فصلنامه روانشناسی سلامت
پیاپی 45 (بهار 1402)

Consider the role of psychological problems in the incidence and recurrence of cardiovascular disease in individuals it is necessary to treat these factors while identifying them. The aim of this study was to investigate the effectiveness of positive psychotherapy on alexithymia and repetitive negative thinking in cardiovascular patients. The semi-experimental research method was pre-test-post-test design with control group and 3-month follow-up stage. The statistical population of the study included all cardiovascular patients referred to Imam Reza Heart Hospital in Mashhad in 2021. Among them, 30 subjects (14 males and 16 females) were selected by purposeful sampling method and randomly assigned to two experimental groups (15) and control group (15). The experimental group received psychotherapy based on positive psychology perspective in 6 sessions, 60 minutes individually. To collect data, Alexei Teymia Toronto-20 questionnaire (Begby et al., 1994) and recurring negative thoughts (McEavi et al., 2010) were used. The data were analyzed using repeated variance analysis test. According to the results of this study, there was a significant difference in the scores of emotional failure variable and its components including difficulty in identifying emotions, difficulty in describing emotions and objective thinking, and repeated negative thoughts variable, considering the main effect of time stages, the main effect of psychotherapy intervention and also the interactive effect of time stages with psychotherapy intervention (P<0.01). Positive psychotherapy had effectiveness and efficiency in reducing alexithya and repetitive negative thoughts in cardiovascular patients.

Today, with the formation of a new style of life, human beings have witnessed changes and transformations in various parts of their lives, since the most important part of human life is the family, this part has also undergone changes and transformations. This article aims to study and interpret the lived experiences of families who have a person at risk for coronary heart disease, which actually includes people with an underlying disease whose immune system is weak. This research is of qualitative phenomenological type. The statistical population is all Isfahan's families with at-risk individuals who were suffering from an underlying disease during the coronation period, and 12 people were purposefully selected and interviewed in a semi-structured manner. The data obtained from the interview were analyzed by Colaizzi method. The results of the lived experiences of families with high-risk groups in five main themes that show how to respond to the crisis and perceive the role of families with the changes they experienced in lifestyle and passing through this stage along with mediating components and how to deal with these conditions in five Behavioral, cognitive, emotional, social and spiritual domains. Therefore, these findings are in line with empowering counselors and psychologists to help these vulnerable families.

During the outbreak of coronavirus, nurses and staff in Covid-19-related departments, which are at the forefront of the fight against pandemics, were exposed to a wide range of psychosocial stressors. The aim of this study was to investigate the mediating role of five personality factors in the relationship between perceived vulnerability to the disease and the experience of post-traumatic stress disorder symptoms among health-care providers for patient with Covid-19. The present study is a descriptive-correlational applied research. The study population consisted of the treatment staff of patients with Covid-19 working in hospitals in Tehran in June and July 2021, from which 677 people were selected as an available sample. The research instruments include a short form of NEO Personality Five-Factor Questionnaire, Mississippi Traumatic Stress Disorder Citizenship Scale, and Perceived Vulnerability Questionnaire was completed online by care staff. Data were analyzed using Pearson correlation method and structural equation analysis using Amos and SPSS software. The results indicate that the indirect effect of perceived vulnerability on the experience of PTSD symptoms is mediated by neuroticism and agreeableness. Screening and identifying people with high neuroticism traits and low agreeableness in the treatment staff and considering interventions to modify these personality traits can be effective in preventing PTSD.

