فصلنامه روانشناسی سلامت
پیاپی 50 (تابستان 1403)

 one of the most common chronic diseases afflicting a wide range of human population is diabetes. In addition to the body, it also affects psychological characteristics, as well as personal and social functioning of the person. Since type II diabetes has many physical and psychological complications, and meanwhile the prevalence of this disease is growing based on predictions, thus development of short-term therapeutic interventions that would promote self-care activities in these patients while also helping them use less of avoidant behaviors as they cause possible harms is essential. Accordingly, increasing hope through hope therapy in these patients can underlie positive transformations in the impaired areas of life. As such, the aim of the present research is to investigate the effectiveness of hope therapy on cognitive behavioral avoidance and self-care behavior among patients with type II diabetes.  this quasi-experimental research was performed based on pretest posttest design with control group. The statistical population consisted of all married women and men suffering from type II diabetes in Ahwaz city, who were a member of diabetes Association of this city in 2021. Then, 40 subjects from the applicant individuals and willing to participate in the research with lower scores compared to the mean value of diabetes self-care questionnaires (Tubert et al., 2000) and cognitive behavioral avoidance (Attenberg and Dabson, 2004) were chosen purposefully. After matching the subjects based on demographic characteristics such as age, gender, and history of disease, they were randomly assigned into two groups of 20: treatment group with hope therapy method (n=20) and control group (n=20).   the findings indicated that there was a difference between the hope therapy treatment group and control group regarding cognitive behavioral avoidance (F=75.680, p<0.001). Furthermore, for the variable of self-care activities, there was a significant difference between the hope therapy group and control group regarding self-care activities (F=40.240 and p<0.001). Thus, hope therapy had a significant impact on cognitive behavioral avoidance and self-care activities among type II diabetes patients (p<0.05).  based on the findings of the present research, a significant difference was found between the treatment group and control in the variables of cognitive behavioral avoidance and self-care activities. In other words, hope therapy has been effective on reducing the extent of cognitive behavioral avoidance of type II diabetes patients in Ahwaz city, and hope therapy has been influential on enhancing self-care activities of these patients in Ahwaz city. Thus, based on these findings, hope therapy can be an effective method for reducing cognitive behavioral avoidance and enhancing self-care activities among patients with type II diabetes. It is suggested that this therapeutic method be used as a complement to pharmacotherapy in governmental and private centers who deal with treating type II diabetes patients.

 The research explores the effectiveness of mindfulness training on executive functions in professional bodybuilders with physical injuries, with a focus on its impact on reducing mental rumination. The study investigates how mindfulness may influence cognitive functions and whether this influence is mediated by a decrease in mental rumination among the athletes.  he research is an applied semi-experimental study employing a randomized controlled trial design. It focuses on professional bodybuilders with physical injuries in Tehran, with a final sample of 40 participants. The participants were randomly assigned to experimental and control groups. Both groups completed pretests, and the experimental group received a 12-session mindfulness program while the control group had no intervention. Posttests were administered to both groups. Executive Function Questionnaire (EFQ), Ruminative Response Styles (RRS), and a Mindfulness Program Protocol were utilized as research tools. Analysis of covariance (ANCOVA) was used for data analysis, and path analysis assessed the mediating role of rumination in the intervention's effectiveness on executive functions.   Results Summary: After adjusting for pretest differences, there was a significant reduction in posttest rumination scores in the experimental group compared to the control group (P < 0.01, F = 37.14), with 28% of the changes attributed to the intervention. Mindfulness intervention effectively decreased rumination (P < 0.01). Moreover, 79% of the changes in posttest scores of executive functions were linked to the intervention. Significant differences in posttest scores were observed in overall executive functions (P < 0.01, F = 31.38), memory (P < 0.01, F = 31.52), inhibitory control and selective attention (P < 0.01, F = 31.69), and decision-making (P < 0.01, F = 31.28). No significant differences were found in planning, sustained attention, social cognition, and cognitive flexibility (P > 0.05). The effect size indicated that 28% of changes in executive functions, 63% in memory, 77% in inhibitory control and selective attention, and 48% in decision-making were due to the intervention. Path analysis showed significant coefficients for the influence of the mindfulness program on executive functions, memory, inhibitory control, and decision-making. Rumination played a mediating role in the effectiveness of the mindfulness program on executive functions. Mindfulness-based therapy effectively reduces cognitive distortions in professional bodybuilder athletes with physical injuries. By cultivating awareness through deep breathing and thoughtful attention, the therapy enhances mental well-being. The study highlights the mediating role of cognitive distortions in the effectiveness of mindfulness on executive functions. This suggests that mindfulness intervention positively influences executive functions by mitigating cognitive distortions. The findings advocate for the incorporation of mindfulness programs in sports psychology and therapy centers to enhance athletes' mental health.

