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Abstract: Aim and Background: The aim of present study the study of the efficacy of Acceptance Based Behavior Therapy and Integrative Behavioral Couple Therapy on women with distressed couples and General Anxiety Disorder. Methods and Materials: Six women with Generalized Anxiety Disorder and their spouses were selected using purposeful sampling. Non-congruent multiple baseline experimental single case study was used as the method of the present study. The efficacy of Acceptance Based Behavior Therapy and Integrative Behavioral Couple Therapy Protocol was carried out in three phase of intervention (Baseline, 16 session treatment and 3 month follow-up) by using the Pennsylvania State Worry Questionnaire (PSWQ) and Dyadic Adjustment Scale (DAS)evaluated. Data analyzed with visuals inspection, improvement percentage and reliable change index (RCI) strategies. Findings: Results showed that Acceptance Based Behavior Therapy and Integrative Behavioral Couple Therapy have positive efficient on treatment's target. Acceptance Based Behavior Therapy efficacy also showed more than Integrative Behavioral Couple Therapy in the Worry variable. Integrative Behavioral Couple Therapy efficacy also showed more than Acceptance Based Behavior Therapy in the Dyadic Adjustment Scale. Conclusions: Theoretical explanation of findings for effectiveness of therapy, suggest that Acceptance Based Behavior Therapy was efficient in Magnitude, Universally and stability of changes, but in Acceptability both of therapies were similar.

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Abstract Aim and Background: Evidences show that both negative and positive affects play role in tendency to use substances, giving this issue, the current study was conducted in other to investigate relationships between distress tolerance, negative and positive urgency with severity of dependence and craving in people with substance dependency. Methods and Materials: The method of this research was correlation. The whole people with substance dependency were referring to Ardabil centers of addiction treatment, comprised statistical society of this research. One hundred and thirty people were selected by cluster sampling method from this society. Having conducting clinical interview, they responded to questionnaires of demographic characteristics, distress tolerance, negative and positive urgency, severity of dependence and craving. Collected data were analyzed by SPSS 18 with tests of Pearson correlation and multiple regression via inter method. Findings: The results showed that severity of substance dependency related negatively to rate of tolerance (r=-0.33; P≤0.002), absorption(r=-0.26; P≤ 0.01), and total score of distress tolerance (r=-0.25; P≤ 0.02), but positively to negative urgency (r=0.23; P≤ 0.04). Craving also correlated negatively with tolerance(r=-0.35; P≤0.001), appraisal(r=-0.30; P≤0.001), absorption (r=-0.34; P≤0.001), regulation (r=-0.23; P≤0.03), and total score of distress tolerance(r=-0.45; P≤ 0.001), but positively to positive(r=0.26; p≤ 0.03), and negative urgency(r=-0.29; P≤ 0.01). The results of regression analyses also reveled that 31 percent of variance of craving was explained with distress tolerance reversely Conclusions: According to results of this study and importance of craving as a central factor in addiction relapse, training the coping skills with negative affect, especially increasing coping power with distress were suggested for addicted clients along with typical therapies substance abuse and dependency.

