فهرست مطالب

مجله مطالعات ناتوانی
سال نهم شماره 1 (اسفند 1398)

  • تاریخ انتشار: 1398/01/12
  • تعداد عناوین: 128
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  • اعظم نایب آقایی، سیدعلی آل یاسین*، حسن حیدری، حسین داودی صفحه 1
    هدف

    در شکل گیری، تداوم و درمان اختلال وسواسی-اجباری، باورهای معینی به طور اختصاصی عامل اصلی این اختلال شناخته شده اند. پژوهش حاضر با هدف اثربخشی درمان مواجهه و جلوگیری از پاسخ بر احساس مسئولیت افراطی وعدم تحمل تردید در بیماران مبتلا به اختلال وسواسی-اجباری انجام شد.

    روش بررسی

    طرح پژوهش نیمه آزمایشی از نوع پیش آزمون، پس آزمون و پیگیری با گروه گواه بود. جامعه آماری شامل تمامی افرادی در شهرستان محلات بود که در سال 97 با تشخیص روان پزشک مبتلا به اختلال وسواسی-اجباری بودند. با روش نمونه گیری دردسترس 16 بیمار مبتلا به اختلال وسواسی-اجباری انتخاب و با آرایش تصادفی در دو گروه آزمایش و گواه قرار گرفتند. افراد در گروه درمان، 12جلسه درمان منطبق با پروتکل درمانی سالکوسکیس دریافت کردند. آزمودنی ها قبل از مداخله، در پایان مداخله و سه ماه بعد در مرحله پیگیری به وسیله مقیاس وسواسی-اجباری یل براون (Y-BOCS، گودمن، 1989)، مقیاس نگرش مسئولیت (RAS؛ سالکوسکیس، 2000)، و مقیاس عدم تحمل تردید (IUS؛ فریستون، 1994) سنجش شدند. برای تجزیه وتحلیل داده های پژوهش، از شاخص های آمار توصیفی مانند میانگین و انحراف معیار و برای تحلیل داده ها باتوجه به نرمال بودن توزیع داده ها، از آزمون های تی مستقل و تحلیل واریانس با اندازه گیری مکرر استفاده شد. داده های پژوهش با استفاده از نرم افزار SPSS 23 تحلیل گردید.

    یافته ها

    نتایج تحلیل واریانس مکرر نشان داد که درمان مواجهه و بازداری از پاسخ باعث کاهش مسئولیت پذیری افراطی و عدم تحمل تردید بیماران مبتلابه اختلال وسواسی-اجباری در مرحله پس آزمون شد (0٫001>p)، همچنین ماندگاری اثر درمان پس آز سه ماه حفظ شد (0٫001>p).

    نتیجه گیری

    نتایج این پژوهش نشان داد درمان مواجهه و جلوگیری از پاسخ در بهبود احساس مسئولیت افراطی و عدم تحمل تردید در بیماران مبتلا به اختلال وسواسی-اجباری اثربخشی کارا دارد.

    کلیدواژگان: اختلال وسواسی-اجباری، احساس مسئولیت افراطی، عدم تحمل تردید، درمان مواجهه و جلوگیری از پاسخ
  • شفیق مهربان، نورالله خلیل زاده، سلیمان احمدبوکانی*، یوسف اسمری برده زرد صفحه 2
    هدف

    ناباروری یک تجربه استرس زاست که مشکلات بهداشتی و اجتماعی جدی به وجود می آورد. پژوهش حاضر با هدف بررسی اثربخشی روان درمانی گروهی مثبت نگر مبتنی بر آموزه های دینی بر نشخوار فکری زنان نابارور طراحی و اجرا شد.

    روش بررسی

    پژوهش حاضر به روش نیمه آزمایشی و از نوع پیش آزمون- پس آزمون با گروه کنترل و گمارش تصادفی انجام گرفت. جامعه آماری مطالعه شامل زنان نابارور مراجعه کننده به کلینیک های نازایی شهر مهاباد (آذربایجان غربی) در سال 1396 بود. افراد نمونه در وهله نخست به شیوه نمونه گیری در دسترس انتخاب شدند و پس از تکمیل پرسشنامه نشخوار فکری افسرده ساز و کسب حد نصاب لازم برای ورود به تحقیق با استفاده از انتساب تصادفی در دو گروه آزمایش و کنترل (15 نفر برای هر گروه) گمارده شدند. گروه آزمایش طی 10 جلسه در معرض روان درمانی مثبت نگر مبتنی بر آموزه های دینی به شیوه گروهی قرار گرفتند و گروه کنترل، مداخله ای دریافت نکردند. داده های حاصل با آزمون تحلیل کوواریانس، تجزیه وتحلیل شد.

    یافته ها

    نتایج تحلیل کوواریانس چندمتغیری نشان داد که بین گروه آزمایش و کنترل از نظر مولفه های نشخوار فکری (سردرگریبانی، سرزنش خود، نشخوار فکری علامت دار و درون گری) تفاوت معنادار است (0٫001

    نتیجه گیری

    نتایج پژوهش حاضر نشان داد که روان درمانی گروهی مثبت نگر مبتنی بر آموزه های دینی می تواند باعث کاهش نشخوار فکری افسرده ساز در زنان نابارور شود؛ بنابراین انجام مداخلات بر اساس این رویکرد می تواند در ارتقای سلامت روان و بهبود کیفیت زندگی مفید باشد.

    کلیدواژگان: روان درمانی مثبت نگر، آموزه های دینی، نشخوار فکری، زنان نابارور
  • الهام جوادی زاده، شهریار پروانه*، ستاره قهاری، ندا علیزداه تخته چوبی، ایوب سخایی صفحه 3
    هدف

    یکی از عوارض جانبی بسیار رایج آسیب نخاعی، کاهش عملکرد جسمی است که موجب افسردگی و کاهش کیفیت زندگی در این افراد می گردد. با اینکه ارتباط ارتقای فعالیت بدنی در جمعیت عادی و افراد دچار آسیب نخاعی با بهبود کیفیت زندگی و کاهش افسردگی دیده شده است، لازم است بدانیم که چه نوع از فعالیت بدنی می تواند بر افزایش کیفیت زندگی و کاهش افسردگی موثر باشد. هدف از مطالعه حاضر بررسی ارتباط بین نوع فعالیت بدنی با کیفیت زندگی و افسردگی در افراد دچار آسیب نخاعی بود.

    روش بررسی

    مطالعه حاضر مطالعه ای توصیفی تحلیلی به شیوه مقطعی بود. تعداد 60 نفر با آسیب نخاعی از افراد مراجعه کننده به انجمن ضایعه نخاعی تهران در این پژوهش شرکت کردند. ابزارهای پژوهش شامل پرسشنامه بین المللی فعالیت بدنی (2011)، پرسشنامه کیفیت زندگی SF-12 (2009)، تست افسردگی بک (2002) و پرسشنامه اطلاعات فردی بود. برای تجزیه وتحلیل اطلاعات از نرم افزار SPSS استفاده شد و یافته ها در دو بخش توصیفی و استنباطی ارائه گردید؛ در بخش استنباطی به منظور بررسی روابط بین میان فعالیت بدنی با کیفیت زندگی و افسردگی از ضریب همبستگی پیرسون و رگرسیون خطی چندمتغیره استفاده شد. در تمامی آزمون ها سطح معناداری برابر با 0٫05 در نظر گرفته شد.

    یافته ها

    فعالیت بدنی مرتبط با کار (0٫045=p و 0٫250=r) فعالیت بدنی مرتبط با تردد (0٫048=p و 0٫249=r) و فعالیت بدنی مرتبط با تفریح (0٫049=p و 0٫249=r) با کیفیت زندگی جسمی رابطه مستقیم و معناداری داشتند. همچنین رابطه فعالیت بدنی کل و انواع فعالیت بدنی با کیفیت زندگی روانی معنادار نبود. همچنین بین فعالیت بدنی مرتبط با تردد (0٫020=p و 0٫229-=r) و فعالیت بدنی مرتبط با تفریح (0٫010=p و 0٫327-=r) و افسردگی رابطه ای معنادار و معکوس دیده شد.

    نتیجه گیری

    در مطالعه حاضر فعالیت بدنی مرتبط با تفریح، متغیری بودکه بیشترین اثر را هم بر افزایش کیفیت زندگی و هم کاهش افسردگی در افراد دچار آسیب نخاعی داشت. جهت ارتقای مشارکت این افراد در فعالیت های بدنی مرتبط با تفریح نیاز است که حمایت های اجتماعی و تطابقات محیطی برای افراد دچار آسیب نخاعی فراهم گردد.

    کلیدواژگان: آسیب نخاعی، فعالیت بدنی، کیفیت زندگی، افسردگی
  • فردین قیصری*، شهزاد طهماسبی بروحنی، مینا احمدی کاکاوندی صفحه 4

    چکیده

    زمینه و هدف

    تصویرسازی حرکتی، اخیرا به عنوان روش جایگزین در بیماران نورولوژیکی، به صورت تمرین عملکردهای حرکتی مورد توجه قرارگرفته است. با این حال تاکنون شیوه نوین تصویر سازی پتلپ در بیماران مالتیپل اسکلروزیس (MS) مورد بررسی قرار نگرفته است. لذا، هدف این مقاله بررسی تاثیر تصویرسازی پتلپ و تمرین بدنی بر عملکرد و یادگیری ضربه فورهند تنیس در بیماران MS  بود.

    روش بررسی

    در این مطالعه نیمه تجربی با طرح درون / بین گروهی، 33 نفر از زنان مبتلا به بیماری MS شهرستان کرمانشاه به صورت در دسترس به عنوان نمونه آماری در تحقیق حاضر مشارکت داشتند. ابتدا آزمون دقت ضربه ی فورهند تنیس روی میز  لیو و مسترز، از آزمودنی ها گرفته شد. سپس، به روش همتا سازی بر اساس نمرات پیش آزمون، در سه گروه تصویرسازی پتلپ، تمرین بدنی و گروه ترکیبی (تمرین بدنی با تصویرسازی پتلپ) تخصیص یافتند. شرکت کنندگان 18 جلسه ضربه فورهند تنیس روی میز را متناسب با گروهی که در آن بودند، تمرین کردند. یک هفته پس از مداخله، آزمون یادداری و انتقال از آزمودنی ها به عمل آمد. برای تجزیه و تحلیل داده ها در جلسات اکتساب از تحلیل واریانس با اندازه گیری مکرر و برای مقایسه گروه ها در جلسات پیش آزمون، پس آزمون، یادداری و انتقال از تحلیل واریانس یک راهه (با سطح معنی داری 05/0) به وسیله  نرم افزار SPSS نسخه 16 استفاده شد.

    یافته ها

     نتایج تحلیل واریانس با اندازه گیری مکرر در جلسات اکتساب نشان داد دقت آزمون فورهند تنیس در تمامی گروه ها در طول جلسات بهبود معنی داری داشت (0001/0=P)؛ همچنین نتایج آزمون تعقیبی LSD   نشان داد، دقت فورهند گروه تصویرسازی پتلپ، به طور معنی داری کمتر از دو گروه تمرین بدنی (014/0=P)  و گروه ترکیبی دیگر بود (001/0=P)؛ اما نتایج تحلیل واریانس یک راهه در آزمون یادداری نشان داد که گروه ترکیبی بهتر از دو گروه تصویرسازی پتلپ (0005/0=P)،  و گروه تمرین بدنی  بودند (001/0=P،).

    نتیجه گیری

    براساس یافته های این پژوهش، به نظر می رسد ترکیب تمرین بدنی با تصویرسازی پتلپ می تواند به عنوان یک مداخله برای بیماران مالتیپل اسکلروزیس، اثر بخش تر باشد.

    کلیدواژگان: تصویرسازی ذهنی، تمرین بدنی، تنیس روی میز، مالتیپل اسکلروزیس
  • نواب کاظمی*، فریبا داداشلو، فاطمه سادات سیف صفحه 5
    زمینه و هدف

    مادران دارای کودکان بااختلال طیف اوتیسم به دلیل مشکلات مواجه شده، نیازمند الگوهای مقابله ای و حمایتی قوی هستند. هدف این پژوهش بررسی رابطه انعطاف پذیری شناختی با بهزیستی روان شناختی و تاب آوری مادران دارای کودکان طیف اوتیسم شهر زنجان بود.

    روش بررسی

    پژوهش حاضر توصیفی تحلیلی از نوع همبستگی بود. جامعه آماری پژوهش را مادران دارای کودکان بااختلال طیف اوتیسم تشکیل دادند که فرزندشان در مدارس ابتدایی استثنایی شهر زنجان در سال تحصیلی 98-1397مشغول به تحصیل بودند. با روش نمونه گیری دردسترس 180 مادر دارای این فرزندان به عنوان نمونه آماری انتخاب شدند. جهت جمع آوری داده ها از پرسشنامه انعطاف پذیری شناختی دنیس و وندرول و مقیاس بهزیستی روان شناختی ریف و مقیاس تاب آوری کانر و دیویدسون و نیز برای تحلیل داده ها از همبستگی پیرسون و رگرسیون چند متغیره استفاده شد (0٫05=α). همچنین داده ها به کمک ویراست 21 نرم افزار SPSS تجزیه وتحلیل شدند. 

    یافته ها

    باتوجه به نتایج پژوهش، بین مولفه های انعطاف پذیری شناختی با بهزیستی روان شناختی مادران رابطه مثبت و معناداری به دست آمد (0٫001>p). نتایج حاصل از رگرسیون چندمتغیره برای پیش بینی بهزیستی روان شناختی مادران نشان داد از بین زیرمولفه های انعطاف پذیری شناختی، زیرمولفه ادراک توجیه رفتار و ادراک کنترل پذیری رابطه مثبت و معناداری با بهزیستی مادران داشته که مولفه ادراک توجیه رفتار پیش بینی کننده مهم تر ی برای بهزیستی روان شناختی در این مادران بود (0٫003=p). همچنین نتایج بین مولفه های انعطاف پذیری شناختی با تاب آوری مادران رابطه مثبت و معناداری را نشان داد (0٫001p). 

    نتیجه گیری

    با توجه به اهمیت نقش انعطاف پذیری شناختی در پیش بینی بهزیستی روان شناختی و تاب آوری مادران دارای فرزندان طیف اوتیسم، توجه ویژه به مولفه های آن به متخصصان مربوط پیشنهاد می شود.

    کلیدواژگان: انعطاف پذیری شناختی، بهزیستی روان شناختی، تاب آوری، مادران
  • سعیده فتاحی، مهرانگیز دلداده مقدم، فرشته تقوی* صفحه 6
    زمینه و هدف

    اختلال یادگیری معضلی است که بنیان خانواده را تحت تاثیر قرار داده و عملکرد روانشناختی مادران را دچار اختلال می کند. دو مولفه روانشناختی مورد توجه در این فرایند، تاب آوری و شادکامی مادران است. لذا پژوهش حاضر با هدف تعیین تاثیر آموزش ذهن آگاهی بر تاب آوری و شادکامی مادران دارای کودک مبتلا به اختلال یادگیری انجام شد.

    روش بررسی

    از روش نیمه آزمایشی و طرح پیش آزمون و پس آزمون با گروه گواه استفاده شد. از بین تمامی مادران دارای فرزند مبتلا به اختلال یادگیری شهرستان تهران در سال 1397، سی نفر به صورت دردسترس انتخاب شدند و به صورت تصادفی در دوگروه آزمایشی و گواه جایگزین شدند. ابزارهای پژوهش مقیاس تاب آوری کانر و دیویدسون (2003) و پرسشنامه شادکامی آرگایل و همکاران (1989) بود. روش اجرا بدین ترتیب بود که بعد از پیش آزمون، آموزش ذهن آگاهی برای گروه آزمایش اجرا گردید در نهایت از هر دو گروه پس آزمون به عمل آمد. یافته های پژوهشبا استفاده از نرم افزار SPSSنسخه 20 و آنالیز کواریانس تحلیل شدند.

    یافته ها

    یافته ها نشان داد میانگین تاب آوری گروه آزمایش از 7٫52±45٫14 به 9٫96±61٫41 و میانگین شادکامی از 7٫52±35٫78 به 9٫34±52٫74 افزایش پیدا کرد. تحلیل کواریانس نشان داد که پس از حذف اثر پیش آزمون، میانگین نمرات پس آزمون دو گروه اختلاف آماری معناداری داشتند (0٫001>p).

    نتیجه گیری

    این مطالعه نشان می دهد که آموزش ذهن آگاهی برای مادران دارای فرزند مبتلا به اختلال یادگیری قابلیت کاربرد داشته و بر افزایش تاب آوری و شادکامی مادران اثربخش است.

    کلیدواژگان: ذهن آگاهی، تاب آوری، شادکامی، اختلال یادگیری
  • معصومه توکلی، حسن پاشا شریفی* صفحه 7
    هدف

    امرار معاش و اشتغال زایی برای زنان سرپرست خانواده یکی از دغدغه های اصلی برنامه ریزان حوزه های حمایت و توانمندسازی است که مولفه های زیادی آن را با چالش روبه رو می کنند. این پژوهش با هدف مقایسه ویژگی های شخصیتی و راهبردهای مقابله ای در زنان سرپرست خانواده موفق و ناموفق از نظر شغلی انجام شد.

    روش بررسی

    جامعه آماری شامل زنان سرپرست خانواده ساکن در استان های تهران و البرز بود که در طی سال های 1394 تا 1397 وارد چرخه حمایتی سازمان بهزیستی شدند. 266 نفر از این زنان با روش نمونه گیری تصادفی خوشه ای انتخاب و در دو دسته زنان موفق و ناموفق از نظر شغلی، بررسی شدند. پرسشنامه های نئو (مک گری و کاستا، 1985) و راهبردهای مقابله ای (رضاخانی، 1388) توسط اعضای نمونه تکمیل شد و داده ها با استفاده از آزمون تی مستقل با کمک نرم افزار SPSS-21 و در سطح معناداری 0٫05 آزمون شدند.

    یافته ها

    نتایج به دست آمده نشان داد بین زنان موفق و ناموفق از نظر شغلی، ازلحاظ سطوح نوروزگرایی، تفاوت معناداری وجود داشت (0٫048=p). همچنین برون گرایی (0٫041=p) و انعطاف پذیری (0٫050=p) در زنان موفق شغلی درمقایسه با زنان ناموفق به شکل معناداری بیشتر بود. یافته دیگر این بود که زنان ناموفق از نظر شغلی، بیشتر از راهبرد هیجان مدار استفاده می کردند (0٫048=p).

    نتیجه گیری

    براساس یافته های این پژوهش مشخص شد که برون گرایی و انعطاف پذیری همراه با داشتن سطح مطلوب ثبات عاطفی و قدرت مهار اضطراب و بهره مندی از راهبردهای مسئله مدار نقش مهمی در توفیق شغلی زنان سرپرست خانواده، دارد.

    کلیدواژگان: زنان سرپرست خانواده، موفقیت شغلی، ویژگی های شخصیتی، راهبردهای مقابله ای
  • هاجر حسنی اردکانی، حجت الله جاویدی*، امیرهوشنگ مهریار، ابراهیم حسینی صفحه 8
    هدف

    اختلال دوقطبی یکی از بیماری های مزمن روان پزشکی است که با فازهای شیدایی و افسردگی همراه است. لذا هدف از این پژوهش مقایسه شناخت درمانی مبتنی بر ذهن آگاهی و رفتاردرمانی شناختی متمرکز بر بهبودی بر افسردگی دوقطبی و شیدایی بود.

    روش بررسی

    پژوهش حاضر طرحی نیمه آزمایشی از نوع پیش آزمون و پس آزمون با گروه گواه بود. جامعه آماری شامل تمامی بیماران مبتلا به اختلال دوقطبی در شهر شیراز بودند. تعداد 36 بیمار مبتلا به اختلال دوقطبی داوطلب برای شرکت در تحقیق، به صورت تصادفی در دو گروه آزمایش و یک گروه گواه قرار گرفتند. گروه آزمایش (12 نفر: 4 زن، 8 مرد) آموزش رفتاردرمانی- شناختی مبتنی بر ذهن آگاهی و گروه آزمایش دوم (12 نفر: 4 زن، 8 مرد) آموزش رفتاردرمانی-شناختی متمرکز بر بهبودی را دریافت و گروه گواه (12نفر: 5 زن، 7مرد) هیچ مداخله ای دریافت نکرد. شرکت کنندگان مقیاس درجه بندی افسردگی دوقطبی (برک، 2007) و مقیاس درجه بندی شیدایی (یانگ و همکاران، 1978) را در پیش آزمون و پس آزمون تکمیل کردند. تجزیه و تحلیل داده ها با استفاده از تحلیل کوواریانس چندمتغیره در سطح معناداری 0٫05 و نرم افزار SPSS-23 انجام گرفت.

    یافته ها

    نتایج نشان داد هر دو مداخله شناخت درمانی مبتنی بر ذهن آگاهی و رفتاردرمانی شناختی متمرکز بر بهبودی به شکل معناداری باعث کاهش افسردگی دوقطبی و شیدایی در بیماران دوقطبی شدند (0٫001>p).

    نتیجه گیری

    براساس یافته های پژوهش، هر دو مداخله شناخت درمانی مبتنی بر ذهن آگاهی و رفتاردرمانی- شناختی متمرکز بر بهبودی در کاهش نشانگان در بیماران دوقطبی موثرند.

    کلیدواژگان: ذهن آگاهی، رفتاردرمانی شناختی، افسردگی دوقطبی، شیدایی، اختلال دوقطبی
  • محمد مهدی امینی*، سیده ماجده ازهدی، زهرا منصورجوزان صفحه 9
    هدف

    در سال های اخیر آگاهی ما، درباره تحرک بیش از حد کودکان به میزان چشمگیری افزایش یافته و نیز توجه ها از میزان فعالیت، به نارسایی های توجه و سپس به مسائل گسترده تر رشد اجتماعی تغییر جهت داده است. هدف مطالعه حاضر بررسی تاثیر یک دوره اسب درمانی بر شاخص های روانی و عملکرد حسی حرکتی در کودکان مبتلا به اختلال نقص توجه / بیش فعالی بود.

    روش بررسی

    روش پژوهش نیمه تجربی با طرح پیش آزمون ‐ پس آزمون و گروه گواه بود. نمونه شامل بیست کودک دارای اختلال نقص توجه / بیش فعالی بود که به روش نمونه گیری هدفمند انتخاب شدند. برای جمع آوری داده ها از آزمون های عصب-روان شناختی کانرز و پرسشنامه کانرز (نسخه معلم) استفاده گردید. در این مطالعه گروه تجربی به مدت 8 هفته و هر هفته سه جلسه 90دقیقه ای تحت نظر مربی، آموزش های سوارکاری درمانی دریافت کردند. در این مدت گروه گواه هیچ آموزش مربوطی دریافت نکرد. برای تجزیه وتحلیل داده ها از آزمون های کولموگروف اسمیرنوف و تی مستقل استفاده شد.

    یافته ها

    یافته ها نشان داد هشت هفته مداخله اسب درمانی بر شاخص های روانی و عملکرد حسی حرکتی شامل علائم روان شناختی، مشکلات توجه، عملکرد حسی حرکتی، حافظه و یادگیری، کارکردهای اجرایی، توانایی های شناختی، اختلال نقص توجه، رفتار کودک در کلاس، مشارکت و همکاری گروهی و نگرش به طرف مراجع قدرت در کودکان مبتلا به ADHD تاثیر معناداری داشته و سبب بهبود این شاخص ها شده است (0٫01>p).

    نتیجه گیری

    یک دوره اسب درمانی بر شاخص های روانی و عملکرد حسی حرکتی در کودکان مبتلا به اختلال نقص توجه/بیش فعالی تاثیرگذار بود.

    کلیدواژگان: اسب درمانی، عملکرد حسی حرکتی، اختلال نقص توجه، بیش فعالی
  • پروانه حدادی، سید امیر امین یزدی*، حسین کارشکی، جواد حاتمی صفحه 10
    هدف

    ناکامی در جهت گیری به سوی محرک های اجتماعی، از علائم ابتدایی اتیسم است که در شناسایی زودهنگام اتیسم حائز اهمیت است؛ بنابراین، پژوهش حاضر با هدف مقایسه جهت گیری اجتماعی در کودکان با ریسک بالا و پایین اتیسم انجام شد.

    روش بررسی

    این پژوهش از نوع علی-مقایسه ای بود. جامعه آماری، شامل تمامی کودکان پسر 12-10ماهه ساکن شهر تهران بود. تعداد 53 کودک از طریق نمونه گیری طبقه ای انتخاب شده و براساس ملاک های تشخیصی، به یک گروه آزمایش (13 کودک در ریسک) و دو گروه گواه (20 کودک تاخیری و 20 کودک سالم) گماشته شدند. تحول عمومی کودکان با پرسشنامه سنین و مراحل (سوکر و بریکر، 1995) و سطح تحول هیجانی-کارکردی آن ها با پرسشنامه تحول هیجانی-کارکردی (گرینسپن، 2002) بررسی شد. سپس، حرکات چشم کودکان در پاسخ به سه آزمون دیداری مرتبط با جهت گیری اجتماعی: جهت گیری به سوی حرکت زیستی، تصاویر پویای اجتماعی و نگاه مستقیم با استفاده از ردیاب چشم (Tobii, TX300) ثبت شد. یافته ها با آزمون های آماری تحلیل واریانس کروسکال والیس، تحلیل واریانس یک طرفه (ANOVA)، ویلکاکسون، t وابسته و آزمون بونفرونی در سطح معناداری 0٫05 و با استفاده از نسخه 21 نرم افزار SPSS بررسی شد.

    یافته ها

    نتایج نشان داد بین سه گروه در متغیرهای جهت گیری به سوی حرکت زیستی (0٫336=p) و نگاه مستقیم (0٫892=p) اختلاف معنادار آماری وجود ندارد اما در متغیر جهت گیری به سوی محرک های پویای اجتماعی اختلاف معنادار آماری وجود دارد (0٫003=p). همچنین، توزیع نگاه بین جفت محرک های همزمان برای آزمون جهت گیری به سوی حرکت زیستی در دو گروه سالم و تاخیری هدفمند (0٫002=p) و در گروه در ریسک (0٫116=p) تصادفی بود. توزیع نگاه بین جفت محرک های هم زمان برای آزمون جهت گیری به سوی محرک های اجتماعی در گروه سالم (0٫001=p) و تاخیری (0٫005=p) هدفمند و در گروه در ریسک (0٫283=p) تصادفی بود. توزیع نگاه بین جفت محرک های هم زمان برای آزمون جهت گیری به سوی نگاه مستقیم در گروه سالم (0٫940=p)، تاخیری (0٫086=p) و در ریسک (0٫600=p) تصادفی بود.

    نتیجه گیری

    باتوجه به یافته ها استنباط می شود جهت گیری اجتماعی از ماه های اول در کودکان در ریسک، صدمه دیده است و بررسی آن از طریق ردیاب چشم می تواند در شناسایی زودهنگام این کودکان مفید باشد.

    کلیدواژگان: اتیسم، ردیاب چشم، جهت گیری اجتماعی
  • مرضیه غلامی توران پشتی، علی دلاور*، حسن پاشا شریفی، نسترن شریفی صفحه 11
    هدف

    کودکان مبتلا به ناتوانی های شناختی در تمام آزمون های دیداری-حرکتی کارکرد ضعیفی دارند به همین دلیل تشخیص و توان بخشی، ناتوانی های یادگیری قبل از ورود به مدرسه ضروری است. پژوهش حاضر با هدف پیش بینی ناتوانی یادگیری در کودکان پیش دبستانی انجام شد.

    روش بررسی

    این پژوهش از نوع همبستگی بود. تعداد 240 کودک پیش دبستانی با استفاده از روش نمونه گیری خوشه ای انتخاب شدند. ابزار پژوهش آزمون ناتوانی یادگیری، آزمون حافظه دیداری- شنیداری و آزمون گودیناف بود که دانش آموزان پیش دبستانی به هر سه آزمون پاسخ دادند. داده ها با استفاده از آمار توصیفی و مدل رگرسیون لجستیک تحلیل شد.

    یافته ها

    نتایج نشان داد که شیوع ناتوانی یادگیری در کودکان پیش دبستانی 12درصد است. میانگین نمرات حافظه کودکان عادی 5٫26 ± 24٫58 و کودکان دارای ناتوانی 5٫7 ± 18٫11 بود. نتایج تحلیل رگرسیون لجستیک نشان داد که تاثیر حافظه در پیش بینی ناتوانی یادگیری معنادار است (0٫001>p)؛ اما تاثیر جنسیت معنادار نیست.

    نتیجه گیری

    نتایج به دست آمده نشان داد که می توان از این مدل، برای تشخیص زودهنگام ناتوانی یادگیری دانش آموزان پیش دبستانی استفاده کرد و چنانچه کودکی نمره پایینی در آزمون حافظه کسب کرد هر چه سریعتر به مراکز درمانی ارجاع داده شود.

    کلیدواژگان: رگرسیون، لجستیک، ناتوانی یادگیری، کودکان، پیش دبستانی، حافظه
  • گیتا افروخته، مختار عارفی*، کیوان کاکابرایی صفحه 12
    هدف

    بیماری قلبی یکی از علل اصلی مرگ ومیر در کشورهای صنعتی است؛ لذا این پژوهش به منظور یافتن الگوی روابط ساختاری ویژگی های شخصیتی و کیفیت زندگی و امیدبه زندگی با میانجیگری تنظیم هیجانی در بیماران قلبی صورت گرفت.

    روش بررسی

    پژوهش حاضر از نوع همبستگی بود. نمونه آماری را 250 نفر از بیماران قلبی بستری و سرپایی سه ماهه اول سال 1397 شهر همدان تشکیل دادند که با شیوه نمونه‫گیری دردسترس انتخاب شدند. ابزارهای پژوهش شامل پرسشنامه های کیفیت زندگی (واروشربون، 1992)، تنظیم شناختی هیجان (گارنفسکی و همکاران، 2001)، پنج عاملی شخصیت نئو (کاستا و مک کری، 1992) و آزمون امیدبه زندگی (میلر و پاورز، 1988) بود. تجزیه وتحلیل داده ها با استفاده از SPSS نسخه 22 و AMOS-22 انجام شد.‬

    یافته ها

    نتایج نشان داد میان متغیرهای امیدبه زندگی و ویژگی های شخصیتی و تنظیم هیجان به ترتیب با ضرایب استاندارد 0٫75 و 0٫63 و 0٫37، با متغیر کیفیت زندگی در سطح خطای یک درصد رابطه معنا‫دار وجود دارد (0٫01>p). با انجام برازش مدل معادله ساختاری و برازش مدل نهایی، شاخص های برازش به ترتیب برای مجذور خی 0٫056=p و 67=NPAR و 632٫752=CMIN، شاخص توکر-لویس 0٫996=TLI، شاخص برازش تطبیقی 0٫935=CFI و شاخص بنتلر-بونت برابر 0٫962=NFI به دست آمد. همچنین مقدار شاخص برازش مقتصد هنجارشده (PNFI) 0٫578 و ریشه میانگین مربع های خطای برآورد 0٫045=RMSEA محاسبه شد. این مقادیر باوجود معنا داری آماره مجذور خی، نشان دهنده این است که مدل حاصل برازش مناسبی را برای داده ها دارد.

    نتیجه گیری

    باتوجه به یافته های این پژوهش برگزاری کارگاه های آموزشی برای بیماران در مراحل اولیه و در حین درمان جهت آموزش (امیددرمانی) و اصلاح تیپ شخصیتی، بسیار مفید و بازدارنده از تشدید بیماری است.

    کلیدواژگان: ویژگی‫های شخصیتی، کیفیت زندگی، امید به زندگی، تنظیم هیجانی، بیماران قلبی
  • مریم باشعور لشگری، پریسا تجلی*، محتبی امیری مجد صفحه 13
    هدف

    پژوهش حاضر باهدف تعیین اثربخشی آموزش شناختی رفتاری مبتنی بر ذهن آگاهی به مادران بر خودکارآمدی فرزندان ناتوانی یادگیری خاص آن ها در شهر تهران انجام شد.

    روش بررسی

    روش پژوهش نیمه آزمایشی و از نوع طرح های پیش آزمون-پس آزمون و پیگیری با گروه گواه بود. جامعه آماری این پژوهش را تمام مادران و دانش آموران 8 تا 12 ساله دارای ناتوانی یادگیری خاص در شهر تهران تشکیل می دادند که از بین آن ها 56 نفر (28 مادر و 28 کودک) به شیوه نمونه گیری مبتنی بر هدف انتخاب شدند و به شیوه تصادفی در دو گروه آزمایش و گواه قرار گرفتند. ابزار گردآوری اطلاعات، پرسشنامه خودکارآمدی دانش آموز مورگان-جینکز (1999) بود که قبل و بعد از مداخله و در مرحله پیگیری سه ماهه برروی هر دو گروه گواه و آزمایش اجرا شد. آزمودنی های گروه آزمایش در 8 جلسه دوساعته تحت درمان شناختی رفتاری مبتنی بر ذهن آگاهی قرار گرفتند. گروه گواه هیچ گونه آموزش درمانی ویژه ای دریافت نکرد. تجزیه وتحلیل داده ها در سطح توصیفی با استفاده از میانگین و انحراف معیار و در سطح استنباطی با استفاده از آزمون تحلیل واریانس با اندازه گیری مکرر انجام شد.

    یافته ها

    نتایج نشان داد که درمان شناختی رفتاری مبتنی بر ذهن آگاهی به مادران بر خودکارآمدی فرزندان آن ها در گروه آزمایش تاثیر معناداری نداشت.

    نتیجه گیری

    آموزش شناختی رفتاری مبتنی بر ذهن آگاهی به مادران به عنوان بخشی از درمان کودکان با ناتوانی یادگیری خاص باید بااحتیاط به کار رود.

    کلیدواژگان: ناتوانی یادگیری خاص، خودکارآمدی، ذهن آگاهی
  • الیاس نیازی، شهرام مامی*، وحید احمدی صفحه 14
    هدف

    باورها و شناخت هایی که در اذهان زوجین وجود دارد در نحوه ارتباطات آن ها تاثیر می گذارد. هدف پژوهش مقایسه اثربخشی زوج درمانی رفتاری تلفیقی و زوج درمانی عقلانی- هیجانی- رفتاری بر باورهای ارتباطی زوجین ناسازگار بود.

    روش بررسی

    روش بررسی نیمه آزمایشی با طرح پیش آزمون، پس آزمون با گروه گواه بود و جامعه آماری این پژوهش تمامی زوجین با شکایت زناشویی و مراجعه کننده به مراکز مشاوره و روان شناسی شهرستان ایلام در سال 1396 بودند. از میان آن ها به روش نمونه گیری در دسترس 30 زوج انتخاب شده و با همگن سازی و به طور تصادفی در سه گروه قرار گرفتند. زوجین جهت پیش آزمون و پس آزمون به پرسشنامه باورهای ارتباطی ایدلسون و اپستین (1982) پاسخ دادند. داده های پژوهش با استفاده از تحلیل کوواریانس چندمتغیری و آزمون تعقیبی بن فرونی، نرم افزار SPSS و مقدار احتمال 0٫05 تحلیل شدند.

    یافته ها

    نتایج پژوهش حاضر نشان داد زوج درمانی رفتاری تلفیقی بر کاهش میانگین نمره های پس آزمون باور به تخریب کنندگی مخالفت (2٫58±20٫10 و 0٫001=p)، توقع ذهن خوانی (4٫49±23٫50 و 0٫001=p)، باور به عدم تغییرپذیری همسر (4٫12±22٫50 و 0٫001=p)، کمال گرایی جنسی (3٫72±22٫40 و 0٫001=p) و باور به تفاوت های جنسیتی (3٫43±22٫00 و 0٫001=p) اثربخش بود. درمان عقلانی- هیجانی- رفتاری بر کاهش میانگین نمره های پس آزمون باور به تخریب کنندگی مخالفت (2٫23±19٫45 و 0٫001=p)، توقع ذهن خوانی (3٫16±23٫40 و 0٫002=p)، باور به عدم تغییرپذیری همسر (3٫41±23٫75 و 0٫003=p)، کمال گرایی جنسی (3٫15±22٫00 و 0٫001=p) و باور به تفاوت های جنسیتی (3٫71±22٫30 و 0٫001=p) اثربخش بود.

    نتیجه گیری

    براساس یافته های این پژوهش زوج درمان گران و مشاوران می توانند با آموزش باورهای ارتباطی صحیح با استفاده از زوج درمانی رفتاری تلفیقی و رویکرد عقلانی- هیجانی- رفتاری در جهت افزایش سازگاری زناشویی زوجین اقدام نمایند.

    کلیدواژگان: باورهای ارتباطی، رویکرد عقلانی- هیجانی- رفتاری، زوج درمانی رفتاری تلفیقی، زوجین ناسازگار
  • پروانه نظرپور صمصامی، زینت مهدیانی، مهدی قاسم زاده، حافظ پادروند* صفحه 15
    زمینه و هدف

    تنظیم هیجان نقش مهمی در سازگاری با وقایع تنیدگی زا در زندگی ایفا می کند. همچنین یکی از نیازهای دوران نوجوانی ابراز وجود است. پژوهش حاضر با هدف مقایسه راهبردهای تنظیم هیجان و ابراز وجود در دانش آموزان پسر با و بدون ناتوانی ویژه یادگیری شهر خرم آباد انجام شد.

    روش بررسی

    این پژوهش زمینه یابی از نوع علی مقایسه ای بود. جامعه آماری را تمامی دانش آموزان پسر 12تا16 سال مقطع متوسطه شهر خرم آباد، در سال تحصیلی 96-1395 تشکیل دادند. از میان جامعه آماری، 30 دانش آموز پسر با ناتوانی ویژه یادگیری به روش نمونه گیری هدفمند و 30 دانش آموز عادی پسر به شیوه نمونه گیری خوشه ای تک مرحله ای انتخاب شدند. به منظور جمع آوری داده ها از فهرست وارسی تشخیصی اختلال ویژه یادگیری و پرسشنامه راهبردهای تنظیم هیجان گارنفسکی و مقیاس ابراز وجود گمبریل و ریچی استفاده شد. برای تجزیه وتحلیل داده ها نیز، آزمون تی مستقل به کار رفت.

    یافته ها

    نتایج نشان داد بین دو گروه از دانش آموزان در راهبردهای تنظیم هیجان و ابراز وجود تفاوت معناداری وجود دارد (0٫001>p) و در گروه دانش آموزان دارای اختلال یادگیری، کمتر از دانش آموزان عادی است.

    نتیجه گیری

    با توجه به نقش راهبردهای تنظیم هیجان و ابراز وجود در سازگاری روانی و اجتماعی و نیز ضعف دانش آموزان با ناتوانی یادگیری در تنظیم هیجان و ابراز وجود، پیشنهاد می شود روان شناسان و مشاوران بالینی مدارس آموزش هایی را در جهت تقویت متغیرهای مذکور اعمال کنند.

    کلیدواژگان: راهبردهای تنظیم هیجان، ابراز وجود، دانش آموزان پسر، ناتوانی ویژه یادگیری، عادی
  • فرنگیس دمهری*، محسن سعیدمنش، شهرزاد رزبان صفحه 16
    زمینه و هدف

    تقریبا بیشتر والدین با غذاخوردن فرزندشان مشکل پیدا می کنند. در بین ناهنجاری های رفتاری کودکان می توان به مشکل های رفتاری آن ها هنگام صرف غذا اشاره کرد. بر این اساس هدف از این پژوهش بررسی اثربخشی هنردرمانی با رویکرد نقاشی بر مشکل های رفتار خوردن و ناسازگاری کودکان شهر ملایر بود.

    روش بررسی

    پژوهش حاضر نیمه آزمایشی با طرح پیش آزمون پس آزمون با گروه کنترل بود. جامعه آماری این مطالعه را تمامی کودکان 4تا6ساله شهر ملایر تشکیل دادند که با روش نمونه گیری خوشه ای تصادفی از بین پنج مهدکودک و پیش دبستانی، سی کودک دارای مشکل رفتار خوردن و ناسازگار به عنوان نمونه انتخاب شده و به طور تصادفی در دو گروه 15نفره قرار گرفتند. ابزارهای استفاده شده در این پژوهش پرسشنامه ارزیابی رفتاری راتر-فرم والدین (1979) و پرسشنامه رفتار خوردن کودکان CEBI (1990) بودند. پس از اجرای پیش آزمون، برای آزمودنی های گروه آزمایش در هشت جلسه 30تا45دقیقه ای و دو بار در هفته، برنامه هنردرمانی صورت گرفت و بعد از اتمام آن در هر دو گروه آزمایش و کنترل، پس آزمون انجام شد. به منظور تحلیل داده ها از روش تحلیل کواریانس، با درنظرگرفتن سطح معنا داری 0٫05، استفاده گردید.

    یافته ها

    نتایج پژوهش نشان داد مشکل های غذاخوردن کودکان تحت مداخله به طور معناداری کاهش یافته (0٫001≥p) و رفتارهای سازگاری آن ها (0٫001≥p) افزایش داشته است. 

    نتیجه گیری

    برمبنای نتایج این پژوهش می توان به مادرانی که فرزندشان دارای مشکل غذاخوردن است، توصیه کرد از روش هنردرمانی برای بهبود مشکل های رفتار خوردن و کاهش رفتارهای ناسازگاری آن ها استفاده کنند.

