Centers In Isfahan Research Articles

The relationship between intimate partner violence and parenting styles with mediated attachment styles in Iranian women

PurposeThe primary aim of this study was to investigate the role of attachment styles as intermediaries in the relationship between intimate partner violence (IPV) and parenting styles among Iranian women.MethodsData for this study was collected between September and December 2020. The participants consisted of 102 women who had been referred to Social Emergency Centers in Isfahan due to their experiences with domestic violence. Participants filled out the Haj-Yahia Violence Questionnaire, Baumrind Parenting Styles Questionnaire (BPSQ), and the Attachment Styles Questionnaire (AAQ). To examine the hypothesized relationships, Structural Equation Modeling (SEM) was used.ResultsEconomic IPV victimization was negatively related to secure attachment (β = − 0.309, p = 0.019) and positively related with authoritative parenting (β = 0.422, p = 0.019) and avoidant attachment style (β = 0.563, p = 0.000). There was a significant, positive relationship between sexual IPV victimization with secure and avoidant attachment styles (β = 0.351, p = 0.011; β = 0.407, p = 0.000). Authoritative parenting style was related to avoidant attachment (β = − 0.524, p = 0.015) and secure attachment (β = 0.371, p = 0.000).ConclusionsIranian IPV victims with secure attachment style were more likely to utilize authoritative parenting and those who have avoidant attachment were less likely to use authoritative parenting. Attachment styles may influence the relationship between IPV and parenting styles in Iranian women who have experienced IPV.

Mothers of Children with Stuttering and Their Daily Concerns: A Qualitative Study

Background: Stuttering is one of the most important speech disorders in children, which causes anxiety and worry in parents, especially mothers. The present study sought to investigate and identify the types of anxiety experienced by mothers of children with stuttering. Methods: This qualitative study adopted reflexive thematic analysis (Brown & Clark) to investigate the anxiety and concerns experienced by mothers of children with stuttering. The participants were 15 mothers of children with stuttering who visited speech therapy centers in Isfahan and were selected through homogenous purposive sampling. The data were collected through interviews with the participants for 45 days and analyzed by the thematic analysis method. Results: Data analysis revealed two core categories, four organizing themes, and nineteen subthemes. The two core categories identified in this study were mother-centered anxiety (anxiety about public judgments on the mother and anxiety about the appropriateness of the mother’s behavior with the child who stutters) and child-centered anxiety (concerns about public reactions to the child’s stuttering and the concerns about the child’s future life and treatment). Conclusion: The findings indicated that the mothers of children with stuttering were mostly concerned about public reactions to the stuttering child and their judgments about the mother. Thus, promoting a sense of self-worth in these mothers can reduce such concerns. Moreover, raising public awareness about how to treat children with stuttering and their parents can make social life easier for such children and their mothers.

A Grounded Theory Approach to Understanding Men Confronting Infertility.

Purpose: This study aims to delve into the process of men confronting infertility. Design: This research employed the Straussian grounded theory approach. Methods: The study encompassed interviews with 16 participants from a private fertility center in Isfahan, Iran, between March 2023 and March 2024. The interviews were semistructured. Data analysis was carried out concurrently using constant comparative methods and standard grounded theory techniques. the participants' main concerns were identified, culminating in developing a substantive theory centered around a core category. Findings: The primary category for men struggling with infertility was "forced concealment." This was exhibited through the suppression of emotions, maintaining secrecy about infertility, hiding treatment, and attributing infertility to their wives to counteract threats to their masculinity. Factors such as partners, family, societal surroundings, care providers, and beliefs influenced the adopting of the "forced concealment" strategy. Conclusions: The "forced concealment" theory offers insights into the experiences of men struggling with infertility. The study highlights the necessity of formulating culturally sensitive strategies that enable healthcare providers, nurses, and health system managers to effectively fulfill their roles and address the challenges and needs of couples confronting male infertility. This can be realized through a comprehensive approach that integrates nursing skills and competencies.

Effects of MIND diet and propolis supplementation on metabolic syndrome indices and cognitive function among patients with metabolic syndrome in Isfahan, Iran, 2024. A rationale and study protocol for randomized controlled trial.

