فصلنامه روانشناسی سلامت
پیاپی 46 (تابستان 1402)

Nurses are more often exposed to cyberchondria owing to their frequent contact with patients. Thus, the present study was carried out to compare the effectiveness of metacognitive and compassion therapies on the level of cyberchondria symptoms in nurses. The research utilized an experimental method involving a pre-test, post-test and follow-up design. As for the sample size, 60 nurses from hospitals in Tabriz participated in the research in 2022. Through random selection, the nurses were assigned to three groups, i.e. metacognitive therapy, compassion therapy and control group. McLurry and Shevlin’s Cyberchondria Scale (CSS) was employed for data collection. Next, the researchers carried out data analysis with the use of the mixed analysis of variance model, Tukey's and Benferroni's post hoc tests, using SPSS statistical software (version 22). A significant P value of less than 0.05 was observed. The time factor proved to have a significant impact on the amount of cyberchondria dimensions. In other words, the level of cyberchondria dimensions decreased from pre-test to follow-up. Moreover, the interaction effect of time and group also revealed that there were significant variations among the three groups (i.e. metacognitive therapy group, compassion therapy group and control group) in terms of compulsion, distress, excessiveness and reassurance. In other words, the level of cyberchondria dimensions in the intervention groups was lower than that of the control group in the post-test and the follow-up phases. Given the effectiveness of metacognitive and compassion therapies on cyberchondria symptoms, it seems that the application of metacognitive therapy and compassion therapy interventions will alleviate and treat cyberchondria symptoms in nurses.

The present study was conducted to investigate the effectiveness of unified trans-diagnostic treatment on the emotional expression and sexual function of the infertile women. It was a quasi-experimental study with pretest, posttest and control group design. Two-month follow-up period was administered too. The statistical population included infertile women who referred to Infertility Clinic at Mother and Child Hospital and Samar Infertility Clinic in the city of Shiraz in the winter of 2021. Thirty six infertile women were selected through voluntary sampling method and randomly accommodated into experimental and control groups. The experimental group received ten sessions of unified trans-diagnostic treatment during two-and-a-half-months. The applied questionnaires in this study included Emotional Expression Questionnaire (EEQ) (King, Emmons, 1990) and Sexual Function Questionnaire (Keraskian, Mojembari and Kaiballah, 2014). The collected data were analyzed through mixed ANOVA via SPSS23 software. The results showed that unified trans-diagnostic treatment has significant effect on the emotional expression (F=39.82; Eta=0.54; P<0001) and sexual function (F=31.88; Eta=0.49; P<0001) in the infertile women. According to the findings of the present study it can be concluded that unified trans-diagnostic treatment can be used as an efficient therapy to improve emotional expression and sexual function in the infertile women through employing techniques such as identifying emotions, emotional awareness, cognitive reassessment, and identifying patterns of emotion avoidance.

The clinical course and sensory or emotional aspects of perceived pain are influenced by psychological and social factors. Therefore, the aim of this study was to investigate the structural model of pain perception in patients with refractory joint pain based on personality traits and early maladaptive schemas with a moderating role of social support. In this descriptive-correlational study, 371 patients with chronic joint pain were selected by convenience sampling method and they answered self-reportedly to the NE0 Five-Factor Inventory of Costa & McCrae (NEO-FFI), Young Schema Questionnaire - Short Form (YSQ-SF), The MOS Social Support Survey of Sherbourne & Stewart (MOS-SSS) and Short‑Form McGill Pain Questionnaire (SF‑MPQ). Data analysis was performed by path analysis method with using SPSS version 20 and Smart-PLS version 3. The results indicated a significant inverse correlation between the extraversion, openness to experience, agreeableness, conscientiousness personality traits and all components of social support; and there was a significant positive correlation between the neuroticism personality trait and early maladaptive schemas with pain perception in patients with refractory chronic joint pain. Also, the moderating effect of social support was significant in path analysis of the relationship between the latent variables of the model. Physicians and mental health professionals can use these results for therapeutic purposes and to prevent the negative emotional state of patients with chronic pain in clinical and non-clinical decisions.

