نشریه خانواده و بهداشت
سال سیزدهم شماره 3 (پیاپی 38، پاییز 1402)

The purpose of this study was to compare emotional regulation and paranoid thoughts in people with sleep problems. The research design was causal-comparative. The study population consisted of people with sleep problems who referred to sleep clinics in Tehran in the second half of the 2018 year. Research tools were Emotional Adjustment Questionnaire (Garnefsky et al., 2001 & Moro (1991) and Green's et al. (2008) Paranoid Thought Questionnaire. Univariate analysis of variance and t of two independent groups analysis of was used to analyze the data. Findings of the study showed that normal people in positive emotion regulation scored higher in clinical group and negative emotion regulation score in clinical group was significantly higher than normal group. At the same time, paranoid thoughts in people with sleep problems are far greater than in the normal group (p<0.005). Therefore, it can be said that people who have less emotional regulation and more paranoid thoughts are more likely to have sleep problems. 

Examining the state of mental health of students, who are the young and active segment of the society and have a special place in the health programs of the society, is very important. The purpose of this study is to investigate the state of mental health of students and also the factors affecting it.Research

The current research is a correlational study in terms of methodology, and the statistical population of this research includes students of Shiraz University who were studying in 2022, and the statistical sample of this research consisted of 267 people (128 boys, 139 girls) who were Available sampling was selected from the students of humanities, basic sciences, agriculture and technical engineering faculties. The tools of this research included Lavibond and Lavibond mental health questionnaires, Watson and Friend's fear of negative evaluation scale, Cheek and Bass shyness scale, and French and Shields' body esteem scale. For data analysis, Pearson's correlation coefficient and multiple regression analysis were used using SPSS version 22 software.

The results showed that all three variables of shyness, fear of negative evaluation and self-esteem simultaneously predict 22% of the variance of depression, 31% of the variance of anxiety and 20% of the variance of stress at a significance level of p=0.01. Also, among the three predictor variables, the contribution of the shyness variable in predicting mental health is higher than the other two predictor variables (r=0.56, p<0/01).

According to the results, it can be said that all three variables of reducing shyness and fear of negative evaluation and increasing body self-esteem are effective factors in mental health (anxiety, depression, stress), which considering the importance of mental health among students, it is suggested that efforts More should be done to reduce shyness and fear of negative evaluation and increase body esteem in this important segment of society.

Adaptogens are a group of plants known for their innate ability to fortify the body's nervous system. They achieve this by influencing the hypothalamus-pituitary-adrenal axis, regulating cortisol secretion (stress hormone) and enhancing endorphin production. By bolstering the body's resilience against fatigue, adaptogens hold promise in improving the overall quality of life. However, it is imperative to substantiate their efficacy through rigorous scientific investigation, thereby fostering tranquility and enhancing societal well-being. Consequently, this study aims to examine the impact of utilizing plant adaptogens on three key phenomena: anxiety, stress, and fatigue.

The current study takes the form of a comprehensive systematic review, where an assortment of trials and studies were meticulously gathered using well-defined search terms. These were sourced from both internal and external databases, with a particular emphasis on article titles. The inclusion criteria encompassed articles published in either English or Farsi between the years 2000 to 2023. Moreover, the focus primarily revolved around the clinical trial aspect. Additionally, the articles selected for analysis were those that involved a combined intervention of chemical medicine. To aid in the screening and management of resources, EndNote version 7 software was employed diligently.

Out of the 2707 pertinent articles, a meticulous examination led to the inclusion of 27 fully qualified articles in this study. The comprehensive evidence substantiates the efficacy of botanical adaptogens in bolstering performance, enhancing the body's resilience against fatigue, and fostering mental well-being in the face of stress.

By affording appropriate opportunities for the utilization of these plants in the human diet or medicinal formulations, a significant stride is taken towards enhancing the collective mental well-being of society

Abstract

Irritable bowel syndrome is one of the most expensive diseases of the digestive system that causes intestinal dysfunction. The purpose of this study was to investigate the mediator role of self-care in predicting self-control and outcome expectations based on health anxiety in patients with irritable bowel syndrome.Research

The current research is descriptive and path analysis type. The statistical population of this research was made up of all patients with irritable bowel syndrome who referred to medical centers in Tehran. The sampling of the current research is purposeful and 200 patients with irritable bowel syndrome completed the research questionnaires. Research tools included Tobert and Glasgow's self-care questionnaire, Tanji's self-control questionnaire, Vosichki et al.'s outcome expectations questionnaire, Salkoskis and Warwick's health anxiety questionnaire. SPSS-26 and AMOS software were used for data analysis.

The results showed that health anxiety predicts both directly and through the mediation of self-care, self-restraint and expectation of outcome in patients with irritable bowel syndrome. Also, self-care predicts self-control in patients with irritable bowel syndrome. Self-care predicts expected outcomes in patients with irritable bowel syndrome.

