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Abstract: Back ground & aim: : Eye movement desensitization and reprocessing is a kind of psychotherapy effects on the negative memories un processed that associated with stress and trauma and were the core of abnormalities related to trauma. People use their autobiographical memories for assemble effective solutions in order to popular problems. Dysfunctional problem-solving and over-generalized autobiographical memories are important negative results of these problems. The aim of this study was to determine the EMDR efficacy on PTSD symptoms decrease and enhance of problem- solving skills and over-generalized autobiographical memory . Methods: In this study ,a semi-experimental design (randomized controlled trials) were used in the random assignment of participants to experimental and control groups, the possibility of measuring changes in the intervention was possible .this study was Double-blind. Among 50 chosen patients in this study about ones tending to participate in the research were randomizing put in to testing and control groups. A modified EMDR protocol was used for patient injured in traumatic event . the testing group was wider treatment during 8 sessions and each session for one weak .the control group was put in the queue and the members of the group had appointment with psychologist for TAU during 4 sessions. psychological questionnaires including revised scale in IES-R, SPSI-R & autobiographical memory test (AMT) were given to the patients and kolmograph smirnoff and ancova statistical tests were apprized as well. . Results :The results showed that Eye Movement Desensitization and Reprocessing has main full effect on decreasing PTSD symptoms as well as decreasing the amount of over general autobiographical memory representations in women with post traumatic stress disorder , In other words ,the EMDR group patients are less symptoms and complete problem solving skills. Conclusion: The result showed that elements of EMDR based on ALP Francis Shapiro, and trough having the influence on integration of traumatic event information and identifying the number of symptoms in patients having PTSD.

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Background & Aim: Solution-focused brief therapy is one of the postmodern therapeutic approaches in the area of family and marriage, which puts emphasis on finding solutions by the client in cooperation with the therapist. The current research was conducted by the aim of investigating the effectiveness of solution-focused brief therapy on reducing couple burnout and improvement of the quality of life of married women. Methods: The current research is an interventional and quasi-experimental study which uses pretest-posttest with control group. The population of this research included all the women who attended the center of mental health helpers in bojnoord city during the summer of 1393 (2014), which were seeking to attend the treatment plan in order to resolve their marital problems. Based on available sampling and after the initial screening, 30 women who were qualified to participate in the research and who gained one standard deviation below the mean in the questionnaire were selected and they were placed in two groups of experiment and control through random assignment. The research tools were Pains couple burnout measurement 1996 (CBM) and the world health organization quality of life questionnaire 1996 (WHOQOL), that were completed by the participants in pretest and posttest stages. The treatment sessions of solution-focused brief therapy were performed in 7 two-hour sessions in groups and step-by-step for the participants of the experiment group, but the control group did not receive any intervention and they were put on the waiting list. The data were analyzed through MANCOVA (multivariate analysis of covariance) in the statistical software of SPSS, version 18. Results: The results indicated that after performing the solution-focused intervention, marital burnout among the women in the experiment group has reduced and their quality of life has been improved.no significance change was seen in the control group. Conclusion: The solution-focused brief therapy is effective in reducing marital problems. This brief therapeutic method can be used in counseling centers and family education classes in order to improve marital problems of the clients.

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Introduction and Objectives of the Study Dependence on drugs is a prevalent problem throughout the world, in general and in Iran, in particular. Such a phenomenon is associated with numerous negative consequences. Given the changes in the consumption patterns in different countries, especially in Iran, and the abuse of drugs, identifying the factors which may pave the way for drug abuse is absolutely essential, which can be taken into account in setting the objectives of therapy programs. Cognizant of this, the present study has sought to study early maladaptive schemas in men dependent on drugs and those that are not. Materials and Method: The research design adopted in the present study was causal-comparative. The populaiton of interest was all the men dependent on drugs in the city of Yasouj, who had presented to recovery centers affiliated to welfare organization and Yasouj University of Medical Sciences in the year 2014 and were undergoing treatment. Using multi-stage cluster sampling, initially out of 23 centers for recovery programs, four centers were randomly chosen. Following that, out of each center, 20 and in total, 80 clients were chosen as the sample through convenience sampling. In addition, 80 men not dependent on drugs were chosen through matching with the sample dependent on drugs in terms of age, gender and locality. For the purpsoe of measuing early maladaptive schemas, we made use of the short version of Young’s early maladaptive Schemas Questionnaire. In order to determine the prevalent schemas in men dependent on drugs and those not dependent and the difference between the two groups, use was made of independent-sample t-test and effect size (d). Findings: The findings suggest that mean values of those dependent on drugs in all the schemas in quesiton were significantly higher than those of men not dependent. Although the difference in effect size of all schemas fell in the domain of the large effect, the largest difference in effect size between the two

