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problem behavior

در نشریات گروه پزشکی
  • ساناز باقری، زهرا سیمی*، کبری قادری، حکیمه کامکار، زهرا شاهین
    زمینه و هدف

    توجه به سلامت روانی زنان یکی از شاخص های مهم رشد جوامع است. در این میان زنان آسیب پذیر خود را در معرض صدمات بیشتر قرار داده و به دست آوردن نیم رخ روانی آنها می تواند به بهبود سلامت روان شناختی ایشان و در نهایت پیشرفت جامعه کمک نماید. هدف از این پژوهش مقایسه باورهای ناکارآمد، تصویر ذهنی از بدن و ابراز وجود در زنان عادی و آسیب پذیر اجتماعی بود.

    مواد و روش ها

    طرح پژوهش توصیفی از نوع علی-مقایسه ای پس رویدادی بود. جامعه آماری شامل کلیه زنان آسیب پذیر بازداشت شده توسط پلیس امنیت اجتماعی شهر شیراز در سال های 93-1392 بودند. از بین آنها 40 زن آسیب پذیر به روش نمونه گیری در دسترس انتخاب شدند و به همین تعداد 40 زن عادی که از نظر سن، میزان تحصیلات، وضعیت تاهل و وضعیت اشتغال با آنها همتاسازی شده بودند نیز به عنوان نمونه مورد مقایسه انتخاب شدند (جمعا 80 نفر). ابزار پژوهش شامل مقیاس نگرش های ناکارآمد (DAS)، پرسشنامه چندبعدی تصویر خود-بدن (MBSRQ) و مقیاس ابراز وجود (ASI) بودند. داده ها با استفاده نرم افزار SPSS-20 و روش های تحلیل واریانس چندمتغیری و تحلیل تی مستقل آزمون شدند.

    یافته ها

    یافته ها نشان دادند که بین زنان آسیب پذیر اجتماعی و زنان عادی در متغیرهای باورهای ناکارآمد و ابراز وجود تفاوت معناداری وجود دارد (0/01>P)، ولی از نظر تصویر ذهنی از بدن تفاوت معناداری بین این دو گروه وجود نداشت.

    نتیجه گیری

    با توجه به این یافته ها برگزاری کارگاه های مهارت ابراز وجود و آشنایی با باورهای ناکارآمد و همچنین روان درمانی های مبتنی بر این دو متغیر برای بهبود وضعیت روان شناختی زنان آسیب پذیر و در نهایت جلوگیری از صدمات بیشتر پیشنهاد می شود.

    کلید واژگان: باورهای ناکارآمد، تصویر ذهنی از بدن، ابراز وجود، زنان آسیب پذیر
    Sanaz Bagheri, Zahra Simi*, Kobra Dgadri, Hakimeh Kamkar, Zahra Shahin
    Background & Aim

    Paying attention to women's mental health is one of the important indicators of growth societies. In the meantime, prostitutes’ women are more likely to be harmed, and getting their psychological profile can help improve their mental health and ultimately the progress of society. The aim of this study was to comparison of dysfunctional beliefs, body image and assertiveness in ordinary and prostitutes’ women.

    Materials & Methods

    The research design was a post-event comparison. The statistical population included all prostitutes arrested by the Social Security Police of Shiraz in 2013-2014. Among them, 40 prostitutes were selected by available sampling method and the same number of 40 normal women who were matched in terms of age, level of education, marital status and employment status were also selected as a comparative sample (80 in total). The research instruments included the Dysfunctional Attitudes Scale (DAS) and the Multidimensional Self-Body Questionnaire (MBSRQ) and the Assertiveness Scale (ASI). Data were analyzed by using SPSS-20 software and multivariate analysis of variance and independent t-test.

    Results

    The results showed that there were significant differences between prostitutes and normal women in the variables of dysfunctional beliefs and assertiveness (P <0.01), but there was no significant difference between the two groups in body image.

    Conclusion

    According to these findings, it is recommended to hold workshops on assertiveness skills and familiarity with dysfunctional beliefs, as well as psychotherapy based on these two variables to improve the psychological status of prostitutes and ultimately prevent further injuries.

    Keywords: Problem Behavior, Beliefs, Body Image, Assertiveness, Prostitutes
  • Malahat Amani *
    Background
    It is important to address individual and interpersonal factors involved in behavioral problems to prevent their serious consequences. This study investigated the mediating role of executive functions in the correlation between intelligence and student-teacher relationship with behavioral problems.
    Methods
    This was a cross-sectional study with a descriptive-correlational approach. The statistical population included the students of the first grade to third grade in Bojnord, Iran. Using the cluster sampling method, two elementary schools (first period) were selected for data collection from February 2023 to April 2023. The study participants were 351 students aged 6 to 10 years old. The parents completed the Child Behaviour Checklist (CBCL/6–18), and Behavioral rating inventory of executive functions (BRIEF). The teachers completed the Student-Teacher Relationship Scale (STRS) for each student, and the students were tested individually by the Colored Progressive Matrices Test (CPMT). The data were analyzed using PLS version 4 and SPSS version 22 by correlation test and structural equation model.
    Results
    The findings showed that executive functions have a significant impact on behavioral problems (β=0.43, P<0.001) and the intelligence and conflicts in the student-teacher relationship strongly affect executive functions (β=-0.44, P<0.001, and β=0.41, P<0.001, respectively). Also, our results showed that intelligence and conflicts in the student-teacher relationship indirectly through executive functions affect behavioral problems (β=-0.19, P<0.001, and β=0.17, P<0.001, respectively).
    Conclusion
    Positive teacher-student relationships are vital for improving self-regulation skills, academic performance, and emotional and social well-being of elementary school students.
    Keywords: Executive Functions, Intelligence, Student, Teacher, Problem behavior
  • Sahar Mirzaei, Marzieh Pazokian *, Foroozan Atashzadeh- Shoorideh, Seyed Amir Hosein Pishgooie
    Background

    Operating room nurses are exposed to disruptive behaviors in different situations in operating room that affect them and their performance.

    Aim

    The present study was performed with aim to explore the experiences of Iranian operating room nurses regarding disruptive behaviors in operating room settings.

    Method

    This descriptive qualitative study was conducted in different university hospitals of Tehran. The data were collected by deep semi-structured interviews with 17 operating room nurses who were purposefully selected. Finally, the data were analyzed by the conventional content analysis approach.

    Results

    In this study, four categories were extracted, including "activity in a poisonous atmosphere", "role negligence", "escape to a safety margin for adaptation", and "Indirect confrontation". The theme was "struggle in a limbo atmosphere caused by disruptive behaviors".

    Implications for Practice:

     Considering to the effect of disruptive behavior, it seems necessary to take training measures for improving "team-working" in operation room settings. Nursing managers can use the results of this research to determine patient care policies in the operating room in order to promote patient safety and improve the quality of care. It also seems necessary to design and implement a training program to evaluate its effect on changing disruptive behaviors.

