Showing 65 results for Stress
Nasrin Homayounfar, Behzad Taghipuor, Parisa Serajmohammadi, Latifeh Dida, Fariba Abdi, Elham Ahadi,
Volume 16, Issue 4 (3-2023)
Abstract
The present study was conducted with the aim of determining the effectiveness of Mindful Self-Compassion Training on worry and Distress Tolerance in the mothers of children with intellectual disability. This semi-experimental study was conducted using pre-test and post-test with control group. The statistical population was whole client mothers of the children with intellectual disability in Ardabil comprehensive health clinic in the year 2022. 30 mothers were selected through the purposive sampling method and randomly assigned into two equal experimental and control. Experimental group received 8 weeks of Mindful Self-Compassion Training 90 minutes each session. During this period, the control group did not receive any intervention. Pennsylvania Worry Questionnaire and Distress Tolerance were used in pre-test, post-test to assess the subjects. Data were analyzed by Multivariate Analysis of Covariance (MANCOVA) and Analysis of Covariance (ANCOVA). The result showed that Mindful self-Compassion Training was effective on worry and distress tolerance. Therefore, it could be said that the Mindful self-Compassion Training improvement worry and distress tolerance scores in the mothers of children with intellectual disability.
Miss Sanaz Nabipour, Dr Moradi Moradi, Dr Robabeh Nouri, Dr Hadi Parhoon, Dr Maryam Moghadasin,
Volume 17, Issue 1 (6-2023)
Abstract
Death anxiety is commonly experienced by individuals with advanced cancer who have a limited life expectancy. The Death and Dying Distress Scale (DADDS) is a validated measure that was created to capture this experience; but no Persian version is available to date. We conducted a cross-sectional study to explore the psychometric properties of a Pearsion version DADDS (DADDS) in patients with advanced cancer.200 patients with advanced cancer were recruited from the Imam Khomeini, Shohada Tajrish and Baqiyatallah hospitals. Measures administered included: DADDS-C, Patient Health Questionnaire (PHQ-9), and General Anxiety Disorder-7(GAD-7). McDonald's Omega, Cronbach's alpha, Confirmatory Factor Analysis were used to test DADDS reliability and validity.The Persian version of DADDS has good reliability (internal consistency between 0.67 and 0.91 and test-retest reliability between 0.73 and 0.89) and appropriate convergent validity through correlation with PHQ-9 and GAD-7 in the range was between (0.47 to 0.51). Also, according to construct validity, SEM showed that the two-factor model is the best fitting model for DADDS in Persian language.The DADDS is a valid measure of death anxiety in Iranian patients with advanced cancer. It may provide useful information in the assessment and treatment of distress in patients near the end of life.
Dr Abdolsamad Nikan, Ahmad Torabi, Zahra Mohseninasab, Asie Bahadori, Zeinab Javanmard, Masoome Hosinirad,
Volume 17, Issue 1 (6-2023)
Abstract
The purpose of this research was to compare the effectiveness of schema therapy and cognitive therapy based on mindfulness on stress, resilience, emotional regulation and psychological well-being of cardiovascular patients. The research method is practical in terms of purpose and semi-experimental in terms of data collection method. The statistical population of this research includes cardiovascular patients in Tehran in 1401. According to the nature of the study method, the size of the statistical sample was 30 people. The research tools are Connor and Davidson's resilience questionnaire, Rief's psychological well-being questionnaire, Cohen's perceived stress questionnaire and Garnevsky's emotion regulation questionnaire. It was found that schema therapy has been effective on the resilience of cardiovascular patients, cognitive therapy based on mindfulness has been effective on the stress of cardiovascular patients, schema therapy has been effective on emotional regulation of cardiovascular patients, cognitive therapy based on mindfulness has been effective on emotional regulation of patients Cardiovascular has been effective, schema therapy has been effective on the psychological well-being of cardiovascular patients, cognitive therapy based on mindfulness has been effective on the psychological well-being of cardiovascular patients; It was also found that schema therapy was more effective than cognitive therapy based on mindfulness.
