Denaa Adili, Fateme Dehghani-Arani,
Volume 12, Issue 2 (8-2018)
Abstract
Caregivers of patients with cancer suffer from fatigue and high levels of caregiver burden. This study aimed to determine the level of caregiver burden in relation to the quality of life of breast cancer patients. This cross-sectional descriptive-analytic study conducted in 116 caregivers of breast cancer patients. Data collection instrument included a questionnaire contains caregiver’s burden inventoryand cancer patient's Quality of Life Questionnaire-Core 30. Among the five subscales of caregiver’s burden, caregivers have the most complaints of lack of time. Among the functional components of patient's quality of life, social dysfunction, role dysfunction, and emotional dysfunction, respectively, show the highest correlation with caregiver’s burden. Among the components of the signs of quality of life, pain, insomnia and fatigue, respectively, show the highest correlation with caregiver’s burden. The patient's social dysfunction explains 19 and the patient's pain explain 17 percent of the variance of caregiver’s burden. There is an inverse relationship between the age of the patient and caregiver burden. Based on the findings, improving the patient's social support network by self-help groups, Pain management courses for patients, providing informational support to caregivers to reduce caregiver burden and subsequently improving patient quality of life could be recommended.
Mansoureh Bahrami, Shahram Vahedi, Yousef Adib, Rahim Badri Gargari,
Volume 12, Issue 2 (8-2018)
Abstract
The purpose of this study was to investigate effectiveness an antibullying parent management training on Student's Victimization and Cognitive Emotion Regulation. This research was semi-experimental design with pre test-post test design and control group. The statistical population of study was all primary schools city of Karaj in academic year of 96-97 and the statistical sample was one of schools in the 12th district of Karaj was selected by random cluster sampling. Then 36 victim students of the fourth and fifth level were selected using California's bully-victimization questionnaire and Granofsky's cognitive emotion regulation questionnaire and randomly assigned to two experimental and control groups of 18 Parents of the experimental group underwent parent management training in 9 sessions of 90 minutes(one session per week). Data were analyzed using SPSS 20 and analysis of covariance. The findings of the study showed that parent management training had a significant effect on reducing the victimization and improving the emotion regulation of students. This study showed the effectiveness of parent management training on reduceing victimization and improve cognitive emotion regulation in students.
Raheme Salehi, Gholamreza Dehshiri,
Volume 12, Issue 2 (8-2018)
Abstract
The role of post-traumatic growth has been approved in cancer patients, which can have a positive psychological effect in cancer patients. The aim of this study was to investigate the relationship between post-traumatic growth with spiritual well-being, subjective well-being, psychological well-being, and hope in cancer patients. Methods: The sample of this research consisted of 225 patients with cancer who were selected by convenience sampling method. The assessment tools have been including the silver lining questionnaire, spiritual well-being scale, well-being index WHO-5 Satisfaction with Life Scale and positive affect and negative affect schedule and hope scale. The results showed that post-traumatic growth has a positive and significant relationship with the variables of psychological well-being, spiritual well-being, subjective well-being and hope. The variables of psychological well-being and existential well-being and the pathway component of hope have a significant role in predicting post-traumatic growth. In general, the results of this study indicate the importance of the post-traumatic growth dimensions in improving the mental status of cancer patients.
Emrah Tajaddini, Firoozeh Sepehrianazar, Esmaeil Soleymani,
Volume 12, Issue 2 (8-2018)
Abstract
AIDS as a chronic dangerous disease is one of the major causes of mortality in the world. The aim of this study was to compare of looming maladaptive style, negative problem-orientation, interpersonal emotion regulation, emotional processing style, and rejection sensitivity in the patients with AIDS and healthy people. the method of this study was descriptive from its comparative casual types. The population was all of patients with AIDS were referred to health center in the urmia. The Sample was 40 patients with AIDS were referred to health center in the urmia and 40 healthy people were selected by available sampling method. Data were analyzed by Multivariate Analysis of Variance and one-way analysis of variance. the results showed that there is significant deference between two groups in the variables of looming maladaptive style, negative problem-orientation, interpersonal emotion regulation, emotional processing styles and rejection sensitivity and patients with AIDS get the higher scores in these variables. it can be concluded that many psychological problems that these patients experience are in part as a result of cognitive, emotional and social factors that have been studied in this study. Then, paying attention to these factors in the etiology and treatment of psychological problems of these patients can be a useful step in the reducing of these problems and improving of mental health in the patients.
