نشریه روان پرستاری
سال یازدهم شماره 1 (پیاپی 55، فروردین و اردیبهشت 1402)

Marital infidelity is a source of intense distress for personal and interpersonal couples life and destroyer their relationship. The purpose of this study was to effectiveness of intensive short-term dynamic psychotherapy on self-differentiation and attachment behavior in couple relationships in women with tendency to marital infidelity.

This semi-experimental study was conducted with a pretest-posttest- follow-up 2 month design with control group. The statistical population of the present study was all married women with tendency to marital infidelity who referred to the psychological centers of in Tehran city in year 1401, using the convenience sampling method, 40 people were selected and randomly placed in two groups of 20 people. Data collection tools included attitudes toward infidelity scale, self-differentiation inventory and accessibility, responsiveness, and engagement scale. Then the experimental group received intensive short-term dynamic psychotherapy for 9 weekly sessions for 90 minutes. but the control group received no intervention. Data analysis was performed using analysis of variance with repeated measures with SPSS-24.

The results of the study showed that of short-term dynamic psychotherapy in post-test had a significant effect on self-differentiation and attachment behavior in couple relationships and results in the follow-up phase also indicated the stable effectiveness of short-term dynamic psychotherapy in experimental group (P<0.05).

Based on the results of the present study, it can be said that short-term dynamic psychotherapy can be used as a treatment method on self-differentiation and attachment behavior in couple relationships in women with tendency to marital infidelity in counseling centers and psychological services.

Negative emotions can have destructive effects on the treatment and recovery process of breast cancer patients. The present study aims to investigate relationships between emotional processing deficits with post-traumatic stress symptoms, and adherence to treatment in patient with breast cancer with the mediating role of cancer stigma.

in terms of the purpose, the present research is a part of basic research, and in terms of the method of data collection, it is a type of descriptive (correlation) studies. the statistical population of the present study included women aged 18 to 60 years with breast cancer who referred to the oncology clinic of kausar hospital in karaj, and 206 people were selected using the convenience sampling method. Participants answered the PTSD Checklist (Blevins et al., 2015), the Emotional Processing Scale (Baker et al., 2007), the Cancer Stigma Scale (Marlow & Wardley, 2014), and the Morisky et al. (2008) Treatment Adherence Questionnaire. The findings were analyzed through the advanced statistical method of structural equation modeling and using SPSS26 and SmartPLS 4 software.

The results of the model fit indices showed that in the current model, the value of SRMR was less than 0.08 and the numerical value of NFI was higher than 0.9. Therefore, it can be said that the assumed model of the current research has the necessary fit with the data. Structural Equation Modelling demonstrated that emotional processing deficits was positively associated with PTSD (β= .607; T=5.06; P<.001) and stigma (β= .896; T=48.63; P<.001). The results showed a non-significant relationship between emotional processing deficits and treatment adherence (β= -.313; T=1.83; P=.07), stigma with PTSD (β=-.225; T=1.68; P=.09), and stigma with adherence to treatment (β= .091; T=.526; P=.599). Multiple mediator modeling provided evidence that stigma partially mediated the relationship between emotional processing deficits and PTSD, and a full mediated relationship between emotional processing deficits and treatment adherence.

According to the results of this research, it is necessary not to be limited to medical treatments and by establishing counseling and psychotherapy centers in hospitals and oncology centers, in the process of improving emotional control, quality of life and stress of breast cancer patients, he took effective measures.

As the maternal role is critical, it is necessary to identify the psychological mechanisms related to this role. This study aimed to evaluate the relationship between the mother’s attachment style and mother-infant bonding in the first pregnancy considering the mediating role of mentalization.

This was a descriptive-correlational study. The sample population included the women who had gone through their first pregnancy and were referred to the health centers in Neyshabur, Iran in 2021-2022. In total, 330 women were selected by convenience sampling. To collect data, we used a demographic questionnaire, the Attachment Style Questionnaire (ASQ), the Mother-Infant Bonding Scale (MIBS), and the Reflective Functioning Questionnaire (RFQ). Data analysis was conducted using descriptive indices, correlation coefficients, and structural equation modeling in Spss-24 and Amos-24.

