جستجوی مقالات مرتبط با کلیدواژه "درمان شناختی رفتاری" در نشریات گروه "پزشکی"

The purpose of this study was to determine the effectiveness of cognitive behavioral therapy on cognitive flexibility and executive functioning in epilepsy patients.

This research was a semi-experimental study with a pre-test and post-test format with a control group. The statistical population was all girls aged 7 to 14 years with epilepsy in Mazandaran province, Iran. The statistical sample included 40 girls (20 in the experimental group and 20 in the control group) selected by the available sampling method and randomly assigned in the two groups. The data collection tools were Dennis et al.'s Cognitive Flexibility (2010) and Coolidge's (2002) Executive Function questionnaires. Data analysis was done using SPSS software version 26.

Multivariate analysis of covariance (MANCOVA) showed that the cognitive behavioral training program had a direct effect on cognitive flexibility and executive functioning of the girls with epilepsy. The effect on cognitive flexibility (F=5.44 (35,1)) and executive functioning (F=2.73 (1,35)) was significantly different at the 0.001 level (P>0.01).

It is concluded that cognitive behavioral therapy has an effect on the cognitive flexibility and executive functioning of epilepsy patients, and the patients affected by cognitive behavioral therapy improve their cognitive flexibility and executive functions.

The aim of comparing the effectiveness of cognitive behavioral therapy group and cognitive therapy based on mindfulness on self-compassion in hemodialysis patients. 

The research method was a semi-experimental pre-test-post-test with a control group with follow-up. The statistical population of this research included all hemodialysis patients referred to the dialysis center of Khatam Al-Anbia Hospital in Shahrood city in 1402, numbering 211 people. The research sample included 45 people and the purposive sampling method was used. Research tools include; The questionnaire was the self-compassion questionnaire of Neaf (2003), as well as the therapeutic protocol of cognitive-behavioral therapy (Valsaraj et al., 2021) and cognitive therapy based on mindfulness (Segal et al., 2013) was used. The data was analyzed using the statistical test of mixed analysis of variance.

The findings showed that the two intervention methods of cognitive behavioral therapy and cognitive therapy based on mindfulness had a significant effect on improving self-compassion in hemodialysis patients in the post-test. There was a difference between the scores of the self-compassion in the three stages of pre-test, post-test and follow-up regardless of the type of intervention. Among the two intervention methods of cognitive behavioral therapy and cognitive therapy based on mindfulness, cognitive behavioral therapy was more effective in increasing self-compassion in hemodialysis patients (P<0.001).

It can be concluded that with both methods of cognitive behavioral therapy and cognitive therapy based on mindfulness, especially cognitive behavioral therapy which was more effective, the recovery in hemodialysis patients can be accelerated.

In recent decades, many protocols have been introduced under the cognitive-behavioral approach. Most of these protocols have paid more attention to emotion while maintaining the main assumptions of the cognitive approach. But none of them were based on a strong emotional model. The present study was conducted with the aim of developing and validating the cognitive behavioral therapy protocol based on the SPAARS model.

The present study was descriptive and the protocol was developed based on theoretical foundations and research evidence based on emotional SPAARS model. Protocol has been developed in 12 sessions and its validity evaluated by ten specialists. Data were analyzed by using Impact Score, Content Validity Index (CVI), and Content Validity Ratio (CVR).

The findings showed that the impact score of the sessions was higher than 1.5 and the minimum content validity index and content validity ratio were each 0.8, which is higher than the minimum acceptable level at the significance level of 0.05.

The face and content validity of the emotion-focused cognitive behavioral protocol based on SPAARS model has been confirmed by specialists’ evaluation. According to the results of the current study, this protocol can be used for individuals with emotional disorders.

Chronic back pain is usually associated with psychological, social, emotional and spiritual distress. On the other hand, the use of psychological treatments became part of the new lines of treatment, so the present study was conducted with the aim of determining the effect of Cognitive Behavioral Therapy on psychological and spiritual distress in women with chronic back pain.

