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عضویت

فهرست مطالب amir sam kianimoghadam

  • Homa Shahkaram, Amir Sadeghi, Abbas Masjedi Arani, Maryam Bakhtiari, Amir Sam Kianimoghadam *
    Aim

    This study aimed to investigate whether transdiagnostic treatment as well as acceptance and commitment therapy (ACT) could improve treatment adherence and alleviate gastrointestinal symptoms plus perceived stress in patients suffering from irritable bowel syndrome.

    Background

    Research has shown that people with chronic diseases often have negative attitudes toward medications, especially when they also have psychiatric disorders. This, along with the complex dosing requirements and inadequate knowledge about medication adherence among irritable bowel syndrome patients, can affect the treatment efficacy.

    Methods

    A randomized clinical trial was conducted using a pre-test-post-test design. The statistical population included patients with irritable bowel syndrome referring to Taleghani Hospital in Tehran between winter 2021 and spring 2022. Convenience sampling was used to select 30 individuals, with 15 people assigned to each group. Two types of psychotherapy were provided online and individually to the participants. The desired treatments were given to the transdiagnostic treatment and ACT groups in eight weekly sessions of 45-60 minutes.

    Results

    There was no significant difference between the transdiagnostic treatment pre-test and ACT regarding perceived stress, medication adherence, and gastrointestinal symptoms (P>0.05). There was no significant difference either between the transdiagnostic treatment and ACT post-test. However, there was a significant difference between the pre-test and post-test phases of ACT regarding adherence, gastrointestinal symptoms, plus perceived stress (P<0.05) and transdiagnostic treatment regarding gastrointestinal symptoms (P<0.05).

    Conclusion

    Specialists may use transdiagnostic treatment and ACT as effective psychological treatments to alleviate gastrointestinal symptoms and perceived stress, thereby increasing treatment adherence in patients with irritable bowel syndrome.

    Keywords: Acceptance, Commitment Therapy, Medication Adherence, Irritable Bowel Syndrome, Stress, Physiological}
  • Ali Hosseinzadeh Oskouei, Mohammadsadegh Zamani Zarchi, Mandana Piryaei, Hamid Yaghubi, Jamal Shams, Amir Sam Kianimoghadam *

    The issue of suicide among medical residents in Iran has received significant attention in recent years.

    Keywords: Iran, Medical Residency, Risk Factors, Suicide}
  • امیرسام کیانی مقدم، ساینا فتح الله زاده، مهدیه موثقی، مصطفی اسماعیلی*
    سابقه و هدف

    مهارت زندگی اسلامی در ابعاد وسیعی از زندگی مسلمانان موثر است. این مهارت ها به تحول شخصی و معنوی منجر می شود و به مسلمانان کمک می کند تا خود را با هنجار های جامعه اسلامی منطبق سازند. با توجه به اهمیت سازه مهارت زندگی اسلامی، ایجاد ابزاری دقیق برای سنجش آن ضروری است؛ ازاین رو پژوهش حاضر به منظور بررسی روایی و پایایی پرسش نامه مهارت زندگی اسلامی صورت گرفته است.

    روش کار

    مطالعه حاضر از نوع توصیفی است. جامعه آماری پژوهش 150 دانشجوی دانشگاه علوم پزشکی شهید بهشتی بودند که به صورت دردسترس انتخاب شدند و به پرسش نامه معنویت پارسیان و دونینگ، پرسش نامه سنجش اعتقادات دینی زارع و امین پور و پرسش نامه مهارت زندگی اسلامی پاسخ دادند. روایی و پایایی پرسش نامه مهارت زندگی اسلامی به کمک تحلیل آماری همبستگی پیرسون، تحلیل آلفای کرونباخ و تحلیل عاملی به دست آمد. در این پژوهش همه موارد اخلاقی رعایت شده است و مولفان مقاله تضاد منافعی گزارش نکرده اند.

    یافته ها

    بر اساس نتایج به دست آمده، بین متغیرهای معنویت، اعتقاد دینی و مهارت زندگی اسلامی رابطه مثبت و معناداری یافت شد. میزان آلفای کرونباخ برای پرسش نامه مهارت زندگی اسلامی 92/0 به دست آمد. چهار عامل به دست آمده از این پرسش نامه شامل توجه به فرمان های الهی در زندگی، توجه به حقوق دیگران، توجه به توانمندی های شخصی و توجه به خود بود.

    نتیجه گیری

    یافته ها نشان داد که پرسش نامه مهارت زندگی اسلامی روایی و پایایی مناسبی دارد و پژوهشگران می توانند از این پرسش نامه در جهت گسترش دستاوردهای علمی اسلامی بهره ببرند.

    کلید واژگان: اعتقاد دینی, بازتولید نتایج, روان سنجی, معنویت}
    Amir Sam Kianimoghadam, Saina Fatollahzadeh, Mahdiyeh Movassaghi, Mostafa Esmaeili*
    Background and Objective

    Islamic life skills appear in all aspects of people's life. These skills lead to personal and spiritual transformation. According to the mentioned structure of Islamic life skills, it is essential to create a precise instrument to measure it. Therefore, the present study was conducted to examine the validity and reliability of the Islamic Life Skills Questionnaire.

    Methods

    The present study is descriptive. The statistical population of the study was 150 students in Shahid Beheshti University of Medical Sciences, who were selected based on their availability and answered Parsian and Donning's Spirituality Questionnaire, Zare's and Aminpour's Religious Beliefs Questionnaire, and Islamic Life Skills Questionnaire. The validity and reliability of the Islamic Life Skills Questionnaire were determined using Pearson’s correlation statistical analysis, Cronbach's alpha analysis and factor analysis. In this research, all ethical considerations were observed and the authors of the article did not report any conflict of interest.

    Results

    Based on the results obtained, a positive and significant relationship was found between the variables of spirituality, religious belief, and Islamic life skills. Cronbach's alpha for the Islamic Life Skills Questionnaire was 0.92. The four factors obtained from this questionnaire include: paying attention to God's commands in life, paying attention to the rights of others, paying attention to personal capabilities and paying attention to oneself.

    Conclusion

    The findings showed that the Islamic Life Skills Questionnaire is valid and reliable; Future researchers can use this questionnaire to expand Islamic science.

    Keywords: Psychometrics, Religious Belief, Reproducibility Of Results, Spirituality}
  • ساینا فتح الله زاده، بنفشه مهاجرین ایروانی، امیرسام کیانی مقدم، مریم بختیاری*
    سابقه و هدف

     معنویت در ابعاد گوناگون زندگی روانی انسان نقش بازی می کند. یکی از این ابعاد خودتنظیمی شناختی - هیجانی است که مطالعات صورت گرفته گواهی بر پیش بینی آن توسط معنویت است. متخصصان سلامت بخش کووید 19 از هر دو متغیر خودتنظیمی هیجانی و معنویت به عنوان راهبرد مقابله ای استفاده می کنند. هدف این مطالعه بررسی رابطه تک به تک ابعاد معنویت با ابعاد خودتنظیمی شناختی - هیجانی در جمعیت کارکنان بخش کنترل و پیشگیری از کووید 19 بوده است.  

    روش کار

     این مطالعه از نوع توصیفی - همبستگی است. جامعه آماری پژوهش کارکنان فعال در بخش پیشگیری و کنترل کووید 19 مراکز بهداشت بودند. 119 نفر از کارکنان بهداشت مراکز بهداشت که دست کم به مدت 6 ماه در معرض کووید 19 قرار داشتند در این مطالعه شرکت کردند و به پرسش نامه تنظیم شناختی - هیجانی گارنفسکی و کرایج و پرسش نامه معنویت پارسیان و دونینگ پاسخ دادند. در این پژوهش همه موارد اخلاقی رعایت شده است و مولفان مقاله تضاد منافعی گزارش نکرده اند.

    یافته ها

     نتایج نشان داد نیاز معنوی با تمرکز مجدد مثبت (24/0=r)، تمرکز مجدد بر برنامه ریزی (41/0=r)، ارزیابی مجدد مثبت (41/0=r) و دیدگاه گیری (27/0=r) رابطه مثبت و معناداری داشت. فعالیت معنوی با تمرکز مجدد مثبت (35/0=r)، تمرکز مجدد بر برنامه ریزی (39/0=r)، ارزیابی مجدد مثبت (31/0=r) و دیدگاه گیری (32/0=r) رابطه مثبت و معنادار و با فاجعه سازی رابطه منفی (22/0=r) و معناداری داشت. همچنین، خودآگاهی با تمرکز مجدد مثبت (38/0=r)، تمرکز مجدد بر برنامه ریزی (43/0=r)، ارزیابی مجدد مثبت (34/0=r) و دیدگاه گیری (26/0=r) رابطه مثبت و با فاجعه سازی (29/0=r)، ملامت دیگری (23/0=r) و نشخوار فکری (25/0=r) رابطه منفی و معناداری داشت. علاوه براین، بین اهمیت معنوی با تمرکز مجدد مثبت (23/0=r)، تمرکز مجدد بر برنامه ریزی (28/0=r)، ارزیابی مجدد مثبت (30/0=r) و دیدگاه گیری (23/0=r) نیز رابطه مثبت و معنادار وجود داشت.

