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Aim and background: Researches in recent decades on the effect of attachment-based on relationship and parenting type of child’s caregiver have shown that parents’ parenting style and the quality of mother-child relationship have significant role in child’ anxiety formation .The present study aimed to review the effect of cognitive-behavioral education of mother-child relationship on reducing symptoms in children's obsessive-compulsive disorder (OCD). Method and Materials: In a clinical trial, 30 mothers of 6 to 12-year-old children who have been diagnosed as OCD through the interview of psychotherapist and based on the criteria of diagnostic and statistical manual of mental disorders, 4 th edition, text revision (DSM-IV-TR), were randomly selected divided into two experimental and control groups. Without the presence of children, the mothers in the intervention group participated in twelve 120-minute sessions of cognitive-behavioral education. OCD Yale-Brown test was used to collect the data. Findings: The phases of pre-test, post-test, and follow-up showed a statistically significant difference for the intervention group. Accordingly, obsessive thought and behaviors are obvious in the intervention group for following domains: compulsive in resistance, discomfort and interference domains. Conclusions: In whole mentioned domains, cognitive-behavioral education of mother-child relation positively affected obsessive-compulsive symptoms of children.

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Abstract Aim and Background: The research purpose is to assess the Efficacy of Emotion Regulation on the Well-Being of Epileptic Girls (14-20) in Isfahan. Methods and Materials: In order to administer this study, 30 epileptic adolescence girls were selected from 14-20 years population of epileptic adolescence girls Isfahan city in 2012 via sampling available method and assigned randomly to experimental and control group (each group consist of 15 adolescence). The intervention was emotion regulation . Training based on Boston Program University. The instruments were psychological Well-Being (Ryff) Questionnaire And the Researcher-Made Questionnaire . Findings: Data was analyzed by Multivariate Covariance analysis of variance. Findings indicate that emotional regulation effects on the Well-Being of epileptic girls in pre and post test and follow-up (P<0 . 019). Also mean scores of Self Acceptance(P<0 . 049) in the post test was significantly higher in the experimental group than in the control group. The results also showed that the mean scores of positive relations with others (P<0 . 045), Self- Acceptance (P<0 . 049), purpose in life (p<0 . 046) in the follow - up was significantly higher in the experimental group than in the control group. Conclusions: The results showed that emotional regulation effects on the Well –Being of epileptic girls. The treatment effect was sustained during the follow-up

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Abstract Aim and Background: The breast cancer is the most significant worrisome factor in the women&#039;s health, since it is the most prevalent cancer among women and the second cause of death from the cancer after lung cancer. The present study was conducted in order to investigate the effectiveness of stress management therapy through cognitive-behavioral method in women suffering from breast cancer. Methods and Materials: This study was administered in the form of a group therapy design. It was a semi-experimental research. The statistical population was all the women with breast cancer referring to Saiedo-Shohada hospital in Isfahan among whom 20 women with breast cancer having entrance criteria were put randomly into experimental group and waiting list (control group). The experimental group received therapeutic interventions during 10 sessions while the control group received no intervention. In order to collect data the questionnaires of revised injuries effect scale (IES-R), Beck anxiety, and a month follow up were applied. Findings: All participants in the pretest, posttest and follow up filled up the questionnaires. The data were analyzed through repeated measure. the amount of effect coefficient showed a significant decrease in the scores of anxiety, intrusive thoughts, avoidance, hyper-arousal, in the participants. Conclusions These primary findings&nbsp; from the role of cognitive-behavioral stress management therapy supports&nbsp; the decease of the signs of anxiety, intrusive thoughts, avoidance, hyper-arousal, of the patients suffering from breast cancer in the beginning stages

