Bahman Aalizadeh, Nazanin Dostikhah, Farzad Mohammadi,
Volume 21, Issue 7 (2-2019)
Abstract
Background and Aim: Children with mental disability have delayed object control motor skills. The purpose of this study was to evaluate the effect of selective physical practice intervention on object control skills of 7-10 year old children with mental disability.
Materials and Methods: In this quasi-experiment study, 30 children aged 7-10 years with mental disability were selected from mentally disabled care centers of Ahvaz based on available time sampling and randomly classified in two experimental (height, 128.8±14.8; weight, 29±9.12) or control (height, 126. 5±15.7; weight, 31.12±28.2) groups. Then, they were evaluated by gross motor development subscales in pre-test. Participants in the experimental group trained 3 times a week, 45 mins each session in motor skill training programs for 8 weeks. Children in the control group, on the other hand, performed typical school activities and were not involved in regular sport training. A post-test was conducted after training period. Statistical analysis was done with one way-anova and paired T test using SPSS v. 20 software. The significant level was set at p< 0.05.
Ethical Considerations: This study was approved in Research Ethics Committee of Sport Sciences Research Institute with the code IR.SSRI.REC.1397.390.
Findings: The results revealed that 8-week selective physical practice significantly affected object control variables such as striking a ball with hand (p=0.001), dribbling (p=0.001), catching (p=0.001) and throwing (p=0.001), however it did not affect striking a ball with foot (p=0.001) and rolling significantly (p=0.001).
Conclusion: According to the finding of the present study, physical practice intervention seems to improve object control skills in children with mental disability.
Zahra Zare Bidaki , Mohammad Mahdi Jahangiri,
Volume 21, Issue 7 (2-2019)
Abstract
Background and Aim: The purpose of this study was to investigate the effectiveness of acceptance-based treatment on psychological flexibility of mothers of children with autism disorder.
Materials and Methods: This study was a quasi-experimental pretest-posttest with control group. The statistical population of the present study included mothers with autistic children referring to the autism community in Qom city at 2017. According to the semi-experimental design and Criteria for research, a sample of 30 patients (each group of 15) was selected voluntarily. Samples were randomly assigned to two experimental and control groups. The experimental group received 8 sessions of "acceptance and commitment therapy. The instrument for collecting information included the Acceptance and Action Questionnaire-II (AAQ-II). Data were analyzed by SPSS software using covariance.
Ethical Considerations: This study with research ethics code IR.IAU.ARAK.REC.1396.39 has been approved by research ethics committee at Islamic Azad University of Mahallat, Iran.
Findings: Based on study findings, the acceptance- and commitment-based therapy had significant impact on psychological flexibility in mothers of children with autism.
Conclusion: Based on the findings, it can be concluded that acceptance and commitment therapy is effective in improving the mental health of mothers with childhood autism.
Arash Zandipayam, Iran Davoudi, Mahnaz Mehrabizade Honarmand,
Volume 22, Issue 1 (4-2019)
Abstract
Background and Aim: Online games are one of a kind of Internet games that, due to increasing awareness of the people and especially young people with the Internet, increasing the speed of the Internet and the availability of mobile Internet through smartphones, especially among boys, it has become so sweeping. The purpose of this study was to investigate the relationship between family emotional atmosphere and mental health with addiction to online game.
Materials and Methods: This study is descriptive correlational. The population consisted of all bachelor student of Shahid Chamran University of Ahvaz in 2013-2014 academic year. The research sample consisted of 192 student of who were selected using multi stage cluster sampling. To collect data, online game addiction (OGA) scale & the family's emotional atmosphere (FEA) scale and mental health (GHQ) scale were used.
Ethical Considerations: This study with research ethics code 94228369 was approved in Research Ethics Committee of Shahid Chamran University of Ahvaz, Iran.
