فصلنامه سلامت و مراقبت
سال بیست و پنجم شماره 1 (بهار 1402)

Rumination and poor interactive quality are among the most common psychological problems of women suffering from postpartum depression. Therefore, the purpose of this research was to determine the effectiveness of a one-day workshop based on cognitive behavioral therapy on rumination and interactive quality of women suffering from postpartum depression.

It was a semi-experimental research design of pre-test-post-test type with a control group and a follow-up stage. The statistical population of this research included all women suffering from postpartum depression in Salmas city who were referred to health centers in 2022 to receive psychological services. The sample size includes 50 subjects (25 in the experimental group and 25 in the control group) from the statistical population selected by available sampling method and they were randomly divided into two groups, the control group and the experimental group. For the experimental group, a one-day workshop based on cognitive behavioral therapy was implemented, while the control group did not receive training. Two weeks after the end of the training sessions, the scale of rumination responses and the relationship quality scale were completed as a post-test and follow-up after two months. The data were analyzed using the analysis of variance test with repeated measurements and SPSS-26 software.

The average rumination scores in the pre, post and follow-up stages were 42.16, 36.60 and 36.96, respectively in the experimental group and 40.12, 41.36 and 41.44 in the control group, respectively. Also, the average interactive quality scores in the pre, post and follow-up stages in the experimental group were 20.40, 28.28 and 29.40, respectively and in the control group were 21.28, 20.72 and 20.32, respectively. The results of analysis of variance with repeated measures showed that the one-day workshop based on cognitive behavioral therapy had a significant effect on rumination and interactive quality in the post-test and follow-up stages (p<0.001).

Findings of this study provide useful information about one-day workshop based on cognitive behavioral therapy and counselors and psychologists can use this intervention to improve rumination and interactive quality of women with postpartum depressive disorder.

Alcohol poisoning was reported in parallel with the increase in the number of patients with COVID-19 disease in Iran. The coincidence of these two widespread outbreaks has prompted researchers to pay attention to a study aimed at investigating the reasons for alcohol consumption during the COVID-19 pandemic.

The present study was a retrospective cross-sectional study that examined the archives of 182 patients hospitalized between March 2020 and April 2020 in Imam Khomeini hospital in Ardabil using a checklist and a census sampling method. The collected data were analyzed by SPSS software version 22 using central statistical indicators and dispersion to examine the amount and distribution of variables.

Out of 182 patients admitted due to alcohol poisoning, 168 patients stated that their reason for abuse was fear of corona virus. The most common type of alcohol consumed was methanol. The most common symptoms of the patients were nausea and visual disturbances. Of these, 159 patients suffered serious kidney complications and 10 patients died.

Considering the increase in harmful alcohol consumption during the COVID-19 pandemic and its destructive effects, it is necessary to improve public’ awareness for dangers of alcohol consumption as well as prevention and treatment methods of the disease during the pandemics.

One of the most common psychological problems of obese women is low self-control and appearance schema. Therefore, the present study was conducted with the aim of determining the effectiveness of cognitive behavioral group therapy on self-control and appearance schema in obese women without a di regimen.

This study is a semi-experimental design of pre-test-post-test and follow-up with a control group. The statistical population of this research included women with a body mass index above 30 who referred to the Noor Nutrition and Obesity Treatment Clinic in the city of Ray in the year 2022. The sample size consisted of 30 people from the mentioned society who were selected by available sampling method and randomly placed in two experimental and control groups. For the experimental group, the cognitive behavioral group therapy was implemented in 8 sessions of 90 minutes during four weeks, while the control group did not receive training. The research tools included the Self-Control Scale (2004) and the Appearance Schema Inventory (2004), which for both groups, once before the intervention (one day before the beginning of the training), once after the intervention (one day after the completion of the training sessions) and were completed once four weeks after the intervention. For the statistical analysis of the obtained data, the analysis of variance test with repeated measurements was used.

The results showed that the cognitive behavioral group therapy had a significant effect on self-control and appearance schema in the post-test and follow-up stages. Based on the results, the cognitive behavioral group therapy has been significantly effective in improving self-control (F=76.551, p<0.01), self-evaluation (F=44.102, p<0.01) and self-motivation (F=43.136, p<0.01) in obese women without a diet.

The results showed that the cognitive behavioral group therapy has significantly improved self-control and appearance schema in the studied subjects, so the use of this intervention is suggested for obese women who do not have a diet regimen.

organ donation is one of the main advances in area of medical science in recent years, and encouraging the people to donate organs can help to institutionalize it in the society. This requires the awareness and positive attitude of the members of the society about it. The purpose of the study was to determine and compare the awareness and attitude of students of different faculties of Ardabil University of Medical Sciences towards organ donation and its conditions in 2022.

This research was a cross-sectional and descriptive study. The research population was all students of Ardabil University of Medical Sciences during the year of 2022. Three hundred and eighty-eight students were included. The data was collected randomly in several phases from the faculties. The data collection tool was a researcher-made questionnaire. The data were randomly assigned and stratified in several stages of the faculties. The data collected in SPSS-19 and were analyzed with the help of descriptive and analytical statistics tests (frequency and percentage, mean and standard deviation, Pearson correlation coefficient, etc.).

The mean and standard deviation of total students’ knowledge and attitude scores were 30.06±6.88 and 66.56±7.55, respectively. In the level of knowledge, 51.5% of students had average knowledge and 48.5% of students had good knowledge about the conditions of organ donation. Also, the attitude of 47.7% of students towards the conditions of organ donation was average and the attitude of 52.3% of students about organ donation was good. Age (p=0.03), grade point average (p<0.001) and history of organ donation in family and friends (p=0.04) had a statistically significant correlation with the average scores of students' knowledge and attitude.

