نشریه پرستاری کودکان
سال نهم شماره 4 (تابستان 1402)

Mothers with disabled children have problems with their sleep quality. This research was conducted with the aim of Comparing the Effectiveness of Solution Focused Narrative Therapeutic Approach (SFNT) and Mindfulness-Based Stress Reduction (MBSR) on Sleep Quality in Mothers of Male children with Gross Motor Disabilities.

The current research was semi-experimental with a pre-test and post-test design with experimental and control groups. The statistical population of the research included all mothers with Gross Motor disabled children that referred to Movafaghit Counseling Center in Tehran in the year 2022, of which there were 45 mothers who met the criteria for entering the study, were selected and randomly assigned to three groups (two experimental groups(Solution Focused Narrative Therapeutic Approach (SFNT=15) and Mindfulness-Based Stress Reduction (MBSR=15) and one control group=15). The data was collected by Pittsburgh Sleep Quality Index (PSQI). The data were analyzed through Multiple Analysis of Variance and LSD post hoc test and with SPSS-26 statistical software.

The results indicated that in the post-test phase, there is a statistically significant difference between the average score of quality of sleep in the three groups (P<0.05). However, the Mindfulness-Based Stress Reduction (MBSR) (17.53 ±1.47; P<0.05) compared to the Solution Focused Narrative Therapeutic Approach (SFNT) (13,53 ±1.07; P<0.05) had a greater effect on increasing the quality of sleep.

The results showed that both therapies can lead to an increase in the quality of mothers' sleep. However, Mindfulness-Based Stress Reduction (MBSR) had a greater effect on sleep quality compared to Solution Focused Narrative Therapeutic Approach (SFNT). Psychological interventions can be useful for caring for the mother and her child.

Cancer causes a decrease in self-esteem and psychological adjustment in mothers with children with cancer. This study was conducted with the aim of determining the effect of spiritual intervention on self-esteem and emotional adjustment of mothers with children with cancer.

In this semi-experimental research, 90 mothers with children with cancer who met the inclusion criteria were selected by available sampling method and divided into two intervention groups (45 people) and control (45 people) using random allocation. Spiritual intervention was conducted in the form of 6 training sessions for 45 minutes, focusing on spiritual issues, for the mothers of the intervention group, but no intervention was done for the patients of the control group. Rosenberg's standard self-esteem questionnaire and Rabiot's emotional adjustment questionnaire were used to collect data. The data were analyzed using spss software version 23 and paired t-tests and analysis of covariance.

The results showed that the average score of self-esteem in both intervention and control groups before and after the test did not show a significant difference (P>0.05). However, the average emotional adjustment score in the intervention group was higher after the intervention and showed a significant difference (P<0.001), but no statistically significant difference was observed in the control group (P=0.549). The results of analysis of covariance (ANCOVA) showed that the effect of the test on self-esteem in both intervention and control groups is effective (P=0.015) and emotional adjustment in people with the effect size (0.243) is effective (P<0.001).

Based on the results, it seems that the use of spiritual interventions in mothers with children with cancer as an accessible and free intervention can increase their self-esteem and emotional adjustment.

The family is the most important factor for the socialization and development of the child, and parents are one of the most powerful influences in their children's lives. During this process, the role structure is formed. A balanced role structure can benefit family solidarity. Parental role conflicts are one of the risk factors for children's mental health, behavioral and emotional disorders. When children are exposed to parental conflicts; They feel emotionally insecure. This study was conducted with the aim of analyzing the concept of parental role conflict.

This study was a concept analysis in which Walker and Avant's 8-step concept analysis method was used. An extensive search was conducted in PubMed, CINAHL Psych info Scopus and Science Web of databases with keywords family conflict, parents, role, father-child relationship, and mothers in the range of 2010 to 2022, and 13 related studies were extracted.

Parental conflict creates issues such as emotional health problems, social problems, and physical and mental health disorders in children. Concepts such as role ambiguity, role expectations, mother's role pressure, inefficient spouse, family system disorder, and family process disorder are concepts that are often used instead of parental role conflicts.

Role conflict occurs when the expectations of multiple roles are inconsistent with each other. Inappropriate relationship between parents leads to children's incompatibility. This can be intra-personal, group, or organizational. Solving parental conflicts and having a positive, warm, and compassionate relationship have an impact on children's mental health. Considering that this concept is part of the standard nursing diagnoses, nurses can propose basic solutions for problems using the bedside nursing process.

