مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
سال شصت و پنجم شماره 6 (پیاپی 186، بهمن و اسفند 1401)

Revascularization to treat coronary artery stenosis in two ways; Percutaneous intervention (PCI) and open surgery can be performed.For patients who were previously treated with open surgery and now have symptoms again, due to the higher mortality and morbidity of re-surgery, PCI is the preferred method of treatment.

This study is a cohort.The study population includes all patients without exit criteria who were subjected to PCI on SVG in Shahid Rajaei Hospital from October 2017 to 2019. In these patients, the short-term(in-hospital) and long-term(6 months and one year) clinical results were examined in terms of the incidence of MACE(major adverse cardiovascular events).

216 patients aged 39 to 99 years with an average of 65.95±9.16 were included in the study. In-hospital MACE, we had only one case of stroke, one case of MI, and one case of vascular complications. During the first 6 months, there were 19 cases of mortality, 5 cases of MI, 2 cases requiring reperfusion on the same SVG, and 3 cases requiring PCI, It was seen on other SVGs of the patients. After one year, a total of 28 cases of mortality, 13 cases of MI, 7 cases requiring re-establishment of flow in the same SVG and 7 cases requiring PCI were seen on other SVGs of the patients. The relationship between the incidence of MACE with the age and chronic kidney disease was seen.

MACE occurred more in older patients and patients with a history of chronic kidney disease with GFR>30 (mild and moderate CKD).

Being bitten by animals is a great threat to people's health because it can cause the fatal disease of rabies. Rabies in Iran is still one of the health-economic problems. Therefore, the current study was conducted with the aim of investigating the prevalence situation of animal bite cases in Qaenat city over 5 years. In this descriptive-analytical study, the statistical population includes the cases of animal bites referred to the health centers of Qaenat city during the years 2016-1400.The collected data was analyzed with spss software version 23 and Chi-square statistical test was used to check the relationship between the variables. In order to determine statistical significance, P-Value>0.05 was determined. 1326 cases of animal bites were reported with an average prevalence of 2.27 per 1000 people, of which 77.34% were men. 59.28% lived in rural areas. The average age of the subjects was 44.74 ± 24.12 years and they were mostly in the age group of 50 years and older (38.3%). 77.8% of the cases were bitten by dogs. The upper limb (43.1%) was the most bitten limb and the most cases were observed in April with 9.4%. With the increase of animal bites in Qaenat city and the importance of the resulting complications in terms of health and economy, the authorities should plan and intervene to reduce the cases by increasing the level of awareness through training and fighting against stray dogs.

The main purpose of this study is to compare the number of emergency missions (cardiac, respiratory, poisoning, traffic accidents, types of traumas, etc.), the number of calls and operating times of the prehospital emergency in Mashhad before and after covid-19. Also our policies in epidemics future incidents are determined based on it, and we can have better planning in case of similar crises. This study is descriptive and retrospective. Information divided into two periods: before Covid-19 from February 2018 to January 2020 and after Covid-19 from February 2020 to January 2022 . Chi-square test was used to compare the mean of the classified data, and logistic regression was used to calculate the odds-ratio the disease in emergency missions in two groups. The results showed that after the epidemic, 56.4% of these were men, and 43.6% were women, and the mean age was 45.20 ± 21.5. The missions after the epidemic showed that the mean age of the patients was 30.5 ± 16.3. The number of missions related to respiratory problems increased by 40% and fever and infectious diseases by 32% after the epidemic. The odds ratio of mission with patients with symptoms and respiratory problems before covid-19 (OR=1.43 CI=1.41-1.45, p =0.000) was 1.43 times compared after covid-19. During the Covid-19 epidemic the number of missions and emergency calls increased. The prehospital emergency department increased its operational capacity by changing its plans and approaches by increasing its response capacity and the number of staff and related training.

Allergy to cow's protein without treatment can cause problems such as insufficient growth in height and weight of children. The present study was conducted with the aim of comparing 4 types of treatment regimens in cow's milk protein sensitivity.In this cross-sectional study, a total number of 50 infants with cow's milk feeding syndrome who referred to the pediatric clinic were selected. The rate of response to therapeutic regimens, including the elimination of dairy from the mother's diet, semi-hydrolyzed formula, fully hydrolyzed formula, and the amino acid-based formula was evaluated in children. The tool for compiling a checklist was prepared based on the literature review and under the supervision of a specialist in pediatrics. The analysis was done in spss19 software.In this study, the most common findings of visiting a doctor were 31 (68 %) gastrointestinal bleeding, and 14 (28 %) dermatitis. The rate of response to different treatments was 6 (12%), semi-hydrolyzed formula 2 (4%), fully hydrolyzed formula 8 (14%), and formula based on amino acids 34 (68%), respectively, to remove dairy products from the mother's diet.The most common finding in infants with cow's milk protein allergy referred to a pediatric gastroenterology clinic was gastrointestinal bleeding, and the best treatment responses were to the formula based on amino acids.

the aim of this study was to investigate the effect of eight weeks of high intensity interval training (HIIT) and Portulaca Oleracea extract on chemerin level and insulin resistance in rats with NAFLD. Twenty five male Wistar rats were randomly divided into five groups: healthy control, fatty liver control, HIIT, Portulaca Oleracea extract, and HIIT+Portulaca Oleracea extract. To induce NAFLD, the rats were fed a high-fat diet for 12 weeks. Portulaca Oleracea supplement at 400 mg/kg was given to the experimental groups. HIIT was performed for 8 weeks, 5 sessions per week with 7 repetitions of 1 minute at 90% maximum speed accompanied by active rest intervals including 2 minutes of running at 20% maximum speed. Hepatic chemerin level and insulin resistance were measured after 8 weeks of HIIT and consumption of purslane extract. Insulin resistance was significantly higher in fatty liver control group than healthy controls (P=0.002). But it was significantly lower in HIIT group (P=0.01), Portulaca Oleracea extract (P=0.037), and HIIT+Portulaca Oleracea extract group (P=0.012) than that in fatty liver control group. Chemerin levels in the HIIT group (p=0.01), Portulaca Oleracea extract (p=0.017) and HIIT+ Portulaca Oleracea extract (p=0.001) was significantly lower than the fatty liver control group. It seems that HIIT and Portulaca Oleracea extract can play an important role in controlling the progression of this disease by reducing the level of chemerin and insulin resistance in patients with NAFLD.

Human toxocariasis is a parasitic disease caused by the larvae of Toxocara canis (T. canis) and can cause many clinical complications in the liver, lungs, eyes, brain and kidney. Despite its significant effect on high-risk groups (people with reduced immune system), this parasite is usually ignored. The present study was conducted with the aim of investigating the serum prevalence and risk factors of toxocariasis in diabetic patients and hemodialysis patients in Zahedan (southeast of Iran). This study was conducted in Sistan and Baluchistan province, Zahedan city with 400 diabetic and hemodialysis patients. A clot sample was taken to perform the ELISA test along with a questionnaire containing demographic information. All serum samples were tested for the presence of IgG antibodies against Toxocara species by ELISA serology method. Data analysis was done using SPSS version 22 software and descriptive statistics and chi-square test The prevalence of serum toxocariasis in diabetic and hemodialysis patients was reported as 2.8% and 3.5%, respectively. Among the variables of the study, contact with dogs and cats in the group of diabetic patients (OR=11.60 –% 95CI: 2.80-48.06). and in the group of hemodialysis patients contact with cats and dogs (OR=0.85- %95CI: 0.70-1.02) and blood group had a significant relationship with the prevalence of toxocariasis. P value ≤ 0.05. Considering the few studies in the world, more epidemiological studies are needed to understand that diabetes and the hemodialysis process can be introduced as a factor in toxocariasis.

