---

Aim and Background: A separate chapter of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) distributed in 2013 has been allocated to Obsessive-compulsive disorder (OCD). It is defined as unwanted, repeated, and obtrusive beliefs, images, thoughts, and anxiety or repetitive mental behaviors and actions. Clinical evaluation of patients with OCD has revealed their complaints regarding urology symptoms. Therefore, it has been theorized that OCD is correlated with urology symptoms such as urination frequency. Methods and Materials: This study was conducted on 100 patients with OCD referred to the OCD Clinic affiliated to Isfahan University of Medical Sciences, Iran, in 12013. In order to determine the severity of the disorder, the Yale-Brown Obsessive-Compulsive Scale (Y-BOCS) was used. The Hospital Anxiety and Depression Scale (HADS) was used for the assessment of the degree of anxiety and depression. In addition, the Lower Urinary Tract Symptoms-Questionnaire (LUTS-Q) and a 25-item checklist were used for the evaluation of urinary symptoms. The data were analyzed using Student&#039;s t-distribution, one way ANOVA, chi-square test, and the Pearson coefficient in SPSS. Findings: The average of urinary symptoms score was 11 &plusmn; 6.8 and ranged from 0 to 27. There was a direct correlation between urinary symptoms and OCD symptoms (P = 0.022). Moreover, there was direct correlation between anxiety and depression score and urinary symptoms (P < 0.001). On the other hand, there was a direct correlation between the Y-BOCS score and anxiety and depression score (P = 0.049). Conclusions: In more than half of the participants, OCD was accompanied with urinary symptoms. In addition, 74% of patients had anxiety and depression disorder. Thus, these disorders require attention in the evaluation and treatment of patients with OCD and must be considered in their treatment interventions.

---

Aim and Background: This study was performed to examine the effectiveness of mindfulness techniques training on life orientation, life satisfaction, and acceptance and action in addicted women undergoing rehabilitation. Methods and Materials: The present study was a semi-experimental research with pretest-posttest design and control group. The statistical population of this study included all addicted women who had undergone detoxification and at the time of the study were undergoing rehabilitation in the Parastoo Center in Najafabad, Iran. A total of 24 subjects were selected through convenience sampling and were randomly assigned to experimental or control groups (n = 12). The experimental group received 8 sessions of mindfulness techniques training over 2 months and each session lasted 2 hours, whereas the control group only received routine rehabilitation training. Both experimental and control groups completed the Life Orientation Test (LOT), Satisfaction with Life Scale, (SWLS) and Acceptance and Action Questionnaire-II (AAQ-II) before and after the intervention. Data were analyzed using multivariate analysis of variance. Findings: The controlling of pretest scores showed a significant difference between the groups in terms of the average scores of life orientation, life satisfaction, and acceptance and action in the posttest stage (P < 0.0001). Conclusions: It can be concluded that mindfulness techniques training had had a meaningful effect on the improvement of life orientation, life satisfaction, and acceptance and action. Thus, it can be used as an appropriate intervention in the treatment of addicted women undergoing rehabilitation.

---

Aim and Background: Given the ever-increasing rate of escaping of adolescent girls from home and the unfavorable individual and social consequences of the event, the aim of this study was the comparison of the big five factor model of personality, self-efficacy, and cognitive regulation strategies between runaway girls and normal girls. Methods and Materials: &nbsp;The present study, in both its objective and data collection method, was a descriptive research. The study population consisted of all runaway girls in Kermanshah, Iran, in 2014, from among which 50 runaway girls were selected through convenience sampling and were matched with 50 girls from a high school in Kermanshah in terms of gender, age, and education. The data collection tools consisted of the Five-Factor Model, General Self-Efficacy Scale (GSES), and Cognitive Emotion Regulation Questionnaire (CERQ). The Data were analyzed using MANOVA. Findings : Significant differences were observed between the two groups in terms of neuroticism (P ˂ 0.001), agreeableness (P ˂ 0.001), extraversion (P ˂ 0.001), openness to experience (P ˂ 0.001), self-efficacy (P ˂ 0.001), and cognitive regulation strategies (P ˂ 0.001). Conclusions : Considering the increasing trend of girls running away from home and its unfavorable consequences, attention to preventative measures, identification of predisposing factors, and implementation of various rectifying interventions seem necessary.

