درخت حوزه‌های تخصصی

Objective: This study aimed to compare the efficacy of a specialized package for women with body dysmorphic disorder and schema therapy on perfectionism and maladaptive schemas in women afflicted with body dysmorphic disorder. Methods: The research employed a quasi-experimental design with pre-test, post-test, and follow-up phases involving two experimental groups and one control group, conducted among women with body dysmorphic disorder visiting psychological centers in Isfahan in the first half of 2022. For this purpose, 45 women were selected by convenience and randomly assigned to two experimental groups and one control group. The first experimental group received the specialized package for women with body dysmorphic disorder (researcher-designed), and the second experimental group underwent schema therapy according to the protocol of Young and colleagues (2023) over ten 90-minute sessions, while the control group received no intervention. Participants completed the Perfectionism Questionnaire (1995) and Young's Schema Questionnaire (1998) at pre-test, post-test, and follow-up stages. Data were analyzed using repeated measures ANOVA with SPSS software. Findings: There were significant differences between the groups receiving the specialized package and schema therapy and the control group in terms of negative perfectionism and rejection schemas (p < .01). Additionally, there were differences between the group receiving the specialized package and the schema therapy group in terms of positive perfectionism, autonomy schemas, impaired performance, and impaired limits (p < .01), such that the specialized package had an effect on positive perfectionism, and schema therapy had an impact on autonomy schemas, impaired performance, and impaired limits (p < .05). Moreover, neither treatment had an effect on schemas of other-directedness and hypervigilance. Conclusion: Specialists are recommended to utilize both interventions to improve women with body dysmorphic disorder in terms of reducing negative perfectionism and rejection schemas, to use the specialized package for enhancing positive perfectionism, and to employ schema therapy for reducing autonomy schemas and impaired functioning and limits.

Objective: The aim of the study was to compare the effectiveness of cognitive-behavioral therapy (CBT) and existential therapy on symptoms of demoralization and life attitudes in women heads of households in welfare in the city of Rasht. Methods: The research method was quasi-experimental with a pre-test, post-test, and follow-up design with two experimental groups and one control group. The statistical population included all women heads of households in the welfare organization of Rasht city (2159 individuals) in 2021. The sample size included 60 individuals who were randomly assigned to two experimental groups (20 individuals in the existential therapy group and 20 individuals in the cognitive-behavioral therapy group) and one control group (20 individuals). Then, each of the two experimental groups received 8 sessions of 90-minute group therapy. The cognitive-behavioral therapy was based on the cognitive-behavioral therapy protocol by Antony et al. (2013), and the existential therapy was based on the existential therapy protocol by Irvin Yalom (2016). The data collection tools included the Symptoms of Demoralization Questionnaire by Kissane et al. (2004) and the Life Attitudes Questionnaire by Battista (1973). Data analysis was performed using repeated measures ANOVA. Findings: Based on the effect size values, the effectiveness of both cognitive-behavioral therapy and existential therapy on the demoralization symptoms variable was 43%, and on the life attitudes variable, it was 62%. This effectiveness was significant and persistent (according to the follow-up test results), and both therapies had a lasting impact on the dependent variables. In the variables of demoralization symptoms (F=29.34, p=0.001) and life attitudes (F=62.36, p=0.001). Conclusion: The results showed that there was a significant difference between the three stages of pre-test, post-test, and follow-up in the variables of demoralization symptoms and life attitudes of women heads of households in the two experimental groups (cognitive-behavioral therapy and existential therapy), indicating the significant impact of both therapeutic methods on the research's dependent variables.

Objective: By the end of 2014, an estimated 6,851,000 adult individuals were in the United States criminal justice system. Many of these individuals are racially and ethnically minoritized men. These families have been adversely impacted by the loss of adult family members who have been sent to prison. Family therapy has been recommended for successful reentry from incarceration into the home and community. Methods: Structural family therapy (SFT) aims to restructure the family’s organization to decrease dysfunction and establish flexible boundaries. SFT and the use of culturally sensitive practices are key to the success of family therapy for this population. Findings: This case study showcases SFT’s main components including rules, roles, hierarchies, and boundaries. Clinical implications advise to explore the effectiveness of using culturally informed care practices when using SFT models when a parent is incarcerated. Conclusion: Correctional facilities should take a deep dive into the importance of investing in programs of essential skills that will not only help the individual to return to society but can lead to the reduction of recidivism.

Objective: This study aimed to compare the effectiveness of cognitive-behavioral play therapy and resilience-based play therapy on anxiety, executive functioning behaviors, and emotional expression in children aged 6 to 8 years undergoing dental treatment. Methods: The current research was a quasi-experimental study with a pre-test, post-test design, including a control group and a two-month follow-up period. All children aged 6 to 8 visiting specialty dental clinics in Isfahan during the first six months of 2021 constituted the research population. Forty-five children were selected using purposive sampling based on inclusion criteria and were randomly assigned to three equal groups of fifteen. Data collection was carried out using the Revised Children's Anxiety Scale - Short Form (Ahlen et al., 2018), the Emotion Expression Questionnaire - Child Form (Penza-Clyve & Zeman, 2002), and the Executive Functioning Questionnaire (Gioia et al., 2000). Cognitive-behavioral play therapy sessions were conducted based on the protocol by Hall, Kaduson, and Schaefer (2002), and resilience-based play therapy sessions followed the protocol by Nikneshan et al. (2019), each lasting for eight weekly sessions of 60 minutes. However, the control group did not receive these interventions. Data analysis was performed using descriptive statistics and mixed ANOVA with SPSS software, version 26. Findings: Results indicated that the mean scores of executive functioning behaviors and their dimensions significantly improved in the experimental groups at post-test compared to the control group, and these improvements remained stable at follow-up (p < 0.05). Moreover, therapeutic interventions (both cognitive-behavioral and resilience-based play therapy) significantly improved scores on anxiety and emotional expressiveness compared to the control group. Additionally, post hoc Bonferroni tests showed that cognitive-behavioral play therapy was more effective than resilience-based play therapy in reducing anxiety scores and increasing skills in emotional expression and executive functioning in children undergoing dental treatment (p < 0.05). Conclusion: These findings further clarify the role of play therapy in children undergoing dental treatment and highlight the necessity of using therapeutic approaches derived from the cognitive-behavioral model to modulate symptoms in these children.

Objective: The aim of this study is to qualitatively analyze the consequences of online extramarital relationships from the perspective of men. Method: This research was conducted using a qualitative approach, employing content analysis. Based on the principle of theoretical saturation, twelve men participated in this study. Semi-structured interviews were used for data collection, and MAXQDA software was used for coding and categorizing the data. Findings: The consequences of online extramarital relationships among men can be classified into two main categories and five subcategories. The results indicate that hiding the relationship while maintaining marital life, public disclosure, divorce, and separation are among the consequences of online extramarital relationships from the men's perspective. Conclusion: In conclusion, this study highlights the complex dynamics of online infidelity among men in Mashhad, Iran, revealing key themes such as relationship concealment, marital dissatisfaction, and the impact on trust and family stability. The findings underscore the importance of understanding cultural and individual factors in the context of extramarital relationships and provide a foundation for future research on the psychological and relational consequences of online infidelity.