The present study aimed to investigate the frequency of anxiety, depression, and stress, as well as their psychosocial correlates, in medical students during the COVID-19 pandemic. This cross-sectional study was conducted on 347 medical students at Mashhad University of Medical Sciences, Mashhad, during the academic year 2020-2021. Data were collected using a structured online questionnaire. Depression, anxiety, and stress scale (DASS-21) was used to measure students' depression, anxiety, and stress levels. The results of the DASS test showed that 59.7%, 55.5%, and 57.4% of medical students experienced degrees of depression, anxiety, and stress, respectively. The frequency of depression was higher in medical students who did not have children (P=0.006), were less satisfied with their field of study (P<0.005), had substance abuse (P=0.01), and had history of infection with COVID-19 (P=0.02). The frequency of anxiety was higher in medical students who were less satisfied with their field of study (P=0.001), and had substance abuse (P=0.01). The frequency of stress was higher in medical students who were less satisfied with their field of study (P<0.005), had substance abuse (P=0.01), and did not receive COVID-19 vaccine (P=0.02). More than 50% of the medical students reported some degree of depression, anxiety, and stress during the COVID-19 pandemic. The level of satisfaction with the academic field and substance abuse were related to all three subscales of depression, anxiety, and stress in medical students. The stress level was lower in students who received the COVID-19 vaccine.

Insomnia is one of the most common sleep disorders in children. this study aimed to evaluate the effectiveness of cognitive-behavior multicomponent Therapy, named the KiSS program (Kinder mit Schafstörungen Programm) on insomnia and fatigue in children. This research method was quasi-experimental with a pre-test -post-test, and follow-up design in experimental and control groups. In order to perform this study among children of 8 to 10 years with insomnia referring to Medical & Psychology Clinic of Shokoufeh in, Tehran, Iran, within July to October 2021, 40 children were selected by the convenience sampling method based on inclusion criteria and were assigned randomly into experimental and control groups (each group including 20 children).The personal information questionnaire, Sleep Disturbance Scale for children (SDSC), Multidimensional Fatigue Scale (MFS) and Child Symptoms Inventory-4 (CSI-4) were used to collect data. The KiSS treatment was applied in the experimental group and cartoon watching in the control group. Due to the decrease in the number of subjects in the implementation phase, the number of children in each group was reduced to 15. The data were analyzed with SPSS software (version 22) using descriptive statistical indicators including mean and standard deviation and inferential statistics indicators including mixed-design ANOVA method. Considering to the promising results of KiSS multicomponent therapy, this treatment can be used as one of the intervention methods for improvement of insomnia and fatigue caused by it in children aged 8 to 10 years.

Primary dysmenorrhea, is a common cause of referral to gynecological clinics. Due to its high prevalence and inability to provide ideal relief, it limits daily activities and absenteeism from work and school. There are several treatments for dysmenorrhea that are usually associated with complications. Many are looking for uncomplicated and effective methods to reduce complications. This study investigated the analgesic effect of Period Patch in dysmenorrhea.This interventional study was performed as a randomized clinical trial on 70 women with primary dysmenorrhea. Participants were randomly assigned to one of two groups receiving mefenamic acid and Period Patch containing iron powder, activated carbon, magnet, water and salt. Two treatments were used for one menstrual cycle. The rate of improvement in menstrual cramps was determined by dialogue and by a numerical analogue pain scale with a score of zero to ten. Finally, the effectiveness of methods in reducing pain was compared. In this study, reducing pain by at least 25% was considered as the effectiveness of treatment.70 people in two groups of 35 completed the study. The two groups were similar in terms of mean age, mean body mass index, marital status, frequency of exercise, smoking and age of onset of menstruation. The effectiveness rate was 22 cases (62.9%) in mefenamic acid group and 13 cases (37.1%) in Period Patch group, which showed a significant difference (P = 0.031).In this study, the effect of mefenamic acid analgesia was greater than Period Patch in the treatment of primary dysmenorrhea.

Acute myeloid leukemia (AML) is a form of cancer characterized by the presence of cells with abnormal differentiation into blood, bone marrow and other body tissues. In AML, blood cells accumulate in the bone marrow, over-producing of oxygen, which can lead to oxidative stress. The aim of this study was to investigate the association of A251G and 50bp del polymorphisms in SOD1 gene with the risk of AML.

Methods and Materials:

 In this case-control study, 200 patients with AML cancer were selected as the patient group and 200 healthy individuals as the control group. The genotypes of A251G single nucleotide polymorphism of SOD1 gene were determined by PCR-RFLP method and Ins / Del 50bp polymorphism of SOD1 gene was determined by conventional PCR method.

The results showed that there was a significant difference between A251G polymorphism AG + GG genotypes (P <0.001) and Ins / Del 50bp polymorphism ID + DD (P = 0. 04) between the control and patient groups.

In conclusion, it was found that both selected polymorphisms are associated with a reduced risk of AML.

The present study was conducted to determine the effectiveness of reality therapy based on choice theory and mutual relationship analysis on the mental and social well-being of couples with marital conflicts.

This research was conducted using a semi-experimental method with a pre-test-post-test design with a control group and more than one experimental group. For this purpose, 60 people (30 couples) were included in the study from all volunteer couples with marital conflicts referring to counseling centers in district three of Tehran with at least one year of cohabitation experience using the available method, and then they were randomly assigned into three groups (reality therapy, correlation analysis, and evidence) were included. To collect data in the pre-test and post-test, Molvi mental well-being test (1389) and Keys' social welfare questionnaire (1998) were used. In experiment group one (reality therapy) and experiment group two (relationship analysis) each group received 8 sessions of training, but the control group did not receive any intervention.

The findings revealed that reality therapy based on choice theory and mutual relationship analysis was effective in the mental and social well-being of couples with marital conflicts.

The findings of this research showed that reality therapy based on choice theory and mutual behavior analysis had a significant effect on the mental and social well-being of couples with marital conflicts.

Shoulder pain is a common musculoskeletal disorder in the general public. Shoulder impingment syndrome is one of the most common shoulder disorders. Due to the lack of a similar questionnaire in Iran and the need to use standard tools in the field of clinical evaluation, localization and validity and reliability of the Persian version of this questionnaire was considered as the purpose of this study.

This study included 20 women with shoulder involvement syndrome in the age range (20-50) years who were evaluated by a physiotherapist.Using the translation-re-translation method, the necessary corrections were made and the final form of the questionnaire was prepared. In order to determine the content validity of CVI and CVR methods, to determine the degree of reliability, internal consistency test (Cronbach's alpha) was used and to evaluate the reliability, test-retest.

