نشریه خانواده و بهداشت
سال دوازدهم شماره 4 (پیاپی 35، زمستان 1401)

ntroduction:

 Breast cancer is the most important and common disease among women, which has the second highest mortality rate after lung cancer, so this research aims to investigate the effectiveness of cognitive behavioral therapy group on resilience, social adaptation of women with cancer. It was the chest.

The current research was semi-experimental, using a pre-test and post-test design with a control group. The study sample was selected by available sampling from among 113 women with breast cancer in Kermanshah city in 2017, 30 patients were selected and randomly assigned to two groups of 15 people, test and control. The intervention group underwent 10 90-minute group therapy sessions for two months; And the control group did not receive any treatment. Ahmadi social adjustment questionnaire (1369) was used as an evaluation tool before and after the intervention. Data analysis was done using multivariate covariance analysis using SPSS version 24 software.

The results showed that the cognitive behavioral therapy group had a significant effect on the social adjustment of women with breast cancer, and there was a significant difference between the experimental and control groups (p < 0.05).

The results of this study indicate the usefulness of the cognitive behavioral therapy group in increasing the social adaptation of women with breast cancer; Therefore, it is recommended to use this therapeutic approach to improve the social adaptation of these patients.

The aim o f this study was to evaluate the effectiveness of acceptance and commitment based therapy o n couples' flexibility during coronation..The method of the present study is considered as a applied research in terms of purpose and in terms of data collection method is a quasi-experimental research with pre-test and post-test with a control group. The statistical population of this study included all couples referring to counseling clinics in Mashhad. The selected sample consisted of 3 4 subjects who were selected from two counseling clinics by available sampling and then randomly assigned to the control and experimental groups. The experimental group received acceptance and commitment based therapy but the control group did not receive any training. The instrument used in this study was the cognitive flexibility of Dennis and Vanderwall (2010). The data were analyzed using the statistical method of analysis of covariance. Increased cognitive flexibility in couples(p <0.05).According to the obtained results, i t can be stated that acceptan ce and commitment therapy is one of the useful treatment methods in increasing the flexibility of couples durin g the corona and can increase the quality of li fe and psychologica l well-being in couples. Therefore, this treatment method can be used as one of the usef ul treatments in this field during corona.

The criterion of a healthy family is the couple`s sexual satisfaction.The aim of this study was to investigate the mediating role of cognitive emotion regulation in the relationship between sexual pain disorder based on early maladaptive schemas and sexual schemas.

The Research method was descriptive and the statistical population included all women referred to sex clinics in Tehran that 220 qualified women were selected using cluster sampling. In this study, Granfsky (2001) Cognitive Emotion Regulation Scales, Young Form Scheme (2003), Anderson and Siranowski (1994) Sexual Schematic, and Vaginismus Raisi et al. (2015) were used as tools. The evaluation of the proposed model was done through structural equation modeling (SEM) and using AMOS software. Intermediate relationships in the proposed model were tested using the bootstrap method.

The results of structural equation modeling indicated an acceptable fit of the model and showed that early maladaptive schemas and sexual schemas with the mediation of cognitive regulation of emotion predict sexual pain disorder.

Therefore, it is recommended to pay attention to these components in clinics and treatment centers for sexual disorders in order to treat and improve sexual pain disorder.

People with diabetes face psychological challenges. Attention to acceptance and commitment therapy is important in this regard. The aim of this study was to evaluate the effectiveness of acceptance and commitment based therapy on distress tolerance and cognitive flexibility.

The quasi-experimental research design was pretest-posttest with a control group. The statistical population included all type 2 diabetic patients referred to the Maternal Diabetes Center, Touba specialized and sub-specialized clinic and Mostafavian clinic in Sari in 2009-2010. Thirty people were selected as the sample by available sampling method and randomly assigned to an experimental group (15 people) and a control group (15 people). The intervention group underwent 90 minutes of treatment based on acceptance and commitment in 8 sessions once a week. However, no intervention was performed on the control group during this period. The Simons and Gaher (2005) Emotional Anxiety Tolerance Questionnaire and the Dennis and Vander Wal (2010) Cognitive Flexibility Questionnaire were administered. Data were analyzed using mean, standard deviation and analysis of covariance using SPSS-23 software. P value less than 0.05 was considered significant.

