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دستاوردهای روانشناختی - سال بیست و پنجم شماره 1 (پیاپی 18، بهار و تابستان 1397)

مجله دستاورد های روانشناختی
سال بیست و پنجم شماره 1 (پیاپی 18، بهار و تابستان 1397)

  • تاریخ انتشار: 1397/05/01
  • تعداد عناوین: 8
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  • محبوبه محمودنژاد، احمد کربلایی محمد میگونی *، مهرداد ثابت صفحات 1-22
    هدف از پژوهش حاضر پیش بینی ایده پردازی خودکشی و خشونت بین فردی در کودکان کار بر اساس آسیب کودکی، دشواری های تنظیم هیجان و صفات سنگ دلی- فقدان همدلی بود. روش پژوهش توصیفی از نوع همبستگی و نمونه آماری پژوهش حاضر شامل 150 نفر از کودکان کار 12 تا 17 سال شهر تهران در تابستان و پاییز سال 1395 بود که به روش نمونه برداری آسان انتخاب شدند. ابزار پژوهش شامل شناخت های خودکشی، پرسش نامه حالت- صفت بیان خشم، پرسش نامه آسیب کودکی، پرسش نامه دشواری های تنظیم هیجان و پرسش نامه صفات سنگ دلی- فقدان همدلی بود. تحلیل داده ها با استفاده از رگرسیون چندمتغیری با رویکرد سلسله مراتبی نشان داد فقدان عاطفه، دسترسی محدود به راهبردهای تنظیم هیجانی و غفلت ایده پردازی خودکشی را پیش بینی می کنند. همچنین تحلیل داده ها نشان داد سنگدلی، دشواری در رفتار هدفمند، دشواری در کنترل تکانه و فقدان آگاهی هیجانی و عدم وضوح هیجانی و آزار عاطفی خشونت بین فردی را پیش بینی می کنند. از این رو، پیشنهاد می شود بر محیط هایی که این کودکان در آن رشد می یابند به ویژه محیط های خانوادگی آن ها و بر تعاملات بین والدین و کودکان که احتمالا حاکی از غفلت و توهین و بی توجهی به کودک است، تمرکز شود.
    کلیدواژگان: ایده پردازی خودکشی، خشونت بین فردی، آسیب کودکی، تنظیم هیجان، سنگ دلی- فقدان همدلی، کودکان کار
  • بهرام پیمان نیا *، نجمه حمید، مجید محمود علیلو صفحات 23-44
    پژوهش حاضر جهت تعیین اثربخشی ماتریکس درمان پذیرش و تعهد با شفقت بر رفتارهای خودآسیب رسان و کیفیت زندگی دانش آموزان دارای علائم اختلال شخصیت مرزی انجام گردید. این مطالعه از نوع آزمایشی با طرح پیش آزمون و پس آزمون با گروه کنترل بود. در این پژوهش با استفاده از روش تصادفی چندمرحله ای 30 نفر از دانش آموزان دختر 17-15 سال (مقطع متوسطه دوم) شهر اهواز انتخاب و به طور تصادفی در گروه آزمایشی و گروه کنترل (15 نفر در هر گروه) قرار گرفتند. دانش آموزان عضو گروه آزمایشی یک دوره مداخله 16 جلسه ای (هر هفته یک جلسه، به مدت 1 ساعت) دریافت کردند و اعضای گروه کنترل نیز در انتظار مداخله قرار گرفتند. آزمودنی های هر دو گروه قبل از شروع مداخله، در پایان دوره، و دو ماه پس از پایان دوره (در مرحله ی پیگیری) ، به پرسشنامه رفتار خودآسیب رسان کلونسکی و گلن و شاخص کیفیت زندگی کامینز پاسخ دادند. داده ها با استفاده از تحلیل کوواریانس چندمتغیری مورد بررسی قرار گرفت. نتایج حاصل از تحلیل داده ها نشان داد که ماتریکس درمان پذیرش و تعهد با شفقت باعث کاهش علائم رفتارهای خودآسیب رسان (05/64= F و 001/0p<) و ارتقای کیفیت زندگی (76/41 = Fو 001/0p<) دانش آموزان گروه آزمایشی در مقایسه با گروه کنترل شده است و نتایج درمانی 2 ماه پس از پایان دوره در گروه آزمایشی حفظ شده است (01/0p<). این مداخله می تواند در کاهش رفتارهای خودآسیب رسان و ارتقای کیفیت زندگی دانش آموزان دارای علائم اختلال شخصیت مرزی مورد استفاده قرار گیرد.
    کلیدواژگان: ماتریکس، اکت، شفقت، خودآسیب رسان
  • فاطمه شریفی، شعله امیری* ، وحید قاسمی صفحات 45-58
    هدف این پژوهش بررسی رابطه مولفه های عملکرد خانواده (مولفه های همبستگی، بیانگری، تفاهم، گرایش های فکری و فرهنگی، گرایش های تفریحی و فعال، تقید مذهبی، سازماندهی، جامعه پذیری، منبع کنترل درونی، آرمان خانواد، انعطاف پذیری، سبک خانواده آزادمنش، سبک خانواده مقتدرانه، سبک خانواده مستبد، استقلال و تفرد) با هویت اخلاقی نوجوانان و ابعاد درون سازی و نمادسازی آن بود. نمونه پژوهش شامل533 دانش آموز دختر و پسر مقطع متوسطه شهرستان قم بود که به روش نمونه گیری خوشه ایچند مرحله ای انتخاب شدند و به پرسش نامه هویت اخلاقی و عملکرد خانواده بلوم (FFS) پاسخ دادند. نتایج تحلیل داده ها با روش رگرسیون گام به گام نشان داد مولفه های بیانگری، سبک فرزندپروری مقتدرانه و گرایش فکری- فرهنگی خانواده به ترتیب یبشترین قدرت پیش بینی کنندگی را در مورد هویت اخلاقی دارند. همچنین مولفه سبک والدگری مقتدرانه، بیانگری و تقید مذهبی خانواده، قدرت پیش بینی کنندگی بعد نمادسازی هویت اخلاقی را به طور معنی دار افزایش می دهند. در نهایت مولفه بیانگری، انعطاف پذیری و سبک والدگری مقتدرانه در مجموع حدود 6 درصد واریانس بعد درون سازی هویت اخلاقی را تبیین می کنند.