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Abstract Background & aim: Multidimensional and complex nature of social phobia disorder requires assessment, efficacy and comparison of treatment. The present study aimed to investigate the effectiveness of interpersonal and metacognitive group therapy. in reducing symptoms of social phobia Method: This study is an experimental research and the design of study is pre-test- post-test in which 45 patients suffering from social phobia disorder were selected and randomly assigned to three groups of interpersonal , metacognitive and control . Therapy sessions in groups of 15 people in 8 meeting held .The tools used in this study included the Social Phobia Inventory(SPIN) Social Interaction Anxiety Scale(SIAS) and the Brief Fear Negative Evaluation Scale Revised Version(BFNE-II) and the Structured Clinical Interview for DSM-IV(SCID)is that in the pre-test and post-test were completed by patients.Data was statically analyzed Multivariate Covariance analysis (MANCOVA) and Bonferroni post hoc test to compare difference scale scores pre test-post test variables were used in the experimental and control groups. Results:The results showed that there is significant differences between experimental (interpersonal and metacognitive Therapy) and control group( waiting list) (P<0/001).Also results showed that both interpersonal and metacognitive group therapies were equally effective on the symptom of social phobia disorder, social interaction anxiety and fear of negative evaluation(P<0/001) and its effect size by order of was 0/49, 0/75,0/95. Conclusion: Given the effectiveness of both treatment on social phobia symptoms can be relevant option for clients who go to counseling centers for an effective treatment .

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Background & aim: Eating disorders (EDs) are severe mental disorders which typically occur during young adulthood and are associated with high mortality. On the other hand, the prevalence of EDs has increased in recent years. Accordingly, identifying the predisposing factors of EDs is essential, which can be taken into account in developing interventional programs.The aim of the present research was to investigate the relationship of difficulties in emotion regulation and impulsivity with eating disorder symptoms.

Method: The research method used in the present study was correlation. A total number of 340 women from Tehran general population in 2015 participated in the study by convenient sampling method. The research instruments were Eating Disorders Diagnostic Scale (EDDS), Difficulties in Emotion Regulation (DERS), and Barratt Impulsivity Scale (BIS-11). Data was analyzed using Pearson Correlational Analysis and multiple regression analysis.

Results: Findings of the present study revealed that relationship of eating disorder symptoms with total scores of difficulties in emotion regulation (P<0.01) and impulsivity (P<0.01) were significant. Also there are significant relationship between most subscales of difficulties in emotion regulation including Non-acceptance (P<0.01), goals (P<0.01), Impulse (P<0.01), strategies (P<0.01), and clarity (P<0.01) with eating disorder symptoms. In the other hand, attentional impulsivity (P<0.01), motor impulsivity (P<0.01), and non-planning impulsivity (P<0.05) have significant relationship with eating disorder symptoms. The results of multiple regression analysis indicated that both constructs of difficulties in emotion regulation and impulsivity are significant predictors of eating disorder symptoms. In terms of subscales, stepwise regression analysis also indicated that non-acceptance of negative emotions, limited access to effective emotion regulation strategies and attentional impulsivity can predict the eating disorder symptoms.

Conclusion: Overall, according to the results of the present study, it can be concluded that emotion regulation difficulties and impulsivity play a significant role in the etiology and maintenance of disordered eating. Therefore it can be useful to focus on these factors in prevention and treatment of eating disorders. It means that patients with eating disorders require a therapy that addresses adaptive emotion regulation skills and control of impulsive responding.  Future studies can explore effectiveness of different emotion regulation & impulse control skills in reducing symptoms.

