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

Hypertension (HTN) is one of the most common chronic diseases worldwide, considered a significant public health concern leading to millions of deaths from stroke, cardiovascular, and kidney diseases. This study aimed to explore the impact of mindfulness-based stress reduction therapy on systolic blood pressure (SBP), diastolic blood pressure (DBP), and resilience of women with HTN.

In this semi-experimental study, 32 eligible women with HTN were randomly divided into two groups: intervention and control. Data were collected using the Connor-Davidson Resilience Scale and a digital brachial sphygmomanometer for both groups at three stages: before, after, and two months after the intervention. A mindfulness-based stress reduction intervention was conducted for the experimental group in a group setting over ten sessions, while no intervention was performed in the control group. The data were analyzed using repeated measures analysis of variance (ANOVA) and Bonferroni post-hoc test with SPSS software.

The post-test scores of SBP and DBP of the intervention group decreased compared to the pre-test, and the resilience score of the participants increased significantly (P < 0.001). The observed change in the experimental group was stable in the follow-up phase. Moreover, no significant difference was observed between the pre-test, post-test, and follow-up scores of the control group in the variables of SBP and DBP, as well as resilience. This indicated that no change was found in the control group.

The results of this study can be used as a supplement to drug therapy in solving problems related to patients with HTN in private and hospital counseling centers.

The purpose of this study was to determine the effectiveness of a stress reduction program based on mindfulness on depression, anxiety and sexual satisfaction in women with primary infertility.

This study was semi-experimental. The statistical population of all women with primary infertility who were in the infertility and IVF department of Ayatollah Taleghani Hospital in Tehran in the months of October to January 2014. 30 women with primary infertility were selected using available sampling method. Then they were randomly assigned to the experimental group (under the mindfulness-based stress reduction program) (n=15) and the control group (n=15). Snell and Fisher-Walters (1993) Standardized Sexual Issues Questionnaire (MSQ) data collection tools were collected in three baseline stages, after intervention and three-month follow-up. Data analysis was done using the method of analysis of variance with repeated measurements of multiple variables.

The findings showed that in the group under the mindfulness-based stress reduction program, the average score of sexual anxiety and sexual depression as well as sexual satisfaction in the experimental group significantly decreased and increased compared to the control group (p ≥ 0/001).

The results of this research showed that the stress reduction program based on mindfulness can be effective in improving sexual anxiety and depression as well as sexual satisfaction in women with primary infertility.

Chronic pain results from a complex interaction of biological, psychological and social factors that causes the experience of pain. The purpose of this research was to identify the structural model of chronic pain based on mindfulness, social support and life events with the mediating role of psychological distress and pain catastrophizing.

This was a descriptive-correlational study with structural equation modeling. The study population included all patients suffering from chronic pain with musculoskeletal and rheumatoid arthritis related pain, which had referred to Tehran medical centers for follow-up in 2023. A total of 496 people were selected using the convenience sampling method. They completed the McGill Pain Questionnaire (1957), the Bauer Five Factor Mindfulness Questionnaire (2006), the Perceived Social Support of Zimmet et al. (1988), the Pickel's Stressful Life Events (1971), the Leviband's Depression, Anxiety and Stress Questionnaire (1995) and the Pain Catastrophizing Scale of Sullivan et al. (1995). Research data were analyzed using SPSS-26 and AMOS-23 softwares using Pearson correlation coefficient and structural equation modeling.

The results of the structural equation model indicated that this model fits the experimental data well. The direct effects of the standard pathway mindfulness coefficient and the amount of stressors on chronic pain were significant (p<0.01) and the direct effects of social support and the number of stressors for chronic pain was insignificant. Additionally, the effects of standard indirect path coefficients for mindfulness, social support and the number and the amount of stressors with the mediating role of psychological distress and pain catastrophizing on chronic pain was significant (p<0.01).