The results showed that the treatment was based on acceptance and commitment on distress tolerance (F = 807.6, P <0.001) and cognitive flexibility (F= 814.89, P< =0 /001) had a significant effect.

Cognitive therapy based on acceptance and commitment based on distress tolerance and cognitive flexibility was effective. Therefore, this intervention can be used to reduce the psychological problems of patients with type 2 diabetes.

Severe emotional, social and economic stress of depressive disorder for patients, family and community on the one hand and the increasing annual prevalence in the general population plus suicide as a catastrophic consequence of depression is still at the forefront of mental health issues. The aim of this study was to compare the effectiveness of cognitive-behavioral therapy and behavioral activation therapy on psychological hardiness in depressed individuals.

According to the purpose of this research, it was quasi-experimental applied research with pretest and post-test with two experimental groups and a control group. The statistical population of the study included all people with depression in Babol who referred to psychotherapy clinics in Babol in 2022. From the above statistical population, at first, 50 people who obtained a moderate to high score in the Beck Depression Inventory were randomly selected, and in the next stage, according to Cohen's formula, 45 of these 50 people were divided into 3 groups of 15 (2 experimental groups and one the control group were randomly assigned to answer the Ahvaz Psychological Hardiness Questionnaire Kiamarsi, Najarian and Mehrabizadeh. The results were analyzed by Spss 26 software.

The results showed that the main effect of behavioral behavioral therapy and behavioral activation was significant (P <0.001). Behavioral and 55% of the changes are due to the effect of behavioral activation intervention. Also, there is no significant difference between the effect of two methods of behavioral methodology and behavioral activation on psychological hardiness (p <0.248) and both treatments have a similar effect on psychological hardiness.

According to the findings, it is concluded that cognitive behavioral group therapy and behavioral activation can be effective in improving the psychological toughness of depressed people.

Marital relationship in life like any other relationship has positive and negative aspects. Marital satisfaction is one of the most important determinants of success in marriage, so this research was conducted with the aim of investigating the effectiveness of couple therapy based on schema therapy on marital satisfaction of couples.

The current research was a semi-experimental type of pre-test and post-test with a control group. The statistical population of the research includes all couples who have been married for 1 to 5 years and had referred to Mehrdostan Counseling Center in Tehran due to marital dissatisfaction. 60 people (30 couples) were selected by available sampling and assigned to two experimental (15) and control (15) groups. In order to collect data, Enrich's Marital Satisfaction Questionnaire was used. Couple therapy based on schema therapy was held in 8 sessions of 90 minutes for the experimental group. SPSS-24 software was used to analyze the data.

The results show that couple therapy based on schema therapy is effective in increasing and improving marital satisfaction of couples (p<0.01).

The findings of this research acknowledge the importance of using couple therapy based on schema therapy in increasing and improving the marital satisfaction of couples. This approach can be used to reduce the damage in marital relationships.

Mobile phone is mostly used as a personal communication tool, but in addition to the benefits it brings, it also has some risks for its users. This study aimed to determine the relationship between cognitive emotion regulation and mindfulness with the Problematic use of mobile phones among medical students.

It was a descriptive-correlational study. The statistical population included all the students (n = 5928) of the Islamic Azad University of Tehran, Medical Sciences Branch, in the first semester of 2020-2021. The sample size was estimated to be 200 using convenient sampling method. The research tools included the mobile phone overuse scale (Jenaro et al., 2007), the cognitive emotion regulation questionnaire (Garnefski et al., 2001) and the mindfulness scale (Baer et al., 2006). Data were analyzed through Pearson correlation and multiple regression.

