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Background: Diabetic patients face many challenges related to their illness and treatment in their life. So they need to use coping strategies for adjustment. The purpose of this study was determined the coping styles among diabetic Iranian patients. Methods and Materials: In a case-control study, 100 consecutive diabetic patients admitted to Amin and Sedigheh Taherah Medical Centers, Isfahan, were selected based on the inclusive and exclusive criteria and compared with one hundred normal people who selected from general population. Data collected by using demographic questionnaire, the Jalowiec Coping Scale, then MANCOVA and co-variance were used to analyze the data. Results: Difference between two groups in coping styles were significant (F=2.835, p=0.005). Significant differences was in supportant coping style (F=11.204, p=0.001). There was no significant difference in other coping styles between two groups. Conclusion: It seems that the diabetic patients likely differ from normal people only in supportant coping style when deal with daily stress. But they are similar to normal people in other coping styles. In addition, both groups use problem solving styles when deal with daily stress. The findings emphasis the role of illness representation to determine coping styles.

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Background: The aim of this study was to test  the proposed model  for the impact of self-efficacy beliefs on parent’s anxiety and marital adjustment with mediating role of cognitive emotion regulation strategies among parents of chronically ill children of ahwaz city.

Materials and Methods: The statistical universe was all the parents of chronically ill children who was selected by Convenience sampling method.The research tools are included the self-efficacy questionnaire (SES), anxiety questionnaire (STAI), Spanier marital adjustment questionnaire  and Garnesfki cognitive emotion regulation strategies questionnaire.Amos 18 program software was applied for structural equation modeling (SEM).The indirect relationship was tested with bootstrap Amos 18 program software.

Results: The results revealed that the tested model had good fit indices.

Conclusion: Results revealed that self-efficacy beliefs directly influenced on parent's anxiety, marital adjustment, and adaptive and nonadaptive cognitive emotion regulation strategies. Also, adaptive cognitive emotion regulation strategies have a direct relation with parent's anxiety and marital adjustment. In addition, there was a direct relation between nonadaptive cognitive emotion regulation strategies and marital adjustment. Alternatively, self-efficacy beliefs directly influenced on anxiety and marital adjustment with mediating role of adaptive cognitive emotion tegulation strategies and indirectly influenced on adjustment with mediating role of nonadaptive cognitive emotion regulation strategies.

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1. Abstract
2. Background: Students face a lot of emotional problems and psychological stress that affect their individual and social adaptation as well as their quality of life. Therefore, examining treatment models for these problems is very important. One of these models, the Fractal Diagnostic Treatment Model, is based on emotional regulation skills for a wide range of emotional disorders that can be used properly. The purpose of this study was to investigate the effectiveness of integrated diagnostic therapy on individual and social adaptations and emotional adjustment.
3. Materials and Methods: A total of 70 female students were selected and assigned into two diagnostic groups (35 patients) and control (35 people). The experimental group received 12 sessions of diagnostic diagnosis weekly. Data were gathered in this study by Social Compliance Scale and Graz's Regulatory Emotion Questionnaire. Data were analyzed using descriptive statistics and multivariate covariance analysis (MANCOVA).
4. Results: The results showed that transdiagnostic treatment focused on the dimensions of emotional regulation, including: refusal of emotional responses (F = 120.69, p < 0.01), impulse control problems (F = 14.57, p < 0.01), lack of emotional awareness (F =104.82, p< 0.01), lack of emotional resolution (F=42.64, p< 0.01), participation problems (F = 41.00, p<0.01), and limitations in achieving emotional regulation (F = 85.33, p<0. 01) is effective. Also, the results showed that exacerbation-based fetal diagnostic therapy was effective on individual adaptations (F = 146.76, p < 0.01) and social (F = 85.02, p<0.01).
5. Conclusion: Regarding the effect of Fract-Intervention therapy based on emotional adjustment on personal and social adaptation and student's emotional adjustment dimensions, these results are applicable to clinical practitioners, counselors and practitioners in academic counseling centers.

