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The Effectiveness of Logotherapy on Hope and Post-Traumatic Growth in Patients with Colorectal Cancer
Mahrokh Ajorloo,
Volume 19, Issue 1 (Volume 19, Issue 1, Spring 2025)
Abstract

The present study aimed to examine the effectiveness of logotherapy on hope and post-traumatic growth in patients with colorectal cancer. This study was a quasi-experimental design with a pretest–posttest and follow-up design with a control group. The statistical population included patients with colorectal cancer referring to Imam Hossein Hospital in 2025, from which 30 participants were selected through convenience sampling and were randomly assigned to experimental and control groups (15 participants in each group). The experimental group received logotherapy intervention, while the control group received no psychological intervention. The research instruments included the Hope Scale and the Post-Traumatic Growth Inventory, and data were analyzed using repeated-measures analysis of variance in SPSS software. The results showed that logotherapy significantly increased hope and post-traumatic growth in the experimental group compared to the control group, and these effects remained relatively stable at the follow-up stage. Therefore, it can be concluded that logotherapy can be considered an effective psychological intervention for improving hope and facilitating post-traumatic growth in patients with colorectal cancer.


Effectiveness of Schema Therapy on Internalized Shame and Quality of Life in Patients with Lupus
Mahrookh Ajorloo,
Volume 19, Issue 2 (Volume19, Issue 2 2025)
Abstract
In addition to physical consequences, systemic lupus erythematosus (SLE) can be associated with psychological problems such as internalized shame and reduced quality of life. The aim of the present study was to determine the effectiveness of schema therapy on internalized shame and quality of life in patients with systemic lupus erythematosus. The method of the present study was a quasi-experimental design with a pre-test, post-test, and two-month follow-up with a control group. The statistical population of the study included all patients with systemic lupus erythematosus referred to Imam Hossein (AS) Hospital in Tehran between Mehr and Azar 1404. Among the eligible individuals, 30 people were selected through purposive sampling and after initial matching, they were randomly assigned to two experimental groups (15 people) and control groups (15 people). The experimental group underwent schema therapy intervention based on the young model for 8 sessions of 90 minutes, and the control group did not receive any intervention. Data collection tools included the Cook Internalized Shame Scale and the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF). Data were analyzed using repeated measures analysis of variance and SPSS version 26 software. The results showed that schema therapy significantly reduced internalized shame and significantly improved the quality of life of patients with lupus compared to the control group (P<0.01). Also, the effects of the intervention remained stable at the two-month follow-up stage. Based on the research findings, schema therapy can be used as an effective psychological intervention in reducing the psychological consequences of lupus and improving the quality of life of these patients by modifying early maladaptive schemas, reducing dysfunctional cognitive and emotional patterns, and strengthening self-acceptance.

Predicting Job Performance Anxiety Based on Resilience and Sleep Quality in Firefighters
Mahrokh Ajorloo, Zohreh Mortezaei Karahrody,
Volume 19, Issue 3 (Volume19, Issue 3 2025)
Abstract
Emergency and crisis-oriented occupations, such as firefighting, involve high levels of operational stress that can lead to performance anxiety under acute conditions, so the present study aimed to predict performance anxiety based on resilience and sleep quality in firefighters. The design of this study was descriptive-correlational and the statistical population consisted of all active firefighters in the Fire-Fighting and Safety Services Organization, from whom a sample was selected using convenience sampling. The research instruments included the Performance Anxiety Questionnaire, the Connor-Davidson Resilience Scale, and the Pittsburgh Sleep Quality Index, and the obtained data were analyzed using Pearson correlation and multiple regression analysis (Enter method). Pearson correlation results indicated a significant negative relationship between resilience and performance anxiety and a significant positive relationship between sleep quality and performance anxiety. Furthermore, multiple regression analysis demonstrated that the predictor variables significantly predicted the variance in performance anxiety among firefighters, and within this model, both resilience and sleep quality made independent and significant contributions to predicting the criterion variable. Based on the findings, performance anxiety in firefighters is significantly influenced by psychological resources and biological-hygienic indicators, therefore planning interventions to enhance psychological coping mechanisms and optimizing work shift schedules to improve personnel sleep quality can serve as essential strategies for reducing performance anxiety and maintaining the operational efficiency of firefighters.

The Effectiveness of Acceptance and Commitment Therapy (ACT) on Cardiac Anxiety and Psychological Flexibility in Patients with Coronary Artery Disease and a Family History of Heart Disease
Mrs Mahrokh Ajorloo,
Volume 20, Issue 1 (Volume20, Issue 1 2026)
Abstract

Coronary artery disease (CAD) is influenced not only by biological factors but also by psychological factors. Individuals with a family history of heart disease are particularly vulnerable to elevated cardiac anxiety and reduced psychological flexibility. The present study aimed to investigate the effectiveness of Acceptance and Commitment Therapy (ACT) on cardiac anxiety and psychological flexibility in patients with coronary artery disease and a family history of heart disease. This study employed a quasi-experimental design with a pretest–posttest control group. The statistical population consisted of patients with coronary artery disease and a family history of heart disease who were referred to Imam Hossein Hospital in 2025. Thirty eligible participants were selected using convenience sampling and randomly assigned to either an intervention group (n = 15) or a control group (n = 15). The intervention group received eight sessions of Acceptance and Commitment Therapy, whereas the control group received no psychological intervention. Data were collected using the Cardiac Anxiety Questionnaire (CAQ) and the Acceptance and Action Questionnaire-II (AAQ-II). Data were analyzed using repeated-measures analysis of variance. The findings indicated that Acceptance and Commitment Therapy significantly reduced cardiac anxiety and significantly improved psychological flexibility in the intervention group compared with the control group (P < .001). Furthermore, the treatment effects were maintained at the follow-up assessment. The findings suggest that Acceptance and Commitment Therapy can be considered an effective complementary psychological intervention alongside routine medical care for reducing cardiac anxiety and enhancing psychological flexibility in patients with coronary artery disease and a family history of heart disease.


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