Mani Rafiee Ardestani, Hosein Eskandari, Ahmad Borjali, Dr Noorali Farrokhi,
Volume 12, Issue 3 (11-2018)
Abstract
The loss reaction includes variety of the responses such as the bodily, emotional, existential and cognitive reactions. The strength of these responses can vary from the weak transitory emotional reactions to the lifelong strong ones, which can change the life story of the individuals. In this study, the qualitative data gathering on focus groups, the semi-structured interview about the loss experiences, and the life story interview by Mc Adams approach were applied on 21 participants. The phenomenological analysis of the manuscripts of the interviews used to investigate individual’s responses to the loss. Results showed three major clusters that include context of the loss, nature of the loss and the experimenter’s characteristics. In context of the loss, time and the sociocultural background of the loss experience is major themes. Another kinds of thems consisted of nature of the loss cluster includes its type, the obligatory versus the optional loss, and the predictable versus unpredictable loss. Finally, the participant’s characteristics included the life experiences, personality, and knowledge level of participants. Results shows the interactive effect of objective living world which the loss happens as an incident in it and the sobjective living world of the individual who experiences the loss.
Davood Taghvaei, Mohammad Mehdi Jahangiri, Mahsa Bayat,
Volume 12, Issue 3 (11-2018)
Abstract
Organ donation is giving an organ to someone else who needs a transplant. The purpose of this study was to compare personality traits, spiritual intelligence and death anxiety in people with organ donation card and those without it. The research plan is causal-comparative. Using Snowball Sampling method, 148 donors selected as the standard group and 150were selected as peer group according to the criteria of the study using a convenience sampling method. Data were gathered using NEO Personality Inventory, spiritual intelligence, and Templar death anxiety questionnaire. Data were analyzed by independent t-test and multivariate analysis of variance and logistic regression. Results showed that there is a significant difference between the two groups in personality traits, spiritual intelligence and death anxiety. Among the components of personality traits, persons with a donation card received higher score in the component of the agreeableness. They also received higher scores in spiritual intelligence. In contrast, the persons without the donation card received higher scores in the death anxiety. According to the research findings and considering psychological factors, we cannot only encourage people to register for a donation card, but also we can decrease the number of people who would like to annul or cancel their organ donation card.
Batool Ahadi, Fatemeh Moradi,
Volume 12, Issue 3 (11-2018)
Abstract
Intolerance of uncertainty is a kind of cognitive bias that affects how an individual receives, interprets and reacts to an uncertain situation in the emotional, cognitive and behavioral levels. The purpose of present study was to determine the various factors that influenced the intolerance of uncertainty by using the meta-analysis method and integrating the results of previous research. By using Articles in scientific journals, all the preceding studies conducted across the country during the years 2010-2017 collected and investigated. Eventually 12 eligible studies in the field of intolerance of uncertainty with acceptable methodology including sampling methods and proper statistical validity and reliability and appropriate questionnaires selected. The research tool was the meta-analysis checklist. For this purpose, the researches, which were methodologically accepted, were selected and meta-analyzed. Homogeneous assumptions and emission errors investigated. The coefficient of effect size was evaluated using CMA-2 software. results showed that metacognitive beliefs had the highest effect size, and after that, the highest effects size were related to stress, inability to take action, and negative repeated thoughts, although the effect size of behavioral inhibition and behavioral activation was not statistically significant. Therefore, attention to these variables can help to formulate and improve the therapeutic interventions related to intolerance of uncertainty.