The results of CVI showed that all questions with CVI score higher than 0.79, patient ward (0.85 on communication scale, resolution 1, simplicity 0.92, ambiguity 0.92) and physician ward (on communication scale 1, resolution 1, Simplicity 1, Ambiguity 0.88). average content validity index of the patient ward was 0.92 and the physician ward was 0.97. Statistical analysis showed that the internal consistency of the Cronbach's alpha questionnaire questions is equal to 0.74. ICC values showed that the intra-group correlation of the patient ward (% 95 CI: 96-89) and the physician ward (95% CI: 95 -88) were calculated.

CMS "gold standard tool" for assessing shoulder occlusion syndrome.

Physical inactivity and high-calorie diets have caused obesity and related metabolic diseases, therefore; The aim of this study was to investigate the effect of obesity induction along with endurance training and diet change on weight changes and lipid profiles of male Wistar rats.

The research method was laboratory type. The research subjects included 25 Wistar rats with an age range of 8 to 12 weeks, which were divided into 5 control and experimental groups by targeted selective sampling according to weight and age conditions. In the first stage, 4 days after the weaning period, the food program was started to fatten the rats. A 5-band treadmill was used for endurance training. The training program of the subjects was 30 minutes per day for 8 weeks at a speed of 8 meters per minute. Dependent t-test and one-way analysis of variance were used to analyze the data.

The results showed that there is no significant difference between the pre-test and post-test of the average weight of the obese group + standard diet + aerobics (p = 0.135) and the obese group + standard diet (p = 0.06). Also, there is no significant difference between HDL averages in any of the groups, but there is a significant difference between LDL averages in the control group and other groups (p<0.001).

It seems that endurance exercise has an effect on weight control when a low-fat diet is included.

Introduction Considering that play therapy is a form of psychotherapy approach and a psycho-diagnostic tool for children, the purpose of this study was to investigate the effect of play therapy on the behavioral problems of children with attention deficit hyperactivity disorder.

The research method is semi-experimental with pre-test, post-test and control and experimental groups. The statistical population of the research was made up of Elementary school students suffering from attention deficit hyperactivity disorder who referred to the centers of learning and disorder in the 2nd district of Tehran. The sampling method was purposeful, and based on the research entry criteria, 30 people were selected and divided into 2 experimental and control groups in a simple random manner. The research tool included Covey and Patterson Behavioral Problems Questionnaire (RBPC) - revised form. Subjects had ten sessions of group play therapy with a cognitive-behavioral approach. Analysis of covariance test was used to analyze the research data. All statistical operations of the research were considered using SPSS version 25 software with a significance level of P<0.05.

 The research results showed that there is a significant difference between the scores of the experimental group in the pre-test and post-test (p<0.05). Also, the difference in the mean scores of the post-test of children's behavioral problems in the two experimental and control groups is significant (P≥0.05)

According to the research results, it can be said that play therapy is a suitable approach and intervention to reduce behavioral problems in children with attention deficit hyperactivity disorder.

 The aim of the current research was to formulate the design of the performance evaluation system of the Karate Federation in order to promote health.

 The statistical population of this research includes three groups, the members of the monitoring and evaluation committee of the Ministry of Sports and Youth and the president, secretary and vice president of the Karate Federation and all the presidents, vice presidents and secretaries of the provincial karate committees of the country, which number 90 people and expert professors in management. and planning in physical education and sports sciences. According to Bartlett's sampling table for a society with this size, the number of samples is 60 people. A stratified random selection method was used to select the provinces. The research tool in this study is a researcher-made questionnaire. Questionnaire questions were compiled in 9 performance evaluation indicators. The reliability of the indicators was obtained through Cronbach's alpha test of 0.89. Finally, a questionnaire based on pairwise comparisons of indicators and the degree of preference of one based on the other according to Thomas Saati's spectrum was used to rank the karate federation's performance evaluation indicators. Calculating the compatibility rate in AHP is a useful guide to measure the validity of the participants' points of view in decision making. Single sample t-test was used and Friedman's ranking test was used to rank the questions of each index. The decision rule is determined at the statistical confidence level of 95% and the critical alpha is 0.05. All statistical operations are performed using SPSS software. AHP method and expert choice software were used to prioritize the indicators.

  Prioritization of indicators in order of importance including, 1- management, 2- financial, 3- championship, 4- educational, 5- control and supervision, 6- research, 7- information technology, 8- human power and 9- Culture was obtained.

 One of the most important stages of designing a performance evaluation system is the development of indicators and performance evaluation criteria. So that the indicators determine the movement path of the organization to reach the goals. Indicators represent the realities in the field of an organization's activities, and in the management system, they are an efficient tool for evaluating programs and activities, and through them, one can find out about the achievement of predetermined goals in the programs.

The aim of this study was the effectiveness of cognitive-behavioral therapy on fear of negative evaluation, interpretation bias and self-focused attention in women with generalized anxiety disorder. The research method was quasi-experimental with pre-test-post-test design and quarterly follow-up with the control group. The statistical population included women who referred to counseling centers in Qom in 1400. Based on a diagnostic interview and a 7-item scale scale of general anxiety, 24 women were selected by convenience sampling method and randomly divided into two groups of 12 experiments. And controls were divided. The experimental group underwent 9 sessions of 90-60 minutes of cognitive-behavioral therapy based on group protocol (Wildermott, 2008) and the control group did not receive any intervention. Research tools include: Fear of Negative Evaluation Questionnaires (Watson and Friend; 1969), Interpretation Bias of Amir et al. (1998) and Woody, Chambels, & Glass (1997). Data were analyzed using SPSS statistical software and descriptive and inferential tests including multivariate and univariate analysis of covariance. The findings showed that cognitive-behavioral therapy could reduce the symptoms of generalized anxiety compared to the control group. Conclusion, cognitive-behavioral therapy can be considered as an effective intervention for women with generalized anxiety disorder.

 Asthma is a chronic inflammatory disease characterized by respiratory symptoms, variable airway obstruction, airway hyperresponsiveness, and airway inflammation. In the present study, a review of the effect of exercise and antioxidant supplements in patients with asthma has been discussed.

 Using several databases including Google Scholar, Web of Science, Science Direct, PubMed, and Scopus, and using the titles of asthma and the names of their types and related names for the keywords of asthma until 2022, a search was made. At first, by limiting the search, irrelevant and repeated studies were removed, and after reviewing the titles, abstracts, and full texts, suitable studies were included in the current research.

 Focusing on studies that focused on the effects of exercise and antioxidant supplements in patients with asthma, it can be said that exercise in these patients through pathophysiological mechanisms has been able to play a role in reducing the harmful effects of asthma. So that regular aerobic and breathing exercises are recommended to improve this disease. Also, the lung tissue of asthmatic patients is exposed to oxidative stress due to the production of reactive oxygen and nitrogen species. For this reason, taking into account the reduction of antioxidant enzymes, we will see an increase in apoptosis, the loss of airway epithelial cells, and a decrease in airway regeneration. Therefore, studies have pointed to the positive role of antioxidants in patients with asthma.

