Objectives: Suicide has existed in all cultures historically. One of the major difficulties in the health system worldwide is suicide. The purpose of this research was to investigate the mediating role of mental pain in the relationship between childhood trauma and suicide ideation. Methods: The present research was descriptive-correlational. Accordingly, 371 students of Islamic Azad University of Tehran were selected by multi-stage cluster sampling. They answered the childhood trauma questionnaire (CTQ), the mental pain scale of Orbach and Mikulincer (OMMP), and Beck suicide ideation scale (BSSI), which was administered to them. Data analysis was performed using structural equation modeling. The SPSS 22 and Lisrel 8.85 were used to categorize, process, and analyze data and examine the research hypotheses. Results: Evaluation of the research hypothetic model using fitness indices showed that the hypothetic model fits with the model of measurement (CFI = 0.96, NFI = 0.95, SRMR = 0.062). The results showed that childhood trauma has both direct and indirect influences, through mental pain, on suicide ideation. Conclusions: Based on the research findings, it could be concluded that mental pain has a mediating role in the relationship between childhood trauma and suicide ideation. Considering the mechanism of effectiveness is important in articulating efficacious preventive and therapeutic interventions for suicide ideation.

Background and Aim: In every age of history, human beings have been afflicted with the fear of disease. Undoubtedly, cancer is among the most concerning diseases; cancer pain is among the major pains. The present study aimed to compare the effects of cognitive-behavioral group therapy and mindfulness-based cognitive therapy on multidimensional pain symptoms in patients with breast cancer. Methods & Materials: The present study was applied concerning the purpose and applied a quasi-experimental with pretest-posttest, a two-month follow-up, and control group design. The statistical population was all women with breast cancer referring to Tehran Cancer Research Center in 2018 who were selected by convenience sampling method, consisting of 30 patients. They were randomly divided into two groups of intervention and the control group. The repeated-measures Analysis of Variance (ANOVA) was used to analyze the obtained data. The research instrument was a multidimensional pain questionnaire (West Hyun-Yale) to evaluate multiple pain indices. Results: The current study results suggested that cognitive-behavioral therapy and mindfulness-based cognitive therapy were effective on pain experience (P<0.001); however, there was no significant difference between the intervention groups respecting pain experience. Conclusion Based on the present research findings, cognitive-behavioral therapy and mindfulness-based cognitive therapy impacted the management and pain intensity of patients with breast cancer.

Background: As the effectiveness of psychotherapy relies on the therapeutic alliance, it is essential to identify the variables related to this concept. The present study aimed to investigate the relationship between defense mechanisms and therapeutic alliance with the mediating role of psychological well-being in therapists and psychiatric nurses. Methods: It was a descriptive-correlational study which adopted structural equation modeling (SEM). The statistical population comprised all the therapists, psychiatric nurses, and counselors licensed by the Psychology and Counseling Organization of Iran in 2019. A sample of 255 was selected via convenience sampling. The research instruments included the Defense Style Questionnaire, Ryff’s Psychological Well-being Scale (short form), and the Working Alliance Inventory (short form). The data were analyzed by Pearson correlation coefficient and path analysis in AMOS software version 24.0. Results: Immature (β= -0.35, P<0.001) and neurotic defense mechanisms (β= -0.22, P<0.001) demonstrated a significant negative correlation with the therapeutic alliance, while mature defense mechanisms (β= 0.38, P<0.001) and psychological well-being (β= 0.24, P<0.001) showed a significant positive correlation with therapeutic alliance. The path analysis revealed the mediating role of psychological well-being in the relationship between immature (β= -0.11, P<0.01), mature (β= 0.14, P<0.01), and neurotic (β= -0.09, P<0.01) defense mechanisms and therapeutic alliance. Conclusion: The results of the present study confirmed the model’s goodness of fit. Therapists’ defense mechanisms and psychological well-being should be taken into account when designing measures to improve the psychotherapy and counseling outcome.

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Background: Cardiovascular disease (CVD), a chronic and debilitating physical condition, is one of the most common causes of death. Complications of CVD, such as decreased physical and mental health along with its chronic, progressive, and irreversible nature have numerous negative consequences for patients. This study aimed to investigate the mediating role of perceived stress in the relationship between psychological hardiness and quality of life (QoL) in cardiovascular patients. Methods: The present study was a descriptive-correlational and structural equation modeling. The statistical population included all patients with CVD referred to heart hospitals and cardiac rehabilitation centers in Tehran, Iran in 2019. Using purposeful sampling method, a total of 151 individuals were selected. Data collection tools included a Kobasa Psychological Hardiness Questionnaire, Cohen’s Perceived Stress Questionnaire, and Quality of Life Scale (SF-36). To analyze the data, Pearson’s correlation coefficient and path analysis with SPSS.22 and Amos.22 software were used. Results: The results showed that negative perception of stress and positive perception of stress had a significant negative and positive relationship with dimensions of QoL, respectively (P<0.001). Psychological hardiness had a significant positive relationship with dimensions of QoL (P<0.001). Also, perceived stress had a mediating role in the relationship between psychological hardiness and QoL dimensions (P<0.001). Conclusion: The results of the present study indicated a correlation between psychological hardiness and increased QoL and the inverse relationship between perceived stress and QoL in cardiovascular patients.