نازنین حقیقت بیان

Post-traumatic stress disorder (PTSD) is a debilitating mental health condition that can arise following exposure to traumatic events. This study aims to investigate the effects of cognitive behavioral therapy (CBT) on the sense of coherence, social support, and spiritual well-being among students diagnosed with PTSD. The research employed a semi-experimental, pre-test-post-test design with a control group. The statistical population included students diagnosed with PTSD at the University of Tehran during the 2023-2024 academic year. A total of 36 students with PTSD were selected using purposive sampling and were divided into experimental (n=18) and control (n=18) groups. The experimental group attended eight 90-minute CBT sessions, while the control group received no intervention. Data collection involved administering the Post-Traumatic Stress Disorder Scale (Keane et al., 1998), the Sense of Coherence Scale (Antonovsky, 1993), the Social Support Questionnaire (Sherbourne & Stewart, 1991), and the Spiritual Well-Being Scale (Paloutzian & Ellison, 2012). The data were analyzed using multivariate analysis of covariance (MANCOVA) in SPSS-24. The results indicated that CBT significantly increased the sense of coherence (F=40.69, p=0.001, η²=0.58), social support (F=60.50, p=0.001, η²=0.67), religious well-being (F=52.16, p=0.001, η²=0.64), and existential well-being (F=54.50, p=0.001, η²=0.65) in students with PTSD. These results support the incorporation of CBT into therapeutic programs for students with PTSD to foster resilience and holistic well-being. Future research could explore the long-term effects of CBT and its impact on other psychological and behavioral outcomes in diverse student populations.

Depressed patients often face challenges related to life expectancy and psychological well-being. Therefore, this study aimed to determine the effectiveness of Acceptance and Commitment Therapy (ACT) on depression and suicidal thoughts in patients with major depressive disorder. 

This semi-experimental study employed a pretest-posttest design with a control group. The study population included outpatient depressed patients who visited psychological service centers and clinics in Tehran during the spring of 2023. A total of 30 participants were selected through purposive sampling and randomly assigned to two equal groups. The experimental group underwent 10 sessions of 90-minute ACT treatment, while the control group received no training. The research tools included depression and suicidal thought scales. Data were analyzed using Chi-square tests, multivariate analysis of covariance (MANCOVA), and Bonferroni post hoc tests.

The findings showed no significant difference between the groups in terms of gender, age, and educational level (P > 0.05). Furthermore, the ACT treatment method significantly improved outcomes compared to the control group (P < 0.001)

Based on the results, therapists and health professionals can use ACT to improve health-related attributes, particularly by reducing depression and suicidal thoughts.

This study was designed and conducted with the aim of comparing the effectiveness of group counseling based on Gutman couple therapy and integrated behavioral couple therapy on marital quality, emotional abuse and frustration of women with addicted husbands in Tehran.

The present study was an experimental method with a repeated measurement design mixed with a control group. The statistical population of the research consisted of all women with addicted husbands who referred to the welfare organization of Tehran city in 1401. The sample of this study was 45 women with addicted husbands who were randomly assigned to two experimental groups and one control group based on the criteria for entering and exiting the study and based on the scores obtained in the questionnaire. Data collection tools were Busby Marital Relationship Quality Questionnaire, Brahimi Emotional Abuse Questionnaire, and Pines Marital Frustration Questionnaire, which were completed by subjects of all three groups in pre-test, post-test and one-month follow-up stages. To analyze the research data, analysis of variance with repeated measurements was used using SPSS 26 software.

The results of the study confirmed the effectiveness of both group counseling methods based on Gutman couple therapy and group counseling based on integrated behavioral theory in improving the quality of marital relationship and reducing emotional abuse and frustration in the post-test and one-month follow-up phase.

The findings indicated that the group counseling method based on Guttman's theory was more effective in emotional abuse and frustration than the integrated behavioral method. Also, group counseling based on integrated behavioral theory was more effective in marital quality than the group counseling method based on Guttman's theory.

The study aimed to investigate the effectiveness of acceptance and commitment therapy on coping styles, distress tolerance, and metacognitive beliefs in substance-dependent individuals.

The research method employed was semi-experimental with a pre-test-post-test design with a control group. The statistical population of the study included all drug-dependent men who sought treatment at addiction treatment clinics in Tehran in 2024. Among these, 40 people were selected using convenience sampling and were randomly divided into two groups: experimental (n=20) and control (n=20). The participants in both groups completed the multidimensional coping inventory, the distress tolerance scale, and the metacognitive beliefs questionnaire in the pre-test and post-test. Acceptance and commitment therapy was performed on the experimental group in 8 sessions lasting 90 minutes each, held twice a week. The data were analyzed using multivariate analysis of covariance.

The study findings indicated a significant difference between the two groups. Acceptance and commitment therapy led to a decrease in emotion-oriented and avoidant coping styles, as well as dysfunctional metacognitive beliefs. Conversely, it increased problem-oriented coping styles and distress tolerance in substance-dependent individuals.

The findings of this research indicate the effectiveness of acceptance and commitment therapy in improving the mental health of substance-dependent individuals. Given that these individuals are psychologically vulnerable, it is essential to implement measures to enhance their psychological health.

 PTSD is one of the chronic and debilitating psychiatric disorders, which, according to the fifth statistical and diagnostic manual of mental disorders, is part of the diagnostic set of stress-related disorders that can develop after facing a traumatic event. The purpose of this study was to compare the effectiveness of emotion-oriented therapy and acceptance commitment on post-traumatic stress and post-traumatic growth in people with post-traumatic stress disorder.

