جستجوی مقالات مرتبط با کلیدواژه « Psychological symptoms » در نشریات گروه « پزشکی »

This research aimed to compare the effectiveness of dialectical behavior therapy and analytical cognitive psychotherapy in reducing the psychological symptoms of people with borderline personality disorder.

Methods and Materials: 

This research is an applied research based on the goal. Based on the collection and type of data, it was quantitative and cross-sectional in terms of time. In addition, it was a semi-experimental research design in the form of pre-test-post-test with a control group. The statistical sample of the research was 45 people in a non-random way. They were chosen voluntarily. Multivariate covariance analysis was used in quantitative data and SPSS version 26 statistical program was used.

The research findings indicated that the scores for Borderline Personality Inventory (BPI) and Self-harm Thoughts and Behaviors (STB) were higher for individuals who underwent Cognitive Analytic Therapy (CAT) compared to those who underwent Dialectical Behavior Therapy (DBT).

The results of the present study suggest that the Cognitive Analytic approach is more effective than Dialectical Behavior Therapy. Overall, it can be concluded that Cognitive Analytic Psychotherapy, by improving interpersonal relationships, emotional regulation, and self-concept in individuals with Borderline Personality Disorder, helps in reducing impulsive, unplanned, and thoughtless behaviors through a proper patient-therapist relationship, thereby improving the social functioning of these patients.

 Intelligent students may experience more stress, anxiety, and adjustment problems than non-gifted students for various reasons, including perfectionism. The purpose of this study was to determine the relationship between perfectionism and psychological symptoms with the mediation of self-compassion and external shame among intelligent students.

 A descriptive and correlational study was conducted with the participation of 300 high school intelligent students in Amol. A city in north of Iran, in 2022. Multistage cluster random sampling was done. The data were collected using six-dimensional and three-dimensional perfectionism, stress-anxiety-depression, self-compassion, and external shame questionnaires. Data were analyzed using Pearson correlation tests and structural equation models and SPSS Statistics for Windows, version 25.0 IBM SPSS (SPSS Inc., Chicago, Ill., USA) and AMOS-24 softwares.

 An increase in the amount of external shame caused increase in both psychological symptoms (r=0.581). An increase in self-pity (r=0.393) and perfectionism (r=0.387) caused a decrease in psychological symptoms.The coefficients of the direct path between perfectionism and self-compassion were positive but not significant (P=0.123, β=0.528). The relationship between perfectionism and external shame is positive and significant (P<0.001, β=0.498), between self-compassion and negative and significant psychological symptoms (P<0.001, β=0.208), There were positive and significant correlations between external shame and psychological symptoms (P<0.001, β=0.488). The path coefficient of the indirect effect of perfectionism through the mediation of external shame on positive and significant psychological symptoms (P<0.001, β=0.243) and also the indirect effect of perfectionism on psychological symptoms through the mediation of negative self-compassion and it was significant (P< 0.001, β = -0.109).

 The study showed that with the increase in the level of perfectionism and the subsequent increase in external shame, psychological symptoms also increase. Also, with the increase of perfectionism followed by the promotion of self-compassion, the amount of psychological symptoms decreases.

The purpose of this research is to compare the effectiveness of emotion regulation training and compassion-based therapy on psychological symptoms and risky behavior in working children.

The research method was semi-experimental with a pre-test, post-test design and control group. The statistical population of this research consisted of all the working children of Ahvaz city in 1400, and to collect data, 45 of the children were selected using a screening interview. They were selected in a purposeful way and after matching based on demographic characteristics in pairs and individuals and randomly assigned to 3 groups of 15 people, (experimental group with emotion regulation training (15 people), experimental group with compassion-based therapy) (15 people) and a control group (15 people) were assigned. At first, all participants completed the depression-anxiety-tension scale (Lavibond and Lavibond, 1995) and the risk-taking scale of Iranian adolescents (Zademohammadi et al., 2019), then the subjects The experimental groups were trained in emotion regulation and compassion-based therapy, while the subjects in the control group did not receive any intervention. After the interventions, all subjects completed the research questionnaires. To analyze the data, multivariate analysis of covariance and univariate analysis were used.