Diabetes is one of the most common metabolic diseases that affects various aspects of a person's life. The aim of this study was to investigate the relationship between metacognitive beliefs and self-compassion with nutritional problems in patients with diabetes.

The research method was descriptive-correlational that 167 diabetic patients of Imam Ali Educational and Medical Complex in Karaj were selected by available sampling method.. Questionnaire used includes three standard questionnaires of Garner Eating Disorders (1983), Wells Metacognitive Beliefs Questionnaire (1997) and Neff Self-Compassion Questionnaire (2003).

Pearson correlation and multivariate linear regression test were used to analyze the data through SPSS 23 software. Based on the results observed, The relationship between metacognitive beliefs and self-compassion with nutritional problems in patients with diabetes is significant.  in stepwise regression analysis, in the first step, the metacognition variable was 11.8% and in the second step, with the addition of a 10% self-compassion variable, the predictive power of the equation was increased. In total, about 21.8% of the variance of nutritional problems was predicted through metacognitive beliefs and self-pity (0.01>p).

In general, the results showed that metacognitive beliefs and self-compassion are effective in predicting nutritional problems in diabetic patients.

Today, eating disorders are increasing among adults and their negative consequences have caused health concerns. Therefore, identifying the factors associated with these behaviors can help to prevent them. In this regard, the aim of this study was to investigate the relationship between perfectionism and childhood trauma with disordered Eating Behaviors and the mediating role of body image dissatisfaction.

among all students of Islamic Azad universities in Tehran 400 students were selected by available sampling method that 324 participants were entered in the analysis. The tools of this study include Eating Disordered Behavior Scale (EAT-26), Hill’s Perfectionism Inventory (HPI), Body Image Concern (Littleton et al., 2005) and Childhood Trauma questionnaire (CTQ).

The results of the path analysis showed that Body image dissatisfaction mediated the relationship between perfectionism and childhood trauma and eating disorders (P<0.05).

it seems that people who have been traumatized, set high standards and compensatory measures, such as disturbed eating behaviors, because of the distorted image they may have of themselves. Body image dissatisfaction can also reinforce perfectionist efforts and intensify compensatory eating behaviors in order to idealize the body.

This study aimed to investigate the structural relationship between different forms of self-criticism and female students' body image shame mediated by various aspects of fear of compassion. This research is a descriptive-correlation study; its statistical population includes all adolescent girls who studied in the second semester of 2019-1400 in high schools of Kazeroon city. Acoording to the limitations caused by the Corona pandemic, data collection was done online using a link sent to the virtual groups of the classes. The research sample includes all 581 students who participated in this study voluntarily by answering the questionnaire link. This link consists of a set of items related to the three tools: Body Image Shame Scale (BISS), Fear of Compassion Scale (FCS), and Forms of Criticism/Self-Attacking and Self-Reassuring Scale (FCSSS). To test the research model, Structural Equation Modeling was used in AMOS-22 software. The results confirmed the direct effect of self-criticism on fear of compassion and body image shame. The results confirmed the mediating role of two aspects of fear of compassion, namely fear of self-compassion and fear of others' compassion, in the relationship between self-criticism and body image shame. The findings are hopeful; Because it suggests that to prevent the experience of body image shame in adolescent girls, it is possible to rely on the relieving of self-criticism and, consequently, the relieving of fear of compassion.

The present study was conducted to investigate the efficacy of acceptance and commitment based therapy on the emotional distress and Commitment to Treatment in diabetic patients with depression. The present study was quasi-experimental with pretest, posttest, control group and three-month follow-up period design. The statistical population included type-2 diabetic people with depression who referred to therapy centers of Isfahan in spring and summer of 2022. 33 diabetic patients with depression were selected through purposive sampling method and were randomly accommodated into experimental and control groups. The experimental group received acceptance and commitment based therapy sessions (Ten sessions) during Ten weeks. The applied questionnaires included Depression Questionnaire (DQ) (Beck, Epstein, Brown, Steer, 1996) Emotional Distress Questionnaire (EDQ)(Kessler, et.al, 2002) and Commitment to Treatment Questionnaire (TCQ) (Morisky, Ang, Krousel-Wood, Ward, 2008). The data from the study were analyzed through mixed ANOVA and Bonferroni follow-up test using SPSS 23 statistical software. The results showed that acceptance and commitment based therapy has significant effect on the depression, emotional distress and Commitment to Treatment in diabetic patients with depression (p<0001) and leads to the decrease of depression and emotional distress and improvement of Commitment to Treatment in these patients. According to the findings of the present study, ACT can be used as an efficient method to decrease emotional distress and improve Commitment to Treatment in the diabetic patients with depression through employing six main processes of acceptance, fusion, observer self, relationship with the present time, value and committed action.

