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This paper examined the effectiveness of integrated meta-diagnostic treatment on rumination, cognitive distortions and cognitive avoidance among women with depression. Women visited depression treatment centers in Abadan city in 1403 for depression treatment constituted the statistical population of the research. Due to the small size of the population and the limitation of the statistical population, the sampling method was purposeful.  The total number of people eligible to enter this research was 30 which were randomly assigned into two groups of 15. The following standard questionnaires were used for collecting the necessary data:  Cognitive Avoidance Questionnaire by Sexton and Dagas (CAQ), Rumination Questionnaire by Nalan Hoeksma and Maro 1991, Cognitive Distortions Questionnaire by Abdullah Zadeh and Salar (1389), Depression, Anxiety and Stress Scale (DASS) by Laibond and Laibond (1995) and integrated meta-diagnostic treatment protocol.   SPSS 21 software was used to analyze the data. Indicators such as mean and standard deviation were determined. Univariate and multivariate covariance analysis were also used to check the hypothesizes.  The findings showed that integrated trans-diagnostic treatment has an effect on rumination, cognitive distortions and cognitive avoidance among women with depression disorder. This effect has continued in the follow-up phase.
 

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.