Findings: The results show that there is a positive and significant correlation between the emotional atmosphere of the family and online addiction
(p <0. 01), and the overall score of mental health and addiction to online games (p <0. 01). Also, the results of regression analysis indicated that the family's emotional atmosphere could predict 0.30 variance of online addiction.
Conclusion: The results of this study, while confirming the relationship between addiction to online games with mental health, emphasize the importance of the family environment in increasing the extent of addiction to the game.
Fahimeh Omidi, Mostafa Nokani, Anita Alaghmand,
Volume 22, Issue 2 (6-2019)
Abstract
Background and Aim: Attention Deficit Hyperactivity Disorder is a common psychiatric disorder in children and paying attention to drugs that were used in this disorders are important. This study compares the efficacy of Ritalin with Memantin that is added to Ritalin on the severity of ADHD and attention deficit disorder in children.
Materials and Methods: This study is a clinical trial. All of 76 patients with diagnostic criteria for ADHD had been selected from the group of children that they were 7-12 years old, through diagnostic interviews in control & experimental groups based on DSM-V. At first, both groups filled out the Connors parent questionnaire for assessing the severity of the symptoms. Then, Ritalin was prescribed for the patients in the control group and Memantin was added to Ritalin for the patients in the experimental group for one month. The two groups again completed the questionnaire and the effectiveness of drugs was compared.
Ethical Considerations: This study with research ethics code 139510 has been approved by research ethics committee at Arak university of medical sceinces and also has been registered with code IRCT2016080829268N1 at Iranian Registry of Clinical Trials (IRCT).
Findings: According to the P-value of this test, there was no significant difference between the two groups after taking the drugs, which is equal to 0.324 and more than 0.05. But in that groups, there was a significant difference in severity of the symptoms between groups before and after taking the drugs.
Conclusion: Although the symptoms severity of hyperactivity decreased, there was no significant difference between these two groups. The Memantin added to Ritalin did not have a special effect on reducing the severity of symptoms compared to Ritalin. We can conclude the Ritalin might have had a significant effect on the symptoms reduction.
Tooraj Sepahvand,
Volume 22, Issue 2 (6-2019)
Abstract
Background and Aim: Depression and social anxiety are prevalent disorders in children, that are related to cognitive pathology of parents. This research has been conducted with the aim of comparing depression and social anxiety in primary school children of normal mothers with high and low levels of cognitive flexibility.
Materials and Methods: This research was a causal-comparative design study. The population of the research was all the fourth to sixth grade of primary school children of Arak city (and their mothers) in 2016-2017 years. For selecting the research sample, the method of convenience sampling was used. Thus, based on scores of mothers in Cognitive Flexibility Scale, two groups of mothers with high and low levels of cognitive flexibility were selected, and the scores of their children that responsed to Children’s Depression Inventory and Social Anxiety Scale for Children and Adolescents, were compared by Multivariate Analysis of Variance (MANOVA).
Ethical Considerations: This study with research ethics code IR.ARAKMU.REC.1397.298 has been approved by research ethics committee at Arak University of Medical Sciences.
Findings:The results indicated significant difference in the liner composition of dependent variables of two groups. (wilks, lambda= 0.892, F97,2= 14.474, p< 0.000). Univariate analysis of variance indicated that the children of mothers with low level of cognitive flexibility have more depression and social anxiety compared to children of mothers with high level of cognitive flexibility.
Conclusion: In general, cognitive flexibility of mothers is related to depression and social anxiety of children, probably by ability to perceive difficult situations as controllable, perceive alternative explanations of human behaviors and generate alternative solutions to difficult situations of responding to children. Therefore, mothers need to be more educated and refined in their cognitive flexibility so that they can cause more improvement in depression and social anxiety of children.
Rasool Heshmati, Mehdi Zemestani,
Volume 22, Issue 2 (6-2019)
Abstract
Background and Aim: Considering the effect of coronary heart disease (CAD) on the health status, the present study aimed to investigate the effectiveness of Mindfulness-Based Stress Reduction on health status and disease symptoms of patients with CAD after CABG.