As a result, it is recommended that every hospital has a health psychologist as a person who can teach patients how to control anger, courage, skills in saying no, or even training to deal with stressful situations so that they can live a just life. Use these skills.

Abstract Introduction and A long wait to give birth and constant concern for the health of the baby accompany the mother during all pregnancy periods. The aim of the present study was to compare the efficacy of cognitive-behavioral therapy and metacognitive therapy on anxiety and biological indicators in pregnant women. The present study was a semi-experimental study with a pre-test-post-test-follow-up design with a control group. The statistical population of the present study consisted of all pregnant women in the second 3 months of pregnancy who referred to the hospitals and pregnancy clinics of Tehran in 2020-2021. 45 people were selected in a purposeful way and randomly assigned to two experimental groups and one control group. The tools of this research included Cattell's anxiety questionnaires (1957), special armband for sphygmomanometer and glucose test kit. For the first experimental group, German - Canadian - Iranian system metacognitive therapy and for the second experimental group cognitive behavioral therapy were held in 8 sessions of 90 minutes, but the control group did not receive any intervention. The data were mixed using analysis of variance and analyzed through spss-26 software. The results indicated that metacognitive therapy and cognitive behavioral therapy increased psychological well-being and decreased blood pressure and blood sugar at the end of the interventions and the follow-up period (p<0.05). The method of metacognitive therapy has caused a further decrease in biological indicators and a further increase in anxiety (p<0.05). Due to the effect that metacognitive therapy has on correcting metacognitive beliefs affecting anxiety and increasing blood sugar and blood pressure in pregnant women, it can be effective alone or with complementary treatment in reducing biological indicators and reducing anxiety in pregnant women.

Corona anxiety is the stress caused by the fear of contracting the corona virus, which is mostly due to the vagueness of the disease. This research was conducted with the aim of investigating the effectiveness of cognitive-behavioral training on the level of fear and anxiety caused by Corona and practical obsessive-compulsive disorder of housewives in the condition of covid-19 disease.Research This is a semi-experimental study with two experimental and control groups, and the statistical population of the study includes all housewives between the ages of 25 and 50 who met the conditions to enter the study. According to the research method, 30 people were randomly selected and divided into two experimental and control groups (15 people for each group). Data collection was done by questionnaires of fear and anxiety caused by Corona and practical obsessive-compulsive disorder, and the intervention was done by schema therapy protocol. Also, the statistical method of multivariate covariance analysis (MANCOVA) was used to analyze the data. The results indicated that there was a significant difference between the total score and the subscales of the two questionnaires of fear and anxiety caused by Corona and obsessive-compulsive disorder in the pre-test and post-test in the experimental and control groups in housewives. Based on the findings, it can be concluded that cognitive behavioral training has had an impact on all dependent variables, and its greatest impact has been on the variable of practical obsession and has reduced practical obsession.

Numerous studies point to the high level of rumination in women with major depressive disorder. The aim of the present study was to compare metacognitive therapy and treatment based on behavioral activation on the dimensions of rumination in women with major depressive disorder.

The current study was a quasi-experimental study with a pre-test-post-test-follow-up design with a control group. The statistical population of this research included all women with major depressive disorder referring to psychological clinics located in the 8th district of Tehran, 45 of whom were selected in a targeted manner and randomly assigned to two experimental groups and one control group. The instrument of this research was Rumination Response Scale. For the first experimental group, metacognitive therapy and for the second experimental group, behavioral activation therapy were held in 8 90-minute sessions, but the control group did not receive any intervention. The data were analyzed using mixed analysis of variance.

The results indicated that metacognitive therapy and behavioral activation therapy reduced rumination and its components at the end of the interventions and the follow-up period (p>0.05). The results showed that behavioral activation therapy is more effective in reducing rumination symptoms than metacognitive therapy (p>0.05).

Due to the effect that behavioral activation treatment has on depression, it can be effective alone or with complementary treatment in reducing rumination and depression symptoms in women with major depressive disorder.