    کلیدواژگان: عملکرد خانواده، هویت اخلاقی، نماد سازی، درون سازی، نوجوانان
  • منیر حسینی، ایران داودی، عبدالکاظم نیسی *، یدالله زرگر صفحات 59-74
    مداخله روان شناختی جامع نگر برنامه درمانی نوینی است که بر اساس مشکلات و نیازهای روانی افراد نابارور طراحی شده است. هدف از پژوهش حاضر بررسی اثربخشی مداخله روان شناختی جامع نگر بر سلامت روان شناختی و نرخ بارداری زنان با ناباروری نامشخص و تحت درمان لقاح آزمایشگاهی است. بدین منظور با استفاده از نمونه گیری دردسترس از میان کلیه زنان نابارور مراجعه کننده به مرکز ناباروری معتضدی کرمانشاه 30 زن نابارور تحت درمان IVF که در دو حیطه از سه حیطه مقیاس21DASS- نمره متوسط به بالا داشتند، انتخاب و به شیوه تخصیص تصادفی در دو گروه قرار گرفتند. گروه آزمایشی تحت 11 جلسه مداخله روان شناختی جامع نگر 120 دقیقه ای قرار گرفت. گروه کنترل هیچ مداخله درمانی را دریافت نکرد. شرکت کنندگان قبل و بعد از مداخله و در پیگیری یک ماهه، مقیاس افسردگی، اضطراب و استرس 21DASS- را تکمیل کردند. نرخ بارداری در دو گروه بر اساس نتیجه آزمایش βHCG سنجیده شد. تحلیل داده ها با روش کوواریانس چند متغیره نشان داد که مداخله روان شناختی جامع نگر در مرحله پس آزمون به طور معنی داری موجب کاهش افسردگی، اضطراب و استرس گروه آزمایشی شده بود (001/0< p) ، و این تاثیر در پیگیری یک ماهه همچنان تداوم داشت (001/0< p). نرخ بارداری در گروه آزمایشی 7/46% و در گروه کنترل 3/13% به دست آمد و از نظر آماری معنی دار بود (05/0>p). به عبارت دیگر مداخله روان شناختی جامع نگر در کاهش اضطراب، افسردگی و استرس و افزایش سلامت روان شناختی و نرخ بارداری زنان با نابارور نامشخص تحت درمان لقاح آزمایشگاهی موثر است.
    کلیدواژگان: مداخله روان شناختی جامع نگر، سلامت روان شناختی، ناباروری نامشخص، IVF، نرخ باروری
  • مهدی رضایی *، عزتاللهقدم پور ، رضا کاظمی صفحات 75-92
    پژوهش حاضر با هدف تعیین نقش میانجی اعتبارزدایی هیجانی بین سوءاستفاده جنسی-هیجانی و نشانه های افسردگی در میان دانشجویان دختر دانشگاه های پیام نور تهرانصورت گرفت. نمونه ی این پژوهش 439 دانشجوی زن (92 نفر دارای افسردگی اساسی فعلی، 347 نفر دارای سابقه افسردگی اساسی در 12 ماه گذشته) از 6 واحد دانشگاهی پیام نور استان تهران بودند که به روش نمونه گیری در دسترس انتخاب شدند. در این پژوهش توصیفی-مقطعی، مصاحبه ی ساختاریافته، مقیاس طرحواره های هیجانی لیهی (LESS) ، پرسشنامه ترومای کودکی (CTQ) و پرسشنامه افسردگی بک-دو (BDI-II) مورد استفاده قرار گرفت. ارزیابی مدل پیشنهادی با استفاده تحلیل مسیر ساده و آزمون سوبل انجام گرفت. نتایج حاصل از این مطالعه نشان داد که اعتبارزدایی هیجانی به صورت جزئی بین سوءاستفاده جنسی با نشانه های افسردگی (20/0-75/0=CI 95%) و سوءاستفاده هیجانی با نشانه های افسردگی (33/0-65/0=CI 95%) میانجی گری می کند. در این مطالعه داده ها از نقش میانجی اعتبارزدایی هیجانی بین تجارب اعتبارزدا و نشانه های افسردگی حمایت کرد و نتایج ضرایب مسیرهای غیرمستقیم نشان داد فرضیه های غیرمستقیم معنی دار می باشند.
