gholamreza sanagooye moharrar

 Adolescence is considered one of the most critical periods of life. Due to the rapid technological, cultural, and social changes in today's societies, adolescence is associated with many physical, psychological, and social problems for several adolescents and is the basis of many risky behaviors and social harms caused by it this period in adolescents. Is placed Changes in this period of growth may cause certain problems. When adolescents cannot successfully overcome developmental crises and challenges, they will experience psychological distress and significant disruption in the normal flow of daily life and emotional, social, and cognitive aspects. One of the subjects investigated in this course is the occurrence of high-risk behaviors such as self-harm and self-mutilation. Self-mutilation is an intentional, impulsive, non-lethal act that causes injury to a person's body. Self-mutilation refers to localized and conscious self-destruction, which is caused by the inability to tolerate the aggressive impulses internalized by a person, to punish himself or others. Approximately 1% of the population uses self-harm during their lifetime to cope with a crippling situation or feeling. Self-harm makes people imperfect. It is difficult to understand this behavioral phenomenon and it occurs in a very simple way or in an emotional situation where a person is under pressure. The overall prevalence of narcissism in the general population is 4% and in clinical samples, it is 21%, which is 3 times higher in men than in women. It begins in early adolescence and can be the first manifestation of a severe mental illness. Regarding self-mutilation behavior, several models have been proposed. One model is the self-regulation model, which considers self-mutilation as a compensatory measure to relieve anger, anxiety, or emotional distress. They have unpleasant tension and by harming themselves, they reduce this unpleasant feeling in themselves. The therapeutic approach of acceptance and commitment is a new therapeutic approach and uses the processes of acceptance, mental focus, commitment, and behavior change processes to create psychological flexibility. According to the mentioned materials and the study of the background of the research conducted in the field of this topic, it can be said that the treatment method based on acceptance and commitment can have a positive effect on regulating emotions and reducing aggressive behavior of people, and also there is a gap of studies in This field is the researcher's motivation for the research to investigate this situation more closely. Finally, the contents of this research, it is an attempt to answer the basic question of whether treatment based on acceptance and commitment reduces emotion regulation, aggressive behavior, and self-mutilation. Does it affect students?

The research method was quasi-experimental and the statistical population included teenage students with self-mutilation who were referred to the school counseling core and were referred to the emergency room of Zahedan city hospital in 1400. The sampling method was simply random, which included 40 people in three groups (20 people with acceptance and commitment therapy and 20 people as a control group). The research tools included the cognitive regulation of emotion questionnaires of Granfsky et al. (2003), aggression AGQ, and self-injury (SHI)). The experimental group received the intervention treatment method based on acceptance and commitment using cognitive behavioral therapy techniques in 8 one-and-a-half-hour sessions based on Bond and Hayes's (2004) treatment package. The obtained data were analyzed using SPSS statistical software with multivariate analysis of covariance tests.

The results showed that the therapy training program based on acceptance and commitment had a significant effect on improving emotion regulation and reducing aggressive and self-harming behavior of students.

In explaining this finding, it can be stated that treatment based on acceptance and commitment, unlike most treatments, does not seek to change the content of thought. For example, cognitive-behavioral therapy for anxiety disorders seeks to help clients reduce their distress by changing cognitive and behavioral responses to anxiety. In fact, cognitive-behavioral therapy enables clients to create a new communication network of compatible thoughts and behaviors that compete with incompatible networks and memories and eliminate them. To achieve this goal, cognitive-behavioral therapy includes these components: training on the nature of fear and anxiety, reviewing signs and symptoms, training on body relaxation and correct breathing, cognitive reconstruction, behavioral tests, and imaginary exposure. And alive with mental images, bodily sensations, and situations, preventing responses. In cognitive reconstruction, clients learn to challenge the validity of anxiety-inducing thoughts, identify the cognitive errors that these thoughts reflect, and create alternative thoughts for them. Behavioral experiments directly challenge anxiety-based predictions. It helps clients approach the feared stimulus and see if their expected consequences occur. Response prevention confronts clients with the stimulus and anxiety-causing contexts, and at the same time prevents anxiety-reducing behaviors and avoidance behaviors. But treatment based on acceptance and commitment is a behavioral treatment that uses the skills of mindfulness, acceptance, and cognitive dissonance to increase psychological flexibility. In therapy based on acceptance and commitment, psychological flexibility means increasing the client's ability to connect with their experience in the present and choose to act in a way that is appropriate based on what is possible for them at that moment. With their chosen values, establishing this situation can have a positive effect on regulating people's emotions. In the alternative explanation, the treatment is based on acceptance and commitment to cognitive reconstruction, acceptance of symptoms, and control of behavior. Acceptance in therapy based on acceptance and commitment is defined as: "Accepting an event or situation and letting go of the dysfunctional symptom control program and an active process of feeling emotions as emotions, thinking thoughts as thoughts, and so on. Acceptance should not be confused with tolerance or submission. Both of these are passive and imperative. In fact, acceptance means being aware of inner experiences (thoughts, feelings, memories, and physical symptoms) and actively accepting them, without taking action to reduce them and without taking action based on their verbal aspect, in treatment based on acceptance and commitment to control and Avoidance is a context in which experiencing an internal event in this context can be traumatic. Therefore, instead of focusing on changing that internal event, the Acceptance and Commitment Therapy therapist seeks to change this context. By changing this context and turning it into a context of acceptance, any internal event can be experienced without being traumatic. And by changing this context, the goal of functional Contextualism, i.e. predicting behavior and influencing behavior, is realized.