    کلیدواژگان: هنردرمانی، مشکل های رفتار خوردن، ناسازگاری کودکان
  • فائزه جهان*، رسول نوقابی صفحه 17
    زمینه و هدف

    حضور ذهن و آگاهی در لحظه جاری، می تواند راهی برای رسیدن به شناخت و عاطفه و تاملی قوی تر باشد؛ بنابراین هدف پژوهش حاضر تعیین تاثیر آموزش ذهن آگاهی بر هوش اخلاقی، هوش معنوی و خرد سالمندان بود. 

    روش بررسی

    طرح این پژوهش آزمایشی از نوع پیش آزمون و پس آزمون با گروه گواه بود. جامعه آماری پژوهش شامل تمامی سالمندان عضو کانون های سالمندی شهر تهران بودند که به صورت نمونه گیری خوشه ای چندمرحله ای، 50 نفر از سالمندان 65 سال به بالای مناطق 1، 14 و 19 انتخاب شدند و به تصادف در دو گروه مساوی گمارده شدند. بعد از کسب رضایت کتبی برای شرکت در پژوهش، ابزارهای پژوهش، شامل پرسش نامه هوش اخلاقی لینک و کیل (2008)، پرسش نامه هوش معنوی کینگ (2007) و پرسش نامه سه بعدی خرد آردلت (2003) را تکمیل کردند. داده ها با استفاده از آزمون تی دو گروه مستقل و با سطح اطمینان 99درصد با استفاده از نرم افزار SPSS تجزیه وتحلیل شد.

    یافته ها

    یافته ها نشان داد میانگین نمرات پیش آزمون دو گروه تفاوت معناداری نداشت؛ اما پس آزمون دو گروه گواه و آزمایش در همه مولفه های متغیر هوش معنوی، در دو مولفه از متغیر هوش اخلاقی (درست کاری، مسئولیت) و در هر سه مولفه متغیر خرد تفاوت معناداری داشت (0٫01>p).

    نتیجه گیری

    براساس یافته های این پژوهش، آموزش ذهن آگاهی به سالمندان کمک می کند متغیرهایی مانند هوش معنوی، هوش اخلاقی و خرد را افزایش دهند. افزایش این متغیرها به فرد در جهت وحدت بخشیدن و معنادارکردن زندگی خود کمک درخور توجهی می کند.

    کلیدواژگان: ذهن آگاهی، هوش اخلاقی، هوش معنوی، خرد، سالمندان
  • لیلا علیخانی، فرزانه تقیان*، رخساره بادامی صفحه 18
    زمینه و هدف

    یکی از راه هایی که برای بهبود رفتار حرکتی کودکان با ناتوانی هوشی پیشنهاد شده، انجام فعالیت بدنی و ورزش است. با این حال، درباره نوع فعالیت بدنی و ورزشی توافق عام وجود ندارد. بر همین اساس، هدف از پژوهش حاضر، مقایسه تاثیر تمرینات عملکردی و بازی های دبستانی بر مهارت های حرکتی درشت دختران با ناتوانی هوشی آموزش پذیر بوده است.

    روش بررسی

    پژوهش حاضر، نیمه تجربی و از نوع پیش آزمون-پس آزمون بود. نمونه آماری این پژوهش را سی دانش آموز دختر با ناتوانی هوشی ده تا شانزده ساله مدرسه کودکان استثنایی شهرستان نی ریز تشکیل می دادند که به صورت در دسترس و هدفمند انتخاب شدند و به روش همتاسازی در سه گروه تمرینات عملکردی، گروه بازی های دبستانی و گروه کنترل قرار گرفتند. هر دو گروه تجربی به مدت هشت هفته به تمرین پرداختند. ابزار استفاده شده در پژوهش حاضر، آزمون تبحر حرکتی برونینکس اوزرتسکی بود. برای تحلیل داده ها، از آزمون تحلیل کوواریانس استفاده شد.

    یافته ها

    نتایج آنالیز کوواریانس نشان داد که بین نمرات گروه تمرینات عملکردی و بازی های دبستانی و گروه کنترل در مهارت های حرکتی درشت (0٫001≥ p، 54٫81=F)، تعادل (0٫001 ≥p، 28٫70=F)، هماهنگی (0٫001≥p، 19٫47=F)، سرعت دویدن (0٫001≥p ، 22٫74=F) و قدرت پا (0٫001≥ p، 9٫98=F) تفاوت معناداری وجود دارد. همچنین نتایج آزمون تعقیبی نشان داد که بین نمرات گروه تمرینات عملکردی و بازی های دبستانی در متغیرهای مهارت های حرکتی درشت، تعادل، هماهنگی ، سرعت دویدن و قدرت پا تفاوت معنا داری وجود ندارد.

    نتیجه گیری

    می توان از تمرینات عملکردی و بازی های دبستانی برای بهبود مهارت های حرکتی درشت دختران با ناتوانی هوشی استفاده کرد.

    کلیدواژگان: تمرینات عملکردی، بازی های دبستانی، مهارت های حرکتی درشت، ناتوانی هوشی
  • مریم هاشمی بخشی، غلامعلی افروز*، پرویز شریفی درآمدی، مسعود غلامعلی لواسانی صفحه 19
    زمینه و هدف

    تصویرسازی ذهنی نقش مهمی در تحول شناختی افراد نابینا دارد و نیز ادراک نمادهای فضایی در آن ها به صورت تدریجی شکل می گیرد. افراد نابینا با گوش دادن به الگوهای صوتی افراد مختلف از ویژگی های شخصیتی ایشان، تصاویری را در ذهن خود تصویرسازی می کنند؛ بنابراین هدف از انجام پژوهش حاضر، بررسی تصویرسازی ذهنی دانش آموزان بینا و نابینا بالغ و غیربالغ پسر از صدای معلم بود. 

    روش بررسی

    این پژوهش از نوع پس رویدادی بود. جامعه آماری را تمامی دانش آموزان نابینا و بینا شهر تهران تشکیل دادند. حجم نمونه 120 نفر از دانش آموزان دوره دوم ابتدایی (کلاس های چهارم، پنجم، ششم) نابالغ و دوره دوم متوسطه (دهم، یازدهم، دوازدهم) بالغ بودند که براساس روش نمونه گیری هدفمند در دو مرحله انتخاب شدند. برای جمع آوری داده ها از آزمون شانزده عاملی کتل و پرسشنامه محقق ساخته تصویرسازی ذهنی و پرسشنامه محقق ساخته بررسی ویژگی های زیستی استفاده شد. داده های گردآوری شده با استفاده از نرم افزار SPSS نسخه 24 و آزمون خی دو با مقدار آلفای 0٫05 تجزیه و تحلیل گردید.

    یافته ها

    نتایج نشان داد تفاوت معناداری بین چهار گروه از لحاظ تصویرسازی ذهنی از ویژگی های زیستی، ازجمله مرتب بودن دندان ها (0٫05=p)، داشتن پوست صاف و لطیف (0٫02=p)، سن (0٫3=p) و قد (0٫01=p) وجود داشت و نیز تفاوت معناداری از نظر ویژگی های روانی، مانند پرتلاش بودن (0٫001=p)، تندخویی (0٫001=p)، جسوربودن (0٫001=p) و جذاب بودن (0٫001=p) صاحب صوت مشاهده شد (0٫001>p). همچنین دانش آموزان نابینای بالغ تصویرسازی ذهنی درست تری از صاحب صوت داشتند. 

    نتیجه گیری

    باتوجه به ویژگی دانش آموزان (عادی و نابینا با و بدون تجربه بلوغ جنسی)، دانش آموزان نابینای بالغ تصویرسازی بهتری از صوت خانم داوطلب معلمی داشتند.

    کلیدواژگان: تصویرسازی ذهنی، افراد با آسیب بینایی، بلوغ
  • فرزاد فرهودی، محسن سعیدمنش، فرزاد میرشاهی* صفحه 20
    زمینه و هدف

    مشاهدات نشان می دهد که آموزش کوتاه مدت راه حل محور در زمینه مشکلات رفتاری و هیجانی و تحصیلی و نیز ارتقای مهارت های اجتماعی و ارتباطی در اقشار مختلف مراجعان ازجمله نوجوانان و دانش آموزان موثر است. مطالعه حاضر با هدف تعیین اثربخشی آموزش گروهی کوتاه مدت راه حل محور بر حرمت خود و اضطراب امتحان دانش آموزان دختر متوسطه اول انجام شد.

    روش بررسی

    طرح پژوهش نیمه تجربی با گروه آزمایش و گواه بود و به صورت پیش آزمون و مداخله و پس آزمون ارزیابی شد. جامعه آماری پژوهش را تمامی دانش آموزان دختر متوسطه اول شهر کشکوئیه در سال تحصیلی 96-1395 تشکیل دادند. از میان مدارس متوسطه اول شهر کشکوئیه، یک مدرسه به طور تصادفی انتخاب شده و پس از غربالگری اولیه، 50 نفر از دانش آموزان دختر به شکل تصادفی در دو گروه آزمایش (25n=) و گواه (25n=) قرار گرفتند. به منظور اندازه گیری اضطراب امتحان از پرسشنامه اسپیلبرگر (1980) و برای اندازه گیری حرمت خود از پرسشنامه حرمت خود کوپر اسمیت (1967) استفاده شد. برنامه مداخله در هشت جلسه 90دقیقه ای انجام پذیرفت. داده ها توسط تحلیل کوواریانس یک راهه با نرم افزار SPSS نسخه 22 تجزیه وتحلیل شد.

    یافته ها

    یافته ها نشان داد که به کارگیری مشاوره گروهی راه حل محور موجب افزایش حرمت خود (0٫001≤p) و کاهش اضطراب امتحان (0٫001≤p) دانش آموزان گروه آزمایش درمقایسه با گروه گواه می شود.

    نتیجه گیری

    باتوجه به نتایج پژوهش حاضر می توان بیان کرد که یک دوره درمان گروهی کوتاه مدت راه حل محور می تواند باعث کاهش اضطراب امتحان و افزایش حرمت خود دانش آموزان دختر متوسطه گردد.

    کلیدواژگان: مشاوره راه حل محور، اضطراب امتحان، حرمت خود
  • فاطمه سادات طباطبایی نژاد، محسن گل پرور*، اصغر آقایی صفحه 21
    زمینه و هدف

    سازگاری اجتماعی از زمره متغیرهایی است که می تواند در مسیر یاری به دختران دانش آموز افسرده استفاده شود. بر همین اساس، پژوهش حاضر با هدف تعیین تاثیر درمان ذهن آگاهی مثبت محور و شناخت درمانی مبتنی بر ذهن آگاهی و درمان شناختی رفتاری بر سازگاری اجتماعی دانش آموزان دختر افسرده اجرا شد.

    روش بررسی

    روش پژوهش از نوع نیمه آزمایشی و طرح پژوهش، چهار گروهی دومرحله ای (پیش آزمون و پس آزمون) بود. به منظور انجام پژوهش از میان 300 دانش آموز دختر مقطع متوسطه اول در شهر نائین در سال 1396، 60 نفر به صورت هدفمند مطابق با ملاک های ورود و خروج انتخاب و به طور تصادفی در سه گروه آزمایش (15 نفر برای هر گروه) و گروه کنترل (15 نفر) گمارده شدند. پرسشنامه سازگاری اجتماعی در مراحل پیش آزمون و پس آزمون به کار رفت. گروه های در مان ذهن آگاهی مثبت محور و شناخت درمانی مبتنی بر ذهن آگاهی و درمان شناختی رفتاری، هریک به مدت 12 جلسه، تحت درمان قرار گرفتند؛ اما گروه کنترل هیچ گونه درمانی دریافت نکرد. داده ها ازطریق تحلیل کوواریانس چندمتغیری و آزمون تعقیبی بونفرونی تحلیل و از نرم افزار SPSS، نسخه 21 استفاده شد. سطح معناداری نیز 0٫05 درنظر گرفته شد.

    یافته ها

    نتایج نشان داد در گروه های در مان ذهن آگاهی مثبت محور و شناخت درمانی مبتنی بر ذهن آگاهی و درمان شناختی رفتاری درمقایسه با گروه کنترل، برای سازگاری اجتماعی و مولفه های آن (سازگاری اجتماعی و سازگاری هیجانی و سازگاری تحصیلی) در پس آزمون، پس از کنترل پیش آزمون تفاوت معناداری مشاهده شد (0٫001>p). همچنین درمان ذهن آگاهی مثبت محور درمقایسه با درمان شناختی رفتاری در سازگاری تحصیلی و سازگاری اجتماعی کلی تفاوت معناداری داشت (0٫001>p).

    نتیجه گیری

    براساس یافته های این پژوهش، اجرای در مان ذهن آگاهی مثبت محور و شناخت درمانی مبتنی بر ذهن آگاهی و درمان شناختی رفتاری برای دختران دانش آموز افسرده می تواند سبب افزایش سازگاری اجتماعی آن ها شود.

    کلیدواژگان: سازگاری اجتماعی، درمان ذهن آگاهی مثبت محور، شناخت درمانی مبتنی بر ذهن آگاهی، درمان شناختی رفتاری، دانش آموزان دختر افسرده
  • محمود طهماسب زاده، بهرام میرزاییان*، رمضان حسن زاده صفحه 22
    زمینه و هدف

    از انواع اختلال های اضطرابی، می توان به اختلال اضطراب اجتماعی اشاره کرد که دربرگیرنده ترس از موقعیت های اجتماعی و مشتمل بر وضعیت هایی است که در آن ها نوعی موشکافی یا ارتباط با غریبه ها وجود دارد. پژوهش حاضر با هدف بررسی تفاوت بین اثربخشی گروه درمانی شناختی رفتاری و واقعیت درمانی بر کاهش اضطراب اجتماعی در مادران دانش آموزان با اختلال ویژه یادگیری انجام شد.

    روش بررسی

    این پژوهش نیمه آزمایشی با طرح پیش آزمون و پس آزمون و گروه کنترل بود. جامعه آماری را مادران دانش آموزان مبتلا به اختلال یادگیری مراجعه کننده به مراکز درمان اختلال های یادگیری شهر بابل، در سال تحصیلی 97- 1396 تشکیل دادند که از این تعداد 45 نفر به صورت نمونه گیری دردسترس انتخاب شده و به طور تصادفی و حجم مساوی در سه گروه شامل دو گروه آزمایش و یک گروه کنترل قرار گرفتند. تعداد نمونه ها در فرایند مطالعه، در اثر افت به 40 نفر کاهش یافت. ابزار پژوهش شامل پرسشنامه اضطراب اجتماعی (کانور و همکاران، 2000) بود. همچنین از روش تحلیل کوواریانس چندمتغیری و تک متغیری برای آزمون فرضیه ها و از آزمون تعقیبی شفه برای بررسی و مقایسه دوبه دو گروه ها استفاده شد. 

    یافته ها

    نتایج پژوهش حاکی از آن بود که درمان گروهی شناختی رفتاری و واقعیت درمانی بر کاهش اضطراب اجتماعی تاثیر معناداری دارد (0٫011=p)؛ اما بین اثربخشی این دو روش تفاوت معناداری وجود نداشت. 

    نتیجه گیری

    باتوجه به یافته های پژوهش می توان از درمان های شناختی رفتاری و واقعیت درمانی برای کاهش نشانه های اضطراب اجتماعی، در مادران دانش آموزان با اختلال ویژه یادگیری استفاده کرد.

    کلیدواژگان: اضطراب اجتماعی، ناتوانی یادگیری خاص، درمان شناختی رفتاری، واقعیت درمانی
  • علی سیف زاده، منصور حقیقتیان*، علی اصغر مهاجرانی صفحه 23
    زمینه و هدف

    با توجه به روند رو به رشد جمعیت سالمندان و اینکه کشورمان تجربه سالمندی را آغاز کرده، پرداختن به نیازهای اجتماعی و شبکه ارتباطی سالمندان مهم است. هدف اصلی تحقیق، بررسی رابطه مشخصه های اقتصادی، اجتماعی و جمعیتی و انزوای اجتماعی سالمندان شهر تهران بود.

    روش بررسی

    این مطالعه مقطعی و از نوع توصیفی بود. مطالعه حاضر در سال 1396 و در میان 382 نفر از سالمندان 65 سال و بیشتر شهر تهران که با روش نمونه گیری خوشه ای چندمرحله ای انتخاب شده بودند، انجام گردید. ابزار گردآوری اطلاعات شامل پرسش نامه بومی شده سنجش انزوای اجتماعی بود. تحلیل داده ها با استفاده از نرم افزار آماری SPSS نسخه 25 در دو سطح توصیفی و تحلیلی با آزمون تی تست و تحلیل واریانس انجام شد. سطح معنا داری برای مقایسه تفاوت انزوای اجتماعی بین گروه های مختلف سالمندان 0٫05درصد در نظر گرفته شد.

    یافته ها

    میزان انزوای اجتماعی در سالمندان موردمطالعه حدود 62درصد بود. سالمندان دارای همسر، افراد 65 تا 69ساله، سالمندان با تحصیلات بالاتر از دیپلم و پاسخ گویان با اقامت کمتر از 5 سال در محل سکونت فعلی، انزوای اجتماعی کمتری از سایر سالمندان داشتند.

    نتیجه گیری

    براساس یافته های پژوهش، درصد انزوای اجتماعی سالمندان شهر تهران بالا بود و بین انزوای اجتماعی در سالمندان برحسب متغیرهای وضع تاهل، سن، تحصیلات و مدت سکونت در یک محله تفاوت معناداری وجود داشت.

    کلیدواژگان: مشخصه های اقتصادی و اجتماعی و جمعیتی، انزوای اجتماعی، سالمندان تهرانی
  • نریمان بارانی زاغه، آذر مهری*، شهره جلایی، روناک مرادی صفحه 24
    زمینه و هدف

    هم اکنون بیش از نیمی از مردم جهان دوزبانه یا چندزبانه هستند و در جامعه امروز دوزبانگی قاعده شناخته می شود نه استثنا. محیط دوزبانه تاثیر عمیقی بر رشد زبانی و شناختی و اجتماعی افراد می گذارد. هدف از پژوهش حاضر بررسی اثر وضعیت هم ریشگی بر توانایی هایی نامیدن افراد دوزبانه و درنهایت رسیدن به مدل یا فرضیه ای بود که بازیابی واژگان در افراد دوزبانه را تبیین کند.

    روش بررسی

    این مطالعه یک پژوهش توصیفی تحلیلی بود. جامعه مطالعه شده آن را تمامی افراد دوزبانه کرد-فارس سالم استان کردستان تشکیل دادند. نمونه گیری به صورت دردسترس انجام شد. افراد پس از پرکردن پرسشنامه مربوط به مهارت و تجربه زبانی، نسخه اصلی آزمون نامیدن تصاویر افعال فارسی را با استفاده از نرم افزار DMDX، در دو زبان کردی و فارسی، با فاصله زمانی هفت روز انجام دادند. جهت تجزیه وتحلیل داده ها از آزمون های تی زوجی، تی مستقل، همبستگی پیرسون و اسپیرمن و نرم افزار SPSS استفاده شد. 

    یافته ها

    نتایج پژوهش نشان داد در افراد دوزبانه، سرعت و صحت نامیدن افعال هم ریشه به طور معناداری بیشتر از افعال غیرهم ریشه در هر دو زبان بوده و متغیرهای سن و جنسیت و سطح تحصیلات در برخی جنبه ها می توانند بر توانمندی نامیدن، تاثیر مستقیم یا عکس داشته باشند. براساس یافته ها، تفاوت معناداری بین صحت نامیدن افعال هم ریشه و غیرهم ریشه زبان اول (0٫001>p) و صحت نامیدن افعال غیرهم ریشه بین زبان اول و دوم (0٫001>p) مشاهده شد. همچنین ارتباط معناداری بین سطح تحصیلات و صحت نامیدن افعال غیرهم ریشه زبان دوم وجود داشت (0٫002=p). مقایسه متغیرهای سرعت و صحت نامیدن نیز در دو گروه زن و مرد، تفاوت معناداری را بین دو گروه در صحت نامیدن افعال غیرهم ریشه زبان اول (0٫003=p) و زبان دوم (0٫001>p) نشان داد. 

    نتیجه گیری

    براساس یافته های این پژوهش می توان نتیجه گرفت وضعیت هم ریشگی و شباهت های واج شناختی می تواند بر توانمندی نامیدن کلمات در افراد دوزبانه تاثیرگذار باشد. همچنین طبق نتایج، مدل فعال سازی آبشاری به خوبی می تواند بازیابی واژه در افراد دوزبانه را تبیین کند.

    کلیدواژگان: سرعت نامیدن، صحت نامیدن، افعال هم ریشه، افعال غیرهم ریشه، دوزبانه کرد-فارس
  • محسن سعیدمنش*، فرنگیس دمهری، محمدعلی جعفری ندوشن صفحه 25
    زمینه و هدف

    اختلال نارسایی توجه/بیش فعالی ازاختلال های عصبی رشدی بوده که از سال های اولیه رشد ظاهر می شود. رفتار های تکانشی و ضعف در مهارت اجتماعی از ویژگی های کودکان مبتلا به این اختلال است. پژوهش حاضر با هدف بررسی اثربخشی خانواده درمانی کارکردی بر رفتار های تکانشی و مهارت اجتماعی کودکان دارای اختلال نارسایی توجه/بیش فعالی صورت گرفت. 

    روش بررسی

    طرح پژوهش حاضر نیمه آزمایشی از نوع پیش آزمون پس آزمون با گروه کنترل بود. جامعه آماری را تمامی خانواده های مراجعه کننده به مراکز مشاوره شهر یزد، در سال 1396 تشکیل دادند که پس از انجام مصاحبه تشخیصی، فرزندشان تشخیص اختلال نارسایی توجه/بیش فعالی را دریافت کرد. سپس از بین آنان 30 خانواده به روش نمونه گیری دردسترس انتخاب شده و به طور تصادفی در گروه آزمایش و کنترل قرار گرفتند. برای گروه آزمایش به مدت نه جلسه دوساعته، برنامه خانواده درمانی کارکردی اجرا شد؛ اما در گروه کنترل هیچ مداخله ای صورت نگرفت. ابزار های پژوهش شامل پرسشنامه SNAP (سواسون، 1980) و پرسشنامه مهارت اجتماعی (ماتسون، 1983) بود. داده ها در سطح توصیفی (میانگین و انحراف معیار) و استنباطی (تحلیل کوواریانس) با استفاده از نرم افزار SPSS نسخه 21 تحلیل شدند.

    یافته ها

    نتایج حاصل از پژوهش نشان داد خانواده درمانی کارکردی باعث کاهش رفتار های تکانشی (0٫001>p) و همچنین بهبود مهارت اجتماعی (0٫001>p) می شود. 

    نتیجه گیری

    با توجه به یافته های پژوهش، استفاده از خانواده درمانی کارکردی به منظور کاهش رفتار تکانشی و افزایش مهارت اجتماعی کودکان دارای اختلال نارسایی توجه/بیش فعالی به متخصصان در این زمینه توصیه می شود.

    کلیدواژگان: خانواده درمانی کارکردی، رفتار های تکانشی، مهارت اجتماعی، نارسایی توجه، بیش فعالی
  • آزاده چوب فروش، محسن سعیدمنش*، ابوالفضل گلیمی صفحه 26
    زمینه و هدف

    خود ارضایی نوعی تحریک مکانیکی در دستگاه تناسلی است؛ به نحوی که فرد عمدا با خود کاری می کند که به تخلیه هیجان منجر شود. خودارضایی وسواسی در فرد، حس گریز از اجتماع را پدید می آورد که بر اثر افراط و تکرار در او ریشه دارتر خواهد شد. هدف از پژوهش حاضر بررسی اثربخشی درمان مبتنی بر شفقت خود بر حرمت خود نوجوانان دارای رفتار خودارضایی وسواسی بود.

    روش بررسی

    طرح پژوهش حاضر ازجمله طرح های نیمه تجربی با گروه آزمایش و بدون گروه کنترل بود. جامعه پژوهش را تمامی نوجوانان شهرستان کاشان تشکیل دادند که از بین آن ها 10 نفر از نوجوانان دارای خودارضایی وسواسی، به روش نمونه گیری دردسترس انتخاب شدند. برای اندازه گیری نمره حرمت خود، پرسشنامه حرمت خود کوپر اسمیت (1954) به کار رفت. داده های حاصل از پژوهش با نرم افزارSPSS نسخه 22 تجزیه وتحلیل شدند. شاخص های آماری شامل میانگین و انحراف استاندارد و آزمون تی وابسته، برای بررسی تفاوت میانگین های پیش آزمون با پس آزمون استفاده شد. 

    یافته ها

    نتایج این پژوهش نشان داد درمان مبتنی بر شفقت خود باعث افزایش حرمت خود کلی و حرمت خود اجتماعی و حرمت خود تحصیلی در نوجوانان دارای رفتار خودارضایی شده است (0٫001>p). 

    نتیجه گیری

    باتوجه به یافته های این پژوهش استفاده از درمان مبتنی بر شفقت خود جهت افزایش حرمت خود در نوجوانان بارفتار خودارضایی وسواسی توصیه می شود.

    کلیدواژگان: درمان مبتنی بر شفقت خود، خودارضایی وسواسی، حرمت خود
  • عقیل حسین لو*، معصومه اسمعیلی، سمیه کاظمیان صفحه 27
    زمینه و هدف

    افراد نابینا معمولا به دلیل داشتن تجربه متفاوت از افراد عادی، در سازگاری با محیط دچار مشکل می شوند. در این میان گفته شده است فرد دارای الگوی رفتاری پیش برنده، در زمان داشتن توانایی جهت یابی در کار و زندگی شخصی خود، می تواند به موفقیت دست یابد؛ بنابراین پژوهش حاضر با هدف بررسی تجربه زیسته افراد نابینا به منظور تشخیص الگوهای پیش برنده آن ها انجام گرفت.

    روش بررسی

    پژوهش حاضر از نوع مطالعات کیفی و پژوهشی پدیدارشناسی بود. جامعه آماری و نمونه های این پژوهش را افراد نابینا، 22ساله و بیشتر در شهر تهران تشکیل دادند که به روش نمونه گیری هدفمند انتخاب شدند. ابزار گردآوری داده ها مصاحبه نیمه ساختاریافته بود. در تحلیل داده های حاصل از مصاحبه نیز از دو روش تحلیل پدیدارشناسی توصیفی کلایزی و روش کدگذاری به طور هم زمان استفاده شد.

    یافته ها

    با تحلیل داده های حاصل از مصاحبه ها درباره تجربه زیسته افراد نابینا برای تعیین ویژگی های الگوهای پیش برنده آن ها، 21 مقوله عمده به دست آمد که درنهایت پنج مقوله هسته شامل سازگاری به مرور زمان، ارتباط با خدا، عوامل حمایت کننده فردی، مهارت های اجتماعی و حمایت اجتماعی، به عنوان این ویژگی ها مشخص شد.

    نتیجه گیری

    باتوجه به نتایج تحقیق می توان گفت، الگوهای پیش برنده افراد نابینا، مشتمل بر مجموعه ای از ویژگی ها و عوامل درون فردی و بین فردی و درعین حال عوامل محیطی و از همه مهم تر ارتباط با خالق هستی است؛ بنابراین به نظر می رسد بی توجهی یا نادیده گرفتن هرکدام از این عوامل و ویژگی ها، می تواند فرد را از داشتن الگوی پیش برنده، محروم سازد.

    کلیدواژگان: پدیدارشناسی، تجربه زیسته، نابینا، سازگاری، الگوهای پیش برنده
  • سارا رجب پور*، حمید نجات صفحه 28
    زمینه و هدف

    خانواده، یک سیستم اجتماعی، شامل گروهی از افراد است که از طریق ازدواج، تولیدمثل و تربیت فرزندان باهم زندگی کرده و نقش حیاتی برای رشد و پیشرفت افراد ایفا می کنند. هدف پژوهش حاضر، مقایسه اثربخشی درمان شناختی رفتاری و دارودرمانی (بوپروپیون) بر رضایت جنسی و دلزدگی زناشویی زنان مبتلا به اضطراب رابطه جنسی بود.

    روش بررسی

    پژوهش حاضر از نوع نیمه آزمایشی در قالب طرح پیش آزمون پس آزمون با سه گروه بود. جامعه آماری پژوهش مراجعان به مراکز درمانی نیشابور در بهار 1396 با تشخیص اضطراب رابطه جنسی بودند. 39 نفر به روش نمونه گیری دردسترس انتخاب و به شیوه تصادفی با لحاظ کردن ملاک های ورود و خروج در سه گروه قرار داده شدند. گروه اول تحت هشت جلسه درمان شناختی رفتاری قرار گرفت و گروه دوم دارودرمانی دریافت نمود، گروه گواه هیچ مداخله ای دریافت نکرد. مقیاس های رضایت جنسی (هادسون و کروسکاپ، 1981) و دلزدگی زناشویی (پایئز، 1996) در ابتدا و انتهای پژوهش برای گروه ها اجرا شد. مقایسه نتایج با کوواریانس چندمتغیری و آزمون تعقیبی بونفرونی با نرم افزار SPSS در سطح معناداری 0٫05 انجام گرفت. 

    یافته ها

    نتایج به دست آمده از تحلیل داده ها نشان داد که درمان شناختی رفتاری و دارودرمانی، در بهبود رضایت جنسی و دلزدگی زناشویی موثر است و تفاوت معناداری بین این دو درمان مشاهده نشد.

    نتیجه گیری

    می توان گفت در کار با زنان دارای اختلال رابطه جنسی، استفاده همزمان از دارودرمانی و رواندرمانی اثربخشی مضاعفی دارد. پیشنهاد می شود از درمان شناختی رفتاری به عنوان درمانی مبتنی بر شواهد پژوهشی در بهبود رضایت جنسی و دلزدگی زناشویی افراد دارای اضطراب رابطه جنسی استفاده گردد.

    کلیدواژگان: اضطراب رابطه جنسی، بوپروپیون، دارودرمانی، درمان شناختی رفتاری، دلزدگی زناشویی، رضایت جنسی
  • کوثر اسفنده*، غلامرضا حاج ولیئی، هاشم فرهنگ دوست صفحه 29
    زمینه و هدف

    بازداری به معنای توانایی فعالانه متوقف کردن یا تاخیر فعالیتی است. چندین محقق به نقش ممکن فرایندهای خودتنظیمی و فرایندهای کنترل توجه و به ویژه کنترل بازداری در رشد لکنت اشاره کرده اند. هدف این پژوهش بررسی تفاوت ها در عملکرد کنترل بازداری بین کودکان لکنتی و غیرلکنتی بود.

    روش بررسی

    در این پژوهش مقطعی مقایسه ای، توانایی کنترل بازداری 30 کودک 7تا13ساله شهر تهران با تشخیص لکنت رشدی و 30 کودک غیرلکنتی رشدیافته طبیعی که به لحاظ سن و جنس با کودکان لکنتی تطابق داشته با استفاده از تکلیف برو-بایست شنیداری ارزیابی شد. تحلیل اطلاعات ازطریق آمار توصیفی تحلیلی ازجمله آزمون تی مقایسه میانگین های دو گروه مستقل و آزمون من ویتنی و آزمون همبستگی پیرسون با نرم افزار SPSS نسخه 24 صورت گرفت. در تمامی آزمون ها سطح معناداری کمتر از 0٫05در نظر گرفته شد.

    یافته ها

    تفاوت های بین گروهی برای خطاهای ارتکاب و خطاهای بازداری نشان داد میانگین درصد خطاهای ارتکاب و بازداری در گروه لکنتی (13٫09±10٫47) و (15٫11±30٫21) درمقایسه با گروه غیرلکنتی (6٫17±8٫02) و (13٫73±24٫66) بیشتر به دست آمد؛ اما از نظر آماری تفاوت های معناداری نداشت. همچنین میانگین زمان واکنش بیشتری، در گروه لکنتی (73٫9±627٫06) درمقایسه با گروه غیرلکنتی (53٫37±615٫4) مشاهده شد؛ ولی این تفاوت میانگین در کودکان لکنتی و غیرلکنتی از نظر آماری معنادار نبود.

    نتیجه گیری

    نتایج این پژوهش براساس تکلیف برو-بایست شنیداری، مشخص کرد کودکان لکنتی و غیرلکنتی در کنترل بازداری تفاوت معناداری ندارند. بین دو گروه کودکان دارای لکنت و غیرلکنتی در متغیرهای ارتکاب و بازداری و زمان واکنش تفاوت معناداری مشاهده نشد.

    کلیدواژگان: برو-بایست شنیداری، کنترل بازداری، لکنت رشدی
  • جعفر شویچی* صفحه 30
    زمینه و هدف

    از اختلال های بسیار رایج در کودکان سنین مدرسه، اختلال یادگیری است. این کودکان به طور معمول در زمینه های مختلفی نظیر تحصیلی و شناختی و هیجانی با مشکل روبه رو هستند. پژوهش حاضر با هدف تعیین اثربخشی درمان ذهن آگاهی بر میزان اضطراب اجتماعی و عزت نفس دانش آموزان پایه چهارم تا ششم ابتدایی دارای اختلال یادگیری صورت گرفت.

    روش بررسی

    این پژوهش از نوع نیمه آزمایشی با طرح پیش آزمون و پس آزمون با گروه گواه بود. جامعه آماری را تمامی دانش آموزان پسر دارای اختلال یادگیری در سال تحصیلی 98-1397، در مقطع ابتدایی پایه چهارم تا ششم شهر شادگان تشکیل دادند. از میان آن ها با روش نمونه گیری خوشه ای چندمرحله ای، 30 نفر انتخاب شده و به طور تصادفی در دو گروه 15نفره آزمایش و گواه قرار گرفتند. در گروه آزمایش روش مداخله به صورت برنامه مداخله ذهن آگاهی کابات-زین بود. جهت جمع آوری داده ها، دو پرسشنامه اضطراب اجتماعی لیبوویتز (LSAS) (1987) و پرسشنامه عزت نفس کوپر-اسمیت (1996) به کار رفت. داده ها توسط آزمون آماری تحلیل کوواریانس چندمتغیری و با نرم افزار آماری SPSS نسخه 18 در سطح معناداری 0٫05=α تجزیه وتحلیل شدند.

    یافته ها

    باتوجه به نمرات کل متغیرها، میانگین و انحراف معیار نمره کل اضطراب اجتماعی در پیش آزمون و پس آزمون در گروه آزمایش به ترتیب 12٫07± 54٫46 و 7٫54±42٫6 و در گروه گواه به ترتیب 8٫39±50 و 7٫99±52٫46 به دست آمد. همچنین میانگین و انحراف معیار نمره کل عزت نفس در پیش آزمون و پس آزمون در گروه آزمایش به ترتیب 5٫35±22٫2و 4٫59±36٫47 و در گروه گواه به ترتیب 3٫43±21٫8 و 3٫85±23٫33 مشاهده شد. تحلیل کوواریانس چندمتغیری نشان داد برنامه مداخله آموزش ذهن آگاهی بر کاهش اضطراب اجتماعی و افزایش عزت نفس دانش آموزان دارای ناتوانی یادگیری تاثیرگذار است (0٫001p<).

    نتیجه گیری

    براساس یافته های این پژوهش می توان نتیجه گرفت آموزش ذهن آگاهی به دانش آموزان دارای اختلال یادگیری، اضطراب اجتماعی و عزت نفس آن ها را بهبود می بخشد.

    کلیدواژگان: ذهن آگاهی، اضطراب اجتماعی، عزت نفس، اختلال یادگیری
  • المیرا دشتی داریان، کیانوش هاشمیان*، خدیجه ابوالمعالی حسینی صفحه 31
    زمینه وهدف

    فرسودگی تحصیلی به خستگی ناشی از وظایف مدرسه و نگرش های بدبینانه به مدرسه و باور ناکارآمدی در دستیابی به اهداف مدارس اشاره دارد که با توجه به اهمیت آن در زندگی تحصیلی دانش آموزان، لزوم مداخلات آزمایشی جهت کاهش آن آشکار است؛ بنابراین هدف پژوهش حاضر تعیین اثربخشی تلفیق آموزش سرمایه روان شناختی و خودتعیین گری بر کاهش فرسودگی تحصیلی دختران دانش آموز بود. 

    روش بررسی

    روش پژوهش شبه آزمایشی با طرح پیش آزمون پس آزمون با گروه کنترل و پیگیری بود. جامعه آماری را دانش آموزان دختر مقاطع هفتم و هشتم و نهم یکی از مدارس دخترانه شهر تهران در سال 1395 تشکیل دادند که تعداد، 118 نفر بود. به روش نمونه گیری تصادفی، از بین دانش آموزان دارای فرسودگی تحصیلی 30 نفر به عنوان نمونه انتخاب شده و به تصادف در دو گروه آزمایش و کنترل قرار گرفتند. ابزار پژوهش، پرسشنامه بررسی فرسودگی دانش آموز مسلش، ساخته شائوفلی و همکاران در سال 2002 بود. آموزش تلفیقی سرمایه روان شناختی و خودتعیین گری در 14 جلسه برای گروه آزمایش صورت گرفت. داده های جمع آوری شده با استفاده از طرح ترکیبی دوطرفه چندمتغیری و به کمک نسخه 21 نرم افزار SPSS تحلیل شد. 

    یافته ها

    تلفیق آموزش سرمایه روان شناختی و خودتعیین گری موجب کاهش معنادار مولفه های بی علاقگی (0٫001>p) و ناکارآمدی تحصیلی (0٫047=p) شد و باتوجه به نتایج آزمون پیگیری این اثرات در طی زمان ماندگار بود؛ اما آموزش تلفیقی منجربه کاهش مولفه خستگی هیجانی نشد

    نتیجه گیری

    باتوجه به یافته های پژوهش حاضر، آموزش مبتنی بر تلفیق سرمایه روان شناختی و خودتعیین گری منجربه کاهش فرسودگی تحصیلی دانش آموزان این مدرسه شده است.

    کلیدواژگان: خودتعیین گری، سرمایه روان شناختی، فرسودگی تحصیلی
  • مریم بیات پور، معصومه شجاعی*، علی کاشی صفحه 32
    زمینه و هدف

    پنج تا شش درصد از کودکان مقطع دبستان دچار نقص هماهنگی رشدی هستند. هدف، مقایسه تمرین منتخب ورزشی، ذهنی، ترکیبی و گزینش بهترین روش برای رشد مهارت حرکتی پسران دارای اختلال هماهنگی رشدی بود.

    روش بررسی

    طرح پژوهش تجربی از نوع پیش آزمون- پس آزمون، با گروه گواه بود. تعداد 55 پسر نه تا ده ساله شیرازی توسط پرسش نامه اختلال هماهنگی رشدی و آزمون ارزیابی حرکتی کودکان-2 غربال و پس از همسان سازی شفافیت تصویرسازی دیداری به شکل تصادفی در سه گروه تجربی (چهارده نفر) و یک گروه گواه (سیزده نفر) قرار گرفتند. مداخله به شکل تمرین بدنی، ذهنی و ترکیبی به مدت 24 جلسه 45دقیقه ای اجرا شد و به منظور تحلیل داده ها از آزمون شاپیرو-ویلک برای نرمال بودن توزیع متغیرهای وابسته، آزمون تحلیل کوواریانس با استفاده از پیش آزمون به عنوان کووریت و آزمون تی هم بسته برای ارزیابی اثر مداخله، آزمون لوین برای همگنی واریانس ها و از آزمون بونفرونی به عنوان آزمون تعقیبی استفاده شد.

    یافته ها

    یافته های پژوهش نشان داد میانگین و انحراف معیار اجرای مهارت های حرکتی سه گروه تمرین ذهنی، بدنی و ترکیبی در نوبت پس آزمون به ترتیب (3٫671±62٫231 و 4٫235±63٫502 و 2٫773 ±65٫794=mean±sd) در مقایسه با نوبت پیش آزمون بهبود معناداری داشت (0٫001>p). مقایسه بین گروه ها از سودمندی بیشتر تمرین ترکیبی به شکل معناداری (0٫001>p) حمایت کرد.

    نتیجه گیری

    نتایج نشان داد در پسران نه تا ده ساله دارای اختلال هماهنگی رشدی، می توان با استفاده از تمرین ورزشی و ذهنی، بهبودی معناداری در رشد مهارت های حرکتی ایجاد کرد و بهترین شیوه برای تسریع رشد حرکتی استفاده از تمرینات ترکیبی است.

    کلیدواژگان: اختلال هماهنگی رشدی، تمرین ذهنی، تصویرسازی پتلپ، آزمون ارزیابی حرکتی کودکان-2
  • بلتا چیت سازها*، فهیمه آخوندی، ابوالفضل کرمی صفحه 33
    زمینه و هدف

    امروزه افزایش مصرف مواد مخدر نگرانی روزافزونی را برای تمامی جوامع به دنبال دارد و مسئله وابستگی به مواد و سوء مصرف آن به معضلی اجتماعی درمانی تبدیل شده است. پژوهش حاضر، با هدف بررسی اثربخشی روش درمان شناختی رفتاری (CBT) بر افزایش شادکامی افراد وابسته به مواد محرک انجام شد. 

