نشریه روان پرستاری
سال یازدهم شماره 4 (پیاپی 58، مهر و آبان 1402)

As a worldwide pandemic, COVID-19 has led to low quality of life for patients and many psychological disorders, particularly among patients with coronavirus. Accordingly, this study aimed at Predictors of Corona Anxiety in patients with COVID-19.

This is a descriptive-analytical study. 119 patients with covid-19 were included in the study using the convenient sampling method that was eligible (inclusion criteria: having covid-19, ability to complete the questionnaire, reading and writing literacy and exclusion criteria: inability to participate in the study, incomplete questionnaire). The subjects filled out the online questionnaires, including Templer's Death Anxiety Scale, Penn State Worry Questionnaire (PSWQ), Corona Disease Anxiety Scale (CDAS), and Depression, Anxiety, and Stress Scale (DASS). The collected data were analyzed using the Pearson correlation coefficient and multiple regression through SPSS v.22 software.

There is a significant negative correlation between corona anxiety and death anxiety (r=-0.209, P<0.05) and between corona anxiety with worry (r=0.283, P<0.01). There was a positive and significant correlation between corona anxiety and depression (r=0.344 r, P<0.01). The results of regression analysis showed that depression (β=0.303, P<0.001), worry (β=0.236, P<0.006) and death anxiety (β=0.233, P<0.008) are the most effective predictors of Corona anxiety.

The findings showed that depression, worry and death anxiety are the main predictors of Corona anxiety and psychological interventions should be more focused to solve these issues.

Social anxiety disorder (SAD) is one of the major psychological challenges in adolescents' social relationships that could lead to many problems. The aim of the present study was to determine the effectiveness of behavioral activation and stress inoculation training on experiential avoidance and emotion regulation in adolescents with SAD.

The research method was semi-experimental with a pre-test-post-test-follow-up plan with a control group. The statistical population of the research included all students aged 15 to 18 with SAD in the 2nd education district of Isfahan in the academic years 2021 and 2022. For this purpose, using a multi-stage cluster random sampling method, 600 students were screened from among boys' high schools in Isfahan by implementing Paklak's social anxiety scale adolescents (2004). They were randomly assigned to two experimental groups and a control group. The people in the experimental groups participated in parallel and simultaneous treatment sessions of behavioral activation (10 sessions) and stress inoculation training (9 sessions); But for the control group, there was no intervention. The measurement tools included the Acceptance and Action Questionnaire (AAQ-II) by Bond & et all (2011) and emotion regulation by Gross and John (2003). To analyze the data, the statistical method of analysis of variance of repeated measurements and Bonferroni's posthoc test was used in SPSS-26 software.

The results showed that behavioral activation therapy had a stronger effect on experiential avoidance than other one for 15-18-year-old with SAD, and the effects of the intervention remain stable over time (p<0.01). Also, comparing the results of the effects of two methods of behavioral activation and stress inoculation training on improving emotion regulation in adolescents, no significant difference was found (p>0.01).

The results of this study support the effect of behavioral activation therapy and stress inoculation training on experiential avoidance and emotion regulation in adolescents with SAD.

Suicide is of the most important indices of mental health in society and specifically among youth that related to different components. Thus, this study was designed to explore the relationship of suicidality with self-criticism and depression among Bachelors’ nursing students in Hamadan University of medical Sciences.

in this correlational-cross sectional study, 371 students from Nursery school, Hamadan University of Medical Sciences randomly assigned. Gathering data instruments were demographic characteristics questionnaire, Beck’ Suicidal Thoughts Scale, Self-critiquing levels scale, and Beck Depression scale that filled them out by the participants.  We gathered the data by SPSS 22 and analyzed the descriptive statistics (Mean and Standard Deviation) and inferential (Pearson Correlation Coefficient and multi variate regression).

The Findings of the study showed that there was strong and significant relationship between suicidality and depression (p<0.001). Furthermore, in multivariate regression analysis, depression significantly was predictive of suicidality (p<0.001), but between suicidality with self- critiquing, there was no significant relationship (p>0.05) and in multi variate regression, self- critiquing variable significantly was predictive of suicidality (p<0.05).

the results of the study show that suicidality among Bachelor’s Nursery students is high significant that related to depression and self-critiquing. The evaluation of student mental health and administering mental health interventions for those students are most significant.

