Journal of School of Public Health and

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Background and Aim: This study aimed to improve the symptoms of children with obsessive-compulsive disorder (OCD), relationships between parents and children, and marital satisfaction using the family-based cognitive-behavioral therapy (CBT).
 Materials and Methods: This was a quasi-experimental pretest-posttest research. The statistical population was all of the 9- to 12-year-old school students suffering from OCD who had consulted the Psychological and Consultation Services Center during academic year 2015-2016 in the city of Tehran. A sample of 28 students selected randomly were assigned to an experimental and a control group. The following questionnaires were completed initially (pre-test) and finally (post-test): 1. Questionnaires completed by the mothers of the children: the Spence Anxiety Scale-Parent Form, the Parent-Child Relationship Questionnaire and the Afrooz Marital Satisfaction Questionnaire (short form); 2. The questionnaires completed by the children: the Spence Children's Anxiety Scale. The intervention program was designed based on CBT and included 22 sessions, eight group sessions for mothers, eight individual play therapy sessions for children, and two specific sessions for each family.

Results: Data analysis using multivariate analysis of covariance showed that family-based cognitive-behavioral therapy was effective in improving marital satisfaction and parent-child interaction as well as reducing child anxiety (p <0.01).

Conclusion: Based on the findings, it can be concluded that family-based cognitive-behavioral therapy intervention may lead to improved relationship between parents and children with obsessive-compulsive disorder and marital satisfaction, as well as reduced anxiety of these children and their parents. 

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Background and Aim: The purpose of this study was to determine the effectiveness of cognitive behavioral therapy on cognitive flexibility and executive functioning in epilepsy patients.
Materials and Methods: This research was a semi-experimental study with a pre-test and post-test format with a control group. The statistical population was all girls aged 7 to 14 years with epilepsy in Mazandaran province, Iran. The statistical sample included 40 girls (20 in the experimental group and 20 in the control group) selected by the available sampling method and randomly assigned in the two groups. The data collection tools were Dennis et al.'s Cognitive Flexibility (2010) and Coolidge's (2002) Executive Function questionnaires. Data analysis was done using SPSS software version 26.
Results: Multivariate analysis of covariance (MANCOVA) showed that the cognitive behavioral training program had a direct effect on cognitive flexibility and executive functioning of the girls with epilepsy. The effect on cognitive flexibility (F=5.44 (35,1)) and executive functioning (F=2.73 (1,35)) was significantly different at the 0.001 level (P>0.01).
Conclusion: It is concluded that cognitive behavioral therapy has an effect on the cognitive flexibility and executive functioning of epilepsy patients, and the patients affected by cognitive behavioral therapy improve their cognitive flexibility and executive functions.