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Aim and Background: The purpose of this study was to determine the effectiveness of stress management cognitive-behavioral therapy on psychological and physiological indexes of patients that volunteer to Cesarean surgery. Methods and Materials: The design of research was quasi-experimental with pre- and post-test design and control group. 26 subjects were selected of the list of elective surgery in March 2009 and assigned randomly to experimental and control groups (n = 13 for each one). Stress management intervention was conducted in experimental group and no intervention in was done in control group. Spilberger Inventory of Anxiety and Beck Depression Inventory were completed and patients&rsquo; blood pressure and pain were measured. Data were analyzed using ANCOVA test. Findings: Mean scores of anxiety, depression, pain, blood pressure and pulse rate had significant reduction among the experimental group (P < 0.05). Conclusions: Stress management cognitive-behavior intervention can be a selective psychotherapy in patients volunteer to Cesarean surgery; but in this therapy, in addition to automatic thoughts, we should also consider to core beliefs and underlying assumptions to enhance the efficacy of intervention.

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Aim and Background: Marital quality of couples is the most important aspect of families with optimal performance. The purpose of the present study was to compare the effectiveness of cognitive-behavioral couple therapy (CBCT) and couple therapy based on acceptance and commitment therapy (ACT) on the marital quality of conflicting couples. Methods and Materials: This quasi-experiment was conducted with a pretest-posttest design and control group. The statistical population of the study included all conflicting couples referring to consultation centers in the city of Isfahan, Iran, in 2016. The subjects (90 couples) were selected through voluntary sampling and were divided into CBCT (30 individuals), ACT (30 individuals), and control groups (30 individuals). The two experimental groups received 12 sessions of therapy (once a week). The data collection tools were a demographic characteristics form and the Revised Dyadic Adjustment Scale (RDAS). Data were analyzed using ANCOVA in SPSS software. Findings: CBCT and ACT made significant changes in marital quality at the posttest stage (P < 0.05). Furthermore, the results of the Bonferroni post hoc test implied that there was no significant difference between the effectiveness of CBCT and ACT on the couples’ marital quality (P > 0.05). Conclusions: According to the results of the study, both CBCT and ACT caused significant changes in marital quality and there was no significant difference between the effectiveness of these two therapeutic methods. Thus, the results of this study provide empirical support for increase in marital quality through both therapies.

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Aim and Background: Attention deficit-hyperactivity disorder (ADHD) is the most common behavioral problem that causes hyperactivity, attention deficits, academic failure, and emotional and behavioral problems in preschool and elementary school. The aim of this study was to determine the effectiveness of parent-based cognitive-behavioral therapy (CBT) on overweight and self-esteem in 6- to 11-year-old obese children with attention deficit-hyperactivity disorder in Isfahan City, Iran. Methods and Materials: This quasi-experimental study was done on 40 children aged 6 to 11 years with attention deficit-hyperactivity disorder and overweight or obesity (above the 85th percentile in weight for age, height, and sex diagram) referred to Isfahan child and adolescent psychiatric clinic of Ali Asghar hospital in 2015. For 20 subjects only attention deficit-hyperactivity disorder treatment was applied and they received no other intervention; but the others in experimental group participated in cognitive behavioral therapy sessions. Analysis tools were Coppersmith Self-Esteem Scale and the body mass index. Data were analyzed using analysis of variance with repeated measures. Findings: Cognitive-behavioral therapy by teaching parents had a significant effect on overweight in obese children with attention deficit-hyperactivity disorder at post-test and follow-up. It had a significant effect on self-esteem among the obese children with attention deficit hyperactivity disorder at post-test, too (P < 0.001). Conclusions: Parents-focused cognitive-behavioral therapy can be considered as a complementary treatment for reducing psychological symptoms and body mass index and also increasing self-esteem in obese children with attention deficit-hyperactivity disorder.

