نشریه روان پرستاری
سال نهم شماره 3 (پیاپی 45، امرداد و شهریور 1400)

Multiple sclerosis (MS) is a common non-communicable disease that paralyzes the immune system. Obsessive-compulsive disorder leads to rumination and repetitive actions that increase anxiety, worries and stress in people with this disease. The aim of this study was to identify the lived experiences of MS patients with obsessive-compulsive disorder.

The present study was conducted with a descriptive phenomenology method. The participants of the study were patients with multiple sclerosis who referred to Noor Laboratory in Tehran in 2020.  According to the end of the study, the data collection method was performed by semi-structured interview. The sampling method was purposeful. The sampling was theoretically saturated by interviewing 15 participants. Data were analyzed using Colaizzichr(chr('39')39chr('39'))s seven-step Method.

Data analysis indicated that the three main themes were: "Childhood and family member’s experiences underlying obsessive-compulsive disorder", "Disturbing thoughts and emotions about the disease and it’s treatment" and " experience uncertain future ".

The findings showed that patients with multiple sclerosis experience various stresses, mental conflicts and obsessive-compulsive disorder. Identifying the behaviors and thoughts of OCD in these patients helps the process of evaluation, diagnosis and psychological treatment and interventions of obsessive-compulsive disorder and ultimately, helps them to improve their mental health and quality of life.

 Health anxiety is characterized by persistent and severe health concerns and is an important concern for clinical professionals. The purpose of this study was to determine the relationship between the affective and emotional composite temperament model and intolerance of uncertainty with health anxiety symptoms in medical students.

 This study was a correlational- predictive study. The statistical population of this study consisted of students of Kerman university of medical sciences, among whom 211 students were selected by convenience sampling. The research instruments included the health anxiety questionnaire, the affective and emotional composite temperament model scale, and the intolerance of uncertainty scale. The data were analyzed by SPSS software using Pearson correlation coefficient and multiple regression analysis.

 The results of Pearson correlation coefficient showed that among the components of the affective and emotional composite temperament model, depression affective temperament, cyclothymic affective temperament, obsessive affective temperament, and irritability affective temperament and also anger emotional temperament, sensitivity the emotional temperament and the fear emotional temperament with health anxiety had significant positive relationship with health anxiety. However, there was a significant negative relationship between emotional hyperthymic and health anxiety. There was also a significant positive relationship between intolerance of uncertainty and health anxiety. The results of multiple regression analysis showed that the depression affective temperament, obsessive affective temperament, anger emotional temperament, sensitivity emotional temperament and fear emotional temperament and also intolerance of uncertainty can positively and significantly predict health anxiety in medical students. The results also showed that intolerance of uncertainty can positively and significantly predict health anxiety in medical students.

 The affective and emotional composite temperament model and intolerance of uncertainty can explain the symptoms of health anxiety. Therefore, by providing therapeutic interventions based on modulating the emotional composite temperament and reducing intolerance of uncertainty can prevent or control the symptoms of health anxiety.

Nursing education in various fields, including psychiatric nursing as a part of the higher education system is developing rapidly in recent decades in the world and also in Iran. Comparing the curriculum of Iranian psychiatric nursing with the curriculum of leading countries can be useful in understanding its strengths and weaknesses and providing solutions for its improvement. This study aimed to compare the curriculum of the psychiatric nursing masterchr('39')s degree program in Iran and Wayne, USA.

This descriptive-analytical study was performed in 2020 at Semnan University of Medical Sciences using Bereday four-stages including description, interpretation, juxtaposition, and comparison.

The comparison of the masterchr('39')s degree program in mental health in both environments has similarities and differences. Admission of students to the masterchr('39')s degree in psychiatric nursing in Iran is criterion-based and in the United States is normative. In none of the universities hasn’t defined specific field of study goals. Studying for a masterchr('39')s degree in mental health in Iran is free of charge and face to face and in the United States is by paying tuition in both In-person training and part-time with a suitable platform for virtual and evidence-based education.

Due to the growing needs of patients with mental disorders, increase in the incidence of these disorders in the current society, the complex nature of mental health interventions and the needs and expectations of students, there is a need to review and improve the conditions of student admission, defining the real position and role of graduates, explaining the specific objectives of the field, reviewing the teaching methods and introducing new teaching methods.

