جستجوی مقالات مرتبط با کلیدواژه « بار روانی » در نشریات گروه « پزشکی »

Childrenchr('39')s behavioral problems are described as extraversion behaviors and are often directed at others ، including; the mother is the primary caregiver rather than the child.  The aim of this study was to determine the effectiveness of a parenting program based on positive psychology on self-efficacy، emotional distress، and psychological burden on mothers of children with behavioral problems.

The method of this quasi-experimental study with pre-test and post-test design was unequal with the control group. The research society were Mothers of Children with behavioral problems in Aligoderz city in 2019-20. Among which the mothers of 30 students were selected by available sampling method and randomly assigned to two equal groups (15 people in each group). The experimental group received 12 sessions of 90-minute parenting training based on positive psychology، and the control group did not receive any intervention. The research tools were Dumkachr('39')s Parenting Self-Efficacy Scale(1996)، Toronto’s Alexithymia Scale (1994)، Pai and Kapurchr('39')s Family Burden Interview Schedule (FBIS)(1984)، and Connerschr('39') Parent Rating Scale(1998). Data were analyzed by analysis of mixed variance، Shapiro-vilk test، Machili test and Levin test with the help of SPSS software version 22.

The findings showed that in the post-test phase، there was a significant difference between them in terms of all three variables of self-efficacy، emotional distress and psychological burden. In other words، positive parenting training increased self-efficacy (F = 11.6; p <0.05)، decreased emotional distress (F= 23.16; p <0.05)، and decreased psychological burden (F = 8.01; p <0.05) in mothers of children with behavioral problems.

Parenting program based on Positive Psychology with Emphasis on Positive Psychological Aspects such as; Promoting self-esteem، self-efficacy، and enhancing positive aspects of life can help mothers with children with behavioral problems.

Family caregivers of patients with severe mental disorders experience a great deal of psychological burden. Various interventions have been performed to reduce the psychological problems and psychological burden of caregivers. The aim of this study was to compare the effect of a psychoeducational intervention and quality of life therapy on the psychological burden of family caregivers of patients with severe mental illness.

This quasi-experimental study was performed on 150 family caregivers of severely mentally ill patients admitted to a psychiatric hospital in Zahedan, Iran, in 2020. Caregivers randomly were allocated in three groups: quality of life therapy intervention (50 people), psycho-education intervention (50 people) and control group (50 people). The quality of life therapy intervention group received 8 sessions and psycho-education group received four sessions training during two weeks each lasting for 90 minutes. The psychological burden of caregivers was assessed before and 4 weeks after the training through using the Zarit burden questionnaire. Data were analyzed by SPSS software version 22 using paired t-test, independent t-test, chi-square and ANOVA.

The mean score of psychological burden of caregivers was significantly different between the three groups after the intervention (P = 0.002). Post hoc analysis showed that the mean score of psychological burden of caregivers in quality of life therapy group and psychological education was significantly different from the control group (P = 0.001). Also, the mean score of psychological burden of caregivers in quality of life therapy was significantly less than the score in psychological educational intervention group (P = 0.001).

Quality of life therapy was more effective in reducing the psychological burden of family caregivers of patients with severe mental disorders compared to psychological educational intervention.

Schizophrenia is one of the most severe chronic diseases in psychiatry. The person with this disease receives the highest level of family care. The diversity and severity of family care roles in schizophrenic patients can create a lot of psychological burden in family caregivers and disrupt family functioning. The purpose of this study is to status of psychological burden and the role of family careers in patients with schizophrenia.

This study is a review article that was searched in electronic and paper sources for year 1990-2017 in SID, Magiran, and Google Scholar, Science Direct and PubMed databases. The key words of schizophrenia, family careers, psychological burden, function, mental patients was used.

The caring pressure for families of schizophrenic patients causes disorders of family relationships, restrictions on social activities, work and recreation, financial problems and physical problems, anxiety, depression, poor quality of life, violent behavior with patients. Studies have shown that these families have poorly functioning, so that the coherence and consistency of the family of these patients and the understanding of their members of their own will also lead to problems. The families of these patients are less capable of solving the problem, performing tasks and roles to meet the emotional and economic needs, verbal and nonverbal communication, and emotional response.