    روش بررسی

    این مطالعه به صورت نیمه آزمایشی بود که از افراد وابسته به مواد محرک، 30 نفر به روش نمونه گیری دردسترس انتخاب شدند. سپس به شکل تصادفی در دو گروه آزمایش (15 نفر) و کنترل (15 نفر) قرار گرفتند. ابزار به کاررفته در این پژوهش، پرسشنامه شادکامی آکسفورد 1980 بود. مداخله درمان شناختی رفتاری، طی ده جلسه و هر جلسه 90 دقیقه برای گروه آزمایش صورت گرفت. داده های به دست آمده با استفاده از آزمون آماری تحلیل کواریانس و تحلیل واریانس با اندازه گیری مکرر تجزیه و تحلیل شدند.

    یافته ها

    نتایج نشان داد تفاوت بین میانگین نمرات پیش آزمون و پس آزمون گروه آزمایش درمقایسه با گروه کنترل، پس از حذف اثر نمرات پیش آزمون، در افزایش میزان شادکامی تاثیر معنا داری داشت (0٫001>p). همچنین، اثرات این آموزش بعد از گذشت یک ماه پایدار بوده و تفاوت معناداری بین میانگین نمرات پس آزمون و پیگیری گروه آزمایش مشاهده نشد (0٫073=p).

    نتیجه گیری

    با توجه به یافته ها، به نظر می رسد درمان شناختی رفتاری می تواند موجب افزایش شادکامی شود؛ بنابراین، توصیه می گردد آموزش درمان شناختی رفتاری توسط روان شناسان و روان درمانگران به عنوان روشی مداخله ای در جهت پیشگیری درزمینه مصرف مواد به کار گرفته شود.

    کلیدواژگان: درمان شناخت ی ر فتاری، شادکامی، افراد وابسته به مواد محرک
  • شیرین ایدلخانی، حسن حیدری*، حسین داوودی، مهدی زارع بهرام آبادی صفحه 34
    زمینه و هدف

    دل زدگی زناشویی از آشفتگی ها و نابهنجاری های روان شناختی است که موجب مشکل های روانی و بی تفاوتی (طلاق عاطفی) و طلاق زوجین می شود. این پژوهش با هدف تعیین و مقایسه اثربخشی آموزش رویکرد فلدمن و مهارت های صمیمانه (PAIRS) بر کیفیت زندگی زناشویی زنان دچار دل زدگی زناشویی انجام شد. 

    روش بررسی

    این پژوهش از نوع نیمه تجربی با طرح پیش آزمون پس آزمون با دو گروه آزمایش و یک گروه کنترل بود. جامعه آماری پژوهش حاضر را تمامی زنان دچار دل زدگی زناشویی شهرستان تهران تشکیل دادند که طی فراخوان عمومی 36 نفر انتخاب شده و به طور تصادفی در سه گروه آزمایشی یک و گروه آزمایشی دو و کنترل قرار گرفتند. برای هر سه گروه پیش آزمون پرسشنامه کیفیت زندگی زناشویی فلچر و همکاران (2000) اجرا شد. سپس طرح مداخله روش چندسطحی فلدمن در گروه آزمایش یک و مداخله با رویکرد آموزش مهارت های صمیمانه برای گروه آزمایش دو انجام پذیرفت؛ اما گروه کنترل، هیچ گونه مداخله ای دریافت نکرد. نتایج با روش کواریانس در سطح 5درصد تحلیل شد. 

    یافته ها

    نتایج آنالیز کواریانس نشان داد که هر دو روش چندسطحی فلدمن و مهارت های صمیمانه بر افزایش کیفیت زندگی زناشویی در زنان دچار دل زدگی زناشویی تاثیر معنا داری دارد (0٫001>p). آزمون تعقیبی نیز مشخص کرد که بین میزان اثربخشی دو رویکرد مذکور تفاوت معناداری مشاهده نمی شود.

    نتیجه گیری

    می توان به منظور افزایش کیفیت زندگی زناشویی از رویکردهای چندسطحی فلدمن و مهارت های صمیمانه بهره برد.

    کلیدواژگان: رویکرد چندسطحی فلدمن، مهارت های صمیمانه، کیفیت زندگی زناشویی، دل زدگی زناشویی
  • اسماعیل آقازاده، فرزانه تقیان*، غلامعلی قاسمی کهریزسنگی صفحه 35
    زمینه و هدف

    از پوسچرهای معیوب بسیار شایع ستون فقرات گردنی در افراد نابینا جلو آمدگی سر با شیوع 66درصد است. پژوهش حاضر با هدف بررسی تاثیر هشت هفته تمرینات تراباند بر زاویه سر به جلو و قدرت و دامنه حرکتی نابینایان و کم بینایان مبتلا به سر به جلو انجام شد.

    روش بررسی

    پژوهش حاضر، نیمه تجربی و از نوع پیش آزمون پس آزمون بود. نمونه آماری این پژوهش را سی دانش آموز پسر نابینا و کم بینا 10تا16ساله آموزشگاه شوریده شیرازی از شهر شیراز، در سال تحصیلی 96-1395 با عارضه ناهنجاری سر به جلو تشکیل دادند که به صورت دردسترس و هدفمند انتخاب شده و به روش تصادفی در دو گروه تمرینات تراباند و کنترل قرار گرفتند. آزمودنی های گروه تمرین به مدت هشت هفته، سه جلسه در هفته و هرجلسه شصت دقیقه با کش تراباند به تمرین مقاومتی پرداختند. گروه کنترل در این دوره هیچ گونه فعالیت ورزشی نداشت. قدرت و زاویه سر به جلو و دامنه حرکتی آزمودنی ها قبل و پس از هشت هفته در هر دو گروه اندازه گیری شد. جهت بررسی داده ها، نرم افزار SPSS و آزمون تی همبسته و مستقل به کار رفت. مقدار p کمتر از 0٫05 معنا دار درنظر گرفته شد.

    یافته ها

    یافته ها نشان داد هشت هفته تمرین با تراباند باعث بهبود زاویه سر به جلو با اختلاف میانگین و معنا داری (2٫53±0٫17، 0٫007=p)، قدرت دست (0٫56±0٫93-، 0٫004=p)، آبداکشن (0٫36±15٫67-، 0٫044=p)، قدرت اکستنسورهای پشت (1٫56±19٫33-، 0٫012=p)، چرخش خارجی مفصل شانه (0٫51±3٫23-، 0٫037=p) و اکستنشن سر و گردن (1٫51±2٫07-، 0٫001=p) شد؛ اما در متغیر چرخش داخلی مفصل شانه (0٫74±0٫37-، 0٫584=p)، فلکشن (1٫16±11٫87-، 0٫072=p)، فلکشن چپ (0٫01±0٫74، 0٫441=p) و فلکشن راست (1٫2±0٫46-، 0٫573=p) تغییری ایجاد نکرد.

    نتیجه گیری

    باتوجه به نتایج حاصل از این تحقیق تمرینات تراباند می تواند باعث بهبود زاویه سر به جلو و دامنه حرکتی و قدرت عضلانی در افراد نابینا و کم بینا مبتلا به عارضه سر به جلو شود؛ ازاین رو می توان باتوجه به موثربودن این تمرینات از آن به عنوان روشی اثرگذار در درمان این عارضه استفاده کرد.

    کلیدواژگان: سر به جلو، دامنه حرکتی، قدرت عضلانی، تمرینات تراباند، افراد نابینا
  • محمدرضا مرادی*، محمدصادق سعادت صفحه 36
    زمینه و هدف

    مشارکت در فعالیت های ورزشی، منافعی آشکار ازجمله منافع جسمانی و روان شناختی و اجتماعی برای همه اعضای جامعه اعم از افراد سالم و به ویژه برای معلولان دارد. ازسویی هویت ورزشی می تواند انگیزش و تعهد حضور مداوم در فعالیت های ورزشی و موفقیت در سطوح عالی ورزشی را منجر شود. هدف پژوهش حاضر بررسی ارتباط بین هویت ورزشی و مشارکت در فعالیت های ورزشی در بین معلولان جسمی بود.

    روش بررسی

    پژوهش حاضر از نوع پیمایشی بود و به کمک پرسشنامه اطلاعات لازم جمع آوری شد. جامعه آماری پژوهش را تمامی معلولان جسمی شهرکرد در سال 1395 تشکیل دادند. با به کارگیری فرمول کوکران در سطح خطای 5درصد تعداد 320 نفر از بین 2139 نفر معلولان جسمی به صورت تصادفی ساده انتخاب شدند. از مقیاس هویت ورزشی چزلاک و پرسشنامه محقق ساخته مشارکت ورزشی و نیز از ضریب همبستگی پیرسون و نرم افزار SPSS نسخه 23 در سطح خطای 5درصد استفاده گردید.

    یافته ها

    باتوجه به نتایج، بین هویت خود و مشارکت ورزشی رابطه مستقیم و معنا دار (0٫001>p، 0٫34=r) و نیز بین هویت اجتماعی و مشارکت ورزشی رابطه مستقیم و معنا دار مشاهده شد (0٫001>p، 0٫30=r). همچنین بین انحصارگرایی و مشارکت ورزشی رابطه مستقیم و معنا داری به دست آمد (0٫001>p، 0٫40=r). ازطرفی یافته ها نشان داد بین تاثیرپذیری منفی و مشارکت ورزشی رابطه معکوس و معنا دار (0٫001>p، 0٫16-=r) و نیز بین تاثیرپذیری و مشارکت ورزشی رابطه مستقیم و معنا داری وجود داشت (0٫001>p، 0٫31=r). درنهایت بین هویت ورزشی و مشارکت ورزشی رابطه مستقیم و معنا داری مشاهده شد (0٫001>p، 0٫35=r).

    نتیجه گیری

    براساس یافته ها می توان نتیجه گرفت که هویت ورزشی تسهیل گر مشارکت هرچه بیشتر معلولان جسمی در فعالیت های ورزشی است.

    کلیدواژگان: هویت ورزشی، ورزش، معلول جسمی
  • ساناز عزیزمحمدی*، نازنین راکبی، زهرا جمشیدی، مریم زمردی صفحه 37
    زمینه و هدف

    طیف اختلال های اوتیسم اثرات شدیدی بر زندگی خانوادگی ازجمله انسجام روانی و کیفیت زندگی دارد؛ ازاین رو پژوهش حاضر باهدف اثربخشی معنادرمانی بر انسجام روانی و کیفیت زندگی مادران دانش آموزان اوتیسم انجام شد.

    روش بررسی

    پژوهش حاضر نیمه آزمایشی از نوع طرح پیش آزمون پس آزمون با گروه کنترل بود. جامعه آماری را تمامی مادران کودکان 7تا12ساله مبتلا به اوتیسم در مرکز اوتیسم رازی شهر بهارستان، در سه ماه آخر سال 1397 تشکیل دادند. تعداد 30 نفر از مادران به روش نمونه گیری دردسترس انتخاب شده و در دو گروه آزمایش و کنترل به صورت تصادفی قرار گرفتند. به منظور جمع آوری داده ها، از مقیاس انسجام روانی آنتونسکی (1993) و مقیاس کیفیت زندگی بهداشت جهانی (2002) استفاده شد. برای افراد گروه آزمایش در هشت جلسه، معنادرمانی صورت گرفت؛ اما گروه کنترل هیچ درمانی را دریافت نکرد. جهت تحلیل داده ها، نرم افزار SPSS نسخه 22 و آزمون تحلیل کوواریانس تک متغیره و چندمتغیره به کار رفت. سطح معنا داری نیز 0٫01 درنظر گرفته شد.

    یافته ها

    نتایج نشان داد بین دو گروه آزمایش و کنترل در انسجام روانی و کیفیت زندگی تفاوت معناداری وجود دارد. میانگین و انحراف معیار کیفیت زندگی گروه آزمایش قبل و بعد از مداخله به ترتیب 6٫54± 27٫54 و 6٫43±29٫87 و انسجام روانی قبل و بعد از مداخله به ترتیب 5٫23±48٫76 و 5٫57±52٫89 به دست آمد. همچنین اندازه اثر نمره کیفیت زندگی 0٫421 (0٫001>p) و انسجام روانی 0٫378 (0٫001>p) بود.

    نتیجه گیری

    باتوجه به نتایج پژوهش، آموزش معنادرمانی موجب افزایش انسجام روانی و کیفیت زندگی مادران دانش آموزان اوتیسم شده است.

    کلیدواژگان: معنادرمانی، انسجام روانی، کیفیت زندگی، مادران اوتیسم
  • بهمن علیزاده، عبدالله قاسمی*، الهه عرب عامری، میثم رضایی صفحه 38
    زمینه و هدف

    نقص در عملکرد حرکتی در کودکان کم توان ذهنی رایج است. اندازه گیری عملکرد حرکتی با ویژگی های روان سنجی صحیح برای استفاده بالینی و پژوهش ضرورت دارد. هدف از این تحقیق، تعیین روایی و پایایی مجموعه آزمون های ارزیابی حرکت کودکان ویرایش دوم (MABC-2) برای کودکان 7تا10ساله کم توان ذهنی بود.

    روش بررسی

    روش پژوهش از نوع توصیفی همبستگی بود. بدین منظور 124 دانش آموز 7تا10ساله کم توان ذهنی مشغول به تحصیل در سال تحصیلی 96-1395 به شیوه نمونه هدفمند دردسترس انتخاب شدند. روایی آزمون MABC-2 به شکل روایی هم زمان با آزمون BOT-2 و پایایی به صورت پایایی همسانی درونی و به شیوه آلفای کرونباخ به دست آمد. برای تحلیل آماری داده ها، نرم افزار SPSS نسخه 19 به کار رفت. سطح معناداری نیز 0٫05 در نظر گرفته شد.

    یافته ها

    مقدار آلفای کرونباخ کلی 0٫89 محاسبه شد که همبستگی قوی را نشان داد. کمترین و بیشترین مقدار همبستگی اسپیرمن بین هر ماده با نمره کل به ترتیب مربوط به تکلیف پرتاب کیسه لوبیا با 0٫38 و تعادل روی تخته با پای برتر با 0٫79 بود (0٫05>p). ضریب همبستگی اسپیرمن مشخص کرد بین خرده مقیاس چالاکی دستی از آزمون MABC-2 با دو حوزه حرکتی و چهار خرده مقیاس مشترک با آزمون BOT-2 همبستگی مثبت و معناداری وجود دارد؛ ولی بین خرده مقیاس دریافت و پرتاب از آزمون MABC-2 با هیچ یک از خرده مقیاس های آزمون BOT-2 هیچ گونه همبستگی مثبت و معناداری مشاهده نشد. همچنین خرده مقیاس تعادل از آزمون MABC-2 تنها با خرده مقیاس های سرعت و چالاکی (0٫30r=،0٫024=p)  و تعادل (0٫29r=،0٫027=p) از آزمون BOT-2، دارای همبستگی معناداری بود.

    نتیجه گیری

    براساس یافته های پژوهش آزمون MABC-2 از روایی و پایایی خوبی برای کودکان کم توان ذهنی برخوردار است؛ ولی بعضی از مواد آن برای این کودکان نیاز به تعدیل دارد.

    کلیدواژگان: آزمون مجموعه ارزیابی حرکت برای کودکان ویرایش دوم، کم توان ذهنی، پایایی، روایی هم زمان
  • شقایق بازرگان، محسن سعیدمنش*، محمدرضا ایروانی صفحه 39
    زمینه و هدف

    خواندن یکی از مهارت های ارتباطی انسان است که زیربنای سواد آموزی فرد است. سرعت نامیدن خودکار و حافظه فعال، بخشی از دانش زبانی فرد است. هدف از انجام دادن این پژوهش، مقایسه سرعت نامیدن خودکار و حافظه فعال در کودکان با و بدون نارساخوانی بود.

    روش بررسی

    پژوهش حاضر از نوع علی مقایسه ای بود. جامعه آماری این پژوهش عبارت بودند از: دانش آموزان دبستانی شهر یزد که به منظور انجام دادن این پژوهش پنجاه دانش آموز مبتلا به نارساخوانی از شهر یزد و پنجاه دانش آموز عادی در سال 1396 به صورت نمونه گیری تصادفی ساده انتخاب شدند. ابزار این پژوهش عبارت بودند از: آزمون های حافظه فعال (وکسلر، 2003)، سرعت نامیدن خودکار (برخوردار، 1386) و پرسش نامه اختلال خواندن (کرمی نوری، 1384). برای تجزیه وتحلیل داده ها از آزمون t مستقل و کولموگروف-اسمیرنوف استفاده شد. داده ها در این پژوهش توسط نرم افزار SPSS نسخه 21 و در سطح 95درصد اطمینان تجزیه وتحلیل شدند.

    یافته ها

    نتایج این پژوهش نشان داد که بین سرعت نامیدن خودکار و حافظه فعال در دانش آموزان دارای نارساخوانی (6٫32±64٫59 برای حافظه فعال و 39٫86±227 برای سرعت نامیدن خودکار) و بدون نارساخوانی (8٫3 ±93٫37 برای حافظه فعال و 52٫78±150٫78 برای سرعت نامیدن خودکار) تفاوت وجود دارد (0٫001>p).

    نتیجه گیری

    یافته های این پژوهش نشان داد بین سرعت نامیدن خودکار و حافظه فعال در کودکان دارای نارساخوانی و کودکان عادی تفاوت وجود دارد و با تقویت این مهارت ها می توان بر توانایی کودک در خواندن افزود.

    کلیدواژگان: حافظه فعال، سرعت نامیدن خودکار، نارساخوانی
  • مونس حسینی، آرمین محمودی*، علیرضا ماردپور صفحه 40
    زمینه و هدف

    با توجه به نقش مهم دانشجویان در ارتقای سطح علمی کشور و لزوم ارزیابی همه جانبه عوامل مهم تاثیرگذار بر سطح کلی سلامت آن ها، پژوهش حاضر با هدف بررسی نقش واسطه ای بهزیستی اجتماعی در ارتباط بین سلامت معنوی با صمیمیت زناشویی دانشجویان متاهل انجام شد.

    روش بررسی

    روش این پژوهش توصیفی همبستگی بود. جامعه آماری را دانشجویان دختر و پسر متاهل دانشگاه های وابسته به وزارت علوم شهر گچساران تشکیل دادند که در سال تحصیلی 97-1396 مشغول به تحصیل بودند. باتوجه به جدول کرجسی و مورگان 398 نفر به صورت دردسترس به عنوان نمونه انتخاب شدند. برای جمع آوری اطلاعات، مقیاس های صمیمیت زناشویی والکر و تامپسون (1983) و بهزیستی ذهنی گی یرز و ماگیارمو (2003) و سلامت معنوی پولوتزین و الیسون (1983) به کار رفت. داده ها با استفاده از شاخص های توصیفی همچون میانگین و انحراف معیار و مدل سازی معادلات ساختاری به کمک نسخه 23 نرم افزار AMOS و با درنظرگرفتن سطح معناداری 0٫05 تجزیه وتحلیل شدند.

    یافته ها

    نتایج پژوهش حاضر نشان داد که نمره کل سلامت معنوی و یک مولفه اش (سلامت مذهبی) بر متغیر وابسته اصلی صمیمیت اثر مثبت و مستقیم دارد (0٫213=β و 0٫001>p). نمره کل سلامت معنوی و یکی از مولفه های آن (سلامت مذهبی) نیز بر متغیر وابسته میانی بهزیستی اجتماعی تاثیر مثبت و معنادار می گذارد (0٫165=β و 0٫001>p). همچنین اثر مستقیم بهزیستی اجتماعی بر صمیمیت زناشویی معنادار مشاهده می شود (0٫421=β و 0٫001>p). به طور کل 0٫24 واریانس صمیمیت زناشویی ازطریق سلامت معنوی و بهزیستی اجتماعی تبیین شده است.

    نتیجه گیری

    براساس نقش میانجی بهزیستی اجتماعی در رابطه بین سلامت معنوی با صمیمت زناشویی دانشجویان، توجه به اهمیت این نوع بهزیستی در برنامه ریزی ها و مداخلات روان شناسی و مشاوره خانواده در زمینه ارتقای کیفیت زندگی زناشویی دانشجویان، ضروری است.

    کلیدواژگان: سلامت معنوی، بهزیستی اجتماعی، صمیمیت زناشویی، دانشجویان متاهل
  • شیوا جزینی*، آناهیتا خدابخشی کولایی، محمدرضا فلسفی نژاد، اکرم ثناگو صفحه 41
    زمینه و هدف

    قتل از جنایت های بشری بسیار هولناک است. پژوهش های گذشته عوامل زمینه ساز روان شناختی و اجتماعی گوناگونی را در ارتکاب به قتل برشمرده اند؛ لذا پژوهش حاضر با هدف واکاوی واکنش های احساسی و هیجانی زنان متهم به قتل درباره ارتکاب به قتل انجام شد.

    روش بررسی

    روش این مطالعه کیفی و از نوع پدیدارشناسی بود. شرکت کنندگان در پژوهش شامل هفده زن متهم به قتل بودند که براساس نمونه گیری هدفمند، از بین زنان متهم به قتل در زندان زنان شهر اصفهان در سال 1395 انتخاب شدند. برای جمع آوری داده ها از روش مصاحبه نیمه ساختاریافته استفاده شد که با موافقت شرکت کنندگان یادداشت و سپس تحلیل شدند. برای تجزیه و تحلیل اطلاعات به دست آمده از پژوهش، از تحلیل محتوای کیفی استفاده شد.

    یافته ها

    تجزیه و تحلیل داده ها به تولید هفت درون مایه اصلی انجامید که شامل احساس ناراحتی، شوک، احساس وحشت، احساس خفگی و نداشتن آرامش، احساس عصبانیت و جنون، احساس پشیمانی و در نهایت احساس گیجی و سردرگمی بود. 

    نتیجه گیری

    نتایج حاصل از این مطالعه نشان داد که بسیاری از آن ها پس از ارتکاب جرم، واکنش های احساسی و هیجانی همانند پشیمانی، ناراحتی و گیجی را داشته اند که این امر نشان می دهد این زنان در حین ارتکاب قتل، کنترل هیجان های منفی و خشم شدید خود را نداشته اند. این نتایج می تواند به مددکاران اجتماعی، روان شناسان، مشاوران، جرم شناسان و متخصصان پزشکی قانونی در آموزش و کار در این حیطه کمک کند.

    کلیدواژگان: جرم، زندان، زنان، قتل، پدیده شناسی، مطالعه کیفی
  • خالد اصلانی، مهناز حاجی حیدری*، غلامرضا رجبی، عباس امان اللهی صفحه 42
    زمینه و هدف

    سوگ پیچیده از اختلال های شایع بوده که دارای تبعات و ناتوانی های روان شناختی است. این امر لزوم مداخلات روان شناختی را در این بیماران، ضروری می سازد؛ بنابراین پژوهش حاضر با هدف بررسی اثربخشی شناخت درمانی مبتنی بر ذهن آگاهی بر سوگ پیچیده افراد بانشانه های سوگ پیچیده انجام شد.

    روش بررسی

    طرح این پژوهش، تجربی تک موردی از نوع خط پایه چندگانه بود. سه نفر زن مبتلا به سوگ پیچیده ازطریق پرسشنامه سوگ پیچیده، به روش نمونه گیری هدفمند، از بین بیماران مرکزهای مشاوره شهر اهواز انتخاب شدند. ورود بیماران به درمان، پس از احراز شرایط درمان بود. کارایی درمان شناختی مبتنی بر ذهن آگاهی، در طی سه مرحله خط پایه و درمان و پیگیری، با استفاده از پرسشنامه سوگ پیچیده پریگرسون و ماسیچواسکی (1995) بررسی شد. تحلیل داده ها به روش ترسیم دیداری و شاخص تغییر پایا (RCI) و فرمول درصد بهبودی صورت گرفت.

    یافته ها

    نتایج نشان داد درمان شناختی مبتنی بر ذهن آگاهی در کاهش نشانگان سوگ پیچیده در افراد مبتلا به سوگ پیچیده هم از نظر آماری در سطح (0٫01>p) و هم از نظر بالینی معنا دار بود.

    نتیجه گیری

    روش شناخت درمانی مبتنی بر ذهن آگاهی در کاهش نشانگان و بهبود علائم سوگ پیچیده از کارایی لازم برخوردار است.

    کلیدواژگان: شناخت درمانی مبتنی بر ذهن آگاهی، سوگ پیچیده
  • معصومه اسماعیل پور، علی شاکر دولق* صفحه 43
    زمینه و هدف

    اختلالات یادگیری ویژه و بیش فعالی از شایع ترین مشکلات در کودکان ابتدایی است. این پژوهش با هدف مقایسه خودپنداره مربوط به مدرسه و ذهن آگاهی در دانش آموزان دچار اختلال یادگیری ویژه، بیش فعالی و عادی ششم ابتدایی در شهر اردبیل صورت گرفت.

    روش بررسی

    روش پژوهش با توجه به اهداف و فرضیه ها علی مقایسه ای بود. جامعه آماری پژوهش شامل تمام دانش آموزان دارای اختلالات یادگیری و عادی دوره ابتدایی مشغول به تحصیل، در مراکز اختلالات یادگیری و استثنایی (256=N) و مدارس عادی دوره ابتدایی (31112=N) شهر اردبیل در سال 1396 بود که نود نفر (سی نفر با اختلال یادگیری، سی نفر بیش فعالی و سی نفر عادی) به روش نمونه گیری در دسترس انتخاب شدند و با استفاده از پرسش نامه خودپنداره مربوط به مدرسه و ذهن آگاهی (Maas) بررسی شدند. تجزیه وتحلیل اطلاعات با آزمون تحلیل واریانس چندمتغیره (MANOVA) و با بهره گیری از نرم افزار آماری SPSS صورت گرفت.

    یافته ها

    نتایج به دست آمده نشان داد بین خودپنداره مربوط به مدرسه در دانش آموزان دچار اختلال یادگیری ویژه، بیش فعالی و عادی تفاوت معنا داری وجود دارد؛ به طوری که دانش آموزان دچار اختلال یادگیری ویژه و بیش فعالی در ذهن آگاهی و خودپنداره مربوط به مدرسه نمرات پایینی در مقایسه با دانش آموزان عادی کسب کردند (0٫001>p). نتایج آزمون تعقیبی شفه نشان داد بین دو گروه دارای اختلال یادگیری و بیش فعالی تفاوت معناداری در خودپنداره مربوط به مدرسه و ذهن آگاهی وجود ندارد.

    نتیجه گیری

    بر اساس یافته های پژوهش، برنامه ریزی و آموزش هایی برای افزایش میزان خودپنداره مربوط به مدرسه و ذهن آگاهی در دانش آموزان دارای اختلال یادگیری و بیش فعال پیشنهاد می شود. همچنین بر لزوم اجرای برنامه های آموزشی و درمانی در دانش آموزان دچار اختلال یادگیری ویژه و بیش فعالی تاکید می گردد.

    کلیدواژگان: ذهن آگاهی، خودپنداره مربوط به مدرسه، اختلال یادگیری ویژه، بیش فعالی
  • رسول حشمتی*، مهسا حاتمی، مهشید ابن احمدی، ثریا پیرمردوند چگینی صفحه 44
    زمینه و هدف

    تنظیم هیجان از مشکلات بسیار مهم در کودکان مبتلا به AD/HD است. پژوهش حاضر با هدف تعیین اثربخشی MBSR-C بر خودتنطیمی هیجانی و تاب آوری هیجانی دانش آموزان مبتلا به اختلال نارسایی توجه/بیش فعالی انجام شد. 

    روش بررسی

    در روشی شبه آزمایشی، 24 دانش آموز مبتلا به اختلال نارسایی توجه/بیش فعالی به شیوه دردسترس انتخاب شده و به طور تصادفی در دو گروه آزمایش و گواه قرار گرفتند. برای جمع آوری داده ها از مقیاس تاب آوری کودک و نوجوان-28 انگار و لیبنبرگ و چک لیست تنظیم هیجان شیلدز و سیسچتی استفاده شد. برنامه MBSR-C به مدت هشت جلسه در گروه آزمایش صورت گرفت و گروه گواه هیچ مداخله ای دریافت نکرد. برای پردازش داده ها، SPSS نسخه 18 و برای تحلیل داده ها، MANCOVA به کار گرفته شد. سطح معناداری در تمام آزمون ها برابر با 0٫05 بود.

    یافته ها

    نتایج نشان داد MBSR-C بر خودتنظیمی هیجانی (0٫001>p) و تاب آوری هیجانی (0٫001>p) دانش آموزان مبتلا به بیش فعالی موثر بود. دو گروه در مولفه مراقبت (0٫030=p) تفاوت معنا دار داشتند. همچنین، در مولفه های خودتنظیمی هیجانی و تفاوت ها در مولفه های هیجان منفی/بی ثباتی (0٫001>p) و تنظیم هیجانی (0٫006=p) معنا دار به دست آمد.

    نتیجه گیری

    براساس این یافته ها می توان نتیجه گرفت MBSR-C در تعدیل و تنظیم خلق و هیجانات و افزایش تاب آوری کودکان مبتلا به AD/HD موثر است. پیشنهاد می شود روش کاهش استرس براساس بهوشیاری در کنار سایر مداخلات در تنظیم عواطف منفی این کودکان به کار رود.

    کلیدواژگان: کاهش استرس براساس بهوشیاری، تاب آوری هیجانی، خودتنطیمی هیجانی، اختلال نارسایی توجه، بیش فعالی
  • رویا فصیحی، جوانشیر اسدی*، رمضان حسن زاده، فیروزه درخشانپور صفحه 45
    زمینه و هدف

    انعطاف پذیری، یکی از متغیرهای سبک زندگی سالم است. بررسی میزان اثربخشی درمان مبتنی بر پذیرش و تعهد بر انعطاف پذیری، می تواند بیانگر کارآمدی این درمان در دانشجویان پزشکی باشد؛ بنابراین هدف مطالعه حاضر، تعیین تاثیر درمان مبتنی بر پذیرش و تعهد بر انعطاف پذیری شناختی بود. 

    روش بررسی

    این مطالعه در قالب طرح شبه آزمایشی با پیش آزمون و پس آزمون و پیگیری با گروه گواه از میان دانشجویان رشته پزشکی دانشگاه علوم پزشکی گرگان در سال تحصیلی 1397-1396 انجام شد و 30 نفر به شیوه هدفمند بر اساس معیارهای ورود انتخاب شدند و به طور تصادفی در دو گروه (گروه آزمایش 15 نفر و گروه گواه 15 نفر) جای گذاری شدند. پروتکل درمانی به مدت هشت جلسه هفتگی به گروه آزمایش ارائه شد و گروه گواه در لیست انتظار قرار گرفت. انعطاف پذیری با پرسش نامه دنیس-وندروال (2010) ارزیابی شد و داده های حاصل با استفاده از نرم افزار SPSS و به کمک شاخص های آمار توصیفی چون میانگین و انحراف معیار، آزمون لوین، کولموگروف اسمیرنوف و تحلیل واریانس با اندازه گیری های مکرر تجزیه وتحلیل شدند.

    یافته ها

    نتایج حاصل از تحلیل نشان داد که اثربخشی درمان مبتنی بر پذیرش و تعهد در پس آزمون در گروه آزمایش نسبت به گروه گواه بر شاخص انعطاف پذیری شناختی معنادار بود (0٫001>p). همچنین درمان مذکور در مرحله پیگیری در گروه آزمایش ماندگار بود (0٫001>p).

    نتیجه گیری

    بر اساس یافته های پژوهش حاضر، درمان مبتنی بر پذیرش و تعهد، می تواند به عنوان یک مداخله اثربخش در افزایش انعطاف پذیری دانشجویان پزشکی محسوب شود.

    کلیدواژگان: درمان مبتنی بر پذیرش و تعهد، انعطاف پذیری شناختی
  • مرضیه نوری فرد، حمیدطاهر نشاط دوست*، ایلناز سجادیان صفحه 46
    زمینه و هدف

    نارسایی مزمن کلیوی، تخریب رو به رشد و بازگشت ناپذیر عملکرد کلیوی است که عوارض جسمی و روانی بی شماری را در پی دارد. این پژوهش با هدف مقایسه اثربخشی آموزش ذهن آگاهی با آموزش اختصاصی سازی حافظه بر راهبردهای شناختی تنظیم هیجان بیماران همودیالیزی انجام شد. 

    روش بررسی

    پژوهش حاضر از نوع شبه آزمایشی با طرح پیش آزمون پس آزمون و پیگیری بود. جامعه آماری را بیماران همودیالیزی مراجعه کننده به مراکز همودیالیز شهر تهران در سال 1396 تشکیل دادند. تعداد 36 نفر به روش نمونه گیری هدفمند از جامعه آماری انتخاب شده و به صورت تصادفی در سه گروه آموزش ذهن آگاهی (سگال، 2013) و آموزش اختصاصی سازی حافظه (مکس ول، 2016) و گروه کنترل قرار گرفتند. برای جمع آوری داده ها، پرسشنامه راهبردهای شناختی تنظیم هیجان گارنفسکی (CERQ) به کار رفت. داده ها با استفاده از نرم افزار SPSS نسخه 22 و تحلیل واریانس با اندازه گیری مکرر، تجزیه وتحلیل شد. کد کارآزمایی بالینی IRCT20190202042582N1 بود. 

    یافته ها

    بررسی نتایج نشان داد که بین راهبردهای شناختی تنظیم هیجان مثبت و منفی گروه های آموزش ذهن آگاهی و آموزش اختصاصی سازی حافظه سرگذشتی و کنترل، در مرحله پس آزمون بیماران همودیالیزی تفاوت وجود دارد (0٫001>p). همچنین بین راهبردهای شناختی تنظیم هیجان مثبت و منفی سه گروه مذکور، در مرحله پیگیری بیماران همودیالیزی تفاوت مشاهده می شود (0٫001>p).

     نتیجه گیری

     براساس یافته های این مطالعه می توان از مداخله های ذهن آگاهی با آموزش اختصاصی سازی حافظه در افزایش استفاده از راهبردهای شناختی تنظیم هیجان بیماران تحت همودیالیز بهره برد.

    کلیدواژگان: ذهن آگاهی، آموزش اختصاصی سازی حافظه سرگذشتی، راهبردهای شناختی تنظیم هیجان، همودیالیز
  • عباس مهوش*، پرویز شریفی درآمدی، سعید رضایی، محمد عسکری صفحه 47
    زمینه و هدف

    آسیب شنوایی نقص حسی شایع تر در جهان است. مطالعات گوناگون نشان می دهد که کودکان با آسیب شنوایی مشکل هایی در زمینه تنظیم شناختی-هیجانی و مهارت های اجتماعی دارند. هدف از پژوهش حاضر تعیین اثربخشی برنامه آموزش تنظیم شناختی-هیجانی بر مهارت های اجتماعی کودکان با آسیب شنوایی بود. 

    روش بررسی

    در این پژوهش، از طرح نیمه تجربی با پیش آزمون پس آزمون و گروه گواه استفاده شد. جامعه آماری را تمامی دانش آموزان با آسیب شنوایی شهر تهران در سال 1397 تشکیل دادند که با روش نمونه گیری دردسترس، سی نفر از آن ها انتخاب شده و به صورت تصادفی در دو گروه آزمایش و گواه قرار گرفتند. ابزار گردآوری اطلاعات شامل مقیاس درجه بندی مهارت های اجتماعی (SSRS) بود. مداخله آموزشی برای گروه آزمایش در طی چهارده جلسه به صورت هفته ای دو جلسه انجام پذیرفت. داده های به دست آمده با آزمون تحلیل کوواریانس چندمتغیره در سطح معناداری 0٫05 تحلیل شدند. 

    یافته ها

    نتایج تحلیل کوواریانس چندمتغیره نشان داد که بعد از مداخله بین گروه آزمایش و گواه از نظر مهارت های اجتماعی و مولفه های همکاری و ابراز وجود تفاوت معنادار مشاهده می شود (0٫001>p). مولفه خویشتن داری نیز تفاوت معناداری دارد (0٫009=p) و برنامه آموزش تنظیم شناختی-هیجانی استفاده شده در پژوهش بر گروه آزمایش تاثیر بیشتری داشت. 

    نتیجه گیری

    یافته های پژوهش حاضر مشخص کرد که برنامه آموزش تنظیم شناختی-هیجانی تاثیر معناداری بر افزایش مهارت های اجتماعی و مولفه های آن دارد؛ درنتیجه این برنامه روش موثری جهت بیشترشدن مهارت های اجتماعی کودکان با آسیب شنوایی است.

    کلیدواژگان: تنظیم شناختی-هیجانی، مهارت های اجتماعی، آسیب شنوایی
  • سمیه کشاورز*، علیرضا کاکاوند، هانیه دشت دار صفحه 48
    زمینه و هدف

    نارسایی توجه/فزون کنشی در زمره اختلال های روانی بسیار بحث انگیز دوره کودکی به شمار می رود و تاثیر عمیقی بر زندگی هزاران کودک و خانواده آن ها می گذارد. پژوهش حاضر با هدف بررسی رابطه بین اختلال های مرتبط با اضطراب و تکانشگری با نبود تعامل مثبت با همسالان در دانش آموزان مبتلا به اختلال نارسایی توجه/فزون کنشی صورت گرفت.

    روش بررسی

    روش تحقیق از نوع توصیفی همبستگی بود. جامعه آماری را تمامی دانش آموزان فزون کنش 8تا11ساله مراجعه کننده به کلنیک های شهرکرج در سال 97-1396 تشکیل دادند که از میان آن ها 50 نفر به عنوان نمونه به شیوه نمونه گیری دردسترس انتخاب شدند. ابزارهای پژوهش شامل پرسشنامه های خودبازداری و اختلال های مرتبط با اضطراب و مهارت اجتماعی بود. به منظور تجزیه وتحلیل داده ها علاوه بر آمار توصیفی، در سطح معناداری 0٫05 از همبستگی پیرسون و رگرسیون خطی به روش گام به گام و نیز نرم افزار SPSS نسخه 23 استفاده شد. 

    یافته ها

    نتایج نشان داد که تعامل با همسالان تنها با دو مولفه مربوط به اختلال های مرتبط با اضطراب یعنی مولفه های اضطراب اجتماعی (0٫031=p) و مدرسه هراسی (0٫044=p) معنادار است. همچنین بین تعامل با همسالان و تکانشگری رابطه منفی و معناداری وجود دارد (0٫001>p). 

    نتیجه گیری

    از بین پنج خرده مولفه اختلال های مرتبط با اضطراب تنها دو مولفه اضطراب اجتماعی و مدرسه هراسی می تواند به عنوان متغیرهای پیش بین تعامل با همسالان در کودکان مطرح باشد.

    کلیدواژگان: اختلال های مرتبط با اضطراب، تکانشگری، نبود تعامل مثبت با همسالان، اختلال نارسایی توجه، فزون کنشی
  • احمد شاهیوندی*، شیرین صفری فروشانی صفحه 49
    زمینه و هدف

    حق حضور در فضاهای شهری حقی همگانی است. هدف از انجام این پژوهش، سنجش میزان اثرگذاری مناسب سازی ناوگان حمل ونقل عمومی شهر اصفهان در ابعاد رفتاری و هزینه ای، ایمنی و امنیت، دسترسی و آسایش بر میزان حضور افراد دارای ناتوانی در فضاهای شهری این شهر بود.

    روش بررسی

    روش تحقیق بر اساس هدف کاربردی و بر اساس ماهیت توصیفی تحلیلی بود. جامعه آماری، افراد دارای ناتوانی شهر اصفهان بودند که از میان آن ها صد نفر به عنوان نمونه آماری پژوهش انتخاب شدند. برای تجزیه وتحلیل داده ها و تعیین نقش متغیرها، از روش تحلیل عاملی تاییدی در محیط نرم افزار Amos Graphic استفاده شد. سطح معناداری موردپذیرش بارهای عاملی (0٫05=α) و درجه اطمینان 0٫95 بود.

    یافته ها

    با توجه به مقدار وزن رگرسیونی استانداردشده، رابطه بین متغیر های مستقل (رفتار افراد، دسترسی، ایمنی و امنیت و آسایش) که با عنوان کیفیت سیستم حمل ونقل در مدل ارائه شده بودند و متغیر وابسته (میزان حضور در فضاهای عمومی)، معنادار بود. به عبارت دیگر، یک واحد تغییر در کیفیت حمل ونقل عمومی، حضورپذیری در فضاهای شهری را تا 9٫6درصد تغییر می داد.

    نتیجه گیری

    نتایج به دست آمده حاکی از آن است که انجام دادن اقدامات لازم برای مناسب سازی حمل ونقل همگانی شهر اصفهان، در میزان حضور اجتماعی افراد دارای ناتوانی در شهر، نقش موثری ایفا می کند.

    کلیدواژگان: حضورپذیری، سیستم حمل ونقل عمومی، شهر اصفهان، افراد دارای ناتوانی
  • سید سینا صفری موسوی، مجتبی ندری*، میثم امیری، فرهاد رادفر، مهدی فرخچه صفحه 50
    زمینه و هدف

    با توجه به شیوع زیاد اختلالات روان پزشکی در بیماران مبتلا به دیابت نوع دو و ارتباط بین مولفه های انعطاف پذیری روان شناختی و راهبرد تنظیم هیجان با افسردگی و اضطراب و استرس، هدف از انجام دادن پژوهش حاضر بررسی نقش پیش بینی کنندگی انعطاف پذیری روان شناختی و راهبرد تنظیم هیجان بر افسردگی و اضطراب و استرس بیماران مبتلا به دیابت نوع دو شهر خرم آباد بود.