The mother has an important role in the development and increase of child behavioral problems; therefore, the aim of this study was to determine the role of psychological flexibility in parenting and maternal depression in predicting the symptoms of conduct disorder in adolescents.

In this descriptive (correlation) study, which was conducted in the academic year 2019-2020, 440 mothers-children from Tehran, Hamedan and Boldaji were present. Psychological flexibility in parenting questionnaire (Greene, Field, Fargo, and Twohigm, 2015), depression, anxiety and stress questionnaire (Lovibond, and Lovibond, 1995) and child behavioral checklist (Achenbach, and Rescorla, 2001) were used to collect data. Data were analyzed with SPSS-20 software using Pearson correlation coefficient and linear regression.

Data analysis showed that the symptoms of conduct disorders in adolescents have a positive relationship with maternal depression (p=0.001) and negatively related to maternal psychological flexibility in parenting (p=0.001). Also, maternal depression and two components of psychological flexibility in parenting (acceptance and self as context) are able to predict the symptoms of conduct disorder in adolescents (p <0.01).

Given that maternal depression and psychological flexibility in parenting can predict the symptoms of child behavior disorder, it is suggested that mothers play a positive role in reducing the symptoms of their adolescentchr(chr(chr('39')39chr('39'))39chr(chr('39')39chr('39')))s conduct disorder by participating in individual or group counseling sessions to reduce depression and improve psychological flexibility in parenting.

Eating disorders are a group of disorders characterized by persistent eating disorders and related behaviors that cause changes in food intake or absorption and are also significantly associated with physical or psychological health damage. The aim of this study was the effectiveness of compassion-focused therapy on psychological distress, self-esteem and perceived social support in people with binge eating disorder.

The method of the present study was quasi-experimental with pre-test, post-test and follow-up with control group. The statistical population of this study includes all people with overeating disorder who referred to counseling centers (Avaye Kherad, Sahar, Avaye Zandegi, Rahnemood and Nedaye Baran) in Sari city during the call in 2019 (N = 300). Then, among the 300 applicants who registered in this call, first the Eating Disorder Diagnostic Scale (Stice et al., 2001) was conducted and the diagnostic interview was conducted based on DMS-5, then according to the entry and exit criteria, 30 of them The final sample title was selected. These numbers were selected based on the opinion of researchers (Gall, Gall and Borg (2003) and Delavar (2020)) who in experimental research identified 15 people suitable for each group. To collect data, the Diagnostic Scale of Eating Disorders, Psychological Distress Questionnaire, Self-Imagination Questionnaire and Perceived Social Support Questionnaire were used. The data were analyzed by repeated measures analysis of variance using SPSS-23.

The results of the analysis showed that compassion-based therapy significantly and with high statistical power significantly reduced psychological distress (p <0.001) in the experimental group, while self-perception (p <0.001) and Increased the perception of social support (p <0.001) in them, which was stable until the follow-up stage.

Based on the findings of this study, it can be concluded that compassion-based treatment can be effective in reducing depression, anxiety and stress in people with overeating. Compassion-based therapy also increased self-esteem and perceptions of social support. It seems that one of the most important reasons for overeating is anxiety, lack of self-image and lack of understanding of social support, which in turn causes depression and overeating; therefore, by teaching compassion to oneself, it is possible to prevent overeating of these people to a large extent. Given that the critical time of overeating and obesity is adolescence and school, it is recommended that workshops be conducted in schools to prevent obesity and its problems, and in schools the skills of self-friendship, emotion, self-confidence, non-self-humiliation and Teach mutual understanding so that we can take effective steps to prevent these problems in adulthood.

Sexual relations act as a background for reinforcing emotions and feelings between people and could provide the means of strengthening family ties. The present study was conducted to determine the role of emotion regulation strategies and spiritual well-being in predicting compulsive sexual behavior.

The study was based on a descriptive correlational method. Statistical population consisted of all married men in Ardabil city (Zones one and two) in 2020. 110 men were selected as the statistical sample using the convenience sampling by referring to public places. For data collection the emotion regulation strategies (Gross, John, 2003), spiritual well-being (Daaleman, Frey, 2004) and compulsive sexual behavior (Efrati, Mikulincer, 2018) were used. Research data were analyzed using Pearson correlation coefficient and multiple regression using SPSS18 software.