The statistical population of the present study included all women suffering from chronic back pain who referred to the specialized pain clinics of Razavi and Imam Reza hospitals in Mashhad in 2023. They were placed in two groups (10 in the experimental and 10 in the control group). The experimental group underwent intervention in ten face-to-face sessions of 90 minutes for ten weeks, and the control group received the usual intervention. The data collection instruments included psychological distress questionnaire by Kessler et al. (2002) and spiritual distress questionnaire by Ku et al. (2010). Data analysis was conducted on the SPSS software version 24 using multivariate and univariate analysis of covariance.

The results of covariance analysis showed a significant difference in the psychological distress and spiritual distress between the two experimental and control groups; Cognitive Behavioral Therapy effectively reduced the psychological distress and spiritual distress of women with chronic back pain (P<0.05).

Based on the results, it can be stated that the health professionals should consider the results of this study in designing psychological interventions, training packages, and holding workshops, and Cognitive Behavioral Therapy as a complementary treatment method alongside medical treatments in order to improve psychological and spiritual distress in the women with chronic back pain.

One of the common problems faced by children with anxiety symptoms is reduced social competence. Social competence includes the ability to take care of oneself, assist others, and provide support. Various interventions are employed to improve children's social competence, including Cognitive Behavioral Therapy (CBT), which aims to correct dysfunctional beliefs and cognitive restructuring, and the Unified Transdiagnostic Package, which targets the underlying components of dysfunction. Therefore, the aim of this study is to compare the effectiveness of CBT with the Unified Transdiagnostic Package in improving the social competence of anxious children.

This quasi-experimental study used a pre-test, and post-test design with a control group and a two-month follow-up. The statistical population included all anxious girls aged 10 to 12 years old who sought counseling at the educational centers in Yazd during the 2023 school year. The research sample comprised 45 participants who were purposefully selected based on their scores on the Reynolds and Richmond (1997) Revised Children's Manifest Anxiety Scale. They were randomly assigned through a lottery by a professional psychologist into two experimental groups (CBT and Unified Transdiagnostic Package) and a control group, with 15 participants in each group. The participants were assessed using a demographic information form and the Felner (1990) Social Competence Scale. Data were analyzed using repeated measures ANOVA and the Bonferroni test in SPSS-25.

Data analysis showed that social competence scores significantly increased in both experimental groups compared to the control group (p<0.05). The effects of both experimental interventions persisted at the follow-up stage. Additionally, there was no significant difference in the effectiveness between the two experimental groups (p > 0.05).

Both Cognitive Behavioral Therapy and the Unified Transdiagnostic Package are effective in improving the social competence of anxious children.

One of the reasons for patients' resistance and the poor effectiveness of treatment approaches is the comorbidity of depression and anxiety disorder. Therefore, the purpose of the present study was to determine the effectiveness of "Cognitive Behavioral Therapy" on difficulties in emotion regulation, intolerance of uncertainty and thought fusion in people suffering from comorbid depression and anxiety.

The present research was semi-experimental with a pre-test, post-test design with a control group. The statistical population of this research included all the people who had referred to psychological centers in Isfahan city with comorbid symptoms of depression and anxiety in 2019. The samples were selected by convenience method from the counseling center of the 5th and 7th regions of Isfahan city. After passing a clinical interview according to DSM-5 and completing the "Beck Depression Inventory, Version 2" and "Beck Anxiety Inventory", finally, 32 people were eligible for the study. The samples were randomly assigned to intervention (16 people) and control (16 people) groups. Data collection was Done with demographic questionnaire, "Difficulties in Emotion Regulation Scale", "Intolerance of Uncertainty Scale" and "Thought Fusion Instrument". Content validity and face validity were measured by qualitative method and reliability was also measured by internal consistency method by calculating Cronbach's alpha coefficient. "Cognitive Behavioral Therapy" was implemented for 10 sessions of 90 minutes for the intervention group and the control group was on the waiting list. The data was analyzed with SPSS .21.