    نتیجه گیری

     بین ابعاد گوناگون معنویت و خود تنظیمی شناختی - هیجانی در جمعیت کارکنان بخش کنترل و پیشگیری از کووید 19رابطه معنادار وجود داشت و بیشترین رابطه متعلق به ابعاد خودآگاهی معنویت و تمرکز مجدد بر برنامه ریزی خودتنظیمی شناختی - هیجانی بود.

    کلید واژگان: آگاهی, ارائه مراقبت های بهداشتی, تنظیم هیجانی, کووید 19, معنویت}
    Saina Fatollahzadeh, Banafsheh Mohajerin, Amirsam Kianimoghadam, Maryam Bakhtiari*
    Background and Objective

    Spirituality plays a role in various dimensions of human psychological life. One of these dimensions is emotional cognitive regulation, which studies have shown to be predicted by spirituality. COVID-19 healthcare professionals use both emotional self-regulation and spirituality as coping strategies. The aim of this study was to investigate the relationship between individual dimensions of spirituality and emotional cognitive regulation among employees in the COVID-19 prevention and control sector.

    Methods

    This study is a descriptive correlational. The sample population consisted of active employees in the COVID-19 prevention and control sector of health centers. 119 health center employees who had been exposed to COVID-19 for at least six months participated in this study and responded to the Garnefski and Kraaij’s Cognitive Emotion Regulation Questionnaire and the Parsian and Dunning’s Spirituality Questionnaire. All ethical considerations were observed in this research, and the authors did not report any conflicts of interest.

    Results

    The results showed a significant positive relationship between spiritual meaning and positive refocusing (r=0.24), positive reappraisal (r=0.41), positive refocusing (r=0.41), and perspective taking (r=0.27). Spiritual activity had a significant positive relationship with positive refocusing (r=0.35), positive reappraisal (r=0.39), positive refocusing (r=0.31), and perspective taking (r=0.32), and a negative and significant relationship with catastrophizing (r=-0.22). Additionally, self-awareness had a significant positive relationship with positive refocusing (r=0.38), positive reappraisal (r=0.43), positive refocusing (r=0.34), and perspective taking (r=0.26), and a negative and significant relationship with catastrophizing (r=-0.29), other-blame (r=-0.23), and rumination (r=-0.25). Furthermore, there was a significant positive relationship between the importance of spirituality and positive refocusing (r=0.23), positive reappraisal (r=0.28), positive refocusing (r=0.30), and perspective taking (r=0.23).

    Conclusion

    There was a significant relationship between various dimensions of spirituality and emotional cognitive regulation among employees in the COVID-19 prevention and control sector, with the highest correlation belonging to the dimensions of spiritual self-awareness and positive refocusing on cognitive-emotional regulation.

    Keywords: Awareness, COVID-19, Emotional Regulation, Healthcare Delivery, Spirituality}
  • Mahin Noroozi Dashtaki, Mohammadsadegh Zamani Zarchi, Ali Hosseinzadeh Oskouei, Mona Baghbani Nader, Amirsam Kianimoghadam*
    Introduction

    The postpartum period is associated with stress due to extensive psychological and physiological changes that occur in women. These changes may result in a re-evaluation of sexual function and related factors. 

    Objective

    The main aim of this study was to investigate the relationship between body image concern and sexual function with the mediating role of sexual self-esteem among women in the postpartum period. 

    Materials and Methods

    In this descriptive-analytical correlational research, the study population consisted of all women referring to medical centers affiliated with the Tehran University of Medical Sciences, Tehran City, Iran, in 2022. The sample consisted of 239 participants selected by multi-stage convenient sampling. The female sexual function index, body image concern inventory, and sexual self-esteem inventory were used to collect data, which were analyzed using Pearson correlation and structural equation modeling.

    Results

    The data analyses from 239 participants with a mean age of 32.42±6.60 years indicated a significant correlation between body image concern and sexual self-esteem (P=0.01, r=-0.54). In addition, there was a significant correlation between sexual self-esteem and female sexual function (P=0.01, r=0.43). Although there was a significant relationship between body image concern and female sexual function, this correlation was not strong enough (P=0.01, r=-0.24). The results of path analysis also indicate that body image concern is not directly related to women’s sexual function. Still, it can indirectly play a role in women’s sexual function through sexual self-esteem. 

    Conclusion

    Based on the results, body image concern affects sexual function among women after childbirth through sexual self-esteem. Thus, mental health professionals are recommended to consider body image concerns and sexual self-esteem to select the most appropriate treatment for sexual dysfunction in women.

    Keywords: Body Image, Postpartum, Self-Esteem, Sexual, Women}
  • معصومه خیرخواه، زهره کیانی*، امیرسام کیانی مقدم، زهرا امان اللهی، فاطمه فرشاد، مریم معادی اصفهان
    اهداف

    سقط جنین یکی از پدیده های آسیب زا در زندگی زنان است. ترومای حاصل از آن سبب ترس از تکرار سقط، ناامیدی، ناتوانی، کاهش اعتمادبه نفس، انزوا و اختلال در سلامت روان و کاهش کیفیت زندگی می شود. مطالعه حاضر باهدف تعیین تاثیر مشاوره مراقبتی حمایتی بر کیفیت زندگی زنان باردار با سابقه سقط جنین اجرا شد. 

    مواد و روش ها 

    این مطالعه یک کارآزمایی کنترل شده تصادفی بود. نمونه شامل 72 زن باردار با سابقه سقط بود که برای دریافت مراقبت های دوران بارداری به مراکز جامع سلامت دانشگاه علوم پزشکی اصفهان مراجعه کرده بودند. ابزار گردآوری اطلاعات پرسش نامه جمعیت شناختی و کیفیت زندگی بود. گروه آزمایش در طی 3 جلسه (2 جلسه اول حضوری و جلسه سوم تلفنی) مداخله مبتنی بر رویکرد سوانسون را دریافت کردند، اما در طی این دوران گروه کنترل مداخله ای دریافت نکرد. داده ها در 3 مرحله (پیش آزمون، پس آزمون و پیگیری) از مداخله از 2 گروه گردآوری شد. به دلیل ملاحظات اخلاقی، پس از اتمام گردآوری داده ها، مداخله مبتنی بر روش سوانسون بر روی گروه کنترل نیز اجرا شد. داده ها با آزمون های آماری کای اسکوئر، تی زوجی، تحلیل واریانس تکراری، تی تست، تحلیل واریانس با اندازه های تکراری دو طرفه با نرم افزار SPSS نسخه 25تحلیل شد.

    یافته ها 

    هر دو گروه ازنظر مشخصات جمعیت شناختی و کیفیت زندگی قبل از مداخله مشابه بودند (0/05>P). 4 هفته و 8 هفته بعد از مداخله میانگین نمره کسب شده در گروه آزمایش بالاتر از کنترل بود (0/05>P).  در 8 هفته بعد از مداخله نمره کیفیت زندگی در ابعاد عملکرد جسمی (0/009=P)، عملکرد اجتماعی (0/039=P)، ایفای نقش هیجانی (0/004=P) و درد بدنی (0/004=P) بیشتر از کنترل بود (0/05>P).

    نتیجه گیری 

    روش مشاوره مراقبتی حمایتی به عنوان یک مداخله مامامحور کیفیت زندگی زنان باردار با سابقه سقط جنین را بهبود می بخشد. بنابراین می توان از این رویکرد در مراقبت های زنان باردار با سابقه سقط جنین استفاده کرد.

    کلید واژگان: مشاوره مراقبتی حمایتی, کیفیت زندگی, زنان باردار, سقط جنین, درمانی, نظریه مراقبتی سوانسون}
    Masoomeh Kheirkhah, Zohre Kiani*, AmirSam Kianimoghadam, Zahra Amanollahi, Fatemeh Farshad, Maryam Maadi Esfahan
    Objectives 

    Abortion is one of the most traumatic events in a woman's life. The resulting trauma leads to the fear of repeat abortion, despair, inability, reduced self-confidence, isolation, mental health problems, and reduced quality of life (QoL). The present study aims to determine the effect of supportive counseling on the QoL of pregnant women with a history of abortion.

