Journal of Counseling Research

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Children and Adolescents Depression Scale (CADS) is a self-report scale designed for diagnosis and assessment of the level and intensity of MDD in children and adolescents. The aim of this study was to assess the psychometric and factorial structure of CADS as well as major depressive disorder (MDD) status among adolescent girls (14-19 years). 417 female adolescent students from different areas of Tehran completed the scale. Scale reliability was assessed through internal reliability (Cronbach’s alpha and half-splitting), inter-item correlation and test-retest methods and all revealed a desirable level of reliability of CADS. Factor analysis was done via two major methods: Exploratory Factor Analysis (EFA) and Confirmatory Factor Analysis (CFA). EFA via Principal Components Factor Analysis, Parallel Analysis and Minimum Average Partial (MAP) Test showed a one-factor model in the CADS, which assesses depression. Afterwards, CFA supported a one-factor model of depression. Analyses of the CADS results indicated that 32.9% of the subjects were with no signs of depression, while 67.1% of them have depressive signs and symptoms to severe MDD. According to these findings, it seems that CADS could be used as a preferable scale to assess and screen depressive signs as well as depressive disorders both in research and in clinical settings. In addition, regarding the high rate of incidence of depressive signs and symptoms among female adolescent students, the necessity of systematic cognitive-behavioral interventions is obvious.

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The purpose of this study was the effectiveness of Cognitive Behavior Therapy on reducing the rate of depression and rumination in women that suffering from chronic fatigue syndrome. The statistic population in this study consisted of all females who referred to the health and clinical centers in Tabriz city and suffered from Chronic Fatigue Syndrome. 30 female patients were selected and randomly replaced into two groups. The instruments of this research were Chalder fatigue scale (CFS), Beck Depression Inventory (BDI) and Rumination Response Questionnaire (RSQ) . The results showed that there is significant effect of Cognitive Behavior Therapy on reducing depression in the women. Additionally, the results obtained from Rumination Response Questionnaire indicated that, the effect of Cognitive Behavior Therapy on reducing the obsessive rumination in subjects was significant. Therefore, it can be claimed that Cognitive Behavior Therapy’s effect on reducing obsessive rumination was to some extent more than reducing depression. Furthermore, it can be deduced that Cognitive Behavior Therapy effect on decreasing of depression and obsessive rumination by means of changing people’s interpretation of situations and changing attention of patients with chronic fatigue syndrome.

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The aim of this research was to investigate the relationship between marital satisfaction, depression and immune system in spouses of Ahvaz. The sample consisted of 30 couples who were selected randomly from 52 couples and they were matched from age, educational status, physical and mental disorders and other criteria considered in this research. The instruments were Hudson marital satisfaction inventory and Beck major depression inventory (BDI).Also their immune system was assessed through blood sample. The results revealed that there was a significant positive relationship between marital satisfaction and CD4, CD4/CD8, and NK cells (CD16, CD56). Also, there was a significant negative relationship between marital satisfaction and depression. In addition, there was a significant difference between male and female in immune system and depression. The rate of depression in female was higher than male, but the rate of immune system in male was higher than female. Further, the results of this research indicated that marital satisfaction and depression explained %17 of most role to predict the immune system. Also, the role of marital satisfaction was more than depression to predict the immune system.

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Abstract

Aim: The aim of the present study was determining the efficacy of life skills training on reduction of depression, anxiety and stress among university students.Method: The study was quasi-experimental with pretest-posttest, control group and follow up. 30 female students from all faculties of University of Mohaghegh Ardabili were selected and administered DASS (1995) as pre- and posttest. The sample group members randomly assigned into two equal groups of experimental (n=15) and control (n=15). Experimental group received 8 two-hour sessions of social skills training. Follow-up was administered after three months by administration of DASS.

Results: Analysis of covariance showed significant differences in pretest, posttest, and follow up scores of depressing, anxiety, and stress subscales between experimental and control groups, so that experimental group had significant reduction in aforementioned components (p<.01).Conclusion: According to findings, it appears that life skills training is capable of elimination of depression, anxiety, and stress among female university students. Social and clinical applications, limitations, and suggestions for future studies are discussed.