    Keywords: Content Analysis, Operating Rooms, Operating room nurses, Problem behavior
  • Aaliyeh Mirzaei, Malikeh Beheshtifar, Mohammad Ziaaddini
    Background

    The last criterion for behavioral abnormality occurs outside social and cultural norms. The present study aimed to design a model of behavioral abnormalities of human resources of the Ministry of Health and Medical Education.

    Methods

    The outcomes were identified through library studies, and the fuzzy Delphi technique was used with the opinion of experts until we reached a theoretical consensus. First, 13 factors were confirmed using the opinion of 50 experts. Then, a questionnaire was designed based on the results of the first stage of the study, and the experts were asked to specify the importance of each identified stage using verbal variables. Then, the verbal variables were converted into fuzzy triangular numbers, and the triangular fuzzy mean was de-fuzzified using the Minkowski formula by Excel and SPSS-21 software.

    Results

    The members of the expert group reached a consensus on all components (dissatisfaction, drug abuse, alcoholconsumption, reduction of motivation, moral corruption, malice and revenge, suicide, absenteeism, earlyand excessive leaves, theft and destruction of property, procrastination, arguments and physical violence, sexual harassment, violation of laws and character assassination and humiliation of colleagues). The de-fuzzified mean difference of experts' opinions in the two stages was less than 0.1, indicating the intensity of experts' agreement with each of the components of the conceptual model of the study.

    Conclusion

    Behavioral abnormality is one of the problems of today's organizations, and the development of behavioral models in organizations is one way to guide employees' behavior and prevent the occurrence of abnormal behaviors.

    Keywords: Health, Health CareSector, Problem Behavior, OutcomeAssessment, Health Care, Workforce
  • Reza Bidaki, Habibollah Afshang
    Introduction

    Levetiracetam, an anti-epileptic drug, is usually used as an adjunctive treatment of partial-onset seizures with or without secondary generalization. In this article, various neuropsychiatric effects of Levetiracetam are investigated.

    Methods

    The following databases were searched: PUBMED, Google Scholar, MEDLINE, Embase, ProQuest, and Science Direct. The articles searched in the mentioned databases were from 2003 to 2021. Ninety-nine articles were selected, fifteen articles such as case reports and letters to the editor were removed due to low scientific credibility, and eighty-four articles were selected. Due to the small number of articles, articles in the form of case reports and letters to the editor were also used to write about mania.

    Results

    Case reports showed that some cases of behavioral disorders, aggression, and depression had been observed following the use of Levetiracetam. In this study, various evidence were collected to determine the performance of Levetiracetam and to what extent it can have important and vital side effects. This drug can strengthen suicidal thoughts and aggression in consuming patients, especially the patients with other underlying diseases.

    Conclusion

    According to the side effects mentioned for Levetiracetam, it is suggested that psychiatrists and neurologists pay more attention to these side effects when prescribing.

    Keywords: Levetiracetam, anxiety, Cognition Disorders, depression, Problem Behavior, Psychiatry, Suicide
  • Zeynab Azhdari, Marjan Alizadeh *, Rezvan Homaei
    Background
    Attention-deficit/hyperactivity disorder (ADHD) is an important behavioral disorder that causes considerable individual and social difficulties, creating significant emotional distress for preschoolers and their caretakers. The present study aimed to investigate the effects of parent-child interaction therapy (PCIT) on behavioral problems of children with attention deficit/hyperactivity disorder in Ahvaz, Iran.
    Methods
    This was a pretest-posttest quasi-experimental study with an experimental and a control group. The statistical population comprised all children aged 5-12 years visiting psychology and psychiatry clinics in Ahvaz (Iran) in 2020 who were diagnosed with ADHD by specialists. A sample of 30 children was conveniently selected and randomly allocated to experimental and control groups (n= 15 per group). The research instrument was The Child Symptom Inventory (CSI-4). Analysis of covariance in SPSS-24 was used to analyze the data.
    Results
    In the post-test, the mean ± standard deviation (SD) of ADHD signs and symptoms was 28.33 ± 4.65 in the experimental group and 32.67 ± 3.65 in the control group. The results showed that there was a significant difference between the experimental and control groups in the research variables (symptoms of attention-deficit/hyperactivity disorder, oppositional defiant disorder, generalized anxiety disorder, major depressive disorder, persistent depressive disorder, social anxiety disorder, and separation anxiety disorder) (P<0.001).
    Conclusion
    As the findings supported the effectiveness of PCIT on the behavioral problems of children with ADHD, workshops are recommended to be held on the treatment of behavioral problems in these children and their parents.
    Keywords: Parent-child relations, Problem behavior, Attention Deficit Disorder with Hyperactivity, ADHD, Children
  • عالیه میرزایی، ملیکه بهشتی فر*، محمد ضیاء الدینی
    زمینه و هدف

    در دهه های اخیر افزایش بهره وری و کاهش خسارات از طریق بهبود رفتارهای نابه هنجار کاری، مورد توجه صاحب نظران رفتار سازمانی به ویژه پژوهشگران حوزه ی سلامت قرارگرفته است. رفتار ناهنجار کارمند رفتاری اختیاری است که هنجارهای مهم سازمان را نقض می کند و از این طریق خوب بودن سازمان، اعضای آن و یا هر دو را تهدید می کند. هدف پژوهش حاضر طراحی الگوی پیشایندها و رهاوردهای ناهنجاری های رفتاری منابع انسانی وزارت بهداشت درمان و آموزش پزشکی بود.

    روش پژوهش

    این پژوهش به صورت مقطعی در تابستان 1400 انجام شد. برای گردآوری اطلاعات از روش مطالعات کتابخانه ای و دلفی استفاده گردید. با استفاده از مطالعات کتابخانه ای عوامل شناسایی و استخراج شد، سپس از خبرگان درخواست شد تا با استفاده از متغیرهای کلامی میزان اهمیت هر یک از عوامل شناسایی شده را مشخص نمایند. در ادامه متغیرهای کلامی به اعداد فازی مثلثی تبدیل و میانگین فازی مثلثی با استفاده از فرمول مینکووسکی فازی زدایی شدند و با استفاده از روش دلفی فازی طی 3 مرحله اتفاق نظر در مورد پیشایندها و رهاوردهای ناهنجاری های رفتاری منابع انسانی در وزارت بهداشت، درمان و آموزش پزشکی توسط خبرگان حاصل شد و الگوی آن تدوین گردید.

