Fatholah Mohaghegh , Mehran Mohseni, Nasrin Robatmili, Mohamad Reza Bayatiani , Fatemeh Seif, Nayyer Sadat Mostafavi,
Volume 21, Issue 6 (12-2018)
Abstract
Background and Aim: Radiation therapy is the destruction of cancer cells that in all patients with breast cancer reduces tumor recurrence, relieves pain in local tumors and metastases. There are different treatment methods around the world such as electron, photon alone or a combination of both types of fields.
Materials and Methods: In this study, photon therapy (PT) and mixed photon-electron therapy (MPET) were used to treat malignancies of the supraclavicular lymph nodes. 30 patients with right-sided breast cancer with local lymph node metastasis were recruited. The ISOgray software was utilized to collect data about treatment planning methods with PT and MPET.
Findings: The maximum and mean delivered doses of radiation to the supraclavicular region were 52.08±1.64, 42.59±0.51 Gy and 54.24±1.64, 43.67±0.43 Gy in the PT and MPET methods, respectively. The mean irradiated volumes of supraclavicular fossa that received 90% of the radiation dose were 59.74±1.94% and 70.26±0.94% in the PT and MPET methods, respectively (p=0.004). The maximum doses delivered to the spine were 14.66±1.9 Gy and 10.22±0.92 Gy and the thyroid were 42.62±3.1 Gy and 37.67±5.02 Gy in the PT and MPET methods, respectively.
Conclusion: The maximum doses delivered to the spine and thyroid significantly diminished by the novel method. Additionally, supraclavicular region received higher maximum and mean doses in the new treatment modality compared to the conventional methods. The new method improved dose coverage for the tumor.
Rahamaneh Azadegan, Faramarz Sohrabi, Hamid Khanipour, Somayeh Robatmili, Mehrdad Sabet,
Volume 29, Issue 1 (3-2026)
Abstract
Introduction: Obsessive-compulsive relationship disorder (ROCD) is a type of obsessive-compulsive disorder characterized by obsessions and compulsions regarding intimate relationships. The present study examines the mediating role of mentalization as an important psychological mechanism in the relationship between attachment styles and symptoms of OCD.
Method: This descriptive-correlational study was conducted using a convenience sampling method on 281 married couples in Tehran. Participants completed attachment styles questionnaires, the Mentalization Scale, and the Partner-Related Obsessive-Compulsive Symptoms Questionnaire (PROCSI). Data were analyzed using Pearson correlation coefficient and structural equation modeling.
Findings: The results showed that insecure attachment styles (avoidant and anxious) were positively and significantly correlated with lower scores of mentalization and higher scores of symptoms of OCD, while secure attachment style was negatively and significantly correlated with higher scores of mentalization and lower scores of symptoms of OCD. Structural equation modeling analysis indicated that mentalization significantly mediates the relationship between attachment styles and OCD. In other words, insecure attachment styles lead to increased symptoms of OCD by reducing the capacity for mentalization. Conclusion: The findings of this study highlight the key role of mentalization as a psychological mechanism in the relationship between insecure attachment styles and traumatic childhood experiences with increased symptoms of OCD. These results emphasize the importance of assessing and strengthening mentalizing capacity, along with addressing attachment patterns and trauma history, in therapeutic interventions for couples with obsessive-compulsive disorder.