The results showed that emotion regulation training and compassion-based therapy are effective on psychological symptoms and risky behavior (p≥0.05) and as a result of these interventions can reduce psychological symptoms and behavior. Risky work in children. In addition, the results of follow-up tests showed that emotion regulation training had a greater effect on reducing risky behavior in working children compared to compassion-based treatment (p≥0.05).

It seems that both have the same effect on research variables; Although it has had a more lasting effect in the follow-up phase of emotion regulation training

Fibromyalgia syndrome is a chronic disease that causes widespread musculoskeletal pain. It primarily affects women and negatively impacts many aspects of a person’s psychological and social life. This study aimed to compare the effectiveness of cognitive therapy based on mindfulness and compassion therapy on automatic negative thoughts, psychological symptoms, pain intensity, and quality of life in patients with fibromyalgia syndrome.

This research is a quasi-experimental study with a pre-test-post-test design with two experimental and one control group. The statistical study population consisted of all individuals with fibromyalgia syndrome referred to Mehregan Pain Clinic in Mirdamad (District 3), Seyed Khandan Clinic (District 4), and Taleghani Hospital Pain Clinic (District 1) in Tehran City, Iran. Of them, 30 patients were randomly selected and divided into three groups of experimental 1, experimental 2, and control; each group will include 10 people. The instruments used in this study included the World Health Organization quality of life questionnaire (WHOQOL BREF), pain intensity questionnaire (PIS), psychological symptoms questionnaire (Anxiety, Stress and Depression [DASS]), and automatic negative thoughts (QNS).

This study was approved by the Research Ethics Committee of Arak Branch, Islamic Azad University (Code: IR.IAU.ARAK.REC.1400.005). 

The analysis of covariance showed the effectiveness of both cognitive therapies based on mindfulness and compassion therapy on four variables of pain intensity, psychological symptoms, automatic negative thoughts, and quality of life (P<0.05). Comparing the two intervention methods showed that both therapies had almost the same effect on pain intensity, psychological symptoms, and automatic negative thoughts (P<0.05) but the effectiveness of mindfulness intervention on the quality of life was significantly higher than compassion intervention (P<0.05). 

The results indicate that cognitive therapy based on mindfulness and compassion therapy are suitable for people with fibromyalgia under appropriate treatment.

Diabetes is one of the most common chronic diseases with a high prevalence of complications, including psychological problems, as well as personal, family, and social communication issues. This research aimed to predict psychological symptoms in type II diabetes patients based on self-efficacy, quality of life, and self-compassion.

This descriptive study was conducted based on a descriptive-correlation method. The statistical population of the study included all women and men suffering from type II diabetes referring to the specialized diabetes center of Taleghani Hospital in Kermanshah in 2022. The samples (n=150) were selected by the available sampling method. The required data were collected using questionnaires, namely the General Self-Efficacy Scale, Quality of Life Questionnaire, Self-Compassion Scale, and Depression, Anxiety, and Stress Scale-21. Data analysis was performed using descriptive statistics, Pearson's correlation coefficient, and multiple regression using the simultaneous entry method.

The results showed that there was a negative and significant correlation between self-compassion score and psychological health in type II diabetes patients (r=-0.47, P<0.05). A significant relationship was observed between the feeling of self-efficacy (r=-0.67, P<0.05) and quality of life (r=-0.61, P<0.05) and psychological health in type II diabetes patients. The regression analysis also showed that 34% of the variance of the psychological symptoms score of diabetic patients could be explained based on predictor variables.