The aim of present study was comparison of the effectiveness of autogenic training and progressive muscle relaxation on pain and cardiac enzymes in women with chest pain.

The current research was a pre-test-post-test experiment with a control group and a three-month follow-up. The statistical population included all women with chest pain in Karaj city in 1400. The sampling method was purposeful and 60 patients with chest pain were selected in Shahid Rajaei Karaj Hospital and were placed in three groups: autogenic training, progressive muscle relaxation treatment and control group. Autogenic training consisted of 12 sessions for 90 minutes and progressive muscle relaxation intervention included 8 sessions for 2 hours. To evaluate research variables MC Gill pain intensity and pain catastrophizing were used. Troponin and creatinine phosphokinase kit (CPK-MB) were used to measure cardiac enzymes. Data analysis was done using covariance analysis and post hoc test.

The results showed that progressive muscle relaxation is more effective in reducing pain compared to autogenic training (P<0/05) and there was no significant difference between autogenic training and progressive muscle relaxation on cardiac enzymes (P<0/05).

Considering the greater effectiveness of progressive muscle relaxation on pain reduction, it is suggested that relevant experts use progressive muscle relaxation to reduce the pain intensity of patients with chest pain.

Considering the importance of speaking in public and the negative impact of Public Speaking Anxiety in professional and everyday situations, researchers have turned to new technologies such as Virtual and Augmented Reality in addition to traditional psychological treatments to reduce this anxiety. The purpose of this study is to compare the effectiveness of Cognitive Behavioral Therapy and Augmented Reality Technology in physical factors and Public Speaking Anxiety.

The current research is a semi-experimental type with a pre-test, post-test design and a control group. The statistical population is all students who suffered from Public Speaking Anxiety disorder and attended Mazandaran clinics during 2021-2022. The research sample consisted of 45 participants randomly assigned to two experimental groups and one control group (15 individuals in the cognitive behavioral therapy group, 15 individuals in the Augmented Reality technology group, and 15 individuals in the control group) using convenience sampling. The first group received cognitive behavioral therapy according to the protocol developed by Khodayari Fard and Abedini (2013). In the second group, patient's tests were assessed using physiological feedback (heart rate, body temperature, and sweating) from sensors attached to the patient's bodies and the simultaneous use of proposed Augmented Reality scenario.  The (Bartholomay & Houlihan, 2016) Public Speaking Anxiety Scale was used for all three groups before and after therapy. Data were analyzed using univariate and multivariate statistical analysis of covariance tests.

The results show that cognitive behavioral therapy is effective in Public Speaking Anxiety and some of its components, namely the cognitive (Eta factor 0.77), behavioral (Eta factor 0.74), and physiological (Eta factor 0.62) subscales of students. The results also show that Augmented Reality technology is effective in physical factors such as sweating (Eta factor 0.62), body temperature (Eta factor 0.58), and heart rate (Eta factor 0.61) of students. the average Public Speaking Anxiety of the experimental group in the Augmented Reality technology method (33.40) in the post-test phase is less than the cognitive-behavioral method (37.40). Also, treatment in the stage of (Psychologist + Sensors + proposed Augmented Reality scenario) has reduced the duration of recovery in comparison with Cognitive-Behavioral Therapy.

Both treatment methods (Cognitive Behavioral Therapy and Augmented Reality Technology) are effective in reducing Public Speaking Anxiety and related physical factors; But the effect of Augmented Reality Technology, especially in reducing the duration of treatment, is greater than that of Cognitive Behavioral Therapy. These results suggest the necessity of using augmented reality technology in the treatment of Public Speaking Anxiety.