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Aim and Background: Aggression and low level of mood states are the problems which female students with depression suffer from them. Therefore, the aim of this study was to compare the effect of Positive Mindfulness Therapy (PMT), Mindfulness Based Cognitive Therapy (MBCT) and Cognitive Behavioral Therapy (CBT) on aggression and mood states in female students with depression. Methods and Materials: The research method was semi-experimental with pretest-posttest and control group. Out of 300 female high school students in Nain City in 2017, 60 participants were selected using purposeful method based on entry and exit criteria and randomly assigned into four groups (control, PMT, MBCT and CBT). To measure the dependent variables, the Aggression Questionnaire (AQ) and Brunel Mood Scale (BRUMS) were used. The group of PMT, MBCT and CBT received 12 sessions of treatment and the control group did not receive any treatment. The data were analyzed with the use of analysis of covariance (ANCOVA). Findings: Based on the results of ANCOVA, all three treatments had a significant effect on decrease of aggression and increase of mood states (p<0.01). Also, the effect of PMT was more than MBCT and CBT on reducing aggression (p<0.01), but the effect of three types of treatment on mood states was similar (p>0.05). Conclusions: Considering the more powerful effect of PMT compared to other two treatments in decreasing aggression and with the equal effects of three types of treatment on mood states, the use of these treatments is suggested for girl students with depression.

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Aim and Background: Breast cancer, one of the most important cancers, creates many challenges for women who are suffering from it. The aim of present study the study of the efficacy of Comparison of The effectiveness of cognitive-behavioral group therapy and acceptance and commitment group therapy on Self-efficacy in breast cancer patients. Methods and Materials: In a semi experimental study, pre-test, post-test and follow-up with the control group, 60 subjects who were admitted to the study were selected by available sampling method. The subjects were matched on demographic factors and divided in 3 groups of 20 persons. For the group based on acceptance and commitment, 8 training sessions were held and 10 training sessions were held for the group based on cognitive-behavioral therapy, while no intervention was provided for the control group. At the end of the training sessions, The self-efficacy scale (post-test) was performed in each of the 3 groups. Also, 2 months after treatment, 3 groups completed again The self-efficacy scale in the follow up phase. Data analysis was performed using the Repeated Measurement Test and Multivariate Covariance Analysis. Findings: The results demonstrated that both group therapies Improve self-efficacy among patients (P>0.001). Also, the results showed that there is no significant difference between two methods in Improve self-efficacy in patients with breast cancer. (P>0.05) Conclusions: Acceptance and commitment therapy and cognitive - behavioral therapy are effective in Improve self-efficacy in patients with breast cancer.

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Aim and Background: Affective-sexual needs are as important motivational forces that have a vital role in the stability and enhancing of quality of marital life. Then the main goal of the current research was the comparison of the effectiveness of cognitive-behavioral couple therapy (CBCT) and acceptance commitment therapy (ACT) approaches on enhancing affective-sexual needs among Nonclinical Couples in Bandar Abbas city, Iran.
Methods and Materials: The research design was semi-experimental design with pretest, posttest, and follow up. The statistical population of this study includes of nonclinical couples that participated in the training course about life skills and cyberspace. 48 subjects were selected through a convenient sampling method and randomly assigned to two groups of interventions, CBCT and ACT, and one control group. Each couple in intervention groups received 12 sessions and 90 minutes of therapy. Affective-Sexual Needs of Iranian Couples scale (2020) used for gathering data and analysis of variance with repeated measures tests used for analyzing data by using SPSS 19 software.
Findings: The result showed that both CBCT and ACT interventions were effective to enhance affective-sexual couple's needs. Moreover, comparing the effectiveness of CBCT and ACT approaches showed that the ACT approach was more effective in enhancing of three dimensions of affective-sexual couple's needs include avoiding discouraging behaviors, affection-sexual needs, physical-sexual needs.
Conclusions: It seems the implementation of CBCT and ACT interventions are useful for enhancing affective-sexual couple's needs. This could influence other dimensions of marital life such as marital satisfaction and marital quality.