Materials and Methods: The research method was single subject. The statistical population of study included all patients with coronary artery disease in Tabriz city who referred to Shahid Madani Hospital in Tabriz during the second six months of the year 2016 for rehabilitation after surgery. The study sample consisted of four available CAD patients. Seattle's Angina Questionnaire (SAQ) and a researcher-designed scale for CAD symptoms were used as tools. Data were analyzed through recovery percentage, PND, SMD and visual analysis of chart method.
Ethical Considerations: This study with research ethics code 2384411 has been approved by research ethics committee at Tabriz university of medical sciences, Iran.
Findings: Results indicated that MBSR has a moderate efficiency in improving the disease symptoms. The effectiveness of MBSR is relatively low in improving the health status of patients with CAD.
Conclusion: It can be concluded that MBSR is a relatively effective treatment on reducing disease symptoms of CAD patients and is a relatively poor intervention to improve the health status of these patients.
Khadijeh Mohsenpourian, Mostafa Nokani, Hamidreza Jamilian, Mohsen Ghasemi,
Volume 22, Issue 4 (9-2019)
Abstract
Background and Aim Obsessive-Compulsive Disorder (OCD) is the fourth most common psychiatric disorder. It consists of symptoms, including intrusive thoughts, rituals, behaviors, preoccupations, and compulsions. This study aimed to evaluate the effectiveness of attention bias modification and selective serotonin reuptake inhibitors in reducing the symptoms of OCD.
Methods and Materials study population comprised patients with OCD referring to the outpatient clinic of Amir Kabir Hospital in Arak City, Iran. Of them, 80 patients were randomly assigned to the two groups. The first group received the selective serotonin reuptake inhibitors, and the other group received the treatment modality to determine the effectiveness of the Yale-Brown OCD scale and dot-probe task tests.
Ethical Considerations The Research Ethics Committee of Arak University of Medical Sciences approved this study (Research Ethics Code: IR.ARAKMU.REC.1396.284).
Results Treatment of attention bias modification in comparison with selective serotonin reuptake inhibitors did not show a significant difference in the reduction of attention bias (P=0.377). Also, a significant difference between the two groups in reducing the symptoms of OCD (P=0.007), indicates that selective serotonin reuptake inhibitors are more effective in diminishing the symptoms of OCD. Besides the attention bias modification decreased the symptoms of OCD, but these results were not significant (P=0.228)
Conclusion Attention bias modification is a significant improvement in reducing attention bias and can be used with other interventions. However, it appears that the reduction in the severity of OCD symptoms, as against this intervention, continues to be the preferred treatment for pharmacotherapy.
Seyed Ali Kazemi Rezaei, Sahar Khoshsorour, Robabeh Nouri,
Volume 22, Issue 4 (9-2019)
Abstract
Background and Aim Obesity with its various physical and mental problems threatens public health. This study aimed to investigate the discriminative role of metacognitive beliefs, the difficulty in emotion regulation, and codependency in women with obesity.
Methods and Materials In this causal-comparative research, 40 obese women (BMI ≥30 kg/m2) and 40 normal-weight subjects were selected by convenience sampling method. The samples were evaluated by metacognitive questionnaire, difficulties in emotion regulation scale, and the Farsi version of codependency measurement tool. We used discriminant function analysis to analyze the obtained data.
Ethical Considerations All study subjects signed the written consent form. The Research Ethics Committee of Kharazmi University approved this study (Code: IR.KHU.REC.1397.41).
Results The discriminant function could correctly classify 95% of obese people and 97.5% of normal-weight people with 3 variables of metacognitive beliefs, difficulty in emotion regulation, and codependency. In other words, 96.25% of all participants had been classified correctly.