    یافته ها

    در مجموع 21 عامل به عنوان پیشایند و 13 عامل به عنوان رهاوردهای ناهنجاری های رفتاری منابع انسانی شناسایی شد که بیشترین میزان موافقت در زمینه پیشایندها با مولفه های فقر و مشکلات معیشتی و ضعف خودکنترلی و کمترین میزان موافقت با مولفه های بی معنا دانستن جهان هستی، وضعیت جسمانی و جامعه پذیری ناقص بوده که کلا حذف شده اند و مهاجرت به عنوان عاملی که کمترین میزان موافقت را داشته، مورد تایید قرار گرفته است. در زمینه رهاوردها نیز بیشترین میزان موافقت با مولفه های نارضایتی و کاهش انگیزش و کمترین میزان موافقت با مولفه های خودکشی و آزار جنسی شده است.

    نتیجه گیری

    با توجه به اینکه فقر و مشکلات معیشتی و ضعف خودکنترلی مهمترین پیشایندهای ناهنجاری رفتاری شناخته شده اند، می توان با تلاش در جهت بهبود وضعیت معیشتی کارکنان و افزایش حقوق و مزایای کارکنان و همچنین افزایش توان کارکنان در کنترل خویشتن و بهبود توانایی های خودمدیریتی شان زمینه کاهش رفتارهای ناهنجار کارکنان را فراهم آورد.

    کلید واژگان: پیشایند، رهاورد، ناهنجاری، ناهنجاری رفتاری، وزارت بهداشت درمان و آموزش پزشکی
    Aaliyeh Mirzaei, Malikeh Beheshti Far*, Mohammad Ziyaaddini
    Background

    In recent decades, increasing productivity and reducing losses through the improvement of behavioral abnormalities at work has been considered by experts in organizational behavior, especially health researchers. Employee' abnormal behavior is a voluntary behavior that violates important norms of the organization, and thereby, threatens the goodness of the organization, its members, or both. The purpose of this study was to design a model for antecedents and outcomes of behavioral abnormalities of human resources in the Ministry of Health and Medical Education.

    Methods

    This was a cross-sectional study conducted in the summer of 2021. Library and Delphi study methods were used to collect information. Factors were identified and extracted using library studies. Then, experts were asked to determine the importance of each of the identified factors using verbal variables. After that, the verbal variables were converted to triangular fuzzy numbers and the triangular fuzzy mean was decaphasized using the Minkowski formula. Using the fuzzy Delphi method, during 3 stages, experts reached a consensus on the antecedents and outcomes of the abnormal behavior of human resources in the Ministry of Health and Medical Education by experts and developed a model.

    Results

    A total of 21 factors were identified as antecedents and 13 factors as outcomes of outcomes of the abnormal behavior of human resources. The highest agreement in the field of antecedents was with the component of poverty and livelihood problems and weakness of self-control and the lowest agreement was with the component of meaninglessness of the universe and the imperfect physical condition and socialization, which have been completely eliminated. Migration has been recognized as the least agreed upon factor. In the field of outcomes, the highest agreement was with dissatisfaction and decreased motivation and the lowest was with suicide and sexual harassment.

    Conclusion

    Considering that poverty and livelihood problems and poor self-control were the most important antecedents of abnormal behavior, authorities can reduce abnormal behaviors of the employees by improving their living conditions and increasing their salaries and benefits, as well as increasing employees' ability to control themselves and improve their self-management skills.

    Keywords: Antecedent, Consequences, Abnormalities, Problem behavior, Ministry
  • نیوشا اصلانی مقدم، سعید حسن زاده*، سوگند قاسم زاده
    مقدمه

    برتری طرفی یکی از شاخص های تحول طبیعی مغز است. ارتباط بین برتری طرفی و اختلال نقص توجه_ بیش فعالی کانون توجه برخی مطالعات قرار گرفته است. مطالعه حاضر با هدف مقایسه برتری طرفی در دانش آموزان با و بدون اختلال نقص توجه_ بیش فعالی انجام شد.

    مواد و روش ها

    جامعه آماری پژوهش از بین 130 دانش آموز (57 دختر و 73پسر) 6 تا 12 ساله شهر تهران، ایران انتخاب شد. و با غربالگری اولیه توسط معلم، دانش آموزان مشکوک انتخاب و به وسیله مقیاس مشکلات رفتاری کودکان کانرز فرم والدین و فرم معلم (1999) و مصاحبه بالینی براساس ملاک های ویرایش پنجم DSM، 65 نفر با اختلال نقص توجه- بیش فعالی انتخاب شدند. همچنین 65 دانش آموز عادی از همان پایه و مدارس به صورت تصادفی در گروه کنترل قرار گرفتند. آزمودنی ها در 4 گروه بهنجار، با نقص توجه، با بیش فعالی و با نوع ترکیبی نقص توجه و بیش فعالی قرارگرفته و برتری طرفی آن ها با پرسشنامه های دست برتری ادینبورگ (1970) و چاپمن (1987)، پابرتری واترلو (1998) و چشم برتری توسط چند آزمایش بررسی شد.

    یافته ها

    تحلیل داده ها با استفاده از آزمون خی دو حاکی از آن بود که بین گروه نقص توجه/ بیش فعالی و عادی در هر سه مولفه دست، چشم و پا برتری، تفاوت معناداری مشاهده شد. به علاوه بین گروه نقص توجه و عادی و همچنین بین گروه بیش فعال و عادی در مولفه های دست و چشم برتری تفاوت معنی دار مشاهده گردید، اما در مولفه پا برتری این تفاوت معنی دار نبود.

    نتیجه گیری

    از تحلیل یافته های پژوهش می توان به این نتیجه رسید که بین برتری طرفی در دانش آموزان با اختلال نقص توجه_ بیش فعالی و همسالان عادی آن ها تفاوت معنی داری وجود دارد.

    کلید واژگان: اختلال نقص توجه- بیش فعالی، مشکلات رفتاری، دانش آموزان
    Newsha Aslani Moghadam, Saeid Hassanzadeh*, Sogand Ghasemzadeh
    Introduction

    Lateralization is one of the indicators of the natural evolution of the brain. The relationship between lateralization and attention deficit-hyperactivity disorder (ADHD) has been the focus of some studies. The aim of this study was to compare lateralization in students with and without ADHD.

    Materials and Methods

    The population of this study included 130 students (57 girls and 73 boys) aged 6 to 12 years in Tehran, Iran.  With initial screening by the teacher, suspicious students were selected, and by the Connors’s Children's Behavioral Problem Scale Parent Form and Teacher Form (1999), as well as a clinical interview based on the criteria of the fifth edition of the DSM, 65 people with ADHD were selected. Moreover, 65 regular students from the same grade and schools were randomly placed in the control group. Subjects were divided into 4 groups, control, ADD, HD, and a combination of ADHD. Their lateralization was assessed using Edinburgh (1970) and Chapman (1987), Waterloo (1998), and eye superiority questionnaires.

