18 1735-4315 Iran University of Medical Sciences and Health Services 2572 Psychiatry and Psychology The Effectiveness of Group Metacognitive Therapy on Metacognitive Components and Resiliency of Women with Multiple Sclerosis Shareh Hossein b Asgharkhah Elaheh c b Hakim Sabzevari University c Clinical Psychology Department, Islamic Azad University-Neyshabur Branch 1 5 2016 22 1 3 16 18 09 2016 18 09 2016 Objectives: This study aimed to investigate the effectiveness of group metacognitive therapy on metacognitive components and resiliency of women with multiple sclerosis. Method: This semi-experimental study was carried out using pretest- posttest design with a control group and a two-step follow-up. From among all the patients with multiple sclerosis referred to the MS Society in Khorasan-e-Razavi in 2015, 30 individuals were selected via convenience sampling method and were randomly assigned to experimental and control groups. The experimental group received group metacognitive therapy for eight weeks while the control group attended the usual sessions of the MS Society. Metacognition Questionnaire-30 (MCQ-30) and Connor and Davidson Resiliency Scale (CD-RISC) were used at pretest, posttest and follow-ups. The data were analyzed using analysis of variance with repeated measures. Results: The results indicated that group metacognitive therapy leads to a significant improvement in all metacognitive components (p<0.001) and a significant increase in resiliency (p<0.001). This result was maintained after one- and three-month follow-ups. Conclusion: Group metacognitive therapy can improve metacognitions and resilience of women with multiple sclerosis.
2569 Psychiatry and Psychology The Mediating Role of Cognitive Fusion in Explaining the Relationship between Emotional Dysregulation with Anxiety and Depression: A Transdiagnostic Factor Akbari Mehdi d Mohamadkhani Shahram e Zarghami Firouzeh f d Clinical Psychology Department, Faculty of Psychology and Educational, Kharazmi University e Kharazmi University f Shahed University 1 5 2016 22 1 17 29 18 09 2016 18 09 2016 Objectives: The aim of the present study was to investigate the mediating role of cognitive fusion in the relationship of emotional dysregulation with anxiety and depression. Method: 543 students from Tehran University completed Cognitive Fusion Questionnaire (CFQ), Difficulties in Emotion Regulation Scale (DERS), Beck Anxiety Inventory (BAI) and Beck Depression Inventory-II (BDI-II). The data were analyzed using Pearson correlation and hierarchical multiple regression analysis. Results: All variables were correlated with each other significantly (p<0.001). The hierarchical multiple regression analysis showed that cognitive fusion has a complete mediating role in the relationship between emotional dysregulation and intensity of anxiety (ß= 0.84, p<0.001) and depression (ß= 0.79, p<0.001). Also Sobel’s test results confirmed the mediating role of cognitive fusion for anxiety (z=6.35, p<0.0001) and depression (z=5.11, p<0.001) Conclusion: Cognitive fusion is a mediating variable in the relationship between emotional dysregulation with anxiety and depression. When this variable is controlled, the relationships between emotional dysregulation with anxiety (ß=0.09, p>0.05) and depression (ß=0.07, p>0.05) are no longer significant. 2567 Psychiatry and Psychology The Effect of Forgiveness Training on the Level of Respect to Spouse and Marital Satisfaction in Women with Marital Problems Derakhtkar Ali g Ahangarkani Mohammad h g Semnan University h . Department of Psychology, Semnan University 1 5 2016 22 1 30 38 18 09 2016 18 09 2016 Objectives: The aim of the present research was to determine the effect of forgiveness training on respect to spouse and marital satisfaction in women with marital problems. Method: This is an experimental study with pre-and post-test and follow-up with a control group. The population consisted of all the married women referred to Babol city counselling center. The sample included 30 married women selected using convenience sampling method and after matching were randomly assigned to either experimental or control group. Both groups completed the respect to spouse and marital satisfaction questionnaires at pre-and