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Saman Nonahal; shahram mohammadkhani; Jafar Hasani; mehdi akbari
Abstract
Objective: Given cultural differences, therapies that prove effective in one context may not be equally effective in others. Therefore, our study aimed to culturally adapt the acceptance and commitment therapy matrix protocol for health behaviors (eating and exercise) in the Iranian population with obesity. ...
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Objective: Given cultural differences, therapies that prove effective in one context may not be equally effective in others. Therefore, our study aimed to culturally adapt the acceptance and commitment therapy matrix protocol for health behaviors (eating and exercise) in the Iranian population with obesity. Method: The cultural adaptation study was conducted in five stages: Protocol Translation, Information Gathering, Preliminary Adaptation, Preliminary Test, and Final Adaptation. In stage 2, three professionals specializing in third-wave behavior therapy, one nutritionist, and one bodybuilding coach participated. In stage 4, five individuals with obesity were involved, and, in stage 5, seven professionals in third-wave behavior therapy participated. Data were analyzed quantitatively (mean and content validity index) and qualitatively. Results: A protocol consisting of 12 sessions was developed, assigning two sessions to each of the six steps of the acceptance and commitment therapy matrix. The adapted protocol differed from the original protocol in terms of metaphors, exercises, and materials. We added three metaphors: The Compass, the Noticing Muscle, and the Monsters on the Bus. Additionally, Matrix cards were introduced, including Goals & Directions, The Magic Wand, Who Is Important, Important, Stuff That Shows Up, Behavior, Toward Moves, Toward & Away, Surfing The Waves, Am I Important, Choosing My Life, Psychological Flexibility, Noticing Muscle, Practice, Stuck Loops, Monster Tug-Of-War, Don't Think of It, Don't Feel It, The 2 Rules, Dead Person's Goals, Hooks, Catch & Release, Verbal Aikido, U-Turn, Monsters on the Bus, Two Friends, Texting My Future Self. We also included four worksheets: The Compass, Who or What Is Important, Two Friends, and Texting My Future Self. Excluded items were The Hooky Words Game and Sorting Five-Senses and Inner Experience. The Monster Tug-Of-War metaphor was used instead of the Man in The Hole metaphor; for an experiential exploration of controlling thoughts, the term “pink elephant” was used instead of “purple unicorn;” the new version of the Verbal Aikido Worksheet was used instead of the existing one; and the Two Friend metaphor was replaced with the Mother Cat Exercise. Furthermore, a short video about physical aikido was added, and the perspective-taking dialogue shifted from verbal format to writing format. The content validity index for each session in the adapted protocol, as well as for the entire adapted protocol, was excellent. Conclusion: The study provides valuable insights into the use of the acceptance and commitment therapy matrix in the Iranian population with obesity. It underscores the importance of considering cultural nuances during intervention design.
Mojtaba Dehghan; Jafar Hasani; Alireza Moradi; SHahram Mohamadkhani
Abstract
Objective: The experience of cancer has important socio-cultural aspects that can have serious psychological consequences for cancer survivors. These aspects of the illness can even affect their health and survival. Therefore, the present study was conducted with the aim of exploring the contextual experiences ...
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Objective: The experience of cancer has important socio-cultural aspects that can have serious psychological consequences for cancer survivors. These aspects of the illness can even affect their health and survival. Therefore, the present study was conducted with the aim of exploring the contextual experiences that people face after cancer. Method: The present qualitative research used interpretive phenomenological analysis (IPA). Data collected through semi-structured interviews with 17 cancer patients. Findings: From the analysis of the interviews, the main concept of "cancer-based contextual experiences" was explored, which includes six conceptual clusters: Unexpected being, cultural attitudes, explanation of illness, cancer metaphors, social feedback, horrible predictions. Conclusion: After cancer diagnosis, overall, People are exposed to a range of socio-cultural experiences which can affect their adaptation to illness. Therefore, it is necessary to pay attention to these components in cancer-related educational (social and individual) and therapeutic interventions.I
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Shokouh Esnaashari; Shahram Mohammadkhani; Hamidreza Hassanabadi
Volume 6, Issue 21 , May 2017, , Pages 66-85
Abstract
Introduction: The purpose of present study was investigating cognitive model of anxiety according to Dugas’s model about anxiety cognitive components in cancer patients. In this model cognitive variables such as intolerance of uncertainty, positive beliefs about worry, cognitive avoidance, negative ...
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Introduction: The purpose of present study was investigating cognitive model of anxiety according to Dugas’s model about anxiety cognitive components in cancer patients. In this model cognitive variables such as intolerance of uncertainty, positive beliefs about worry, cognitive avoidance, negative problem orientation and their direct and indirect effects on worry and anxiety as structural and measurement were investigated. Method: Three hundred of cancer patients was selected from a hospital and chemotherapy clinic in Isfahan city. They were evaluated with intolerance of uncertainty scale, metacognitive questionnaire (positive beliefs about worry subscale), cognitive avoidance scale, negative problem orientation questionnaire, Pen State worry questionnaire and state- trait anxiety inventory. Data of research examined through structural equation modeling. Results: The results show that this model had good fit for cancer patients and relations between mediator variables, Endo and Exo variables are significant. Conclusion: significant variance of worry and anxiety are explained by this model in cancer patients.
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Shahram Mohammadkhani; Ali Akbar Haddadi Kuhsar; Hamideh Soleymani; Amir Eatemadi; Seyed Ahmad Seyd Ali Naghei
Volume 6, Issue 21 , May 2017, , Pages 104-115
Abstract
Introduction: The aim of the current study was to prediction of resilience from cognitive emotion regulation in individuals with HIV infection. Methods: To accomplish the stated goal 130 were selected by means of accessible sampling procedure from the counseling center of behavioral illness of Imam Khomeini ...
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Introduction: The aim of the current study was to prediction of resilience from cognitive emotion regulation in individuals with HIV infection. Methods: To accomplish the stated goal 130 were selected by means of accessible sampling procedure from the counseling center of behavioral illness of Imam Khomeini Hospital. The Resiliency Scale and Cognitive Emotion Regulation Questionnaire were administered on them. Results: Analysis of data using a multiple regression analysis revealed that the magnitude of resilience can be predicted from the quality of cognitive emotion regulation in individuals with HIV infection. Moreover, data revealed that individuals that had adjustment cognitive emotion regulation were higher in resilience(R2= 0/46).Conclusion: This study showed that the adjustment cognitive emotion regulation is significant predictor of resiliency in individuals living with HIV. Therefore, identifying and modifying maladjustment cognitive emotion regulation through psychological intervention can be helpful in increasing resilience of individuals living with HIV.Keywords: Cognitive Emotion Regulation, Resilience, HIV Infection.
