نشریه روان پرستاری
سال هشتم شماره 1 (پیاپی 37، فروردین و اردیبهشت 1399)

People's emotional relationships in life can often lead to emotional breakdown on both side. Psychological and social adjustment after emotional failures help individuals to return to their normal lives more quickly.The purpose of this study is to Explanation the psychological and social adjustment of young girls on Emotional Breakdown.

The approach of this research is qualitative and the type of descriptive phenomenology Approach. For collecting data used the semi-structured interview. 17 women who all referred to the Health Centers of eighth district of Tehran city were selected by using a targeting sampling method by 2018. The data analysis method was based on a seven-step Colaizzi’s method. 

The result of content analysis indicates one main theme, three main categories that include negative emotions and uncertainty in separation, physical consequences, protecting resources and adequacy in solving problems.

According to the  overall result of this research, attaining to compatibility  by reading book and referring to expert, redefined the goals of life, attending in the society and doing recreational activities and sports and coming back to doing daily activities is possible.

Conduct disorder is one of the major problems in adolescence. The purpose of this study was to determine the effectiveness of social-emotional learning program on improvement of academic achievement and reduction of behavioral disorders among people with behavioral disorders.

The present study was a semi-experimental design included two groups of subjects. A group of 20 people including people with behavioral disorder and 20 people included control group,therefore people who had behavioral disorder did not take any intervenetion. Research instruments included the socio-emotional learning protocol, the academic achievement test, and behavioral disorders. Data analysis was performed using SPSS software version 23 using multivariable covariance analysis.

Data analysis showed  a significant difference between the mean score of pre-test and post-test of the experimental and control groups (P <0.01),Therefor, the teaching of social-emotional learning program improved academic achievement and decreasing in behavioral among people with behavioral disorders. On the other hand, the control group scores in the post-test stage were not significantly different with pre-test.

Considering the positive effects of this educational program on academic achievement and reduction of behavioral disorders, this method can be used as an effective way to achieve optimal performance in people with behavioral disorder.

The treatment process of hospitalized patients with obsessive-compulsive disorder is less studied. However, because of the complex nature of the disease, these patients require a comprehensive nursing care plan. Since nursing process based on Roy’s adaptation model is widely used to solve problems caused by chronic diseases, this study aimed to implement this model in a patient with obsessive-compulsive disorder.

This study was a case study performed on a patient with obsessive-compulsive disorder admitted in the psychiatric ward of Farshchian (Sina) Hospital in Hamadan, Iran, in 2019. Data were collected using observation, interview, and patient documentation, and they were analyzed in four dimensions based on the stages of the nursing process in Roy’s adaptation model.

Based on data from the assessment stage, manifestations of chronic maladaptive behaviors in the patient included unwanted, intrusive, repetitive thoughts and fears as the focual stimuli, family history of obsessive-compulsive disorder, parental divorce and weakness in coping mechanisms as the contexcual stimulus, beliefs of the patient's father, and psychiatric hospitalization as residual stimuli. Six types of maladaptive behaviors in four modes including inappropriate nutrition (physiological mode), reduced self-care, non-adherence to treatment, need to perform obsessive rituals, avoiding social interactions (self-concept mode), and father dependency (role function mode and interdependence mode) were identified.

Implementing a nursing process based on Roy’s adaptation model by deeply identifying maladaptive behaviors and then, promoting the use of regulate and cognitive coping mechanisms can help correct or modify maladaptive behaviors of patients with obsessive-compulsive disorder. However, achieving desirable outcomes after discharge requires long-term follow-up and support by psychiatric nurses.

The present study was conducted to determine the role of meta-cognitive belief, perceived stress and cognitive flexibility in predicting the suicidal thoughts of male students.

The research method was descriptive and correlational. The statistical population included all male high school adolescents in Ardabil during 2019-2020. of the population, 350 subjects were selected by multi-stage random cluster sampling. In order to collect data, the instruments of meta-cognitive belief (Wells, Cartwright-Hatton, 2004), perceived stress (Cohen, 1983), cognitive flexibility (Dennis, Vanderwal, 2010) and suicidal thoughts (Beck,1991) were used. Data analysis was made using Pearson correlation coefficient and multiple regression and using SPSS version 18 software.

The results showed a significant relationship between meta-cognitive belief (r=0.61), perceived stress (r=0.64) and cognitive flexibility (r=-0.57) and the suicidal thoughts of male adolescents (p<0.05). In addition, the results of multiple regression showed that meta-cognitive belief 0.32, perceived stress 0.35 and cognitive flexibility -0.22 significantly predict the suicidal thoughts of male adolescents (p<0.05).