    Results

    Data analysis using the chi-square test showed that there was a significant difference between the ADHD and normal groups in all three components of hand, eye, and foot superiority. Furthermore, there was a significant difference between the group of ADD and normal and also between the group of HD and normal in the components of the superiority of hand and eye but this difference was not significant in the superiority of foot component.

    Conclusion

    There is a significant difference between lateralization in students with ADHD compared with their normal peers.

    Keywords: Attention Deficit Disorder with Hyperactivity, Problem Behavior, Students
  • Zeynab Azhdari, Marjan Alizadeh *, Rezvan Homaei
    Background

    Attention-deficit/hyperactivity disorder (ADHD) is a serious behavioral disorder with considerable personal and social consequences, including significant emotional distress among elementary school students and their caregivers. The present study aimed to investigate the effectiveness of parent-child interaction therapy (PCIT) and mindfulness-based therapy (MBT) on the behavioral problems of students with ADHD in Ahvaz, Iran in 2020.

    Methods

    This pretest-posttest quasi-experimental study included two experimental groups and a control group. The statistical population comprised all children aged 6-12 years visiting psychology and psychiatry clinics in Ahvaz, Iran who were diagnosed with ADHD by specialists. A sample of 45 children was conveniently selected and randomly allocated to two experimental groups and a control one. The first experimental group underwent twelve sessions (60-minutes sessions per week) of PCIT. Moreover, the MBT was performed on the second experimental group for twelve 60-minute sessions, and the control group did not receive any intervention. The research instrument included The Child Symptom Inventory (CSI-4). Analysis of covariance in SPSS version 24 was used to analyze the data.

    Results

    The PCIT and MBT significantly mitigated the behavioral problems of the students with ADHD, including ADHD signs and symptoms, opposition and defiance, social anxiety, and separation anxiety (p <0.001). The PCIT was significantly superior to the MBT in the mitigation of ADHD signs and symptoms (p <0.001).

    Conclusion

    As the findings supported the effectiveness of PCIT and MBT on the behavioral problems of students with ADHD, workshops should be held on the treatment of behavioral problems in these students.

    Keywords: Parent-child relations, Mindfulness, Problem behavior, Attention deficit disorder with hyperactivity (ADHD), Students
  • Ghazal Davodi-Boroujerd, Imaneh Abasi *, Abbas Masjedi Arani, Maryam Aslzaker
    Objective

    Although many studies have investigated the effect of maternal personality on internalizing and externalizing behaviors of a child, the role of both mother and child’s emotional mechanisms in these behaviors is little explored. The present study was focused on the relationship between the mother’s personality, and internalizing and externalizing behaviors of children with the mediating role of children’s alexithymia, mother’s alexithymia, and children’s emotion regulation (ER).

    Method

    162 mothers and elementary school-aged children were recruited regarding their demographics and completed the NEO personality inventory, Child behavior checklist, Toronto alexithymia scale, Children’s alexithymia measure, and Children’s emotion regulation checklist. Data were analyzed using SPSS (ver.23), and AMOS (ver.23).

    Results

    Structural equations modeling demonstrated an acceptable model fit to data (CMIN/DF=1.233, RSME=0.038, GFI=0.962). Mother’s alexithymia predicted internalizing problems whereas it didn’t predict externalizing problems in children. Also, the bootstrap results indicated that the mother and children’s alexithymia and children’s ER had mediating roles between mother’s personality and externalizing and internalizing problems.

    Conclusion

    The present results demonstrated that mother’s personality can indirectly, through mother and children’s alexithymia and children’s ER act as an important factor in development of mental problems. In other words, findings indicated that children’s emotional development is not a one-way road, but it is a mutual process that involves both the mother and the child.

    Keywords: Alexithymia, Child, Emotional Regulation, Mothers, Personality, Problem Behavior
  • Fatimah Nosrati, Ali Massah Bavani, Bagher Ghobari Bonab
    Objective

    This study aimed to investigate the effectiveness of differential reinforcement of other behaviors in reducing non-suicidal self-injury behaviors in adolescents.

    Methods

    A single-subject A-B-A-B design was used in this study. The statistical population included male adolescents with self-injurious behaviors, the families of whom were seeking treatment for these behaviors. In total, four adolescents were recruited from a psychology clinic in Tehran, Iran, using convenience sampling. Participants were observed at 6, 8, 10, and 12 sessions at baseline phases of A1 and A2, followed by 12 intervention sessions after each baseline phase. The intervention included differential reinforcement of other behaviors. If the participants showed no self-injury behavior within a specific time duration, a reward was provided. Non-suicidal self-injury behaviors included self-harm, hair pulling, severe itching, pinching, wound manipulation, and hand biting. The frequency of these behaviors was assessed during each session. Visual analysis of graphed data, percentage of non-overlapping data, and mean percentage improvement were used for data analysis.

    Results

    The results showed a fairly reliable effect for the intervention on reducing the target behavior, as indicated by a frequency reduction from phase A1 to B1 and A2 to B2 and by a frequency elevation by the intervention withdrawal from B1 to A2. The average percentage reduction across participants was obtained at 56%. However, a low rate of self-injury remained consistent for the participants.

    Conclusion

    The results provided further evidence on the effectiveness of differential reinforcement of other behaviors in reducing self-injury behaviors. Although the intervention could reduce self-injury substantially, it seemed that it could not eliminate the behavior.

    Keywords: Behavior therapy, Problem behavior, Reinforcement, Self-injurious behavior, Token economy
  • Afaf Karimipour, Parviz Asgari *, Behnam Makvandi, Reza Johari Fard
    Background

    Internalizing and externalizing behaviors often emerge during adolescence. Early interventions could prevent severe or chronic mental health issues such as depression, suicidal tendencies, crime, and social harm, thereby potentially mitigating their adverse consequences.

    Objectives

    The present study aimed to investigate the effects of schema therapy for children and adolescents (ST-CA) on the externalizing behaviors of the adolescents referred to the counseling centers in Ahvaz, Iran.

    Methods

    This quasi-experimental study was conducted with a pretest-posttest design and a control group. The sample population included adolescents aged 12 - 14 years with behavioral, educational, and mood problems who were referred to the counseling centers in Ahvaz, Iran in 2020. In total, 30 adolescents were selected via convenience sampling and randomly divided into two groups of experimental and control (15 per each). The experimental group received 14 sessions of ST-CA (120-minute weekly sessions). Data were collected using the child behavior checklist. Data analysis was performed in SPSS version 26.0.

    Results

    In the experimental group, the mean scores of externalizing behaviors at the pretest and posttest were 70.52  6.11 and 58.274.80, respectively. The mean score of aggression in the experimental and control groups at the posttest was 57.603.83 and 64.207.41, respectively. The mean score of rule-breaking in the experimental and control groups at the posttest was 55.536.10 and 61.077.63, respectively. ST-CA could significantly alleviate the externalizing behaviors of the subjects, such as aggression and rule-breaking (P < 0.001).