Mojgan Agah Herris, Nahid Ramezani, Iman Rafie Manzelat,
Volume 12, Issue 3 (11-2018)
Abstract
Psoriasis is a chronic and inflammatory disease that psychological factors could cause or maintain it. The objective of this study was to compare personality traits and perceived anxiety control among individuals with and without psoriasis. Applying a causal-comparative research design, and using convenient sampling method, 260 participants were selected and assigned into two groups (with and without psoriasis). All of them completed the demographic information and NEO Personality Inventory and perceived anxiety control questionnaire. Findings revealed that individuals with psoriasis get the lower score in openness to experiences in comparison to individuals without psoriasis (p<0.05).But, there were no significant differences between two groups in regard to four other personality characteristics. In addition, Individuals without psoriasis got higher scores in the perceived anxiety control and it subscales in comparison to the control group. In according to these findings, having biases in perceiving anxiety control and openness to experience can be a crucial factor in the formation or maintenance of psoriasis.
Ms Masume Bagheri, Ms Elham Arabi,
Volume 12, Issue 3 (11-2018)
Abstract
Experience of anger is an indicator of the living conditions of patients with chronic musculoskeletal pain disorders. The aim of this study was to examine the mediating role of anger rumination on the relationship between anger and pain intensity in chronical musculoskeletal pain patients. For this purpose, a sample of 109 chronic musculoskeletal pain patients selected by convenience sampling method. Multidimensional pain questionnaire, multidimensional anger inventory and anger rumination scale used for collecting data. The present study is descriptive-correlation and analysis of data carried using simple correlation coefficient and regression analysis by Baron and Kenny method. Finding showed that anger and all of its dimensions except anger-eliciting situations and anger-out predicted pain intensity. Anger and all of its dimensions predicted anger rumination. In addition, results showed that anger rumination completely mediated the relationship between anger and pain intensity. Furthermore, the mediator role of anger rumination confirmed only for internal dimensions that had a significant relationship with the pain severity, such as anger arousal, hostile outlook and anger-in. However, this mediator role of anger was not confirmed for the dimensions with external nature (such as anger-eliciting situations and anger out), and there was not any significant correlations between pain severity and these dimensions. In general, anger rumination exacerbates the negative effects of anger on the pain severity in patients with chronic musculoskeletal pain.
Farzaneh Malekpour, Sayad Ali Marashi, Kiumars Beshlideh,
Volume 12, Issue 3 (11-2018)
Abstract
Migraine headache is one of the most common forms of pain and due to its frequency, it is one of the most important types of headache.The purpose of this study was to identify the precedents and consequences of migraine headaches in a non-clinical population. We selected a set of 310 students as our samples by the use of multi-stage stratified random sampling. We collected Data using questionnaires Migraine Screen, Depression Anxiety Stress, State-Trait Anger Expression, Obsessive Beliefs Questionnaire, Symptom Checklist-90-Revised, Fatigue severity scale and Quality of life scale. The results showed that all the coefficients of direct paths between the research variables were statistically significant. On the other hand, based on the results of the study, the indirect relation of anger, obsessive-compulsive disorder, and anxiety with the quality of life, depression, and fatigue were significant through migraine mediation. In addition, the relationship between obsessive beliefs, and migraine mediated by obsessive-compulsive disorder. The findings of this study provide a useful framework for identifying the factors affecting the onset of migraine headaches and its consequences.
