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Normal 0 false false false MicrosoftInternetExplorer4 st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Aim and Background: Fear of movement is a psychological construct with pivotal role in chronicity of pain. Chronic pain may lead to depression and anxiety in patients, which may change life quality and style. This study was aimed to evaluate the role of fear of movement in chronicity of pain in patients with musculoskeletal pain. Method and Materials: In a descriptive analytic study a sample of 170 patients with chronic musculoskeletal pain referred to an orthopedic clinic at Atieh hospital (Tehran, Iran) was selected. Based on scores of Tampa Scale of Kinesophobia, were divided into three groups of high, medium, and low fear of pain. Data was analyzed by SPSS 12 using ANOVA test. Findings: Patients with higher fear of pain received higher scores on other pain related measures except estimation of pain severity during the current and the next week. In addition, regression analysis showed that scores on Pain Anxiety Symptoms Scale, and Pain vigilance and Awareness Questionnaire are the best predictors of Tampa Scale of Kinesophobia scores. Conclusion: Fear of movement in patients with chronic pain is predictable by psychological variables which are correlated with pain specific anxiety rather than pain severity. Such variables can predict further movement and physical disability and have clinical implications for chronic pain management.

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Aim and Background: Pain is a complex experience involving psychological factors which results in functional disorder. This study aimed to analyze the correlation between cognitive and emotional factors with chronic low back pain among women in Isfahan, Iran. Methods and Materials: In this cross-sectional research, the target population included all women with chronic low back pain that referred to clinics and hospitals of Isfahan during summer 2011. A total number of 50 women with chronic low back pain were selected by simple random sampling. Instruments used in this research included a demographic questionnaire, the multidimensional pain inventory, the fear-avoidance beliefs inventory, the pain catastrophizing scale, and the hospital anxiety scale. The obtained data was analyzed by stepwise and hierarchical regression analysis and Pearson's correlation coefficient. Findings: Pain was positively related with fear-avoidance beliefs, catastrophizing, and anxiety. The results of stepwise regression showed that fear-avoidance beliefs and catastrophizing explained 45.6% of the variance of the pain. In addition, moderated hierarchical regression analysis revealed that job had a moderating effect on the relationship between anxiety and pain. Conclusions: Chronic low back pain can be predicted by fear-avoidance beliefs and catastrophizing. Moreover, decreasing professional stress would reduce the overall anxiety and thus low back pain among women.

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Aim and Background: There is a relation between patients&#039; levels of physical functioning and their acceptance of chronic pain. However, this relation has not been examined amongst Iranian chronic pain patients. The purpose of this paper was to evaluate the relation between acceptance of chronic pain and physical disability. Methods and Materials: In a descriptive-correlational study, convenience sampling was used to select 245 chronic pain patients from pain clinics in Tehran, Iran during spring and summer of 2010. The participants completed the Chronic Pain Acceptance Questionnaire (CPAQ) and a demographic questionnaire. They also provided information about physical disability, pain intensity, and daily dysfunction. Data was analyzed using Pearson&#039;s correlation and multiple hierarchical regression models. Findings: There were significant relations between acceptance of pain and pain intensity and disability (P < 0.001). According to the regression model, acceptance of pain could predict a significant proportion of variance of disability scales (i.e. physical disability and daily dysfunction) (P < 0.0001). Therefore, it was a better predictor of disability compared to over pain intensity, gender, education, and pain duration. Conclusions: Chronic pain acceptance is an important factor in reducing the perceived disability in chronic pain patients. Therefore, acceptance-based treatment methods are helpful to decrease pain-related disability.

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Aim and Background: Migraine is one of the most common types of headache and significantly impacts patients’ performance and may even be disabling. The aim of the present study was to investigate the association of catastrophizing and pain-related anxiety with this health problem. Methods and Materials: This study was a cross-sectional, correlational research. For the purpose of this study, 178 patients who had been diagnosed with migraine by a neurologist, and referred to private neurology clinics and hospitals in Tehran, Iran, were selected through convenience sampling. The participants completed the Headache Disability Inventory (HDI), Pain Catastrophizing Scale (PCS), and Pain Anxiety Symptoms Scale (PASS-20). The collected data were analyzed in SPSS software using the Pearson correlation and stepwise multiple regression analysis. Findings: A significant positive correlation was observed between both variables of catastrophizing (R = 0.64) and pain-related anxiety (R = 0.62), and headache-related disability. Pain-related anxiety predicted 36% of the variance in headache-related disability (P < 0.001). With the entry of the subscales of the variable of catastrophizing, the predictability reduced. This signifies the important influence of catastrophizing and its subscales in the prediction of headache-related disability. Conclusions: This study emphasized the role of psychological variables in predicting headache-related disability in patients with migraine. According to the findings, the degree of catastrophizing can be a predictor of headache-related disability; therefore, the consideration of the role of this variable in patients with chronic migraine is one of the important clinical themes of this study. This could help to improve the quality of life in individuals with migraine.