The results of our study revealed that there was a negative and significant relationship between the self-compassion score and psychological symptoms in patients with type II diabetes, in such a way that with an increase in the average self-compassion score, the depression, anxiety, and stress scores decrease and vice versa

Psychological symptoms such as stress, anxiety, and depression are the most common psychiatric disorders that become chronic in most cases. The presence of these symptoms in parents produces undesirable psychological symptoms in their children. These symptoms have a negative impact on individuals' social performance in the future. Positive affects indicate the level of passion and enthusiasm for life and the feeling of effectiveness and alertness of people. On the other hand, negative affects show the general dimension of inner discomfort and unpleasant preoccupation and include unpleasant states, such as hatred, disgust, guilt, fear, and anger. This study aimed to investigate the relationship between positive and negative affects and perceived conflicts of parents with psychological symptoms of junior high school students in Azad Shahr City, Iran.

This research was a descriptive–correlational study. The study population included all junior high school students of Azadshahr in the academic year 2017–2018 (N= 3540, 2315 boys and 1225 girls). Regarding the size of the statistical population, using the Krejcie and Morgan Table (1970), the sample size was estimated to be 246 people selected by cluster sampling. The study questionnaires were distributed in classes and collected after completion. To collect the study data, the Positive and Negative Affect Schedule (PANAS) (Watson et al., 1988), the Children's Perception of Interparental Conflict Scale (CPIC) (Grych et al., 2004), and the Psychological Symptom Scale (Stress, Anxiety and Depression Scale, DASS–21) (Lovibond & Lovibond, 1995) were used. To analyze the data, we used descriptive statistics, including mean and standard deviation, to classify the data and inferential statistics, including regression analysis, Pearson correlation coefficient, and t test, to compare the variables between two independent groups. All analyses were conducted in SPSS software. The significance level of statistical tests was set at 0.05.

The coefficients of positive affects (p=0.003), negative affects (p<0.001), and perception of parental conflict (p<0.001) were significant in the regression model. The relationship between positive affects and psychological symptoms of students was negative and significant (r=–0.395, p<0.001). The relationship between negative affects and psychological symptoms of students was positive and significant (r=0.456, p<0.001). A positive and significant relationship existed between parents' perceived conflicts and students' psychological symptoms (r=0.410, p<0.001). Also, the difference in mean scores of psychological symptoms (p<0.001), depression (p=0.017), and anxiety (p=0.039) of male and female students was significant.

Based on the findings of this research, conflicts and the intense, pervasive, and exposed hostility between parents have negative effects on their children. In other words, the affective, safe environment of the family, as an essential factor, plays a role in reducing the emotional problems of children in the context of parental conflicts.

Covid-19 patients perceive a lot of stress and suffer from psychological symptoms including depression, stress and anxiety. Because these patients are required to comply with quarantine conditions, remote training can be used for these patients. Therefore, this study was conducted with the aim of investigating the effect of remote training of stress management in a cognitive-behavioral way on the psychological symptoms of covid-19 patients. In this randomized clinical trial, the research population was all the patients with Covid-19 referred to the Dr.Garazi hospital in Isfahan city in the winter of 1400. 70 people were selected by available sampling method and divided into two intervention and control groups (35 people) by limited randomization method. For the intervention group, remote training program on stress management was implemented in five sessions of 60 minutes in two weeks. The control group did not receive training. Psychological symptoms were measured before and after the training sessions using the DASS-21 questionnaire. The data were analyzed with SPSS21 software and by performing chi-square tests, analysis of variance, independent and paired t-test, and analysis of covariance. Remote training of stress management in a cognitive-behavioral way had a significant effect on all dimensions of psychological symptoms of covid-19 patients and reduced them in the intervention group (p≤0.05). Based on the results, this method of training can improve the psychological symptoms of covid-19 patients and it is recommended due to the convenience and possibility of use in the quarantine conditions of these patients.

Strengthening and improving self-efficacy among employees is effective in promoting mental health and reducing psychological symptoms during the Coronavirus outbreak. This study, therefore, aimed to study the relationship between psychological symptoms and self-efficacy of the staff of the Ministry of Health during Covid-19 pandemic.

This descriptive-analytical study was conducted cross-sectionally among 330 staff members of the Ministry of Health in 2019. Sampling was done in a stratified random manner. Data were collected online using a general health and self-efficacy questionnaire. Data analysis was performed using SPSS 16 software. Ethical considerations were observed at all stages of the study.

