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عضویت
فهرست مطالب نویسنده:

mohammadreza seyrafi

  • Nazli Tavakoli, Mohammadreza Seyrafi*, Mehdi Manouchehri, Abdolreza Norouzy, Gholamreza Sarami Foroushani
    Objective

    The study investigated the direct and indirect pathways between eating self-efficacy and emotional eating behavior in women with overweight and obesity, evaluating the parallel mediating roles of shame and guilt related to body and weight.

    Materials and Methods

    A total of 228 women between the ages of 18 and 70, with overweight and obesity (Body Mass Index≥ 25), were recruited through purposive sampling. Participants completed online questionnaires: Demographic Information Questionnaire (DIQ), Dutch Eating Behavior Questionnaire (DEBQ), Weight- and Body-Related Shame and Guilt Scale (WEB-SG), Weight Efficacy Lifestyle-Short Form (WEL-SF). Descriptive statistics and parallel mediation analysis (PROCESS model 4) with bootstrapping were used to test the hypothesized model. SPSS version 23 was used to analyze the data.

    Results

    Higher levels of eating self-efficacy were directly associated with the lower levels of emotional eating behavior (P< 0.001), and indirectly related to reduced emotional eating by decreased weight- and body-related shame and guilt (P< 0.05). Shame and guilt served as partial, parallel mediators. The model explained 39% of the variance in emotional eating behavior (R2= 0.39).

    Conclusion

    This study underscores the importance of addressing cognitive and emotional factors in interventions to improve eating behaviors and manage obesity in women, providing actionable insights for healthcare professionals and researchers.

    Keywords: Disordered Eating Behavior, Emotions, Self-Efficacy
  • Nazli Tavakoli, Mehdi Manouchehri*, Mohammadreza Seyrafi, Gholamreza Sarami Foroushani, Abdolreza Norouzy
    Objective

    This study aimed to investigate the concurrent relationships between weight self-stigma and disordered eating behaviors, mediated by weight- and body-related shame and guilt, fear of negative appearance evaluation, and eating self-efficacy, among women with overweight and obesity.

    Materials and Methods

    This study was a cross-sectional study. The sample consisted of 228 Iranian women, aged 18-70 years, with overweight and obesity (BMI≥ 25), who were purposively selected. Participants responded to online demographic questions and research measurement tools (Dutch Eating Behavior Questionnaire, Weight Self-Stigma Questionnaire, Weight- and Body-Related Shame and Guilt Scale, Weight Efficacy Lifestyle-Short Form, Fear of Negative Appearance Evaluation Scale). Statistical methods of descriptive statistics, Pearson correlation matrix, structural equation modeling and bootstrapping mediation analysis were used to analyze the data, through SPSS 23 and AMOS 23.

    Results

    The results showed that weight self-stigma had significant paths to all research variables in a structural model (P< 0.05). Furthermore, mediation analysis showed that eating self-efficacy mediated the relationships between weight self-stigma and emotional (P< 0.001), external (P< 0.001), and restrained eating behaviors (P< 0.002). Additionally, weight and body-related guilt mediated the relationship between weight self-stigma and restrained eating behavior (P< 0.001). Totally, the research model explained 14.9% of the variance of emotional and external eating behaviors, and 36.2% of the variance of restrained eating behavior.

    Conclusion

    The findings highlight the importance of considering weight self-stigma in obesity research. Additionally, improving eating self-efficacy and addressing guilt through psychological interventions are crucial for managing eating behaviors in this population.

    Keywords: Eating Disorders, Emotions, Obesity, Self Efficacy
  • Nazli Tavakoli, Mohammadreza Seyrafi *, Mehdi Manouchehri, Abdolreza Norouzy, Gholamreza Sarami Foroushani
    Introduction
    Obesity is a health concern with complex dimensions. This study aimed to investigate the predictive roles of psychological factors, including weight self-stigma, weight- and body-related shame and guilt, eating self-efficacy, and fear of negative appearance evaluation, on disordered eating behaviors in Iranian women with overweight and obesity. 
    Methods
    This descriptive cross-sectional research was carried out in 2020-2021 among 228 Iranian women, aged 18 to 70 years, with overweight and obesity who were selected by purposive sampling method. Data were collected through online standard questionnaires. SPSS-23 was used to analyze the data. 
    Results
    All the predictor variables had significant associations with disordered eating behaviors (P<0.05, P<0.01). In addition, the results of multiple regression analysis showed that eating self-efficacy was a predictor of emotional eating behavior (β = -0.534, P<0.001). Additionally, fear of negative appearance evaluation and eating self-efficacy were predictors of external eating behavior (βf = -0.416, βs-e = -0.416, P< 0.001). Moreover, weight and body related guilt and eating self-efficacy were predictors of restrained eating behavior (βg = 0.442, βs-e = 0.300, P< 0.001). 
    Conclusions
    These findings emphasize the importance of psychological variables in obesity. Specifically, self-efficacy, fear of negative evaluation, and guilt were important constructs in predicting disordered eating behaviors. Thus, in clinical weight loss programs, considering psychological treatments based on strengthening self-efficacy and self-compassion in this group is helpful to improve their healthy eating behaviors.
    Keywords: Eating Disorders, Guilt, Self Efficacy, Shame, Obesity
  • Mehdi. Razaghpour, Sadegh. Taghiloo*, Hamid. Sharifnia, Mohammad Reza. Seyrafi
    Objective

    Heart diseases, including coronary artery disease, are among the three main causes of death alongside cancer and stroke in most countries. The current study aimed to predict functional disability in functional somatic syndromes in patients with coronary artery disease based on personality traits and illness perception, considering the mediating role of self-care behavior.

    Methods and Materials: 

    This study, with applied objectives and a correlational research design, was conducted using the structural equation modeling approach. The statistical population included all patients with coronary artery disease in the city of Amol in the year 2022, from which 250 individuals were purposefully selected. Data collection tools included the World Health Organization Disability Assessment Schedule (2014), the McCrae and Costa Personality Traits Questionnaire (1985), the Illness Perception Questionnaire (2006), and the Self-Care Questionnaire (2003). The statistical technique used was structural equation modeling with full latent variables. SPSS version 26, AMOS version 24, and R version 4.2.0 software were used for statistical data analysis.

    Findings

    The results showed that all five personality dimensions, illness perception, and self-care significantly explain the variance in functional disability (P<0.01). Additionally, the mediating role of self-care behavior was significant in the relationship between functional disability and four personality dimensions: extraversion, openness to experience, agreeableness, conscientiousness, and illness perception (P<0.01).

    Conclusion

    It can be concluded that functional disability in functional somatic syndromes in patients with coronary artery disease can be predicted based on their personality traits and illness perception, taking into account the mediating role of self-care behavior.

    Keywords: Personality traits, Illness perception, Functional somatic syndrome, Coronary artery, Self-care behavior
  • آزاده یراقچی، فرهاد جمهری*، محمدرضا صیرفی، آدیس کراسکیان موجمباری، غلامرضا محمدی فارسانی
    زمینه و هدف

    چاقی به عنوان اختلالی مزمن و بسیار شایع، به صورت های مستقیم و غیرمستقیم با بیماری های زیادی همراه است و از زمینه های مهم مطالعاتی در روان شناسی سلامت به شمار می رود. پژوهش حاضر باهدف تعیین اثربخشی درمان بین فردی بر کاهش وزن و تنظیم شناختی هیجان در افراد مبتلا به چاقی انجام گرفت.

    روش بررسی

    این پژوهش، از نوع نیمه آزمایشی با پیش آزمون و پس آزمون همراه با گروه گواه بود. جامعه آماری پژوهش را افراد مبتلا به چاقی تشکیل دادند که از آذر تا بهمن 1396 برای کاهش وزن به کلینیک های تغذیه واقع در منطقه یک تهران مراجعه کردند. در این پژوهش 28 نفر از افراد داوطلب واجد شرایط با شاخص توده بدنی بیشتر از 29٫9 به روش نمونه گیری هدفمند انتخاب شدند و به طور تصادفی سیزده نفر در گروه آزمایش و پانزده نفر در گروه گواه قرار گرفتند. در ابتدای پژوهش آزمودنی ها پرسش نامه مشخصات جمعیت شناختی و پرسش نامه تنظیم شناختی هیجان (گارنفسکی و کرایج، 2007) را تکمیل کردند. همچنین شاخص توده بدنی افراد، در اولین و آخرین جلسه درمان سنجیده شد. شرکت کنندگان گروه آزمایش به مدت ده جلسه مداخله درمان بین فردی را دریافت کردند. در پایان جلسات درمانی، به طور مجدد پرسش نامه ها توسط تمامی آزمودنی ها تکمیل شد. روش آماری به کاررفته در این پژوهش، آزمون مجذورخی دومتغیری و تحلیل کوواریانس یک راهه تک متغیری بود.

