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Abstract Aim and Background: Due to the high incidence of breast cancer and the importance of spiritual well-being (SWB) of patients with this type of cancer, this study was performed to predict the role of psychological, medical and demographic factors, on SWB in patients with breast cancer Methods and Materials: This Cross sectional study was a descriptive-analytic one conducted in 341 breast cancer patients with simple sampling methodology. Data collection instrument included a questionnaire contains 3 parts (demographic and medical information, SWB questionnaire and DASS-42 questionnaire). The data was analyzed by descriptive and analytical statistics (One way Analysis of Variance, Student t-Test, Pearson and Spearman correlation coefficients and Multiple linear regressions), with applying SPSSv20 software. Findings: Based on study findings, there was a statistically significant relationship between SWB and stress, anxiety and depression among breast cancer patients. The results of regression analysis indicated that the stress, anxiety and depression explained totally 39.5% of the variance of patients' SWB (R 2 = 39.5). Depression in the first was the best predictions of the breast cancer patients' SWB with R 2 = 26.2. Conclusions: According to the results obtained, SWB of patients with breast cancer is predicable according to the stress, anxiety and depression. Breast cancer patients with higher grades of SWB, had lower stress, anxiety and depression so SWB is a protective factor against stress, anxiety and depression.  

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Aim and Background: In recent years, sources of stress and unfavorable environments have increased. Moreover, the world&#039;s elderly population is growing. Thus, the aim of the present study was the investigation of the effectiveness of spirituality therapy on the resiliency of elderly living in nursing homes. Methods and Materials: This was a quasi-experimental study with pretest and posttest and control group. The study population consisted of all elderly in Sadeghieh Nursing Home, Isfahan, Iran. From among the elderly who gained a score of less than 50, 20 individuals were selected and randomly divided into experimental and control groups (n = 10). The experimental group received 8 sessions of spirituality therapy-based intervention. The Conner-Davidson Resilience Scale was completed by the participants in pretest and posttest stages. The Cronbach&rsquo;s alpha of this scale in Iran was 0.87. Its reliability was obtained through test-retest (0.73). The collected data were analyzed using repeated measures ANOVA in SPSS software. Findings: Group spirituality therapy caused a significant increase in mean scores and resiliency of experimental group in posttest and follow-up stages in comparison to pretest (P < 0.001). Conclusions: The results showed that spirituality therapy is a good method to increase resiliency in the elderly. Through participating in group spirituality therapy sessions and exchanging ideas and opinions, they found meaning and purpose in life and every event. Due to its relevance to the Iranian cultural and religious context, it is recommended that spirituality therapy be offered to other age groups and compared with cognitive therapy in terms of increase in resiliency.

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Aim and Background: The present study aimed to investigate the role of meta-cognitive beliefs, personality type D, and psychological well-being in the prediction of symptoms severity in psoriasis. Methods and Materials : This was a descriptive correlational study. The research population consisted of all individuals who referred to skin clinics in Kermanshah, Iran, for the treatment of psoriasis in 3014. The participants consisted of 115 individuals who were selected through convenience sampling. Among the participants, 51 were men. After the completion of the Psoriasis Area and Severity Index (PASI) by a physician, the Type D personality scale, Ryff&rsquo;s Psychological Well-Being Questionnaire, the Meta-Cognition Questionnaire (Cartwright Hutton and Wales) were completed by the subjects. Findings: Meta-cognitive beliefs and type D personality had a significant negative relationship with psychological well-being. Moreover, meta-cognitive beliefs and personality type D predict the severity of psoriasis symptoms through the reduction of psychological well-being. Conclusions: The enhancement of individual well-being in all its components through appropriate psychological training interventions can help to speed up the treatment of patients with this disease.

