جستجوی مقالات مرتبط با کلیدواژه « distress » در نشریات گروه « پزشکی »

Breast cancer is a common cancer in women, causing significant psychological consequences. Traditionally, researchers have relied on statistical methods to predict factors influencing distress in cancer patients. However, this study explores the potential of artificial neural networks (ANNs) as a novel approach for predicting distress tolerance in women with breast cancer. This study aims to explore the use of ANNs in predicting distress tolerance in women with breast cancer based on anger rumination and physical health.

The research method was descriptive and correlational. The statistical population of this study consisted of 207 women with breast cancer admitted to the hematology-oncology department of Shafa Hospital in Ahvaz in 2023, selected using convenience sampling. Data were collected using Distress Tolerance Scale (DTS), Anger Rumination Scale (ARS), and Physical Health Questionnaire (PHQ). Data analysis involved the Pearson correlation coefficient and ANN. SPSS-27 was used for initial analyses and MATLAB-2019 was used for ANN modeling.

The results showed a negative relationship between anger rumination and distress tolerance, and a positive one between physical health and distress tolerance in women with breast cancer (P<0.001). Furthermore, a significant correlation was found among anger rumination, physical health, and distress tolerance in these women (P<0.001). The ANN analysis also showed that anger rumination had the most significant connection with distress tolerance in thepatients, followed by physical health.

This study identified significant associations between anger rumination, physical health, and distress tolerance in women with breast cancer.These findings add to our understanding of distress tolerance in women with breast cancer, emphasizing the need to address psychological and physical health in interventions to improve well-being.

 Couples therapy has become a top priority due to the increasing prevalence of divorce cases in Iran, particularly among young couples, and the escalating family conflicts.

 The present study aimed to investigate the impact of emotionally focused therapy (EFT) on couples' emotion regulation and relationship distress in cases of emotional divorce.

 This experimental research utilized a pretest-posttest follow-up design. The study population included all couples with emotional divorce seeking counseling at the counseling centers in Ramshir County, Khuzestan Province (Iran) in 2022. Purposive sampling was employed to select 12 couples (24 individuals). The experimental group participated in EFT for couples, consisting of 9 sessions lasting 90 minutes each. Data were collected using the Gottman Emotional Divorce Scale, Emotion Regulation Questionnaire, and Marital Disturbance Questionnaire. Repeated measures ANOVA was used for data analysis.

 The mean ± SD scores for emotion regulation in couples who underwent EFT in the pretest, posttest, and follow-up stages were 77.25 ± 10.17, 115.50 ± 12.40, and 125.00 ± 7.71, respectively. Additionally, the mean ± SD scores for relationship distress in couples during the pretest, posttest, and follow-up stages were 40.33 ± 1.88, 21.04 ± 3.04, and 19.79 ± 2.06, respectively. The findings indicated that EFT for couples significantly improved emotion regulation and relationship distress in couples experiencing emotional divorce (P < 0.001).

 Emotionally focused therapy for couples can enhance emotion regulation and alleviate relationship distress in couples dealing with marital conflicts and emotional divorce. It is recommended for psychotherapists and family counselors as an effective intervention to address marital conflicts in couples experiencing emotional divorce. Furthermore, it can be incorporated into premarital counseling sessions.

Breast cancer can cause significant emotional and psychological challenges for women and their families. The stress and anxiety associated with a cancer diagnosis can pave the way for the development of a variety of psychological disorders. This study investigated the potential mediating role of physical health in the association between distress tolerance and metaemotional awareness in women diagnosed with breast cancer. This study employed a descriptive correlational design, enrolling a convenience sample of women diagnosed with breast cancer who were receiving treatment at the hematology department of Shafa Hospital in Ahvaz City, Iran, between March and August 2023. A sample of 207 patients was selected using convenience sampling method. Distress Tolerance Scale, Meta-Emotion Scale, and Physical Health Questionnaire were used to collect data. The hypothesized model was assessed using structural equation modeling (SEM) with maximum likelihood estimation. Data analysis was performed using the SPSS version 27 and Amos version 25. The results showed a significant correlation between physical health and distress tolerance in women with breast cancer (P<0.001). The correlation between meta-emotion and distress tolerance was not significant (P<0.001). Moreover, the indirect correlation of meta-emotion to distress tolerance through the mediating role of physical health was significant (P=0.009). In women with breast cancer, physical health was significantly correlated with distress tolerance, while metaemotion had an indirect correlation mediated by physical health. These findings suggested that physical health is a crucial factor for distress tolerance, and warrants further investigation to better understand how meta-emotion and distress tolerance are connected through the pathway of physical health.

