Sara Jafari, Zahra Roshandel, Amin Shaneii, Dr Parisa Kolahi, Zohreh Ganbari,
Volume 17, Issue 2 (Volume17 Issue 2 2023)
Abstract
The purpose of this research is to investigate the effectiveness of emotion-oriented couple therapy on marital commitment and marital exhaustion of couples with marital conflict. The research design of this study is quasi-experimental with pre-test-post-test and control sample. For this purpose, a number of (30) couples with marital conflict were identified and selected by available sampling method. Of these, 15 people were randomly assigned to the experimental group and 15 to the control group. In order to collect data, Adamer and Jones Marital Commitment Questionnaire and Pines Marital Exhaustion Questionnaire were used. Also, the training package of emotion-oriented couple therapy was applied to the experimental group during 8 two-hour therapy sessions. The results of covariance analysis showed that there is a significant difference between the couples of the experimental group and the experimental group. Based on the findings of this research, it can be concluded that emotion-oriented couple therapy interventions have increased marital commitment and reduced marital exhaustion of couples. In fact, the correct communication based on love and interest between couples has increased marital commitment and couples showed different reactions to marital conflicts.
Zahra Amir Azdi, Soheila Rahmani, Parisa Kolahi,
Volume 19, Issue 2 (Volume19, Issue 2 2025)
Abstract
Fibromyalgia is a widespread chronic pain disorder that is associated with fatigue, sleep disturbance, and cognitive problems and is associated with high levels of alexithymia and rumination. Given the role of psychological factors in the exacerbation of symptoms, mindfulness-based interventions have been considered as a complementary approach. The present study aimed to determine the effectiveness of a mindfulness-based stress reduction program on alexithymia and rumination in female patients with fibromyalgia. Method: This quasi-experimental study was conducted with a pretest-posttest design with a control group. The statistical population included all female patients with fibromyalgia who referred to Sina Hospital in Tehran during June and July 2025. Among the eligible individuals, 30 individuals were selected through purposive sampling and randomly assigned to two experimental (n=15) and control (n=15) groups. The experimental group participated in 8 90-minute sessions of a mindfulness-based stress reduction program, while the control group did not receive any intervention. The research instruments included the Toronto Alexithymia Scale (TAS-20) and the Rumination Scale. The data were analyzed using repeated measures analysis of variance. Findings: The results showed that after controlling for pre-test scores, there was a significant difference between the two groups in the variables of alexithymia and rumination (P < 0.001). So that the mean scores of the experimental group in both variables were significantly reduced. The effect size calculation showed that the mindfulness intervention had a significant effect on reducing rumination and a moderate effect on reducing emotional alexithymia. Conclusion: The findings of the study indicate that the mindfulness-based stress reduction program can be used as an effective psychological intervention in improving emotional alexithymia and reducing rumination in female patients with fibromyalgia. It is suggested that this approach be used as a complementary treatment in chronic pain treatment centers.
Leyla Sadat Modarresi, Parisa Kolahi, Arsalan Barekat, Taiebe Delshad, Soheila Rahmani, Amineh Jalali,
Volume 19, Issue 3 (Volume19, Issue 3 2025)
Abstract
The present study aimed to evaluate the mediating role of meaning in life in the effectiveness of existential-acceptance therapy on loneliness and death anxiety among older adults with chronic physical illnesses. This semi-experimental study utilized a pretest-posttest and follow-up design with a control group. The statistical population comprised all older adults with chronic physical illnesses who referred to the specialized clinics of Imam Khomeini Hospital Complex and the specialized clinic of Shahid Beheshti University of Medical Sciences in Tehran in 2026. Among them, 30 participants were selected using purposive sampling and randomly assigned into two groups: experimental (n=15) and control (n=15). The research instruments included Dhahiri’s Loneliness Scale, the Collett-Lester Fear of Death Scale, and the Meaning in Life Questionnaire (MLQ). The experimental group received 8 sessions of 90-minute existential-acceptance therapy intervention, while the control group received no intervention. Data were analyzed using repeated measures analysis of variance (ANOVA) and path analysis. The results indicated that existential-acceptance therapy significantly reduced loneliness and death anxiety in the experimental group compared to the control group. Furthermore, the mediation analysis confirmed that meaning in life plays a positive and significant mediating role in the relationship between this therapeutic approach and the reduction of loneliness and death anxiety. Based on the findings, existential-acceptance therapy, through the reconstruction of the meaning system, enhancement of psychological flexibility, and acceptance of existential realities, serves as an effective strategy to alleviate psychological burnout and fundamental anxieties in older adults with chronic illnesses; therefore, utilizing this protocol in health psychology clinics and specialized geriatric clinics is recommended.