Dr Mojtaba Aghili, Mrs Masoomeh Zarif, Dr Ensiyeh Babaee,
Volume 17, Issue 2 (9-2023)
Abstract
This research was conducted with the aim of investigating the effectiveness of treatment based on acceptance and commitment on psychological symptoms, quality of life and stress in patients with physical symptoms disorder. The research method was semi-experimental with a pre-test-post-test design with a control group. The statistical population consisted of people with physical symptoms who referred to psychological counseling centers in West Tehran in 2001, and 30 people were selected by purposive sampling and placed in two experimental and control groups (15 people in each group). The research tools were questionnaires on psychological symptoms by Najarian and Davoudi (2010), quality of life by War et al. (1993) and perceived stress by Cohen et al. (1983). The research data were analyzed by multivariate analysis of covariance test. The findings showed that the treatment based on acceptance and commitment is effective on psychological symptoms, quality of life and stress in patients with physical symptoms disorder. The results of the research indicate that treatment based on acceptance and commitment by using cognitive skills leads to a reduction in psychological symptoms, perceived stress and an increase in the quality of life of patients with physical symptoms.
Rezvan Amirzargar, Dr Mohammadali Besharat,
Volume 17, Issue 2 (9-2023)
Abstract
Stress, as a common factor in life today, has profound effects on heart health. This article examines the relationship between stress and heart diseases and examines the role of psychological factors in this process. The purpose of this research is to investigate the role of stress management in heart diseases. The research method is descriptive and analytical in terms of the fundamental goal and in terms of the data collection method. Finally, it has been concluded that stress management is effective in improving previous diseases and stress management strategies include: reducing depression, controlling anger, avoiding hostility, reducing social isolation, reducing anxiety, personality factors, having spiritual health, controlling the situation Social/Economic. As a result, managing stress and strengthening positive psychological factors is important as a strategy to prevent heart diseases and improve heart health. Recommendations include developing stress coping skills, promoting regular physical activity, promoting stress management educational processes, encouraging a positive attitude, and promoting a healthy lifestyle.
Mr Hossein Gholinejad, Mr Mohsen Rasouli,
Volume 17, Issue 3 (12-2023)
Abstract
The purpose of the present study is to investigate the moderating role of emotion regulation in the relationship between occupational stress and work-family conflict and sexual satisfaction of female nurses. The present research method is correlational and descriptive. The statistical population of the research includes female and married nurses from Babol, Sari and Ghaemshahr cities, who were selected by random sampling. The tools used in this research included the sexual satisfaction index, occupational stress questionnaire, work-family conflict questionnaire and emotion regulation strategies questionnaire. The obtained data were analyzed with spss software and Pearson correlation test and multiple regression analysis. The results of the first hypothesis showed that there is a negative and significant relationship between occupational stress and sexual satisfaction of nurse Renan
Maryam Zareii, Dr Abdolmajid Bahreinian, Dr Qasem Ahi, Dr Ahmad Mansouri,
Volume 17, Issue 4 (3-2024)
Abstract
The present study aimed to comparison the effectiveness of cognitive therapy based on mindfulness and schema therapy on emotional regulation and distress tolerance of women with obsessive-compulsive symptoms. The present research method was semi-experimental with pretest, posttest and follow-up. The statistical population of the study included all women with obsessive-compulsive disorder who referred to the counseling centers of Mashhad in 2023-2024. Based on the inclusion and exclusion criteria, 48 people were selected by convenience sampling and randomly assigned to two experimental groups and one control group. The participants were evaluated using the emotion regulation questionnaire (Gross & John, 2003) and distress tolerance scale in the pretest, posttest and follow-up. Data were analyzed using SPSS 26 software and using descriptive and inferential statistics. The results of and analysis of variance with repeated measures showed that there is a significant difference between the experimental and control groups in emotion regulation and distress tolerance (P<0.05). Cognitive therapy based on mindfulness and schema therapy has led to improved emotion regulation and increased distress tolerance. Cognitive therapy based on mindfulness is more effective than schema therapy in improving emotion regulation.