    Methods

    This is randomized controlled trial study. Participants were 72 pregnant women with a history of abortion referred to comprehensive health centers in Isfahan, Iran to receive prenatal care. The data collection instruments were a demographic form and the 36-item short form health survey. The intervention group received counseling based on Swanson’s caring theory at three sessions (two face-to-face counseling sessions and one telephone counseling session), while the control group received no intervention. Data were collected  in three phases (pre-test, post-test, and follow-up), and analyzed using chi-square test, paired t-test, repeated measures analysis of variance, t-test, and two-way repeated measures analysis of variance in SPSS software, version 25.

    Results 

    Both groups were similar in demographic characteristics and QoL before the intervention (P>0.05). Four and 8 weeks after the intervention, the mean score of QoL was higher in the intervention group than in the control group (P<0.05). Eight weeks after the intervention, the QoL score was higher than in the control group in dimensions of physical functioning (P=0.009), social functioning (P=0.039), role-emotional (P=0.004), and bodily pain (P=0.004).

    Conclusion

    Supportive counseling based on Swanson’s caring theory, as a midwife-centered intervention, can improve the QoL pregnant women with a history of abortion. This approach can be used in providing care to the pregnant women with a history of abortion.

    Keywords: Supportive care, Quality of life (QoL), Pregnant women, Abortion, Therapeutic, Swanson’s caring theory}
  • فرناز دوستداری، مهیار ارض پیما، زهرا امان اللهی، امیرسام کیانی مقدم*

    اهداف:

     این مطالعه باهدف بررسی روایی و پایایی نسخه فارسی مقیاس بی اعتمادی وسواسی در جمعیت دانشجویان ایرانی انجام شد. با وجود اهمیت بی اعتمادی وسواسی به عنوان شکل رایجی از اختلال وسواسی جبری رابطه ای و همچنین آشفتگی هایی که می تواند در زندگی مشترک افراد ایجاد کند، ابزار مناسبی جهت سنجش بی اعتمادی وسواسی در جمعیت ایرانی وجود ندارد. برخورداری از مقیاسی روا و معتبر برای سنجش این سازه در پژوهش ها، ضرورتی اجتناب ناپذیر به نظر می رسد.

    مواد و روش ها :

    در این مطالعه توصیفی، 365 نفر از دانشجویان متاهل دانشگاه علوم پزشکی شهید بهشتی که در بهار و تابستان سال تحصیلی 1400-1401 مشغول به تحصیل بودند، با استفاده از روش نمونه گیری دردسترس انتخاب شدند. پایایی نسخه فارسی مقیاس بی اعتمادی وسواسی، با استفاده از همسانی درونی آلفای کرونباخ مورد ارزیابی قرار گرفت. روایی سازه از طریق تحلیل عاملی تاییدی مورد ارزیابی قرار گرفت. برای ارزیابی روایی همگرای مقیاس بی اعتمادی وسواسی، از مقیاس افسردگی، اضطراب و استرس، پرسش نامه علایم وسواسی اجباری مربوط به شریک و پرسش نامه بازنگری شده وسواس فکری عملی استفاده شد.

    یافته ها :

    نتایج تحلیل عاملی تاییدی، از ساختار تک عاملی مقیاس بی اعتمادی وسواسی حمایت کرد. همچنین ارزیابی روایی همگرا، همبستگی مثبت و معناداری بین نسخه فارسی مقیاس بی اعتمادی وسواسی و پرسش نامه های علایم وسواسی اجباری مربوط به شریک، مقیاس افسردگی، اضطراب و استرس و پرسش نامه بازنگری شده وسواس فکری عملی نشان داد (0/01>P). آلفای کرونباخ برای این مقیاس 0/94 به دست آمد.

    نتیجه گیری:

     نسخه فارسی مقیاس بی اعتمادی وسواسی از ویژگی های روان سنجی مناسبی در جمعیت ایرانی برخوردار است . نسخه فارسی مقیاس بی اعتمادی وسواسی را می توان در زمینه های بالینی و تحقیقاتی برای غربالگری، تشخیص و پایش بی اعتمادی وسواسی در اختلال وسواسی جبری رابطه ای استفاده کرد.

    کلید واژگان: بی عتمادی وسواسی, روان سنجی, تحلیل عاملی}
    Farnaz Doostdari, Mahyar Arzpeyma, Zahra Amanollahi, AmirSam Kianimoghadam*

    Objectives:

     Despite the importance of obsessive distrust as a common type of relationship obsessive-compulsive disorder (ROCD), there is no suitable scale to measure this structure in the Iranian population. Therefore, this study aims to investigate the psychometric properties of the Persian version of the obsessive distrust inventory (ODIS) for Iranian college students

    Methods:

     In this descriptive psychometrics study, 365 married students from Shahid Beheshti University of Medical Sciences in 2021-2022 participated. They were selected using a convenience sampling method. The internal consistency of the Persian ODIS was evaluated using Cronbach’s alpha coefficient. Construct validity was assessed using confirmatory factor analysis (CFA). Depression anxiety and stress scale-21 (DASS-21), partner-related obsessive-compulsive symptom inventory (PROCSI), and obsessional compulsive inventory – revised (OCI-R) were used to evaluate convergent validity.

    Results:

     The CFA results confirmed the single-factor structure of the Persian ODIS. The convergent validity assessment showed the significant positive correlation of the Persian ODIS with the scores of DASS-21, PROCSI, and OCI-R (P<0.01). The Cronbach’s alpha for the overall scale was obtained as 0.94

    Conclusion:

     The Persian ODIS has acceptable validity and reliability for the Iranian population. It can be used in clinical and research fields to screen, diagnose, and monitor obsessive distrust in ROCD.

    Keywords: Obsessive distrust inventory, Psychometrics, Factor Analysis}
  • Saina Fatollahzadeh, Amir Sam Kianimoghadam, Rogayeh Bahri, Maryam Khesali, Zahra Pour Seyyed Aghaei, Abbas Masjedi Arani *
    Background

    Vitiligo is a disease of progressive and permanent skin depigmentation. This disease impacts patients’ quality of life through psychological distress, which shows itself in various ways. This distress includes shame and internal self-criticism in patients with vitiligo. Resilience can appear as the strength against distress.

    Objectives

    This research aimed to assess the impact of compassion-focused therapy (CFT) on various outcomes, including resilience, shame, internal self-criticism, and quality of life in individuals with vitiligo.

    Methods

    In this study, an RCT design was employed, incorporating both pre- and post-test evaluations alongside a control group, to examine the impact of CFT on resilience, shame, internal self-criticism, and quality of life in patients with vitiligo. Forty patients with vitiligo were selected from Razi Dermatology Hospital in Tehran in 2019. The participants were randomly assigned to either a control or experimental group. The World Health Organization Quality of Life Questionnaire, Connor-Davidson Resilience Scale, levels of self-criticism scale, and Internalized Shame Scale were used to complete the pre-and post-test phases. Compassion-focused therapy based on the Gilbert therapy package was held in eight 2 h sessions once a week for the experimental group. The control group received the intervention after the end of the experimental group intervention.

    Results

    The results of the covariance analysis indicated that CFT significantly increased the quality of life (P < 0.05, F = 308.97) and resilience (P < 0.05, F = 125.75) and reduced shame (P < 0.05, F = 228.30) and internal self-criticism (P < 0.05, F = 53.44) of patients with vitiligo.

    Conclusions

    Compassion-focused therapy can improve the quality of life and resilience and reduce the shame and internal self-criticism of patients with vitiligo.

    Keywords: Psychological, Resilience, Self-assessment, Self-compassion, Shame, Vitiligo}
  • Jafar Sarani Yaztappeh, Elahe Lorestani, Younes Zaheri, Mohsen Rezaei, Hiwa Mohammadi, Keyvan Kakabaraee, Moslem Rajabi, Amir Sam Kianimoghadam, Saina Fatollahzadeh, Mohamad Davood Mohebi
    Objective

    Stuttering is a type of communication and fluency disorder that hurts mental and emotional health. It is also associated with a significant increase in both trait and social anxiety. Studies on stuttering in adults have indicated the nature and impact of this phenomenon. In addition, some psychological aspects of this phenomenon remain vague and need further investigation. Therefore, the present study aimed to compare emotion regulation difficulties, repetitive negative thinking, and experiential avoidance between people who stutter and healthy individuals.