 

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Abstract

Background & aim: Marriage means common life wedlock with relative independency protection. It could be one of the most complex human relationships.  Its stability could be strongly dependent on satisfaction and its quality. Using different psychological techniques and approaches, a lot of studies have been conducted to increase these marital indexes. Accordingly, the present study aimed to investigate the role of choice theory training to couple and its effects on marital life satisfaction and quality of marital life. The aim of this study was to evaluate the effect of reality therapy on marital satisfaction of married women employed at Yasuj University of Medical Sciences quality.

Methods: The present study had a quasi-experimental design with pretest-posttest control group. The study population consisted of all employees married women of Yasuj university of Medical Sciences in 2014, which by random sampling 30 participants were selected and randomly assigned into two experimental groups for 2 months (8 sessions of 2 hours) of reality therapy training. Enrich marital satisfaction scale and Fletcher quality of marital life scale were used to collect the data. Data were analyzed using SPSS 23 and P value of 0.05.

Results: The results indicated that the total mean scores in marital satisfaction in experimental groups (129.07±4.2) significantly increased compared to the control group (113.4±6.8). The mean differences   in all subscales (with except of leisure time and relative sub scales) were significantly different. In quality of marital life, mean scores were significantly different between two groups (120.32±5.3 in experimental group against 101.2±7.28 for control group).

Conclusion: The results indicated that training of reality therapy based on choice theory to couples could increase marital satisfaction and quality of life.

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Abstract

Background & aim: Psychological consequences of war, regardless of disruption in social functioning of the injured, bring about difficulties for the families of the injured and the larger society.  Promotion of subjective well-being is one of the objectives of modern-day psychology. The present study aimed to study the effectiveness of forgiveness-based group intervention in the subjective well-being of the wives of war veterans.

Methods: The population of the present study included all the wives of war veterans in Noorabad Mamasani, Iran. In this interventional study, 40 participants selected through convenience sampling from the above-mentioned population were randomly assigned into two experimental and control groups. The instruments used in the study were Positive and Negative Affect Schedule (PANAS) and Satisfaction with Life Scale (SWLS) The research design was pre-experimental involving a pre-test and a post-test. Forgiveness-based group intervention was performed on the experimental group for 10 sessions, each lasting 90 minutes once a week. The control group received no instruction.  At the end of the treatment, a post-test was administered to both groups. ANCOVA was used for data analysis.

Results: The findings revealed that forgiveness-based group intervention promotes the subjective well-being (increase in positive emotions and satisfaction with one’s life and decrease in negative emotions) in the intervention group, compared with the control group. In the pre-test administered to the experimental group, mean and standard deviation of positive emotions, life satisfaction, and negative emotions were 34.70 and 3.26, 15.80 and 3.20, 24.85 and 5.09, respectively. In the post-test given to the same group, mean and standard deviation of the above-mentioned variables were 41.60 and 2.52, 19.15 and 2.41, 16.70 and 2.59, respectively.

Conclusion: The findings of the study suggest that it is possible to make use of forgiveness-based intervention to promote subjective well-being. Therefore, it could be said that forgiveness-based group intervention is effective in the subjective well-being of the wives of war veterans.

 Subjective well-being, Forgiveness, Wives of war veterans

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Background & aim: Esophageal cancer is the eighth most prevalent cancer worldwide and the second in Iran. Annually, esophageal cancer makes up 3.2% of all new cancer cases. Altered expression of stem cells self-renewal genes is of great importance in the tumorigenesis. The aim of this study was to compare the TBX3 gene expression in tumoral samples of patients with squamous esophageal cancer and normal tissue samples of healthy individuals.

 

Methods: The present cross-sectional study was performed on 40 samples, including 20 samples of tumor esophageal cancer tissue and 20 samples of normal tissue samples from Imam Khomeini Hospital in Ahwaz, Iran. After extracting RNA from FFPE tissues and synthesizing cDNA, expression levels of TBX3 and GUSB (as internal control) genes were relatively quantified using qRT-PCR. Data were analyzed using t-test.

 

Results: The results of the qRT-PCR analyses showed that the average relative gene expression in tumor samples was higher than normal samples. Furthermore, TBX3 gene expression exhibited greater expression in the tumor samples of the patients in the 26-50 years age range in compared with the 51-81 years age range

 

Conclusion: According to the cancer stem cell theory, many tumors originated from stem cells leading to the inhibition of apoptosis and resistance to chemotherapy. Considering the role of TBX3 gene in self-renewal of stem cells and its increased expression in patients with squamous esophageal cancer, it seems that TBX3 gene might be used as a biomarker in the diagnosis and prognosis of esophageal cancer in future.