---

Aim and Background: Experiential avoidance is a behavior pattern that increases binge eating among overweight and obese individuals. The objective of this study was to investigate the efficacy of acceptance and commitment therapy (ACT) on experiential avoidance among overweight and obese individuals in Isfahan, Iran. Methods and Materials: The present quasi-experimental research was conducted with a pretest-posttest, double-blind, and multicenter design with control group. The statistical population of the study consisted of all overweight and obese individuals a body mass index (BMI) of more than 25 referring to nutrition and diet therapy clinics in the winter of 2015. From among them, 40 individuals were selected through convenience sampling based on the study criteria and were randomly assigned to the experimental and control groups (each group = 20 individuals). Both groups completed the Acceptance and Action Questionnaire for Weight-Related Difficulties (AAQW) designed by Lillis and Hayes, at pretest, posttest, and follow-up stages (45 days after the intervention). The reliability of the AAQW was calculated using Cronbach&#039;s alpha coefficient (&alpha; = 0.91) and its content validity was confirmed by experts. The experimental group received 8 60-minute sessions of ACT. The control group, however, received no intervention. Data were analyzed using ANCOVA in SPSS software. Findings: There was a significant decrease in experiential avoidance among the experimental group participants (P < 0.05). Moreover, this effect was maintained until the follow-up stage. Conclusions: According to the results, ACT can be considered as an efficient intervention for the reduction of experiential avoidance in overweight and obese individuals. The reduction in experiential avoidance results in the increasing of psychological flexibility in these individuals. Therefore, ACT can be used in conjunction with other weight control interventions.

---

Aim and Background: Stress resulting from treatment in patients undergoing hemodialysis will cause psychological problems. Maladaptive schemas are important in the development of psychological problems and the effectiveness of acceptance and commitment therapy (ACT) on them has been approved. The aim of this study was to examine the effects of ACT on modification of early maladaptive schemas in patients undergoing hemodialysis in Isfahan, Iran, in 2015. Methods and Materials: This clinical trial was conducted with a control group. For the purpose of this study, 30 patients undergoing hemodialysis in Zahra Hospital in Isfahan were selected through convenience sampling and divided into control and experimental groups. The two groups were matched in terms of sex, education, and marital status. The data collection tool was the Young Schema Questionnaire-Short Form (YSQ-SF). A pretest was performed before the intervention, and posttest was conducted after 10 sessions (2 hours) of ACT. Findings: Repeated measures ANOVA showed that after the initial implementation of ACT sessions, a significant difference was observed in the experimental group in terms of maladaptive schemas. It was found that ACT was affective on the modification of early maladaptive schemas (disconnection and rejection, impaired autonomy and performance, impaired limits, other-directedness, overvigilance and inhibition) in patients undergoing hemodialysis (P < 0.001). Conclusions: The findings indicate that ACT can be used to reduce early maladaptive schemas, and thus, psychological problems in patients undergoing hemodialysis.

---

Aim and Background: Seattle Angina Questionnaire (SAQ) has been designed to measur health-related quality of life (HRQOL) in patients with coronary artery disease (CAD). The psychometric properties of the questionnaire were evaluated in different countries as it was used widely in CAD patient&rsquo;s quality of life research. The aim of this research was to investigate normalization, reliability and validity of this questionnaire in Iran. Methods and Materials: Two hundred seventy nine patients with CAD were selected by convinience sampling method from Tehran Heart Center and asked to answer SAQ. Findings: Using exploratory factor analysis by principal components analysis and Varimax rotation, six factors were extracted, including physical limitations caused by light activity, physical limitations caused by heavy activity, treatment satisfaction, quality of life, the problem of angina and chest tightness, and obligation in taking medication. These factors explained 66.16% of items variance. In confirmatory factor analysis, the six-factor model of this questionnaire in Iranian population was more desirable than the five-factor model of the original scale. Cronbach&rsquo;s alpha of this questionnaire was 0.77 showing an acceptable internal consistency. According to score distribution and T score, mean HRQOL score was about 61 in CAD patients with the cut off point of 82. Conclusions: SAQ is a valid and reliable instrument for assessing health related quality of life of patients with CAD, therefore it can be used in research and clinical settings in Iran.