Mindfulness, social support and life events play an important role in explaining chronic pain through the mediation of psychological distress and pain catastrophizing. Therefore, the findings of this study can be used in more detailed planning of psychotherpeutic interventions for patients with chronic pain.

Multiple sclerosis is one of the most common chronic, progressive, and autoimmune diseases of the central nervous system, which affects the quality of people's lives in various areas including health, employment, economic, social, emotional, and family. Therefore, the current research was conducted with the aim of determining the effectiveness of emotion-focused therapy on the mindfulness and affective capital of women with multiple sclerosis.

This was a quasi-experimental study with a pretest-posttest design with a control group. The statistical population included all women with multiple sclerosis in the city of Isfahan in 2023. Using a purposive sampling method, 30 women were selected and randomly assigned into the experimental group (15 people) and the control group (15 people). The data were collected with Golparvar's Affective Capital (2006) and Baer's Five-Facet Mindfulness Questionnaires (2015). The intervention of emotion-focused therapy was conducted based on the protocol of Greenberg and Goldman (2019) in 12 sessions for 60 minutes on the experimental group, and the control group did not receive any intervention. Data were analyzed using multivariate analysis of covariance (MANCOVA).

Emotion-focused therapy was able to significantly improve mindfulness and its components including observation, description, action with mindfulness, non-judgment and non-reaction, and emotional capital and its components including positive affect pseudo-state and feeling of energy and happiness in the experimental group compared to the control group (p<0.001).

The present study showed that emotion-focused therapy is effective in improving mindfulness and affective capital in multiple sclerosis patients in Isfahan. Therefore, it is recommended to use this approach to increase mindfulness and affective capital in women with multiple sclerosis.

Earthquake and people's reaction to it can have long-term psychological consequences. The present study was conducted with the aim of investigating the structural relationships between earthquake trauma experience and suicidal thoughts with the mediation of mindfulness and rumination.

The present study was a cross-sectional correlational study. The statistical population of this research included all people over 18 years of age living in Sarpol Zahab city who experienced the November 2017 earthquake. Among them, 320 people were selected using convenience sampling method. To collect data, Traumatic Exposure Severity Scale, The Beck Scale for Suicide Ideation, The Mindful Attention Awareness Scale and Ruminative Response Scale were used. For data analysis, Pearson correlation, structural equation modeling and SPSS-26 and AMOS-24 software were used.

The results indicated the fit of the intended model and the experience of earthquake trauma with the mediating role of rumination and mindfulness explained a total of 61% of the variance of suicidal thoughts. The obtained results indicated the indirect effect of the earthquake trauma experience variable on suicidal thoughts through the mediating role of rumination (p<0.05, b=0.51). Also, the obtained results showed the indirect effect of the earthquake trauma experience variable on suicidal thoughts through the mediating role of mindfulness (P < 0.05, b = -0.62).

The findings of this research indicate the importance of mindfulness and rumination structures as an essential clinical concept in preventive and therapeutic interventions related to suicidal thoughts in people with earthquake experience. Future research can take an important step in preventing and treating problems related to suicidal thoughts by adding clinical interventions that aim to pay attention to mindfulness and rumination.

Sexual satisfaction and sexual function are important in women’s lives. Given the prevalence of sexual disorders among women, this study aimed to investigate the effectiveness of mindfulness-based interventions on women’s sexual health.

This systematic review study was conducted in 2023. A comprehensive search in databases such as Scopus, PubMed, Embase, PsycINFO, Cochrane Library, MagIran, SID, IranDoc, IranMedex, IRCT webiste, Google Scholar was conducted using the keywords “mindfulness interventions”, “sexual satisfaction”, “sexual function”, “sexual health”, and “women” for related studies published from 2015 to 2023. After screening the titles, abstracts, and fulltexts of 1003 studies, 14 interventional studies were finally included.

The findings were divided into two categories of sexual performance and sexual satisfaction. Eleven studies assessed the effects of interventions on sexual function, while five studies focused on sexual satisfaction.

