JOURNAL OF CLINICAL PSYCHOLOGY
Year:2020 | Volume:12 | Issue:3 (47)|Papers Count:9

Introduction: As other chronic diseases the Multiple Sclerosis creates a number of harmful psychological effects on patients. The purpose of this research was to investigate the effectiveness of the compassion-focused therapy on positive and negative affect and hope in multiple sclerosis (relapsing remitting) patients. Method: In a randomized controlled trial design a sample with 24 subjects were selected by available sampling method from a neurology clinic in Isfahan city in the winter 2016, and were randomly placed to experimental and control groups (n= 12). All subjects completed the positive and negative questionnaire and hope questionnaire in a pretest stage. Then experimental group received compassion focused therapy in eight 90 minutes sessions, whereas no intervention received by control group. Both groups were evaluated in the post-test and follow-up stages. The final dataset was analyzed by a repeated measure ANOVA analysis. Results: Data were shown significantly time effect (pre-test, posttest and the follow-up), as well as, time* group interaction effect for positive/negative affect and hope scores. A significant between subjects effects was also found for these variables. Hence the difference among the average scores was significant between two groups regardless of time passage. Conclusion: The compassion focused therapy could be utilized to reduce negative affect and increase positive affect and hope in people who are suffered from multiple sclerosis and this treatment method is reasonable for patients of MS.

Introduction: The aim of the study was to predict the spouse conflict resolution strategies based on borderline personality disorder symptoms mediating by rumination and thought suppression emotional regulation strategies. Method: The study design was a descriptive correlational type and the statistical population of this study was included all of the female and male married students of the Islamic Azad University of Karaj in 2019, 360 married students were selected by targeted sampling. Research tools were Conflict Tactics Scale, Borderline Symptom List, Ruminative Response Scale and White Bear Suppression Inventory. A structural equation modeling was used for data analyze. Results: The results of the present study showed that borderline personality disorder symptoms could positively predict the rumination and thought suppression emotion regulation strategies (β =0. 879, P=0. 004). Borderline personality disorder symptoms negatively and significantly predict spousal conflict resolution strategies (β =-0. 488, P=0. 007) as well. Rumination and thought suppression emotion regulation strategies positively and significantly predict spousal conflict resolution strategies (β =0. 706, P=0. 005). Borderline personality disorder symptoms positively and significantly predict spousal conflict resolution strategies by mediating rumination and thought suppression emotion regulation strategies (β =0. 620, P=0. 005). Conclusion: Psychotherapists in the field of couple therapy are recommended to teach the use of strategies such as distraction during marital conflicts and reduce the negative manifestations of borderline personality disorder symptoms such as rumination.

Introduction: The purpose of this study was to investigate the effects of Boen’ s intergenerational method training on family relations and systematic family variables in Isfahan in 2018-2019. Method: A semi-experimental design by pre-test and post-test with control group conducted. A sample with 40 married women were selected on a voluntary basis and randomly divided into control and experimental groups. The research instruments were Family Relation scale, triangulation scale, as well as, control method and boundaries scale. Both groups were evaluated in pre-test and post-test. The experimental group was trained for 8 sessions of Boen’ s intergenerational method training, while no training receive by control group. The collected data were analyzed using MANOVA analysis. Results: The results showed that the method used in general was effective in improving research variables of mothers (p <0. 05) except 2 variables of rigid and vague oundaries Conclusion: It can be concluded that Boen’ s intergenerational method training can be used to improve family variables.

Introduction: The Self-Ambivalence Measure (SAM) is a relatively new instrument designed to measure self-ambivalence in the context of obsessive-compulsive symptoms. The aim of present study was to investigate the psychometric properties of the SAM-Persian version. Method: Applying a descriptive-correlational research method a sample with 280 participants were selected from undergraduate students of Shiraz universities on a voluntary basis. The participants completed the Persian version of Self-Ambivalence Measure, Rumination-Reflection Questionnaire (RRQ) and The Rosenberg Self-Esteem Questionnaire (RSE). The factor structure of SAM was investigated using exploratory factor analysis. The Cronbach’ s alpha and Spearman-Brown coefficient were computed to obtain the reliability measures. Convergent validity of SAM was examined by the patterns of correlations between the SAM with RRQ and RSE. Results: Exploratory factor analysis resulted in the extraction of four components: 1-conflicting thoughts of self, 2-dichotomous view of self 3-fear of others’ judgment, and 4-preoccupation with self-worth. These components totally explained 63. 8% of the variance. The reliability of the questionnaire was obtained 0. 91 using Cronbach's alpha. Conclusion: Results indicated desirable psychometric characteristics of the SAM in student populations. However, more research is required to ensure the applicability of the instrument in other populations.

Introduction: Breast cancer is the most common cancer and the second leading cause of death among women with many physical and psychological complications, decreasing the patient’ s quality of life. Therefore, the aim of this study was to evaluate the efficacy of acceptance and commitment therapy on the psychological flexibility, post-traumatic growth and quality of life in patients with breast cancer. Method: In a randomized clinical trial design with pre-test-post-test-fallow up paradigm, a sample of 30 breast cancer patients referred to the Alborz province hospitals selected (summer 2018) and randomly were divided into experiment and control groups after gaining inclusion criteria. Acceptance and commitment based treatment protocol was performed in 10 sessions for the experimental group and the control receive no intervention. The psychological flexibility (MFPI), post-traumatic growth (PTG) and quality of life (FACT-B) questionnaires completed by patients before and after therapeutic interventions and in the follow-up phase. Results: The results of mixed analysis of variance showed that the experimental group participants had a significantly higher scores of psychological flexibility, post-traumatic growth and quality of life than the control group. Also, the scores of these variables changed significantly over time from pre-test to follow-up. The interaction of the group in time showed that the participants of the experimental group obtained significantly higher scores in all variables than the control group in the post-test and follow-up stages, which indicated a regular interaction. Conclusion: Acceptance and commitment therapy is effective on psychological flexibility, posttraumatic growth and quality of life in the breast cancer patients and can be used to improve the quality of life in these patients.