    Conclusions

    According to the results, ST-CA could effectively decrease externalizing behaviors. Therefore, this approach should be incorporated into the interventions designed for these cases. Our findings could lay the groundwork for further investigation in this regard.

    Keywords: Schema Therapy, Problem Behavior, Aggression, Adolescents
  • مصطفی نجفی، محمدجواد طراحی، احمد ترفع *
    مقدمه

    اختلال نقص توجه/ بیش فعالی، یک عارضه ی عصبی روانی است که کودکان، نوجوانان و بزرگسالان را به خود مبتلا می کند و چون کنترل تکانه، بخش عمده ای از مشکلات زندگی این افراد می باشد، باید به آن ها آموخت که چگونه تکانه های خود را کنترل نمایند. این پژوهش، با هدف تعیین اثربخشی بازی کنترل تکانه بر تکانشگری و مشکلات رفتاری کودکان دارای اختلال نقص توجه/ بیش فعال- تکانشگر انجام شد.

    روش ها:

    این پژوهش، از نوع کارآزمایی بالینی شاهددار تصادفی بود. جامعه ی آماری شامل 60 نفر از کودکان نقص توجه/ بیش فعال- تکانشگر در محدوده ی سنی 12-8 ساله بود که به طور تصادفی، به دو گروه مورد و شاهد 30 نفره تقسیم شدند. با کودکان گروه مورد به مدت هشت هفته و دو بار در هفته و هر بار به مدت 45 دقیقه بازی کنترل تکانه انجام شد. پس از مداخله، پرسش نامه ی توانایی ها و مشکلات (Strengths and difficulties questionnaire یا SDQ) توسط خانواده ها و معلمین تکمیل و آزمون عملکرد مداوم (Continuous performance test یا CPT) انجام شد. به منظور پی گیری اثرات مداخله، یک ماه بعد ارزیابی ها تکرار شد. هم زمان در گروه شاهد یک بازی خنثی انجام شد. هر دو گروه در طول انجام پژوهش، داروی ریتالین را به صورت همسان سازی شده به میزان 10 میلی گرم در روز مصرف می کردند.

    یافته ها:

    بین آزمودنی ها در گروه های مورد و شاهد از لحاظ نمره ی کنترل تکانه، تفاوت معنی داری وجود نداشت، اما از لحاظ نمرات مشکلات کلی، مشکلات رفتاری، مشکلات با همسالان و افزایش رفتار مطلوب اجتماعی از نظر والدین تفاوت معنی داری با (05/0 > P) به دست آمد. از نظر معلم در نمرات مشکلات کلی، تفاوت معنی داری وجود داشت (05/0 > P)، اما در سایر زیر گروه ها تفاوت معنی داری مشاهده نشد.

    نتیجه گیری:

    بازی کنترل تکانه در کودکان بیش فعال/ نقص توجه توانست در طول زمان باعث بهبود مشکلات رفتاری شود، اما بر روی تکانشگری در این بیماران، تاثیر چشم گیری نداشت.</div>

    کلید واژگان: بازی، کنتلل تکانه، مشکلات رفتاری، کودکان بیش فعال
    Mostafa Najafi, Mohammad Javad Tarrahi, Ahmad Taraffoe
    Background

    Attention-deficit/hyperactivity disorder (ADHD) is a neurological disorder that affects children, adolescents, and adults. As the impulse control is a major part of their problems, they must learn how to control these impulses. The aim of this study was to determine the effectiveness of impulse control game on impulsivity and behavioral problems of children with ADHD.

    Methods

    This study was a randomized clinical trial. The statistical population included 60 children with ADHD at the range of 8-12 years. They were randomly divided into two equal groups of intervention and control. For the children in intervention group, the impulse control game was performed for eight weeks, twice a week for 45 minutes each time. After the intervention, the Strengths and Difficulties Questionnaire (SDQ) and Continuous Performance Test (CPT) were completed by the parents and teachers. Assessments were repeated one month later to track the effects of the intervention. At the same time, a neutral game was played in the control group. During the study, both groups took Ritalin 10 mg daily.

    Finding

    There was not significant difference in impulse control between subjects in the intervention group and control group. However, in terms of grades of general problems, behavioral problems, problems with peers, and increasing socially desirable behavior in terms of parents, significant differences were obtained with (P < 0.05). According to the teacher, there was a significant difference in the scores of general problems (P < 0.05), but no significant difference was observed in other subgroups.

    Conclusion

     Impulse control game in improved behavioral problems over time in children with ADHD. However, it did not have a significant effect on impulsivity in these patients.</strong></div>

    Keywords: Video games, Impulse control disorders, Problem behavior, Attention deficit hyperactivity disorder
  • سرور آرمان، الهام نیازی *

    مقدمه :

    همشیرهای کودکان مبتلا اختلال طیف اوتیسم (Autism spectrum disorder یا ASD) ممکن است با اختلال در نمو رفتاری- اجتماعی مواجه باشند؛ این مساله، همچنان با پاسخ های متناقضی همراه است. مطالعه ی حاضر با هدف ارزیابی اختلالات رفتاری- اجتماعی در همشیرهای کودکان ASD انجام شد.

    روش ها

    این مطالعه ی توصیفی- تحلیلی- مقطعی، بر روی 51 همشیر کودکان مبتلا به اوتیسم و 138 کودک بدون همشیر مبتلا به اوتیسم در دانشگاه علوم پزشکی اصفهان در سال های 98-1397 انجام گرفت. نمو اجتماعی با استفاده از مقیاس پاسخ دهی اجتماعی (Social responsiveness scale یا SRS) و نمو رفتاری با استفاده از پرسش نامه ی توانایی ها و مشکلات (Strengths and difficulties questionnaire یا SDQ) ارزیابی و در دو گروه مقایسه شد.

    یافته ها

    میانگین سنی کودکان در گروه مورد برابر با 28/2 ± 61/9 سال و در گروه شاهد 10/1 ± 31/8 سال بود (087/0 = P). 28 نفر (9/54 درصد) از گروه مورد و 65 نفر (1/47 درصد) از گروه شاهد مذکر بودند (140/0 = P). میانگین نمره ی کسب شده از SRS در گروه مورد و شاهد به ترتیب برابر با 84/36 ± 35/43 و 20/11 ± 69/29 به دست آمد (020/0 = P). یافته های پرسش نامه ی SDQ نیز حاکی از نمره ی 53/5 ± 93/5 در گروه مورد و نمره ی 57/2 ± 26/3 در گروه شاهد بود (020/0 = P).

    نتیجه گیری

    بر طبق یافته های این مطالعه، همشیرهای کودکان مبتلا به اوتیسم در قیاس با همشیرهای بدون سابقه ی اوتیسم، اختلالات اجتماعی و رفتاری بیشتری را بروز می دهند.

