جستجوی مقالات مرتبط با کلیدواژه « خانواده » در نشریات گروه « پزشکی »

The process by which family physicians refer patients to specialized levels of the healthcare system is presented. In other words, the referral system can assure us that the clients of health care services are optimally allocated at the specialized level of services. In addition to providing proper time and providing proper health care for health benefits. The referral process is a specialized outpatient consulting process that determines the course and communication of the individual in three levels of the health system to provide the integrity and continuity of services this study aimed to determine the quality of referral and feedback forms in the medical family physician of Mazandaran province in 2019.

This descriptive cross-sectional study was conducted to examine the form of insurance referral of social security insurance by physicians of urban families and feedback from experts. After receiving the code of ethics and obtaining permission from the relevant organization the researcher paid the social security organization 1397 issued by the physicians in the province. The statistical population consisted of all forms of reference and the feedback from experts to the social security insurance organization to get the right According the report of the department of medical record department of the social security insurance organization of Mazandaran province in1397 has been handed over to that organization in a total of 151075 reference sheets completed to obtain the right of the specialists. the collected data were entered into Excel software for statistical analysis was performed in descriptive statistics using central dices (mean, median, mode) and dispersion index(variance, standard deviation, range of changes, coefficients of variation ) for quantitative variables, and index, percentage, and prevalence for qualitative data. The data were analyzed by using spss-25 software.

The study of 3200 cases of referral and referral forms of family physicians and specialists showed that among the Physicians 2321(72.5) were male and 879(27.5) were female. The patient's records in 586(%18.3) were incomplete. Clinical findings Were found in 98(2.7%) cases and paraclinical findings were incomplete in 22 cases (0.7%) and complete in 171 cases (5.3%). in 884 cases (27.6%) the papers were illegible the cause of referral was written in 560(17.5%). the reason for further referral in 187 cases (5.8%) was written by experts. In addition, 1454 cases (45.4%) of the return sheets completed by specialists were illegible.

The results obtained in this study show that the status of the quality of completion of the referral form by the family doctors and also the status of providing feedback by the specialist doctors are not suitable. to improve this situation the implementation of face-to-face and non-face-to-face training programs for both groups and using electronic referral forms can be put on the agenda.

It is essential to provide family-centered care and pay attention to the families of critically ill patients. Consequently, the present study determined the relationship between the needs and resilience of family members of patients hospitalized in Intensive Care Units (ICUs) of hospitals affiliated to Shahrekord University of Medical Sciences in 2021.

The present cross-sectional, descriptive-correlational study, was conducted in order to investigate the relationship between the needs and resilience of families of critically ill patients. The study population included the family members of all patients hospitalized in the ICUs of hospitals affiliated to Shahrekord University of Medical Sciences in 2021, who were selected by available sampling. For this purpose, 149 family members were selected and answered the demographic questionnaire, the Connor-Davidson Resilience Scale (CD-RISC) and Critical Care Family Needs Inventory (CCFNI).

Based on the findings, the average score of family needs was 143.14 ± 21.75, which showed a high level of needs. The highest need of family members was related to the dimension of assurance and information and the lowest need was related to the dimension of support. The mean resilience score was 70.04 ± 16.89, which shows that the family members had acceptable resilience. According to the adjusted resilience score of family members, the highest score was related to the dimension of spirituality and the lowest score was related to the dimension of control. There was a direct and significant relationship (P<0.05) between resilience and all the dimensions of family needs.

Improving nurses' knowledge and awareness of the needs, mental health status and resilience of family members in ICUs can lead to improved resilience and reduction of negative psychological consequences of family members during hospitalization and even after discharge by adopting solutions to meet these needs, as well as implementing training programs. Supporting the family is essential to identify and understand the importance and priority of their needs to meet these needs properly and to pay attention to the mental health and resilience of families.

The family's emotional climate and resilience are among the protective factors against drug use by teenagers.

The present study aimed to predict addiction susceptibility in male adolescents based on the family's emotional climate with the mediation of resilience.

