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Online Attentional Bias Modification Training for Adolescents With Internet Gaming Disorder 2 2 Objective: Previous research has shown that attentional bias toward game-related stimuli is a significant factor in the etiology, maintenance, and severity of internet gaming disorder (IGD). Therefore, interventions targeting attentional bias toward game-related stimuli can potentially ameliorate this disorder. The present research aims to examine the effectiveness of online Attentional Bias Modification (ABM) training in reducing game-related attentional bias and the severity of IGD in adolescents. Methods: In this quasi-experimental study, 33 adolescents with a DSM-5 diagnosis of IGD were sampled and randomly assigned to an experimental group (n=17) and a control group (n=16). The experimental group received online ABM, while no intervention was delivered to the control group. Attentional bias and IGD severity in these two groups were measured at pretest and posttest phases and then at 2 months follow-up via a modified Stroop test and internet gaming disorder-20 (IGD-20) questionnaire. Two-way repeated measures analysis of variance and Fisher’s Least Significant Difference (LSD) were implemented to analyze the data using SPSS software, version 26. Results: Game-related attentional bias and the severity of IGD were significantly decreased in the participants of the experimental group (P<0.05). The reductions were also maintained at the 2-month follow-up, whereas such reductions were not evident in the control group at any stage (P>0.05). Conclusion: Given our findings, it can be concluded that online ABM can be an auxiliary or standalone treatment for adolescents with IGD; further research is necessary to understand its mechanisms of effect. 79 90 2021/04/11 1400/1/22 2022/02/26 1400/12/7 Yasaman Nasiri Yasaman Nasiri Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Iran snasiry@sbmu.ac.ir Mohammad Noori Mohammad Noori Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Iran mnoori@sbmu.ac.ir Attentional bias modification Internet gaming disorder Modified Stroop test Online intervention Adolescents ## ##

Tracking Sequences of Patient-Therapist Dialogues by Coding Responses During Integrative Psychotherapy 2 2 Objective: The Assimilation of Problematic Experiences Scale (APES) to code the client’s responses and the Process Focused Conversation Analysis (PFCA) to code the therapist’s responses were applied to transcripts of a successful case of integrative psychotherapy of depression. Methods: The method used for the present research was a case study. Dialogues (150 conversations between therapist-client on the basis of meaning) between a therapist and a client in one case with a good outcome were coded and analyzed by two different systems of APES and PFCA. Results: The data revealed that combining the results of APES and PFCA is a suitable coding system for drawing a client’s change equation. In a pyramid of therapeutic change, questions, skills, and techniques applied by the therapist are located in the base, center, and high level, respectively. Meanwhile, higher APES levels are located at the top of the pyramid. The efficient intervention has to be delineated on the spot and is appropriate for a situation in which the client is at one particular moment. Case improvement has demonstrated that at high levels of APES, level 4 is the critical one. Conclusion: Setbacks and stagnations are common within psychotherapy and are generally affected by the main topic of the therapeutic conversation. 91 110 2021/04/112021/12/13 1400/9/22 2022/02/262022/02/26 1400/12/7 Hossein Ghamari Kivi Hossein Ghamari Kivi Department of Counseling, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. Iran h_ghamari@uma.ac.ir Fatemeh Jamshiddoust Miyanroudi Fatemeh Jamshiddoust Miyanroudi Department of Counseling, Faculty of Education and Psychology, University of Mohaghegh Ardabili, Ardabil, Iran. Iran fatemeh.jamshiddoust@gmail.com Coding systems Client responses Psychotherapy Therapist responses Angus, L., Levitt, H., & Hardtke, K. (1999). The narrative processes coding system: Research applications and implications for psychotherapy practice. Journal of Clinical Psychology, 55(10), 1255 1270. [DOI:10.1002/(SICI)10974679(199910)55:103 0.CO;2-F]##Bakhtin, M. M. (2010). The dialogical imagination: Four essays. Austin: University of Texas Press. [Link]##Bartesaghi, M. (2009). Conversation and psychotherapy: How questioning reveal institutional answers. Discourse Studies, 11(2), 153-177. [DOI:10.1177/1461445608100942]##Basto, I., Pinheiro, P., Stiles, W. B., Rijo, D., & Salgado, J. (2017). Changes in symptom intensity and emotion valence during the process of assimilation of a problematic experience: A quantitative study of a good outcome case of cognitive behavioral therapy. Psychotherapy Research: Journal of The Society for Psychotherapy Research, 27(4), 437-449. [PMID]##Bavelas, J. B., McGee, D., Phillips, B., & Routledge, R. (2000). Microanalysis of communication in psychotherapy. Human Systems, 11(1), 3-22. [Link]##Gabalda, I. C., Stiles, W. B., & Pérez Ruiz, S. (2016). Therapist activities preceding setbacks in the assimilation process. Psychotherapy Research : Journal of The Society for Psychotherapy Research, 26(6), 653–664. [PMID]##Caro Gabalda, I., & Stiles, W. B. (2013). Irregular assimilation progress: Reasons for setbacks in the context of linguistic therapy of evaluation. Psychotherapy Research: Journal of the Society for Psychotherapy Research, 23(1), 35–53. [PMID]##Gabalda, I. C. (2006). The assimilation of problematic experiences in linguistic therapy of evaluation: How did María assimilate the experience of dizziness? Psychotherapy Research, 16(4), 422-435. [DOI:10.1080/10503300600756436]##Goncalves, M. M., & Guilfoyle, M. (2006). Therapy as a monological activity: Beliefs from therapists and their clients. Journal of Constructivist Psychology, 19, 251-271. [Link]##Ghamari Kivi, H.(2019). [Process-focused conversation analysis: Proposing an approach for intervention and assessment the field of counseling and psychotherapy with people suffering from depression (Persian)]. Journal of Counseling Research, 18(69), 4-30. [DOI:10.29252/jcr.18.69.4]##Goncalves, M. M., Ribeiro, A. P., Silva, J. R., Mendes, I., & Sousa, I. (2016). Narrative innovations predict symptom improvement: Studying innovative moments in narrative therapy of depression. Psychotherapy Research: Journal of The Society for Psychotherapy Research, 26(4), 425–435. [PMID]##Gonçalves, M. M., Gabalda, I. C., Ribeiro, A. P., Pinheiro, P., Borges, R., & Sousa, I., et al. (2014). The innovative moments coding system and the assimilation of problematic experiences scale: A case study comparing two methods to track change in psychotherapy. Psychotherapy Research: Journal of The Society for Psychotherapy Research, 24(4), 442–455. [PMID]##Goncalves, M. M., Matos, M., & Santos, A. (2009). Narrative therapy and the nature of “innovative moments” in the construction of change. Journal of Constructivist Psychology, 22(1), 1-23. [DOI:10.1080/10720530802500748]##Hermans, H. J., & Dimaggio, G. (2004). The dialogical self in psychotherapy. In H. Hermans, & G. Dimaggio (Eds.), The dialogical self in psychotherapy (pp. 17-26). New York: Routledge. [Link]##Honos-Webb, L., & Stiles, W. B. (1998). Reformulation of assimilation analysis in terms of voices. Psychotherapy: Theory, Research, Practice, Training, 35(1), 23-33. [DOI:10.1037/h0087682]##Honos-Webb, L., Stiles, W. B., Greenberg, L. S., & Goldman, R. (1998). Assimilation analysis of process-experiential psychotherapy: A comparison of two cases. Psychotherapy Research, 8(3), 264-286. [DOI:10.1093/ptr/8.3.264]##Leiman, M. (2012). Dialogical sequence analysis in studying psychotherapeutic discourse. International Journal for Dialogical Science, 6(1), 123-147. [Link]##Lysaker, P. H., & Lysaker J. T. (2006). A typology of narrative impoverishment in schizophrenia: Implications for understanding the process of establishing and sustaining dialogue in individual psychotherapy. Counseling Psychology Quarterly, 19(1), 57-68. [DOI:10.1080/09515070600673703]##Meystre, C., Kramer, U., Roten, Y. D., Despland, J. N., & Stiles, W. B. (2014) How psychotherapeutic exchanges become responsive: A theory-building case study in the framework of the Assimilation Model. Counselling and Psychotherapy Researc, 14(1), 29-41. [DOI:10.1080/14733145.2013.782056]##Osatuke, K., & Stiles, W. B. (2006). Problematic internal voices in clients with borderline features: An elaboration of the assimilation model. Journal of Constructivist Psychology, 19(4), 287-319. [DOI:10.1080/10720530600691699]##Prochaska, J. O., & DiClemente, C. C. (1982). Transtheoretical therapy: Toward a more integrative model of change. Psychotherapy: Theory, Research and Practice, 19(3), 276-288. [DOI:10.1037/h0088437]##Prochaska, J. O., & DiClemente, C. C. (1994). The transtheoretical approach: Crossing traditional boundaries of therapy. Florida: Krieger Publishing Company. [Link]##Prochaska, J. O. & DiClemente, C. C. (2005). The Transtheoretical Approach. In J. C. Norcross, & M. R. Goldfried, (Eds.). Handbook of psychotherapy integration (2 ed.) (pp. 147-171). Oxford: Oxford University Press. [DOI:10.1093/med:psych/9780195165791.003.0007]##Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change. Applications to addictive behaviors. American Psychologist, 47(9), 1102-1114. [PMID]##Ribeiro, E., Cunha, C., Teixeira, A. S., Stiles, W. B., Pires, N., & Santos, B., et al. (2016). Therapeutic collaboration and the assimilation of problematic experiences in emotion-focused therapy for depression: Comparison of two cases. Psychotherapy research: Journal of The Society for Psychotherapy Research, 26(6), 665-680. [PMID]##Ribeiro, E., Ribeiro, A. P., Gonçalves, M. M., Horvath, A. O., & Stiles, W. B. (2013). How collaboration in therapy becomes therapeutic: The therapeutic collaboration coding system. Psychology and Psychotherapy, 86(3), 294-314. [DOI:10.1111/j.2044-8341.2012.02066.x] [PMID]##Salgado, J., & Gonc¸alves, M. (2007). The dialogical self: Social, personal, and (un)conscious. In J. Valsiner , & A. Rosa (Eds.), The Cambridge Handbook of Sociocultural. Cambridge: Cambridge University Press. [Link]##Stiles, W. B. (1980). Measurement of the impact of psychotherapy sessions. Journal of Consulting and Clinical Psychology, 48(2), 176-185. [DOI:10.1037/0022-006X.48.2.176] [PMID]##Stiles, W., Meshot, C., Anderson, T., & Sloan, W. (1992). Assimilation of problematic experiences: The case of John Jones. Psychotherapy Research, 2(2), 81-101. [DOI:10.1080/10503309212331332874]##Stiles, W. B., Morrison, L. A., Haw, S. K., Harper, H., Shapiro, D. A., & Firth-Cozens, J. (1991). Longitudinal study of assimilation in exploratory psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 28(2), 195-206. [DOI:10.1037/0033-3204.28.2.195]##Stiles, W. B., Elliott, R., Llewelyn, S. P., Firth-Cozens, J. A., Margison, F. R., & Shapiro, D. A., et al. (1990). Assimilation of problematic experiences by clients in psychotherapy. Psychotherapy: Theory, Research, Practice, Training, 27(3), 411-420. [DOI:10.1037/0033-3204.27.3.411]##SStiles, W. B., Leiman, M., Shapiro, D. A., Hardy, G. E., Barkham, M., & Detert, N. B., et al. (2006). What does the first exchange tell? Dialogical sequence analysis and assimilation in very brief therapy. Psychotherapy Research, 16(4), 408-421. [DOI:10.1080/10503300500288829]##Trijsburg, R. W., Frederiks, G. C. F. J., Gorlee, M., Klouwer, E., Hollander, A. D., & Duivenvoorden, H. J. (2002). Development of the comprehensive psychotherapeutic interventions rating scale (CPIRS). Psychotherapy Research, 12(3), 287_317. [DOI:10.1093/ptr/12.3.287]##Tomm, K. (1987). Interventive interviewing: Part II. Reflexive questioning as a means to enable self-healing. Family Process, 26(2), 167-183. [PMID]##Vygotsky, L. S. (1980). Mind in society: Development of higher psychological processes. Massachusetts: Harvard University Press. [Link]## ##

