پیام سرابی

The present study aimed to compare the effectiveness of drug therapy and combined Cognitive-Behavioral Therapy (CBT) with drug therapy on premature ejaculation and intravaginal ejaculation latency in patients with primary premature ejaculation disorder. The research utilized a semi-experimental design with a pre-test-post-test and a control group, incorporating a follow-up period of six and twelve months. The statistical population comprised all married individuals referred to psychological and counseling clinics in Kermanshah in 2021 for primary premature ejaculation treatment. The research sample consisted of 60 men selected purposively and randomly assigned to three experimental groups, along with one group waiting for treatment (15 people in each group). Data were collected using the Premature Ejaculation Diagnostic Instrument Questionnaire (PEDT, Simmonds et al., 2007) and a chronometer. Mixed variance analysis with repeated measures was employed for data analysis. The findings revealed that, respectively, the average scores of premature ejaculation (PE) and intravaginal ejaculation latency (IELT) in the drug therapy group at the post-test and six-month follow-up stage exhibited more significant decreases and increases compared to the CBT group with drug therapy. However, in the 12-month follow-up phase, the decrease in the mean scores of PE and the increase in the mean scores of IELT were higher in the CBT group with pharmacotherapy compared to pharmacotherapy alone. Additionally, the therapeutic effect remained in the drug therapy group until the six-month follow-up period (P<0.01). In contrast, the therapeutic effect in the CBT group with drug therapy remained stable until the twelve-month follow-up (P<0.01). The findings of this research can be applied in clinical and therapeutic interventions to improve and treat premature ejaculation and intravaginal ejaculation latency.

The purpose of the present study, in order to analyze the causes of the context and the consequences of extramarital relationships (marital infidelity) from the perspective of married youth in Kermanshah. The research method was a qualitative methodological approach using the grounded theory method. The Statistical Society of all married youth was involved in Kermanshah's transcendental relations in 2019. Based on the theoretical sampling method, 22 people (11 men and 11 women) participated in the study using in-depth and semi-structured interview techniques. The results showed that two nuclear categories in the areas of individual and interpersonal issues, and community issues, were obtained as underlying factors. In the field of individual and interpersonal issues; Individualism, past issues, moral and religious weakness, failure to meet sexual needs, failure to meet emotional and psychological needs, verbal, physical, and sexual violence, and lack of control over life have all been influential. In the field of community issues; Environmental, social and political issues, poverty and economic problems, addiction, and media war were influential. Overall, the findings of this study showed that sexual and emotional needs, poverty, and economic problems, along with addiction were the main causes of infidelity from the perspective of both men and women. The consequences of extramarital relationships include interpersonal problems between couples, reduction in personal acts, granted isolation, post-traumatic stress disorder, depression, anxiety, suicide, and murder. Researchers and policymakers in the field of marriage and family can reduce the likelihood of inclination to extramarital relationships by eliminating the causes of couples' tendency to extramarital relationships and strengthening their deterrents and functional environment, and providing the basis for the stability of the coupled system and family.

Determining the effectiveness of couple's integrated behavioral therapy on sexual self-efficacy and sexual self-concept was acquired in individuals with acquired premature ejaculation. The research method was quasi-experimental with pretest, posttest, and follow-up with the control group. The statistical population included all married people aged 25 to 45 years who had been referred to psychology and counseling clinics in Kermanshah in 2020 for premature ejaculation. The sample consisted of 30 men who were selected by the available sampling method and randomly assigned to two experimental and waiting groups (15 people in each group). Data in three stages of pre-test, post-test, and follow-up using sexual self-efficacy questionnaires (SSES) (Vaziri & Lotfi Kashani, 2013), sexual self-concept (MSSCQ) (Snell, Fisher & Walters, 1995), premature ejaculatory diagnostic tools (PEDT) (Simmonds et al., 2007) and time Gauges were collected. Integrative behavioral couple therapy was performed for the experimental group in 9 sessions, but no therapeutic intervention was used for the control group. Analysis of variance with repeated measures and Bephroni post hoc test were used to analyze the data. Coupling integrated behavioral therapy was effective on sexual self-efficacy, sexual self-concept, premature ejaculation, and latency of intravaginal ejaculation (IELT) (P<0.001); And the scores of dependent variables in the post-test and follow-up stages increased compared to the waiting groups and the score of premature ejaculation decreased (P<0.001), also the therapeutic effect was maintained until follow-up. The findings of the present study can be used for clinical and therapeutic interventions to promote sexual self-efficacy and sexual self-concept and, as a result, improve the latency of intravaginal ejaculation (IELT) and premature ejaculation in men.

