نشریه طلوع بهداشت
سال بیست و دوم شماره 5 (پیاپی 101، آذر و دی 1402)

Social capital encompasses material and spiritual resources which enable individuals to establish stable networks of institutionalized relationships. Participation in voluntary public service activities at the community level serves as an indicator of social capital. This study aims to assess social capital and voluntary activities among older adults living in Tehran in 2021.

This cross-sectional study included 384 older adult citizens residing in Region 19, selected through random sampling. Data collection involved a standardized questionnaire comprising three sections: demographic information, measuringsocial capital, and voluntary activity assessment.

The study found that 99/7% of respondents had an average social capital score (150-75). Additionally, 99/4% of the respondents exhibited a high level of engagement in voluntary activities. A significant relationship was observed between social capital ,age (P≤0/001),and marital status (P≤0/001). However, no significant relationship was found between voluntary activity and demographic information.

This study suggests that older adults in Tehran possess a reasonable level of social capital and engage actively in voluntary activities. To harness this potential, effective planning and policies must be implemented to align with the needs and goals of society.

The phenomenon of working and street children is one of the problems that plagues most big cities. Working children means children and teenagers who, according to social laws, under the age of 18 engage in activities to earn money. The purpose of this research was to investigate the effectiveness of treatment based on acceptance and commitment on reducing hopelessness and anxiety of working children in Yazd City.

The method of the current research was semi-experimental, and its design was pre-test-post-test with a control group and a four-week follow-up. The statistical population includes working children in the age group of 8 to 12 years who were covered by the welfare management of Yazd city in the spring of 2019. The study sample included 30 working children who were placed randomly in two control and experimental groups using available methods. Data collection tools included Kazdin's Children’s Hopelessness Scale and Spence's Children’s anxiety Scale. The experimental group received eight one and half hour sessions of treatment based on commitment and acceptance, but the control group was placed on the waiting list. Data analysis was done using analysis of covariance test and spss software.

The results of the present study showed that treatment based on acceptance and commitment was able to reduce frustration and anxiety in working children (p<0/05).

Based on the findings, it can be concluded that the treatment based on commitment and acceptance has been able to reduce the hopelessness and anxiety of working children.

Sleep disorder is a condition characterized by disturbed patterns or behaviors related to sleep, and failure to meet this physiological need can compromised human life. The purpose of this research is to compare emotional reactivity and thought control ability in students with and without sleep disorder in Zanjan city.

This was a descriptive and causal-comparative research. 100 people (50 people with sleep disorder and 50 people without sleep disorder) were selected using random sampling method from the students of Payame Noor University Zanjan city in 2022. To collect data, the questionnaires of insomnia and hypersomnia screening by Zomer et al., thought control ability by Luciano et al. and emotional reactivity by Knock et al. were used. To analyze data, independent t-test and multivariate analysis of variancethrough  SPSS version 26 software were used.

Findings showed that there was a significant difference between students with and without sleep disorder regarding the components of emotional reactivity and the ability to control thoughts (P<0/05). Also, there was no significant difference between the emotional reactivity of male and female students (P<0/05), and there was a significant difference in the ability to control their thoughts between male and female students (P=0/001).

The findings showed that people with high emotional reactivity and lower thought control ability have more sleep disorders. Therefore, it is suggested to improve personal and social performance of students by identifying and eliminating personal and environmental factors governing sleep status of people, as well as providing appropriate educational programs.

Accepting the fact that a member of the family has heart disease and the stress of living with a heart patient can be so effective in the family that it might change its nature. In this context, the present research was conducted to discover and identify the patient's and his family's lived experience with acute exposure to one type of heart disease.

The present study was a qualitative research conducted through phenomenological analysis method in 2019 in Tehran. To collect data, semi-structured interviews were conducted regarding 6 patients hospitalized in the special care department of Baqiyatullah Hospital and 4 people accompanying the patients until the data saturation was reached. Data analysis was done using MAXQDA 20 software.

Based on the findings of this research, 19 sub-themes and 7 main themes were obtained regarding the initial experiences of cardiovascular problems (malfunction)and internal states related to cardiovascular disease, the initial experience of the family related to cardiovascular disease, the atmosphere of Participants' life before experiencing cardiovascular disease, life experiences before experiencing cardiovascular disease, perceived changes after experiencing cardiovascular disease, and finally, facing the experience of cardiovascular disease.

The obtained results showed that suffering from cardiovascular diseases has wide psychological, social, and family consequences for the individual and their family. For this purpose, it is necessary to pay special attention to psychological aspects of these patients in addition to drug therapy.

Reducing salt consumption in population is one of the easiest, most efficient and cost-effective ways to reduce the burden of cardiovascular diseases. The present study was conducted with the aim of investigating the factors related to the reduction of salt consumption using transtheoretical model among women in southern Iran.

This was a cross-sectional study (descriptive-analytical) conducted from November 2022 to February 2023 on women of 18-59 who visited comprehensive health centers in Bastak city. A total number of 452 subjects were selected using convenient sampling method. Data were collected using a questionnaire   with three sections: demographic information, a researcher-made questionnaire based on transtheoretical model constructs, and salt consumption reduction questionnaire. Data were analyzed using Kruskal-Wallis tests, Pearson's correlation and regression analysis with SPSS software (v. 22).

