips Social Support Questionnaire (1986), the World Health Organization's Quality of Life Questionnaire (1989), and the Elderly Self-care Questionnaire by Younesi et al. (2020). The statistical technique used was a full latent variable structural equation model, and the data analysis was performed using SPSS version 26, AMOS version 24, and R software version 4.3.1. Examination of the model fit indices indicated that the model overall is in excellent condition for explaining and fitting the data. Findings: The results showed that both social support and self-care have a significant positive effect on the quality of life variable for the elderly. Moreover, the self-care variable also has a significant positive impact on the social support variable at a 95% confidence level. Additionally, the self-care variable significantly affects the quality of life of the elderly through the mediating variable of social support. Conclusion: According to the findings of this study, the mediating role of social support can play a significant role in examining changes in the quality of life of the elderly. It is recommended that the importance of social support be emphasized and taught in elderly care centers and other counseling and guidance centers.