The Role of Anhedonia and Low Arousal in Substance Use Disorder Among Adolescents With Conduct Disorder Symptoms 2 2 Objective: During adolescence, transformations in the neural circuitry of the brain’s reward system can lead to vulnerabilities that pave the way for involvement in criminal and addictive behaviors. Some mental disorders (e.g., conduct disorder) are more comorbid with substance use disorders because of their unique nature.This study examines the role of anhedonia and low arousal in substance use disorders among adolescents with conduct disorder symptoms. Methods: The present correlational study was conducted in 2021 in Tabriz City, Iran. The participants were 784 adolescents with Conduct Disorder (CD) aging from 13 to 17 years at Juvenile Detention Centers (JDC). After the attrition, 436 adolescents remained. We used convenience sampling for the sampling method. In addition, we utilized the substance abuse scale, the conduct disorder rating scale, the self-assessment anhedonia scale, and the how I feel scale to collect the data. After the ethical approval and signed informed consent, the questionnaires were distributed among participants. After collecting the questionnaires, we entered the data into the SPSS software, version 23, for analysis. Results: The Addiction Potential Scale (APS) had a significant and direct correlation with physical anhedonia (r=0.226, P<0.01), intellectual anhedonia (r=0.221, P<0.01), social anhedonia (r=0.236, P<0.01), and negative emotion (r=0.211, P<0.01). Substance use increases with an increase in anhedonia. On the other hand, APS had a significant and reversal correlation with positive emotion (r=-0.173, P<0.05), and positive and negative emotion control (r=-0.197, P<0.01), i.e., less positive emotion and weak control of positive and negative emotions lead to substance use disorder among adolescents with conduct disorder. Conclusion: Impulsive behaviors (e.g., substance use disorder) respond to low arousal and anhedonia among adolescents with conduct disorder symptoms to relieve their negative emotions and strengthen their low arousal. 111 120 2021/04/112021/12/132022/01/16 1400/10/26 2022/02/262022/02/262022/05/7 1401/2/17 Yousef Zohdi Yousef Zohdi Department of Clinical Psychology, Faculty of Psychology, University of Tabriz, Tabriz, Iran. Iran yosef.zohdi400@gmail.com Parvaneh Mohammadkhani Parvaneh Mohammadkhani Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Iran p.mohammadkhani@uswr.ac.ir Alireza Karimpour-Vazifehkhorani Alireza Karimpour-Vazifehkhorani Department of Clinical psychology, Faculty of Psychology, University of Tabriz, Tabriz, Iran. Iran alirezakarimpourv92@gmail.com Anhedonia Low arousal Substance use disorder Adolescents Conduct disorder Andrews, D. A., & Bonta, J. (2014). The psychology of criminal conduct. Oxfordshire: Taylor & Francis. [Link]##Asem, S., Khanjani, Z., Mahmood Alilou, M. (2021). Prediction of attention deficit, risk-taking, delay discounting based on motivational deficiencies, and time perception impairment in children with attention-deficit/hyperactivity disorder. [MA.thesis]. Tabriz: University of Tabriz.##Azimkhani, A. (2010). [The construction and standardization of the rating scale for diagnosis of conduct disorder among the students in fifth grade of elementary school in Tehran city, central part of Iran (Teachers’ form) (Persian)]. Journal of Fundamentals of Mental Health, 12(47), 83-574. [DOI:10.22038/JFMH.2010.1039]##Bakhshipour-Rudsari, A., & Karimpour-Vazifehkhorani, A. (2021). The role of impulsivity and sensitivity to reward in dropout of addiction treatment in heroin addicts. Addiction and Health, 13(1), 45-51. [PMID]##Bechara, A., & Van Der Linden, M. (2005). Decision-making and impulse control after frontal lobe injuries. Current Opinion in Neurology, 18(6), 734-739. [DOI:10.1097/01.wco.0000194141.56429.3c] [PMID]##Houston, R. J., & Stanford, M. S. (2020). Psychophysiological Correlates of Psychopathic Disorders. In A. R. Felthous, & H. Saß (Eds.), The wiley international handbook on psychopathic disorders and the law (323-351). New York: Wiley [DOI:10.1002/9781119159322.ch14]##Blum, K., Gold, M., Demetrovics, Z., Archer, T., Thanos, P. K., & Baron, D., et al. (2017). Substance use disorder a bio-directional subset of reward deficiency syndrome. Frontiers in Bioscience (Landmark edition), 22(9), 1534-1548. [DOI:10.2741/4557] [PMID]##Blum, K., Raza, A., Schultz, T., Jalali, R., Green, R., & Brewer, R., et al. (2021). Should we embrace the incorporation of genetically guided “dopamine homeostasis” in the treatment of Reward Deficiency Syndrome (RSD) as a frontline therapeutic modality? Acta Scientific Neurology, 4(2), 17-24. [PMID]##Border, R., Corley, R. P., Brown, S. A., Hewitt, J. K., Hopfer, C. J., & McWilliams, S. K., et al. (2018). Independent predictors of mortality in adolescents ascertained for conduct disorder and substance use problems, their siblings and community controls. Addiction, 113(11), 2107-2115. [PMID] ##Bozzini, A. B., Bauer, A., Maruyama, J., Simões, R., & Matijasevich, A. (2021). Factors associated with risk behaviors in adolescence: A systematic review. Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999), 43(2), 210–221. [PMID][PMCID]##Cheetham, A., Allen, N. B., Yücel, M., & Lubman, D. I. (2010). The role of affective dysregulation in drug addiction. Clinical Psychology Review, 30(6), 621-634. [DOI:10.1016/j.cpr.2010.04.005] [PMID]##Parolin, M., Simonelli, A., Cristofalo, P., Sacco, M., Bacciardi, S., Maremmani, A. G., et al. (2017). Drug addiction and emotional dysregulation in young adults. Heroin Addiction and Related Clinical Problems, 19(3), 37-48. [Link]##Dawe, S., Loxton, N. J., Gullo, M. J., Staiger, P. K., Kambouropoulos, N., & Perdon, L., et al. (2007). The role of impulsive personality traits in the initiation, development, and treatment of substance misuse problems. In P. M. Miller, & D. J. Kavanagh (Eds.), Translation of addictions science into practice (pp. 321-339). Amsterdam: Elsevier Science. [DOI:10.1016/B978-008044927-2/50064-X]##Destoop, M., Morrens, M., Coppens, V., & Dom, G. (2019). Addiction, anhedonia, and comorbid mood disorder. A narrative review. Frontiers in Psychiatry, 10, 311. [PMID] [PMCID]##Nevid, J. S., Greene, B., Knight, L. J., Johnson, P. A., & Taylor, S. (2018). Essentials of abnormal psychology. Toronto: Pearson Education Canada. [Link]##Fairchild, G., Hawes, D. J., Frick, P. J., Copeland, W. E., Odgers, C. L., & Franke, B., et al. (2019). Conduct disorder. Nature Reviews Disease Primers, 5(1), 43. [DOI:10.1038/s41572-019-0095-y] [PMID]##Volkow, N. D., Michaelides, M., & Baler, R. (2019). The neuroscience of drug reward and addiction. Physiological Reviews, 99(4), 2115-2140. [PMID][PMCID]##Galanaki, E. P. (2012). The imaginary audience and the personal fable: A test of Elkind’s theory of adolescent egocentrism. Psychology, 3(6), 457-466. [DOI:10.4236/psych.2012.36065]##Gondré-Lewis, M. C., Bassey, R., & Blum, K. (2020). Pre-clinical models of reward deficiency syndrome: A behavioral octopus. Neuroscience & Biobehavioral Reviews, 115, 164–188. [DOI:10.1016/j.neubiorev.2020.04.021] [PMID] [PMCID]##Gray, K. M., & Milin, R. (2021). Adolescent substance misuse/use disorders: Management. In N. el-Guebaly, G., Carrà, M. Galanter, & A.M. Baldacchino(eDA.), Textbook of addiction treatment (pp. 1495-1500). Cham: Springer. [DOI:10.1007/978-3-030-36391-8_106]##Greene, R. L., Weed, N. C., Butcher, J. N., Arredondo, R., & Davis, H. G. (1992). A cross-validation of MMPI-2 substance abuse scales. Journal of Personality Assessment, 58(2), 405-410. [PMID]##Hayes, A., Wing, V., McGonigle, J., Turton, S., Elliot, R., & Ersche, K. D., et al. (2020). The relationship between reward processing and impulsivity in addiction: A functional magnetic resonance imaging study. European Neuropsychopharmacology, 31(Supplement 1), S70-S71. [DOI:10.1016/j.euroneuro.2019.12.094]##Kiluk, B. D., Yip, S. W., DeVito, E. E., Carroll, K. M., & Sofuoglu, M. (2019). Anhedonia as a key clinical feature in the maintenance and treatment of opioid use disorder. Clinical Psychological Science: A Journal of The Association for Psychological Science, 7(6), 1190–1206. [PMID] [PMCID]##Lempert, K. M., Steinglass, J. E., Pinto, A., Kable, J. W., & Simpson, H. B. (2019). Can delay discounting deliver on the promise of RDoC? Psychological Medicine, 49(2), 190-199. [PMID]##Maffei, A., Polver, S., Spironelli, C., & Angrilli, A. (2020). EEG gamma activity to emotional movies in individuals with high traits of primary “successful” psychopathy. Brain and Cognition, 143, 105599. [DOI:10.1016/j.bandc.2020.105599][PMID]##Marissen, M. A., Meuleman, L., & Franken, I. H. (2010). Altered emotional information processing in borderline personality disorder: An electrophysiological study. Psychiatry Research, 181(3), 226–232. [PMID]##Boyle, M. H., & Offord, D. R. (1991). Psychiatric disorder and substance use in adolescence. The Canadian Journal of Psychiatry, 36(10), 699-705. [DOI:10.1177/070674379103601001]##Olivares, J. M., Berrios, G. E., & Bousoño, M. (2005). The Self-Assessment Anhedonia Scale (SAAS). Neurology, Psychiatry, and Brain Research, 12(3), 121–134. [DOI:10.1037/t00443-000]##Koegl, C. J., Farrington, D. P., & Raine, A. (2018). The relationship between low resting heart rate, systolic blood pressure and antisocial behavior in incarcerated males. Journal of Criminal Justice, 55, 88-95. [DOI:10.1016/j.jcrimjus.2018.02.004]##Schoorl, J., van Rijn, S., de Wied, M., van Goozen, S., & Swaab, H. (2016). Emotion regulation difficulties in boys with oppositional defiant disorder/conduct disorder and the relation with comorbid autism traits and attention deficit traits. Plos One, 11(7), e0159323. [DOI:10.1371/journal.pone.0159323] [PMID] [PMCID]##Siadatian, S., & Ghamarani, A. (2013). [The investigation of validity and reliability of snaith-hamilton anhedonia scale in the students of Isfahan University (Persian)]. Journal of Rafsanjan University of Medical Sciences, 12(10), 807-818. [Link]##Nickerson, C. (2021). The yerkes-dodson law and performance. Retrieved from: [Link]##Walden, T. A., Harris, V. S., & Catron, T. F. (2003). How i feel: A self-report measure of emotional arousal and regulation for children. Psychological Assessment, 15(3), 399-412. [DOI:10.1037/1040-3590.15.3.399] [PMID]##Waschbusch, D. A., & Elgar, F. J. (2007). Development and validation of the conduct disorder rating scale. Assessment, 14(1), 65-74. [DOI:10.1177/1073191106289908] [PMID]##Willemsen, J., Vanheule, S., & Verhaeghe, P. (2011). Psychopathy and lifetime experiences of depression. Criminal Behaviour and Mental Health, 21(4), 279-294. [DOI:10.1002/cbm.812] [PMID]##Woods, S., & White, E. (2005). The association between bullying behaviour, arousal levels and behaviour problems. Journal of Adolescence, 28(3), 381-395. [DOI:10.1016/j.adolescence.2004.09.002] [PMID]##Zhang, H., Harris, L., Split, M., Troiani, V., & Olson, I. R. (2016). Anhedonia and individual differences in orbitofrontal cortex sulcogyral morphology. Human Brain Mapping, 37(11), 3873-3881. [PMID] [PMCID]##Zuckerman, M., & Aluja, A. (2015). Measures of sensation seeking. In G. J., Boyle, D. H., Saklofske, & G. Matthews (Eds.), Measures of Personality And Social Psychological Constructs (pp. 352-380). Cambridge: Academic Press. [DOI:10.1016/B978-0-12-386915-9.00013-9]## ##