“Cognitive-Behavioral Therapy” in the intervention group caused a significant improvement in the intolerance of uncertainty, difficulties in regulating emotions and mixing thoughts in the post-exam stage. However, the effectiveness of “Cognitive-Behavioral Therapy” was stable only on the uncertainty intolerance variable until the follow-up stage (P<0.05).

The effect of "Cognitive Behavioral Therapy" has shown more lasting changes on the uncertainty intolerance variable than other variables. Considering the negative prognosis and the high complexity of  comorbid depression and anxiety, it is suggested that this intervention be combined and strengthened with complementary therapy for the long-term effectiveness of this intervention on other correlates of this disorder.

Mother-child mental health is related to mothers' cognitive distortions. The present study aimed to compare the effectiveness of attachment-based therapy and cognitive-behavioral therapy on cognitive distortion in mothers with preschool or elementary school children.

It was a quasi-experimental research with a pre-test and post-test design with a control group. The statistical population included mothers who were referred to the counseling centers of the Welfare Organization of West Tehran in 2023. Using the available sampling method, 60 mothers were selected and randomly divided into two interventional groups (attachment-based therapy and cognitive-behavioral therapy) and a control group (20 people in each group). The research tools included demographic information and the Interpersonal Cognitive Distortion Questionnaire (ICDS).

The results showed that there is a significant difference between the scores of cognitive distortions of the groups: attachment-based therapy, cognitive-behavioral therapy, and control (p<0.001). Benferroni's test showed that despite the lack of significant difference between the two treatment methods (p < 0.05) the difference in the average effect of attachment-based therapy was slightly more than cognitive-behavioral therapy.

Therapy based on attachment and cognitive behavioral therapy are both suitable methods for improving mothers' cognitive distortions. According to the exigencies of the situation, the mentioned treatments can be used to reduce the cognitive distortions of mothers with elementary school or preschool children.

Rumination and cognitive impairment in patients with major depression is one of the cognitive risk factors for mood disorders. 

This research was conducted with the aim of comparing the effectiveness of repetitive transcortical magnetic stimulation (rTMS) and cognitive behavioral therapy on rumination, cognitive impairment in people with depression.

The research method was semi-experimental and pre-test and post-test with a control group with a one-month follow-up. The statistical population of this study consisted of men and women with major depression hospitalized in Delaram Sina Psychiatric Hospital in Tehran in 2022. A statistical sample of 39 men and women suffering from major injuries, the study sample was selected by a purposeful method and by a random method (lottery) in three groups: repetitive transcortical magnetic stimulation (rTMS) (13 people), cognitive behavioral therapy (13 people) and the control group. (13 people) was replaced. Repetitive transcortical magnetic stimulation (rTMS) was performed in 12 sessions and cognitive-behavioral therapy was also performed in 12 sessions for the experimental groups and the control group did not receive any training. Beck's economics research tool - second edition (1996), rumination questionnaire of Nolen Hoeksma and Maro (1991), cognitive impairment questionnaire of Broadbent et al. (1982). The data were analyzed using variance analysis with repeated measurements in SPSS software version 26.

The results showed that repeated extracortical magnetic stimulation and cognitive behavioral therapy were effective on rumination and cognitive impairment in people suffering from depression, and there was no significant difference between the effect of these two interventions on rumination and cognitive impairment.

Based on the results, it is possible to use the protocols of repetitive extracortical magnetic stimulation and cognitive behavioral therapy to intervene in rumination and cognitive impairment in people with depression in mental health centers and psychiatric hospitals.

Fatigue and anxiety are two significant complications thatgreatly impact the life quality for individuals with Multiple Sclerosis (MS). The purpose of this study was to assess the effectiveness of cognitive-behavioral therapyand narrative therapy in reducing health anxiety and fatigue among MS patients in Tehran.

