درخت حوزه‌های تخصصی

A B S T R A C T Objective: Depressive mood along with boredom and unhappiness is one of the main consequences of addiction treatment and investigating the reduction strategies is of absolute and sheer necessity. The present research aims to investigate the effectiveness of problem solving training program in happiness and coping style of individuals suffering from drug abuse. Methods: Therefore, in a semi-experimental study, the addicted individuals having low rate of happiness (N=36) were selected through random cluster multi-stratified sampling and assigned into the experimental and control groups. Both groups were measured by Oxford Happiness Inventory and Coping Styles Questionnaire and the experimental group underwent problem solving skills training. Results: the results of covariance analysis, Pearson correlation coefficient, variance analysis with repeated measure and t-test indicated that, happiness level (Eta square=.24) and coping style (Eta square=.31) of the experimental group has increased and there is between-group difference in three stages of intervention at 99% of significant level. It can also be concluded that, there is significant relationship between rational coping style (.57), detached coping style (.47) and the increase of happiness in subjects. Moreover, there is significant and negative relationship between emotional coping style (-.41), avoidance coping style (-.35) and the decrease of happiness among the subjects. Increased rate of happiness and rational coping skills were observed in the experimental group. The more the individual uses rational and detached styles, the more his/her happiness is and the more s/he uses emotional and avoidance coping styles, the less her/his happiness is.

Objective: The aim of present study was to predict perceived social support based on perceived stress mediated by cognitive emotion regulation in patients with ulcerative colitis. Methods: The method of study was correlational, structural equation modeling type. The statistical population of the present study included all patients with ulcerative colitis, referred to gastroenterology clinics in Districts 4 and 7 of Tehran in 2019. Among them, 261 people were selected through purposeful sampling method. The research tools included perceived social support scale (Zimet et al., 1998), perceives stress scale (Cohen et al., 1983), and cognitive emotion regulation scale (Garnefski and Kraaij, 2006). Results: The results revealed a negative relationship between perceived stress and perceived social support (β=-0.13, t=2.04) and negative relationship between perceived stress and cognitive emotion regulation (β=-0.21, t=2.96) in patients with ulcerative colitis. A positive relationship was also found between cognitive emotion regulation and perceived social support (β= 0.47, t=7.18) but cognitive emotion regulation had no mediating role between perceived stress and perceived social support in patients with ulcerative colitis (β= 0.09, p>0.05). Conclusions: Although there were direct relationships between perceived stress, perceived social support and cognitive emotion regulation but the results revealed no indirect relationship between perceived stress and perceived social support mediated by cognitive emotion regulation in patients with ulcerative colitis. Thus, paying attention to these variables helps researchers and therapists in design of appropriate therapy for Ulcerative Colitis patients.

Objective: Both of the defense mechanisms of ego and depression, affects the intensity of the pain in the patient with chronic pain. The present study investigates the mediating role of depression in the relationship between immature ego defenses and perceived pain intensity in patients with chronic pain. Method: Research was conducted on 503 patients with chronic pain who were referred to pain centers in Tehran. Participants were asked to answer Numerical Rating Scale (NRS) for perceived pain intensity, Defense Styles Questionnaire (DSQ-40), and Depression, Anxiety, and Stress Scale (DASS). Results: The results indicated that depression plays a mediating role in the relationship between immature ego defenses and perceived pain intensity in patients with chronic pain. Conclusion: the relationship between immature ego defenses and the perceived pain intensity is not a simple linear one, but is mediated by depression. So, depression has an important role in Transforming of defense mechanisms to the pain.

objective: The aim of this study was to determine the effect of group therapy in cognitive-behavioral manner on anxiety, stress and despair of Multiple sclerosis patients in Tehran. Method: This study was a quasi-experimental study with pre-test-post-test with control group. Twenty patients referred to the available medical centers were selected as a sample and randomly assigned to two experimental and control groups. In this study, Kalmogorov-Smirnov, Levene and Covarians tests were evaluated with Spss software. also, Beck Anxiety Inventory Questionnaire, Cohen's Perceived Stress Questionnaire (PSQ) and Beck's Hopelessness Scale questionnaire were applied to collect data. Results: The results of the present study showed that there is a significant difference between the experimental and control group of anxiety, stress and despair with 95% confidence level. Therefore, all three main hypotheses were confirmed and the null hypothesis was rejected. In reducing anxiety, stress, and despair in MS patients, group therapy is effective in a cognitive-behavioral manner. Conclusion: Cognitive-behavioral group therapy reduced stress, anxiety and despair in patients with MS and improved mental health of these patients. Therefore, this treatment method can be considered a treatment in clinics.

Objective: Women with human immunodeficiency virus (HIV) experience negative emotions. Considering the importance of these emotions and their significant impact on mental health of women with HIV, and also considering the gap of information in this regard, this study aimed to assess the effect of compassion-focused therapy on mindfulness and rumination in women with HIV. Method: This was a quasi-experimental study with pre-test and post-test phases, and a control group. Sixty women with HIV were selected and randomly assigned to the experimental and control groups. The experimental group received nine 90-min sessions of compassion-focused therapy, held once a week. The instruments used included the Five-Facet Mindfulness Questionnaire (FFMQ) and the Rumination-Reflection Questionnaire (RRQ). The questionnaires were filled-out by patients in both the experimental and control groups in two stages before and after the intervention. Results: According to the analysis of covariance (ANCOVA), compassion-focused therapy significantly increased the mindfulness dimensions (observing, non-judging, non-reactivity to inner experience) in the experimental group, compared with the control group at post-test (P<0.05). No significant difference was observed between the experimental and control groups in terms of rumination-reflection.Conclusion: It appears that compassion-focused therapy would be effective in increasing the mindfulness dimensions in women with HIV.

Background: This study aimed to compare quality of working life and memory self-efficacy beliefs in people with different circadian rhythms and physical activity levels. Materials and methods: The study took a causal-comparative method. Subjects consisted of 149 fixed and rotating shift employees, working in health enters and hospitals that were participated based on inclusion criteria. The subjects completed demographic, international physical activity, quality of working life and memory self-efficacy questionnaires. All data were analyzed using two-way ANOVA and Bonferroni post hoc test. Result:The results show that the quality of working life and memory self-efficacy are different in fixed and rotating shift employees at three levels of high, medium and low physical activity. Employees with fixed shift and high and medium physical activity level have higher quality of working life and memory self-efficacy than other employees. Moreover, quality of work life of fixed shift employees with medium and low physical activity is better than quality of working life of rotating shift employees with medium and low physical activity, and quality of working life of rotating shift employees with high physical activity levels were significantly better than quality of working life of rotating shift employees with medium and low levels of physical activity (PConclusion: Choosing active lifestyle is recommended to fixed and rotating hospital employees in order to avoid reduction of quality of working life and memory self-efficacy.

Aim: The purpose of this study is to investigate the relation between differentiations of self with social anxiety with the mediating role of mindfulness in obese women of Tehran city. Statistical analysis: The statistical population of this study was all women clients to Ayat Health Center in Tehran with BMI>_ 30 had active file by Clinic expert. The sample consisted of 103 clients, selected by simple random sampling method. The tools used in this study were social phobia, differentiation of self and mindfulness Questionnaires. Fitness of the proposed model was examined through structural equation modeling (SEM), using SPSS-18 version and Lisrel software. Findings: Mindfulness has mediating role in relation between differentiations of self with social anxiety. The proposed model also fitted well with the data. Conclusion: Considering the important role of mindfulness in reducing social anxiety, it seems that mindfulness education should be considered in the educational programs of health houses and health centers.