One of the concerns of women at a young age is physical appearance and body image. This study aimed to investigate. The effects of self-compassion training on body image concern thought–shape fusion and body compassion in female students with body image concerns. The study population included all Female Students Studying In, 1399 in the Second Secondary School of the 11 Grade in Ahvaz. Using the voluntarily-convenience sampling technique among the applicants, four students who had scores higher than two standard deviations from the mean in the Body Image Concern Questionnaire were selected. A non-concurrent multiple baseline experimental single-case study was used as the method of the present study. Participants before treatment, middle of treatment (sections 1, 3, 5, & 7), end of treatment (section 9), and one month after treatment had ended completed The Body Concern Inventory (BICI), Thought-Shape Fusion Scale (TSF) and Body Compassion Scale (BCS). Data analyzed with visuals inspection, improvement percentage, and reliable change index (RCI) strategies. The results showed a stable downward trend for BCI scores and TSF and BCS that reflects the effectiveness of SCT in these variables. Thought-shape Fusion and physical compassion have played an important role in expressing body image concerns in young girls, and compassion training can be effective in reducing their concerns about physical appearance.

The aim of this study was to describe the experiences of patients who had recovered from COVID 19 on the psychological factors affecting their recovery during the disease.

This qualitative study was conducted in 1399. The data collection method was semi-structured in-depth interviews. Participants were patients who had recovered from COVID 19 and were willing to talk about their experience. Sampling was done from 3 cities of Gachsaran، Basht and Noorabad with purposeful sampling approach. Data were analyzed by content analysis method. The extracted codes were managed through MAXQDA software version 10.

A total of 15 interviews were conducted with 8 women and 7 men aged 23 to 58 years. Analysis of participants' conversations about psychological factors contributing to the recovery of patients with COVID 19 led to the identification of 305 codes، which were divided into 2 main categories، including " factors related to patient" and “Factors related to patient’s relations" and 9 subcategories.

According to the results of this study، the thoughts and behaviors of the patient، staff and acquaintances are effective in the mental health of the patient and accelerate the healing process، which need pay attention. One of the responsibilities of the medical staff is to provide consultation sessions for patients’ acquaintances and their nurses regarding the thoughts and behavior of the patient and his/her relations.

The present study was conducted to investigate the efficacy of family-based social support training on the social adjustment and self-care behaviors of the cardiac patients with the signs of depression (after open surgery). The present study was quasi-experimental with pretest, posttest, control group and two-month follow-up period design. the statistical population of the study included patients undergoing open heart surgery with depressive symptoms referred to specialized heart hospitals (Chamran, Sina and Milad) in Isfahan in the second half of 2019. 36 cardiac patients with the signs of depression were selected through purposive sampling method and randomly accommodated into experimental and control groups (17 patients in the experimental group and 19 patients in the control group). The experimental group received eight seventy-five-minute sessions of family-based social support training during two months. The applied questionnaires in this study included depression questionnaire (Beck et al, 1996), social adjustment questionnaire (Bell, 1962) and self-care behaviors questionnaire (Galiana et.al, 2015). The data from the study were analyzed through Mixed ANOVA and Bonferren post hoc test via SPSS23 statistical software. The results showed that family-based social support training has significant effect on the social adjustment and self-care behaviors of the cardiac patients with the signs of depression (p<0.001). According to the findings of the present study it can be concluded that family-based social support training can be used as an efficient intervention to improve social adjustment and self-care behaviors of the cardiac patients with the signs of depression through employing techniques such as creating social support circles, strengthening and rebuilding the social support group.

The aim of this study was to investigate the predictive role of personality traits, mindfulness and gender role attitudes on the post-traumatic growth of infertile women in Ahvaz. The research was a correlational study and the statistical population was all infertile women in Ahvaz who referred to the obstetrics and gynecology clinics of this city in 1400. The sample was 150 infertile women who were selected by available sampling method. The five-factor short form personality questionnaire of NEO (1992), Bem Gender Role questionnaire (1976), Baer et al (2006) Mindfulness questionnaire and Tedeschi and Calhoun (1996) post-traumatic growth questionnaire were used. Data were analyzed using SPSS 22 software. The results of multiple regression analysis test showed that the neuroticism component was negative and the extroversion, agreeableness  components and Mindfulness were positive and significant in predicting post-traumatic growth. In addition, the results of one-way analysis of variance test showed that women with an androgynous gender role attitude had the highest post-traumatic growth and women with a female gender role attitude had the lowest growth. The traumatic experience of infertility can be turned into a growth experience by training of mindfulness and reducing the attitude of the traditional female gender role.

