Background: Meta-cognitive therapy and schema therapy are two important methods in treatment of mental disorders special in treatment of anxiety and depression. This study aimed to compare the effectiveness of meta-cognitive therapy and schema therapy on decrease symptoms of anxiety and depression in nursing and midwifery students.

Materials and Methods: This study was a quasi-experimental with a pre-test, post-test and 2 mounts follow-up design. The statistical population included all girl students of nursing and midwifery faculty that referred to counseling center of Islamic Azad University of Mashhad. Totally 60 students with anxiety and depression were selected through available sampling method and randomly assigned to three groups. The experimental groups educated 10 sessions of 70 minutes by meta-cognitive therapy and schema therapy methods. All groups completed the questionnaire of Cattell anxiety and Beck depression.The data were analyzed by using the SPSS-19 software and by multivariate analysis of covariance (MANCOVA) method.

Results: The findings showed in the post-test, schema therapy unlike meta-cognitive therapy significantly led to decrease symptoms of anxiety and depression. But in the follow-up state each two methods of meta-cognitive therapy and schema therapy significantly led to decrease symptoms of anxiety and depression and in the follow-up state, there wasn't any significant difference between two methods (p<0.05).

Conclusion: The results showed though the effect of schema therapy appears earlier than meta-cognitive therapy, but there is no significant difference between two treatments in long time Therefore, counselors and therapists can use meta-cognitive therapy and schema therapy for decreasing symptoms of anxiety and depression disorder.

Background: Premenstrual Syndrome (PMS) consists of repetitious physical and psychological symptoms that occurs in luteal phase of menstrual period and will be over when menstrual period starts. The goal of this study is to investigate the effect of calcium therapy plus vitamin D and cognitive behavioral therapy (CBT) on the parameters of PMS symptoms in women suffering from PMS.

Materials and Methods: This study has an experimental plan of pretest and post-test of the control group. The statistical society is 250 female staff of Tehran Universities in academic year 2013-2014. Premenstrual syndrome screening tool (PSST) questionnaire was used as an evaluation tool. The collected data were analyzed using the indexes of the descriptive statistics and covariance analysis (p<0.05).

Results: The minimum age of the statistical society was 24, 52.5 % of them held a master's degree and 60% were single. Cognitive behavioral therapy method, calcium and vitamin D therapy were significant in improving the parameters of symptoms at p<0.05 level of significance.

Conclusion: Combining cognitive behavioral therapy and calcium supplementation and vitamin D is significantly effective in improving components of PMS sympotoms and applying these methods is recommended by the consultants and gynecologists.

  Background: The prevalence of constipation in childhood is 0.7% to 29.6%. Inorganic causes are considered as the most common cause of constipation in children. Polyethylene glycol (PEG) is the most effective and safest laxatives which is usable in children in the long-term. This study was conducted to evaluate and compare the effect of PEG treatment and probiotic bacilluscoagulans and bifidobacterium and probiotic to enhance the growth of probiotics.

  Materials and Methods: In this double blind clinical trial study(interventional study), 120 children aged 2-16 years with chronic functional constipation enrolled the study based on ROME III criteria. The bowels became empty by using liquid paraffin. Then, children were randomly divided into three groups of polyethylene glycol+placebo and Probiotics+placebo and polyethylene glycol+probiotics recipients. After 6 weeks of treatment, treatment success rates between the three groups were compared before and after the study Data analyzed by SPSS 20 software.

  Results: The results of the study conducted on the three groups for treatment of constipation showed that the effect of polyethylene glycol and probiotic on treatment was considerable before and after treatment but the levels of effect was similar in the comparison of groups. The simultaneous use of two drugs was more effective than a single drug.

Conclusion: Overall, the results of our study showed that concurrent use of polyethylene glycol and probiotics is much more effective in the treatment of constipation.

  Background: Mandibular premolars, because of high anatomic variations, are among the most difficult teeth for root canal treatment.The aim of this study is to compare and evaluate root canal morphology of mandibular first premolars between males and famales in an Iranian population applying CBCT imaging.

  Materials and Methods: In this analytical-cross sectional study, 230 CBCT imaging belonged to 115 males and 115 females were evaluated in this study. Images were assessed in the three spatial planes and the difference in the number of canals and roots were compared and reported statistically. Data were analyzed using SPSS 17 software and Chi-square test.The significance level was set as p<0.05.

  Results: In total, of 460 mandibular first premolars, 85.7% had one root, 14.3% had two roots, 63.9% had one canal and 36/1% had two canals. In comparison between two genders, in the males the prevalence of one root was 78.7%, two roots 21.3%, one canal 60% and two canals 40%. In the females, the prevalence of one root was recorded as 92.6%, two roots 7.4%, one canal 67.8% and two canals 32.2%.