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Aim and Background: Binge eating disorder as a psychological disorder commonly leads to confusion and problems for people.  A problem People with binge eating disorder is low capacity of distress tolerance, and this increases the tendency of an individual to Binge eating. This study aimed to compare the effectiveness of cognitive-behavioral therapy and self-healing therapy on Distress tolerance in women with bulimia nervosa.
Methods and Materials: This study was quasi-experimental (pre-test post-test with the control group). The statistical population of the present study included all women with bulimia nervosa who were referred to specialists and medical centers in Isfahan in 1398. 45 women were selected by purposive sampling and randomly placed in experimental and control groups. Data collection tools were Distress tolerance Simon and Gaher's (2005) questionnaires. Each of the experimental groups underwent 12 sessions of Michelle's cognitive-behavioral group therapy, and Marvi and Latifi's self-healing therapy, but the control group did not receive an educational certificate. Research data were analyzed using MANCOVA and chi-square test.
Findings: Based on the chi-square test, no significant difference was observed in terms of age, education, and disease duration between the three groups (P <0.05). The results showed that the cognitive-behavioral and self-healing experimental groups were significantly different from the control group in the Distress tolerance variable (P <0.05). Also, self-healing therapy has increased the Tolerance and absorption dimensions and Distress tolerance more than cognitive-behavioral therapy (P < 0.05).
Conclusions: According to this study, cognitive-behavioral therapy and self-healing can be used to increase the Distress tolerance of women with bulimia nervosa. However, self-healing treatment seems to be more than effective cognitive-behavioral therapy in this case.

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Aim and Background: Psychodrama is a type of emotional discharge that reopens a specific person's personality problem and presents aspects of his life and its comparison with cognitive-behavioral therapy can determine their effectiveness; Therefore, the aim of the present study was to compare the effectiveness of cognitive-behavioral and Psychodrama therapy on the symptoms of externalized disorders in children aged 7 to 12 years.
Methods and Materials: The research method is quasi-experimental (quasi-experimental) studies with pre-test, post-test and follow-up with a control group. The sample group was available among 24 children who were registered at Ava Mehr Pasargad Counseling Center to diagnose the symptoms of externalized disorder and met the necessary criteria to participate in the study, 24 people were randomly selected. They were divided into two experimental groups and one control group. Cognitive-behavioral and Psychodrama were performed for the experimental groups, but the control group did not receive any special intervention. The research instruments included the Achenbach Child Behavior Inventory Questionnaire (parents' version). Analysis of covariance and Tukey post hoc test were used to analyze the data and examine the relationships between variables.  
Findings: The results showed that there was no significant difference between the effectiveness of cognitive-behavioral therapy and psychodrama therapy in the variables of aggressive behavior and law-breaking behavior in the post-test stage (P≥0.001) but there was a significant difference in the follow-up stage in the law-breaking behavior variable. .000.001) According to the effect size values for the variables of aggressive behavior and law-breaking behavior in cognitive-behavioral therapy and psychodrama, it was found that the effectiveness of psychodrama is more than cognitive-behavioral therapy (P≤0.001).
Conclusions: It seems that cognitive-behavioral therapy is more useful than psychodrama in improving aggressive behaviors.

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Aim and Background: The prevalence of coronavirus, the unknown and cognitive ambiguities of this virus and the resulting mortality rate, cause high anxiety in individual. The aim of this study was to provide a model of coronary anxiety based on locus of control, emotion regulation strategies, perceived social support and disease anxiety with emphasis on the mediating role of cognitive-behavioral avoidance in students.
Methods and Materials: The present study is of descriptive-correlation and structural equation modeling. The research population were Isfahan university students in the spring of 1400. From the population, according to Cochran's formula, 250 people were selected by available sampling and Rotter's Internal-External Locus of Control Scale (1966), Emotion Regulation Questionnaire (2004), Health Anxiety Questionnaire (2002), Perceived Social Support Questionnaire (1988), Avoidance Inventory (1994) and the Coronavirus Anxiety Scale (2019) were delivered to them virtually. Statistical analysis was performed by covariance-based structural equation modeling using Amos software.
Findings: The results showed that there is a direct relationship between the locus of control and disease anxiety with corona anxiety in students and these two variables explain 64% of the variance of corona anxiety in students (p<.05). also the results showed that cognitive-behavioral avoidance does not play a mediating role in these relationships.
Conclusions: Based on the results, it is necessary to take measures to reduce the locus of control and reduce disease anxiety in order to reduce corona anxiety in students.