Abstract The prevention of the damages of relation with the opposite sex during adolescence is of great importance because it is at this time that dating behaviors begin, behavioral norms are established, and all kinds of harms following improper relation with the opposite sex begin to appear. This research was conducted with the aim of developing and validating a self-care educational package that reduces the damages of relation with the opposite sex based on the theory of planned behavior and its effectiveness on the cognitive emotion regulation of adolescent girl students. The statistical sample for the purpose of validating the produced educational package included 12 experts who had expertise in adolescent issues, who were selected in a purposeful way. The statistical sample in the quantitative section consisted of 40 high school girl students in the 20th district of Tehran who were selected by a multi-stage sampling method. The research tool included the Cognitive Emotion Regulation Questionnaire Garnefski & Kraaij. Statistical analysis was done in the quantitative part using covariance analysis in SPSS software. The results in the qualitative part showed that the self-care educational package that reduces the damages of relation with the opposite sex based on the theory of planned behavior has good validity. In the quantitative part, the results of the multivariate covariance analysis test showed that the average of cognitive emotion regulation in the students of the self-care training group that reduces the damages of relation with the opposite sex based on the theory of planned behavior was higher than that of the subjects in the control group. (Sig=0.001). Therefore, the educational package of self-care that reduces the damages of relation with the opposite sex based on the theory of planned behavior was effective on the cognitive emotion regulation of adolescent girl students. The self-care educational package that reduces the damages of relation with the opposite sex, based on the theory of planned behavior, can be a practical tool to improve the abilities of adolescents and be effective in improving cognitive emotion regulation in adolescent girls.

Cardiovascular disease is one of the most common heart complications and is known as a chronic, progressive and debilitating disorder. This study aimed to compare the effectiveness of cognitive behavioral therapy and emotion-focused therapy on anxiety and distress tolerance in women with coronary artery disease.

Methodos: 

This was a semi-experimental study with a pre-test-post-test design with a control group and a follow-up stage. The statistical population included all women suffering from coronary artery disease referring to the specialized center of Shahid Lavasani Hospital in Tehran in summer 2021. A total of 45 people were selected voluntarily and randomly and were divided into two experimental groups (n=30) and control groups (n=15). Measurement tools included Beck et al's Anxiety Inventory (1988) and Simons and Gaher’s distress tolerance scale (2005). One experimental group received cognitive behavioral intervention and the other group received emotion-focused intervention. The first experimental group underwent intervention in ten 90-minute in person sessions in ten weeks and the second experimental group in nine 90-minute in person sessions in nine weeks and the control group received the conventional intervention. SPSS 16 and repeated measures intergroup ANOVA were used at the significance level of α=0.05 to analyze the data.

Results showed that the effectiveness of cognitive-behavioral and emotion-focused therapy in reducing anxiety was not significantly different and their effect was identical (p<0.05). However cognitive behavioral therapy was more effective in distress tolerance component (p<0.05).

Results of this research can become the basis for interventions to help coronary artery disease patients.

Married men with cancer, in addition to dealing with the disease, may also face many financial and occupational problems, which lead to a wide range of negative emotions, hence the importance of research in the field of occupational attachment in them It hasResearch In terms of the purpose, the current research is a part of applied research, and in terms of method, it is a type of correlational study. The research population included all married men with cancer who referred to Imam Hossein Hospital in Tehran in the second half of 1401, and 250 of them were selected as a sample. The tools of this research included job attachment questionnaire (1984), perceived organizational support questionnaire (1997), work-family conflict questionnaire (1996) and psychological capital questionnaire (2004). This research was analyzed by simultaneous regression. The findings showed that each of the variables of perceived organizational support, psychological capitals, respectively 27 and 57% of job attachment positively and significantly (p<0.01) and work-family conflict variable 32% of predict job attachment negatively and significantly (p<0.01). Also, all three predictive variables are simultaneously able to predict job attachment to the extent of 77% in married men with cancer (p˂0.01). it is concluded that all three predictor variables have a key role in job attachment; Therefore, it is possible to provide solutions to improve job attachment among married men with cancer by considering the role of perceived organizational support, work-family conflict, and psychological capital.

Abstract The corona virus epidemic was a sudden and destructive event that led to many deaths. This study aimed to investigate the effectiveness of emotion-focused therapy on catastrophizing and mental well-being in people who have recovered from COVID-19.Research The research was a two-group semi-experimental research (experimental and control) with three stages (pre-test, post-test and three-month follow-up). The statistical population included all those who recovered from COVID-19 and were discharged from Imam Reza hospital in Mashhad in the first quarter of 2021. Out of this population, 30 people were selected using the convenient sampling method based on the purpose and using the inclusion criteria, and were randomly placed in two groups of 15 (experimental and control). The experimental group received ten 90-minute sessions of emotion-focused therapy, while the control group did not receive training. The research tools included Sullivan’s Pain Catastrophizing Scale and Keyes and Magyar-Moe’s Subjective Well-Being Questionnaire, which were administered to the participants in both groups in the pre-test, post-test and follow-up phases. Data analysis was done using repeated measure ANOVA using SPSS-22. Results showed that the mean catastrophizing scores of the experimental group compared to that of control group decreased significantly in the post-test phase (P<0.001). Also, the average mental well-being scores of the experimental group compared to that of the control group increased significantly in the post-test phase (P<0.001). These results remained stable in the follow-up phase. Based on the results, it can be concluded that emotion-focused therapy can be considered an effective intervention method in reducing catastrophizing and improving mental well-being in people who have recovered from COVID-19.