جستجوی مقالات مرتبط با کلیدواژه « psychological distress » در نشریات گروه « پزشکی »

In this research, the researcher aims to model the adherence of patients with coronary heart disease (CHD) based on coping strategies and disease perception with the mediation of self-efficacy and psychological distress.

This cross-sectional study was conducted on patients with CHD. The statistical population included patients with CHD in Isfahan Province, Iran, with the sample consisting of patients referred to Shahid Chamran Hospital in Isfahan City which were selected using purposeful sampling method. Data collection was done through the Adherence in Chronic Diseases Scale (ACDS), the Billings and Moss Coping Strategies Questionnaire, the Lovibond and Lovibond Psychological Distress Questionnaire, and the Cardiovascular Management Self-Efficacy Questionnaire developed by Steca et al. Comparative tests, correlation analysis methods, and structural equation modeling (SEM) were used to investigate the relationships between different factors.

Coping strategies affected the adherence to treatment of patients with CHD, both directly and through the mediation of self-efficacy and psychological distress. The SEM method was used to test the mentioned model. The results of the analysis indicated that all the fit indices obtained from the analysis supported the fit of SEM with the compiled data [χ2 (degree of freedom or df = 94) = 157.54, χ2/df = 168, comparative fit index (CFI) = 0.959, goodness of fit index (GFI) = 0.915, adjusted GFI (AGFI) = 0.877, and root mean square error of approximation (RMSEA) = 0.056].

It can be concluded that coping strategies have a causal effect on adherence to treatment in patients with CHD with the mediating role of psychological distress and self-efficacy. The model has a good fit.

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.

Desirable quality of marital relations and lack of psychological distress can be important factors of stability of marital relations. The purpose of this research was to determine the effectiveness of schema therapy on the quality of marital relationships and psychological distress of couples referring to counseling centers in Sari.

The current research was semi-experimental with a pre-test and post-test design with a control group. The statistical population of the research was all the couples who referred to counseling centers in Sari city in 1401. The statistical sample included 32 couples who referred to the counseling centers (16 for the control group and 16 for the experimental group) who were selected by convenience sampling and randomly assigned to two experimental and control groups. The experimental group received 8 sessions of schema therapy and the control group did not receive therapy during this time. The data collection tool was Busby et al.'s Marital Relationship Quality Questionnaire and Lavibond and Lavibond's Psychological Disturbance Scale. Data analysis was done using multivariate covariance analysis.

In the intervention group, the mean and standard deviation of the quality of marital relations in the experimental group in the pre-test and (post-test) were 32.13±1.12 (36.60±1.45) and 42.13±1.18 for psychological distress. 39.13 ± 0.83) but no significant difference was observed in the control group. Therefore, schema therapy significantly increased the average score of the quality of marital relationships and decreased the average score of psychological distress in couples who referred to counseling centers (p<0.001).

Schema therapy seems to be effective on the quality of marital relations and psychological distress of couples referring to counseling centers and it is suggested as a useful intervention in the field of improving the quality of marital relations and psychological distress.

Addiction, as a complex psychiatric disorder and one of the major problems of societies, can lead to suffering and psychological distress for addicts and those around them. This research was conducted with the aim of determining the effectiveness of dialectical behavior therapy (DBT) in reducing psychological distress and increasing mental health literacy among men who were members of Narcotics Anonymous in Kermanshah.

This study was a quasi-experimental design with a pretest-posttest design and a control group. The statistical population included all men who were members of the Narcotics Anonymous Association of Kermanshah in 2022. Thirty people were selected by convenience sampling and randomly assigned into two equal groups. The experimental group received 8 sessions DBT (90 minutes session per week), but the control group did not receive any interventions. Demographic information checklist and Kessler et al psychological distress questionnaire and Ekonor & Casey's mental health literacy scale were used to collect data. Data were analyzed by multivariate analysis of covariance MANCOVA.

The results of this research showed that the educational intervention reduced psychological distress (F=7.506, Eta=0.231, P=0.011), increased mental health literacy (F=12.619, Eta=0.375, P=0.002) of men who are members of Narcotics Anonymous has been significantly effective.

Based on the results of the current research and the effectiveness of dialectical behavior therapy on reducing psychological distress and increasing mental health literacy of the participants, it is recommended to use this new generation behavior therapy method in addiction-related interventions.

Considering the importance of gender identity in personal life and social interactions, the current research was conducted with the aim of "Cognitive-Behavioral Training" effectiveness on psychological distress and cognitive flexibility of people with gender dysphoria disorder.