The mindfulness-based interventions can improve sexual satisfaction and sexual performance of women. Therefore, such interventions are recommended to increase sexual satisfaction and sexual function of women.

Infertility is a major life event that can induce severe psychological stress in couples, especially women. This protocol-based study aims to assess the effect of an abbreviated online mindfulness-based intervention (MBI) on the distress and quality of life (QoL) of infertile women undergoing assisted reproductive technology fertility treatments.

This study outlines a protocol for a randomized clinical trial involving 70 infertile women in Iran, who will be randomly divided into two groups of control (n=35) and intervention (n=35). To collect data, a sociodemographic/medical-fertility form, the general health questionnaire-28 (GHQ-28), Newton’s fertility problem inventory, the infertility distress scale (IDS), and the QoL questionnaire for infertile women will be used. The online MBI will provided in groups of seven, once per week, for four weeks, each session for two hours. Data analysis will be performed in SPSS software, version 25.

The goal of this protocol-based study is to introduce a clinical trial that assess the effect of online MBI for reducing distress and thereby improving the QoL and mental health of infertile women in Iran. Given the prevalence of infertility and the importance of MBI, the results of the clinical trial can be highly beneficial.

The current study aimed to investigate the effectiveness of a combined treatment based on virtual reality and mindfulness on trait-state anxiety in individuals with panic disorder.

Methods and Materials:

 The research employed a semi-experimental design with two experimental and control groups, utilizing pre-test, post-test, and a 45-day follow-up. The target population included all individuals exhibiting symptoms of panic disorder seeking counseling and psychotherapy services in Tehran during the years 1401-1402. The sample size consisted of 30 individuals diagnosed with panic disorder, selected purposively, and randomly assigned to the experimental (15 individuals) and the control groups (15 individuals). The experimental group underwent eight sessions of combined virtual reality and mindfulness-based therapy. Both groups answered the State-Trait Anxiety Inventory (STAI) questionnaire in three phases (pre-test, post-test, and 45-day follow-up). The research data were analyzed using SPSS23 statistical software, employing mixed analysis of variance (ANOVA) and independent and dependent t-tests for analysis.

The results showed that the average scores of trait and state anxiety in the experimental group at post-test and follow-up stages compared to the control group had a significant decrease (p<0.001). This means that the combined treatment of virtual reality-based therapy and mindfulness has been effective in reducing trait-state anxiety in individuals with panic disorders.

Based on the results indicating the positive effect of the combined treatment of virtual reality-based therapy and mindfulness on trait-state anxiety in individuals with panic disorders, therapists can utilize the combination of virtual reality and mindfulness packages for treating individuals with panic disorders.

During the COVID-19 pandemic, nurses faced unprecedented challenges they had not experienced before, leading to multiple psychological health issues. The present study aimed to investigate the effectiveness of mindfulness-based cognitive therapy on fatigue, post-traumatic stress disorder, and cognitive job failures among nurses in the post-COVID-19 era.

The current research utilized a semi-experimental design with a pretest-posttest approach, employing a control group. The study population consisted of nurses from hospitals in the six provinces of Tehran in 2022. The study sample included 36 nurses who were selected purposively and randomly allocated into the experimental and control groups. The data collection tools included questionnaires assessing the severity of fatigue, post-traumatic stress, and cognitive job failures. The experimental group received eight sessions of 90-minute mindfulness-based cognitive therapy, while the control group did not receive any intervention.

The results indicate that mindfulness-based cognitive therapy significantly reduces fatigue, post-traumatic stress disorder, memory, attention, motor skills, and estimation among nurses.

The findings demonstrate that mindfulness-based cognitive therapy significantly contributes to the reduction of psychological disorders resulting from the COVID-19 pandemic among nurses. Therefore, it is essential to identify and provide psychological treatment for nurses involved in the care of COVID-19 patients in specialized units during the pandemic.