    کلیدواژگان: اعتبارزدایی هیجانی، افسردگی، سوءاستفاده جنسی، سوءاستفاده هیجانی
  • رضا پاشا *، آذر سراج خرمی صفحات 93-112
    هدف پژوهش حاضر، اثربخشی شناخت درمانی مبتنی بر ذهن آگاهی بر نشخوار فکری و نگرش های ناکارآمد بیماران مبتلا به اختلال افسردگی اساسی و وسواسی- جبری بود. این پژوهش یک طرح آزمایشی با پیش آزمون- پس آزمون بود. حجم نمونه شامل 80 بیمار مبتلا به اختلال افسردگی و وسواس بود که طبق تشخیص روان پزشک و برحسب ملاک های راهنمای تشخیصی و آماری اختلالات روانی تشخیص داده شده و به صورت نمونه گیری در دسترس انتخاب شدند و به صورت تصادفی در گروه آزمایشی و گروه کنترل قرار گرفتند. ابزارهای به کارگرفته شده شامل پروتکل شناخت درمانی مبتنی بر ذهن آگاهی ساخته ی سگال، ویلیامز و تیزدیل، پرسشنامه ی نشخوارفکری و پرسشنامه ی نگرش های ناکارآمد بود. برای اجرا، ابتدا از هر دو گروه پیش آزمون گرفته شد. سپس، گروه آزمایشی طی 8 جلسه 90 دقیقه ای با روش شناخت درمانی مبتنی بر ذهن آگاهی آموزش دیدند و بعد از اتمام جلسات از هر دو گروه پس آزمون گرفته شد. جهت تحلیل داده ها از تحلیل کوواریانس چندمتغیره (مانکوا) استفاده شد. نتایج پژوهش حاکی از آن بود که شناخت درمانی مبتنی بر ذهن آگاهی موجب کاهش نشخوارفکری و نگرش های ناکارآمد در بیماران مبتلا به اختلال افسردگی اساسی و وسواسی-جبری در گروه آزمایشی در مقایسه با گروه کنترل در مرحله ی پس آزمون شد (001/0p<). در نهایت می توان چنین نتیجه گرفت که در رویکرد شناختی مبتنی بر ذهن آگاهی، افراد از طریق رابطه ی جدیدی که با افکار برقرار می کنند، احساس بهبودی بیشتری پیدا می کنند. به همین علت پیش بینی می گردد که بتوان از این روش درمانی هم به صورت انحصاری و هم تلفیقی در درمان اختلالات روانی و جسمی استفاده نمود.
    کلیدواژگان: شناخت درمانی مبتنی بر ذهن آگاهی، نشخوارفکری، نگرش های ناکارآمد
  • سهراب امیری *، امیر قاسمی نواب صفحات 113-128
    پژوهش حاضر با هدف بررسی نقش میانجی گری باورهای هیجانی در رابطه بین تیپ های صبحگاهی-شبانگاهی و صفات تاریک شخصیتی صورت گرفت. به این منظور 439 نفر از دانشجویان دانشگاه بوعلی سینا به روش نمونه گیری خوشه ایچند مرحله ای انتخاب شدند و به مقیاس سه گانه تاریک کوتاه، پرسشنامه تیپ صبحگاهی/ شامگاهی و مقیاس نگرش های هیجانی و تنظیم هیجان پاسخ دادند. نتایج تحلیل داده ها نشان داد که تفاوت در صفت خودشیفتگی تا حدودی توسط تنظیم هیجان و ارزش باور (05/0p<) و همچنین تفاوت در صفت ضداجتماعی توسط ابرازگری منفی تعدیل می گردد (05/0p<) که نشان می دهد باور ارزشمندی تنظیم هیجان تا حدی رابطه بین صبحگاهی-شبانگاهی و صفات تاریک را تعدیل می کند. بنابراین به طور خاص، افراد با تیپ صبحگاهی بالا، سطوح بالاتری از باورهای مثبت هیجانی (ارزش تنظیمی) ، و صفات تاریک پایین تری را گزارش می دهند.
    کلیدواژگان: باورهای هیجانی، صفات تاریک، صبحگاهی، شامگاهی
  • شهناز ادیبی سده، محمد علی سپهوندی *، سیمین غلامرضایی صفحات 129-146
    هدف کلی در پژوهش حاضر، تعیین اثربخشی درمان شناختی مبتنی بر ذهن آگاهی بر افسردگی و اضطراب مادران کودکان اختلال طیف اتیسم بود. طرح پژوهش به صورت نیمه آزمایشی از نوع پیش آزمون پس آزمون و پیگیری با گروه گواه بود، جامعه مورد مطالعه به روش نمونه گیری در دسترس و از مادران مراجعه کننده به خیریه اتیسم حضرت زینب اصفهان انتخاب شد که از میان آنها تعداد20 نفر به طور تصادفی، به دو گروه10 نفری آزمایشی و گواه تقسیم شدند. در مرحله پیش آزمون، پس آزمون و پیگیری یک ماهه به منظور سنجش میزان افسردگی و اضطراب مادران وهمچنین برای گرد آوری داده ها از پرسشنامه اضطراب بک و افسردگی بکII استفاده شد. گروه آزمایشی تحت درمان گروهی شناخت درمانی مبتنی بر ذهن آگاهی، طی 8 جلسه 120 دقیقه ای قرار گرفت و گروه گواه هیچ گونه درمانی دریافت نکرد. برای تجزیه و تحلیل داده ها از تحلیل کوواریانس چند متغیره استفاده شد. نتایج پژوهش نشان داد که در مرحله پس آزمون وپیگیری نمره های افسردگی و اضطراب در افراد گروه آزمایشی بعد از مداخله به طور معنی داری کاهش یافته است. بنابراین، نتایج این پژوهش بر اهمیت کاربرد این مداخله دردرمان افسردگی و اضطراب مادران کودکان اختلال طیف اتیسم و ارائه افق های جدید در مداخلات بالینی این افراد تاکید دارد.