Quality of Life, Psychological State, and Cognitive Emotion Regulation Strategies in Allergic Rhinitis Patients vs Healthy Population: A Comparative Study 2 2 Objective: Allergic rhinitis, as a global health problem, accounts for several psychological disorders, including fatigue, mood changes, depression, anxiety, and disrupted Quality of Life. How people cope with the symptoms of this disease is essential. The present research is pioneering in comparing the QoL, psychological state, and cognitive emotion regulation strategies of patients with allergic rhinitis and healthy individuals. Methods: Aligned with the purpose of the study, 132 patients and 132 healthy subjects were assigned to two groups. Both groups responded to the QoL symptom checklist (SCL90) and a short form of the Cognitive Emotion Regulation Questionnaire (CERQ). One-way multivariate analysis of variance (MANOVA) was run to make between-group comparisons. Results: The findings revealed that allergic patients had a lower QoL. Similarly, the two groups showed statistically significant differences in physical health, environmental life, and overall QoL. Clinical symptoms prevailed more in the allergic group compared to the healthy. Also, these two groups differed significantly regarding somatization, interpersonal sensitivity, and anxiety sub-scales. The healthy group used more adaptive cognitive emotion regulation strategies (for instance, acceptance and positive reevaluation) than the allergic group. In addition, statistically significant divergences were found in the catastrophizing strategy, which prevailed more in the allergic group.  Conclusion: Given the present findings, patients with allergic rhinitis have lower psychological health and QoL compared to the healthy population. These unfavorable conditions can result from inefficient use of cognitive emotion regulation strategies that mutually link allergic and clinical symptoms to the patients’ QoL.  121 130 2021/04/112021/12/132022/01/162022/01/17 1400/10/27 2022/02/262022/02/262022/05/72022/06/6 1401/3/16 Milad Shirkhani Milad Shirkhani Department of Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran. Iran milad.shirkhani@mail.um.ac.ir Shahrbanoo Aali Shahrbanoo Aali Department of Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran. Iran aali@um.ac.ir Maryam Khoshkhui Maryam Khoshkhui Department of Immunology, School of Medicine, Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran. Iran Golnaz Rafizadeh-Ardabili Golnaz Rafizadeh-Ardabili Department of Psychology, Faculty of Education and Psychology, Ferdowsi University of Mashhad, Mashhad, Iran. Iran Allergic rhinitis Quality of Life Psychological state Cognitive Emotion Regulation strategies Aali, S., Khoshkhui, M., & Rafizadeh-Ardabili, G. (2021). [Role of cognitive emotion regulation strategies on mental health and quality of life in allergic patients (Persian)]. International Journal of Behavioral Sciences, 14(4), 211-216. [DOI:10.30491/IJBS.2020.220682.1211]##Akhavan Abiri, F., & Shairi, M. R. (2020). [Validity and reliability of symptom checklist-90-revised (SCL-90-R) and brief symptom inventory-53 (BSI-53) (Persian)]. Clinical Psychology and Personality, 17(2), 169-195. [DOI:10.22070/CPAP.2020.2916]##Angst, J. (2000). Temperament and personality types in bipolar patients a historical review. In A. Marneros, & J. Angst (Eds), Bipolar Disorders (pp. 175-199). Dordrecht: Springer. [DOI:10.1007/0-306-47521-9_9]##Barberis, N., Cernaro, V., Costa, S., Montalto, G., Lucisano, S., & Larcan, R., et al. (2017). The relationship between coping, emotion regulation, and quality of life of patients on dialysis. International Journal of Psychiatry in Medicine, 52(2), 111–123. [DOI:10.1177/0091217417720893] [PMID]##Bavbek, S., Kumbasar, H., Tuğcu, H., & Misirligil, Z. (2002). Psychological status of patients with seasonal and perennial allergic rhinitis. Journal of Investigational Allergology & Clinical Immunology, 12(3), 204–210. [PMID]##Buske-Kirschbaum, A., Ebrecht, M., Kern, S., Gierens, A., Hellhammer, D., & Palamarchuk, O. (2008). Personality characteristics in chronic and non-chronic allergic conditions. Brain, Behavior, and Immunity, 22(5), 762-768. [DOI:10.1016/j.bbi.2007.12.002] [PMID]##Canonica, G. W., Bousquet, J., Mullol, J., Scadding, G. K., & Virchow, J. C. (2007). A survey of the burden of allergic rhinitis in Europe. Allergy, 62 (Suppl 85), 17–25. [DOI:10.1111/j.1398-9995.2007.01549.x] [PMID]##Chen, M. H., Su, T. P., Chen, Y. S., Hsu, J. W., Huang, K. L., & Chang, W. H., et al. (2013). Allergic rhinitis in adolescence increases the risk of depression in later life: A nationwide population-based prospective cohort study. Journal of Affective Disorders, 145(1), 49–53. [DOI:10.1016/j.jad.2012.07.011] [PMID]##Cingi, C. C., Orhon, N., & Eckler, P. (2020). Role of allergic rhinitis in personal communication. In C. Cingi, C., & N. Bayar Muluk (Eds), All around the nose (pp. 343-345). Cham: Springer. [DOI:10.1007/978-3-030-21217-9_39]##Ibiapina, C., Sarinho, E. S., Camargos, P. A., Andrade, C. R., & Cruz Filho, A. A. (2008). Allergic rhinitis: Epidemiological aspects, diagnosis and treatment. Jornal Brasileiro de Pneumologia: Publicacao Oficial da Sociedade Brasileira de Pneumologia e Tisilogia, 34(4), 230–240. [DOI:10.1590/S1806-37132008000400008] [PMID]##Dave, N. D., Xiang, L., Rehm, K. E., & Marshall, G. D., Jr. (2011). Stress and allergic diseases. Immunology and Allergy Clinics of North America, 31(1), 55–68. [DOI:10.1016/j.iac.2010.09.009] [PMID] [PMCID]##Dick, K., Briggs, A., Ohsfeldt, R., Sydendal Grand, T., & Buchs, S. (2020). A quality-of-life mapping function developed from a grass pollen sublingual immunotherapy trial to a tree pollen sublingual immunotherapy trial. Journal of Medical Economics, 23(1), 64–69.[DOI:10.1080/13696998.2019.1649268] [PMID]##Fayers, P. M., & Machin, D. (2013). Quality of life: The assessment, analysis and interpretation of patient-reported outcomes. New York: John Wiley & Sons. ##Fidan, V., Alp, H. H., Gozeler, M., Karaaslan, O., Binay, O., & Cingi, C. (2013). Variance of melatonin and cortisol rhythm in patients with allergic rhinitis. American Journal of Otolaryngology, 34(5), 416–419. [DOI:10.1016/j.amjoto.2013.03.004] [PMID]##Garnefski, N., & Kraaij, V. (2006). Cognitive Emotion Regulation Questionnaire–development of a short 18-item version (CERQ-short). Personality and Individual Differences, 41(6), 1045-1053. [DOI:10.1016/j.paid.2006.04.010]##Garnefski, N., Rieffe, C., Jellesma, F., Terwogt, M. M., & Kraaij, V. (2007). Cognitive emotion regulation strategies and emotional problems in 9-11-year-old children: The development of an instrument. European Child & Adolescent Psychiatry, 16(1), 1–9. [DOI:10.1007/s00787-006-0562-3] [PMID]##Ghanbari, F., Abdorahimi Noshad, L., Bazzazzadeh, N., Esgandari, A., Moazen, N., & Tanhaye Reshvanloo, F. (2018). [Comparison of cognitive emotion regulation strategies and health locus of control in children with asthma and normal children (Persian)]. Iranian Journal of Nursing Research, 13(3), 76-82. http://ijnr.ir/article-1-1908-en.html##Glenk, L. M., Kothgassner, O. D., Felnhofer, A., Gotovina, J., Pranger, C. L., & Jensen, A. N., et al. (2020). Salivary cortisol responses to acute stress vary between allergic and healthy individuals: The role of plasma oxytocin, emotion regulation strategies, reported stress and anxiety. Stress, 23(3), 275-283. [DOI:10.1080/10253890.2019.1675629] [PMID] [PMCID]##Cambridge University Press. (1998). Development of the World Health Organization WHOQoL-BREF Quality of Life assessment. Psychological Medicine, 28(3), 551-558. [DOI:10.1017/S0033291798006667] [PMID]##Hasani, J. (2010). [The psychometric properties of the Cognitive Emotion Regulation Questionnaire (CERQ) (Persian)]. Journal of Clinical Psychology, 2(3), 73-84. [DOI:10.22075/JCP.2017.2031]##Juniper, E. (1997). Quality of life in adults and children with asthma and rhinitis. Allergy, 52(10), 971-977. [DOI:10.1111/j.1398-9995.1997.tb02416.x] [PMID]##Kalmarzi, R. N., Ataee, P., Fathollahpour, A., Behzadifar, M., Moradi, M., & Sharifian, F., et al. (2020). The prevalence of allergic rhinitis among iranian children: A systematic review and meta-analysis. Endocrine, Metabolic & Immune Disorders Drug Targets, 20(2), 189–197. [DOI:10.2174/1871530319666190515100735] [PMID]##Kim, S. H., Won, H. K., Moon, S. D., Kim, B. K., Chang, Y. S., & Kim, K. W., et al. (2017). Correction: Impact of self-reported symptoms of allergic rhinitis and asthma on sleep disordered breathing and sleep disturbances in the elderly with polysomnography study. PloS One, 12(4), e0176425. [DOI:10.1371/journal.pone.0176425] [PMID] [PMCID]##Komnos, I. D., Michali, M. C., Asimakopoulos, A. D., Basiari, L. V., & Kastanioudakis, I. G. (2019). The effect of allergic rhinitis on quality of life in patients suffering from the disease: A case control study. International Journal of Otolaryngology and Head & Neck Surgery, 8(4), 121-131. [DOI:10.4236/ijohns.2019.84014]##Kumar, K. A., Sarun, D. D., & Jeppu, A. K. (2020). Social and psychological impact of allergic rhinitis among university students in Malaysia. Indian Journal of Public Health Research & Development, 11(6), 1336-1340. [DOI:10.37506/ijphrd.v11i6.9989]##Marshall, G. N., Schell, T. L., & Miles, J. N. (2013). A multi-sample confirmatory factor analysis of PTSD symptoms: What exactly is wrong with the DSM-IV structure? Clinical Psychology Review, 33(1), 54-66. [DOI:10.1016/j.cpr.2012.10.004] [PMID] [PMCID]##Mehrinezhad, A., & Rajabi Moghadam, S. (2012). [Comparison of the personality characteristics of the patients suffering from allergic rhinitis with those of normal people (Persian)]. Scientific Journal of Kurdistan University of Medical Sciences, 17(4), 1-14. [Link]##Meltzer, E. O. (2016). Allergic rhinitis. Immunology and Allergy Clinics of North America, 36(2), 235-248. [DOI:10.1016/j.iac.2015.12.002] [PMID]##Muñoz-Cano, R., Ribó, P., Araujo, G., Giralt, E., Sanchez-Lopez, J., & Valero, A. (2018). Severity