Samira Atar, Dr Hasan Zareii Mahmoodabadi, Dr Najme Sedrpooshan,
Volume 17, Issue 4 (3-2024)
Abstract
The purpose of this research was to determine the effectiveness of the mindful parenting training package on improving the parent-child relationship, parenting stress, and feelings of loneliness. The research method was practical in terms of purpose and quasi-experimental in terms of data collection method. The statistical population included all parents referring to psychology and counseling clinics in Shiraz, as well as psychologists and specialists in the field of working with children. Among them, 30 people who visited Aram counseling clinic were selected by available sampling method, then they were randomly replaced in two control and experimental groups (15 people each). The data collection tools were Gerard's Parent-Child Relationship Tension Questionnaire, the Abdin Parenting Stress Questionnaire, and Russell et al.'s Loneliness Scale. In order to analyze the data in the quantitative part of the descriptive statistical indicators such as frequency, mean and standard deviation and in order to generalize the findings from inferential statistics, the analysis of covariance test was used. Finally, the conclusion has been reached that the mindful parenting training package has an effect on improving the parent-child relationship, the mindful parenting training package has an effect on reducing parenting stress in mothers, and the mindful parenting training package has an effect on Reducing the feeling of loneliness in mothers has an effect.
|
Samaneh Akbari Bijani, Mohammad Hadi Safi, Yasir Rezapour Mirsaleh,
Volume 18, Issue 1 (6-2024)
Abstract
The current study was conducted with the aim of investigating the lived experience of psychological distress in people with Corona. The statistical population of this research was all people infected with corona in Isfahan province, 14 of whom were selected using Kessler's Psychological Distress Questionnaire and in a purposeful way, who had the criteria to enter the research. The research data was collected using in-depth semi-structured interviews and the sampling continued until data saturation. The analysis of the research data was carried out using the Claysey method, which led to the extraction of 3 main themes of "disorder of straw power", "increasing dangers" and "internal commotion" and 15 sub-themes. The results of this research revealed that people with corona not only perceive experiences related to psychological distress from an individual point of view, but also from a family and social point of view, they are involved in unpleasant situations that aggravate psychological distress in them.
Dr Nader Hajloo, Mr Ali Salmani, Miss Aysan Sharei,
Volume 18, Issue 1 (6-2024)
Abstract
The study aimed to explore teaching cognitive emotion regulation strategies' effectiveness on cognitive processing and distress tolerance in female students with general anxiety. The research method used was a pre-test-post-test experiment with a control group. The research sample comprised all second-year secondary school students with general anxiety in Ardabil city during the academic year of 2023-2024. Employing purposive sampling, thirty students with general anxiety were randomly split into the experimental (15 individuals) and control (15 individuals) groups. The experimental group received eight 90-minute sessions of the cognitive emotion regulation strategies training program (Gross and Thompson, 2007), and the control group, which was on the waiting list, did not receive any training. In the data collection, Cruz's (1999) cognitive processing questionnaire and Simmons and Gaher's (2005) emotional distress tolerance scale were used. Data were analyzed using multivariate analysis of covariance. The results showed that after controlling the pre-test effects, there was a significant difference between the post-test average of the two groups in cognitive processing (P<0.001; F=27.50) and distress tolerance (P<0.001; F=17.51). Training in cognitive emotion regulation strategies proves effective in enhancing cognitive processing and distress tolerance among students with general anxiety. Based on the research findings, utilizing cognitive emotion regulation training can help alleviate issues in individuals with generalized anxiety.
Dr Mohsen Jalali, Maryam Sayari Markieh, Seyedeh Roghayeh Seyed Aghaei Ahmadi, Soraya Nasiri,
Volume 18, Issue 3 (12-2024)
Abstract
The aim of this study was to examine the effectiveness of cognitive-behavioral stress management training on anxiety, cognitive avoidance, and health-related quality of life in patients with chronic pain. This semi-experimental study used a pre-test-post-test design with follow-up and a control group. The statistical population consisted of patients with chronic pain in Tehran during the second half of 2023. Thirty patients were selected using purposive sampling and randomly assigned to the experimental and control groups. The experimental group participated in 10 sessions of cognitive-behavioral stress management training (Hajilu et al., 2018). To evaluate the impact of the intervention, the Beck Anxiety Inventory (1990), the Sexton and Dugas Cognitive Avoidance Scale (2004), and the Health-Related Quality of Life Questionnaire (2003) were administered at pre-test, post-test, and follow-up stages. Multivariate analysis of covariance revealed that the intervention significantly reduced anxiety and cognitive avoidance while improving health-related quality of life (P<0.05). The results suggest that cognitive-behavioral stress management training can be an effective intervention for improving the mental health and quality of life of patients with chronic pain.