    روش بررسی

    پژوهش حاضر مقطعی و از نوع هم بستگی بود. شرکت کنندگان پژوهش حاضر شامل 102 نفر زن و مرد مبتلا به دیابت نوع دو بودند که با استفاده از نمونه گیری در دسترس از مراکز درمانی سطح شهر خرم آباد انتخاب شدند. برای گردآوری داده ها، از پرسش نامه راهبرد تنظیم هیجان، پرسش نامه پذیرش و عمل و پرسش نامه افسردگی و اضطراب و استرس استفاده شد. برای تجزیه وتحلیل داده ها، از ضریب هم بستگی پیرسون و رگرسیون چندمتغیره، با استفاده از نرم افزار SPSS نسخه 24 استفاده گردید.

    یافته ها

    تحلیل یافته ها نشان داد که بین انعطاف پذیری روان شناختی با افسردگی (0٫001>p)، اضطراب (0٫028=p) و استرس (0٫001>p)، رابطه منفی معنا داری وجود دارد. بین راهبردهای سازگار شناختی تنظیم هیجان با افسردگی (0٫015=p) و استرس (0٫017=p) ارتباط منفی معنا داری مشاهده شد. همچنین ارتباط مثبت معنا داری بین راهبرد ناسازگار شناختی تنظیم هیجان با افسردگی وجود داشت (0٫005=p). علاوه بر این، انعطاف پذیری روان شناختی متغیر پیش بینی کننده برای افسردگی و اضطراب بود (0٫05>p) و انعطاف پذیری روان شناختی و راهبردهای سازگار شناختی تنظیم هیجان پیش بینی کننده استرس بودند (0٫001>p).

    نتیجه گیری

    به طور کلی افرادی با راهبرد سازگار تنظیم هیجان و انعطاف پذیری روان شناختی بیشتر، افسردگی، اضطراب و استرس کمتری دارند؛ لذا انجام دادن اقدامات مناسب برای افزایش راهبرد سازگار تنظیم هیجان و انعطاف پذیری روان شناختی در بیماران مبتلا به دیابت پیشنهاد می شود.

    کلیدواژگان: استرس، اضطراب، افسردگی، انعطاف پذیری روان شناختی راهبردهای شناختی تنظیم هیجان
  • فواد نیک نسب*، محمود شیخ، رسول حمایت طلب صفحه 51
    زمینه و هدف

    اختلال نارسایی توجه / فزون کنشی، شایع ترین اختلال روان پزشکی دوران کودکی از نظر میزان مراجعه به مراکز خدمات درمانی است. پژوهش حاضر به منظور تعیین تاثیر آموزش نوروفیدبک بر علائم کودکان مبتلا به اختلال نارسایی توجه یا فزون کنشی انجام شد.

    روش بررسی

    طرح پژوهش از نوع نیمه تجربی پیش آزمون-پس آزمون با گروه گواه بود. جامعه آماری پژوهش حاضر، کودکان مبتلا به اختلال نارسایی توجه / فزون کنشی بودند؛ به همین منظور تعداد سی کودک پنج تا دوازده ساله مبتلا به اختلال نارسایی توجه / فزون کنشی، به صورت در دسترس انتخاب شدند و به صورت تصادفی در دو گروه آزمایش و گواه (هر گروه پانزده نفر) تخصیص یافتند. بعد از انجام دادن پیش آزمون، برنامه مداخله ای (آموزش نوروفیدبک) به مدت بیست جلسه یک ساعته اجرا شد. سپس پس آزمون گرفته شد. برای انجام دادن پیش آزمون ها و پس آزمون ها از فرم والد پرسش نامه علائم مرضی کودکان (CSI-4)، (گاداو و اسپرافکین، 1994) استفاده شد. از آزمون های خی دو، تی مستقل، شاپیرو ویلک، لوین، تحلیل کوواریانس، تی زوجی و نرم افزار SPSS نسخه 23 برای تجزیه وتحلیل داده ها استفاده شد. همچنین سطح معنا داری برای تمام آزمون های آماری، کمتر از 0٫05 بود.

    یافته ها

    نتایج نشان داد آموزش نوروفیدبک بر علائم کودکان مبتلا به اختلال نارسایی توجه یا فزون کنشی باعث بهبود میانگین نمرات در سه خرده مقیاس، نوع نارسایی توجه غالب در مرحله پیش آزمون از 3٫28±13٫20 به 1٫93±6٫20 در مرحله پس آزمون، در نوع غالب فزون کنشی تکانشگری در مرحله پیش آزمون از 3٫04±15٫00 به 2٫63±10٫06 در مرحله پس آزمون و در نوع سندروم کامل در مرحله پیش آزمون از 4٫83±28٫33 به 3٫86±16٫26 در مرحله پس آزمون شد (0٫001>p).

    نتیجه گیری

    با توجه به نتایج پیشنهاد می شود از آموزش نوروفیدبک به عنوان یک روش اثربخش در کنار سایر روش های درمانی برای کاهش نشانه های اختلال نارسایی توجه / فزون کنشی کودکان استفاده شود.

    کلیدواژگان: آموزش نوروفیدبک، اختلال نارسایی توجه، فزون کنشی، کودکان
  • زینب سادات توکلی، فرنگیس دمهری*، مهدیه عزیزی صفحه 52
    زمینه و هدف

    کاستی های موجود در کفایت اجتماعی و مهارت خویشتن داری در کودکان سندروم داون موجب شده تا آن ها از رفتارهای مناسب در موقعیت های اجتماعی آگاهی کافی نداشته باشند و در تعامل های بین فردی دچار مشکل شوند. پژوهش حاضر، با هدف بررسی اثربخشی آموزش نظریه ذهن بر کفایت اجتماعی و خویشتن داری در کودکان سندروم داون دوره های اول و دوم ابتدایی شهر یزد، در سال تحصیلی 97-1396 انجام شد. 

    روش بررسی

    پژوهش حاضر نیمه آزمایشی با طرح پیش آزمون پس آزمون با گروه گواه بود. جامعه آماری را تمامی کودکان سندروم داون شهر یزد تشکیل دادند که 24 کودک مبتلا به این سندروم، به روش نمونه گیری دردسترس انتخاب شده و به صورت تصادفی در دو گروه 12نفره آزمایش و گواه قرار گرفتند. با استفاده از آزمون های کفایت اجتماعی (پرندین، 1385) و خرده مقیاس خویشتن داری پرسشنامه مهارت اجتماعی (گرشام و الیوت، 1990) هر دو گروه در دو موقعیت پیش آزمون و پس آزمون سنجیده شدند. در گروه آزمایش 12 جلسه آموزش نظریه ذهن صورت گرفت. داده ها در سطح آمار توصیفی (میانگین و انحراف معیار) و آمار استنباطی (تحلیل کوواریانس) توسط نرم افزار SPSS نسخه 21 تجزیه وتحلیل شدند. 

    یافته ها

    نتایج نشان داد آموزش نظریه ذهن بر کفایت اجتماعی (0٫001>p)  و خویشتن داری (0٫001>p)  کودکان گروه آزمایش تاثیر معنا دار داشته است. 

    نتیجه گیری

    باتوجه به نتایج حاصل، آموزش نظریه ذهن باعث بهبود کفایت اجتماعی و خویشتن داری در کودکان سندروم داون می شود.

    کلیدواژگان: نظریه ذهن، سندروم داون، کم توان ذهنی، کفایت اجتماعی، خویشتن داری
  • محمد مشکانی*، غلامعلی افروز صفحه 53
    زمینه و هدف

    میان بسیاری از صاحب نظران در این زمینه توافق کلی دیده می شود که نوجوانان بزهکار اغلب درمعرض آن گونه از روابط اجتماعی هستند که از ویژگی های آن، وجود مشکل های شخصیتی و نبود رابطه و پیوند نزدیک و صمیمانه بین والدین و فرزند و وضع نابسامان محیط خانوادگی است و این عوامل ارتباط مستقیمی با بزهکاری وی دارد؛ بنابراین هدف پژوهش حاضر مقایسه پنج عامل بزرگ شخصیتی و دل بستگی ادراک شده و خودکارآمدی نوجوانان بزهکار و عادی بود. 

    روش بررسی

    روش پژوهش توصیفی از نوع علی مقایسه ای بود. جامعه آماری را تمامی نوجوانان پسر عادی و بزهکار شهر گرگان تشکیل دادند. نمونه پژوهش شامل 120 نوجوان بزهکار پسر و 120 نوجوان عادی پسر بود که به شیوه نمونه گیری دردسترس انتخاب و از میان آنان 71 نوجوان بزهکار و 71 نوجوان عادی به صورت تصادفی ساده در نظر گرفته شدند. برای جمع آوری داده ها از پرسشنامه شخصیتی پنج عاملی شخصیت نئو (1985) و پرسشنامه دل بستگی کولینز و رید (1996) و مقیاس خودکارآمدی شرر و مادوس (1982) استفاده شد. جهت تجزیه و تحلیل داده ها، روش تحلیل واریانس چندمتغیره (مانوا) با کمک نرم افزار SPSS نسخه 23 به کار رفت و مقادیر احتمال کمتر از 0٫05 از نظر آماری معنادار بود. 

    یافته ها

    باتوجه به نتایج، بین ویژگی های شخصیتی نوجوانان بزهکار و عادی تفاوت معنادار آماری وجود داشت (0٫001>p). یافته ها مشخص کردند نوجوانان بزهکار درمقایسه با نوجوانان عادی در خرده مقیاس های روان آزردگی نمره بیشتری کسب کردند؛ اما در خرده مقیاس های برون گرایی، گشودگی به تجربه، توافق پذیری و در متغیر وظیفه شناسی نمره کمتری از گروه نوجوانان عادی به دست آوردند (0٫001>p). همچنین نوجوانان بزهکار در مولفه سبک دل بستگی اضطرابی درمقایسه با نوجوانان عادی دارای نمره بیشتری بودند. درنهایت بین متغیر خودکارآمدی در نوجوانان بزهکار و عادی تفاوت معناداری مشاهده شد. بدین صورت که میزان خودکارآمدی نوجوانان بزهکار کمتر از نوجوانان عادی بود (0٫001>p). 

    نتیجه گیری

    براساس یافته های این پژوهش ویژگی های شخصیتی و دل بستگی ادراک شده و خودکارآمدی ازجمله عوامل روانی موثر در بعد رفتارهای جامعه ستیزانه است؛ بنابراین توجه به حوزه دل بستگی در دوران کودکی توسط والدین و اهمیت ویژگی های شخصیت می تواند در ایمن نگه داشتن کودکان ونوجوانان دربرابر جرم های احتمالی تاثیرگذار باشد.

    کلیدواژگان: بزهکاری نوجوانان، پنج عامل بزرگ شخصیتی، خودکارآمدی، دل بستگی ادراک شده
  • محمد حسن نژاد، حمید نجات*، حسن توزنده جانی صفحه 54
    زمینه و هدف

    بیماری دیابت علاوه بر مشکل های فیزیولوژیک، روان شناختی و رضایت از زندگی این بیماران را تحت تاثیر قرار می دهد و نیازمندی بیشتری برای رفتارهای خودمراقبتی می طلبد؛ بنابراین مطالعه حاضر با هدف بررسی اثربخشی گروه درمانی مبتنی بر پذیرش و تعهد بر رفتارهای خودمراقبتی و رضایت از زندگی در بیماران مبتلا به دیابت نوع دو انجام پذیرفت.

    روش بررسی

    پژوهش حاضر نیمه آزمایشی از نوع پیش آزمون پس آزمون با گروه کنترل بود. جامعه آماری را تمامی بیماران مبتلا به دیابت نوع دو، مراجعه کننده به کلینیک دیابت شهر نیشابور در سال 1396 تشکیل دادند که 30 نفر به صورت نمونه گیری دردسترس انتخاب شده و به طور تصادفی در دو گروه آزمایش و کنترل (15 نفر آزمایش، 15 نفر کنترل) قرار گرفتند. ابزار پژوهش شامل مقیاس کوتاه خودمراقبتی دیابت توبرت و همکاران (2000) و مقیاس رضایت از زندگی دینر و همکاران (1985) و هشت جلسه 90دقیقه ای گروه درمانی مبتنی بر پذیرش و تعهد گریک و همکاران (2007) بود. جهت تحلیل داده ها، از نرم افزار SPSS نسخه 22 و آزمون تحلیل کوواریانس تک متغیره استفاده شد. 

    یافته ها

    نتایج نشان داد که تفاوت معنا داری در میانگین نمرات رفتارهای خودمراقبتی و رضایت از زندگی در افراد گروه آزمایش قبل و بعد از انجام مداخله وجود دارد (0٫05>p)؛ اما این تغییرات در گروه کنترل معنا دار نبود. 

    نتیجه گیری

    استفاده از گروه درمانی مبتنی بر پذیرش و تعهد، به عنوان مداخله آموزشی اثربخش، رفتارهای خودمراقبتی و رضایت از زندگی بیماران مبتلا به دیابت نوع دو را ارتقا می بخشد.

    کلیدواژگان: گروه درمانی مبتنی بر پذیرش و تعهد، خودمراقبتی، رضایت از زندگی، دیابت نوع دو
  • فرامرز سهرابی، احمد برجعلی، ملیحه رضایی میرقائد* صفحه 55
    هدف

    برنامه های آموزش مدیریت خشم در پی نیاز جامعه برای کاهش پرخاشگری ناشی از خشم رو به رشد هستند. هدف پژوهش حاضر تعیین اثربخشی آموزش گروهی کنترل خشم بر کنترل خشم دختران بزهکار بود.

    روش بررسی

    مطالعه حاضر از نوع نیمه آزمایشی و از نوع پیش آزمون و پس آزمون با گروه آزمایش و کنترل بود. جامعه آماری پژوهش شامل تمامی دختران بزهکار شهر تهران بوده که در سال 1392در کانون اصلاح و تربیت نگهداری می شدند. به علت محدود بودن جامعه مطالعه، تمامی اعضا به روش سرشماری به عنوان نمونه انتخاب شده و به صورت تصادفی در دو گروه آزمایش) 30 نفر) و کنترل)30 نفر) قرار داده شدند. افراد گروه آزمایش 8 جلسه اصول مهارت های کنترل خشم را دریافت کردند. ابزار اندازه گیری این پژوهش شامل پرسشنامه خشم اسپیلبرگر بود. داده های جمع آوری شده از طریق آزمون کوواریانس تجزیه و تحلیل شد.

    یافته ها

    نتایج تحلیل کوواریانس نشان داد که آموزش گروهی مدیریت خشم بر بهبود کنترل خشم دختران بزهکار تاثیر دارد (0٫001>p).

    نتیجه گیری

    نتایج تحقیق نشان داد که آموزش گروهی مدیریت خشم بر کنترل خشم دختران بزهکار موثر است. نتایج این پژوهش به مسئولین مراکز اصلاح و تربیت کمک خواهد کرد تا با آموزش گروهی مدیریت خشم در برنامه های خود باعث کاهش خشم بزهکاران و در نتیجه پیامدهای ناگوار آن گردند.

    کلیدواژگان: کنترل خشم، دختران بزهکار، کانون اصلاح و تربیت
  • ساناز عزیزمحمدی*، نازنین راکبی، سودابه کامران کوچصفهانی، هادی اسدی صفحه 56
    زمینه و هدف

    آسیب پذیری زنان سرپرست خانوار در سطح فردی و نیز در سطح اجتماعی به کاهش سلامت اجتماعی در زنان منجر می شود؛ لذا پژوهش حاضر باهدف نقش شفقت به خود و تحمل پریشانی در سلامت اجتماعی زنان سرپرست خانوار صورت گرفت.

    روش بررسی

    پژوهش حاضر توصیفی از نوع همبستگی بود. جامعه آماری پژوهش را تمامی زنان سرپرست خانوار تحت حمایت کمیته امداد امام خمینی (ره) در سال 1397 شهرستان بهارستان تشکیل دادند که به روش نمونه گیری دردسترس بر اساس جدول مورگان، 291 نفر انتخاب شدند. ابزارهای استفاده شده جهت دستیابی به اهداف پژوهش شامل مقیاس تحمل پریشانی سیمون و گاهر (2005) و فرم کوتاه مقیاس شفقت خود نف (2003) و پرسشنامه سلامت اجتماعی کییز (2004) بود. جهت تحلیل داده ها، نرم افزار SPSS نسخه 21 و روش های آمار توصیفی مانند محاسبه میانگین و انحراف معیار و نیز شاخص های آمار استنباطی آزمون همبستگی پیرسون و رگرسیون خطی چندگانه به شیوه گام به گام به کار رفت. همچنین سطح معنا داری 0٫05 درنظر گرفته شد.

    یافته ها

    نتایج نشان داد بین شفقت به خود با سلامت اجتماعی (0٫627=r و 0٫001>p) و تحمل پریشانی با سلامت اجتماعی (0٫545=r و 0٫001>p) ارتباط مستقیم و معنا داری مشاهده شد. همچنین شفقت به خود (0٫603=r و 0٫001>p) و تحمل پریشانی (0٫517=r و 0٫001>p) به شکل معنا داری، توانایی پیش بینی سلامت اجتماعی را داشتند.

    نتیجه گیری

    براساس یافته های این پژوهش نتیجه گیری می شود با ارتقای شفقت به خود و تحمل پریشانی، می توان زمینه بهبود سلامت اجتماعی زنان سرپرست خانوار را فراهم کرد.

    کلیدواژگان: شفقت به خود، تحمل پریشانی، سلامت اجتماعی، زنان سرپرست خانوار
  • سولماز بابایی بناب* صفحه 57
    زمینه و هدف

    تست عملکرد ریه اقدامی مهم برای تشخیص بسیاری از اختلالات تنفسی است؛ بنابراین هدف از تحقیق حاضر بررسی تغییرات پارامترهای اسپیرومتری زنان چاق مبتلا به آسم خفیف در پی تمرینات منتخب هوازی بود.

    روش بررسی

    این پژوهش به صورت نیمه تجربی با طرح دو گروهی در 30 زن چاق مبتلا به آسم خفیف اجرا گردید. افراد به طور تصادفی در دو گروه کنترل (15 نفر) و تمرینی (15 نفر) قرار گرفتند. گروه تمرینی به مدت هشت هفته برنامه تمرینی را اجرا کردند. در این مطالعه فاکتور های حداکثر جریان بازدمی، حداکثر تهویه ارادی، جریان بازدمی حداکثر در 75٪ ظرفیت حیاتی و نسبت حجم بازدمی در ثانیه اول به ظرفیت حیاتی اجباری، با استفاده از اسپیرومتری اندازه گیری شد. تجزیه وتحلیل آماری با استفاده از آزمون شاپیرو ویلک و تحلیل کواریانس صورت گرفت. سطح معناداری 0٫05 درنظر گرفته شد و داده ها با نرم افزار SPSS نسخه 22 تجزیه و تحلیل گردیدند.

    یافته ها

    نتایج حاصل از تحلیل آماری نشان داد که هشت هفته تمرین هوازی، بر افزایش تهویه ارادی ماکزیمم (0٫003=p)، سرعت جریان هوای بازدمی (0٫024=p)، ظرفیت حیاتی ریوی و حجم خروجی (0٫001>p) و سرعت اوج بازدمی (0٫002=p) در گروه تمرینات منتخب افزایش معنادار داشت.

    نتیجه گیری

    یافته ها نشان داد که انجام منظم ورزش های هوازی باعث بهبود در علائم حیاتی بیماران مبتلا به آسم خفیف می شود. از این رو، در درمان بیماران مبتلا به آسم، ورزش های هوازی به صورت منظم توصیه می شود.

    کلیدواژگان: اسپیرومتری، بیماری آسم، تمرینات هوازی، زنان چاق، عملکرد ریوی
  • محسن سعیدمنش*، لیلی مداینی صفحه 58
    هدف

    زنان سرپرست خانوار عهده دار اداره مالی خانواده اند. پژوهش ها نشان می دهد این افراد از نظر روان شناختی دچار مشکلات افسردگی و اضطراب بوده و از طرفی نیازمند حفظ و ارتقای تاب آوری هستند؛ بنابراین هدف پژوهش حاضر بررسی اثربخشی شناخت درمانی مبتنی بر ذهن آگاهی بر افسردگی و اضطراب و تاب آوری زنان سرپرست خانوار شهر تهران است.

    روش بررسی

    این مطالعه یک پژوهش شبه آزمایشی با طرح پیش آزمون-پس آزمون با گروه کنترل بود. جامعه آماری را تمامی زنان سرپرست خانوار مراجعه کننده به کمیته امداد امام خمینی منطقه یک شهر تهران تشکیل دادند که از میان آن ها با استفاده از نمونه گیری دردسترس تعداد 40 زن انتخاب شدند. آزمودنی ها پس از انجام پیش آزمون به صورت تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. مداخله در هشت جلسه برای گروه آزمایش صورت گرفت. آزمودنی ها توسط پرسشنامه های افسردگی بک (1961) و اضطراب بک (1990) و آزمون تاب آوری کونور و دیویدسون (2003) قبل و بعد از مداخله سنجش شدند. داده ها به طور توصیفی (میانگین و انحراف معیار) و استنباطی (تحلیل کوواریانس) توسط نرم افزار SPSS نسخه 21 تجزیه وتحلیل شد.

    یافته ها

    نتایج تحلیل کوواریانس نشان داد میزان اضطراب (0٫032=p) و افسردگی (0٫028=p) زنان سرپرست خانوار تحت مداخله شناخت درمانی مبتنی بر ذهن آگاهی به طور معناداری کاهش یافت؛ اما این مداخله بر متغیر تاب آوری تاثیر معناداری نداشت (0٫147=p).

    نتیجه گیری

    بر اساس نتایج این پژوهش به درمانگران نشان می دهد که می توانند برای کاهش اضطراب و افسردگی از شناخت درمانی مبتنی بر ذهن آگاهی استفاده کنند.

    کلیدواژگان: شناخت درمانی، ذهن آگاهی، اضطراب، افسردگی، تاب آوری، زنان سرپرست خانوار
  • محسن سعیدمنش، مجتبی سهروردی، پریسا جمال آبادی* صفحه 59
    زمینه و هدف

    تالاسمی می تواند آثار نامطلوب زیادی بر فرد بیمار، خانواده و جامعه وارد کند. بنابراین بررسی راهکاری برای بهبود کیفیت زندگی این بیماران ضروری است. پژوهش حاضر با هدف بررسی اثربخشی آموزش برنامه فرزندپروری مثبت بر کاهش اضطراب و پرخاشگری کودکان مبتلا به تالاسمی با توجه به گواه دارویی در شهر شیراز انجام شد.

    روش بررسی

    طرح پژوهش از جمله طرح های نیمه آزمایشی با گروه آزمایش و گروه گواه بود و به صورت پیش آزمون، مداخله و پس آزمون ارزیابی شد. جامعه آماری شامل همه کودکان محدوده سنی هشت تا پانزده ساله دارای تالاسمی بود که در سال 1396-1395 به بیمارستان دستغیب شیراز مراجعه کردند. نمونه آماری را 32 کودک تشکیل دادند که به شکل تصادفی به دو گروه آزمایش (16=n) و گروه گواه (16=n) تخصیص یافتند. برای اندازه گیری متغیرهای مدنظر یعنی اضطراب، از آزمون غربالگری اختلالات هیجانی مرتبط با اضطراب دوره کودکی، پرسش نامه اسکارد (1997) و برای اندازه گیری پرخاشگری از پرسش نامه خشم نلسون (2000) استفاده شد. به منظور اجرای طرح تحقیق، والدین گروه آزمایش تحت هشت جلسه برنامه فرزندپروری مثبت (هر هفته یک جلسه) قرار گرفتند. در انتهای جلسات از آزمودنی ها پس آزمون گرفته شد. برای تحلیل داده ها از آزمون t مستقل و t وابسته و تحلیل کوواریانس استفاده شد و از نرم افزار SPSS نسخه 22 کمک گرفته شد.

    یافته ها

    نتایج تحلیل کوواریانس نشان داد هشت جلسه برنامه فرزندپروری مثبت موجب کاهش اضطراب کودکان (0٫001≥p) و کاهش پرخاشگری کودکان (0٫001≥p) مبتلا به تالاسمی شد.

    نتیجه گیری

    با توجه به نتایج پژوهش می توان از برنامه فرزندپروری مثبت به عنوان یک روش درمانی موثر برای درمان اضطراب و پرخاشگری کودکان مبتلا به تالاسمی استفاده کرد.

    کلیدواژگان: تالاسمی، برنامه فرزندپروری مثبت، اضطراب، پرخاشگری
  • رضا عرب مارکده، اکرم دهقانی* صفحه 60
    زمینه و هدف

    افسردگی از بیماری های بسیار شایع اعصاب و روان است که به زمان و مکان مشخصی اختصاص ندارد. دوره تحصیلی دانشگاهی به واسطه حضور عوامل متعدد، دوران فشارزایی بوده که احتمال رخ دادن افسردگی زیاد است. پژوهش حاضر با هدف بررسی اثربخشی رفتاردرمانی دیالکتیکی به شیوه گروهی بر ذهن آگاهی و مهارت های بین فردی دانشجویان زن مبتلا به افسردگی انجام شد.

     روش بررسی

    این پژوهش از نوع نیمه آزمایشی با پیش آزمون و پس آزمون با گروه گواه بود. جامعه آماری پژوهش را تمامی دانشجویان زن دانشگاه آزاد اسلامی نجف آباد تشکیل دادند که در سال تحصیلی 97-1396 مشغول به تحصیل بودند. از این میان به شیوه نمونه گیری هدفمند 30 آزمودنی به کمک پرسشنامه افسردگی بک انتخاب شده و در دو گروه آزمایش (15 نفر) و گواه (15 نفر) قرار گرفتند. برای گروه آزمایش به مدت هشت جلسه 90دقیقه ای، رفتاردرمانی دیالکتیکی به روش گروهی اجرا شد. جهت جمع آوری داده ها از مقیاس افسردگی بک (1961) و مقیاس پنج عاملی ذهن آگاهی بائر و همکاران (2006) و مقیاس مهارت های بین فردی جرابک (2004) استفاده گردید که در پیش آزمون و پس آزمون برای هر دو گروه به کار رفت. آماره های توصیفی مربوط به میانگین و انحراف استاندارد متغیرهای پژوهش به تفکیک دو گروه ارزیابی و پیش فرض های اصلی برای تحلیل کواریانس، شامل نرمال بودن توزیع نمرات و همسانی واریانس های نمرات و همگنی شیب خط رگرسیون بررسی شد. تجزیه وتحلیل داده ها با استفاده از تحلیل کوواریانس در سطح معناداری 0٫05p< صورت گرفت.

     یافته ها

    نتایج نشان داد رفتاردرمانی دیالکتیکی در ارتقای ذهن آگاهی (0٫018=p) دانشجویان زن مبتلا به افسردگی موثر بود؛ اما در بهبود مهارت های بین فردی آن ها تاثیری نداشت.

    نتیجه گیری

    براساس یافته های این پژوهش رفتاردرمانی دیالکتیکی به شیوه گروهی موجب ارتقای ذهن آگاهی دانشجویان زن مبتلا به افسردگی می شود؛ اما در بهبود مهارت های بین فردی آن ها تاثیرگذار نیست؛ بنابراین، مداخله مذکور به عنوان درمانی موثر می تواند در بهبود نشانه های افسردگی کاربرد داشته باشد و می توان با اجرای آن به بهترشدن وضعیت مبتلایان به افسردگی کمک کرد.

    کلیدواژگان: رفتاردرمانی دیالکتیکی، ذهن آگاهی، مهارت های بین فردی، افسردگی
  • سودابه علی محمدی*، فرشاد محسن زاده، کیانوش زهراکار صفحه 61
    هدف و زمینه

    پرخوری عصبی اختلالی روان شناختی است که با حالت های عودکننده مبنی بر خوردن افراطی و رفتارهای جبرانی نامناسب برای پیشگیری از افزایش وزن، توصیف می شود؛ بنابراین هدف پژوهش حاضر تعیین اثربخشی طرحواره درمانی گروهی بر افزایش رضایت زناشویی و کاهش فرسودگی آن در زنان مبتلا به پرخوری عصبی بود. 

    روش بررسی

    طرح پژوهش نیمه آزمایشی از نوع پیش آزمون و پس آزمون با گروه کنترل بود. جامعه هدف را تمامی زنان مبتلا به پرخوری عصبی شهر تهران تشکیل دادند. از افراد مراجعه کننده به کلینیک چاقی و لاغری و دیابت سلامت، چهل نفر به روش نمونه گیری دردسترس انتخاب شده و به طور تصادفی در دو گروه آزمایش و کنترل (هر گروه 20 نفر) قرار گرفتند. نمونه ها پرسشنامه رضایت زناشویی انریچ و مقیاس فرسودگی زناشویی پاینز (CBM) را تکمیل کردند. طرح واره درمانی به تعداد ده جلسه و به مدت دو ساعت در هفته اجرا شد.

     یافته ها

    نتایج تحلیل کوواریانس چندمتغیره نشان داد با کنترل اثر نمرات پیش آزمون، میانگین نمره کل فرسودگی زناشویی گروه آزمایش در مرحله پس آزمون به طور معناداری کمتر از میانگین نمره فرسودگی زناشویی در گروه کنترل است (0٫05>p). همچنین براساس یافته ها، میانگین نمره کل رضایت زناشویی گروه آزمایش در مرحله پس آزمون به صورت معناداری بیشتر از میانگین آن در گروه کنترل به دست آمد (0٫05>p). 

    نتیجه گیری

    تاثیر طرح واره درمانی به شکل گروهی در افزایش رضایت زناشویی و کاهش فرسودگی آن، دارای مفاهیم نظری و عملی مهمی است که می تواند در کلینیک های مشاوره و رژیم درمانی استفاده شود.

    کلیدواژگان: رضایت زناشویی، فرسودگی زناشویی، طرح واره درمانی، پرخوری عصبی
  • حسین خسروشاهی، بهرام میرزائیان*، رمضان حسن زاده صفحه 62
    زمینه و هدف

    پژوهش ها نشان داده اند بیماران قلبی عروقی دارای مشکل هایی در سلامت عمومی و خودکارآمدی و ادراک بیماری هستند. جهت افزایش این شاخص ها درمان های روان شناختی متعددی به کار رفته است. پژوهش حاضر با هدف بررسی تاثیر درمان فراشناختی بر شاخص های سلامت عمومی و خودکارآمدی و ادراک بیماری در بیماران کرونر قلبی صورت گرفت. 

    روش بررسی

    طرح پژوهش نیمه آزمایشی از نوع پیش آزمون و پس آزمون با گروه گواه بود. جامعه آماری را تمامی مردان مبتلا به بیماری قلبی (CHD) در شهر قائم شهر تشکیل دادند که به کلینیک قلب بیمارستان ولیعصر قائم شهر در سال 97-1396 مراجعه کردند. از این تعداد 30 نفر به روش نمونه گیری هدفمند انتخاب شده و به صورت تصادفی در دو گروه آزمایش و گواه (هر گروه 15 نفر) قرار گرفتند. سپس به پرسشنامه های سلامت عمومی (گلدنبرگ و همکاران، 1997) و خودکارآمدی (شرر و همکاران، 1982) و ادراک بیماری (برودبنت، پتریه، وینمن و مین، 2006) پاسخ دادند. برنامه مداخله فراشناختی به مدت هشت جلسه 90دقیقه ای بر گروه آزمایش انجام پذیرفت. داده های به دست آمده با استفاده از نرم افزار SPSS نسخه 21 و به شیوه تحلیل کواریانس تجزیه و تحلیل شد. 

    یافته ها

    نتایج نشان داد میانگین نمرات پیش آزمون در گروه آزمایش در نمره کل سلامت عمومی و خودکارآمدی و ادراک بیماری به ترتیب 63٫67 و 54٫80 و 54٫2 و در پس آزمون به ترتیب 46٫45 و 66٫13 و 58٫46 است. نتایج آنالیز کواریانس مشخص کرد درمان فراشناخت به طور معناداری موجب کاهش مشکل های سلامت عمومی و افزایش خودکارآمدی و ادراک بیماری بیماران می شود (0٫05>p). 

    نتیجه گیری

    باتوجه به یافته ها، درمان فراشناختی می تواند درمان مناسبی جهت افزایش سلامت عمومی و خودکارآمدی و همچنین تعدیل ادراک بیماری در بیماران مبتلا به کرونر قلبی باشد.

    کلیدواژگان: درمان فراشناختی، سلامت عمومی، خودکارآمدی، ادراک بیماری، بیمار کرونر قلبی
  • زهرا محمدی، علی سلیمانی*، علی فتحی آشتیانی، عماد اشرفی، کامران مخبری صفحه 63
    زمینه و هدف

    اختلال وسواسی-اجباری یک اختلال روان شناختی رایج است که اختلال شدیدی در زندگی فردی ایجاد می کند. از جمله درمآن های رایج برای اختلال وسواس می توان به دارو درمانی، درمآن های شناختی و درمآن های رفتاری اشاره نمود. هدف از این مطالعه، مقایسه اثربخشی درمان برنامه زمانی پارادوکسی و درمان مواجهه و جلوگیری از پاسخ و دارودرمانی بر کاهش علائم بیماران مبتلا به اختلال وسواسی-اجباری بود.

    روش بررسی

    در این پژوهش، از طرح مطالعه تجربی تک موردی استفاده شد. جامعه پژوهش را، افراد با تشخیص اختلال وسواس مراجعه کننده به کلینیک آرامش نوین در شهر تهران تشکیل دادند که دارای پرونده فعال در ماه های بهار 97 بودند. از این افراد، 3 بیمار درمان مواجهه سازی و جلوگیری از پاسخ، 3 بیمار درمان با یکی از مهارکننده های بازجذب سروتونین و 3 بیمار درمان برنامه زمانی پارادوکسی دریافت کردند. به منظور جمع آوری داده ها، مقیاس شدت وسواس فکری- عملی ییل- براون (1989)، استفاده شد. برای تجزیه و تحلیل داده، از روش های تحلیل نمودار، شاخص تغییر پایا، معناداری بالینی، درصد بهبودی استفاده شد (0٫05=α).

    یافته ها

    نتایج این مطالعه نشان داد که درمان برنامه زمانی پارادوکسی و درمان مواجهه و جلوگیری از پاسخ مقادیر شاخص پایا بیشتر از مقدار ملاک (1٫96) بود که نشان از معناداری این دو درمان داشت (0٫05>p). شاخص پایا، معناداری بالینی و درصد بهبود برنامه زمانی پارادوکسی از درمان مواجه و جلوگیری از پاسخ و دارودرمانی در هر سه آزمودنی و در مجموع، بهتر بود.

    نتیجه گیری

    براساس یافته های این پژوهش درمان برنامه زمانی پارادوکسی، روش مناسب و زودبازدهی برای کاهش علائم وسواس است و می تواند به عنوان درمان پیشنهادی، استفاده شود.

    کلیدواژگان: برنامه زمانی پارادوکسی، مواجهه و جلوگیری از پاسخ، وسواس فکری عملی
  • حسن یعقوبی*، مسعود کریملو، ستاره حاج دیوان بچاری صفحه 64
    زمینه و هدف

    تحقیقات نشان داد که بسیاری از ویژگی های رایج بازی ها از جمله نقش های ازپیش تعریف شده، اهداف و تکرارپذیری مابین سطوح، مشخصه هایی از کودکان اوتیستیک نظیر مشکلات اجتماعی، رفتاری، توانایی ترتیب بندی امور را تحت تاثیر قرار می دهد. پژوهش حاضر به منظور بررسی تاثیر بازی های ویدئویی بر رفتار کودکان دارای اختلال طیف اتیسم انجام شد.

     روش بررسی

    روش تحقیق از نوع نیمه آزمایشی با طرح پیش آزمون-پس آزمون با دو گروه آزمایشی و گواه بود. جامعه آماری را تمامی کودکان 15-7ساله مبتلا به اوتیسم شهر اراک در سال 1397 تشکیل می دادند که از بین آنان 30 نفر به روش نمونه گیری در دسترس انتخاب شدند و با گمارش تصادفی در دو گروه آزمایشی و گواه قرار گرفتند. اعضای گروه آزمایش در طول پانزده هفته (هفته ای 2 جلسه) و هر جلسه به مدت 1 ساعت به صورت گروهی در بازی های ویدئویی شرکت داشتند و در گروه گواه هیچ مداخله ای انجام نگرفت. ابزار پژوهش پرسش نامه ارزیابی رفتاری راتر (فرم والدین، 1967) بود. تجزیه وتحلیل داده ها با استفاده از تحلیل کواریانس در سطح معناداری 0٫05 و نرم افزار SPSS23 انجام گرفت. 

    یافته ها

    نتایج نشان داد که انجام بازی های ویدئویی توانست تاثیر معنا داری بر بهبود رفتارهای کودکان مبتلا به اختلال طیف اوتیسم داشته باشد (0٫002=p). 

    نتیجه گیری

    باتوجه به یافته ها، انجام بازی های ویدئویی موجب بهبود رفتار کودکان مبتلا به اختلال طیف اوتیسم می شود. از این رو بازی های ویدئویی برای این کودکان توصیه می گردد.

    کلیدواژگان: بازی ویدئویی، رفتارکودکان، اختلال طیف اتیسم
  • محبوبه داستانی*، رسول روشن، مسعود جانبزرگی، محمدرضا شعیری، الهام آقایی صفحه 65
    زمینه و هدف

    افسردگی از بیماری های روانی بسیار شایع است. به منظور درمان و جلوگیری از عود مکرر این بیماری لازم است اطلاعاتی درباره روش های درمان و میزان تاثیری که این درمان ها دارند، کسب کرد. دراین باره، فراتحلیل با یکپارچه کردن نتایج حاصل از انجام دادن تحقیقات مختلف، میزان آثار روش های درمان را مشخص می کند. پژوهش حاضر نیز بر آن بود تا با استفاده از الگوی پژوهشی فراتحلیل، میزان اثرگذاری رویکردهای مبتنی بر معنویت و مذهب را بر کاهش نشانه های افسردگی بررسی کند.

     روش بررسی

    کلیدواژه های جست وجو شده شامل درمان، روان درمانی، مداخله، روان درمانگری، آموزش، مشاوره، معنویت، معنوی، مذهبی، افسرده و افسردگی بود. ملاک های ورود برای فراتحلیل عبارت بودند از: 1.پژوهش ها به صورت آزمایشی و شبه آزمایشی باشد؛ 2. حداقل یک گروه آزمایشی وجود داشته باشد؛ 3.ابزارهای اندازه گیری از پایایی و روایی کافی برخوردار باشد؛ 4. موضوع پژوهش رویکردهای مبتنی بر مذهب و معنویت در افسردگی باشد؛ 5. بررسی در قالب پژوهش گروهی صورت گرفته باشد (موردی نباشد)؛ 6.مداخلات حضوری باشد (اینترنتی، تلفنی یا... نباشد). بدین منظور، سیزده پژوهش که از لحاظ روش شناختی موردقبول بود، انتخاب شد و فراتحلیل بر روی آن ها انجام گرفت. ابزار پژوهش عبارت بود از: چک لیست تحلیل محتوا و نرم افزار CAM2. 

    یافته ها

    یافته های پژوهش نشان داد اندازه اثر رویکردهای مبتنی بر مذهب و معنویت بر کاهش نشانه های افسردگی 0٫85 بود (0٫001>p) این اندازه اثر مطابق جدول کوهن در حد بالا ارزیابی شد.

    نتیجه گیری

    با توجه به بافت فرهنگی و اجتماعی ایران، اندازه کارایی درمان های مبتنی بر معنویت و مذهب، در کاهش نشانه های افسردگی مشخص شد. بنابراین بهتر است درمانگران در درمان های خود بافت فرهنگی و مذهبی جامعه را نیز در نظر بگیرند.

    کلیدواژگان: فراتحلیل، افسردگی، رویکردهای مبتنی بر معنویت و مذهب
  • افسانه سادات سیدحسینی، زهرا طبیبی*، حسین کارشکی، مرتضی مدرس غروی صفحه 66
    زمینه و هدف

    یائسگی پدیده پیچیده ای است که با تغییرات هم زمان زیستی، روانی و اجتماعی در زندگی همراه است و نحوه تجربه کردن آن ممکن است تحت تاثیر دوران های دیگر زندگی فرد باشد. پژوهش حاضر با هدف بررسی رابطه سبک های دل بستگی با شدت علائم یائسگی و نقش میانجی گری مکانیزم های دفاعی و احساس گناه جنسی انجام شد. 

    روش بررسی

    جامعه آماری موردمطالعه در پژوهش حاضر، زنان یائسه 45 تا 65ساله شهر مشهد بودند که 388 نفر با استفاده از روش نمونه گیری در دسترس، مطالعه گردیدند. برای جمع آوری داده ها از پرسش نامه شدت علائم یائسگی گرین، سبک های دل بستگی بزرگ سالان هازن و شیور، مکانیزم های دفاعی اندروز و احساس گناه جنسی موشر استفاده شد. تجزیه وتحلیل داده های پژوهش با استفاده از نرم افزار لیزرل و روش تحلیل مسیر انجام گردید.