    Method

    In this study, 101 people who stutter (43 females and 58 males, with a mean age of 29.55 ± 187 years), as well as 110 healthy individuals (74 females and 36 males, with a mean age of 25.57 ± 489 years) as participants were chosen using the convenience sampling method among those who referred to the speech therapy clinics of Tehran, Iran. Research instruments including the repetitive negative thinking inventory, Difficulties in Emotion Regulation Scale, and Acceptance and Action Questionnaire (AAQ-I) were used for data collection. Data were analyzed using multivariate ANOVA test and Multiple Regression Analysis.

    Results

    The mean age of the participants was 29.55 years in the people who stutter and 25.57 years in the healthy individuals (P < 0.01). The present results indicated that the mean score of experiential avoidance was higher in the people who stutter (M ± SD: 35.74 ± 9.24) compared to the healthy individuals (M ± SD: 8.89 ± 31.11). Additionally, the mean score of emotion regulation difficulties was higher in the people who stutter (M ± SD: 88.75 ± 20.59) compared to the healthy individuals (M ± SD: 64.14 ± 94.94) (P < 0.001). However, there was no significant difference in the mean score of repetitive negative thinking between the people who stutter (M ± SD: 98.45 ± 25.85) and healthy individuals (M ± SD: 93.71 ± 25.24) groups (P > 0.05). There was a significant correlation between experiential avoidance and emotion regulation difficulties in people who stutter (P < 0.01). Experiential avoidance and repetitive negative thinking can significantly predict emotion regulation difficulties in people who stutter (R = 0.65, P < 0.01).

    Conclusion

    People who stutter obtained higher emotion regulation difficulties and experiential avoidance scores than those without stuttering and A significant correlation between experiential avoidance and emotion regulation difficulties was found. Future studies should consider the role of emotion regulation difficulties and experiential avoidance in people who stutter.

    Keywords: Adults, Emotion Regulation, Negative Thinking, Speech Disorders, Stuttering}
  • Asie Eftekhari, Abbas Masjedi Arani, Maryam Bakhtiari, Amir Sadeghi, Amir Sam Kianimoghadam, Reza zadehparizi
    Introduction

    Because gastric ulcer is a psychosomatic disease in which many psychological factors are involved, this study aimed to investigate the effectiveness of emotion regulation training on pain intensity and quality of life in patients with peptic ulcer disease.

    Materials and Methods

    The research method was semi-experimental and based on the pretest-posttest control group design, with follow-up after three months. The sample included 46 participants who were selected by a purposeful sampling method and placed randomly in the experimental and control groups. At first, at the same time, and in the same conditions, all the participants responded to the Chronic Pain Grade questionnaire (CPG) and Quality of life Questionnaire (SF-12). The emotion regulation training was performed for the experimental group. In the end, both groups were evaluated by posttests, and then they were tracked after an interval of three months. In order to analyze data, ANCOVA test was applied through SPSS 22.

    Results

    Findings showed that emotion regulation training was meaningfully effective in decreasing pain intensity and increasing life quality (p<0.01) and after three months, no significant changes were found in the results.

    Conclusions

    Due to the positive changes in the criteria of this protocol effectiveness, it is concluded that emotion regulation training has been successful in reducing the symptoms of pain intensity in PUD patients and increasing life quality, this treatment can be added to other treatments for PUD patients.

    Keywords: Emotion regulation, Pain intensity, Quality of life, Peptic Ulcer Disease (PUD)}
  • علی وفایی، مریم بختیاری، امیرسام کیانی مقدم، بشری شیرزاد، محمدرضا صادقی، نیما حاجی تبار فیروزجایی*
    زمینه و هدف

    پاندمی COVID-19 سلامت جسمانی و روانشناختی بسیاری از افراد را تحت تاثیر قرار داده است. این مطالعه به منظور تعیین نقش پیش بینی کنندگی ترس از COVID-19 و خستگی قرنطینه با افسردگی بیماران قلبی مادرزادی طی پاندمی ویروس کرونا انجام شد.

    روش بررسی

    این مطالعه توصیفی - تحلیلی روی 105 فرد (6 مرد و 99 زن) مبتلا به بیماری مادرزادی قلب مراجعه کننده به بیمارستان های شهیدرجایی و مرکز قلب تهران در سال 1400 به روش نمونه گیری در دسترس انجام شد. داده ها با استفاده از مقیاس افسردگی، مقیاس ترس از COVID-19 و پرسشنامه خستگی قرنطینه جمع آوری شدند.

    یافته ها

    مبتلایان به بیماری مادرزادی قلبی دارای 28.6% افسردگی خفیف و 7.6% افسردگی شدید بودند. خستگی قرنطینه در 43.8% از بیماران خفیف ارزیابی شد. ارتباط مثبت و معنی داری بین ترس از کرونا (P=0.001, r=0.195) و خستگی قرنطینه (P=0.001, r=0.617) با افسردگی یافت شد.

    نتیجه گیری

    ترس از بیماری COVID-19 با افسردگی ناشی از ویروس کرونا و خستگی قرنطینه ارتباط دارد.

    کلید واژگان: افسردگی, COVID-19, خستگی, قرنطینه, بیماری مادرزادی قلبی}
    Ali Vafaei, Maryam Bakhtiari, Amir Sam Kianimoghadam, Booshra Shirzad, Mohammad Reza Sadeghi, Nima Hajitabar Firouzjaei*
    Background and Objective

    With the increase in the spread of COVID-19, mental health consequences such as fear, anxiety, and depression have become prevalent. This study aimed to investigate the predictive role of fear of COVID-19 and quarantine fatigue on depression in congenital heart disease patients during the pandemic.

    Methods

    This descriptive-analytical study was conducted on 105 patients with congenital heart disease (6 men and 99 women) who were referred to Shahid Rajaee Hospitals and Tehran Heart Center during 2021-22. Data were collected using a depression scale, a fear scale for COVID-19, and a quarantine fatigue questionnaire.

    Results

    The results showed that 28.6% of patients with congenital heart disease experienced mild depression, while 7.6% had severe depression. Quarantine fatigue was found to be mild in 43.8% of patients. Additionally, fear of COVID-19 (r=0.195, P=0.001) and quarantine fatigue (r=0.617, P=0.001) were significantly correlated with depression in congenital heart patients.

    Conclusion

    Fear of COVID-19 is related to depression caused by coronavirus and quarantine fatigue in patients with congenital heart disease.

    Keywords: Depression, Covid-19, Fatigue, Quarantine, Congenital Heart Disease}
  • مهین نوروزی دشتکی، مونا باغبانی نادر، علی حسین زاده اسکوئی، محمدصادق زمانی زارچی، امیرسام کیانی مقدم*
    اهداف

    هدف انجام پژوهش حاضر مقایسه عملکرد جنسی، تصویر بدنی و عزت نفس جنسی در زنان پس از زایمان طبیعی با اپیزیومی و سزارین بود.

    مواد و روش ها

    این پژوهش علی مقایسه ای بود. جامعه آماری شامل کلیه زنان مراجعه کننده به مراکز درمانی وابسته به دانشگاه علوم پزشکی تهران در سال 1401 بود که 200 نفر (100 زن با زایمان طبیعی به روش اپیزیومی و 100 زن با زایمان سزارین) از آن ها به روش در دسترس به عنوان نمونه انتخاب شدند. برای جمع آوری اطلاعات، از شاخص عملکرد جنسی زنان، سیاهه نگرانی د رمورد تصویر بدنی و شاخص عزت نفس جنسی استفاده شد. داده ها با روش آماری آزمون تی مستقل و تحلیل واریانس چند متغیره تحلیل شدند.

    یافته ها

    یافته ها نشان داد عملکرد جنسی و عزت نفس جنسی در زنان با زایمان طبیعی به روش اپیزیومی و سزارین تفاوت معناداری در سطح (0/05= P) وجود داشت؛ به گونه ای که زنان با زایمان طبیعی به روش اپیزیومی با وجود اختلال عملکرد جنسی کمتر، عزت نفس جنسی پایین تری را نسبت به زنان با زایمان سزارین از خود نشان دادند. همچنین نتایج نشان داد اگرچه هر 2 گروه نگرانی از تصویر بدنی را تجربه کرده اند، اما تفاوت معناداری بین آن ها در نمره کل نگرانی از تصویر بدنی وجود نداشت (0/05=P). با این حال بین 2 گروه در زیر مولفه رضایت ظاهری تفاوت معناداری در سطح 0/05 وجود داشت. به این صورت که زنان با زایمان طبیعی از رضایت ظاهری کمتری نسبت به زنان با زایمان سزارین برخوردار بودند. 

