نشریه مدیریت ارتقای سلامت
سال سیزدهم شماره 2 (پیاپی 66، فروردین و اردیبهشت 1403)

Patients with obsessive-compulsive disorder have problems associated with the disorder and have a low hope. The aim of the present study was to compare the effectiveness of "Cognitive-Behavioral Therapy" and "Metacognitive Therapy" on hope of patients with obsessive-compulsive disorder.

The research method was semi-experimental with a pre-test-post-test-follow-up plan with a control group. The statistical population of the study was all patients with obsessive-compulsive disorder who referred to the psychological counseling centers of the 5th district of Tehran in 1401.Among them, 45 patients with a low hope score were randomly selected and replaced in 3 groups of "Cognitive-Behavioral Therapy" and "Metacognitive Therapy" and the control group. Demographic questionnaire and "Yale-Brown Obsessive-Compulsive Scale" and "Miller Hope Scale" were used to collect data. For the validity of the instruments, previous studies were used and reliability was calculated using the internal consistency method by calculating the Cronbach's alpha coefficient.For the "Cognitive-Behavioral Therapy" group, 2 sessions were performed during 10 sessions of 90 minutes each week, and for the "Metacognitive Therapy" group, 2 sessions were performed during 10 sessions of 90 minutes each week. The control group did not receive any intervention during the research. The data was analyzed in SPSS. 16.

"Cognitive-Behavioral Therapy" and "Metacognitive Therapy" were effective in improving the hope of patients with obsessive-compulsive disorder (P<0.01) and no significant difference was observed between the two therapy methods.

"Cognitive-Behavioral Therapy" and "Metacognitive Therapy" improved the life expectancy of patients with obsessive-compulsive disorder. Therefore, the above two therapy methods are recommended.

Health locus of control and perceived social support are among the effective factors on psycho-social adjustment to illness. The aim of this study is prediction of psycho-social adjustment to illness based on health locus of control with the mediation of perceived social support in women with polycystic ovary syndrome.

The research method was descriptive correlation type. The statistical population of this research was made up of women suffering from polycystic ovary syndrome who were referred to clinics in the West of Tehran city in the Spring of 2023. Among them, 208 people by sampling were selected purposefully. Research instruments include Demographic Questionnaire, "Psychosocial Adjustment to Illness Scale”, "Multidimensional Health Locus of Control Scale" and "Multidimensional Scale of Perceived Social Support". The validity of the instruments was measured using content validity using a qualitative method and reliability using the internal consistency method by calculating Cronbach's alpha coefficient. The collected data were analyzed in SPSS.24 and AMOS.24.

Health locus of control was able to predict psychosocial adjustment to illness in women with polycystic ovary syndrome (β=0.549, P=0.010). Perceived social support was able to predict psychosocial adjustment to illness in women with polycystic ovary syndrome (β=0.183, P=0.010). Health locus of control was able to predict psychosocial adjustment to illness in women with polycystic ovary syndrome with the mediation of perceived social support (β=0.055, P=0.010).

The results of the present study showed that the locus of health control predicts psychosocial adjustment to illness in women with polycystic ovary syndrome through the mediation of perceived social support. Health counselors and psychologists should provide social support and improve the health locus of control of women with polycystic ovary syndrome to make them psychosocial adjustment to illness.

Upon entering the university environment, students face different challenges, including how to communicate with classmates. The purpose of this research is to predict  multidimensional body-self relations based on traumatic childhood and perceptions of parent, mediated by identity styles in among university students of Zanjan Branch Islamic Azad University

The current research is descriptive-correlational. The statistical population of all students of Islamic Azad University, Zanjan branch in the academic year of 2022-2023 was (9223 people) and using Morgan's table, 322 were selected by stratified random sampling method (society was heterogeneous). Data collection instruments include: demographic questionnaire, "Multidimensional Body-Self Relations Questionnaire", "Childhood Trauma Questionnaire", “Perceptions of Parent Scale” and “Identity Styles Questionnaire”. For the validity of the instruments, previous researches were used and reliability was calculated using the internal consistency method by calculating the Cronbach's alpha coefficient. Data analysis was done using the structural equation model through statistical software SPSS. 24 and AMOS. 24.