    یافته ها

    شاخص های برازش تحلیل مسیر، حاکی از برازش کلی مدل مدنظر بود. اثر سبک دل بستگی اجتنابی بر شدت علائم یائسگی (0٫23)، از طریق احساس گناه جنسی (0٫26) و از طریق مکانیزم های دفاعی ناپخته و روان رنجوری (0٫24) معنادار بود (0٫01>p). اثر سبک دل بستگی دوسوگرا بر شدت علائم یائسگی (0٫18)، از طریق احساس گناه جنسی (0٫21) و از طریق مکانیزم های دفاعی ناپخته و روان رنجوری (0٫20) معنادار بود (0٫01>p). 

    نتیجه گیری

    بر اساس یافته ها، مدل نظری پژوهش تایید شد و می توان گفت بخشی از علائم یائسگی زنان دل بسته ناایمن (اجتنابی و دوسوگرا) که احساس گناه جنسی بیشتری تجربه می کنند و از مکانیزم های دفاعی ناپخته و روان رنجور استفاده می کنند، نتیجه جسمانی سازی است.

    کلیدواژگان: شدت علائم یائسگی، سبک های دلبستگی، مکانیزم های دفاعی، احساس گناه جنسی
  • لیلا سادات عزیزی، مژگان سپاه منصور*، رویا کوچک انتظار صفحه 67
    زمینه و هدف

    هنگامی که یکی از اعضای خانواده مبتلا به بیماری مزمنی تشخیص داده می‏شود، ممکن است عملکرد کل خانواده تحت تاثیر قرار بگیرد. این پژوهش با هدف تعیین نقش میانجی اضطراب ادراک شده والدین در رابطه انطباق پذیری با سبک مقابله با استرس مسئله مدار در خانواده کودکان مبتلا به اوتیسم انجام شد.

    روش بررسی

    روش پژوهش همبستگی مبتنی بر شیوه مدل یابی معادلات ساختاری بود. جامعه آماری را خانواده های دارای کودکان اوتیسم در انجمن اوتیسم شهر تهران تشکیل دادند و تعداد 360 نمونه به روش نمونه گیری دردسترس انتخاب شدند. ابزارهای گردآوری شامل پرسشنامه استرس ادراک شده کوهن و همکاران (1983) و پرسشنامه سبک های مقابله ای بیلینگز و موس (1984) و مقیاس انطباق پذیری السون و پورتنر و لاوی (1985) بود. به منظور تجزیه وتحلیل اطلاعات به دست آمده از آمار توصیفی مانند میانگین و انحراف معیار و آمار استنباطی ازجمله همبستگی پیرسون و معادلات رگرسیونی در سطح معناداری 0٫05 و نرم افزارهای SPSS نسخه 18 و Amos نسخه 23 استفاده شد.

    یافته ها

    نتایج نشان داد که بین سبک مقابله با استرس مسئله مدار با انطباق پذیری کودکان مبتلا به اوتیسم رابطه مستقیم و معنا دار (0٫21β= و 0٫001<p) و بین اضطراب ادراک شده والدین با انطباق پذیری کودکان دارای اوتیسم رابطه معکوس و معنا داری مشاهده می شود (0٫38β=- و 0٫001<p). همچنین اضطراب ادراک شده والدین در رابطه انطباق پذیری با سبک مقابله با استرس مسئله مدار در خانواده کودکان مبتلا به اوتیسم نقش میانجی دارد.

    نتیجه گیری

    براساس یافته های این پژوهش می توان نتیجه گرفت که استرس و سبک مقابله مسئله مدار والدین در انطباق پذیری خانواده دارای فرزند اوتیسم موثر است.

    کلیدواژگان: انطباق پذیری، سبک مقابله با استرس، اضطراب ادراک شده، اوتیسم
  • آزیتا امیرفخرایی، عشرت کریمی افشار*، علیرضا منظری توکلی صفحه 68
    زمینه و هدف

    انعطاف پذیری روان شناختی به معنای ایجاد توانایی در انتخاب عملی بوده که در بین گزینه های مختلف، مناسب تر باشد و نه انجام کاری که فقط برای اجتناب از افکار، احساس ها، خاطره ها یا امیال آزاردهنده است. پژوهش حاضر با هدف مقایسه انعطاف پذیری روان شناختی نوجوانان عادی با نوجوانان پسر بدسرپرست و بی سرپرست نگهداری شده در مراکز تحت سرپرستی بهزیستی شهر کرمان اجرا شد.

     روش بررسی

    پژوهش حاضر پیمایشی و از نوع علی مقایسه ای بود. جامعه آماری را تمامی نوجوانان 13تا18 سال پسر بدسرپرست و بی سرپرست نگهداری شده در مراکز تحت سرپرستی بهزیستی و نوجوانان عادی شهر کرمان در سال 1396 تشکیل دادند. با استفاده از روش نمونه گیری هدفمند 80 نوجوان بی سرپرست و بدسرپرست نگهداری شده در مراکز تحت سرپرستی بهزیستی و همچنین 80 نوجوان عادی مشغول به تحصیل در دبیرستان، انتخاب شدند. ابزارهای گردآوری داده ها پرسشنامه انعطاف پذیری روان شناختی بوند و همکاران (2007) بود. داده ها با آزمون تی مستقل تجزیه و تحلیل شد. 

    یافته ها

    نتایج نشان داد که تفاوت دو گروه در انعطاف پذیری شناختی معنا دار است (0٫001>p)؛ بدین صورت که نوجوانان بدسرپرست و بی سرپرست درمقایسه با همتایان عادی خود میزان انعطاف پذیری شناختی کمتری دارند.

    نتیجه گیری

    یافته های این مطالعه، نقش متغیرهای روانشناختی ازجمله انعطاف پذیری شناختی را در نوجوانان بدسرپرست و بی سرپرست و نیز لزوم بهره گیری از روش های نوین روان درمانی را درجهت افزایش آن بیش از پیش برجسته می سازد.

    کلیدواژگان: انعطاف پذیری روان شناختی، نوجوانان بدسرپرست، بی سرپرست
  • محسن کریم زندی*، فاطمه پورحسینی لیله کوهی، صغرا مصدق فیروز آبادی، مریم محسنی طارمسری صفحه 69
    زمینه و هدف

    اختلال یادگیری ویژه با آسیب خواندن یکی از انواع ناتوانی یادگیری ویژه بوده که عامل مهم تر در موفق نبودن دانش آموزان در مدرسه است. این پژوهش با هدف بررسی اثربخشی آموزش نظریه ذهن بر مهارت اجتماعی و مشکلات رفتاری دانش آموزان اختلال یادگیری ویژه با آسیب خواندن انجام شد.

    روش بررسی

    پژوهش حاضر از نوع نیمه آزمایشی با پیش آزمون و پس آزمون بود. جامعه آماری را تمامی دانش آموزان اختلال یادگیری ویژه با آسیب خواندن، در مقطع ابتدایی شهرستان رشت تشکیل دادند که در سال تحصیلی 96-1395 مشغول به تحصیل بودند و به مرکز مشکلات یادگیری این شهر مراجعه کردند. از این میان 30 نفر به صورت نمونه گیری دردسترس انتخاب شده و به طور مساوی در دو گروه آزمایش و گواه قرار گرفتند. آزمون هوشی وکسلر کودکان جهت ارزیابی هوشی کودکان و آزمون تشخیصی خواندن نما برای تشخیص اختلال یادگیری ویژه با آسیب خواندن دانش آموزان به کار رفت. سپس مقیاس درجه بندی مهارت اجتماعی گرشام و الیوت (1990)،روی هر دو گروه اجرا شد. شرکت کنندگان گروه آزمایش در 12 جلسه 60دقیقه ای، توسط روش نظریه ذهن، آموزش دریافت کردند. در پایان آموزش، مقیاس مهارت های اجتماعی بر هر دو گروه صورت پذیرفت. داده ها با آزمون آماری تحلیل واریانس و با استفاده از نرم افزار SPSS نسخه 23 تجزیه وتحلیل شد.

    یافته ها

    میانگین و انحراف معیار نمرات مهارت های اجتماعی قبل از آموزش برای گروه آزمایش 3٫93±47٫00 و در گروه گواه 3٫16±47٫00 و برای نمرات مشکلات رفتاری در گروه آزمایش 5٫21±43٫7 و برای گروه گواه 3٫52 ± 44٫5بود. این مقادیر بعد از آموزش نظریه ذهن، برای مهارت های اجتماعی در گروه آزمایش 5٫57±68٫2 و در گروه گواه 2٫49±46٫7 و برای نمرات مشکلات رفتاری در گروه آزمایش 5٫96±31٫8 و در گروه گواه 2٫65 ± 45٫8به دست آمد. نتایج تحلیل واریانس نمرات پس آزمون در مقیاس مهارت های اجتماعی بیانگر تفاوت معنا دار میان گروه ها است (0٫001>p).

    نتیجه گیری

    یافته های پژوهش نشان داد آموزش روش نظریه ذهن باعث افزایش مهارت های اجتماعی و کاهش مشکل های رفتاری دانش آموزان اختلال یادگیری ویژه با آسیب خواندن شده است.

    کلیدواژگان: اختلال یادگیری ویژه با آسیب خواندن، نظریه ذهن، مهارت های اجتماعی، مشکلات رفتاری
  • خلیل علی محمدزاده*، سیده فاطمه محبی، سمیه بلبلی، سید محمد محبی صفحه 70
    زمینه و هدف

    ایجاد مراکز بهداشتی و درمانی دوستدار سالمند در راستای ارتقای سلامت همه جانبه سالمندان حائز اهمیت است. پژوهش حاضر با هدف واکاوی ویژگی های مراکز درمانی دوستدار سالمند از منظر سالمندان انجام شد. 

    روش بررسی

    این تحقیق به روش کیفی صورت گرفت. داده ها ازطریق نمونه گیری هدف مند و با حداکثر تنوع مشارکت کنندگان از لحاظ جنسیت و سطوح اقتصادی و اجتماعی و نیز با مشارکت سی نفر از سالمندان بیشتر از 65 سال و مصاحبه عمیق اکتشافی جمع آوری شد. در مرحله بعد، استخراج محتوای مصاحبه ها به شیوه کدگذاری و تحلیل تماتیک در قالب مقولات اصلی و فرعی انجام پذیرفت. 

    یافته ها

    یافته های مطالعه نشان داد که از نظر سالمندان، مراکز دوستدار سالمند دو ویژگی محیط حمایت گر و محیط مراقبت گر دارد. ریز مقولات و مولفه های محیط حمایت گر شامل حمایت اطلاعاتی، حمایت قانونی، حمایت خدماتی، حمایت عاطفی، حمایت تامینی، حمایت کالبدی و محیطی و حمایت اجتماعی می شود. همچنین مقولات فرعی محیط مراقبت گر مشتمل بر ایمن سازی بهداشتی، ارتقای سلامت، دقت درمانی و پاسخ دهی فعال است.

    نتیجه گیری

    نظام سلامت و درمان باید نیازها و انتظارات سالمندان ناتوان و کم توان را به عنوان بخش بزرگی از جامعه مصرف کننده خدمات درمانی و بهداشتی کشور در آینده نزدیک ملاحظه کند و توجه به افراد سالمند را در ارائه خدمات بهداشتی و درمانی این گروه مدنظر قرار دهد.

    کلیدواژگان: مراکز درمانی، سالمند، دوستدار سالمند، نظام سلامت
  • محسن سعیدمنش، مژگان شیخ اشکوری*، مهدیه عزیزی صفحه 71
    زمینه و هدف

    اختلال نافرمانی مقابله ای، سازگاری کودکان را در وضعیت بحرانی قرار می دهد و چالشی جدی برای خانواده و محیط آموزشی محسوب می شود. هدف از این پژوهش تعیین اثربخشی درمان گروهی مبتنی بر پذیرش و تعهد بر میزان سازگاری دانش آموزان پسر دارای اختلال نافرمانی مقابله ای بود.

    روش بررسی

    طرح پژوهش، نیمه تجربی از نوع آزمایشی با پیش آزمون و پس آزمون با گروه کنترل بود. این پژوهش به منظور اثربخشی درمان گروهی پذیرش و تعهد بر میزان سازگاری دانش آموزان 8تا12ساله شهرستان تنکابن دارای اختلال نافرمانی مقابله ای انجام شد. نمونه آماری را 30 دانش آموز تشکیل دادند که در دو گروه آزمایش و کنترل قرار گرفتند. در این تحقیق از ابزار پژوهش مقیاس درجه بندی اختلال نافرمانی مقابله ای و پرسشنامه سازگاری دانش آموزان ابتدایی استفاده شد. برنامه جلسات آموزشی در هشت جلسه 45دقیقه ای بر اساس برنامه درمانی برگرفته از جلسات درمانی رویکرد راه حل محور تنظیم شد. برای تعیین طبیعی بودن داده ها، آزمون کولموگروف اسمیرنوف و جهت تحلیل داده ها، آزمون تحلیل کوواریانس به کمک نرم افزار SPSS-22 به کار رفت.

    یافته ها

    نتایج تحلیل کوواریانس نشان داد هشت جلسه درمان گروهی مبتنی بر پذیرش و تعهد موجب افزایش در سازگاری (0٫001≤p) و سازگاری عاطفی (0٫001≤p) و سازگاری تحصیلی (0٫001≤p) دانش آموزان مبتلا به اختلال نافرمانی مقابله ای شده است.

    نتیجه گیری

    باتوجه به یافته های پژوهش می توان بیان کرد درمان گروهی مبتنی بر پذیرش و تعهد می تواند به عنوان روش درمانی موثر برای افزایش سازگاری دانش آموزان مبتلا به اختلال نافرمانی مقابله ای استفاده شود.

    کلیدواژگان: درمان گروهی مبتنی بر پذیرش و تعهد، اختلال نافرمانی مقابله ای، سازگاری
  • سمیه اینانلو گنجی، نادر منیرپور*، مجید ضرغام حاجبی صفحه 72
    زمینه و هدف

    سازگاری زناشویی به معنای ظرفیت سازگارشدن با مشکلات و توانایی حل آن ها است. پژوهشگران امروزه به دنبال یافتن عوامل مرتبط با این سازگاری هستند. پژوهش حاضر با هدف ارائه مدل سازگاری زناشویی براساس سبک های فرزندپروری با نقش میانجی طرحواره حوزه محدودیت مختل و راهبردهای مقابله ای انجام شد.

    روش بررسی

    این مطالعه از نوع همبستگی بود. جامعه آماری را زوجین مراجعه کننده به مراکز مشاوره بهزیستی استان البرز در سال 1396 تشکیل دادند. در این پژوهش، پرسشنامه سازگاری زناشویی (اسپینر، 1976)، پرسشنامه راهبردهای مقابله ای یانگ-رای (1994)، پرسشنامه سبک های فرزندپروری ادراک شده (یانگ، 1994) و پرسشنامه طرحواره های ناسازگار اولیه یانگ-فرم کوتاه (یانگ، 1988) به کار رفت. داده ها با روش همبستگی پیرسون و مدل یابی ساختاری با استفاده از نرم افزارهای SPSS نسخه 22 و AMOS نسخه 23 تحلیل شدند. سطح معناداری 0٫05 برای تحلیل های آماری در نظر گرفته شد. 

    یافته ها

    نتایج نشان داد که سبک های فرزندپروری با نقش میانجی راهبردهای جبران (0٫001>p) و اجتناب (0٫001>p) و طرحواره حوزه محدودیت مختل (0٫001>p) می تواند سازگاری زناشویی را تبیین کند (0٫001>p).

    نتیجه گیری

    به طورکلی یافته ها تاییدکننده مدل سازگاری زناشویی براساس سبک های فرزندپروری با نقش میانجی طرحواره حوزه محدودیت مختل و راهبردهای مقابله ای است.

    کلیدواژگان: سازگاری زناشویی، راهبردهای مقابله ای، سبک فرزندپروری، طرحواره محدودیت مختل
  • لیلا کایدپور، سعید جهانیان* صفحه 73
    زمینه و هدف

    باوجود اهمیت عوامل روان شناختی در بروز بیماری قلبی، در ایران تحقیقات بسیار اندکی دراین باره انجام شده است. هدف این پژوهش پیش بینی استرس ادراک شده بر پایه سیستم های فعال ساز و بازدارنده رفتار و ویژگی های شخصیتی بود.

    روش بررسی

    روش تحقیق از نوع هم بستگی پیش بینی بود. جامعه آماری عبارت بود از: بیماران قلبی بستری در بیمارستان های قلب، شریعتی و شرکت نفت شهر تهران در سال 1396 که 150 نفر به روش در دسترس انتخاب شدند. پرسش نامه های استرس ادراک شده کوهن و همکاران (1983)، سیستم های رفتاری کارور و وایت (1994) و شخصیتی نئو (1992)، بین بیماران پخش گردید و از نرم افزار SPSS و آزمون هم بستگی پیرسون و تحلیل رگرسیون چندگانه خطی جهت تجزیه و تحلیل استفاده شد.

    یافته ها

    نتایج نشان داد هم بستگی بین استرس ادراک شده با سیستم های فعال ساز رفتاری و سیستم های بازدارنده رفتاری در بیماران قلبی مثبت و معنادار است (0٫001>p، 0٫228 و 0٫284=R). هم بستگی استرس ادراک شده با بعد روان رنجورخویی مثبت و با ابعاد برون گرایی و بازبودن منفی بود (0٫001>p، 0٫20-؛ 0٫383-؛ 0٫458=R)؛ اما بین دو بعد دیگر شخصیت با استرس ادراک شده رابطه معناداری وجود نداشت. نتیجه رگرسیون نشان داد ضریب هم بستگی چندمتغیره بین متغیرهای پیش بین و ملاک برابر با 0٫64 بود که این اندازه از هم بستگی، به ضریب تعیین 0٫41 منجر شد و ضریب تعیین تعدیل یافته برابر با 0٫39 بود.

    نتیجه گیری

    نتیجه پژوهش دال بر این است که در حدود 39درصد از تغییرات در متغیر وابسته (استرس ادراک شده)، از طریق ابعاد شخصیت و سیستم های فعال ساز و بازدارنده رفتاری قابل پیش بینی است.

    کلیدواژگان: استرس ادراک شده، سیستم های فعال ساز و بازدارنده رفتار، ویژگی های شخصیتی، بیماران قلبی
  • لیلا اکرمی*، مختار ملک پور، سالار فرامرزی، احمد عابدی صفحه 74
    زمینه و هدف

    دوره بلوغ یکی از مراحل مهم زندگی بوده که فرد با تغییرهای مختلف جسمانی و روانی روبه رو می شود و نیازمند دریافت آموزش است. پژوهش حاضر با هدف بررسی تاثیر برنامه آموزشی کیت ریپلی بر افزایش مهارت های اجتماعی و دانش جنسی نوجوانان پسر دارای اختلال اوتیسم با عملکرد بالا صورت گرفت

    روش بررسی

    این پژوهش طرح موردمنفرد A-B-A بود. جامعه آماری را تمام نوجوانان پسر مبتلا به اختلال اوتیسم با عملکرد بالا در شهر یزد تشکیل دادند. آزمودنی ها شامل سه پسر دارای اختلال اوتیسم با عملکرد بالا بود که به شیوه نمونه گیری هدفمند انتخاب شدند. پرسشنامه های SSIS جهت بررسی مهارت های اجتماعی و پرسشنامه محقق ساخته برای ارزیابی دانش جنسی به کار رفت. داده های پژوهش طی تحلیل دیداری نمودار داده ها در نرم افزار SPSS براساس شاخص های تحلیل دیداری و آمار توصیفی تجزیه وتحلیل شد.

    یافته ها

    نتایج نشان داد برنامه کیت ریپلی بر بهبود مهارت های اجتماعی با PND 83٫34درصد برای آزمودنی های اول و سوم و 66٫66درصد در آزمودنی دوم و افزایش دانش جنسی با PND 100٫0درصد برای آزمودنی اول و 83٫34درصد در آزمودنی های دوم و سوم موثر بوده است. 

    نتیجه گیری

    باتوجه به یافته های پژوهش، برنامه کیت ریپلی با ارائه محتوی ساختاریافته، می تواند نقش موثری در افزایش مهارت های اجتماعی و آگاهی نوجوانان دارای اختلال اوتیسم با عملکرد بالا داشته باشد. انجام تحقیقات بیشتر در ارتباط با مسائل نوجوانان با اختلال اوتیسم ضروری به نظر می رسد.

    کلیدواژگان: اوتیسم با عملکرد بالا، برنامه کیت ریپلی، بلوغ، دانش جنسی، مهارت های اجتماعی
  • سیده سیمین پورباقری، سعید جهانیان* صفحه 75
    زمینه و هدف

    امروزه سرطان از مشکلات بسیار مهم بهداشتی در سراسر جهان محسوب می شود. باتوجه به اهمیت تاثیر وقایع ناگوار زندگی و رویدادهای فشارزا در بروز بیماری سرطان، هدف این تحقیق پیش بینی بهزیستی روان شناختی مبتلایان به سرطان، برمبنای حمایت اجتماعی ادراک شده و روش های مقابله با استرس بود.

    روش بررسی

    طرح پژوهش حاضر به صورت تحقیق همبستگی بود. جامعه آماری پژوهش را افراد مبتلا به سرطان بیمارستان شهدای منطقه یک و بیمارستان پارسیان منطقه دو شهر تهران در سال 1396 تشکیل دادند که به روش نمونه گیری تصادفی ساده، 230 نفر مبتلا به بیماری سرطان انتخاب شدند. بعد از جمع آوری پرسشنامه های پژوهش، تحلیل داده های گردآوری شده با استفاده از روش همبستگی پیرسون و رگرسیون چندگانه صورت گرفت.

    یافته ها

    یافته ها نشان داد متغیر حمایت اجتماعی و سبک مقابله ای مسئله مدار پیش بینی کننده معنادار بهزیستی روان شناختی است (0٫01<p). همچنین سبک مقابله ای هیجان مدار به طور معناداری، بهزیستی روان شناختی را پیش بینی می کند (0٫05<p). نتایج ضریب تعیین نیز مشخص کرد در حدود 17درصد از تغییرها در متغیر وابسته (بهزیستی روان شناختی) ازطریق سبک های مقابله ای و حمایت اجتماعی ادراک شده تعیین پذیر است.

    نتیجه گیری

    باتوجه به نتایج، پیش بینی کننده بهتر برای بهزیستی روان شناختی، به ترتیب سبک مقابله ای مسئله مدار بود. همچنین حمایت اجتماعی به طور مثبت و معناداری توانست بهزیستی روان شناختی را پیش بینی کند. در انتها سبک مقابله ای هیجان محور نیز توانست به پیش بینی بهزیستی روان شناختی در مبتلایان به سرطان بپردازد.

    کلیدواژگان: بهزیستی روان شناختی، حمایت اجتماعی ادراک شده، روش مقابله با استرس، بیماران سرطانی
  • کوروش سرایی زاده*، محبوبه فولادچنگ صفحه 76
    زمینه و هدف

    مطابق دیدگاه های شناختی اجتماعی، مشکلات رفتاری شدیدا متاثر از عوامل محیطی هستند و تقریبا در اغلب نظریه ها و مدل هایی که برای تبیین رفتارها ارائه شده است، خانه و مدرسه به عنوان دو محیط موثر بر رفتارهای فرد محسوب می شوند. هدف از پژوهش حاضر، بررسی تاثیر جو روانی اجتماعی مدرسه بر مشکلات رفتاری درونی شده و بیرونی شده دانش آموزان مقطع متوسطه دوم شهر اصفهان بود.

    روش بررسی

    روش پژوهش از نوع هم بستگی در قالب مدل یابی معادلات ساختاری بود. بدین منظور تعداد 506 نفر از دانش آموزان (240 دختر و 266 پسر) مقطع دوم متوسطه به شیوه نمونه گیری خوشه ای تصادفی انتخاب شدند و پرسش نامه های مشکلات رفتاری (آخنباخ و رسکورلا، 2001) و جو روانی اجتماعی مدرسه (فریزر و همکاران، 1995) را پر کردند. داده ها با استفاده از نرم افزار Amos-23 تحلیل شد. شاخص های کلی مدل نشان دهنده برازش مناسب مدل با داده های به دست آمده بود.

    یافته ها

    نتایج به دست آمده از آزمون مدل، نشان داد جو روانی اجتماعی مدرسه بر مشکلات رفتاری درونی شده و بیرونی شده تاثیر معنادار دارد (0٫001> p، 0٫50- =β).

    نتیجه گیری

    بر اساس نتایج به دست آمده از این پژوهش، هرچه جو کلاس مبتنی بر انسجام و انضباط بیشتر و اصطکاک کمتری باشد، مشکلات رفتاری بیرونی شده و درونی شده کمتر خواهد بود. بر این اساس، بهبود جو روانی اجتماعی مدرسه برای کاهش مشکلات رفتاری دانش آموزان مقطع متوسطه دوم توصیه می شود.

    کلیدواژگان: جو روانی اجتماعی مدرسه، دانش آموزان، مشکلات رفتاری
  • مهناز اسدی حقیقت، کیانوش زهراکار*، ولی الله فرزاد صفحه 77
    زمینه و هدف

    بیماری مولتیپل اسکلروزیس از بیماری های شایع در کشور ما، به خصوص در بانوان است. نقش استرس در تشدید بیماری اهمیت بسیار دارد؛ بنابر این پژوهش حاضر با هدف تعیین میزان اثر بخشی آموزش مدیریت استرس به شیوه شناختی رفتاری بر کاهش نشانگان استرس و ابعاد آن در زنان مبتلا به مولتیپل اسکلروزیس انجام شد.

    روش بررسی

    این مطالعه شبه آزمایشی از نوع پیش آزمون و پس آزمون و پیگیری با گروه گواه بود. جامعه آماری را تمامی بیماران زن مبتلا به ام اس عضو انجمن ام اس شهر تهران در سال 1396 تشکیل دادند. نمونه گیری به روش داوطلبانه انجام شد و نمونه ها به شیوه همتا سازی در دو گروه آزمایش و گواه، هر گروه 15 نفر قرار گرفتند. ابزار پژوهش، مقیاس سنجش نشانگان استرس سیدخراسانی صدیقانی (1377) بود. در فاصله بین پیش آزمون و پس آزمون، برنامه مداخله مدیریت استرس به شیوه شناختی رفتاری آنتون و ایرونسون و اشنایدر من (2007) در طی هشت جلسه 90دقیقه ای روی گروه آزمایش اجرا شد. داده های پژوهش پس از استخراج با استفاده از روش اندازه گیری مکرر و با نرم افزار SPSS تجزیه وتحلیل شدند.

    یافته ها

    نتایج نشان داد آموزش مدیریت استرس به شیوه شناختی رفتاری بر کاهش نشانگان کلی استرس و ابعاد آن (نشانگان جسمانی، رفتاری، هیجانی، شناختی) موثر است. (0٫001>p).

    نتیجه گیری

    نتایج پس آزمون و پیگیری در گروه آزمایش بیانگر ماندگاری تاثیر مدیریت استرس به شیوه شناختی رفتاری با گذشت زمان است؛ بنابراین می توان این روش را برای کاهش نشانگان استرس در مبتلایان به بیماری مولتیپل اسکروزیس به کار برد.

    کلیدواژگان: مدیریت استرس به شیوه شناختی رفتاری، نشانگان استرس، ام اس، زنان
  • حمید امیدی، فیروزه ساجدی*، رضا رستمی، عنایت الله بخشی صفحه 78
    زمینه و هدف

    ضعف مهارت های اجتماعی تاثیر منفی بر عزت نفس و شناخت فردی، عملکرد اجتماعی و تحصیلی، روابط بین فردی و درونی کودکان با اختلال کم توجهی و بیش فعالی می گذارد. پژوهش حاضر با هدف بررسی اثربخشی آموزش گروهی مهارت های اجتماعی بر بهبود مهارت های اجتماعی و مولفه های آن در دانش آموزان مبتلا به اختلال کم توجهی و بیش فعالی انجام شد.

    روش بررسی

    این پژوهش نیمه آزمایشی با طرح پیش آزمون پس آزمون و پیگیری با گروه گواه بود. جامعه آماری را دانش آموزان پسر 8الی12ساله، مبتلا به اختلال کم توجهی و بیش فعالی در مقطع ابتدایی شهر تهران، تشکیل دادند. تعداد 32 نفر از این دانش آموزان به شیوه نمونه گیری دردسترس انتخاب شده و به صورت تصادفی در دو گروه آزمایش و گواه (16 نفر در هر گروه) قرار گرفتند. سپس با استفاده از پرسشنامه های اطلاعات سیاهه رفتاری کودک (آخنباخ، 1978) و فرم والدین مقیاس درجه بندی مهارت های اجتماعی (گرشام و الیوت، 1990)، سنجش شدند. در گروه آزمایش طی ده جلسه یک ساعته، آموزش برنامه مهارت های اجتماعی اجرا شد؛ اما هیچ گونه مداخله ای برای گروه گواه تا زمان اخذ پس آزمون صورت نگرفت. سپس هر دو گروه بعد از اتمام جلسات آموزشی و یک ماه بعد از آن مجددا به مقیاس درجه بندی مهارت های اجتماعی گرشام و الیوت پاسخ دادند. داده ها در قالب مشخصه های آمار توصیفی (فراوانی و میانگین و انحراف معیار) و روش تحلیل واریانس اندازه های مکرر توسط نرم افزار آماری SPSS در سطح معناداری 0٫01 تجزیه وتحلیل شدند.

    یافته ها

    با توجه به میانگین نمره پیش آزمون مهارت های اجتماعی در گروه آزمایش (19٫68) با انحراف معیار (3٫73) و میانگین نمره پس آزمون (38٫25) با انحراف معیار (3٫35)، نتایج تحلیل واریانس اندازه های مکرر نشان داد که با آموزش گروهی مهارت های اجتماعی، نمره مهارت های اجتماعی کل و مولفه های آن (همکاری و قاطعیت و خویشتن داری، به جز مولفه مسئولیت پذیری) در دانش آموزان پسر مبتلا به اختلال کم توجهی و بیش فعالی به طور معناداری افزایش یافت (0٫001>p) و این تاثیر یک ماه بعد از جلسات آموزشی نیز پایدار بود (0٫001>p).

    نتیجه گیری

    از یافته های به دست آمده می توان نتیجه گرفت آموزش مهارت های اجتماعی به دانش آموزان مبتلا به اختلال کم توجهی و بیش فعالی می تواند مهارت های اجتماعی و مولفه های آن را در این دانش آموزان افزایش دهد؛ بنابراین تدوین برنامه های مدون آموزش مهارت های اجتماعی و گنجاندن آن در برنامه های آموزشی این کودکان به عنوان آموزش مکمل، مفید خواهد بود.

    کلیدواژگان: عملکرد اجتماعی، کم توجهی و بیش فعالی (ADHD)، مهارت های اجتماعی
  • بهناز ابویی*، محسن امیری صفحه 79
    زمینه و هدف

    افسردگی، نشانگانی است که براساس بیان لفظی یا غیرلفظی عواطف غمگین و اضطرابی یا حالت های برانگیختگی مشخص می شود. پژوهش حاضر با هدف بررسی ارتباط تحمل ناکامی و نقص در تنظیم شناختی هیجان و تنیدگی ادراک شده با نشانگان افسردگی در میان کارکنان زندان مرکزی یزد انجام پذیرفت.

    روش بررسی

    این تحقیق توصیفی از نوع همبستگی بود. جامعه پژوهش را تمامی کارمندان زندان مرکزی یزد در سال 96-1395 تشکیل دادند که از بین آنان 120 نفر به صورت نمونه گیری تصادفی انتخاب شده و به پرسشنامه های تحمل ناکامی (هرینگتون، 2005)، تنظیم شناختی هیجان (گارنفسکی، 2001)، تنیدگی ادراک شده (کوهن، 1983) و افسردگی (گلدبرگ، 1988) پاسخ دادند. به منظور تجزیه وتحلیل داده ها از روش همبستگی پیرسون و رگرسیون گام به گام استفاده شد. تحلیل داده ها توسط نرم افزار SPSS نسخه 21 در سطح 95درصد اطمینان صورت گرفت.

    یافته ها

    یافته های این پژوهش نشان داد ضریب همبستگی میان افسردگی با تنیدگی ادراک شده مثبت و معنادار است (0٫37=r، 0٫001<p). ازسوی دیگر بین افسردگی با نقص در تنظیم شناختی هیجان (0٫28-=r، 0٫001<p) و تحمل ناکامی (0٫34-=r، 0٫001<p) رابطه منفی و معناداری مشاهده می شود. نتایج تحلیل رگرسیون گام به گام نیز حاکی از این بود که تحمل ناکامی و تنیدگی ادراک شده به میزان 16درصد نمره کل افسردگی را تبیین می کند (0٫05<p).

    نتیجه گیری

    براساس یافته های این پژوهش و رابطه بین تحمل ناکامی و تنیدگی ادراک شده و نقص در تنظیم هیجان با افسردگی، توجه به این موضوعات در درمان بیماران افسرده به متخصصان در این زمینه توصیه می شود.

    کلیدواژگان: تحمل ناکامی، تنظیم شناختی هیجان، تنیدگی ادراک شده، افسردگی
  • مریم بیات پور، معصومه شجاعی*، علی کاشی صفحه 80
    زمینه و هدف

    5تا6درصد از کودکان مقطع دبستان دارای اختلال هماهنگی رشدی هستند و تشخیص به موقع و اتخاذ راهکارهای حمایتی ضروری است. پژوهش حاضر با هدف مقایسه تمرین منتخب ورزشی ذهنی و ترکیبی و نیز گزینش بهترین روش جهت رشد ادراک شایستگی حرکتی پسران 9تا10سال دارای این اختلال انجام شد.

    روش بررسی

    طرح پژوهش تجربی از نوع پیش آزمون پس آزمون با گروه گواه بود. 55 پسر 9تا10ساله شیرازی توسط پرسشنامه اختلال هماهنگی رشدی (کاپلان و همکاران، 2006) و مجموعه آزمون ارزیابی حرکت کودکان-2 (هندرسون ساگدن و بارنت، 2007) غربال شده و پس از همسان سازی شفافیت تصویرسازی دیداری (مارکس، 1973) و ادراک شایستگی جسمانی (هارتر، 1985) به شکل تصادفی ساده در سه گروه تجربی (14نفره) و یک گروه گواه (13نفره) قرار گرفتند. مداخله تمرین بدنی و ذهنی و ترکیبی 24 جلسه 45دقیقه ای برگزار شد. به منظور تحلیل داده ها آزمون شاپیرو-ویلک جهت نرمال بودن توزیع متغیرهای وابسته، آزمون تحلیل کوواریانس با استفاده از پیش آزمون به عنوان کووریت، آزمون تی همبسته جهت ارزیابی اثر مداخله، آزمون لوین برای همگنی واریانس ها و آزمون بونفرونی جهت آزمون تعقیبی به کار رفت. نتایج با سطح معناداری 0٫05>p توسط نرم افزار آماری SPSS نسخه 19 تحلیل شد. 

    یافته ها

    میانگین ادراک شایستگی حرکتی سه گروه تمرین ذهنی و بدنی و ترکیبی در نوبت پس آزمون درمقایسه با پیش آزمون افزایش معناداری داشت (0٫001>p). تغییر پذیری نمرات ادراک شایستگی حرکتی ناشی از اعمال متغیر تمرین بدنی 55صدم و ذهنی 43صدم و ترکیبی 73صدم بود. 

    نتیجه گیری

    با توجه به یافته های این پژوهش در پسران 9تا10ساله، تمرین ترکیبی بهترین شیوه تمرینی برای تسریع رشد ادراک شایستگی حرکتی در کودکان دارای اختلال هماهنگی رشدی است.

    کلیدواژگان: اختلال هماهنگی رشدی، ادراک شایستگی حرکتی، تمرین ذهنی، مجموعه آزمون ارزیابی حرکت کودکان-2
  • لاله جوانبخت امیری، محمد حاتمی*، جوانشیر اسدی، طاهره رنجبری پور صفحه 81
    زمینه و هدف

    بیماری کرونری قلبی (CHD) از انواع شایع تر بیماری قلبی در ایران است. پژوهش حاضر با هدف اثربخشی راهبردهای نظم جویی هیجانی گراس بر میزان استرس ادراک شده در بیماران قلبی انجام شد.

    روش بررسی

    این پژوهش نیمه آزمایشی با طرح پیش آزمون پسآزمون و پیگیری با گروه گواه بود. جامعه آماری را بیماران قلبی بیمارستان دکترباهنر کرج در سال 1396 تشکیل دادند که به صورت تصادفی به دو گروه آزمایش و گواه (هرکدام 20 نفر) تقسیم شدند. ابزار پژوهش پرسشنامه استرس ادراک شده کوهن (1983) بود. داده ها قبل و بعد از اجرای نه جلسه درمان جمع آوری و با استفاده از نرم افزار SPSS نسخه 21، به شیوه تحلیل واریانس اندازه گیری مکرر تجزیه و تحلیل شدند.

    یافته ها

    نتایج نشان داد میانگین و انحراف معیار نمره پیش آزمون در گروه آزمایش به ترتیب 37٫65 و 7٫60 و پس آزمون به ترتیب 20٫54 و 3٫58 به دست آمد. همچنین نمره پیش آزمون در گروه گواه به ترتیب 25٫30 و 6٫62 و پس آزمون به ترتیب 38٫30 و 5٫68 بود. نتایج تحلیل واریانس اندازه گیری مکرر مشخص کرد درمان به طور معناداری موجب کاهش استرس بیماران شده است (0٫001>p). 

    نتیجه گیری

    براساس یافته های پژوهش حاضر، این نتایج می تواند پشتوانه ای برای انجام درمان راهبردهای نظم جویی هیجانی گراس در بیماران قلبی جهت بهبود استرس ادراک شده باشد.

    کلیدواژگان: راهبردهای نظم جویی هیجانی گراس، استرس ادراک شده، بیماران قلبی
  • آرزو شاه میوه اصفهانی، احمد عابدی*، سالار فرامرزی، احمد یارمحمدیان صفحه 82
    هدف و زمینه

    اختلال ADHD یک اختلال عصبی رشدی است که در خط مقدم درمان این اختلال، برای کاهش نشانگان آن، آموزش والدین جایگاه ویژه ای دارد. این پژوهش با هدف مقایسه اثربخشی برنامه PBS با الگوی والدگری بارکلی بر بهبود نشانگان کودکان ADHD انجام شد.

    روش بررسی

    در این پژوهش از روش نیمه آزمایشی پیش آزمون پس آزمون همراه با گروه گواه استفاده شد. روش نمونه گیری به صورت چندمرحله ای و جای گذاری تصادفی ساده در گروه های آزمایش و گواه بود. بدین صورت که از مدارس شهر اصفهان چهار مدرسه و از این مدارس 30 کودک ADHD انتخاب و به صورت تصادفی در گروه های آزمایش و گواه گمارده شدند. گروه های آزمایش، طی هشت جلسه تحت آموزش به روش PBS و بارکلی قرار گرفتند. ابزار گردآوری اطلاعات به منظور سنجش نشانگان ADHD، پرسش نامه کانرز فرم والدین بود. برای تجزیه وتحلیل داده ها از نرم افزار SPSS نسخه 20 و تحلیل کوواریانس چندمتغیره به همراه آزمون های تعقیبی در سطح اطمینان 95درصد به کار گرفته شد.

    یافته ها

    نتایج نشان داد در متغیرهای شناختی/بی توجهی (0٫017=p) و بیش فعالی (0٫047=p) و کاستی توجه/بیش فعالی (0٫021=p) بین دو گروه تفاوت معنادار وجود دارد؛ اما در متغیر مخالفت جویی (0٫063=p) تفاوت معناداری یافت نشد. در متغیر بیش فعالی و کاستی توجه/بیش فعالی تفاوت نمرات هر دو گروه آموزش والدگری بارکلی (0٫040=p) و آموزش حمایت رفتاری مثبت (0٫008=p)، با گروه گواه معنادار بود. همچنین در متغیر شناخت/بی توجهی (0٫006=p) و مخالفت جویی (0٫024=p) تنها آموزش حمایت رفتاری مثبت توانست تفاوت معناداری را با گروه گواه ایجاد کند. شایان ذکر است در همه خرده مقیاس ها تفاوت آموزش معنادار نبود.

    نتیجه گیری

    نتایج پژوهش نشان داد که آموزش به هر دو روش مذکور، نشانگان ADHD را در کودکان بهبود می بخشد.

    کلیدواژگان: برنامه حمایت رفتاری مثبت، الگوی والدگری بارکلی، اختلال بیش فعالی و نقص توجه، نشانگان نقص توجه، بیش فعالی
  • یونس مصدق*، مهران نصیری، زهرا قدیمی کلاته، محمد الغوثی صفحه 83
    هدف

    مولتیپل اسکلروزیس از شایع ترین بیماری های عصبی پیش رونده در بین بزرگ سالان جوان است. هدف از پژوهش حاضر، بررسی اثربار شناختی تکلیف بر زمان بندی مرحله استانس راه رفتن بیماران مولتیپل اسکلروزیس بود.