The results showed that participants were between 18 and52 with a mean of 35/51±10/13. 23/5% of the participants were in pre-contemplation stage, 21/7% in the contemplation stage, 20/8% in preparation stage, 11/3% in action stage, and 22/8% in maintenance stage.  Pearson correlation analysis results indicated that there were significant positive relationships between cognitive processes (r= 0/44, p<0/01), behavioral processes (r= 0/54, p<0/01), self-efficacy (r=0/43, p<0/01) , decision balance (r= 0/37, p<0/01), and salt consumption reduction behavior; but, there was a significant negative correlation between temptation and salt consumption reduction behavior (r=-0.34, p<0/01). Moreover, regression analysis results revealed that age, counter conditioning, self-efficacy, raising awareness, decision balance, helping relationships, and temptation can predict 38/1% of the total variance in salt consumption reduction behavior (p<0/05).

According to the findings, self-efficacy, temptation, cognitive and behavioral change processes, and advantages and disadvantages of salt reduction play a major role in salt consumption reduction behavior. It is suggested that these variables be taken into account in developing and implementing educational interventions.

This study aims to investigate the effect of positive resilience training on improving emotional self-regulation, psychological distress, and parent-child interactions in mothers of children with intellectual disabilities.

Data collection tools included Kessler Psychological Distress Scale (1992), Emotion Self-Regulation Questionnaire by Hofmann and Kashdan (2010), and Parent-Child Interaction Questionnaire by Pianta (1994). Positive resilience training was implemented in 8 sessions, each lasting 90 minutes. Data analysis was done using SPSS.v21 software and univariate and multivariate analysis of covariance tests. 30 individuals were selected using purposive sampling method who were randomly assigned to two groups (15 individuals per group).

The results showed that positive resilience training was effective on the overall score of emotional self-regulation and the components of concealment and compromise. In addition, the effectiveness of this intervention on psychological distress had also been significant. Also, the results showed that positive resilience training had a significant effect on general positive relationship and the components of closeness and dependence.

Based on the results of this study, it is recommended to prioritize positive resilience training in intervention programs aimed at improving mental health of the mothers of children with intellectual disabilities.

In societies, incorrect beliefs about cancer cause stigma and weaken the health care and patients' treatment. The purpose of this studu is to investigate the impact of cancer habitus on cancer social stigma among family caregivers of cancer patients.

Survey method was usedand the statistical population included family caregivers of cancer patients in Tehran hospitals in 1401. Sample size included 384 people selected by convenience sampling method of multi-stage stratified type by referring to the hospitals under study. Data collection tool was the standard cancer stigma index questionnaire and the researcher-made cancer habitus questionnaire. Data were analyzed through correlation tests, mean difference, path analysis and structural equation modeling in SPSS and Amos.

According to the results, there was a relationship between cancer stigma (with dimensions of others-avoidance, self-avoidance, and being released) and cancer habitus (with dimensions of enchantment and cure-avoidance); according to the path model, habitus explains 19/6% of the variation in stigma. Moreover, enchantment and cure-avoidance had the highest and lowest contribution to explaning stigma with an impact factor of 0/29 and 0/25. The results of structural equation model test also indicated appropriate fit of the presented conceptual model (GFI=0/973, RMSEA=0/067, CFI=0/958).

Caregivers of cancer patients, as the main supporters of the patient, are always influenced by incorrect cultural stereotypes of society. Identifying different dimensions of habitus (especially the aspect of enchanment), paying more attention to the aspect of being released of stigma, paying attention to the role of education and awareness in reducing false beliefs and more interaction with patients have a significant role in reducing the stigma of cancer and makes it easier for patients to bear the pain and suffering of cancer

As a large part of society who experience different restrictions according to different cultural, historical and social situations, women face difficult emotional conditions during marriage. This research is conducted with the aim of developing a combination treatment model based on compassion-focused therapy, integrated Islamic therapy, and therapy based on acceptance and commitment and its effectiveness on life satisfaction of depressed married women in Yazd city in 1400.

The research method was a combination of an exploratory design with a compilation and classification approach. The first stage was done qualitatively and based on a descriptive phenomenological strategy. In the qualitative part of the research, a combination treatment protocol based on the approach of combining psychotherapies by Stricker (2006) was compiled and validated. In the quantitative (second) part, based on convenience sampling, 30 depressed married women were selected, and then, through a quasi-experimental method with a pre-test and post-testregarding the two test groups and proof, the effectiveness of the developed protocol on their life satisfaction was assessed. The statistical population of the research included all the women who referred to counseling centers in Yazd city, for whom the diagnosis of depression (Beck Depression Scale) was given. In order to measure people's life satisfaction, Diener's life satisfaction scale was used. In order to analyze the quantitative data of the research, the analysis of covariance method was used.

After extracting 11 main categories, a unified treatment protocol was formulated according to the findings. For validation, ratio coefficients and content validity index were used. The coefficients in all items were higher than 0/79 for CVI index and higher than 0./56 for CVR index.

The results of the analysis of the findings showed that integrated psychotherapy based on self-discipline approach, integrated Islamic treatment approach, and treatment approach based on acceptance and commitment  increase life satisfaction of depressed married women in Yazd city.