post-test, and follow-up. The experimental group received forgiveness training for six 90-minute sessions and control at group were placed on a waiting list and received no intervention. Data were analyzed using multivariate analysis of covariance (MANCOVA). Results: The results showed a significant effect of forgiveness training on promotion of respect to spouse and marital satisfaction in experimental group compared to controls at post- test and at four-month follow-up (p<0.001). Conclusion: Forgiveness training as a cognitive behavioral approach through changing the individual’s cognition and behavior has an important role in improving couples’ relations. 2571 Psychiatry and Psychology Cognitive Emotion Regulation Strategies, Anxiety and Impulsivity in Bipolar Disorder with and without Comorbid Obsessive-CompulsiveDisorder Hassani Jafar i Ariana Kia Elmira j i Department of Clinical Psychology, Faculty of Psychology and Education Kharazmi University j Kharazmi University 1 5 2016 22 1 39 49 18 09 2016 18 09 2016 Objectives: The high rate of comorbidity between bipolar and obsessive-compulsive disorders can be due to common transdiagnostic processes. Therefore, the aim of the present study was to determine the role of cognitive emotion regulation strategies (CERS), anxiety and impulsivity, in developing and maintaining bipolar and obsessive-compulsive disorders. Method: Twenty five patients with bipolar disorder (11 females and 14 males), 25 with comorbid bipolar disorder and obsessive-compulsive disorder (12 females and 13 males) and 25 healthy participants (13 females and 12 males) were selected using convenience sampling method. To collect the data, participants were administered Cognitive Emotion Regulation Questionnaire (CERQ-short), Impulsivity Questionnaire, and Beck Anxiety Inventory (BAI). Data were analyzed using multivariate analysis of variance. Results: Results showed that compared to healthy participants, patients with comorbid bipolar and obsessive-compulsive disorders use more self-blaming and other-blaming maladaptive cognitive emotion regulation strategies (p<0.01). Compared with normal subjects, both patient groups utilized more rumination and catastrophizing strategies, the scores of the patients with comorbid disorder were higher than bipolar patients without comorbid on these strategies disorder (p<0.01). Both patient groups used more adaptive positive refocusing strategies, reappraisal, and less putting into perspective compared to healthy controls(p<0.01). Also, both patient groups scored higher than healthy controls in anxiety, attentional/cognitive impulsivity, motor impulsivity and non-planning impulsiveness; while patients with comorbid disorder scored higher than patients with only bipolar disorder (p<0.01). Conclusion: Anxiety, impulsivity and some of the cognitive emotion regulation strategies (self-blaming, rumination, catastrophizing) are transdiagnostic processes and play critical roles in developing and maintaining bipolar disorder with and without obsessive-compulsive disorder. 2570 Psychiatry and Psychology Sleep Quality in Medical Residents and its Relationship with General Health Chegini Alireza k Ghale Bandi Mir Farhad l Alavi Kaveh m k Iran University of Medical Sciences l Mental Health Research Center, Tehran Institute of Psychiatry- School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences m Mental Health Research Center, Iran University of Medical Sciences 1 5 2016 22 1 50 57 18 09 2016 18 09 2016 Objectives: The purpose of this study was to determine the quality of sleep and its relationship with general health of first-and second-year medical residents of various specialties working in teaching centers affiliated with Iran University of Medical Sciences. Methods: This study was a cross-sectional and descriptive-analytical study. Of 1246 first- and second-year medical residents 330 (56.1% male, 43.9% female with mean age of 31.9) were selected randomly to participate in the study. The data collection instruments included a demographic questionnaire and habits of residents, the Pittsburgh Sleep Quality Index (PSQI), and the General Health Questionnaire-28 (GHQ-28). The data were analyzed using Pearson's correlation coefficient and multi-nominal logistic