    کلیدواژگان: شناخت درمانی مبتنی بر ذهن آگاهی، افسردگی، اضطراب، مادران کودکان اختلال طیف اتیسم
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  • mahboobe mahmoodnejad, Ahmad Karbalaie Mohammad Meigooni *, mehrdad sabet Pages 1-22
    Intoduction: Child labor is a prevalent global public health and human rights problem. Many children work to ensure the survival of their families and themselves. Furthermore, child labor today leads to poverty tomorrow: Child labor perpetuates poverty and results in intergenerational poverty traps. Yet, policies banning child labor, even if they can be implemented, might harm the welfare of children and their families rather than help. It puts children at risk for acute and chronic health problems and thwarts the right to freely choose economic opportunities. Economical abuse can best be defined as hiring a child for a work in which his rights are infringed, low payment is made, and his personal development is hindered. As expected, in a short span of time child workers have been employed in industries, which has led a disturbance in the physical, sensorial, kinesthetic, social, medical and moral development and his right for education has been disregarded. That has brought about children being prone to every threat, for they have adopted all the negative experiences and way of behaving in the work life. The short-term effects of childhood trauma include disruptions in interpersonal relationships and psychological problems. Moreover, childhood trauma may interfere with the development of emotional self-regulation, leaving children at risk for a number of negative outcomes including violence preparation. It is recognized that childhood trauma can lead to suicidal ideation and behavior. There is evidence that aggression and violence are important correlates of suicidal behavior. Childhood trauma and aggressive traits are considered risk factors for suicidal behavior. The aim of current study is prediction of suicidal ideation and interpersonal violence among labor children based on childhood trauma, emotion regulation difficulties and callous-unemotional traits.
    Method
    This study utilized a descriptive correlational design. The sample includes 150 person of 12-17-years-old labor children of Tehran, in Summer and autumn of 1395. All participants answered to the Suicide Cognitions Scale, State and Trait Anger Expression Inventory. Childhood Trauma Questionnaire, Emotion Regulation Difficulties Scale and Callous-Unemotional Traits Inventory.
    Results
    Data analysis through multivariate regression showed that lack of sympathy, limited access to emotion regulation strategies and neglect predict significantly suicidal ideation and callous, difficulties engaging in goal directed behavior, impulse control difficulties, lack of emotional awareness, lack of emotional clarity and emotional abuse positively predict interpersonal violence.
    Conclusions
    Hence, it is proposed to focus on the environments in which these children grow, in particular their family environments, and on interactions between parents and children that may indicate negligence and insult to the child.
    Keywords: suicidal ideation, interpersonal violence, childhood trauma, emotion regulation, callous-unemotional, labor children
  • Bahram Peymannia *, Najmeh hamid, Majid Mhmudalilu Pages 23-44
    Intoduction: Researches has recently provided convincing evidence about diagnosing borderline personality disorder in youth. Therefore National Institute for Clinical Excellence (NICE) acknowledged the diagnosis of borderline personality in individuals under 18 years old and if necessary supports treatment and early intervention in this age group. ACT matrix is an approach based on route selection and upgrading the ability of individuals to approach valuable goals, despite the problems in life. Therefore, in the matrix model getting viewpoints of clients considered as the basis of treatment and by examining actions of getting away and getting close to values and compassion in commitment and change strategies helps them achieve a live, purposeful and meaningful life. In fact mindfulness due to taking viewpoints provides context for getting compassion and mindfulness. Mindfulness and compassion are two wings of a bird that both play effective role in inspiring for man, their transition and also individual evolution to fly. Overall, on the one hand according to evidence-based researches about effectiveness of ACT with compassion treatment on a wide range of borderline personality disorder symptoms and on the other hand lack of this kind of researches in Iran, this question arises that whether ACT with compassion is effective on self-injury behaviors and quality of life of female students with symptoms of borderline personality disorder.
    Method
    Present study is an experimental design by using pre and posttest with a control group. Therapeutic intervention in experimental group implemented 16 sixty minute sessions weekly for female students between 15-17 years old who have Borderline personality symptoms. During this time participants in experimental and control group responded to Self-Injury behavior Scale of Klonsky and Glenn (2009) and Quality of Life Index of Cummins (2002), before and after intervention and in follow-up (8 weeks after the end of intervention).
    Results
    The findings of covariance analysis showed that ACT matrix with
    Compassion has significantly reduced symptoms of self-injury and improved quality of life. Eta coefficient shows that ACT with Compassion therapy explain 47% of self-injury behaviors and 46% of life quality and these results has been maintained in follow-up stage.
    Discussion
    The results of this study showed that despite the cultural and social differences between the present research group and the groups studied in other societies and cultures, ACT matrix with Compassion therapy has significantly reduced symptoms of self- injury and improved quality of life in teenagers with symptoms of borderline personality disorder. This approach seeks to teach teens how to break up from thought content by taking viewpoints, instead of stuck the past and conceptualizing on future live sort their life story, recognizing values and important individuals of their lives and ultimately taking step to achieve these goals and values without getting stuck in trap of their attention and with compassion for themselves and others.