Pooneh Nezakat, Negin Ghadami, Fatemeh Houshmand, Armaghan Atshani Kouchesfahani , Samaneh Kheradiyar,
Volume 19, Issue 1 (6-2025)
Abstract
The present study aimed to examine the effectiveness of a relationship-based mindfulness intervention on perceived stress and the quality of marital interactions among couples experiencing communication problems. This research employed a quasi-experimental design with pretest–posttest, control group, and short-term follow-up. The study population consisted of couples seeking family counseling services in Tehran in 2025, with 30 couples selected through convenience sampling and randomly assigned to experimental and control groups. Instruments included the Cohen Perceived Stress Scale, the Marital Interaction Quality Questionnaire, and a demographic information form. The intervention consisted of eight sessions focused on mindfulness skills applied in relational contexts, including present-moment awareness, mindful listening, conflict management, and empathy cultivation. Data were analyzed using repeated measures ANOVA and post-hoc tests. Results indicated that the intervention significantly reduced perceived stress and enhanced the quality of marital interactions, with effects maintained at short-term follow-up. These findings align with previous studies and highlight the capacity of relationship-based mindfulness to manage conflicts, foster empathy, and improve couples’ relational skills. The study underscores the potential of this intervention as an evidence-based approach for family counselors and preventive programs targeting marital communication issues. Limitations include a small sample size, short-term follow-up, and self-report measures; future studies are recommended to utilize larger samples and longer follow-up periods to examine the durability of intervention effects.
Mr. Hesam Soleimani, Mr. Amin Rahmati, Mr. Asem Esmaeili,
Volume 19, Issue 2 (9-2025)
Abstract
The present study was conducted by the structural modelling of attention to emotions (voluntary and involuntary) with worry and stress among students of Shahid Chamran university of Ahvaz with the mediating role of negative affect. The method of the present research was structural equation modeling and the population included all students of Shahid Chamran university of Ahvaz in year 1402-03, of which 312 were selected as a sample by simple random sampling. Structural equation modeling method, bootstrap test, SPSS, and AMOS version 24 software were used for data analysis. After the analysis, it was observed that the model has a good fit and the findings showed that involuntary attention to emotions is directly related to negative affect, worry and stress. But voluntary attention to emotions only has a direct relationship with negative emotions, and its relationship with worry and stress is indirect and through negative affect. Negative affect played a mediating role for the relationship between both types of attention to emotions with worry and stress.
Arshida Sayadi, Fatemeh Houshmand, Seyedeh Reyhaneh Hashemi, Tara Sotvar, Arsalan Barekat,
Volume 19, Issue 2 (9-2025)
Abstract
Attention deficit hyperactivity disorder (ADHD) in adolescence is associated with persistent deficits in self-regulation, poor self-management skills, and increased social-emotional problems, including social anxiety. The aim of the present study was to investigate the effectiveness of a mindfulness-based stress reduction program on self-management skills and social anxiety in adolescents with ADHD. The study was conducted in a quasi-experimental manner with a pre-test-post-test design with a control group and a two-month follow-up. The study population included adolescents aged 13 to 15 years with this disorder, 30 of whom were selected using a convenience method and randomly assigned to two experimental and control groups. The experimental group participated in eight 90-minute sessions of a mindfulness-based stress reduction program, while the control group was on a waiting list. The research instruments included the Adolescent Self-Management Questionnaire and the Adolescent Social Anxiety Scale, which were administered in three stages: pre-test, post-test, and follow-up. Data were analyzed using repeated measures multivariate analysis of variance. The results showed that the implementation of the mindfulness-based stress reduction program significantly increased self-management skills and significantly reduced social anxiety in the experimental group compared to the control group, and these effects remained largely stable at the two-month follow-up. Based on the findings, the mindfulness-based stress reduction program can be used as a complementary and effective intervention in improving cognitive-behavioral functions and reducing social-emotional problems in adolescents with attention deficit hyperactivity disorder.