    یافته ها

    یافته ها نشان داد، درمان بین فردی باعث کاهش شاخص توده بدنی (0٫001>p) و کاهش راهبردهای منفی تنظیم شناختی هیجان (0٫001>p) و افزایش راهبردهای مثبت تنظیم شناختی هیجان می شود (0٫001>p).

    نتیجه گیری

    پژوهش حاضر مشخص کرد، درمان گروهی بین فردی موجب کاهش وزن و افزایش تنظیم شناختی هیجان در افراد مبتلا به چاقی شده است؛ لذا به کارگیری این رویکرد درمانی در افراد مبتلا به چاقی توصیه می شود.

    کلید واژگان: چاقی، کاهش وزن، درمان بین فردی، تنظیم شناختی هیجان
    Azadeh Yaraghchi, Farhad Jomehri*, Mohammadreza Seyrafi, Adis Kraskian Mujembari, Gholamreza Mohammadi Farsani
    Background & Objectives

    Obesity, as a chronic and prevalent disorder, is directly and indirectly associated with many diseases. It is one of the most important fields of study in health psychology. In recent years, people with obesity have shown signs of maladaptive cognitive emotion regulation strategies and inefficient interpersonal behavior. Cognitive emotion regulation strategies are processes that people use to manage stress. So, thoughts and cognitions are essential in managing, regulating, and controlling emotions after experiencing a stressful event. Cognitive emotion regulation strategies are among the important aspects of obesity pathology. Therefore, it is considered one of the important diagnostic and therapeutic criteria in psychological interventions for obesity. Interpersonal psychotherapy indicates cognitive, emotional, and affective distress as a result of negative social evaluation, which makes a person suffer from eating disorder symptoms. As a result, it is recommended that thoughts and emotions and inefficiency in social situations be identified, as well as to increase self–esteem and reduce emotional responses that cause eating behavior. This study assessed the efficacy of interpersonal psychotherapy on weight loss and cognitive emotion regulation strategies in obese people.

    Methods

    The present study was quasi–experimental with a pretest–posttest design and a control group. The statistical population of this research comprised obese people who were referred to nutrition clinics located in a specific area of Tehran City, Iran, from November 2017 to February 2018. This research selected 28 eligible volunteers with a body mass index above 29.9 kg/m2 by purposeful sampling and considering the inclusion and exclusion criteria. They were assigned to the experimental group (interpersonal psychotherapy, n=13) and control group (n=15). The inclusion criteria in this research were as follows: living in Tehran and being able to participate in group therapy sessions, being willing to cooperate, being between 20 and 50 years old, not suffering from a chronic physical disease, lacking any psychological disorders, and being obese (BMI>29.9 kg/m2). The exclusion criteria were as follows: unwillingness to continue attending intervention sessions and failure to attend group therapy for more than two sessions. Then, after explaining the goals and conditions of the study to the participants, they were assured that while their information remains confidential, they can withdraw from the plan at any stage of the study if they wish. Informed consent was obtained from all participants. Then, they completed the demographic and emotional cognitive regulation questionnaires (Garnefski & Kraaij, 2007) at the study's beginning and end. Furthermore, the participant's body mass index was measured at the first meeting and at the treatment's end. The intervention group participated in the interpersonal group therapy for ten sessions. Statistical methods included the Chi–square test and analysis of covariance.

    Results

    The findings showed that interpersonal psychotherapy could reduce body mass index (p<0.001), reduce negative emotional cognitive regulation strategies (p<0.001), and increase positive emotional cognitive regulation strategies (p<0.001).

    Conclusion

    Interpersonal psychotherapy is an effective way to lose weight and improve cognitive emotion regulation strategies. Therefore, this treatment method is recommended to promote the physical and mental health of obese individuals.

    Keywords: Obesity, Weight Loss, Interpersonal Psychotherapy, Cognitive Emotion Regulation
  • محمدرضا چنگیز، فاطمه محمدی شیرمحله*، مرجان مردانی حموله
    Mohammadreza Changiz, Fatemeh Mohammadi Shirmahlleh*, Marjan Mardani-Hamoleh, Mohammadreza Seyrafi
    Background and objectives

    This research aimed to explore the spiritual experiences of patients who had had COVID-19, as spirituality is believed to provide support and aid in coping with stress and illness. The COVID-19 pandemic has become a significant public health issue globally, including in Iran.

    Materials and Methods

    This qualitative study was conducted with a hermeneutic phenomenology approach. Data were collected between November 2022 and May 2023. The researchers held interviews with 14 patients admitted to a hospital in Tehran, capital city of Iran. Data were analyzed based on the approach of Dickelman et al. Lincoln and Guba criteria including credibility, confirmability, dependability, and transferability were used for assessment of data trustworthiness.

    Results

    It was found that spiritual experiences of the participants can be divided into 3 themes including “Psychic Experiences”, “Experiences of Deferring” and “Spiritual Dream Experiences”, and a constitutive pattern named “the Experience of the Holy”.

    Conclusion

    The constitutive pattern of "the Experience of the Holy" and its 3 themes highlight the deep impact of spirituality on the experiences and recovery of illness and emphasizes the importance of addressing the spiritual needs of patients in health care settings and the role of spirituality in dealing with illness and promoting spirituality.

    Keywords: Spirituality, Lived experience, COVID-19, Hermeneutic phenomenology
  • معصومه عبدالخالقی*، حسن احدی، محمدرضا صیرفی

    این پژوهش با هدف تعیین اثربخشی برنامه آموزش تاب آوری روان شناختی بر رفتارهای سلامت و بهزیستی روان شناختی در دانشجویان انجام شد. در این پژوهش تمام تجربی با طرح پیش آزمون _ پس آزمون با گروه کنترل و همراه با پیگیری، 60 دانشجو در دو گروه آزمایش (30 نفر) و کنترل (30 نفر) قبل و بعد از آموزش به نیمرخ سبک زندگی ارتقادهنده سلامت نسخه تجدیدنظرشده دوم (والکر، سیچریست و پندر، 1995) و نسخه کوتاه مقیاس های بهزیستی روان شناختی (ریف، 1989) پاسخ دادند. از طریق 10 جلسه و هر جلسه دو ساعت، برنامه آموزش تاب آوری روان شناختی به شیوه گروهی برای گروه آزمایش اجرا شد. نتایج تحلیل واریانس مختلط ساده نشان داد بسته آموزش تاب آوری روان شناختی در افزایش رفتارهای سبک زندگی سلامت محور شامل مسیولیت پذیری برای سلامت فردی، فعالیت جسمانی، تغذیه، تحول معنوی، روابط بین فردی و مدیریت تنیدگی و مقیاس های بهزیستی روان شناختی شامل استقلال عمل، تسلط محیطی، تحول فردی، ارتباط مثبت با دیگران، هدفمندی در زندگی و پذیرش خود، موثر بود. بر اساس نتایج این پژوهش می توان دریافت تلاش برای تغذیه سرمایه روان شناختی و بسط منابع روانی و اجتماعی دانشجویان از طریق کاهش برخی مدل های تفکر سازش نایافته مانند شخصی سازی، تفکر سیاه/سفید، بیش تعمیم دهی و همچنین، پربارسازی مهارت های رابطه بین فردی در مشارکت کنندگان، مصونیت روانی آنها را موجب می شود.

    کلید واژگان: برنامه آموزش تاب آوری، رفتارهای سلامت، بهزیستی روان شناختی، ایمنی روانی
    Masomeh Abdolkhaleghi *, Ahadi Hassan, MohammadReza Seyrafi

    This study aimed to examine the effectiveness of the Psychological Resilience Training Program on health behaviors and psychological well-being among university students. In this true-experimental study with a pretest-posttest control-group design in a company with a follow-up stage, 60 university students were in experimental (30 students) and control (30 students) groups. Before and after training, they responded to the Health-Promoting Lifestyle Profile-II (Walker, Sechrist & Pender, 1995) and the Scales of Psychological Well-Being-Short Form (Ryff, 1989). The experimental group received 10 Psychological Resilience Training Program sessions (2 hours a session). The results statis- tical procedure of simple mixed ANOVA, indicated that the Psychological Resilience Training Program was effective in increasing or promoting health-oriented behaviors such as health responsibility, physical activity, nutrition, spiritual growth, interpersonal relations with others, and stress management. Also, this program was effective in the scales of psychological well-being such as independence, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. These findings suggest that the Psychological Resilience Training Program by reducing or eliminating maladaptive thinking patterns such as selective abstraction, overgeneralization, black-white thinking, person- alization, and the enrichment of interpersonal relationship skills could result in mental immunization among university students.

