نشریه روان پرستاری
سال هفتم شماره 5 (پیاپی 35، آذر و دی 1398)

Transformational Leadership and Spirituality are among the most important research topics for work environments, as these phenomena are among the main factors influencing Organizational. The purpose of this study was to investigate the effect of transformational leadership and spirituality on turnover intention and job satisfaction; the mediating role of resiliency, career adaptability and job involvement among the nurses of Imam Reza hospital in Urmia city.

This study was carried out as structural equations. The statistical population of this study was all nurses of Imam reza Hospital of Urmia city, which consisted of 275. Based on Morgan's table, 200 people were selected by simple random sampling method. Data were collected through standard questionnaires. Structural Equation Modeling was applied to evaluate relationships between latent and measured variables in a conceptual model.

Also, transformational leadership and spirituality are negatively affected by resiliency and job involvement on job satisfaction (β = 0.05, β = 0.42)  the positive and on the, Turnover intention (β = -0.05, β =- 0.28) the service. Transformation leadership and spirituality do not affect job satisfaction(β = 0.05, β = 0.17)  through, career adaptability but transformation leader ship negatively influences Turnover intention (β =- 0.06, β =-0.12) due to career adaptability. And spirituality does not affect the Turnover(β = 0.09)  intention due to career adaptability.

According to research findings, resiliency and job involvement affect the relationship between transformational leadership and spirituality with job satisfaction and turnover intention. These results emphasize the necessity of recognizing the mediating role of resiliency and job involvement in the study of the relationship between transformational Leadership and spirituality with job satisfaction and turnover intention.

Hearing impairment in children can cause psychological and communication problems, So the purpose of this research was to investigate the mediating role of Self-Controlled and conflict parents-child in relationship between Psychological Neural Function with Oppositional Defiant Disorder in Deaf Children.

The research method was descriptive-correlational (Structural Equation Modeling) (SEM). The population of this study was deaf children aged 9 to 12 years with oppositional defiant disorder in the Baghcheban complexes of Tehran in 2019. According to the observed 11 variables and assigning a coefficient of 20 to 220 deaf children were selected as sample by single stage cluster sampling. Conners' Psychological Neural Function Scale (2004), Self-Control (1982), conflict parents-child Questionnaire (1979), and the Pediatric Symptoms Questionnaire (1984) were used. The model was evaluated using regression equation method and with using the Spss 24 and Amos 23 software.

The results showed that there is a significant relationship between self-control, conflict parents-child and Psychological Neural Function with Oppositional Defiant Disorder in deaf children and 36% of Oppositional Defiant Disorder in deaf children affected by self-control, conflict parents-child and Oppositional Defiant Disorder. Also self-control (-0.28) and conflict parents-child (0.14) mediate the relationship between Psychological Neural Function with Oppositional Defiant Disorder in deaf children (P≥0.01).

In the field of evaluation and treatment of Oppositional Defiant Disorder in Deaf children, special attention is paid to Psychological Neural Function problems with emphasis on developing self-control skills and improving communication environment and can play a decisive role.

Nowadays, nursing-related disciplines have examined the effect of psychological constructs on mental and physical health. This study was aimed to determine the role of emotional/internalizing dysfunction and behavioral/externalizing dysfunction based on the Minnesota Multiphasic Personality Inventory-2-Restructured Form in self-transcendence and Self-directiveness nurses.

In this descriptive-correlational study, 339 nurses were selected among the public hospitals in Birjand in 2019 by Sampling method available and completed the Minnesota Multiphasic Personality Inventory-2-Restructured Form (2008), Adult Self-Transcendence Inventory scale (2005) and Self-directiveness subscale of Temperament Character Inventory  (1994). Data were analyzed by SPSS22 software and multiple regression analysis..

The results showed that there is a negative and significant relationship between emotional/internalizing dysfunction and behavioral/externalizing dysfunction with self-transcendence and Self-directiveness (p< 0.01) and emotional/internalizing dysfunction and behavioral/externalizing dysfunction account for 25% and 26% of their variance in self-transcendence (R Square =0.25) and Self-directiveness(R Square =0.25), respectively.

The results showed that there is a negative and significant relationship between emotional/internalizing dysfunction and behavioral/externalizing dysfunction with self-transcendence and self-directiveness. Results showed that emotional/internalizing dysfunction and behavioral/externalizing dysfunction is an important role in predicting self-transcendence and Self-directiveness nurses in nurses.Therefore, it is necessary to consider the role of these predictor variables by health care professionals and institutions when hiring, training, apprenticeships and professional retraining of nurses.

In recent years, the self-efficacy of sexual activity is one of the most important factors in the quality of marital life. Therefore, the aim of this study was to Prediction of Self-efficacy of sexual activity based on attachment styles, sexual satisfaction and sexual function in married female nursing students of Islamic Azad University of Ahvaz.          