Mohammad-Naghi Farahani, Hamid Khanipour,
Volume 12, Issue 3 (11-2018)
Abstract
Culture influence psychological phenomena in different ways. In this article, we introduce a framework for studying relationship between culture and psychological phenomena and we presented findings from some cross-cultural studies in this framework. It seems the definition and classification of personality traits, the experience of stress and mental health moderated by culture. The associations between positive and negative affects and mental health was different among Iranian and Swedish culture. In Iranian culture, both kind of affects was associated with mental health, whereas in Swedish culture, only positive affect was associated with mental health. Iranian students more used primary process against stress, whereas Swedish students more used secondary process. In addition, academic stress among Iranian students was less than Swedish students. It could conclude that there were some similarities and differences between Iranian and Swedish culture in personality traits, experience of anxiety, and coping with stress. Therefore, any policy making in global level and designing behavioral change strategies in national level should be influenced by these cultural similarities and differences
Seyed Esmaeil Hosseini, Mohammad Pooyan, Alireza Valizadeh, Alireza Moradi,
Volume 12, Issue 4 (2-2019)
Abstract
Studying major depressive disorders and related factors is necessary to understand the nature of this disorder and to formulate more effective therapeutic strategies. Approximate duration of one episode of major depressive disorder is averagely between 3 to 12 months; however, in chronic types, the ratio would be prolonged to 24 months. The aime of this research which performed through second-order dynamic model was to investigate the effectiveness of antidepressants and third wave cognitive-behavioral therapies on the duration of any episode of major depressive disorder. Through MATLAB programming and changing the model parameters, we investigate the effectiveness of treatments on duration of episode in major depressive disorder. The average age of any participants were considered 64 years old. Outcomes before and after 14 weeks treatment with antidepressants drugs (as imipramine or its equivalent of therapeutic services) and psychotherapies (included mindfulness-based acceptance and commitment therapty [ACT] and dialectical behavior therapy [DBT]) were obtained. According to the findings, for most of people suffering from major depressive disorder, relapses are prevalent phenomena. Depression relapse time durations have been 144, 71, 68, and 59 months respectively under following conditions: receiving no treatment; receiving untidepressants; receiving dialectical behavior therapy; and, receiving a combination of antidepressants and dialectical behavior therapy. The results from dynamic modeling showed that combined method of ACT, DBT, and using antidepressant (or its equivalant) drugs provides better outcomes in treatment for depression and relapse prevention. This combined method reduced the duration of recovery from depression by 10 months.
Javad Karimi, Atefe Homayouni, Fereshteh Homayouni,
Volume 12, Issue 4 (2-2019)
Abstract
Hypochondriasis or health anxiety disorder is characterized by abundant anxiety and fear about having a serious illness. The purpose of this study was to determine the relationship between anxiety sensitivity and experiential avoidance with health anxiety. The population included all students of Malayer University, from whom 388 students (138 males and 250 females) were selected through convenient sampling method. Data were gathered using Anxiety Sensitivity Index (ASI-3), acceptance and action questionnaire, and Short Health Anxiety Inventory (SHAI). Data were analyzed using Pearson correlation coefficient and multiple regression analysis (stepwise method). Pearson correlation analysis results showed that there is a significant positive relationship between dimensions of anxiety Sensitivity and experiential avoidance with health anxiety. Moreover, Multiple regression analysis results revealed that anxiety sensitivity and experiential avoidance were able to predict health anxiety, respectively.These variables can predict 24 percentages of the total variance of health anxiety. Based on these findings, anxiety sensitivity and experiential avoidance are capable to predict health anxiety. It could be concluded that reducing anxiety sensitivity and experiential avoidance could be one of the main mechanism for reducing the health anxiety.
Azam Mansourinik, Iran Davoudi, Abdolkazem Neisi, Mahnaz Mehrabizadeh Honarmand, Mohammad Reza Tamannaeifar,
Volume 12, Issue 4 (2-2019)
Abstract
Understanding the actual - ideal body discrepancy in individuals makes them use coping strategies to manage the distracting experiences of their body image. The purpose of this study was to investigate the relationship of body discrepancy with body image maladaptive coping strategies (experiential avoidance and appearance fixation) with the mediating role of self-compassion and body shame. Sample consisted of 300 female undergraduate students of Shahid Chamran University of Ahvaz who were selected by multi -stage random sampling. In order to collect information, we used the body-image ideals questionnaire, objectified body cnsciousness scale, body image coping strategies inventory, self-compassion scale (short form). The conceptual model of the present study was analyzed using path analysis method. The results indicated that the path coefficient of body discrepancy to experiential avoidance was not significant, but the path coefficient of body discrepancy to appearance fixation was significant. Furthermore, the path coefficient of self -compassion to body shame was significant. Also, indirect path of body discrepancy to body image maladaptive coping strategies through self-compassion and body shame was significant. Finding of this study is consistent with compassion focused therapy showed the role of shame and compassion as emotional aspect of body image disturbance.