Teenagers nowadays face a variety of physical, psychological, and social issues. Psychotherapeutic interventions may respond to the crises created at this time. The aim of the present study was to compare the effectiveness of two types of online interventional therapy (cognitive-behavioral and emotion regulation therapy) on students’ commitment to emotion-regulation and reduction of aggressive behavior and self-harm. This pretest posttest experimental study was performed on 60 adolescent students with self-harm who referred to the emergency unit of Zahedan hospital from October 2021 to January 2021. Using simple random sampling, we selected 60 students in three groups (20 students treated with online training of cognitivebehavioral education, 20 students with online training of acceptance and commitment therapy, and 20 students formed the control group). Cognitive-behavioral therapy sessions were conducted in 12 one-hour sessions and acceptance and commitment-based therapy sessions were conducted in eight 90-minute sessions, twice a week. The instruments of the research were validated questionnaires including Emotion Cognitive Regulation Questionnaire (CERQ), Buss-Perry Aggression Questionnaire (AGQ), and Self-Harm Inventory Scale (SHI) The results showed that Cognitive-behavioral Therapy had a significant effect on the students’ self-regulation (P=0.01), Aggressive behavior (P=0.01), and Self-Harm (P=0.01). The results showed that acceptance and commitment therapy had a significant effect on the students’ self-regulation (P=0.001), Aggressive behavior (P=0.001), and Self-harm (P=0.001). The effectiveness of online training of acceptance and commitment therapy was higher than online training of cognitivebehavioral therapy in reducing self-harm among the students. Thus, in training programs for the teenagers, it is suggested that acceptance and commitment therapy should be used

The benefits of non-pharmaceutical approaches to lessen the symptoms of depression have received a lot of attention due to the possible negative effects of various anti-depressant drugs on patients, especially children and adolescents. The present study aimed to investigate the effect of Online Music Therapy and Online Painting Therapy on the students’ depression. The research method was experimental with a pre-test and post-test design. 45 students were selected using convenience sampling and randomly assigned to the intervention group with Online Music Therapy and Online Painting Therapy and the control group from September 2017 to October 2018. Beck Depression Questionnaire research tool was used. The intervention groups were treated with music and painting therapy, and then the test and follow-up were carried out. Painting therapy was performed by using painting tasks. Music therapy sessions were performed simultaneously with painting therapy. Statistical analysis was performed using SPSS software, version 23. A P-value less than 0.05 was considered to be statistically significant. In painting therapy, the mean±SD in the pre- and posttest for depression were 25.05±6.24 and 17.80±9.48, respectively; in music therapy, they were 22.95±4.67 and 18.55±5.36, respectively. Online music therapy and painting therapy were effective on depression in students(P=0.03). However, there was no significant difference in the stability of the effectiveness between music therapy and painting therapy. The results of the present study indicate that online group music therapy and painting therapy can effectively reduce depression and improve the mental health.

This study aimed to assess the activity of the behavioral brain system based on pain intensity with the mediating role of cognitive flexibility in patients with chronic pain.

In order to conduct research, 200 patients with various types of chronic pain, who had referred to specialized clinics and offices of neurologists in Zahedan in 2020, were selected through the convenient method. Participants fulfilled the Jackson Questionnaire, the Dennis and Vanderwall Cognitive Flexibility Scale, and Van Korf et al. (1992) Pain Scale. Then, the data were analyzed using path analysis method, based on SPSS22 and AMOS-21 software.

The results show that the dimensions of the behavioral brain system are significantly associated with pain intensity. It had an inverse and significant relationship with the Behavioral Activation System (BAS) and had a positive and significant relationship with the Behavioral Inhibition System (BIS) (P<0.05). Cognitive paternal flexibility and pain intensity are also indirectly related to each other; therefore, it can be said that as patients' cognitive flexibility increases, their pain intensity score decreases. Also, this study showed that cognitive flexibility does not play a mediating role between the war components (FFFS) but between the FFS system with intensity pain.

According to the results of the present study, there is a positive and significant relationship between behavioral inhibition system and cognitive flexibility and pain intensity. Also, cognitive flexibility is a mediating variable on the two components of inhibition and fear.