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Showing 69 results for Therapy

Nasrin Goodarzi, Javid Peymani, Hasan Ashayeri, Farahnaz Meschi, Mehrdad Sabet, Mohammad-Esmaeil Akbari,
Volume 24, Issue 2 (5-2021)
Abstract

Background and Aim: In every age of history, human beings have been afflicted with the fear of disease. Undoubtedly, cancer is among the most concerning diseases; cancer pain is among the major pains. The present study aimed to compare the effects of cognitive-behavioral group therapy and mindfulness-based cognitive therapy on multidimensional pain symptoms in patients with breast cancer.
Methods & Materials: The present study was applied concerning the purpose and applied a quasi-experimental with pretest-posttest, a two-month follow-up, and control group design. The statistical population was all women with breast cancer referring to Tehran Cancer Research Center in 2018 who were selected by convenience sampling method, consisting of 30 patients. They were randomly divided into two groups of intervention and the control group. The repeated-measures Analysis of Variance (ANOVA) was used to analyze the obtained data. The research instrument was a multidimensional pain questionnaire (West Hyun-Yale) to evaluate multiple pain indices.
Results: The current study results suggested that cognitive-behavioral therapy and mindfulness-based cognitive therapy were effective on pain experience (P<0.001); however, there was no significant difference between the intervention groups respecting pain experience.
Conclusion Based on the present research findings, cognitive-behavioral therapy and mindfulness-based cognitive therapy impacted the management and pain intensity of patients with breast cancer.
Behzad Salmani, Jaafar Hasani,
Volume 24, Issue 2 (5-2021)
Abstract

Background & Aim: This study aimed at comparing efficacy of cognitive behavioral therapy, Zolpidem 10 mg, and waiting list group on illness perception and sleep efficiency in individuals with chronic insomnia disorder. 
Materials & Methods: Participants included 74 (female = 43) individuals with chronic insomnia disorder who were recruited from 2018 December to 2020 February by purposive sampling (inclusive & exclusive criteria). Then, patients randomly allocated to one of the three conditions, including cognitive behavioral therapy (N=25), pharmacotherapy (Zolpidem 10 mg.; N=29), and the waiting list (N=20). All patients were assessed three times at pretreatment, post-treatment, and 3-month follow-up by the Persian version of Brief Illness Perception Questionnaire and Sleep Efficiency Index. The data were analyzed by mixed analysis of variance with Bonferroni post-hoc test and repeated measure analysis of variance. 
Ethical Considerations: All stages of the research have been carried after taking supervising and approving of Kharazmi University's ethics in research committee. 
Findings: The patients who received cognitive behavioral therapy compared to patients in waiting list group, obtained significantly lower scores in illness perception and sleep efficiency during post-treatment and 3-month follow-up. Efficacy of pharmacotherapy only observed during post-treatment but there were no significant differences between pharmacotherapy and waiting list patients during 3-month follow-up.
Conclusion: Cognitive behavioral therapy for insomnia reduced significantly illness perceptions and sleep efficiency during 3 months. All the treatment gains remain stable even 3 months later treatment ends. In addition, not receiving any treatment in waiting list and gradually discontinued the treatment in pharmacotherapy group leads to decreasing of sleep efficiency and increasing of illness perception.   
Vahid Hemmati Sabet, Saeedeh Alsadat Hoseini, Karim Afsharinia, Mokhtar Arefi,
Volume 24, Issue 4 (9-2021)
Abstract