    Keywords: Matrix, ACT, compassion, self-injury
  • Shole Amiri *, Fatemeh Sharifi , Vahid Ghasemi Pages 45-58
    Introduction
    Some researchers suggest moral identity is an important source of moral motivation that facilitates commitment to moral behavior (Blasi, 2008; Bergman, 2008). By moral identity, we mean a commitment that emphasizes behavioral consideration and support of others’ welfare, and continues with an ongoing personal feeling about the self (Matsuba et al., 2011; Hardy, 2008; Atkins, Hart& Donnelly, 2004). The present conceptualization of moral identity has two different aspects: a) Internalization is the degree to which moral principles are central to one’s self- concept: b) Symbolization reflects the extent to which moral principles are expressed outwardly to others (Aquino & Reed, 2002). Several factors have been identified as influences on the development of moral identity, some of them are individual and some contextual. The purpose of this study was to examine the relationship between family functioning components (cohesion, expressiveness, agreement, intellectual, recreation and religious orientations, organization, sociability, internal locus of control, family idealization, flexibility, laissez-faire decision-making, democratic and authoritarian styles, autonomy) with moral identity of adolescent and its dimensions, internalization and symbolization.
    cohesion, expressiveness, agreement, intellectual, recreation and religious orientations, organization, sociability, internal locus of control, family idealization, flexibility, laissez-faire decision-making, democratic and authoritarian styles, autonomy). Research questions: According the above, the purpose of this research was to answer the following questions:1) Dose family functioning predict moral identity of adolescents?
    2) Dose family functioning predict symbolization of adolescents’ moral identity?
    3) Dose family functioning predict internalization of adolescents’ moral identity?
    Method
    Current study was descriptive, a correlational study. The samples
    consisted of 533 high school students (260 boys and 273 grils) that were selected by multistage random sampling method. After coordinating the research with the department of education of Qom’s quadruplet areas, one school were randomly selected from each area. One classroom from each of the first, second and third grade was randomly selected from each school and the students were administered the questionnaires.
    Participants completed Aquino and Reed's Moral Identity Scale (2002) that consists of 13 items and two subscales of symbolization and internalization. Family function scale (FFS) consists of 13 subscales that reflecting family function (cohesion, expressiveness, agreement, intellectual, recreation and religious orientations, organization, sociability, internal locus of control, family idealization, flexibility, laissez-faire decision-making, democratic and authoritarian styles, autonomy).
    The relationship between moral identity and family function was assessed by Pearson’s correlation. Linear regression analysis (stepwise method) was also used to assess whether family function was a significant predictor of moral identity total score and its dimensions, internalization and symbolization.
    Results
    Results of data analysis, by using stepwise regression, showed that expressiveness, democratic parenting style and intellectual orientation components had the highest predictive power on moral identity. Also democratic parenting style, expressiveness and religious orientation components, increased significantly the predictive power of symbolization of moral identity. Finally components of expression, flexibility and democratic parental style explained about 6% of the internalization variance.
    Discussion
    The results of this research indicate that democratic parenting characterized by three dimensions, responsiveness, autonomy-granting, and demandingness, seems to facilitate moral identity development (Hardy, et al., 2010). Responsiveness enables the accurate understanding and acceptance of parental moral values. When adolescents feel loved by and comfortable with their parents, they are more likely to listen to and agree with what they say and do. Autonomy-granting encourages identity exploration and commitment, including reflection on and commitment to moral principles. Demandingness helps youth understand moral principles and appreciate the consequences that follow from complying with or violating such principles (Dunn, 2014). Democratic parenting together with appropriate atmosphere for dialogue and expressing the needs and feelings in the family, and the existence of religious orientations and religious beliefs, provide the necessary grounds for moral development in adolescents. Also flexibility in responding to the need for independence of adolescents provides space for the discovery of values, internalization, and commitment to selective values, which is one of the dimensions of moral identity.
    Keywords: family function, moral identity, symbolization, internalization, adolescents
  • monir hossinie, Iran Davoudi, Abdolkazem Nisi *, Yadolah Zargar Pages 59-74
    Intoduction: The desire of having a child is one of the most important functions of family and is also a base for human survival. Infertility is considered as a failure that is accompanied by physical and psychological tensions in family and society as well. Different psychological methods have been already utilized to help infertile people. The holistic-oriented psychological intervention (HPI) is a new therapeutic plan with bio-psycho-social pattern that has been designed according to psychological problems and needs of infertile people. After determining tension factors this therapeutic plan chooses techniques with high effectiveness rate in solving the mentioned problems, using eclectic techniques. The aim of present study is to examine the effectiveness of HPT on psychological health and fertility rate in women with unexplainable infertility undergoing in vitro fertilization treatment (IVF).
    Method
    The design of this study was a quasi- experimental one with pretest-posttest of experimental and control group. Thirty infertile women, undergoing IVF treatment, were selected, using available sampling. The sample was selected from among patients who referred to Moatazedi Infertility Center, Kermanshah, Iran. They completed two subscales of three subscales of DASS-21 scale who got the above average score. They were randomly assigned to two groups (each group 15 subjects). The experimental group was treated by the holistic-oriented psychological intervention for 11 sessions of 120-minutes. The control group did not receive any intervention. Participants completed the Depression, Anxiety and Stress Scale before and after intervention and after one month later. The pregnancy rate was measured in two groups based on the β-HCG test result. Data were analyzed by SPSS software (version 21).