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Aim and Background : The aim of the present study was to examine the role of cognitive emotion regulation strategies and distress tolerance in high-risk behaviors among students. Methods and Materials : In a correlational study, from among all students of various schools of Kharazmi University in 2014-2015, 240 students (146 women and 94 men) were selected using multistage cluster sampling. The participants completed the Cognitive Emotion Regulation Questionnaire, Distress Tolerance Questionnaire, and Iranian Adolescents Risk-Taking Scale. Data analysis was performed using the Pearson correlation coefficient and multiple regression analysis (stepwise). Findings : The correlation coefficients showed that adaptive strategies (acceptance, positive refocusing, refocusing on planning, positive reappraisal, and putting into perspective) had a significant negative relationship with some risky behaviors (dangerous driving, violence, cigarette smoking, substance abuse, alcohol consumption, and relationship with the opposite sex). The non-adaptive strategies of blaming others and catastrophizing had a significant positive relationship with the risky behaviors of dangerous driving, violence, cigarette smoking, substance abuse, and sexual relationship and behavior. These results also indicated that components of distress tolerance (tolerance, absorption, and appraisal) had a significant negative relationship with some risky behaviors (dangerous driving, violence, cigarette smoking, substance abuse, and sexual relationship and behavior). The results of multiple regression analysis showed that among the five adaptive strategies, strategies of acceptance, positive refocusing, refocusing on planning, and positive reappraisal had predictive power for some risky behaviors. In addition, among the four non-adaptive strategies, strategies of catastrophizing, and blaming others had predictive power for some risky behaviors. Moreover, among the components of distress tolerance, appraisal and absorption components had predictive power for some risky behaviors. Overall, among other predictors, the two strategies of refocusing on planning and positive reappraisal, with explanation of 11% of variance in violence scores, had the highest coefficient for high-risk behaviors. Conclusions : From the findings of this study, it can be inferred that cognitive emotion regulation strategies and distress tolerance were important predictors of risky behaviors in students. Therefore, in educational programs for the prevention and reduction of risky behaviors among students, cognitive emotion regulation strategies and distress tolerance require more attention.

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Aim and Background: Substance use disorder (SUD) is one of main issues in the field of mental health and can have negative consequences for patients as well as their families and the society in which they live. The purpose of this study was the investigation of the effectiveness of cognitive behavioral therapy (CBT) and methadone treatment on quality of life (QOL), cravings management, and psychological distress in individuals abstaining from drugs. Methods and Materials: This research was implemented using the multiple baseline experimental design within the framework of a single-subject research. Based on the study inclusion criteria, 4 patients were selected using convenience sampling and assigned to the CBT and methadone treatment groups. Individuals in the methadone treatment group received their medication in accordance to the prescription of a physician and those in the CBT group underwent 12 sessions of CBT for addiction. All participants completed the quality of life questionnaire, craving beliefs questionnaire, Beck Depression Inventory (BDI), and Beck Anxiety Inventory (BAI) at certain intervals. Findings: Given the visual inspection of charts, effect size, indicators of improvement, and reduction in scores, CBT was more effective than methadone treatment in increasing QOL (effects size of -0.9 versus -0.62) and reducing depression symptoms (effect size of 0.92 versus 0.78). However, both treatment methods were equally effective in reducing craving (effect size of 0.84 versus 0.74) and anxiety symptoms (effect size of 0.86 versus 0.87). Conclusions: It can be concluded that CBT can decrease psychological distress and cravings and improve QOL through thinking structure modification.

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Aim and Background: The purpose of this study was to investigate the effectiveness of Virtual Reality Exposure Therapy (VRET) on reducing the symptoms of social avoidance and distress in people with Social Anxiety Disorder (SAD) . Materials and Methods: This was semi-experimental study was a pre-test-post-test design with control group. The statistical population of the study consisted of all students of Semnan University in the academic year of 2017-2018. Among them, 20 Students were selected by purposeful sampling and randomly assigned 10 subjects to the experimental group and 10 subjects to the control group. Students were screened for social anxiety disorder and diagnosis of other disorders from Structured Clinical Interview for DSM-4 (SCID-4) and Social Phobia Inventory (SPIN). The experimental group received individual VRET for 12 sessions, 30 minutes each week. Social Avoidance and Distress Scale (SADS) was administered among the selected sample as pretest. VRET was performed in experimental group, and again, the questionnaires were administered among the participants as posttest. Findings: The results showed that VRET is effective in reducing social avoidance and distress symptoms in in people with SAD. Conclusion: The results showed the effectiveness of this therapeutic model on reducing the symptoms of social anxiety. This method can be used as a new therapeutic approach for the treatment of SAD and other same disorders.

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Aim and Background: The Fisher Recovery Rebuilding is one of the applications for increasing the adjustment and reducing negative emotions such as depression and anxiety. The purpose of this study is to investigate the effect of Fisher's divorce Rebuilding model on anxiety and depression in divorced women in Neyshabur city.