Conclusion Distinguishing the two groups of obese and normal people, the variables of metacognitive beliefs, difficulty in emotion regulation, and codependency have a significant role. Therefore, these variables are supposedly influential psychological factors in obesity. So they can be used for its prevention and treatment.
Seyed Vali Kazemi Rezaei, Keivan Kakabraee, Saeedeh Sadat Hosseini,
Volume 22, Issue 4 (9-2019)
Abstract
Background and Aim Psychological factors play a significant role in the exacerbation of cardiovascular diseases. This study aimed to investigate the effectiveness of teaching emotion regulation skill (based on dialectical behavioral therapy) on cognitive emotion regulation and Quality of Life (QoL) of patients with cardiovascular diseases.
Methods and Materials The present study has a quasi-experimental design with pretest-posttest and the control group. The statistical population of the study included all patients with cardiovascular diseases in Kermanshah City, Iran in 2018. Among them, 30 participants were selected by simple random sampling method. Then, they were randomly assigned to the two groups of experimental and control (each group 15 patients). We performed the intervention of excited ordering education based on dialectical behavioral therapy for the experimental group in eight 90-minute sessions, while the control group did not receive any intervention during this period. To collect study information, we used a short form of the emotional cognitive regulation questionnaire and MacNew Quality of Life Questionnaire. To analyze the data, we used the multivariate analysis of covariance in SPSS V. 20.
Ethical Considerations The Research Ethics Committee of Kermanshah University of Medical Sciences approved this study (Code: IR.KUMS.REC.1397.39).
Results The results showed that the scores of Positive Cognitive-Emotional Strategies and quality of life of cardiovascular patients after training of emotional regulation skills based on dialectical behavioral therapy in experimental group significantly increased in comparison with control group, and also Negative Strategies Scores were decreased (P<0.01).
Conclusion Based on our positive study results, we recommend the therapists to use psychological treatments as complementary therapies for these patients.
Narges Ensan, Isaac Rahimian Boogar, Siavash Talepasand, Fariborz Estilaee,
Volume 22, Issue 5 (11-2019)
Abstract
Background and Aim Multiple Sclerosis (MS) is an unpredictable disease that can change individuals' lifestyle. The purpose of this study was to investigate the effect of a Mindfulness-Based Stress Reduction (MBSR) program on functional disability of patients with MS.
Methods & Materials The is an experimental study with pre-test/post-test/follow up design using control group. The study population consisted of all male and female patients with MS living in Neyshabur county, Iran. Of these, 47 were selected using a convenience sampling technique and randomly assigned into two groups of intervention (n=22) and control (n=25). The intervention group received MBSR therapy for 8 sessions, while the control group received no intervention. The follow-up was performed after one month. Subjects’ functional disability was measured by using the World Health Organization Disability Assessment questionnaire. The collected data were analyzed using SPSS v.21 software usingrepeated measurements Analysis of Variance (ANOVA).
Ethical Considerations This study obtained its ethical approval from the Research Ethics Committee of Neyshabur University of Medical Sciences (code: IR. NUMS.REC.1397.004)
Results The results of univariate ANOVA showed the significant effect of time and the interaction effect of time and group on functional disability of samples. The results of between-group ANOVA a significant difference between the intervention and control groups in functional disability (p <0.05). Pairwise comparison of the interaction effect of time and group showed a significant difference between the pre-test, post-test and follow-up scores (P = 0.001), but no significant difference was reported between the post-test and follow-up scores.
Conclusion The MBSR program could reduce the functional disability in patients with MS due to ease of treatment, faster patient education, and the short duration of intervention sessions.
Tooraj Sepahvand, Jalil Moradi,
Volume 22, Issue 5 (11-2019)
Abstract
Background and Aim There is a high correlation between depression and anxiety in children which are also related to laterality. This study aimed to compare generalized anxiety and social anxiety in sinistral and dextral children with depression symptoms.