Metabolic syndrome (MetS) is the main general and clinical health challenge worldwide. Based on the National Cholesterol Education Program, if the person has three or more indices containing: elevated fasting blood sugar, high levels of triglycerides, hypertension, low levels of high-density lipoprotein cholesterol, and central obesity, he suffers MetS. The Mediterranean-Dietary Approaches to Stop Hypertension (DASH) Intervention for Neurodegenerative Delay diet is a novel diet that with the specific aim of safeguarding cognitive function. Propolis is a resinous substance produced by bees from the combination of buds and secretions of plants with saliva and bee enzymes. After propolis supplementation, a significant reduction in fasting plasma glucose levels and lipid profiles has been observed. Considering the importance of chronic diseases like MetS on health, the role of the Mediterranean-DASH Intervention for Neurodegenerative Delay (MIND) diet and propolis supplement that will improve blood sugar, blood lipid, anthropometric indicators, blood pressure, and cognitive function, and limited contradictory studies, we decided to conduct this study. This study, which is a randomized controlled clinical trial study, will be conducted on adults with MetS who will visit Hazrat Ali Health Center in Isfahan. Participants must provide informed consent before engaging in the study. Demographic data such as age, gender, and medical history will be recorded. Then, anthropometric indices, MetS indices, and cognitive function will be measured in all subjects. The study participants will be divided into three groups and will be controlled for 12 weeks. We will have a MIND diet + placebo group, a MIND diet + propolis supplement group, and a control group that will receive a microcrystalline cellulose placebo and usual dietary advice. At the end of the intervention, all indices will be assessed again. The data obtained in the study will be analyzed at descriptive and analytical levels by the statistical software SPSS26. The present study's protocol was approved by the Iranian Registry of Clinical Trials (www.irct.ir) on 3/28/2023 and a registration reference is IRCT20230105057054N1.

The effects of MIND diet and propolis supplementation on metabolic syndrome: A randomized controlled clinical trial

The MIND is a novel eating plan preserves cognitive function. Propolis is a resinous substance that has several biological and medicinal properties. This study examines the effect of the MIND diet and propolis supplementation on MetS indices among metabolic syndrome subjects. This RCT study, was conducted on adults with metabolic syndrome who were referred to the Hazrat Ali Health Center in Isfahan. 84 eligible subjects were divided into 3 groups. Including MIND diet + Propolis supplement, MIND diet + placebo, and control group. The data obtained from the subjects was analyzed in two descriptive and analytic levels. The Shapiro-Wilk test and examination of skewness were conducted to assess the normality of the distribution of quantitative variables. Quantitative variables were reported using either the mean (SD). SPSS Statistics software version 26 was used for statistical analysis of data. In this study the MIND + Propolis group compared to the control group after adjusting variables showed a significant decrease (p-value < 0.05) in weight, BMI, WC, SBP, DBP, and TG by 0.97 times (3%), 0.97 times (3%), 0.98 times (2%), 0.93 times (7%), 0.94 times (6%), and 0.75 times (25%), respectively; this significant change was also observed in FBS (p-value < 0.001) by 0.85 times (15%), and HDL-C (mg/dl) has shown a significant increase (p-value < 0.05) by 1.17 times (17%). MIND group compared to the control group after adjusting variables showed a significant decrease (p-value < 0.05) in BMI, WC, and SBP by 0.98 times (2%), 0.98 times (2%), and 0.95 times (5%), respectively; this significant change (p-value < 0.001) was also observed in DBP, FBS, and TG by 0.92 times (8%), 0.83 times (17%), and 0.71 times (29%), respectively; HDL-C has shown a significant increase (p-value < 0.001) by 1.21 times (21%), and weight has shown a non-significant decrease (p-value = 0.055) by 0.98 times (2%). This study indicated that the MIND diet + Propolis supplement and MIND diet compared to the control group can significantly decrease BMI, WC, SBP, DBP, FBS, TG, and weight (non-significant for the MIND group), and also increase HDL-C.

Epidemiological Study of Head and Neck Sarcomas.