    روش بررسی

    روش مطالعه حاضر، از نوع نیمه تجربی با طرح پیش آزمون پس آزمون بود. بیست بیمار مبتلا به مولتیپل اسکلروزیس از انجمن ام اس ایران (با دامنه سنی  41٫85±12٫59 سال و نمره مقیاس پیشرفت ناتوانی صفر تا 5) به صورت داوطلبانه در این تحقیق شرکت کردند. آزمودنی ها سه تکلیف شناختی مختلف را هم زمان با راه رفتن بر روی دستگاه فوت مدیسنس اجرا کردند و زمان مرحله استانس آزمودنی ها با دستگاه فوت مدیسنس اندازه گیری شد. برای تحلیل نتایج، از آزمون تحلیل واریانس با اندازه گیری های مکرر و آزمون تعقیبی بونفرونی در سطح معناداری 0٫05 استفاده شد. داده ها با استفاده از نرم افزار SPSS نسخه 21 تحلیل شد.

    یافته ها

    یافته های به دست آمده از تحقیق نشان داد تکلیف شناختی اثر معناداری بر افزایش زمان استانس راه رفتن در هر دو پا داشت (0٫001>p) و بین زمان استانس راه رفتن در تمامی مراحل تکلیف شناختی، به جز مرحله 2 در برابر 3، در پای چپ تفاوت معناداری وجود داشت (p<0/05)

    نتیجه گیری

    نتایج تحقیق نشان داد زمان مرحله استانس گام برداری در بیماران مولتیپل اسکلروزیس هنگام اجرای تکلیف شناختی افزایش داشته است و بیماران مولتیپل اسکلروزیس هنگام اجرای تکلیف شناختی سرعت گام برداری کمتری دارند.

    کلیدواژگان: مولتیپل اسکلروزیس، تکلیف شناختی، مرحله استانس، راه رفتن
  • آزاده تقوی بهبهانی، علی محمد نظری*، سودابه شهیدثالث، افسانه خواجه وند صفحه 84
    زمینه و هدف

    محققان نشان دادند زنان مبتلا به سرطان سینه مشکلات روان شناختی دارند و به منظور ارتقای سطح توانمندی های روان شناختی، نیازمند مداخلات روان شناختی اند. تحقیق حاضر با هدف ارزیابی اثربخشی معنویت درمانی بر افزایش رشد پس از سانحه در زنان مبتلا به سرطان پستان انجام شد.

    روش بررسی

    این پژوهش نیمه آزمایشی با طرح پیش آزمون، پس آزمون و پیگیری با گروه گواه بود. جامعه آماری، زنان مبتلا به سرطان پستان مراجعه کننده به بیمارستان امید شهر مشهد در سال 1396 بودند که از این میان در هر گروه (گواه و آزمایش) 14 نفر به صورت تصادفی گمارش شدند و به پرسش نامه رشد و تحول پس از سانحه (تدشهی و کالهون، 1996) پاسخ دادند. سپس، گروه آزمایش طی 12 جلسه 120دقیقه ای تحت مداخله قرار گرفت. پس از پایان مداخله، از هر دو گروه پس آزمون گرفته شد و مجدد پس از سه ماه هر دو گروه پیگیری شدند. روش تجزیه وتحلیل داده ها، آزمون تحلیل واریانس با اندازه گیری مکرر بود.

    یافته ها

    نتایج نشان داد میانگین نمره کل رشد و تحول پس از سانحه در گروه آزمایش در پیش آزمون، پس آزمون و پیگیری به ترتیب 68٫07، 79٫92 و 78٫50 بود. بنابراین، نمره رشد و تحول پس از سانحه افزایش داشت. نتایج تحلیل واریانس با اندازه گیری مکرر نشان داد اثر متقابل گروه و زمان معنادار بود؛ بنابراین، متغیر رشد پس از سانحه در سطح معناداری (0٫05>p) افزایش داشت.

    نتیجه گیری

    با توجه به نتایج پژوهش، معنویت درمانی گروهی می تواند موجب ارتقای رشد پس از سانحه در بیماران مبتلا به سرطان پستان شود.

    کلیدواژگان: معنویت درمانی، رشد پس از سانحه (PTG)، سرطان پستان
  • حسین خسروشاهی، بهرام میرزائیان*، رمضان حسن زاده صفحه 85
    زمینه و هدف

    بیماری های قلبی که بر اثر تنگی و گرفتگی عروق کرونری قلب ایجاد می شود و مشکلی بهداشتی در کشورهای درحال توسعه و توسعه یافته به شمار می رود، از عوامل اصلی مرگ ومیر در جهان از جمله ایران است. بیماری قلبی عروقی از بیماری هایی است که تحت تاثیر عوامل روان شناختی نیز قرار میگیرد. این پژوهش با هدف بررسی تاثیر درمان مبتنی بر پذیرش و تعهد بر ادراک بیماری در بیماران قلبی عروقی اجرا شد.

     روش بررسی

    این پژوهش به شکل نیمه آزمایشی (تجربی) دوگروهی با پیش آزمون و پس آزمون اجرا شد. جامعه آماری پژوهش، بیماران قلبی عروقی مراجعه کننده به کلینیک قلب بیمارستان ولیعصر قائم شهر در بهار 1397-1396 بودند که از بین آن ها به صورت داوطلبانه 28 نفر انتخاب شدند و سپس به صورت تصادفی به دو گروه آزمایش و گواه (14 نفر گروه آزمایش و 14 نفر گروه گواه) تفکیک گردیدند. گروه آزمایش طی شش جلسه، تحت درمان مبتنی بر پذیرش و تعهد (ACT) قرار گرفت و گروه گواه هیچ درمانی دریافت نکرد. ابزارهای پژوهش، پرسش نامه ادراک بیماری بود. داده ها با استفاده از نرم افزار SPSS نسخه 20 و با روش تحلیل کوواریانس یک طرفه تحلیل شد.

     یافته ها

    نتایج نشان داد میانگین و انحراف معیار نمره پیش آزمون ادراک بیماری در گروه آزمایش به ترتیب برابر با 40٫46 و 4٫04 و همچنین میانگین و انحراف معیار نمره پس آزمون در گروه آزمایش به ترتیب 33٫21 و 1٫80 است. همچنین میانگین و انحراف معیار نمره پیش آزمون ادراک بیماری در گروه گواه به ترتیب برابر با 40٫15 و 4٫90 و همچنین میانگین و انحراف معیار نمره پس آزمون در گروه گواه 42٫61 و 2٫53 است. یافته ها نشان داد که درمان مبتنی بر پذیرش و تعهد، باعث بهبود در ادراک بیماری (0٫032=p) می شود.

    نتیجه گیری

    با توجه به یافته ها، درمان مبتنی بر پذیرش و تعهد با توجه به تاثیرگذاری در ارزش های بیماران به این صورت که رهایی از بیماری به عنوان یک ارزش برای بیمار در نظر گرفته شود، می تواند موجب کاهش ادراک بیماری در بیماران قلبی گردد.

    کلیدواژگان: درمان مبتنی بر پذیرش و تعهد، ادراک بیماری، بیماران کرونر قلبی
  • امینه زرندی، سیما قدرتی*، حمیدرضا وطن خواه صفحه 86
    زمینه و هدف

    بیش فعالی، یک اختلال عصبی رشدی است که با الگوهای رفتاری مداومی چون بی توجهی یا بیش فعالی تکانشگری شناسایی می شود. هدف پژوهش تعیین اثربخشی آموزش بازی مبتنی بر روش شناختی رفتاری بر تکانشگری کودکان مبتلا به نقص تمرکز/بیش فعالی بود.

    روش بررسی

    روش پژوهش، نیمه آزمایشی با طرح پیش آزمون پس آزمون با گروه گواه و گمارش تصادفی بود. جامعه پژوهش شامل تمام دانش آموزان پسر 7 تا 10ساله مقطع ابتدایی دارای اختلال نقص تمرکز و بیش فعالی منطقه سه کرج بودند. از این میان، 24 نفر به روش خوشه ای چندمرحله ای انتخاب شدند و به صورت تصادفی در دو گروه آزمایش (12 نفر) و گواه (12 نفر) قرار گرفتند. گروه آزمایش به مدت 8 جلسه 30دقیقه ای، بازی مبتنی بر روش شناختی رفتاری را دریافت کرد. هر دو گروه در دو مرحله پیش آزمون و پس آزمون به پرسش نامه والدین کانرز پاسخ دادند. داده های جمع آوری شده به وسیله تحلیل کوواریانس و با استفاده از نرم افزار SPSS نسخه 20 در سطح خطای (0٫01) تجزیه وتحلیل شد.

    یافته ها

    یافته های پژوهش نشان داد بین میانگین مشکلات سلوک، مشکلات یادگیری، مشکلات روان تنی، تکانشگری و اضطراب انفعال گروه آزمایش و گواه در مرحله پس آزمون تفاوت معناداری وجود دارد (0٫001>p).

    نتیجه گیری

    با توجه به یافته های پژوهش می توان نتیجه گرفت که آموزش بازی مبتنی بر روش شناختی رفتاری، تکانشگری و عدم توجه کودکان مبتلا به نقص تمرکز/بیش فعالی را بهبود بخشید.

    کلیدواژگان: بازی درمانی شناختی، اختلال نقص تمرکز، بیش فعالی، تکانشگری
  • باقر ریگی خاص*، فرزاد فرجی خیاوی، کامبیز احمدی انگالی، غلامحسین نساج، یونس امیریان صفحه 87
    هدف

    در عصر حاضر، نوآوری برای موفقیت شرکت ها امری حیاتی است و افراد خلاق و نوآور، منبع تولید و فرآوری شرکت ها محسوب می شوند. ایجاد پویایی و نوآوری در بنگاه های کوچک اقتصادی موجب ایجاد اشتغال، افزایش درآمد و توانمندسازی افراد می شود. پژوهش حاضر با هدف مطالعه جو نوآوری در مراکز معلولین شهر اهواز انجام شد.

    روش بررسی

    این پژوهش از نوع توصیفی-تحلیلی بود که به صورت مقطعی انجام شد. جامعه موردمطالعه را 40 نفر از کارکنان تمام وقت مراکز معلولین (دارای کارگاه حرفه آموزی) شهر اهواز تشکیل می دادند. ابزار مطالعه، شامل فرم مشخصات دموگرافیک و پرسش نامه جو نوآوری در سازمان بود. ارتباط متغیرهای پژوهش با مولفه های جو نوآوری، با استفاده از آمار توصیفی، مانند فراوانی داده ها، میانگین و انحراف معیار  و آمار استنباطی، نظیر آزمون تی مستقل، هم بستگی پیرسون و آنالیز واریانس یک طرفه بررسی شد.

    یافته ها

    میانگین امتیاز جو نوآوری که برابر با (24٫1±161٫1) بود، نشان دهنده وجود نسبی نوآوری در مراکز می باشد (میانگین امتیاز بین 170-100 نشان دهنده وجود جو نوآوری نسبی). ارتباط منفی معنی داری بین سابقه کار کارکنان و جو نوآوری (0٫001>p و 0٫37-=r) در مراکز مشاهده شد.

    نتیجه گیری

    یافته های این پژوهش نشان داد که جو نوآوری، به صورت نسبی در مراکز معلولین وجود دارد. هم چنین جو نوآوری در این مراکز با افرادی که تازه به مراکز وارد شدند، ارتباط دارد. مدیران مراکز می توانند با ایجاد محیطی توام با اعتماد بین کارکنان، آموزش حین خدمت به کارکنان، معرفی و حمایت ایده های نو، باعث افزایش نوآوری و خلاقیت در مراکز خود شوند.

    کلیدواژگان: نوآوری، جو نوآوری، مراکز معلولین
  • ثمره موسی اکبری، احمد شاهورانی*، محسن رستمی، محمدحسن بهزادی صفحه 88
    زمینه و هدف

    دانش آموزان مبتلا به اختلال ریاضی علاوه بر مشکلات تحصیلی، در عملکردهای شناختی نیز مشکل دارند. پژوهش حاضر با هدف مقایسه عملکردهای کلی شناختی (حافظه فعال شنیداری، دیداری فضایی و بلندمدت) دانش آموزان مبتلا به اختلال ریاضی و عادی دوره اول ابتدایی انجام شد.

    روش بررسی

    روش تحقیق در این پژوهش، از نوع علی مقایسه ای بود. جامعه آماری، تمام دانش آموزان دوره اول ابتدایی مدارس دولتی ناحیه دو شهر کرمان بودند. از بین دانش آموزانی که عملکردی طبیعی و متناسب با سنشان در خرده آزمون های هوش وکسلر کودکان داشتند، 40 نفر با روش نمونه گیری در دسترس و از میان دانش آموزانی که نمره های 50درصد به بالا در آزمون ریاضی کسب کرده بودند، انتخاب شدند. ابزار پژوهش عبارت بود از: آزمون هوش وکسلر کودکان و آزمون های حافظه فعال شنیداری، حافظه فعال دیداری فضایی و حافظه بلندمدت. داده ها با استفاده از میانگین، انحراف معیار، تحلیل واریانس و آزمون t مستقل به کمک نرم افزار SSPS نسخه 23 و در سطح 0٫05>p تجزیه وتحلیل شد.

    یافته ها

    نتایج نشان داد بین عملکردهای کلی شناختی دانش آموزان مبتلا به اختلال ریاضی و دانش آموزان عادی دوره اول ابتدایی، تفاوت معناداری (0٫001>p) وجود داشت. عملکردهای کلی شناختی در دانش آموزان عادی بیشتر از دانش آموزان مبتلا به اختلال ریاضی دوره اول ابتدایی بود.

    نتیجه گیری

    با توجه به یافته های این پژوهش، در دانش آموزان مبتلا به اختلال ریاضی باید به عملکردهای شناختی کلی نظیر حافظه فعال شنیداری، حافظه دیداری فضایی و حافظه بلندمدت توجه ویژه ای داشت.

    کلیدواژگان: عملکردهای کلی شناختی، دانش آموزان مبتلا به اختلال ریاضی، دانش آموزان ابتدایی
  • زینب حسینی، مجتبی انصاری شهیدی*، محمدرضا روانبد، حسن رضایی جمالویی، محبوبه رمضان زاده صفحه 89
    زمینه و هدف

    افراد مبتلا به سرطان پستان در الکسی تایمی با چالش های زیادی مواجه می شوند. پژوهش حاضر به منظور بررسی اثربخشی معنویت درمانی بر الکسی تایمی در افراد مبتلا به سرطان پستان با گیرنده های استروژن و پروژسترون انجام شد.

    روش بررسی

    پژوهش حاضر، مطالعه ای نیمه آزمایشی با طرح پیش آزمون- پس آزمون با گروه گواه بود. جامعه آماری این پژوهش را تمامی افراد بیمار زن 30 تا 65 ساله و مبتلا به سرطان پستان استان بوشهر در سال 1398 تشکیل دادند. سی آزمودنی به روش نمونه گیری در دسترس انتخاب شدند. شیوه گمارش آن ها در گروه ها به روش تصادفی انجام گرفت، به نحوی که اعضای هر گروه 15 نفر بود. گروه آزمایش، در 12 جلسه آموزش برنامه معنویت درمانی شرکت کردند در حالی که گروه گواه در این جلسات شرکت نداشت. ابزار این پژوهش پرسشنامه الکسی تایمی (بگبی، پارکر و تیلور، 1994) بود. داده ها با استفاده از تحلیل کوواریانس چندمتغیری در سطح معناداری 0٫05 تحلیل شدند.

    یافته ها

    نتایج نشان داد که در مرحله پس آزمون، گروه آزمایش با گروه گواه در الکسی تایمی تفاوت معناداری داشتند (0٫001>p). نتایج تحلیل کواریانس چندمتغیری نشان داد که آموزش برنامه معنویت درمانی بر الکسی تایمی در افراد مبتلا به سرطان پستان با گیرنده های استروژن و پروژسترون اثر معناداری داشته است. در واقع، آموزش برنامه معنویت درمانی سبب بهبود الکسی تایمی در افراد مبتلا به سرطان پستان با گیرنده های استروژن و پروژسترون شد

    .نتیجه گیری

    براساس یافته های پژوهش، آموزش برنامه معنویت درمانی می تواند الکسی تایمی را در زنان مبتلا به سرطان پستان با گیرنده های استروژن و پروژسترون بهبود بخشد.

    کلیدواژگان: الکسی تایمی، سرطان پستان، معنویت درمانی
  • سید ولی الله موسوی، پگاه آزادی منش*، سعید صادقی، بیتا شلانی، فاطمه مومنی صفحه 90
    زمینه و هدف

    استفاده از داستان اجتماعی درمقایسه با کار مستقیم با کودکان با اختلال طیف اتیسم، به دلیل علاقه وافر آن ها به داستان، جالب تر و لذت بخش تر است و درنتیجه توجه کودک را بیشتر و بهتر متمرکز می کند؛ بنابراین پژوهش حاضر با هدف بررسی اثربخشی داستان های اجتماعی بر افزایش مهارت های اجتماعی کودکان با اختلال طیف اتیسم انجام شد.

     روش بررسی

    روش مطالعه حاضر آزمایشی با طرح پیش آزمون پس آزمون و گروه کنترل بود. جامعه آماری را تمامی دانش آموزان با اختلال طیف اتیسم 8تا11 سال پسر شهر کرمانشاه تشکیل دادند که ازطریق نمونه گیری دردسترس تعداد ده نفر انتخاب شده و به صورت تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. جلسات برای گروه آزمایش در 35 جلسه 30دقیقه ای و در طول دو ماه و نیم اجرا شد؛ درحالی که گروه کنترل چنین آموزشی را دریافت نکرد. هر دو گروه با پرسشنامه ارتباط اجتماعی SCQ در دو مرحله پیش آزمون و پس آزمون و با استفاده از آزمون تی دو نمونه مستقل ارزیابی شدند. 

    یافته ها

    نتایج نشان داد که استفاده از داستان اجتماعی برای گروه آزمایشی در ارتقای مهارت های اجتماعی آنان تاثیر معناداری داشته است (0٫05>p). 

    نتیجه گیری

    باتوجه به یافته های این پژوهش می توان نتیجه گرفت که استفاده از داستان های اجتماعی می تواند روشی مناسب جهت ارتقای مهارت های اجتماعی کودکان با اختلال طیف اتیسم باشد.

    کلیدواژگان: داستان های اجتماعی، مهارت های اجتماعی، اختلال طیف اتیسم
  • احمد قره خانی، سعید حسن زاده*، غلامعلی افروز صفحه 91
    زمینه و هدف

    از اکتسابات بسیار مهم آموزشگاهی که کودکان سندرم داون در آن مشکل دارند، مهارت خواندن است. هدف پژوهش حاضر، تدوین یک برنامه خواندن ویژه کودکان سندرم داون، در جهت تسهیل آموزش خواندن، فهمیدن و کاربست انواع مواد نوشتاری مهم در زندگی روزمره و موقعیت های اجتماعی به این کودکان و نیز بررسی اثربخشی این برنامه بود.

    روش بررسی

    طرح پژوهشی از نوع شبه آزمایشی، از نوع پیش آزمون پس آزمون با گروه گواه بود. جامعه آماری دانش آموزان دبستانی آهسته گام با نشانگان داون شهرستان همدان بودند که در سال تحصیلی 1396-13955 در مدارس استثنایی مشغول به تحصیل بودند. نمونه پژوهش شامل30 کودک سندرم داون شاغل به تحصیل در مدارس استثنایی شهر همدان بودند که پس از همتاسازی در دو گروه آزمایش و گواه، به شکل تصادفی جایگزین شدند. ابزارهای پژوهش، عبارت بودند از: نسخه فارسی مقیاس هوشی تجدیدنظرشده وکسلر کودکان (1386) WISC-R))، نسخه فارسی آزمون رشد زبان (1393-TOLD) (P3) و دو متن نوشتاری محقق ساخته به عنوان پیش آزمون و پس آزمون، برای سنجش درک مطالب نوشتاری، قبل و بعد از مداخله. پس از انجام دادن مداخله در دوازده جلسه، داده ها از طریق آزمون تحلیل کوواریانس و با نرم افزار SPSS ویرایش 25 تحلیل شدند.

    یافته ها

    نتایج تحلیل کوواریانس نشان داد آموزش خواندن کاربردی بر درک مطالب نوشتاری دانش آموزان آهسته گام با نشانگان داون تاثیر معناداری دارد (0٫001>p).

    نتیجه گیری

    بر اساس یافته های این پژوهش، برنامه خواندن کاربردی می تواند به بهبود عملکرد خواندن کودکان سندرم داون کمک کند.

    کلیدواژگان: برنامه خواندن کاربردی، سندرم داون، عملکرد خواندن
  • لیلا صرامی، عبدالله قاسمی*، الهه عرب عامری، علی کاشی صفحه 92
    زمینه و هدف

    مجموعه آزمون ارزیابی حرکت کودکان-2 (MABC-2) از ابزارهای بسیار پرکاربرد جهت بررسی مشکلات حرکتی کودکان در سراسر جهان است. این پژوهش با هدف ارزیابی ویژگی های روان سنجی این آزمون در کودکان 3تا6ساله شهر اصفهان صورت گرفت.

    روش بررسی

    مطالعه حاضر از نوع مطالعات اعتباریابی با طرح یک نوبت آزمون گیری بود. این پژوهش در سال تحصیلی 97-1396 با مشارکت 384 کودک انجام پذیرفت که به صورت تصادفی طبقه ای انتخاب و همگی با استفاده از آزمون MABC-2 ارزیابی شدند. آلفای کرونباخ و ضریب همبستگی درون طبقه ای (ICC) و تحلیل عاملی تاییدی به ترتیب جهت همسانی درونی و پایایی درون و بین ارزیاب و تحلیل سازه آزمون به کار رفت. داده ها نیز با نرم افزارهای SPSS و Liserel تحلیل شد.

    یافته ها

    مقدار آلفای کرونباخ برای همسانی درونی آزمون 0٫80 به دست آمد. هر دو پایایی درون و بین ارزیاب نیز در دامنه خوب و عالی 0٫71تا0٫89 و 0٫93تا0٫99 قرار داشتند. بررسی روایی عاملی آزمون نشان داد ساختار آزمون با سه عامل چالاکی دستی و هدف گیری و دریافت و نیز تعادل به درستی و با برازش مناسب شاخص های برازش (0٫93=NNFI، 0٫92=GFI، 0٫93=CFI، 85٫26=x2، 0٫071=RMSEA) طرح ریزی شدند.

    نتیجه گیری

    MABC-2 دارای روایی و پایایی مطلوب برای استفاده در جامعه کودکان 3تا6ساله فارسی زبان است و می توان در زمینه های مختلف بالینی و مطالعاتی از آن بهره برد.

    کلیدواژگان: مجموعه آزمون ارزیابی حرکت کودکان-2 (MABC-2)، روایی، پایایی، روایی عاملی، اختلال هماهنگی رشدی (DCD)، ارزیابی حرکتی، کودکان
  • مهدی هاشم پور، محسن سعیدمنش*، محمدحسین گرامی صفحه 93
    زمینه و هدف

    افسردگی پس از زایمان به طور جدی بر زندگی فرد و خانواده اش اثر نامطلوب دارد. ذهن آگاهی برای تصحیح راه های غلط تفکر در گذشته است. هدف پژوهش حاضر، تعیین اثربخشی گروه درمانی شناختی مبتنی بر ذهن آگاهی بر رضایت زناشویی و شدت نشانه های افسردگی در زنان مبتلا به اختلال افسردگی پس از زایمان بود.

    روش بررسی

    پژوهش حاضر، از نوع نیمه آزمایشی با طرح پیش آزمون پس آزمون با گروه گواه بود. جامعه آماری این پژوهش را زنان مبتلا به اختلال افسردگی پس از زایمان مراجعه کننده به بیمارستان مادر شهرستان یزد در سال 1396 تشکیل دادند که از بین آنان 30 نفر به شیوه نمونه گیری در دسترس انتخاب شدند و در دو گروه آزمایش و گواه بررسی شدند. ابزار پژوهش، شامل پرسش نامه افسردگی بک و پرسش نامه رضایت زناشویی انریچ بود. داده ها با استفاده از آمار توصیفی (میانگین و انحراف معیار) و آمار استنباطی (تحلیل کوواریانس) با نرم افزار SPSS نسخه 23 تجزیه وتحلیل شد.

    یافته ها

    یافته های این پژوهش حاکی از آن بود که گروه درمانی شناختی مبتنی بر ذهن آگاهی، باعث کاهش نشانه های افسردگی (پس آزمون گروه آزمایش: 5٫87±27و گواه: 6٫60± 29٫87 و 0٫001<p) و افزایش رضایت زناشویی در زنان مبتلا به اختلال افسردگی پس از زایمان می شود (پس آزمون گروه آزمایش: 12٫23±97٫33 و گواه: 13٫38±86٫82، 0٫001<p)

    .نتیجه گیری

    با توجه به یافته های این پژوهش و اثربخشی درمان شناختی رفتاری مبتنی بر ذهن آگاهی بر افسردگی و رضایت زناشویی زنان مبتلا به افسردگی پس از زایمان، استفاده از این روش به متخصصان در این زمینه توصیه می شود.

    کلیدواژگان: شناخت درمانی مبتنی بر ذهن آگاهی، رضایت زناشویی، نشانه های افسردگی، افسردگی پس از زایمان
  • سید مهدی حسینی، حجت الله جاویدی*، امیر هوشنگ مهریار، سید ابراهیم حسینی صفحه 94
    هدف

    هدف پژوهش حاضر، مقایسه اثربخشی درمان فراشناختی و درمان مواجهه و جلوگیری از پاسخ در بهبود باورهای وسواسی و افسردگی زنان مبتلا به اختلال وسواس جبری بود.

    روش بررسی

    این پژوهش از نوع نیمه آزمایشی بود که با طرح پیش آزمون-پس آزمون با گروه گواه انجام شد. جامعه آماری، شامل تمامی بیماران با اختلال وسواس مراجعه کننده به مراکز مشاوره شهرستان شیراز در سال 1395 بود. از این بین، شصت نفر با تشخیص اختلال وسواس به روش نمونه گیری تصادفی انتخاب و به صورت تصادفی به دو گروه بیست نفره آزمایش (گروه فراشناخت و گروه مواجهه و جلوگیری از پاسخ) و یک گروه بیست نفره گواه تقسیم شدند. مداخله فراشناختی به مدت هشت جلسه گروهی بر روی گروه آزمایش فراشناخت و مداخله مواجهه به مدت چهارده جلسه گروهی بر روی گروه آزمایش مواجهه اجرا گردید. هر دو گروه آزمایش و گروه گواه در طی دوره مطالعه، داروی فلووکسامین (دوز 200 تا 300) مصرف می کردند. از پرسش نامه های باورهای وسواسی (کارگروه وسواس، 2003) و افسردگی (بک، 1996) به عنوان ابزار پژوهش استفاده شد. داده های پژوهش با استفاده از تحلیل کوواریانس و با به کارگیری نرم افزار آماری SPSS تحلیل شد. 

    یافته ها

    نتایج نشان داد مداخله در هر دو گروه درمانی، موجب کاهش معنادار علائم باورهای وسواسی در مقایسه با گروه گواه شد (0٫001>p)؛ اما بین دو گروه آزمایشی از لحاظ اثربخشی بر باورها تفاوتی مشاهده نگردید. درباره افسردگی بیشترین میزان اثربخشی در پس آزمون، به ترتیب متعلق به گروه فراشناخت، مواجهه و گواه بود (0٫002=p).

    نتیجه گیری

    باوجود برخی محدودیت های روش شناختی، درمان فراشناختی می تواند درمان معتبر و جایگزینی برای مواجهه و جلوگیری از پاسخ باشد.

    کلیدواژگان: درمان فراشناختی، درمان مواجهه و جلوگیری از پاسخ، افسردگی، باورهای وسواسی، اختلال وسواس جبری
  • زهرا غربی، طاهره رنجبری پور*، اردشیر اسدی صفحه 95
    هدف

    هدف مطالعه حاضر، بررسی اثربخشی درمان شناختی مبتنی بر ذهن آگاهی بر تصویر بدن در افراد چاق بود.

    روش بررسی

    پژوهش حاضر، از انواع طرح های نیمه آزمایشی به صورت دو گروهی، با پیش آزمون پس آزمون و دوره پیگیری سه ماهه همراه با گروه کنترل بود. جامعه آماری، افراد چاق شهر کرج بودند. تعداد 60 عنوان نمونه آماری (30 نفر در هر گروه) در نظر گرفته شد که به صورت هدفمند انتخاب شدند. ابزار پژوهش، شامل روابط چندبعدی خود-بدن کش (2000) بود. گروه آزمایش درمان شناختی مبتنی بر ذهن آگاهی را به صورت 8 جلسه 90دقیقه ای دریافت کرد؛ در حالی که گروه کنترل هیچ گونه مداخله ای دریافت نکرد. داده های پژوهش با روش تحلیل واریانس با اندازه گیری مکرر با استفاده از نرم افزار SPSS نسخه 22 تحلیل شدند.

    یافته ها

    نتایج توصیفی نشان داد میانگین تصویر بدنی در گروه آزمایش در زمان های پیش آزمون، پس آزمون و پیگیری، به ترتیب 102٫83، 168٫16 و 165٫76 بوده است. همچنین میانگین تصویر بدنی در گروه کنترل، 95٫93، 105٫90 و 108٫38 بوده است که با توجه به نتایج آزمون تحلیل واریانس با اندازه گیری مکرر، از لحاظ زمان، میانگین تصویر بدنی افزایش معناداری را در گروه آزمایش داشت (0٫05>p). یافته های استنباطی نشان داد درمان شناختی مبتنی بر ذهن آگاهی تاثیر معناداری بر تصویر بدنی افراد چاق دارد (0٫05>p).

    نتیجه گیری

    بنابر یافته ها می توان گفت، درمان شناختی مبتنی بر ذهن آگاهی دارای مکانیزم های اثربخش به منظور تعدیل تصویر بدنی افراد چاق است.

    کلیدواژگان: درمان شناختی مبتنی بر ذهن آگاهی، تصویر بدن، چاقی، افراد چاق
  • محمد ابراهیم حکم آبادی، ایمان الله بیگدلی*، جوانشیر اسدی، محمد جواد اصغری ابراهیم آباد صفحه 96
    زمینه و هدف

    مطالعات متعددی تلفیق و ترکیب دو رشته روان شناسی و قلب شناسی را فراهم آورده اند تا به کمک علم روان شناسی به پیشگیری و درمان بهتر بیماری های مرتبط با قلب پرداخته شود. هدف پژوهش حاضر بررسی اثربخشی طرحواره درمانی بر شخصیت سنخ D بر حافظه کاری و حافظه آینده نگر و پیروی از درمان بیماران کرونر قلب بود. 

    روش بررسی

    این پژوهش به شکل تجربی و شیوه تک آزمودنی با کنترل خط پایه چندگانه هم زمان و با پیگیری شش هفته ای اجرا شد. جامعه آماری را تمامی بیماران قلبی بیمارستان فوق تخصص رضوی مشهد تشکیل دادند. پنج نفر مرد مبتلا به بیماری قلبی به روش نمونه گیری هدفمند از میان افراد مراجعه کننده به بیمارستان فوق تخصصی رضوی انتخاب شدند. بیماران پس از احراز شرایط درمان در پژوهش حاضر شرکت کردند. اثربخشی پروتکل درمانی طی سه مرحله خط پایه و درمان ده جلسه ای و پیگیری شش هفته ای، با استفاده از پرسشنامه شخصیت سنخ D، پرسشنامه حافظه آینده نگر ذهنی (PMQ)، آزمون حافظه کاری وکسلر و پرسشنامه پیروی از درمان (MMAS-8) بررسی شد. داده ها به روش ترسیم دیداری با استفاده از نرم افزار اکسل و همچنین محاسبه فرمول شاخص تغییر پایا (RCI) و فرمول درصد بهبودی تحلیل شدند.

    یافته ها

    نتایج نشان داد تکنیک های شناختی، تجربی، روابط بین فردی و رفتاری در طرحواره های ناسازگار (0٫074=p)، شخصیت سنخ D (0٫033=p)، حافظه کاری (0٫085=p)، حافظه آینده نگر (0٫042=p) و پیروی از درمان پزشکی (0٫003=p) بیماران قلبی از نظر آماری و بالینی معنادار بود.

    نتیجه گیری

    بنا به نتایج به دست آمده طرحواره درمانی در کاهش شخصیت سنخ D، افزایش حافظه کاری و آینده نگر و پیروی از درمان پزشکی فراگیر موثر است.

    کلیدواژگان: طرحواره درمانی، شخصیت سنخ D، حافظه کاری، حافظه آینده نگر، پیروی از درمان
  • ندا نظربلند*، پروین امینی یگانه، هاجر فلاح زاده صفحه 97
    زمینه و هدف

    محرومیت کودکان و نوجوانان پرورشگاهی از مزایای زندگی در خانواده، گاهی آن ها را دچار مشکلات بنیادین در نظام روان شناختی می کند. پژوهش حاضر با هدف مقایسه طرحواره های ناسازگار اولیه و باورهای فراشناختی و راهبردهای تنظیم شناختی هیجان در نوجوانان پرورشگاهی و غیرپرورشگاهی صورت گرفت. 

    روش بررسی

    این پژوهش با روش پس رویدادی (علی-مقایسه ای) انجام شد و جامعه آماری آن را تمامی نوجوانان 13تا17ساله شهرهای تهران و کرج تشکیل دادند. گروه نمونه شامل 191 نوجوان بود که 90 نفر در پرورشگاه سکونت داشتند و ازطریق نمونه گیری دردسترس هدف مند انتخاب شده و 101 نفر غیرپرورشگاهی، با روش نمونه گیری خوشه ای چند مرحله ای وارد پژوهش شدند و به صورت فردی به فرم کوتاه پرسشنامه طرحواره های ناسازگار اولیه (YSQ-SF) (هنجار یابی آهی و دیگران، 2007) و پرسشنامه فراشناخت (MCQ-30) (هنجاریابی شیرین زاده دستگیری و دیگران، 2009) و پرسشنامه تنظیم شناختی هیجان CERQ)) (هنجار یابی امین آبادی و دیگران، 2011) پاسخ دادند. به منظور تجزیه وتحلیل داده ها از تحلیل واریانس چندمتغیره استفاده شد.

     یافته ها

    از بین مولفه های طرحواره های ناسازگار اولیه، محرومیت هیجانی (0٫009=p)، شکست (0٫004=p)، از خود گذشتگی (0٫002=p)، بازداری هیجانی (0٫032=p) و معیار های سرسختانه (0٫027=p) متفاوت بود. دو گروه به لحاظ باورهای فراشناختی با یکدیگر تفاوت داشتند؛ بدین صورت که نوجوانان پرورشگاهی دارای اطمینان شناختی کمتری درمقایسه با نوجوانان غیرپرورشگاهی بودند (0٫001>p). تفاوت راهبردهای تنظیم شناختی هیجان دو گروه در مولفه های کنارآمدن/پذیرش (0٫012=p) و سرزنش دیگران (0٫003=p) معنادار به دست آمد. 

    نتیجه گیری

    نوجوانان پرورشگاهی درمقایسه با همتایان غیرپرورشگاهی خود، واجد طرحواره های ناسازگار و باورهای فراشناختی معیوب به ویژه در حوزه خودباوری و اطمینان شناختی هستند که ناتوانی ایشان را در اتخاذ راهبردهای تنظیم شناختی هیجان مناسب در پی داشته است. این یافته ها می تواند جهت تدوین برنامه های پیشگیرانه و توان بخشی و درمانی در اختیار متخصصان مربوط، قرار گیرد.

    کلیدواژگان: باورهای فراشناختی، راهبردهای تنظیم شناختی هیجان، طرحواره های ناسازگار اولیه، نوجوانان پرورشگاهی
  • مرتضی طاهری*، خدیجه ایران دوست، مسعود میرمعزی، زینب طاهری صفحه 98
    زمینه و هدف

    سالمندی با افزایش محدودیت حرکتی و متعاقب آن سقوط همراه است. انجام دادن تمرین های بدنی معمولی برای سالمندان دارای محدودیت حرکتی دشوار است. بنابراین هدف از اجرای این مطالعه بررسی تمرین های ذهنی، یوگا و کوک سان دو (KSD) بر آزمون های عملکردی در سالمندان دارای محدودیت حرکتی بود.

    روش بررسی

    آزمودنی های تحقیق مشتمل بر هشتاد زن سالمند با محدودیت حرکتی و میانگین سنی 2٫92 ± 68٫46 بودند که داوطلبانه در این تحقیق شرکت کردند و به طور تصادفی به سه گروه آزمایشی و یک گروه گواه تقسیم شدند. گروه های آزمایشی در برنامه تمرینی KSD، ذهنی و یوگا به مدت چهار ماه، دو جلسه در هفته شرکت کردند. در هر چهار گروه، آزمون لک لک برای سنجش تعادل ایستا، آزمون زمان برخاستن و رفتن برای اندازه گیری تعادل پویا، آزمون نشستن و دسترسی برای سنجش اندازه گیری انعطاف پذیری، آزمون صندلی ایستاده برای سنجش قدرت عضلانی پایین تنه و پاها، قبل و بعد از دوره درنظرگرفته شده اندازه گیری شد. داده ها با استفاده از نرم افزار SPSS در سطح معنا داری 0٫05 تجزیه وتحلیل شدند.

    یافته ها

    نتایج تحقیق نشان داد که تمرین های KSD و یوگا تاثیر معناداری بر آزمون های عملکردی (تعادل ایستا، تعادل پویا، انعطاف پذیری و قدرت عضلانی پایین تنه و پاها داشت (0٫05≤p)؛ اما درباره تمرین های ذهنی، تاثیر معنی داری بر آزمون های عملکردی در سالمندان زن دارای محدودیت حرکتی مشاهده نشد.

    نتیجه گیری

    بر اساس یافته های این پژوهش، تمرین های منتخب یوگا و KSD توانسته تعادل، انعطاف بدنی و قدرت عضلات در اندام تحتانی زنان سالمند را بهبود ببخشد و احتمالا با افزایش کارایی سیستم حرکتی، عصبی و تقویت سازوکار گیرنده های عمقی عضلات و مفاصل، موجب بهبود تعادل و عملکرد سالمندان شود. با توجه به نتایج تحقیق حاضر، تمرین های بدنی منظم یوگا و KSD از راهکارهای مناسب برای افزایش تعادل سالمندان محسوب می شود.

    کلیدواژگان: یوگا، ذهنی، سالمند، محدودیت حرکتی
  • مهسا ساداتی بالادهی، بهشته نیوشا*، مهناز استکی صفحه 99
    زمینه و هدف

    با توجه به اینکه کارکردهای اجرایی از جمله حافظه فعال و برنامه ریزی از عوامل بسیار مهم در یادگیری است و این کارکردها در دانش آموزان مبتلا به ناتوانی یادگیری ریاضی دچار نقص است، هدف پژوهش حاضر مقایسه اثربخشی بازی های رایانه ای با بازی های سنتی ایرانی بر حافظه فعال و برنامه ریزی دانش آموزان دارای ناتوانی ریاضی بود.

    روش بررسی

    روش پژوهش از نوع نیمه آزمایشی با طرح پیش آزمون-پس آزمون با گروه گواه بود. جامعه آماری پژوهش شامل تمامی دانش آموزان پایه چهارم تا ششم دبستان در شهر تهران با سنین 12-10 سال بود که در سال تحصیلی 97-96 با ناتوانی ریاضی مواجه بودند. بدین منظور تعداد 30 نفر آزمودنی به شیوه نمونه گیری دردسترس و هدفمند انتخاب شدند و به صورت تصادفی به 3 گروه تقسیم گردیدند (گروه گواه، گروه آزمایشی بازی های سنتی و گروه آزمایشی بازی های رایانه ای). حافظه فعال دانش آموزان با خرده مقیاس حافظه رقمی با مقیاس هوش وکسلر تجدیدنظر شده (1949) و توانایی برنامه ریزی آن ها با آزمون رایانه ای برج لندن (1982) بررسی شد. روش اجرا بدین ترتیب بود که بعد از پیش آزمون، جلسات بازی برای دو گروه آزمایش اجرا گردید و درنهایت از هر سه گروه پس آزمون به عمل آمد. تجزیه وتحلیل داده ها با استفاده از تحلیل کوواریانس چند متغیری مانووا و آزمون بن فرونی در سطح معناداری 0٫01 و با استفاده از نسخه 24 نرم افزار SPSS بررسی شد.

    یافته ها

    یافته ها نشان داد میانگین حافظه فعال گروه آزمایشی بازی های سنتی از 6٫932±48٫60 به 6٫077 ±50٫60 و میانگین برنامه ریزی گروه آزمایشی بازی های سنتی از 4٫211 ±24٫20 به 4٫111±25٫70 و همچنین میانگین حافظه فعال گروه آزمایشی بازی های رایانه ای از 8٫284 ±46٫80 به 8٫168±50٫61 و میانگین برنامه ریزی گروه آزمایشی بازی های رایانه ای از 4٫149±23٫10 به 4٫007±25٫50 افزایش پیداکرد. که دراین بین میزان اثربخشی بازی های رایانه ای، به طور معناداری بیشتر از بازی های سنتی ایرانی بود (0٫001>p).