    Results
    The results of multivariate covariance analysis indicated that depression, anxiety and stress levels in the experimental group (p = 0.0001), significantly decreased in posttest group after holistic-oriented psychological intervention and this effect was observed and lasted in the one month follow up (p = 0.0001). The pregnancy rate in the experimental group was 46.7% and in the control group was 13.3% which were statistically significant (p <0.05).
    Discussion
    The results of this study showed that the holistic-oriented psychological intervention is effective in decreasing anxiety, depression and stress and increasing the psychological health and pregnancy rate of women with unexplainable infertility under In-Vitro Fertilization treatment.
    Keywords: holistic-oriented psychological intervention, psychological health, unexplained Infertility, IVF, pregnancy rate
  • mehdi rezaee*, ezatollah ghadampur , rezae kazemi Pages 75-92
    Introduction
    Emotional invalidation is a transdiagnostic process that can be relevant across a variety of disorders. Emotional invalidation (the perception of others as indifferent to one’s emotions) is associated with difficulty accepting emotions, maladaptive coping with emotions, perception of negative emotions as less controllable and comprehensible, and less psychological flexibility (Linehan, 1993; Leahy, Tirch, & Napolitano, 2011).
    Childhood abuse (sexual and emotional abuse) may be considered prototypical experiences of invalidation of emotional experiences (Westpha, Leahy, Pala, & Wupperman, 2016; Leahy, 2015). Childhood abuse communicate that the child’s internal experiences do not matter. Furthermore, abusive caregivers who routinely punish emotional or sexual displays convey that negative emotions are unacceptable and unimportant (Leahy, 2015). Also in cross-sectional studies, childhood abuse has been found to be a predictor of depressive symptoms directly (Infurna et al., 2016; Jascheka, Carter-Pokrasa, Hea, Leea, & Canino, 2016).
    Emotional invalidation is linked to a host of internalizing such as depression, anxiety, and social avoidance (Tanaka, Wekerle, Schmuck, & Paglia-Boak, 2011; Hong, & Lishner, 2016).The present study examined the predictive associations among childhood trauma (emotional and sexual), emotional invalidation and depressive symptoms in female college students with current major depressive disorder and with history of major depressive disorder. In summary, the following hypotheses are proposed:Hypothesis 1. Sexual abuse would contribute to the depressive symptoms through emotional invalidation.
    Hypothesis 2. Emotional abuse would contribute to the depressive symptoms through emotional invalidation.
    Method
    The present investigation is a descriptive-cross-sectional study. The population of this study was 21,000 female college students in six different branches of Payam-e-Noor University with Persian languages (Baharestan, Eslamshahr, Shahryar, Tehran Souht, Robatkarim and Varamin). Data were obtained from college women enrolled in a clinical research study of mood disorders and behavior from the 2015 to 2016 academic year. Of these, 394 were selected through available sampling, of whom 92 met the criteria for current major depressive disorder (MDD) and 347 who had history of MDD in the last 12 months.
    Measures
    Beck Depression Inventory:The BDI-II (Beck, Steer, & Brown, 2000) was used to assess depressive symptoms during the last two weeks. It measures the severity of depression and consists of 21 items. The reliability and validity of the BDI-II have been well demonstrated both in clinical and non-clinical samples (Beck et al., 2000).
    Structured Clinical Interview for DSM-IV Axis I & II (SCID): SCID is a structured diagnostic measure designed to assess DSM–IV Axis I and II disorders. The SCID showed good reliability in previous studies (Maffei et al., 1997).
    Childhood Trauma Questionnaire - Short Form:The CTQ (Bernstein et al., 2003) retrospectively assesses the severity of different types of trauma and provides five subscales: Sexual abuse, emotional abuse, physical abuse, physical neglect, and emotional neglect. Each item is scored on a five-point Likert scale from. The CTQ has demonstrated excellent reliability, convergent, divergent and predictive validity in both clinical and non-clinical populations (Bernstein et al., 2003).
    Leahy Emotional Schemas Scale (LESS; Leahy, 2002): This scale is made up of 50 items that are used to assess how one thinks about his own emotions. The LESS is a six-point Likert scale for each question (very true of me = 6 to very untrue of me = 1), it includes items regarding how they have dealt with emotional experiences during the last month.
    Results
    The results showed that depressive symptoms were significantly correlated with emotional (r = 0.46), sexual (r = 0.29) abuse and emotional invalidation (r = 0.51). In the present study, the 95% confidence interval (CI) of the indirect effects was obtained with 5000 bootstrap samples. The final step was to determine if the 95% CI for the estimated indirect effect included zero. An indirect effect is significant at the .05 level if the 95%CI does not include zero.
    There was significant indirect effect (path ab) of sexual abuse on depression symptoms through emotional invalidation (CI=0.20 to 0.75). In other words, consistent with that first hypothesis, emotional invalidation significantly mediated the effect of sexual abuse on depression symptoms. In addition, the bootstrapping results indicated that the direct effect of sexual abuse on depression (path c’ = 1.05, p < 0.0001) remained significant when controlling emotional invalidation, thus suggesting partial mediation.
    In addition, according to the bootstrapping results, emotional invalidation significantly mediated the effect of emotional abuse on depression symptoms (CI = 0.33 to 0.65). The direct effect of emotional abuse on depression (path c’ = 1.06, p < 0.0001) also remained significant when controlling emotional invalidation, thus suggesting partial mediation.