---

Aim and Background: Physical environmental factors are important and effective factors in human behavior. These factors are more important in places such as hospitals. In this study we aimed to evaluate the effect of light, color and other details of interior design on hospitalized patients function in psychiatric hospitals. Methods and Materials: We evaluated the effect of physical environmental factors associated with hospital&rsquo;s interior design on patients&rsquo; function. Those patients who were hospitalized during the study who were mentally capable of answering questionnaire, and psychiatrists and psychiatry residents were enrolled in the study. A questionnaire was developed and its validity was assessed using SPSS. Findings: Natural light had better effect on treatment process in comparison with artificial lights. Combination of architecture and nature such as flowers and plants in and outside the ward can lead to beneficial effects on patients&rsquo; function. Another effective factor in this process was patient privacy, which could be achieved by using rooms with single beds, intangible monitoring of rooms by nurses, no installation of fences and lace against the windows and providing opportunity for patients to move freely in ward. Also, provision of a living room for watching TV and dining room in ward are other factors which could improve patients&rsquo; function. Conclusions: Factors such as natural light, using light and cold colors, interior decorations, presents of nature elements such as flowers and plants, and respecting patient privacy while ensuring patients safety are important factors in designing the interior spaces of psychiatric departments.

---

Aim and Background: Among important variables in family studies are adjustment and marital satisfaction. These two variables have a significant role in studies on family and marital relationships and can be created with the effort of couples in marital relationships. The present study aimed to investigate the effectiveness of emotional focused couple therapy on marital satisfaction and adjustment in couples. Methods and Materials: The research method was semi-experimental and the sample included 30 incompatible couples with low marital satisfaction. who had referred to the council centers of Isfahan, Iran, in 2014, and were randomly assigned to experimental and control groups. Two couples from the experiment group and three couples from the control group did not attend the follow-up session. The experimental group participated in 14 emotional focused couple therapy sessions that were performed by family counseling expert and couple therapist, while the control group received no treatment. The participants completed marital satisfaction questionnaire and marital adjustment test. Findings: Emotional focused couple therapy could increase marital satisfaction and adjustment in post-test (P < 0.01) and follow-up (P < 0.01) stages. The impact on the post-test phase was more than follow-up. Conclusions: It is suggested to carry out more research among different cultures with fewer or more sessions than the present study and with equalization of studied groups. The effect of this method on other dimensions of marital relationship like conflict, excitement expression, sexual problems and marital intimacy should be measured in the next studies.

---

Aim and Background: Many studies have shown that mortality rate among the patients with coronary artery diseases (CAD) is greatly influenced by their mood. While positive psychological states are associated with improved cardiovascular function in these patients, positive psychology interventions have not been used in patients with cardiac diseases. Hence, this study examined the effectiveness of three happiness interventions on psychological variables in patients with cardiac diseases. Methods and Materials: In present study, 68 patients with cardiac diseases were assigned randomly to three happiness intervention groups, including Seligman, Lyubomirsky and Fordyce, and a control group. The intervention groups completed 6 weeks of happiness sessions, and pre-intervention, post-intervention and follow-up measurements were carried out on the patients. Assessments included the status of depression, happiness, life satisfaction and hope. Data were analyzed with one-way repeated measures analysis of covariance. Findings: All three interventions improved happiness in patients significantly (P < 0.01). In addition, significant reduction of depression in Fordyce group was observed (P < 0.05). Besides, hope increased significantly in Seligman group at posttest and follow-up (P < 0.05). Conclusions: These findings show that these happiness interventions may be led to more promising results in promoting positive psychological states and reducing depression in patients with cardiac diseases. In general, Seligman happiness intervention in promoting positive psychological states and Fordyce happiness intervention in reducing depression lead to better outcomes than two other interventions.