    نتیجه گیری

    شواهد حاکی از آن است که هرچند زنان با زایمان طبیعی به روش اپیزیومی اختلال عملکرد جنسی پایین تری را نسبت به زنان با زایمان سزارین تجربه می کنند، اما در عین حال از عزت نفس جنسی پایین تر و همچنین رضایت ظاهری کمتری نسبت به زنان با زایمان سزارین برخوردار بودند.

    کلید واژگان: تصویر بدن, پس از زایمان, عزت نفس, جنسی, زنان}
    Mahin Noroozi Dashtaki, Mona Baghbani Nader, Ali Hosseinzadeh Oskouei, MohammadSadegh Zamani Zarchi, AmirSam Kianimoghadam*
    Objectives

    The purpose of this study was to compare sexual function, body image concern, and sexual self-esteem in women after natural delivery with episiotomy and cesarean delivery. 

    Methods

    This research was causal-comparative. The statistical population included all women referring to medical centers affiliated with the Tehran University of Medical Sciences in 2021, of whom 200 participants (100 women with natural delivery and 100 women with cesarean delivery) were selected as a sample using the available sampling method. The female Sexual Function Index, Body Image Concern Inventory, and Sexual Self-Esteem Index were used to collect the data. The data were analyzed via independent t-test and multivariate analysis of variance.

    Results

    The results showed a significant difference between sexual function and sexual self-esteem in women with a natural delivery and cesarean delivery (P=0.05). In addition, although both groups experienced body image concerns, no significant difference was found between the scores in the two groups (P=0.05). 

    Conclusion

    The evidence indicates that although women with natural delivery experience better sexual function than women with cesarean delivery, they may suffer from lower sexual self-esteem and appearance dissatisfaction compared to the other group.

    Keywords: Body image, Postpartum, Self-esteem, Sexual, Women}
  • Jafar Sarani Yaztappeh, Seyedeh Elnaz Mousavi, Homa Shahkaram, Amir Sam Kianimoghadam, Maryam Bakhtiari, Fardad Didar
    Background

     Emotional disorders are common and recurring mental conditions that can severely affect individuals and have long-term economic consequences for society.

    Objectives

     This study aimed to predict emotional disorders, using neuroticism, emotion regulation, experiential avoidance (EA), and repetitive negative thinking as predictors.

    Patients and Methods

     The study included a sample of 414 patients diagnosed with emotional disorders residing in Tehran. Participants were selected through convenience sampling. Data were collected using the Difficulties in Emotion Regulation Scale (DERS), Negative Repetitive Thoughts Questionnaire (NRTQ), Experiential Avoidance Questionnaire (EAQ), Inventory of Depression and Anxiety Symptoms (IDAS), and NEO Personality Questionnaire (NEO FFI). Structural equation modeling, analyzed with SPSS-22 and AMOS-24 software, was employed for data analysis.

    Results

     Neuroticism significantly predicted negative emotional regulation, EA, emotional disorders, and repetitive negative thoughts (P < 0.001). The coefficient of determination for emotional disorders was calculated as 0.73, indicating that 73% of the variance in emotional disorders can be explained by the predictor variables (neuroticism, emotional regulation, negative repetitive thoughts, and EA).

    Conclusions

     Therefore, it is essential to consider the influence of personality and psychological factors on the inclination toward disorders. The findings of this study offer valuable insights for the development of culturally sensitive, contextually relevant, and psychosocially oriented prevention and treatment programs for emotional disorders using an integrated approach.

    Keywords: Neuroticism, Emotion Regulation, Psychotherapy}
  • Sara Karimi, Farnaz Doostdari, Nahid Bahadoriyan Lotfabadi, Rahim Yosefi, Mehran Soleymani, Amir Sam Kianimoghadam*, Farshid Safari
    Objective

    Marriage has been introduced as the most important and main communication factor between humans. Infidelity in marriage is one of the most damaging problems that affect commitment and marriage relationships. The present study investigated the role of early maladaptive schemas in predicting components of marital infidelity.

    Methods

    This study attempted to determine the role of early maladaptive schemas in predicting legitimacy, seduction, normalization, sexuality, social background, and sensation seeking in marital infidelity. The population comprised all the students of Azarbaijan Shahid Madani University, Iran, in the academic year 2019-2020. Considering the size of the population, 200 students were selected as a sample through stratified random sampling. Data were collected using an infidelity questionnaire (Yeniceri & Kökdemir, 2006) and Young’s early maladaptive schemas questionnaire (Young, 1999).

    Results

    Pearson’s correlation coefficient showed a significant negative correlation (β=-0.15) between the over-vigilance/inhibition and the legitimacy of infidelity (P<0.01). There was a significant positive correlation (β=0.10) between impaired autonomy and performance with normalization (P<0.05). Also, impaired limits had a significant positive correlation (β=0.10) with the social background in marital infidelity (P<0.05). Multiple regressions analysis showed that over-vigilance/inhibition (β=-0.024, P>0.05) and impaired limits (β=0.15, P>0.05) were predictors of legitimacy. Impaired autonomy and performance (β=0.15, P>0.05) and other-directedness (β=-0.13, P>0.05) were predictors of seduction. Impaired autonomy and performance were predictors of normalization (β=0.06, P>0.05). Over-vigilance/inhibition could predict sexuality (β=-0.13, P>0.05). Disconnection and rejection could predict sensation seeking (β=0.016, P>0.05).

    Conclusion

    The results indicated the predictive role of early maladaptive schemas on the tendency of marital infidelity. When couples become aware of negative initial maladaptive schemas, conflict and eventually marital discord may decrease.

    Keywords: Human relationships, Marriage, Common life, Marital infidelity, Early maladaptive schemas}
  • The role of emotional contagion dimensions on depression, anxiety and post-traumatic stress disorder of hospital staff during Covid-19 epidemic
    Maryam Khesali, Nasim akibakhshMohammadi, Nahid Bahadoriyan Lotfabadi, Maryam Bakhtiari, Amir Sam Kianimoghadam
    Background and Objective

    Various studies have investigated the role of emotional contagion in various emotional disorders, but the role of emotional contagion dimensions in the psychological symptoms during the Covid-19 epidemic has not been investigated. Therefore, the aim of this study was to investigate the dimensions of emotional contagion on depression, anxiety and post-traumatic stress disorder of hospital staff during the Covid-19 epidemic.

    Materials and Methods

    This was cross-sectional descriptive correlational study. The present study population consisted of hospital staff of Shahid Beheshti University of Medical Sciences who were selected by convenience and with the help of inclusion criteria in the winter of 1399 that 200 people were selected by Convenience Sampling and measured by Depression Anxiety Scale (DASS)(PTSD check list for DSM5 (PCL-5) and the Emotional contagion Scale.

    Results

    The dimensions of emotional contagion can explain 18% of the variable changes in the criterion of depression. The dimensions of emotional contagion can explain 28% of the variable changes in the anxiety criterion. The dimensions of emotional contagion can explain 43% of the variable changes in the post-traumatic stress disorder criterion.

    Conclusions

    According to the findings of the present study, it can be concluded that education about emotional contagion and awareness of its effect on psychological problems play an important role in improving the psychological condition of hospital staff in pandemic conditions.

    Keywords: Anxiety, Depression, Stress Disorder, Post-traumatic, Emotions, Covid-19}
  • Investigating the relationship between psychological distress, posttraumatic stress disorder (PTSD), and coping strategies among hospital staff, health center staff, and the general population during the coronavirus pandemic
    Mahsa Abdollahpur, AmirSam Kianimoghadam, Maryam Bakhtiari, Samira Farahani alavi
    Background and Objective

    The outbreak of coronavirus in Wuhan, China in 2019 has caused numerous mental health problems around the world. Among the psychological problems that have emerged due to the Covid-19 pandemic are symptoms of psychological distress, such as anxiety, depression, and PTSD disorder. The present study aimed to investigate the relationship between psychological distress, coping strategies, and PTSD among three various populations, namely the general population, hospital staff and staff of health centers during the Covid-19 pandemic.

    Materials and Methods

    Pearson’s correlation coefficient was used to investigate the relationship between the study variables. Using convenience sampling, a sample of 450 individuals (150 participants from each population) was selected to participate in the research.