    Discussion
    The present study aimed to clarify whether emotional invalidation would explain the effect of childhood trauma (sexual and emotional abuse) on depressive symptoms. Consistent with our hypotheses, emotional invalidation partially mediated the effect of sexual and emotional abuse on depression. It is important to note, however, that this finding is consistent with previous studies (Leahy et al., 2011; Linehan, 1993; Infurna et al., 2016; Jascheka et al., 2016). Results from the current study suggested that one pathway by which sexual and emotional abuse may affect depressive symptoms is via emotional invalidation.
    This finding can be explained by reffering to attachment theory. First, during the process of forming and maintaining attachment during early childhood, the rudiments of empathy, mirroring, and validation include the caregiver’s responsiveness to the child’s distress, which reinforces the child’s mental representation—“My feelings make sense to others.” Second, responsive soothing of the child’s feelings by the caregiver encourages the child to believe, “My distressed feelings can be soothed.” Initially, it is proposed that this “soothing” occurs through the caregiver’s attention and reassurance but later is “internalized” by the child in self-calming and optimistic self-statements, similar to Bowlby’s idea of internal working models, in this case the internal representation that one’s feelings make sense and can be calmed. Third, the child’s communication of feelings to the caregiver becomes an opportunity not only for expressing feelings but for the caregiver to link emotional states to external events that “cause” the feeling—“You’re upset because your brother hit you.” This attempt to comprehend the cause of feelings and to share them with the caregiver can also assist in differentiating these feelings—“It sounds like you are angry and hurt”—and in constructing a theory of mind that can be applied to both self and others. Indeed, without an adequate theory of mind, the child will be impaired in showing validation toward others and will be unable to soothe her own feelings and the feelings of others (Leahy et al., 2011).
    Keywords: depression, emotional invalidation, emotional abuse, sexual abuse
  • Reza Pasha *, Azar Sarraj khorami Pages 93-112
    Intoduction: Major depression and obsessive-compulsive disorders are chronic and disabling disorders that affect the ability to experience normal mood and causing impairment in all performances of the individual. To improve these patients, effective factors must be known, recognized and treated or controlled. One of the most influential factors is rumination, thinking which is involved in the onset and recurrence of these disorders. One of the most important concepts that has been taken into consideration by many experts in the formation and survival of many disorders, including depression, are dysfunctional attitudes. One of the new therapies used for these disorders is mindfulness based cognitive therapy. Mindfulness based cognitive therapy is designed to reduce the relapse of depression. For the same reason, the purpose of the present research was to determine the effectiveness of mindfulness based cognitive therapy on the use of rumination thinking and dysfunctional attitudes of people with depression and obsessive compulsive disorders.
    Materials and methods
    The design of research was experimental with the pre and post-test with control group. The sample included 80 patients with major depression and obsessive-compulsive disorders that according to psychiatric diagnosis and DSM-5 had been diagnosed and were divided randomly into experimental and control groups. The used instruments included Thinking Rumimination Questionnaire and Dysfanctional Attitude Scale. First, for both groups pre-test was taken. Then, experimental group, at 8 sessions, were trained with mindfulness based cognitive therapy, and after finishing sessions, both groups were taken post-test. To analys6is data, multivariate analysis of covariance (MANCOVA) was used.
    Results
    The results of research showed that mindfulness based cognitive therapy caused reduction in rumination thinking in patients suffering from majar depression (F = 330/96, P < 0.05) and obsessive-compulsive disorder (F = 482/27, P < 0.05) at post-test level. Also, the treatment reduced the from dysfunctional attitudes of patients suffering majar depression (F= 167/31, P < 0.05) and obsessive-compulsive (F = 436/10, P < 0.05) at post-test level.
    Conclusions
    Finally, it can be concluded that in mindfulness based cognitive approach, individuals feel better through new relationships that make up their thoughts. For this reason it is anticipated that this treatment can be used both exclusively and in combination with the treatment of mental and physical disorders. On the basis of research findings, it is predicted that mindfulness based cognitive therapy will play important role in treating mental disorders and prevention of the onset and relapse of these disorders.
    Keywords: Mindfulness Based Cognitive therapy, Thinking Rumination, Dysfunctional Attitudes
  • Sohrab amiri*, Amir Ghasemi navab Pages 113-128
    Introduction
    Adaptive management of emotions is essential for mental health (Aldao, Nolen-Hoeksema, and Schweizer, 2010; Eisenberg, Fabes, Guthrie, and Reiser, 2000). The emotional regulation involves monitoring, evaluating, and modifying emotional responses to achieve goals (Thompson, 1994). There are many individual differences in emotional abilities, including the identification and understanding of their emotions and others, the causes and effects of various emotions and the strategies used to regulate emotions (Cummings, 1987; Denham, 1998). These differences in emotional processes and management of emotions have wide implications in many psychological functions (Denham, 1986; Eisenberg et al., 2000). Findings show that emotional dysregulation affects the psychiatric pathology (Aldao et al., 2010). Among the pathological traits that have attracted a lot of attention in recent years, are dark traits. Dark traits are Narcissistic, Machiavellianism and Psychopathic, which are independent, but related to one another (Palos and Williams, 2002). The defect in the emotional experience is considered as the main factor in the dark traits (Jansson and Kross, 2013). The biological structure of the personality that appears to be involved in explaining individual differences in personality dark tendencies is the morning-evening type. The trait of morning-evening is known as the biological dimension of the personality, which is largely the result of heredity (Adan, Archer, Hidalgo, Di Milia, Natale, and Randler, 2012). In addition to the physiological differences between morning to evening type (for example, patterns of cortisol and melatonin secretion), some psychological differences have also been reported between these two types. The current study investigated the relationships between morningness-eveningness, emotion and emotion regulation beliefsand dark traits.
