درخت حوزه‌های تخصصی

 Objective: Irritable bowel syndrome is a chronic psychosomatic disease. Stressful events play a critical role in this disease, and lifestyle modification is one of the treatment priorities for these patients. The present study aimed to examine the role of health-enhancing lifestyles among stressful life events and salutogenic health indicators in these patients. Method: Data analysis was done by structural equation modeling. The statistical population included all patients with irritable bowel syndrome referred to Imam Sajjad Hospital in Tehran in 2019 and 2020. The statistical sample was 229 patients selected through Purposive sampling and diagnosed by a psychiatrist based on ROME-IV criteria. Research tools included the Bringsen Salutogenic Health Indicators Scale, Sarason Life Events Inventory, and Walker HealthPromoting Lifestyle Profile-II. Data analysis was done by SPSS-20 and LISREL-8 software. Ethical considerations based on confidentiality, respect for the rights of individuals, human dignity, and avoiding harming the participants and distorting information were observed. Also Participants had full authority to withdraw from the study at any time. Results: The relationship between lifestyle (t=2.723, ß=0.17) and stressful events (t=-2.31, ß=-0.42) with salutogenic health indicators was significant. The mediating role of lifestyle between life events and salutogenic health indicators was meaningful at P<005 and a standard coefficient (0.0-13.11). Conclusion: It seems that lifestyle and control over stressful events affect the health indicators of patients with irritable bowel syndrome. Therefore, it is suggested to provide appropriate training programs to control and manage stressful events and provide strategies to modify lifestyle to improve health. 

Marital infidelity is a deeply damaging interpersonal event that triggers cognitive, emotional, and behavioral responses in the affected spouse. This study aimed to examine the reactions and cognitive-behavioral-emotional coping mechanisms of women facing marital infidelity. The research methodology employed was applied both in its objective and qualitatively in its execution. The study sample comprised 18 women residing in Herat City, Afghanistan, who had experienced spousal infidelity and sought counseling in the year 2021. They were purposively selected and interviewed using a semi-structured approach. The interviews were analyzed using Braun and Clarke's (2021) thematic analysis method which resulted in the identification of three main themes chaos (initial reactions), involvement (secondary reactions), and revival, 11 subthemes (behavioral, psychological-emotional, mental, and psychosomatic response, changing circumstances, involvement in activities, companionship, adaptation, seeking therapy, self-care, and coerced continuation of the relationship) and 114 primary codes. The research findings indicated that the cognitive-behavioral-emotional process of Afghan women facing marital infidelity unfolds in three stages: chaos (initial reactions), involvement (secondary reactions), and revival. Furthermore, it was observed that affected women exhibit varied behaviors at each stage and undergo different emotions and thoughts. Factors such as the manner of infidelity disclosure, quality of marital relationship, religious beliefs, social and familial support, societal perspectives, limitations in choice, lifestyle, and the presence of children play significant roles in shaping their cognitive-behavioral-emotional responses. The practical implications of this research findings can be beneficial for counselors working with Afghan couples dealing with marital infidelity. Keywords: Behavioral-emotional reactions, Marital infidelity, Women, Afghanistan