The children’s psychological and behavioral problems such as anxiety and aggression cause other psychological, emotional and communicational damages in the children. Therefore, the present study was conducted to investigate the efficacy of applied behavior analysis training on the children’s anxiety and aggression.

It was a quasi-experimental study with pretest, posttest and control group design. The statistical population included thirty seven-to-ten-year-old children at Taha, Mehr-e-Iranian, and Narges wellbeing centers in Tehran in 2019. Thirty children were selected through convenient sampling method and randomly accommodated into experimental and control groups (each group of 15 children). The experimental group received ten seventy-five-minute sessions of applied behavior analysis training during two-and-half months. The applied questionnaires in this study included Children and Adolescents Behavioral Inventory (CABI). The data were analyzed through COVARIANCE method via SPSS23 statistical software.

The results showed that applied behavior analysis training had significant effect on the anxiety (F=31.68; Eta=0.55; P<0001) and aggression (F=55.86; Eta= 0.68; P<0001) of the children and succeeded in decreasing their anxiety and aggression.

according to the findings of the present study it can be concluded that applied behavior analysis training can be used as an efficient method to decrease the children’s anxiety and aggression through applying techniques such as behavioral and perceptual problems analysis, planning, training skills, social skills, and adaptive skills.

The aim of this study was to investigate the effectiveness of mindfulness on anger management, marital conflict and quality of life.

The method of this research is quasi-experimental and the design of the control group has been used. For this purpose, a sample of 40 men and women who referred to counseling clinics in Bojnourd were selected and randomly available in two experimental groups (20 people) and control (20 people) by sampling method. To measure mindfulness, from the package written by Bowen, Chaula and Marlat, (2011), to measure anger management from the Spielberger anger control questionnaire, to measure the quality of life from the World Health Organization quality of life questionnaire and to measure conflict from Zakir and Barati (2008) was used. SPSS software version 23 was used to analyze the data.

Findings from covariance test showed that mindfulness training has an effective role in anger management, reducing marital conflict and increasing quality of life.

The findings of the present study indicated that mindfulness training using techniques such as conscious thoughts, emotions and behaviors can be used as an effective method to improve quality of life, reduce anger and marital conflicts.

The present study was conducted to codify a model of psychological coping with Covid-19 consequences based on positivist psychology and evaluate its effect on quality of life and happiness of the people with Covid-19 anxiety. The research method was theme analysis through inductive method in the qualitative part and quasi-experimental with pretest, posttest, control group and two-month follow-up period design in the quantitative part. The statistical population of the present study included the people with Covid-19 anxiety in Tehran in the spring and summer of 2021. 35 people with Covid-19 anxiety were selected through purposive sampling method and randomly accommodated into experimental and control groups. The people in the experimental group received the related interventions (10 sessions) during one-and-a-half months. The applied questionnaires in this study included Corona Disease Anxiety Scale (Alipour, et.al, 2019) (CDAS) and quality of life questionnaire (World Health Organization, 1994) (QLQ) and happiness questionnaire (Arghil, Martin, Craslande, 1989). The results showed that the model of psychological coping with Covid-19 consequences based on positivist psychology enjoys enough content validity. Moreover, this intervention has been effective on the quality of life and happiness of the people with Covid-19 anxiety (P<0001). According to the present study, the model of psychological coping based on positive psychology can be attended to as an efficient method to improve the quality of life and happiness of the people with Covid-19 anxiety through paying attention to the capabilities and positive points, promoting altruism and devotion, being thankful and grateful and forming hope and optimism.

Health tourism in its present form is an emerging phenomenon in which citizens travel to other destinations (many of which are less developed countries) in search of high-quality and inexpensive medical services.

In this research, the researcher has used  mixed method approach. For this purpose, in the first study, in order to know the components of the background model of word of mouth in the development of health tourism,marketing grounded theory has been used , and in the second study, the model was tested using quantitative method. The data collection tools used in the first study were  protocol and in-depth  interviews with eighteen international hospital managers, and in the next step, the required data were distributed among 384 patients and the result was analyzed by AMOS software.

The researcher conducted eighteen interviews , reached to theoretical saturation and finally extracted 250 open codes and analyzed  based on Strauss and Corbin's point of view, the analysis and results were presented in the form of six main dimensions and thirty sub-dimensions.

The researcher conducted his research in a form of a model including six dimensions; Health tourism,health center brand equity,word of mouth,medical service quality,halal tourism, and finally health tourism center brand loyalty  and thirty sub-dimensions. Also, the research results have shown that medical service quality has a positive and significant effect on health tourism, health tourism on brand equity, brand equity on word of mouth,health center brand loyalty on brand equity, and halal tourism on brand equity.

High-Intensity intermittent exercise upon taking supplements containing bioactive compounds result in improving metabolism and fat oxidation .Thus, the aim of this study was to investigate the acute effect of caffeine, L-carnitine, caffeine-L-carnitine (combined) supplements on metabolic rate and substrate oxidation during and after high-Intensity intermittent exercise.

For this purpose, 10 male active students in a randomized double-blind crossover design in four modes of use: - Placebo (3 mg/kg. BW glucose and fructose); Caffeine (6 mg1/kg.BW); - L-carnitine (13 mg/kg. BW); and - caffeine-L-carnitine (6 and 13 mg/kg. BW, respectively.) In each of the four conditions, the subjects engaged in exercise (performing four 30-second Wingate tests (75 g/kg.BW) with a 5-minute rest interval) one hour after supplementation. Respiratory gases were measured before, during and 30 minutes after exercise and were analyzed to calculate metabolic rate (energy expenditure and oxygen consumption) and substrate oxidation (Respiratory Exchange Ratio (RER) and Fat oxidation). One-way ANOVA test was used for statistical analysis.

The delta between the post-pre-test show significant change only in RER (P=0.048), Substrate oxidation (P=0.036) and heart rate (P=0.04). In addition, caffeine consumption was associated with a significant decrease in RER during the recovery period compared to L-carnitine (P=0.015) and placebo (P=0.042). Also, caffeine consumption in comparison with L-carnitine (P=0.008), combined supplement (P=0.037) and placebo (P=0.032) significantly increased Substrate oxidation in the recovery period.

Therefore, it is recommended to participants who are looking to offer weight loss or management do high-intensity intermittent exercise upon taking caffeine.

Obesity, as a global and growing health problem, provides the basis for the occurrence of chronic diseases and is associated with many physical-psychological problems. This research was conducted with the aim of comparing the effectiveness of acceptance and commitment therapy, cognitive behavioral therapy and mindfulness on improving the body mass index of overweight patients.

The method of this research is a semi-experimental type with a pre-test and post-test design with a control group. From the statistical population of overweight women (body mass index between 25 and 29.9) in Varamin city, 80 women were selected according to the available method and considering the inclusion criteria and were randomly divided into four groups. became SPSS version 22 software and analysis of covariance and Ben Feroni's post hoc test were used to analyze the research data.