Marital problems by creating psychological-emotional distance in couples are one of the main reasons for reducing the quality of marital relations and the health of the society. The present study was conducted with the aim of investigating the effectiveness of therapybased of compassion on the mental health and psychological well-being of couples facing divorce.

The current research were a semi-experimental pre-test-post-test type with a control group. All the couples facing divorce in Birjand city in 2022 referred to the counseling centers of Birjand city as the statistical population. formed. The samples of this research were 30 people from the mentioned society who were selected using available sampling method and were assigned to two experimental (15 people) and control (15 people) groups with the help of simple random method. But no action was taken on the control group. The mental health questionnaires of Najarian and Davoudi (2010), psychological well-being of Rief (1989) and Edwards, Johnson and Booth (1980) were implemented on them. Was. Data analysis was done with descriptive tests (mean and standard deviation) and covariance analysis using SPSS version 24 software. P value less than 0.05 was considered significant.

The results showed that therapybased of compassion had an effect on mental health and psychological well-being (P<0.001). Also, compassion therapy explains 51.8% increase in mental health and 47.1% increase in psychological well-being of couples.

According to the results of this research, this type of treatment was used to reduce marital problems and increase mental health and psychological well-being of couples.

Mental fatigue caused by the Covid-19 crisis and the quality of mother-child interaction are among the main challenges faced by mothers of children with attention deficit/hyperactivity disorder. so, The present study was conducted with the aim of determining the effectiveness of overexpressed emotion management training using an interactive ecological approach on mental fatigue caused by the Covid-19 crisis and the quality of mother-child interaction in mothers of children with attention deficit/hyperactivity disorder.

The present study was a semi-experimental design with pre-test-post-test type. The statistical population of this research included all the mothers of children with attention deficit/hyperactivity disorder in the treatment and rehabilitation centers of Tehran in 1400. From among the target population, 14 subjects from Arghavan Psychology and Counseling Service Center were selected as the research sample by voluntary sampling method and randomly assigned to two experimental (7 people) and control (7 people) groups. During 13 sessions of 45 minutes, the experimental group was subjected to an overexpressed emotion management training program based on an interactive ecological approach, but no intervention was done on the control group. Both groups (control and experimental) responded to the Chaldor Fatigue Scale et al (1993)  and Pianta Parent-Child Scale (1994) before and after the intervention. To analyze the data, the method of multivariate analysis of covariance was used using SPSS version 23 software.

There was a significant difference between the average post-test scores of the intervention group and the control group, so that overexpressed emotion management training reduced mental fatigue (P=0.018 and F=18.544), reduced conflict (899 F=5.038, P=0.038), increased closeness (F=5.699, P=0.041), decreased dependence (F=5.394, P=0.045) in mothers of children with attention deficit/hyperactivity disorder in The group intervened.

Considering the results obtained from this research on the effectiveness of overexpressed emotion management training using an interactive ecological approach, it is appropriate for therapists and specialists of attention deficit/hyperactivity disorder to train overexpressed emotion management using the approach Put interactive ecology in the educational priority of these mothers.

Obesity is a major health problem, and the physical and interpersonal limitations associated with it lead to significant psychological distress. Childhood injuries can play a role in the formation of early maladaptive schemas self-compassion and obesity in adulthood. The aim of the present study is to determine the role of childhood trauma on obesity through the mediation of early maladaptive schemas and self-compassion.

The design of the current research was descriptive-correlational and structural equation modeling. The statistical population of the current study included all obese patients who were referred to specialized diet therapy centers in Isfahan City in the Fall and winter of 2020 and spring of 2021, from which 376 people were selected voluntarily as a sample. Then a structured interview was conducted for Axis 1 and 2 disorders (SCID-I and SCID-II) were administered, body mass index (BMI) was measured, and the subjects were asked to fill in the Young schemas-short form questionnaires (YSQ-S), childhood trauma questionnaires ( CTQ), self-compassion scale (SCS) answered. Then the collected data were analyzed using the structural equation modeling method.

The results of the research showed that childhood trauma is directly and indirectly related to obesity through primary maladaptive schemas and self-pity. Also, the results showed that early maladaptive schemas and self-pity are directly related to obesity.