This semi-experimental study utilized a pre-test-post-test type and follow-up method to examine the effects of a treatment on 45 patients with multiple sclerosis. The participants were selected through a purposive sampling method at the Empowerment Charity in Tehran in 2023. Two groups received cognitive-behavioral therapy and narrative therapy interventions while the control group did not receive treatment. The research tools included Salkovskis's (2000) health anxiety questionnaire and Krupp's (1989) fatigue questionnaire. Data analysis was performed using statistical analysis of variance with repeated measurements.

The results showed that both cognitive-behavioral therapy and narrative therapy were effective on health anxiety and fatigue in patients with Multiple Sclerosis. The effect size for these therapies was 0.194 and 0.665 respectively, with a significance level of 0.001. Additionally, narrative therapy in reducing fatigue was significantly greater than that of cognitive-behavioral therapy (P<0.01).

It appears that cognitive-behavioral therapy and narrative therapy can serve as effective complementary treatments for Multiple Sclerosis patients in addition to other treatment methods.

Cognitive behavioral therapy is used for psychiatric disorders and several medical conditions, including sleep disorders. The aim of the study was to find a significant relationship between improving sleep quality and the severity of migraine headaches using cognitive behavioral therapy.

This is a clinical trial studythat has performed on 80 paitents whom were suffering from in Migrainein 2 Healthy Centerin Esfahan. We divided patients to two groups of Control and Intervention. Every group had 45patients.The patients of Intervention groups received 5 academic meetingson the subject of Cognitive Behavioral Treatment. The methods of academic meetings were including: lecturediscussion and conversation. The aims of meetings were: recognition of sleep mechanism, sleep promotion and well-being. Standard questionnaires of sleep quality of Pittsburgh and Midas were completed by patients before and 3 months after finishing of intervention.

The education of Cognitive Behavioral Therapy on Sleep Quality and Headache Intensity in Migraine Patientshad a positive virtually effect on all sleep quality components(P < 0.001), Except using of sleeping drugs user, and had a negative virtually effect on  number of headache days during 3 months ago and number of attacks during last month (P = 0.02).

These study findings have emphasis on effectiveness of:education ofCognitive Behavioral Therapy on Sleep Quality and Headache Intensity in Migraine Patients, and offer this strategy for dealing with pain, number of attacks and sleep well-beinga.

Women heads of households face psychological and social difficulties and challenges to achieve psychological well-being. Therefore, the aim of the present study is to compare the effectiveness of cognitive behavioral therapy and existential therapy on the psychological well-being and hope of female heads of households in Rasht city.

The research method was semi-experimental with a pre-test, post-test, and follow-up plan with two experimental groups and a control group. The statistical population includes all female heads of households in the city of Rasht and the sample size includes 60 people who were randomly assigned to two experimental groups (20 people in the existential therapy group and 20 people in the cognitive behavioral therapy group) and a control group (20 people). were given. Then, eight 90-minute group sessions of cognitive behavioral therapy and existential therapy were presented to each of the two experimental groups.

The results showed that the main effect of time is statistically significant in the variables of psychological well-being and hope, which means that between the three stages of pre-test, post-test and follow-up in the variables of psychological well-being and hope of women heads of households in the two experimental groups (cognitive-behavioral therapy and existential therapy) there was a significant difference, which indicated the significant effect of both treatment methods on the dependent variables of the research.

Both treatment methods have been able to increase the psychological well-being and hope of female heads of the household to the same extent.

 The aim of comparing the effectiveness of cognitive behavioral therapy group and cognitive therapy based on mindfulness on self-compassion in hemodialysis patients. 