Children usually do not have a clear understanding of their parents' divorce; Sometimes they feel responsible for their parents ' divorce and do not hope to have a better life after their parents' divorce. Therefore, it is necessary to make a lot of effort to achieve the necessary adaptation and mental health. The aim of this study was to determine the effectiveness of mentalization-based treatment for children (MBT-C) on parental reflective functioning of divorced parents with children aged 5 to 12 in Isfahan.

The research design was quasi-experimental with pre-test, post-test, and a two-month follow-up period. The statistical population included all divorced parents with children aged 5 to 12 in Isfahan in the spring of 1401. For this purpose, by posting a call on social networks and inviting them to participate in the research, by available sampling method and considering the entry and exit criteria, 30 people were selected and randomly divided into two experimental and control groups (15 experimental and 15 Control) were assigned. The experimental group participated in 12 sessions of MBT-C based on 12 sessions of 60 minutes; But for the control group, no intervention was made. The research instrument included the parental reflective functioning questionnaire of Luyten et al, (2017). Research data were analyzed using repeated measures analysis of variance in SPSS-26 software.

The results showed that MBT-C intervention had a significant effect on parental reflective functioning and its dimensions including prementalizing modes (PM), certainty of mental states (CMS), and interest and curiosity in mental states (IC) of divorced parents with children 5 to 12 years in two stages of post-test and follow-up. And the effects of treatment remained constant over time (p <0.01).

Considering the effectiveness of mentalization-based treatment for children (MBT-C) on parental reflective functioning of divorced parents with children aged 5 to 12, it is suggested that effective measures be taken by educational and medical specialists to develop parental education and treatment programs.

Working children have psychological problems. The aim of this study was to investigate the prediction of the psychological well-being of working children based on work anxiety, school anxiety, and hope for education in Bandar Abbas.

The research method was descriptive-correlational. The statistical population of the study included all working children in Bandar Abbas in 1400. 214 people were selected by multi-stage cluster sampling. The Linden Work Anxiety Inventory, Phillips School Anxiety, Date and Lumbar Education Expectancy, and Reef Psychological Well-Being Questionnaire were used. Pearson correlation and hierarchical regression were used to analyze the data.

The results showed that the correlation coefficient between work anxiety and psychological well-being (P <0.01, -0.34) was negative and significant at the level of 0.01. The relationship between school anxiety and psychological well-being (P <0.01, -0.46) was negative and significant at the level of 0.01. The relationship between education expectation and psychological well-being (P <0.01, 0.41) was positive and significant at the 0.01 level. Work anxiety with a regression coefficient of -0.247, school anxiety -0.348 and education expectation of 0.419 were able to predict the psychological well-being of working children (P <0.01).

Considering the relationship between work anxiety, school anxiety, and the hope of education with the psychological well-being of working children and considering the importance of children's health as the future builders of society, it is recommended that relevant organizations prepare appropriate programs to control the mentioned factors and other possible factors.

Today One of the most entertaining activities is computer games; while children have paid attention to such games, they have left adverse impacts on their mental and physical.

present study aimed to examine the effects of cognitive-behavior-based play therapy on computer games addiction, aggression, and school stress in children aged 10-11 in Isfahan. This article is quasi-experimental with a pretest, posttest, and follow-up. The statistical society was children aged 10-11. By available sampling 30 students who had the highest degree of addiction to computer games were chosen and were divided into an experimental group and a control group each with 15 students. The experiment group received 10 sessions of about 90-120 minutes of treatment each week. Students were tested by questionnaire computer games addiction Soltani and Farhadi (1395), aggression Bas and Peri (1992), and educational stress Zajakua (2005). At the end of the follow-up phase, they were evaluated. Research data analysis was performed using "spss23" statistical software and a variance test with repeated measures was used.

The results of repeated measures analysis of variance indicate that play therapy based on cognitive-behavioral therapy has been effective in reducing computer games addiction, aggression, and academic stress in children aged 10-11.

The findings of this study emphasize the effect of online cognitive-behavioral play therapy on computer game addiction, aggression, and academic stress. Therefore, it is suggested that therapists use this therapeutic approach as a useful method.

Adolescence is the turning point of every person's life, the period in which puberty occurs. The healthy passage of this period in girls is of great importance due to their role in the health of the family and society, so this study aims to determine the relationship between the Demographic factors and pubertal health performance of adolescent girls conducted in Kashan City.