Head and neck sarcomas are uncommon tumors that account for less than 1% of head and neck malignancies and fewer than 5% of all sarcomas. This study aims to assess the head and neck sarcomas pattern in Isfahan, Iran, compare its results with previous findings, and investigate treatment methods and the recurrence and survival rate. This study was done on 160 patients diagnosed with head and neck sarcomas between 2001 and 2020 in four medical centers in Isfahan, Iran. The patients with head and neck sarcoma confirmed by biopsy were included. Patient information included sex, age at diagnosis, and full characteristics of the mass. Disease recurrence and 2-year and 5-year overall survival (OS) were investigated by phone. Among 160 patients, 94 (58.8%) were male. The mean age was 36.9 ± 23.2 years. The neck was the most reported location for sarcomas (N=34, 21.3%). Undifferentiated pleomorphic sarcoma was the most frequent histopathologic pattern (N=48, 30.0%). The brain and lungs were the most common destinations for metastasis. "Surgery and adjuvant therapy together" was the most common type of treatment (N=108, 68.8%). The 2-year and 5-year recurrence rates were N=100, 62.5%, and N=110, 68.8%, respectively. The 2-year and 5-year OS was N=103, 64.4%, and N=58, 36.6%, respectively. Eighty-nine patients have had metastasis (55.6%). Both 2-year and 5-year recurrence rates and OS were significantly correlated with metastasis. The OS within two years and five years were significantly higher in those treated only by "Surgery".

Intimate Partner Violence and Attachment Styles as Factors Associated with Coping Stress Styles Among Iranian Women.

The current study sought to examine attachment styles as mediators between intimate partner violence (IPV) and stress coping styles among Iranian women. Data were collected from September to December 2020. The study population was composed of 102 women who were referred to Social Emergency Centers in Isfahan and affected by domestic violence. They were given self-report questionnaires to measure IPV (the Haj-Yahia Violence Questionnaire), Stress Coping Styles (CISS), and Attachment Styles (AAQ). Structural Equation Modeling was used to test the hypothesized relationships. Sexual IPV victimization was related to both avoidant attachment (β = .229, p = .015) and anxious attachment (β = .245, p = .008). Anxious attachment style was related to emotion-oriented coping (β = .437, p = .000). There was a negative relationship between avoidant attachment and anxious attachment (β = -.237, p = .032) with avoidance-oriented coping. Sexual IPV victimization and economic IPV victimization were associated with avoidance-oriented coping (β = -.225, t = 0.816, p = .015; β = .188, t = 0.816, p = .044). Women who had experienced IPV and had an insecure attachment style were more likely to utilize avoidance and emotional coping strategies. For women who had a secure attachment style, there was no association was found between IPV victimization and coping styles. Attachment styles may influence the relationship between IPV and coping strategies in Iranian women who have experienced violence.

Antibiotic Susceptibility of Klebsiella pneumonia Isolates from Hospitalized Patients in Three Referral Medical Centers in Isfahan, Iran

: Background: Klebsiella pneumoniae (K. pneumoniae) is a major cause of nosocomial and community-acquired infections (CAIs). Understanding the antibiotic susceptibility of this bacterium is essential for selecting the most effective antibiotic for associated infections. Objectives: We investigated the sensitivity of K. pneumonia (KP) isolates obtained from inpatients in Isfahan, Iran. Methods: Organism identification and antibiotic susceptibility testing were conducted using standard tests. Stratification was performed based on extended spectrum beta-lactamase (ESBL) production and the source of infection acquisition (community versus hospital). Results: A total of 437 KP isolates were investigated, of which 5.5% were pan drug resistant (PDR), 56.8% were extensively drug resistant (XDR), and 18% were ESBL producers. The isolates were most susceptible to colistin (100%), aminoglycosides (62.8%), and carbapenems (55%). Nosocomial isolates showed lower sensitivity to most of the examined antibiotics. Conclusions: The high prevalence of PDR and XDR KP strains in hospitalized patients is a major problem in the studied area.