 

 

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Background & aim: Birth and presence of slow pace children in each family can be considered as challenging and adverse event that probably leads to stress and frustration and mental health related complications. According to several studies that show positive and significant relationship between resiliency and values and religious beliefs and their impact on mental health,the present study was conducted to evaluate the effectiveness of resiliency skills training based on Islamic spirituality in promoting mental health and spiritual resilience among mothers of Slow Pace children.

Methods: The present study used a semi-experimental design with pre test-post test which was conducted among mothers of Slow Pace Children in Dehdasht, Iran, and the countryside using random sampling, in which 30 of these mothers were randomly divided into two experimental and control groups, participated in this study. Twelve sessions of resiliency training based on Islamic spirituality were held for experimental group of 15 people.The tools used in this study included a mental health questionnaire-28 (Ghq) and resiliency based on Islamic spirituality researcher made scale that were completed by individuals in pre and post tests. Finally, collected data were analyzed by multivariate analysis of covariance (MANCOVA).

Results: Analysis of data using multivariate analysis of covariance showed that utilization of Intervention program among mothers of Slow Pace children in experimental group was significantly (P>0/05) effective on mental health and components of resiliency based on Islamic spirituality. In other words, spiritual resiliency skills training was led to improve depressive symptoms, social functioning and components of spiritual resiliency such as patience, contentment, Submission and thanksgiving.

Conclusion: The results of the present study indicated that through changes in attitude of Slow Pace children's mothers, resiliency skills training based on Islamic spirituality can improve mental health and components of resilience-based on Islamic spirituality and helps them keep their mental health despite the exposure to chronic stress and tension.

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Background & aim: One of the most critical stages of women’s lives is menopause. It is caused by permanent cessation of ovarian function and decreased of estrogen level. Menopause has numerous side effects (Physical and psychological). Recent neurophysiological data suggest that the function of central nervous system may be susceptible to modulation by estrogen. The aim of this study was to compare the performance of the five important parts (prefrontal cortex, cingulate gyrus, limbic system, basal ganglia and temporal cortex) of the brain and mood changes (anxiety and depression) with the level of estrogen in postmenopausal and premenopausal women in Isfahan.

Methods: In the present descriptive study 200 women (100 postmenopausal women 45 to 65 years old and 100 women, premenopausal 20 to 40 years old) were selected by sequentially available from health centers of Motahari, Sajjad and Amin Askariyeh Hospital. The research instrument was a brain systems questionnaire of 101 questions (Brain systems) with 89/0 reliability to evaluate five important system functions in the brain (prefrontal cortex, cingulate gyrus, limbic system, basal ganglia and temporal lobe) and Beck Depression Inventory with reliability of 93 / 0 and anxiety with reliability 92/0 to assess depression and anxiety. The data was analyzed using descriptive statistics (mean and standard deviation) and inferential statistics (MANOVA MANOVA) analysis.

Results: significant differences were found in five brain system functions (prefrontal cortex, cingulate gyrus, limbic system, basal ganglia and temporal cortex) and levels of estrogen and anxiety of two the groups of postmenopausal and premenopausal women (P<0.001) but no significant difference was observed regarding depression of these groups (P>0/001). 

      

Conclusion: It seems that in addition to the role of estrogen in the female reproductive system, it also has an impact on the nervous system and its various parts. Following the reduction of estrogen in postmenopausal women, the modulation of brain functions is affected. So the two-way interaction and convergence among secretion of hormones with brain function and mood changes such as anxiety and depression could be explained.

 

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Background & aim: Mothers with children suffering from Oppositional Defiant Disorder experience greater problems related to mental health including anxiety, depression and aggression. In this regard, the aim of the present study was to evaluate the effects of a mindfulness-based parenting training in anxiety, depression and aggression of mothers with children suffering from Oppositional Defiant Disorder. 