    Keywords: Psychological Resilience Training Program, health behaviors, psychological well-being, mental immunization
  • لیلا اسدی*، محمدرضا صیرفی، مروارید احدی
    مقدمه

    مرور پژوهش ها نشان می دهد که سالمندان معمولا اضطراب سلامت، احساس تنهایی و اضطراب مرگ بیشتری را تجربه می کنند. این پژوهش با هدف تعیین اثربخشی درمان وجودی بر اضطراب سلامت، احساس تنهایی و اضطراب مرگ سالمندان انجام شد.

    روش کار

    این پژوهش از نوع پژوهش های کاربردی و نیمه آزمایشی با طرح پیش آزمون- پس آزمون و یک دوره پیگیری با گروه کنترل است. از جامعه آماری سالمندان مقیم خانه های سالمندان شهرستان تهران در سال 1400، تعداد 30 نمونه به صورت در دسترس انتخاب و به صورت تصادفی در دو گروه آزمایشی وگروه کنترل جایگزین شدند. بدین ترتیب که ابتدا برای هر دو گروه پیش آزمون اضطراب سلامت، احساس تنهایی و اضطراب مرگ اجرا شد، سپس طرح درمان وجودی برای گروه آزمایش اجرا شد اما برای گروه کنترل، مداخله ای اعمال نشد، در نهایت پس آزمون و آزمون پیگیری از هر دو گروه به عمل آمد. یافته های پژوهش از طریف تحلیل واریانس با اندازه گیری مکرر تحلیل شد.

    یافته ها

    یافته های پژوهش نشان داد که میانگین نمرات پس آزمون و آزمون پیگیری اضطراب سلامت، احساس تنهایی و اضطراب مرگ در گروه آزمایش کاهش پیدا کرد و نتایج تحلیل واریانس اندازه گیری مکرر نشان داد که مداخله نقاشی درمانی بر کاهش اضطراب سلامت، احساس تنهایی و اضطراب مرگ سالمندان اثربخش است (001/0 <p).

    نتیجه گیری

    با توجه به اثربخشی درمان وجودی، لزوم کاربست درمان وجودی بر مشکلات روانی و عاطفی سالمندان به ویژه کاهش اضطراب سلامتی، احساس تنهایی و اضطراب مرگ ضروری می باشد.

    کلید واژگان: درمان وجودی، اضطراب سلامت، احساس تنهایی، اضطراب مرگ، سالمندان
    Leyla Asadi *, Mohammadreza Seyrafi, Morvarid Ahadi

    A review of research shows that the elderly usually experiences more health anxiety, loneliness, and death anxiety. The aim of this study was to determine the effectiveness of existential therapy on health anxiety, loneliness and death anxiety in the elderly.

    Methods

    This research is an applied and quasi-experimental research with a pre-test-post-test design and a follow-up period with a control group. From the statistical population of the elderly living in nursing homes in Tehran in 1400, 30 samples were selected by convenience sampling and randomly replaced in two experimental groups and control group. Thus, first the health anxiety, loneliness and death anxiety tests were performed for both groups, then the existential treatment plan was performed for the experimental group, but no intervention was applied for the control group. Finally, the post-test and follow-up test were performed. Both groups performed. Findings were analyzed by repeated measures analysis of variance.

    Results

    The results showed that the mean scores of post-test and follow-up test of health anxiety, loneliness and death anxiety in the experimental group decreased and the results of repeated measures analysis of variance showed that painting therapy intervention reduced anxiety. Health, loneliness and death anxiety of the elderly are effective (p <0.001).

    Conclusion

    Considering the effectiveness of existential therapy, the necessity of using existential therapy on psychological and emotional problems of the elderly, especially reducing health anxiety, loneliness and death anxiety is essential.

    Keywords: Existential therapy, Health anxiety, Loneliness, Death anxiety, Elderly
  • Mehri Raoufi, MohammadReza Seyrafi*, Hasan Ahadi
    Introduction

    Chronic diseases, including cancer, affect the lives of millions of people as a major source of stress. However, Frederickson’s positive emotions training can increase the resilience and psychological capital of these patients.

    Objectives

    This study aimed to determine the effect of Frederickson’s positive emotion training program on the resilience and psychological capital of patients with breast cancer in Bandar Abbas, Iran.

    Materials and Methods

    This is a quasi-experimental study with a pre-test and post-test design and a control group conducted in Bandar Abbas in 2019. There were 15 women with breast cancer in each group of intervention and control, with the same severity and level of disease. The study instruments included the Luthans Psychological Capital Questionnaire (PCQ) and the Connor and Davidson Resilience Scale. The validity and reliability of these tools have been investigated in previous studies. Frederickson’s Positive Emotions Training was held in nine sessions (90 min a month). Questionnaires were completed in the first and ninth stages of intervention. Data were analyzed using SPSS software (version 22) through descriptive statistics such as mean and standard deviation and inferential statistics by analysis of covariance.

    Results

    Based on the obtained results, Frederickson’s positive emotion training program increased resilience (Eta=0.82, P<0.001) and the psychological capital (Eta=0.77, P<0.001) of patients with breast cancer.

    Conclusion

    It can be concluded that the positive emotion training program can improve the resilience and the psychological capital of patients with breast cancer. It is recommended that this program should be used to improve the psychological problems of cancer patients.

    Keywords: Breast Neoplasms, Psychological, Resilience
  • پریسا خرمی نژاد، جواد خلعتبری*، محمدرضا صیرفی
    مقدمه و هدف

    دیابت حاملگی شایع ترین عارضه متابولیک بارداری است که بسته به معیارهای تشخیصی، 10 تا 15 درصد از کل حاملگی ها را تحت تاثیر قرار می دهد. پژوهش حاضر با هدف تعیین اثربخشی درمان متمرکز بر شفقت بر کیفیت زندگی زنان مبتلا به دیابت بارداری انجام شد.

    روش کار

    این پژوهش از نوع مطالعه نیمه آزمایشی با طرح پیش آزمون، پس آزمون و پیگیری همراه با گروه گواه بود. جامعه آماری پژوهش شامل تمام زنان باردار مراجعه کننده به بیمارستان میلاد تهران در سال 1398 بود که دیابت بارداری داشتند. به منظور تشکیل دو گروه با استفاده از روش نمونه گیری هدفمند (با در نظر گرفتن ملاک های ورود و خروج)، 30 بیمار انتخاب شدند. سپس به طور تصادفی به دو گروه 15 نفری (درمان متمرکز بر شفقت و گروه گواه) اختصاص یافتند. آموزش شفقت خود برای گروه آزمایش انجام شد. همچنین مرحله پیگیری سه ماه روی هر دو گروه اجرا شد. برای گروه گواه مداخله ای انجام نشد. ابزار پژوهش کیفیت زندگی سازمان بهداشت جهانی بود. داده ها با استفاده از آزمون اندازه گیری مکرر و نرم افزار SPSS نسخه 22 تحلیل شد.

    یافته ها

    نتایج نشان داد درمان متمرکز بر شفقت تاثیر معناداری بر بهبود کیفیت زندگی (0/01>P) در زنان مبتلا به دیابت بارداری در مقایسه با گروه گواه داشت. همچنین تاثیر درمان متمرکز بر شفقت تا مرحله پیگیری ثابت ماند.

    نتیجه گیری

    درمان متمرکز بر شفقت بر بهبود کیفیت زندگی زنان مبتلا به دیابت بارداری تاثیر داشته است و می توان از این روش به منظور کاهش مشکلات زنان مبتلا به دیابت بارداری استفاده کرد.

    کلید واژگان: دیابت بارداری، زنان، کیفیت زندگی، همدلی
    Parisa Khoraminejad, Javad Khalatbari*, Mohammad Reza Seyrafi
    Introduction and purpose

    Gestational diabetes mellitus is the most common metabolic complication during pregnancy that affects 10-15% of all pregnancies depending on the diagnostic criteria. This study aimed to determine the effectiveness of compassion-focused therapy on the quality of life of mothers with gestational diabetes.

