Background: Experiencing painful procedures during life is inevitable. Poor pain management is associated with negative effects on the quality of life, remaining for a long time after the experience. Long-term negative effects of pain possess a significant cost burden on society. Nowadays, computers are globally available, and computerized psychological interventions can reduce negative emotions. Objectives: The present study aimed at examining the effectiveness of conventional cognitive-behavioral therapy (CBT) and its computerized version on reduction in pain intensity, depression, anger, and anxiety in children with cancer. Methods: The present randomized, controlled, clinical trial was performed on three groups of conventional CBT, computerized CBT (cCBT), and control. Children with cancer, referring to Shafa Hospital of Ahvaz, Iran, constituted the study samples. A total of 15 children aged 9 - 12 years were assigned to each group by using the lottery method. All three groups received routine medical treatments during the study, but the two intervention groups also received psychological interventions as a complementary treatment. The control group received routine medical treatment and underwent cCBT intervention after the study. The data-i e, pre- and post-tests, were collected by a masters’ student in clinical psychology that was blind to the study objectives. Data were analyzed by MANCOVA, ANOVA, and t-tests of differential scores. Results: The findings of the study indicated that both interventions could reduce negative emotions associated with cancer (i. e, pain, anger, anxiety, and depression) in children compared with the control group (P < 0.0001). In addition, there were no significant differences between the two intervention groups (P < 0.01). It means both interventions were useful to reduce pain and enhance adjustment. Conclusions: The cCBT can be utilized in case of no access to psychologists and psychological services.

Background: Marital satisfaction is one of the main factors affecting the quality of life in marital relationships. It refers to individuals’ positive attitudes toward their marital relationship, and marital dissatisfaction is a negative and displeased attitude toward various aspects of marital relationship. Objectives: The present study aimed to explore the causal relationship between attachment styles and marital satisfaction regarding the mediating role of Gottman’s marital communication model. Methods: The statistical population encompassed all university students in Ahvaz in the academic year 2019 - 2020. The multi-stage random sampling method was used, and 230 persons were selected as the study samples. Hudson's Index of Marital Satisfaction (IMS), Coolins and Reed's Revised Adult Attachment Scale (RAAS), and Gottman's Communication Skills Scale (FHS) were also used to collect the data. Data analysis was performed using SPSS software version 26 and AMOS software version 24. Results: The results indicated that the study model well-fitted the study population, and all direct paths were statistically significant. Moreover, there was a significant relationship between secure attachment, anxiety-insecure attachment, and avoidance-insecure attachment with marital satisfaction mediated by Gottman's communication skills (P ≤ 0.001). Conclusions: Given the effect of Gottman’s couple attachment styles and four communication skills on marital satisfaction, their effectiveness in marital satisfaction is proved. Accordingly, therapists are recommended to implement educational and treatment programs containing cognitive and preventive attachment styles and Gottman’s communication skills to promote couples' marital satisfaction.

Background and Aim: Tinnitus is an annoying distressing phantom phenomenon that can cause major problems, such as insomnia and sleep deprivation. Therefore, the present study was conducted to determine the effects of cognitive-behavioral training (CBT) and muscle relaxation on the level of tinnitus and the quality of sleep in patients with tinnitus in Ahvaz City in 2018−2019. Methods: This study is a semi-experimental, pretest, post-test, and follow-up with control group. There are two experimental groups and one control group in this plan. Participants in the first experimental group received eight sessions of CBT and participants in the second experimental group received eight sessions of relaxation training. Control group were not sub­ject to any intervention. Results: The results of this study showed that cognitive-behavioral approach and muscle rela­xation have reduced the amount of tinnitus and increased sleep quality using multivariate cova­riance analysis. The most important results of this study are the effectiveness and usefulness of cognitive-behavioral approach and muscle relaxation on reducing tinnitus and increasing the quality of sleep. Conclusion: Cognitive-behavioral therapy and muscle relaxation approaches were effective in improving tinnitus and quality of sleep. More attention and emphasize in these approaches will be a good alternative to some invasive (electric stimulation) or with some side-effects (drug therapy) approaches

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