Infertility is one of the disturbances that may occur in the lives of couples, leading to experiences of psychological distress and endangering interpersonal relationships and marital quality. This study investigated the efficacy of intensive shortterm dynamic psychotherapy (ISTDP) in enhancing distress tolerance and marital quality of life among infertile women in Yazd, Iran. A semi-experimental pretest-posttest follow-up design with an experimental and control group (n=20 per group) was employed. Forty infertile women from the target population in Yazd, Iran (data collected in 2023) were randomly assigned into either the experimental group receiving eight 45-minute ISTDP sessions or the control group receiving no intervention. For data collection, questionnaires on distress tolerance and perceived relationship quality components were used. Data analysis was done by a repeated-measures analysis of variance (ANOVA) in SPSS version 27 was used. According to the results, for distress tolerance, the mean score for the ISTDP group at the pretest was 31.55 (±13.14), which increased to 50.10 (±9.31) at posttest and 49.70 (±8.68) in the follow-up. The mean score for the control group at the pretest and posttest were 32.05 (±10.28) and 32.25 (±10.17), respectively. Moreover, for the marital quality of life, the mean score for the ISTDP group at the pretest was 70.40 (±19.47), which increased to 90.70 (±20.59) at the posttest and 91.15 (±20.75) at the follow-up. The mean score for the control group at the pretest and posttest was 66.85 (±21.75) and 65.85 (±20.66), respectively. There was a statistically significant within-group effect in the ISTDP group (P<0.01). The results revealed a statistically significant difference (P<0.001) between the intervention and control groups on distress tolerance and marital quality of life measures. The effectiveness of ISTDP in improving distress tolerance and marital quality of life was significant, and the treatment effects remained stable during the follow-up phase. It appears that ISTDP can be an effective step towards improving distress tolerance and marital quality of life. Therefore, ISTDP is considered a key and effective intervention.

In the years following its outbreak in 2019, COVID-19 changed the health-care system structures, the context of professional activity, and nurses’ moral performance. The present study aimed to examine the moral distress and moral courage of Iraqi nurses during the COVID-19 pandemic. This cross-sectional and correlational study was conducted in 2021 on 168 nurses selected by convenience sampling methods. Data were collected by self-reported instruments including a demographic questionnaire, the Professional Moral Courage (PMC), and the Moral Distress Scale (MDS). Data were analysed using descriptive statistics, the Spearman, Mann-Whitney and Kruskal-Wallis tests, and SPSS version 22. Most nurses showed a moderate level of moral distress (98.80%) and a high level of moral courage (99.40%).The dimension of multiple values had the highest mean (12.45 ± 1.47) and endurance of threats had the lowest mean (9.15 ± 1.79). There was a statistically significant correlation between moral distress and moral courage (P = 0.007, r = - 0.2), and moral distress and the dimensions of endurance of threat (P < 0.001, r = - 0.26), going beyond compliance (P < 0.001, r = - 0.037), and moral goals (P < 0.001, r = - 0.173). A statistically significant relationship was also found between moral distress and work shift, position and gender (P < 0.05), and between moral courage and position (P < 0.05). We concluded that nurses need more organizational support in terms of protective facilities, job security and organizational incentives to be able to show ethical behaviors.

It is extremely common for adults to use self-talk to regulate their behavior. However, the underlying processes leading to differences in inner speech are not well understood. In this study, the correlation between various forms of self-talk and symptoms of anxiety (hyperactivity), depression, sleepiness, and distress was investigated.