 The research method was a semi-experimental pre-test-post-test with a control group with follow-up. The statistical population of this research included all hemodialysis patients referred to the dialysis center of Khatam Al-Anbia Hospital in Shahrood city in 1402, numbering 211 people. The research sample included 45 people and the purposive sampling method was used. Research tools include; The questionnaire was the self-compassion questionnaire of Neaf (2003), as well as the therapeutic protocol of cognitive-behavioral therapy (Valsaraj et al., 2021) and cognitive therapy based on mindfulness (Segal et al., 2013) was used. The data was analyzed using the statistical test of mixed analysis of variance.

 The findings showed that the two intervention methods of cognitive behavioral therapy and cognitive therapy based on mindfulness had a significant effect on improving self-compassion in hemodialysis patients in the post-test. There was a difference between the scores of the self-compassion in the three stages of pre-test, post-test and follow-up regardless of the type of intervention. Among the two intervention methods of cognitive behavioral therapy and cognitive therapy based on mindfulness, cognitive behavioral therapy was more effective in increasing self-compassion in hemodialysis patients (P<0.001).

 It can be concluded that with both methods of cognitive behavioral therapy and cognitive therapy based on mindfulness, especially cognitive behavioral therapy which was more effective, the recovery in hemodialysis patients can be accelerated.

Binge eating disorder (BED) is the most prevalent eating disorder not linked to physical hunger. Psychosomatic theory suggests that some individuals fail to recognize hunger and instead eat in response to emotional states, resulting in an emotional eating pattern. Maladaptive thought patterns and negative automatic thoughts regarding body shape result in eating disorders, emotional issues, and problematic behaviors by altering maladaptive cognitions. Research indicates a connection between maladaptive schemas and eating disorder symptoms. Individuals with BED feel intense cravings for food during periods of stress and emotional dysregulation, as well as higher levels of neuroticism and negative mood. Early experiences and emotional abuse create templates for processing subsequent experiences, activating schemas and cravings, and present a significant challenge for effective treatment. Consequently, this study aims to compare the effectiveness of cognitive–behavioral therapy and schema therapy in addressing emotional eating and perceived maternal rejection in women with binge eating disorders.

The current research method was quasi–experimental, with a pretest–posttest and follow–up design using a control group. The research population consisted of women suffering from BED referred to the Nutrition and Diet Therapy centers of Naein City, Iran, in 2021. Of whom 27 eligible people were included in the study through a targeted sampling method. The data collection tools included the Binge Eating Scale (Gormally et al., 1982), the Adult Parental Acceptance–Rejection Questionnaire (PARQ–Adult) (Rohner et al., 2005) and Dutch Eating Behavior Questionnaire (Van Strien et al. 1986). In this study, 27 participants were selected according to inclusion and exclusion criteria after visiting nutrition and diet therapy centers in Naein. They were assigned to either an experimental group or a control group. The experimental group underwent cognitive–behavioral and schema therapy, each lasting 90 minutes, across ten weekly sessions. The control group did not receive any treatment. SPSS version 22 software was used to analyze the data. At the descriptive level, mean and standard deviation and inferential level, variance analysis with repeated measurements, and Bonferroni post hoc test were used at a significance level of 0.05.

The results showed a significant difference between the schema therapy group and the cognitive–behavioral therapy group in the posttest and follow–up in variables of emotional eating and perception of the mother's rejection (p<0.001). In the posttest and follow–up, a significant difference was observed between the schema therapy group and the control group in the variables of emotional eating and perception of the mother's rejection (p<0.001). In the comparison of the cognitive behavioral therapy group and the control group, there was a significant difference in the variable of emotional eating (p<0.001). However, this difference was not significant when comparing the cognitive behavioral therapy group and the control group for the variable of perception of the mother's rejection (p>0.05). In the follow–up phase, the effect of schema therapy was more stable compared to cognitive–behavioral therapy.

Based on the findings, schema therapy is suggested as a more effective treatment for reducing emotional eating and the perception of maternal rejection in people with binge eating disorder.