Chronic pain as a common problem may effect on the physical health, well-being and quality of life in patients. The aim of this study was to examine the mediating role of alexithymia and moderating resilience in the relationship between insecure attachment styles and the quality of life in chronic pain patients. This study is a structural equation modeling. Among the chronic patients referred to Kashan therapeutic clinics in 2022, 188 patients were recruited through convenience sampling. In order to collect information, Revised Adult Attachment Scale (Collins & Reid, 1989), Toronto Alexithymia Scale (1992), Connor-Davidson Resilience Scale (2003) and  Quality of Life Scale (WHOQOL- BREF) were used. Data were analyzed using SPSS and AMOS 24 software. The results of correlation coefficients showed that there are significant negative correlation between the quality of life with anxious insecure attachment, dependency insecure attachment and alexithymia, while there are significant positive correlation between resilience and quality of life (P<0.01). The results showed that the proposed model of the present study has a good fit (x2/df=2.748, p<0.001, CFI= 0.91, RMSEA=0.06). In addition, the results showed that the direct effect of anxious attachment on alexithymia (β= 0.549, P<0.05) and the direct effect of alexithymia on quality of life is significant (β= -0.632, P<0.01). When alexithymia are included as mediator in the relationship between anxious attachment and quality of life, the indirect effect of anxious attachment on quality of life is -0.347, and this indirect effect is significant (P<0.01). Also, the direct effect of dependency attachment on alexithymia is significant (β= 0.297, P<0.05). When alexithymia are included as mediator in the relationship between dependency attachment and quality of life, the indirect effect of dependency attachment on quality of life is -0.188, and this indirect effect is significant (P<0.05). Therefore, The results showed that alexithymia mediates the relationship between anxious insecure attachment and quality of life (β=-0.347, p<0.01) and dependency insecure attachment and quality of life (β=-0.188, p<0.05) in chronic pain patients. Resilience also moderates the relationship between alexithymia and quality of life (β=-0.121, p<0.05). The insecure attachment may effect on quality of life through alexithymia and resilience can be a protective factor against the negative impact of this effect in chronic pain patients. These results have important implications for clinicians and researcher in the field of health psychology. Psycho-educational interventions to identify emotions and describe them and reduce alexithymia can help patients manage their emotions better and improve different aspects of their quality of life. Also, interventions based on resilience can lead to improving the quality of life in chronic pain patients.

In today's era, human knowledge has made many advances in the field of controlling and treating various diseases and medical science. However, cancer is still the second leading cause of death, and in other words, breast cancer is considered one of the most important diseases of the present century, which is one of the most common cancers in women, accounting for 32% of women's cancers. Even though this disease has a traumatic nature and causes problems in all aspects of life, fighting it after diagnosis and treatment can lead to positive changes, which is referred to as post-traumatic growth. Another variable that can affect various aspects of the lives of people with breast cancer and act as a shield against diseases and traumatic events is psychological capital. Therefore, it is important to promote post-traumatic growth and psychological capital in people with breast cancer. In this regard, the current research seeks to answer the question of whether schema therapy has a significant effect on post-traumatic growth and psychological capital in women with breast cancer. The design of the current research was a quasi-experimental type of pre-test and post-test. The research population consisted of women with breast cancer who were referred to the oncology clinic of Imam Khomeini Hospital (RA) in Tehran from 2019 to 2020. Among these people, 20 people were selected by the available sampling method and were randomly placed in the experimental and control groups (each group includes 10 people). To collect data, the tools of Tedeschi and Calhoun's post-traumatic growth Inventory (1996) and Luthans’s Psychological Capital Questionnaire (2007) were used. Young’s (2006)schema therapy training sessions were conducted in 20 60-minute sessions weekly, while the control group received no intervention. Data analysis was also done using covariance analysis in the SPSS-23 environment. The findings showed that schema therapy has an effect on post-traumatic growth and psychological capital in women with breast cancer (P<0.05). So the average post-traumatic growth and psychological capital in the experimental group increased in the post-test phase compared to the pre-test. According to the results presented about the descriptive indicators and the difference between the two test and control groups in the post-test of these indicators, it can be said that schema therapy increases post-traumatic growth and psychological capital in women with breast cancer. Schema therapy focuses on the deepest levels of cognition, i.e. schemas and the internalized voice of parents, and teaches clients to become aware of the root of their thoughts. It also helps them to evaluate the correctness of their schemas and examine the evidence that confirms and rejects them, and in this way, question negative thoughts and schemas, and change your approach to the future, the world, and yourself. In other words, first the early maladaptive schemas are identified and then they change and adaptive schemas replace them. In the behavioral pattern-breaking stage, clients were taught how to replace the schema behavioral pattern with healthier coping styles. Also, by correcting the schema of incompetence and shame, people realized their personal abilities and strengths and were able to think about their own values ​​and set goals for themselves, which led to their lives becoming meaningful and valuable and they were able to make spiritual changes in their lives. In this way, schema therapy can help a person to achieve post-traumatic growth and psychological capital. Based on the obtained results, it can be said that by using schema therapy, post-traumatic growth and psychological capital can be increased in women with breast cancer.

