---

Abstract &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Aim and Background: This study was aimed to determine the relationship between positive psychological variables (hope and spirituality) psychopathology (depression, stress, anxiety) and quality of life in hemodialysis patients in Isfahan&#039;s Ali Asghar Hospitals. Methods and Materials: This study was a descriptive one, and its population was all Hemodialysis patients in Ali Asghar Hospital. The participants in this study were 96 Hemodialysis patients. They were selected by a simple random sampling method. The survey tools included demographic questions, (SF-36) quality of life, life expectancy, (DASS) depression, stress, anxiety and spirituality questionnaire. Mean and standard deviation were used to analyze the data and for hypothesis testing the Pearson correlation and simultaneous regression analysis were used. Findings: There was a significant relationship between positive psychological variables (hope and spirituality) and psychopathology (depression, stress, anxiety) with quality of life in hemodialysis patients. In other words, participants with higher scores on (spirituality and hope) had a better quality of life, and those who higher score on DASS had a lower quality of life (p<0.05). These finding indicated that: There was a significant relationship between quality of life and spirituality in hemodialysis patients (p<0.05). There was a significant relationship between quality of life and hope in hemodialysis patients (p<0.05). There was a significant relationship between quality of life and (stress, depression and anxiety) in hemodialysis patients (p<0.001). Conclusions: These finding indicated that quality of life in Hemodialysis patients can be predicted by hope and (stress, depression, anxiety) &nbsp;

---

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: The End Stage Renal Disease (ESRD) is a progressive, chronic and untreated Kidney Dysfunction that has numerous Physical and Psychological complications. The purpose of the present study was to investigate the effectiveness of Mindfulness-based Cognitive Therapy on improving Anxiety and Depression in Hemodialysis Patients.

Methods and Materials: This study was a non-randomized, semi-experimental, pre-test, post-test design with two months follow-up. The statistical population of the study was hemodialysis patients referring to Tehran Hemodialysis Centers in 2017. From the statistical population, 24 people were selected by purposive sampling method and were randomly assigned into two experimental (n=12) and control (n=12) groups. Beck Depression Inventory and Beck Anxiety Inventory were used for data collection. Data were analyzed using SPSS-22 software and analysis of variance with repeated measures.

Findings: The results of analysis of variance with repeated measures showed that the variables of anxiety and depression changed during the post-test and follow-up stages, which is significant compared to the pre-test (p<.05). The results also showed that mindfulness variable had a significant effect on the components of anxiety and depression in hemodialysis patients (p<.05).

Conclusions: According to the results, it can be deduced that mindfulness training is effective in improving depression, anxiety compared to control group and that this treatment is in the follow-up phase in stable depression. But in the anxiety component, there was no such consistency. Reasons for this consistency include the ease of treatment and rapid patient education as well as the short duration of intervention sessions.