درخت حوزه‌های تخصصی

Marital infidelity is a deeply damaging interpersonal event that triggers cognitive, emotional, and behavioral responses in the affected spouse. This study aimed to examine the reactions and cognitive-behavioral-emotional coping mechanisms of women facing marital infidelity. The research methodology employed was applied both in its objective and qualitatively in its execution. The study sample comprised 18 women residing in Herat City, Afghanistan, who had experienced spousal infidelity and sought counseling in the year 2021. They were purposively selected and interviewed using a semi-structured approach. The interviews were analyzed using Braun and Clarke's (2021) thematic analysis method which resulted in the identification of three main themes chaos (initial reactions), involvement (secondary reactions), and revival, 11 subthemes (behavioral, psychological-emotional, mental, and psychosomatic response, changing circumstances, involvement in activities, companionship, adaptation, seeking therapy, self-care, and coerced continuation of the relationship) and 114 primary codes. The research findings indicated that the cognitive-behavioral-emotional process of Afghan women facing marital infidelity unfolds in three stages: chaos (initial reactions), involvement (secondary reactions), and revival. Furthermore, it was observed that affected women exhibit varied behaviors at each stage and undergo different emotions and thoughts. Factors such as the manner of infidelity disclosure, quality of marital relationship, religious beliefs, social and familial support, societal perspectives, limitations in choice, lifestyle, and the presence of children play significant roles in shaping their cognitive-behavioral-emotional responses. The practical implications of this research findings can be beneficial for counselors working with Afghan couples dealing with marital infidelity. Keywords: Behavioral-emotional reactions, Marital infidelity, Women, Afghanistan    

Objective: The aim of this study was to identify the factors influencing the formation, continuation, and dissolution of Iranian marriages in the year 2022. Methods: This research utilized a qualitative method based on the Strauss and Corbin approach. A purposive selection of 10 experts, either faculty members or influential figures in decision-making centers for marriage and family affairs, were deeply interviewed. The data obtained from these experts provided a semi-structured questionnaire for interviews with 36 individuals, divided into three groups: formation, continuation, and dissolution of marriages. After each interview, data were coded and categorized according to the Strauss and Corbin method. Findings: In total, 2950 primary codes, 462 secondary codes, 97 concepts, 27 subcategories, and 9 main categories were identified, including external couple factors affecting formation, continuation, and dissolution; internal couple factors affecting formation, continuation, and dissolution; and individual factors affecting formation, continuation, and dissolution. Conclusion: The results indicated that the formation of marriage is influenced more by external couple factors than by any other factors. Although the continuation and dissolution of marriage are influenced by the nature of their formation, individual factors become important in these stages. It can be inferred that focusing on external couple factors before individual and internal couple factors in pre-marital counseling, and prioritizing individual factors in couple therapy and divorce counseling, may be more effective. It is recommended that the results of this study be used in planning, research, and therapeutic interventions in the field of marriage

Objective: The aim of this research was to investigate marital burnout and to determine the effectiveness of a communication skills training protocol. Methods: The experimental method employed was a single-subject design with multiple baselines, involving couples seeking counseling at the Raz City Clinic in Shiraz and the Clinic of the General Directorate of Exceptional Education in Fars Province, during the autumn of 2021. Among these couples, three pairs exhibiting the highest levels of marital burnout were selected using a purposive sampling method. The therapeutic program of the communication skills training protocol was conducted by the researcher over 10 sessions, followed by a follow-up in two stages, one month apart. The participants responded to the Marital Burnout Scale at the baseline, post-treatment, and follow-up stages. Data were analyzed using visual analysis methods, the recovery percentage formula, and the reliable change index. Findings: Findings indicated that the communication skills training protocol enhanced marital quality and reduced marital burnout, with these effects being maintained during the follow-up phase. Conclusion: The treatment protocol proved to be effective, and couple therapists can utilize these communication skills in their work with couples to reduce marital burnout and enhance marital quality, particularly during the early years of marriage, where it can have a significant impact.