Mahnaz Sharifain, Majid Saffarinia, Susan Alizadeh Fard,
Volume 12, Issue 4 (2-2019)
Abstract
The purpose of this study was to evaluate the structural model of the relationship between marital adjustment, sexual self-disclosure and sexual anxiety in vaginismus disorder by mediating social exchange styles. Population was composed of all women who referred to sexual disorder treatmernt centers in Tehran. Sample consisted of 220 women with vaginismus disorder. The research tool included marital adjustment scale, sexual anxiety questionnaires, sexual self-disclosure scale, multidimensional vaginal penetration disorder questionnaire and social exchange questionnaire.The results of structural equation modeling showed a rather good fit for the model. In addition, the results showed that all paths between the variables were statistically significant. According to the results, the indirect relationship of sexual self- disclosure, marital adjustment and sexual anxiety through mediation of social exchange styles was not statistically significant. However, marital adjustment and sexual anxiety directly predict the severity of vaginismus disorder, but thire indirect effects through social exchange styles on vaginismus was not significiant. Therefore, sexual anxiety and marital adjustment are important components in predicting vaginismus disorder and should be considered as one of the main goals of treatment in women with vaginismus disorder.
Fatemeh Shahisadrabadi, Zohreh Khosravi, Shokooalsadat Banijamali, Leyla Cheraghmolaee,
Volume 12, Issue 4 (2-2019)
Abstract
Emotional disturbance is a central attribute of pathology in various disorders, in particular OCD. Anger is one of the main emotions that has been neglected and these few findings have many contradictions and a lot of turmoil. Therefore, the present study was conducted to explore the lived experience of anger in these individuals. This research was qualitative research and was the kind of interperetative phenomenological analysis. Participants were 29 individuals with OCD who were selected by purposeful sampling and snowball sampling. Also Data collection was through semi-structured interviews, narrative interviews and imagery. In order to analyze, the data were used the principles of Interpretative Phenomenological Analysis. The results of the study included 7 themes. Themes included control, disgust, revenge, helplessness, combating anger, disgust, discomfort and uncontrollability. The results indicate that the experience of anger in an OCD has a wide range that can indicate the heterogeneity of this disorder. Since the two main themes related to the experience of disgust, the findings reveal the key role of disgust in the disorder. The relationship between anger and disgust can also be looked at more precisely in this disorder. However, the association of each of the themes with some of the features of this disorder can lead to studies shifting to another according to the quality of emotional experience. That means exceptional and clear emotional experiences in each category can mean different pathologies, resulting in a different therapeutic approach to treatment of the disorder. In addition, the comparison of the meaning of anger and other major emotion with anxiety disorders and OCD can also be effective in identifying and delimiting this disorder.
Hamed Kashanaki, Fatemeh Dehghani Arani, Tayebeh Ferdosi,
Volume 12, Issue 4 (2-2019)
Abstract
Cancer can cause many psychological problems. Up to now, most of the research has focused on post-cancer problems, while this study has been done with the purpose of understanding the normal and abnormal personality patterns which would have a role in cancer. The aime of this study was to clarify the normal and abnormal personality patterns in a patients with leukemia. This study is based on the biopsychosocial model of health and dynamic model of personality. Shedler and Westsen's Assessment Procedure (SWAP) was used for evaluating the patient's normal/abnormal personality patterns. The diagnosis which obtained from conducting SWAP were consistent with the patient's normal/abnormal personality patterns. In other words, the dependent and obsessive-compulsive personality disorder patterns in the patient was consistent with low self-knowledge, high narcissism, low machiavelism, low psychopathy, low self-esteem, high fundamentalism, high repression, low mindfulness, low self-compassion, and high social desirability. Findings of this study explored the main normal and abnormal personality charachteristics associated with leukemia. Identifying and planning for managing the effects of these kind of personality patterns could empower psychotherapeutic protocols and also increase therapeutic compliance in patients with lukemia.
