Introduction:Premenstrual syndrome is one of the most common disorders of puberty age in women. This syndrome is associated with symptoms of depression and anxiety, stress management and anxiety reduction can probably be effective in relieving the symptoms of this syndrome. Therefore, this study was conducted to investigate the effect of cognitive-behavioral stress management training on reducing depressive symptoms in women with premenstrual syndrome. Materials and Methods:This was a quasi-experimental study of pre-test and post-test with experimental group and control group. The statistical population included all women aged 15 to 45 years in Hamadan who were selected from 40 patients in clusters and randomly assigned to experimental and control groups. The experimental group underwent 10 sessions of cognitivebehavioral stress management training and the control group did not receive any training. Both groups answered the short form of Beck Depression Inventory (1996) before and after the intervention and the results were analyzed using multivariate analysis of covariance. Results:The results showed that the depressive state in the experimental group before the intervention was 26.4 ± 5.36 which after treatment and intervention reached 18.75 ± 4.56 which showed a significant decrease. But in the control group before the experiment, it was 26.5 ± 10.38, which reached 27.55 ± 8.74, with no significant change. Conclusion:The findings of this study indicate that cognitive-behavioral stress management training was effective in reducing depressive symptoms in women with premenstrual syndrome and the results of this study can be used to develop public health

ovid-19 is one of the diseases that has become very common in Iran since 2019, which is associated with symptoms such as fever above 38 degrees Celsius, fatigue and shortness of breath. In addition to having physical characteristics, the patient also suffers from psychological C Introduction: Women with multiple sclerosis have always faced many challenges, and their mental and sexual health are important concerns for health systems. So the present study aims to determine the effect of treatment based on acceptance and commitment on the mental health and sexual desire of women with MS during Covid-19 pandemic. Materials and Methods:The method of the current research was semi-experimental with a pretest-post-test design with a control group. The statistical population of the research was made up of women suffering from MS in Hamadan city in 2019. The sampling method was the available method, based on which 40 people were randomly placed in two groups of 20 people, experimental and control. Then the treatment based on acceptance and commitment was implemented on the experimental group during eight 90-minute sessions, but the control group did not receive the intervention. The research tools included two questionnaires of sexuality by Halbert and Apt (1992) and mental health by Goldberg (1979). In order to analyze the data, univariate and multivariate covariance analysis was used. Results:The analysis of the results showed that the treatment based on acceptance and commitment causes a significant increase in the average sexual desire of women with MS. Also, the average physical dysfunction, anxiety and social dysfunction also decreased significantly. But it had no effect on the depression of women with MS. Conclusion:Acceptance and commitment therapy can play an important role in improving the level of mental health, sexual desire and, as a result, the quality of life of women with MS in the difficult conditions of the Covid-19 pandemic.

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Introduction: Emotional divorce happens when a man and a woman live coldly together but do not request a legal divorce. So the aim of this study is to investigate the impact of acceptance and commitment group therapy (ACT) on emotional divorce and self-efficacy of couples. Methods: This was a experimental study with a control group. The statistical population consisted of 338 married people working in an industrial factory in Bu Ali town of Hamedan province in 2020. After distributing an emotional divorce questionnaire, authors selected 60 people with emotional divorce problems. Then, 40 people who had obtained average scores in the self-efficacy questionnaire were selected as the sample and were randomly divided into experimental and control groups. The experimental group received acceptance and commitment-based treatment for 8 weeks, but the control group did not receive any intervention. Research instruments were Gottman's Emotional Divorce Questionnaire (1994) as well as self-efficacy questionnaire of Scherer et al., (1982) used as a pre-test-post-test. SPSS version 23 software was used for data analysis Shapiro-Wilk test was used to evaluate the normality of the distribution of the variables. According to the level of significance (P <0.05) of the variables of emotional divorce and self-efficacy, the normality of the distribution of scores in the experimental and control groups is confirmed. Leven's test was used to examine the presumption of variances' equality of the two groups in the population. Results: The results of analysis of covariance showed that acceptance and commitment group treatment reduced the scores of emotional divorce (p <0.05) and increased self-efficacy (p <0.05) in the experimental group compared to the control group in the post-test phase. The results of Leven test for the emotional divorce variable (P = 0.414, F = 0.682) and self-efficacy variable (P = 0.601, F = 0.278) confirmed variances' equality Conclusions: Acceptance and commitment group therapy was able to significantly reduce emotional divorce and increase self-efficacy compared to the control group. Therefore, it is possible to prevent acceptance and commitment therapy to reduce emotional divorce and prevent psychological and social damage.