The method of the present study was quasi-experimental and its design was pre-test-post-test with the control group. The statistical population of the research included all the people with gender dysphoria disorder referred to the Rasht Social Emergency Center in 2019, that 32 people were selected by purposive sampling method and randomly assigned to 2 intervention and control groups (16 people in each group). To collect data, "Psychological Distress Scale" and "Cognitive Flexibility Inventory" were used in the pre-test and post-test.  Content validity was performed by qualitative method and reliability was performed by internal consistency method by calculating Cronbach's alpha coefficient. The "Cognitive-Behavioral Training" was conducted during 8 sessions of 90 minutes in intervention group. Data were analyzed in SPSS. 23.

By controlling the pre-test score between the intervention and control groups, there was a significant difference between the participants of the two groups in the variable of psychological distress and cognitive flexibility. "Cognitive-Behavioral Training" was effective in reducing psychological distress (F=5.47 and P<0.05) and also increasing cognitive flexibility (F=20.88 and P<0.01) of people with sexual boredom disorder.

Considering the effectiveness of "Cognitive-Behavioral Training" on reducing psychological distress and increasing cognitive flexibility of people with sexual boredom disorder, it is suggested that the above training be used in a wide range of behavioral and cognitive problems.

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.

Non-suicidal self-injury has been proposed as one of the chronic and debilitating disorders. Social support from family, friends and others plays an important role in prevention, development and maintenance of this disorder. Therefore, the aim of this study was to investigate the moderating role of social support in relationship between psychological distress and non-suicidal self-injury.

This descriptive-correlational research was conducted cross-sectionally on 271 undergraduate students studying at the Islamic Azad University of Neyshabur branch in 2023. The research units were selected by cluster sampling method. Data collection was done using Kessler's Psychological Distress Scale, Perceived Social Support Multidimensional Scale, and Deliberate and Intentional Self-Injury Inventory.
The data were analyzed using the PROCESS plugin in SPSS version 26 and the statistical methods of Pearson's correlation coefficient and regression analysis.

The mean and standard deviation of the students' age was 24.03 years. In the study, 80.8% of the participants were female and 80.4% were students studying in the faculty of humanities. The research results showed that there is a significant relationship between psychological distress and non-suicidal self-injury (r= 0.505, p<0.01), social support and non-suicidal self-injury (r= 0.316, p<0.01) and also between psychological distress and social support (r = -0.378, p< 0.01). Also, social support moderated the relationship between psychological distress and non-suicidal self-injury.

Social support as a protective factor plays an important role in reducing non-suicidal self-injury. Researchers and specialists in the field of mental health can pay attention to the role of social support in the prevention and treatment of non-suicidal self-injury.

the experience of domestic violence causes the girls to face different psychological and emotional damages. Therefore, the present study was conducted with the purpose of investigating the effectiveness of dialectic behavior therapy on the experiential avoidance and psychological distress in the girls with the experience of domestic violence.

the present study was quasi-experimental with pretest-posttest and control group design. The statistical population of the present study included the girls with the experience of domestic violence in academic year 2019-20. 30 girls with the record of domestic violence were selected through purposive sampling method and they were randomly accommodated into experimental and control groups (each group of 15 girls). After starting the intervention, 2 girls in the experimental group and 3 girls in the control group quit taking part in the study. The experimental group received ten ninety-minute sessions of training dialectic behavior therapy (Linhan, 2004) during two-and-a-half months. The applied questionnaires in the present study were experiential avoidance questionnaire (Bond et al, 2011) and psychological distress (Kesler et al, 2003). The data from the study were analyzed through ANCOVA method.

the results showed that dialectic behavior therapy has significant effect on the experiential avoidance and psychological distress in the girls with the experience of domestic violence (p<0.001) in a way that this therapy succeeded in decreasing experiential avoidance and psychological distress in these girls.

Complications of diabetes, as a chronic disease, can lead to psychological distress in patients. Depression, anxiety, and stress, which are elements of this distress, can impact the management of the disease and its consequences. Therefore, this study aims to compare the effects of bibliotherapy, behavioral activation therapy, and mindfulness-based cognitive therapy on reducing psychological distress in women with type 2 diabetes.

This research employed as a semi-experimental design with a pre-test-post-test approach and included a control group. The study focused on females with type 2 diabetes referred to Sajjad Clinic in Tehran during the first three months of 2023. Sixty participants were selected using convenience sampling and then randomly assigned to four groups. The data were collected in two phases: pre-test and post-test. The depression, anxiety, and stress levels were measured using the Lovibond and Lovibond (1995) scale. Statistical analysis was done with SPSS software version 22.0 using the multivariate covariance analysis method.