Methods: The present semi-experimental study consisted of a pretest-posttest control group. The statistical population of the study included all mothers who had a female student with Oppositional defiant disorder (age group 6 to 12 years) of primary school in Nour Abad, Iran. Sampling was conducted in two stages, random and purposive. For this purpose, 34 mothers of girls with Oppositional defiant disorder after purposive sampling were randomly assigned to experimental and control groups (17 in each of groups). The Child Behavioral Checklist (CBCL) and Teacher Report Form (TRF) with clinical interviews were used for screening. Also, the anxiety and depression inventory and aggression questionnaire were used to collect data in two conditions (pretest and posttest). Mindful parenting course was implemented for the experimental group in 8 sessions, 2 hours each. Data were analyzed using SPSS software (ver. 23), descriptive statistical parameters (mean and SD) and univariate analysis of covariance (ANCOVA).

Results: Results of ANCOVA indicated that the Mindful Parenting course directed to a statistically significant difference between pre-and post-test scores which led to decreasing scores of anxiety, depression and aggression. So that in the Post-stage, after controlling for pre-test scores, the experimental group reported less anxiety, depression and aggression compared to the control group.

Conclusion: With regard to the effective use of Mindful Parenting course to decreasing symptom-related with anxiety, depression and aggression in mothers of girls with Oppositional defiant disorder, the training program should be directed toward reducing stress and promotion of general health in this group of people.

 

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Abstract

Background & aim: Nearly a decade the World Health Organization has tried to provide a unique definition of community mental health. But due to the complexity of psychosocial and cultural context, it is not provided. The purpose of the study was to determine indexes community mental health of children and adolescents in the province of Kohgiluyeh and Boyerahmad.

Methods: This study was conducted as a hybrid approach (qualitative and quantitative). Delphi technique was used in qualitative research. In the current study, 31 experts, children and adolescents of Social Welfare organizations were selected as snowball method throughout the province of Kohgiluyeh & Boyerahmad. The primary data to run the Delphi Technique was gathered in three stages from the participants. The quantitative data were analyzed using factor analysis.

Results: The results indicated that the main indicators of psychosocial health lie in intrapersonal (emotional self-awareness, risk-taking and self-respect), interpersonal (participation, social responsibility, and social relationships), stress (stress management and controlling emotions) and adaptability (flexibility and happiness) components. The results also showed that decreasing gender-related discriminations and rise in the educational level of parents are the major strengths and lack of required standards in child-care centers, lack of involvement of young adolescents in decision-making and lack of social skills in families are the major weaknesses of psychosocial health.

Conclusion: Given the right conditions, and in order to safeguard children and adolescents against the grave consequences awaiting them, the organizations charged with the responsibility should raise the children and adolescents in such a way that they meet the professional needs of the society and feel responsible when it comes to these responsibilities and commitments. 

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Background and aim: Adverse effects inner anger and interpersonal relationships will follow on from the other parent behavior management training and promoting and improving relations between parent-child.در این راستا هدف پژوهش حاضر بررسی اثربخشی آموزش مدیریت رفتار براساس مدل بارکلی در کاهش خشم دانش آموزان دختر و پسر قلدر دوره اول متوسطه بود.

Methods: The present Experimental research used a pretest– posttest and a control group. جامعه آماری شامل دانش آموزان دختر و پسر دوره اول متوسطه شهر تبریز که در سال تحصیلی 93-1392 مشغول به تحصیل بودند. The population consisted of male and female junior high school students in Tabriz who were enrolled in the 2012-2013 school year. به منظور اجرای پژوهش پس از انجام سرند توسط معلمان و اجرای پرسشنامه قلدر/قربانی الویوس، 30نفر از کودکانی که براساس نمرات کسب شده در پرسشنامه الویوس، به عنوان قلدر طبقه بندی شده بودند به صورت تصادفی در دو گروه 15 نفری آزمایش و کنترل جایگزین شدند؛ و پس از تکمیل پرسشنامه خشم نیلسون(2000) توسط دانش آموزان قلدر؛ والدین گروه آزمایش به مدت 9جلسه (45 دقیقه ای) در برنامه آموزش مدیریت رفتار قرارگرفتند، ولی گروه کنترل هیچگونه آموزشی دریافت نکرد.Therefore, after screening by the teachers and the Nelson anger questionnaire, 30 children who, according to scores on the questionnaire were bullies, were classified randomly into two groups of 15 cases and controls were replaced and after completing the questionnaire anger Nilsson (2000) bullying by students, parents groups for 9 sessions (45 minutes each) were treated in a management training program, while the control group received no training. آزمودنی ها پس پایان جلسات آموزش مدیریت رفتار والدین ، مورد بررسی مجدد قرار گرفتند. Parent Management Training participants after the end of the session, were reviewed and followed a month later. داده ها با استفاده از نرم افزار آماری18 SPSS و با استفاده از شاخص های توصیفی و آزمون تحلیل کوواریانس چند متغیری مورد تجزیه وتحلیل قرار گرفتند. نتایج حاکی از اثربخشی آموزش مدیریت رفتاری والدین بر کاهش خشم نوجوانان قلدر (05/0 P< ) بود. Data were analyzed by the SPSS version 18 statistical software using descriptive indicators and multivariate analysis.