Methods and Materials: The present study was a pre-test, post-test and follow-up with the experimental and control group. The sample consisted of 24 divorced women in the city of Neyshabur that were randomly selected assigned into two experimental (12 people) and control groups (12 people). The experimental group received the Fisher's Divorce Rebuilding Model in 8 sessions. The control group was on the waiting list. The control group was on the waiting list. The research questionnaires were Beck Depression Inventory and Beck Anxiety Inventory.

Findings: The analysis of ANCOVA showed that the mean scores of depression and anxiety symptoms were significantly different between two groups (p <0.01) after the pre-test adjustment. The experimental group after receiving the Rebuilding of divorce model shows lower depression and anxiety symptoms.

Conclusions: Regarding the findings, it can be said that Fisher’s Rebuilding Model of Divorce reduces negative emotions such as depression and anxiety in divorced women by performing activities such as outbreaks and mourning, and prepare them to continue their life.

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Aim and Background: One of the main concerns of health psychology is the follow-up of patients of treatment adherence. Lifestyle self-efficacy related to weight and psychological distress, are the factors that play important roles in explaining the rate of treatment adherence in obesity surgery. The purpose of this study was to determine the mediation role of treatment adherence in the relationship between weight-related lifestyle self-efficacy, psychological distress and weight loss in obese patients undergoing sleeve gastrectomy surgery method.

Methods and Materials: The research method was descriptive correlational and the statistical population included all obesity patients who had undergone sleeve gastrectomy surgery at the Endocrine and Metabolism Research Center and 200 of them were selected by available sampling method. Research instruments included Body Mass Index, Weight Efficacy Lifestyle Questionnaire, Depression, Anxiety, Stress Scale- short form, and General Adherence Scale. Data were analyzed using structural equation modeling method.

Findings: The results of this study showed that direct effect of self-efficacy on weight loss (P<0.01, β=0.169) and indirect effect treatment adherence (P<0.01, β=0.77) were significant. The direct effect of psychological distress on weight loss (P<0.05, β=-0.186) and indirect effect of psychosocial distress were significant (P<0.05, P=0.069).

Conclusions: It seems that self-efficacy reduces psychological distress by influencing the person and improving her resilience, leading to increased follow-up and weight loss.

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Aim and Background: Migraine is one of the most common neurological diseases and one of the factors that reduce the overall quality of life of patients. On the other hand, various factors such as psychological characteristics and emotional problems are important in determining the severity of problems caused by this disorder. Two important factors are the emotion regulation and distress tolerance. The aim of this study was to compare the quality of life, emotion regulation and distress tolerance in migraine and non-migraine individuals.
Methods and Materials: The study was a causal-comparative study. The statistical population consisted of all individuals with migraine referring to neurosurgical clinics in Kashan in spring and summer of 2018 as well as non-migraine individuals from the general population. Two groups of 40 individuals, one group of migraine sufferers and the other group of non-disabled individuals, were selected from the statistical population. Participants completed these instruments: World Health Organization Quality of Life Scale (WHOQOL-BREF), Difficulties in Emotion Regulation Scale (DERS) and Distress Tolerance Scale (DTS). Data analyzed using SPSS-19 software and independent t-test.
Findings: There was a significant difference between the two groups in the quality of life (t=-7.56), emotion dysregulation (t= 9.19) and distress tolerance (t=-3.42).
Conclusions: People with migraine reported lower quality of life and distress tolerance compared to non-migraine patients. They also had more difficulty adjusting their emotions. These patients are unable to tolerate distress because they cannot relieve their pain. As a result, migraine, as a chronic pain, disrupts daily activities and decreases quality of life.

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Aim and Background: Based on the theories of etiology of self-injury behaviors, several psychological and social multivariate models have been investigated to predict self-injury behaviors in adolescents. This study aimed to investigate the mediating role of self–criticism and distress tolerance in relationship between attachment styles and non-suicidal self-injury behaviors in adolescents.