Background and Aim: The main objective of the current study was to compare the effectiveness of schema therapy and dialectical behavior therapy (DBT) on health-promoting lifestyle (HPL) and quality of life (QoL) of HIV/AIDS patients. 
Methods & Materials: The current study was an experimental study based on a pre-test-post-test design with a control group, and based on the objectives, it can be considered an applied study. The statistical population of the study included all HIV patients monitored by behavioral disorders clinics of the Healthcare Organization Centers in Hamedan County in Iran in 2019-2020. Using simple random sampling method, 45 patients were randomly selected from Shohada Clinic in Hamedan as the sample of the study, followed by randomly assigning them to three 15-member groups, i.e., two intervention groups and a control group. In order to measure the research variables, the Health-Promoting Lifestyle Profile (HPLP) (1987) and the Short Form (36) Health Survey (SF-36, 2001) were utilized. The obtained data were analyzed using ANCOVA in SPSS v. 12.
Ethical Considerations: The Ethics Committee of Hamedan University of Medical Sciences approved the study (Code: IR.UMSHA.REC.1398.1063). This study has been registered in the Iranian Registry of Clinical Trials (Code: IRCT20120215009014N348).
Results: The results of ANCOVA indicate that schema therapy and DBT affect HPL and quality of life, and there was a significant difference between the two groups (P‌<‌0.001). 
Conclusion: The results show that while both therapy methods affect the selected variables, schema therapy is more effective than DBT on HPL and Quality of Life (QoL). 
Anis Moradi, Pouya Ramin,
Volume 24, Issue 5 (11-2021)
Abstract

Background and Aim: The research results show tobacco use increases cardiovascular and lung disorders or the probability of periodontitis in humans, while no definitive relations were yet confirmed. This study evaluates the relationship between periodontitis and tobacco use by panoramic radiography in Bandar Abbas City.
Methods & Materials: A total of 198 panoramic radiographs were classified into periapical healthy (n=99) and patient (n=99) groups. Radiologists assessed radiographs for periodontitis via Total Teeth Numbers (TTN), the quality and length of Root Filling Treatment (RFT), the number (NoRFT), and inadequate root filling treatment (RFTin), age, gender, the cigarette and hookah use, and dental debris. Data were analyzed by Chi-Square, t-test, and logistic regression.
Ethical Considerations: Due to the lack of therapeutic intervention and the preservation of patients’ characteristics, ethical considerations are not included in this study (Code: IR.HUMS.REC.1399.384)
Results: Tobacco, hookah use, TTN, and RFTin were different (P<0.01) in groups, but cigarette smoking, debris, RFT, NoRFT, and age were not. Women in the periodontitis group showed high (P<0.01) in tobacco, hookah use, and RFTin, while no gender differences were observed in other parameters. The logistic regression results showed that based on the Odd Ratio NoRFT (39.7), RFTin (36.8), `hookah (8.1), tobacco (6.57), debris (3.62), smoking (3.59), RFT (1.4) and TTN (0.89) were the highest (P<0.01). At the same time, age and gender did not affect periapical tissues. 
Conclusion: Hokka, tobacco, and cigarette use negatively affected the periapical tissues, respectively. The decrease in TTN and increase in debris and RFT were probably the effects of tobacco smoking on the periapical tissues. Age and gender were not related to the periapical lesions.
Hamid Reza Joneidi Jafari, Parisa Nejati, Ahmad Nazari, Azar Moezy,
Volume 24, Issue 6 (1-2022)
Abstract

Background:  Rotator cuff injuries are one of the most common causes of shoulder pain.
There are different therapeutic approaches in this disease. The evidence of the positive effect of exercise therapy in this pathology is inconclusive. This study aimed to investigate the effect of a complete exercise protocol on improvement of the patients with rotator cuff injuries.
Methods: The patients with shoulder pain received the 12-week exercise protocol in 4 phases if they had confirmed rotator cuff injuries in clinical examination and shoulder MRI. 
Pain was measured by visual analog scale (VAS) and function was measured by two questionnaires; disabilities of the arm, shoulder and hand (DASH) and western Ontario rotator cuff index (WORC). Range of shoulder joint motion (ROM) was measured in five directions by goniometry. All of the outcomes were evaluated before intervention and in 6, 12, 24 weeks after starting the intervention.
Ethic: This study was registered in Iranian Registry of Clinical Trials (IRCT20100718004409N13). A written consent was taken from All participants before the study. 
Results: In this study Twenty-four patients with rotator cuff tendinopathy and tear were analyzed finally in terms of effectiveness of exercise therapy. The average of their age was 51.7 years old. 14 patients (53.8%) with Supraspinatus tendinopathy, 6 patients (23%) with Supraspinatus tear, 3 patients (12.5%) with Supraspinatus plus biceps tendinopathy, and one patient (4.16%) with Subscapularis plus Biceps tendinopathy were assessed. The pain score (Visual Analog Scale) decreased at all fallow-ups specially after 24 weeks (3±0.1) versus before intervention (8±0.1) (P value < 0.001). Shoulder range of motions by goniometer and also the patients function based on WORC and DASH Questionnaires were improved after 24 weeks versus before intervention that was significant statistically and clinically (P value < 0.001). 
Conclusion: A 12- week exercise protocol including strengthening, stretching, PNF and dynamic stabilizer exercises was effective on pain reduction and improvement of function and shoulder joint range of motion improvement in the patients with shoulder rotator cuff tendinopathy and partial tear. The improvement of the variables lasted 6 months.
 