The covariance test showed that there is a significant difference between the research groups in the body mass index (p/>005). Ben Feroni's post hoc test showed that all three interventions were effective in improving the body mass index compared to the control group, and the result of comparing the interventions also showed that mindfulness had the greatest effect, followed by ACT and CBT.

Considering the effectiveness of mindfulness intervention, it is suggested to use this intervention to improve the body mass index of obese patients.

Insomnia is one of the most common sleep disorders in children. Considering the role of this disorder in the formation of behavioral and mental disorders and its comorbid with chronic diseases and the need to pay attention to the treatment of insomnia and fatigue in order to maintain children's health, this study aimed to evaluate the effectiveness of cognitive-behavior multicomponent Therapy, named the KiSS program (Kinder mit Schafstörungen Programm) on insomnia and fatigue in children.

This research method was quasi-experimental with a pre-test -post-test, and follow-up design in experimental and control groups. In order to perform this study among children of 8 to 10 years with insomnia referring to Medical & Psychology Clinic of Shokoufeh in, Tehran, Iran, within July to October 2021, 40 children were selected by the convenience sampling method based on inclusion criteria and were assigned randomly into experimental and control groups (each group including 20 children).The personal information questionnaire, Sleep Disturbance Scale for children (SDSC), Multidimensional Fatigue Scale (MFS) and Child Symptoms Inventory-4 (CSI-4) were used to collect data. The KiSS treatment was applied in the experimental group and cartoon watching in the control group. Due to the decrease in the number of subjects in the implementation phase, the number of children in each group was reduced to 15. The data were analyzed with SPSS software (version 22) using descriptive statistical indicators including mean and standard deviation and inferential statistics indicators including mixed-design ANOVA method.

The results of data analysis showed that the mean scores of insomnia the in the KiSS treatment experimental group in the post-test stage significantly decreased compared to the control group and the changes in the follow-up stage remained stable. The mean scores general, cognitive and sleep fatigue in the KiSS treatment group also increased significantly in the post-test stage compared to the control group and the changes in the follow-up stage remained stable.

Considering to the promising results of KiSS multicomponent therapy, this treatment can be used as one of the intervention methods for improvement of insomnia and fatigue caused by it in children aged 8 to 10 years.

The present study was conducted to investigate the efficacy of psychological capitals training on the job engagement and responsibility of the staff with work-family conflict in Sarkhoon and Qeshm gas Company. It was a quasi-experimental study with pretest, posttest, control group and tree-month follow-up period design. The statistical population included the staff with work-family conflict in Sarkhoon and Qeshm oil and Gas Company in the spring of 2021. 27 employees were selected through purposive sampling method and randomly accommodated into experimental and control groups. The experimental group received psychological capitals training (10 sessions) during two-and-a-half months. The applied questionnaires in this study included work-family conflict questionnaire (Carlson, Kacmar, and Williams, 2000), job engagement and questionnaire (Schaufeli, Salanova, 2002) and responsibility questionnaire (Carroll, 2010). The data from the study were analyzed through Mixed ANOVA via SPSS23 software. The results showed that psychological capitals training has been effective on the job engagement and responsibility in the staff with work-family conflict. According to the findings of the present study, psychological capitals training can be used as the efficient method to improve job engagement and responsibility of the staff with work-family conflict using concepts such as resilience, self-efficacy, optimism and hope.

The present study was conducted to investigate the effectiveness of mindfulness skills training on depression and social health of women with depression. The present study was quasi-experimental with pretest, posttest, control group and two month follow-up period design. The statistical population included women women with depression who referred to counseling centers and psychological services in the two cities of Tehran in the second half of 2021. 27 women with depression were selected through purposive sampling method and were randomly accommodated into experimental and control groups. The experimental group received mindfulness skills training sessions (eight sessions) during two months. The applied questionnaires included Depression Questionnaire (Beck, Epstein, Brown, Steer, 1996) and Social Health Questionnaire (Keyes, 2004). The data from the study were analyzed through mixed ANOVA and Bonferroni follow-up test. The results showed that mindfulness skills training has significant effect on the depression (F=24.57; Eta=0.47; P<0001) and social health (F=34.23; Eta=0.55; P<0001) in women with depression. According to the findings of the present study, mindfulness skills training can be used as an efficient method to decrease depression and improve social health in the women with depression through employing techniques such as mindful attitudes, mindful activities, addressing problem-making feelings and emotions and breathing exercises to manage anger.

In today's world, critical thinking is an essential skill, and although the emphasis on this type of thinking is as old as the history of human knowledge, today attention to its importance has become more apparent. The purpose of this research is to determine the effectiveness of critical thinking training on emotional creativity and self-management of female students of the first secondary school.

The current quasi-experimental research with a pre-test-post-test design with a control group and a one-month follow-up was conducted in Sabzevar high schools. The statistical population was all the students of the first secondary school. The sample size of this research was 66 people, that is, 33 people were considered for each group. Emotional creativity and self-management questionnaires were used to collect information. Sampling was available by method. Data analysis was done with descriptive statistics (frequency, percentage, mean and standard deviation) and inferential statistics using multivariate analysis of covariance (MANCOVA) and SPSS version 26 software.

The emotional creativity preparation component in the experimental group was significant in the post-test phase and the emotional creativity innovation component in the experimental group was significant in the follow-up phase. In this study, the M. Box statistic index was not significant for any of the components of emotional creativity and self-management.

The purpose of this study as to investigate the effectiveness of schema therapy on the emotional irritability, family functioning in women affected by infidelity. The method of this study was quasi-experimental with pretest-posttest and control group. The statistical population included women victims of infidelity referring to counseling centers Under the supervision of the judiciary in zanjan. Thirty couples were selected via purposeful and available sampling method based on the studys criteria and randomly assigned to experimental (n=15) and control groups (n=15). The eight-session schema therapy protocol was performed on the experimental group. In the pre-test and post-test stages, both groups completed the emotinal irritability scale of (Brithwaite, 1987) & family functioning scale of (Epstein et al.,1983). The result of One-way analysis of covariance in dicated that schema therapy group counseling significantly decreased the post-test average score of emotional irritability family fuctioning in experimental group. Thus, it could be concluded that schema therapy is an effective method in reducing emotinal irritability, family functioning in women suffering from the trauma of indifidelity and can be used by counselors and therapists in the field of family therapy.

Research shows that the perception of women with rheumatoid arthritis is affected by some of their psychological structures. This study determined the effect of attachment styles and dysfunctional attitudes on the perception of women with rheumatoid arthritis.

The present study was correlational in terms of applied purpose and research design. From the statistical population of all sick women referring to the clinic of Alborz Hospital in Karaj, 250 samples were selected by available method. To evaluate the research variables, Bradbent et al.'s Long Form et Perceptions questionnaire, Collins and Reed revised adult attachment styles, and Wissman and Beck long form dysfunctional attitudes were used. Data analysis was performed using Pearson and OLS test models.

The results showed that the direct path of delicacy style (T = -0.664, β = -0.074)) and avoidance (β = -0.005- T = - 0.047) to the disease perception variable was significant. is not. But the direct path of anxiety attachment style (T = 3.662, β = 0.241) and dysfunctional attitudes (T = 2.372, β = 0.661) to the variable of disease perception is significant.