Results: The results indicated the effectiveness of Parent Management Training to Reduce Anger of the teen bullies (P <0.05), respectively.فقط در مولفه های ناکامی و پرخاشگری بدنی تفاوت معنی داری نبود و در مقایسه اثربخشی آموزش مدیریت رفتار به دختران و پسران گروه آزمایش، نتایج نشان داد که در بین دختران و پسران گروه آزمایش تفاوت معناداری وجود ندارد این نشانگر این است که آموزش مدیریت رفتار به والدین درکاهش خشم نوجوانان قلدر، هردوگروه تاثیر مثبت داشته است. . نتایج درمرحله پیگیری نیز تفاوت معناداری (05/0 P< ) را بین گروه آزمایش وکنترل نشان داد. The results of the follow-up phase difference (P <0.05) between the test and control groups, respectively.

Conclusion: The findings revealed that the behavioral management training had been effective in reducing anger bullying teenagers that might have been due to the effect of education on their daily relations.

کلید واژه‌ها: آموزش مدیریت رفتار، بهزیستی روانشناختی، قلدری Keywords: Anger, Bulling, Behavior management training

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Background and aim: Psychological consequences of addiction, such as major depression regardless of physical problems, economic, cultural and social is cause problems for both families and society. The aim of this study was to evaluate the effectiveness of group cognitive hypnotherapy on major depression in residential and semi-residential addiction recovery centers in the city of Yasuj.

Methods: The present quasi-experimental study was conducted using a pre-test, post-test and control group. The population included all patients drug dependent as residential and semi-residential referred to Yasuj addiction recovery centers. 40 patients were selected by convenience sampling and randomly assigned to experimental and control groups. The instrument used in this study included Beck Depression Inventory which depressed patients diagnosed and according to clinical interview they entered the study. Group cognitive Hypnotherapy intervention model was carried out on the experimental group for 8 sessions for one hour once a week, but there was no intervention on control group. After the intervention both experimental and control groups were assessed. Collected   data was analyzed using covariance analysis.

Results: The results revealed that the cognitive hypnotherapy treatment of group, leading to depression reduced significantly in the experimental group compared control group significantly (p <0.001). The mean pre-test score of major depression in the experimental group and in control group was 39/5 ± 10/54 and 61/4 ± 20/52 respectively.  Whereas the mean and standard deviation of major depression and post-test scores in the experimental group 55/2 ± 05/25 and in the control group was 50/3 ± 55/51.

Conclusion: Cognitive hypnotherapy can be used as adjunctive therapy in reducing major depression or used in addiction recovery centers.

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Backgrounds and aim: Increase in addiction in the community and the plight of its people demand for improving the problems of addicts, indicate a need for individuals to interventions and training expertise. The aim of this study was to investigate the effectiveness of group selection theory on the quality of drug addicted life.  

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 Methods: This study is an quasi-experimental design with pretest-posttest and follow up with the control group. The study population included: all addicted people who referred to ahvaz addiction treatment center in 2015. 50 addicts were selected by using of  available sampling and randomly divided into  two experimental group (number=25) and control group (number=25). The participants were completed the quality of life inventory in three stages (pre-test, post-test and follow-up after 60 days). The experimental group was received group training of the concepts of selection theory of 10 sessions of 90 minutes per week.Statistical data were analyzed  using of covariance(ANCOVA) analysis.