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Aim and Background: Recent research has shown the prevalence of the Covid-19 epidemic in this regard The purpose of this study was to compare the effectiveness of Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) on reduction anxiety symptoms in patients with Generalized anxiety disorder in Dezful during the outbreak of Covid-19.
Methods and Materials: The research was a pilot study with a pretest-post-test-follow-up with control group. The statistical population of this study was the All patients with generalized anxiety disorder referring to Dezful counseling centers 30 people were selected through targeted sampling and randomly assigned to two groups of experimental and control group. In all three groups, patients' anxiety disorder was assessed through the questionnaire of General Anxiety (GAD-7). The first group received cognitive-behavioral therapy in 8 sessions 60 minutes, and the second group in 8 sessions 60 minutes acceptance and commitment therapy, but the third group did not receive training. Then, the anxiety test was re-evaluated in all three groups. Given that the assumptions of covariance analysis were not met data were analyzed using one-way variance analysis and SPSS software.
Findings: The findings of the study showed that cognitive-behavioral therapy and acceptance and commitment therapy could reduce the symptoms of anxiety in comparison with the control group (p <0.001) However, the difference between the effectiveness of cognitive-behavioral therapy and acceptance and commitment therapy on reduce the symptoms of anxiety was not significant (p> 0.05).
Conclusions: It seems that both therapeutic approaches can be effective in treating the symptoms of generalized anxiety disorder.

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Aim and Background: One of the common emotions in people suffering from mood and anxiety disorders is anger syndrome. The main concern for those suffering from anxiety disorders whose performance in various activities is impaired is self-harming anger and sometimes suicide. This research was conducted with the aim of comparing the effectiveness of cognitive-behavioral therapy and metacognitive therapy on anger indicators in patients with anxiety disorders.
Methods and Materials: It was a semi-experimental study with a pre-test, post-test and three-month follow-up design. All the patients with anxiety disorders referred to specialized psychological centers in Tehran city in 2022 constituted the statistical population of the study. 45 people were selected by purposeful sampling method and replaced by random assignment in three equal groups of 15 people. respectively, cognitive-behavioral therapy (Leahy et al., 2009) and metacognitive therapy (Wells and Fisher, 2015) were applied in 10 sessions, 1 session per week and each session for 1 hour in the subjects of the experimental groups. but the control group did not receive treatment intervention. In addition to the demographic information checklist, researcher-made form, data collection was done with state-trait aggression questionnaire. Data analysis was done with descriptive statistics, mixed analysis of variance and Bonferroni post hoc test with SPSS statistical software number 26.
Findings: The results showed that both cognitive-behavioral therapy and metacognitive therapy were effective in reducing symptoms of state anger, trait anger, and occurrence of anger and increasing symptoms of anger control at the end of treatment and after a three-month follow-up. the three-month follow-up results of the interventions also showed the stability of the treatment. also, the results of Bonferroni's post hoc test showed that cognitive-behavioral therapy has been more effective in improving the scores of anger indicators in patients with anxiety disorders than metacognitive therapy (P<0.05).
Conclusions: Based on this, it can be stated that both cognitive-behavioral and metacognitive methods are beneficial in improving anger indicators in people with anxiety disorders. Also, the existence of the behavioral activation session can be the reason for the superiority of cognitive-behavioral therapy.