A Case-Control Study of Cognitive Factors Affecting Colorectal Cancer Screening Participation in 50–70-Year-Old Iranian Adults

ABSTRACT Background Colorectal cancer (CRC) is the most common cancer diagnosed worldwide. CRC can be effectively prevented or treated if detected early, through screening. Purpose This study aimed to determine the influencing factors of CRC screening participation in 50–70-year adults in Iran. Method A total of 354 adults who never participated in the CRC screening from two health centers in Isfahan in September 2022 were selected randomly. A group of 329 sex and age-matched adults with a history of CRC screening was selected as a control group. Logistic regression analyses were applied to assess the cognitive differences between the two groups. Results According to the results, Knowledge (OR = 1.61, 95% CI:1.36–1.9), perceived susceptibility (OR = 1.17, 95% CI:1.04–1.3), response efficacy (OR = 1.24, 95% CI:1.09–1.41), and self-efficacy (OR = 1.13, 95% CI:1.06–1.2) among the control group and perceived barriers (OR = 0.88, 95% CI:0.85–0.92) in the case group, were significant factors influencing participation in the CRC screening. Discussion Results of this study suggest that an HBM education model is an advantageous approach to increase CRC screening participation in adults. Translation to Health Education Practice Certified Health Education Specialists are key personnel in using the HBM model of care and facilitators of behavioral change that will be resulted in improved participation in CRC screening.

Investigating the Effectiveness of Mindfulness Education on the Happiness of Women with Premenstrual Syndrome (PMS) Using Social Media: An Educational Study

Aim:: Numerous studies have investigated the effectiveness of mindfulness meditation education on the improvement of physical and mental conditions in women. However, there is limited information about the effects of mindfulness counseling on happiness. Background:: Premenstrual Syndrome (PMS) causes not only physical problems in women but also mental problems, such as reduced levels of happiness. Objectives:: This study aimed to determine the effectiveness of the mindfulness meditation approach on the happiness of women with underlying premenstrual syndrome (PMS). Methods:: The sample size was estimated by power of 90%, confidence interval of 95%, δ1= 6.07and δ2 = 5.11, μ1= 23.05,μ2=19.01, Z1- β= 1.28, Z1- α/2 =1.96 and α = 0.05, the total number of the subjects was 112 respondents (56 in intervention and 56 in the control groups). One hundred twelve participants who had PMS in one interventional-educational study were randomly selected from the health centers in Isfahan. The samples were divided into two groups: intervention and control groups. The intervention group received eight 60-minute sessions of mindfulness education using Google Meet. They taught meditation in a sitting position for 1-10 minutes by using sounds and thoughts as the center of attention, applying the attention technique with a focus on body movements while breathing, and doing yoga and relaxing the muscles to relieve stress. The control group received no intervention. The data were collected using the demographic characteristics questionnaire and the Oxford Happiness questionnaire three times(before, immediately, and one month after the intervention). SPSS 23, chi-square, independent t-test, and repeated measure ANOVA were used to analyze the data. Results:: There was a significant increase in the mean score of happiness in the intervention group immediately and one month after the intervention (P=0.0001). Conclusion:: It was found that mindfulness education was effective on the level of happiness in women with PMS; therefore, this intervention can be used to improve the level of happiness in women with PMS.

Coping Strategies Among Family Caregivers of Patients with Chronic Mental Disorders: A Cross-Sectional Study

Background: It is widely acknowledged that family caregivers of patients with chronic mental disorders face numerous challenges that can jeopardize their mental well-being. Therefore, the adoption of effective coping strategies can equip them to navigate the difficult and stressful situations encountered in their daily lives. Objectives: The primary objective of this study was to assess the coping strategies employed by family caregivers of patients with chronic mental disorders who were receiving care at psychiatric centers in Isfahan, Iran. Methods: This descriptive-analytical study involved 188 family caregivers of individuals with mental disorders selected through convenience sampling. Data were collected using a demographic characteristics form and the Endler and Parker Coping Inventory for Stressful Situations – Short Form (CISS-SF). The relationship between demographic variables and coping strategy scores was analyzed using independent t-tests, one-way analysis of variance (ANOVA), and Pearson and Spearman correlation tests in SPSS v. 20. Results: The results revealed that 55.1% of family caregivers utilized emotion-oriented coping strategies, 30.3% employed problem-solving coping strategies, and 14.6% adopted avoidance coping strategies. Furthermore, there was no significant relationship between the types of coping strategies and any of the demographic variables (P &gt; 0.05). Conclusions: Given the findings of this study, which suggest that family caregivers tend to use ineffective coping strategies, it is imperative to implement preventive and psychological interventions aimed at enhancing the utilization of problem-oriented coping strategies within this group.