The results showed a significant relationship between emotion regulation strategies (Reappraisal -0.47, Suppression 0.41) and spiritual well-being -0.59 with compulsive sexual behavior in married men. Also, the results of multiple regression showed that emotion regulation strategies and spiritual well-being can predict the compulsive sexual behavior of married men by 0.44 (p<0.05).

Married menschr('39') compulsive sexual behavior is predictable with emotion regulation strategies and spiritual well-being. It is suggested that psychologists and health professionals pay more attention to the role of these variables in reducing the compulsive sexual behavior of Married men.

Marital conflicts are inevitable, though they are considerably reduced through training and development of social skills. This study aimed to investigate the effectiveness of integrative behavioral couple therapy on the sexual intimacy and marital burnout of the couples with marital conflicts. 

This was a pretest-posttest quasi-experimental study with a control group and was applied in terms of purpose. The statistical population consisted of all couples with marital conflict in Sanandaj City (30 couples) from March 21 to September 22, 2019, that were divided into two experimental and control groups, each of 15. Batlanichr('39')s sexual intimacy questionnaire and Pinezchr('39') marital burnout questionnaire as the research instruments were completed by the subjects before and after the intervention. The reliability of the questionnaires was assessed by the Cronbachchr('39')s alpha as 0.88. The experimental group was provided with ten 90-min sessions of integrative behavioral couple therapy training, one session per week for two months; however, the control group received no intervention. Data were analyzed by MANCOVA and one-way MANCOVA.

Data analysis showed that integrative behavioral couple therapy significantly improved sexual intimacy and reduced marital burnout of couples (p <0.001).

Integrative behavioral couple therapy as an effective intervention increased sexual intimacy and reduced marital burnout of couples.

Considering the psychological effects of cancer such as stress, death anxiety and depression, the use of psychological treatment is very important in reducing the psychological problems of breast cancer. The purpose of this study was to determine the effective training of self-healing on stress, death anxiety, and depression, in breast cancer patients.

The present quasi-experimental study design with pre-test, post-test, and follow-up design with experimental and control groups. The statistical population of the study included all females with breast cancer in the year 1396-98 referring to seyedshohada hospital in Isfahan city, among 28 selected by the available sampling and were randomly assigned to experimental and control groups. (14 people in each group). For the experimental group, the self-healing program was performed in 12 sessions per week for 90 minutes per session. Data was collected through cohenchr('39')s Perceived Stress questionnaire (1983), the temple Death Anxiety Scale (1970), and the beck depression Inventory-2(1988) before, after, and two months after the intervention and analyzed by variance analysis test with repeated measures and Bonferroni post hoc.

After performing the self-healing program, the mean stress death anxiety and depression in the experimental group decreased from (31/71,12/71,29/79) to (22/43,5/0,17/0), with indicated a significant reduction in stress, death anxiety and depression(p<0/01) while the control group had no significant difference before (30/71,12/29,27/86) and after (29/21,10/71,31/7) the intervention(p>0/01). There was a significant difference between the control group and the experimental group in all three variables in the post-test and follow-up stages (p<0/01). 

The finding of this study showed that the stress, death anxiety, and depression decreased, meaning that the self-healing training program was effective for the stress, death anxiety, and depression of breast cancer. Therefore, this method can be used to reduce the psychological programs in breast cancer and other chronic diseases.

Love trauma syndrome can be associated with many anxieties and negative side effects. The aim of this study was to investigate the mediating role of emotion regulation in the relationship between attachment styles and love trauma syndrome.

The present study was descriptive-correlational and structural equation modeling. The statistical population of the present study included male and female students of Shiraz universities in 1399. By available sampling method, 341 people were selected to participate in this study. Data collection tools included Behavioral Emotion Regulation Questionnaire, Love trauma syndrome, and Adult Attachment Questionnaire.

The results showed that there is a correlation coefficient between ambivalent attachment (0.28**) and adaptive emotion regulation (0.23**) and maladaptive emotion regulation (0.12**) with Love trauma syndrome at the level of 0.01. Also, emotion regulation had a mediating role in the relationship between attachment styles and love trauma syndrome (P<0.05).

Based on the findings of this study, health professionals can design the necessary interventions to correct attachment styles and regulate emotion in people with trauma syndrome and thus help them overcome possible psychological trauma. Bring them.