Since older people suffer from many physical and psychological problems due to their age, improving physical and psychological health is essential for planners and practitioners in any country's social health field. Among the risk factors in old age is the increased concentration of lipids in the plasma, which can increase the problems of patients in the health field. Another problem for older people is the reduction of their cognitive abilities, which can lead to emotional and behavioral problems. In this regard, finding low–cost and low–risk ways to reduce older people's problems is one of society's main and important issues. On the other hand, nowadays, paying attention to psychological treatments as an alternative without complications and high costs to reduce the problems of patients has gained particular importance. Therefore, the present study compared the effectiveness of cognitive–behavioral therapy combined with self–compassion and cognitive–motor activities with cognitive–motor therapy alone on the plasma lipoproteins and executive functions of older people.

The research method was quasi–experimental, with a pretest–posttest and follow–up design with a control group. The statistical population consisted of older people over 60 living in Mashhad Cirt, Iran, in 2021. Among these, 42 volunteers (21 women and 21 men) who met the inclusion criteria were recruited and randomly assigned to the three groups: the first experimental group (cognitive–behavioral therapy combined with self–compassion and cognitive–motor activities), the second experimental group (cognitive–motor activities), and the control group (without intervention). The experimental groups were subjected to 18 sessions of 90 minutes during 9 weeks of interventions. The research tool was the Behavior Rating Inventory of Executive Function (BRIEF) (Gioia et al., 2000(. To analyze the research data, descriptive statistics indices, including frequency, percentage, mean, and standard deviation were used. Also, inferential statistics, including analysis of covariance to examine blood lipoproteins, analysis of variance with repeated measurements to investigate scores of executive functions, and Bonferroni post hoc test for intergroup comparison and variable measurement steps, were used. The data were analyzed using SPSS version 22 software, and the significance level of the tests was set at 0.05.

The results indicated that only the two variables of triglyceride (p<0.001) and high–density lipoprotein (HDL) (p=0.003) had a significant difference between the three research groups in the posttest after removing the effect of the pretest. However, there were no significant differences between study groups regarding cholesterol (p=0.233) and low–density lipoprotein (LDL) (p=0.408). Both interventions significantly changed the amount of triglyceride (p=0.007) and HDL (p=0.006). Also, the effect of time, group, and the interaction effect of time and group on the variable of executive functions were significant (p<0.001). The difference between the averages in the first and second test groups between the pretest, posttest, and follow–up was significant (p<0.001). In both experimental groups, the difference between the average scores of the posttest and the follow–up was not significant, which indicated the persistence of the intervention's effect (p>0.05).

Based on the research findings, cognitive–behavioral therapy combined with self–compassion, cognitive–motor activities, and cognitive–motor therapy alone are effective and efficient in reducing plasma lipoproteins and improving the executive functions of older people. In comparison, cognitive–behavioral therapy combined with self–compassion and cognitive–motor activities has more effectiveness in triglyceride and HDL variables.

 Adolescents with body dissatisfaction require serious attention from therapeutic and educational communities. This research aimed to determine the effectiveness of the Healthy Body Image Package (HBIP) and Cognitive-Behavioral Therapy (CBT) on beliefs about appearance in 12 to 15-year-old adolescents with body dissatisfaction.

 The research employed a quasi-experimental method with pre-test, post-test, and follow-up phases, including an intervention group and a control group. Sixty adolescents from Isfahan High School were randomly assigned to the intervention and control groups. Body dissatisfaction was assessed using a 9-item scale from the 68-item Attitudes Towards Physical Appearance Questionnaire (Cash & Pruzinsky, 1990). The dependent variable, beliefs about appearance, was measured using a 20-item Appearance Beliefs Scale (Spangler, 1999). The intervention groups received either the HBIP or CBT in eight sessions (90 to 120 minutes each), while the control group received no intervention. Data analysis was performed using repeated measures analysis of variance and Bonferroni post hoc test in SPSS-26.

 The results showed a significant difference in beliefs about appearance between the HBIP and CBT groups and the control group (P<0.01). However, no significant difference was found between the HBIP and CBT  groups.