Overall, the findings showed that the studied model adequately fits the data. Further, the obtained results confirmed the mediating role of mentalization in the relationship between the mother’s attachment style and mother-infant bonding. A significant correlation was also observed between attachment styles, and mother-infant bonding (p<0.01).

Mother-infant bonding is correlated with the mother’s attachment style and mentalization. Thus, we can help vulnerable mothers by improving the quality of psychological care before the first pregnancy or during pregnancy.

Increasing age and the onset of middle age are associated with inevitable changes in cognitive abilities. Therefore, the present study aimed to investigate the relationship between religious behavior and cognitive ability of middle-aged people with the mediation of Positive meta-emotions.

The design of the present research was a correlational description and the statistical pupulation included all the middle-aged people of Shiraz city in 1400, which 247 middle-aged people were selected by available sampling method. In order to collect information, religious behavior scale, cognitive ability questionnaire and positive meta-emotion scale were used, which were completed online and through virtual networks. Data were analyzed using correlation and path analysis in SPSS and AMOS software.

Religious behavior has a significant positive relationship with positive meta-emotion (p=0.001 and β=0.49). Also, positive meta-emotion has a positive and significant relationship with cognitive ability (p=0.001 and β=0.36). The path of direct relationship between religious behavior and cognitive ability was also significant (p=0.009 and β=0.26). Therefore, the results of the path analysis indicated that positive meta-emotion can play a mediating role in the relationship between religious behavior and cognitive ability.

Therefore, according to the results of the present study, by providing therapeutic interventions based on improving religious behavior and positive meta emotions, it is possible to increase the cognitive ability of middle-aged people and thus to prevent or control cognitive decline in middle life and elderly.

Generalized anxiety disorder is one of the anxiety disorders that has caused many problems in the field of health for nurses. Therefore, the present study was conducted with the aim of investigating the effect of mindfulness-based cognitive therapy in anxiety sensitivity, deficits in emotional processing and distress tolerance of nurses with symptoms of generalized anxiety disorder.

The research was a quasi-experimental study with a pre-test-post-test design with a control group. The statistical population in this study included all nurses living in Karaj city in 2022. 30 nurses suffering from generalized anxiety disorder were selected as a sample by convenience sampling and randomly replaced in two experimental (15 people) and control (15 people) groups. During eight 90-minute sessions, the experimental group was subjected to mindfulness-based cognitive therapy 2 days a week, but no intervention was performed on the control group. Both groups (control and experimental) responded to the emotional processing scale-revised (EPS-R), anxiety sensitivity index (ASI) and distress tolerance scale (DTS) before and after the intervention. To analyze the data, multivariate analysis of covariance was used using SPSS software version 23.

There was a significant difference between the average post-test scores of the intervention group and the control group, so that mindfulness-based cognitive therapy significantly led to a decrease in anxiety sensitivity and deficits in emotional processing and an increase in distress tolerance in the intervention group (P>0.01).

According to the obtained results, mindfulness-based cognitive therapy, on the one hand, by implementing techniques that are related to the component of mindfulness, reduces anxiety sensitivity in nurses, and on the other hand, by changing patterns Cognitive and identification of cognitive errors leads to an increase in the ability to control thoughts and emotions and to improve the way of dealing with negative emotions, which in turn improves the emotional processing and distress tolerance of nurses with generalized anxiety disorder. Therefore, it is recommended as an effective intervention to reduce the cognitive and emotional problems of nurses with generalized anxiety disorder.

Depression is considered one of the most common mental disorders, and knowing the variables affecting it plays a significant role in people's health, quality of life, and occupational and academic performance. So the purpose of the study was to examine the relationship between emotional clarity, intolerance of uncertainty, and cognitive flexibility with depression symptoms in college students.

The present study was conducted with a descriptive and correlational method. Samples of this study were students of Mohageg Ardabili University in the 2020-2021 semester (n=12000). 350 of them were selected by the available sampling method. the questionnaires including the Beck Depression Inventory (Beck, 1966), Trait Meta Mood Scale(saluvey et al, 1995), Intolerance of Uncertainty Scale (Friston, 1994), and cognitive flexibility scale(vender, valp, 2010) were completed by students. And those with ratings of 14 and above in BDI were selected as people with depression symptoms and final samples (249 students). The study's data were analyzed by multiple regression and Pearson correlation in SPSS v19 software.