---

Aim and Background: Psychological variables in university settings, wherein there is a wide personality and individual diversity, stimulate students’ amenability and affect their academic performance. This research aimed to assess the mediating role of affective control on the relationship between thought-action fusions and personal intelligence with symptoms of borderline personality disorder in university students. Methods and Materials: In this cross-sectional study, the statistical sample included 250 medical students in universities of Bonab and Maragheh cities, Iran, in academic years of 2014-2015 selected using cluster sampling method in several phases. Claridge and Broks borderline personality disorder questionnaire, Rachman et al. thought-action fusion scale, Williams and Chambless affective control scale and Mayer personal intelligence questionnaire were used for data collection. The data were analyzed using the Pearson correlation coefficient, and Bootstrap and Sobel tests through SPSS Amos software. Findings: The fitness of the model in the initial reform was approved by removing non-significant path. Personal intelligence, depressed mood, morality, and anger had direct and significant effect on the symptoms of borderline personality disorder; but the effect of self-probability, others-probability, anxiety and positive affect was not significant. Morality subscale with the mediating role of depressed mood, anger and positive affect, self-probability with the mediating role of depressed mood, and others-probability with the mediating role of depressed mood, anger and positive affect had indirect and significant effect on the symptoms of borderline personality disorder. But the effect of personal intelligence was not significant. In total, 66% of the variance in symptoms of borderline personality disorder was determined by the proposed variables. Conclusions: Emotion- and action-regulation strategies with mediating of affective control has role in explaining the symptoms of borderline personality disorder. Thus, it seems that occurrence of cognitive emotion and action maladaptive regulation strategies and low personal intelligence increase the individual’s vulnerability borderline traits.

---

Aim and Background: The purpose of this study was to examine the effectiveness of mindfulness-based applied relaxation training on temperament and character dimensions of women with generalized anxiety disorder (GAD). Methods and Materials: This experimental study was performed with a pretest-posttest design and a control group. The subjects were 40 women with GAD and they were randomly placed in experimental and control groups. The participants of both groups responded to the Generalized Anxiety Disorders Questionnaire 4 th Edition (GAD-Q-IV), 7-Item Generalized Anxiety Disorder (GAD-7) questionnaire, and Temperament and Character Inventory (TCI) before the intervention, and after and 3 months after the intervention. The experimental group received 16 sessions of training. Data were analyzed using repeated measures ANOVA. Findings: The results showed significance differences between the two groups in the pretest, posttest, and follow-up scores of harm avoidance (F = 7.14, P < 0.050) and self-directiveness (F = 26.92, P < 0.001). However, there were no significant differences in pretest, posttest, and follow-up scores of novelty seeking, reward dependence, persistence, cooperativeness, and self-transcendence between the groups. Conclusions: The results showed that mindfulness-based applied relaxation training was associated with increased self-directiveness, and decreased harm avoidance after psychotherapy in post-test and follow-up phase. Therefore, mindfulness-based applied relaxation training is effective in reducing symptoms of GAD and changing temperament and character dimensions.

---

Aim and Background: The present study was conducted to compare alexithymia, character and temperament, and aggression between addicts and healthy individuals. Methods and Materials: This causal-comparative research was conducted on 80 addicts and 80 healthy individuals. The subjects were selected through convenience sampling method and were matched. The research tools included the Toronto Alexithymia Scale, Temperament and Character Inventory (TCI) (Cloninger et al.), and Buss-Perry Aggression Questionnaire (AGQ). Data were analyzed using MANOVA and ANOVA. Findings: There was a significant difference between addicts and healthy individuals in terms of alexithymia components (difficulty identifying feelings, difficulty describing feelings, and externally-oriented thinking) and aggression components (physical aggression, verbal aggression, and anger and hostility). The scores of alexithymia and aggression components were higher in addicts compared to healthy individuals. Moreover, the scores of damage and novelty seeking components in the character and temperament variable were higher in addcits. The scores of the components of self-leadership, partnership, and persistence were lower in addicts in comparison with healthy individuals. No significant difference was found between the two groups in terms of the components of remuneration, dependency, and self-transcendence. Conclusions: This study, in line with researches focused on investigating the underlying personality aspects involved in addiction, can be helpful in understanding the factors involved in this phenomenon and proposing suitable solutions for the prevention and treatment of addiction.

---

Aim and Background: An individual pathology observed in families is morbid jealousy. Thus, the aim of the present study was to examine the views of family therapy specialists about interactional damages in spouses of men with morbid jealousy. Methods and Materials: The present research was a qualitative (phenomenological) study. The search population consisted of all specialists in the field of psychological family therapy. The participants consisted of 8 specialists with experiences in psychological family therapy. Data were collected through semi-structural interviews. The gathered data were analyzed through systematic method in the three steps of description, reduction, and interpretation. Findings: The results showed that from among 489 sentences related to interactional damages, 122 concepts were extracted in open coding that were disaggregated into 23 subthemes in axial coding. Finally, data were summarized into 9 categories of pathologies related to solving conflicts, communication styles, sexual relationship, communication with children, and communication with the spouse regarding familial and household issues, and cognitive, behavioral, and emotional damages which were problematic to the relationship. Conclusions: It can be concluded that, from the viewpoint of family specialists, men with morbid jealousy cause damages in their families that increase the probability of family disintegration.