of allergic rhinitis impacts sleep and anxiety: Results from a large Spanish cohort. Clinical and Translational Allergy, 8(1), 1-9. [DOI:10.1186/s13601-018-0212-0] [PMID] [PMCID]##Nejat, S., Montazeri, A., Holakouie Naieni, K., Mohammad, K., Majdzadeh, S., & Tanhaye Reshvanloo, F. (2006). [The world health organization quality of life (WHOQOL-BREF) questionnaire: Translation and validation study of the Iranian version (Persian)]. Journal of School of Public Health and Institute of Public Health Research, 4(4), 1-12. [Link]##Noh, H., An, J., Kim, M. J., Sheen, Y. H., Yoon, J., Welsh, B., & Koh, H. Y., et al (2020). Sleep problems increase school accidents related to allergic diseases. Pediatric Allergy and Immunology, 19(1), 1-6. [DOI:10.1111/pai.13132] [PMID]##Parslow, T. G., Stites, D. P., Terr, A. I., Imboden, J. B., Larcan, R., & Machin, D. (2001). Medical immunology. New York: McGraw-Hill Education. [Link]##Rodinkova, V., Kondratyuk, A., Toziuk, O., Bondarchuk, O., Hryhoruk, Y., & Korytska, I., et al (2019). Pollen-sensitive individuals have specific psychological profiles. Aerobiologia, 35(4), 759-763. [DOI:10.1007/s10453-019-09592-0]##Sereda, Y., & Dembitskyi, S. (2016). Validity assessment of the symptom checklist SCL-90-R and shortened versions for the general population in Ukraine. BMC Psychiatry, 16(1), 300. [DOI:10.1186/s12888-016-1014-3] [PMID] [PMCID]##S. Shin, J. H., Roh, D., Lee, D. H., Kim, S. W., Kim, S. W., & Cho, J. H., et al. (2018). Allergic rhinitis and rhinosinusitis synergistically compromise the mental health and health-related quality of life of Korean adults: A nationwide population-based survey. Plos One, 13(1), 1-8. [DOI:10.1371/journal.pone.0191115] [PMID] [PMCID]##Sikorska-Szaflik, H., & Sozańska, B. (2020). Quality of life in allergic rhinitis: Children's and their parents' perspective in polish urban and rural population. Health and Quality of life Outcomes, 18(1), 64. [DOI:10.1186/s12955-020-01315-1] [PMID] [PMCID]##Skevington, S. M., Lotfy, M., O'Connell, K. A., & WHOQoL Group. (2004). The World Health Organization's WHOQoL-BREF Quality of Life assessment: Psychometric properties and results of the international field trial. A report from the WHOQoL group. Quality of Life Research, 13(2), 299–310. [DOI:10.1023/B:QURE.0000018486.91360.00] [PMID]##Szramka-Pawlak, B., Hornowska, E., Walkowiak, H., & Zaba, R. (2014). Hope as a psychological factor affecting quality of life in patients with psoriasis. Applied Research in Quality of Life, 9(2), 273-283 [DOI:10.1007/s11482-013-9222-1] [PMID] [PMCID]##Tas, H. I., & Caglar, O. (2019). The role of anxious temperament in patients with allergic rhinitis. Saudi Medical Journal, 40(1), 45-51. [DOI:10.15537/smj.2019.1.23754] [PMID] [PMCID]##Tsiakiris, G., Neely, G., Lind, N., & Nordin, S. (2017). Comorbidity in allergic asthma and allergic rhinitis: Functional somatic syndromes. Psychology, Health & Medicine, 22(10), 1163-1168. [DOI:10.1080/13548506.2016.1276606] [PMID]##Uçal, Y. O., Tansuker, H. D., Bakım, B., Yıldırım, Ö., Sözen, E., & Coşkun, B. U. (2017). Psychiatric analysis of treatment-resistant allergic rhinitis and evaluation of the effects of antidepressant use. ENT Updates, 7(1), 9-16. [DOI:10.2399/jmu.2017001010]##Wang, L. X., Yang, Z. C., Kang, Z. P., Di, L. L., Tan, Y., & Peng, X. B., et al. (2021). Improvement in psychological condition of patients with persistent moderate-severe allergic rhinitis by drug therapy combined with psychological intervention. Ear, Nose & Throat Journal, 100(5), 1-7. [DOI:10.1177/0145561320902859] [PMID]##Xi, L., Zhang, Y., Han, D., Zhang, L., Han, D., & Noh, H. (2012). Effect of asthma, aeroallergen category, and gender on the psychological status of patients with allergic rhinitis. Journal of Investigational Allergology and Clinical Immunology, 22(4), 264–269. [PMID]##Xiaofei, L., Xi, L., Zhang, L., Han, D., Imboden, J. B., & Kang, Z. P. (2015). [Effects of nasal symptoms on the psychological statuses of adults with moderate-to-severe persistent allergic rhinitis (Chinees)]. Journal of Clinical Otorhinolaryngology, Head, and Neck Surgery, 29(3), 219-222. [PMID]##Zhang, T., Yu, G. D., Gu, P., Tang, Q., Jin, Y., & He, X. C. (2020). [Evaluation and analysis of anxiety, depression and quality of life in vasomotor rhinitis (Chinese)]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 55(8), 769-773. [PMID]## ##

Impact of Object Relations Couple Therapy on Marital Intimacy of Divorce Applicant Couples With High-leveL Borderline Personality Organization: A Pilot Study Considering the Moderating Role of Executive Functions 2 2 Objective: Recently, the stability of marriages and the proper communication between couples has become more difficult. Therefore, exploring the impacts of relevant clinical interventions in resolving marital conflicts seems crucial. This study investigates the effectiveness of object relations couple therapy on marital intimacy of divorce applicant couples with high-level borderline personality organization while considering the moderating role of executive functioning. Methods: Using a quasi-experimental design, a sample of 90 volunteers was selected from all couples seeking a divorce and referred to counseling centers in Tehran City, Iran. All participants were screened by Structured Interview of Personality Organization (STIPO). A final sample of 38 individuals with high-level personality organization was randomly divided into control and experimental groups. After dropping the sample, 11 couples remained in the experimental group and 8 in the control group. Participants in the experimental group received 14 sessions of object relations couple therapy, while the control group remained on the waiting list. The Wisconsin Card Classification Test (WCST) and Thompson and Walker’s marital intimacy scale were administered on pre- and post-intervention occasions as well. The data were analyzed by a multivariate analysis of covariance. Results: Significant positive effects were found on marital intimacy in the post-intervention stage (P<0.001). Significantly, better results were also evident for couples with higher executive function scores (P<0.001). Conclusion: It could be concluded that object relation couple therapy could promote the marital intimacy of couples with high-level borderline personality organization, and executive functioning could moderate the therapeutic effects. 141 152 2021/04/112021/12/132022/01/162022/01/172021/10/5 1400/7/13 2022/02/262022/02/262022/05/72022/06/62022/02/6 1400/11/17 Sahereh Safavi Sahereh Safavi Department of Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. Iran s.safavi24@yahoo.com shahrokh Makvand Hosseini shahrokh Makvand Hosseini Department of Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. Iran shmakvand@semnan.ac.ir Parvaneh Mohammadkhani Parvaneh Mohammadkhani Department of Clinical Psychology, Faculty of Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. Iran pa.mohammadkhani@uswr.ac.ir Parviz Sabahi Parviz Sabahi Department of Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. Iran p_sabahi@semnan.ac.ir Object relations couple therapy High-level borderline personality organization Marital intimacy Executive functions Ahmadi, Z., Ahmadi, S. A., & Fatehizadeh, M. (2006). [ Evaluation of effectiuevens of brief object-ralation couple therapy on couples' communication patterns (Persian)]. Journal of Family Research, 2(6), 117-105. [Link]##Caligor, E., Kernberg, O. F., & Clarkin, J. F. (2007). Handbook of dynamic psychotherapy for higher level personality pathology. Washington: American Psychiatric Publishing. [Link] ##Cavallaro, R., Cavedini, P., Mistretta, P., Bassi, T., Angelone, S., & Ubbiali, A., et al. (2003). Basal-corticofrontal circuits in schizophrenia and obsessive-compulsive disorder. Biological Psychiatry, 54(4), 437-443. [DOI:10.1016/S0006-3223(02)01814-0]##Clarkin, J. F., Caligor, E., Stern, B., & Kernberg, O. F. (2007). Structured interview of personality organization. Personality disorders institute, Weil Medical College of Cornell University. https://borderlinedisorders.com/structured-interview-of-personality-organization.php##Clarkin, J. F., Caligor, E., Stern, B., & Kernberg, O. F. (2017). Structured interview for personality organization-revised (STIPO-R). New York City :Weill Cornell Medical College.[Link]##Clarkin, J. F., Caligor, E., Stern, B. L., & Kernberg, O. F. (2019). Manual for the structured interview of personality organization-revised (STIPO-R). Unpublished manuscript, Weill Cornell Medical College. https://www.borderlinedisorders.com/assets/STIPORmanual.July2021.pdf. ##Dandurand, C., & Lafontaine, M. F. (2013). Intimacy and couple satisfaction: The moderating role of romantic attachment. International Journal Of Psychological Studies, 5(1), 74-90. [DOI:10.5539/ijps.v5n1p74]##Davoudvandi, M., Navabinejad, S., & Farzad, V. [The effectiveness of emotionally focused couple therapy in improving marital adjustment and couples’ intimacy (Persian)]. Quarterly Journal of Family and Research, 15(1), 39-56. [Link] ##Doering, S., Burgmer, M., Heuft, G., Menke, D., Baumer, B., & Lubking, M., et al. (2013). Reliability and validity of the German version of the Structured Interview of Personality Organization (STIPO). BMC Psychiatry, 13, 2010. [DOI:10.1186/1471-244X-13-210] [PMID] [PMCID]##Donovan, J. M. (2003). Short-term object relations couple therapy: The five-step model. Oxfordshire: Brunner-Routledge. [Link]##Ghasemi, N., Kiani, A. R., Zerehposh, A., Rabiei, M., & Vakili N. (2012). [The study of the differences of attention bias, executive functioning, and reaction time of amphetamine consumers in comparison of non consumers (Persian)]. Research on Addiction, 6(23), 53-64. [Link] ##Glick, I. D., Rait, D. S., Heru, A. M., & Ascher, M. (2015). Couples and family therapy in clinical practice. New York: Wiley. [Link] ##Habibi Asgarabad, M., & Hajiheidari, Z. (2015). [A qualitative study for investigating the reasons of sexual infidelity of couples who have asked for divorce in family court (Persian)]. Journal of Family Research, 11(42), 165-186. [Link] ##Haghighi, H., Zarei, E., & Qaderi, F. (2012).