Results: Group training theory led to a significant difference among pretest, posttest, and follow-up of quality of addicted people life (p <0.001). In this case, the post-test and follow-up, after controlling of pre-test score, the experimental group compared to the control group higher quality of life was reported.

Conclusion: Group training of selected theory about the role of choosing a behavior, five senses  the importance of self control, the role of effective behavior, the way of need fulfilment, responsibility, self worth, Quality world, seven destructive behavior, seven caring behavior, faiure identification and success identification can result in increasing the quality of life for addicted people.

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Abstract

Background and aim: With an aging population, considering the factors affecting the quality of life more than ever is necessary. The aim of current research was to investigate the effectiveness of cognitive existential therapy on quality of life of elderly people.

Methods: The current research is semi experimental with pre and post test with control group. Statistical population of research consists of all elderly people in Kahrizak nursing homes. In the first phase, the participants were selected through purposive sampling method and after responding to the quality of life questionnaire and obtaining score for enter to research they were divided in two groups of experimental and control (N = 12 per group) using random sampling method.  The experimental group participated in 10 sessions of group counseling based on cognitive- existential approach and control group received no intervention. The gathered data were analyzed using covariance analysis.

Results: There was no difference between pre-test and control groups, but the mean scores of post-test experimental and control groups were statistically significant. and cognitive group therapy improves quality of life is (p=0.001). Therefore it seems that cognitive-existential group therapy increase quality of life of elderly people.

Conclusion: Cognitive Existential Group therapy utilizes concepts such as death, meaning, cognitive distortions and responsibility could increase the level ofquality of life of elderly people. Thus interventions based on this approach could be useful in improving the quality of life.

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Background & aim: Couple burnout is one of the phenomena which involve many couples, it is among the main causes of emotional divorce, and without proper management and treatment, and it can lay the ground for formal divorce among couples. Cognitive behavioral couple therapy is one of the existing approaches in the couple therapy field, the efficiency of which has been established for resolving many marital problems. The present study was designed by the aim of investigating the effect of group cognitive behavioral couple therapy on couple burnout and divorce tendency in couples.  

Methods: The present research was of applied research type. The research method was semi-empirical with a pretest-posttest with control group design. The research population included all the couples with marital conflict and problems who, after a recall announcement of the researcher, visited the counseling and psychological services center located in Gorgan city in 2014. By using the available sampling method, 20 couples were selected among the volunteer and qualified couples for the research, and they were assigned into experiment and control groups (10 couples per group) by random assignment. In the present research, the Pines burnout questionnaire (1996) and divorce tendency scale of Rouswelt, Johnson, and Mouro (1986) were used for gathering the data. After taking the pretest, the group cognitive behavioral couple therapy based on the couple therapy model of Baucom  and colleagues (2008) was held in 10 2-hour weekly sessions for the experiment group couples, while the control group couples received no intervention. The data were analyzed through descriptive statistics method and multivariate covariance analysis (MANCOVA) in SPSS v.20.

Results: The multivariate covariance analysis results for couple burnout (F= 28.80) and divorce tendency (F= 51.25) suggested that there was a significant difference between the couples of experiment and control groups (P< 0.01). According to the posttest scores of the experiment control groups for these two variables, it was recognized that the cognitive behavioral couple therapy has led to reduction in couple burnout and divorce tendency among the couples of the experiment group in comparison to the control group in the posttest stage.   

Conclusion: The research findings indicate that the cognitive behavioral couple therapy model can reduce marital problems, and using this couple therapy approach is recommended for working with the couples involved in marital problems with divorce demand.  

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Abstract

 

Background & aim: Adherence is the degree of patient's success to do the health experts recommendations. The aim of present research was to study the effects of motivational interviewing on adherence to in obese patients undergoing sleeve gastrectomy surgery.

 

Methods: The design of present semi- experimental study was pre-test, post-test with control group. The statistical population included all obese patients (BMI≥35) that undergone laparoscopic sleeve gastrectomy surgery in Shiraz Ghadir Mother & Child Hospital during the winter of 2015 and the spring of 2016. 30 of them were selected by using available sampling method and they randomly were asssigned to experimental (n=15) and control groups (n=15). The post bariatic surgery self-management behaviors questionnaire was used to collect data in two steps (pre-test and post-test). Motivational interviewing was implemented for the experimental group in four weeks (each week a 1.5 hour session). Data were analysed by using multivariate covariance analysis (MANCOVA).