    نتیجه گیری

    بر اساس یافته های پژوهش تکالیف برنامه رایانه ای به گونه ای بوده که اجزای بیشتری از حافظه فعال و برنامه ریزی را درگیر نموده و به صورت هدف دارتری پیش می روند و همین امر می تواند از علت های موفقیت بیشتر این نوع برنامه باشد.

    کلیدواژگان: بازی های رایانه ای، بازی های سنتی ایرانی، حافظه فعال، برنامه ریزی، دانش آموزان دارای ناتوانی ریاضی
  • فاطمه پازن، مریم اصفهانی اصل* صفحه 100
    زمینه و هدف

    امروزه بحرآن های زندگی کاری از بحرآن های عمده جهان است و محققان روان شناسی را بر آن داشته تا با ارائه روش های آموزشی و درمانی جهت مطلوب سازی هر چه بیشتر زندگی کاری تلاش کنند. این پژوهش با هدف بررسی اثربخشی آموزش سخت رویی بر رضایت از زندگی، فرسودگی شغلی و کیفیت زندگی کارکنان زن در بیمارستان گنجویان شهر دزفول انجام شد.

    روش بررسی

    روش پژوهش از نوع نیمه تجربی و براساس طرح پیش آزمون-پس آزمون با گروه گواه بود. جامعه آماری پژوهش را تمامی کارکنان زن بیمارستان گنجویان در سال 1397 تشکیل می دادند که 30 نفر از آن ها به عنوان نمونه آماری، به روش در دسترس انتخاب شدند و به طور تصادفی در دو گروه آزمایش (15نفره) و گواه (15نفره) اختصاص یافتند. برای جمع آوری اطلاعات مربوط به متغیرهای پژوهش از پرسشنامه های رضایت از زندگی دینر و همکاران (1985)، فرسودگی شغلی مسلش و جکسون (1981) و فرم کوتاه پرسشنامه کیفیت زندگی سازمان بهداشت جهانی (1996) استفاده شد. گروه آزمایش به مدت 8جلسه و هرجلسه 45دقیقه، تحت آموزش مهارت سخت رویی براساس مدل کوباسا و مدی (2008) قرار گرفتند. به منظور تجزیه و تحلیل داده ها از تحلیل کواریانس چندمتغیره با استفاده از نرم افزار SPSS نسخه 21 استفاده شد. سطح معناداری آزمون ها در این مطالعه برابر با 0٫05 در نظر گرفته شد.

    یافته ها

    نتایج تحلیل کواریانس نشان داد که آموزش سخت رویی بر رضایت از زندگی (0٫001>p)، فرسودگی شغلی (0٫001>p) و کیفیت زندگی (0٫001>p) کارکنان زن تاثیر داشت.

    نتیجه گیری

    براساس یافته های این پژوهش می توان چنین گفت که آموزش سخت رویی می تواند باعث افزایش رضایت از زندگی، کیفیت زندگی و کاهش فرسودگی تحصیلی در کارکنان زن بیمارستان گنجویان دزفول شود.

    کلیدواژگان: رضایت از زندگی، فرسودگی شغلی، کیفیت زندگی، سخت رو
  • مریم قاسمی سیچانی* صفحه 101
    زمینه و هدف

    استخراج الزامات مرتبط با هر یک از فضاها و تجهیزات موردنیاز در یک استخر شنای ویژه معلولین برای بهبود دسترسی از ضروریات است. هدف این مطالعه تحلیل وضعیت معماری سه استخر شنا در شهر اصفهان براساس نیازهای معلولین (در طیف های مختلف)، بود.

    روش بررسی

    پژوهش حاضر با استفاده از روش تحقیق توصیفی و با بررسی مطالعات انجام شده پیرامون خصوصیات معمارانه فضاهای ورزشی در کشورهای مختلف جهان و مشاهده سه استخر شنا در اصفهان به کمک ابزار چک لیست محقق ساخته، صورت گرفت.

    یافته ها

    یافته های پژوهش حاضر، حاکی از آن بود که سه استخر شنای مطالعه شده، به جز معدودی از الزامات برای استفاده معلولین، فاقد استانداردهای موردنیاز بودند. برخی از این یافته ها عبارتند از: این استخرها پارکینگ مجزا با ابعاد مناسب برای معلولین نداشتند؛ در هیچ یک از سه استخر، علائم هشداردهنده ویژه معلولین وجود نداشت؛ در یکی از استخرها، استخر یادگیری با عمق کم ویژه کودکان معلول، موجود بود؛ کف های قابل جابجایی در هیچ یک از سه استخر، وجود نداشت.

    نتیجه گیری

    نتایج مطالعه حاضر که به بررسی وضعیت معماری سه استخر شنا در شهر اصفهان با توجه به نیازهای معلولین پرداخت، حاکی از آن است که این استخرهای ورزشی غالب الزامات برای استفاده افراد معلول را ندارند.

    کلیدواژگان: تحلیل وضعیت معماری، استخرهای شنا، اصفهان، نیازهای معلولین
  • پریسا آقاگدی، محسن گل پرور*، فلور خیاطان، اصغر آقایی صفحه 102
    زمینه و هدف

    پیمان شکنی از آسیب های جدی زندگی زناشویی به شمار می رود؛ ازاین رو پژوهش حاضر با هدف تعیین تاثیر درمان ذهن آگاهی بخشش محور و درمان هیجان مدار بر نشخوار فکری و رضایت زناشویی زنان آسیب دیده از پیمان شکنی همسر اجرا شد. 

    روش بررسی

    روش مطالعه نیمه آزمایشی و طرح پژوهش سه گروهی دو مرحله ای با پیش آزمون و پس آزمون بود. جامعه آماری را زنان آسیب دیده از پیمان شکنی همسر در شهر اصفهان در سال 1396 تشکیل دادند که از میان آن ها 45 نفر به صورت هدفمند مبتنی بر ملاک های ورود و خروج انتخاب و به طور تصادفی به دو گروه آزمایش (15 نفر برای هر گروه) و یک گروه گواه (15 نفر) تقسیم شدند. جهت جمع آوری داده ها پرسشنامه های نشخوار فکری (نولن-هوکسیما 1991) و رضایت زناشویی (اینریچ 1993) به کار رفت. گروه ذهن آگاهی بخشش محور به مدت یازده جلسه و گروه هیجان مدار طی نه جلسه تحت درمان قرار گرفتند. داده ها نیز ازطریق تحلیل کوواریانس با استفاده از نرم افزار SPSS نسخه 20 تحلیل شد. 

    یافته ها

    نتایج نشان داد که بین درمان ذهن آگاهی بخشش محور و درمان هیجان مدار با گروه گواه در نشخوار فکری و رضایت زناشویی تفاوت معناداری وجود دارد (0٫001>p)؛ اما بین دو درمان در نشخوار فکری و رضایت زناشویی تفاوت معناداری مشاهده نگردید. 

    نتیجه گیری

    باتوجه به یافته های پژوهش درمان ذهن آگاهی بخشش محور و درمان هیجان مدار، روش های موفقی برای کاهش نشخوار فکری و ارتقای رضایت زناشویی در زنان آسیب دیده از پیمان شکنی همسر است.

    کلیدواژگان: پیمان شکنی همسر، رضایت زناشویی، درمان ذهن آگاهی بخشش محور، درمان هیجان مدار، نشخوار فکری
  • صدیقه عزیزی، احمدرضا موحدی*، الهه عرب عامری، عبد الله قاسمی صفحه 103
    هدف

    هدف پژوهش، بررسی اثر پیش درمانی و حفاظتی تمرینات هوازی بر سلول های پورکینژ مخچه رت های پارکینسون دارای استرس پریناتال بود.

    روش بررسی

    روش این پژوهش از نوع تجربی بود. تعداد 48 نوزاد رت نر سی روزه که نیمی از آن ها تحت استرس پریناتال بودند، به طور تصادفی در 8 گروه با استرس و بدون استرس (گواه، شم، پارکینسون، تمرینات هوازی + پارکینسون) قرار گرفتند. پس از 8 هفته تمرینات هوازی، با القای 6-OHDA پارکینسونی و علائم پارکینسون توسط آزمون آپومورفین تایید شد. مغز و مخچه نمونه برداری شد و درباره تعداد سلول های پورکینژ مطالعه بافت شناسی صورت گرفت. داده ها با استفاده از SPSS و آزمون های تی مستقل، آنالیز واریانس یک طرفه و توکی در سطح (0٫05≥p) تحلیل شد.

    یافته ها

    تعداد سلول های پورکینژ گروه گواه با استرس، به طور معنا داری کمتر از گروه گواه بدون استرس بود (0٫001≥p). القای 6-OHDA، باعث کاهش تعداد سلول های پورکینژ گروه های پارکینسونی شد (0٫001≥p). این کاهش در گروه پارکینسونی با استرس پریناتال بیشتر مشاهده شد (0٫05≥p). گروه های پارکینسونی با و بدون استرس + تمرینات هوازی، افزایش معناداری در تعداد سلول های پورکینژ نشان دادند که این اختلاف (0٫001≥p) معنادار بود. استرس پریناتال باعث کاهش اثرات سودمند ورزش بر تعداد سلول های پورکینژ مخچه شد (0٫017=p).

    نتیجه گیری

    با توجه به یافته های پژوهش، به نظر می رسد استرس پریناتال به طور محسوسی باعث کاهش بیشتر تعداد سلول های پورکینژ رت های پارکینسونی می شود. تمرینات هوازی اثرات منفی استرس پریناتال را کاهش داد و نیز کاهش اثرات منفی پارکینسون بر تغییرات سلول های پورکینژ مخچه مشاهده شد. نتایج، نشان دهنده سودمندبودن تاثیر فعالیت های هوازی بر حفاظت سلول پورکینژ مخچه بیماران پارکینسونی دارای استرس پریناتال بود.

    کلیدواژگان: پیش درمانی، سلول های پورکینژ مخچه، استرس پریناتال، بیماری پارکینسون، تمرینات هوازی
  • رزا صالحیان، اسحاق رحیمیان بوگر*، جوانشیر اسدی، فرحناز قهرمان فرد صفحه 104
    زمینه و هدف

    سرطان از مشکل های بسیار مهم جسمانی در جمعیت زنان است که باعث کاهش خودکارآمدی در آن ها می شود. مطالعه حاضر با هدف تعیین اثربخشی مصاحبه انگیزشی بر خودکارآمدی بیماران مبتلا به سرطان سینه در شهر سمنان، انجام شد. 

    روش بررسی

    روش پژوهش از نوع نیمه آزمایشی با پیش آزمون و پس آزمون و گروه گواه بود. جامعه آماری را تمامی بیماران مبتلا به سرطان سینه مراجعه کننده به بیمارستان کوثر سمنان در سال 1396 تشکیل دادند که از میان آن ها به روش دردسترس ابتدا 44 بیمار دارای سرطان سینه انتخاب شده و به صورت تصادفی در سه گروه، 15 نفر در گروه آزمایش گروهی و 14 نفر در گروه آزمایش فردی و 15 نفر در گروه گواه قرار گرفتند. ابزار پژوهش، پرسشنامه خودکارآمدی برای خودمدیریتی سرطان سینه (لی و همکاران، 2012) بود. پس از اعمال پیش آزمون، درمان فردی مصاحبه انگیزشی و درمان گروهی این مصاحبه در پنج جلسه 45دقیقه ای اجرا شد و پس از آن پس آزمون در هر سه گروه انجام پذیرفت. داده ها با تحلیل کوواریانس و با استفاده از نرم افزار SPSS نسخه 21 تحلیل شدند. 

    یافته ها

    نتایج نشان داد که میانگین خودکارآمدی در گروه آزمایش گروهی از 63٫40 به 73٫86 و در گروه آزمایش فردی از 64٫28 به 72٫42 افزایش داشته است؛ درحالی که در گروه گواه این تغییر از 63٫20 به 66٫73 بود. همچنین نتایج آزمون آنالیز کوواریانس مشخص کرد که مصاحبه انگیزشی به طور معناداری باعث افزایش خودکارآمدی در گروه آزمایش گروهی و گروه آزمایش فردی می شود (0٫004=p).

     نتیجه گیری

    به طورکلی می توان گفت که مصاحبه انگیزشی سازوکار اثربخشی جهت افزایش خودکارآمدی در بیماران با سرطان سینه است.

    کلیدواژگان: مصاحبه انگیزشی، خودکارآمدی، سرطان سینه
  • مجید اوجاری، الهه عرب عامری، عبدالله قاسمی*، علی کاشی صفحه 105
    زمینه و هدف

    شایستگی حرکتی، به عنوان توانایی فرد در اجرای مهارت های حرکتی مختلف، اعم از مهارت های درشت و ظریف، مطرح می شود. هدف از انجام دادن این پژوهش، بررسی عوامل منتخب اثرگذار بر رشد و شایستگی حرکتی کودکان 7 تا 10ساله با استفاده از یک آزمون معتبر در این زمینه بود.

    روش بررسی

    پژوهش حاضر، از انواع مطالعه های توصیفی بود که با مشارکت 503 کودک 7 تا 10ساله از مدارس شهر اراک انجام شد. نمونه گیری به صورت خوشه ای تصادفی انجام شد و همه شرکت کنندگان با استفاده از مجموعه آزمون ارزیابی حرکت کودکان-2 (MABC2) ارزیابی شدند. تحلیل ها در سطح خرده مقیاس ها و نمره کلی MABC2 و با استفاده از تحلیل واریانس چندمتغیری (مانوا یک راهه)، برای مقایسه گروه های کودکان در هریک از متغیرها استفاده شد.

    یافته ها

    در عملکرد حرکتی کودکان با گروه های مختلف سنی و ترتیب تولد تفاوت معنادار آماری دیده شد (0٫001>p). با افزایش سن، کودکان اجرای بهتری داشتند. در متغیر ترتیب تولد نیز تفاوت های به دست آمده تنها به دلیل تفاوت در خرده مقیاس چالاکی دستی بود؛ به طوری که کودکان با ترتیب تولد اول، عملکرد بهتری را نمایش دادند که البته گرچه این تفاوت ها معنادار بودند، اثرگذاری آن ناچیز بود (0٫016=η2)؛ با این حال در شایستگی حرکتی کودکان با وضعیت اجتماعی و مشارکت در فعالیت های جسمانی مختلف تفاوت معناداری دیده نشد.

    نتیجه گیری

    سن به عنوان عاملی مهم و اثرگذار در شایستگی حرکتی کودکان محسوب می شود و آزمون MABC2 به خوبی توانایی تشخیص بین گروه های سنی را دارد. به نظر می رسد اثرگذاری دیگر متغیرها بر عملکرد و شایستگی حرکتی کودکان، ناچیز یا غیرمعنادار باشد.

    کلیدواژگان: شایستگی حرکتی، مجموعه آزمون ارزیابی حرکت برای کودکان-2 (MABC2)، ترتیب تولد، فعالیت جسمانی، عوامل فردی اجتماعی
  • بهاره شبگرد، محمد ابراهیم مداحی*، افسانه خواجه وند صفحه 106
    زمینه و هدف

    سرطان از مشکلات جسمانی بسیار مهم در جمعیت زنان است که با عواملی همچون سبک زندگی و سطح آگاهی و رفتارهای پیشگیرانه ارتباط دارد. مدل های مداخله مختلفی جهت تعدیل این عامل ها ارزیابی شده است. پژوهش حاضر با هدف بررسی تاثیر مداخله آموزشی بر اساس مدل بزنف بر سبک زندگی و آگاهی و رفتارهای پیشگیرانه از سرطان در زنان شهر رشت صورت گرفت.

    روش بررسی

    این پژوهش نیمه آزمایشی با طرح پیش آزمون پس آزمون و گروه کنترل بود که بر زنان شهر رشت در سال 1396 انجام پذیرفت. 80 نفر به صورت داوطلبانه انتخاب شده و 40 نفر در گروه آزمایش و 40 نفر در گروه کنترل به شیوه تصادفی قرار گرفتند. جهت گردآوری اطلاعات، سه پرسشنامه آگاهی و سبک زندگی و رفتارهای پیشگیری کننده به کار رفت. پرسشنامه ابتدا توسط گروه ها تکمیل و سپس برای گروه آزمایش هشت جلسه آموزش پیشگیری از سرطان بر اساس مدل بزنف اجرا شد. پس از دوره آموزش به طور مجدد دو گروه پرسشنامه ها را تکمیل کردند. اطلاعات جمع آوری شده با استفاده از نرم افزار SPSS نسخه 22 و آزمون آنالیز کوواریانس تجزیه وتحلیل گردید.

    یافته ها

    نتایج آزمون آنالیز کوواریانس نشان داد که مداخله آموزشی مدل بزنف بر سبک زندگی و آگاهی و رفتارهای پیشگیرانه از سرطان در زنان تاثیر معناداری دارد (0٫001>p).

    نتیجه گیری

    باتوجه به یافته های پژوهش، برنامه آموزش مبتنی بر مدل بزنف در افزایش سطح آگاهی و بهبود سبک زندگی و درنتیجه ارتقای رفتارهای پیشگیرانه از سرطان در زنان موثر بوده است.

    کلیدواژگان: مدل بزنف، آگاهی، سبک زندگی، رفتارهای پیشگیرانه، سرطان
  • امین غلامی* صفحه 107
    زمینه و هدف

    کودکان دارای اختلال طیف اتیسم به طور درخورتوجهی در مهارت های حرکتی پایه دچار تاخیر رشدی هستند. پژوهش حاضر با هدف تعیین اثر بازی های منتخب با چتر رنگین کمان بر رشد حرکتی کودکان دارای اختلال طیف اتیسم انجام شد.

     روش بررسی

    تحقیق حاظر از نوع نیمه تجربی بود. بیست کودک 4تا6ساله دارای اختلال طیف اتیسم از دو مرکز توان بخشی تهران به روش نمونه دردسترس در پژوهش شرکت کردند و به شکل تصادفی، براساس پیش آزمون رشد حرکتی، به دو گروه ده نفره تجربی و کنترل تقسیم شدند. برای سنجش رشد حرکتی، آزمون رشد حرکتی درشت الریخ به کار رفت. بعد از اجرای پیش آزمون، گروه تجربی به مدت هشت هفته به صورت هفته ای دو جلسه 45دقیقه ای بازی های منتخب با چتر رنگین کمان را انجام داد. پس از پایان برنامه مجددا از هر دو گروه تجربی و کنترل پس آزمون گرفته شد. برای تجزیه وتحلیل داده ها از آزمون های شاپیرو-ویلک و لوین و تحلیل کوواریانس و نیز نرم افزار SPSS ویرایش 17، در سطح معناداری 0٫05 استفاده شد.

     یافته ها

    نتایج این پژوهش نشان داد که بازی های منتخب با چتر رنگین کمان بر مهارت های دویدن (0٫011=p)، جهیدن (0٫042=p)، لی لی (0٫033=p) و پرش طول (0٫026=p) از مقیاس جابه جایی و مهارت های ضربه با توپ ثابت (0٫033=p) و پرتاب توپ (0٫032=p) و غلتاندن توپ (0٫044=p) تاثیر معناداری دارد. 

    نتیجه گیری

    بازی های منتخب با چتر رنگین کمان می تواند موجب بهبود برخی مهارت های جابه جایی و کنترل شیء در کودکان دارای اختلال طیف اتیسم شود.

    کلیدواژگان: رشد حرکتی، چتر رنگین کمان، کودکان دارای اختلال طیف اتیسم
  • حدیث توکلی، بهمن اکبری*، ارسلان سالاری، علیرضا وارسته صفحه 108
    زمینه و هدف

    از دلایل بسیار شایع مراجعه افراد به ‏‏کلینیک های قلب و عروق، درد قفسه سینه است. علت دردهای ‏قفسه سینه با منشا غیرقلبی می تواند جسمی یا روانی باشد؛ ‏اما علل روانی کمتر مدنظر قرار می گیرد؛ بنابراین ‏دارای اهمیت زیادی برای تشخیص و درمان است. پژوهش حاضر با ‏هدف تعیین اثربخشی درمان مبتنی بر پذیرش و تعهد بر کیفیت ‏زندگی و انعطاف پذیری روان شناختی در بیماران با درد قفسه ‏سینه غیرقلبی انجام شد.

    ‏روش بررسی

    این پژوهش از نوع نیمه آزمایشی با پیش آزمون و پس آزمون و پیگیری (پس از دو ماه) بود. از بیماران مراجعه کننده به مرکز تخصصی قلب دکتر حشمت شهر رشت، نمونه 40نفره به صورت دردسترس انتخاب شده و به طور تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. آزمودنی ها به دو پرسشنامه کیفیت زندگی و انعطاف پذیری روان شناختی پاسخ دادند. گروه آزمایش هشت جلسه درمان مبتنی بر پذیرش و تعهد دریافت کرد. پس از جمع آوری داده ها، نتایج با استفاده از آزمون های آماری تی دو گروه مستقل و تحلیل واریانس با اندازه گیری مکرر و آزمون تعقیبی بونفرونی توسط نرم افزار SPSS نسخه 23 بررسی شد. 

    یافته ها

    یافته ها نشان داد که پس از مداخله، میانگین نمرات زیرمقیاس های سلامت روان شناختی و جسمانی کیفیت زندگی (0٫001>p) و انعطاف پذیری روان شناختی در گروه آزمایش افزایش می یابد (0٫001>p). این افزایش در مرحله پیگیری نیز حفظ شده بود.

     نتیجه گیری

    درمان مبتنی بر پذیرش و تعهد بر کیفیت زندگی و انعطاف پذیری روان شناختی بیماران با درد غیرقلبی قفسه سینه که دچار ناتوانی های جسمی شدند، موثر بوده و متخصصان حوزه درمان با استفاده از روش حاضر می توانند کیفیت زندگی آنان را بهبود بخشند.

    کلیدواژگان: درد قفسه سینه غیرقلبی، درمان مبتنی بر پذیرش و تعهد، کیفیت زندگی، انعطاف پذیری روان شناختی
  • سیدکاظم موسوی ساداتی*، سمیه پریدخت صفحه 109
    زمینه و هدف

    کودکان مبتلا به اختلال هماهنگی رشدی به دلیل مشکل در مهارت های حرکتی ظریف و درشت در بازی و ورزش، از کودکان هم سن خود ضعیف ترند و به نظر می رسد که حین بازی انرژی بیشتری مصرف می کنند. به همین دلیل، تشخیص به موقع و نیز اتخاذ راهکارهای حمایتی مناسب برای این کودکان امری ضروری محسوب می شود. هدف از این تحقیق، بررسی تاثیر تمرینات منتخب ورزشی بر رشد مهارت های بنیادی و رشد شناختی این کودکان بود.

    روش بررسی

    پژوهش حاضر، نیمه تجربی و از نوع پیش آزمون پس آزمون بود. تعداد 30 شرکت کننده که معیار ورود به تحقیق را با استفاده از پرسش نامه اختلال هماهنگی رشدی (DCD-Q) داشتند، به صورت تصادفی در دو گروه کنترل و تجربی جایگزین شدند. گروه تجربی 24 جلسه تمرینات منتخب ورزشی را انجام داد. متغیرهای حرکتی (نظیر مهارت های جابه جایی و کنترل شیء، تعادل ایستا، تعادل پویا) و مهارت شناختی قبل و بعد از اعمال متغیر مستقل (تمرینات ورزشی) توسط آزمون های معتبر رشد حرکتی درشت (TGMD2)، تست تعادل ایستای لک لک، تست تعادل پویای ستاره و آزمون برج لندن اندازه گیری شد. تجزیه وتحلیل داده ها با آزمون های شاپیرو ویلک، لوین، همگنی شیب رگرسیون و کوواریانس در نرم افزار SPSS-23 انجام شد.

    یافته ها

    نتایج تحقیق نشان داد که تمامی متغیرهای گروه تجربی از پیش آزمون تا پس آزمون افزایش معنا دار داشتند (0٫001>p)؛ درحالی که این اختلاف میانگین از پیش آزمون تا پس آزمون در گروه کنترل مشاهده نشد.

    نتیجه گیری

    مداخلات حرکتی و ورزشی زودهنگام می تواند سهم بزرگی در بهبود نقص حرکتی کودکان دارای اختلال هماهنگی رشدی ایفا کند.

    کلیدواژگان: اختلال هماهنگی رشدی، تمرینات ادراکی حرکتی، مهارت های جابه جایی، مهارت های کنترل شیء
  • فهیمه ادیب صابر، معصومه شجاعی*، افخم دانشفر، عباسعلی حسین خانزاده صفحه 110
    زمینه و هدف

    اختلال طیف اتیسم، اختلالی عصبی تحولی است که در سال های اولیه کودکی نمایان می شود. مطالعات پیشین نشان داده اند که اجرای تمرین در آب می تواند جهت بهبود مشکلات رفتاری و جسمانی کودکان مبتلا به این اختلال به کار رود؛ اما در زمینه تاثیر آن بر بهبود عادت های خواب در اختلال اتیسم کمبودهایی وجود دارد؛ بنابراین، پژوهش حاضر با هدف بررسی اثر تمرین در آب بر رفتارهای کلیشه ای و عادت های خواب در کودکان دارای اختلال طیف اتیسم انجام شد.

    روش بررسی

    روش پژوهش نیمه آزمایشی از نوع پیش آزمون پس آزمون با انتخاب گروه کنترل بود. به این منظور، بیست کودک دارای اتیسم با میانگین سنی 2٫91±10٫90 سال به صورت دردسترس انتخاب شده و به طور تصادفی در دو گروه آزمایش و کنترل قرار گرفتند. گروه آزمایش به مدت ده هفته، هفته ای دو جلسه 60دقیقه ای به تمرین در آب پرداخت. والدین کودکان، قبل از شروع و پس از پایان ده هفته مداخله، پرسشنامه رفتارهای کلیشه ای و عادت های خواب کودکان را تکمیل کردند. از آزمون شاپیروویلک جهت تعیین نرمال بودن داده ها و از آزمون تحلیل کوواریانس برای مقایسه میانگین گروه ها قبل و بعد از مداخله استفاده شد.

    یافته ها

    ده هفته تمرین در آب تاثیر معنا داری بر رفتارهای کلیشه ای و عادت های خواب در کودکان اتیسم دارد (0٫001>p).

    نتیجه گیری

    ورزش های آبی می تواند مداخله ای ارزشمند اضافه شده به برنامه های کودکان طیف اتیسم جهت کاهش رفتارهای کلیشه ای و بهبود الگوی خواب باشد.

    کلیدواژگان: الگوی خواب، رفتارهای قالبی، کودکان درخودمانده، ورزش های آبی
  • احمد قره خانی، سعید حسن زاده*، غلامعلی افروز صفحه 111
    زمینه و هدف

    خواندن کاربردی، توانایی خواندن و فهمیدن و کاربست مواد خواندنی مهم در زندگی روزمره است. هدف از پژوهش حاضر، بررسی اثربخشی برنامه خواندن کاربردی بر درک مطالب نوشتاری در موقعیت های زندگی روزمره کودکان با سندرم داون بود.

     روش بررسی

    طرح پژوهشی، از نوع شبه آزمایشی از نوع پیش آزمون-پس آزمون با گروه گواه بود. جامعه آماری تمام دانش آموزان دبستانی آهسته گام با نشانگان داون شهرستان همدان بودند که در سال تحصیلی 1396-1395 در مدارس استثنایی مشغول به تحصیل بودند. نمونه پژوهش شامل سی کودک دارای سندرم داون بود که به شیوه در دسترس از بین کودکان آهسته گام مدارس استثنایی شهر همدان انتخاب و به شیوه تصادفی در دو گروه آزمایش و گواه جایگزین شدند. ابزارهای پژوهش عبارت بود از: نسخه فارسی مقیاس هوشی تجدیدنظرشده وکسلر کودکان (1386) (WISC-R)، نسخه فارسی آزمون رشد زبان (1393) (TOLD-P3) و دو متن نوشتاری محقق ساخته به عنوان پیش آزمون و پس آزمون برای سنجش درک مطالب نوشتاری قبل و بعد از مداخله. پس از انجام دادن مداخله در دوازده جلسه، داده ها از طریق آزمون تحلیل کوواریانس و با نرم افزار SPSS ویرایش 25 تحلیل شدند.

    یافته ها

    یافته ها نشان داد نمرات میانگین و انحراف معیار پیش آزمون درک مطلب در گروه آزمایش 0٫84±3٫1 و نمرات پس آزمون گروه آزمایش 1٫17±3٫6 است. همچنین میانگین و انحراف معیار نمره پیش آزمون درک مطلب در گروه گواه 0٫79±2٫8 و نمره پس آزمون در گروه گواه 0٫94±2٫7 است. نتایج تحلیل کوواریانس نشان داد آموزش خواندن کاربردی، بر درک مطالب نوشتاری دانش آموزان آهسته گام با نشانگان داون تاثیر معناداری داشت (0٫001>p).

    نتیجه گیری

    براساس یافته های این پژوهش، آموزش برنامه خواندن کاربردی باعث بهبود درک خواندن در کودکان آهسته گام با نشانگان داون شده است.

    کلیدواژگان: سندرم داون، برنامه خواندن، درک و فهم
  • نسیم ناطقی، محسن داداشی*، مجید محمود علیلو صفحه 112
    زمینه و هدف

    اختلال وسواس جبری اختلال روانی ناتوان کننده است که باعث افت کیفیت زندگی و تخریب کارکرد اجتماعی و شغلی می شود. هدف پژوهش حاضر بررسی اثربخشی درمان فراشناختی در بهبود علائم و نشانه ها و باورهای فراشناختی و نیز درآمیختگی افکار افراد مبتلا به اختلال وسواسی جبری (OCD) بود.

    روش بررسی

    این پژوهش طرح تجربی تک موردی از نوع خط پایه چندگانه ناهم زمان بود. سه نفر از زنان مبتلا به اختلال وسواس جبری ازطریق مصاحبه تشخیصی و مصاحبه بالینی ساختاریافته DSM-IV (فرست، گیبون 1997) براساس معیارهای راهنمای تشخیصی و آماری اختلال های روانی DSM-IV برای محور یک درنظر گرفته شده و با روش نمونه گیری هدفمند از بین دانشجویان مراجعه کننده به مرکز مشاوره دانشگاه علوم پزشکی زنجان در سال 1395 انتخاب شدند. کارایی پروتکل درمانی درمان فراشناختی اختلال وسواس جبری در مرحله خط پایه و مداخله هشت جلسه ای و پیگیری یک ماهه و دوماهه با استفاده از پرسشنامه های وسواسی جبری ییل براون (گودمن 1989) و پرسشنامه درآمیختگی افکار (ولز 2001) و پرسشنامه باورهای فراشناختی (ولز 1997)، بررسی شد. داده ها به روش ترسیم دیداری، فرمول درصد بهبودی، اندازه اثر و شاخص تغییر پایا (RCI) تحلیل شدند.

    یافته ها

    نتایج نشان داد درمان فراشناختی در کاهش شدت اهداف درمان مانند علائم وسواس و باورهای فراشناختی و باورهای هم آمیختگی، هم از نظر آماری و هم از نظر بالینی معنا دار است (0٫05>p).

    نتیجه گیری

    روش درمان فراشناختی در کاهش نشانه ها و بهبود علائم بالینی اختلال وسواس جبری از کارایی لازم برخوردار است.

    کلیدواژگان: اختلال وسواسی جبری، باورهای فراشناختی، باورهای درآمیختگی، درمان فراشناختی
  • عباس متولی پور*، احمد به پژوه، محسن شکوهی یکتا، باقر غباری بناب، علی اکبر ارجمند نیا صفحه 113
    زمینه و هدف

    امروزه برخی پژوهش های حوزه درمان اختلال نارسایی توجه/فزون کنشی بر درمان های غیردارویی و رویکردهای خانواده محور متمرکز شده است. باتوجه به این مهم، پژوهش حاضر با هدف طراحی برنامه بازی درمانی شناختی-رفتاری خانواده محور برای دانش آموزان با اختلال نارسایی توجه/فزون کنشی و اثربخشی آن بر نشانه های این اختلال انجام شد. 

    روش بررسی

    مطالعه حاضر از نوع مداخله ای با طرح شبه آزمایشی و پیش آزمون و پس آزمون همراه با گروه گواه بود. جامعه آماری این پژوهش را دانش آموزان دوره دوم ابتدایی با نشانه های اختلال نارسایی توجه/فزون کنشی تشکیل دادند. نمونه آماری عبارت بود از 34 دانش آموز پسر با نوع ترکیبی این اختلال که به صورت دردسترس از دو مدرسه انتخاب شدند. دانش آموزان یک مدرسه به طور تصادفی در گروه آزمایشی و دانش آموزان مدرسه دیگر به شکل تصادفی در گروه گواه قرار گرفتند. پس از طراحی برنامه بازی درمانی توسط پژوهشگر، مادران دانش آموزان گروه آزمایشی هفت جلسه آموزش بازی های شناختی-رفتاری را دریافت کردند و به مدت شانزده جلسه در منزل روی فرزند خود اجرا نمودند؛ اما برای گروه گواه هیچ آموزشی ارائه نشد. 

    یافته ها

    نتایج پژوهش نشان داد که برنامه حاضر می تواند نشانه های اختلال نارسایی توجه/فزون کنشی را به طور معنا داری کاهش دهد (0٫05˂p). این پژوهش همچنین مشخص کرد که تاثیر برنامه در یک دوره سه ماهه به قوت خود باقی مانده است. 

    نتیجه گیری

    باتوجه به یافته های پژوهش می توان از برنامه بازی درمانی شناختی-رفتاری حاضر به عنوان ابزاری خانواده محور برای کاهش علائم اختلال نارسایی توجه/فزون کنشی سود جست.

    کلیدواژگان: اختلال نارسایی توجه، فزون کنشی، طراحی برنامه بازی درمانی شناختی-رفتاری، خانواده محور
  • زهرا استادیان خانی، ملیحه فدایی مقدم* صفحه 114
    زمینه و هدف

    پژوهش حاضر به منظور بررسی تاثیر تلفیق آموزش مهارت های اجتماعی و درمان شناختی رفتاری بر سرسختی و شیوه های حل مسئله افراد دارای معلولیت جسمی انجام شد.

    روش بررسی

    جامعه پژوهش حاضر شامل دویست نفر معلول حرکتی سازمان بهزیستی شهر قم بود که از میان نمونه ای شامل سی نفر دختر و پسر (پانزده نفر گروه کنترل و پانزده نفر گروه آزمایش) با روش نمونه گیری تصادفی انتخاب شدند. روش پژوهش نیمه آزمایشی بود و شرکت کنندگان در یک مداخله دوونیم ماهه، به مدت ده جلسه 120دقیقه ای آموزش دیدند. سپس با استفاده از طرح پیش آزمون-پس آزمون با گروه کنترل و اجرای پرسش نامه های سرسختی کوباسا و شیوه های حل مسئله کسیدی و لانگ اطلاعات لازم جمع آوری شد. به منظور تحلیل داده ها از آزمون تحلیل کوواریانس استفاده شد

    یافته ها

    نتایج نشان داد که آموزش تلفیقی مهارت های اجتماعی و درمان شناختی رفتاری در افزایش سرسختی روان شناختی و همچنین افزایش در شیوه های حل مسئله اعم از (درماندگی 0٫001>p، مهارگری 0٫001>p، خلاقیت 0٫001>p، اعتمادبه نفس 0٫005=p، سبک اجتناب 0٫016=p و سبک رویارویی 0٫001>p) موثر بوده است. آموزش تلفیقی مهارت های اجتماعی و درمان شناختی رفتاری به افراد دارای معلولیت حرکتی، باعث کاهش اضطراب (به ویژه اضطراب اجتماعی) در آنان شد. همچنین به افزایش سرسختی (0٫001>p)، مقاومت و سازگاری با وضعیت جسمی شان منجر شد و باعث شد مهارت حل مسئله در آن ها بهبود یابد.

    نتیجه گیری

    آموزش تلفیقی مهارت های اجتماعی و درمان شناختی رفتاری بر سبک های حل مسئله و سرسختی افراد دارای معلولیت حرکتی موثر است.

    کلیدواژگان: مهارت های اجتماعی، درمان شناختی رفتاری، سرسختی، شیوه های حل مسئله
  • زهرا نوروزی مهمان دوست، زهرا غلامی حیدرآبادی* صفحه 115
    زمینه و هدف

    عوامل زیادی ازجمله نگرش های ناکارآمد و ناگویی خلقی، وضعیت روان شناختی زنان افسرده را تحت تاثیر قرار می دهد. لذا هدف پژوهش حاضر، تعیین اثربخشی آموزش پذیرش و تعهد بر نگرش های ناکارآمد و ناگویی خلقی زنان افسرده بود.

    روش بررسی

    در این پژوهش کاربردی از نوع نیمه آزمایشی با طرح پیش آزمون- پس آزمون با گروه گواه در سال 1397، تعداد 30 نفر از زنان افسرده مراجعه کننده به مرکز مشاوره راه بهتر، در ناحیه 4 تهران به صورت نمونه گیری هدفمند انتخاب شده و به صورت تصادفی در گروه های آزمایش و گواه قرار گرفتند. برای جمع آوری داده های پژوهش از پرسشنامه هایی افسردگی بک (1979)، نگرش های ناکارآمد الیس (1978) و مقیاس ناگویی خلقی بگبی و همکاران (1994) استفاده شد. مداخله درمانی مبتنی بر پذیرش و تعهد در هشت جلسه برای گروه آزمایش برگزار شد، ولی برای گروه گواه هیچ مداخله ای اعمال نگردید و از هر دو گروه پیش آزمون و پس آزمون به عمل آمد. داده ها به کمک نرم افزار SPSS-22 و با استفاده از آمار توصیفی و آزمون تحلیل کوواریانس تجزیه وتحلیل آماری شدند؛ سطح معنا داری 0٫01 در نظر گرفته شد.

    یافته ها

    نتایج نشان داد میانگین نمرات گروه آزمایش در مقایسه با گروه گواه در نگرش های ناکارآمد و مولفه های آن (30٫22± 100٫50 و 28٫93± 87٫58) و ناگویی خلقی و مولفه های (6٫42±65٫16 و 7٫86±55٫08) آن کاهش یافت که این تفاوت ها ازلحاظ آماری معنا دار بود (0٫001p<).

    نتیجه گیری

    بر اساس نتایج پژوهش می توان گفت درمان مبتنی بر پذیرش و تعهد در کاهش نگرش های ناکارآمد و ناگویی خلقی زنان افسرده موثر است.

    کلیدواژگان: پذیرش و تعهد، نگرش های ناکارآمد، ناگویی خلقی، زنان افسرده
  • حمید طهماسیان، یونس امیری شوکی*، محمد کمالی، محمدصادق جنابی صفحه 116
    زمینه و هدف

    معناشناسی یکی از جنبه های بسیار مهم زبان است که رشد آن در افراد کم شنوای شدید و عمیق به تاخیر می افتد. ناشنوایانی که واژگان بیشتری را می دانند، بهتر می توانند با مخاطبان خود ارتباط برقرار کنند و درک صحیح تری از معنای جملات گفتاری و نوشتاری دیگران داشته باشند. پژوهش حاضر با هدف ساخت و تعیین روایی و پایایی آزمون معنایی در بزرگسالان با افت شنوایی شدید و عمیق، انجام شد.

    روش بررسی

    جهت ساخت این آزمون ابتدا لیستی از واژه ها، مشتمل بر 120 واژه از واژگان پربسامد متناسب با بزرگسالان دارای مدرک دیپلم و بالاتر، انتخاب شد و سپس هر واژه مورد نظر برای هم معنایی بیشتر در بافت جمله آورده شد. آن گاه چند گزینه براساس قواعد هالادینا انتخاب شد. برای بررسی روایی محتوایی سوالات، از صاحب نظران کمک گرفته شد که در نهایت 44 سوال باقی ماند. آزمون ساخته شده روی 35 فرد (19 دختر و 16 پسر) با افت شنوایی شدید و عمیق در مقاطع تحصیلی دیپلم، فوق دیپلم و لیسانس انجام شد و 35 فرد نیز با شنوایی طبیعی به عنوان گروه شاهد در نظر گرفته شد.

    یافته ها

    میانگین کلی شاخص و نسبت روایی محتوایی به ترتیب 0٫923 و 1+ به دست آمد. در بررسی پایایی، مقدار آلفای کرونباخ معادل 0٫918 به دست آمد. در بررسی تکرارپذیری آزمون، رابطه معنادار بدست آمد (0٫893=r، 0٫001<p). نمرات دختران کم شنوا در مقایسه با پسران، به صورت معناداری بیشتر است (0٫001<p). مقایسه آماری نشان داد که اختلاف معناداری در نمره درک مقاطع تحصیلی مختلف وجود دارد (0٫032=p).

    نتیجه گیری

    آزمون معناشناسی واژگان در بزرگسالان با افت شنوایی شدید و عمیق از روایی و پایایی مناسبی برخوردار است. میانگین نمرات دختر ان بیشتر از پسر ان است و هرچه سطح تحصیلات افراد کم شنوا بالاتر باشد، عملکرد آن ها در آزمون معنایی بهتر است.