Male adolescents' suicidal thoughts is predictable by the meta-cognitive belief, perceived stress and cognitive flexibility. Therefore, it is suggested that psychologists and counselors consider the role of meta-cognitive belief, perceived stress and cognitive flexibility to decrease the level of adolescents' suicidal thoughts.

Nursing is one of the occupations with high job tension which should pay special attention to its predicting factors for nurses' physical and mental health and reducing their job tension. According to this, the purpose of the present study was to investigate the correlation of psychological flexibility, type D personality and perceived social support with job tension in nurses.

The method of this research was descriptive and correlational. The statistical population included all nurses working in public hospitals in Rasht. A sample of 318 people was selected using available sampling method from October to November 2019. Psychological flexibility (Bond and et al., 2011), type D personality (Denollet, 2005) and perceived social support (Zimet and et al., 1998) questionnaires were used to collect data. Data were analyzed by using Pearson correlation and stepwise regression.

The results showed that psychological inflexibility (r=0.20) and the components of negative affect (r=0.30) and social inhibition (r=0.19) from type D personality have a positive and significant correlation with job tension in nurses (P>0.01). While, there is a negative and significant (P>0.01) relationship between perceived social support and job tension (r=-0.41). The results of regression analysis also showed that perceived social support (β=-0.412) and the component of negative affect from type D personality (β=0.221)  were able to explain 21% of the variance of job tension.

According to the results, it can be concluded that ,psychological flexibility, perceived social support and type D personality can predict job tension in nurses. Therefore, health practitioners can develop and implement appropriate training programs to reduce job tension in nurses by focusing on these psychological variables.

Relationship and sexual satisfaction act as an emotional barometer in couple relationships So that it can reflect couples' satisfaction with other aspects of their marriage, The  purpose of this study was to design a model for predicting sexual satisfaction based on sexual schemes and their differentiation in couples.

The present study was a descriptive-correlational research. The research population consisted of all couples in Boukan city in the year 2019, among which, 500 couples were selected based on Cochran's formula and available sampling method. The research tool was scales for measurement of cognitive schemes in the sexual tissue, self- differentiation and sexual satisfaction of Larson. Data were analyzed by using Kolmogorov-Smirnov tests, structural equations and path coefficients in PLS software.

The results showed that the structural model of the research is in good agreement with the research data. The coefficient of determination indicates the predictive power of the dependent variable (sexual satisfaction) on the independent variables (sexual schemes and self-differentiation). The results of the path analysis indicate that the coefficient of determination of sexual satisfaction is 0/798 Which means that regardless of other variables, Differentiation variables and sexual schemes are able to explain about 0/80% of sexual satisfaction changes.

According to the results, Couples Therapists can help couples to improve their sexual problems, Use this approach in their interventions to treat negative sexual schemes as well as to increase the level of differentiation in couples.

Parents of children with special needs due to their children problems face with many problems including decrease marital happiness, resilience and life satisfaction and group positive training is one of the effective therapeutic methods. Therefore, present research aimed to determine the effectiveness of positive couple therapy on marital happiness, resilience and life satisfaction in parents of children with special needs.

The method of this study was semi-experimental with a pretest-posttest design and control group. The research population was parents of children with special needs of Ahvaz city in 2018-19 academic years, which from them the parent of 30 students were selected by available sampling method and randomly assigned into two equal groups (each group 15 couple). The experimental group received group positive training for 14 sessions of 90-minutes based on package of Seligman & et al (2006) and the control group receive no training. Research tools were the questionnaires of marital happiness (Azreen & et al, 1973), resilience (Connor & Davidson, 2003) and life satisfaction (Diner & et al, 1985). Data analyzed by Chi-square, independent t and multivariate analysis of covariance tests in SPSS-24 software.

The findings showed that in the pretest stage there wasn’t significant difference between the experimental and control groups in terms of marital happiness, resilience and life satisfaction (P>0/05), but in the posttest between them there was significant difference in terms of all three variables of marital happiness, resilience and life satisfaction (P<0/001). In the other words, group positive training led to increased marital happiness (F=1069/574), resilience (F=281/722) and life satisfaction (F=414/315) in parents of children with special needs (P<0/001).

The results indicated the effectiveness of group positive training on marital happiness, resilience and life satisfaction in parents of children with special needs. Therefore, it is suggested that to use this method along with other therapeutic methods to improve psychological characteristics.

Binge eating disorder is associated with many problems, including physical and psychological problems. Reducing the quality of life is one of the components that include the dimensions of health, physical, mental health, social relations and environmental health, which is reduced by extreme overeating. Therefore, the present study aimed to investigate The effectiveness of lifestyle education with the Choice Theory Approach to increasing the quality of life of women with extreme binge eating disorder.