Pardis Mirmoeini, Mohammad Hosseini Bayazi, Javad Khlatbari,
Volume 25, Issue 1 (3-2022)
Abstract

Background and Aim Given the increasing number of patients with multiple sclerosis and the psychological complications that affect this group, the present study was conducted to compare the effectiveness of acceptance and commitment therapy and compassion-focused therapy for these patients
Methods & Materials This research was a quasi-experimental study with a pre-test-post-test design with a control group. A total of 45 patients with multiple sclerosis were selected from MS patients in Tehran Clinic, Tehran City, Iran, in 2020. They were randomly divided into three groups: the first group was under treatment based on acceptance and commitment therapy, the second group was assigned to the compassion-focused therapy, and the third group was the control. The participants completed the Connor and Davidson resilience questionnaire and the Pennsylvania concern questionnaire in the pretest and post-test stages. The first and second groups participated in eight sessions of acceptance and commitment therapy and ten sessions of compassion-focused therapy, respectively. The control group did not receive any intervention. The post-test was done at the end of the therapy sessions. Data were reported by analysis of covariance.
Ethical Considerations This research was approved by the Torbat Jam Branch, Islamic Azad University (Cod: IR.IAU.TJ.REC.1399.012).
Results The results of univariate analysis of covariance were obtained at the statistical level of P<0.05. In this regard, F=5.88 for resilience and F=42.60 for anxiety intensity were obtained, which indicated the greater effectiveness of acceptance and commitment treatment.
Conclusion Considering the effectiveness of both treatments, it is suggested that these treatments be given more attention to controlling patients’ psychological symptoms.

Naghmeh Shokoohi Nejad, Mohammad Reza Bayat, Firoozeh Zanganeh Motlagh,
Volume 25, Issue 1 (3-2022)
Abstract

Background and Aim Fibromyalgia syndrome is a chronic disease that causes widespread musculoskeletal pain. It primarily affects women and negatively impacts many aspects of a person’s psychological and social life. This study aimed to compare the effectiveness of cognitive therapy based on mindfulness and compassion therapy on automatic negative thoughts, psychological symptoms, pain intensity, and quality of life in patients with fibromyalgia syndrome.
Methods & Materials This research is a quasi-experimental study with a pre-test-post-test design with two experimental and one control group. The statistical study population consisted of all individuals with fibromyalgia syndrome referred to Mehregan Pain Clinic in Mirdamad (District 3), Seyed Khandan Clinic (District 4), and Taleghani Hospital Pain Clinic (District 1) in Tehran City, Iran. Of them, 30 patients were randomly selected and divided into three groups of experimental 1, experimental 2, and control; each group will include 10 people. The instruments used in this study included the World Health Organization quality of life questionnaire (WHOQOL BREF), pain intensity questionnaire (PIS), psychological symptoms questionnaire (Anxiety, Stress and Depression [DASS]), and automatic negative thoughts (QNS).
Ethical Considerations This study was approved by the Research Ethics Committee of Arak Branch, Islamic Azad University (Code: IR.IAU.ARAK.REC.1400.005). 
Results The analysis of covariance showed the effectiveness of both cognitive therapies based on mindfulness and compassion therapy on four variables of pain intensity, psychological symptoms, automatic negative thoughts, and quality of life (P<0.05). Comparing the two intervention methods showed that both therapies had almost the same effect on pain intensity, psychological symptoms, and automatic negative thoughts (P<0.05) but the effectiveness of mindfulness intervention on the quality of life was significantly higher than compassion intervention (P<0.05). 
Conclusion The results indicate that cognitive therapy based on mindfulness and compassion therapy are suitable for people with fibromyalgia under appropriate treatment. 