Conclusion: According to the results of this study the number of roots in the mandibular first premolars in males was statistically more than in females.

Background: The purpose of this study was to determine the effectiveness of dialectical behavior therapy in reducinng expulsive anger.

Materials and Methods: This is a pre-test and post-test semi-experimental study with control group. The study population included 32 patients with expulsive anger that reffered to Amir kabir remedial education center based on psychiatrist diagnosis and were randomely divided into case (dialectical behavior therapy) and control group. The case group was educated the dialectical behavior therapy skills for 16 sessions from 2 until 2.5 hours at teamly. To collect data, the patients filled Eysenk expulsive questionnaire before and after intervention. Considering no necessary assumptions were fulfilled to conduct the multivariate analysis of covariance and variance, so, the univariate analysis of variance was used.

Results: The results of variance analysis proved that dialectical behavior therapy significantly reduced expulsive angers.

Conclusion: With due attention to the results, it can be said that dialectical behavior therapy leads to reducing expulsive angers in treated patients, thus, this method can be included in interventional programs for target groups in psychotherapy centers. Aslo, it helps to improve the life of patients by reducing expulsive angers.

Background: Recently it is accentuated on the role of psychological symptoms in the course of chronic diseases and applying psychological interventions as complementary interventions. The aim of this study was to compare the effects of cognitive-behavioral stress management, optimism training and conevntional medical therapy on somatic symptoms, perceived stress, illness perception and quality of life in patients with ulcerative colitis.

Materials and Methods: In this study, thirty female patients were selected accidentally, and randomly assigned into three groups including cognitive-behavioral stress management(n=10), optimism training(n=10) and conventional medical therapy(n=10). All patients completed Perceived Stress Scale, Illness Perception questionnaire, WHO Quality of Life questionnaire, and Lichtiger Colitis Activity Index. Then, experimental groups participated in 9 sessions of  cognitive-behavioral stress management and optimism training group interventions. Thereafter, three groups answered to scales again. This course was repeated in a 6-mounth follow-up. Analysis of covariance (ANCOVA) was used to analyze the data.

Results:  The findings indicated that the effects of two interventions were significant on patient´s illness perception, perceived stress and quality of life however, these interventions did not change somatic symptoms.

Conclusion: Totally, it can be said that psychological interventions such as stress management and optimism training can be effective on improving the psychological symptoms in patients with ulcerative colitis and their cure.

Background: A small percent of patients with colorectal cancer (CRC) respond to 5-Fluorouracil (5-FU), as a first line of chemotherapy. In this study in, in order to design a new chemotherapy protocol, the effect of 5-FU and acriflavine (ACF) cotreatment on mortality rate of CRC cell lines was investigated.

Materials and Methods: Cytotoxicity of 5-FU and ACF against CRC cell lines (LS174T, SW480 and HCT116) was detected using MTT assay. Cells were treated with different concentrations of 5-FU (0.5-64 µM) or ACF (0.07-5 µM) for 72 hours and then cell viability and drugs IC50 was calculated. To assess the effect of ACF on anticancer activity of 5-FU, cells were cotreated with different concentrations of 5-FU and IC30 concentration of ACF.

Results: ACF and 5-FU suppress the viability of CRC cell lines in dose-dependent manner. 5-FU and ACF have most cytotoxic effect on LS174T and the lowest cytotoxic effect on SW480 cells. Cotreatment of ACF with 5-FU could not significantly change the sensitivity of cells against 5-FU (p>0.05).

Conclusion: In this study, the fatal and cytotoxic effect of ACF on three CRC cell lines was shown. However, cotreatment of ACF with 5-FU could not improve the anticancer activity of 5-FU.

Background: The prediction models for infertility treatment success have presented since 25 years ago. There are scientific principles for designing and applying the prediction models that is also used to predict the success rate of infertility treatment. The purpose of this study is to provide basic principles for designing the model to predic infertility treatment success.

Materials and Methods: In this paper, the principles for developing predictive models are explained and then the design of such models in infertility treatments is described in more details by explaining one sample.

Results: The important principles for models that firstly are described are: identifying and defining the purpose, expected function of model, input data that will be used to develop a model: type of intervention or diagnostic procedures that can lead to changes in the samples and output definition or expected result of model function. Further, characteristics of predictive factors in final model, drawing the information flowchart, internal and external validation and attention to the analysis programme of results are the important subjects that have been described.