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: Musculoskeletal diseases are among the most common and costly illnesses across all age groups and various communities, leading to disability, incapacity, early retirement, and job loss. The present study aimed to develop a structural model of quality of life based on resilience with the mediation of perceived stress in women with rheumatoid arthritis. Methods: The research method was descriptive-survey with a structural equation modeling design. The statistical population included women with rheumatoid arthritis in the city of Isfahan. The women with rheumatoid arthritis referred to medical centers in Isfahan had at least one year of disease history. Data were collected using the Varni-Kazisnki and Keller Quality of Life Questionnaire (1996), the Connor-Davidson Resilience Scale, Antonovsky’s Sense of Coherence Questionnaire (1993), Cohen, Kamarck, and Mermelstein’s Perceived Stress Questionnaire (1983), and the Gratz and Roemer Emotion Regulation Difficulty Scale (2004). Data were analyzed using structural equation modeling and Amos26 software. Findings: The results showed that the direct effect of resilience on the quality of life of patients with rheumatoid arthritis was significant (β = 0.25; P < 0.01). The indirect effect of resilience through the mediation of perceived stress on the quality of life of patients with rheumatoid arthritis was significant (β = 0.16; P < 0.01). Additionally, the total effect of resilience through the mediation of perceived stress on quality of life was significant (β = 0.41; P < 0.01). Conclusion: It can be concluded that the structural model of quality of life based on resilience with the mediation of perceived stress was well-fitted, and perceived stress played a mediating role in the relationship between quality of life and resilience in women with rheumatoid arthritis.

Objective: The present study aimed to compare the effectiveness of schema therapy, cognitive-behavioral therapy, and compassion-focused therapy on components of loving, emotional empathy, marital values, coping skills, and willingness to marry among single women with a fear of marriage. Methods and Materials: This experimental study used a pretest-posttest-follow-up design with four groups (three experimental groups and one control group). The statistical population included all girls with pre-marital fears in the city of Semirom. From this population, 60 participants were selected using convenience sampling based on inclusion and exclusion criteria and were assigned to four non-randomized groups. The control group was placed on a waiting list, while the three experimental groups received schema therapy-based interventions (Fadavi Nia & Khayyatan, 2021), cognitive-behavioral therapy (Mohammadpour et al., 2015), and compassion-focused therapy (Pirjavid et al., 2021) over eight 90-minute sessions. All participants responded to the Coping Skills Questionnaire (Billings & Moos, 1981) in three phases. The collected data were analyzed using descriptive statistics (mean and standard deviation) and inferential statistics. Findings: The results showed that all three methods effectively improved the two dimensions of avoidance-oriented and problem-focused coping. Conclusion: Based on these results, it can be concluded that these three methods are suitable for improving psychological constructs, with schema therapy and cognitive-behavioral therapy being more effective in enhancing the dimensions of coping mechanisms. Counselors and psychotherapists can use the techniques and strategies from these methods to improve these dimensions.

Objective: This study aimed to evaluate the effectiveness of self-compassion training on reducing loneliness and improving health-related quality of life in infertile women. Methods: A randomized controlled trial design was used, involving 30 infertile women recruited from a specialized infertility treatment center. Participants were randomly assigned to an experimental group (n = 15) receiving eight sessions of self-compassion training or a control group (n = 15) with no intervention. Assessments were conducted at baseline, post-intervention, and at a five-month follow-up using the Loneliness Questionnaire and the Health-Related Quality of Life Questionnaire. Data were analyzed using repeated measures ANOVA and Bonferroni post-hoc tests. Findings: The experimental group showed significant reductions in loneliness from pre-test (M = 45.32, SD = 6.45) to post-test (M = 30.21, SD = 5.28) and follow-up (M = 31.12, SD = 5.34), while the control group remained stable. Health-related quality of life significantly improved in the experimental group from pre-test (M = 62.45, SD = 7.34) to post-test (M = 78.53, SD = 6.78) and follow-up (M = 77.95, SD = 6.65), with minimal changes in the control group. ANOVA results indicated significant time and group interactions for both loneliness (F(2, 56) = 67.03, p < .001, η² = .71) and health-related quality of life (F(2, 56) = 113.20, p < .001, η² = .80). Conclusion: Self-compassion training is effective in reducing loneliness and improving health-related quality of life in infertile women. These benefits were sustained at the five-month follow-up, highlighting the long-term potential of self-compassion interventions in supporting the psychological well-being of infertile women.