Fatemeh Rostamkhani, Mohammad Ghamari, Vahideh Babakhani, Effat Sadat Merghati Khoei,
Volume 25, Issue 3 (8-2022)
Abstract

Background and Aim Sexual function is an important part of menopausal women's lives, and changes in it, especially during menopause, can affect their health. The aim of this study was to compare the effectiveness of cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) on the sexual function of postmenopausal women.
Methods & Materials This research was a quasi-experimental with pre-test, post-test and follow-up design with control group. The statistical population of the study included postmenopausal women who referred to Zanjan Health Center in 2020 to receive services. Among them, 45 were selected using the available sampling method and were randomly assigned to three groups of 15, and control group using randomly assigned block allocation method. Therapeutic sessions were held in 8 sessions and each session was held for 2 hours. Data were collected by FSFI (Female Sexual Function Index) and were analyzed using ANOVA with repeated measures analysis via SPSS software, version 24.
Ethical Considerations This study was approved by the ethics committee of the Zanjan University of Medical Sciences (Code: IR.ZUMS.REC.1398.328).
Results In the post-test and follow-up phase, there was a significant difference between both CBT and ACT methods compared to the control group in sexual function respectively (P<0.05, F=17.857), (P<0.05, F=12.115). That is, treatment with CBT and ACT improved the sexual function of postmenopausal women, which had a lasting effect for three months, and there was no significant difference between the groups involved in sexual function (P>0.05, F=0.494).
Conclusion Cognitive-behavioral therapy and acceptance-based therapy have improved sexual function in postmenopausal women, so it is recommended that these therapies be used to improve the sexual function of postmenopausal women in health centers.

Mr Abbas Bayat Asghari, Mr Javad Javaheri, Mr Alireza Manzari Tavakoli, Mr Hamid Mollayi Zarandi,
Volume 25, Issue 6 (3-2023)
Abstract

Introduction: The purpose of this study was to compare the effectiveness of cognitive-behavioral therapy and motivational interviewing on self-esteem in divorced women.
Methods: The current study was a semi-experimental pre-test and post-test design. The statistical population consisted of 260 divorced women aged 20 to 50.  60 women were selected based on the inclusion criteria and randomly assign to three groups of cognitive-behavioral therapy, motivational interview therapy and control group. The instrument of data collection was Rosenberg Self- Esteem Questionnaire. For the experimental groups, 12 sessions of 75 minutes were held. No intervention was done for the control group. Before the interventions and at the end of the study, people in all groups filled out the questionnaire. The data was analyzed using SPSS version 25 software and analysis of covariance (ANCOVA).
Results: There was a significant difference between the three groups of cognitive-behavioral therapy, motivational interview and the control group in the comparison of the mean score of self-esteem variables (P<0.05). Also, in the one-by-one comparison of the cognitive-behavioral therapy and motivational interview therapy groups with the control group, there was a significant difference in the post-test stage (P<0.05).
Ethical considerations: In this research, the principle of confidentiality, preservation of personal information and non-disclosure of the identity of the participants were ensured and it was reminded that the obtained information will only be used statistically.
Conclusions: The findings indicate that cognitive-behavioral therapy and motivational interviewing are effective in enhancing self-esteem in divorced women. It suggests that these two methods are used along with other psychological and pharmaceutical therapies for divorced women as a clinical intervention.
Hamid Akhavein Mohammadi, Majid Baradaran,
Volume 26, Issue 2 (7-2023)
Abstract