 This study was a semi-experimental study with two experimental groups and one control group, which was carried out with a pre-test, post-test and follow-up plan. The statistical population included adults aged 18 to 40 with post-traumatic stress disorder who referred to psychological centers in Tehran in 1402. The sample size was 30 people who were purposefully selected and randomly divided into two experimental groups and one control group (15 people in each group). The experimental groups received emotion-oriented and acceptance and commitment treatments during 8 sessions of 90 minutes, while the control group did not receive any intervention. To collect information, the post-traumatic growth adjustment questionnaire and the SRS-PTSD questionnaire were used. The data were analyzed using two-way analysis of variance with repeated measurements.

  The results of the study indicated the effect of emotion-oriented method and acceptance and commitment therapy on the dimensions of post-traumatic growth and post-traumatic trauma of adults with ptsd disorder (P<0.001) and the effectiveness of both methods was similar. (P < 0.05)..

 According to the results, specialists active in the field of post-traumatic stress disorder can consider the use of emotion-oriented methods and acceptance and commitment therapy in the treatment of these people along with other treatments.

personality traits are an organized and composed set of almost fixed and stable characteristics that distinguish one person from another. A dimensional model of personality that examines deep and fundamental mechanisms within the psyche. Borderline personality is one of the complex problems related to mental health. It is of particular importance compared to other personality disorders and the diagnosis of this disorder is one of the most challenging personality disorders. This disorder is known as a pervasive pattern of interpersonal relationships, self-image, emotions, and marked impulsivity, which begins in early adulthood and manifests itself in many fields, and intensive and short-term dynamic therapy can play an effective role in improving mental symptoms. Therefore, the present study was conducted with the aim of determining the effectiveness of intensive and short-term behavioral therapy on personality organization in people with borderline personality disorder.

This study was a semi-experimental method with a pre-test, post-test and two-month follow-up plan with a control group. The target population was all patients with borderline personality who referred to the specialized psychological clinic in Tehran in 1402. The sample size was determined by referring to Cohen's table. In this way, at the confidence level of 95%, the effect size was 0.30 and the statistical power was 0.83 for each group of 12 people. However, since there was a possibility of some samples falling and also in order to generalize the results more, the sample size was determined to be 15 people in each group. In the first step, 30 people were selected by available sampling method, and in the second step, these 30 people were replaced by simple random (by lottery) in an experimental group (15 people) and a control group (15 people). The criteria for entering the study include: full consent to participate in treatment sessions, not having any other disease other than borderline personality (by asking the people participating in the research), education at least at the middle school level and above (in order to understand dynamic therapy), not using Neuropsychiatric drugs (such as fluoxetine and sertraline), lack of receiving psychological services (such as treatment for depression or anxiety) in the past three months, and lack of history of receiving short-term and intensive dynamic therapy training. The exclusion criteria included absence of more than two sessions, suffering from mental illnesses including depression, simultaneous participation in other psychological training workshops, and refusal to continue cooperation. Informed consent, justification of the participants regarding the method and purpose of the research, compliance with the principle of secrecy and confidentiality of the obtained information, the freedom of the participants to leave the study were among the ethical principles observed in this study. To collect data in addition to the demographic information form (including: age, gender, education level and marital status) from the self-report questionnaires of the personality organization in 3 stages: pre-test (before training), post-test (after training) and follow-up (2 months after completing the training) was used. Sampling was done in February 1400 and the intervention started from Farrudin 1401 and continued until the end of June and the follow-up period was also done until the end of September. The interventions were carried out individually by a trained clinical psychologist on Sundays and Tuesdays at 17:00-20:00 in the co-creating change psychological clinic (researchers' work clinic). The participants in the research did not drop out and the trainings were provided free of charge. It should be noted that these people were informed that they can withdraw from this study and receive psychological services at any time. After the end of the study, the subjects of the control group received free psychological services by a clinical psychologist.

The mean and standard deviation of the age of the experimental and control groups were 43.40 ± 3.92 and 44.07 ± 4.49 years, respectively (P=0.669). Two-way analysis of variance with repeated measurements was used to analyze the data and examine the hypotheses of personality organization. Before conducting two-way analysis of variance with repeated measurements, its assumptions were examined. The results of the Kolmogorov-Smirnov test showed that the data distribution values are normal at the 95% confidence level (P<0.05). The results of Levene's test were more than 0.05 and the assumption of homogeneity of the variances of the two groups was fulfilled. Mauchly's assumption of sphericity showed that the assumption of sphericity was valid in the data for personality organization (P=0.358, χ=3.56). Therefore, the assumed sphericity test was used. To evaluate the equality of covariance matrices, Box's M test was used, according to the results, it was valid for personality organization variable (Box's M=4.179, F=3.260, P=0.508).The results of the t-test of two independent samples regarding age and Fisher's exact test regarding gender, education level and marital status showed that there is no statistically significant difference between the experimental and control groups (P<0.05). The average score of personality organization Before the intervention, respectively, in the treatment group 25.72 and in the control group 12.72 (p<0.05), but after the intervention, the average score of personality organization in the treatment group increased significantly compared to the control group (p < 0.01).

The results of the present study indicated that the use of intensive and short-term dynamic therapy is more effective than intensive and short-term psychodynamic therapy on patients with borderline personality. Based on this, it is recommended to use intensive and short-term psychodynamic therapy to improve organization in people with borderline personality.