The research method was of the descriptive correlation type and the study's statistical population included all male students of public schools in Tehran in the first and second semesters of 2017-2018, from which 267 people were selected by multi-stage random sampling. The research tools included the Affective Family Climate Scale, the Connor-Davidson Resilience Scale, and the Addiction Susceptibility Questionnaire-Adolescents Version. The data of the present research were analyzed using the structural equation modeling method and Imus software.

The present study's results showed that the family's emotional climate (β=-0.468, P=0.001) and resilience (β=-0.246, P=0.001) predict addiction susceptibility in male adolescents negatively and meaningfully. The family's emotional climate predicts addiction susceptibility in male adolescents through the mediation of resilience (β=0.083, P=0.001).

The results of the present study emphasize the importance of the role of the family, both in terms of creating a favorable emotional climate and in terms of playing a role, as a suitable model in the emergence of behavior. It is suggested that parents also protect their children from the influence of peers and the use of tobacco and drugs by providing a suitable emotional climate.

Diabetes is a chronic disease that significantly impacts individuals' social, psychological, and personal functioning. One of the consequences of diabetes is a reduction in marital compatibility and issues related to family stability. This study aimed to determine the effect of an educational intervention on family stability in women with type II diabetes referred to Yazd Diabetes Research Center.

This semi-experimental intervention study was conducted in 2022 with 60 women diagnosed with type 2 diabetes. A convenience sampling method was employed to select participants, who were then randomly divided into two groups. The educational intervention was delivered virtually over seven sessions. Data were collected using a demographic questionnaire and the Family Stability Questionnaire (FSQ). SPSS software version 26 was utilized for data analysis at a significance level of 0.05, employing independent t-tests, paired t-tests, ANOVA, covariance analysis, and Mann-Whitney tests.

After the intervention, the average family stability score in the experimental group significantly decreased compared to the control group, with a significant difference noted (p<0.01). It is important to note that a lower score indicates better family stability. The paired t-test results demonstrated the positive impact of the training in the intervention group.

The educational intervention was effective in enhancing family stability among women with type II diabetes in Yazd city. Future studies should explore and implement strategies to promote family stability in patients with other chronic diseases, with particular emphasis on improving emotional well-being.

Adolescence is the most important developmental stage of every human being, which may be associated with behavioral disorders and be neglected by the family.

The present study was conducted with the aim of the effectiveness of family-oriented communication skills enrichment program in order to improve marital satisfaction and emotional regulation of adolescent children with emotional disorders.

The research was of pseudo-experimental type with random assignment and with pre-test, post-test and follow-up. The research tools were Marital Satisfaction Questionnaire (1390), Cognitive Emotion Regulation Questionnaire (2013), and family-oriented communication skills enrichment program (Vadoudi et al., 1402) was held in the form of 23 group sessions for the experimental group. Data analysis showed multivariate covariance analysis of repeated measurements type.

The family-oriented communication skills enrichment program has improved marital satisfaction, emotion regulation, and also reduced the clinical symptoms of children with emotional disorders, and these results are stable in the follow-up (p<0.01).

In the enrichment program of family-oriented communication skills, behavior signs and negative thoughts, the causes of events, emotional and cognitive signs are identified and ways to correct and get rid of false beliefs and healthy alternatives are taught. which will improve the interpersonal relationships of the couple and the experienced emotions. The training of family-oriented communication skills will ensure that the person is prepared in terms of knowledge and insight to perform some interpersonal interactive skills because the person has learned an optimal level of cognitive functioning and the methods and It has preparations that are healthy, safe, effective and affordable.

Cardiac arrest and heart attack are the most common cardiovascular diseases in the world. Most of the time, during a cardiac arrest, there is a person as an observer who can prevent brain death and save the patient's life in the golden time (first 4 to 6 minutes of cardiopulmonary arrest) by performing resuscitation. The aim of this study was to compare two methods of basic cardiopulmonary resuscitation training in person and virtual on the level of learning resuscitation skills (awareness and performance) in military families.