This study was a correlational type. The research population was married female nursing student at Ahvaz Islamic Azad University. Due to the limited number of communities, the entire community was selected by census method sampling (60 people). All of them completed the scales of adult attachment, sexual satisfaction, female sexual function, women's self-efficacy of sexual activity. Data was analyzed with using SPSS-21 and by Pearson correlation and multiple regression with enter model methods.

The findings showed that secure attachment styles (r=0/357), sexual satisfaction (r=0/264) and sexual function (r=0/677), had a significantly positive relationship with married female nursing students’ self-efficacy of sexual activity and ambivalent attachment style (r=-0/318) and avoidant attachment style (r=-0/374) had a significantly negative relationship with married female nursing students’ self-efficacy of sexual activity. Also, the sexual satisfaction (b=0/31( The most powerful predictor of self-efficacy of sexual activity are positive and significant efficacy.

The results indicated the role and importance of the variables of attachment styles, sexual satisfaction and sexual function in predicting the self-efficacy of sexual activism of married female nursing students. Therefore, counselors and psychotherapists should design and implement appropriate programs based on these factors to increase the self-efficacy of the sexual activity of married female nursing students.

Mentally retarded is accompanied with many problems including relationship difficulty with parents and behavioral problems, and one of the training methods for reducing behavioral and communication problems is parent-child interaction training. As a result, the aim of this study was determine the effectiveness of parent-child interaction group training on behavioral problems and mother-child relationship in mentally retarded children.

Present study was a semi-experimental with a pre-test and post-test design with control group. The research population was mentally retarded female students who referred to counseling and psychological services centers in Ahvaz city in the academic years of 2018-19. From them 24 people were selected by available sampling method and randomly assigned into two equal groups (each group 12 people). The experimental group trained 10 sessions of 60-minute with the method of parent-child interaction group training and the control group was placed on the waiting list for training. The research instruments were the questionnaires of Rutter’s behavioral problems (1967) and Pianta’s mother-child relationship (1994). Data were analyzed by SPSS-21 software and with univariate analysis of covariance method.

The findings showed that there was a significant difference between the experimental and control groups in terms of behavioral problems and mother-child relationship. In the other words, parent-child interaction group training led to reduced behavioral problems (F=61/794, P<0/001) and improved mother-child relationship (F=58/337, P<0/001) in mentally retarded children.

Based on the results, it is recommended that to use parent-child interaction group training along with other training methods for reduce behavioral problems and improve mother-child relationship in mentally retarded children.

Breast cancer is the most common cancer among women which leaves a profound impact on psychosocial health, and quality of life in women, therefore the aim of this study was investigation the effectiveness of acceptance and commitment therapy (ACT) on Quality of life, mental health and self-care behavior in breast cancer patients.

In a pretest-posttest experimental design with control group, using available sampling method, 30 patients with breast cancer who were admitted to the Specialty Clinic of Gynecological Diseases of Women Jahad University and Mahdieh Hospital in Tehran in the first trimester. They were randomly assigned to the experimental and control groups in 2018. The experimental group underwent acceptance and commitment based treatment for two months and the scores of Quality of Life Questionnaire (WHOQOL-BREF), Mental Health Questionnaire (GHQ-28) and self-care behaviors (SCQ) before and after the intervention and at the follow-up phase of one. Months and a half were collected in both groups and analyzed using ANOVA.

Results have showed that in experimental group, ACT significantly increased Quality of life (P ˂ 0.05), mental health (P ˂ 0.05) and self-care behavior (P ˂ 0.05), breast cancer patients through post-test and follow up.

Results of this study reveal the effectiveness of commitment therapy (ACT) on Quality of life, mental health and self-care behavior in breast cancer patients. According to these results and the mechanism of its effectiveness, this therapy can has good therapeutic implications.

The population decline in our country is a worrying process, as fertility rates have dropped significantly in recent years. In the meantime, some factors appear to influence women's low tendency to adopt children. Therefore, the present study aimed to determine the mediating role of self-efficacy in the relationship between quality of life and emotional maturity with a tendency to childbearing in married women in Zanjan.

The method of study was descriptive-correlation. The statistical population of the study included all married women in Zanjan, 300 of whom were selected through random cluster sampling. Data gathering tools were standard questionnaires of World Health Quality of Life, Sink and Baharawa's emotional maturity, Scherrer's self-efficacy and Rad and Savabi Fertility. Pearson correlation and multiple regression tests were used for data analysis. Baron and Kenny's four-step method was used to determine the mediator role.