    Methods

    This semi-experimental study was conducted based on a pretest-posttest design with a control group and follow-up. The statistical population of the study included all pregnant women referring to Milad Hospital in Tehran, Iran, in 2019, diagnosed with gestational diabetes. The samples (n=30) were selected using a purposeful sampling method (considering inclusion and exclusion criteria) and then randomly assigned to two groups of compassion-focused therapy and control (n=15 each). The experimental group received self-compassion training, while no intervention was administered to the control group. Both groups were followed up for 3 months. The research tool was the quality of life of the World Health Organization. The collected data were analyzed in SPSS.22 software using a repeated measure test.

    Results

    The results showed that compassion-focused therapy had a significant effect on improving the quality of life (P<0.01) of women with gestational diabetes. Moreover, the effect of compassion-focused therapy remained constant until the follow-up phase.

    Conclusion

    It can be concluded that compassion-focused therapy had an effect on improving the quality of life of mothers with gestational diabetes, and this method can be used to reduce the problems of such mothers.

    Keywords: Empathy, Females, Gestational diabetes, Quality of life
  • Faranak Abdoli, MohammadEbrahim Madahi, Mohammadreza Seyrafi
    Background and Aim

    The present study aimed to investigate the structural equations of treatment adherence based on cognitive function mediated by coping styles in women with breast cancer undergoing chemotherapy.

    Materials and Methods

    The present study was correlational and structural equation modeling. The statistical population included patients with breast cancer referred to specialized cancer clinics in Tehran between October and February 2017. The sample consisted of 250 patients with breast cancer who were selected by voluntary sampling. Data were obtained using the Folkman and Lazarus Coping Strategies Questionnaire, the Cognitive Function Questionnaire, and Morisky Medication Adherence Scale (MMAS-8). Data were also analyzed using correlation coefficient, Pearson correlation matrix, multiple regression, and structural equation modeling. Also, all statistical calculations were performed using Amos.22 and SPSS.22 software.

    Results

    The results showed that cognitive function had a direct effect on coping strategies (β=0.48, P<0.001) and adherence to treatment (β=0.63, P<0.001). Coping strategies had a mediating role in the relationship between cognitive function and adherence to treatment.

    Conclusion

    It can be concluded that cancer and the patient's necessity to follow treatment cause many challenges in daily life that necessitate the use of coping styles to adapt, coping styles play an important role in the course, control and psychosocial adjustment of the patient with cancer can have

    Keywords: Cognitive function, Coping strategies, Adherence, Breast cancer
  • Atoosa Saeidian, Morvarid Ahadi *, Saeed Malihi Al-Zakerini, MohammadReza Seyrafi
    Background

    Asthma is one of the inflammatory and chronic respiratory diseases associated with clinical symptoms of wheezing, coughing, and dyspnea.

    Objective

    The present study investigated the mediating role of resilience in the relationship between perceived stress and social support with self-care in asthmatic patients.

    Methods

    The present study was a correlation and structural equation modeling. The statistical population consisted of all asthmatic patients in Gorgan (Iran) in 2021. The study sample was asthmatic patients referred to the asthma clinic of Sayyad Shirazi Hospital in Gorgan, which according to the observed variables (75 questions) 375 people were considered that were selected by convenience sampling. In the end, 368 complete questionnaires were analyzed. The research instruments were Connor and Davidson's Resilience Questionnaire (2003), Cohen et al.'s Standard Perceived Stress Questionnaire (1983), Zimet et al.'s Social Support Questionnaire (1988), and Shigog et al.'s Self-Care Behaviors Questionnaire (2001). Data analysis was performed using the path analysis method by Amos.22 and SPSS.22 software.

    Results

    The results of model analysis using fit indicators showed that the final model modified with the data has a good fit (RMSEA=0.069, GFI=0.91). Also, the results of mediating role showed that resilience has a significant mediating role in the relationship between social support and perceived stress with self-care in asthmatic patients (P<0.01).

    Conclusion

    It can be concluded that resilience has a mediating role in the relationship between perceived stress and social support with self-care in asthmatic patients.

    Keywords: Self Care, Social Support, Asthma, resilience
  • Faranak Abdoli, Mohammad Ebrahim Madahi*, Mohammadreza Seyrafi
    Background

    Cancer is a complex, debilitating, and common disease with many dimensions, consequences, and psychological, biological, and social complications. We aimed to investigate the structural equations of treatment adherence based on emotional, cognitive regulation mediated by coping styles in women with breast cancer undergoing chemotherapy.

    Methods

    The present study was a correlational study using structural equation modeling. The statistical population included patients with breast cancer referred to specialized cancer clinics in Tehran between October and February 2018. The sample consisted of 250 patients with breast cancer who were selected by convenience sampling. Data were obtained using the Folkman and Lazarus Coping Strategies Questionnaire, the Cognitive Emotion Regulation Questionnaire (CERQ), and Morisky Medication Adherence Scale (MMAS-8). Data were also analyzed using correlation coefficients, Pearson’s correlation matrix, multiple regression, and structural equation modeling. Also, all statistical calculations were performed using Amos 22 and SPSS 22 software.

    Results

    Emotion regulation had a direct effect on coping strategies (β=0.48, P<0.001) and adherence to treatment (β=0.63, P<0.001). Coping strategies had a mediating role in the relationship between emotion regulation and adherence to treatment (AGFI=0.98, RMSEA=0.067).

    Conclusion

    There is a relationship between emotion regulation and adherence to treatment and coping strategies has a mediating role in women with breast cancer undergoing chemotherapy.

    Keywords: Emotional regulation, Coping strategies, Breast cancer, Women
  • Mina Farrokhi, Amin Rafieipoor *, MohammadReza Seyrafi, Hasan Ahadi, Adis Kraskian Moojembari
    Background

    Nutrition education is a key component of health promotion programs and leads to improvement of nutritional behaviors of adolescents. Understanding the stages of cognitive-behavioral therapy in eating behavior and weight loss in adolescents is important.

    Objectives

    The purpose of this study was to compare the effectiveness of the transtheoretical model and cognitive-behavioral therapy on eating behavior and weight loss in adolescents.

    Method

    The research method was semi-experimental with a pre-test and post-test design with a two-month follow-up with the control group. The statistical population consisted of all adolescents referred to counseling centers in Mashhad in autumn 2019; 45 of them were selected by convenience sampling method and were divided into 3 experimental, second, and control groups. The research questionnaires were Cappelleri et al.'s (2009) eating behavior questionnaire. Data analyzed by analysis of covariance test using SPSS.25 software.

    Results

    The results showed that the effectiveness of the transtheoretical model and cognitive-behavioral therapy was different on eating behavior so that cognitive-behavioral therapy is more effective than the transtheoretical model (p <0.001).

    Conclusions

    Cognitive-behavioral therapy on eating behavior and weight loss of adolescents was more effective in comparison with the model of the change process. It is suggested that cognitive-behavioral therapy should be considered in the treatment of appropriate principles of nutrition and control of adolescents' weight.

    Keywords: Adolescent, Weight Loss, Feeding Behavior, Cognitive Behavioral Therapy, Transtheoretical model
  • Parisa Khoraminejad, Javad Khalatbari, MohammadReza Seyrafi
    Introduction

    Gestational diabetes is the most common metabolic complication of pregnancy, affecting 10%-15% of all pregnancies, depending on diagnostic criteria. This study aimed to compare the effectiveness of acceptance and commitmenttherapy and compassion-focused therapy on the quality of life and health-promoting behaviors of mothers with gestational diabetes.

    Method

    The research method was a quasi-experimental study with pre-test, post-test, and follow-up. The statistical population of this study was all pregnant women referred to Milad Hospital in Tehran in 2019.45participantswere randomly selected and placed in three groups of acceptance and commitment therapy, compassion-focused therapy, and control group.The follow-up phase was performed on all three groups three months after the post-test. The research tools included the World Health Organization Quality of Life Scale and the Walker Health-Promoting Lifestyle Questionnaire. The data were analyzed using univariate and multivariate covariance analysis by spss.22.

    Result

    The results showed that acceptance and commitment therapy and compassion-focused therapy had a significant effect on improving the quality of life and health-promoting behaviors in women with gestational diabetes (P<0.001).

    Conclusion

    It can be concluded that acceptance and commitment therapy has a greater impact on the quality of life and health-promoting behaviors of women with gestational diabetes than compassion-focused therapy. It encourages individuals to communicate their experiences fully and without resistance as they move towardstheir worthy goals and to accept them without judgment.