In this cross-sectional-analytical study, 205 girls of the first secondary level were selected using cluster sampling in Kashan City. The data collection tool was a questionnaire of demographic factors and a self-report and researcher-made questionnaire of pubertal health performance, including three dimensions: nutrition, menstrual health, sleep, and physical activity.

The mean and standard deviation of the age of the studied students was 14.08( 1.02) and the age of the first menstruation was 12.22) 1.05). 75.1% of girls had a good pubertal health performance status. There was only a significant relationship between educational level and puberty health performance (p-value ˂0.05) in such a way that the highest performance score was related to teenagers studying in ninth grade.

Considering the significant relationship between the puberty health performance of girls, it can be concluded that the individual's performance improves after increasing their knowledge and experience. Therefore, it is suggested to hold training courses related to puberty and menstruation for teenagers from the beginning of puberty and menstruation.

  Children are the most vulnerable groups in society, whose health needs particular attention. However, children in kindergartens are more vulnerable to being infected than other children who are kept at home. The present study aimed to determine the effect of implementing a health-oriented program developed for care providers on the health outcomes of toddlers in kindergartens.

In the present interventional study, four kindergartens were non-randomly selected from among four districts in Semnan city, and then were randomly and equally divided into intervention and control groups. All eligible toddlers were selected by census (30 in the intervention, and 32 in the control group). Data collection tools included a demographic questionnaire and a checklist for toddlers' health problems. We developed, implemented, and evaluated a health-oriented program, based on recognition, protection, and planning to maintain and improve physical aspects of healthy behaviors to promote the health of toddlers in kindergartens. The results obtained were analyzed and compared to the control group in SPSS-21.

The chi-square test showed that the two groups matched in terms of demographic variables such as age, education, and marital status (P>0.05). The chi-square test also showed significant differences between intervention and control groups before and after intervention in terms of health outcomes (digestive P=0.007, respiratory P=0.003, skin P=0.001).

The present study results confirmed the effectiveness of implementing the health-oriented program on caregivers associated whit toddler health outcomes.

Emotional adjustment is very important for the better development of preschool children. The aim of this study was to compare the effectiveness of affective capital training and life skills training on emotional adjustment among 4-6-year-old children.

This research was a semi-experimental study with a pretest and posttest design with a control group. The statistical population was preschool children in preschool centers in the winter of 2022 in Isfahan, Iran. From them, 45 preschool children were selected by purposive sampling method and randomly assigned to two experimental groups and a control group (15 children for each group). emotional adjustment questionnaire of Thorlacius and Gudmundsson (2017) was used to assess the dependent variable in two stages. The two training groups were each trained for 10 sessions of 45 minutes and the control group did not receive any treatment. The data were analyzed by analysis of covariance and posthoc Bonferroni test.

The results showed that there was a significant difference between affective capital training and life skills training with the control group in the two components of temper control and social assertiveness (p<0.01), but there was no significant difference between the two training groups (p>0.05). In the control of anxiety, there was no significant difference between affective capital training and life skills training in the control group (p>0.05).

According to the research results, affective capital training and life skills training are effective in increasing temper control and social assertiveness in preschool children. It is recommended that these two training be used for preschool children in preschool training centers.

Disruptive mood dysregulation disorder (DMDD) is a new disorder with challenging diagnosis and treatment. As a result, standard irritability therapies must be used in order to obtain therapeutic implications for the aforementioned disorder. The aim of this study was to determine the efficacy of cognitive behavior therapy based on parental education on emotion regulation and irritability in students with disruptive mood disorders.

The research method was semi-experimental, with pre-test and post-test groups, and contained control and follow-up session. The study's statistical population included all male high school students in East Azarbaijan province during the academic year 2020–2021. The study population included 30 students with disruptive mood disorders who were chosen through a nonprobability purposive sampling method. The Stringaris et al. (2012) Emotional Affective Reactivity Index, the Gross and John Emotion Regulation Questionnaire (2003), and the clinical interview based on the DSM-5 were used to collect data. The data were analyzed using analysis of ANOVA with repeated measures and via statistical package for social sciences version 18.

Family-based cognitive behavioral therapy was found to be significantly effective in reducing irritability and regulating emotions in students with disruptive mood dysregulation disorders (p<0/001). Furthermore, the Bonferroni correction test results revealed that the educational effect persisted throughout the follow-up period (p>0/05).

The current study's findings support the efficacy of family-based cognitive-behavioral therapy and dialectical therapy in reducing irritability and regulating emotions in students with disruptive mood dysregulation disorder. Therefore, its use is recommended for treatment specialists in the field of disruptive mood dysregulation disorder.