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     The purpose of this study was to test the model of women’s depression and marital satisfaction based on early maladaptive schemas and coping styles of opiate husbands. 199 (398 subject) couple referring of government and private drug rehabilitation centers Torbat Heydareie city were selected by purposive- voluntary sampling method, and completed Young Schema Questionnaire (YSQ), Coping Styles (CISS), Marital Satisfaction, Beck Depression Inventory (BDI-13) Questionnaires. The model evaluation was conducted by path analysis method, and AMOS/16 software. The final model showed that a good fit to the data has than the hypothesized model. The path coefficients between husbands' early maladaptive schemas with husbands' emotional-centered coping style, husbands' early maladaptive schemas with spouses' marital satisfaction, husbands' early maladaptive schemas with spouses' depression, husbands' avoidant-centered coping style with spouses' marital satisfaction, and husbands’ emotional-centered coping style with spouses' marital satisfaction were significant. On other hand, the path coefficients between husbands' early maladaptive schemas with their avoidant-centered coping style, husbands’ emotional-centered coping style with spouses' depression, and husbands' avoidant-centered coping style with spouses' depression were not significant. Also, indirect path coefficient husbands' early maladaptive schema to spouse marital satisfaction mediating emotional-centered coping style was significant. . So husbands’ dysfunctional cognitions and coping styles increase spouses' psychological problems and decrease their marital satisfaction.

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Aim : This study aimed to investigating the role of Satisfaction with family life and the Quality of family life in the Anxiety and depression in children and other objective was to test the mediating role of parenting stress.
Methods: For this purpose 499 parents of female students were selected by random cluster sampling. They completed the Kansas Family Life Satisfaction Scale Family, Quality of Family Life Scale, Parenting Stress Index - Short Form and  Rutter Child Behavior Questionnaire. Data were analyzed by structural equation modeling.
Results: The results of data analysis showed all paths Satisfaction with family life and the Quality of family life to Anxiety and depression has been significant and negative.
Conclusion: Parenting stress played a mediating role and was a good model fit indices. Either Focus on Quality factors created in family life and Reduce parenting stress to Reduces symptoms of anxiety and depression in children.

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Purpose: Mental rumination is a strong predictor for depression. Depression can damage the marital relationship. Therefore, this study was aimed at investigating the consequences of rumination in women with marital conflicts. Methods: This research was carried out qualitatively using thematic analysis method. The sampling method was purposeful and continued until data saturation. The data was obtained from 15 married women who had marital conflicts. To collect data, semi-structured interviews were used. Results: After analyzing the data content, six main categories were obtained, including: symptoms of depression (physical pains, loss of energy, impatience, reduced desire to live, sleep problems and lack of motivation, and lower sexual desires), negative emotions (anger, sadness, hatred, sense of revenge, malice, and anxiety), impulsivity (aggression and lack of control over behavior), lowered efficiency (aggression to children, reduced association with children, and failing to do the household chores), getting caught up in negative association cycles (controversy, criticism, resentment towards spouse), and resentment towards others (reduced communication with others and withdrawal). Conclusion: When the conflict is not resolved, the process of mental rumination is activated in women which leads to consequences such as reduced efficacy in both individual and marital relationships, as well as depression. Depression leads to increased mental rumination and marital conflics.

 

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Purpose: Considering the effect of attitude toward God on different aspects of health of individuals, the present study aims to model the structural equations of the relationship between the positive and negative conception of God with mental health components (anxiety, stress and depression) in students. has taken. Methods: This study was conducted on a sample of 240 male and female students in the city of Ardebil in the academic year of 1996-96 using a survey method and multi-stage cluster sampling. The data were collected using God's Imagination Questionnaire (RSI), anxiety, stress and depression scales of Lavender, and analyzed using structural equation analysis, Pearson correlation test, multiple regression and t-test. Findings: The results showed that the positive and negative conception of God can predict the mental health (anxiety, stress and depression) of students, so that the positive image of God with the symptoms of anxiety, stress and depression and a negative impression of God had significant relationship with anxiety, stress and depression symptoms (P<0.001). Also, according to the structural equation model, the coefficients of the positive image pathway from God to anxiety, stress and depression are negative and significant, and the coefficients of the negative image pathway from God to anxiety, stress and depression are positive and statistically significant (P≤0.05). Such that predictors of anxiety, stress and depression present in the model (positive image of God and negative image of God), explained their variance 27.8%, 40.6%, and 42% respectively. Conclusions: The results of this study showed that the kind of image of God has a significant role in predicting mental health of students. Therefore, teaching positive image of God and providing religious backgrounds in different classes during the period of study and extracurricular classes plays an effective role in promoting mental health of students.