 

Results: MANCOVA results show that motivational interviewing led to a statistically significant difference between pre-test and post-test BSSQ total scores (P<0.0001) and subscales eating behaviors (P<0.0001), fluid intake (P<0.03), vitamin and mineral supplement intake (P<0.01), fruit, vegitable, whole grain intake and protein (P<0/01) & dumping syndrome management (P<0.002). But there was no significant difference in the score of physical activity (P>0.07).

 

Conclusion: According to the results of the present study, implementation of motivational interviewing in order to enhance adherence and self-management behaviors, achieve favorable weight loss and reduce postoperative complications in obese patients undergoing sleeve gastrectomy surgery, but it appears that longer interventions are necessary to increase the rate of physical activity.

 

 

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Background & aim: Psychological flexibility is a major component of health-related behaviors and refers to ability to get in touch with the present moment and insist on behavior modification in line with personal values. The purpose of this study was to comparing psychological flexibility in patients with irritable bowel syndrome and normal control group.
 
Methods: In a case-control study 61 patients with irritable bowel syndrome which were referred to gastroenterologist in Boroujerd, were selected via convenience sampling and compared with normal control group in psychological flexibility. Acceptance and Action Questionnaire (AAQ), Cognitive Fusion Questionnaire (CFQ), Mindful Attention Awareness Scale (MAAS) and Meaningful Live Questionnaire (MLQ) were used as research tools. Independent t test was used for data analysis. 
 
Results: The results showed that the difference between the two groups in terms of acceptance (p <0.006), mind-consciousness (p <0.001) and life based on internal values (p <0.006) is significant, as the band syndrome irritable bowel compared to the normal group received lower scores. In cognitive fusion (P <0.014) difference between two group was significant, so that the patient group achieved the higher scores. Both this findings mean lower psychological flexibility in individuals with irritable bowel syndrome.  
 
Conclusions: According to this study, patients with irritable bowel syndrome had lower levels of psychological flexibility than normal group and it can effective in initiating or exacerbating their symptoms.
 
 

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ABSTRACT
 
Background & aim: Menstruation as an important issue in adolescence and menstrual pain is a common problem in adolescents. Regarding the relationship between pain severity and  pain self-efficacy, this study aimed to investigate and compare the efficacy of cognitive-behavioral therapy and hypnosis therapy on pain and pain self-efficacy in girls with primary dysmenorrhea.
 
Methods: The method of research is Quasi experimental and research design is pretest- posttest with control group. The study population included all second high school girls with primary dysmenorrhea in Ardabil city on 2015. a sample of 1,600 girls was screened by multi-stage cluster sampling method. After checking of entry criteria, 75 of those were assigned in 3 groups (two experimental groups and one control group) randomly. Self-efficacy questionnaire, visual analogue and scale Researcher- made questionnaire was used for collection data in pre-test and post-test stage. In order to collect data on pre and post grading, visual analog scale pain self-efficacy and self-administered questionnaire was used. For experimental groups, Pain control training based on cognitive-behavioral approach and self-hypnotism training was executed at 10 sessions in 45 minutes whereas control groups was in waiting list. Data collected were analyzed by descriptive statistics (mean and standard deviation) and multivariate analysis of covariance, Kruskal-Wallis and Mann-Whitney U.
 
Results: According to the chi Eta in one way covariance analysis The effectiveness of therapies on pain self-efficacy was 49 percent. There was no significant difference between cognitive behavioral group and hypnotherapy on pain self-efficacy justified mean with Bonferroni correction but there was significant difference between cognitive behavioral group and control group and between hypnotherapy group and control group on pain self-efficacy justified mean. The results of Kruskal Wallis showed that there is significant difference between 3 groups in pain severity. For comparison amongs groups, U-Mann Whitney index showed that the pain severity reduced significantly in cognitive behavioral and hypnotherapy group compared with control group and hypnotherapy which is More effective than cognitive behavioral therapy.
 
Conclusion: Cognitive behavioral therapy and hypnotherapy are effective in increased pain self-efficacy and reducing pain severity in girls with primary dysmenorrhea.