In this clinical trial study, 100 people from families living in selected organizational areas were randomly assigned to two groups of face-to-face training (50 people) and virtual training (50 people). In the face-to-face training group, during a 2-hour session, cardiopulmonary resuscitation and how to deal with cardiac arrest victims were taught theoretically and practically (mannequins). In the virtual educational group, educational materials were presented by using virtual channels (once-up Weita platform) and sending animation videos, photos, short texts, and PDF files of educational booklets during two weeks. In order to collect data, a demographic form, an awareness questionnaire including 14 four-choice questions, and a performance assessment checklist including 13 items were used to assess the skill in cardiopulmonary resuscitation. At the end, the collected data were compared between the two groups.

Data related to age (P = 0.468), sex (P = 0.812), education (P = 0.307), occupation (P = 0.055) had no significant difference in the two groups. The U-Man-Whitney test showed that there was no statistically significant difference before the intervention between the two groups of face-to-face and virtual education in terms of knowledge and skill levels (P>0.05). Wilcoxon's statistical test showed that the difference in the mean score of knowledge and skill level before and after the intervention in both face-to-face and virtual education groups was statistically significant (P<0.05). Furthermore, the U-Man Whitney test showed that there is a statistically significant difference after the intervention between the two groups of face-to-face and virtual training in terms of knowledge and skill level (P<0.05).

In this research, in both face-to-face and virtual training groups, the amount of knowledge and skill increased significantly compared to before and after the training. However, by comparing the two groups, it was observed that the amount of knowledge in the participants of the virtual training group was higher and the amount of skill in the participants of the face-to-face training group were more. Despite the belief of the effectiveness of face-to-face training, the findings of this research showed that virtual training can be as effective as face-to-face training.

Drug addiction has become one of the big problems in societies, and its prevention is one of the main plans of countries worldwide. This study aims to assess the mediating role of family cohesion in the relationship between attitude towards drug addiction and personal empowerment in Iranian college students.

This is a correlational study using structural equation modeling. The study population includes all undergraduate students of the University of Mohaghegh Ardabili in the academic year 2022-2023, of whom 200 were selected using a convenience sampling method. The used tools were the social competence questionnaire of Felner et al. (1990), the attitude towards drugs questionnaire of Karimi (2013), and the family adaptability and cohesion evaluation scale of Olson (1985). To analyze the collected data, SPSS software, version 23 and LISREL software, version 8.8 were used.

The positive attitude towards drug addiction had a negative and significant relationship with personal empowerment (r=-0.58, P<0.01) and family cohesion (r=-0.55, P<0.01). The negative attitude towards drug addiction had a positive and significant relationship with personal empowerment (r=0.56, P<0.01) and family cohesion (r=0.50, P<0.01). Personal empowerment of students had both direct and indirect effects (through family cohesion) on the attitude towards drug addiction.

To prevent addiction to drugs in young people, there is a need to create a negative attitude towards drugs in them by increasing their personal empowerment and family cohesion.

tele nursing has become increasingly important in supporting caregivers of Covid-19 patients. Technology can help nursing in such situations. This study reviews the effect of tele nursing on caregivers in the Covid.

The present study was a systematic review on the impact of remote nursing programs in supporting and meeting the needs of caregivers of patients' families during the Covid era. The search for observational and interventional articles published in English in PubMed، Cinahl، Embase Scopus و Web of Science was conducted in the period of 2019 to 2022 with the keywords tele nursing, tele health, family, caregivers, covid. After completing the search and evaluation of articles using the JBI checklist and articles that have entry criteria, the study was entered.

2126 related articles published between 1991 and 2022 were identified in the initial search. After removing irrelevant articles, finally 6 articles were examined. Tele-nursing has had a significant impact on improving satisfaction and knowledge, self-efficacy and efficiency and reducing the burden of care, the perceived stress of caregivers in the era of Covid-19.

In other words, tele nursing can help caregivers learn more about COVID-19 and how to care for their loved ones at home. It can also help them feel less alone and more supported. However, it is important to make sure that all caregivers have access to the technology and resources they need to use tele nursing effectively.