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Aim and Background: Acceptance and commitment therapy can decrease psychological problems of the patients with rheumatoid arthritis. The purpose of the present study was to determine the effectiveness of acceptance and commitment therapy on the pain intensity perception in the patients with rheumatoid arthritis in Isfahan, Iran. Methods and Materials: This semi-experimental study was conducted using pretest-posttest and control group, with follow-up of the patients. Therefore, 30 women were randomly selected from those who referred to rheumatology centers in Isfahan and were diagnosed with rheumatoid arthritis by a rheumatologist and met other inclusion criteria. They were randomly assigned into experimental group and control group (15 individuals in each group) and followed up for two months. The data was collected using Mc Gill&rsquo;s pain intensity perception questionnaire which was completed by the participants. Then the experimental group received eight 90-minute sessions of acceptance commitment therapy intervention. The data was analyzed using repeated measures ANOVA. Findings: Acceptance and commitment therapy had significant effect on the pain intensity perception in patients with rheumatoid arthritis in experimental group (P < 0.50). This result was also observed after a one-month follow-up (P < 0.05). Conclusions: It can be concluded that acceptance and commitment therapy can be used as an intervention to decrease pain intensity perception in patients with rheumatoid arthritis.

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Aim and Background: Depression is one of the most common comorbidities of chronic pains such as chronic back pain and is the cause of limitations in the efficacy of cognitive-behavioral therapies (CBTs) in individuals with chronic pain. The existence of similar limitations and problems in cognitive-behavioral programs for the treatment of depression has caused a growing trend in the use of schema therapy by researchers in this regard. The aim of the present study was to compare the effectiveness of CBT and schema therapy on the reduction of depression in Iranian patients with chronic low back pain. Methods and Materials: The present clinical trial was conducted with a quasi-experimental design, pretest-posttest, fallow-up, and control group. In this study, 35 patients with chronic low back pain who were referred to pain specific clinics or neurosurgery clinics of Akhtar Hospital and Imam Hussein Hospital (AS) in Tehran, Iran, were selected through purposive sampling method. All patients completed the Chronic Pain Questionnaire, and Depression Subscale of the Depression Anxiety Stress Scales (DASS-21) in the pretest, posttest, and 2 months follow-up stages. Moreover, the schema therapy group completed the 90-Item Short Form of Young Schema Questionnaire (YSQ-SF) in addition to the mentioned questionnaires. Mixed effect regression model was used in SPSS software to investigate the efficacy of the two therapy methods on the reduction of depression in patients with chronic back pain.   Findings: Results showed that CBT (P < 0.005) and schema therapy (P < 0.033) had significant impacts on depression in patients with chronic low back pain in the 2 months follow-up stage. However, there was no significant difference between the two groups in terms of depression reduction in this stage (P < 0.519). Conclusions: Both CBT and schema therapy are effective in improving symptoms of depression in patients with chronic low back pain and can be used as appropriate treatment methods in patients with chronic pain and depression.

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Aim and Background: Art therapy has been known as an innovative way of growth and development of human’s physical, mental, and emotional health. Through the intricate process of painting and drawing, a child would be able to engage discrete elements of his/her experiences to create the totality of a meaningful work. Within this productive mechanism, a child, in format of artwork, is representing something beyond a simple work which is his/her attempts to display a part of his/her ego as well as how he/she thinks feels, and sees. This study aimed to evaluate the effectiveness of painting therapy on of self-esteem and self-efficacy among unaccompanied children of 5-12 years old in Karaj City, Iran. Methods and Materials: This was a semi-experimental study with pretest/posttest method and control group. The sample was 15 boys and 15 girls at the age of 5-12 years who were randomly selected from unsupervised children at Karaj Welfare. Children and adolescents’ self-efficacy questionnaire (SEQ-C), Coopersmith children and adolescents’ self-esteem questionnaire, and the projection painting were utilized as evaluation tools. In order to analyze the data and test the hypothesis, one-way univariate analysis of covariance, and the average evaluation of two independent groups for differential grading were used. Findings: The intervention in research affected the enhancement of unaccompanied children’s general self-esteem, social self-esteem, and self-esteem total score as well as emotional, social, and general self-efficacy. Conclusions: Painting therapy as a psychological intervention could be used as effective strategy to increase self-esteem and self-efficacy in child advocacy centers.