    Results

    The findings indicated that psychological distress was significantly and negatively correlated to PTSD between two populations, i.e., the general population (r = -0.708, P < 0.01), and health center staffs (r = -0.216, P < 0.01), but coping strategies were not associated with psychological distress and PTSD in these two populations. However, the results were different among hospital staffs; in that psychological distress was significantly correlated with coping strategies (r = -0.170, P < 0.05), and PTSD (r = -0.216, P < 0.01), and there was a significant correlation between coping strategies and PTSD (r = -0.270 P < 0.01) among this population.

    Conclusion

    These findings highlighted the need for educational courses and psychological interventions to inform different populations about various coping strategies in stressful situations, and to reduce symptoms of psychological distress during the pandemic

    Keywords: COVID-19, Psychological distress, PTSD, Coping strategie}
  • محسن رستمی، امیرسام کیانی مقدم*، عباس مسجدی آرانی، علی جهانشاهی، مریم بختیاری

    امروزه جنگ روانی به ابزاری پرکاربرد در جهت تغییر دادن فرهنگ، باورها و ارزش های یک ملت و جامعه تبدیل شده که هر گونه غفلت از آن خسارات جبران ناپذیری بر پیکره ملت ها وارد خواهد کرد. بنابراین هدف از این پژوهش بررسی تاثیر جنگ روانی بر اضطراب و ناکامی جامعه تهران بود. تحقیق حاضر از نوع توصیفی، تحلیلی و داده ها با استفاده از رگرسیون چند متغیره تحلیل شدند. جامعه آماری پژوهش از میان مردم عادی کلان شهر تهران بود. بدین ترتیب که تعداد 1000 آزمودنی از 5 منطقه ی تهران و به روش نمونه گیری در دسترس انتخاب و پرسشنامه ها در اختیارشان گذاشته شد. ابزارهای پژوهش، پرسشنامه اضطراب بک (BAI) و مقیاس احساس ناکامی گیلبرت بود که دارای دو بعد ناکامی درونی و بیرونی است و برای بررسی تاثیر جنگ روانی از پرسشنامه محقق ساخته جنگ رسانه ای که دارای دو بعد شایع پردازی و تحریف واقعیت است استفاده گردید.نتایج پژوهش نشان داد که بعد شایع پردازی پیش بینی کننده خوبی برای متغیرهای اضطراب، ناکامی درونی و بیرونی است و دارای یک رابطه مثبت معنادار با آنها است در حالی که بعد تحریف واقعیت هیچ گونه ارتباط معناداری با متغیرهای اضطراب، ناکامی درونی و بیرونی ندارد و پیش بینی کننده خوبی در رابطه با این موضوعات نیست.

    نتیجه گیری

    براساس نتایج بدست آمده جنگ روانی می تواند بر روی اضطراب و هر یک از ابعاد ناکامی مردم عادی تاثیرگذار باشد و وجود این امر نشانه توجه بیش از پیش سیاستگذاران در این زمینه است.

    کلید واژگان: اضطراب, ناکامی, جنگ روانی, جنگ رسانه ای, تهران}
    Mohsen Rostami, Amirsam Kiani Moghadam *, Abbas Masjidi Arani, Ali Jahanshahi, Maryam Bakhtiari

     Today, psychological warfare has become a widely used tool to change the culture, beliefs and values of a nation and society, and any neglect of it will cause irreparable damage to the bodies of nations. Therefore, the purpose of this research was to investigate the effect of psychological warfare on the anxiety and frustration of Tehran society. The current research is descriptive and analytical and the data were analyzed using multivariate regression. The statistical population of the research was among the ordinary people of Tehran. In this way, 1000 subjects were selected from 5 regions of Tehran and the questionnaires were given to them. The research tools were Beck's anxiety questionnaire (BAI) and Gilbert's feeling of failure scale, which has two dimensions of internal and external failure, and to investigate the effect of psychological warfare, the researcher made a media warfare questionnaire that has two dimensions of rumor mongering and reality distortion. is usedThe results of the research showed that the rumination dimension is a good predictor for the variables of anxiety, internal and external failure and has a significant positive relationship with them, while the dimension of reality distortion has no significant relationship with the variables of anxiety and failure. It has no internal or external and is not a good predictor in relation to these issues.

    Conclusion

    Based on the obtained results, war mentality can have an effect on anxiety and every dimension of failure of ordinary people, and the existence of this is a sign of more attention of policy makers in this field.

    Keywords: anxiety, failure, psychological war, media war, Tehran}
  • Reyhaneh Sardarzehi, Reza Zadehparizi, Amir Sam Kianimoghadam *, Mahdi Karvandi Renani, Leila Ekhtiyari, Jafar Sarani Yaztappeh
    Background

    The integrated motivational-volitional (IMV) model is the second theory based on the ideation-to-action framework.

    Objectives

    The current study aimed to investigate the motivational phase of this model in the Iranian population. In this study, threat-to-self moderators are included cognitive emotion regulation strategies. Also, thwarted belongingness and perceived burdensomeness are considered motivational moderators.

    Materials and Methods

    Atotal of 405 participants (68.6% female; meanage: 22.7 years) filled out several self-report questionnaires, including the Defeat Scale, Entrapment Scale, Beck Scale for Suicidal Ideation, Cognitive Emotion Regulation Questionnaire-short, Interpersonal Needs Questionnaire-15. To assess the IMV model, structural equation modeling with the interaction of latent variables was performed.

    Results

    The results indicated that the overall model’s fit was poor. Although the model explained 70% and 61% of the variance in entrapment and suicidal ideation, respectively, the pathway between entrapment and suicidal ideation was not statistically significant. The findings demonstrated that the most effective predictors of suicidal ideation were perceived burdensomeness and thwarted belongingness.

    Conclusions

    The results add to our knowledge of what constructs are more critical in the emergence of suicidal ideation. It is hoped that the study findings will lead to a greater interest in this field of research in the future.

    Keywords: Suicide, Suicidal Ideation, Structural Equation Modeling}
  • Fateme Chitgari, AmirSam Kianimoghadam, Farnaz Doostdari, Zahra Tavalaee Nezhad, Maryam Bakhtiari*
    Objective

    The COVID-19 pandemic has created many problems. This paper aims to predict moral reasoning through spiritual health and personality via the mediating role of empathy in physicians and nurses.

    Methods

    The current research is a cross-sectional analysis conducted on 320 physicians and nurses working in hospitals’ COVID-19 wards. We used the available sampling method, and the research tools included the brief form of personality inventory for The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (Krueger et al. 2012), the spiritual well-being scale (Dehshiri 2009), the defining issue test-2 (Rest et al. 1986), and the interpersonal reactivity index (Davis 1983). 

    Results

    The results of the current investigation indicated that spiritual well-being has a positive and significant effect on empathy (P<0.0001, β=0.236). Empathy has a positive and significant correlation with moral reasoning (P=0.032, β=0.117). And finally, the moral reasoning variable in the current model was calculated at 0.019.

    Conclusion

    The current study shows that empathy can predict moral reasoning. Meanwhile, understanding the feelings of others can be more useful in judgment and decision-making. In addition, spiritual health can play an important role in empathy.

    Keywords: Moral reasoning, Spiritual well-being, Personality disorders, Empathy, Physicians, Nurses}
  • اسیه افتخاری، مریم بختیاری*، امیرسام کیانی مقدم
    زمینه و هدف

    وضعیت اجتماعی-اقتصادی خانواده ممکن است به طور قابل توجهی بر سبک فرزند پروری تاثیر بگذارد. بنابراین، این پژوهش با هدف بررسی رابطه سبک های دلبستگی کودکان 7 تا 12 ساله، سبک های فرزندپروری و وضعیت اجتماعی-اقتصادی والدین انجام شد.

    روش کار

    این مطالعه از نوع مقطعی و از نوع همبستگی بود. جامعه مورد مطالعه شامل 7 تا 12 کودک شاغل در مدارس ابتدایی شهر تهران در سال 1390 بود. نمونه ای متشکل از 95 نفر به روش نمونه گیری تصادفی انتخاب و با پرسشنامه های وضعیت اجتماعی-اقتصادی (SE) (قدرت نما، 1392)، سبک فرزندپروری PS) (Baumrind، 1973)، پیوست مرکز خویشاوندی (KCA) (Halpern and Kappenberg، 2006). اطلاعات به دست آمده از نمونه ها با استفاده از ضریب همبستگی پیرسون و با استفاده از نرم افزار SPSS 22 مورد تجزیه و تحلیل قرار گرفت. سطح معنی داری 5 درصد در نظر گرفته شد.