Depression (10.39 ± 9.04) showed the highest score and morbid fear (3.20 ± 3.75) had the lowest score among psychological symptoms. The efficiency of employees was evaluated well. There was no significant difference between psychological symptoms and the variables of gender, marital status, employment status, and number of children. There observed a significant difference with variables of Corona involvement, age, education level, and work experience. The relationship between all psychological symptoms and self-efficacy was significant and inverse. The regression model showed that sensitivity variables in reciprocal relationships, age, depression, aggression and morbid fear together predict 38% of self-efficacy changes.

Considering the negative correlation between self-efficacy and psychological symptoms and the predictor of self-efficacy by psychological symptoms, holding training classes, coping methods and teaching self-efficacy skills can be useful in promoting mental health and self-efficacy of employees.

Fibromyalgia syndrome is a chronic disease that causes widespread musculoskeletal pain. It primarily affects women and negatively impacts many aspects of a person’s psychological and social life. This study aimed to compare the effectiveness of cognitive therapy based on mindfulness and compassion therapy on automatic negative thoughts, psychological symptoms, pain intensity, and quality of life in patients with fibromyalgia syndrome.

This research is a quasi-experimental study with a pre-test-post-test design with two experimental and one control group. The statistical study population consisted of all individuals with fibromyalgia syndrome referred to Mehregan Pain Clinic in Mirdamad (District 3), Seyed Khandan Clinic (District 4), and Taleghani Hospital Pain Clinic (District 1) in Tehran City, Iran. Of them, 30 patients were randomly selected and divided into three groups of experimental 1, experimental 2, and control; each group will include 10 people. The instruments used in this study included the World Health Organization quality of life questionnaire (WHOQOL BREF), pain intensity questionnaire (PIS), psychological symptoms questionnaire (Anxiety, Stress and Depression [DASS]), and automatic negative thoughts (QNS).

This study was approved by the Research Ethics Committee of Arak Branch, Islamic Azad University (Code: IR.IAU.ARAK.REC.1400.005). 
Results The analysis of covariance showed the effectiveness of both cognitive therapies based on mindfulness and compassion therapy on four variables of pain intensity, psychological symptoms, automatic negative thoughts, and quality of life (P<0.05). Comparing the two intervention methods showed that both therapies had almost the same effect on pain intensity, psychological symptoms, and automatic negative thoughts (P<0.05) but the effectiveness of mindfulness intervention on the quality of life was significantly higher than compassion intervention (P<0.05). 

The results indicate that cognitive therapy based on mindfulness and compassion therapy are suitable for people with fibromyalgia under appropriate treatment.

Depression is one of the most common mental disorders among men and women, which is associated with cognitive, emotional, behavioral and physiologic symptoms. This disorder is relatively chronic and a significant percentage of people who suffer from this disorder experience frequent recurrence. Research about the impact of lifestyle on both the physical and mental illnesses, particularly chronic illnesses, has been considered in the contemporary age. The purpose of this study was to evaluate the effectiveness of lifestyle training on cognitive, emotional and behavioral symptoms in people who suffer from major depression. In order to this, an experimental and single case study with multiple baselines with three patients with major depressive disorder who were selected by using purposive method was implemented. The sample of study was chosen from people with major depression who refer to the counseling and psychological services centers in Tehran. Visuals inspection, improvement percentage and effect size showed that lifestyle training is clinically efficient on the reduction of cognitive, emotional and behavioral symptoms in people who suffer from depression. Lifestyle training has appropriate efficacy in the reduction of cognitive, emotional and behavioral symptoms.

Spine pain is one of the most common and costly health problems in developed countries. The purpose of this study was to analyze the structural equation modeling the effect of resilience and pain coping strategies on pain perception in patients with spinal pain: mediated by psychological symptoms.

