جستجوی مقالات مرتبط با کلیدواژه « Personal autonomy » در نشریات گروه « پزشکی »

The self-determination theory (SDT) posits that basic psychological needs (BPNs) are indispensable and vital nutrients for well-being. The present research was done to apply SDT to understand students’ well-being, which proposes that the realization and fulfillment of BPNs and subjective vitality significantly influence the overall well-being of an individual. Therefore, the current study analyzed the mediational effect of subjective vitality in the BPN satisfaction and well-being relationship.

This study included a sample of 219 (165 females and 54 males) university students with a mean age of 25 years. The basic psychological needs satisfaction and frustration scale (BPNSFS) was used to assess BPNs. Subjective vitality was assessed using a 6-item individual difference version subjective vitality scale by Ryan and Frederick, and well-being was evaluated by the WHO well-being index. Correlational and multiple regression analysis was done and mediational analysis was done using Hayes PROCESS macro.

The results indicated that fulfillment of BPNs (β=0.413, P<0.01) and subjective vitality (β=0.208, P<0.01) are significant predictors of students› well-being. Mediation analysis showed that subjective vitality completely mediated the relationship between BPN satisfaction and well-being. Furthermore, the measures of BPNS (t=2.242) and well-being (t=2.154) differed significantly, while no significant differences were found in subjective vitality (t=0.108) with respect to gender.

The findings of this study highlighted the role of BPN satisfaction and subjective vitality in the promotion of students’ well-being. Moreover, the present study highlighted the underlying mechanism, through which BPNs influences students’ well-being. This study contributes to the theoretical literature by emphasizing the vital role played by BPNs and subjective vitality in students’ well-being.

Hearing impairment, even if mild, can delay linguistic development and negatively affect the language acquisition process. This study designed to investigate the effect of self-determination skills training on academic vitality and optimism in students with hearing loss.

This was a quasi-experimental study with pretest-posttest design and control group. The sample consisted of 30 students with hearing loss in Shahroud who were selected by available sampling method and randomly and equally assigned to the experimental and control groups (15 people in each group). The experimental group participated in a self-determination skills training program that was conducted in 8 sessions of 40 minutes (one session per week), while the control group did not participate in this program. Participants were assessed using the Academic Vitality Questionnaire and Optimism Questionnaire. Data were analyzed using univariate and multivariate analysis of covariance tests and SPSS-23 software

Considering the differential results of multivariate analysis of covariance for experimental and control groups in the variables of academic vitality (P = 0.001) and academic optimism (P = 0.001), the difference between the experimental and control groups is significant. According to Eta squared, it can be said that in the variables of academic vitality and academic optimism, 33% and 39% of these changes are due to intervention, respectively.

This study emphasizes the role of self-determination interventions in positive academic variables. This method can be used in the educational and rehabilitation program of this group of children.

Psychological wellbeing and ego-resiliency are highly affected in a chronic disease like type 2 diabetes mellitus (T2DM), where psychological interventions are considered as an option. The present study, therefore, aimed to investigate the effectiveness of cognitive-behavioral therapy (CBT) on psychological wellbeing and ego-resiliency of T2DM in Sabzevar, Iran.

This experimental pretest-posttest design was conducted on T2DM patients admitted to Diabetes Center in Sabzevar, Iran. The sample included 30 patients, selected by convenient sampling, and randomly assigned into control (n=15) and experimental groups (n=15). Ryff’s Psychological Wellbeing Scale and Klohnenchr('39')s Ego-resiliency Inventory were used to collect data. CBT was conducted for the experimental group. Statistical analyses were performed in SPSS17 using ANCOVA.

The findings indicated that CBT had considerable impact on psychological wellbeing (and its six components: self-acceptance, personal growth, purpose in life, environmental mastery, autonomy, and positive relations with others), and ego-resiliency, in T2DM (P-value ≤ 0.01).

The application of CBT, in T2DM patients can be an effective, applicable and promising intervention to enhance the psychological wellbeing and ego-resiliency, two highly affected constructs in chronic diseases leading to serious comorbidities for health.

One of the most important aims of rehabilitation in Spinal Cord Injuries (SCI) is regaining autonomy, which can affect individuals’ Quality of Life (QOL). This study was conducted to understand the experiences of individuals with SCI in terms of regaining autonomy during transition from hospital to community.

The present study was conducted using a qualitative research design. In this study, 15 semi‑structured, in‑depth interviews were conducted with individuals with SCI in Spinal Cord Injury (SCI) Association of Arak, Iran, from June 2018 to May 2019. The interviews were analyzed using the conventional content analysis method.

Data analysis emerged four core categories of “self‑management” (adaptation to a new life, self‑care, responsibility, and seeking information), “social support” (family and friends’ support, health care providers’ support, and peer support), “access to facilities and resources” (home modification, use of various rehabilitation techniques, and use of mobility equipment), and “spiritual and religious beliefs” (believing in divine destiny and performance of religious rites).

The present study showed that several factors influenced the regaining of autonomy in individuals with SCI. It is important to consider the impact of these factors during transition from hospital to community. Health service providers can use the findings of this research to help these individuals regain their autonomy.

Medical errors are among the major challenges that threaten patients’ health worldwide. The aim of this study was to design a valid and reliable questionnaire to investigate the status of medical error disclosure by physicians. A preliminary questionnaire was developed based on the extracted results from 37 interviews with specialists. To test the validity of the questionnaire, 20 medical practitioners and medical ethics authorities were asked to evaluate the relevance and clarity of each item. To measure the instrument’s reliability (the intra-class correlation coefficient and Cronbach’s alpha), a test-retest study was conducted on 20 randomly selected physicians twice with a 2-week interval. Statistical analyses were performed using SPSS software version 20.  The overall relevance and clarity of the instrument, with an average approach, were measured at 97.22 and 94.03 percent respectively. The Cronbach’s alpha, which presents the internal consistency was satisfactory (0.70 - 0.79) for various domains of the questionnaire. The range of intra-class correlation coefficients for the items in all domains of the questionnaire was 0.76 to 1.00. Regarding the validity and reliability of the questionnaire, it can be an appropriate instrument in the assessment and monitoring of the status of medical error disclosure by physicians.