Masoomeh Hoseinian, Fatemeh Mohammadifar,
Volume 19, Issue 2 (9-2025)
Abstract
The aim of this study was to investigate the effectiveness of Intensive Short-Term Dynamic Psychotherapy (ISTDP) on stress among female seventh-grade students with social anxiety in District 3 of Tehran. The present study was applied in terms of purpose and employed a quasi-experimental design with a pretest-posttest and a control group. The statistical population comprised all female seventh-grade students with social anxiety in schools of District 3 of Tehran during the academic year 2025. The sample consisted of 20 students (10 in the experimental group and 10 in the control group) selected based on the cut-off score (50) of the Connor et al. (2000) Social Anxiety Scale and in coordination with school counselors, and were then randomly assigned to the two groups. Data collection instruments included the Connor et al. (2000) Social Anxiety Scale, the Lovibond and Lovibond (1995) Depression, Anxiety and Stress Scale (DASS-21), and the ISTDP intervention protocol based on Davanloo's (1990) approach. Data were analyzed using SPSS software version 26 at both descriptive (mean, standard deviation) and inferential (analysis of covariance) levels. The results of analysis of covariance indicated that Intensive Short-Term Dynamic Psychotherapy had a significant effect on reducing stress in female students with social anxiety, and the results of the Bonferroni post hoc test showed that the mean stress scores of the experimental group in the posttest phase were significantly lower than those of the control group.
Dr Mojgan Agahheris, Dr Mahdieh Rahmanian, Dr Ezzatollah Kordmirza Nikoozadeh, Mr Soroush Pourmousaabkenar,
Volume 19, Issue 3 (12-2025)
Abstract
The aim of the present study was to determine the effectiveness of Acceptance and Commitment Therapy (ACT) on reducing stress-related arousal in patients with respiratory problems: a randomized controlled clinical trial. The present study was a quasi-experimental design with pre-test, post-test, control group, and a three-month follow-up period. The statistical population consisted of all patients with respiratory problems in 2024 (1403 in the Persian calendar). From this population, 30 individuals were selected through convenience sampling and randomly assigned to experimental and control groups (15 each). All participants completed Cohen’s Perceived Stress Questionnaire (1983) before the intervention. Subsequently, the experimental group received Acceptance and Commitment Therapy in eight 90-minute sessions, held weekly. Research data were analyzed using repeated measures analysis of variance. The results showed that there was a significant difference in stress-related arousal between the two groups at the post-test and follow-up stages (p<0.05), indicating that Acceptance and Commitment Therapy was effective in reducing stress-related arousal (p<0.05). Accordingly, it can be concluded that Acceptance and Commitment Therapy can be effective in reducing stress-related arousal in patients with respiratory problems.
Fatemeh Ghasempour, Masoumeh Taheri, Sheyda Esmailzadeh, Seyede Fateme Esmaeilpour, Soheila Esgandani,
Volume 19, Issue 3 (12-2025)
Abstract
The aim of the present study was to determine the effectiveness of integrated group-based acceptance and commitment therapy and self-compassion on distress tolerance and resilience against suicide in married women with experience of domestic violence. The research method was quasi-experimental with a pretest-posttest and one-month follow-up design with a control group. The statistical population included all married women with experience of domestic violence who referred to family counseling centers in Isfahan. From among them, 32 people were selected using purposive sampling and were randomly assigned to two groups: experimental (16 people) and control (16 people). One person from each group dropped out before the posttest, and finally, each group continued with 15 people. The experimental group received the integrated intervention over eight 90-minute sessions, and the control group was placed on a waiting list. Data were collected using the Distress Tolerance Scale and the Suicide Resilience Questionnaire and were analyzed using multivariate analysis of covariance in SPSS version 28. The findings showed that the integrated intervention significantly increased distress tolerance with an effect size of 0.481. Also, this intervention significantly increased the 'internal protector' and 'emotional stability' components of resilience against suicide with an effect size of 0.456, but it had no significant effect on the 'external protector' component. The stability of the effects on the aforementioned components was confirmed up to one month after the intervention. Based on the findings, it can be concluded that integrated acceptance and commitment therapy and self-compassion is an effective approach for increasing distress tolerance and improving the internal dimensions of resilience against suicide in married women with experience of domestic violence, but the inability of this intervention to improve the external protector requires attention in future research.