Discussion and Conclusion:

Psychiatric team can help the vulnerable population by providing emotional and psychological care through the role of the teacher. Family therapy interventions will help the patient's relatives to change their attitude towards the disease, its signs and symptoms, and to alleviate stress and psychological stress, and provide them with mental health.

Caring for a patient with a mental disorder is a responsibility that has a lot of psychological burden for family members. In recent years, psychotherapy, especially psychosocial interventions, along with drug therapy has been given greater attention. One of these family-based interventions is the psycho-educational intervention of the family. The purpose of this study was to investigate the effectiveness of psycho-educational intervention on the burden of family caregivers of patients with bipolar disorder.

This is a quasi-experimental study conducted in the psychiatric hospital affiliated to Bushehr University of Medical Sciences in 2018. The research sample consisted of 31 main caregivers of patients with bipolar disorder who participated in 6 group training sessions. Before and after the intervention, Zarit psychological burden questionnaire was completed by caregivers. Data were analyzed by SPSS 19 software, Chi-square, Pearson correlation, and T-test.

The mean age of caregivers was 45.77 ± 12.62. The mean psychosocial burden of caregivers in the pretest was 66.45 ± 14.73. The results of the study showed that after participating in educational sessions, the average of psychological burden in caregivers with mean of 38.3 ± 10.53 was significantly decreased (P = 0.000).

Considering the effectiveness of psycho-educational interventions on the burden of family caregivers in patients with bipolar disorder, it is suggested to use psycho-educational interventions in psychiatric wards for caregivers in bipolar patients.

Substance use as a crisis and a long-term chronic disorder can lead to psychological burden and reduce the quality of life of family caregivers. The aim of this study was to determine the effect of the quality of life therapy intervention on the burden of the family caregivers of addicts.

This is a clinical trial. The research population included all the family caregivers of the recovering addicts, admitted to Baharan psychiatric hospital in Zahedan in 2018. The samples were 80 people who were randomly divided into either intervention or control group. Caregivers in the intervention group received eight sessions of group counseling based on the quality of life therapy and on the basis of the determined content, every other day. Before the intervention and eight weeks after the intervention, the data were collected using the Zarit burden questionnaire and were analyzed by statistical tests through the SPSS software version 21.

Before the intervention, there was no significant difference in the mean score of burden between the two groups (P=0.25). After the intervention, the mean score of family caregiver burden in the intervention group (40.10±12.92) was significantly lower than in the control group (46.80±13.58) (P<0.01).

The quality of life therapy intervention in this study had a positive and significant effect on reducing the burden of family caregivers of addicts. Therefore, it is recommended that healthcare providers use this counseling approach along with addiction treatment programs to improve the psychological well-being of family caregivers.
Clinical trial registry: IRCT20160924029954N11

 Psychosocial stresses and stresses caused by schizophrenic patients are a significant but common practice that, if left untreated and intervened, can lead to a reduction in the physical and mental health of family caregivers as hidden patients, and The quality of care they provide is effective.  The purpose of this study was to determine the effect of peer-centered education on psychological burden on family caregivers of schizophrenic patients.  This study was a clinical trial performed on 64 family caregivers of patients admitted to the military hospital with schizophrenia in 2018. Patients were selected using a purpose-based method and randomly divided into two groups of test and control. For the experimental group, peer educator training was performed for 6 sessions and the control group did not take any action. Finally, the psychological burden of the two groups was compared. P less than 0.05 was considered as a significant level.  There were no significant differences between the two test groups between the two variables. In the pre-intervention stage, the mean psychological burden was not significantly different in the two groups of test and control, while immediately and two weeks after the intervention, this difference was significant (P<0.001).Also, the results of the ANOVA test showed significant differences between the two groups (P<0.001).
Discussion and  Considering the average level of mental burden of the samples in this study and considering that the results of this study indicate the positive effects of peer-to-peer education on the psychological burden of families of schizophrenic patients, it is recommended to use successful experiences of peers as a model with Creating empathy between educator and learner to reduce the psychological burden of families of schizophrenic patients in hospitals and after discharge.
IRCT No. : IRCT2018122180420040N1

In the process of the child’s suffering from learning disability, Caused mental burden in family members specially the mother. According to it, the present study was conducted to determine the effectiveness of group reality therapy on mental burden of the mothers of the children with learning disability in the town of PirBakran in Isfahan.
The research method was semi-experimental with pretest, posttest and control group design and follow-up stage. The statistical population of the current study included mothers of the children with learning disability in the town of PirBakran in Isfahan in academic year 2015-16. 30 mothers were selected through available non-random sampling method from the statistical population. The experimental group received of group reality therapy during 10-minute sessions a week for a meeting, received 90, While the control group during the study process of the intervention lacked above. The research instrument included mental burden questionnaire (Zarit et.al, 1986).
Findings: The results of data analysis showed that training reality therapy had significant effect on mental burden of the mothers of the children with learning disability at posttest and follow up stages (p According to the results of the present study, reality therapy method can be utilized to decrease mental burden of the mothers of the children with learning disability.