    Method
    The study participants were 439 students who were selected through multi-stage cluster sampling. Inclusion criteria were being aged 18 or older and all participants reported that they had not been diagnosed as a medical case (physical, but not necessarily psychological disorders) by a doctor. Participants with a psychotic disorder, abuse acute suicidality, insufficient language skills, or severe cognitive impairment were excluded. Participants completed a series of questionnaires following an informed consent procedure and were provided with debriefing information on the purpose of the study and given a list of community counseling agencies at the end of the survey. Of the total participants, 404 were undergraduate student (92%), and 35 ones were masters and higher education students (8%), 139 participants were male (31.7%) and 300 ones were female (68.3%). Respectively, the students' ages' mean and standard deviation were 19.85 and 1.78 in males, 19.81 and 1.81 in females.
    Results
    Descriptive statistics and bivariate correlations among the study variables were presented in Table 1. Skew ness and kurtosis were within a conventional range (−1 to 1; George and Mallery, 2003) for all of the variables. Bivariate correlations showed that regulation worth, as a positive emotional attitude, was associated with morningness tendencies(see Table 1). Morningness positively associated with narcissism and psychopathic tendencies (see Table 1). The negative dimensions of emotional attitudes, including emotion constraint and hijacking were positively associated with dark triad traits, but the regulation worth, as a positive emotional attitude had negative correlations with Machiavellianism and Narcissism and a positive correlation with psychopathic tendencies. Moderation was tested using Sobel’s test. We tested whether the emotional attitudes moderated the relationships between the Morningness-Eveningness and dark triad traits. In order to determine the extent to which emotional attitudes were involved in these moderation effects, we conducted the moderation analyses for dark triad traits. The difference in narcissism trait was partially moderated by regulation worth (z=2.01, p<.05). The difference in psychopathy trait was partially moderated by regulation worth (z=2.34, p<.05). In other cases, dimensions of emotional attitudes were not moderating the path between morningness-eveningness and dark triad traits (See table 3). Discussion and Conclusion: The aim of the current study was to examine whether emotion and emotion regulation beliefscan help explain the relationship between morningness-eveningness and dark traits. As was expected, negative emotion beliefs (Emotion Constraint and Hijacking) were associated with dark traits. In addition, results from the moderator analysis suggest that the relationship between morningness-eveningness and dark traits were partially mediated via emotion and emotion regulation beliefs. We believe that these findings add knowledge to the emotion and emotion beliefs and demonstrate the importance of emotion beliefs and emotion dysregulation to psychopathology in various ways. Despite interesting findings, there are several limitations of the current study which worth noting. First, participants’ report was obtained retrospectively, therefore, recall bias could have impacted some of the participants’ self-reporting. Additionally, it is unclear whether the sample of the present study is presenting with diagnosable levels of the dark traits symptoms.
    Keywords: Emotion Beliefs, Dark traits, Morningness, Eveningness, Moderator
  • shahnaz adibi sede, mohammadali sepahvandi*, simin gholamrezaei Pages 129-146
    Introduction
    Indeed, many notable parameters such as difficult and late diagnosis, occurrence of symptoms after a natural and normal course of growth, lack of effective treatment of autism spectrum disorder and special care which is needed by autism children, can affect the mental health of parents, and in particular mothers. In psychotherapy research, mindfulness is considered as one of the new therapies in the field of relapse prevention and an enhanced state of self-awarness thought in order to improve the depression and anxiety. Considering the existence of mood disorders and anxiety in mothers of children with autism spectrum disorder, the overall aim of this study was to determine the effectives of mindfullness-based cognitive therapy on depression and anxiety in mothers of children with autism spectrum disorder.
    Method
    This research, which Is a quasi-experimental study, compromised of per-test, post-test and follow-up study with the control group. The sample group was selected by available sampling method from mothers referred to the Isfahan “Hazrat Zainab” autism charity. Therefore, 20 subjects were chosen randomly and assigned to two control and experimental groups (each with 10 subjects). In order to assess the severity of depression and anxiety in mothers, Beck Depression Inventory-II and Beck Anxiety Inventory were used in pre-test, post-test and one month follow-up phases. The experimental group recieved the mindfulness-based cognitive group therapy for eight 2-hours sessions each week and the control group did not receive any treatment. Analysis of MANCOVA was used to analyze the data.
    Results
    The results of the research revealed that at the post-test stage, depression and anxiety scores decreased significantly in the experimental group after the intervention. Moreover, the experimental group was followed up for one month after the treatment, which no changes were observed in the mentioned scores, compared to the post-test phase. It is worth mentioning that the conditions for the control group were almost the same and no changes were occurred.
    Conclusions
    Therefore, mindfulness-based cognitive therapy has been effective in the treatment of depression and anxiety in autistic children's mothers. The results emphasized the importance ofusing thisintervention in treating depression and anxiety in mothers of children with autism spectrum disorder and presenting new insights in clinical interventions. This research showed that using this treatment, reduce psychological problems of mothers of autistic spectrum children, such as their depression and anxiety were reduced, which ultimately lead to prominent results such as the life expectancy increase, adapting to the conditions of the child's illness, better relations with others, having more social activities and reduction of depression and anxiety problems.
    Keywords: mindfulness-based cognitive therapy, anxiety, depression, mothers of children with autism spectrum disorder