    Keywords: Acceptance, commitment therapy, Compassion-focused therapy, Quality of life, Health-promoting behaviors, Gestational diabetes
  • فاطمه منفرد پویا، سعید ملیحی الذاکرینی*، مروارید احدی، محمدرضا صیرفی، غلامرضا صرافی فروشانی
    مقدمه

    عروق کرونر یکی از بیماری های پیش رونده در جامعه است که تبعات منفی آن سلامت روحی زنان را به عنوان یکی مهمترین افراد کانون خانواده و جامعه اجتماعی تحت تاثیر قرار می دهد؛ لذا درمانگری های روانشناختی می تواند فرصتی بدون پیامدهای منفی در ترمیم روان آنان خواهد بود. هدف این پژوهش، تعیین میزان اثربخشی درمان فراشناخت در مقایسه با درمان مثبت گرا بر علایم افسردگی، بهزیستی روان شناختی و هدف در زندگی است.

    روش کار

    روش پژوهش نیمه آزمایشی و به صورت طرح پیش آزمون پس آزمون با گروه کنترل است. جامعه آماری شامل بیماران زن مراجعه کننده به مطب دکتر پورابراهیم که مبتلا به انسداد عروق کرنر بوده اندبا استفاده از روش نمونه گیری در دسترس است. ابزار گردآوری شامل پرسشنامه و پروتکل است.

    نتایج

    نتایج نشان داد درمان های فراشناخت و مثبت گرا  بر علایم افسردگی، بهزیستی روان شناختی و هدف در زندگی موثر است. درمان فراشناخت با درمان مثبت گرا بر بهزیستی روان شناختی تفاوت وجود دارد. درمان فراشناخت با درمان مثبت گرا بر هدف در زندگی تفاوت وجود دارد.

    نتیجه گیری

    بنابراین نتیجه گیری می شود که با توجه به میانگین های حاصله، درمان فراشناخت تاثیر بیشتری بر علایم افسردگی و بهزیستی روان شناختی و هدف در زندگی زنان مبتلا به انسداد عروق کرونر دارد و این مهم نیازمند توجه بیشتر متولیان به سوی تقویت و به کارگیری درمانگری ها در بهسازی روانشناختی بیماران می باشد.

    کلید واژگان: درمان فراشناخت، درمان مثبت گرا، علائم افسردگی، بهزیستی روانشناختی، عروق کرونر
    Fatemeh Monfardpoua, Saeid Malihi *, Morvarid Ahadi, Mohammadreza Seyrafi, Golam Reza Sarafi
    Introduction

    Coronary artery disease is one of the most progressive diseases in society, the negative consequences of which affect the mental health of women as one of the most important members of the family and society; Therefore, psychological therapies can be an opportunity without negative consequences in their mental repair. The aim of this study was to determine the effectiveness of metacognitive therapy in comparison with positive therapy on depressive symptoms, psychological well-being and purpose in life.

    Methods

    The research method is quasi-experimental and is a pretest-posttest design with a control group. The statistical population includes female patients referred to Dr. Pourabrahim's office who had coronary artery occlusion and are available using sampling method. The collection tool includes a questionnaire and a protocol.

    Results

    The results showed that metacognitive and positive therapies are effective on depressive symptoms, psychological well-being and purpose in life. Metacognitive therapy differs from positive therapy in psychological well-being. There is a difference between metacognitive therapy and positive goal-oriented therapy in life.

    Conclusion

    Therefore, it is concluded that according to the obtained averages, metacognitive treatment has a greater impact on the symptoms of depression and psychological well-being and purpose in the life of women with coronary artery disease, and this requires more attention of trustees to strengthen And the use of therapies in the psychological improvement of patients.

    Keywords: Metacognitive therapy, Positive Therapy, Depression symptoms, Psychological well-being, Coronary arteries
  • Mehri Amiri *, Peyman Hassani-Abharian, Mohammad Reza Seyrafi
    Background

     HIV is one of humanity's greatest challenges and major health risk factors. Therefore, this study aimed to design a community-based model of adjustment methods for positive prevention based on perceived deterioration and treatment adherence mediated by coping strategies in HIV-positive patients.

    Methods

     The present study was a correlation study with a structural equation modeling design. The statistical population included all HIV-infected patients in Tehran, Iran, of which 250 people were selected as a sample from the patients referred to positive clubs under the supervision of the Welfare Organization. The Ways of Coping Questionnaire (WCQ), Psychosocial Adjustment to Illness Scale (PAIS), and Brief Illness Perception Questionnaire (IPQ) were used to collect data. The proposed model was evaluated using structural equation modeling method, and bootstrap method (AMOS software) was used to test indirect relationships.

    Results

     The proposed model after the correction has an acceptable fit with the data. All direct paths are statistically significant. Moreover, all indirect pathways (relationship of adjustment methods for positive prevention, perceived deterioration, and treatment adherence through coping strategies) were significant (P < 0.001).

    Conclusion

     Perceived deterioration and adherence treatment have a direct effect on psychosocial adjustment in HIV-positive patients. Coping strategies also have a direct effect on psychosocial adjustment in HIV-positive patients.
     

    Keywords: HIV, Adaptation, Treatment Adherence, Compliance
  • رزیتا کلباسی، محمد حاتمی*، محمدرضا صیرفی، منیرالسادات حاکمی، مهرداد ثابت
    مقدمه

    بیماران تحت همودیالیز، مشکلات مختلفی را در ارتباط با عوارض بیماری مانند مشکلات جسمی، اقتصادی، اجتماعی و روانشناختی تجربه می کنند. لذا این مطالعه با هدف بررسی اثربخشی درمان پذیرش/تعهد بر کیفیت زندگی و فشارخون بیماران همودیالیز انجام شد.

    روش بررسی

    این پژوهش نیمه آزمایشی با طرح پیش آزمون-پس آزمون با گروه کنترل همراه با پیگیری 3 ماهه بود. در این پژوهش 30 نفر از بیماران همودیالیز مراجعه کننده به بیمارستان لقمان شهر تهران در سال 1398 با استفاده از روش نمونه گیری هدفمند انتخاب و در دو گروه آزمایش (15 نفر) و کنترل (15 نفر) قرار گرفتند. گروه آزمایش تحت درمان پذیرش/تعهد (8 جلسه 90 دقیقه ای) قرار گرفت؛ اما گروه کنترل هیچ گونه مداخله ای دریافت نکردند و در لیست انتظار باقی ماندند. از پرسش نامه کیفیت زندگی بیماران کلیوی و ارزیابی نوسانات شاخص فشارخون به منظور گردآوری اطلاعات استفاده شد.

    یافته ها: 

    نتایج بیانگر این بود که درمان پذیرش/تعهد می تواند کیفیت زندگی و فشارخون بیماران همودیالیز را به طور معناداری بهبود بخشیده و نتایج در دوره پیگیری نیز از ثبات لازم برخوردار بوده است (05/0>p).

    بحث و نتیجه گیری:

    نتایج نشان داد که درمان مبتنی بر پذیرش/تعهد بر افزایش کیفیت زندگی و کاهش میزان فشارخون بیماران همودیالیزی تاثیر دارد؛ بنابراین پیشنهاد می گردد علاوه بر تجویز دارو، مداخلات روانشناختی همچون درمان مبتنی بر پذیرش/تعهد برای این بیماران انجام شود.

    کلید واژگان: درمان مبتنی بر پذیرش و تعهد، فشار خون، کیفیت زندگی، همودیالیز
    Rozita Kalbasi, Mohamad Hatami*, Mohammadreza Seyrafi, Monir Alsadat Hakemi, Mehrdad Sabet
    Background

    Dialysis patients are prone to various complications of trhe disease such as physical, economic, social, and psychological problems. The current study aimed to evaluate the effectiveness of acceptance and commitment therapy on quality of life and blood pressure in hemodialysis patients.

    Materials and methods

    This quasi-experimental study was conducted with a pretest-posttest design with control group and a 3-month follow-up. The statistical population of this study included 30 hemodialysis patients referred to Loghman Hospital in Tehran in 2019. They were selected using purposive sampling and divided into experimental (15 people) and control (15 people) groups. The experimental group underwent acceptance and commitment therapy (eight sessions of 90 minutes), but the control group received no intervention and remained on the waiting list. Kidney Disease Quality of Life Short Form (KDQOL-SF™ 1.3) and blood pressure index were used to collect information.

    Results

    The results showed that acceptance and commitment has a significant impact on the quality of life and blood pressure index of hemodialysis patients and the results were stable in the follow-up period (p<0.05).

    Conclusion

    In summary, the results showed that acceptance  commitment therapy has an effect on increasing the quality of life and reducing blood pressure in hemodialysis patients. Therefore, in addition to prescribing medicines, psychological interventions such as acceptance and commitment therapy are recommended for these patients.