Anxiety disorders are one of the most common classes of psychiatric disorders worldwide. There are various models for the formation and persistence of this disorder that indicate the importance of this disorder among many emotional disorders in recent decades; Cognitive function is one of the cases in which generalized anxiety disorder can greatly affect. The effectiveness of silva-style psychomotor relaxation on cognitive functions in people with a generalized anxiety disorder. The research method was quasi-experimental with a pre-test post-test design and a control group. The statistical population of the study consisted of all individuals referring to counseling and psychotherapy centers in Tehran in the first six months of 2017. After initial evaluation using the Pervasive Anxiety Disorder Scale, 30 of them were selected by purposive sampling method and randomly assigned to experimental (n= 15) and control (n= 15) groups. Silva-style psycho-relaxation group therapy was performed on the experimental group in 8 sessions of 90 minutes (two sessions per week); The control group was placed on a waiting list for one month. In order to collect information, the Pervasive Anxiety Disorder Scale (Spitz, et al., 2006) and the Wisconsin Card Test (Grant & Berg, 1984) were used in two stages: pre-test and post-test. Analysis of covariance was used to analyze the data. Findings showed that after controlling the effect of the pretest, there was a significant difference between the mean scores of cognitive function components including success and achievement in the experimental and control groups (P<0.005). In general, according to the results of the study, it can be said that the silva-style psychosomatic intervention has an effect on improving the cognitive functions of people with a generalized anxiety disorder.

The purpose of this study was to investigate the epidemiology of psychiatric disorders in students of Islamic Azad University of Kermanshah.

The research method was descriptive-survey. The statistical population consisted of all students who were studying in Islamic Azad University of Kermanshah in the academic year 2017-2018. The sample size consisted of 597 individuals who were selected by stratified random sampling. All subjects were assessed using the Millon Clinical Multiaxial Inventory - 3 (MCMI-III). Data were analyzed using Chi-square (X2).

The results of this study showed that the prevalence of psychiatric disorders in the student population of Kermanshah Islamic Azad University was 31.16%, of which the prevalence was 36.20% in Women and 26.73% in men. Anxiety disorders, borderline personality, drug dependence and antisocial personality were 3.86, 2.85, 2.85, and 2.18% respectively, the most common psychiatric disorders in the student population. In general, 14.24% of people suffered from at least one psychiatric disorder; Also in the study of demographic variables, the highest prevalence was in the age group of 28 years and above with 17.32%, and single subjects with 10.44%. The relationship between the prevalence of psychiatric disorders and the gender of individuals showed a significant relationship between gender and borderline personality disorders, anxiety, Major depressive, post-traumatic stress and major depression (p <0.05); but between sex and infection There were no significant differences in other abnormalities (p <0.05).

The findings of this study indicate that at least 30% of the student population of the Islamic Azad University of Kermanshah need mental health services; Therefore, further research on etiology and its remediation needs to be provided in the field of family mental health through public and specialized education in outpatient clinics, university counseling centers, group media, and schools

