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Background: Marital conflicts have great impact on social, economic and cultural aspects of the couples and their children. New Psychological interventions like “Imago Relationship Therapy” (IRT) have been widely used for resolving these conflicts. This study examined the efficacy of couple dialogue technique on marital relationship and children`s behavior in Iranian society. Methods and Materials: In a Clinical Trial study eighty consecutive couples refered to general pediatric clinics due to their children’s diseases, randomly allocated to intervention group(couple dialogue technique) and control group (consult usual treatment method) in consultation center. They filled "Distance and Isolation Questionnaire" and "Gottmann Love and Respect Scale" at baseline, post treatment and three months after intervention as follow up all of them. General linear Model with Repeated Measurements was used to analyze the data. Results: In this study, scores of mutual love and respect in marital relationship (Gottmann scale) and scores in Flooding, Loneliness and Retreatment subscales of Distance and Isolation Questionnaire had a better condition in IRT group just after the trial (P<0.05) but after three months, the differences between two groups were only marginal significant (P<0.1). In Parallel lives` subscale, scores were decreased in two groups, but right after trial there was not significant scores of the groups did not difference between scores. Scores after three months in IRT group was significantly lower in compare to control group. Scores of CBCL have not statistically significant differences in both groups at any time (P>0.05). Conclusion: This study revealed couple dialogue technique was an effective intervention in solving marital conflicts in Iranian population but had not a significant effect on children’s behavioral profile. This may be due to other factors or insufficient duration of intervention and needs more investigation and needs more investigation.

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Background: Lateral epicondylitis may cause pain and functional disability in many daily activities. Steroid injection or phonophoresis are the recommended treatments in this regard. In this study, we aim to compare the effect of ultrasound guided local injection of dexamethasone with dexamethasone phonophoresis for treatment of lateral epicondylitis.

Materials and Methods: In this clinical trial, patients with lateral epicondylitis were randomely assigned to injection (n=18) and phonophoresis (n=18) groups. Three patients in phonophoresis group dropped out from the study. In injection group, dexamethasone with lidocaine was injected once with the guide of sonography at the base of common extensor tendon. Phonophoresis group received 5 minutes treatment with ultrasound using dexamethasone gel for 10 sessions. Patients’ pain in total and in specific and usual activities according to PRTEE questionnaire before, one and three months after treatment was calculated.

Results: Injection group compared to phonophoresis had significantly better improvement in pain (p=0.04), but there was no significant difference in serial changes of functional subscale and total score of PRTEE between groups. Injection group compared to phonophoresis had also better pain and total score one month after treatment (p=0.003 and p=0.01, respectively).

Conclusion: Dexamethasone injection compared to phonophoresis had significant improvement in patients’ pain which was more apparent one month after treatment, but the results were similar between groups three months after treatment.

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Introduction: With the advancement of science and knowledge worldwide, ethical challenges are increasing, and nurses' inability to face these challenges significantly impacts the quality of healthcare. Moral courage in nurses helps overcome fear and unethical values. The complexity of nursing work affects spiritual health and prevents nurses from adapting well to nursing challenges.
Methods: This was a correlational study using a convenience sampling method. In 2024-2025, nurses working at Amirul Mominin Hospital were selected, with a calculated sample size of 221. The instruments used were Sekerka's Moral Courage Questionnaire and Ellison and Paloutzian's Spiritual Well-being Scale.
Results: A total of 186 nurses participated in the study, including 119 women and 67 men. The mean scores of moral courage indicated that the moral courage score was higher among women and those with higher educational qualifications. Also, age and existential health were important factors in predicting moral courage, while religious health had no significant effect.
Conclusions: The study's results showed that moral courage and spiritual health, especially in existential dimensions, play important roles in moral decision-making. Gender and age are also factors that can affect the level of moral courage.

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Introduction: The problems in the field of sexual function and personality that most women with vaginismus face, highlight the need for research and increased attention to this area. Therefore, the aim of this study was to compare the effectiveness of emotional schema therapy and group psychotherapy based on acceptance and commitment using the matrix method on sexual function and personality disorders in women with vaginismus.
Methods: In this quasi-experimental study, the statistical population included all women with vaginismus in Alborz, Kermanshah, and Torbat Jam. Among them, 60 were selected by convenience sampling and randomly assigned to two intervention and control groups (20 in each group). The Women's Sexual Function Questionnaire (Rosen, 1997) and the Personality Disorder Questionnaire (Kohl & Kazen, 2009) were used to collect data. The first experimental group underwent emotional schema therapy intervention (10 sessions) and the second experimental group underwent group psychotherapy based on the matrix method of acceptance and commitment (6 sessions), and the control group was placed on the waiting list. Multivariate analysis of covariance, analysis of variance, and t-test were used to analyze the research data.
Results: The results indicated that there was a significant difference between emotional schema therapy and acceptance and commitment-based group psychotherapy and the control group in the post-test of sexual function variables (P=0.000, F=26.53) and personality disorders (P=0.000, F=7.27). Also, the effect size for sexual function variables and personality disorders in the first and second intervention groups and the control group was 49.7% and 33.9%, respectively.
Conclusions: The results of the present study showed that emotional schema therapy intervention has a greater effect on sexual function than group therapy based on acceptance and commitment using the matrix method, and group therapy based on acceptance and commitment using the matrix method has a greater effect on personality disorders in women with vaginismus than emotional schema therapy.