Based on the results of the present study, early maladaptive schemas and self-pity mediate the relationship between childhood trauma and obesity. To treat obesity, the role of childhood trauma, self-pity, and early maladaptive schemas should also be considered.

 Marriage and couple relationship are some of the most important transitions in human life. if the couple is provided with knowledge, attitude and skills of married life in the form of marital mental health literacy, their mental health is improved and the marital conflicts are reduced. The current research was conducted with the aim of conceptualizing marital mental health literacy and its components.

 The present study is a qualitative content analysis research, the information of which was obtained through purposeful sampling and semi-structured interviews that started from the end of November 1401 and continued until the end of December 1401, The research reached the saturation point with 17 married people. Data analysis was done using the approach of inductive content analysis. Transcribing the recorded interviews and deepening the data analysis, primary codes were extracted. In order to determine the main categories, the codes were reviewed and classified in several steps.

 From data analysis, 86 primary codes, 28 subcategories and 8 categories were extracted. These 8 categories included "Communication Literacy", "Emotional Literacy", "Sexual Relationship Literacy", "Media Literacy", "Financial Literacy", "Parenting Literacy", "Problem Solving Literacy" and "Primary Family Health Literacy". which were identified as the components of "couple mental health literacy".

 The findings of this research can be used in the development of educational programs and perspectives with the aim of improving marital satisfaction and couple counseling. Also, teaching these components to couples prevents serious conflicts and increases satisfaction in married life.

Patients with multiple sclerosis(MS) experience many physical and emotional disorders. Therefore, this study aimed the effectiveness of acceptance and commitment therapy on emotional dysregulation in multiple sclerosis patients.

The research method in present study was based on the practical aim, the experiment of type the single-subject with ABA design. The statistical population included all individuals 20 to 50 years with multiple sclerosis disorder who attended the MS Association of Tehran in 2022. Among them, 5 patients with multiple sclerosis (two men and three women) were selected based on inclusion criteria and by purposive sampling. The multiple sclerosis intervention was performed for each patient in 8 sessions of 2.5 hours. The research instrument included demographic questionnaire and difficulties in emotion regulation scale (DERS).  The data were analyzed using visual analysis at both within-condition and between- condition levels in SPSS and Excel software.  

The results showed that acceptance and commitment therapy intervention reduced the emotional dysregulation in patients with multiple sclerosis. So that the scores had a significant decrease compared to the baseline scores in the 8 intervention sessions and follow-up after the treatment (P<0.05).    

The results of this study showed that acceptance and commitment therapy can be effective in reducing the emotional dysregulation in multiple sclerosis patients; And it is suggested that therapists and counselors use this treatment in order to improve the emotional dysregulation of these patients along with other therapeutic interventions.

People who have experienced childhood trauma are at high risk of developing complex psychiatric disorders. For this reason, it is necessary to identify and treat effective mechanisms between traumatic experiences and psychiatric problems; therefore, this study was conducted with the aim of investigating The Effectiveness of Mindfulness-Based Cognitive Therapy on Alexithymia, Experiential Avoidance and Self-Compassion in Adults with Childhood Trauma Experience.

The current study was a semi-experimental type with a pre-test-post-test design with a control group. Among the people who experienced childhood trauma and referred to clinics and counseling centers in Tehran, 30 people were selected using convenience sampling method and randomly replaced in two experimental groups and a control group (15 people). The experimental group received 8 sessions of mindfulness-based cognitive therapy, but the control group did not receive any specific intervention. The research tools were: Bernstein et al.'s Childhood Trauma Questionnaire (2003), Bagby et al.'s Toronto Alexithymia Scale (1994), Bond et al.'s Acceptance and Action Questionnaire-II (2011), Neff's Self-Compassion Scale (2003). Data were analyzed using multivariate analysis of covariance test.

The mean post-test scores of alexithymia and experiential avoidance in the experimental group were significantly lower than the control group. Also, the mean scores of the self-compassion post-test in the experimental group were significantly higher than the control group. The results indicate a significant effect of cognitive therapy based on mindfulness in reducing alexithymia (F=70.247, P=0.001), experiential avoidance (F=74.364, P=0.001) and increasing self-compassion. (F=14.569, P=0.001) in people with childhood trauma experience.

The findings of this study, in line with the background of the research, showed the effectiveness of this treatment approach on the psychological components of adults with childhood trauma experience, although additional studies in this field are suggested.