The basis of family-centered care is the participation of patients and their families in health decisions. Despite the advantages of family involvement in intensive care, this method is associated with many obstacles. Therefore, the present study aimed to explain the obstacles and suggested solutions for family participation in the ICU.

This qualitative study of contract content analysis was conducted in Tehran in 1402. The tools for collecting experiences were open questions and semi-structured interviews. Purposive sampling was used to identify the participants. The selection of samples was done by observing the principle of maximum diversity to achieve a diverse range of experiences. Sampling continued until information saturation, with no formation of classes and subclasses and new information. Qualitative data analysis was performed using the four stages of content analysis of Elo and Kyngäs (2008). Lincoln and Guba's four acceptability criteria were used to strengthen the results.

In this study, 15 participants, including four family members of patients, four nurses, and seven managers of the studied hospital with an average age of 49.53±12.09 years and an average years of service of 16.73±10.22 years participated. The results consisted of four classes: barriers related to the family, barriers related to the treatment team, barriers related to the physical structure of the department, and organizational barriers; 13 subclasses and 21 codes were formed.

Using solutions such as holding training workshops on communication skills with patients and families, anger control methods, and allocating funds to create favorable changes in the physical space of the ICU and providing nurses can help effectively implement this approach

Operating room is a stressful workplace. Therefore, the present study aimed to examine the structural model of the relationship between psychological well-being and critical thinking with strategies to deal with stressful situations in operating room personnel, considering the mediating role of family process and content. The present research is a descriptive and correlational study. The statistical population included all operating room personnel in Mashhad, Iran as of 2023 winter; 200 operating room personnel were selected as the study sample. To measure the variables, the Family Process and Content Questionnaires, Psychological Well-Being Scale, Critical Thinking Questionnaire and Index Questionnaire for Dealing with Stressful Situations were adminsitered. Data analysis was done using structural equation modeling with Amos22 and SPSS 22 software. The results of the structural equation model showed that the family process played a mediating role in the relationship between critical thinking and problem-oriented and avoidance-oriented strategies. Also, family content played a mediating role in the relationship between critical thinking and avoidance coping strategy (p <0.05). Finally, the results showed that the content of the family and the family process did not play a mediating role in the relationship between psychological well-being and strategies for coping with stressful situations (p >0.05). According to the results obtained from the research, it is suggested to use family therapy workshops for operating room personnel.

Family functioning is an important factor in relationships and health of family, which can be improved by Child Parent Relationship Therapy (CPRT). This study was conducted with the aim of determining the effectiveness of CPRT on family functioning in mothers of preschool children.

This quasi-experimental research had a pretest-posttest control group design. The statistical population was mothers of preschool children of Isfahan City in the academic year 2020-2021. Using the random cluster sampling, 60 people were selected and randomly assigned to experimental (n=30) and control (n=30) groups. First, the McMaster Family Assessment Device was performed as pretest across the two groups. Then, the experimental group participated in CPRT for ten sessions, but the control group remained on the waiting list. After completing treatment sessions, the posttest was also performed in two groups, and the collected data were analyzed using multivariate analysis of covariance (MANCOVA).

The results of MANCOVA showed that the linear combination of dimentions of family functioning was significantly different between two groups (Wilks' lambda=0.635, F45,7=3.423, p=0.005). The results of univariate analysis of covariance also showed significantly lower scores (better functioning) in dimentions of problem solving (p= 0.004), communication, and affective involvement (p<0.001) in the experimental group.

The results of the current study suggested that Child Parent Relationship Therapy is an effective threatment for improving the family functioning. It is recommended that this treatment can have beneficial results for the whole family even if it is implemented with the participation of only one of the parents and their children.

One of the most important concerns in school psychology is understanding how students strive for academic success.

The present study aimed to compare the family’s emotional climate, academic motivation, and academic buoyancy between excellent and average students.