    کلید واژگان: اختلالات اوتیستیک، طیف اختلال اوتیسم، همشیرها، تغییرات اجتماعی، مشکلات رفتاری
    Soroor Arman, Elham Niazi *
    Background

    The siblings of children with autism disorder spectrum (ASD) may struggle socio-behavioral development disorders; however, the issue has remained controversial. The current study aimed to assess socio-behavioral disorders among the siblings of the children with ASD.

    Methods

    This cross-sectional study was conducted on 51 siblings of children with autism and 138 siblings of children without autism in Isfahan University of Medical Sciences (Isfahan, Iran) during the years 2019-20. Social development was assessed using Social Responsiveness Scale (SRS) and behavioral development using Strengths and Difficulties Questionnaire (SDQ); the findings were compared between the two groups.

    Findings

    The mean age was 9.61 ± 2.28 and 8.31 ± 1.10 years in case and control groups, respectively (P = 0.087). 28 cases (54.9%) and 65 controls (47.1%) were boys (P = 0.140). Mean SRS score was 43.35 ± 36.84 and 29.69 ± 11.20 in case and control groups, respectively (P = 0.020). Outcomes of SDQ revealed scores of 5.93 ± 5.53 and 3.26 ± 2.57 in case and control groups, respectively (P = 0.020).

    Conclusion

    Based on the outcomes of this study, siblings of children with autism are involved with more socio-behavioral disorders as compared to the control group.

    Keywords: Autistic disorder, Autism spectrum disorder, Siblings, Social change, Problem behavior
  • Bijan Pirnia*, Masoumeh Mohamadi, Isar Abbasi, Tayyebeh Kord Ahmadi, Farima Foroughi
    BACKGROUND

    Improving interpersonal interactions between parents and the child can indirectly reduce the extrapolation behavioral problems, including aggression in children.

    METHODS

    Among parents who used high-potency cannabis (marijuana or ‘gol’ as it is called in Iran) and lived in Tehran, Iran, sixty four caregivers and an Iranian child were selected through respondent-driven sampling and studied in the form of a double-blind randomized controlled trial (RCT) (TCTR20180804001) with repeated measurements method and a 6-month follow-up. The changes in the aggression and cortisol levels were repeatedly evaluated during 12 weeks of interactive treatment and analyzed by Monte Carlo test, repeated measures correlation (rmcorr), and generalized estimating equation (GEE) via SPSS software. Statistical significance was accepted on the level of P < 0.010.

    RESULTS

    12 weeks of Parent-Child Interaction Therapy (PCIT) had a significant effect on the reduction of aggression and the salivary cortisol level in children (P < 0.010). However, the results did not remain stable till the 6-month follow-up stage (P = 0.067). Also, results revealed a significant relationship between aggression index and the level of cortisol (P < 0.010).

    CONCLUSION

    Since the core of the damage resulted from illicit drug abuse is reflected in interactive activities, improving social interactions can be considered as the key to the treatment of addiction.

    Keywords: Aggression, Tetrahydrocannabinol, Addiction, Problem Behavior, Child, Preschool
  • زهره محمدعینی، جمال صادقی*، فریبرز درتاج، علیرضا همایونی
    زمینه و هدف

    پرخاشگری یکی از مسایل مهم در دوران نوجوانی بوده و به عنوان یک مشکل شدید و رو به افزایش در میان نوجوانان و جوانان شناخته شده است. عدم مهار رفتار پرخاشگرانه علاوه بر اینکه باعث ایجاد مشکلات بین فردی می شود، ممکن است منجر به انواع مشکلات جسمی- روانی مانند زخم معده، سردردهای میگرنی و افسردگی شود. در این راستا، پژوهش حاضر با هدف مدل یابی روابط ساختاری تعارضات والدین و نوجوانان با پرخاشگری از طریق نقش میانجی خودکنترلی ادراک شده در نوجوانان دختر انجام شد.

    روش بررسی

    روش انجام پژوهش حاضر، توصیفی- همبستگی از نوع معادلات ساختاری بود. جامعه آماری پژوهش را دانش آموزان دختر مقطع متوسطه در شهر قم تشکیل دادند که 607 نفر از آن ها به روش نمونه گیری خوشه ای مرحله ای در پژوهش شرکت نمودند و به پرسشنامه های تعارضات والدین و نوجوانان، خودکنترلی ادراک شده و پرخاشگری پاسخ دادند. پایایی و روایی ابزارها با استفاده از ضریب آلفای کرونباخ و تحلیل عاملی تاییدی، تایید گردید. برای تجزیه و تحلیل داده ها از روش معادلات ساختاری با استفاده از نرم افزار Amos 24 استفاده شد.

    یافته ها

    نتایج نشان دادند که تاثیر تعارضات والدین و نوجوانان بر خودکنترلی ادراک شده، منفی و معنادار است (58/0-β=، 01/0P<)؛ اما تاثیر تعارضات والدین و نوجوانان بر پرخاشگری نوجوانان، مثبت و معنادار بود (54/0β=، 01/0P<). همچنین تاثیر خودکنترلی ادراک شده بر پرخاشگری نوجوانان، منفی و معنادار ارزیابی شد (17/0-β=، 01/0P<).

    نتیجه گیری

    در مجموع می توان نتیجه گرفت که تعارضات والدین و نوجوانان منجر به کاهش خودکنترلی ادراک شده و افزایش پرخاشگری نوجوانان دختر می شود. بر مبنای نتایج، خودکنترلی ادراک شده بر رابطه بین والدین و نوجوانان و پرخاشگری تاثیرگذار است.

    کلید واژگان: تعارضات خانواده، خودکنترلی ادراک شده، پرخاشگری نوجوانان، مشکلات رفتاری
    Zohre Mohammad Eini, Jamal Sadeghi*, Fariborz Dortaj, Alireza Homayouni
    Background and Objectives

    Aggression is one of the most important issues in adolescence and is known as a severe and growing problem among adolescents and young people. Failure to control aggressive behaviors, in addition to causing interpersonal problems, may lead to intrusion and a variety of physical and psychological problems, such as stomach ulcers, migraine headaches, and depression. This study aimed to present the structural modeling of the relationship between adolescents and parental conflicts with aggression through the mediating role of perceived self-control in female adolescents.

    Methods

    This descriptive-correlational study was conducted based on the structural equation method. The statistical population of the study included female high-school students in Qom, Iran. In total, 607 students were selected using the stepwise cluster sampling, and they were then asked to respond to the adolescent-parent conflict, perceived self-control, and aggression questionnaires. The reliability and validity of the instruments were confirmed using Cronbach's alpha coefficient and confirmatory factor analysis. The structural equation method with Amos software was used to analyze the data.