The results showed that components of cognitive emotion regulation including self-blame, rumination, catastrophizing and others-blame can positively and significantly change the Problematic use of mobile phones and positive reappraisal can negatively and significantly predict the acceptance of changes in the Problematic use of mobile phones. Also, the components of mindfulness including observation, acting with awareness, being non-judging and describing can negatively and significantly predict changes in the Problematic use of mobile phones.

According to the results, it is recommended to hold various training sessions and workshops in the field of cognitive emotion regulation for students to improve the variables related to mindfulness for the correct and effective use of mobile phones.

Since cognitive emotion regulation and psychological resilience play an important role in dealing effectively with life problems, disturbing them can lead to emotional disturbances, including major depression; Therefore, the present study aimed to compare the effectiveness of cognitive-behavioral therapy and therapy based on acceptance and commitment on emotion regulation and psychological resilience of depressed people.

The present study is applied in terms of purpose and semi-experimental in terms of method with pre-test and post-test design with control group. The statistical population of this study included all people with major depressive disorder who referred to the counseling center of Islamic Azad University, Isfahan Branch. A total of 40 people were selected by available sampling method and randomly assigned to experimental and control groups (20 people in each group). Each group underwent cognitive-behavioral therapy and acceptance and commitment-based therapy in 8 sessions of 90 minutes. Using clinical diagnostic interview, Garnfsky and Legerstimord Cognitive Emotion Regulation Questionnaire and Dennis and Vanderwall Psychological Flexibility Questionnaire. Were evaluated. Data were analyzed using independent t-test.

The results showed that cognitive-behavioral therapy and therapy based on acceptance and commitment are effective on emotion regulation and psychological resilience of depressed people in the post-test.

Acceptance and commitment therapy is more effective than cognitive-behavioral therapy on emotion regulation and psychological resilience of depressed people in post-test and follow-up.

The purpose of this research was to predict marital satisfaction based on resilience and self-efficacy variables during the corona virus epidemic.

The current research design was of descriptive-correlation type and in terms of purpose, it was applied research. The statistical population of this research included all married students who were studying in the second semester of the academic year 1400-1399 at Payam Noor University, Karaj branch, and due to the unknown size of the statistical population, 123 people were selected as the sample of the study by sampling in were selected and answered the marital satisfaction questionnaires of Hodson (1992), Connor and Davidson's resilience (2003) and Scherer's self-efficacy (1982). In order to analyze the obtained data, descriptive statistics (mean, standard deviation) and inferential statistics (Pearson correlation and multivariate regression) were used. All stages of statistical analysis were done using spss software version 24.

The findings showed that 29% of the variance of marital satisfaction was predicted by resilience components and 34% of the variance of marital satisfaction was predicted by self-efficacy components. Also, 42% of the variance of marital satisfaction was explained by resilience and self-efficacy variables.

The research findings indicated that resilience and self-efficacy variables can predict the marital satisfaction of couples during the corona virus epidemic

The aim of this study was to evaluate the effectiveness of self-care-based therapy on mental intolerance and emotional distress tolerance in women with multiple sclerosis in 2021.

The research method was quasi-experimental pre-test-post-test with a control group. The statistical population of the study consisted of all women with multiple sclerosis covered by the welfare of Sarakhs city of Khorasan Razavi province in February and March of 2021, from which 30 people were selected by available sampling method and randomly divided into 2 groups. Experiments and controls (15 people in each group) were placed. The experimental group underwent 8 sessions of 60-minute treatment focused on compassion and the control group did not receive any intervention until the end of the study. The research instruments included Alikhani et al.'s (2017) and Simmons and Gahr (2005) distress tolerance questionnaires. Research data were analyzed by multivariate analysis of covariance using SPSS software version 26.

The results showed that compassion-focused therapy is effective on mental intolerance and emotional distress tolerance in women with multiple sclerosis (P<0.05).

According to the findings of the study, it can be said that treatment focused on compassion is an important factor and effective in increasing anxiety tolerance and reducing mental intolerance in women with multiple sclerosis.