[ Factor structure and psychometric characteristics conflict resolution styles Questionnaire Rahim (Roci-Ii) In Iranian Couples (Persian)]. Family Counseling and Psychotherapy Quarterly, 1(4), 534-561. [Link] ##Haning, R. V., O'Keefe, S. L., Randall, E. J., Kommor, M. J., Baker, E., & Wilson, R. (2007). Intimacy, orgasm likelihood, and conflict predict sexual satisfaction in heterosexual male and female respondents. Journal of Sex & Marital Therapy, 33(2), 93-113. [PMID]##Hill, A. (2008). Predictors of relationship satisfaction: The link between cognitive flexibility, compassionate love, and level of differentiation. Los Angeles: Alliant International University, California School of Professional Psychology, Los Angeles. [Link] ##Honarparvaran, N. (2017). [The effectiveness of integrated approach imago therapy and object relationship to controlling emotions couples treacherous (Persian)]. Journal of Psychological Models and Methods, 8(27), 28-15. [Link] ##Houseini, F., Vakili, P., & Abolmaalialhosseini, K. (2021). [Comparison of the effectiveness of couple therapy based on object relationships and solution-oriented couple therapy on the emotional expression of spouses with marital conflict (Persian)]. Applied Family Therapy, 2(1), 108-125. [Link] ##Isazadegan, A., & Dostalizadeh, S. (2020). [Comparing the cognitive flexibility, cognitive fusion, cognitive defusion in male and female divorce applicants (Persian)]. Scientific Journal of Nursing, Midwifery and Paramedical Faculty, 5(4), 15-26. [Link] ##Isquith, P. K., Roth, R. M., & Gioia, G. (2013). Contribution of rating scales to the assessment of executive functions. Applied Neuropsychology. Child, 2(2), 125-132. [PMID]##Jahanbakhshian, N., Rasouli, M., Tajikesaeili, A., & Sarami Foroushani, G. R. (2019). [Comparison of the effect of group therapy based on family systems theory and short-term object relations couple therapy on the women’s marital intimacy. (Persian)]. Nursing and Midwifery Journal, 17(3), 213-226. [Link] ##Johnson, J. L., Kim, L. M., Giovannelli, T. S., & Cagle, T. (2010). Reinforcement sensitivity theory, vengeance, and forgiveness. Personality and Individual Differences, 48(5), 612-616. [DOI:10.1016/j.paid.2009.12.018]##Kamalian, T., Mirzahoseini, H., & Monirpoor, N. (2020). [Comparison of the effectiveness of emotional schema therapy with self-differentiation method on marital burnout in women (Persian)]. Journal of Applied Psychology, 14(1), 9-33. [Link]##Kernberg, O. F., & Caligor, E. (2005). A psychoanalytic theory of personality disorders. In M. F. Lenzenweger, & J. F. Clarkin (Eds.), Major theories of personality disorder (pp. 114–156). New York: Guilford Press. [Link] ##Kerr, M. (2013). Family Evaluation 1st ed. W. W. Norton & Company; 1er edición (17 Octubre 1988). New York: Norton. https://www.amazon.com/Family-Evaluation-Michael-Kerr/dp/0393700569.##Koesten, J., Schrodt, P., & Ford, D. J. (2009). Cognitive flexibility as a mediator of family communication environments and young adults’ well-being. Health Communication, 24(1), 82-94. [PMID]##Landucci, J., & Foley, G. N. (2014). Couples therapy: Treating selected personalitydisordered couples within a dynamic therapy framework. Innovations in Clinical Neuroscience, 11(3-4), 29-36. [PMID] ##Lavner, J. A., Karney, B. R., & Bradbury, T. N. (2016). Does couples’ communication predict marital satisfaction, or does marital satisfaction predict communication? Journal of Marriage and Family, 78(3), 680-694. [PMID] [PMCID]##Leonidou, L. C., Aykol, B., Spyropoulou, S., & Christodoulides. P. (2019). The power roots and drivers of infidelity in international business relationships. Industrial Marketing Management, 78, 198-212. [DOI:10.1016/j.indmarman.2017.03.003]##Lezak, G. F., Lezak, M. D., Hannay, J., Fischer, J. S., Howieson, D. B., & Loring, D. W., et al. (2004). Neuropsychological assessment. Oxford: Oxford University Press. [Link] ##Mashayekh, F. M., & Asgarian, M. (2019). [Relationship between couples’ intimacy and positive thinking with cognitive flexibility among married women (Persian)]. Quarterly Journal of Social Work, 8(2), 56-64. [Link] ##Mobassem, S., Delavar, A., Karami, A., Sanai, B., & Shafiabadi, A. (2013). [Evaluating the effectiveness of intensive short-term dynamic psychotherapy in decreasing marital conflict in women (Persian)]. Quarterly of Clinical Psychology Studies, 9, 102-81. [Link] ##Momeni, K., Kavoosi, S., & Amani R. (2015). [Predicting marital commitment on the basis of differentiation of self, family adaptability and cohesion, and marital intimacy (Persian)]. Family Pathology, Counseling and Enrichment Journal, 1(2), 46-58. [Link]##Mousavi, S., Fatehizadeh, M., & Jazayeri, R. S. (2018). [The effect of couple training based on personality-systemic couple ‎therapy ‎model on marital adjustment (Persian)]. Journal of Research in Cognitive and Behavioral Sciences, 7(2), 83-106. [DOI:10.22108/CBS.2017.86698.0]##Poulton, J. L. (2012). Object relations and relationality in couple therapy: The middle ground. Maryland: Jason Aronson, Incorporated. [Link]##Randolph, J. J., & Chaytor, N. S. (2013). Promoting the executive functions: Core foundations, assessment considerations, and practical applications. In J, Randolph (Eds.), Positive neuropsychology: Evidence-based perspectives on promoting cognitive health. New York: Springer. [DOI:10.1007/978-1-4614-6605-5_5]##Rao, L. S. (2017). Marital adjustment and depression among couples. The International Journal of Indian Psychology, 4(2), 34-42. [DOI:10.25215/0402.045]##Scharff, D. E., & Scharff, J. S. (2014). Psychoanalytic couple therapy: Foundations of theory and practice. Oxfordshire: Taylor & Francis. [Link]##Schmeichel, B. J., & Tang, D. (2015). Individual differences in executive functioning and their relationship to emotional processes and responses. Current Directions in Psychological Science, 24(2), 93-98. [DOI:10.1177/0963721414555178]##Shaker Dolaq, A., Afrooz, Gh. A., Narimani, M., & Emamipour, S. (2014). [The effectiveness of couple therapy short-term thematic relationships on improving the family performance of couples seeking divorce (Persian)]. Journal of Behavioral Sciences, 8(2), 123-130. [Link]##Shedler, J. (2010). The efficacy of psychodynamic psychotherapy. The American Psychologist, 65(2), 98–109. [PMID]##Sheikh Zeineddin, H., Farrokhi, N., & Abbaspoor Azar, Z. (2018). [Mediating role of psychological capital in the relationship between personality features with marital adjustment in students (Persian)]. Quarterly of Applied Psychology, 12(3), 439-462. [Link]##Siegel, J. P. (2020). Digging deeper: An object relations couple therapy update. Family Process, 59(1), 10-20. [PMID]##Solomon, B. C., & Jackson, J. J. (2014). Why do personality traits predict divorce? Multiple pathways through satisfaction. Journal of Personality and Social Psychology, 106(6), 978-996. [PMID]##Stern, B. L., Caligor, E., Clarkin, J. F., Critchfield, K. L., Horz, S., & MacCornack, V., et al. (2010). Structured Interview of Personality Organization (STIPO): Preliminary Psychometrics in a clinical sample. Journal of Personality Assessment, 92(1), 35-44. [DOI:10.1080/00223890903379308] [PMID]##Zareinejad, Z., Pourhossein, R., & Rahiminejad, A. (2017). [Assessment of mediatory role defense styles in the relationship between ego development and marital satisfaction (Persian)]. Journal of Psychological Sciences, 16(61), 6-19. [Link]## ##

Identifying the Effective Psychologically Motivational Factors in Neuromarketing: A Systematic Review 2 2 Objective: The role of unconscious factors in the motivational process, both in decision making and education, has increasingly been noticed. The effectiveness of commercial, non-commercial, and educational messages, as well as the structures of educational advertisements in neuromarketing, are discussed because the advertising audience has complex emotions. It is essential to determine the impact of motivational factors. In this regard, the present systematic review study was conducted to identify motivational factors related to the effectiveness of neuromarketing advertising. Methods: In this systematic review study, English full-text articles published on Science Direct, Scopus, Google Scholar, and Emerald databases from 1990 to 2021 were searched with the keywords of “neuromarketing”, “commercial and non-commercial messages”, “ad effectiveness”, “behavior”, and “attitude”. Afterward, the qualified articles were reviewed. Results: Firstly, 900 articles were identified from different databases, of which 300 met the inclusion criteria. A total of 210 articles were deleted because they lacked experimental studies. Accordingly, 90 articles were selected for the final review. In total, 37 factors were identified related to the effectiveness of advertising in neuromarketing. Conclusion: The two most influential factors in the research were attention and positive emotions. The greatest emphasis on the effectiveness of advertising is on attention-drawing stimuli and provoking positive emotions. Memory and negative emotions were identified as two other critical factors among the influencing factors. 153 164 2021/04/112021/12/132022/01/162022/01/172021/10/52022/03/2 1400/12/11 2022/02/262022/02/262022/05/72022/06/62022/02/62022/06/22 1401/4/1 Hooman Amiri Hooman Amiri Department of Business Administration, Payame Noor University, Tehran, Iran. Iran hoomanamiri123@gmail.com Ali Ghorbani Ali Ghorbani Department of Business Administration, Payame Noor University, Tehran, Iran. Iran ghorbani02@pnu.ac.ir Mirza Hassan Hosseini Mirza Hassan Hosseini Department of Business Administration, Payame Noor University, Tehran, Iran. Iran ri.hosseini@yahoo.com Ali Akbar Jowkar Ali Akbar Jowkar Department of Business Administration, Payame Noor University, Tehran, Iran. Iran jowkar.aliakbar@gmail.com Advertising Neuromarketing Consumers’ attitude Systematic review Alden, D. L., Mukherjee, A., & Hoyer, W. D. (2000). Extending a contrast resolution model of humor in television advertising: The role of surprise. Humor - International Journal of Humor Research, 13(2), 193-218. [DOI:10.1515/humr.2000.13.2.193]##Alonso Dos Santos, M., Lobos, C., Muñoz, N., Romero, D., & Sanhueza, R. (2017). The influence of image valence on the attention paid to charity advertising. Journal of Nonprofit & Public Sector Marketing, 29(3), 346-363. [DOI:10.1080/10495142.2017.1326355]##Ambler, T., Kokkinaki, F., & Puntoni, S. (2004). Assessing marketing performance: reasons for metrics selection. Journal of Marketing Management, 20(3-4), 475-98. https://www.tandfonline.com/doi/abs/10.1362/026725704323080506##Behe, B. K., Bae, M., Huddleston, P. T., & Sage, L. (2015). The effect of involvement on visual attention and product choice. Journal of Retailing and Consumer Services, 24, 10-21. https://www.sciencece/article/abs/pii/S096969891500003X##Bellman, S., Nenycz-Thiel, M., Kennedy, R., Larguinat, L., McColl, B., & Varan, D. (2017). What makes a television commercial sell? using biometrics to identify successful ads: Demonstrating neuromeasures potential on 100 mars brand ads with single-source data. Journal of Advertising Research, 57(1), 53-66. [DOI:10.2501/JAR-2016-051]##Bettiga, D., Bianchi, A. M., Lamberti, L., & Noci, G. (2020). Consumers emotional responses to functional and hedonic products: A neuroscience research. Frontiers in Psychology, 11, 2444. [DOI:10.3389/fpsyg.2020.559779] [PMID] [PMCID]##Bojorque, A. P. V., Pacheco, A. E. N., Stefos, E., Carchipulla, M. M. G., & Peralta, M. C. B. (2019). The effectiveness of applying storytelling in advertising spots. Proceedings on Engineering Sciences, 1(2), 945-58.‌ https://pure.ups.edu.ec/en/publications/the-effectiveness-elling-in-advertising-spots##Cartocci, G., Cherubino, P., Rossi, D., Modica, E., Maglione, A. G., & Di Flumeri, G., et al. (2016). Gender and age related effects while watching TV advertisements: An EEG study. Computational Intelligence and Neuroscience, 2016, 2016, 3795325. [DOI:10.1155/2016/3795325] [PMID] [PMCID]##Chandwaskar, P. (2018). TLP for Product and Brand Management 2019-2020. http://hdl.handle.net/123456789/3396##Erdemir, A. S. (2015). Neuromarketing in Turkey: Optimization strategies for establishing emotional appeal and heightening advertising effectiveness. European Journal of Research on Education, 9. https://scholar.google.com/scholar?hl=en&as_sdt=0%2Cq=%2C+A.