Chronic diseases, including diabetes mellitus, have become increasingly prevalent, posing significant physical, psychological, and economic challenges. Type 2 diabetes, accounting for approximately 90% of diabetes cases, is characterized by insulin resistance and impaired insulin production. In Iran, over 1.5 million individuals are affected by diabetes, a condition associated with a doubled risk of mood disorders. To comprehensively address this complex issue, a biopsychosocial model has been adopted to explain the disease and its contributing factors. Adherence to diabetes treatment (The degree to which a patient follows a prescribed healthcare plan, including taking medications as directed, attending follow-up appointments, and making lifestyle changes) is crucial, yet it varies widely among patients, ranging from 23% to 93%.    Non-adherence is associated with increased health risks and hospitalizations. Furthermore, diabetic patients often experience elevated cholesterol levels, emphasizing the importance of effective management. Psychological interventions, such as Compassion-Focused Therapy (CFT is a therapeutic approach that combines elements of mindfulness, cognitive-behavioral therapy, and evolutionary psychology to foster compassion, helps individuals develop a more balanced and compassionate relationship with themselves and others by addressing underlying fears and insecurities) have demonstrated potential in improving treatment adherence and overall well-being in diabetic patients. Self-compassion, encompassing self-kindness, shared humanity, and mindfulness, is central to CFT and can enhance resilience and self-care. Research has consistently shown that CFT positively impacts treatment adherence, quality of life, and stress reduction.  This research was semi-experimental using pretest, posttest and quarterly follow-up with control group. The statistical population consisted of patients with type 2 diabetes referred to Isfahan Endocrine and Metabolism Research Center in the autumn of 2021 that 46 of them were selected via purposive sampling and randomly allocated to experimental and control group (23 people in each group). The members of the experimental group underwent eight sessions of compassion-focused therapy (two 90-minute sessions per week) and the control group was waiting for intervention. Modanloo Adherence to Treatment Questionnaire (2013) and evaluation of blood lipids by specialist  doctor was done in pre-test, post-test and three-month follow-up stages in both experimental and control groups.  Data were analysed by using Mixed Model ANOVA with SPSS software version 24. The findings indicated an improvement in adherence to treatment (F=36.132, P=0.001) and the balancing of blood lipids (triglycerides, cholesterol, LDL and HDL) in the experimental group compared to the control group, as well as the stability of the results in the follow-up phase (F=70.306, P=0.001). These results align with both domestic and international research, supporting the role of self-compassion in improving self-care and treatment adherence. By cultivating mindfulness and self-compassion, CFT empowers patients to reduce negative emotions, increase motivation to follow medical advice, and develop effective coping mechanisms. Self-compassion plays a crucial role in enhancing treatment adherence among individuals with diabetes. When individuals cultivate kindness and understanding towards themselves, they are more likely to engage in healthy behaviors and make choices that support their long-term well-being. By practicing self-compassion, individuals with diabetes can reduce feelings of self-blame and guilt associated with treatment failures, which can be a significant barrier to adherence. Furthermore, self-compassion can help individuals develop a more positive outlook on life, which can increase motivation and empower them to take an active role in managing their condition. Despite limitations such as the COVID-19 pandemic and reliance on self-report measures, this study highlights the value of CFT as a complementary approach to diabetes care. By addressing the psychological dimensions of the disease, CFT enhances treatment adherence, Healthcare providers are encouraged to incorporate CFT into their treatment plans to optimize the physical and psychological well-being of diabetic patients. Continued research is warranted to further explore the long-term effects of CFT and its applicability to diverse populations.

