نشریه خانواده و بهداشت
سال هفتم شماره 4 (پیاپی 14، زمستان 1396)

Health is a worthwhile capital that its preservation and promotion should be considered as one of the most important efforts of everyday life of human beings. A healthy man is the pivot of sustainable development and health is essential for the benefit of mankind from divine merits. Therefore, maintaining and improving it, is always an important priority. The main mission of the health system is to raise the level of health and respond to the needs of the people and society.

This is a descriptive study and 238 patients admitted in two hospitals in Guilan province were eventually studied. The data collection tool is the standard questionnaire based on the licert spectrum and finally, data analysis was performed using SPSS software based on descriptive statistics such as mean, standard deviation and T test.

The degree of satisfaction of patients in order of priority is from Insurance(4.52), pharmacy(4.24), Reception(4.17), Information(4.16), Laboratory(4.13), Patient rights(4.06), Radiology and sonography(3.99), Nursing(3.97), Accounting(3.96), Clearance(3.94), Electrography(3.88), Management(3.83), Other services(3.77), Guard(3.76), Nutrition(3.67), Amenities(3.61), Surgery(3.09), Medical services(3.07).

With regard to the results and their confirmation, it can be concluded that evolution plan of health system has relatively satisfied the various dimensions of patient satisfaction.

Marital adjustment is one of the most important factors in achieving common life goals and is influenced by various factors, including beliefs of individuals. Therefore, the purpose of this study was to predict marital adjustment based on meta-cognitive beliefs in married women.

The research method was descriptive-correlation. The statistical population consisted of married women working in the health centers of eastern Tehran in 1395. Three hundred and twenty participants were selected by simple random sampling and Locke-Wallace Revised Marital Adjustment Test by Freeston and Plechaty (1997) and a short form of the Metacognitions Questionnaire (Wells and Cartwright-Hatton, 2004).

Multiple hierarchical regression analysis was used to analyze the data. The findings suggested that among the components of meta-cognitive beliefs, positive beliefs about worry predict marital adjustment, positively. Beliefs about uncontrollability and danger of worry and lack of cognitive confidence predict marital adjustment in married women, negatively

Ineffective meta-cognitive beliefs play an important role in the marital adjustment of married women. Hence, family counselors and therapists can focus on modifications ineffective meta-cognitive beliefs to increase marital adjustment and consolidate the foundation of the family.

The concept of mental health is related to prevention of mental disorders and maintain healthy life style, furthermore some factors including epilepsy disease may provide impediment to healthy life style. The purpose of this study is the epidemiology of mental health in women with epilepsy.

This study was descriptive, survey research method. The participants were recruited from women with epilepsy who were as a member of Iran epilepsy association. Convenience sampling technique was applied among 251 women with epilepsy. The SCL-90-R questionnaire was used for this study. Chi-square test was conducted in this project.

This study indicated that 49.4 % of participants were suffering from at least one mental disorder; the most prevalent disorder was paranoid whereas phobias was allocated the lowest. There was significant difference between several variables such as low level of education, unemployment and increasing age with psychological problems. However, there was not any significant difference between marital status and psychological problems.

The mental disorders are significantly prevalent among women with epilepsy. Therefore, it is essential that paid much more attention to mental health status among this vulnerable group.

Assertive behaviors create close relationships with others and expression of a wide range of needs and thoughts, positive and negative, without feeling guilty, sad, anxiety and stress. The aim of this study was to determine the effectiveness of assertiveness training on decreasing depression, anxiety, stress and dysfunctional attitudes of female students.

The study design was quasi-experimental with pretest-posttest and control group. The statistical population consisted of all female students of Shahriyar city during the semester of 2015-2016, 34 of them were selected by cluster random sampling method and randomly assigned to two groups of experimental and control. Both groups responded to the depression, anxiety, stress scale- short form by Lovibond & Lovibond (1995) and dysfunctional attitudes scale by Weissman & Beck 1978 for pre-test. The students of the experimental group attended six sessions of 1.5 hours per week in assertiveness training sessions. Both groups replied to the above tools for post-test and one month afterwards in follow up phase. Data were analyzed by analysis of covariance.

The results showed that assertiveness training skills in the post-test and follow-up stages reduced depression (F=8.381, P<0.001), anxiety (F=5.169, P<0.001), Stress (F=31.095, P<0.001), and dysfunctional attitudes (F=8.546, P<0.001) in the students of the experimental group.

It is suggested that therapists use this educational method to reduce psychological disorders and dysfunctional attitudes of adolescents and improve their mental health.

The purpose of this study was conducted to determine the differences between compulsive eating and social anxiety thoughts in athletic and non-athletic women.

The research method was causal-comparative and the statistical population of this study included athletic women in the age of 45-30 years old who were member of sport clubs and non-athletic women who were member of the Sarahay Mahaleh of district 22 of Tehran in 2016 Among them, 150 female athletes and 150 non-athletic women were selected by available sampling method and matched. The instrument was the Compulsive Eating Scale by Kagan & Squires (1984) and Social Anxiety Test by Hartman (1984). Data were analyzed using singlevariable analysis of variance analysis.

The results of this study showed that compulsive eating (F=4.790, P<0.01) and social anxiety thoughts (F=6.527, P<0.05) are significantly differences among athletic and non-athletic women.

It can be concluded from the results of this study that social anxiety and compulsive eating following anxieties due to being in the community led to an increase in coping activities of women in the form of exercise in dealing with anxiety thoughts and reduce their compulsive eating. Therefore, it is recommended that the clinicians reduce their anxiety and compulsion by encouraging the patient to exercise a variety of sports.

The purpose of this study was to determine the effectiveness of group schema therapy on self-concept in women with sexual identity disorder.

The research method was descriptive and semi-experimental with the experiment and control group and the pre-test-post-test design. The statistical population of this study consisted of all women with gender identity disorder referring to the Support Association of sexual identity disorder patients in Tehran in the spring of 2017, of which 30 were selected by available sampling and homogeneously of age and education, and randomly assigned to two groups of experiment and control. Both groups for pre-test answered to Tennessee selfconcept Questionnaire by Fitts & Warren (1997). After 8 sessions of therapeutic design for the experiment group, both groups responded to the above questionnaire for post-test and the data were analyzed using covariance analysis.

The results of this study showed that the schema therapy was effectiveness on improvement of self-concept (F=1.77, P=0.019), of women with sexual identity disorder.

The findings of this study suggest that the goal of schema therapy is to help sexual identity disorder patients meet their basic emotional needs.

Spiritual health is center of the human health and its effects on the various aspects of life has been considered .so the purpose of this study is to investigate the effect of spiritual health on happiness and hope of the women's athletes.

The method of study is cross-sectional survey. The data-gathering tool consisted of a 3-part questionnaire: Ellison and pollution Spiritual well-being (swbs), Schneider Hope Questionnaire (HQ) and Oxford Happiness Inventory (OHI). Statistical population includes whole of the women's athletes in Kermanshah city, who 147 subjects participated in the study. Analyzing was based on descriptive statistics (mean and standard deviation) and analytical (Pearson correlation coefficient and Self Efficacy Scale (SES).

The result of the study showed that average score of spiritual health (78.03), happiness (50.5) and hope (21.3). And there is a significant positive correlation between spiritual health and happiness and hope (P≤0/01).

it seems that there is a significant positive correlation between spiritual health and happiness and life hope, so with planning to increase of the spiritual health of women athletes, their happiness and hope also increased.