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Introduction: Resilience is known as a component that plays an important role in tolerating the hardships of the occupational and marital environment. Therefore, it is identified as the main construct of personality, so identifying variables that can predict resilience is important.
 Methods: The present study is based on the basic purpose and in terms of the method of collecting descriptive data is correlational with structural equation model. The statistical population of the study included married female nurses in public health centers and hospitals of Alborzand province that 400 of them were selected by multistage cluster sampling method. To collect data, Conor and Davidson Resilience Questionnaire, Denis and Vanderwal Cognitive Flexibility Scale, Cognitive Emotion Regulation Questionnaire Granevsky et al., Short Form Skorn and Smith Self Differentiation Questionnaire, and Locke-Wallace Marital Adjustment Scale were used. To analyze the data, structural equation modeling test and SPSS 26 and Amos24 software were used.
Results: The critical ratio between cognitive flexibility (r=76.7), cognitive emotion regulation (r = 72.9.), self-differentiation (r = 71.2), marital adjustment (r = 79.6) and resiliency was found at the significance level of  0/01. The results showed that the data fit with the conceptual model of the research. Also, the mediating role of marital adjustment, between cognitive flexibility, self-differentiation and the cognitive emotion regulation questionnaire on resilience  was confirmed. According to the results, to increase the resilience of married female nurses, it is recommended to pay   special attention to cognitive, emotional and emotional variables of this class.
Conclusion: According to the results of this study, it is suggested to the officials of the treatment staff to pay special attention to cognitive, emotional and emotional variables of this group to increase the resilience of married female nurses.

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Introduction: The present study was conducted to analyze the focal relationship of the contribution of mental adaptation to cancer, health literacy, and perceived threat in predicting the early diagnosis of breast cancer.
Methods: This study was a descriptive correlational research. The statistical population of the present study included all women with breast cancer under treatment at Shohadaye Tajrish Hospital Cancer Treatment Center in 2023, and 310 people were determined to participate in the research using G*Power software and the available sampling method. They responded to Williams, Templin, and Hines's breast cancer literacy questionnaires, Champion's perceived threat questionnaire, Watson's mental adaptation to cancer and early diagnosis questionnaire. The data were also analyzed using a focal correlation test and multiple regression.
Results: The results showed that there is a significant relationship between the contribution variables of mental adaptation, perceived threat, and health literacy with the components of early cancer diagnosis (knowledge, attitude, and actions) (P ≤ 0.01). Also, the results showed that health literacy was 4.8%, mental compatibility was 3.4 percent and perceived threat 18.7% alone predicted the variance of early diagnosis of breast cancer. The perceived threat share is 38.9%, higher than all other variables.
Conclusions: Based on the statistical results, it can be said that increasing mental adaptability, perceived threat, and health literacy play a role in early disease diagnosis, and the importance of perceived threat is more significant than mental adaptability and health literacy, which should be considered.

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Introduction: Adolescence is a stressful stage that can affect the mental health and social adjustment of adolescents. The purpose of this study is to compare the effectiveness of cognitive behavioral therapy and acceptance and commitment therapy on distress tolerance and social adjustment in adolescents with social anxiety.
Methods: This was a quasi-experimental study with a pre-test-post-test design and a control group. The statistical population consisted of male high school students with social anxiety in district one of Babol city, who were studying in the 2022-2023 academic year. From this population, 45 individuals who met the study's entry criteria were selected via purposive sampling and were randomly assigned to three groups (15 in the first experimental group, 15 in the second experimental group, and 15 in the control group). Data were collected using the Bell Social Adjustment Inventory (1961) and the Simmons & Gaher Distress Tolerance Scale (2005). The data were analyzed using multivariate analysis of covariance (MANCOVA) (P < 0.05).
Results: The findings showed that cognitive behavioral therapy and acceptance and commitment therapy caused a significant increase in distress tolerance and social adjustment of adolescents with social anxiety (P < 0.001), and there was no significant difference between the effectiveness of these treatments on distress tolerance and social adjustment.
Conclusions: The results showed that the effectiveness of cognitive behavioral therapy and therapy based on acceptance and commitment therapy on distress tolerance is not different. Therefore, these two treatment methods can be recommended to improve distress tolerance and social adaptation in adolescents with social anxiety.