This study was a correlation study using structural equation modeling. The statistical population of the study was all patients with spinal pain referred to Shams Hospital in Tabriz in 2018, estimated to be 750 patients. The statistical sample of the study was 254 people selected by available sampling based on Krejcie and Morgan’s table. The data gathering tool was the SCL-90 questionnaire, Pain Coping Strategies Questionnaire, Resiliency Scale, and new questionnaire (MPQ). The data were analyzed using structural equation test in Amos software and Bootstrap test.

The results of structural equation modeling analysis showed that direct paths from irradiation to pain perception (β=0.000, P<0.01) were significant. There is a direct correlation between coping strategies and pain perception (β=0.31, P<0.01). There is an indirect relationship between vibration, psychological symptoms, and pain perception (β=0.139, P<0.01) There is an indirect relation between coping strategies, psychological symptoms, and pain perception (β = 0/25, P<0.01)

It is recommended to develop a comprehensive care plan for patients with spinal pain by enhancing resilience and coping strategies to reduce the level of psychological symptoms in these patients.

The aim of this study was to investigate the moderating role of demographic variables in the effect of the four-factor integrated psychotherapy package on the psychological symptoms of HIV patients.

The research method was quasi-experimental pre-test and post-test with a control group. At this stage, 32 men and women living with HIV in two referral centers and AIDS support groups were purposefully selected and randomly placed in two experimental and control groups. The research tool was the Checklist of Symptoms of Mental Disorders (SCL90) which was performed in the pre-test and post-test stages in the two experimental and control groups. Integrative treatment intervention was performed in 12 weekly sessions in the experimental group and the control group did not receive any intervention. Data were analyzed using one-way analysis of covariance.

The results showed that four-factor integrated psychotherapy package is effective in reducing psychological symptoms regardless of demographic variables. In other words, the variables of gender, age, education and marriage of the subjects have no effect on the effectiveness of four-factor integrated psychotherapy package on the psychological symptoms of HIV patients

The aim of this study was to evaluate the effectiveness of dialectical behavior  therapy in reducing psychological symptoms in patients with mitral valve prolapse syndrome.   

The present study is a quasi-experimental with a pretest-posttest design with a control group. The statistical population included all female patients with mitral valve prolapse syndrome in Mashhad who referred to Ferdowsi University Clinical Psychology Clinic, Imam Reza and Ghaem Hospitals in Mashhad. Among the volunteers, 16 were They were selected from interview and initial screening by purposive sampling method and randomly assigned to experimental and control groups. The research instruments included the Albanian Panic Questionnaire, Krupp Fatigue and Generalized Anxiety Inventory (GAD-7) and the data were analyzed by SPSS software version 21 and one-way analysis of covariance.

The results showed that dialectical behavior therapy was effective in reducing psychological symptoms (P <0.01).

This approach has paved the way for improving the psychological health of these patients.

Since the outbreak of Coronavirus worldwide, working conditions of medical personnel, specifically nurses, have changed dramatically. Therefore, medical staff have undergone more physical and psychological distress than before. The main purpose of this study was investigating symptoms of stress, anxiety and depression and coping strategies in nurses who worked during COVID-19 pandemic. T This cross-sectional descriptive analytical study was conducted during April and May 2020. Through convenience sampling method, 76 nurses who involved in caring of COVID-19 patients at Ghaem Hospital in Mashhad were selected. They were evaluated by DASS-21 and Billings and Moos coping responses inventories. Mann-Whitney test, Spearman correlation coefficient and multiple regression analysis was used by means of SPSS 16.0.  The findings demonstrated that nurses suffered high mental problems. Symptoms of stress were discovered in 48.7%, anxiety in 77.6%, and depression in 60.5% of the nurses; and the main strategy applied by them was emotion-focused types. Regression analysis revealed a positive correlation between psychological distresses and emotion based approaches as well as negative correlation between problem-focused skills and incidence of depression. The COVID-19 outbreak has caused critical conditions and as a result, psychological pressures on nursing staff. Training on problem-solving strategies in nursing community would help to cope with such health related crisis.