The results showed that depression symptoms were correlated negatively with emotional clarity (p<0/05, r=-0/142) and cognitive flexibility (p<0/01, r=-0/125) and correlated positively with intolerance of uncertainty(p<0/05, r= 0/221). Regression analysis showed that emotional clarity predicts overall 45% of depression symptoms and intolerance of uncertainty and cognitive flexibility also predicted 33% and 21% of depression symptoms.

Depression symptoms are predictable through emotional clarity, intolerance of uncertainty, and cognitive flexibility. So we're suggesting that psychologists and counselors consider the role of emotional clarity, intolerance of uncertainty, and cognitive flexibility in improving depression symptoms.

Breast cancer (BC) is the most common cancer diagnosed in women in Worldwide.A breast cancer diagnosis can be a life-changing and stressful experience that can lead to chronic mental health conditions such as posttraumatic stress disorder (PTSD) and fear of cancer recurrence(FCR). This study examined the effect of written exposure therapy and mindfulness-based stress reduction on post-traumatic stress symptoms and fear of recurrence in women with Breast cancer.

Sixty females with breast cancer and clinical symptoms of PTSD referred to the Shahid Rajaei Hospital in Babolsar, Iran were randomly assigned to one of the three WET (n = 20), MBSR (n = 20) or control (n = 20) groups. WET is a 5-session low-intensity exposure-based intervention for treating PTSD. MBSR is a systematic educational program during an 8-week period. The control group had no additional contact. Measures assessing PTSD and fear of cancer recurrence were administered at baseline, post-intervention, and 2-month follow-up.

Both the WET and MBSR groups achieved significant improvement in PTSD as measured by the PCL-5 with statistically significant differences between groups. However, compared with MBSR, the WET group showed a statistically significant improvement in PTSD on the self-reported PTSD Checklist over the five weeks. In addition, no differences between WET and MBSR groups were observed on the fear of recurrence.

Both WET and MBSR appear to have beneficial effects in treating PTSD ans FCR in women with breast cancer in IRAN, with greater improvement observed in self-reported PTSD symptoms in the WET group. Therefore, experts, researchers and therapists in this field can use these interventions as effective treatment options based on research evidence to improve the psychological functions of breast cancer patients along with their medical treatments and, accordingly, health indicators.

Childhood injuries and traumas can affect the psychological characteristics of people throughout their lives. Childhood traumas can lead to the formation of maladaptive schemas and the occurrence of suicidal thoughts in adulthood. The current research purpose was modeling suicidal thoughts based on childhood trauma with the mediating role of maladaptive schemas.

This research is a correlational study method. The statistical population of the present study is consiste of all the adults in Tehran who experienced physical and sexual adversities in childhood. The sample included 300 people with a history of childhood adversity who were selected by available sampling. In order to measure the research variables were used childhood trauma questionnaires (CTQ), Beck Suicidal Thoughts Questionnaire (BSSI), and Inconsistent Schemas Questionnaire (YSQ-SF). The data was analyzed path analysis using Amos software.    

The findings showed that the direct effect of childhood trauma on suicidal thoughts is significant (P <0.05). Also, the results show that early maladaptive schemas play an intermediate role in the relationship between childhood traumas and suicide thoughts (P <0.05).

early maladaptive schemas mediate the relationship between suicidal thoughts and childhood trauma, and to work on suicidal thoughts, the role of schemas and unfortunate childhood experiences should be considered.

Divorce is one of the most important challenges of any society that changes people's lives. Therefore, the present study aimed to comparing the effectiveness of dialectical behavior therapy and mindfulness based on cognitive therapy on marital satisfaction and resilience of women seeking divorce.

The results showed that there was a significant difference between the experimental groups and control group; And both therapy-intervention dialectical behavior therapy and mindfulness based on cognitive therapy had a significant positive effect on marital satisfaction and resilience of women seeking divorce (P <0.05). Also, the results of Bonferroni post hoc test showed that the effectiveness of dialectical behavior therapy on marital satisfaction was higher than mindfulness based on cognitive therapy (P <0.05). the effectiveness of mindfulness based on cognitive therapy on resilience was higher than dialectical behavior therapy (P <0.05).