Introduction: Generalized anxiety disorder can be described as a debilitating disorder characterized by negative evaluation by others, internal shame, negative self-concept, as well as high levels of anxiety and avoidance in specific social and functional situations. The purpose of this study was to investigate the effective of hypnotherapy in promotion subjective well-being and sleep quality in people with generalized anxiety disorder.
Methods: This was a quasi-experimental study with pretest-posttest and a control group design and conducted on 40 persons who had generalized anxiety disorder in Rasht, Iran in 2023 and were randomly divided into two experimental and control groups (20 persons in each group). The hypnotherapy was conducted during 6 sessions in the experimental group, while the control group did not receive any treatment. The data were collected through the subjective well-being and sleep quality Inventory. Multivariate analysis of covariance was used to analyze the data. This study was approved by the Research Ethics Committee of Payame Noor University (Code: IR.PNU.REC.1402.070).
Results: The results indicated that hypnotherapy was effective on subjective well-being (F= 33.38, P=0.001) and sleep quality (F= 5.10, P=0.03) in people with generalized anxiety disorder; this method also increased their subjective well-being and sleep quality.
Conclusions: The based on the results of the present study, hypnotherapy is effective in promotion subjective well-being and sleep quality in people with generalized anxiety disorder. It suggests that these method are used along with other psychological and pharmaceutical therapies for people with generalized anxiety disorder as a clinical intervention. 

Arezoo Fathi, Ahmad Alipour, Aliakbar Malekirad,
Volume 26, Issue 2 (7-2023)
Abstract

Introduction: Infertility is one of the bitter events of married life that has various psychological consequences. On the other hand, there are different treatments to reduce its psychological effects. The purpose of this research was to compare the effectiveness of emotion-focused couple therapy and Gottman couple therapy on marital burnout and depression in infertile couples.
Methods: The present research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population of this research included infertile couples of Arak city in 1400, of which 54 couples were selected using available sampling method and 18 couples were randomly assigned in three groups (two experimental groups and one control group). The experimental intervention groups received emotion-focused couple therapy (10 sessions of 90 minutes) and Gottman couple therapy (10 sessions of 90 minutes), and the control group did not receive any intervention. After two months, the follow-up phase was done. In order to collect data, Beck's (1967) depression questionnaire and Pines' (1966) marital burnout questionnaire were used, and the data were analyzed using repeated measures analysis of variance and SPSS version 26 software. This research is approved by the ethics committee with the code IR.IAU.B.REC.1400.026. Also, the principles of confidentiality, written informed consent and destruction of participants' information have been observed.
Results: The results showed that Gottman couple therapy and emotion-focused couple therapy reduce couples' depression (2 = 0.265, P = 0.001, F = 18.94) and marital burnout (2 = 0.348, P = 0.001, F = 27.99) has been effective. In addition, emotion-focused couple therapy has been more effective in reducing couples' depression (p=0.033) and marital burnout (P=0.001) than Gottman's couple therapy.
Conclusions: According to the results of the research, it can be said that emotion-focused couple therapy is more effective than Gottman's couple therapy in reducing couples' depression and marital exhaustion. Therefore, couple therapists are advised to use emotion-focused couple therapy to improve depression and marital burnout of infertile couples.

Miss Shahrzad Adili, Miss Zohreh Raeisi, Miss Nahid Akrami, Miss Zohreh Ranjbarkohan,
Volume 26, Issue 3 (9-2023)
Abstract

Introduction: The present study was conducted with the aim of the effectiveness of philial therapy on social acceptability and anxiety sensitivity of children with symptoms of self-destructive mood disorder.
Methods: It was a semi-experimental study with a pre-test-post-test design with a control group and a follow-up period. The statistical population included 9-12-year-old children with symptoms of suicidal mood disorder in Isfahan city. 30 children with symptoms of self-inflicted mood disorder and their mothers were selected by purposive sampling and randomly assigned to experimental and control groups. The experimental group received Filial Landreth play therapy intervention (2013) during two months in 8 sessions of 60 minutes. Research tools included Ford and Robin's (1970) social acceptability questionnaire and Tsao et al.'s (2006) anxiety sensitivity questionnaire. The data obtained from the research was analyzed by the method of variance analysis with repeated measurements using SPSS-29 statistical software.
Results: The results showed that the filial therapy intervention had a significant effect on the social acceptability and anxiety sensitivity of children with symptoms of self-destructive mood disorder (P<0.001). In this way, this intervention was able to lead to the improvement of social acceptability and the reduction of anxiety sensitivity of these children.
Conclusions: Based on the findings, it can be concluded that philial therapy using techniques such as lectures, discussion, role playing, group processes and supervision can be an effective treatment to improve social acceptability and reduce anxiety sensitivity of children with the symptoms of self-inflicted mood disorder should be used. 