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Purpose: The present research was conducted with the aim of determining the position of questioning, skills, and techniques in counseling of clients with depression using a process-focused conversation analysis method. Methods: The research method was of qualitative type, with single-subject design. Two persons with depression referring to Sepand Counseling Center in Ardabil were selected using convenient sampling method and were treated with counseling and psychotherapy using the meta-theory method. The events of each session were written completely and then, therapist's reactions for each client after labeling was entered in the form of the change equation based on the regression analysis model. Findings: The results showed that it is easy to extract the change equation in terms of questions, skills, and techniques from the psychotherapy process and objectify the change equation using the symbolic system. On the other hand, the level of contribution to variance for each of the effective components dependent on the therapist's responses was determined. Conclusions: based on the formulation of the change equation, the supervision of the psychotherapy would be simplified; a wide range of counseling and psychotherapy events can be found, such as the cognitive complexity of the clients and the extent of the therapist's or client's activity.

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Aim: The purpose of this study was to compare the effectiveness of positive psychotherapy and cognitive behavior therapy on well-being and depression and in adolescents with depression symptoms
Method: This was a quasi-experiment with pretest /posttest method and control group. Study sample included all the adolescents with depression who referred to counseling centers and psychiatric services in sari, Iran, in the year 2017. 51 patients were selected using random sampling method and were randomly divided into two experimental groups and one control group. The positive psychotherapy experimental group was under treatment within 10 sessions, and the cognitive behavior experimental therapy was under treatment within 8 sessions, each session of 90 minutes weekly, while the control group received no treatment. The data collecting instruments used in this study were children´s depression inventory (CDI) and Riff´s psychological well-being questionnaire (RSPWB).Findings: Data analysis by using multivariate covariance method showed that both positive psychotherapy and cognitive behavioral therapy had significant effects on increasing well-being but the efficiency of positive psychotherapy in increasing well-being was more significant compared to cognitive behavioral therapy. Also, in the analysis the two methods of psychotherapies on depression, there has been a significant difference between the control and the experiment groups. While the two therapetical approaches were equally effective in reducing depression. Conclusion: Due to emphasis on the different psychological aspects and some common treating features, the two therapetical models of positive psychotherapy and cognitive behavior therapy were equally effective in reducing depression. But positive psychotherapy is more effective than cognitive behavioral therapy in increasing psychological well-being. So,  as one of the clinical interventions, positive psychotherapy can be used by experts and school counselors.                                                                                                                   
 

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Aim: The purpose of this study was to investigate the relationship between the five major traits of personality and symptoms of depression in students, with mediating role of self-esteem and self-efficacy. Methods: The research method was descriptive of correlational type. In order to select the sample, 400 students studying at Gonbadkavus Azad and State Universities were selected through cluster random sampling. The instruments used in this study included depression scales, five personality factors, self-esteem, and self-efficacy. Pearson correlation test and path analysis methods were used to analyze the data. Findings: The results indicated that neuroticism as the strongest predictor of depression had a significant positive effect on it. While extraversion, agreeableness, self-esteem, and self-efficacy had a significant negative effect on depression. Also, the results of path analysis indicate that self-esteem and self-efficacy variables, simultaneously play a mediating role in predicting depression based on personality traits (extraversion, agreeableness, and neuroticism). Conclusion: According to the results of the research and the mediating role of self-esteem and self-efficacy in relation to personality traits and depression, planning to promote self-esteem and self-efficacy can play an important role in reducing depression by enhancing extroversion and agreeableness and reducing psychological distress.