The effect of art therapy (drama therapy and music therapy) on increasing the self-confidence of children in speech therapy centers in Isfahan

The aim of this study was to the effect of art therapy (drama therapy and music therapy) on increasing children's self-confidence in speech therapy centers in Isfahan.The research method was quasi-experimental (pre-test-post-test with control group) and the statistical sample was 30 children with stuttering who were selected using available sampling method from speech therapy centers in Isfahan and randomly divided into two equal experimental groups. And controls were divided and tested in twenty sessions.Data collection was done using both library and field methods and the data collection tool was a questionnaire.Data were analyzed using SPSS software. In order to analyze the data, descriptive statistics including mean and standard deviation and inferential statistics including Pearson and Spearman correlation were used. The results of data analysis showed that there is a positive and significant relationship between the use of art therapy (drama therapy and music therapy) and children's self-confidence in speech therapy centers in Isfahan.

Effect of Supportive Counseling Based on Swanson's Caring Theory on the Quality of Life of Pregnant Women With A History of Abortion: A Randomized Controlled Trial Study

Objectives Abortion is one of the most traumatic events in a woman's life. The resulting trauma leads to the fear of repeat abortion, despair, inability, reduced self-confidence, isolation, mental health problems, and reduced quality of life (QoL). The present study aims to determine the effect of supportive counseling on the QoL of pregnant women with a history of abortion. Methods This is randomized controlled trial study. Participants were 72 pregnant women with a history of abortion referred to comprehensive health centers in Isfahan, Iran to receive prenatal care. The data collection instruments were a demographic form and the 36-item short form health survey. The intervention group received counseling based on Swanson’s caring theory at three sessions (two face-to-face counseling sessions and one telephone counseling session), while the control group received no intervention. Data were collected in three phases (pre-test, post-test, and follow-up), and analyzed using chi-square test, paired t-test, repeated measures analysis of variance, t-test, and two-way repeated measures analysis of variance in SPSS software, version 25. Results Both groups were similar in demographic characteristics and QoL before the intervention (P&gt;0.05). Four and 8 weeks after the intervention, the mean score of QoL was higher in the intervention group than in the control group (P&lt;0.05). Eight weeks after the intervention, the QoL score was higher than in the control group in dimensions of physical functioning (P=0.009), social functioning (P=0.039), role-emotional (P=0.004), and bodily pain (P=0.004). Conclusion Supportive counseling based on Swanson’s caring theory, as a midwife-centered intervention, can improve the QoL pregnant women with a history of abortion. This approach can be used in providing care to the pregnant women with a history of abortion.

Investigating the impact of haptotherapy on maternal-fetal attachment in unplanned pregnancies.

Mothers who experience unplanned pregnancies tend to show less maternal attachment to the fetus, which can lead to diminished self-care during pregnancy, and affect well-being of the fetus. Consequently, unintended pregnancies are associated with heightened maternal and fetal consequences due to mothers' negligence. Hippotherapy intervention has emerged as a viable approach to enhance maternal-fetal communication. The ultimate goal of this study was to broaden our current understanding of haptotherapy's impact on maternal-fetal attachment in unplanned pregnancies. This field trial research was conducted at comprehensive health centers in Isfahan using convenient sampling method. The study consisted of two groups of mothers, each consisting of 33 individuals with unplanned pregnancies between 20 to 24 weeks. The experimental group received haptotherapy intervention for 10 weeks, while the control group received standard pregnancy care. For data collection the participants were given demographic and fertility questionnaire prior to the study, and Cranley's maternal-fetal attachment questionnaire both before and after the study. Moreover, T-test, Mann-Whitney U test, and Chi-square test were used for data analysis. Prior to the intervention, there was no significant difference in the average maternal-fetal attachment scores between the experimental and control groups (P = 0.56). However, a significant increase became apparent after the intervention. The experimental group exhibited a significant improvement in the mean attachment scores compared to their pre-intervention levels (t=-9.20, P = 0<0.001). In contrast, the control group's score remained unchanged, with no significant difference observed (=1.69, P = 0.1). Haptotherapy has been found to enhance maternal-fetal attachment in mothers experiencing unplanned pregnancies. This valuable intervention is recommended as an innovative and secure approach in maternal health care services to help reduce the potential complications associated with such pregnancies.