The goal of this research was to determinethe effectiveness of psychotherapy basedon acceptance and commitment on sexual function, sexual guilt feeling, sexual self-consciousness, and sexual assertiveness among women with sexual dysfunction. The research method was semi-experimental with pre-test, post-test, follow-up and control group. The statistical population consisted of all 25-45 year-old married women in the city of Sonqor, who referred to the clinic of psychology and counseling of Avysta in the spring of the 1396 year. The sample consisted of 30 women who were selected by convenience sampling method and randomly assigned to two experimental and control groups (each group of 15). First, all subjects responded to Sexual Function (Rosen & et al, 2000), Sexual Guilt Feeling (Mosher, 1998), Sexual Self-Consciousness (Van Lankveld& et al, 2008) and Sexual Assertiveness (Hurlbert, 1991)Questionnaires. Subsequently, acceptance and commitment based psychotherapy was performed for the experimental group in 10 sessions, However, no intervention was used for the control group. For data analysis, descriptive statistics and covariance analysis were used. The acceptance and commitment based psychotherapy was effective in improving sexual function, sexual guilt feeling, sexual self-consciousness and sexual assertiveness of women (P<0.001). Treatment based on acceptance and commitment was considered to be effective and this treatment could be used as an effective interventions for improving sexual function, sexual guilt feeling, sexual self-consciousness, and sexual assertiveness in women with sexual dysfunction.

This study aimed to determine the efficacy of reality therapy on the self-esteem of elderly couples with depression in Kermanshah. An experimental study was conducted with two groups experimental and control. The study population consisted of all couples aged 60 years was the city of Kermanshah. A group of 30 couples eligible elderly chosen by convenience sampling and randomly divided into control and experimental groups (each group of 15 couples) was assigned. The data were collected using the Beck Depression Inventory and Rosenberg Self-Esteem. The experimental group underwent 12 sessions of 60-minute therapy group was treated with reality, but to no intervention control group was not used. To analyze the data descriptive statistics and analysis of Covariance was used. The results of data analysis showed that reality therapy reduced depression and increased self-esteem elderly couples in the experimental group compared with the control group was. Based on these findings, we can say, reality therapy group can be useful as a treatment to improve self-esteem and increased depression in the elderly be used.

This study is in line with the degree of Millon Clinical Multiaxial Inventory - 3 Personality Inventory (SCID-II) in the diagnosis of personality disorde. The research sample included 510 patients (160 men and 350 non-clinical, clinical) subjects were clinically purposive sampling and non-clinical subjects were selected by simple random sampling. Data from clinical trial Millon - 3 (MCMI-III), Personality Questionnaire (SCID-II) and demographic characteristics were used. For data analysis, chi-square tests (X2) and kappa coefficient was used. Statistical analysis showed that the agreement with the MCMI-III personality questionnaire (SCID-II) in the diagnosis of personality disorders, the highest and the lowest coordinate in the clinical diagnosis of borderline personality disorder with 66/0, and dependent personality disorder / 004 is also the highest and the lowest coordinate in non-clinical diagnosis of avoidant personality disorder with 46/0, and dependent personality disorder / 006, respectively. The results of the characteristics of personality scales MCMI-III, the positive predictive power in the range of 95/0 to 15/0, 94/0 to 35/0 and also can detect negative predictive power in the range of 99/0 to 41 / 0 respectively. The results of this study show the diagnostic validity of MCMI-III is valid and desirable, and evaluations can be used for diagnosis, treatment and research of personality disorders is used.

The purpose of this study was to determine the comparison of the effectiveness of cognitive-behavioral sexual therapy with Acceptance and Commitment Therapy to sexual function in women with sexual dysfunction. The research method was semiexperimental and from pre-test, post-test, follow-up with control group. The statistical population consisted of all 25-45 year-old women married in the city of Sonqor, who were referred to the clinic of psychology and counseling of Avysta in the first half of the year 96. The sample consisted of 45 women who were selected by available sampling method and randomly divided into three groups (15 persons) Cognitive behavioral sexual therapy, acceptance and commitment therapy and control group (for control group, no therapeutic intervention Not taken). Participants of the three groups completed sexual performance questionnaire before and after the intervention. Descriptive statistics, covariance analysis and Bonferroni post hoc test were used for data analysis. Sexual function improvement in both experimental and control groups was significantly higher in the post-test and follow up stages than the control group (P <0.001). When comparing the effectiveness of the two approaches, it was found that cognitive behavioral Sexual therapy was more effective and effective than acceptance and commitment-based treatment in improving sexual function (P <0.001). The findings of this study can be used for clinical and therapeutic interventions to improve sexual function.