þAnxiety is one of the problems associated with Asperger's children.ý. The psychological burden of having a child with Asperger, also affects their caregivers, ýand life with a sick member creates a bitter experience for other family membersý. The aim of this research is to investigate the influence of “Floor time Play on ýAnxiousness ýin children with Asperger disorder ýand burden among ýtheir þmothers”ý
The study was a single-subject of AB experimental designs. The statically population of the study was all 8-11 year old children with asperger ýdisorder and their mothers in Tehran, referring to the center of autism of the Sunrise, ýand 3 children at the age 8 to 11 were chosen. In this study, convenience sampling ýmethod was used. ý. Interventions peformed for 12 treatment sessions (90 minutes, one session per week) ýfor three month, with a follow-up period of one month subsequent to treatment ýterminationý. The research instruments were the High-Functioning ýþAutism Spectrum Screening ýQuestionnaire, Spence Children’s Anxiety Scale and Family burden interview scale. ýchart analysis was used for data analysis of this study and also the effectiveness of ýtherapy was assessed by recovery percent formula andý Reliable change indexþ.þ
The results indicated that children with asperger disorder showed improvement in ýcomparison with baseline. The overall improvement in their anxiety variables was 50/5%, ýand the RCI was higher than 1.96 for all three children. Therefore, floortime play ýtherapy has a clinically and statistically significant effect on the reduction of anxiety in ýchildren with Asperger's disorder. The results of the follow-up test showed that the effects of the intervention were still ýongoing after one month after the last session of the interventionsý. Also the results of the percentage of recovery (24/6%) indicated a decrease in burden, ýbut ýthis value was not clinically meaningful.ý
It seems that floortime play therapy has been effective in reducing the anxiety ýof ýchildren with aspergerous disorder. Therefore, it is recommended that the ýtreatment ýof floortime play therapy as one of the treatment interventions to improve ýanxiety in children ýwith Asperger's disorder And reduce the stresses and mental ýproblems of their mothers ýin centers and clinics of autism. ý

The birth of every child with Autism is associated with several problems for parents. Lack of emotional support and the burden of the child cause psychological problems in mothers with autistic children. Therefore¡ the aim of this research was to determine the effectiveness of the “kozloff parental training program« on expressed emotion and burden in mothers with autistic child.
This research was a quasi-experimental study with pre and post-tests. Thirty mothers with autistic children were assigned randomly to the control and experimental group. The experimental group was received the Kozloff parental training program in 12 sessions (90 minutes¡ two times per week). The research instruments were the Pai and Kapur''s Family Burden Interview Schedule Scale (FBIS) and expressed emotion to child. The result of this research was analyzed by examination of covariance with the SPSS version 17 software.
The results indicated that positive expressed emotion in mothers¡ who received the Kozloff training intervention¡ was increased (P The Kozloff parental training was effective in increased positive expressed emotion and decrease negative emotions and objective and subjective burden in mothers with autistic children.

Evaluating the effectiveness of a group psycho-educational program on family caregivers of inpatients with mental disorders in Noor Hospital in the city of Isfahan. The present study was a single blind randomized clinical trial, and assessed the effective-ness of a group psycho-educational program on 100 family caregivers of psychiatric inpatients over a three month period, in Noor Hospital affiliated to Center for Behavioral Science Research of Isfahan University of Medical Sciences. Caregivers’ burden was assessed using Zarit Burden Interview ZBI. The results showed that the mean score of burden in family care givers of patients with schizophrenia and mood disorders significantly decreased (p=0.001) in comparison with the control group. The group intervention program for reducing caregivers’ burden in family caregivers of patients was effective, and this could potentially improve the quality of life of both patients and caregivers.