نشریه روان پرستاری
سال سوم شماره 2 (پیاپی 10، تابستان 1394)

Job stress is one of the most important factors in physical and psychological conditions in workers and reduces their efficiency. Job stress may affect physicians and nurses as major components of the healthcare system and therefore the quality of healthcare might be affected. Moreover، women are a vulnerable group in society. Therefore، this study aimed to compare job stress in female nurses and female members of the medical group in selected educational hospitals. In this comparative study، 130 nurses and 70 female members of the medical group of the two teaching hospitals of Isfahan city (Alzahra، Noor and Ali Asghar) were randomly recruited. Inclusion criteria included being female، aged between 22 to 50 years، nurses with bachelor''s degrees or higher، interns، residents and general practitioners (Specialist physicians are not included in the study). Data collection tools included hospital stress questionnaire (HSS) and demographic data form. Data analysis was performed using SPSS16 software. Descriptive statistics، Spearman correlation coefficient، Mann-Whitney U and Chi-Square testes were used. the mean stress score was 3. 027±0. 453 in female physicians and 2. 923±0. 326 in nurses، respectively (p=0. 037). Mean scores of all stress subscales were significantly different in the two groups except for the three subscales of incompetence، role duality and relations with colleagues. In female nurses the biological agents subscale had the highest mean score (4. 223±0. 833)، while the shift working obtained the highest mean score in the medical group (3. 893±0. 951). This study shows that the mean of overall job stress score were significantly different among female nurses and female physicians. Moreover، mean scores of all stress subscales were significantly different in the two groups except for the subscales of incompetence، role duality and relations with colleagues.

Obesity is a rapidly growing health problem in every society. The purpose of this study was to determine the effectiveness of acceptance and commitment therapy on the Body Mass Index (BMI) in women afflicted with obesity in Isfahan. Through a semi-experimental research with pre-test and post-test design with one month follow-up as well as using convenience sampling method, a number of 30 women with an obesity diagnosis (Body Mass Index, BMI≥30), who were satisfied with the criteria for entering this research, were randomly incorporated into experiment and control groups (15 each). The intervention involved 8 sessions each lasting for 90 minutes of acceptance and commitment therapy which was provided merely for experiment group. BMI was calculated by dividing weight (kg) by squared height (m^2). The result of covariance analysis showed that there were no significant differences in body mass index between the experimental and control groups at post-test stage. But results showed a significant decrease in body mass index at follow up stage (p˂0.05). The study showed that acceptance and commitment therapy can lead to reduction in body mass index in follow up stage, in women afflicted with obesity. Therefore, using this therapeutic approach is recommended for the treatment of obesity.

Sleep problems and anxiety symptoms in patients with irritable bowel syndrome are considered. Dialectical behavior therapy in the past decade as one of the most effective treatments in the treatment of many disorders is presented, Therefore the aim of this study was to determine the effectiveness of dialectical behavior therapy for irritable bowel syndrome is a group of sleep quality and anxiety. The research method was experimental (pretest-posttest control group and random assignment) is. The sample of the study consisted of 30 patients with irritable bowel syndrome in 2014 among whom all patients were admitted to hospitals. After the interview, the Rome-III diagnostic criteria and completed and Beck Anxiety Inventory and Quality of sleep Petersburg questionnaire, using simple random sampling (n = 15 per group) were selected and were allocated to experimental and control groups. After completion of 8 sessions (one session a week for 90 minutes over two months), dialectical behavior therapy in the control group, in order to measure the dependent variable (Sleep quality and anxiety), Quality of sleep and anxiety as a post- test questionnaire was administered in both groups. The collected data were statistically analyzed using analysis of covariance obtained by SPSS.20 software. According to a dialectical behavior therapy in reducing insomnia, anxiety, irritable bowel syndrome patients in the experimental group was significantly effective. So that after the intervention, mean scores decreased sleep quality and anxiety. Dialectical behavior therapy can improve sleep quality and reduce the level of anxiety in patients with irritable bowel syndrome. So this intervention is used as an effective method in improving the signs. Also, it can be the mental state of patients with irritable bowel syndrome improved with the implementation of the treatment.

The pain caused by cancer affected by 50 to 90 percent of patients with cancer and anxiety caused by these diseases and cancer treatment increases the need for supporting patients, Therefore their coping strategies adopted by patients in adapt is important roles. The aim of this study was to determine the relationship between pain catastrophizing, pain-related anxiety, social support and coping strategies of pain in patients with cancer. Type of cross - sectional study was correlational. A total of 110 cancer patients referred to 5th Azar Hospital (2013) were recruited Convenience sampling into the study. Questionnaire pain catastrophizing, pain anxiety, pain, social support and coping strategies were used. Data were collected and analyzed using SPSS16 software and doing descriptive and inferential statistics, and considering levels of significance (P<0.05). The results showed that Mean and standard deviation of Pain Catastrophizing in patients (23.9±8.8), pain-related anxiety (35.7±18.4), coping strategies (107.9±38.8), social support (151.1±15.8). The Pearson correlation test, showed is significant differences between pain catastrophizing (P=0.00, R=-0.46), pain-related anxiety (P=0/00, R=-0/47), coping strategies (P=0/00, R=0/46) with social support. The results showed that significant differences are between pain catastrophizing pain-related anxiety, coping strategies and social support patients with cancer. Therefore, developing a comprehensive care program for patients cancer with Strengthen coping strategies, Increase social support In order to reduce the level of anxiety and pain catastrophizing is recommended.