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Aim and Background : In recent decades, cancer has been considered by many as the most important cause of mortality in the world, with a large amount of studies in psychology. Theerfore, present study seeks out the effectiveness of positive psychology on pain catastrophizing and life expectancy of women with breast cancer. Methods and Materials: The present study was a quasi-experimental with pre-test and post-test design with control group and one-month follow-up period. The statistical population of this study included all women with breast cancer who referring to Isfahan Milad Hospital in spring 2015. Thirty of them were selected through available and targeted sampling method and randomly assigned to experimental and control groups (each group was 15). Positive psychology interventions were performed on a test group for 8 sessions of 90 minutes, but not given to the control group. The tools used in this study were Pain Catastrophizing Scale (PCS) and Hope Questionnaire (HQ). Data analysis was done using one-way ANOVA with repeated measures and using SPSS software version 20. Finding: The results of the training and follow up showed that positive psychology interventions had an effect on the life expectancy of women with breast cancer (p<0.05), but did not affect the pain catastrophizing (p>0.05). Conclusions: Based on the findings of this study, these interventions can increase the life expectancy of women with breast cancer and reflect new horizons in clinical interventions and can be used as effective interventions.

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Aim and Background: Health literacy is the ability to receive, process, understand and understand health-related information and services in order to make appropriate health decisions. The health literacy for breast cancer patients plays an important role in accessing adequate diagnostic and therapeutic measures. The aim of this study was to investigate the mediating role of Pain catastrophizing in the relationship between health literacy and specific quality of life among patients with breast cancer.
Methods and Materials: The present study was a cross-sectional and correlational study in terms of method and was basic science in terms of purpose. In this cross-sectional study, 213 consecutive patients with breast cancer were selected based on the inclusive and exclusive criteria. Then, the patients completed questionnaires of Iranian version of health literacy, quality of life and Pain catastrophizing. Data were analyzed using SPSS and LISREL software by path analysis model.
Findings: All components of health literacy and specific quality of life were significantly correlated with Pain catastrophizing. Also there was a significant association between health literacy and specific quality of life. The findings showed that as far as the health literacy is Increase, the Pain catastrophizing scores significantly are also decrease.
Conclusions: It seems that Pain catastrophizing plays the mediating role between health literacy and specific quality of life among patients with breast cancer. Therefore, it is necessary to consider the relational model between these factors for development of psychological protocols and integrating those protocols in therapeutic plans for breast cancer patients.

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Aim and Background: Breast cancer is the most common cancer among women around the world that from the very beginning of diagnosis can cause fear, despair and psychological harm, and challenge all aspects of life (including physical, psychological, social). The aim of this study was determination of the role of emotional regulation, pain - efficacy and disease perception in predicting the negative mood of women with breast cancer.
Methods and Materials: The research design was descriptive correlational and the statistical population of the study included all women with breast cancer referring to Isfahan health centers in spring of 2018. Accordingly, 160 women with breast cancer were selected by available sampling method, and based on the criteria for entry and exit. Data collection tools consisted of Gross and John's emotion regulation questionnaires (2003), Nicholas pain (1995) self-efficacy inventory, Brodbent & et.al (2006) illness perception questionnaire, Lovibond, and Lovibond's negative mood scale (1995). To analyze the data, Pearson correlation coefficient and multiple linear regression were used.
Findings: The results showed that the perception of the disease (β= 0/46, p= 0/001), self-efficacy of pain (β= 0/15, p= 0/021), negatively and meaningfully and the suppression strategy (β= 0/21, p= 0/001) positive and meaningful can predict changes related to the negative mood of women with breast cancer.
Conclusions: It is concluded that the type of emotion regulation strategy, the degree of self-efficacy of pain and the level of perception of the disease have a significant effect on mood disorders in women with breast cancer;  therefore, it can be understood by a deeper understanding of psychological characteristics and beliefs The disease in women with breast cancer takes steps to increase their mental health and well-being with new conditions.