Conclusion: If predictive models are used properly, can help treatment team and patients to achive best treatment in ART.

Abstract

Background: Infertility is described as a loss that this event is serious tension in life and it makes extreme trauma on couples. This research aimed to investigate the effect of group psychotherapy based on life quality on marriage intimacy of infertile women.

Materials and Methods: This research method was in semi-test methodology with pre-test, post- test and follow-up test plan with control group and statistical sample was 32 persons (16 persons in test group and 16 persons in control group) that they were chosen in available sampling mode from Royan center in Arak and both two groups were peer in research standards. Test group received training for 5 sessions in 90 minute. For collecting data, Bagarozzi marital intimacy questionnaire was used. Data were analyzed by analysis of covariance by using SPSS software.

Results: Results showed that life quality training affected significantly on marriage intimacy of infertile women and improved it. Significant difference between pre-test, post-test and follow-up average scores of test and control groups showed effectiveness of life quality training on infertile women ( p=0.003<0.05 ,f=27.57).

Conclusion: The research showed that group therapy of life quality plan affected on marital intimacy and improved it. Therefore, it is recommended as a supplement.

Abstract

Background: Evaluation of performance is one of the hardest aspects of management responsibilities. Today, performance evaluation process is a characteristic of work world that can be useful in making workforce more effective. This study aimed to assess the job performance and its determinants in healthcare workers.

Materials and Methods: This cross sectional and descriptive –analytical study conducted in capitation way on all workers in healthcare centers and health houses of Islamabad-e Gharb city in 2016. Data collection tools were questionnaires of demographics and job performance of Hersey and Goldsmith. Descriptive statistics, one way ANOVA and Independent sample T-test used in order to data analysis.

Results: The mean and standard deviation of job performance score was 52.5± 9. There was a significant relationship between job performance with sex and education level (p<0.05). Also, there were significant relationships between feedback and environment with sex, and support aspect with type of employment (p<0.05).

Conclusion: Success and progress of each organization is based on high levels of job performance in its employees. Solutions such increasing salary and providing good physical environment, can be useful to improve job performance of employees.

Abstract

Background: The aim of this study was to determine the effectiveness of cognitive-behavioral group therapy on quality of life of patients with cardiovascalar diseases.

Materials and Methods: This semi-experimental study was done based on a pretest -posttest design with control group. Statistical population included all of the patients with cardiovascular diseases referred to Amir-Kabir educational and medical center of Arak, and sample included 30 persons who selected by screening and simple random sampling and assigned into two control and experimental groups. Research instrument included Mcnew quality of life scales which participants answered it during two pre-test and post-test steps; also, experimental group participated in 9 cognitive-behavioral therapy meetings.

Results: There was a significant difference between mean quality of life and its components in both experimental and control groups.

Conclusion: Results analysis showed that group-based cognition- behavior theray has an influence on life quality (emotional, physical and social domains)(p>0.05).

1. Abstract
2. Background: Students face a lot of emotional problems and psychological stress that affect their individual and social adaptation as well as their quality of life. Therefore, examining treatment models for these problems is very important. One of these models, the Fractal Diagnostic Treatment Model, is based on emotional regulation skills for a wide range of emotional disorders that can be used properly. The purpose of this study was to investigate the effectiveness of integrated diagnostic therapy on individual and social adaptations and emotional adjustment.
3. Materials and Methods: A total of 70 female students were selected and assigned into two diagnostic groups (35 patients) and control (35 people). The experimental group received 12 sessions of diagnostic diagnosis weekly. Data were gathered in this study by Social Compliance Scale and Graz's Regulatory Emotion Questionnaire. Data were analyzed using descriptive statistics and multivariate covariance analysis (MANCOVA).
4. Results: The results showed that transdiagnostic treatment focused on the dimensions of emotional regulation, including: refusal of emotional responses (F = 120.69, p < 0.01), impulse control problems (F = 14.57, p < 0.01), lack of emotional awareness (F =104.82, p< 0.01), lack of emotional resolution (F=42.64, p< 0.01), participation problems (F = 41.00, p<0.01), and limitations in achieving emotional regulation (F = 85.33, p<0. 01) is effective. Also, the results showed that exacerbation-based fetal diagnostic therapy was effective on individual adaptations (F = 146.76, p < 0.01) and social (F = 85.02, p<0.01).
5. Conclusion: Regarding the effect of Fract-Intervention therapy based on emotional adjustment on personal and social adaptation and student's emotional adjustment dimensions, these results are applicable to clinical practitioners, counselors and practitioners in academic counseling centers.