The research method is a descriptive correlation type. The statistical population of the study included all 10 000 students of Mohaghegh Ardabili University in Iran in the academic year of 2019-2020. A total of 378 students of Mohaghegh Ardabili University were selected through a multi-stage cluster sampling method. The varieties of the inner speech questionnaire (VISQ) and the four-dimensional symptom questionnaire (4DSQ) were administered to all subjects. Pearson correlation coefficient and stepwise multivariate regression analysis were used. Data were analyzed by SPSS software, version 23.

The results showed the strongest inner speech for predicting anxiety, depression, and somatization disorders is another type of inner speech. On the other hand, in those with distress symptoms, evaluative/critical inner speech was appropriately predictive. Also, positive-regulative inner speech negatively predicts anxiety, depression, and distress. In the normal population, positive regulative inner speech is considered an appropriate predictor. 

Consequently, probably two types of inner speech evaluation-critical and positive-regulative exist that have more powerful construct validity, and usage of other inner speech is questionable.

Spiritual distress negatively affects well-being, and its effects are much stronger and more permanent than the positive aspects of spirituality. Since spiritual distress has destructive effects, the introduction and validation of defining characteristics, which are most likely expressive of spiritual distress in the client, can be applied in the daily use of this nursing diagnosis for the quick identification of individuals with spiritual distress, designing targeted and culture-based nursing care, and cost reduction.

The present study was performed with aim to assess the content validity of the defining characteristics of nursing diagnosis of "spiritual distress".

This methodological study was performed based on the six steps of Fehring's diagnostic content validity model. A total of 40 nursing experts participated in the study to validate 74 defining characteristics. Descriptive statistics and Fehring's diagnostic content validity model were used for data analysis.

Contents validity of 74 defining characteristics was assessed. Six defining characteristics were identified as primary that four were introduced by North American Nursing Diagnosis Association (NANDA), four were considered as irrelevant and 64 were identified as secondary that 29 were introduced by NANDA. The total score of diagnostic content validity was 0.68.

Implications for Practice: 

Validation and identification of defining characteristics as representative of nursing diagnosis of spiritual distress can be effectively applied to help quick and correct identification and provide targeted and optimal nursing care.

The objective of this study was to determine the most effective coping mechanism to deal with auditory hallucinations that reduces the frequency of voice-hearing and associated distress. In the present randomized controlled trial, each of the three coping mechanisms of attentional avoidance, attentional focusing, and mindfulness were used in one group and the fourth group was the control group.

A total of 64 patients with schizophrenia, categorized in three groups of attentional avoidance, attentional focusing and mindfulness and one control group, were asked to listen to an ambiguous auditory task depending on the type of their coping mechanism. After determining the baseline of distress, the task was performed in duplicate for each group. After playing the auditory task for the first time, participants were asked to rate out the level of their distress and compliance with instructions, and they were asked to estimate the likely number of words they had heard. After the second time, they were asked to note the words they hear during the task and rate out their distress and compliance with instructions again at the end of the task.

There was a significant difference between groups in terms of distress with a medium effect size of 0.47. The post hoc analysis revealed that mindfulness group reported less distress compared to the attentional focusing group (P = 0.017) and the control group (P = 0.027). Also, a significant difference existed between groups in terms of the frequency of the identified words, with a moderately strong effect size of 0.59, and a very good statistical power of 0.99. The post hoc analysis showed that attentional avoidance (P = 0.013) and attentional focusing (P = 0.011) groups heard fewer words than the control group.

Attention is a good target for treating psychotic patients with auditory hallucinations. Also, manipulation of attention can affect the frequency of auditory hallucinations and associated distress.

 Cognitive emotion regulation strategies enhance students’ ability to handle emotional and stressful situations and lead to resilient behavior and suitable behavioral performance. The present study aimed to investigate the association of addiction tendency with distress tolerance, self-differentiation, and emotion regulation difficulties mediated by resilience in university students.