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Aim and Background: Burning is one of the most painful medical injuries. Due to the painful treatment processes, the time of dressing changes and treatment processes perceive very long for patients. recently, emerging therapies such as virtual reality (VR) have been used to reduce duration of time. In this regard, the aim of the present study was to compare the effectiveness of drug therapy and virtual reality on the time perception in burn patients of Imam Musa Kazem Center in Isfahan.
Methods and Materials This study was a quasi-experimental design with pre-test and post-test with a control group. For this purpose, from the statistical population of this study, which consisted of all eligible patients admitted to the burn ward of Imam Musa Kazem Center in Isfahan in 2019, 75 patients of the burn ward of Imam Musa Kazem Educational and Medical Center by sampling Available types were selected. Then, 45 patients were enrolled in the study and were randomly assigned to two groups: experimental 1 (VR), experimental 2 (drug therapy) and a control group (15 people in each group). Subjects responded to the GRS scale before and after the interventions.
Findings The results showed that both virtual reality and pharmacotherapy had a significant effect on time perception of pain (p <0.05). Also, both virtual reality and pharmacotherapy had a significant effect on the perception of pain over time in patients with burns and in comparing the two treatments, there was no significant difference between the effectiveness of virtual reality therapy and pharmacotherapy in reducing pain intensity (0.05 > p). The effects of both treatments were also stable over time.
Conclusions In addition to drug therapy, the use of emerging technologies such as virtual reality seems useful to reduce the damage caused by the treatment process in burn patients.

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Aim and Background: Chronic pain is one of the most common and expensive medical problems. The aim of this study was to compare the effectiveness of emotion focused therapy and cognitive analytic therapy on anxiety sensitivity, pain catastrophizing, experiential avoidance and cognitive emotion regulation in patients with chronic pain and alexithymia.
Methods and Materials: This research was experiential study with pre, post-test and follow-up with control group. Among patients suffering from chronic in Isfahan, using available and voluntary sampling method, 36 patients that had top point in alexithymia questionnaire were selected and then  were assigned in two groups randomly (each group n=12). Members of first experimental group, received online emotion-focused group therapy and members of second experimental group received online cognitive-analytic group therapy. In this period control group didn’t received any intervention. Instruments were Karnfeskesʼs Cognitive Emotion Regulation Questionnaire (2001), Solivanʼs Pain Catastrophizing Scale (1995), Taylor and Koksʼes Anxiety Sensitinty Inventort (1998), Acceptance and Action Questionaire (2011) that were completed in 3 stages of pre, post-rest and follow up. Data were analyzed using repeated measure analysis.
Findings: Reults showed that the emotion focused therapy has been more effective than the cognitive analytic therapy in improving pain catastrophizing, experiential avoidance and the negative aspect of cognitive emotion regulation (P<0.05).
Conclusions: With respect to the effectiveness of these two therapeutic methods on the research variables, these two therapeutic methods can be sought so as to improve the conditions of the patients with chronic pain and alexithymia.

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Aim and Background: Cancer is considered to be one of the most important health and therapy issues in the world and in our country, especially among men, and is usually associated with significant clinical and psychological discomfort in the optimal use of coping strategies. The aim of this study was thus to analyze the structural model of spiritual health based on health anxiety, positive meta-emotion, pain self-efficacy mediated by the source of internal health control in men with cancer.
Methods and Materials: The research method is descriptive-correlational type of structural equation modeling. The statistical population consisted of men aged 45 to 65 years old with gastrointestinal cancers living in Golestan province in 1400. The sample size was estimated to be 230 people using Krejcie Morgan table. The convenience sampling method was used. The instruments of this research were in the form of questionnaires including health anxiety by Salkowski and Warwick (2002), metacognition and meta-emotion by Biro Montea (2010), pain self-efficacy by Nicholas (1980), spiritual health by Delman and Free (2004), source of health control by Wallston et al. 1978). To analyze the data, structural equation modeling technique was used in the LISREL8.71 software.
Findings: The results showed that health anxiety had a significant negative effect, and positive meta-emotion and self-efficacy had a significant positive effect on spiritual health (P <0.001). The source of internal health control mediated the effect of pain self-efficacy on spiritual health in a significant positive way (P <0.01). The source of internal health control has a negative effect on health anxiety and a significant positive effect on positive meta-emotion and pain self-efficacy (P <0.005).
Conclusions: The results of the present study support the hypothesis that health anxiety, positive meta-emotion, and pain self-efficacy are related to spiritual health and can affect spiritual health through the mediation of health control source.