What Happens in Pre-Marriage Counseling Rooms? Examining the Process of Pre-Marriage Counseling from the Perspective of Its Recipients

The rising divorce rates and declining marriage rates have increasingly highlighted the necessity of pre-marriage counseling. The aim of the present study was to conduct a qualitative examination of the pre-marriage counseling process from the perspective of individuals who received such counseling in the city of Isfahan. This qualitative research was carried out using thematic analysis (Braun &amp; Clarke, 2006). The study population consisted of individuals who had received pre-marriage counseling at counseling centers in Isfahan. The participants were purposively selected from those who had received pre-marriage counseling and had subsequently married based on that counseling. Data collection was conducted through semi-structured interviews containing questions related to the pre-marriage counseling experience. Qualitative data from the interviews were analyzed using Braun and Clarke's (2006) six-phase method. The results revealed that pre-marriage counseling comprises four main categories: assessment, education, advice, and conclusion, each containing subcategories, and these categories occur in a systematic process during counseling. Based on the findings, it can be concluded that although counselors may use different materials, tools, and methods in the pre-marriage counseling process, a specific pattern dominates the counseling process.

The Effectiveness of Imago Therapy on Resilience and Difficulty in Emotion Regulation in Women Victims of Domestic Violence

Objective: This study aimed to investigate the effectiveness of Imago Therapy on resilience and difficulties in emotion regulation, including its sub-components, among women who are victims of domestic violence. Methods and Materials: The study employed a semi-experimental pre-test, post-test, and follow-up design with a control group. Thirty women victims of domestic violence were selected using purposive sampling from counseling centers in Isfahan, Iran. They were randomly assigned to experimental (n = 15) and control (n = 15) groups. The experimental group received 10 weekly 90-minute sessions of Imago Therapy, while the control group was placed on a waiting list. The Connor-Davidson Resilience Scale and the Difficulties in Emotion Regulation Scale (DERS) were administered at three time points (pre-test, post-test, and follow-up). Data were analyzed using repeated measures ANOVA and Bonferroni post-hoc tests. Findings: The inferential analysis using repeated measures ANOVA revealed significant effects of the intervention on both resilience and difficulties in emotion regulation, as well as all its sub-components. Bonferroni post-hoc tests confirmed that these improvements from pre-test to post-test were maintained at follow-up. Conclusion: Imago Therapy was found to be effective in enhancing resilience and improving emotional regulation among women victims of domestic violence. The therapy offers a promising intervention for addressing the emotional and psychological needs of this vulnerable population, fostering long-term emotional stability and well-being.

The Efficacy of Emotion-Focused Psychotherapy on Perceived Stress and Psychological Well-being in Patients with Corona Anxiety during the Pandemic

Objective: The present study aimed to investigate the efficacy of emotion-focused psychotherapy on perceived stress and psychological well-being in patients with corona anxiety during the pandemic. Methods and Materials: This research was conducted using a quasi-experimental design with a pre-test, post-test, and a control group, along with a three-month follow-up period. The study population consisted of individuals suffering from corona anxiety who had contacted counseling centers in Isfahan for telephone counseling during the summer of 2021. Out of the study population, 33 individuals were selected through purposive sampling and randomly assigned to either the experimental or control group. Participants in the experimental group received emotion-focused psychotherapy over two months. The instruments used in this research included the Perceived Stress Scale (Cohen et al., 1983) (PSS), the Psychological Well-Being Questionnaire (Ryff, 1988) (PWBQ), and the Corona Disease Anxiety Scale (Alipour et al., 2019) (CDAS). The data were analyzed using mixed ANOVA with SPSS version 23. Findings: The results indicated that emotion-focused psychotherapy had a significant effect on perceived stress (P&lt;0.0001; Eta=0.59; F=44.99) and psychological well-being (P&lt;0.0001; Eta=0.68; F=66.28) in patients with corona anxiety. Conclusion: Based on the findings of the current study, emotion-focused psychotherapy, utilizing techniques of emotional awareness, emotional experience, regulation, transformation, and change, can be an effective method for reducing perceived stress and improving psychological well-being in patients with corona anxiety.