regression analysis. Results: Mean score of PSQI (±SD) of studied individuals was 6.9±0.5, (median 5). In total 200 persons (60.6%) had scores higher than 5 indicating undesirable sleep quality. Sleep quality scores had relatively strong correlation with subscales’ scores of anxiety and insomnia; and also with GHQ-28 total score (r<0.6; p<0.001). Of all background variables, 8 to 12 shifts per month (adjusted OR=3.360; 95% CI: 1.750 to 6.451) and more than 12 shifts per month (adjusted OR=2.020; 95% CI: 1.007 to 4.053) compared to fewer than 8 shifts per month, and poor general health in GHQ-28 (adjusted OR=9.141; 95% CI: 4.006 to 20.862) compared to adequate general health were related to higher probability of inadequate sleep quality. Conclusion: More than half of the first-and second-year residents were experiencing poor sleep quality and sleep quality had significant and inverse correlation with general health status and number of shifts per month. 2568 Psychiatry and Psychology Psychometric Properties of the Persian Version of the Children’s Loneliness Scale in Elementary School Girls in Kerman Anjomshoaa Bahareh n Ghanbari Saeed o Fallah zadeh Hajar p Khosh konesh Abolghasem n Shahid Beheshti o Shahid Beheshti University p Shahid Beheshti University Shahid Beheshti University 1 5 2016 22 1 58 66 18 09 2016 18 09 2016 Objectives: This study examined the psychometric properties of the Children’s Loneliness Scale among elementary school girls. Method: The statistical population consisted of elementary school girls in the city of Kerman (2013-2014), from which a sample of 320 students were selected using multistage cluster random sampling. For gathering data, Loneliness Scale to children and Child Behavioral Checklist were given to their mothers. Data were analyzed using Cronbach’s alpha, Pearson correlation, regression analysis, Split-half correlation, and test-retest. Results: In addition to face validity, the Children’s Loneliness Scale has high internal consistency (0.83) and item-total correlations showed that all items have acceptable correlation with the total score (0.20-0.57). Split-half and test-retest correlation coefficients were 0.73 and 0.76, respectively. Concurrent validity of the scale was confirmed by moderate correlations (0.18-0.25) with most of the internalizing subscales of Child Behavioral Checklist; and Loneliness was predicting factor for subscales of Child Behavioral Checklist. Conclusion: The Children’s Loneliness Scale in the community of the elementary school students in the city of Kerman has a good reliability and validity. 2574 Psychiatry and Psychology Psychometric Properties of Persian Version of Dirty Dozen Scale Yousefi Rahim Piri Faeze Azarbaijan Shahid Madani University, Islamic Azad University of Khoy 1 5 2016 22 1 67 76 18 09 2016 18 09 2016 Objectives: Dark triad is a new formulation of maladaptive personality that is composed of Machiavellianism, subclinical narcissism, and subclinical psychopathy. The aim of the current research was to study the psychometric properties of the short form of Dirty Dozen Scale among Iranian population. Method: In this cross sectional study, 300 university students in 2014-15 academic year were selected using stratified sampling method and were assessed by Dark Triad Scale, Narcissistic Personality Inventory-16 (NPI-16), Psychopathy scale of the Minnesota Multiphasic Personality Inventory (MMPI), and Machiavellianism Questionnaire (MACH-IV). Results: Factor analysis by principle component analysis extracted three components: narcissism, machiavellianism and psychopathy. Test-retest correlation coefficients for the total scale and its subscales ranged from 0.66 to 0.80. Internal consistency of the subscales ranged from 0.68 to 0.77. Also, correlation coefficients between total score of Dark Triad Scale and Narcissistic personality, psychopathy, and Machiavellianism were 0.57, 0.42, and 0.55, respectively. Finally, there was a significant difference between males, and females’ scores on Dark Triad components. Conclusion: Short form of Dirty Dozen Scale has suitable psychometric properties for Iranian population. 2595 Psychiatry and Psychology History of Tehran Psychiatric Institute 1 5 2016 22 1 77 80 16 11 2016 16 11 2016