Considering the importance of knowledge and attitude in the preparation of students for organ donation, inclusion of organ donation and its conditions in the beginning of the lessons of all medical sciences, increasing the education of organ donation and its conditions in public media especially radio and television should be provided. It is necessary to make preparations for the completion of the organ donation form by students and hold educational workshops about organ donation and its conditions for professors, staff, and members of scientific associations and student research committee’s members of medical science

Cancer is a group of growing chronic diseases in the world, which can negatively affect the mental health of the affected people and the relatives. Appropriate psychotherapy methods can improve the mental health of these patients. The purpose of this study was to investigate the effectiveness of cognitive therapy based on mindfulness on alexithymia and caregiving pressure in women with spouses suffering from cancer.

The design of the current research was semi-experimental and pre-test and post-test with a control group. The statistical population of this research included all women with spouses diagnosed with cancer hospitalized in Imam Reza Hospital of Tabriz in 2022. Using the available sampling method, 30 people were selected and then randomly assigned into two experimental and control groups. At first, a pre-test was administered to both groups, and then the experimental group received cognitive therapy based on mindfulness 8 session every week, and after the end of the treatment sessions, the post-test was conducted in both groups. In this study, the Toronto Emotional Dysfunction and Patient Care Pressure Questionnaire (FBIS) were used to collect data. Multivariate covariance analysis was used to analyze to analyze data in SPSS-25 software.

The results of the research showed that in the experimental group, the post-test scores of alexithymia (F=19.42, p≤0.01) and patient care pressure (F=21.189, p≤0.01) in women of spouses with cancer. In women of spouses with cancer in the intervention group, it was significantly lower than the control group.

It can be climed that cognitive therapy based on mindfulness has been effective in reducing alexithymia and the pressure of patient care. Therefore, this treatment can help to improve the emotional state and reduce the psychological pressure of these women.

 Pproviding physical and mental health for women is one of the important factors in the stability of family and society. In this regard, one of the psychosomatic issues is premenstrual syndrome. This research was conducted to investigate the structural pattern of cognitive emotion regulation based on psychological capital with the mediating role of marital satisfaction in women with premenstrual syndrome.

 The current research was of a correlational design using structural equations. The statistical population included all women with premenstrual syndrome, who visited the family planning midwifery clinic in Kermanshah in 2018-2019. Three hundred and eighty women were selected by the convenience sampling method. The research tools included Grenfsky's emotional regulation questionnaire, Luthans' psychological capital, and Inrich's marital satisfaction questionnaires. Data were analysed by Spearman's correlation method by SPSS-21 and LISREL software.

 The results of this study showed that there is a significant direct relationship between cognitive-emotional regulation strategies and psychological capital (GFI=0.92; AGFI=0.88; RMSEA=0.052) as well as psychological capital directly and indirectly through the mediation of marital satisfaction (GFI=0.92; AGFI=0.88; RMSEA=0.052) and (RMSEA=0.062) can Predict the cognitive regulation of emotion.

 It can be said that psychological capital along with marital satisfaction can play an important role in the cognitive regulation of emotions in women with PMS. Therefore, by increasing psychological capital and marital satisfaction, it is possible to help improve emotional regulation in women with premenstrual syndrome

 During the COVID-19 pandemic and nationwide quarantine, many universities were closed and continued their activities electronically. This issue caused many students to experience high anxiety. In this regard, the present study was conducted to investigate the effectiveness of online cognitive-behavioral therapy on the difficulties in emotional regulation and psychological well-being of students with the anxiety of COVID-19.

 The present research method was semi-experimental and its design was pre-test-post-test with the control group. The statistical population of the research included the students of Tarbiat Modares University in the academic year 2021. The study sample includes 30 students with COVID-19 anxiety who were selected using the available sampling method and randomly placed in two experimental groups (n=15) and control a group (n=15). The collection tool included a questionnaire on COVID-19 anxiety, difficulty in emotional regulation, and psychological well-being. The experimental group received 90-minute sessions of cognitive-behavioral therapy, but the control group did not receive any intervention. Finally, the obtained data were analyzed by multivariate analysis of covariance.

 The results of covariance analysis showed that online cognitive-behavioral therapy significantly increases psychological well-being and reduces difficulties in emotional regulation in students with COVID-19 anxiety (p<0.01). Also, 94% of the total variances of the experimental and control groups are caused by the effect of the independent variable.

 Considering the effectiveness of online cognitive-behavioral therapy on emotional regulation and psychological well-being of students with COVID-19 anxiety, to quickly provide medical services during acute and pandemic conditions, this method can be used for other psychological disorders.

 Anxiety is one of the most important consequences of head and neck surgery, which increases when the patient becomes aware of the need for surgery and reaches its peak at the time of surgery. The present study was conducted with the aim of determining the effect of peer education in controlling preoperative anxiety in patients who are candidates for thyroidectomy surgery.

 In this clinical trial study, 78 patients admitted to Valiasr General Surgery Department and Cancer Institute of Imam Khomeini Hospital in Tehran was examined by randomly assigning blocks into two control and experimental groups. The data collection tool included demographic characteristics and Spielberger's anxiety questionnaire. In the test group, awareness was given through peers, and the control group received routine care. After collecting the data, it was analyzed using SPSS version 20 software.

 The average age of the participants in the control group was 40.58±11.14 years and in the test group were 39.82±11.43 years. The mean score of anxiety in the experimental group was 59.20±15.67 before awareness, after the intervention the mean score decreased to 54.56±15.70. The mean score of anxiety in the control group was 58.69±18.19 at the end of the study the mean score decreased to 57.66±16.42 which was not statistically significant (p=0.397).

 Although awareness training through peers was able to reduce the anxiety of the patients in the test group, it could not create a statistically significant difference in the level of anxiety of the patients after the intervention.