Methods and Materials: This study was a descriptive-correlational study with structural equation modeling approach. The statistical population consisted of all high school students in Kashmar city in the years 2018-2019. Initially, a sample of 700 students was selected among all high school students were selected by multistage cluster sampling, but the final analysis was performed on 292 students who reported at least one experience of non-suicidal self-injury behaviors. Data were collected using Deliberate Self–Harm Inventory (DSHI), Childhood Attachment to Each Parent Scale (CAEPS), Distress Tolerance Scale (DES) and Forms of-Self–Criticism/Attacking & Self-Reassuring (FSCRS) and were analyzed in SPSS and LISREL software by using structural equation modeling.

Findings: The results showed that the relationship between attachment styles and non-suicidal self-injury behaviors mediated by self-criticism and distress tolerance. The amount of fit indices of GFI, CFI, NFI, IFI, NNFI, AGFI, RFI and RMSEA were equal to 0.94, 0.93, 0.90, 0.93, 0.90, 0.90, 0.89 and 0.071, respectively. The results indicate that the proposed model fits the data well. The findings of the study showed that 34% of the observed variance in non-suicidal self-injury behaviors can be explained through a combination of parent attachment, self-criticism and distress tolerance.

Conclusions: The findings of this study confirmed the mediating role of self-criticism and distress tolerance in the relationship between attachment styles and non-suicidal self-injury behaviors. Thus, it seems necessary for experts, therapists and planners when working with adolescents and specifically in counseling and treatment centers to consider the role of these mediating variables.

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Aim and Background: Suicide as one of the leading causes of death worldwide is a major public health concern; however, few studies have examined the factors influencing it in families on the verge of divorce. To determine the prediction of tendency to suicide based on the difficulty of emotional regulation, cognitive flexibility, family flexibility, and distress tolerance in adolescents and young families on the eve of divorce in Isfahan.
Methods and Materials: The present study was a descriptive correlation that was performed in the statistical population of all adolescents and young families on the eve of divorce in Isfahan in the second six months of 2019-2020. According to the Cochran's formula, 373 people were selected and answered Beck scale for suicide ideation, difficulties in emotion regulation scale, cognitive flexibility inventory, family flexibility questionnaire and distress tolerance scale. Data collected by Pearson correlation coefficient and stepwise regression were analyzed using SPSS-24 software.
Findings: The research findings showed that difficulty in emotion regulation a positive and significant relationship with the tendency to suicide. Cognitive flexibility, family flexibility and distress tolerance have a negative and significant relationship with tendency to suicide (P<0/01). Data from stepwise regression analysis also showed that cognitive flexibility and difficulty in emotion regulation have a combined ability to predict 17% of variance changes in tendency to suicide (P<0/01).
Conclusions: The results of the present study showed that difficulty in emotion regulation and cognitive flexibility play an important role in the tendency to suicide in adolescents and young families on the eve of divorce.

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Aim and Background: Skin diseases, such as psoriasis, are associated with significant psychological and social disabilities. Therefore, the current research was done with the aim of examining the effectiveness of self-compassion Therapy on psychological distress and quality of the life of Psoriasis Skin Patients.
Methods and Materials: This research is a semi-experimental with control group and follow-up which was observed for a month. The statistical population of the research includes all skin patients with psoriasis who went to skin treatment centers in Tehran between Dec and Feb in 2019. From this population, 40 people were selected by available sampling method and after matching were randomly assigned to experimental (20 people) and control (20 people) groups. The subjects of experimental group received seven sessions of self-compassion Therapy, however, the control group did not receive any training. The questionnaires of Kessler's Psychological Distress (2002) and Bref's Quality of Life (1996) were distributed before and after educational interventions as pretest, posttest and follow up study on all subjects. The findings of the research were analyzed with Variance with repeated measures and SPSS-20 software.
Findings: The results of the analysis showed that the self-compassion Therapy was significantly effective in reducing psychological distress and increasing quality of life in Psoriasis Skin Patients (p <0.05).
Conclusions: It seems that self-compassion Therapy can help improve psychological distress and quality of life of Psoriasis Skin Patients by increasing kindness to oneself and others and managing emotions.

