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Background and Objectives: Ambivalence over emotional expression plays an important role in quality of life and adherence to treatment in cancer patients. The aim of this study was to determine the mediating role of depression and social support in the relationship between ambivalence and quality of life and adherence to treatment in cancer patients. Materials and Methods:The present study was descriptive and based on structural equation modeling. For this purpose, 206 cancer patients referred to Dezful medical centers in 2020 were selected by convenience sampling method and completed questionnaires of ambivalence over emotional expression, quality of life, adherence to treatment, depression, and social support. Data were analyzed using statistical methods of structural equation modeling and Pearson's correlation. Results:The results showed that there was a negative and significant relationship between ambivalence and quality of life (β=-0.183), depression and adherence (β=-0.178) (p<0.05), ambivalence and social support (β=-0.411), between depression and quality of life (β=-0.288) (p<0.01) and a positive and significant relationship between ambivalence and depression (β=0.441), social support and quality of life (β=0.221), social support and adherence to treatment (β=0.249) (p<0.01). The mediating role of depression and social support variables was confirmed. Conclusion:Considering the mediating role of depression and social support in the relationship between ambivalence and quality of life and adherence to treatment, it is recommended in psychological therapies, in the first place, the variable of ambivalence to be examined and evaluated and the important role of mediating variables to be considered.

Background: Anger rumination affects adolescents’ mental health and seriously damages their functions in interpersonal and communication situations and their social adjustment function in various family, academic and occupational situations. Objective: The present study aimed to investigate the relation of anger rumination and self-criticism with social maladjustment with the mediating role of psychological flexibility in adolescent boys and girls in Ahvaz (Iran). Materials & Methods: This descriptive cross-sectional study was conducted using Structural Equation Modeling (SEM). The statistical population was all secondary school students of Ahvaz in the 2020-21 academic year. The 848 participants (443 girls and 405 boys) aged between 16 and 18 years old, were selected using multistage cluster sampling. The research instruments included the Anger Rumination Scale, Levels of Self-Criticism Scale, Acceptance and Action Questionnaire–II, and Social Development Scale. Multigroup SEM was used to compare the proposed model between the girls and the boys. Results: There was a significant direct relationship between anger rumination, self-criticism, psychological flexibility, and social maladjustment (P<0.001). The findings suggested that psychological flexibility played a mediating role in the relationships of anger rumination and self-criticism with social maladjustment (P<0.01). In addition, there was a significant direct relationship between anger rumination and self-criticism to social maladjustment in boys, while this relationship was not significant in girls. Conclusion: The results suggested the desirable goodness of fit of the final model. Therefore, it is suggested to consider the roles of anger rumination, self-criticism, and psychological flexibility in predicting social maladjustment in students while regarding their gender differences in developing and implementing educational programs

This study aimed to evaluate the effectiveness of schema therapy on body-image, self-concept, and maladaptive schemas in patients with body dysmorphic disorder. This is a quasi-experimental study, with pretest-posttest research plan and follow-up services. The research population comprised all patients with body dysmorphic disorder in Ahwaz city. The sample consisted of 10 people from this population having dysmorphic disorder whose selection was done randomly and when chosen, they were divided into two groups of experimental and control. Instruments used in this research are satisfaction with body-image questionnaire (Soutu and Garcia, 2002), self-concept questionnaire (Beck et al., 1990), body dysmorphic disorder questionnaire (Rabie et al., 1390) and the Young Schema Questionnaire (shortened form) (Schmidt, Joiner, Young and Telch, 1995; as quoted from Hamidpour, Dolatshahi, Poorshahbaz, Dadkhah, 1389). In this study, after the position of baseline, the intervention began and after 20 sessions of schema therapy for these participants was carried out, there was a follow up after the interval of one month. To analyze the data, multivariate analysis of covariance (MANCOVA) was used. The results of data analysis showed that schema therapy leads to an increase in satisfaction with body-image, elevation of self-concept and reduction of body maladaptive schemata in the patients with deformity in the experimental group, compared to the control group.