Trichotillomania is an impulse control disorder that leads to obvious hair loss. Several treatments are supposed to be effective but there are not enough data to compare effect of this treatment. The aim of this study is to compare effectiveness of treatment with Fluvoxamine vs. Paroxetine in patients with Trichotillomania. in this study 58 patients were randomly assigned into two therapeutic groups of Paroxetine and Fluvoxamine treatments. National Institute of Mental Health (NIMH) questionnaire was translated into Persian and administered to both groups before the beginning of treatment and 4 weeks & 12 weeks after treatment; patients discontinued the treatment and left the study. Data analysis was done with independent T-test & paired T-test & the data were analyzed using SPSS-20 software. In the group of patients with Fluvoxamine treatment, Effectiveness of therapy in 12th week was greater than 4th week, whereas the effectiveness of treatment with Paroxetine was seen in both 4th week & 12th week after initiation of therapy and was more effective than fluvoxamine. regarding the comparison of two therapeutic methods, the effect of Fluvoxamine was started in 12 weeks whereas the therapeutic effect for Paroxetine was both in 4 week & 12 weeks. This shows that patients with Paroxetine treatment responds more rapidly therefore have better therapeutic response.

Child getting diabetes is associated with creating and increasing concern among family members and "mother" to experiencing higher stress. The purpose of this study is to compare the strategies to deal with stress in mothers of children with type I diabetes with mothers of healthy children. This cross-sectional study was performed on two groups of mothers of children with type I diabetes and mothers with healthy children admitted to hospital in Arak University of Medical Sciences were selected and sampling method was convenience. Data collected trey Perceived Stress Scale, the way to deal with stress and maternal demographic questionnaire that its validity and reliability has been measured by using SPSS v.18, Chi-square and T-test was used for data analyzing. means of problem-focused coping and emotion in mothers of children with diabetes, respectively 33.80±4.4 and 92.52±5.6 and the mothers of healthy children 110.73±11.6 and 53.40±6.6, respectively. Statistically significant difference between style and emotion-oriented coping a problem there (p<0.0001). Average scores on perceived stress in mothers of children with diabetes, 42.13±2.9 and the mothers of healthy children 27.96±3.7, which was statistically significant difference between groups with perceived stress, there (p<0.0001). mothers in stressful situations when they feel powerful and good enough to be able to make a sick child to the support of and enable the healing process for him. Only increased in this patient is not enough to increase the patient’s and family’s ability to cope effectively with stress resulting from diabetes is importance.

Trust and optimism are integral parts of social life. Social trust is an important aspect of human relations that underlie collaboration and cooperation among members of the society. The aim of this study was to determine the possible relationship between social trust and prosocial tendencies. In this correlational study, 370 female students of Isfahan University were selected in cluster sampling completed Prosocial Tendencies Measure Revised (PTM-R) and Social Trust Questionnaire (Safarinia & Sharif, 1389). Data were analyzed by Pearson correlation coefficient and regression methods. The results of this study showed that there is a positive and significant relationship between social trust and prosocial tendencies (p<0/01) also there is a significant relationship between social trust and dimensions of prosocial tendencies such as public prosocial tendencies, altruistic prosocial tendencies, emotional prosocial tendencies, and compliant prosocial tendencies (p<0/01), and results of linear regression showed that social trust is a predictive factor for prosocial tendencies (β=0/558, p<0/01). According to the results reinforcement of social trust can be effective in enhancement of prosocial tendencies and improving the mental and social health.

Post-natal depression is a mood problem that has adverse effects on parents, leading to impaired cognitive development and poor communication between parents-child. The purpose of this study was to assess postpartum depression in young mothers and fathers. this descriptive-analytical study was performed with convenience sampling on 150youngmothers and fathers who were referred to Saqqez health centers, Sanandaj, Iran in 2013. Data was collected with demographic information form and Edinburgh Postnatal Depression Scale. Data were analyzed by PASW statistical software using descriptive statistics including frequency, percentage, mean and standard deviation, Fisher's exact test, chi-square, independent t- test. P-value less than 0.05 were considered statistically significant. the results showed that 27 fathers (36%) and 37 mothers (49.3%) had symptoms of postpartum depression and two groups of depressed parents are not significant different. There was an association between depression and employment (p=0.003), so that all unemployed fathers were depressed (p=0.04) and all employed mothers (p=0.001) have not depressive symptoms. There was no relationship between depression and education. Given the high prevalence of postpartum depression in young fathers, holding training classes, emphasizing the issue of postpartum depression and management of this critical stage in fathers seems to be necessary.