Introduction: Neuropathic pain is a complex phenomenon in patients with diabetes. These patients have many problems, such as psychological problems, high-level pain perception, and pain acceptance. This study aimed to evaluate the effectiveness of acceptance and commitment therapy on pain acceptance and pain perception in patients with painful diabetic neuropathy. Methods: This study was performed according to the clinical trial method. The sample size was 50 participants. In this study, participants were divided into interventional and control groups. According to the diagnosis of neurologists, all participants received conventional medications to manage neuropathic pain. The intervention group received acceptance and commitment therapy for eight sessions. The results in the three phases of pre-test, post-test, and follow-up were evaluated. After completing the study, to comply with ethical standards, the control group received psycho-education. The tools used were the McGill Pain Questionnaire (MPQ) and the Chronic Pain Acceptance Questionnaire (CPAQ). Statistical analysis includes mean, standard deviation, and repeated-measures (ANOVA) conducted by SPSS software version 22. Results: The results demonstrated that in the post-test and follow-up phases, acceptance and commitment therapy could improve pain acceptance and reduce pain perception in the intervention group compared to the control group (P \ 0.01). Conclusion: The results indicated that acceptance and commitment therapy could be used as a psychological intervention besides pharmacotherapy to improve pain acceptance and reduce pain perception in patients with painful diabetic neuropathy. Clinical Trail Registration: This study was registered at the Iranian Registry of Clinical Trials (IRCT20180205038630N4).

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Introduction: Currently, the corona virus has spread all over the world and has left various psychological effects on people in the community. In the meantime, some people are more caring about their behaviors, which can be for a variety of reasons. Aim:The aim of this study was to investigate the relationship between personality traits (conscientiousness and extraversion) and gender differences with self-care behaviors in the community of Kermanshah. Method:In this descriptive-correlational study, 304 adults in Kermanshah in 2020 were selected by convenience sampling method. Participants responded online (WhatsApp) to the Extraversion and Conscientiousness subscales of the short form of the 60-item Neo Questionnaire and the Self-Care Behavior Questionnaire. Data analysis was performed using SPSS-25 and linear regression analysis. Results:The results showed that in the first model, among the studied variables, gender was the best predictor of self-care. Gender 0.09 explained the changes in self-care variable (P<0.001 and F=17.30). In the second step, the variables of gender and conscientiousness were included in the study. These two variables together predicted 0.14 of the variances of the self-care variable (P<0.001 and F=13.98). Conclusion:These results showed that individuals with conscientious characteristics, as well as women, were more likely to follow corona-related self-care behaviors. These results will have practical implications for the development of interventions for current and future crises.

With the emergence of the third wave of cognitive-behavioral therapies that are mainly based on mindfulness and acceptance, "compassion" and "self-compassion" have also been studied. Kristin Neff ( 2003) conceptualized the construct of self-compassion and introduced some scales to assess it. The purpose of current study is to illustrate of self-compassion and its components. It also deals with; the relationship of self-compassion with psychopathology and well-being, its differentiation from self-esteem, source of compassion, and its role in therapeutic settings. The data used in the current study which was done in 2019, was collected from articles indexed in databases, PubMed, Science-Direct, Google Scholar and Scopus. The collection of reviewed studies consisted of 35 articles covering both quantitative and qualitative research in English since year 2003. The findings show that higher self-compassion is associated with lower anxiety and depression and higher psychological well-being. Furthermore, Self-compassion leads to positive emotions. According to Gilbert (2009), self-compassion is rooted in one's relationships with early caregivers, but research has shown that psychological interventions can improve it. Although, self-compassion has introduced in recent years, it has led to many studies. Selfcompassion can be enhanced with treatments such as Mindful Self Compassion (MSC), Compassion Focused Therapy (CFT), Mindfulness-Based Stress Reduction (MBSR), Acceptance and commitment therapy (ACT), Dialectical behavior therapy (DBT) and Mindfulness Based Cognitive Therapy (MBCT).

Purpose: This study has investigated the feasibility and preliminary efficacy of DBT for Marijuana cessation and craving reduction as a pilot RCT.Methods: sixty-one participants were randomly assigned to one of the DBT or psycho-education as active control-group with two-month follow-up. Patients completed measures at pre-interventions, post-interventions, and a two-month follow-up.Results: feasibility in DBT is significantly higher than the control group. In the DBT group 29/30 (96% retention) and in control group 24/31 (77% retention) completed all sessions (χ2= 4.95, p = 0.02). Moreover, 29/30 (96%) in the DBT group and 20/31 (64.5%) in the control group completed the two-month follow-up (χ2= 9.97, p = 0.002). For the acceptability of the intervention, results showed 16.57 (agree) in DBT and 9.6 (neither agree nor disagree) in control groups for p < 0.05. For appropriateness, results showed 17.03 (completely agree) in DBT and 10.7 (neither agree nor disagree) in control-groups for p < 0.05. for craving, results confirmed that there is no significant difference between groups (F = 3.52, p > 0.05); however, in “emotionality,” subscale DBT showed a significant reduction rather than the control group (F = 19.94, p < 0.05). For cessation rates, DBT was compared with the control group at the posttest (46% vs. 16%) and follow-up (40% vs. 9.5%), and results proved higher effectiveness in the DBT group for p < 0.05. Furthermore, among those who have lapsed, participation in the DBT group had fewer days than consume for p <0.05. Conclusions: DBT shows feasibility, acceptability, and promise in improving cessation rate in Marijuana use disorder and warrants further investigations.