Ph.d Bahram Mirzaeian, Miss Fatemeh Talebi,
Volume 26, Issue 4 (11-2023)
Abstract

Background: Today, infertility is a major concern for public health and one of the most important crises in life, which leads to many psychological problems. Since cognitive-behavioral therapy emphasizes empowering and educating the patient to solve problems, this study was conducted to investigate the effectiveness of cognitive-behavioral therapy on marital self-regulation and uncertainty intolerance in infertile women.

Methods:  This clinical trial study was performed on 30 infertile women referring to the infertility center of Sari city in two groups of case and control (15 patients in each group). Cognitive-behavioral therapy was performed in 12 sessions of 45 minutes, once a week for the experimental group, while the control group received the routine treatment. After the follow-up period, the control group also underwent psychotherapy. Both groups completed the questionnaires of marital self-regulation by Wilson et al. (2005) and uncertainty intolerance by Friston et al. (1994) in the pre-test, post-test and follow-up (45 days after the post-test) and were compared.

Finding: The results showed that in the two subscales of marital self-regulation in the experimental group, the average scores in the three stages of pre-test, post-test and follow-up respectively for the subscale of communication self-regulation (24.266 ± 6.273), (41.000 ± 3.207) and (35.266 ± 3.899) there was a significant increase in the post-test and follow-up compared to the pre-test stage(P<0.05). And the sub-scale of communication effort(19.333 ± 5.094), (8.666 ± 1.914) and (12.000 ± 2.449), and intolerance of uncertainty 92.600 ± 9.302), (67.400 ± 7.585) and (75.200 ± 10.975), had a significant decrease in the post-test and follow-up compared to the pre-test stage (P<0.05).

Conclusion: The results of the study showed that cognitive-behavioral therapy can be an effective intervention in improving marital self-regulation and reducing intolerance of uncertainty in infertile women.


 
Dr Zahra Ghanbari,
Volume 26, Issue 5 (12-2023)
Abstract

Introduction: The purpose of this research was to investigate the effectiveness of family therapy based on family consolidation on marital conflicts and sexual satisfaction of couples applying for divorce.
Methods: The research method was semi-experimental with experimental and control groups. The statistical population of this research included all couples applying for divorce who referred to counseling centers in Kerman city in 2023. 30 couples were selected as available and were replaced in two experimental (15 couples) and control (15 couples) groups randomly and by lottery method. Family therapy intervention based on family consolidation was conducted in 8 sessions twice a week for 90 minutes and after 3 months of follow-up. In order to collect data, Barati and Sanai's Marital Conflict Questionnaire and Larson's Sexual Satisfaction Questionnaire were used. In order to analyze the data, descriptive statistics tests (mean and standard deviation) and analysis of variance with repeated measurements were used with SPSS version 24 software.
Results: The results showed that family therapy based on family consolidation had an effect on reducing marital conflicts (P < 0.001, F = 37.24) and increasing sexual satisfaction (P < 0.001, F = 126.34) of couples applying for divorce (P < 0.001).
Conclusions: According to the results of this research, it is recommended to use family therapy based on family consolidation in reducing marital conflicts and increasing sexual satisfaction of couples applying for divorce.

Yasaman Kasiri, Dr Ghodratollah Abbasi, Dr Bahram Mirzayian,
Volume 26, Issue 6 (2-2024)
Abstract