    یافته ها: 

    بین سبک های دلبستگی فرزندان و سبک های فرزندپروری و وضعیت اقتصادی-اجتماعی والدین همبستگی معنی داری وجود داشت (01/0>p، 284/0-=r). در سبک های فرزندپروری بین سبک فرزندپروری مقتدرانه با سازگاری مثبت (05/0p<، 258/0-r=)، واکنش پذیری عاطفی (05/0>p، 218/0=r)، رفتار منفی (394/0=r، 05/0p<) رابطه معناداری وجود داشت. 0.01) و فاصله گرفتن از حمایت مراقب (r=.407، p<0.01). همچنین بین سازگاری مستبدانه و مثبت (r=.315، p<0.01)، رفتار منفی (r= -.311، p<0.01)، فاصله گرفتن از حمایت مراقب (r= -.379، p<0.01) وجود داشت.). بین رفتار سهل گیرانه و منفی رابطه معنی داری مشاهده شد (232/0=r و 05/0<|p).

    نتیجه گیری:

     به نظر می رسد هر دو سبک فرزندپروری مقتدرانه و سهل انگیز ناکارآمد هستند. آنها به دلیل سبک های دلبستگی خود باعث بروز مسایل رفتاری و عاطفی متفاوتی در کودکان می شوند.

    کلید واژگان: دلبستگی شیء, فرزندپروری, طبقه اجتماعی}
    Asie Eftekhari, Maryam Bakhtiari*, Amir Sam Kianimoghadam
    Background

    Family's socio-economic status may significantly influence parenting style. Therefore, this study aimed to investigate the relationship between attachment styles of 7 to 12-year-old children, parenting styles, and the socio-economic status of parents.

    Methods

    This was a cross-sectional and correlational study. The study population included 7 to 12 children who studied in elementary schools of Tehran in 2021. A sample of 95 individuals were selected by random sampling method and evaluated by questionares regarding Socio-Economic status (SE) (Ghodratnama, 2013), Parenting Style (PS) (Baumrind, 1973), Kinship Center Attachment (KCA) (Halpern and Kappenberg, 2006). The information obtained from the samples was analysed by Pearson correlation coefficient through SPSS 22 software. The level of significance was considered 5%.

    Results

    There was a a significant correlation between the attachment styles of the children and parenting styles and the socio-economic status of parents (r= -.284, p<0.01). In parenting styles there was a significant relationship between authoritive parenting style and positive adjustment (r= -.258, p<0.05), emotional reactivity (r= .218, p<0.05), negative behaviour (r= .394, p<0.01) and distancing from caregiver support (r= .407, p<0.01). There was also a significant relationship between authoritarian and positive adjustment (r= .315, p<0.01), negative behaviour (r= -.311, p<0.01), distancing from caregiver support (r= -.379, p<0.01). A significant relationship was observed between permissive and negative behavior (r= .232, p<0.05).

    Conclusion

    Both authoritative and permissive parenting styles seem to be dysfunctional. They cause different behavioural and emotional issues in children due to their attachment styles.

    Keywords: Object Attachment, Parenting, Social Class}
  • مهسا عبدالله پور، امیرسام کیانی مقدم، مریم بختیاری، عباس مسجدی آرانی، مریم خصالی
    سابقه و هدف

    کووید 19 علاوه‌بر مشکلات جسمی، بحران‌های روان‌شناختی متعددی برای مردم ایجاد کرده که از‌ جمله آنها افسردگی، اضطراب، وسواس و اختلال استرس پس از سانحه است. مشکلات روان‌شناختی ممکن است تاثیر بسزایی بر بهزیستی معنوی افراد داشته باشد. ازاین‌رو، هدف از انجام پژوهش حاضر بررسی رابطه بین بهزیستی معنوی با اضطراب و افسردگی در بین جمعیت‌های عمومی، کارکنان بیمارستان و مراکز بهداشت در دوره همه‌گیری جهانی ویروس کرونا بود.

    روش کار

    مطالعه حاضر توصیفی از نوع مقطعی است. جامعه آماری پژوهش شامل سه گروه از جمعیت‌های عمومی، کارکنان مراکز بهداشت و کارکنان بیمارستان ها بود که از میان آنان نمونه‌ای به تعداد 450 نفر به‌روش نمونه‌گیری در‌دسترس انتخاب شد. برای بررسی رابطه بین متغیرها از روش همبستگی استفاده شد. در این پژوهش همه موارد اخلاقی رعایت شده است و مولفان مقاله تضاد منافعی گزارش نکرده‌اند.

    یافته‌ها:

    نتایج آزمون همبستگی پیرسون در جمعیت عمومی نشان داد که افسردگی با اضطراب (497/0=r و 01/0>P) رابطه مثبت معنادار و بهزیستی معنوی با افسردگی (456/0-=r و 01/0>P) رابطه منفی معنادار داشت؛ ولی برای اضطراب (097/0-=r و 238/0>P) رابطه معناداری یافت نشد. در کارکنان مرکز بهداشت نیز چنین نتیجه‌ای یافت شد؛ بدین صورت که افسردگی با اضطراب (392/0=r و 01/0>P) رابطه مثبت و معنادار و بهزیستی معنوی با افسردگی (519/0-=r و 01/0>P) رابطه منفی و معنادار داشت؛ ولی با اضطراب (048/0-=r و 558/0>P) رابطه معناداری وجود نداشت. در کارکنان بیمارستان نیز نتایج نشان داد که افسردگی با اضطراب (592/0=r و 01/0>P) رابطه مثبت معنادار و بهزیستی معنوی با افسردگی (252/0-=r و 002/0>P) و اضطراب (194/0-=r و 018>P) رابطه منفی معنادار داشت.

    نتیجه‌گیری:

    بر اساس یافته‌های به‌دست‌آمده می‌توان گفت که در طول شرایط استرس‌زای همه‌گیری کرونا به دوره‌های آموزشی و مداخلات روان‌شناختی برای افزایش بهزیستی معنوی افراد و کاهش علایم اضطراب و افسردگی نیاز است.

    کلید واژگان: اضطراب, افسردگی, معنویت, کووید 19}
    Mahsa Abdollahpur, Amir Sam Kianimoghadam*, Maryam Bakhtiari, Abbas Masjedi-Arani, Maryam Khesali
    Background and Objective

    In addition to the physical problems, Covid - 19 has led to several psychological crises for people worldwide. Among these crises are mental health difficulties such as depression, anxiety, obsessive - compulsive disorder, and Posttraumatic Stress Disorder. Psychological difficulties could have a significant impact on the spiritual well - being of individuals. The present study investigated the relationship between spiritual well - being and two other variables namely depression and anxiety, in the general population, hospital staff, and health center staff, during the coronavirus pandemic .

    Methods :

    This is a descriptive cross - sectional study. The statistical population of the study included three groups from the general population, and health center and hospital employees, out of whom a sample of 450 participants was selected using the available samp ling method. Correlation method was used to check the relationship between the variables. In this study, all ethical considerations were observed and no conflict of interests was reported by the authors .

    Results

    Pearson’s correlation test results in the general population revealed a significant positive relationship between depression and anxiety (r=0.497, P<0.01). Also, there was a significant negative relationship between spiritual well - being and depression (r= - 0.456, P<0.01), but no significant relatio nship was found in relation to anxiety (r= - 0.097, P<0.238). Similar results were obtained in health center staff; there was a significant positive relationship between depression and anxiety (r=0.392, P<0.01), a negative and significant relationship betwee n spiritual well - being and depression (r= - 0.519, P<0.01), and no significant relationship between spiritual well - being and anxiety (r= - 0.488, P <0.558). In hospital staff participants, depression was significantly and positively correlated with anxiety (r=0 .592, P<0.01). Furthermore, there was a significant negative correlation between spiritual well - being and depression (r= - 0.225, P<0.002), as well as anxiety (r= - 0.194, P<018) .

    Conclusion

    The findings highlighted the urgent need for psychological intervent ions as well as educational courses to be conducted for various populations to help increase their spiritual well - being, and reduce the symptoms of depression and anxiety that they experience during this stressful conditions caused by the corona pandemic .

    Keywords: Anxiety, Covid-19, Depression, Spirituality}
  • Asie Eftekhari, AmirSam Kianimoghadam *, Amir Sadeghi, Abbas Masjediarani, Maryam Bakhtiari
    Background

     Because peptic ulcer patients have maladaptive coping responses, this research investigated the emotion regulation training efficacy on coping responses in attenuating the stress of life events in these patients.

    Objectives

     The effectiveness of emotion regulation training on coping responses in attenuating the stress of life events in patients with peptic ulcer disease (PUD) was investigated.