    Keywords: Acceptance, Commitment Therapy, Blood Pressure, Quality of Life, Hemodialysis
  • Behnoush Hamedali, Javad Khalatbari*, Saeid Malihi Alzakerini, Mohammadreza Seyrafi
    Background

    Cognitive rehabilitation is a way to restore lost cognitive capacities. This study aimed to investigate the effectiveness of cognitive rehabilitation therapy on cognitive functions (working memory, concentration, and attention) of adolescents living in boarding schools in Tehran.

    Methods

    This study was a quasi-experimental research with pre-test and post-test design. The statistical population includes all adolescents living in welfare boarding schools in the age group was 15 to 18 years old, and they were in Tehran in 2018. Out of 100 people, 60 people who had problems in the mentioned variables were randomly selected, and randomly divided into two groups of 30 people. The first group underwent eight individual sessions of cognitive rehabilitation therapy (by NBK software), and the second group, as a control group, did not receive any treatment. Data were analyzed by multivariate analysis of covariance and Spss.22 software.

    Results

    The results showed that the effectiveness of cognitive rehabilitation therapy was effective on cognitive functions (working memory, concentration, and attention) of adolescents (P<0.001).

    Conclusion

    It can be concluded that cognitive rehabilitation can successfully affect numerous aspects of cognitive functions, while numerous medical therapies may be required to treat each mere aspect. Further evaluations are strongly recommended.

    Keywords: adolescent, attention, cognition, schools, memory
  • Arezou Gohari Nasab, Mohammadreza Seyrafi*, Adis Kraskian, Maryam Kalhornia Golkar
    Background

    Cardiovascular disease is the most common cause of death from non-communicable diseases. The purpose of the present study was to determine the effectiveness of acceptance and commitment therapy on health anxiety and adherence to treatment in patients who underwent open-heart surgery.

    Materials and Methods

    The research method was semi-experimental with pre-test and post-test design. The statistical population consisted of all patients with heart disease in Tehran in 2019, 45 of whom were divided into experimental and control groups. data were collected using the health anxiety questionnaire and adherence to treatment questionnaire. Data were analyzed by analysis of covariance and SPSS software.

    Results

    The results showed that acceptance and commitment therapy significantly reduced health anxiety (F=83.60, P<0.0001) and increased adherence to treatment (F=271.32, P<0.0001).

    Conclusion

    It can be concluded that acceptance and commitment therapy was effective in increasing adherence to treatment and decreasing health anxiety.

    Keywords: Acceptance, Commitment Therapy, Adherence to Treatment, Health Anxiety, Open-Heart Surgery
  • آرزو گوهری نسب، محمدرضا صیرفی*، آدیس کراسکیان، مریم کلهرنیا گل کار
    زمینه و هدف

    عوامل روان شناختی منفی مانند افسردگی، اضطراب و خصومت در تحول و پیشرفت بیماری قلبی عروقی نقش مهمی دارند. هدف پژوهش حاضر مقایسه اثربخشی درمان مبتنی بر پذیرش و تعهد و مداخله براساس مولفه های انگیزش محافظت بر اضطراب سلامتی و پیروی از درمان افراد تحت جراحی عمل قلب باز بود.

    روش بررسی

    روش پژوهش نیمه تجربی از نوع پیش آزمون و پس آزمون بود. جامعه آماری را تمامی بیماران تحت عمل جراحی قلب باز مراجعه کننده به بیمارستان ولیعصر قائم شهر در سال 1398 تشکیل دادند. از بین آنان 45 نفر به شیوه نمونه گیری هدف مند انتخاب شدند و در دو گروه آزمایش (درمان مبتنی بر پذیرش و تعهد و مداخله براساس مولفه های انگیزشی محافظت) و یک گروه گواه قرار گرفتند. برای جمع آوری داده ها، پرسشنامه اضطراب سلامتی (سالکوسیس و همکاران، 2002) و پرسشنامه پیروی از درمان (سیدفاطمی و همکاران، 1396) به کار رفت. درمان مبتنی بر پذیرش و تعهد در هشت جلسه نوددقیقه ای براساس بسته آموزشی هیز (2005) و مداخله مبتنی بر انگیزش محافظت در هشت جلسه نوددقیقه ای براساس بسته آموزشی نورمن و همکاران (2005) اجرا شد. داده ها با استفاده از روش تحلیل کوواریانس چندمتغیره و آزمون تعقیبی بونفرونی با بهره گیری از نرم افزار </span>SPSS</span> نسخه 26 تحلیل شد.</span> سطح معناداری آزمون ها 0٫05 در نظر گرفته شد.

    یافته ها

    با حذف اثر پیش آزمون، میان گروه های آزمایش و گروه گواه از نظر متغیرهای اضطراب سلامتی و پیروی از درمان تفاوت معناداری وجود داشت (0٫001>p</span></em>). براساس نتایج آزمون تعقیبی بونفرونی، بین هریک از دو گروه آزمایش با گروه گواه در متغیرهای اضطراب سلامتی و پیروی از درمان تفاوت معناداری وجود داشت (0٫001>p</span></em>). همچنین بین اثربخشی درمان مبتنی بر پذیرش و تعهد و مداخله آموزشی مبتنی بر نظریه انگیزش محافظت برای اضطراب سلامتی (0٫035=p</span></em>) و پیروی از درمان (0٫014=p</span></em>) تفاوت معناداری وجود داشت.

    نتیجه گیری

     براساس یافته های پژوهش، درمان مبتنی بر پذیرش و تعهد درمقایسه با مداخله براساس مولفه های انگیزش محافظت، تاثیر بیشتری بر کاهش اضطراب سلامت و افزایش پیروی از درمان در بیماران تحت عمل جراحی قلب باز دارد.

    کلید واژگان: درمان مبتنی بر پذیرش و تعهد، انگیزش محافظت، اضطراب سلامتی، پیروی از درمان
    Arezou Gohari Nasab, MohammadReza Seyrafi*, Adis Kraskian, Maryam Kalhornia Golkar
    Background & Objectives

    Cardiovascular disease is the most common cause of death induced by non–communicable diseases. Cardiovascular disease is linked to other conditions, leading to multiple problems in occupational performance, sleep function, cancer, obesity, and lifestyle. Meanwhile, negative psychological factors, such as depression, anxiety, and hostility, play an essential role in the development and progression of cardiovascular disease. Acceptance and Commitment Therapy (ACT) promotes wellbeing, reduces anxiety, and increases psychological resilience. Another theory that has recently attracted the attention of health researchers to change and manage behavior is the theory of protection motivation. This theory is used to understand and predict health behaviors that protect the individual from harmful events. The present study aimed to compare the effects of ACT and an intervention based on motivational components on health anxiety and treatment adherence in patients who underwent open-heart surgery.

    Methods

    This was an experimental study with a multi–group pretest–posttest design. The statistical population consisted of all patients with cardiovascular disease in Tehran City, Iran, in 2018. Forty–Five of them were selected by purposive sampling and were divided into two experimental (ACT and intervention based on protective motivation components) and control groups. The study's inclusion criteria were no use of psychotropic drugs, narcotics, and psychological therapies during the study; being over 40 years old and having no acute or chronic mental disorders. The exclusion criteria included not attending more than 2 experimental sessions, unwillingness to continue attending the experimental sessions, severe psychiatric disorder requiring immediate treatment, and using psychotropic drugs or substances. The necessary data were collected using Health Anxiety Inventory (Salkovskis et al., 2002) and Adherence to Treatment Inventory (Seyed Fatemi et al., 2017). ACT was performed in 8 ninety–minute weekly sessions for two months based on Hayes's training package (2005). The intervention based on protective motivation components was performed in 8 ninety–minute weekly sessions for two months based on Norman et al.'s (2005) training package. In addition to using descriptive statistics, including mean and standard deviation, the data were analyzed based on Multivariate Analysis of Covariance (MANCOVA) in SPSS. The Bonferroni post hoc test was also used to compare pairs in groups. The significance level of the tests was considered 0.05.  

    Results

    The obtained results suggested that by eliminating the effects of pretest, there was a significant difference between the ACT group and group of intervention based on protective motivation components, and the control group in health anxiety (p</em><0.001) and treatment adherence (p</em><0.001). There was a significant difference between each of the two experimental groups and the control group respecting health anxiety (p</em><0.001) and treatment adherence (p</em><0.001). Furthermore, there was a significant difference between the effectiveness of ACT and intervention based on protective motivation components for health anxiety (p</em>=0.035) and treatment adherence (p</em>=0.014).

    Conclusion

    According to the present research findings, ACT significantly reduced health anxiety and increased treatment adherence in patients who underwent open-heart surgery, compared to the intervention based on protection motivation components.