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Aim and Background: The comparison of different psychological approaches in terms of their effect on psychological variables is of interest to many researchers. In this regard, the purpose of this research is to compare the effectiveness of unified transdiagnostic treatment and hope therapy on self-care activities and reducing cognitive-behavioral avoidance in patients with type 2 diabetes.
Methods and Materials: The design of the research is experimental and pre-test and post-test with a control group. The statistical population included all married men and women with type 2 diabetes and members of Ahvaz diabetes society in 1400. 60 of these patients were selected based on the criteria of entry and exit, screening and purposefully, and after matching, they were randomly assigned in 3 groups of 20 people. Research tools included diabetes self-care activities scale (Toobert et al. 2000) and cognitive-behavioral avoidance scale (Ottenbreit and Dobson, 2004). Data were analyzed through multivariate (MANCOVA) and univariate (ANCOVA) analyzes using SPSS software.
Findings: The results showed that integrated transdiagnostic treatment and hope therapy were effective on self-care activities and cognitive-behavioral avoidance in patients with diabetes (p<0.05); in addition, the results showed that there is no significant difference between the effectiveness of two types of intervention in patients with diabetes.
Conclusions: It seems that both approaches are equally effective on self-care activities and cognitive-behavioral avoidance in patients with diabetes.

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Aim and Background: Among all the problems that can occur in a marital relationship, infidelity is the most severe and threatening point for the stability of the relationship. The purpose of this research was to investigate the effectiveness of Dattilio cognitive-behavioral couple therapy in stress symptoms and trust in women affected by infidelity.
Methods and Materials: The research method was semi-experimental with a pre-test, post-test and follow-up design. The statistical population of the study included all women affected by marital infidelity who referred to the counseling clinic of Eltiam in Babolsar city between 2021 to 2022. The sample size included 24 couples, i.e., 12 couples of the experimental group (Dattilio cognitive-behavioral couple therapy) and 12 couples of the control group, which were selected by convenience sampling method and randomly replaced in two groups. stress Symptoms Inventory (SSI) designed by Khodayari Fard et al. (2001) and Trust in Close Relationships Scale designed by Rempel, Holmz, and Zanna (1986) was used to collect data. The method of data analysis was Repeated measure analysis of variance and using SPSS software.
Findings: The obtained results showed that Dattilio cognitive-behavioral couple therapy was effective in decreasing the stress symptoms of women affected by infidelity (F=3147/34, p≤0.05) and improving trust in marital relationship (F=17/58, p≤0.05) And its effectiveness was stable and continuous in the follow-up phase.
Conclusions: According to the findings, it can be said that a Dattilio cognitive-behavioral couple therapy is effective in reducing stress symptoms and improving the trust in women affected by infidelity.

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Aim and Background: Researchers are interested in facilitating mechanisms in therapeutic interventions, including cultural mechanisms, therefore this study was conducted to compare the effectiveness of cognitive-behavioral therapy using Mowlana's parables and anecdotes and acceptance and commitment therapy in distress tolerance in mothers of children with cerebral palsy.
Methods and Materials: This applied study was conducted using a mixed method (using qualitative-quantitative data). The quantitative part of the research consisted of comparative content analysis and the quantitative phase consisted of a quasi-experiment with pretest-posttest design using intervention and control groups. Participants consisted of 48 mothers of children with cerebral palsy who were selected using purposeful sampling and were randomly allocated to two intervention and one control groups. To collect data, the Distress Tolerance Scale (Simmons and Gaher, 2005) were used. Data were analyzed in SPSS 23 using the repeated measures ANOVA and Bonferroni's post-hoc test.
Findings: The results showed that the difference in the effect of the two treatment methods on the components of tolerance (p=0.020), evaluation (p=0.037) and, accordingly, the total distress tolerance score (p=0.016) is significant, so that the treatment based on acceptance and commitment has increased the average scores of the two components of tolerance and evaluation more in addition to the total score of distress tolerance compared to cognitive behavioral therapy using Rumi's parables and anecdotes.
Conclusions: It can be concluded that the treatment based on acceptance and commitment is a more effective method to increase distress tolerance in mothers of children with cerebral palsy compared to cognitive behavioral therapy using Rumi's parables and anecdotes.