 Therefore, considering the impact of both interventions on improving beliefs about appearance in adolescents with body dissatisfaction, the use of these treatments in adolescent psychology centers is recommended.

Psoriasis is a chronic inflammatory skin disease linked to heightened stress levels and a substantial negative impact a patient's quality of life and their ability to tolerate distress. This study aimed to compare the effectiveness of cognitive-behavioural therapy and compassion-focused therapy in improving distress tolerance among women with psoriasis.

This semi-experimental study utilized a pretest-posttest design with a control group and included a follow-up period of two months. The research's statistical population comprised all women with psoriasis in Tehran during the autumn of 2024. A total of 45 women diagnosed by a physician were randomly assigned to three groups: 15 women in the cognitive-behavioural therapy group, 15 women in the compassion-focused therapy group, and a control group containing 15 women. The first experimental group participated in eight sessions of 90 minutes each of cognitive-behavioral therapy, while the second experimental group attended ten sessions of 90 minutes each of compassion-focused therapy. Data were collected using the Distress Tolerance Scale (DTS) developed by Simons and Gaher . For data analysis, we employed analysis of variance with repeated measures along with the Bonferroni post hoc test. The analysis was conducted using SPSS version 28.

The results indicated that both interventions significantly affected distress tolerance (P<0.05). Furthermore, the Bonferroni post hoc test results revealed that compassion-focused therapy was more effective than cognitive-behavioral therapy in improving distress tolerance (P<0.05).

Based on the results of this study, both cognitive-behavioral therapy and compassion-focused therapy can be effective treatment methods for improving distress tolerance in women with psoriasis. However, compassion-focused therapy is prioritized as the more effective approach for enhancing distress tolerance in this population.

Emotions and emotion regulation play a significant role in interpersonal relationships, especially in marital life..

The present study aimed to compare the effectiveness of therapy based on the bio-energy economy approach and cognitive-behavioral therapy (CBT) on emotion regulation in women.

The research method was quasi-experimental with a pre-test, post-test, and follow-up design, along with a control group. The population of this study consisted of married women aged 20 to 40 years who visited counseling centers in District 7 of Tehran in 2022. From this population, 45 women were selected using convenience sampling and were randomly assigned to two intervention groups and one control group. The research instrument was the Gratz and Roemer Emotion Regulation Questionnaire (2004). The experimental groups received eight sessions of bio-energy economy therapy and eight sessions of cognitive-behavioral therapy. The data were analyzed using SPSS version 25, and repeated measures ANOVA was used, with a significance level of 0.05.

Data analysis showed that both cognitive-behavioral therapy and bio-energy economy therapy significantly improved the ability to regulate emotions (P < 0.05). The results of the Bonferroni post-hoc test indicated that the effects of both treatments were stable during the follow-up period (P < 0.05). Moreover, bio-energy economy therapy had a greater impact than cognitive-behavioral therapy on the components of difficulty in impulse control, lack of emotional clarity, and the overall score of emotion regulation (P > 0.05).

Bio-energy economy therapy is a more effective method for improving emotion regulation compared to cognitive-behavioral therapy. It is suggested that this approach be used in treating emotional regulation disorders.

Marital disillusionment is associated with adverse consequences for individuals, couples, families, and society. Low sexual assertiveness paves the way for marital disillusionment. The present study aimed to determine the effect of sexual skills counseling with a cognitive-behavioral approach on sexual assertiveness in women suffering from marital disillusionment.

This study was a clinical trial involving 80 women experiencing marital disillusionment selected from comprehensive health centers affiliated with Qom University of Medical Sciences, Qom, Iran. They were assigned to intervention and control groups. Eight weekly sessions were held for the intervention group. Data were collected using demographic questions, the marital disillusionment scale (MDS) and Halbert index of sexual assertiveness. Sexual assertiveness was remeasured immediately and 12 weeks after the end of the intervention.  Data was analyzed using the SPSS (version 23) software using independent t-test, Chi-square test, Fisher’s exact test, and repeated measures ANOVA.