There is a significant positive inverse correlation between traumatic childhood and multidimensional body-self relations and parents' perception and identity styles (P<0.01). Normative identity style had a mediating role in the relationship between traumatic childhood and multidimensional body-self relations, as well as identity styles in the relationship between parents' perception and multidimensional relationships of body-self (P<0.01).

Multidimensional body-self relations are predicted by traumatic childhood and parental perceptions mediated by identity styles. It is suggested to increase the level of parents' awareness by holding training courses on parenting styles and creating a healthy environment to reduce childhood injuries to improve multidimensional body-self relations.

Breaking the marital contract is one of the most traumatic issues that women face and it can lead to cognitive, emotional and behavioral symptoms in them. The present study was conducted with the aim of comparing the effectiveness of "Existential Acceptance and Commitment Therapy" with "Compassion-Based Therapy" on self-differentiation and life expectancy in women affected by husband's breach of contract.

The present research was semi-experimental with a pre-test-post-test, follow-up and control group design. The statistical population of the present study were women affected by the breach of contract by their husbands who referred to counseling and screening centers in Isfahan city in the Spring of 2023, of which 51 were randomly assigned to the first and second intervention groups and the control group (17 in each group). Research tools included: demographic questionnaire, "Self of Differentiation Inventory" and "Life Expectancy Questionnaire". Content validity was measured by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. The participants of the "Existential Acceptance and Commitment Therapy" group and the "Compassion-Based Therapy" group were treated during 10 sessions 90-minute. The control group received the treatment after the completion of the study. Data were analyzed using SPSS. 22.

The results of analysis of variance with repeated measures and Bonferroni's post hoc test showed that "Existential Acceptance and Commitment Therapy" and "Compassion-Based Therapy" were effective in increasing self-differentiation and life expectancy in women affected by husband's breach of contract (P<0.01). There was no significant difference between the effect of two treatment methods on self-differentiation and hope for the future (P<0.01).

"Existential Acceptance and Commitment Therapy" and "Compassion-Based Therapy " have been effective in increasing self-differentiation and life expectancy in women affected by husband's breach of contract. Therefore, it is suggested to therapists, marriage and family counselors that the above treatment methods are used to reduce the conflicts of women who are affected by their spouse's breach of contract.

In order to achieve the development of health in the world, the role of women should be paid attention to, especially during youth and pregnancy. Therefore, the current research was conducted with the aim of comparing self-compassion, acceptance and action and perceived stress in pregnant and non-pregnant women aged 18 to 30 in Qom city.

The present research method was descriptive-comparative. The statistical population included all pregnant and non-pregnant women aged 18-30 who lived in Qom city in 2022. The research sample consisted of 185 people who were selected by the convenience method. Data collection instruments included demographic questionnaire, "Self-Compassion Scale", "Acceptance and Action Questionnaire-II" and "Perceived Stress Scale". The validity of the tools was limited to previous researches. The reliability of the instruments was measured by internal consistency method by calculating Cronbach's alpha coefficient. Data collection was done from clients present in the clinics and offices of obstetricians and gynecologists in Qom city. The obtained data were analyzed in SPSS. 26.

The results of multivariate analysis of variance and t-test showed that there is no significant difference between self-compassion and acceptance and action of pregnant and non-pregnant women, but there is a difference between the perceived stress of pregnant and non-pregnant women in the subscale of positive perception of tension. It is significant at the error level of 0.05.

The positive perception of tension in pregnant women is more than that of non-pregnant women. Therefore, therapists and counselors are suggested to conduct training courses to increase the positive perception of tension for young non-pregnant women.