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Aim and Background: Cerebral palsy is a non-progressive movement and postural disorder that occurs following nerve damage in the early years and causes motor and neurological disabilities. Disorders in daily life activities, heavy medical expenses and severe dependence on others affect the functioning of the family, especially mothers. Therefore, the present study was conducted to compare the effectiveness of self-compassion therapy and psychological capital training on the tolerance of anxiety and emotional self-regulation of mothers of children with cerebral palsy.
Methods and Materials: The present study was a quasi-experimental study with pre-test, post-test and follow-up design. The statistical population of the study included mothers with children with cerebral palsy in rehabilitation centers under the supervision of Shahrekord Welfare in 2019 (270 subjects) of which a sample of 45 subjects were selected and randomly divided into three groups (two experimental and a control group) were assigned. Individuals in both experimental groups participated in 10 sessions of 90 minutes in self-compassion and psychoanalytic courses. Participants answered the Simmons and Gaher (2005) Emotional Distress Tolerance Questionnaire and the Emotional Self-Regulation Questionnaire (2010) in three stages. Research data were analyzed using repeated measures analysis of variance and independent t-test.
Findings: The results showed that self-compassion training and psychological capital training have increased the stress tolerance of mothers with children with cerebral palsy in the same and effective way(p<0.05) and among the two intervention methods, only psychological capital training was able to improve mothers' emotional self-regulation (p<0.001).
Conclusions: Based on the results of the present study, it can be said that two methods of self-compassion training intervention and psychological capital training can be used as effective intervention options to improve anxiety tolerance and self-regulation of mothers of children with cerebral palsy.

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Aim and Background: In terms of legal, divorce is the last stage of marriage, but in terms of psychology, it is the beginning of a new stage of marriage. Divorce is a phenomenon that can have significant negative consequences. One of the consequences of divorce is depression and anxiety caused by divorce, which is more common among women. The Instruction of Mindfulness based Cognitive Therapy is one of the applications for increasing the adjustment and reducing negative emotions such as depression and anxiety. The purpose of this study is to investigate the Mindfulness based Cognitive Therapy on Anxiety and Depression of Divorce Women in Neyshabur.
Methods and Materials: The present study was a semi-experimental with pretest, posttest and follow-up with control group design. The sample consisted of 24 divorced women in the city of Neyshabur that were randomly selected assigned into two experimental (12 people) and control groups (12 people). The experimental group received the Cognitive Based Mindfulness Therapy in 8 sessions. The control group was on the waiting list. The control group was on the waiting list. The research questionnaires were Beck Depression Inventory and Beck Anxiety Inventory.
Findings: The analysis of ANCOVA showed that the mean scores of depression and anxiety symptoms were significantly different between two groups (p <0.01) after the pre-test adjustment. The experimental group after receiving the Cognitive Based Mindfulness Therapy shows lower depression and anxiety symptoms. The results of the follow-up stage also show that the effectiveness of mindfulness-based cognitive therapy has been stable over time.
Conclusions: Regarding the findings, it can be said that Cognitive Based Mindfulness Therapy reduces negative emotions such as depression and anxiety in divorced women by performing activities such as outbreaks and mourning, and prepare them to continue their life.

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Aim and Background: The coronavirus epidemic, a phenomenon that shocked the world with its emergence, began in December 2019 in Wuhan, China. Since then, the virus has spread around the world and to date, millions of people have been affected by the disease. This study aimed to predict psychological distress based on coping styles with stress, attitudes toward risk severity, and preventive behaviors of people in Isfahan in terms of corona disease.
 Methods and Materials: The research design was a descriptive correlational study. The statistical population of this study was all people over 18 years old living in Isfahan in 1400 that 351 of them were selected using the available sampling method, responded to questionnaires of Kessler psychological distress, Indler and Parker coping styles stressful situations (short form) and Corona Attitude and preventive measures made by Honarvar & et. al. The data were analyzed using statistical methods Pearson correlation and stepwise regression via SPSS 28.
Findings The results of the analysis showed that attitude toward the severity of covid19, avoidant coping style, emotion-focused coping style, and preventive behaviors can Predict 18% of changes in psychological distress significantly. But Problem-focused coping styles could not predict psychological distress.
Conclusions: The results of the present study can be used to formulate individualistic and community interventions to promote the health of people with epidemic diseases.