In this causal-comparative research, the statistical population consisted of male students in the first year of middle school in districts 5, 18, and 22 of Tehran, Iran, during the academic year 2021-2022. A multistage cluster sampling method was used to recruit 300 students (n=150 per group) from these districts. Data were collected using the Family Emotional Climate Questionnaire by Hill (1964), Harter's Academic Motivation Scale (1980), and Martin and Marsh's (2008) Academic Buoyancy Scale. The collected data were analyzed using Chi-square test, regression analysis, and independent t-test in SPSS-21.

The results indicated a significant difference between the two groups in terms of the family’s emotional climate and its components, including love (P<0.001), caressing (P<0.002), approval (P<0.003), shared experiences (P<0.003), gift-giving (P<0.002), encouragement (P<0.001), trust (P<0.001), and sense of security (P<0.002). Additionally, there were significant differences between the two groups regarding the variables of academic motivation (P<0.001) and academic buoyancy (P<0.001), with the mean scores of excellent students being higher than those of the average group.

In the group of excellent students, the family’s emotional climate, academic motivation, and academic buoyancy were higher than those of the average group. Therefore; strengthening the relationship between family members and students, besides implementing skill development programs that focus on enhancing academic motivation and buoyancy in school education, can have a significant impact on the academic success of students.

Sexuality education is an action that takes place from the early stages of human life with the aim of balanced and proportional growth of sexual instinct. The purpose of this research is to determine the challenges of sexuality education of children by the family, school and other relevant institutions.

This is a review study, using the keywords of children and family and sexulity education and schools in domestic and foreign databases such as Google Scholar, SID, Science Direct, Magiran during the years 1395-1401 and 2016 to 2022, 72 articles obtained; 17 articles related to having the inclusion criteria were examined. It should be noted that the exclusion criteria of the articles were considered to be out of time and irrelevant.

Children's education is one of the main concerns of families, educational centers and teachers. Sexuality education is one of the important aspects of education that has been neglected, so mothers, schools and teachers play an important role in teaching this matter. basic challenges such as not answering sexual questions, lack of knowledge, the desire to protect the innocence of children, access to mobile, phones, Internet and satellite and lack of access to books and suitable educational programs have been faced, but unfortunately, mothers and educational trainers do not have enough awareness and knowledge to deal with these challenges.

In general, considering that sexuality education is considered one of the most important issues in children's education and always faces many challenges, therefore, it is necessary to conduct a lot of researches in this field and create educational programs that are appropriate to culture and beliefs for children, family and teachers. Therefore, basic steps should be taken to analyze the problems and challenges and questions in today's family and society.

The families of medical staff experience many psychological traumas in coronavirus crisis situations. Identifying and treating the most common family trauma's treatment staff and their defense mechanisms can help reduce their trauma.

This research was conducted in terms of applied purpose and with a qualitative approach and interpretive phenomenological method. The research samples were saturated by selecting 22 members of the cadre family using targeted snowball sampling. Video telephone interviews were used to collect data. Interviews were analyzed using thematic analysis based on the model of Brown and Clark (2006).

 The findings of the interviews were extracted and classified into three main themes of psychological trauma, adult defense mechanisms and immature defense mechanisms.

Based on the findings of the study, it can be concluded that the family of medical staff under the influence of critical conditions of coronavirus, have experienced a variety of psychological damage and according to their defense mechanisms, the necessary measures should be taken in this regard

Background &

Society attaches special importance to giving birth to children and raising them. For this reason, it creates incentives and punishments to regulate this matter; despite this, the importance of birth does not end only at the level of society; at the micro level, i.e. family, having children is of fundamental importance for parents. Although the desire to have children is naturally placed in the human body. One of the issues that has received attention in these years is the reduction of childbearing. The decrease in having children in cities is significant. The purpose of this research was to explain the effects of socioeconomic status on the reduction of childbearing in Iranian society and family.