---

Aim and Background: Healthy sexual function is a sign of physical and mental health and creates a mutual sense of pleasure among couples. Due to the importance of women's sexual and psychological processes, the aim of this study was to assess the effectiveness of acceptance and commitment therapy (ACT) on sexual function, sexual self-consciousness, and sexual assertiveness in women of 20-50 years of age in Isfahan, Iran. Methods and Materials: This study was conducted with pretest-posttest and 1 month follow-up. The study subjects were 20 married women who referred to women’s parturition and psychiatric clinics in Isfahan and had been diagnosed with sexual dysfunction based on the Diagnostic and Statistical Manual of Mental Disorders-5 th edition (DSM-5) in the spring of 2015. The subjects were assigned to two groups (n = 10). The experimental group received 10 sessions (each session lasted 45 minutes) of ACT and the control group did not receive any intervention. The data collection tools consisted of a demographic questionnaire, the Female Sexual Function Index (FSFI) (Rosen et al.), Sexual Self-Consciousness Scale (SSCS) (van Lankveld et al.), and Hurlbert Index of Sexual Assertiveness (HISA). Findings: ACT was effective on improvement of sexual function, sexual self-consciousness, and sexual assertiveness (P < 0.05). Conclusions: According to the results, ACT can be used for improvement of sexual function, sexual self-consciousness, and sexual assertiveness.

---

Aim and Background: Attention-deficit hyperactivity disorder (ADHD) can affect learning in children. Consideration of individual differences is an important factor in the education of children with ADHD. Gardner’s theory of multiple intelligences is based on this principle. This study aimed to determine the effect of Inspiration software (a computer game) on changes in multiple intelligences in children with ADHD in  Isfahan, Iran. Methods and Materials: This quasi-experimental study was conducted with pretest-posttest and a control group. The statistic population consisted of children of 6 to 13 years of age with ADHD. A total of 64 children (32 subjects in each group) were selected through convenience sampling method and were randomly divided into two groups of experimental and control. The research tool was the Multiple Intelligences Scale. The data were analyzed using ANCOVA. Findings: The results of paired t-test showed a significant difference between the intervention and control groups in terms of multiple intelligences scores of patients with ADHD in the posttest (P ≤ 0.05). The use of Inspiration software caused an increase in the multiple intelligences score of the experimental group compared to the control group in the posttest. Conclusions: This study showed that Inspiration softeware can increase the multiple intelligences score of patients with ADHD, and thus, the use of this method in conjunction with other therapy methods is recommended.

---

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.

---

Aim and Background: The aim of this study was to investigate the effect of 12-week physical activity on resiliency, subjective well-being, and work engagement among the female staff of Islamic Azad University. Methods and Materials: This semi-experimental research was carried out having pre- and post-test. The statistical population of this study consisted of 94 female staff of Parand Branch, Islamic Azad University, Iran; from whom, 72 person were purposively selected as samples and were randomly divided into experimental (n = 36) and control (n = 36) groups. The tools for gathering data were Konor and Davidson Resiliency Inventory, Schaufeli and Bakker Work Engagement Inventory, and Keyes and Magyar-Mae Subjective Well-Being Inventory. Data were analyzed via SPSS software, using one-way analysis of covariance (ANCOVA). Findings: Aerobic exercise significantly increased resiliency, subjective well-being, and work engagement among the subjects (P ˂ 0.05 for all). The dimensions of mental health were not equally affected by the practice. The effect size was obtained 0.63, 0.49, and 0.09 in resiliency, work engagement, and Subjective well-being, respectively. Conclusions: Based on our findings, it is recommended that managers should provide opportunities for their employees to participate in physical activity plans in order to increase their resilience, mental well-being, and work engagement. Under this condition, organizational managers can effectively benefit from their active and healthy human resources.