    Keywords: Acceptance, commitment therapy, Protection motivation, Health anxiety, Treatment adherence
  • سارا حیدریان، محمدرضا صیرفی*، مریم کلهرنیا، فرهاد جمهری، حسین بقولی

    مقدمه:

     بروز بیماری های مزمن فیزیولوژیک همچون دیابت موجب شکل گیری آسیب های روان شناختی همچون افسردگی در افراد مبتلا می شود. بر همین اساس پژوهش حاضر با هدف بررسی اثربخشی درمان مبتنی بر هیجان بر اضطراب و بهزیستی روان شناختی بیماران مبتلا به دیابت نوع دو انجام گرفت.

    روش کار :

    روش پژوهش حاضر نیمه آزمایشی با طرح پیش آزمون- پس آزمون با گروه گواه و دوره پیگیری شش ماهه بود. جامعه آماری پژوهش شامل کلیه بیماران مبتلا به دیابت نوع دو بود که در سال 98-1397 به مطب پزشکان متخصص دیابتی شهر شیراز مراجعه کرده بودند. در این پژوهش تعداد 60 بیمار مبتلا به دیابت نوع دو با روش نمونه گیری هدفمند انتخاب و با گمارش تصادفی در گروه های آزمایش و کنترل گمارده شدند (در هر گروه 30 بیمار). بیماران حاضر در گروه آزمایش به مدت 14 جلسه طی سه ماه و نیم تحت درمان مبتنی بر هیجان قرار گرفتند. در این پژوهش از پرسشنامه اضطراب (بک، 1988) و پرسشنامه بهزیستی روان شناختی (ریف، 1996) استفاده شد. داده های حاصل از پژوهش به شیوه تحلیل واریانس با اندازه گیری مکرر با استفاده از نرم افزار آماری 23SPSS تجزیه و تحلیل شد. نتایج نتایج نشان داد که درمان مبتنی بر هیجان بر اضطراب و بهزستی روان شناختی بیماران مبتلا به دیابت نوع دو تاثیر معنادار دارد (001/0>p). بدین صورت که این درمان توانسته منجر به کاهش اضطراب و بهبود بهزستی روان شناختی این بیماران شود.

    نتیجه گیری:

     با توجه به نتایج پژوهش حاضر، درمان مبتنی بر هیجان با  تمرکز بر آگاهی و مدیریت هیجانات و آگاهی افراد نسبت به پردازش های هیجانی، می تواند یک درمان کارآمد جهت کاهش افسردگی بیماران مبتلا به دیابت نوع دو به شمار رود.

    کلید واژگان: درمان مبتنی بر هیجان، افسردگی، دیابت نوع دو
    Sara Heydarian, MohammadReza Seyrafi *, Maryam Kalhornia, Farhad Jomehri, Hosein Bagholi
    Introduction

    The chronic physiologic diseases such as diabetes cause psychological damages such as depression in the patients suffering from them. Therefore the present study was conducted aiming to investigate the effectiveness of emotion-based therapy on the anxiety and psychological wellbeing of the patients suffering from type 2 diabetes.

    Materials and Methods

    The research method of the present study was quasi-experimental in pretest, posttest type with control group and six-month follow-up stage. The statistical population of the study included all the patients with type 2 diabetes who referred to the physicians specialized in diabetes 2 in the city of Shiraz in 2019. 60 patients with type 2 diabetes were selected through purposive sampling method and they were randomly accommodated into experimental and control groups (each group of 30 patients). The patients in the experimental group received 14 emotion-based therapy sessions during three-and-a-half months. Anxiety questionnaire (Beck, 1988) and the questionnaire of psychological wellbeing (Ryff, 1996) were used in the present study. The data from the study were analyzed through repeated measurement ANOVA via SPSS23 statistical software.

    Results

    The results showed that the emotion-based therapy has significant effect on the anxiety and psychological wellbeing of the patients with type 2 diabetes (p<0.001) in a way that this therapy succeeded in leading to the decrease of anxiety and the improvement of psychological wellbeing in these patients.

    Conclusion

    Considering the results of the present study, emotion-based therapy can be considered as an efficient therapy to decrease the depression of the patients with type 2 diabetes through concentrating on awareness and emotion management and the people’s awareness of emotional processes.

    Keywords: Emotion-based therapy, Depression, Type 2 diabetes
  • مهتاب مروجی، محمد حاتمی*، مروارید احدی، محمدرضا صیرفی، حسین چیتی
    مقدمه

    پایه اصلی در مدیریت دیابت، خودمراقبتی و آموزش بیماران است. از آنجایی که مصاحبه انگیزشی راهبرد موثری برای توانمندسازی بیمار جهت خودکارآمدی بیشتر و ایجاد تغییرات رفتاری مثبت است. مطالعه حاضر با هدف تعیین اثربخشی مصاحبه انگیزشی به روش گروهی بر پیامدهای کلینیکی در بیماران مبتلا به دیابت نوع 1 و 2 انجام شد.

    روش کار

    این پژوهش یک کارآزمایی بالینی نیمه تجربی با طرح پیش آزمون، پس آزمون و پیگیری همراه با گروه کنترل بود که در سال 1398 در شهر زنجان انجام شد. از بین مراجعین به درمانگاه غدد و مرکز تحقیقات متابولیک بیمارستان ولیعصر زنجان، 60 بیمار مبتلا به دیابت نوع یک و دو بصورت مبتنی بر هدف و براساس معیارهای ورود به پژوهش انتخاب شدند. سپس شرکت کنندگان در هر دو گروه دیابت نوع 1 و 2 به طور تصادفی به گروه های تجربی و کنترل (15نفر)، تقسیم بندی شدند. داده ها از طریق پرسشنامه جمعیت شناختی، تعیین شاخص توده بدنی و نیز آزمایش قند خون و هموگلوبین گلیکوزیله جمع آوری شد. داده ها با نرم افزار اس پی اس اس نسخه 22 تحلیل شد.

    یافته ها

    قند خون، هموگلوبین گلیکوزیله و شاخص توده بدنی یک هفته و دوماه بعد از مصاحبه انگیزشی در هر دوگروه مبتلایان به دیابت نوع 1 و 2 کاهش داشته  است. بین گروه های تجربی و کنترل تفاوت معناداری مشاهده شد (05/0>P).

    نتیجه گیری

    تاثیر مصاحبه انگیزشی بعنوان یک رویکرد مداخله ای جهت ایجاد تغییرات رفتاری مثبت  و نیز کنترل بهتر بیماری دیابت است. لذا بکارگیری آن برای پیشگیری از بروز عوارض جبران ناپذیر دیابت توصیه می شود.

    کلید واژگان: مصاحبه انگیزشی، دیابت نوع 1و2، شاخص توده بدنی، قند خون، هموگلوبین گلیکوزیله
    Mahtab Moraveji, Mohammad Hatami*, Morvarid Ahadi, Mohammadreza Seyrafi, Hossein Chiti
    Introduction

    The core of diabetes management is self-care and patient education. Because motivational interviewing is an effective strategy for empowering the patient for greater self-efficacy and positive behavioral change. The aim of this study was to determine the effectiveness of group-based motivational interviews on clinical outcomes in patients with type 1 and type 2 diabetes.

    Methods

    This study was a semi-experimental clinical trial with pre-test, post-test and follow-up design with control group, which was conducted in 2019 in Zanjan city. Among the clients of the endocrinology clinic and the metabolic research center of Valiasr Hospital in Zanjan, 60 patients with type 1 and type 2 diabetes were selected based on the purpose and based on the criteria for entering the research. Participants in both type 1 and type 2 diabetes groups were then randomly divided into experimental and control groups (n = 15). Data were collected through a demographic questionnaire, body mass index, and blood sugar and glycosylated hemoglobin test. Data were analyzed with SPSS. 22.

    Results

    Blood sugar, glycosylated hemoglobin, and body mass index decreased one week and two months after the motivational interview in both groups with type 1 and type 2 diabetes. There was a significant difference between the experimental and control groups (P <0.05).

    Conclusions

    The impact of motivational interviewing is an interventionist approach to positive behavioral change as well as better control of diabetes. Therefore, its use is recommended to prevent the irreversible complications of diabetes.

    Keywords: Motivational interview_Type 1_Type 2 diabetes_Body Mass Index_Blood Glucose_HbA1c
  • مهتاب مروجی، محمد حاتمی*، مروارید احدی، محمدرضا صیرفی، حسین چیتی
    مقدمه

    بیماری دیابت به عنوان یک چالش مهم بهداشتی مطرح است که به طور گسترده زندگی مبتلایان را تحت تاثیر قرار می دهد. مطالعه حاضر با هدف تعیین اثر مصاحبه انگیزشی گروهی بر رضایت درمانی و تبعیت درمانی بیماران مبتلا به دیابت نوع یک انجام شد.