 This was a descriptive-correlational study using structural equation modeling (SEM). Cluster sampling was used to enroll 314 individuals among all students at the Islamic Azad University of Tehran in the academic year 2020-2021. The research instruments included the Shorter PROMIS Questionnaire (SPQ), the Distress Tolerance Scale-Short Form (DTS-SF), the Self-Other Differentiation Scale (SODS), the Emotion Regulation Questionnaire (ERQ), and Connor-Davidson Resilience Scale (CD-RISC). Data were analyzed by the SEM method using SPSS-26 and SmartPLS.

 The results showed that distress tolerance (β=0.25, P<0.001) and emotion regulation difficulties (β=0.35, P<0.001) had a significant direct association with resilience. In addition, distress tolerance (β=0.14, P<0.001), self-differentiation (β=0.25, P<0.001), emotion regulation difficulties (β=0.27, P<0.001), and resilience (β=0.22, P<0.001) had a significant direct relationship with addictive tendencies. Moreover, resilience mediated the association of distress tolerance and emotion regulation difficulties with addictive tendencies in college students.

 The proposed model had the desired fitting based on the results. It is a great step toward understanding factors associated with addiction tendencies in university students. Furthermore, it is an appropriate model, according to which various programs can be developed and designed to prevent addiction tendencies among university students.

In different crises without any exception, especially sudden emergencies, the role of human effective components (HECs), native human effective components (NHECs) (belonging to a specific space and location), and especially core native human effective components (CNHECs); and among CNHECs, level of management skills, ignorance, and manager’s mind bandwidth are of vital importance in crisis management. These three specified CNHECs can affect crisis management and managers as well as the level of latency in planning, strategy, and management, and as such through a complexity of reactions (i.e. A. affective, B. behavioral, and C. cognitive reactions) to increase resiliency and decrease distress in metropolitan urban areas. The time limitation is also an important issue to be considered. 

The type of review method has been integrative review. For a better review process, 200 articles during an approximately 50-year time (1972-2021) period during 3 years of the review process were studied and for the selection method, the well-known scientific databases and universities, the search terms, and inclusion/exclusion criteria were selected, analyzed, and summarized through a review protocol.

We aim to shed light on HECs preparation of NHECs and CNHECs in disaster management which will generate a good understanding to increase the resiliency and decrease the distress in crisis managers in times of sudden emergencies in metropoles as a sustainable development framework for the future. 

By creating the proposed taxonomy and classification of CNHECs in crisis management (managers), at first a better understanding will be obtained which in times of sudden crisis can increase resiliency and decrease distress generating a sustainable development framework.

Breast cancer is the most commonly diagnosed cancer in women which can cause spiritual distress in them. This study aims to assess the effects of mindfulness-based schema therapy (MBST) and transdiagnostic intervention on spiritual distress of women with breast cancer.

This is a quasi-experimental study (Clinical trial) with a pre-test/post-test/ follow-up design using a control group. Participants were 41 women with breast cancer referred to Omid and Imam Reza hospitals in Mashhad, Iran during 2017-2020, who were selected using a convenience sampling method and randomly assigned into two experimental groups and one control group. For both experimental groups, the intervention was performed at ten weekly sessions. The used instrument was the Spiritual Distress Scale of Ku et al. Data were analyzed using repeated measures analysis of variance and Bonferroni post hoc test in SPSS software, version 25 software.

There was a significant difference in the mean scores of spiritual distress in the experimental groups compared to the control group in the post-test and follow-up phases (P<0.001). There was no significant difference between the effectiveness of transdiagnostic intervention and MBST in the post-test and follow-up phases (P>0.05).

Both transdiagnostic intervention and MBST can reduce the spiritual distress of women with breast cancer.

 Drug abuse causes irreversible damage to human health at both micro and macro levels among the aggravating problems of human society.

 This research aimed to evaluate the role of group dialectical behavior therapy (DBT) and structured matrix treatment (SMT) on quit addiction self-efficacy, distress tolerance, and mindfulness in individuals with stimulant drug abuse.