Anxious attachment style and dysfunctional attitudes have a significant effect on the perception of women with rheumatoid arthritis

 Comparing psychodynamic approaches for better effectiveness is one of the topics of interest to researchers; In this regard, the aim of this research is to compare the effectiveness of teaching positive thinking skills and emotional self-regulation on the creativity of students.

 The research method is semi-experimental with a pre-test and post-test design with a control group. The statistical population was the students of girls' high schools of the second level in Tehran. The statistical sample of this research includes 45 female students with positive thinking skills (15 people), emotional self-regulation (15 people) and the control group (15 people). Sampling method was available. The research tool was Abedi's creativity questionnaire. Data analysis was done using descriptive and inferential statistics, including mean and standard deviation, covariance analysis, and multivariate repeated measurement analysis test using SPSS version 25 software.

  The results showed that in both test groups, the average scores related to creativity in the post-test stage were significant compared to the pre-test, and this increase continued for both groups until the follow-up stage (P≤0.05).

 It seems that the skills of positive thinking and emotional self-regulation have an effect on all the components of students' creativity.

The aim of this study was to determine the effectiveness of Narrative-therapy approach on stress management of mothers with physically disabled children. The research was applied in terms of purpose and in terms of data collection was field quasi-experimental research and pre-test and post-test with control group.

The statistical population in the present study was all mothers with children with physical disabilities in Izeh in 1399-1400, which was 2000 people. From the statistical population, mothers with stress management disorders, were identified and 50 people were selected as a sample by simple random sampling method and were randomly selected 25 people in control and 25 people in experimental group. The Bar-On (1997) Emotional Intelligence Questionnaire was used to perform the pre-test and post-test. The subjects of both groups underwent a pre-test before performing the independent variable and then the experimental group was trained in Narrative therapy for 8 sessions (each session for 45 to 60 minutes), after the post-test was performed for both groups and the collected data was analyzed by statistical method of Analysis of Covariance.

Findings showed that the Narrative-therapy approach is effective on the stress management of mothers with physically disabled children with a significance level of p≤0.05.

According to the research findings, it can be concluded that the Narrative-therapy approach has been effective on the stress management of mothers with children with physical disabilities

The current research was conducted with the aim of determining the role of mental resilience and optimism through the mediation of social support on anxiety during the corona pandemic period on the employees of the technology centers.

The research method is practical in terms of purpose and quantitative in terms of approach. The statistical population of the research includes the employees of technology centers. The sample size of the research includes 200 people. A simple random method was used to select the statistical sample. Data collection tools include Green et al.'s standard organizational optimism questionnaire, as well as Good's existential anxiety scale and Conner and Davidson's standard resilience questionnaire. In order to test the hypotheses of the research, the structural model has been estimated in two modes of non-standard and standard coefficients.

The value of Cronbach's alpha and combined reliability index for all research variables is higher than 0.7, indicating the reliability of the variables, and the average extracted variance or AVE for all research variables is higher than 0.5, indicating the convergent validity of the variables. Also, the direct effect of resilience, optimism and social support on anxiety is significant, and the direct effect of optimism and resilience on social support was proved.

According to the obtained results, it can be said that with the increase of optimism and resilience and social support, anxiety decreases and it can also be said that with the increase of optimism and resilience, social support also increases

The curriculum of medical sciences is one of the important fields in the field of medical education. The aim of the current research is to identify the leadership dimensions of medical science curriculum within the framework of empiricism approach.

The method of the current qualitative research was phenomenological type and was carried out with thematic analysis approach. The community studied in this research was related experts, using the purposeful sampling method, 15 experts (in the fields of educational and curriculum planning and educational management) were selected as a sample. A semi-structured interview method was used to collect information.

The results showed that in the examination of the dimensions of medical science curriculum leadership in the framework of the empiricism approach and presentation of the model, the number of 9 sub-categories was counted, and 4 main themes were finally classified into 4 main categories.

The results of data collection and thematic analysis showed that the dimensions of medical science curriculum leadership in the framework of empiricism approach include unit or project work method, experimental work method, role playing method and simulation model.

 The purpose of this study was to compare the effectiveness of short-term intensive psychodynamic therapy and participation in the Narcotics Anonymous group on reducing the anxiety of drug abusers.

 This was a semi-experimental study with a pre-test-post-test design with a control group. The population of the statistical population includes all men with substance use disorder who have been available from Mehr 1401 to May 1402 to de-addiction camps under the supervision of Tehran Province Welfare Organization and NA groups and randomly divided into two experimental groups and one group Controls were placed. Beck's anxiety questionnaire was used to collect data. The experimental groups were subjected to short-term intensive psychodynamic therapy and Narcotics Anonymous group for 30 sessions of 45 minutes, and the control group did not receive any intervention.

  The results showed that the difference between the experimental group and the control group was significant in the two treatments and short-term intensive psychodynamic therapy had a greater effect on reducing anxiety in people with substance use disorder (p<0.001).

 Based on the findings, it can be concluded that people with substance use disorder can achieve more anxiety regulation by learning what is considered in short-term intensive psychodynamic therapy, but short-term intensive psychodynamic techniques are more effective than the group of drug addicts anonymous. (NA) are successful in this matter.

Learning disorders are one of the common problems in schools that cause many students drop out. The purpose of this research is compare the effectiveness of theater therapy, music therapy, and painting therapy methods on the sense of competence and academic vitality in students with learning disabilities. According to the purpose, this research is considered as an applied research. The current research is semi-experimental with experimental and control group and a follow-up period. Javadan questionnaire (2014) and Martin and Marsh questionnaire (2006) were used to collect information. The statistical population of the research is the students of the second year of primary school in the 22nd district of Tehran province, who were selected based on purposeful sampling and randomly placed in four groups of 18 people. Statistical methods in the form of descriptive statistics and inferential statistics have been used for data analysis. The study of the effect of music therapy, theater therapy and painting therapy on the sense of competence in students with disabilities showed The value of the largest root statistic is 0.165, which is significant at the significance level (P<0.020), which showed that at least one of the treatment methods was able to affect the variable of the sense of competence of students with learning disabilities. Also, with the estimates obtained, it can be said that the theater therapy method has been able to perform better than the music therapy and painting therapy methods, and after that, the music therapy and painting therapy methods are ranked next

Tendency to addiction in adolescents and not paying enough attention to it, can lead them to high-risk and addictive behaviors and leave irreparable harm. according to this the present study was conducted to investigate the effectiveness of mindfulness based therapy on the self-esteem in the Mothers of children with attention deficit/hyperactivity disorder.

The present study was quasi-experimental with pretest, posttest, control group and two-month follow-up stage design. The statistical population included secondary high school students with addiction tendency in the academic year 2019-20. 30 Mother of Children with Attention Deficit/Hyperactivity Disorder were selected through purposive sampling method and they were randomly accommodated into experimental and control groups (each group of 13 mother). The experimental group received ten seventy-five-minute sessions of Mindfulness based therapy during two months. The applied questionnaires in this study included the self-esteem questionnaire (Coopersmith, 1967). The data were analyzed through repeated measurement ANOVA and Bonferroni follow-up test.

