Objective: For patients with treatment-resistant schizophrenia (TRS) who do not respond to drug therapy, electroconvulsive therapy (ECT) is often employed as an additional treatment. The aims of the present study were to investigate to what extent an 8-day daily ECT treatment might reduce symptoms of schizophrenia among patients with TRS both in the short term (end of the treatment) and medium term, that is 4 and 12 weeks after the treatment. Methods: Fourteen patients with TRS based on DSM-5 criteria took part in the present study. ECT consisted of daily sessions for 8 consecutive days. At baseline, at the end of the intervention, and 4 and 12 weeks after study completion, trained psychiatrists assessed the patients’ disease severity (positive and negative symptoms; psychopathology) and cognitive functions. Results: Disease symptoms (positive and negative symptoms; psychopathology) became reduced from baseline to the end of the intervention and to 4 weeks after treatment. Twelve weeks after the intervention symptoms again increased. Cognitive functions decreased from baseline to the end of the study and 4 weeks after treatment. However, by 12 weeks after the intervention, cognitive functions had returned to baseline levels. Conclusion: The pattern of results suggests that an intensive 8-day daily course of ECT reduced psychiatric symptoms (positive and negative symptoms, psychopathology) in both the short and medium term among patients with TRS. The increase in symptoms between 4 and 12 weeks following intervention suggests that booster sessions of ECT could be beneficial.
The aim of the present study was to explore the extent to which the combination of the Big Five personality traits and adult attachment styles are associated with a broad array of divorce adjustment (DA) indicators. A total of 200 Iranian divorced women took part in the study. Participants completed a series of self-rating questionnaires covering socio-demographic, the Big Five, adult attachment styles, and indicators of DA. The results showed that higher levels of the Big Five (with neuroticism reverse-coded) were collectively associated with higher levels of feeling of self-worth, disentanglement of love relationships (DLRS), social self-worth, rebuilding of social trust, lower levels of symptoms of grief, and feelings of self-anger. Higher levels of secure attachment were associated with higher levels of self-worth and DLRS. Lower levels of ambivalent attachment were associated with higher levels of DLRs, rebuilding of social trust, and lower levels of grief symptoms and feeling of self-anger. The role of Iranian culture on post-DA is discussed.
Research suggests that multiple psychological factors are associated with divorce adjustment (DA). However, the mechanisms by which these factors affect DA lack clarity. Accordingly, this study examined associations between attachment styles and divorce adjustment with self-compassion as a potential mediator. Cultural context of DA is considered. A total of 304 Iranian divorced women completed a series of self-rating questionnaires covering levels of adult attachment styles, self-compassion components, and indicators of divorce adjustment. Higher scores of attachment security and lower levels of attachment anxiety and avoidance were associated with higher levels of divorce adjustment and self-compassion, and higher levels of self-compassion were associated with better DA. Through Confirmatory Factor Analyses and Structural Equation Modeling, the trimmed model showed that self-compassion partially mediated attachment anxiety and fully mediated attachment avoidance as predictors of poorer divorce adjustment (or greater maladjustment, based on feelings of self-worth, grief, and self-anger subscales of DA). Self-compassion appears to be a key factor in how Iranian women adjusted to divorce, particularly those women with insecure adult attachment styles. Cultivating self-compassion could be an effective way to help counter negative attachment patterns. The role of Iranian cultural characteristics in perceptions and stress related to marriage and post-divorce adjustment is discussed.
ObjectiveThis study examined whether the association between the Big Five personality dimensions and postdivorce adjustment (PDA) was mediated by Neff's concept of self‐compassion.BackgroundResearch on marital psychology suggests that multiple psychological factors are associated with PDA. However, the mechanisms by which these factors affect PDA have received much less attention. Accordingly, in the current study, the potential mediation effect of self‐compassion was investigated. Cultural context of PDA is considered.MethodA total of 334 divorced Iranian women took part in the study. Participants completed a sociodemographic survey, including the Ten‐Item Personality Inventory (TIPI), the Self‐Compassion Scale–Short Form (SCS‐SF), and Fisher's Divorce Adjustment Scale (FDAS).ResultsCorrelational analyses and structural equation modeling showed a significant positive association of self‐compassion with self‐reported measures of the positive factors of PDA (feeling of self‐worth, disentanglement from love relationships, social self‐worth, and rebuilding social trust), and the personality traits of emotional stability, extraversion, and conscientiousness. There also was a significant negative association with the negative factors of PDA (symptoms of grief and feeling of self‐anger) and the personality traits of agreeableness, and openness to experience. Self‐compassion significantly predicted variation in positive psychological health beyond that attributable to personality; it partially mediated the relationship between personality and postdivorce adjustment.ConclusionsPersonality appears to relate to postdivorce adjustment through self‐compassion. The role of Iranian cultural characteristics in perceiving the magnitude of stress resulting from divorce, and postdivorce adjustment is discussed.ImplicationsEnhancing self‐compassion among divorced Iranian women seems to be a worthwhile approach to divorce counseling.
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