Afrooz Afshari, Maryam Homayoun Poor, Narges Seraj Poor, Zahra Taheri,
Volume 13, Issue 1 (5-2019)
Abstract
Cancer is an unpredictable stressor in children and has a psychological impact on their lives. Understanding the children's view about their condition, provide better services and eliminating barriers that effects on accepting treatment by the child. The aim of present study was to explore and understand the perspectives of children with cancer about their disease. The present study was a qualitative investigation that conducted by content analysis method in which 20 hospitalized children aged 4-12 years suffering from different type of cancer were selected through purposive sampling and sampling continued until data saturation. To explore the perspectives of children about cancer and its consequences, content analysis of the drawings (by psychoanalytic approach) and the recorded semi-structured interviews were conducted. Data analysis was conducted continuously and simultaneously with data collection and with a comparative method using MAXQDA software. Approximately 1020 codes were identified by the implementation of recorded interviews and drawings of children by open coding. The data coded were finally summarized in five categories: 1. Concerns relative to the place of treatment; 2. Concern with physical problems due to illness and pain; 3. post-traumatic growth, 4. negative problems due to illness, 5. Family consequences of the disease, and 6. The child's view of the process of the disease.
Himan Naderzadeh, Mahdea Salehy, Marjan Jafariroshan, Roya Kochakentazar,
Volume 13, Issue 1 (5-2019)
Abstract
Clinical and epidemiological studies have proved the role of cognitive processes in the formation and continuity of social anxiety. This study aimed to predict the social anxiety symptoms among adolescents based on the early maladaptive schemas and cognitive distortions. Population included all junior high-school students in Marivan city and among whom 400 students (200 males and 200 females) were selected as samples. To select sample size, the researcher referred to the selected high schools and distributed Connor’s social phobia index questionnaire among students who were suspicious of suffering from social anxiety (diagnosed by schools consultants and consistent with symptoms indicated in DSM-V). Upon the completion of the questionnaire, the students with confirmed social anxiety disorder were randomly selected as the sampling of the study. Data were gathered using social anxiety questionnaire, early maladaptive schemas questionnaire (short form) and cognitive distortions questionnaire. The collected data analyzed using Structural Equation Model. The results showed the structural model was fit. Five areas of the early maladaptive schemas (disconnection and rejection, impaired autonomy and performance, impaired limits, directedness, over-vigilance, and inhibition) can predict 63% of social anxiety. There was a direct and significant correlation between the variables of the early maladaptive schemas and social anxiety. Bootstrapping analysis revealed cognitive distortions served as a mediator between the early maladaptive schemas and social anxiety symptoms. The results of this study supported the role of the early maladaptive schemas as a vulnerability factor in social anxiety and the role of cognitive distortions as a linking mechanism between the early maladaptive schemas and social anxiety.
Valiollah Ramezani, Mohammad Saeed Abd Khodaee, Zahra Tabibi, Hamid Reza Aghamohammadian,
Volume 13, Issue 1 (5-2019)
Abstract
The aim of this study was to investigate the healthy and pathological aspects of parenting among Iranian’s families. This study had a qualitative design and the method used is Grounded Theory. The population consisted of all Muslim parents with children over 10 years of age, living in Tehran and Karaj during the summer of 2016 to the summer of 2017. The sample consisted of 44 Muslim parents who were investigated through semi-structured interviews. The interviews' data were analyzed on the basis of grounded theory coding (coding paradigm or Strauss and Corbine method). Final codings consisted of 216 initial codes, 9 clusteres and 3 themes. In the axial analysis of the initial codes, 9 main clusters were extracted: rejection; kindness/support; over protection; inflexibility; optimum structure; chaos; coercion; assertiveness; autonomy support; negligence/passivity. Althought Theses clusters can be conceptually distinguished, but they have common features. In the selective coding, 9 clusters were integrated around 3 major themes : Intimacy (rejection; kindness/support; over protection); structure/rule (inflexibility; optimum structure; chaos); autonomy/freedom of action (coercion; assertiveness; autonomy support; negligence/passivity). Among these three themes, the medium cluster draws a balanced and healthy situation and two other clusters represent the pathological aspects of parenting. The results of this study showed that most of the parents involved in the study used a kind of authoritarian parenting style(the combination of over protection, inflexibility and coercion) and Healthy parenting (the combination of kindness/support, optimum structure and autonomy support) is located in the second rank.
