Advances in Nursing & Midwifery
Volume:30 Issue: 4, Winter 2021

Fibromyalgia disease has a considerable effect on anxiety disorders such as subjective well-being. The present study aimed to investigate the effect of positive mindfulness therapy (PMT) and emotion-focused cognitive-behavioral therapy (EFCBT) in fibromyalgia patients’ response to stress and subjective well-being.

The research method was quasi-experimental with a pre-test and post-test design, and a control group. The statistical population included 160 women with fibromyalgia, visiting Red Cross affiliated physiotherapy clinics in Tehran in 2020. The sample consisted of 60 patients with fibromyalgia selected by convenience sampling and randomly divided into two experimental groups (PMT and EFCBT) and a control group (n= 20 per group). Data were collected using the Self-Regulation Inventory (SRI) and the Subjective Well-Being Scale. The validity and reliability of the research instruments were confirmed. Data were analyzed at descriptive and inferential levels using SPSS software version 20.

The results showed that the PMT produced significant improvements in subjective well-being and response to stress (P = 0.001) in patients with fibromyalgia. Furthermore, EFCBT was effective in improving subjective well-being and response to stress (P = 0.001) in the patients compared to the control group. The results did not imply a significant difference between the two treatment interventions.

PMT and EFCBT were effective in reducing response to stress and improving subjective well-being in patients with fibromyalgia. Based on the results, holding PMT and EFCBT workshops may exert beneficial effects on reducing response to stress and increasing subjective well-being in patients with fibromyalgia. According to the results, using positive mindfulness therapy and emotion-focused cognitive-behavioral therapy was effective in reducing response to stress and improving subjective well-being in patients with fibromyalgia

Postpartum depression causes negative changes in mothers’ mood and family cohesion, undermines adjustment of mothers with their children, and prevents children from forming a healthy relationship with their mothers. The purpose of this study was to compare meaning in life, strategies of cognitive emotion regulation and body image concern in women with and without postpartum depression.

In this causal-comparative research, participants were selected by convenience sampling among women in the postpartum period in Tehran in 2021. Data was gathered using the Edinburgh Postpartum Depression Scale, Meaning in Life Questionnaire, Cognitive Emotion Regulation Questionnaire, and body image concern inventory. Then, 82 women with postpartum depression and 82 without postpartum were analyzed using ANOVA and MANOVA tests in SPSS-21.

There is a meaningful difference between two groups (women with and without postpartum depression) in terms of presence subscale in meaning in life questionnaire, non-adaptive strategies of cognitive emotion regulation scale except for self-blame subscale and adaptive strategies of cognitive emotion regulation except for acceptance sub-scale, and body image concern (p<0.05). In fact, depressed women use more non-adaptive strategies and suffer more from body image concern. However, presence of meaning in life and use of adaptive strategies are less prevalent among these depressed women.

Taken together, the findings shed light on the importance of meaning in life, cognitive emotion regulation and body image concern in postpartum depression and highlight potential targets for developing interventions in order to prevention and treatment of postpartum depression

Childhood has a significant impact on human growth and development. So that children who receive inappropriate care during the first years of life have lower intelligence and less compelling power, become sicker and prolong their illness. To this end, the provision, maintenance and promotion of the health of children under one year is a special status as a vulnerable group in health services. The aim of this study was to determine the quality of care for children under one year using the SERVQUAL model in Sanandaj comprehensive health centers in 2018.

In this descriptive-analytical study, 384 children under one year old who referred to Sanandaj comprehensive health centers were selected by stratified random sampling. Data collection was done using SERVQUAL questionnaire (service quality). Data were analyzed by SPSS-23 software using descriptive statistics, t-test and ANOVA.

The results of this study showed that in all aspects of service quality there was a negative gap, then the responsiveness dimension had the highest quality gap and then the assurance dimension had the least quality gap and in all dimensions the average customer expectations were higher than their average perceptions.

Given the negative gap in the five dimensions of service quality and high expectations of perception in all dimensions, the needs and expectations of service recipients need to be taken into account in order to reduce the service quality gap.

Moral distress is an important challenge among critical care nurses. psychological empowerment can pave the ground for proper moral performance and prevention of moral distress among nurses. This study aimed to predicting moral distress through the dimensions of psychological empowerment in nurses.

This descriptive cross-sectional and analytical study carried out in 2018. For this purpose, 190 nurses were selected by convenience sampling from the critical care units in Southern Khorasan Province, Iran. Data were collected using Corli's Moral Distress Questionnaire and Spreitzer's Psychological Empowerment Questionnaire. Data were analyzed in IBM SPSS ver. 16 using descriptive and inferential statistics.

Finding showed that moral distress intensity was (4.8±0.51) and negatively correlated whit psychological empowerment (P=0.03, r=-0.5). Moral distress frequency was (5.2± 0.56). The psychological empowerment was (4.1± 0.44). The results of the multiple regression indicated that 2 % variation of moral distress intensity explained by psychological empowerment (ADJ.R2:0.238). Among these dimensions, three dimensions meaning, competence and self-determination significantly predict the intensity of moral distress (R2=0.25, P< 0.05). Moral distress correlated with age, working experience, and type of the ward (P<0.05).

Nurses with a greater psychological empowerment showed less intensified symptoms of distress where they were able to perform morally proper action.

Marital boredom and emotional divorce cause a gradual reduction in the emotional attachment of couples which is associated with feelings of alienation, apathy, and indifference between couples and replacement of positive emotions with negative ones. The present study aimed to investigate the effectiveness of acceptance and commitment therapy (ACT) on marital boredom and self-compassion in emotionally divorced women.

This quasi-experimental study was conducted using a pretest-posttest control group design. Forty women were selected using convenience sampling and were randomly divided into intervention (n=20) and control (n=20) groups. The participants filled the Emotional Divorce Questionnaire, the Marital Boredom Scale, and the Self-Compassion Scale in the pre-test and post-test. The intervention group received eight 90-minute sessions of ACT. Data were analyzed using a one-way analysis of covariance.

Results suggested that ACT improved marital boredom (F=372.714 and P<0.001) and self-compassion (F=353.178 and P<0.001) in the post-test. The mean ±SD post-test scores of marital boredom and self-compassion in the experimental group were 43.30±4.45 and 42.95±4.75, respectively, which improved compared to the post-test of the control group.

Based on the results, holding ACT workshops may exert beneficial effects on reducing marital conflicts.