An increase in blood pressure in adulthood is associated with a decline in hope in hypertensive patients, and it seems that with the help of "Existential Group Therapy", hope can be improved in hypertensive patients. The aim of the present study was the effectiveness of "Existential Group Therapy" on hope in patients with hypertension.

The study method was semi-experimental with a pre-test, post-test and follow-up design with a control group. The statistical population of this research included patients suffering from high blood pressure referred to Atiyeh Hospital in Tehran in Autumn and Winter of 2022. Among them, 30 people were selected by purposeful sampling and randomly and with lottery assigned to the intervention group and the control group. Research instruments included demographic questionnaire and "Snyder Hope Scale". Content validity of the instruments was measured by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. After conducting 10 sessions of "Existential Group Therapy" for the intervention group, the data were analyzed in SPSS .24.

“Existential Group Therapy” had an effect on the subscales of pathways thinking and agency thinking (P=0.001) and had an increasing effect. The effect of time increased the subscales of pathways thinking and agency thinking (P=0.001) compared to the pre-test stage. The interaction effect of time*groups compared to the control group (P=0.001) was effective on the subscales of pathways thinking and agency thinking.

"Existential Group Therapy" was effective in increasing hope in patients with hypertension. It is suggested that in order to increase hope in patients with high blood pressure, "Existential Group Therapy" courses should be held for these patients along with drug treatments.

It is very important to implement psychological treatments to reduce anxiety and addiction to mobile phone. The aim of the present study was to determine the effectiveness of "Solution Focused Therapy" on anxiety and addiction to mobile phone in male students.

The research method was semi-experimental with a pre-test-post-test-follow-up design of 2 months with a control group. The statistical population included all male students of the first secondary level of Borujerd city in the academic year of 2022-2023. Among them, 30 people were selected by the convenience non-random sampling method and were replaced in 2 intervention groups (15 people) and control (15 people) in a simple random way using lottery. The research instruments included demographic questionnaire, "Mobile Phone Addiction Questionnaire" and "Revised Children's Manifest Anxiety Scale". Content validity of instruments was measured by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. After 8 sessions of "Solution Focused Therapy" for the intervention group, the data were analyzed in SPSS.22.

"Solution Focused Therapy” over time has been effective in reducing anxiety (P=0.01, F=99.86) and mobile phone addiction (P=0.01, F=216.13) in male students. 

“Solution Focused Therapy” was effective in reducing anxiety and addiction to mobile phones in male students. It is suggested that in order to reduce anxiety and mobile phone addiction, training courses on the above therapy should be held for students.

Violence and its negative consequences for nurses and patients became more intense due to stressful work conditions during the outbreak of the Covid-19 disease. The aim of the current research is to determine the effectiveness of group training "Anger Control Management" on self-control and social sufficiency in nurses in the inpatient wards of Covid-19 patients in the teaching hospitals of Mashhad University of Medical Sciences.

The method of the current research was semi-experimental, pre-test-post-test with a control group and in 3 stages (pre-test, post-test and follow-up 1 month later). The statistical population of the research was nurses working in the inpatient wards of Covid-19 patients in the teaching hospitals of Mashhad University of Medical Sciences during the fall and winter of 2022. The sample consisted of 30 people who were selected by convenience sampling method and by simple random by random number method, they were divided into 2 intervention groups of group training "Anger Control Management" (15 people) and control (15 people). The data was collected with a demographic questionnaire, "Tangney Self-Control Scale" and "Social Competence Questionnaire" and in terms of validity and reliability, previous studies were used. First, a pre-test was taken from all members of the intervention and control groups. Then the intervention group received 8 sessions of "Anger Control Management" group training. After the end of the intervention, both groups participated in the post-test. The data was analyzed in SPSS.27.

Anger control management" group training is effective in self-control and increases it significantly (P-value<0.001). "Anger Control Management" group training has an effect on social competence and increases it significantly (P-value<0.001).

"Anger Control Management" group training increased self-control and social competence. Therefore, it is suggested to use this therapeutic intervention as an in-service training program to increase self-control and social adequacy in the nursing profession.