Methods & Materials This is a cross-sectional study with a causal-comparative design. The study population consisted of all primary students (fourth to sixth grade) of Arak Province in Iran. A convenience sampling method was used to select study samples. Prior to study, following questionnaires were completed: Children's Depression Inventory, Brief Scale of Generalized Anxiety Disorder, and Liebowitz Social Anxiety Scale for Children and Adolescents. Then, those with depression score of 19 and higher were assigned into two groups of sinistral (n=31) and dextral (n=35), and compared in terms of generalized anxiety and social anxiety.
Ethical Considerations This study obtained its ethical approval form the Research Ethics Committee of Arak University of Medical Sciences (code: IR.ARAKMU.REC.1397.298).
Results The results of multivariate analysis of variance showed a significant difference in two study varia-bles between groups (P=0.001). Moreover, based on the results of univariate analysis of variance, sinistral children had higher generalized anxiety compared to dextral children; however, they were not significantly different in terms of social anxiety.
Conclusion Considering the higher vulnerability of depressed sinistral children to anxiety disorders, they are more likely to need specific ways of preventing and treating depression and generalized anxiety disorder.
Zeinab Abdolhosseini, Isaac Rahimian Boogar, Siyavash Telepasand,
Volume 22, Issue 6 (1-2020)
Abstract
Background and Aim: Physical complaints that have no clear cause are a process that is commonly seen in patients with Somatic Symptom Disorder (SSD). The increasing number of patients with this disorder and its related chronic symptoms including changes in quality of life and loss of individual efficiency has created social and psychological economic costs for these patients and their families.
Methods & Materials: This descriptive cross-sectional study conducted on 70 patients with SSD having digestive symptoms and chronic pain referred to the health centers in Semnan, Iran in winter 2018. They were selected using a convenience sampling method. The data collection tools were 15-item Patient Health Questionnaire Physical Symptoms (PHQ-15) and Rorschach test (Exner’s Comprehensive System). In order to analyze the collected data, multiple linear regression analysis, logistic regression analysis, and multivariate ANOVA were performed in SPSS v. 22 software.
Ethical Considerations: The present study was approved by the Research Ethics Committee of Semnan University of Medical Sciences (code: IR.SEMUMS.REC.1397.029).
Results: Perceived location indices including D and Dd scores in Rorschach test were able to significantly differentiate the SSD patients from controls (P<0.05). In the logistic regression model, 70% of participants were classified properly.
Conclusion: There is difference in projective responses between SSD patients and controls, and patients were less holistic. Anxiety and psychiatric symptoms were also higher in patients with SSD.
Raheleh Firouzi, Taher Tizdast, Javad Khalatbari, Shohreh Ghorban Shiroudi,
Volume 23, Issue 1 (3-2020)
Abstract
Background and Aim: The purpose of this study was to evaluate the relationship between stress coping strategies and difficulties in emotion regulation mediated by marital life quality in married women with breast cancer.
Methods & Materials: This is a descriptive correlational study. The study population included all married women with breast cancer in Amol and Babol cities of Iran in 2018. Of these, 385 were selected through a convenience sampling technique. The research instruments were Ways Of Coping Questionnaire, Difficulties In Emotion Regulation Scale and Marital Life Quality Scale. The goodness-of-fit of proposed model was examined by Structural Equation Modeling (SEM) in LISREL software. The indirect correlations were tested by using Preacher and Hayes’ bootstrapping method .
Ethical Considerations: This study received its ethical approval from Islamic Azad University of Tonekabon Branch (Code: IR.IAU.TON.REC.1397.029). Informed consent was obtained from all participants.
Results: The proposed model had good fit (RMSEA=0.057). All direct correlations were reported significant (P<0.05). Moreover, indirect paths between stress coping strategies and difficulties in emotion regulation through mediation by marital life quality were significant.
Conclusion: The proposed model had a good fit and can be used in identifying the factors affecting difficulties in emotion regulation. It can be useful for designing and developing programs to prevent emotions problems in women with breast cancer.