 

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Aim: the aim of this research was to investigate the effect of Hope Therapy on mental health and meaning in life of depressed teenage girls. Methods: The research method was semi-experimental with pretest-posttest, and control group. The statistical population included all high school girls in Isfahan in 2016 and the statistical sample of the study included 24 girls who were selected by cluster sampling method and whose score on Beck-2 depression questionnaire was between 16 to 46, and who were diagnosed with depression through clinical interviews. These individuals were randomly assigned to two experimental and control groups. Afterwards, Hope Therapy was performed in a group format in 8 steps for the subjects in the experimental group, while the  control group did not receive any interventions. General Health Questionnaire (GHQ) and Meaning in Life Questionnaire (MLQ) were used in the pretest and posttest stages. Multivariate analysis of covariance was used to analyze the data. Findings: The findings showed that group hope-therapy had a significant effect on increasing mental health and meaning in life of depressed girls in the experimental group. Conclusion: It can be concluded that hope therapy base on group can be an effective intervention in promoting mental health and meaning of life of depressed adolescent girls.

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Aim: The present study was conducted with the aim of comparing the coping strategies and levels of psychological adjustment in depressed and non-depressed women experiencing intrauterine fetal death (IUFD). Methods: This was a causal-comparative study. The research population includes all the depressed and non-depressed women experiencing intra-uterine fetal death who had active case file in specialized infertility clinics of district 5 of Tehran in 2017. Thirty depressed women experiencing intra-uterine fetal death and 30 non-depressed women experiencing intra-uterine fetal death (total 60 subjects) were selected through available sampling. For gathering the data, coping inventory for stressful situations (CISS), Veit and Ware’s mental health inventory, and Beck’s depression inventory were used. The data were analysed by statistical methods of multivariate analysis of variance. Findings: Results suggested that there is a significant difference in problem-focused coping strategies and emotionally-focused coping strategies in depressed and non-depressed women (P<0.01), but no significant difference was observed in avoidance coping strategies among depressed and non-depressed women (P=0.79). Also, results indicated that psychological helplessness is significantly lower in non-depressed women compared to depressed women and non-depressed women enjoy higher psychological well-being (P<0.001). Conclusion: The present study showed that coping strategies and psychological adjustment are variables that can affect the depression of women experiencing intrauterine fetal death. Therefore, these variables should be considered in order to treat the depression of these individuals.

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Emotional regulation is one of the areas that has been considered in the epidemiology of depression in the last decade. The results of studies on the effect of emotional regulation training on reducing the symptoms of depression disorder vary and contradictory. Therefore, the aim of this meta-analysis was to determine the effectiveness of emotional regulation training on reducing the symptoms of depression disorder. Methods: For this research, meta-analysis technique were utilized, in which the results of various research studies were integrated in order to determine the size of the effect of parental education programs. To achieve this purpose, the related literature concerning the topic was investigated in dissertations and research articles published in scientific journals from 2006 to 2020 were reviewed. Based on the research inclusion criterion, 17 research studies, including 14 articles and 3 dissertations were considered for meta-analysis. Data analysis and calculation of effect size were performed using the CMA2 software and the Hedges g-index. Findings: The findings from this meta-analysis showed that the random effect of emotional regulation training on reducing the symptoms of depression disorder (1/39) (P< 0/001), which is evaluated in accordance with the Cohen table of the large effect size. Conclusion: It seems that emotional regulation training can be used as a suitable method for reducing depression in educational and therapeutic centers.

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The current research aimed to examine the mediation of attachment behaviors in the relationship between interaction with family of origin with marital quality and depression. The research design was inferential with path analysis method. The statistical population included all female students of Shahid Chamran University of Ahvaz in 2019-20 among whom 200 were recruited using available sampling method. The Family-of-Origin Scale (FOS; Hovestadt, et al., 1985), Brief Accessibility, Responsiveness, and Engagement Scale (BARE; Sandberg, et al., 2012), Dyadic Adjustment Scare - Revised Form (Busby, et al., 1995), and Beckchr('39')s Depression Inventory (BDI; Beck, 1972) were used to measure the variables. The data were analyzed using Pearson product moment correlation coefficient and path analysis method and SPSS-26 and AMOS-24 software. The results of the correlation analysis showed significant correlation among the variables. The goodness of fitness indices verified the model with one modification index. Furthermore, the results showed that the attachment behaviors significantly mediated the relationship between interaction with family-of-origin with depression and marital quality. According to the results, one can conclude that the type and severity of coupleschr('39') attachment behaviors have a critical contribution in affects of their interaction with family-of-origin on their depression and marital quality.