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Aim and Background: Migraine is a common neurological disorder characterized by severe and disabling headache usually accompanied with nausea or vomiting, photophobia, and phonophobia, and results in varied levels of disability. Thus, clinicians must consider factors which influence the development, course, and severity of individual headache attacks and subsequent disability in order to minimize the frequency of attacks, reduce their severity, and limit their impact on functioning. Methods and Materials: This quasi-experimental clinical trial was conducted with a 3-month follow-up and control group. The study subjects consisted of 55 patients with migraine who had referred to neurologic clinics of hospitals in Ahwaz, Iran. The subject were selected through continuous sampling and randomly assigned to the 3 groups of psychosocial therapy (n = 20), biofeedback therapy (n = 15), and control (n = 20). Psychosocial and biofeedback therapies were implemented in 8 sessions, each lasting 60 minutes, based on the designed protocol. Data collection tools were a demographic checklist, the Migraine Disability Assessment (MIDAS) questionnaire, and biofeedback galvanic skin response (GSR) system. Data were collected for each group in 3 stages (pretest, posttest, and follow-up). Data were analyzed using repeated measures MANOVA in SPSS software. Findings: The severity of headache attacks in the three stages was significantly different (P < 0.001) in the two groups. A significant correlation was observed between mean severity of the stages and the groups (P < 0.001). Mean headache disability of the three stage were also significantly different (P < 0.001); in addition, there was a significant correlation between mean scores and groups (P < 0.001). Psychosocial therapy showed higher reduction in the severity of migraine attacks and headache disability, compared to biofeedback therapy, and its effects had persisted in the follow-up stage. Conclusions: The findings of this study revealed that psychosocial and biofeedback therapies were effective on improvement of migraine attacks and decreasing of headache disability. However, psychosocial therapy was more efficient in decreasing migraine attacks and headache disability in comparison to biofeedback therapy.

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Aim and Background: Reducing sex hormones in men with various physical and psychological problems, including depression, decreased physical activity, impairment in memory, and executive functions.The purpose of this study was to compare mental health between andropause and normal men in order to identify the psychological aspects of andropause . Methods and Materials: The present study was a causal-comparative study and 150 men were selected as the research sample from the male employees of Tehran Medical University who aged 45-65 years. After filling Androgen Deficiency of Aging Men (ADAM) questionnaire and General Health Questionnaire (GHQ), participants divided into two groups; normal and andropause clinical diagnosis. Who received androgen-deficiency syndrome by the questionnaire referred to the lab in order to biochemical diagnosis of andropause. Findings: There were significant differences between this three groups in terms of physical symptoms, social function, anxiety and depression, and those who received a laboratory diagnosis of andropause reported more depression and anxiety . Conclusions: According to the result, who received andropause laboratory diagnosis had severe depression and anxiety that indicates the necessity of using psychotherapy along with hormonal and other therapies for andropause .

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Aim and Background: Anxiety can lead to heart disease in a 10-year interval, and heart disease, in turn, leads to anxiety; death anxiety. The purpose of this study was to determine the effectiveness of group schema therapy on reducing the death anxiety in cardiovascular patients. Methods and Materials: The statistical population included all patients with cardiovascular disease referred to Tehran heart center. The sampling method was of convenience and the research design was semi-experimental with the experimental and control groups including pre-test and post-test. Initially, the data from the Templer death anxiety scale were collected from 113 individuals and after a primary evaluation 30 individuals (18 women and 12 men) from the participants who had the highest marks in the test were involved in the research and assigned randomly to two experimental and control groups. It was previously considered that the participants did not suffer from a nervous condition disturbing consciousness, such as head injury and dementia. Then, the members of the experimental group were intervened for 12 sessions of 90 minutes by group schema therapy and after that, they were evaluated again in terms of the degree of death anxiety. Data were analyzed by SPSS version 23. Findings: The results showed that after the implementation of the schema therapy, the death anxiety level of the experimental group significantly decreased (p< 0.05, F= 147.4). Therefore, the hypothesis of the research on the effectiveness of group schema therapy on reducing death anxiety is confirmed. Conclusions: This finding may contribute to the current research vacuum regarding death anxiety in cardiovascular patients as well as to clinical applications in the face of this phenomenon.