Mindfulness training is useful for strengthening and improving learning prerequisites. Based on this, the present study was conducted with the aim of investigating the impact of web-based mindfulness training on academic self-regulation, self-confidence and self-efficacy of nursing students.

This study was conducted with a semi-experimental method with pre-test and post-test stages and experimental and control groups. The statistical population of all nursing students of Mazandaran Islamic Azad University in the academic year 2021-2022, which was assigned in a targeted way, 40 people in two experimental groups (20 people) and control group (20 people). The measurement tools were the self-regulation questionnaires of Bouffard et al., the self-confidence of Mehri et al., and the self-efficacy of Sherer and Maddox. In order to analyze the data, descriptive tests such as mean, standard deviation, and one- and two-variable covariance analysis tests were used.

The findings showed that at the confidence level of 95% (α = 0.05), mindfulness training was effective on each of the variables of academic self-regulation, self-confidence and self-efficacy of nursing students, and the first effect on self-efficacy (size effect: 0.91), then on academic self-regulation (effect size: 0.71) and finally on self-confidence (effect size: 0.39).

Mindfulness training is one of the effective ways to increase the level of academic self-regulation, self-confidence and self-efficacy of nursing students.

In addition to inflicting distress and functional impairment, the Cyberchondria phenomenon could cause a heavy burden to healthcare professionals by increasing in number of visitors to hospitals and medical centers. Cyberchondria can be helpful in choosing and designing psychological interventions. Therefore, this study aimed to explore relationships between two components of psychological flexibility (Mindfulness and Cognitive diffusion) to Cyberchondria and the possible moderator effect of COVID-19 Anxiety in this relationship.

Methods and Materials: 

The method used in this study was descriptive and correlational. The statistical population included all students who were studying at Shiraz University in the academic year 2021-2022. Convenience Sampling was used to choose participants. Data gathering was done on the Internet because of social distancing obligations. 262 participants completed study questionnaires. The tools used in this research were the Cyberchondria severity scale (CSS), Freiburg Mindfulness Inventory (FMI), Cognitive Fusion Questionnaire, and Corona Disease Anxiety Scale (CDAS). The structural equation modeling method and Lisrel software were used to explore the relationship between study variables.

The presented model has a good fit. No significant relationship was found between mindfulness and cyberchondria. Cognitive Diffusion also had direct and indirect (through COVID-19 Anxiety) effects on Cyberchondria. Therefore, a significant statistical relationship was confirmed between study variables.

In sum, it seems cognitive defusion significantly contributes to cyberchondria symptoms, and COVID-19, as a mediant variable, plays a significant part in individuals' vulnerability against cyberchondria.

The outbreak of Covid-19 is a major health crisis that has changed the lifestyles of many people around the world. There is widespread concern about the impact of Covid-19 and its associated limitations on mental health. The aim of this study was to investigate the effect of online yoga and mindfulness training on perceived stress and resilience of young females during the Covid-19 pandemic.

The research method was quasi-experimental with a pretest-posttest design with a control group. The sample consisted of 70 young women (27.64 ± 6.45 years) who were selected by convenience sampling and randomly divided into experimental and control groups (35 subjects in each group). The experimental group performed 21 sessions of yoga practice and mindfulness for 21 consecutive days. Both groups were assessed using the Cohen et al. (1983) Perceived Stress and Connor & Davidson (2003) Resilience Scales in both pre-test and post-test. Data were analyzed using SPSS25 with multivariate analysis of covariance at the significant level of P ≥ 0.05.

The results of multivariate analysis of variance showed a significant difference between the post-test scores of the two groups with a decrease in perceived stress and an increase in resilience in the experimental group. However, in the control group, a slight increase and decrease in stress and resilience were observed in the post-test, respectively, which was not significant (P =0.001).

Developing online yoga and mindfulness -based intervention programs seems to help reduce stress and increase resilience in young females in stressful situations.