    Results

    The results showed the negative and significant effect of adolescent and parental conflicts on perceived self-control (P<0.01, β=- 0.58). However, the effect of adolescent and parental conflict revealed a positive and significant relationship with adolescent aggression (P<0.01, β= 0.54). On the other hand, the effect of perceived selfcontrol on adolescent aggression was negative and significant in this study (P<0.01, β=-0.17).

    Conclusion

    It can be concluded that adolescent-parent conflict leads to decreased levels of perceived self-control and increased levels of aggression among female students. Moreover, perceived self-control affected the relationship between student-parent conflict and aggression.

    Keywords: Family Conflict, Perceived Self-Control, Aggression, Problem Behavior
  • بهاره اسکندری، حمیدرضا پوراعتماد*، معصومه موسوی، حجت الله فراهانی
    مقدمه

    مدیریت رفتاری والدین، یک طبقه ی کلی از مداخلات است که مشکلات رفتاری در کودکان را مورد هدف قرار می دهد و نقش مهمی در کاهش یا جلوگیری از بروز این رفتارها ایفا می کند.

    هدف

    هدف مقاله حاضر مروری بر برنامه های مدیریت رفتاری والدین با هدف کاهش مشکلات رفتاری برای کودکان سنین پیش دبستانی و مروری بر ویژگی های آن برنامه ها بود.

    روش

    بدین منظور برای یافتن پژوهش های مرتبط از یک استراتژی جستجوی منظم استفاده شد. برای مقالات خارجی از پایگاه های اطلاعاتی PsycNet، Sciencedirect، Medline، PubMed، Scopus و Web of Science و برای مقالات داخلی از پایگاه های اطلاعاتی ISC، SID و Irandoc استفاده شد.

    یافته ها:

     پس از حذف مقالات تکراری، اسامی برنامه های مدیریت رفتاری والدین از مقالات موجود استخراج شدند که شامل 54 برنامه خارجی و سه برنامه داخلی بود. برای هرکدام از این برنامه ها اطلاعاتی همچون نام برنامه، نام محقق (ها)، گروه هدف و سال انتشار برنامه جمع آوری شدند.

    نتیجه گیری: 

    تعداد برنامه های مدیریت رفتاری والدین زیادی وجود دارد که با هدف کاهش مشکلات رفتاری برای کودکان سنین پیش دبستانی طراحی شده است؛ اما این برنامه ها اغلب برای کودکانی مناسب هستند که به جز مشکلات رفتاری، از اختلالات یا شرایط نامساعد دیگری رنج نمی برند. برای بکارگیری برنامه های مدیریت رفتاری والدین برای گروه های خاص، ویژگی های هر یک از این گروه ها باید در تالیف این برنامه ها مدنظر قرار گیرد.

    کلید واژگان: والدین، مشکلات رفتاری، کودک پیش دبستانی
    Bahareh Eskandari, Hamidreza Pouretemad*, Masoumeh Mousavi, Hojjatollah Farahani
    Introduction

    Parent Management Training (PMT) is a general class of interventions which targets problem behaviors in children, and plays an important role in reduction or prevention of these kinds of behaviors in them.

    Aim

    The purpose of this article is to review the PMT programs for problem behaviors in preschool children and gathering the characteristics of programs.

    Method

    In this article, in order to find related papers, a systematic search strategy has been used. Different date-bases have been utilized: PsycNet, Sciencedirect, Medline, PubMed, Scopus and Web of Science for foreign papers and ISC, SID and Irandoc for Iranian ones.

    Results

    After removing the repetitive articles, the title of the PMT programs were discovered, amongst available articles, consist of 54 foreign and three Iranian programs. For each of these programs, a lot of data was collected, such as program title, researcher’s name(s), target groups, publishing year of the program.

    Conclusion

    There are numerous PMT programs that are designed to reduce the problem behaviors of preschool children, but these programs are often designed for children who do not suffer from any disorders or other inappropriate situations, except behavioral problems. In order to use PMT programs for special groups of children, characteristics of each group must be considered important in establishment of these programs.

    Keywords: Parent, Problem behavior, Preschool child
  • سمیه حقیقت، محمود سقایی، غلامحسین احمدزاده
    زمینه و هدف

    رفتار ایذایی هر نوع رفتار نامناسب، مقابله یا تضاد، از بدرفتاری کلامی تا خشونت فیزیکی یا جنسی را شامل گردیده و منجر به آسیب یا ارعاب دیگران می شود. رفتارهای ایذایی در محیط های درمانی تاثیرات گسترده ای بر گیرندگان و ارایه دهندگان خدمات سلامتی دارد. هدف از انجام این مطالعه بررسی بروز رفتار ایذایی و جو حاکم بر روابط پزشک و پرستار در جامعه درمانی بوده است.

    مواد و روش ها

     یک مطالعه توصیفی مقطعی است که 248 نفر از کارکنان بیمارستان های آموزشی اصفهان با روش نمونه گیری تمام شماری وارد مطالعه شده و اطلاعات از طریق پرسشنامه محقق ساخته بررسی رفتارهای ایذایی، دارای سوالات چندگزینه ای طی سال 1396 جمع آوری شد. داده ها در نرم افزار SPSS 16 با استفاده از آمار توصیفی گزارش شدند.

    یافته ها

    163 نفر (7/65 درصد) شرکت کنندگان کارکنان زن و مابقی مرد، 82 (33/1 درصد) نفر از پاسخ دهندگان از بیمارستان الزهرا و 105 (42/3 درصد) نفر در بخش اورژانس مشغول به کار بودند. 212 (85/5 درصد) نفر از پاسخ دهندگان شاهد رفتارهای ایذایی از سوی پزشک و همچنین پرستار و 200 (80/6 درصد) نفر شاهد رفتارهای ایذایی از سوی سایر کارکنان بیمارستان ها بوده اند. از نظر واحدهای مورد پژوهش 17 (6/9 درصد) نفر جو پزشک پرستار را بسیار مثبت و 148 (59/7 درصد) نفر جو را نسبتا مثبت ذکر نموده اند.

    ملاحظات اخلاقی

     این مقاله حاصل طرح تحقیقاتی با کد مصوب 292272 از کمیته تحقیقات دانشگاه علوم پزشکی اصفهان است. از همه پرسش شونده ها قبل مطالعه رضایت آگاهانه اخذ گردید.

    نتیجه گیری

    از آنجایی که رفتار ایذایی از بروز بالایی بین پزشکان و پرستاران برخوردار است و بر ارتباط آن ها تاثیر منفی دارد، به نظر می رسد داشتن یک سیستم مدیریتی با قوانین کارا با قابلیت اجرایی برای همه و ارایه آموزش ها در زمینه ارتباطات از اهمیت بالایی برخوردار است.