+S.+%282015%29##Jiang, H., Tan, H., Liu, Y., Wan, F., & Gursoy, D. (2020). The impact of power on destination advertising effectiveness: The moderating role of arousal in advertising. Annals of Tourism Research, 83, 102926.‌ https://www.sciencedirect.com/science/article/abs/pii/S0160738320300700##Hsieh, P. H. (2018, July). The importance of online transaction textual labels for making a purchasing decision–an experimental study of consumers’ brainwaves. In International Conference on Human Interface and the Management of Information (pp. 83-97). Springer, Cham. https://link.springer.com/chapter/10.1007/978-3-319-92046-7_8##Ghprbani, A., Gharehbiglo, H., & Payman, F. (2017). [Design of costumer attraction model with neural marketing approach in bank (Persian)]. Quarterly Journal of Public Organizations Management, 5(3), 131-140. [Link]##ghorbani, A., farhat, M., & Omranzadeh, E. (2021). [Designing marketing research model in social media (Persian)]. New Media Studies, 7(27). [DOI 10.22054/NMS.2021.25449.315]##Golnar-Nik, P., Farashi, S., & Safari, M. S. (2019). The application of EEG power for the prediction and interpretation of consumer decision-making: A neuromarketing study. Physiology & Behavior, 207, 90-98. [DOI:10.1016/j.physbeh.2019.04.025] [PMID]##González-Morales, A. (2020). Right evaluation of marketing stimuli with neuroscience. An electroencephalography experiment. Computers in Human Behavior Reports, 2, 100030. [DOI:10.1016/j.chbr.2020.100030]##Gordon, R., Ciorciari, J., & van Laer, T. (2018). Using EEG to examine the role of attention, working memory, emotion, and imagination in narrative transportation. European Journal of Marketing, 52(1), 92-117. [DOI:10.1108/EJM-12-2016-0881]##Guixeres, J., Bigné, E., Ausín Azofra, J. M., Alcañiz Raya, M., Colomer Granero, A., & Fuentes Hurtado, F., et al (2017). Consumer neuroscience-based metrics predict recall, liking and viewing rates in online advertising. Frontiers in Psychology, 8, 1808. [DOI:10.3389/fpsyg.2017.01808] [PMID] [PMCID]##Ghorbani, Ali, Amirhasari, Sara. (2017). Designing a medical marketing model using thematic analysis method. BusinessManagement, 10(38), 37-58. https://nmrj.ui.ac.ir/article_17709.htmlhttp:/nmrj.ui.ac.ir/_25227.html?lang=en##Kaklauskas, A., Bucinskas, V., Vinogradova, I., Binkyte-Veliene, A., Ubarte, I., & Skirmantas, D., et al. (2019). Invar neuromarketing method and system. Studies in Informatics and Control, 28(3), 357-370. [DOI:10.24846/v28i3y201912]##Kotler, P., & Keller, K. L. (2016). Marketing management. England: Pearson.##Kolev, D. (2019). Neuromarketing and application of swLORETA qEEG during decision making process. International Journal on Information Technologies & Security, 11(1). http://ijits-bg.com/contents/IJITS-No1-2019/2019-N1-05.pdf##Krishna, A. (2012). An integrative review of sensory marketing: Engaging the senses to affect perception, judgment and behavior. Journal of Consumer Psychology, 22(3), 332-51. https://doi.org/10.1016/j.jcps.2011.08.003##Levrini, G., Schaeffer, C. L., & Nique, W. (2019). The role of musical priming in brand recall. Asia Pacific Journal of Marketing and Logistics, 32(5), 1112-1131. [DOI:10.1108/APJML-04-2019-0231]##Li, S. (2019). Emotional appeals in tourism TV commercials: A psycho-physiological study. Journal of Hospitality & Tourism Research, 43(6), 783-806. [DOI:10.1177/1096348019828440]##Lim, W. M. (2018). Demystifying neuromarketing. Journal of Business Research, 91, 205-220. https://www.sciencedirect.com/science/article/abs/pii/S0148296318302716##Macdonald, S., van den Heiligenberg, F., Makin, T., & Culham, J. (2017). Videos are more effective than pictures at localizing tool-and hand-selective activation in fMRI. Journal of Vision, 17(10), 991. https://jov.arvojournals.org/article.aspx?articleid=2651864##Martínez-Fiestas, M., Del Jesus, M. I. V., Sánchez-Fernández, J., & Montoro-Rios, F. J. (2015). A psychophysiological approach for measuring response to messaging: How consumers emotionally process green advertising. Journal of Advertising Research, 55(2), 192-205. [DOI:10.2501/JAR-55-2-192-205]##Mateusz, P. (2018). EEG in analysis of the level of interest in social issue advertising. Procedia Computer Science, 126, 1945-53. https://doi.org/10.1016/j.procs.2018.08.056##Mateusz, P. (2018). EEG in analysis of the level of interest in social issue advertising. Procedia Computer Science, 126, 1945-1953. [DOI:10.1016/j.procs.2018.08.056]##Minkin, V., Myasnikova, E., & Nikolaenko, Y. (2019). Conscious and unconscious responses as independent components of a person’s current psychophysiological state. Chief editorial board, 47. http://www.psymaker.com/downloads/ppt/2/EnglishEdition/SecondVIEngEd.pdf#page=47##Mostafa, M. M. (2020). Neural correlates of fear appeal in advertising: An fMRI analysis. Journal of Marketing Communications, 26(1), 40-64. https://www.tandfonline.com/doi/abs/10.1080/13527266.2018.1497680##Ohme, R., Matukin, M., & Szczurko, T. (2010). Neurophysiology uncovers secrets of TV commercials. Der markt, 49(3-4), 133-142. [DOI:10.1007/s12642-010-0034-7]##Ozkara, B. Y., & Bagozzi, R. (2021). The use of event related potentials brain methods in the study of conscious and unconscious consumer decision making processes. Journal of Retailing and Consumer Services, 58, 102202. https://www.sciencedirect.com/sccle/abs/pii/S0969698919315632##Pilelienė, L., & Grigaliūnaitė, V. (2016). Effect of visual advertising complexity on consumers attention. International Journal of Management, Accounting and Economics, 3(8), 489-501. [Link]##Pozharliev, R., Verbeke, W. J., & Bagozzi, R. P. (2017). Social consumer neuroscience: Neurophysiological measures of advertising effectiveness in a social context. Journal of Advertising, 46(3), 351-362. [DOI:10.1080/00913367.2017.1343162]##Randolph, A. B., & Pierquet, S. (2015, January). Bringing advertising closer to mind: using neurophysiological tools to understand student responses to super bowl commercials. In 2015 48th Hawaii International Conference on System Sciences (pp. 517-522). IEEE. https://ieeexplore.ieee.org/abstract/document/7069717/##Reeves, B., & Thorson, E. (1986). Watching television: Experiments on the viewing process. Communication Research, 13(3), 343-361. https://journals.sagepub.com/doi/abs/10.1177/009365086013003004##Royo, M., Chulvi, V., Mulet, E., & Galán, J. (2018). Users’ reactions captured by means of an EEG headset on viewing the presentation of sustainable designs using verbal narrative. European Journal of Marketing, 52(1/2), 159-181. [DOI:10.1108/EJM-12-2016-0837]##Shestyuk, A. Y., Kasinathan, K., Karapoondinott, V., Knight, R. T., & Gurumoorthy, R. (2019). Individual EEG measures of attention, memory, and motivation predict population level TV viewership and Twitter engagement. Plos One, 14(3), e0214507. [DOI:10.1371/journal.pone.0214507] [PMID] [PMCID]##Singh, S. N., & Hitchon, J. C. (1989). The intensifying effects of exciting television programs on the reception of subsequent commercials. Psychology & Marketing, 6(1), 1-31. [DOI:10.1002/mar.4220060102]##Vecchiato, G., Cherubino, P., Maglione, A. G., Kong, W., Hu, S., & Wei, D., et al. (2012). Comparison of cognitive and emotional cerebral variables in Eastern subjects watching TV advertisements: A case study. International Journal of Bioelectromagnetism, 14(3), 127-132. [Link]##Venkatraman, V., Dimoka, A., Pavlou, P. A., Vo, K., Hampton, W., & Bollinger, B., et al (2015). Predicting advertising success beyond traditional measures: New insights from neurophysiological methods and market response modeling. Journal of Marketing Research, 52(4), 436-452. [DOI:10.1509/jmr.13.0593]##Wang, R. W., Chang, Y. C., & Chuang, S. W. (2016). EEG spectral dynamics of video commercials: Impact of the narrative on the branding product preference. Scientific Reports, 6(1), 1-11. [DOI:10.1038/srep36487] [PMID] [PMCID]##Wawrzyniak, A., & Wąsikowska, B. (2016). The study of advertising content with application of EEG. In: K. Nermend, & M. Łatuszyńska (Eds), Selected Issues In Experimental Economics, (pp. 333-353). Cham: Springer. [DOI:10.1007/978-3-319-28419-4_21]##Wolf, H. G., & Donato, P. (2019). Six-second advertisements on television: Best practices for capturing visual attention. Journal of Advertising Research, 59(2), 196-207. [DOI:10.2501/JAR-2019-012]##Yang, T., Lee, D. Y., Kwak, Y., Choi, J., Kim, C., & Kim, S. P. (2015). Evaluation of TV commercials using neurophysiological responses. Journal of Physiological Anthropology, 34(1), 1-11. [DOI:10.1186/s40101-015-0056-4] [PMID] [PMCID]##Zhang, W., Jin, J., Wang, A., Ma, Q., & Yu, H. (2019). Consumers’ implicit motivation of purchasing luxury brands: An EEG study. Psychology Research And Behavior Management, 12, 913. [DOI:10.2147/PRBM.S215751] [PMID] [PMCID]##Zhou, S., Yin, Y., Yu, T., Stupple, E. J., & Luo, J. (2018). Exploring the experience of novelty when viewing creative adverts: An ERP study. Frontiers in Psychology, 9, 471. [DOI:10.3389/fpsyg.2018.00471] [PMID] [PMCID]##Zubair, M., Wang, X., Iqbal, S., Awais, M., & Wang, R. (2020). Attentional and emotional brain response to message framing in context of green marketing. Heliyon, 6(9), e04912. [DOI:10.1016/j.heliyon.2020.e04912] [PMID] [PMCID]## ##