The purpose of this study was to determine the effectiveness of stress management training based on cognitive-behavioral approach on reducing emotional problems, sleep quality and intensity of pain experience in women with chronic tension headaches. According to the random assignment of subjects and control comparison group, the research method is semi-experimental. The statistical population included all female clients suffering from chronic tension headaches to the specialized pain clinic of Khatam Al Anbia Hospital in Tehran in 2022, among whom 34 people were selected by convenience sampling and randomly assigned to two groups. 17 people were tested and controlled. In order to collect data, the chronic pain rating questionnaire (Van Kuroff et al., 1990), the sleep quality questionnaire (Bois et al., 1989) and the emotional regulation difficulties questionnaire (Gratz and Romer, 2004) were used. The experimental group received stress management therapy based on the cognitive-behavioral approach for two and a half months in 10  sessions 60-minutes.  Data analysis was done with descriptive statistics, statistical assumptions test and multivariate covariance analysis with SPSS version 26. The results show that there is a significant difference between the subjects of the experimental and control groups in terms of the post-test of the dependent variables (emotional dysregulation score - sleep quality - intensity of pain experience) with the pre-test control. The effect size shows that 69.5% of the difference between the two groups is related to the experimental program. he results of multivariate covariance analysis (MANCOVA) show that stress management training based on cognitive-behavioral theory (by controlling the effect of the pre-test as a confounding factor on the post-test) reduces the emotional dysregulation score (F=53.819, 000) P=0.0 and η=0.650), increased sleep quality (F=4.876, P=0.035 and η=0.444) and decreased intensity of pain experience (F=2.303, P=0.004 and η=0.377) had a significant effect. Stress management treatment based on cognitive-behavioral theory was effective and efficient in reducing emotional problems, sleep quality and intensity of pain experience in women with chronic tension headache. Stress management training based on cognitive-behavioral theory improves adaptive strategies and reduces the use of maladaptive strategies in female patients with headache and helps these people to reduce self-blame and blame others for suffering from the disease. This treatment can replace the control of positive emotions with negative emotions by informing and helping people's cognitive reconstruction. The cognitive-behavioral model helps the sick person to reduce negative emotional strategies and cope with pain and headache disease by correcting misplaced interpretations, guiding negative self-talk, correcting and reconstructing illogical thinking and ineffective and defective cognitions. and this cognitive reconstruction and reinterpretation of the pain and the existing situation causes less transfer of sensory-motor information of the headache and finally the perceived pain decreases.

Obesity is a major public health concern. The prevalence of overweight and obesity has increased in recent years in different countries of the world, including Iran, and has become an important issue in the field of health at the global level. Today's environments encourage excess energy intake and discourage energy consumption. Overweight individuals may respond differently to food cues in the environment than underweight individuals. This individual difference in responding to food cues can play an important role in the development of obesity. Therefore, the aim of this study was to evaluate the psychometric indicators of food cues response scale (FCRS) and investigate its relationship with body mass index (BMI). The research method was descriptive and correlational. The statistical population was 20,997 students of Tabriz University. According to the krejci-morgan table, 380 people were selected as a sample using accessible sampling method through internet and field reference. To collect the data, food cue response scale (Kang sim et al., 2023), power of food scale (low et al., 2009) and demographic information questionnaire were used. In order to use the food cue response scale (FCRS) in the present study, the original version was translated from English to Farsi. Reverse translation method was used to translate the scale. The existing flaws were fixed and the Persian version of the scale was finally approved. All the ethical principles of the research such as confidentiality and having the right to enter and leave the research were observed. The research data were analyzed with the statistical methods of confirmatory factor analysis, correlation and regression. SPSS 23 and AMOS 24 statistical software were used in data analysis. The results of confirmatory factor analysis confirmed the two-factor model of food cue responsiveness scale. The convergent validity of this scale with power of food scale was R=0.77. Checking the reliability of the total score of the scale with Cronbach's alpha method (0.91) and retest method (R=0.90) with an interval of 15 days showed that the scale has excellent reliability. The internal correlation of each item with the total score of food cue response scale was significant (p<0.01). Each of the subscales and the total score of the food cue response scale had significant predictive power of body mass index (BMI), which indicates the predictive validity of the scale and positive relationships between them. Irritability to food cues or lack of control of cognitive and behavioral responses when faced with food cues such as color, smell, taste, and other factors is the cause of obesity and overweight phenomenon. The food cue response scale is a scale with good psychometric adequacy for examining nutritional behaviors and predicting changes in body mass index. Since the food cue response scale (FCRS) has a small number of items and has favorable psychometric properties, it is suggested to use this scale in the future researches to measure in the field of nutrition, obesity prevention and food care.