The present research has been conducted with a combined method. The research has two statistical associations. The statistical population of the qualitative part is the people who visited the health centers of Fars province in 1401, and the statistical population of the quantitative part is all couples between the ages of 20 and 45 in Fars province, the statistical population of the quantitative part is based on Cochran's formula and through cluster sampling. Multi-stages have been selected and the statistical sample of the qualitative section referring to health-treatment centers was also selected using the available sample method. Data collection was done in the quantitative part through questionnaires and in the qualitative part through in-depth interviews. In this research, the thematic analysis method is used to analyze the qualitative interview data, and descriptive statistics and inferential statistics are used to analyze the quantitative data. Considering that two types of data will be used in this research, data analysis will be used at both qualitative and quantitative levels. Quantitative data analysis was done in the questionnaire section using SPSS version 23 software, and in-depth interviews were conducted in the (qualitative) section through content analysis and coding methods.

According to the significant value (sig) calculated between the two domains, which is equal to 0.000, and because this number is smaller than 0.05, therefore, there is a relationship between the two variables of socio-economic status and the reduction of childbearing in the society. There is a meaning. Also, according to the intensity of our obtained correlation, which is equal to 0.128, therefore, there is a negative correlation, with a weak intensity and with the opposite direction, between the two variables of economic-social status and the reduction of childbearing in the society; In this way, the more the socio-economic status of the people in the society declines, the decrease in childbearing in the society also increases. Based on this, the second hypothesis of the research is confirmed. The value of dispersion indices of the economic-social status variable is a Mean value: of 20.9025, Standard deviation value: of 3.30003, Variance value: 10.890, and Range of changes value: 19.00.

The results show that among people, values and attitudes, gender equality, socioeconomic status, religion, attitudes of ethnic groups, dissatisfaction with life, the ambiguity of the future situation, educational changes, and the living experience of families. They have Keywords Socio-Economic Status, Childbearing, Society, Family Received: 15/05/2023 Published: 22/07/202 ID247 http://rjms.iums.ac.irمجله علوم پزشکی رازی دوره ،30شماره ،4تیر 1402 Talebi M., et al. played a role in the act of having children and have reduced the possibility of having children. In the end, even though people are facing various risks and issues, they still have children because of their love and affection for the child and the survival of the generation. However, in the two ways of the dangers of childbearing and interest in children, they adopt the third way: reducing fertility. Traditional values and norms, contrary to the values of individualism, which have been increasing, have experienced a decreasing and decreasing trend and have faded in society, and this issue has caused fertility to be in a transitional and challenging period. Although fertility is the result of the normative and intentional reproductive behavior of people, today's Iranian society has suffered a paradox, because this behavior is promoted and encouraged by the common values and norms of childbearing in the society on the one hand. On the other hand, it is surrounded by the external social system. Is. Today, the spread of modernity and the prevalence of traditionalist approaches are like a double-edged sword, on the one hand, it brings the process of development and evolution of social institutions, and on the other hand, it creates unfortunate consequences, such as a change in the attitude towards childbearing, which has led to the transformation of the family institution. The attitude towards having children in this research is the negative view of the interviewees towards children, who consider having many children not as a source of pleasure and benefit, but as a source of expense. The basis of this assessment is the opinions, beliefs, and accepted values of the person about the consequences of not having children. Of course, attitudes do not individually determine fertility behaviors, but environmental situations and conditions are also effective. In other words, the decrease in childbearing results from systematic convergence and adaptation to the current society's cultural, social, and economic conditions. Several factors can be considered effective in reducing fertility. Elements such as economic disturbances, the high cost of family formation, the increase in the marriage age of young people and as a result the delay in fertility, employment, and education of women, the weakening of family ties, cultural changes, the introduction of modernization elements, etc., according to the findings of the research. present and in line with the macro population policies of the country, which calls for intervention and policy-making to increase fertility above the replacement level, and in order not to repeat trial and error like what was done before to increase the number of births and stop the downward trend of policy fertility were implemented, on this basis, it is suggested that before any policy in this field, the set of indicators and components that determine fertility behavior should be scrutinized and closely monitored by planners.