    Methods

     This was a semi-experimental study with a pretest-posttest design and a control group, in which participants were followed for three months. Forty-six participants were selected by the purposeful sampling method from March 2021 to June 2021. Assignment in experimental and control groups was done by simple random method. The Persian form of the Coping Style Scale (CSS) was filled out as the pretest. The emotion regulation training protocol was delivered in eight sessions during eight weeks. Afterward, both groups were followed for three months. The ANCOVA test was run in SPSS 22 to analyze the data.

    Results

     Findings suggested that emotion regulation training significantly decreased avoidance coping strategy (P < 0.01), active behavioral coping strategy (P < 0.01), and enhanced active cognitive coping strategy (P < 0.01). These changes persisted in the experimental group after three months of the post-test (P < 0.01).

    Conclusions

     Emotion regulation training can affect coping responses in patients with PUD and improve their adaptive coping strategies and emotional functioning. Therefore, this short-term protocol can be added to the treatment protocol of these patients.

    Keywords: Emotion Regulation, Coping Strategies, Stress, Peptic Ulcer}
  • Boshra Shirzad, Maryam Bakhtiari *, Ali Vafaei, Samane Soltanabadi, Nima Hajitabar, Amir Sam Kianimoghadam, Abdollah Amirfarhangi
    Background

    The prevalence of coronavirus and its health-related psychological consequences such as fear and anxiety has been one of the most important health concerns in the 21st century.

    Objectives

    This study aimed to investigate the predictive role of fear of COVID-19 and lockdown fatigue in coronavirus anxiety among patients with Congenital Heart Disease (CHD).

    Methods

    This descriptive-correlational study was conducted through path analysis. The statistical population included the patients with CHD referred to Shahid Rajaei Hospital and Tehran Heart Center, 105 of whom were selected using convenience sampling. The data were collected using the Coronavirus Anxiety Scale (CAS), Fear of COVID-19 Scale (FCV19S), and Lockdown Fatigue Scale (LFS). The reliability and validity of these scales were approved in the previous studies. After all, the data were entered into the SPSS 21 software and were analyzed using Pearson’s correlation test and step-wise regression analysis.

    Results

    The study was conducted on 105 participants (6% males and 94% females) aged 20 to above 41 years. Considering marital status, 5% of the participants were single, 94% were married, and 1% were divorced. In addition, the participants’ education levels ranged from diploma and lower degrees to postgraduate and higher degrees. According to the findings, coronavirus anxiety was positively correlated to the fear of COVID-19 (r = 0.509, P = 0.000) and lockdown fatigue (r = 0.466, P = 0.000) in patients with CHD. The results of step-wise regression analysis showed that based on the calculated coefficient of determination, 31% of the variability of coronavirus anxiety could be explained by the fear of COVID-19 and lockdown fatigue.

    Conclusions

    The study findings indicated that the fear of COVID-19 and lockdown fatigue could predict coronavirus anxiety. Therefore, interventions are recommended to be designed based on the introduction of programs concerning coronavirus anxiety, which may help reduce the anxiety and fear experienced by these patients. They can also be used as prevention programs to help prevent the onset of coronavirus anxiety in patients with CHD.

    Keywords: Congenital, Heart Defects, COVID-19, Coronavirus Anxiety, Fear of COVID-19, Lockdown Fatigue}
  • Maryam Bakhtiari, Meysam Bazani, Roya Ahmadi *, Shahram Amiri, Amir Sam Kianimoghadam
    Introduction
    After the outbreak of the coronavirus disease, social distancing was recommended in order to prevent its spread. The current investigation was carried out to study whether commitment to social distancing could be predicted by corona-related anxiety and posttraumatic-stress disorder symptoms.
    Method
    The cross sectional study was carried out on 595 individuals, who completed the questionnaires online. Convenience sampling was used for this purpose. The used questionnaires included the Impact of Event Scale (IES), Corona Disease Anxiety Scale (CDAS) and the Commitment to Social Distancing Scale (CSDS). The data analysis was done in two sections: descriptive and inferential. In the descriptive section, frequency, percentage, mean, standard deviation, independent t-test, and one-way ANOVA were utilized. In inferential section, exploratory factor analysis, Cronbach’s alpha, Pearson correlation and multiple regression were utilized. The data were analyzed using SPSS-24.
    Results
    The results indicated that there was significant correlation between the impacts of all the components of the impact of event scale, except for avoidance with commitment to social distancing. Regression analysis showed that the total model was significant (adjusted r2= 0.099, f= 15.05, Sig= 0.01), and corona anxiety (β=0.319; p<0.05) and hyper-arousal subscale of the IES (β= 0.211; p<0.05) can significantly predict commitment to social distancing.
    Conclusion
    Informing the society of the importance of adherence to health instructions cannot solely lead to social distancing, therefore, policymakers need to combine public awareness with a little anxiety and alertness so that people follow health guidelines.
    Keywords: COVID-19, Corona Anxiety, Stress Disorders, Post-Traumatic, Iran}
  • خیرالله صادقی، علی اکبر فروغی، امیرسام کیانی مقدم، میثم بازانی*، علی اکبر پرویزی فرد
    مقدمه

    شواهد روبه رشدی نشان می دهند که مداخلات خودیاری مبتنی بر توجه آگاهی منافعی برای سلامت جسمانی و روان شناختی در جمعیت های مختلف دارند. توازن هیجانی مبتنی بر توجه آگاهی برنامه جدیدی است که تاکنون کارآمدی فرمت خودیاری آن مورد بررسی قرار نگرفته است. پژوهش حاضر به بررسی کارآمدی این برنامه بر کژتنظیمی هیجان و بر شفقت بر خود در یک نمونه دانشجویی پرداخت.

    روش بررسی

    این مطالعه یک کارآزمایی تصادفی کنترل شده دوسوکور بود. هشتاد دانشجو به صورت تصادفی در دو گروه (هر گروه 40 نفر) خودیاری توازن هیجانی مبتنی بر توجه آگاهی یا کنترل فهرست انتظار قرار گرفتند. سنجش استفاده از مقیاس توجه آگاهی (MAAS)، مقیاس دشواری در تنظیم هیجان (DERS) و مقیاس شفقت بر خود (SCS)، پیش از شروع مداخله، ده هفته بعد و در پی گیری دوماهه به انجام رسید.

    یافته ها

    تحلیل کوواریانس نشان دهنده اثر معنادار برنامه خودیاری مداخله مبتنی بر توجه آگاهی بر کژتنظیمی هیجان و شفقت برخود در گروه آزمایش در پس آزمون و پیگیری بود (05/0>p)، درحالی که گروه کنترل فهرست انتظار در هیچ کدام از مقیاس ها تغییر معناداری وجود نداشت. همچنین افزایش معناداری در توجه آگاهی در مرحله پس آزمون مشاهده شد (05/0>p). تغییرات به دست آمده در پیگیری دو ماهه پابرجا بود.

    بحث و نتیجه گیری

    توازن هیجانی مبتنی بر توجه آگاهی می تواند یک برنامه خودیاری اثربخش، ارزان و مقبول در جهت کاهش کژتنظیمی هیجان و همچنین موثر بر شفقت بر خود باشد.

    کلید واژگان: توجه آگاهی, هیجان, شفقت}
    Khirollah Sadeghi, Aliakbar Foroughi, Amir Sam Kianimoghadam, Bazani Meysam*, Aliakbar Parvizifard
    Background

    Growing evidence demonstrate that mindfulness-based self-help interventions have benefits for physical and psychological health in different populations. Mindfulness-based emotional balance is a new program whose efficacy in form of self-help has not been studied so far. This study aimed to investigate the efficacy of the program on the emotion dysregulation and self-compassion in a student sample.

    Materials and methods

    this study was a double-blind randomized control trial. Totally 80 students were randomly divided into two groups (40 people in each group) of self-help of mindfulness-based emotional balance and waiting list control. The Mindful Attentional Awareness Scale (MAAS), the Difficulty in Emotion Regulation Scale (DERS), and Self-Compassion Scale (SCS) were done before the intervention, after ten weeks, and at two months follow up.

    Results

    Analysis of covariance showed a significant effect of self-help program on emotion dysregulation and self-compassion in the experimental group in the post-test and follow-up (P<0.05), whereas waiting list control group showed no significant change in any of the scales. There was also a significant increase in  mindfulness in the post-test stage (p<0.05). All changes were permanent in two months follow-up.

    Conclusion

    In summary, the mindfulness-based emotional balance can be an effective, inexpensive, and acceptable self-help program to reduce the emotion dysregulation and self-compassion.

    Keywords: Mindfulness, Emotion, Compassion}
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