Alireza Mojab Ghasrodashti, Ali Naseri,
Volume 19, Issue 4 (3-2025)
Abstract
The present study aimed to examine the effectiveness of life skills training on internalized shame and perceived stress among university students. This research was conducted using a quasi-experimental design with a pretest–posttest control group and a two-month follow-up. The study population consisted of students at the Islamic Azad University, Shiraz Branch, in 2024, from whom 72 participants were selected through convenience sampling and randomly assigned to experimental and control groups (36 in each group). The research instruments included the Internalized Shame Scale (Cook) and the Perceived Stress Scale (Cohen). The experimental group received life skills training based on Kleinke’s protocol in 10 weekly sessions of 45 minutes, while the control group received no intervention. Data were analyzed using repeated measures analysis of variance. The results indicated that life skills training led to a significant reduction in internalized shame and perceived stress in the experimental group compared to the control group (p < 0.05), and these effects were maintained at follow-up. The findings suggest that life skills training is an effective educational and preventive intervention for improving mental health indicators among university students and can be incorporated into student mental health promotion programs.
Seyedeh Bita Mir Ghaffari, Dr Maryam Kalhornia Golkar , Dr Taher Tizdast,
Volume 19, Issue 4 (3-2025)
Abstract
| The present study aimed to investigate the effectiveness of a structured cardiac rehabilitation program on the self-care pattern of patients with coronary artery disease. This study was conducted as a quasi-experimental study with a pre-test-post-test design and a control group with a three-month follow-up. The statistical population included men aged 40 to 65 years with coronary artery disease, from whom 30 were selected through purposive sampling and randomly assigned to two intervention and control groups. The intervention group participated in a structured cardiac rehabilitation program including self-care behavior education, lifestyle modification, physical activity, healthy nutrition, medication adherence, and stress management, while the control group received usual care. Data were collected using the Coronary Artery Disease Patients Self-Care Questionnaire, third edition, and analyzed using repeated measures analysis of variance. The results showed that the cardiac rehabilitation program resulted in significant and sustained improvement in the self-care behaviors of patients in the intervention group compared to the control group. Significant improvements were observed, especially in the self-care maintenance, monitoring, and management subscales, which were maintained at the three-month follow-up. This study showed that cardiac rehabilitation, as a multidimensional and education-based intervention, has a positive effect on self-care behaviors of patients with coronary artery disease and can be considered as an effective method for improving the quality of care for these patients. |
Noura Dehghanpour, Tavakol Mosizadeh, Reza Kazemzadeh, Vakil Nazari,
Volume 19, Issue 4 (3-2025)
Abstract
The present study aimed to investigate the effectiveness of self-focused compassion therapy on distress tolerance and alexithymia in women with skin picking and hair picking disorder in Tehran. This study was a quasi-experimental study with a pre-test-post-test design with a control group. The research population included female students of Islamic Azad University, Tehran Medical Sciences Branch, who were selected based on the inclusion criteria and purposive sampling method. A total of 45 eligible subjects were identified and after random assignment using a random number table, 30 subjects were replaced in two experimental (15 subjects) and control (15 subjects) groups. The experimental group received self-focused compassion therapy intervention, and the control group did not receive any intervention. Data collection tools included a demographic information questionnaire, a distress tolerance questionnaire, and an alexithymia questionnaire. Data were collected and analyzed in three stages: pre-test, post-test, and three-month follow-up. The results showed that there was no significant difference between the two groups in terms of distress tolerance and alexithymia at the pre-test stage, which indicated the initial homogeneity of the groups, but at the post-test and follow-up stage, a significant difference was observed between the two groups, indicating the effectiveness of self-focused compassion therapy in improving distress tolerance and reducing alexithymia in women with hair-picking disorder. Accordingly, it can be concluded that this therapeutic approach can be effective in reducing the severity of symptoms and improving the emotional indicators of these individuals.
