Background: Spine pain is one of the most common and costly health problems in developed countries. The purpose of this study was to analyze the structural equation modeling the effect of resilience and pain coping strategies on pain perception in patients with spinal pain: mediated by psychological symptoms. Methods: This study was a correlation study using structural equation modeling. The statistical population of the study was all patients with spinal pain referred to Shams Hospital in Tabriz in 2018, estimated to be 750 patients. The statistical sample of the study was 254 people selected by available sampling based on Krejcie and Morgan’s table. The data gathering tool was the SCL-90 questionnaire, Pain Coping Strategies Questionnaire, Resiliency Scale, and new questionnaire (MPQ). The data were analyzed using structural equation test in Amos software and Bootstrap test. Results: The results of structural equation modeling analysis showed that direct paths from irradiation to pain perception (β=0.000, P<0.01) were significant. There is a direct correlation between coping strategies and pain perception (β=0.31, P<0.01). There is an indirect relationship between vibration, psychological symptoms, and pain perception (β=0.139, P<0.01) There is an indirect relation between coping strategies, psychological symptoms, and pain perception (β = 0/25, P<0.01) Conclusion: It is recommended to develop a comprehensive care plan for patients with spinal pain by enhancing resilience and coping strategies to reduce the level of psychological symptoms in these patients.

Background and Objectives: Dialysis patients encounter numerous psychological distress, aggravating their psycho-social problems. Currently, the third wave of psychological treatment has surpassed other treatments in solving the problems of these patients. The current study aimed to compare the effects of metacognitive therapy and Acceptance and Commitment Therapy (ACT) on blood pressure in hemodialysis patients. Methods This was a randomized clinical trial with pre-test, post-test and follow-up and a control group design. This research was performed on 54 patients undergoing hemodialysis at Imam Ali Hospital in Karaj City, Iran. The study participants were selected by convenience sampling method and randomly divided into three groups; metacognitive therapy, ACT, and control. The intervention groups individually received metacognitive therapy and ACT for 8 sessions. All research groups were measured in the pre-test, post-test stage and their blood pressure was measured using a hand sphygmomanometer. The collected data were analyzed using repeated-measures Analysis of Covariance (ANCOVA). Results The current research results indicated that metacognitive therapy and ACT were effective in reducing blood pressure among the study subjects (P=0.001). Additionally, the achieved results remained consistent in the follow-up phase. Conclusion According to the collected results, the provided interventions can be used as useful and complementary therapies along with pharmacotherapy and other evidence-based interventions for individuals with hypertension receiving dialysis.