Ali Esfahani, Shirin Zeinali, Roghayeh Kiani,
Volume 23, Issue 2 (5-2020)
Abstract
Background and Aim: Breast cancer is the most common cancer among women which leaves a profound impact on their psychosocial health and pain experience. The aim of this study was to determine the effect of group psychotherapy based on Acceptance and Commitment Therapy (ACT) on pain-related anxiety and cognitive emotion regulation of women with breast cancer.
Methods & Materials: In this quasi-experimental study, subjects were 68 women with breast cancer refereed to Shahid Ghazi Hospitalin Tabriz, Iran who were selected using a convenience sampling method. Then, they were randomly assigned into two groups of intervention (n = 34) and control (n = 34). The intervention group underwent eight 90-min sessions of ACT-based group therapy, while the control group received no any intervention. They completed Pain Anxiety Symptom Scale Short Form and Cognitive Emotion Regulation Questionnaire before and one week after treatment. Collected ata were analyzed by using t test, chi-square test, ANCOA and MANCOVA.
Ethical Considerations This study has obtained its ethical approval from the Research Ethics Committee of Tabriz University of Medical Sciences (code: IR.TBZMED.REC.1397.287) and has been registered by Iranian Registry of Clinical Trials (code: IRCT2017100615590N5).
Results: The ACT-based intervention improved the dimensions of pain-related anxiety (8.44±1.5) and cognitive regulation of negative (8.40±3.5) and positive (8.39±7.5) affects (P<0.001).
Conclusion: ACT-based intervention can help breast cancer patients to accept their negative thoughts and current conditions.
Ashraf Allahyar, Ali Zeinali,
Volume 23, Issue 2 (5-2020)
Abstract
Background and Aim: Diabetes is one of the most common chronic diseases in children and adolescents. Due to its specific problems, it can sometimes lead to substance abuse in adolescents through reduced health and increased depression and stress. The present study aimed to investigate the relationship of substance abuse with depression and stress in diabetic adolescents mediated by conflict resolution and problem solving skills.
Methods & Materials: This is a descriptive/correlational study. The study population consisted of all diabetic adolescent members of Urmia Diabetes Association and those referred to Imam Khomeini Hospital and diabetes specialists in Urmia city in Spring 2019. Of these, 206 were selected using a purposive sampling method. data collection tools were Substance Abuse Subtle Screening Inventory - Adolescents Version (Miller & Lazowski, 2001), Beck’s Depression Inventory (Beck et al, 1988), The Perceived Stress Scale (Cohen et al, 1983), Problem Solving Inventory (Heppner & Petersen, 1982) and Conflict Resolution Style Inventory (Weeks, 1994). Collected data were analyzed by using Pearson correlation test and structural equation modeling in SPSS and LISREL applications.
Ethical Considerations All ethical principles were considered in this study,.
Results: Depression and stress directly had a negative and significant effect on conflict resolution and problem solving skills, but had no significant effect on substance abuse. Conflict resolution and problem solving skills directly had a negative and significant effect on substance abuse. Moreover, depression and stress indirectly had a significant effect on substance abuse through medication by conflict resolution and problem solving skills (P<0.05).
Conclusion: Depression and stress can lead to increased substance abuse in diabetic adolescents by decreasing conflict resolution and problem solving skills. Therefore, in order to reduce substance abuse in these patients, it is recommended to hold training workshops to reduce their depression and stress and improve conflict resolution and problem solving skills.
Esmaeil Shiri, Hamidreza Pouratemad, Jalil Fathabadi, Mohammad Narimani,
Volume 23, Issue 4 (9-2020)
Abstract
Background and Aim: One of the problems of children with Autism Spectrum Disorder (ASD) is behavioral excesses resistance to many educational and rehabilitation programs. Parent-mediated behavioral interventions seem to be effective in overcoming these problems. However, these methods are not well-introduced. The purpose of this study is to systematically review these studies and their primary and secondary outcomes, and finally analyze the components.
