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Background: Considering the lack of a standardized and validated questionnaire on oral health care for pregnant women based on a specific behavioral pattern, the aim ofthis study was development and psychometric assessment of an oral health instrument based on Health Belief Model in pregnant women. Materials and Methods: This cross-sectional study was carried out on 340 pregnant women in Arak city. After reviewing the related literature, the instrument was designed and its content validity ratio, content validity index, face validity, and exploratory factor analysis were measured. For measuring the reliability of the scales, three methods, including test-retest, internal consistency, and agreement, were used. Data analysis was done using SPSS software. Results: The reliability of the 61 items was evaluated with impact score of 1.5 and the content validity index of 0.79 and based on exploratory factor analysis were classified into seven categories. The overall reliability measured through Cronbach alpha was 0.84. The reliability of the questionnaire was 0.88, perceived susceptibility was 0.73, severity was 0.70, perceived benefits was 0.75, perceived barriers was 0.71, the cues to action was 0.72, and self-efficacy was 0.76. Kappa coefficients were determined with a high performance for checklists. Conclusion: This study provided good evidence of the strength factor structure and reliability of Health Belief Model structures about oral health behaviors in the vulnerable group of pregnant women, according to the study of psychometrics process.

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Background and Aim: Anxiety is one of the common disorders affecting the treatment process in patients with breast cancer. Regarding the importance of spiritual health on anxiety in cancer patients, the purpose of this study was to investigate the relationship between spiritual health with existential anxiety and morbid anxiety in the female with breast cancer.
Methods & Materials: The research method was descriptive-correlational. The statistical population included all female patients with breast cancer referred to Imam Reza Oncology and Radiotherapy Center in Mashhad in 2017. A total of 195 patients with breast cancer were selected through random sampling. Data collection tools included Beck Anxiety Inventory (1990), Lawrence & Good Existential Anxiety Inventory (1974), and Paulotzin & Ellison Spiritual Health Inventory (1982). Data were analyzed using Pearson correlation and multivariate regression.
Ethical Considerations: This study was registered by the Ethics Committee of Islamic Azad University E-Campu (Code: 950261902191). 
Results: The results showed a significant positive relationship between spiritual and existential dimensions of spiritual health with existential anxiety (P>0.01). But the relationship between two dimensions of spiritual health and patients’ anxiety was not significant (P>0.01). 
Conclusion: Considering the importance of spiritual health in existential anxiety and morbid anxiety, strengthening spiritual health can influence cancer patients’ anxiety.