Introduction: A woman due to menstruation, pregnancy and poor iron intake and absorption it is prone to iron deficiency anemia and its effects. The aim of this study was to investigate the effectiveness of process-based treatment on anxiety in women suffering from iron deficiency anemia and generalized anxiety disorder.
Methods: It was performed by utilizing a single-case experimental design. In doing this, six female participants suffering from iron deficiency anemia were selected through purposive sampling and placed under the individual process-based therapy during nine 60-minute sessions. In the pre-treatment stage, the participants responded to Newman, Zueling, Kachin and Constantino's fourth version of the generalized anxiety disorder questionnaire and underwent clinical interviews. They also completed the Beck's depression inventory in the baseline stages and third, sixth and ninth sessions of the intervention and finally at the 3-month follow up stages. The data were analyzed by the method of visual analysis, stable change index and recovery percentage formula, and the effectiveness of the treatment was evaluated using the Ingram criteria.
Results: The results showed that the percentage of overall recovery in depression for the first to sixth participants in the intervention stage was 49/26، 50/54، 59/27, 76/20، 54/41 و 57/83 and in the follow-up stages was 70/10، 64/70، 75/93، 78/61، 77/57 و 84/93; respectively. Also, the percentage of overall recovery in the intervention and follow-up stages was 57/90 and 75/30; respectively indicating to a success in therapy.
Conclusions: Process-based therapy reduces depression of the research participants and it is suggested to be used as a method of treatment and complementary to medical treatment to remedy comorbid mental disorders and improve the general performance of people with anemia.

Mahnaz Shokri, Nabiollah Akbar Nataj Shub, Jamal Sadeghi, Arsalan Khanmoham Otaghsara,
Volume 27, Issue 1 (3-2024)
Abstract

Introduction: Several factors influence students' behaviors and develop motivation. Meanwhile, cognitive factors such as psychological capital play a more prominent role than others, and it is crucial to understand the factors that affect them. The current research purpose was to compare the effectiveness of mindfulness intervention and cognitive-behavioral game therapy on the psychological capital of female first-secondary school students in Amol City.
Methods: The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population included all the female students of the first secondary school of the seventh grade of the public schools of Amol City in the academic year of 2023. Among them, 45 people were selected by the available sampling method and were replaced randomly and by lottery in two experimental and control groups (30 individuals in the experimental group and 15 people in the control group). The people attending the first experimental group received mindfulness intervention (8 sessions) and two sessions per week for 60 minutes, and the second experimental group received cognitive-behavioral game therapy intervention (10 sessions) and two sessions per week for 30 minutes. The questionnaire used in this research included psychological capital. The study data was analyzed using the repeated measures analysis of variance (ANOVA) method.
Results: The findings showed that mindfulness and cognitive-behavioral game therapy affected the psychological capital of female students of the first secondary school in Amol City (P < 0.01). Also, mindfulness training on psychological capital was more effective than cognitive-behavioral game therapy (P < 0.01).
Conclusions: Although both methods of mindfulness training and play therapy improved students' psychological capital, the approach and method used in each are different. Mindfulness training focuses more on awareness and the presence of the mind in the present moment. At the same time, play therapy focuses more on strengthening psychological skills and abilities through interactive activities and games, which can better capitalize on increased psychological.
Maryam Mohammadi, Naimeh Akbari Torkestani, Fatemeh Mehrabi Rezveh,
Volume 27, Issue 2 (5-2024)
Abstract

Introduction: Sexual problems are prevalent problems among women that affect different aspects of their lives. Counseling in the early stages can solve many of their problems. Therefore, this study aimed to investigate the effect of group counseling based on reality therapy on female sexual function.
Methods: The present clinical trial study with a control group was conducted in Arak City in 2016. A total of 40 women were selected from five healthcare centers according to the inclusion and exclusion criteria and were randomly divided into two groups experimental and control. The experimental group received counseling sessions of reality therapy (8 sessions, each 90 minutes, twice a week), and the control group received no intervention. Data collected included demographics and the Female Sexual Function Index (FSFI) questionnaire, completed before and four weeks after the intervention.
Results: The mean scores for sexual function in intervention and control groups were
28.63 ± 2.21 and 27.14 ± 2.58 before the counseling, showing no significant differences between the two groups (P = 0.5). But after reality therapy, the values significantly changed in the intervention group (30.29 ± 2.92 vs. 27.64 ± 2.58) (P < 0.05).