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Aim and Background: Poor designing of these hospitals, ignoring physical and emotional needs of children, could deteriorate the conditions and lead to added harm for these children. The main purpose of this research is to diagnose practical, important factors which can promote the environmental quality of hospitalization for children by incorporating their ideas and emotions.
Methods and Materials: The research plan is qualitative and the implemented qualitative research plan is Thematic Analysis by Braun & Clarke Approach. The statistical population of the study is children between 7 to12, hospitalized in Imam Hossein Hospital in Esfahan. Sample size was carefully selected according to the purpose of the study to achieve Theoretical saturation. In order to grasp their idea of a qualified hospital room, the 40 paintings made by targeted children were then analyzed by Thematic Analysis and ATLAS-ti 7.
Findings: According to the findings focusing on children’s perceptions and ideas, it was realized that the quality of hospital room is influenced by five factors including; items and features located in room, visual effects, practical attractions, personalized environment and rearranging the accepted order of the environment.
Conclusions: According to the outcomes of the research, it was concluded that by improving the details and items located in rooms and creating visual and practical attractions as well as reducing limitations for children with the purpose of allowing them personalize their environment, the quality of hospitalization environment could be enhanced to a great extent. Their ideas supported the interactive approach required in determining influential factors on the quality of architecture.

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Aim and Background: Irritable bowel syndrome (IBS) is a functional disorder in the intestinal-gastric system that is defined by specific intestinal-gastric symptoms without an organic cause. The aim of the research was to investigate the effectiveness of acceptance and commitment therapy on treatment compliance and pain intensity in patients with irritable bowel syndrome.
Materials and Methods: The present study was a semi-experimental research method of pre-test-post-test design with a control group and a 2-month follow-up group. The statistical population of this research was all the patients with irritable bowel syndrome in Isfahan city in 2017, 15 people were selected by the available sampling method and randomly divided into an intervention group using the acceptance and commitment treatment method and a control group. Data were collected using Seyed Fatemi et al. treatment adherence questionnaire (TAQ) (2017) and Durkin et al. pain questionnaire (SF-MPQ-2) (2009). The intervention of acceptance and commitment therapy was carried out during 8 sessions of 90 minutes once a week; But the control group did not receive any intervention. The research data was analyzed by variance analysis with repeated measurements.
Findings: The findings showed that the acceptance and commitment treatment method is effective on the treatment compliance of patients with irritable bowel syndrome (p<0.05). Also, the treatment method of acceptance and commitment of pain severity in patients with irritable bowel syndrome was effective (P<0.05).
Conclusion: It can be concluded that acceptance and commitment therapy is effective on treatment adherence and pain intensity.

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Aim and Background: Today, chronic pain is one of the main treatment challenges that affects many of the patient's daily activities. Various methods have been investigated to increase the quality of life in these patients. Acceptance and commitment therapy (ACT) is one of the promising interventions to improve quality of life in such patients. The aim of this study was to systematically review and meta-analysis the effectiveness of ACT on improving the quality of life of patients with chronic diseases in Iran.
Methods and Materials: In this study, the studies conducted in Persian language in the last decade (from 2011-03-21 to 2023-05-22) in internal databases (Sid, Magiran,Ganj, Irandoc, Civilica). The results were expressed in terms of Hedges effect size and the corresponding 95% confidence interval.
Findings: Out of 482 articles, 33 articles were used to conduct a meta-analysis of the effectiveness post-test compared to the control and 11 studies were used to investigate the effectiveness in the follow-up compared to the post-test. The effectiveness of ACT on post-test, the estimated effect size was 1.585 (CI=1.165 - 2.556 CI), and in the follow-up, the effect size was estimated to be 0.983 (CI=0.785 – 1.181).
Conclusions: Overall, the results showed that ACT improved the quality of life in patients with chronic diseases by 185% in the post-test and 98.3% in the follow-up period. Based on this, it can be said that this psychological therapy is a suitable method to improve the quality of life in these patients.