 This quasi-experimental study was based on a pretest-posttest design with test and control groups. The population included drug abusers referring to the centers of addiction rehabilitation affiliated with the Social Welfare Department, Ahvaz, Iran, in 2021. A total of 75 individuals were selected using convenience sampling and allocated to one control group and two experimental groups. Participants in all three groups completed the Distress Tolerance Scale (DTS), the Mindful Attention Awareness Scale (MAAS), and the Quit Addiction Self-Efficacy Questionnaire. The first experimental groups underwent eight sessions (90-minute sessions per week) of group DBT. The SMT was performed on the second experimental group for fourteen 90-minute sessions, and the control group did not receive any training. Then, the data were analyzed statistically using the multivariate analysis of covariance.

 DBT and SMT groups increased quit addiction self-efficacy, distress tolerance, and mindfulness in the experimental group compared to the control group (P < 0.001). There was a significant difference between DBT and SMT groups regarding distress tolerance in the individuals with stimulant drug abuse (P = 0.020).

 Based on the results, DBT and SMT were effective in quitting addiction self-efficacy, distress tolerance, and mindfulness among drug abusers, improved psychological states, and reduced drug abuse in individuals.

Coronavirus disease (COVID‑19) causes significant psychological distress among nursing students. College‑bound nursing students might have preferred different types of coping strategies to deal with psychological distress. This study aims to measure the psychological distress and role of coping styles to mediate the stress level among the baccalaureate nursing students amid the COVID‑19 pandemic.

A cross‑sectional online survey was conducted in December 2020 at a nursing college attached to a tertiary care teaching hospital, North India. Nearly 251 baccalaureate nursing students completed the Impact of Event Scale‑Revised (IES‑R) and Coping Orientation to Problems Experienced Inventory (Brief‑COPE) scale to report their psychological distress and coping styles, respectively. Chi‑square test, independent sample t‑test followed by binary and multivariable regression were used to identify the factors associated with distress in students during the pandemic.

Students’ mean age was 22.22 ± 1.24 years. The mean IES‑R was 19.59 ± 12.45 in nursing students. Psychological distress found a significant association with age (P = 0.022), academic class (P = 0.016), travel history (P = 0.034), and being positive reverse transcription–polymerase chain reaction (RT‑PCR) for COVID‑19 status of self (P = 0.018) and family members in the medical profession (P = 0.013). In binary logistic regression, stress level found a significant association with first‑year academic level (OR: 3.250, 95% CI: 1.429–7.390, P = 0.005) and family members in the medical profession (OR: 4.44, 95% CI: 1.019–19.382, P = 0.047). Adaptive coping styles were more frequently preferred than maladaptive coping styles (54% vs 41%). Adaptive (r = 0.295, P < 0.001) and maladaptive coping (r = 0.403, P < 0.001) shows a significant positive relationship with stress in students, respectively.

Coronavirus pandemic causes significant distress among nursing students. Students were able to manage stress using acceptance and religious/spiritual coping strategies. During the pandemic, stress management to support mental health is highly recommended.

Parents of premature infants are more likely to be exposed to stressful situations than parents of term infants. This study aimed to determine the effect of educational-supportive interventions on the tolerance of parents of premature infants admitted to the neonatal intensive care unit (NICU).

In this quasi-experimental study, the participants included 50 parents of premature infants admitted to one of the NICUs in Shiraz, Iran from October 2019 to May 2020. Parents were randomly assigned to intervention and control groups. Educational intervention (training package and its content) was done in five 45-minute sessions for two weeks and three times a week. The supportive care was provided one day after the intervention. The data were collected using a demographic questionnaire and Distress Tolerance Scale and analyzed by SPSS 24 using paired t-test, independent t-test, and chi-square test.

The mean scores of the mothers' and fathers’ distress tolerance in the pre-intervention stage were 36.0 ± 6.1, 33.9 ± 7.4 in the control group (P < 0.14), and 38.4 ± 5.8, 38.0 ± 5.9 in the experimental group (P < 0.001), respectively. After the intervention, the mean scores of the mothers’ and fathers’ distress tolerance in the control group were 35.9 ± 5.3 and 36.5 ± 6.3, and in the experimental group 54.7 ± 5.3, 53.0 ± 6.0, which compared to before the intervention showed a significant increase (P < 0.001).

Supportive-educational programs can increase distress tolerance in parents of premature infants. In the future, these programs can be planned to promote the quality of infant care.