Conclusions: Counseling based on reality therapy was found effective in improving sexual function in women. Therefore, it is recommended that this method be used in healthcare centers.
Mahla Jaefari, Habibollah Kord, Abbas Tavan,
Volume 27, Issue 2 (5-2024)
Abstract

Introduction: The process of the first pregnancy causes a decrease in resilience and fear of pain, which requires interventions to solve these problems. This study aimed to determine the effectiveness of group therapy spirituality on endurance and pain control in primiparous pregnant women.
Methods: The research method was semi-experimental, pre-test, and post-test with a control group. The statistical population of this study included all pregnant women who gave birth in 2022 in the city of Kerman, 30 people (15 people in the experimental group and 15 people in the control group) were selected by the available sampling method. The data collection tools were the pain disability questionnaires of Mold and the resilience questionnaires of Connor and Davidson. A group spiritual therapy intervention was performed on the experimental group, and the control group did not receive any intervention. Data analysis was done with descriptive tests (mean and standard deviation) and covariance analysis. A P value less than 0.05 was considered significant.
Results: In the resilience variable, the mean and standard deviation of the experimental group in the pre-test was 41.27 ± 7.22 and the post-test 63.18 ± 8.69. In the pain control variable, the mean and standard deviation of the group in the pre-test was 35.73 ± 6.28, and the post-test was 21.40 ± 5.44. The results showed that group therapy spirituality had an effect on endurance and pain control in primiparous pregnant women (P < 0.01).
Conclusions: Based on the findings of the research, group therapy spirituality can be used to increase endurance and control pain in primiparous pregnant women.
Zahra Ghanbari Zarandi,
Volume 27, Issue 3 (7-2024)
Abstract

Introduction: Breast cancer causes psychological problems and decreases psychological health in people, therapeutic interventions are needed to solve these problems. This research was conducted to determine the effectiveness of group meaning therapy intervention on the quality of life, emotional regulation, and life expectancy of women with breast cancer.
Methods: The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population included all women with breast cancer referring to the health centers of Kerman city in 2023. Among them, 30 people were selected by the available sampling method and were replaced randomly and by lottery in two experimental and control groups (15 individuals in the experimental group and 15 in the control group). The people in the experimental group received group-meaning therapy intervention (10 sessions) and two sessions weekly for 90 minutes. The questionnaires used in this research included quality of life, emotion regulation, and life expectancy questionnaires administered in two phases: pre-test and post-test.
Results: The results showed that before the intervention, there was no significant difference between the average scores of the quality of life, emotion regulation, and life expectancy of the intervention and control groups, but there was a statistically significant difference between the average scores of the intervention and control groups after the intervention. The mean and standard deviation of the quality of life in the post-test was 6.91 ± 29.75, emotion regulation was 10.25 ± 98.28, and life expectancy was 6.49 ± 39.51 (P < 0.001).
Conclusions: According to the results of this research, group therapy increased the quality of life, emotion regulation, and life expectancy in women with cancer. Since the favorable mental state of the patient affects their recovery, the use of this method is recommended as an effective strategy to reduce the psychological problems of patients.
Elham Seyyed Murti, Farangis Dehmardi, Sallime Gharooni Fardi, Mohsen Saeidmanesh,
Volume 27, Issue 5 (12-2024)
Abstract

Introduction: The present study was conducted to investigate the effectiveness of schema therapy on marital satisfaction and mental health of women undergoing hysterectomy surgery.
Methods: This research was applied in terms of objective and quantitative research, and in terms of data collection method, it was semi-experimental research with two experimental and control groups with pre-test and post-test. The statistical population consisted of all women aged 30 to 50 who underwent hysterectomy surgery in 2023 in Yazd city. In this study,
30 eligible subjects were selected by the available method, and the participants were randomly divided into two experimental and control groups (15 people in each group). For the experimental group, the treatment plan was implemented in 10 sessions of 50 minutes. Goldberg's mental health questionnaire and Inrich's marital satisfaction questionnaire were used to measure the research variables
.

Results: The findings from the analysis of the covariance test showed the use of the schema therapy approach increased the marital satisfaction and mental health of women undergoing hysterectomy surgery (p ≤ 0.001).
Conclusions: Therefore, the use of schema therapy sessions in medical centers for people who underwent hysterectomy surgery is suggested to reduce marital problems.

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