The purpose of this study was to investigate the effectiveness of mindfulness-based stress reduction on perceived stress, negative mood, self-efficacy, and pain perception in patients with rheumatoid arthritis. This was a quasi-experimental study with pre-test and post-test with control group. The statistical population of this study included all patients with rheumatoid arthritis referred to Tehran Shariati hospital. A sample of 40 patients (20 females and 20 males) was selected with targeted sampling from this population and were randomly assigned into experimental (10 male and 10 female) and control (10 male and 10 female) groups. In this intervention, the experimental group underwent mindfulness-based stress reduction program during 8 sessions for 2 months, 2 hours per week, and the control group was placed on the waiting list. The experimental and control groups also completed the Perceived Stress Scale by Cohen et al (1983), the Depression, Anxiety and Stress Scale by Lovibond & Lov bond (1995), the Self-efficacy Scale by Sherer et al (1982), and the McGill pain questionnaire by Melzack (1975) at pre-test and post-test. Multivariate analysis of covariance was used to analyze the data. The results showed that in the post-test phase, mindfulness-based stress reduction treatment significantly (p<0/001) increased self-efficacy and significantly (p<0/001) reduced perceived stress, negative mood, and pain perception in patients with rheumatoid arthritis. Mindfulness-based stress reduction can be effective in increasing self-efficacy and decreasing perceived stress, negative mood, and pain perception in these patients.

This study was conducted to determine the effectiveness of schema therapy on coping styles in rheumatoid arthritis patients. The research method was semi-experimental with a pre-test-post-test and a control group design. The 30 patients with rheumatoid arthritis who met the study's inclusion criteria were selected by purposeful sampling and entered the study randomly. Schema therapy was performed based on the model of Rizzo et al. Descriptive statistics and inferential statistics indicators, including ANOVA with repeated measures, multivariate analysis of covariance, and one-way covariance in MANCOVA were used for data analysis. The effectiveness of schema therapy on the coping styles of patients with rheumatoid arthritis is stable. Comparing the pre-test-post-test and pre-test-follow-up stages showed a significant difference in all coping styles between the research groups. Also, the results showed a significant difference between the mean scores of problem-oriented, emotion-oriented, and avoidance coping styles. Performing schema therapy for rheumatoid arthritis patients can reduce the pain and suffering of these patients to some extent. It is suggested that in the policy of the country's health care system, plans be made to use schema therapy to reduce the pain of these patients.

The present study was conducted to offer the model of predicting psychosocial adaptation to disease according to health-promoting behaviors with the mediation role of self-compassion in the patients with Irritable Bowel Syndrome (IBS).

The research method was descriptive-correlational and path analysis. The statistical population of the study included the patients with IBS who referred to therapy centers and gastroenterologists in the city of Isfahan in the autumn and winter of 2020-21. The statistical population included 340 patients with IBS who were selected through Convenience sampling method. The applied instruments included Psycho-Social Adaptation to Disease Scale (PSADS) (Drogits, 1986), Health Promoting Lifestyle Questionnaire (HPLQ) (Walker et al, 1987) and Self-Compassion Questionnaire (SCQ) (Neff, 2003). The data analysis was conducted via path analysis and Bootstrap test.

The results showed that health-promoting behaviors and self-compassion have significant relationship with psychosocial adaptation to disease (p<0.01). Moreover, health-promoting behaviors and self-compassion have direct significant effect on psychosocial adaptation to disease (p<0.01). Furthermore, the results of Bootstrap showed that self-compassion has a significant mediation role in the relationship of health-promoting behaviors with psychosocial adaptation to disease (p<0.01). Finally, the model had a suitable goodness of fit.

According to the results of the research, self-compassion has a significant mediating role between health-promoting behaviors and psychosocial adaptation to illness