Methods & Materials: This study was a systematic review. The search included SID, Magiran, Medline, PubMed, Springer, Science Direct, Online Library, and PsycINFO. We reviewed The articles published between 2000 and 2017 about parent-mediated behavioral interventions on behavioral excesses in autistic children.
Ethical Considerations: This study with ethical code IR.SBU.ICBS.97/1013 was approved by the Biological Research Department of Shahid Beheshti University.
Results: The findings of 9 studies indicated positive effects of parent-mediated behavioral intervention on behavioral excesses, including repetitive behaviors, irritability (including tantrums, aggression, and self-injurious behaviors), echolalia, and destructive behaviors (preliminary results). Also, these interventions improved the adaptive behaviors in autistic children, and parental functions such as self-efficacy, parental style, psychological problems (secondary results). Components of the therapeutic program included the type of consequence-based interventions (such as response interruption and redirection), antecedent-based interventions A (visual cue and daily schedules), antecedent-based interventions B (such as enriching environment with play). Three articles had medium certainty of the evidence, and 6 had high certainty of evidence.
Conclusion: The results of this study indicated the positive effect of parent-mediated behavioral intervention on behavioral excesses in children with ASD. Future studies should emphasize the comprehensiveness of all the effective components in the parent-mediated behavioral intervention and the feasibility of the intervention in various contexts. It is suggested that parent-mediated interventions be implemented on behavioral excesses in children with ASD in Iran.
Seyed Mahmoud Tabatabaei, Gholamreza Chalabainloo,
Volume 23, Issue 4 (9-2020)
Abstract
Background and Aim: This study aimed to investigate the effectiveness of resiliency training on positive and negative affect and reduce the psychological distress in mothers of children with Attention Deficit Hyperactivity Disorder (ADHD).
Methods & Materials: The research method was semi-experimental with and pre-test, post-test design with the control group. The statistical population of this study included all mothers of children with ADHD in Tabriz in 2020, among which 30 were selected by convenience sampling method, were randomly assigned to experimental, and control groups. The research tools included the Positive and Negative Affect Scale and Anxiety, Depression, and Stress Questionnaires.
Ethical Considerations: The Ethics Committee of the Islamic Azad University of Tabriz Branch approved this study (Code: IR.IAU.TABRIZ.REC.1398.062).
Results: The results of 9 sessions with 90 minutes of group resilience training (taken from Henderson & Milstein, 2003) showed that resiliency training leads to an increase in positive affect and a decrease in negative affect, as well as a decrease in psychological distress in mothers of children with ADHD.
Conclusion: These results suggest that resiliency education can be effective as an educational-therapeutic approach to increase positive emotions and decrease negative emotions and mental disorders in mothers of children with childhood disorders.
Azam Hashemian Moghadam, Hamid Reza Agha Mohammadian Sharbaf, Mohammad Saeid Abdekhodaei, Hossein Kareshki,
Volume 23, Issue 4 (9-2020)
Abstract
Background and Aim: Coping with stress is one of the most important research areas in health psychology. Researching in this regard requires a tool with strong psychometric properties and validation in Iranian culture. The purpose of this study was to investigate the most commonly used short-scale factor structure, the Carver’s Brief Cope.
Methods & Materials: This study was a cross-sectional and methodological study of test type. The statistical population consisted of all students studying at Birjand University in 1977-98. Sampling was available by the method. The condition for entry into the study was the experience of a stressor for at least 6 months. After receiving a medium or high score on the perceived stress level, 629 students completed the 28-question form. Data was analyzed using SPSS V. 15 and laser software V. 8.8. Exploratory factor analysis was performed to determine the factor structure of the questionnaire. A confirmatory factor analysis was used to confirming the factors. Reliability was established through retesting and internal consistency.