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Aim: The research aimed to study the effectiveness of hope therapy on dimensions of quality of Life and self-esteem in depressed adolescent girls. Methods: For this purpose, a quasi-experimental pretest, posttest with control group was used. The statistical population included all adolescent girls studying in the academic year 2016-2017 in Isfahan, from which 24 depressed girls (12 in the experimental group, 12 in the control group) were selected through cluster sampling and according to the selection criteria. The intervention method included 8 sessions of hope therapy that was implemented for experimental group. In order to assess variables, Beck Depression Inventory 2 (Beck, 1996), Quality of Life Questionnaire (World Health Organization, 1996) and Self-Esteem Questionnaire (Coopersmith, 1967) were used. The data analysis conducted by multivariate analysis of covariance with pretest, posttest, and control groups. Finding: The findings showed a significant increase in the mean scores of dimensions of quality of life including physical health (F= 0.36, p<0.05), mental health (F= 0.30, p<0.05), social relations (F= 0.35, p<0.05), and perception of living environment (F= 0.32, p<0.05) in depressed girls. Also, the result showed a significant increase in the mean scores of academic self-esteem (F= 0.44, p<0.05), and self-esteem (F= 0.40., p<0.05) in these students. Conclusion: Therefore, hope therapy is effective in increasing self-esteem and quality of life in depressed adolescent girls and can be used in schools and counseling centers to reduce depression by designing educational and cultural programs focusing on hope, preventing depression in adolescents, and improving their quality of life and self-esteem.

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Aim: Today, divorce is one of the risks threatening marital life which can create many psychological and social problems, in particular, for women, so more attention should be given to it. The objective of this study was to investigate the effectiveness of the subliminal approach on depression and resilience among women with addict husbands who were appealing to divorce. Methods: The research method was of semi-experimental type in which a pretest-posttest with control group design was used to achieve objectives. The statistical population of the study included all the women with addict husbands appealing for divorce in the first half of 2020 who were referring to different branches of the family courts of Tehran, Iran. Among the population, 30 women meeting the inclusion criteria of the study were selected through available sampling method, and then, were assigned into two experiment and control groups by random assignment method (15 subject in each group). Both groups completed Beck Depression Inventory (1991) and Connor and Davidson’s Resilience Scale (2003). The experimental group was delivered the Subliminal therapy approach and the control group was not delivered any therapy protocol. The data was analyzed using descriptive statistics indices and covariance analysis method. Findings: Results showed that the subliminal approach has led to significant reduction in the scores of depression (P<0.01, Ƞ²=0.63) and significant increase in the scores of resilience (P<0.01, Ƞ²=0.68) in the experiment group compared to the control group (P<0.01). Conclusion: According to the results, it can be said that the subliminal approach is effective in reducing depression and increasing resilience in women with addict husbands who appeal for divorce. Therefore, this approach can be used as an appropriate interventional method to cure depression and increase resilience in psychological and counseling centers.

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Aim: The purpose of the present study was to investigate the effect of religious-ontological-based intervention on clinical symptoms and existential thinking of students with depressive disorder. Methods: This research was carried out in the framework of a single-case experimental study with three students with symotomos of depression who were selected through purposeful sampling from the students of Ardakan University (Yazd, Iran) during the academic year of 2022-2023. Each individual participant received 8 sessions of intervention based on religious ontology, twice during the baseline phase, three times during the treatment phase, and twice during the follow-up phase. Beck depression questionnaire (1996) and Allen and Scherer's scale of existential thinking (2012) were utilized as measurement instruments. To analyze the data, graphical analysis method was used to determine the recovery percentage and reliable change index. Findings: The findings showed significant clinically and statistical improvements in the existential thinking and decreased depression after treatment (p<.01). After two months, a follow-up was done where differences were maintained, which indicates the sustainability of the therapeutic effects. Conclusion: Regarding the results, it can be concluded that religious-ontological-based intervention can be used to increase the existential thinking and to reduce depression in the students with depressive disorder. Considering that Iranian society has a coherent religious context and religion has a special status in people's lives, this intervention can be effective in reducing depression symptoms.