The Covid-19 virus changes over time and is still present in the world. Therefore, the rate of acceptance of the vaccine and the factors affecting it should be investigated. The aim of this study was to determine the mediating role of personality traits in the relationship between the acceptance rate of corona vaccine and anxiety, depression and stress during the covid-19 pandemic. The current research was descriptive-correlation and structural equation modeling. The statistical population included all adults aged 18 to 60 in Tehran, of which 388 (81 men and 257 women) were selected by the simple random method. To collect data, Hexaco short questionnaire, depression, anxiety and stress questionnaire and the knowledge, attitude, application and concerns questionnaire of the Covid-19 vaccine were used. Then the data were analyzed with SPSS (version 24) and AMOSE (version 24) software. The findings showed that anxiety, depression, and stress have an inverse and significant effect on vaccine resistance or acceptance (β=0.15 and P=0.013). This finding was different from the results of some other researches. It was expected that the acceptance rate of the vaccine would increase with the increase of fear, anxiety and stress. However, in our study it decreased. On the other hand, the results of this research showed that anxiety, depression and stress have a positive and significant effect on personality traits (β=0.41 and P<0.001). Also, the resistance or acceptance of the Covid-19 vaccine was related to anxiety, depression, and stress, and this relationship was significant and inverse and consistent with the results of other studies. Another finding of this research indicated the existence of a relationship between personality traits and vaccine resistance or acceptance (β=0.13 and P=0.021), the results of which were not consistent with some other studies. Generally, the results indicate that the variable of personality traits can play a mediating role (P=0.038) in relation to anxiety, depression, stress resistance or vaccine acceptance. In fact, some personality traits such as extroversion, agreeableness, openness to experience and conscientiousness had less anxiety and stress. Therefore, they managed themselves better during the Covid-19 crisis. On the other hand, people who had higher anxiety and stress were more biased towards information in crisis situations and resisted accepting the Covid-19 vaccine. However, resistance to accepting the Covid-19 vaccine was different in different people. In fact, according to this research, people who had higher stress, anxiety and depression usually had to resist accepting the Covid-19 vaccine. But if they were part of agreeable and negative excitable personality traits, they would show willingness to receive the Covid-19 vaccine. On the other hand, extroverts, who were expected to be willing to accept the Covid-19 vaccine, resisted accepting it.

 The purpose of this study was to investigate the Effectiveness of mindfulness-based islamic –spiritual schemas on optimism of mothers pregnancy and infants health. The research. 

 was semi-experimental with pretest-posttest and control group. The statistical population of this study was all pregnant women referring to health centers in Ferdows in the first half of 1397, which is 492 people. 30 of them were selected by available sampling method and randomly assigned to two groups of experimental and control groups. The Conscious mind based on spiritual Islamic schema was applied to the experimental group during 8 sessionsThe Life Orientation Test (LOT) and Apgar test were used to collect information. For data analysis, covariance analysis and independent t-test were used. 

 The results showed that the mothers who participated in mindfulness-based Islamic-spiritual schemas were at a higher level than the mothers who did not attend the program and were in the control group. 

 The first and fifth minutes of Apgar scores in the infants of mothers who participated in mindfulness-based Islamic -spiritual schemas were higher than those of the mothers who were not present in the program and were in the control group. In general, it can be said that the mindfulness course based on the spiritual Islamic schema has been effective in increasing the optimism of pregnant women and has increased the optimism of the participants in this course. With inner peace, the practical application of calling spiritual experience and familiarity with the concept of mindfulness and its implementation, which the researcher presented to the experimental group during his training sessions, was related. By placing people's beliefs, spirituality affects important cognitive evaluations in the coping process and helps a person to evaluate negative events in a different way and creates a stronger sense of control and causes people to be optimistic. Mindfulness exercises, by increasing people's awareness of the present moment, through techniques such as paying attention to breathing, paying attention to the body, and directing awareness to the here and now, have a positive effect on the cognitive system and information processing, and create optimism in the person. He said that the effect of the mother's psychological processes on the growth and health of the fetus is very broad, comprehensive and important, because the mother's mental state is greatly affected by the emotions of the intrauterine state. And this is the cause of many emotional and developmental differences in babies. According to this research, the fetus is affected by the mother's hormonal changes and goes through its growth stages, and the mother's stress causes an increase in the secretion of cortisol, or the stress hormone, and has a negative effect on the health of the fetus. For this reason, it is recommended that expectant mothers have more physical and mental rest during this period in order to have healthier children.