Ethical Considerations: This study is part of a PhD. thesis, registered (Code: IR.UM.REC. 3/50099) at Ferdowsi University of Mashhad. Before entering the study, an informed consent was obtained from the subjects.
Results: After confirming the face and content validity quantitatively and qualitatively, the exploratory factor analysis results after varimax rotation showed 55.139% of the total variance explained by the first eight factors with a higher than one specific value. However, in confirmatory factor analysis, the first two factors, 4 and 7, were omitted due to insufficient power to explain the present variables. Finally, the goodness-of-fit indices of the RMFIA, PFI, GFI, IFI, IFI, CFI, AGFI confirmed the fit of the six-factor structure with the data. Reliability of the instrument was also confirmed by internal consistency (α=0.73) and test-retest reliability (r=0.59).
Conclusion: The highly abbreviated 6-item form of Carver’s Brief Cope showed good validity and reliability in the student sample and can be used in health psychology studies.
Mina Vesal, Changiz Rahimi,
Volume 24, Issue 1 (3-2021)
Abstract
Background and Aim: Concerns are increasingly raised about the impact of social media use on depression in adolescents. This article aimed to summarize and synthesize quantitative studies addressing the association between social media and depression in adolescents.
Methods & Materials: This systematic review and meta-analysis included studies on the impact of the internet and social media use on depression in adolescents using Persian and English databases. In total, 15 studies met the inclusion criteria and were included in the analysis.
Ethical Considerations: All ethical principles are considered in this article.
Results: The obtained data revealed a slight (0.18) statistically significant correlation (P<0.000) between social media use and depression in adolescents. However, this relationship was complex and associated with multiple psychosocial, behavioral, and individual factors, necessitating further investigation of mediating and moderating variables. Notably, most explored studies were cross-sectional; thus, they failed to infer the causal relationship between social media use and depression. In Iran, research has only investigated internet dependence. Further research is required in this area.
Conclusion: Overall, the mechanism of the impact of social media on depression should be further investigated through qualitative and longitudinal studies.
Farideh Ranjbaran, Hamid Reza Jamilian, Bahman Sadeghi Sade,
Volume 24, Issue 1 (3-2021)
Abstract
Background and Aim: Major Depressive Disorder (MDD) is the most common mental health condition, with a severe decline in performance, disability, and a 15% risk of suicide. Allopurinol increases the level of tryptophan in the body by inhibiting xanthine oxidase, and by elevating the level of tryptophan, i.e., a precursor to serotonin. Accordingly, it can improve the symptoms of depression. This study aimed to investigate the impact of allopurinol on MDD.
Methods & Materials: In this double-blind clinical trial, 70 patients with MDD, diagnosed based on the Diagnostic and Statistical Manual of Mental Disorders- Fourth Edition-Third Edition (DSM IV-TR) were randomly (paired & individual patient records) divided into two equal groups. Both research groups received 40 mg of citalopram daily for 6 weeks. In addition to citalopram, the intervention group received 300 mg allopurinol daily and the control group received a placebo. At the end of the third and sixth weeks, the examined patients were tested for Hamilton Depression Rating Scale (HDRS).
Ethical Considerations: This study was approved by the Ethics Committee of the Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1394.68). Also, it was approved by the Iranian Registry of Clinical Trials (Code: IRCT201508277373n6).
Results: The Mean±SD HDRS’s score, after 3 weeks of treatment, in the control and allopurinol groups was measured as 28.42±3.1 and 23.02±3.4, respectively. After 6 weeks after treatment, the Mean±SD depression score in the control and allopurinol groups was equal to 23.28±4.1 and 20.4±1.2, in sequence. A significant difference was observed between the research groups; thus, the intervention group obtained a lower mean score in the HDRS than the controls.
Conclusion: Allopurinol can improve the symptoms of depression and can also be used as an adjunct in the treatment of depression.