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Aim and Background: The present study was aimed to investigating the mediating role of psychological hardiness in the relationship between attachment style and psychological distress during the outbreak of the Covid-19 virus.
Methods and Materials: The design of the current study was descriptive-correlational with path analysis. The statistical population of the study was all students of public universities in Tehran, who themselves or their first-degree family members had at least one history of contracting the Covid-19 virus between the months of March to November 2021, from which 384 persons were selected by available sampling and asked to fill the Lang and Goulet Hardiness Scale (LGHS), Collins and Read Adult Attachment Scale (RAAS) and Depression, Anxiety and Stress scale (DASS-42) questionnaires online. Data were analyzed using Pearson's correlation and path analysis and SPSS and AMOS software.
Findings: The results showed that in this model, attachment style has a direct and significant effect on psychological hardiness, attachment style and psychological hardiness have a direct and significant effect on psychological distress, and also the mediating role of psychological hardiness between attachment style and psychological distress was significant.
Conclusions: During the Covid-19s outbreak, attachment style and psychological hardiness have a direct effect on psychological distress, and psychological hardiness has the mediator role in the relationship between attachment style and psychological distress.

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Aim and Background: One of the common problems in type 2 diabetes patients with depression symptoms is emotional distress, which causes many negative consequences for these people, so present study was conducted to comparison of the effectiveness of Autobiographical Memory Specificity training and acceptance and commitment therapy to the emotional distress of diabetic patients with depression.
Methods and Materials: The research method was quasi-experimental with a pre-test-post-test design and a follow-up period of three months. The statistical population of the study included people with type 2 diabetes and depression who were referred to medical centers in Isfahan city in the first six months of 1400. The final sample of the study included 50 Patients with type 2 diabetes and depression, who were selected through convenience sampling method and randomly assigned to experimental and control groups. Then, the experimental groups received training on personalization of historical memory (8 sessions of 90 minutes) and therapy based on acceptance and commitment (7 sessions of 90 minutes) separately during two months. This is even though the control group did not receive the interventions and was waiting to receive these interventions. The tools used included an emotional distress questionnaire. Data analysis was done by software (SPSS-23) and mixed analysis of variance and Bonferroni post hoc test.
Findings: The results showed that Autobiographical Memory Specificity training and acceptance and commitment therapy have a significant effect on the emotional distress of diabetic patients with depression (p<0.001). Also, the follow-up test results indicated no significant difference between the effectiveness of the two treatments on emotional distress (p≤0.05).
Conclusions: The research findings indicated that therapists could use the Autobiographical Memory Specificity and acceptance and commitment therapy to reducing the emotional distress of diabetic patients with depression.