The mean score of sexual assertiveness did not have a statistically significant difference between the groups before the intervention. The mean and standard deviation of the sexual assertiveness score in the intervention group changed from 34.1±11.67 before the intervention to 74.9±11.68 and 56.8±8.46 in the post-test and follow-up periods, respectively. These values for the control group were 33.5±11.00, 36.7±10.64, and 37.3±11.08, respectively. According to the results, the mean score of sexual assertiveness between the intervention and control groups and at the examined three time points had a statistically significant difference (P<0.001).

Sexual skills counseling with a cognitive-behavioral approach led to an increase in sexual assertiveness in women suffering from marital disillusionment. Therefore, this approach can be used as an effective psychological intervention to increase sexual assertiveness in these women.

Marriage is considered the most significant event in an individual’s life and the most fundamental human connection.

The present research aimed to determine the effectiveness of cognitive-behavioral therapy (CBT) on the dimensions of emotional reactivity and brain-behavioral systems in individuals prone to extramarital relationships.

This research was a semi-experimental pretest-posttest design with a control group. The study population consisted of married women prone to extramarital relationships referring to psychological counseling centers in the city of Babol during the first quarter of 2023. A sample of 30 individuals was selected using a convenience sampling method and were randomly assigned to two groups: Experimental (n=15) and control (n=15). The Emotional Reactivity Scale (Nock et al., 2008), the Behavioral Inhibition System/Behavioral Activation System (BIS/BAS) scales (Carver and White, 1994), and the Cognitive Therapy Protocol (Epstein and Baucom, 2002) were used for eight 90-minute sessions to collect data. Multivariate analysis of covariance (MANCOVA) using SPSS version 24 was employed to analyze the data.

The results indicated a significant difference between the experimental and control groups in terms of dimensions and factors of emotional reactivity and brain-behavioral systems (BIS/BAS) (P=0.001). The results of the covariance analysis demonstrated revealed that CBT increased BIS scores and decreased BAS and emotional reactivity scores.

Based on the findings, it can be concluded that CBT has a positive impact on the brain-behavioral systems and emotional reactivity of individuals prone to extramarital relationships.

Stress and psychological cohesion are related to the tendency to addiction and threaten the physical, mental, and social health of humans. The purpose of this study was to compare the effectiveness of cognitive behavioral therapy training and acceptance and commitment therapy on stress coping strategies and psychological cohesion in addicts treated with methadone in Kerman City.

The current research was semi-experimental, with a pre-post test design, and a control group. The statistical population of the study was addicts treated with methadone who were referred to addiction treatment clinics in Kerman City in 2023. Based on the selection criteria, 60 drug addicts were randomly assigned to three groups cognitive behavioral therapy, acceptance and commitment therapy, and control group (20 people in each group). The experimental groups underwent 8 sessions of 90 minutes of intervention. The participants were evaluated with questionnaires: Endler and Parker's (1990) stress coping strategies and Flensberg-Madsen's (2006) psychological coherence. The data were evaluated by multivariate covariance analysis at a significance level of P<0.05.

The average score of strategies for dealing with stress and psychological integration were not significantly different in the groups: Cognitive Behavioral Therapy, acceptance and commitment therapy, and control in the pre-test (P < 0.05). After the intervention, the average stress management strategies and psychological integration scores in the cognitive behavioral therapy group and avoidance strategy in the acceptance and commitment therapy were significant (P<0.001). The highest effect size was related to the avoidance strategy (0.40) and the lowest was related to the emotional strategy (0.13) of the stress components.

The results indicate the effect of cognitive behavioral therapy intervention on stress management strategies and psychological cohesion, acceptance, and commitment-based therapy on improving avoidance strategies. According to the requirements of the conditions, the mentioned treatments can be used.