The results showed that the Mindfulness based therapy had significant effect on the Self-esteem of the Mothers of children with attention deficit/hyperactivity disorder (p<0.001) and succeeded in increasing self-esteem in these mothers.

According to the findings of the present study it can be concluded that the Mindfulness based therapy can be used as an efficient method to improve self-esteem in the Mothers of children with attention deficit/hyperactivity disorder through employing techniques such as teaching self-awareness, the manner of anger control, stress management, problem solving, and normal decision making.

Self-injurious behaviors are related to psychological problems. The purpose of the present study was to investigate the role of impulse control, cognitive strategies of emotional regulation, tolerance of emotional distress and rumination in predicting self-harm behaviors in adolescents referred to temporary harm reduction centers in Tehran.

This research was descriptive and correlational. The statistical population of the present study included adolescents aged 14 to 18 years who referred to the Transitional Injury Reduction Centers (DIC) in Tehran, District 12 (Shosh-Harandi neighborhood) in the first four months of 2022, who were referred by a simple random sampling method. 300 people were selected to these centers. Research tools include Self-Injury Questionnaire (SHI) (Sansone et al., 1998), Impulsivity Scale (BIS-11) (Barrett et al., 2004), Cognitive Emotion Regulation Questionnaire (CERQ) (Garnefski et al., 2001), Tolerance Scale Emotional Distress (DTS) (Simons & Gaher, 2005) and Rumination Scale (RRS) (Hoeksema & Morrow, 1991) Was. In order to analyze the data, Pearson's correlation test and multiple linear regression were used simultaneously.

The results have shown that there is a positive and significant relationship between impulse control and rumination with self-harm behaviors and a negative and significant relationship between emotional cognitive regulation and emotional distress tolerance with self-harm behaviors (p<0.01).

Also, the results of the regression analysis showed that impulse control, emotional regulation cognitive strategies, emotional distress tolerance and rumination explain a total of 0.83 of self-harm behaviors.There is a relationship between impulse control, cognitive strategies of emotional regulation, tolerance of emotional distress and rumination with self-harm behaviors in adolescents referred to transitory harm reduction centers in Tehran

The present study was conducted in order to compare the effectiveness of narrative therapy and cognitive behavioral therapy on the metacognitive beliefs of sexually abused adolescent girls aged 9 to 13.

This research is practical in terms of data collection, and in terms of purpose, it was based on semi-experimental research of pre-test-post-test type with a control group. From the statistical population of sexually traumatized girls aged 9 to 13 referring to psychological service centers in Alborz province, a sample of 30 people was randomly selected in three groups of ten people (narrative therapy group, cognitive behavioral approach and control group) were replaced. The research tool was metacognitive beliefs questionnaire (Baku et al., 2009). Analysis of covariance method was used to analyze the findings.

The results of the research indicated that there is a significant difference between the metacognitive beliefs of the three groups (p≤001). Both narrative therapy and cognitive-behavioral methods had a positive effect on improving metacognitive beliefs (p≤001). Comparison of two methods showed that the effect of narrative therapy was significantly greater than cognitive-behavioral therapy (p≤001).

In order to improve the metacognitive beliefs of sexually abused adolescent girls, it is suggested to use the narrative therapy method.

 PTSD is one of the chronic and debilitating psychiatric disorders, which, according to the fifth statistical and diagnostic manual of mental disorders, is part of the diagnostic set of stress-related disorders that can develop after facing a traumatic event. The purpose of this study was to compare the effectiveness of emotion-oriented therapy and acceptance commitment on post-traumatic stress and post-traumatic growth in people with post-traumatic stress disorder.

 This study was a semi-experimental study with two experimental groups and one control group, which was carried out with a pre-test, post-test and follow-up plan. The statistical population included adults aged 18 to 40 with post-traumatic stress disorder who referred to psychological centers in Tehran in 1402. The sample size was 30 people who were purposefully selected and randomly divided into two experimental groups and one control group (15 people in each group). The experimental groups received emotion-oriented and acceptance and commitment treatments during 8 sessions of 90 minutes, while the control group did not receive any intervention. To collect information, the post-traumatic growth adjustment questionnaire and the SRS-PTSD questionnaire were used. The data were analyzed using two-way analysis of variance with repeated measurements.

  The results of the study indicated the effect of emotion-oriented method and acceptance and commitment therapy on the dimensions of post-traumatic growth and post-traumatic trauma of adults with ptsd disorder (P<0.001) and the effectiveness of both methods was similar. (P < 0.05)..

 According to the results, specialists active in the field of post-traumatic stress disorder can consider the use of emotion-oriented methods and acceptance and commitment therapy in the treatment of these people along with other treatments.

The purpose of this research was to investigate the effectiveness of the educational program based on the hope of learning on the academic persistence and emotional intelligence of the twelfth grade students.

In terms of methodology, the current research is part of the semi-experimental designs of pre-test, post-test and follow-up with a control group. The statistical population of the research was all 12th grade female high school students in Hamedan city who were studying in the academic year 2008-2019. 30 students with low academic tenacity were selected from this population using the purposeful sampling method and randomly replaced in two groups of 15 people, experimental and control. The experimental group was taught 10 90-minute sessions of the program based on hope for education. The members of both groups completed the pre-test, post-test and follow-up questionnaires of Benishek and Lopez's academic tenacity in all three stages. The data were also analyzed by mixed variance analysis.

The findings showed that the mean scores of the academic tenacity variable in the experimental group compared to the control group increased significantly in the post-test and follow-up phase.

Therefore, the educational program based on the hope of learning has been effective in increasing the academic tenacity of students.

Hospitals, as the most important units providing health services, have always allocated a major part of the country's healthcare resources and budget.

The present study was conducted using a qualitative method with a phenomenological approach, which is the study of Peymaniyeh Hospital in Jahrom. The statistical population of the research is insurance experts, social security and health insurance experts, hospital managers, hospital presidents, and hospital finance officers. Data collection was done by semi-structured interview method with open questions, which reached the saturation point with the participation of 8 people, and the 7-step Claysey method was used for data analysis.

Based on the opinions and experiences of the participants in the study, two main themes and seven sub-themes were mentioned for the causes of insurance deductions (manpower errors and weaknesses and errors caused by the structure of the hospital) and for suggested solutions for prevention and Reduction of insurance deductions, four main topics and ten sub-themes were extracted, which are providing human resources, improving the level of awareness of doctors, employees, supervisors and managers, organizing the system and paying attention to the matter of supervision and inspection as the main topics of the class

Since the reduction of insurance deductions has a significant contribution in increasing the hospital's income and consequently the timely payment of salaries and finally the satisfaction of doctors and medical staff; It can ensure the provision of higher quality services with more motivation.

 Headache is one of the most common medical complaints and a debilitating neurological disorder in neurological clinics that affects the organization of patients' personality; Therefore, the present study was conducted with the aim of determining the effectiveness of short-term and intensive emotional-oriented therapy on personality organization and ego strength in women with tension headaches.