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Aim and Background: The Coronavirus disease pandemic has caused high stress, anxiety and distress for the healthcare workers. Although the relationship between emotion regulation strategies and spiritual coping with psychological distress has been confirmed, little attention has been paid to mediating factors of this relationship. Therefore, the aim of present study was investigating the mediating role of Coronavirus anxiety in the relationship between emotion regulation strategies and spiritual coping with the psychological distress in healthcare workers during COVID-19.
Methods and Materials: This study is a fundamental in terms of purpose and descriptive-correlation in terms of method. The statistical population included all healthcare workers in Mashhad, Iran. In this cross- sectional descriptive research, 366 healthcare workers participated, in the year 2021. The cognitive emotion regulation questionnaire, spiritual coping questionnaire, Corona disease anxiety scale and psychological distress scale were used to collect data. The research data were analyzed using descriptive indices, Pearson correlation coefficient and Path analysis method.
Findings: The results showed that the level of psychological distress and Coronavirus anxiety in the healthcare workers are 17.01±10.52 and 13.26±8.91. There was a significant relationship between maladaptive emotion regulation strategies, positive and negative spiritual coping, and Coronavirus anxiety with psychological distress (P<0.01). The model related to mediating role of Coronavirus anxiety in the relationship between maladaptive emotion regulation strategies and negative spiritual coping with the psychological distress in healthcare workers had a good fit (CFI = 0.99, NFI = 0.99, IFI = 0.99, GFI = 1, RMSEA = 0.078).
Conclusions: The results show that emotion regulation, spiritual coping and Coronavirus anxiety play an important role in the psychological distress in healthcare workers. These findings can help to develop emotion-oriented and spiritual-oriented interventions to reduce the Coronavirus anxiety and the psychological distress caused by pandemic diseases such as Corona in the healthcare workers.

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Aim and Background: One of the common problems in physically-motor disabled people is psychological distress, defects in executive function and cognitive flexibility, which causes many negative consequences for these people, so the present study aims to determine the effectiveness of behavioral activation on performance. Executive and cognitive flexibility in physical-motor disabled people with psychological distress was done.
Methods and Materials: The current research was a semi-experimental type with a pre-test and a post-test with a control group. The statistical population included all mild to moderate physical-motor disabilities who had a file in the welfare department of Babol city in 1401. Among them, 30 people were selected by the available sampling method and were replaced randomly and by lottery in two experimental and control groups (15 people in the experimental group and 15 people in the control group). The experimental group received behavioral activation therapy (8 sessions) and one session every week for 90 minutes, and the control group did not receive any intervention during this period. The research questionnaires included Barkley's implementation performance questionnaire (2011), Dennis and Vanderwaal's (2010) cognitive flexibility questionnaire, and Lavibond and Lavibond's (1995) psychological disturbance questionnaire. For data analysis, univariate covariance analysis was used with SPSS version 25 software.
Findings: Our findings can be useful for selecting and designing the most appropriate treatment approach according to the needs of physical-motor disabled people with psychological distress.
Conclusions: According to the findings, it can be stated that investigating the effectiveness of behavioral activation therapy is effective in increasing the executive function and cognitive flexibility of physically-motor disabled people with psychological distress.

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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: Breast cancer is the most common malignancy in women, and despite medical advances and the development of treatments, this disease continues to cause psychological and physical effects on the life dimensions of many affected people, such as the attitude to death and tolerance of distress, which should be taken into account. Therefore, the aim of this research was the effectiveness of emotional schema therapy on attitude towards death and distress tolerance of breast cancer patients.
Methods and Materials: The research method is semi-experimental with a pre-test-post-test design and follow-up with a control group. The statistical population included all patients diagnosed with breast cancer in government cancer treatment centers located in Isfahan. The sample consisted of 36 patients with breast cancer from Seyed al-Shohda Hospital (AS) in Isfahan and Alaa Cancer Prevention and Control Center, who were selected through targeted sampling and randomly divided into two experimental groups (18 people) and control groups (18 people). The experimental group was treated with emotional schema. The data in this research was collected The Death Attitude Profile (DAP-R) –Revised (Wang, Racker & Gasser,1994) and the Distress Tolerance Scale (DTS) by (Simons& Gaher, 2005), in three stages: pre-test, post-test and follow-up, and it was done using proportional statistical tests and SPSS-26 software.
Findings: The results of the analysis of variance with repeated measurements showed that emotional schema therapy improved the attitude towards death and distress tolerance of the experimental group at a significant level (P<0.05).
Conclusions: The results of the present study showed that the effectiveness of emotional schema therapy can have a significant impact on the psychological characteristics of breast cancer patients, including the attitude towards death and distress tolerance, so it is suggested that this type of treatment be used to help breast cancer patients.