Introduction: Resilience is one's ability to cope with risky and stressful situations, but not everyone is equally resilient. Due to the stressful nature of the nursing profession, resilience is an essential quality of a nurse. The purpose of this study was to determine the role of Mizaj in predicting resilience with regard to the moderating role of gender among nurses. Method: The research methodology is a descriptive correlational. The study participants were included nurses from different wards of Imam Ali Hospital in Kermanshah that by simple randomized sampling method and Cochran formula, 165 (104 womem and 61 men) nurses were selected. The data were collected by Standard Salmannejad Questionnaire (SMQ) and Conner-Davidson Resiliency Questionnaire (CD-RISC) and Multiple regression analysis was used to analyze the data. Results: The findings of this study showed that nurses 'warmth of Mizaj increases their resilience and its coldness reduces it, and nurses 'dryness of Mizaj decrease their resilience and its wetness of Mizaj causes increases in resilience. Also moderating role of gender in the relationship between resilience and Mizaj was confirmed. That is, the effect of Mizaj on the resilience of nurses varies between men and women. Conclusion: Nurses΄ Mizaj plays an important role in their resilience, and research findings confirm this relationship. It is recommended that nurses be evaluated for their Mizaj in order to attract and recruit nurses in the human resource management department of hospitals, and that nurses who are eligible for nursing stressful jobs be selected.

Introduction: Cyberchondria is a new form of hypochondria in that repetitive searching of online medical information increases anxiety and distress in people and continues with the repetitive and inconclusive trials for reassurance seeking. The Cyberchondria Severity Scale (CSS) designed to diagnose this phenomenon in non-Iranian samples, but this scale has not studied from validation view in Iranian population yet, so the aim of this study was to evaluate the CSS psychometric properties in Iranian sample. Method: A sample with 200 persons were chosen by convenience sampling method and answered to Cyberchondria Severity Scale (CSS), Depression, Anxiety and Stress Scale (DASS 21) and Short Health Anxiety Inventory (SHAI). Results: Exploratory factor analysis (EFA) revealed 4 Factors that except one (reassurance/mistrust), other factors was same as original version of the scale. Internal consistency and validations of the scale was approved (p<0/001) as well. Conclusion: Based on the findings, this scale recognize 4 factors in Iranian population: compulsion, reassurance /mistrust, excessiveness and distress and is useable in Iranian research and clinical cases.

Introduction: Female Sexual Interest-Arousal Disorder is one of the most common sexual problems in women and a multifactorial disorder. The aim of this study was to determine the mediating role of marital conflict in the relationship between attachment styles and their self-differentiation with signs of sexual desire / arousal in women and mediating role of marital conflicts. Method: The present cross-sectional study was performed on 322 married female employees of Shahed University and married students of Shahed, Al-Zahra and Shahid Beheshti who were selected by convenience sampling method. Data collection included demographic characteristics form, female sexual function index, Collins and Reed adult attachment style questionnaire, self-differentiation questionnaire and marital status questionnaire. Data analysis was performed in SPSS-21 and Amos software. Results: The results showed that in addition to the positive and significant relationship between secure attachment style and desire/arousal symptoms and also the negative and significant relationship between ambivalent and avoidant insecure attachment styles and signs of sexual desire/arousal, there was a direct and significant relationship between self-differentiation and signs of sexual desire/arousal. It should also be added that the aforementioned variables are indirectly related to the mediating role of marital conflicts with the criterion variable. Conclusion: The present study showed that the root of marital conflicts is in their attachment and differentiation styles, which reveals the role of childhood experiences and communication with parents. the psychological components that are formed in the form of main family relationships can affect behavioral and marital patterns in the current family.

Introduction: The aim of this study was to predict marital adjustment based on cognitive triad and irrational beliefs in couples. Method: Design of this study was descriptive-correlational. Statistical population of the study consisted of all young couples living in Semnan city in 2020. Participants were 382 male and female that were selected by two-step randomize sampling and voluntary basis, among all young couples. The study tools included Graham B. Spanier, Dyadic Adjustment Scale(DAS), Beckham Cognitive Triad Inventory(CTI) and 4 factors of Irrational Beliefs Test-Ahvaz (4IBT-A). For data analysis, a structural equation modeling was used. Results: The structural equation modelling of cognitive triad and irrational beliefs with marital adjustment directly demonstrated significant fitness. The direct path coefficient between cognitive triad with marital adjustment was negative and significant (P= 0/001). Also, the direct path coefficient between irrational beliefs with marital adjustment was negative and significant (P= 0/001). Conclusion: Irrational beliefs about the couple's relationship that originate from negative and distorted thought patterns and cognitive distortions that result from distorted perceptions, cause anger, depression, constant arguing and incompatibility with the spouse. From this perspective, identifying and addressing these factors provides a deeper understanding of difficulties in Marital adjustment. It is suggested that in an effective treatment context address the variables expressed in the form of treatment protocols.