    روش کار

    مطالعه حاضر، به روش نیمه تجربی با طرح پیش آزمون-پس آزمون و با گروه کنترل بود.  جامعه پژوهش بیماران مبتلا به دیابت بودند که به درمانگاه غدد مرکز تحقیقات بیماری های متابولیک بیمارستان ولی عصر شهر زنجان و مراکز سرپایی ارائه خدمات به بیماران مبتلا به دیابت در شهر زنجان در سال 1398 مراجعه کرده بودند. 30 بیمار مبتلا به دیابت نوع یک به روش نمونه گیری مبتنی بر هدف انتخاب شدند و بطور تصادفی ساده در دو گروه 15نفر در گروه آزمایش و  گروه کنترل قرار گرفتند.. ابزارها عبارت بودند از پرسشنامه جمعیت شناختی، "پرسشنامه رضایت از درمان دیابت" (DTSQ: Diabètes Trématent Satisfaction Questionnaire) و "پرسشنامه تبعیت از در درمان بیماران با بیماری مزمن" (Adherence Questionnaire in Patients with Chronic Disease) روایی و پاپایی ابزار ها در مطالعات قبلی تایید شده است. مداخله به روش مصاحبه انگیزشی گروهی در طول چهار جلسه درمانی 90 دقیقه ای به صورت هفتگی در گروه آزمایش انجام شد. در دو مرحله قبل و بعد از مداخله پرسشنامه ها توسط  بیماران تکمیل شد. داده ها با نرم افزار اس پی اس اس نسخه 25 تحلیل شد.

    یافته ها

    میانگین تبعیت از درمان در گروه آزمایش درپیش آزمون (20/90) و در پس آزمون (97/132) بوده است. میانگین تبعیت از درمان در گروه کنترل درپیش ازمون (40/75) و در پس آزمون (07/91) بوده است. مقایسه میانگین رضایت از درمان در گروه ازمایش درپیش ازمون (33/14) و در پس آزمون (60/27) و در گروه کنترل در پیش آزمون (87/14)  و در پس ازمون (40/15) بوده است. در تمامی متغیرهای پژوهش، بعد از کنترل نمرات پیش ازمون ان متغیر، مداخله اثر معنی داری بر نمرات پس ازمون داشته است (05/0 > P-value). اثر مداخله برای رضایت از درمان 86/0 و برای تبعیت از درمان 58/0 بود.

    نتیجه گیری

     مصاحبه انگیزشی گروهی یک روش مداخله برای ایجاد تغییرات رفتاری مثبت  در جهت کنترل بهتر بیماری دیابت است. لذا پیشنهاد می شود کارکنان بهداشت و درمان و نیز روانشناسان در ارایه خدمات به بیماران از روش مصاحبه انگیزشی گروهی استفاده نمایند.

    کلید واژگان: مصاحبه انگیزشی گروهی، رضایت درمانی، تبعیت درمانی، دیابت نوع یک
    Mahtab Moraveji, Mohammad Hatami*, Morvarid Ahadi, Mohammadreza Seyrafi, Hossein Chiti
    Introduction

    Diabetes is a major health challenge that has a profound impact on patients' lives. The purpose of this study was to determine the effect of motivational interviewing on the therapeutic satisfaction and Therapeutic Adherence of Patients with Type 1 Diabetes.

    Methods

    The present study was a quasi-experimental study with pretest-posttest design and control group. The study population consisted of diabetic patients who referred to the Endocrinology Clinic of Vali-e-Asr Hospital of Zanjan and outpatient centers providing services to patients with diabetes in Zanjan in 2019. Thirty patients with type 1 diabetes were selected by purposive sampling and were randomly divided into two groups of 15 patients in experimental and control groups. The instruments were demographic questionnaire, “Diabetes Treatment Satisfaction Questionnaire (DTSQ) and "Adherence Questionnaire in Patients with Chronic Disease". The validity and reliability of the instruments have been confirmed in previous studies. Intervention was performed by group motivational interviewing during four 90-minute treatment sessions weekly in experimental group. Questionnaires were completed by patients in two stages before and after the intervention. Data were analyzed by SPSS 25 software.

    Results

    Mean adherence to treatment in the experimental group was pre-test (90.20) and post-test (132.97). The mean adherence to treatment in the control group was pre-test (75.40) and post-test (91.07). Comparison of mean satisfaction with treatment was in pre-test (14.33), post-test (27.60) and control group in pre-test (14.87) and post-test (15.40). In all variables of the study, after controlling for pre-test scores, the intervention had a significant effect on post-test scores, (P-value < 0.05). Intervention effect for treatment satisfaction was 0.86 and for treatment adherence was 0.58.

    Conclusions

    Group motivational interviewing is an intervention method for making positive behavioral changes to better control diabetes. Therefore, it is suggested that health professionals and psychologists use motivational interviewing to provide services to patients.

    Keywords: Group Motivational Interview_Therapeutic Satisfaction_Therapeutic Adherence_Type 1 Diabetes
  • آزاده یراقچی، فرهاد جمهری*، محمدرضا صیرفی، آدیس کراسکیان موجمباری، غلام رضا محمدی فارسانی
    زمینه و هدف
    پژوهش حاضر با هدف تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد (ACT) بر کاهش وزن و تنظیم شناختی هیجان در افراد مبتلا به چاقی انجام گرفت.
    مواد و روش ها
      29 نفر از افراد مبتلا به چاقی با BMI بالای 9/29 به روش نمونه گیری هدفمند انتخاب شدند. در ابتدای مطالعه، پرسش نامه مشخصات جمعیت شناختی و پرسش نامه تنظیم شناختی هیجان را تکمیل کردند. همچنین شاخص توده بدنی افراد  (BMI)  در اولین جلسه و پس از اتمام دوره سنجیده شد. شرکت کنندگان به صورت تصادفی به دو گروه مداخله و گواه تقسیم شدند و شرکت کنندگان گروه مداخله به مدت 5 ماه در معرض مداخله درمانی مبتنی بر پذیرش و تعهد (ACT) قرار گرفتند و در پایان جلسات درمانی بار دیگر پرسش نامه ها را تکمیل کردند. روش آماری به کاررفته در این پژوهش، آزمون مجذور خی دومتغیری، آزمون میانگین دو گروه مستقل و تحلیل کوواریانس یک راهه تک متغیری بود.
    یافته ها
    یافته ها نشان داد درمان مبتنی بر پذیرش و تعهد، باعث کاهش شاخص توده بدنی و نیز کاهش راهبردهای منفی و افزایش راهبردهای مثبت تنظیم شناختی هیجان می شود (0/01 > P).
    نتیجه گیری
    پژوهش حاضر نشان داد که درمان گروهی مبتنی بر پذیرش و تعهد موجب کاهش وزن و افزایش تنظیم هیجان در افراد مبتلا به چاقی شد. لذا به کارگیری این رویکرد درمانی در افراد مبتلا به چاقی توصیه می شود.
    کلید واژگان: درمان مبتنی بر پذیرش و تعهد، کاهش وزن، تنظیم شناختی هیجان، چاقی
    Azadeh Yaraghchi, Farhad Jomehri*, Mohammadreza Seyrafi, Adis Kraskian Mujembari, Gholamreza Mohammadi Farsani
    Background and Objective
    This study assessed the efficacy of Acceptance and Commitment Therapy (ACT) on weight loss and cognitive emotion regulation in obese people.
    Methods
    To do this study, 29 obese people with BMI > 29.9 were selected by purposeful sampling at the beginning, who completed demographic questionnaire and emotional cognitive regulation questionnaire. The participants’ body mass index (BMI) was measured at the first meeting and at the end of the treatment. Participants were assigned into the intervention and the control groups. The intervention group participated in acceptance and commitment group therapy sessions for five months and at the end of the treatment sessions, they completed the questionnaires again. Statistical methods included Chi-square test, t-test for comparing two independent groups and analysis of covariance (P<0.01).
    Results
    The findings showed that the acceptance and commitment therapy can reduce BMI; it also reduces negative strategies and increases the positive strategies of emotional cognitive regulation (P<0.01). 
    Conclusion
    The present study showed that the acceptance and commitment group therapy resulted in weight loss and improved emotion regulation in people with obesity. Therefore, it is recommended to use this therapeutic approach for obese individuals.
    Keywords: Acceptance, Commitment-based therapy, Weight loss, Cognitive emotion regulation, Obesity
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