The results indicated that all three interventions had a significant effect on depression, anxiety, and stress (P<0.05). Additionally, there was a significant difference between the impact of mindfulness-based cognitive therapy compared to behavioral activation treatment and bibliotherapy on depression, anxiety, and stress (P<0.05). However, there was no significant difference between the effects of behavioral activation treatment and bibliotherapy for depression (P < 0.05).

It is recommended to introduce mindfulness-based cognitive therapy in medical centers to alleviate psychological distress caused by diabetes complications and medical treatments, owing to its superior efficacy and stability.

This study investigated the effectiveness of mindfulness-integrated cognitive behavior therapy (MiCBT), to decrease intolerance of uncertaint and psychological distress in patients with COVID-19.

This research was conducted in the form of an experimental design with pre-test-post-test and follow-up with a control group. thirty patients with covid-19 in Amol city were randomly allocated to either to the experimental group (n = 15) and control group (n = 15). Outcomes were assessed at pre-, postintervention and at 2-month follow-up with the Kessler psychological distress scale-10 (K10) and the short version of the intolerance of uncertainty scale. The data were analyzed using SPSS.26 software and mixed covariance analysis with repeated measures and Bonferroni post hoc test.

The MiCBT intervention significantly reduced intolerance of uncertainty and psychological distress scores at posttreatment and the gains were maintained at 2-month follow-up (p < 0.001).

The results support the effectiveness of MiCBT in creating rapid and sustainable reduction of intolerance of uncertainty and psychological distress in patients with COVID-19. Therefore, experts, researchers and therapists in this field can use this intervention as an effective treatment option to improve the psychological functions of patients with COVID-19 in Iran.

The treatment processes and complications of heart failure are associated with tension, mood problems, anxiety and feeling of hopelessness. Due to the importance of psychological health and hope in dealing with the consequences of the disease and the effect of mindfulness-based interventions on them, the aim of this study was to compare the effect of mindfulness-based cognitive therapy with acceptance and commitment therapy on psychological distress and hope in males with heart failure.

This research was semi-experimental with a pretest-posttest design with a control group on three-month follow-up. 45 males aged 35 to 55 with stage B heart failure in Isfahan city, were purposefully selected and placed in three groups of 15 (two experiment groups and one control group) by simple random method. Data were collected with depression, anxiety and stress scale, Loybond & Loybond's (1995) and Hope scale Snyder et al. (1991), in the three stages of pre-test, post-test and follow-up. The interventions performed for test groups. The control group did not receive any intervention. Data analysis was done with mixed analysis of variance and Bonferroni's post hoc test.

Findings showed a significant difference for depression, anxiety, stress and hope in both interventions compared to the control group in the post-test and follow-up (P˂0.05). Comarsion of mindfulness-based cognitive therapy with acceptance and commitment therapy showed a significant difference in the treatment of depression (P=0.005), anxiety (P=0.034) and hope (P=0.007). However no significant difference was observed for Stress (P=0.451).

Both interventions reduced depression, anxiety, stress, and increased hope in males with heart failure. Therefore the suggested treatments should be used in medical centers along with common medical treatments as complementary interventions. For anxiety problems, the preferred method is mindfulness-based cognitive therapy and for hope, mood and depression problems, acceptance and commitment therapy.

Breast cancer is the most common cancer among women, often leading to emotional challenges. This study aimed at investigating the mediating roles of resilience and self-efficacy in the relationship between perceived social support and psychological distress among breast cancer patients.

This cross-sectional study was conducted on women with breast cancer admitted to Imam Khomeini and Imam Hossein Hospitals in Tehran, Iran, in 2023. A total of 250 patients were included using convenience sampling. Data were collected using the Depression, Anxiety, and Stress Scales (DASS) by Lovibond (1995), Resilience Scale (RISC) by Connor and Davidson (2003), General Self-Efficacy Scale (GSES) by Scherer et al. (1982), and Multidimensional Scale of Perceived Social Support (MSPSS) by Zimet et al. (1988).

Perceived social support had a direct and significant effect on resilience (β=0.34, P=0.001) and self-efficacy (β=0.19, P=0.019) in women with breast cancer. However, no significant direct relationship was found between perceived social support and psychological distress. Resilience (β=-0.46, P=0.001) and self-efficacy (β=0.33, P=0.001) directly influenced psychological distress, with both factors mediating the relationship between social support and distress. The final model demonstrated good fit indices (CFI=0.93, CMIN/DF=1.82, RMSEA=0.064, P<0.05) and explained 34% of psychological distress variance.

Considering the mediating roles of resilience and self-efficacy, implementing educational-therapeutic interventions focused on enhancing self-efficacy and resilience could effectively alleviate psychological distress in women with breast cancer.