فصلنامه روانشناسی سلامت
پیاپی 12 (زمستان 1393)

The aim of this study was to investigate the efficacy group cognitive - behavioral on enhancing life expectancy and Reduction of depression in in women with breast cancer referred to a hospital in Kermanshah. To this end women who suffering from breast cancer were selected 24 admitted to hospital of Imam Reza in Kermanshah, the by available sampling method, after clinical interview And were replaced two groups: 12 patients were randomly assigned to control and test Then all 24 patients were tested by The research tools such as the Beck Depression Scale - Life expectancy Miller. The experimental group participated in 12 sessions in the interventions group cognitive – behavioral Where as the control group did not receive no treatment The re-test was administered for all 24 subjects after collecting the questionnaires, obtained data were analyzed using analysis of covariance and SPSS software. Findings showed that behavioral treatment - Cognitive style clusters at the level meaningful (p≤0/01) was effective in reducing depression in women with breast cancer. F=69/ 90 Also, in the level of meaningful (p ≤ 0/01) increased the life expectancy in patients has been F=71/32.

Nowadays family as an important social factor that effects chronic pain is being considered by researchers. Family is an effective environment in physical andmental health of people that provids the necessary conditions for development and achieve physical, mental and social balance. Family provids this conditions through a seres of common actions which named family function. The aim of present study was to exam the contribution of dimentions of family function in fear of movement at patients with musculoskeletal chronic pain selected randomly. Family Assessment Device (FAD) and TAMPA questionnaire for assessing fear of moovement is completed by participants. It was found that there was a relation with family function dimentions and fear of movement variables and this relation was direct and among family function dimentions, problem solving, affective involvement, affective responsiveness and communication were the most related dimentions with fear of movement and problem solving is the most related one (9.1).

Pediatric disease affects the health condition of their mothers. The present study conducted with the aim of examining the effectiveness of a mother-child attachment-based intervention on health indices in mothers of children with a chronic disease. Method of the present study was experimental with a pre/post-test design. The subjects were twenty-two mothers who volunteered for this randomized controlled trial and had a child undergoing medical treatment for their chronic disease. After being evaluated by a battery of questionnaires that included Parenting Stress Index (PSI; Abidin, 1990) and 28-form General Health Questionnaire (GHQ-28; Goldberg & Hillier, 1979) mothers were paired on the basis of health subscales scores, age, the number of family children, and the kind of their child’s disease. Each one of paired mothers was then randomly assigned to an experimental or a control group. Mothers in experimental group received ten sessions of mother-child attachment-based intervention over a 5-weeks period with their children. Meanwhile, mothers and children in control group received 10 simple conversational sessions without any psychological intervention, as a dummy intervention. Both groups were evaluated again after completing their respective treatment regimens. Multivariate analysis of covariance (MANCOVA) showed significant differences between two groups after treatment and revealed significant changes in mothers’ health indices including competency, social isolation, attachment to child, health, physical syndrome, anxiety and depression, in experimental group in pre-post-treatment stages comparison. It can be concluded that mother-child attachment-based intervention would improve quality of health in mothers of children with chronic disease.

Infertility prone people to depression and anxiety.disattention to infertile women 's emotional disorders reduces the possibilityof fertility. Psychological interventions can improve the mental health of infertile women. the effects of stress management education (cognitive- behavioral) on sterile women’s mental health. The present study is a semi-experimental survey done on a witness group. The related statistical groups are consisted of a number of sterile women recourse to Shiraz sterile center in summer 1390. For this reason, 24 sterile women having high stress scores were chosen. The chosen women were divided into two groups. The group stress management education (cognitive- behavioral) was performed during a period of 10 weekly sessions. The mental health questionnaires in two phases of pre and post tests were filled out. Also, data analysis was done according to descriptive statistical method and (covariance analysis), through using SPSS 18. The average mental health score of experiment group in post test phase has increased meaningfully in comparison to the other group as well. The acquired results signify thepossibility of stress management education (cognitive- behavioral) to be employed as a useful intermediary method in dealing with sterile women.

Breast cancer causes concerns about treatment, complications, hospital stay and cost in patients which are common. Because self-efficacy is one of the unique factors, can affect an individual's ability and understanding of what to expect before, during, and after Brest cancer surgery. In the Present study the expected outcome of the mastectomy compared with perceived treatment outcomes based on self-efficacy in women with breast cancer. In the current study, 300 female patients with breast cancer were studied before and after mastectomy using the General Self-efficacy Scale and Expectancy Outcome Incongruence. The finding yielded that there was significant difference between patients with the high and low self-efficacy based on the expectation of the result of surgery and perceived outcome of surgery. Similarly there is significant difference between the level of disease progression based on the expectation of the surgery outcome and perceived outcome of surgery. in addition, there was significant difference between breast tumor size based on the expected outcome of surgical treatment and perceived outcome of surgery. There was significant difference between elderly and non-elderly women self-efficacy. Results show the higher level of self-efficacy can be useful in establishing primary social adjustment but lead to underestimate the negative effects of surgery and may disturb psychological adjustment. Thus, high self-efficacy indirectly plays a significant role in increasing problems after mastectomy.

Asthma as a physical disease is influenced by psychological issues. This study determined the role of defense styles and resiliency in people with asthma can predict psychological vulnerability. This is a method of correlation. Study of 60 patients with asthma, adult (20 years) and 60 healthy subjects who were selected for sampling. Data collected for the defense of the scale, resiliency scale and psychological symptoms were short form. Pearson correlation test showed that the immature defense style (r=0/26), mature (r=-0/33) and resiliency (r=-0/37) with respect to significant psychological vulnerability are (P<0/001). These findings suggest that the styles of defenses and resiliency factors influencing the vulnerability of asthmatic patients is psychological. These results are important implications in the field of mental pathology, prevention and treatment to asthmatic patients.

The aim of present study was to investigate the effectiveness of modified Mindfulness-Based Cognitive Therapy (MBCT) in catastrophizing, acceptance and severity of pain in Fibromyalgia patients.

This was a semi-experimental study in which 24 women with Fibromyalgia were randomly allocated to mindfulness intervention and control groups. The Pain Cataststrophizing Scale, Chronic Pain Acceptance Questionnaire and Multidimensional Pain Inventory were completed by subjects in both groups before and after the intervention. Data were analyzed using analysis of multi covariance (MANCOVA).

The result of multi covariance analysis showed that cataststrophizing, acceptance and severity of pain have significant differences between two groups (p< 0/01). Moreover, there are significant differences in subscales of pain cataststrophizing (rumination, magnification and helplessness) and pain acceptance (Activities engagement and Pain willingness) between groups in significant level of 99%.

the present Results support of Effectiveness of modified mindfulness-based cognitive therapy for pain in reducing cataststrophizing and severity of pain and increasing pain acceptance in Fibromyalgia patients.