This study was performed with a quantitative approach and a quasi-experimental method using a pre-test-post-test-follow-up plan with the control group. The statistical population consisted of all overweight and obese women referred to Ardakan Comprehensive Urban Health Services Centers in 2019. Using the available sampling method, 30 people were selected as a sample and randomly assigned to two groups of 15 people (experiments and witnesses). Participants responded to the World Health Organization's Standard Quality of Life Questionnaire in the pre-test, post-test, and follow-up stages. The experimental lifestyle intervention group with the theory of choice approach received 1.5 sessions in 9 sessions and two sessions per week, while the control group did not receive any intervention during the research period. Finally, the research data were analyzed by repeated analysis of variance method with a significance level of 0.05.

The results showed that the average scores of quality of life and its dimensions (physical and mental health, mental health, social relations and environmental health) of the experimental group compared to the control group increased significantly in the post-test stage and this increase remained relatively constant in the follow-up stage (p< 0.001).

Based on the results of the study, the intervention of lifestyle education with the theory of selection approach improved the quality of life of women with binge eating disorder. Thus, lifestyle education with a choice theory approach can be a valuable intervention in reducing the problems of women with binge eating disorder.

The purpose of the present study was to compare the effect of neuropsychological therapy, rhythmic movements and cognitive empowerment on the executive functions of students with specific learning disorder with reading disorder.

The research method was quasi-experimental with pretest-posttest design with control group sample of 48 students with learning disabilities with a reading disorder was selected by purposeful and voluntary sampling and were randomly assigned into three experimental and control groups. The research tool was the Behavioral Performance Ratings Questionnaire. Data were analyzed using multivariate analysis of covariance.

The result is that it seems that neuroscience therapy can improve the executive functions of the brain of students with a specific learning disorder with a reading disorder.

The result is that it seems we can improve the executive functions of the brain of students with a specific learning disorder with psychological neuropsychological treatment.

It is widely accepted that parents of children with autism face higher stress than parents of normal children. Investigating the effects of such stresses on the family is a proper strategy for planning to manage the problems of having a child with autism disorder. The purpose of this study was to investigate the predictive role of perceived parenting stress in adaptability and cohesion among family of children with autism spectrum disorder in Bushehr and Shiraz cities in the years 2019.

This cross-sectional descriptive-correlational study was conducted in 2019 on 125 parents of children with autism in educational and rehabilitation centers Bushehr and Shiraz cities, selected by simple sampling method. Study data were collected using demographic data form, Parenting Stress Index, Family Adaptability and Cohesion Evaluation Scale (FACES), and Diagnostic tests for autism spectrum disorder (GRAS). To analyze the data, different tests were applied including Pearson correlation coefficient, Spearman, independent t-test, one-way ANOVA and linear regression.

Mean age of participants in the study was 53.29±7.94. Mean total score of parenting stress and FACES were equal to 134.51±12.56 and 51.2±7.8, respectively. Among different subscales of parenting stress, Difficult Child character shows a significant inverse statistical correlation with adaptability (β=-0.361, p>0.001), cohesion (β=-0.363, p>0.002) and total score of adaptability and cohesion (β=-0.379, p>0.001).

According to the results, parenting stress is inversely related to family adaptability and cohesion. So, parents of children with autism are experiencing family problems that need attention and planning by health authorities to address such issues.

Depression affects many aspects of a child's life, and children's playing is one of the conditions in which children's behavior can be better understood, as well as improving their cognitive commitment to the child's behavior. Therefore, the purpose of this study was to compare of effectiveness of combination of acceptance and commitment therapy with theraplay and acceptance and commitment therapy on quality of life in depressed children.

The research method was semi-experimental with pretest, posttest and follow-up. The statistical population of this study consisted of all children with depressive disorder aged 8-12 years old in Isfahan city with their mothers in 2019. 45 people were selected by available method and randomly assigned to three groups of 15 people. For the first experimental group, the acceptance and commitment-based therapy protocol of Hayes et al in 10 sessions and 60 minute, For the second experimental group, the combined of acceptance and commitment therapy with theraplay protocol researcher-made in 10 sessions 60 minute were used and no intervention was made for the control group. The instrument used was the Child Quality of Life Questionnaire. Data were analyzed using repeated measurement analysis with spss18 software.

Results showed that combination of acceptance and commitment therapy with theraplay and Acceptance and Commitment Therapy were effective on depressive symptoms in depressed children [p≤0.001], which has increased the quality of life in terms of physical performance, emotional performance, social performance, academic performance and overall quality of life. But combination of acceptance and commitment therapy with theraplay is better [p≤0.001].

The Results of this study can provide practical implications for improving physical, emotional, social and educational performance in order to improve the quality of life of depressed children to therapists using a combined method of combination of acceptance and commitment therapy with theraplay.