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Aim and Background: Depression is one of the most common psychiatric disorders that leads to considerable disability in various areas of personal, professional, and social life. The purpose of this study was to compare the effectiveness of transdiagnostic treatment and cognitive-behavioral therapy on anxiety and depression in depressed women in Isfahan.
Methods and Materials: The present study was a semi-experimental design of the pre-test-post-test type with a control group and follow-up period. The research community in this study consisted of all depressed women in Isfahan city. In this study, 45 women referred to specialized clinics in Isfahan city in 1400 were purposefully selected and examined in three groups (2 experimental groups and one control group). Patient information was collected through three demographic information tools: Beck's Anxiety Questionnaire and Beck's Depression Questionnaire. Treatment protocols included cognitive behavioral therapy (Hazelt-Stevens) and transdiagnostic treatment.
Findings: The present study explained that the average scores of depression and anxiety in the transdiagnostic treatment and cognitive-behavioral therapy groups had a significant decrease compared to the control group (P = 0.001). On the other hand, there were significant differences in the scores of depression and anxiety in the two treatment groups and control group in the pre-test, post-test and follow-up stages (P>0.05). In addition, there was no significant difference between the transdiagnostic treatment group and the cognitive-behavioral treatment group in reducing the average scores of depression and anxiety.
Conclusions: According to the findings, transdiagnostic and cognitive-behavioral treatments can be used as a complement to medication and interpersonal treatments for patients suffering from depression, reducing the symptoms of depression and anxiety. This process needs more research.

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Aim and Background: Women heads of households experience many problems in their lives, which can be reduced psychological Hardiness, and reduced social well-being. Based on this, the aim of the current research was the effectiveness of Mindfulness-Integrated Cognitive-Behavioral Therapy on psychological Hardiness and social well-being of women heads of households.
Methods and Materials: The current research method was quasi-experimental with a pre-test and post-test design with the Goa group with a two-month follow-up period. The statistical population of the present study consisted of all female heads of households in Isfahan city who lived in this city in 1402. In this study, 30 female heads of the household were selected using the available sampling method and randomly replaced in two experimental and control groups. Participants in two groups completed questionnaires on psychological Hardiness and social well-being in three stages. In the present study, the people in the experimental group underwent 8 sessions of intervention, but the control group did not receive the intervention. In the end, the data were analyzed by analysis of variance with repeated measurements.
Findings: The results of data analysis showed that Mindfulness-Integrated Cognitive-Behavioral Therapy has had a significant effect on increasing psychological Hardiness. Also, Mindfulness-Integrated Cognitive-Behavioral Therapy has significantly increased social well-being (0/05>p). Also, in the follow-up phase, the significant effect of this therapeutic method on psychological hardiness and psychological well-being continued (p<0.05).
Conclusions: From the results of the research, it can be concluded that Mindfulness-Integrated Cognitive-Behavioral Therapy has increased the psychological Hardiness and social well-being of female heads of households, therefore psychologists and counselors can increase the psychological toughness and social well-being of female heads of households. Use the techniques of this therapeutic approach.

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Aim and Background: Multiple Sclerosis (MS) is one of the central nervous system disorders that poses numerous challenges regarding the psychological adjustment of affected individuals worldwide. Psychological interventions can be utilized to address these challenges. This study aimed to investigate the effectiveness of Cognitive-Behavioral Therapy (CBT) based on the Rutgering approach (delivered in a hybrid format of in-person and online sessions) on health anxiety, death anxiety, and body image in MS patients in Tehran.
Methods and Materials: The research employed a quasi-experimental design with a pretest-posttest and follow-up structure for both the intervention and control groups. Using convenience sampling, 30 MS patients registered with a rehabilitation charity in Tehran who scored above the mean on health anxiety, death anxiety, and body image questionnaires were selected. These participants were randomly assigned to two groups of 15. The intervention group received CBT sessions based on the Rutgering et al. (2022) approach in a hybrid in-person and online format.
Findings: The results of repeated measures ANOVA indicated that implementing the hybrid CBT protocol significantly improved health anxiety and body image and reduced death anxiety in MS patients (P = 0.01).
Conclusions: The findings suggest that CBT based on the Rutgering approach is effective in addressing psychological characteristics such as health anxiety, body image, and death anxiety in MS patients. Therefore, it can be considered a complementary treatment alongside other therapeutic methods for MS patients