 This study was a semi-experimental method with a pre-test, post-test and two-month follow-up plan with a control group. The target population was all patients with tension headaches who referred to the specialized neurology clinic in Tehran in 1401. The sample size was determined by referring to Cohen's table. In this way, at the confidence level of 95%, the effect size was 0.30 and the statistical power was 0.83 for each group of 12 people. However, since there was a possibility of some samples falling and also in order to generalize the results, the sample size was determined to be 15 people in each group. In the first step, 45 people were selected by available sampling method, and in the second step, these 45 people were replaced in 2 experimental groups (15 people) and a control group (15 people) in a simple random way (by lottery).

  The results of the study indicated the effect of the emotion-oriented method and intensive and short-term dynamic psychotherapy on the dimensions of personality organization and ego strength in tension headache sufferers (P≤0.001) and the effectiveness of both methods was similar (P≥ 0.05)..

 According to the results, specialists active in the psycho-physical field, especially tension headaches, can consider the use of emotion-oriented methods and intensive and short-term dynamic psychotherapy in the treatment of these people, along with other treatments.

 The purpose of this research was to investigate the relationship between self-care and self-compassion, mindfulness, self-awareness and self-knowledge in college students. The research method was descriptive and correlational.

 The statistical population was all students of Islamic Azad University, Shahrood branch in 1402. The sampling method will be simple random sampling. Research questionnaires include Tobert and Glasgow's diabetes self-care questionnaire (2002), Baer et al.'s mindfulness questionnaire (2006), integrated self-knowledge scale standard questionnaire (ISK, Ghorbani, Watson and Hargis, 2008; quoted by Jalili Rad, 2013), self-awareness questionnaire It was private. Multiple regression and Pearson correlation tests were used to analyze the research data. All statistical operations of the research were considered using SPSS version 25 software with a significance level of P<0.05.

  The results showed that between the variables of self-care and self-compassion (r=0.26, p<0.001, 250df), between self-care and mindfulness (r=0.79, p<0.001, 250df), There is a significant positive relationship between self-awareness and self-care (r=0.32, p<0.001, 250df), and between self-awareness and self-care (r=0.67, p>0.001, 250df).

 According to the research results, it can be said that there is a significant positive relationship between self-care and all research variables. It is suggested that more research be done in this regard.

Controlling blood sugar and improving happiness and death anxiety can help the well-being of the elderly with type 2 diabetes, but there is a research gap in this field. The aim of this study was to determine the effectiveness of Logo therapy on blood sugar, happiness and death anxiety in the elderly with type 2 diabetes.

The research method was quasi-experimental with pretest-posttest design with a control group with a follow-up test period. Among the elderly women with diabetes in region 1 of Tehran in 1400, 29 people were selected as available research samples according to the inclusion criteria and were randomly assigned to experimental and control groups. The instruments used in this study included a blood test, the Oxford Happiness Questionnaire, and the Templer Death Anxiety. Data were analyzed by repeated measures analysis of variance.

The results showed that there was a significant difference between the mean of pre-test and follow-up test of experimental and control groups in terms of blood sugar, happiness and death anxiety. In other words, treatment significantly reduced blood sugar and death anxiety and increased happiness in the elderly with type 2 diabetes (p <0.001).

Consistent with the findings of the present study, Logo therapy can be suggested as an effective method to improve blood sugar, happiness and death anxiety in the elderly.

The aim of this study was to effectiveness of cognitive- behavioral therapy on the couples’ interpersonal interactive damages. the present study was conducted to investigate the efficacy of intimate relationship skills combined package and training marriage enrichment on the couples’ interpersonal interactive damages. The current study was quasi-experimental with pretest, posttest, control group and two-month follow-up period. The statistical population of the present study included the couples attending consultation centers in the town of Fereidounshahr in 2019 who got significantly higher-than-the-mean scores in the questionnaire of interpersonal interactive damages. 30 couples were selected through purposive sampling method and randomly accommodated into experimental and control groups (each group of 15 couples). The experimental group received twelve ninety-minute intervention sessions of cognitive-behavioral therapy during two and half months. The applied questionnaire in this study included interpersonal interactive damages questionnaire (researcher-made). The data taken from the study were analyzed through repeated measurement ANOVA. The results revealed that the cognitive-behavioral therapy have significant effect on the couples’ interpersonal interactive damages (p<0.001) in a way that this type of training succeeded in decreasing the couples’ interpersonal interactive damages. The findings of the present study showed that cognitive- behavioral therapy can be used as an efficient method to decrease the couples’ interpersonal interactive damages through employing automatic thoughts to identify fundamental beliefs, teach behavioral methods and cognitive errors and negative thoughts.

Marital conflicts impair a couple's psychological, emotional, and cognitive order. according to this the present study was conducted to investigate the efficacy of the couples’ relationship enrichment training according to selection theory on the cognitive regulation of emotion and personal commitment of the couples with marital conflicts.

The research method was quasi-experimental with pretest, posttest and two-month follow-up period design. The statistical population of the present study included the couples with marital conflicts who referred to six consultation centers in zone eight in autumn and winter of 2020 in Shiraz. 35 couples were selected through multi-stage sampling method and randomly accommodated into experimental and control groups (17 couples in the experimental and 18 in the control group). The experimental groups received couples’ relationship enrichment training based on selection theory (10 sessions) during two-and-a-half months. The applied questionnaires in this study included marital conflict questionnaire (Barati and Sanaei, 1997), cognitive regulation of emotion and questionnaire (Garnefski, Kraaij, Spinhoven, 2001) and personal commitment questionaire (Adamz, Jonz, 1997). The data were analyzed through mixed ANOVA via SPSS23 software.

The results showed that the couples’ relationship enrichment theory based on selection theory has significant effect on the positive emotional regulation (F=86.15; Eta=0.56; p<0001), negative emotional regulation (F=108.19; Eta=0.61; p<0001) and personal commitment (F=118.94; Eta=0.63; p<0001) of the couples with marital conflicts.

 Research has shown that divorce affects many psychological variables, including quality of life, and factors that moderate its effects can be useful; Therefore, the purpose of this research is to investigate the effectiveness of Alice's rational-emotional therapy on the resilience and quality of life of women on the verge of divorce in Zahedan.

 The statistical population of the research is all women referring to Zahedan city court for divorce petition. The statistical sample of the research was 30 people who were selected as available and randomly divided into two groups of 15 people, test and control. The research tools were Connor and Davidson's (2003) resilience questionnaires and the World Health Organization's quality of life. From Kolmogorov-Smironov, Mbox, Levin tests, multivariate covariance analysis was performed using SPSS version 25 software.

  The results showed that Alice's rational-emotional therapy is effective on the resilience and quality of life of women in the divorce center of Zahedan city, and Ellis's rational-emotional therapy had the greatest impact on resilience and then on the quality of life variable (P≥0.001).

 . It seems that Alice's rational-emotional treatment has an effect on all components of resilience and quality of life of women on the verge of divorce in Zahedan city.