    کلید واژگان: مشکل رفتاری، پرستار، پزشک، ارتباط، ایران
    Somayeh Haghighat*, Mahmoud Saghaei, Gholamhossein Ahmadzadeh
    Background and Aim

    Disruptive behavior includes any in appropriate behavior, conflict, and confrontation, ranging from verbal abuse to physical or even sexual harassment which results in the injury or intimidation of others. Purpose of this study was to evaluate the disruptive behaviors prevalence and atmosphe re governing physicians - nurse relationships in the therapeutic community .

    Materials and Methods

    This is a descriptive cross - sectional study in which 248 health care setting staffs of Isfahan teaching hospitals were enrolled in the study by whole sampling method. Data were collected through a researcher - made questionnaire on disruptive behaviors with multiple - choice questions during the year 2017. Data were reported using descriptive statistics in SPSS software .

    Findings

    163 (65.7%) participants were femal e and the rest were male, 82 (33.1%) were from Al - Zahra Hospital and 105 (42.3%) were working in the emergency department. 212 (85.5%) of the respondents witnessed disruptive behaviors by physicians as well as nurses and 200 (80.6%) witnessed disruptive be haviors by other hospital staff. 17 (6.9%) and 148 (59.7%) of answerers were reported there is very positive and relatively positive relationship between nurse and doctor .

    Ethical Considerations

     This article is the result of a research project approved by Code 292272 in the Research Committee of Isfahan University of Medical Sciences. Prior to the study, informed consent was obtained from all respondents .

    Conclusion

    Since disruptive behavior has a high incidence among physicians and nurses and has a negat ive impact on their relationship, having an efficient management system for everyone and providing communication training is of paramount importance

    Keywords: Problem Behavior, Nurse, Physicians, Communication, Iran
  • یاسمن شهریاری، سوگند قاسم زاده*، سمیرا وکیلی
    اهداف

    پژوهش حاضر با هدف اثربخشی بازی درمانی کودک محور بر مشکلات رفتاری درونی سازی و برونی سازی شده کودکان با آسیب فلج مغزی، صورت گرفته است. 

    مواد و روش ها

     پژوهش از نوع شبه آزمایشی طرح پیش آزمون و پس آزمون و پی گیری بود و از طرح پیش آزمون پس آزمون و پی گیری استفاده شد. جامعه آماری، تمامی کودکان 8-6 سال با آسیب فلج مغزی مرکز توان بخشی رفیده واقع در شهر تهران بود. برای انتخاب نمونه تعداد 30 کودک با آسیب فلج مغزی به صورت دردسترس و تصادفی در دو گروه 15نفره آزمایش و کنترل قرار گرفتند. مشکلات رفتاری با آزمون سیاهه رفتار کودک در پیش آزمون و پس آزمون و پی گیری سنجیده شد. بازی درمانی کودک محور به مدت 16جلسه، دو بار در هفته بر روی گروه آزمایش انجام شد. با گذشت سه ماه از مداخله بازی درمانی کودک محور، آزمون پی گیری برای بررسی تداوم، تثبیت و تعمیم نتایج حاصل از مداخله اجرا شد. داده ها از طریق تحلیل کوواریانس چندمتغیره با اندازه گیری مکرر تجزیه و تحلیل شد. 

    یافته ها

    در مرحله پس آزمون، بازی درمانی کودک محور بر کاهش اضطراب، افسردگی، قانون شکنی و پرخاشگری کودکان با آسیب فلج مغزی، به صورت معنادار و اثربخش و در مقایسه با یافته های مرحله پیش آزمون باثبات بود. 

    نتیجه گیری

     با توجه به تفاوت معنادار بازی درمانی کودک محور در کاهش مشکلات رفتاری درونی سازی و برونی سازی شده کودکان با آسیب فلج مغزی موثر است و نتایج این تحقیق را در مراکز نگهداری، درمانی و خدماتی مختص کودکان با آسیب فلج مغزی می توان به کار برد.

    کلید واژگان: بازی درمانی، مشکلات رفتاری، فلج مغزی
    Yasaman Shahriari, Sogand Ghasemzadeh*, Samira Vakili
    Objectives

    This study examined the effectiveness of Child-Centered Play Therapy (CCPT) on the internalized and externalized behavioral problems of children with Cerebral Palsy (CP). 

    Methods

    This was a quasi-experimental with a pre-test, post-test and a follow-up design. The study population consisted of all 6-8 years old children with CP in Rafideh Rehabilitation center in Tehran, Iran. Thirty children with CP were randomly divided into two groups of control (n=15) and experimental (n=15). Behavioral problems were measured using Child-Behavior Inventory Test in pre-test, post-test and follow-up phases. CCPT was performed for 16 sessions twice a week in the experimental group. After three months of CCPT intervention, the follow-up test was conducted to examine the continuity, consolidation, and generalization of the intervention results. The obtained data were analyzed by repeated-measures Multivariate Analysis of Covariance (MANCOVA).

    Results

    In the post-test phase, CCPT had significant effect on reducing anxiety, depression, offense, and aggression of the children with CP compared to the pre-test scores. 

    Conclusion

    Given the significant effect of CCPT on reducing the internalized and externalized behavioral problems of children with CP, the results can be used in the pediatric care centers for these children.<span mso-ascii-font-family

    Keywords: Play Therapy, Problem behavior, Cerebral palsy
  • Tayebeh Mahvar, Mansoureh Ashghali Farahani, Aidin Aryankhesal
    Introduction
    Classroom management is leading the class by setting the class schedule, organizing the procedures, supervising the learners’ progress, and predicting and solving their problems. Students’ disruptive behaviors and classroom management are the most important challenges and concerns of the teachers. The current review aimed to analyze the classroom management techniques and strategies used to cope with the students’ disruptive behaviors.
    Methods
    The present study was systematic review. The articles in Science Direct, PubMed and Scopus databases and Google Scholar search engine were searched using the keywords of classroom management, students’ disruptive behaviors, difficult students, and confrontation strategies during 2000-2017. A total of 31 articles were included in the study for analysis.
    Results
    The results showed all the techniques and strategies used and teachers’ challenges in dealing with students’ disruptive behaviors were included in conflict management strategies, which were classified into three categories, i.e. cooperative and problem solving strategies, avoidance strategies and punishment strategies. Moreover, the studies mostly emphasized the use of cooperative and problem solving strategies, and the most highlighted methods were making effective mutual communication with students to correct their negative behavior, training and preparing the teachers for dealing with the students’ disruptive behaviors and using various teaching methods and approaches based on the classroom situation.
    Conclusion
    To cope with the challenges of students’ disruptive behaviors, the teachers can use different strategies. Also, sufficient knowledge and skills about teaching, familiarity with the relevant and influential disciplines in dealing with students and making effective communication in the class can be helpful in developing and enjoying more effective skills in classroom management.
    Keywords: Problem behavior, Learning, Problem solving, Punishment
نکته
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