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Leyla Sadat Modarresi, Parisa Kolahi, Arsalan Barekat, Taiebe Delshad, Soheila Rahmani, Amineh Jalali,
Volume 19, Issue 3 (12-2025)
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.

Mahdis Derakhshan Tale, Mina Karimi, Tayebe Derikvand, Mona Soleiman Heshmat, Arsalan Barekat,
Volume 20, Issue 2 (6-2026)
Abstract

The aim of the present study was to investigate the effectiveness of Dialectical Behavior Therapy on aggressive behaviors and interpersonal relationships in adults with Attention-Deficit/Hyperactivity Disorder. This study was a quasi-experimental research with a pre-test, post-test, and follow-up design همراه with a control group. The statistical population included adults with Attention-Deficit/Hyperactivity Disorder who referred to counseling and psychological services centers in Tehran in the year 1404, from whom 30 individuals were selected through convenience sampling and randomly assigned into two groups of 15, namely the experimental and control groups. The experimental group received Dialectical Behavior Therapy intervention, while the control group did not receive any psychological intervention. The research instruments included the Aggressive Behaviors Questionnaire and the Interpersonal Relationships Scale, and the data were analyzed using multivariate analysis of covariance in SPSS software. The results showed that Dialectical Behavior Therapy led to a significant reduction in aggressive behaviors and an improvement in interpersonal relationships in the experimental group compared with the control group,

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