Aphasia is an acquired language disorder that can affect all representations of language (comprehension, expression, reading, and writing). This disorder is a communication disability that has a long-term effect on various aspects of the life of people with aphasia and their families. The most common cause of aphasia is stroke. The prevalence of this disorder is increasing in Iran. The evidence shows that the factors affecting the provision of speech therapy services to people with aphasia are different in various countries. Therefore, this study aimed to determine the barriers and facilitators of receiving speech therapy services from the perspective of the families of these people in Iran.

The study was conducted qualitatively with a content analysis approach. In this study, individual, semi-structured interviews with open-ended questions were conducted with 12 families of people with aphasia. Interviews were conducted by voice calls through WhatsApp or phone calls. Data analysis was done by Burnard’s approach. The duration of interviews with families was 25 minutes on average.

Barriers to receiving speech therapy services from the perspective of families of people with aphasia were divided into five categories and twelve subcategories, and facilitators of receiving services were divided into five categories and thirteen subcategories. There was an overlap between the identified barriers and facilitators, so the titles of the categories were the same and included: factors affecting clients’ attendance in speech therapy sessions, factors related to the patient, factors related to the place of treatment, factors related to the family, and factors related to speech therapist. All the participants pointed out a barrier and a facilitator related to the category of factors affecting clients’ attendance in speech therapy sessions. Also, all of them found a barrier related to the patient and a facilitator related to the family to be effective in receiving speech therapy services.

By examining the factors extracted from the interviewees, it is possible to make the necessary plans to reduce the barriers and strengthen facilitators with the help of people who have responsibilities in this field. Most of the participants considered the high severity of the impairment a barrier to receiving treatment. All of them agreed that the existence of a source to inform about speech therapy services has facilitated receiving these services. By considering the barriers and facilitators, people with aphasia and their families can receive more appropriate treatment according to their conditions and their quality of life will increase.

considering that we are on the verge of drafting the 7th development plan, it is important to examine and analyze past plans in the face of family issues and evaluate the adopted approach, in order to improve the process of drafting the 7th plan as expertly as possible, therefore, in the present study, Sociological analysis of the effects of five-year development plans on the family institution; It was discussed with emphasis on its damages.

The current study method is qualitative and qualitative content analysis is used in it. The statistical population of this study consisted of official and library documents and experts. The method of selection was based on purposeful sampling and based on theoretical saturation, 11 documents related to the research topic were examined and 15 people were interviewed. The tools for collecting information are checklists and interviews. In this study, the criteria of reliability, validity, transferability and verifiability were used to evaluate the obtained results. Finally, data analysis was done using a priori coding method.

By analyzing the 1st to 6th development programs, 5 main themes of family support, childbearing, support for women heads of the household, reforming the decision-making structure of women and families, and support for vulnerable groups were identified. In terms of content, development programs have many flaws in relation to the institution of the family, and by evaluating the most important indicators of development programs, it was found that divorce is on the rise, having children and, in parallel, marriage is on the decline.

This result shows that the development programs on the family institution not only did not have a significant positive effect, but also negatively affected the family institution.

Enjoying family life and interpersonal or marital relationships as well as feeling satisfied are among the main desires of every person. Numerous studies show that self-differentiation is one of the most important intrapersonal and interpersonal elements in families, especially in Iranian ones, which is also associated with other psychological phenomena.

This study was performed using the meta-analysis technique by integrating the results of various studies conducted in the field of consequences and preconditions of their differentiation in Iranian families. To this end, 33 eligible and acceptable studies were selected and meta-analyzed. Data collection was performed using a meta-analysis checklist. This study was based on 6205 samples and 33 sizes of effect.

The findings indicated that the effect size of the predictors and consequences of self-differentiation in Iranian families had a large-sized average effect (r=0.46, SE=0.06,1, P<0.001).

Based on the findings, self-differentiation in the position of predictor and criterion variables was related to different psychological characteristics in Iranian families.

The results of this study, in addition to enriching national science and knowledge and guiding future studies, provided a comprehensive understanding of this psychological characteristic in the cultural and social context. Also, it can have special practical consequences in designing and developing treatment protocols based on self-differentiation in families according to the culture of our country.