Quality of life (total score) and psychological and environmental dimensions were significantly correlated with the tendency to adopt children. (P<0.05). There was also a relationship between total emotional immaturity, emotional return, personality decay, and social maladaptation with a tendency to adopt children (P<0.05). Finally, there was a significant relationship between self-efficacy and the tendency to adopt children (P<0.05). The mediating role of self-efficacy also showed that this variable mediates the relationship between quality of life with the tendency to adopt and also the relationship between emotional maturity and the tendency to adopt.

Self-efficacy can positively and directly increase the relationship between quality of life and emotional maturity with the tendency to adopt.

Nomophobia is a particular disorder caused by the use of smartphones that adverse health effects such as sleep disturbance, impaired short-term memory, dizziness and high blood pressure is associated. The aim of this study was to compare the effectiveness of cognitive-behavioral therapy, Emotion focused therapy and Adolescent-centered Mindfulness Therapy on Nomophobia symptoms and sleep quality in adolescents with Nomophobia.

The research method was semi-experimental with control group and its design was pre-test, post-test and follow-up. The statistical population of this study was all Adolescents with nomophobic disorder in Isfahan that 60 of them were Purposive Sampling selected and replaced randomly in one of four groups of the cognitive-behavioral therapy of Michael Frey (2004), emotion focused therapy on Greenberg et al. (2008), Adolescent-centered Mindfulness Therapy group, and control group. Data collection was done using the questionnaire of Nomophobia Azad Manesh, Ahadi and Mansashi (1395) and Pittsburgh Sleep Quality. The collected data were analyzed by repeated measures of variance with SPSS software.

The findings of this study showed that there is a significant difference between three cognitive-behavioral therapies, Emotion focused therapy and Adolescent-centered Mindfulness Therapy in Nomophobia symptoms and sleep quality with control group (P < 0.01). However, there was no significant difference between three cognitive-behavioral therapies, Emotion focused therapy and Adolescent-centered Mindfulness Therapy in affecting the symptoms of Nomophobia and sleep quality (P < 0.05).

Self-efficacy can positively and directly increase the relationship between quality of life and emotional maturity with the tendency to adopt.

Nurses face multiple stressors at work in the workplace and these problems are not limited to the work environment and can affect family relationships. The aim of this study was to determine the effect of couples-behavioral couple therapy on the quality of nursing marital relations.

The research method was experimental with repeated sampling design with control group. One month follow up and the statistical population of the study population included all nurses of Bahman hospitals, Ayatollah Mousavi and Imam Hossein Zanjan in the second half of 1397. Among them, 24 nurses who got high score on the Golombok and Rust marriage condition scale was selected, then 12 nurses were randomly selected in the experimental group and 12 nurses were replaced in the control group. The experimental group attended in 16 sessions of 60 minutes of behavioral-combined intervention group counseling. Data were analyzed using repeated measure analysis of variance.

Findings showed a significant difference between the performance of the experimental and control groups in the quality of marital relationship in the post-test and after 1 month follow-up.

Due to the low quality of couples' marital relationship, it causes widespread stress and inefficiency, and since behavioral-integrative intervention, by improving and increasing interactions between couples, increases marital relationship quality. Therefore, it is recommended that couple of therapists use this method as an effective treatment to enhancing the marital relationship quality.

This study aimed to evaluate the effectiveness of Exposure/Response Prevention (ERP) combined with Eye Movement Desensitization Reprocessing (EMDR) as a treatment for obsessive-compulsive disorder (OCD) patients who experienced stressful life events (SLEs), by comparison to ERP.

This randomized controlled trial was conducted on 60 OCD patients who experienced SLEs and were resistant to medication treatment. Participants were randomized to ERP plus EMDR (n=30) or ERP (n = 30) The Obsessive Beliefs Questionnaire (OBQ-44) were completed before, after the intervention, and after a 3-month follow-up period. Treatment completion was compared using chi‐square tests, analyses of covariance (ANCOVA), repeated measures analysis of variance (ANOVA), Bonferroni post hoc test, and Reliable Change Index (RCI).

Dropout was significantly higher in the ERP group (P ˂ 0.05). Reliable change index was significant in both intervention groups (RCI < 1.96). Repeated systematic analysis of variance in both protocols showed a significant effect (P ≤ 0.001) on the recovery of cognitive components of OCD. Analysis of covariance showed more efficacy of EMDR protocol plus ERP than ERP group in terms of over-importance of thoughts (P = 0.001). Bonferroni post hoc test showed a significant difference in the mean cognitive components of OCD in both groups at the post-test and 3-month follow-up compared to the pre-test (P ≤ 0.001).

The EMDR plus ERP protocol, compared with ERP protocol, has a higher rate of completion, efficacy, and clinical improvement in OCD cognitive components.