Development of a Structural Model for Predicting Psychological Well-Being Based on Mindfulness with the Mediating Role of Resilience in Women on the Verge of Divorce in Isfahan

Objective: The objective of this study was to develop a structural model for predicting psychological well-being based on mindfulness, with the mediating role of resilience, in women on the verge of divorce in Isfahan. Methods and Materials: This research utilized a descriptive, correlational approach with structural equation modeling (SEM) as the primary analytical technique. The statistical population included all women who visited counseling centers in Isfahan in 2022. A sample of 302 participants was selected based on Morgan's table. The data were collected using standardized questionnaires, including Ryff’s Psychological Well-Being Scale, the Five Facet Mindfulness Questionnaire (FFMQ), and the Connor-Davidson Resilience Scale (CD-RISC). The model’s fit was assessed using Amos-24 software after verifying the assumptions of normality, missing data, and outliers. Findings: The findings demonstrated that mindfulness is significantly related to psychological well-being in women, with resilience playing a significant mediating role in this relationship. The structural model showed a good fit with the data, with mindfulness explaining 33.2% of the variance in resilience and both mindfulness and resilience together explaining 82.5% of the variance in psychological well-being. The direct effect of mindfulness on psychological well-being was significant, as was the indirect effect mediated by resilience. Conclusion: The study concludes that mindfulness is a strong predictor of psychological well-being in women on the verge of divorce, and resilience significantly mediates this relationship. The findings suggest that enhancing mindfulness and resilience could be effective strategies for improving psychological well-being in this population.

Effectiveness of Dialectical Behavior Therapy on Emotional Control, Communication Patterns, and Marital Intimacy in Women with Marital Infidelity Experience

Objective: The present study aimed to investigate the effectiveness of Dialectical Behavior Therapy (DBT) on emotional control, communication patterns, and marital intimacy in women experiencing marital infidelity in the city of Isfahan. Methods and Materials: The research method was quasi-experimental with a pre-test-post-test design including control and experimental groups. The statistical population of this research consisted of all women with marital infidelity experience who referred to counseling centers in Isfahan in 2023. The research sample comprised 45 women with marital infidelity experience, who were selected through convenience sampling and randomly assigned to two groups: the DBT experimental group and the emotion-focused therapy (EFT) group, as well as a control group. Data were collected using the Marital Infidelity Questionnaire by Yeniseri and Kokdemir (2006), the Emotion Regulation Scale by Williams, Chamless, and Aheratz (1997), the Communication Patterns Questionnaire by Christensen and Salovey (1984), the Marital Intimacy Questionnaire by Bagarozi (2001), and the Emotion Regulation Questionnaire by Gross and John (2003). Data analysis was conducted using univariate and multivariate covariance analysis. Findings: The results indicated that Dialectical Behavior Therapy effectively improved emotional control, communication patterns, and marital intimacy in women. Conclusion: The findings indicate that Dialectical Behavior Therapy (DBT) is effective in improving emotional control, communication patterns, and marital intimacy in women experiencing marital infidelity. The results support the use of DBT as a valuable intervention for enhancing psychological well-being and relationship satisfaction among affected individuals.

Design, Implementation and Evaluation of a Health Promotion Program for Family Caregivers of Chronic Mental Disorders: A Mixed Methods Study.

Family caregivers of patients with chronic mental disorders who are responsible for taking care of the patient face many problems that can endanger the psychosocial health of these people. This study was conducted to develop, implement, and evaluate a psychosocial health promotion program for family caregivers of patients with chronic mental disorders. This research is an exploratory sequential mixed-method study conducted using a qualitative-quantitative design. A qualitative study was conducted to explain the needs and psychosocial problems and the solution to improve the psychosocial health of family caregivers of patients with chronic mental disorders in two psychiatric care centers in Isfahan were conducted. Then the program was written based on Kern's programming development approach. In the quantitative stage, a part of the developed program was implemented as virtual group psychoeducation for 67 caregivers, and its impact on caregivers' burden of care was evaluated. The findings from the qualitative phase of the study led to the emergence of 3 main categories and the findings from the quantitative phase of the study indicated that the implementation of the compiled program causes a significant reduction in the burden of care in family caregivers of chronically mentally ill patients (p<0.05). The current program was prepared and developed using an evidence-based approach. Policymakers and members of the mental health team can take a valuable step toward reducing the care burden of family caregivers of chronic mental patients by using the content of the developed mental health promotion program.