Object Relations and Core Conflictual Relationship Theme in Patients With Major Depression and Normal Individuals 2 2 Objective: The present study aims to evaluate the object relations and core conflictual relationship theme in depressed patients while comparing them with normal individuals. Methods: Thirty people with major depressive disorder and thirty normal individuals were selected using the convenience sampling method via structured clinical interviews (SCID-I & SCID-II) and the psychiatric symptoms checklist (SCL-90-R) based on inclusion and exclusion criteria. Bell Object Relations Inventory (BORI) and Central Relationship Questionnaire (CRQ) were used to investigate the study variables. The data were analyzed by multivariate variance analysis. Results: The multivariate analysis of variance showed a significant difference between the depressed and the normal groups in the four subscales of object relationships (egocentricity, insecure attachment, social incompetence, and alienation). Findings of the Central Relationship Questionnaire (CRQ) indicate that depressed patients in all three components of wishes (higher tendency toward aggression and reluctance to intimacy), the response from the other (RO) (perception of significant others being annoying and not receiving love from them) and the Response of Self (RS) (distance and a lack of sense of independence and success) had a significant difference and a higher mean compared to the normal group. Conclusion: The findings of this study indicated that the style of object relationships and some core conflictual relationship themes in depressed patients is pathological, and these patients can be treated by identifying these styles and themes in therapeutic interventions. 165 176 2021/04/112021/12/132022/01/162022/01/172021/10/52022/03/22022/01/1 1400/10/11 2022/02/262022/02/262022/05/72022/06/62022/02/62022/06/222022/02/2 1400/11/13 Ala Ghapanchi Ala Ghapanchi Department of Clinical Psychology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Iran a.ghapanchie@gmail.com Abbas Masjedi-Arani Abbas Masjedi-Arani Department of Clinical Psychology, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Iran d.masjediarani@sbmu.ac.ir Fahimeh Fathali Lavasani Fahimeh Fathali Lavasani Department of Clinical Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran. Iran Mohammad Kazem Atef Vahid Mohammad Kazem Atef Vahid Department of Health Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Mental Health Research Center, Iran University of Medical Sciences, Tehran, Iran. Iran Major depressive disorder Object relations Core conflictual relationship theme Ainsworth, M. S., & Bowlby, J. (1991). An ethological approach to personality development. American Psychologist, 46(4), 333-341. [DOI:10.1037/0003-066X.46.4.333]##Andrade, J., Takeshita, J., Kunasegaran, V., Hurtwitz, E., Li, D., & Geobert, D. (2015). Comorbidity of depression with heart disease among adults seen in emergency departments in a large Asian-American and Pacific Islander sample, 2000-2010. Psychotherapy & Psychosomatics, 84, 2-3.##American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders: DSM-5. Virginia: American Psychiatric Association. [Link]##Bagheriyazdi, A., Bolhari, J., & Shahmohammad, D. (1994). [An epidemiological study of psychological disorders on a rural area (Meibod, Yazd) in Iran (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology, 1(1), 32-41. [Link]##Bakhtiari, M. (2000). Epidemiology of mental disorder in body dismorphic disorder [MSc. thesis]. Tehran: Iran University of Medical Sciences]. https://centlib.iums.ac.ir/site/catalogue/71252##Crits-Christoph, P., & Barber, J. P. (1995). Dynamic therapies for psychiatric disorders (Axis I). New York: Basic Books. [Link]##Barber, J. P., Foltz, C., & Weinryb, R. M. (1998). The Central Relationship Questionnaire: Initial report. Journal of Counseling Psychology, 45(2), 131-142. [DOI:10.1037/0022-0167.45.2.131]##Becker, E. W., & Lesiak, W. J. (1977). Feelings of hostility and personal control as related to depression. Journal of Clinical Psychology, 33(3), 654-657. [DOI:10.1002/1097-4679(197707)33:3<654::AID-JCLP2270330310>3.0.CO;2-B]##Bell, M., Billington, R., & Becker, B. (1986). A scale for the assessment of object relations: Reliability, validity, and factorial invariance. Journal of Clinical Psychology, 42(5), 733-741. [DOI:10.1002/1097-4679(198609)42:5<733::AID-JCLP2270420509>3.0.CO;2-C]##Blatt, S. J., & Homann, E. (1992). Parent-child interaction in the etiology of dependent and self-critical depression. Clinical Psychology Review, 12(1), 47-91. [DOI:10.1016/0272-7358(92)90091-L]##Busch, F. N., Rudden, M., & Shapiro, T. (2016). Psychodynamic treatment of depression. Washington, D.C: American Psychiatric Association Publishing. [Link] ##Crits-Christoph, P., Demorest, A., Muenz, L. R., & Baranackie, K. (1994). Consistency of interpersonal themes for patients in psychotherapy. Journal of Personality, 62(4), 499-526. [DOI:10.1111/j.1467-6494.1994.tb00307.x] [PMID]##de Matos, A. C. (2020). The problem of melancholia in the work of Fairbairn. In P. Frederico, & D. E. Scharff (Eds.), Fairbairn and relational theory (pp. 55-72). London: Routledge. [DOI:10.4324/9780429474521] ##Derogatis, L. R. (1992). SCL-90-R: Administration, scoring & procedures manual-II for the (revised) version and other instruments of the psychopathology rating scale series. Clinical Psychometric Research., 1-16. https://www.scirp.org/(S(lz5mqp453edsnp55rrgjct55))/reference/ReferencesPapers.aspx?ReferenceID=1656144##Derogatis, L. R., Rickels, K., & Rock, A. F. (1976). The SCL-90 and the MMPI: A step in the validation of a new self-report scale. The British Journal of Psychiatry: The Journal of Mental Science, 128, 280–289. [DOI:10.1192/bjp.128.3.280] [PMID]##Evraire, L. E., & Dozois, D. J. (2011). An integrative model of excessive reassurance seeking and negative feedback seeking in the development and maintenance of depression. Clinical Psychology Review, 31(8), 1291–1303. [DOI:10.1016/j.cpr.2011.07.014] [PMID]##Fang, N. (2020). Depression reconsidered in Fairbairn’s object relations theory. Psychodynamic Practice, 26(1), 20-33. [DOI:10.1080/14753634.2020.1713202]##First, M. B., & Gibbon, M. (2004). The structured clinical interview for DSM-IV Axis I Disorders (SCID-I) and the structured clinical interview for DSM-IV Axis II Disorders (SCID-II). In M. J. Hilsenroth & D. L. Segal (Eds.), Comprehensive handbook of psychological assessment, Vol. 2. Personality assessment (pp. 134–143). New York: Wiley. [Link]##Flory, J. D., & Yehuda, R. (2015). Comorbidity between post-traumatic stress disorder and major depressive disorder: Alternative explanations and treatment considerations. Dialogues in Clinical Neuroscience, 17(2), 141-150. [PMID] ##Fonagy, P., Gergely, G., & Target, M. (2007). The parent-infant dyad and the construction of the subjective self. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 48(3-4), 288–328. [DOI:10.1111/j.1469-7610.2007.01727.x] [PMID]##Freud, S. (1958). The dynamics of transference. In: Standard edition of the complete psychological works of Sigmund Freud, Volume XII (1911-1913): The case of Schreber, papers on technique and other works (pp. 97-108). https://www.google.com/books/edition/Standard_Edition_of_the_Complete_Psychol/9sNWnQAACAAJ?hl=en##Gara, M. A., Woolfolk, R. L., Cohen, B. D., Goldston, R. B., Allen, L. A., & Novalany, J. (1993). Perception of self and other in major depression. Journal of Abnormal Psychology, 102(1), 93-100. [PMID]##Glasofer, D. R., Brown, A. J., & Riegel, M. (2015). Structured clinical interview for DSM-IV (SCID). In T. Wade (Eds.), Encyclopedia of feeding and eating disorders(pp. 1-4). Singapore: Springer. [DOI:10.1007/978-981-287-087-2_80-1]##Goldman, L., & Haaga, D. A. (1995). Depression and the experience and expression of anger in marital and other relationships. The Journal of Nervous and Mental Disease, 183(8), 505–509. [PMID]##Grenyer, B. F. S. (2002). Mastering relationship conflicts: Discoveries in theory, research, and practice. Washington, D.C: American Psychological Association. [DOI:10.1037/10419-000]##Grenyer, B. (2018). Revising the diagnosis of personality disorder: Can it be single, clinical and factorial. Australian and New Zealand Journal of Psychiatry, 52(2), 202-203. [PMID]##Hames, J. L., Hagan, C. R., & Joiner, T. E. (2013). Interpersonal processes in depression. Annual Review of Clinical Psychology, 9, 355-377. [PMID]##Hegarty, B. D., Marceau, E. M., Gusset, M., & Grenyer, B. (2020). Early treatment response in psychotherapy for depression and personality disorder: Links with core conflictual relationship themes. Psychotherapy Research, 30(1), 112-123. [PMID]##Herbert, G. L., McCormack, V., & Callahan, J. L. (2010). An investigation of the object relations theory of depression. Psychoanalytic Psychology, 27(2), 219-234. [DOI:10.1037/a0019423]##Huprich, S. K., Porcerelli, J. H., Binienda, J., Karana, D., & Kamoo, R. (2007). Parental representations, object relations and their relationship to depressive personality disorder and dysthymia. Personality and Individual Differences, 43(8), 2171-2181. [DOI:10.1016/j.paid.2007.06.030]##Joiner, T. E. (2000). Depression’s vicious scree: Self-propagating and erosive processes in depression chronicity. Clinical Psychology: Science and Practice, 7(2), 203-218. [DOI:10.1093/clipsy.7.2.203]##Kader Maideen, S. F., Sidik, S. M., Rampal, L., & Mukhtar, F. (2014). Prevalence, associated factors and predictors of depression among adults in the community of Selangor, Malaysia. PloS One, 9(4), e95395. [PMID] ##Kang, H. J., Kim, S. Y., Bae, K. Y., Kim, S. W., Shin, I. S., & Yoon, J. S., et al. (2015). Comorbidity of depression with physical disorders: research and clinical implications. Chonnam Medical Journal, 51(1), 8–18. [PMID] ##Kendell, R. E. (1970). Relationship between aggression and depression: Epidemiological implications of a hypothesis. Archives of General Psychiatry, 22(4), 308-318. [DOI:10.1001/archpsyc.1970.01740280020005] [PMID]##Larsson, B., Ingul, J., Jozefiak, T., Leikanger, E., & Sund, A. M. (2016). Prevalence, stability, 1-year incidence and predictors of depressive symptoms among Norwegian adolescents in the general population as measured by the Short Mood and Feelings Questionnaire. Nordic Journal of Psychiatry, 70(4), 290-296. [PMID]##Levy, K. N., Kivity, Y., Johnson, B. N., & Gooch, C. V. (2018).Adult attachment as a predictor and moderator of psychotherapy outcome: A meta‐analysis. Journal of Clinical Psychology, 74(11), 1996-2013. [PMID]##Leyhe, T., Reynolds, C. F., 3rd, Melcher, T., Linnemann, C., Klöppel, S., & Blennow, K., et al. (2017). A common challenge in older adults: Classification, overlap, and therapy of depression and dementia. Alzheimer's & Dementia: The Journal of the Alzheimer's Association, 13(1), 59–71. [PMID]##Lizardi, H., & Klein, D. N. (2005). Long-term stability of parental representations in depressed outpatients utilizing the Parental Bonding Instrument. The Journal of Nervous and Mental Disease, 193(3), 183–188. [PMID]##Lobbestael, J., Leurgans, M., & Arntz, A. (2011). Inter‐rater reliability of the Structured Clinical Interview for DSM‐IV Axis I disorders (SCID I) and Axis II disorders (SCID II). Clinical Psychology & Psychotherapy, 18(1), 75-79. [PMID]##Lubbe, T. (2010). Object relations in depression: A return to theory. London: Routledge. [DOI:10.4324/9780203832172]##Luborsky, L., & Crits-Christoph, P. (1998). Understanding transference: The core conflictual relationship theme method. Washington, D.C: American Psychological Association. [DOI:10.1037/10250-000]##McCarthy, K. S., Connolly Gibbons, M. B., & Barber, J. P. (2008). The relation of rigidity across relationships with symptoms and functioning: An investigation with the revised central relationship questionnaire. Journal of Counseling Psychology, 55(3), 346–358. [PMID]##Mikocka-Walus, A., Knowles, S. R., Keefer, L., & Graff, L. (2016).Controversies revisited: A systematic review of the comorbidity of depression and anxiety with inflammatory bowel diseases. Inflammatory Bowel Diseases, 22(3), 752–762. [PMID]##Mojtabai, R., Olfson, M., & Han, B. (2016). National Trends in the Prevalence and Treatment of Depression in Adolescents and Young Adults. Pediatrics, 138(6), e20161878. [PMID]##Obegi, J. H., & Berant, E. (2010). Attachment theory and research in clinical work with adults. Guilford Publications. https://www.google.com/books/edition/Attachment_Theory_and_Research_in_Clinic/eCiWkaJgzyMC?hl=en&gbpv=0##Orbach, S. (2008). Democratising Psychoanalysis. Chapter 2. Clarke, S., Hahn, H., & Hoggett, P. Object Relations and Social Relations: The Implications of the Relational Turn in