---

Aim and Background: Deficiency in balance functions of individuals with attention deficit hyperactivity disorder (ADHD) have been highlighted in the body of literature. There is also a close relationship between physical activities and alleviation in behavioral disorders. The aim of this study was to investigate the effects of endurance training along with methylphenidate consumption on balance in rats with ADHD. Methods and Materials: The present study was a laboratory research. The samples were 35 Wistar rats (weight: 181.66 ± 8.69 g) which were randomly categorized into 5 groups (each group = 7 rats). To induce ADHD in the rats, they were injected 10 mg/kg of L-NAME for 8 weeks and 6 days per week based on the weight of the rats. The groups included 1 control group and 4 groups of ADHD (MPH consumption, endurance training, MPH consumption and endurance training, and ADHD). Open field, balance beam, and 5-band treadmill tests were used as research tools. Balance test was taken after 4 weeks of training. The medication group received 1 mg oral methylphenidate per kg weight of rats daily. The rats received training at a rate of 2 to 20 m/minute for 5 days a week for 28 days. The duration of the training in each session in the first week and the familiarization time was 2 meters/minute and overtime per week was 20 meters/minute. Data were analyzed using ANOVA. Findings: Analysis of data showed that there is no significant difference between the pretest and posttest in the control group (P = 0.17) and the ADHD group (P = 0.17). However, there was a significant difference between pretest and posttest in the ADHD + training, ADHD + methylphenidate, and ADHD + methylphenidate + exercise groups (P = 0.001). Furthermore, Tukey's post hoc test results showed that the control group's balance was better than all other groups (P < 0.001). The balance of all groups except the control group was better than ADHD group (P <0.001). There was no significant difference between ADHD + endurance exercises group and ADHD + methylphenidate group, and ADHD + methylphenidate and ADHD + endurance training + methylphenidate consumption groups in terms of balance (P < 0.001). Conclusions: It seems that it can be concluded that 30 minutes of endurance training per day can be a suitable alternative for methylphenidate among rats with ADHD.

---

Aim and Background: While Parents affect other members of the family, children also have effects on their parents with their own personal, behavioral and growth characteristics reciprocally. The behavioral disorder of one of the children, such as attention deficit hyperactivity disorder (ADHD), is usually conceived as a stressful element which can affect all aspects of family, including the relationship between mothers and their spouses. The aim of this study was to survey of stress management group training effectiveness, using acceptance and commitment therapy (ACT) method, on the relationship between mothers of ADHD children and their spouses. Methods and Materials: The research method was quasi-experimental, pre-test, post-test and 9-month follow-up with control group. The population of the research was included all mothers of children with ADHD in Esfahan who referred to clinics and psychologists offices in 2013. Thirty mothers which had highest score of stress in relationship with spouse from parenting stress index (PSI) were selected and assigned into two groups of test and control. Eight 90-minute sessions of acceptance and commitment stress management training was performed for the test group, while the control group had no intervention. PSI subscale of relationship with spouse from parent characteristics was used in order to review the hypothesis of the study, which was completed before and after intervention by mothers. Data were analyzed by covariance statistical methods using SPSS software. Findings: There was a considerable difference between scores of pre-test and post-test of the test group in comparison with control group (P = 0.001), reflecting the improvement of relationship with spouses in mothers. Conclusions: ACT-based stress management group training could improve the relationship between the mothers of ADHD children and their spouses.

---

Aim and Background: Obesity is the cause of many physical and psychological problems. The present study aimed to compare the effect of three methods of aerobic exercise, Kegel, and combinatorial (aerobic and Kegel), on body image, and sexual and marital satisfaction in obese women. Methods and Materials: This was a quasi-experimental study with a pretest-posttest design. 60 obese women with an age range of 35 to 40 years, and body mass index of higher than 30 kg/m 2 , were selected through convenience sampling method. They were randomly divided into three experimental groups of aerobic, Kegel, and combinatorial, and one control group. Experimental groups participated in their sports activities for eight weeks. The research tools consisted of Fisher Body Image, Yavari Sexual Satisfaction, and ENRICH Marital Satisfaction Scale. The validity and reliability of all four questionnaires had been examined and confirmed in Iran before. Findings: The positive effects of all three exercises on sexual and marital satisfaction were approved using the covariance analysis. In addition, the effects of combined training on sexual and marital satisfaction were more than the other two method of practice. Aerobic and combined exercises improved body image, but the Kegel exercise did not have a significant effect on body image. Conclusions: Physical activity is recommended to increase sexual and marital satisfaction in obese women.