Psychoanalysis. London: Taylor & Francis. https://www.google.com/books/edition/Object_Relations_and_Social_Relations/YCZTDwAAQBAJ?hl=en##Reiter, S., Emodi-Perlman, A., Goldsmith, C., Friedman-Rubin, P., & Winocur, E. (2015). Comorbidity between depression and anxiety in patients with temporomandibular disorders according to the research diagnostic criteria for temporomandibular disorders. Journal of Oral & Facial Pain & Headache, 29(2), 135–143. [DOI:10.11607/ofph.1297] [PMID]##Richards, D. (2011). Prevalence and clinical course of depression: A review. Clinical Psychology Review, 31(7), 1117–1125. [DOI:10.1016/j.cpr.2011.07.004] [PMID]##Santini, Z. I., Koyanagi, A., Tyrovolas, S., Mason, C., & Haro, J. M. (2015). The association between social relationships and depression: A systematic review. Journal of Affective Disorders, 175, 53-65. [DOI:10.1016/j.jad.2014.12.049] [PMID]##Sartorius, N. (2017). Comorbidity of depression and diabetes: Questions recently answered and raised. European Psychiatry, 41(S1), S62. [DOI:10.1016/j.eurpsy.2017.01.054]##Segrin, C. (2015). Interpersonal processes in psychological problems. New York: Guilford Publications. [Link]##Sengupta, P., & Benjamin, A. I. (2015). Prevalence of depression and associated risk factors among the elderly in urban and rural field practice areas of a tertiary care institution in Ludhiana. Indian Journal of Public Health, 59(1), 3-8. [DOI:10.4103/0019-557X.152845] [PMID]##Sharifi, V., Assadi, S. M., Mohammadi, M. R., Amini, H., Kaviani, H., & Semnani, Y., et al. (2009). A Persian translation of the Structured Clinical Interview for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition: Psychometric properties. Comprehensive Psychiatry, 50(1), 86–91. [DOI:10.1016/j.comppsych.2008.04.004] [PMID]##Shooshtari, M. H., Davari-Ashtiani, R., Shahrivar, Z., Shabani, A., Semnani, Y., & Kaviani, H., et al. (2007). Structured clinical interview for DSM-IV (SCID Persian translation and cultural adaptation). Iranian Journal of Psychiatry, 2(1), 46-48. [Link]##Silva, M. T., Galvao, T. F., Martins, S. S., & Pereira, M. G. (2014). Prevalence of depression morbidity among Brazilian adults: A systematic review and meta-analysis. Revista brasileira de psiquiatria (Sao Paulo, Brazil: 1999), 36(3), 262–270. [DOI:10.1590/1516-4446-2013-1294] [PMID]##Summers, F. (2014). Object relations theories and psychopathology: A comprehensive text. New York: Routledge. [DOI:10.4324/9781315803395]##Taubner, S., Kessler, H., Buchheim, A., Kächele, H., & Staun, L. (2011). The role of mentalization in the psychoanalytic treatment of chronic depression. Psychiatry, 74(1), 49-57. [DOI:10.1521/psyc.2011.74.1.49] [PMID]##Twomey, H. B., Kaslow, N. J., & Croft, S. (2000). Childhood maltreatment, object relations, and suicidal behavior in women. Psychoanalytic Psychology, 17(2), 313-335. [DOI:10.1037/0736-9735.17.2.313]##Ugochukwu, O. C., Donald, C. C., & Chukwuemeka, S. P. (2016). Comorbidity of alcohol use disorder and depression among patients attending a tertiary hospital in the Niger Delta region of Nigeria. American Journal of Psychiatry and Neuroscience, 4(3), 38-42. [DOI:10.11648/j.ajpn.20160403.11]##Vilagut, G., Forero, C. G., Barbaglia, G., & Alonso, J. (2016). Screening for depression in the general population with the center for epidemiologic studies depression (CES-D): A systematic review with meta-analysis. PloS One, 11(5), e0155431. [PMID] ##Weinryb, R. M., Barber, J. P., Foltz, C., Göransson, S. G., & Gustavsson, J. P. (2000). The central relationship questionnaire (CRQ): Psychometric properties in a Swedish sample and cross-cultural studies. The Journal of Psychotherapy Practice and Research, 9(4), 201-212. [PMID] ##Weiss, H., & Lang, H. (2000). Object relations and intersubjectivity in depression. American Journal of Psychotherapy, 54(3), 317-328. [PMID]##Young, J. E., Klosko, J. S., & Weishaar, M. E. (2006). Schema therapy: A practitioner’s guide. New York: Guilford Publications.##Zemore, R., & Rinholm, J. (1989). Vulnerability to depression as a function of parental rejection and control. Canadian Journal of Behavioural Science / Revue Canadienne des Sciences du Comportement, 21(4), 364-376. [DOI:10.1037/h0079844]## ##

Effectiveness of Schein’s Theory Based Counseling and Constructivism-based Training Approach on Protean Career Orientation 2 2 Objective: In a world where the phenomenon of job loss is rapidly spreading, the desire to continuously invest in a protean career orientation is essential for it leads to saving human, social, and psychological capital. The purpose of this study is to compare the effectiveness of Schein’s theory-based counseling and constructivist counseling on the orientation of protean career orientations of contract employees of an industrial company. Methods: The current research method was quasi-experimental with a pretest-posttest design with a control group. The participants of the present study included all contract employees of an industrial company, 36 of whom were selected by random sampling method and randomly assigned to two experimental groups and one control group (12 people in each group). The experimental groups underwent Schein’s theory-based counseling and constructivism-based training for 8 sessions per week. The data were collected using the various career attitude questionnaire and were analyzed by analysis of covariance and the Bonferroni pairwise comparison test. Results: The findings showed that Schein’s theory-based counseling and the training based on the constructivist approach are effective in shaping various career orientations of contract employees. Also, there is no significant difference between the two types of intervention. Conclusion: According to the findings of this study, both types of training, depending on the situation, can be used by organizations and industries to increase the orientation of various career orientations of employees. 177 184 2021/04/112021/12/132022/01/162022/01/172021/10/52022/03/22022/01/12022/02/2 1400/11/13 2022/02/262022/02/262022/05/72022/06/62022/02/62022/06/222022/02/22022/02/22 1400/12/3 Abed Majidi Abed Majidi Department of counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran. Iran abed.majidi@gmail.com Mohammad Reza Abedi Mohammad Reza Abedi Department of counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran. Iran m.r.abedi@edu.ui.ac.ir Fatemeh Samiee Fatemeh Samiee Department of counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran. Iran f.samiee@edu.ui.ac.ir Parisa Nilforooshan Parisa Nilforooshan Department of counseling, Faculty of Education and Psychology, University of Isfahan, Isfahan, Iran. Iran p.nilforooshan@edu.ui.ac.ir Protean career orientation Constructivism Schein’s theory-based counseling Abdolhosseini, H., Nilforooshan, P., Abedi, M. R., & Hosseinian, S. (2016). [Effect of career counseling method based on social-cognitive theory, constructive, motivational on students’ career engagement (Persian)]. Counseling Culture and Psycotherapy, 7(26), 133-154. [DOI:10.22054/QCCPC.2016.6736]##Amini Shalamzari, R., & Nilforoshan, P. (2020). Investigating the factor structure, validity and reliability of the scale of various career path attitudes. Scientific Quarterly of Consulting Research, 18(72), 4-29. [DOI:10.29252/jcr.18.72.4]##Briscoe, J. P., & Hall, D. T. (2006). The interplay of boundaryless and protean careers: Combinations and implications. Journal of Vocational Behavior, 69(1), 4-18. [DOI:10.1016/j.jvb.2005.09.002]##Chui, H., Li, H., & Ngo, H. Y. (2022). Linking protean career orientation with career optimism: Career adaptability and career decision self-efficacy as mediators. Journal of Career Development, 49(1), 161-173. [DOI:10.1177/0894845320912526]##Esfandiari Bayat, D., Asadpour, J., Mohsenzadeh, F., & Kasaee, A. R. (2021). [Comparison of the effectiveness of group counseling with rational-emotional-behavioral approach (REBT) and acceptance and commitment based treatment (ACT) on the forgiveness of women affected by marital infidelity (Persian)]. Psychological Sciences, 97(20), 139-148. [Link]##Gubler, M., Arnold, J., & Coombs. C. (2014). Reassessing the protean career concept: Empirical findings, conceptual components, and measurement. Journal of Organizational Behavior 35(s1), S23-S40. [DOI:10.1002/job.1908]##Hall, D.T., & Marvis, P. H. (1995). The new career contact developing the whole person at midlife and beyond. Journal of Vocational Behavior, 47(3), 45-67. https://www.sciencedirect.com/science/article/pii/S0001879185700048##Hirschi, A., & Koen, J. (2021). Contemporary career orientations and career self-management: A review and integration. Journal of Vocational Behavior, 126, 103505. [DOI:10.1016/j.jvb.2020.103505]##Li, Y. (2018). Linking protean career orientation to well-being: The role of psychological capital. Career Development International, 23(2), 178-196. [DOI:10.1108/CDI-07-2017-0132]##Matoori, H., Abedi, M., & Nilforoshan, P. (2021). [Job meaning and mental well-being: The mediating role of job satisfaction (Persian)]. Scientific Quarterly of Consulting Research. 19(73), 145-169. [DOI:10.29252/jcr.19.73.145]##Rink, F., & Ellemers, N. (2007). Diversity as a basis for shared organizational identity: The norm congruity principle. British Journal of Managment. 18(s1), s27-s18. [DOI:10.1111/j.1467-8551.2007.00523.x]##Samiee, F. (2022). [Prediction of objective and subjective career success by career anchors among lawyers and Jurists (Persian). Journal of Psychological Science, 20(107), 1979-1992. [DOI:10.52547/JPS.20.107.1979]##Savickas, M. L. (2016). Reflection and reflexivity during life-design interventions: Comments on career construction counseling. Journal of Vocational Behavior, 97, 84-89.[DOI:10.1016/j.jvb.2016.09.001]##Savickas, M. L., & Porfeli, E. J. (2016). Career adapt-abilities scale-USA form: Psychometric properties and relation to vocational identity. Journal of Vocational Behavior, 80(1), 748-753. [DOI:10.1016/j.jvb.2012.01.009]##Savickas, M. L., Porfeli, E. J., Hilton, T. L., & Savickas, S. (2018). The student career construction inventory. Journal of Vocational Behavior, 106(1), 138-152. [DOI:10.1016/j.jvb.2018.01.009]##Scent, C. L., & Boes, S. R. (2014). Acceptance and commitment training: A brief intervention to reduce procrastination among college students. Journal of College Student Psychotherapy, 28(2), 144–156. [DOI:10.1080/87568225.2014.883887]##Tokar, D. M., Savickas, M. L., & Kaut, K. P. (2020). A test of the career construction theory model of adaptation in adult workers with Chiari malformation. Journal of Career Assessment, 28(3), 381-401. [DOI:10.1177/1069072719867733]##Wong, S., & Wee, Y. (2019). Job autonomy, job feedback and protean career among employees in Malaysian electrical and electronic industry: The mediating roles of career strategies. International Journal of Business and Society, 20(1), 311-328. [Link]##Yousefzadeh, I., Abedi, M. R., & Nilforoshan, P. (2022). [Study of indigenous characteristics of people with diverse orientations in Iran and their comparison with entrepreneurs (Persian)]. Career and Organizational Counseling, 13(3), 127-150. [Link]## ##