    کلیدواژگان: افت شنوایی شدید و عمیق، آزمون معناشناسی واژگانی، روایی، پایایی
  • رویا نبی زاده نودهی، احمد برجعلی*، مهناز استکی، نورعلی فرخی صفحه 117
    زمینه و هدف

    پژوهش های بسیاری در زمینه تاثیر روش های درمانی عصب-روان شناختی بر کودکان نارساخوان انجام شده است؛ اما زیرگروه های نارساخوانی کمتر بررسی شده اند. هدف مطالعه حاضر بررسی اثربخشی آموزش دو نیمکره بر برنامه ریزی و بازداری پاسخ دانش آموزان نارساخوان نوع شنیداری بود.

    روش بررسی

    با استفاده از نمونه دردسترس و روش نیمه آزمایشی و طرح پیش آزمون-پس آزمون با گروه گواه، 59 دانش آموز پایه های دوم و سوم دبستان از فهرست انتظار دو مرکز مشکلات یادگیری تهران در سال تحصیلی 96-1395 انتخاب شدند. برمبنای تفاوت نمایه های فهم کلامی و استدلال ادراکی آزمون وکسلر چهار (وکسلر، 2003)، تعداد 20 نارساخوان شنیداری مشخص شده و به طور تصادفی در گروه های آزمایش و گواه جایگزین شدند. ابزارهای پژوهش شامل فهرست وارسی نارساخوانی، آزمون های ساعت (توکو، 1995)، ریون کودکان (ریون، 1956)، خواندن (مرادی و کرمی نوری، 1387)، وکسلر چهار، برج لندن (شالیس، 1982) و استروپ (استروپ، 1935)، بود. پس از اجرای پیش آزمون ها گروه آزمایش تحت آموزش دو نیمکره قرار گرفت و به گروه گواه آموزشی داده نشد. داده ها با آزمون تحلیل کوواریانس چندمتغیره و نرم افزار SPSS نسخه 23 در سطح معناداری (0٫05=α) تحلیل شدند.

    یافته ها

    نتایج پس از تعدیل اثر پیش آزمون روی گروه آزمایش، در مولفه های متغیر برنامه ریزی شامل زمان آزمایش (0٫027=p)، زمان تاخیر (0٫038=p)، خطا (0٫036=p) و امتیاز (0٫018=p) و در مولفه های متغیر بازداری پاسخ شامل پاسخ همخوان (0٫017=p)، زمان پاسخ همخوان (0٫019=p)، پاسخ ناهمخوان (0٫004=p)، زمان پاسخ ناهمخوان (0٫009=p) و نمره تداخل (0٫013=p) تفاوت معناداری نشان دادند.

    نتیجه گیری

    نتایج حاصل از این پژوهش نشان داد که آموزش دو نیمکره در بهبود برنامه ریزی و بازداری پاسخ دانش آموزان نارساخوان نوع شنیداری موثر است.

    کلیدواژگان: آموزش دو نیمکره، برنامه ریزی، بازداری پاسخ، نارساخوان نوع شنیداری
  • شهروز نعمتی* صفحه 118
    زمینه و هدف

    آسیب ها و رنج های بین فردی ناشی از تعامل های اجتماعی، از چالش هایی است که مادران کودکان با ناتوانی های تحولی و ذهنی با آن روبه رو هستند. پژوهش حاضر با هدف شناسایی نقش بخشایشگری در حوزه ناتوانی های تحولی و ذهنی و تحلیل آن بر تعامل مادر-کودک در خانواده های افراد با این ناتوانی ها انجام شد.

    روش بررسی

    پژوهش حاضر از نوع مطالعه مروری روایتی بود که با استفاده از کلیدواژه های تخصصی M‏ental Retardation, Intellectul-Adabtive Disabilities،Mothers of children with Intellectual and Developmental Disabilities, Child-Mother Interaction ، Forgiveness در پایگاه های اطلاعات پژوهشی شامل Pumped، Springer، ProQuest، Scopus، Elsevier، Science direct و Google Scholar یافته ها و اطلاعات مد نظر در بین سال های 1984تا2017 تحت واکاوی قرار گرفت.

    یافته ها

    هفت مقاله در ارتباط با نقش بخشایشگری با ناتوانی های تحولی و ذهنی بوده که تنها یک پژوهش به صورت مسقیم به بررسی تاثیر بخشایشگری در تعامل مادر-کودک در حوزه ناتوانی پرداخته است.

    نتیجه گیری

    با استفاده از بخشایشگری، روابط آسیب دیده والدین کودکان دارای ناتوانی های تحولی و ذهنی را می توان بهبود بخشید و از این طریق به بهترشدن تعامل مادر-کودک و تامین سلامت روانی خانواده کمک کرد.

    کلیدواژگان: خشایشگری، ناتوانی های تحولی و ذهنی، تعامل مادر-کودک
  • پریسا رشیدزاده، سیدکاظم موسوی ساداتی* صفحه 119
    زمینه و هدف

    کاهش مهارت های تعادل و کنترل پاسچر از عوامل کلیدی زمین خوردن سالمندان است. مطالعه حاضر با هدف بررسی تاثیر تحریک الکتریکی مخچه با جریان مستقیم بر متغیرهای کینتیک کنترل پاسچر این افراد انجام شد. 

    روش بررسی

    این پژوهش نیمه تجربی و از نوع پیش آزمون پس آزمون بود. جامعه آماری را تمامی سالمندان مراجعه کننده به مرکز جامع توان بخشی جمعیت هلال احمر شهر تهران تشکیل دادند که از بین آن ها تعداد بیست نفر سالمند 60الی75ساله از هر دو جنس زن و مرد با نمونه گیری دردسترس و هدف مند انتخاب شدند. سپس به صورت تصادفی در دو گروه ده نفری تجربی و کنترل قرار گرفتند. بعد از اندازه گیری اولیه متغیرهای کینتیک کنترل پاسچر توسط دستگاه پاسچروگرافی، مخچه شرکت کنندگان هر دو گروه تجربی و کنترل در پنج جلسه بیست دقیقه ای با جریان مستقیم الکتریکی دو میلی آمپری واقعی و غیرواقعی (شم) تحریک شد. در هر جلسه، بلافاصله پس از تحریک، آزمودنی ها به مدت نیم ساعت تمرینات تعادلی روی دستگاه هوبر انجام دادند. پس از اتمام پنج جلسه، متغیرهای کینتیک کنترل پاسچر با دستگاه پاسچروگرافی مجددا اندازه گیری شد. جهت تجزیه وتحلیل داده ها آزمون شاپیروویلک، آزمون لون، همگنی شیب خط رگرسیون و آزمون تحلیل کوواریانس به کار رفت. 

    یافته ها

    نتایج تحقیق، حاکی از تاثیر معنادار تحریک الکتریکی مخچه با جریان مستقیم بر متغیرهای سرعت جابه جایی مرکز فشار (0٫020=p)، دامنه جابه جایی مرکز فشار (0٫037=p)، استراتژی کنترل پاسچر (0٫042=p) و تعادل مرکب (0٫018=p) سالمندان در گروه تجربی است. 

    نتیجه گیری

    تحریک الکتریکی مخچه با جریان مستقیم الکتریکی بر متغیرهای کینتیک کنترل پاسچر و تعادل سالمندان اثرات سودمندی دارد.

    کلیدواژگان: تحریک الکتریکی مغز، سالمند، کنترل پاسچر، مخچه
  • مهشید موقر، حسن میرزا حسینی، مجید ضرغام حاجبی* صفحه 120
    زمینه و هدف

     یکی از اختلالات شایع دوران کودکی، افسردگی است. پژوهشگران بر شناسایی عوامل مرتبط با افسردگی در دوره کودکی تاکید کرده اند. این پژوهش با هدف تبیین افسردگی براساس نقش مستقیم حمایت اجتماعی و نقش میانجی نگرش ناکارآمد در کودکان انجام شد.

    روش بررسی

    طرح پژوهش حاضر توصیفی از نوع همبستگی بود. جامعه آماری را تمامی کودکان مراکز بهزیستی تهران به تعداد 1120 کودک 7تا12 سال در 79 مرکز در سال 1396 تشکیل دادند که 545 نفر به شیوه نمونه گیری دردسترس انتخاب شدند. ابزارها شامل پرسشنامه افسردگی کودکان کواکس (1992) و پرسشنامه نگرش ناکارآمد کودکان دوالساندرو و بورتون (2006) و پرسشنامه حمایت اجتماعی پروسیدانو و هلر (1983) بود. داده ها با استفاده از نرم افزارهای SPSS نسخه 22 وAMOS  نسخه 23 تحلیل شدند. آزمون های همبستگی پیرسون و معادلات ساختاری با سطح معناداری 0٫05 به کار رفت.

    یافته ها

    نتایج همبستگی پیرسون نشان داد که نگرش ناکارآمد فردی با حمایت اجتماعی ارتباط معکوس ومعنادار (0٫001>p و 0٫89-=r) و با افسردگی رابطه مستقیم و معناداری دارد (0٫001>p و 0٫66=r). همچنین بین نگرش ناکارآمد اجتماعی با حمایت اجتماعی ارتباط معکوس و معنادار (0٫001>p و 0٫86-=r) و با افسردگی رابطه مستقیم و معناداری مشاهده می شود (0٫001>p و 0٫61=r). نمره کل نگرش ناکارآمد نیز با حمایت اجتماعی دارای ارتباط معکوس و معنادار (0٫001>p و 0٫88-=r) و با افسردگی دارای رابطه مستقیم و معناداری است (0٫001>p و 0٫64=r). همین طور حمایت اجتماعی با افسردگی ارتباط معکوس و معناداری دارد (0٫001>p و 0٫43-=r). همچنین در سطح معادلات ساختاری نتایج مشخص کرد که حمایت اجتماعی با نقش میانجی نگرش ناکارآمد می تواند پیش بینی کننده افسردگی در کودکان باشد (0٫001>p و 0٫37-=r).

    نتیجه گیری

    به طورکلی نتایج پژوهش حاضر نشان داد که حمایت اجتماعی با نقش میانجی نگرش ناکارآمد می تواند مدل مطلوبی جهت پیش بینی افسردگی در کودکان باشد.

    کلیدواژگان: افسردگی، حمایت اجتماعی، نگرش ناکارآمد، کودکان
  • فاطمه شیبانی تذرجی*، شهلا پاکدامن، محمدکریم خداپناهی، محمود حیدری، فاطمه باقریان صفحه 121
    زمینه و هدف

    نگرش ها، ادراکات، احساسات و عقاید درباره سالمندان از مسایل تعیین کننده بر سلامت و بهبودی سالمند است. پژوهش حاضر با هدف مقایسه نگرش به سالمندی در کودکان اقوام فارس، کرد، بلوچ و ترک انجام شد.

    روش بررسی

    پژوهش حاضر مطالعه ای علی مقایسه ای بود. جامعه آماری این پژوهش را تمامی کودکان 7 تا 11 ساله و ساکن اصفهان (فارس)، سنندج (کرد)، زاهدان (بلوچ) و تبریز (ترک) در سال 1397 تشکیل دادند. در این پژوهش، تعداد 788 کودک شامل 200 کودک کرد، 190 کودک ترک، 198 کودک بلوچ و 200 کودک فارس با استفاده از روش نمونه گیری در دسترس انتخاب شدند. ابزار گردآوری داده ها پرسشنامه نگرش به سالمندی شیبانی و همکاران (1396) بود. داده ها با تحلیل واریانس تحلیل شدند. سطح معناداری 0٫05 بود.

    یافته ها

    یافته ها نشان داد تفاوت معناداری بین کودکان اقوام مختلف در نگرش به سالمندی وجود دارد (0٫001>p). نتایج آزمون تعقیبی بن فرونی نشان داد نگرش کودکان ترک زبان با همه گروه های قومی تفاوت معناداری دارد (0٫001>p). نتایج نشان داد که میانگین نمره نگرش این گروه در مقایسه با سایر گروه های قومی بیشتر است.

    نتیجه گیری

    نتایج این پژوهش نشان داد که نگرش کودکان به سالمندی تحت تاثیر قومیت کودکان بوده و عامل جنسیت کودک در این خصوص موثر نیست. از آنجا که کودکان ترک زبان نگرش با میانگین بیشتری درمقایسه با سایر گروه ها داشتند، به نظر می رسد که در قوم ترک زبان سالمندان جایگاه ویژه ای، به خصوص در بین کودکان، دارند.

    کلیدواژگان: نگرش به سالمندی، کودکان، اقوام
  • صدیقه احمدی، حسین ایلانلو، منوچهر رضایی*، محمدباقر حسنی، داود محمدیان صفحه 122
    زمینه و هدف

    برای داشتن جامعه ای سالم و روبه تعالی نیازمند عواملی هستیم و آموزش جایگاه مهمی در بین این عوامل دارد. آموزش و پرورش از ارکان مهم آموزشی کشور است و معلمین نقش مهمی در این سازمان دارند. چرا که با دانش آموزان سروکار دارند و دانش آموزان امروز نقش بسیار مهمی در آینده جامعه ای که اکنون در آن زندگی می کنند، ایفا خواهند نمود. هدف پژوهش حاضر تعیین اثربخشی آموزش هشیاری وجودی بر بهزیستی روان شناختی معلمان بود.

    روش بررسی

    در این مطالعه از روش نیمه آزمایشی و طرح پیش آزمون و پس آزمون با گروه کنترل استفاده شد. از بین معلمان شهرستان تاکستان در سال تحصیلی 96-1395یک مدرسه با 20 معلم به شیوه دردسترس انتخاب شد و به صورت تصادفی در دوگروه آزمایش و کنترل (هرکدام 10نفر) جایگزین شدند. ابزار پژوهش پرسشنامه بهزیستی روان شناختی ریف (1989) بود. روش اجرا بدین ترتیب بود که بعد از پیش آزمون، آموزش هشیاری وجودی برای برای گروه آزمایش اجرا گردید و درنهایت از هر دو گروه پس آزمون به عمل آمد. یافته های پژوهش با استفاده از نرم افزار  SPSSو روش آنالیز کوواریانس تک متغیره تحلیل شدند.

    یافته ها

    یافته ها نشان داد میانگین بهزیستی روان شناختی گروه آزمایش از 255٫70 به 270٫10 افزایش پیدا کرد. تحلیل کوواریانس تک متغیره نشان داد که پس از حذف اثر پیش آزمون، میانگین نمرات پس آزمون دو گروه اختلاف معناداری داشتند (0٫001>p).

    نتیجه گیری

    این مطالعه نشان داد که آموزش هشیاری وجودی بر معلمان قابلیت کاربرد داشته و بر افزایش بهزیستی روان شناختی آن ها موثر بوده است.

    کلیدواژگان: آموزش، هشیاری وجودی، بهزیستی روان شناختی، معلمان
  • سیده فاطمه موسوی* صفحه 123
    زمینه و هدف

     والدگری، حرفه ای پیچیده و استرس زا و برای برخی با احساس خستگی و فقدان انرژی لازم برای رسیدگی و مراقبت از فرزندان همراه است. پژوهش حاضر با هدف بررسی نقش متغیرهای زمینه ای مرتبط با والد و فرزند در خستگی و فرسودگی ناشی از وظایف فرزندپروری انجام شد.

    روش بررسی

    روش پژوهش توصیفی و از نوع همبستگی بود. نمونه پژوهش را 149 مادر شامل 67 نفر دارای فرزند با ناتوانی جسمی-حرکتی و ناشنوا و 82 نفر با فرزند بدون ناتوانی تشکیل دادند که به ترتیب با مراجعه به مراکز توان بخشی معلولان تحت پوشش اداره کل بهزیستی و مراکز عمومی شهر در فاصله تابستان تا پاییز سال 1397 به شیوه دردسترس و داوطلبانه انتخاب شدند. ابزارهای سنجش پرسشنامه حاوی متغیرهای زمینه ای والد-فرزند (محقق ساخته) و مقیاس سنجش فرسودگی والدینی (رزکام و همکاران، 2017) بود. رابطه متغیرها و سهم پیش بین آن ها با استفاده از آزمون همبستگی پیرسون و رگرسیون خطی چندگانه در محیط SPSS نسخه 24 تجزیه وتحلیل شد.

    یافته ها

    نتایج نشان داد که بین طول مدت ازدواج (0٫04=p، 0٫18-r=) و سطح تحصیلات مادران با فرسودگی والدینی (0٫041=p، 0٫21-r=) رابطه منفی معنادار و بین داشتن فرزند دارای ناتوانی و فرسودگی والدینی رابطه مثبت معنادار مشاهده می شود (0٫042=p، 0٫17r=). همچنین یافته ها مشخص کرد که سطح تحصیلات مادران (0٫003=p، 0٫25-=β) و طول مدت ازدواج (0٫007=p، 0٫22-=β) درمجموع سهم بیشتری را در پیش بینی فرسودگی والدینی دارد.

    نتیجه گیری

    براساس یافته های پژوهش حاضر، توجه به متغیرهای زمینه ساز فرسودگی مادران به عنوان مراقبان دایمی و پرورش دهندگان فرزندان امری ضروری در توسعه و غنای روابط والد-فرزندی محسوب می شود.

    کلیدواژگان: متغیرهای زمینه ای، ناتوانی، خستگی ناشی از وظایف والدینی
  • سولماز بابایی بناب* صفحه 124
    زمینه و هدف

    مالتیپل اسکلروزیس بیماری مزمن و ناتوان کننده سیستم عصبی مرکزی پیشرونده در افراد جوان بالغ است که میلین را در سیستم اعصاب مرکزی تخریب می کند؛ لذا هدف از پژوهش حاضر تاثیر تمرینات منتخب ورزشی و مصرف زنجبیل بر فاکتورهای جسمانی دختران جوان مبتلا به مالتیپل اسکلروزیس بود.

    روش بررسی

    مطالعه حاضر از نوع نیمه تجربی با طرح پیش آزمون-پس آزمون بود. از میان بیماران دختر جوان مراجعه کننده به بخش ام اس بهزیستی استان آذربایجان غربی، 40 دختر جوان مبتلا به مالتیپل اسکلروزیس به طور تصادفی به چهار گروه ده نفره شامل گواه، تمرین+دارونما، تمرین+مکمل زنجبیل و مکمل زنجبیل تقسیم شدند. قبل و بعد از پروتکل اجرایی تمام آزمودنی ها در آزمون قدرت عضلانی، استقامت عضلانی، انعطاف پذیری و تعادل شرکت کردند. تمرینات منتخب هوازی به مدت دوازده هفته و هفته ای سه جلسه به صورت فزاینده اجرا شد. گروه های مکمل روزانه سه کپسول یک گرمی زنجبیل مصرف کردند. به منظور تحلیل داده ها، تحلیل کوواریانس با استفاده از نرم افزار SPSS به کار رفت.

    یافته ها

    نتایج نشان داد که تمرینات ورزشی به همراه مصرف زنجبیل (تمرین+مکمل زنجبیل) درمقایسه با گروه گواه باعث بهبود تمام فاکتورهای قدرت (0٫001>p)، استقامت (0٫001>p)، انعطاف پذیری (0٫001>p) و تعادل (0٫001>p) می شود. از طرفی مقایسه بین گروهی نشان داد که در متغیر وزن و BMI و قدرت، برتری با گروه ترکیبی و در متغیر استقامت و انعطاف پذیری، برتری با گروه ترکیبی و گروه تمرین است و در متغیر تعادل، برتری بین گروه های مداخله مشاهده نشد.

    نتیجه گیری

    انجام تمرینات ورزشی منتخب به همراه مصرف زنجبیل می تواند تاثیر مثبتی در فاکتورهای جسمانی افراد مبتلا به بیماری مالتیپل اسکلروزیس داشته باشند.

    کلیدواژگان: تمرینات منتخب ورزشی، فاکتورهای جسمانی، بیماری مالتیپل اسکلروزیس، دختران جوان
  • ترانه خداویردی، حسین اسکندری*، احمد برجعلی، نورعلی فرخی صفحه 125
    زمینه و هدف

    سرطان پستان جزو سرطان های بسیار شایع در بین بانوان است که شواهد گسترده ای بر اهمیت معنا و بهزیستی وجودی و معنوی برای آن ها دلالت دارند. هدف از این پژوهش تبیین نیازهای معنوی در بیماران مبتلا به سرطان پستان بود.

    روش بررسی

    این مطالعه با روش کیفی و رویکرد تحلیل محتوا انجام گرفت. شرکت کنندگان مطالعه را 14 بیمار مبتلا به سرطان پستان که در بهار و تابستان سال 1398 در نقاهت گاه خیریه بهنام دهش پور برای انجام کارهای درمانی ساکن بودند تشکیل دادند. نمونه گیری به صورت هدفمند آغاز شد و تا زمان اشباع داده ها ادامه یافت. روش جمع آوری داده ها مصاحبه نیمه ساختاریافته بود. از تحلیل محتوای کیفی جهت تجزیه و تحلیل داده های کسب شده از مطالعه استفاده شد.

    یافته ها

    بر اساس یافته های این پژوهش نیازهای معنوی شامل دو زیرگروه نیازهای وجودی و نیازهای مذهبی بود که هر کدام شامل زیر طبقاتی هستند؛ نیازهای وجودی شامل امید، جستجوی معنا، قدرشناسی، شهامت، بخشایش و کرامت انسانی بود و نیازهای مذهبی شامل عبادت و انجام مناسک مذهبی، ایمنی جویی معنوی و نزدیکی به خدا بود.

    نتیجه گیری

    در این پژوهش نیازهای معنوی بیماران مبتلا به سرطان با ژرفای بیشتری کاوش گردید که نتایج آن به نقش مهم دو بعد مذهبی و وجودی در نیازهای معنوی بیماران تاکید می کند. با توجه به نتایج این پژوهش مشخص شد که نیازهای معنوی در طول دوره ابتلای بیماران مبتلا به سرطان و در رویارویی با آن نقشی کلیدی ایفا می کند.

    کلیدواژگان: نیازهای معنوی، سرطان پستان، پژوهش کیفی
  • رقیه محمدی، محمد نریمانی*، عباس ابوالقاسمی، سمیه تکلوی صفحه 126
    زمینه و هدف

    والدین کودکان دارای اختلالات طیف اتیسم و مربیان آن ها باید بررسی نمایند که کدام یک از مداخلات درمانی، با توجه به شرایط اختلال، موثرتر و مناسب تر است، بنابراین هدف مطالعه حاضر مقایسه اثربخشی روش درمانی-آموزشی (تیچ) و نوروفیدبک بر ارتقای مهارت های شناختی، اجتماعی و فعالیت های روزمره زندگی در کودکان مبتلابه اختلال اتیسم بود. 

    روش بررسی

    روش تحقیق از نوع نیمه تجربی با طرح پیش آزمون- پس آزمون با گروه گواه بود. جامعه آماری شامل کودکان 12-7 ساله مبتلابه طیف اتیسم بودند که 45 نفر از افراد واجد شرایط و داوطلب به صورت هدفمند انتخاب شده و به روش تصادفی ساده در دو گروه مداخله درمانی آموزشی و نوروفیدبک و یک گروه گواه پانزده نفره تقسیم شدند. برای جمع آوری اطلاعات از پرسشنامه سنجش دامنه اتیسم (1999)، مقیاس تجدیدنظر شده هوش وکسلر کودکان (1969)، پرسشنامه سنجش مهارت های اجتماعی استون و همکاران (2010) و مقیاس وایزمن (2013) استفاده شد. علاوه بر برنامه های آموزشی مرکز، مداخلات دو گروه به صورت انفرادی به مدت بیست جلسه 45 دقیقه ای و دو بار در هفته اجرا شد. گروه گواه صرفا برنامه روتین مرکز را دریافت کرد. داده ها با نرم افزار SPSS نسخه 21 و آزمون آماری تی، کای دو، لون، شاپیروویلک، لامبدای ویلکز، تحلیل کوواریانس چندمتغیری و آزمون تعقیبی بن فرونی در سطح معنا داری 0٫05 تجزیه وتحلیل شدند. 

    یافته ها

    نتایج نشان داد که تفاوت میانگین در پس آزمون گروه های آزمایش، در متغیرهای ارتقای مهارت های شناختی، اجتماعی و فعالیت های روزمره زندگی بیشتر از پس آزمون گروه گواه بود و بین دو گروه مداخله (تیچ) و نوروفیدبک با گروه گواه تفاوت معناداری وجود داشت (0٫001>p). همچنین بین تاثیر دو روش مداخله بر متغیرهای ارتقای مهارت های شناختی، اجتماعی و فعالیت های روزمره زندگی کودکان مبتلابه اختلال طیف اتیسم، تفاوت معنادار نبود. 

    نتیجه گیری

    براساس یافته های این پژوهش، مداخلات درمانی آموزشی و نوروفیدبک بر ارتقای مهارت های شناختی، اجتماعی و فعالیت های روزمره زندگی در کودکان مبتلابه اختلال طیف اتیسم تاثیر داشته اند ولی بین دو روش مداخله در این پژوهش، تفاوت معنا داری در میزان اثرگذاری بر متغیرهای وابسته مشاهده نشد.

    کلیدواژگان: روش درمانی آموزشی، نوروفیدبک، مهارت های شناختی، مهارت های اجتماعی، فعالیت های روزمره زندگی، اختلال طیف اتیسم
  • فاطمه سادات بحرانی*، حسن بلند، علی صیادی صفحه 127
    زمینه و هدف

    طلاق ممکن است از اتفاقات بسیار استرس زا در زندگی باشد. در مواجهه با این رویداد، در بعضی از افراد تغییرات سازنده ای ایجاد می شود. رشد پس از تروما به تغییرات مثبت و سازنده ای گفته می شود که از حوادث ترومایی به وجود آمده است. این پژوهش با هدف ارایه مدلی برای رشد پس از ترومای ناشی از طلاق در زنان مطلقه انجام گرفت.

    روش بررسی

    پژوهش حاضر با استفاده از شیوه کیفی و از طریق نظریه زمینه ای انجام شد. تعداد بیست زن مطلقه رشدیافته بر اساس روش نمونه گیری هدفمند و تا رسیدن به اشباع نظری انتخاب شدند و از طریق مصاحبه نیمه ساختار یافته و با استفاده از روش مقایسه ای مداوم استراوس و کوربین تحلیل شدند.

    یافته ها

    نتایج نشان داد تفرد و تعالی، مقوله مرکزی رشد پس از ترومای ناشی از طلاق بود. پذیرش و گذر از مسیر رنج طلاق به عنوان شرایط علی و مقوله های فرزندان انگیزه ای برای رشد، عوامل خانوادگی، عوامل پیشینه ای، سرسختی روانی و رویارویی و مواجهه برای شرایط مداخله ای استخراج شد. همچنین راهبرد های به دست آمده شامل کنشگری مستقل، مدیریت روابط بیناجنسیتی، استفاده از پتانسیل های محیطی و هنجار پذیری هوشمندانه بعد از طلاق بود. معنویت گرایی شخصی نیز زمینه استخراج شد. در نهایت پیامد مقوله مرکزی که انعطاف پذیری در افکار و رفتار و گسترش دید و تجربه است، توضیح داده شد.

    نتیجه گیری

    بر اساس یافته های پژوهش حاضر، نتیجه گیری می شود که طلاق به عنوان یک رویداد آسیب زا می تواند جنبه های سازنده ای نیز داشته باشد و موجب رشد افراد شود.

    کلیدواژگان: طلاق، تفرد و تعالی، رشد پس از تروما
  • لیلی زمانی، کیوان ملانوروزی*، عبدالله قاسمی صفحه 128
    زمینه و هدف

     خودتنظیمی، سازماندهی ساختاریافته ای از شناخت و احساس و رفتار است که به یادگیری موفقیت آمیز منجر می شود. در این تحقیق تاثیر شرایط خودتنظیمی بر رشد مهارت های حرکتی درشت و کارکرد اجرایی کودکان بررسی شد.

    روش بررسی

    این پژوهش نیمه تجربی با طرح پیش آزمون و پس آزمون و پیگیری با گروه گواه اجرا شد. آزمودنی های تحقیق را 60 دختر هفت و نه و یازده سال به تعداد مساوی، از شهر اصفهان و به صورت هدف مند تشکیل دادند. شرکت کنندگان در هر رده سنی به طور تصادفی در دو گروه ده نفره آزمایشی و گواه تقسیم شدند. در مرحله پیش آزمون، کودکان در آزمون رشد حرکتی برونینکز-اوزرتسکی (واعظ موسوی و شجاعی، 1384) و همچنین آزمون کارکرد اجرایی قلب و گل (دیویدسون و همکاران، 2006) شرکت کردند. سپس، گروه آزمایشی برنامه حرکتی مداخله ای را به مدت هشت هفته طی دو جلسه 60دقیقه ای در هفته در شرایط خودتنظیمی دریافت کرد. در کنار هر کودک در شرایط خودتنظیمی، کودکی در گروه گواه قرار داشت که به صورت همخوان با کودک گروه آزمایشی و مشابه با انتخاب های وی در مداخلات رشدی در شرایط غیرخودتنظیم شرکت کرد. در پایان مداخلات، پس آزمون و آزمون پیگیری در متغیرهای رشد حرکتی و شناختی انجام شد. تجزیه وتحلیل آماری با استفاده از تحلیل کوواریانس با اندازه گیری مکرر در سطح معناداری 0٫05 با نرم افزار SPSS نسخه 22 صورت گرفت.

    یافته ها

     نتایج آزمون در ارتباط با رشد مهارت حرکتی درشت نشان داد که اثر اصلی گروه در تمام رده های سنی هفت سال (7٫00=F، 0٫017=p) و نه سال (14٫88=F، 0٫001>p) و یازده سال (16٫31=F، 0٫001>p) معنا دار است. در ارتباط با رشد شناختی در رده سنی هفت سال اثر اصلی گروه معنا دار به دست آمد (5٫07=F، 0٫038=p)؛ اما در رده های سنی نه و یازده سال اثر اصلی گروه معنادار نبود.

    نتیجه گیری

    نتایج نشان داد، راهبردهای خودتنظیم در شرایط تمرین، بهبود عملکرد را در رشد جسمانی و شناختی دختران هفت و نه و یازده سال به همراه دارد. نتایج این تحقیق می تواند در مداخله های عصب شناختی و آموزشی استفاده شود.

    کلیدواژگان: خودتنظیمی، کارکرد اجرایی، رشد، مهارت حرکتی درشت، برونینکز-اوزرتسکی، آزمون قلب و گل
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  • Azam Nayebaghayee, Seyed Ali Aleyasin*, Hasan Heidari, Hossein Davoodi Page 1
    Background & Objective

    Obsessive-compulsive disorder is a heterogeneous disorder and has different therapeutic approaches. Over the past few decades, we have witnessed tremendous advances in the role of cognitive systems in the formation, continuity, and treatment of the obsessive-compulsive disorder (OCD). Certain beliefs have been identified as a significant contributor to the creation and continuation of this disorder, Cognitive models of OCD also indicating that responsibility assessment is involved in the etiology and preservation of OCD symptoms. According to Salkovskis (1985), the Inflated Sense of responsibility in OCD has a central role. Intolerance of uncertainty (IU), which means the tendency to avoid ambiguous situations and the inability to deal with uncertainty, is considered significant damage to OCD. ERP as a standard golden treatment, including the gradual inclusion of anxiety due to obsessive-compulsive disorder, and the prevention or limitation of obsessive-compulsive procedures and reduction of anxiety. Aim of this study was the efficacy of Exposure and Response Prevention Therapy (ERP) in Inflated Sensory Responsibility and Intolerance of Uncertainty in Patients with OCD.

    Methods

    The research design was a semi-experimental study with pretest, post-test, and follow-up. The statistical population consisted of all the people of Mahallat city, which is located in Markazi province in Iran in 2018. Sixteen patients with OCD were selected through the available sampling method and randomly within two groups: ERP and control group. (8 patients in each group). Each person in the treatment group received 12 treatment sessions by the Salkovskis exposure and Response prevention therapy method for OCD. Subjects were measured both before and at the end of interventions as well as three months later in the follow-up phase by the Yale-Brown Obsessive-Compulsive Scale (Yale-BOCS; Goodman, 1989), the Salkovskis Responsibility Attitude Scale; (RAS; Salkovskis, Wroe, Morrison, Richards, Reynolds & Thorpe, 2000) and The Intolerance of Uncertainty Scale; (IUS; Freeston et al, 1994) . The Yale-Brown Obsessive-Compulsive Scale is a reliable instrument; with internal stability of 0.89 by Goodman and in Iran with internal stability for the sign index (SC) and severity scale (SS) were 0.97 and 0. 95 for the Persian version by Rajazi Esfahani et al. Responsibility Attitude Scale is a 26-item scale, consistency (α=0.91), excellent test-retest reliability over a five-week period (r=0.78), and Intolerance of Uncertainty Scalexcellent internal consistency (α=0.89), and satisfactory test-retest reliability (r=0.74). Post-extraction research data analyzed by repeated measurements analysis using SPSS-23 software.

    Results

    To test the hypothesis of the research, about the existence of the pre-test variables and the possibility of the primary difference between the two intervention and control groups, as well as reducing the initial difference and comparing the groups, the multivariate analysis of variance, and used repeated measure design. In the semi-experimental design, before analyzing the hypothesis of the research, Levin's findings showed that the homogeneous assumption of covariance of data and regression slope established. The results of Mocheli's test also showed that there is no spheroidal assumption (p<0.050). The findings showed that there is a significant difference between the mean variables of the inflated sense of responsibility and uncertainty of intolerance in the experimental group with the control group. Therefore, the effectiveness of treatment on the reduction of the inflated sense of responsibility and uncertainty of intolerance can be verified (p<0.001), and this effect was lasting after three months (p<0.001).

    Conclusion

    The results of this study have shown the effectiveness of exposure and Response prevention therapy in improving an inflated sense of responsibility and uncertainty of intolerance in patients with OCD.

    Keywords: Obsessive-Compulsive Disorder (OCD), Inflated Sense of Responsibility, Intolerance of Uncertainty, Exposure, Response Prevention therapy (ERP)
  • Shafigh Mehraban, Noorollah Khalilzadeh, Soleiman Ahmadbookani*, Yousef Asmari Bardezard Page 2
    Background & Objective

    Infertility is a stressful experience that poses severe health and social problems. Psychologically, infertility is a critical period that results from imbalances between couples who are expecting a child but who are unable to reach their goal. The negative consequences of women's infertility have led therapists and researchers to intervene in a variety of ways to reduce infertile women's problems. Positive psychology emphasizes the study of emotions and positive experiences and focuses on the study of deficiencies and mental deficiencies and low performance in studying human abilities and adaptive function. The present study was designed and implemented to evaluate the effectiveness of Positive group psychotherapy based on religious teachings on rumination in infertile women.

    Methods

    This research was a semi-experimental and pretest and posttest design with a control group and random assignment. The statistical population consists of all infertile female referring to infertility clinics of Mahabad (West Azarbaijan) in 2017. 30 Sample subjects were selected through available sampling method and after completing the depressor rumination questionnaire and obtaining the necessary quorum for entering the research using random appointment in two groups of experiment and control (15 persons per group). The experimental group exposed to Positive group psychotherapy based on religious teachings during ten sessions, and the control group did not receive any intervention. Criteria for entering the research include the age range of 25-45, more than one year of infertility, women who were barren from the beginning of the marriage, completeness of treatment consent form, absence of acute psychological disorders according to volunteers' records, lack of external counseling services of the treatment sessions. To measure rumination, a depressor rumination questionnaire by Yousefi et al. In Iran, used. The survey consists of five factors, self-focus, self-blame, marked rumination, introspection, and rumination about the effects of depression. Ethical considerations such as patient satisfaction, posttest intervention, waiting lists, and confidentiality considered to conduct research. Both groups tested at the beginning and the end of the treatment (pretest and posttest) with a ruminant questionnaire. The experimental group participated in 10 sessions of 90 minutes each week under the positive group therapy based on religious teachings, and the control group received no intervention-the protocol used in this study based on Ebadi and colleagues training program. After the end of the sessions, again, the participants of the experimental and posttest control group were yet tested. The multivariate analysis of covariance (MANCOVA) used. The assumptions of using the covariance analysis test with Levin and M-box tests analyzed by SPSS-25 software.

    Results

    The results of multivariate analysis of covariance showed that there was a significant difference between the experimental and control groups regarding the components of rumination (self- focus, self-blaming, symptomatic rumination, and introverting) (p<0.001) and rumination component there was a significant difference in depression (p=0.009).

    Conclusion

    Having this insight that everything that comes to us is from God, and his wisdom in all our actions contributes to reducing the negative emotions, thereby reducing the negative thoughts about infertility, since one knows in this divine context that "Maybe you do not like something, while your good is in it, or you love something, while your evil is in it. The results of this study showed that Positive group psychotherapy based on religious teachings could reduce depressed ruminant in infertile women, so interventions based on this approach can be useful in improving mental health and improving quality of life.

    Keywords: Positive Psychotherapy, Religious teachings, Rumination, Infertile Women
  • Elham Javadizadeh, Shahriar Parvaneh*, Setareh Ghahari, Neda Alizadeh Takhteh Chobi, Ayoob Sakhaei Page 3
    Background & Objective

    Spinal cord injuries usually lead to motor impairment and loss of function below the level of the lesion. Rehabilitation interventions improve the quality of life of people with spinal cord injuries using therapeutic techniques and appropriate equipment. There are several medical and psychological consequences for people following a spine injury. One of the familiar repercussions is decreasing physical function, which causes depression and reduces the quality of life of them. Though increasing physical activity after spinal cord injury leads to improving service, level of physical activity in individuals with spinal cord injury is still lower than the normal population. Although there is a positive correlation between physical activity, quality of life, and reduce depression in both healthy population and people with spinal cord injury, there is no clear what type of physical activity can effect on the quality of life and reduce depression of people with spinal cord injury. This study is aimed to find any correlation between the type of physical activity, quality of life, and depression in people with spinal cord injury.

    Methods

    This study was a cross-sectional descriptive study. Sixty people with spinal cord injury participated in this study. Participants recruited from members of the Tehran Spinal Cord Injury Association. Inclusion criteria included: age above 18, presence of spinal cord injury diagnosed by a physician, discharge from hospital and living in the home; spinal cord injury should have occurred at least six months ago completion of the consent form. People depended upon respiratory devices, with progressing infection, with autonomic reflux and/or a condition affecting their movement (e.g. MS, stroke, Rheumatoid Arthritis) excluded from the study. Demographic information (including gender, age, education, and employment) and injury information (including injury level, injury intensity, time passed since trauma) gathered through a questionnaire. The all Persian version of International Physical Activity Questionnaire, 12-Item Short Form Survey and the Beck Depression Inventory were employed to measure physical activity, quality of life, and depression of people with spinal cord injury respectively. All Persian versions of the International Physical Activity Questionnaire, 12-Item Short Form Survey, and Beck Depression Inventory validated in the Iranian community. Also, the correlation between physical activity, quality of life, and depression evaluated using the Pearson correlation and multiple regression.

    Results

    A sample of 60 individuals with average age 38.21 used in the present study, and the meantime passed since the spinal cord injury was 12.41 years. Among them, 31 ones were single, and 29 ones were married. 28.3٪ of sample subjects employed. For the spinal cord injury, it was at the lumbar level in 43.3٪ of the sample, at a thoracic level in 33.3٪, at a cervical level in 18.3٪ and sacral level in 5 percent Mean of physical activity for all participants was 2417.82 Met-min/week (SD=±2060). Most physical activities were associated with household and gardening activities (1665.42 Met-min/week). It respectively followed by a physical activity related to the occupation (1665.42 Met-min/week) and leisure time (316.71 Met-min/week). Minimum physical activity was related to transportation (39. 88 Met-min/week). Considering variance and mean of depression scores (20.93), participants in this study showed some degrees of depression. Mean physical quality of life was 30.26 and mean the mental condition of life was 41.68. Results also showed that the mean score of mental QoL for the sample was higher than that for the physical one. The physical quality of life showed a significantly positive correlation with the work-related (r=0.250), transport-related (r=0.249), leisure-related (r=0.238), and physical activity (p<0.05). However, total physical activity (r=0.006) and type of physical activity were not significantly associated with mental QoL. Transport-related physical activity (r=-0.229) and leisure-related physical activity (r=-0.326) were significantly and negatively associated with depression.

    Conclusion

    In the present study, physical activity related to leisure time had the most impact on the improvement of quality of life and also on decreased depression in individuals with spinal cord injury. This finding may reflect the significant role of the rehabilitation team, particularly occupational therapists, in the improvement of the level of leisure time activities in individuals with spinal cord injuries. Social and financial supports could improve leisure-related physical activity in people with spinal cord injury. Leasre-related physical activity is necessary to enhance the quality of life and depression among people with spinal cord injury.

    Keywords: Spinal cord injury, Physical activity, Quality of life, Depression
  • Fardin Qeysari*, Shahzad Tahmasebi Boroujeni, Mina Ahmadi Kakavandi Page 4
    Objective

    Motor imagery is widely used in sports skill instruction and has recently gained attention as a compensation way in the form of motor performance training for Parkinson and brain stroke patients. However, so far, a novel way of imagery called PETTLEP has not been investigated in multiple sclerosis patients. PETTLEP imagery emphasizes on seven effective components in imagery such as physics, environment, task, timing, learning, emotion and Perspective.Therefore, the purpose of this study was to investigate the effect of PETTLEP and physical training on the performance and learning of tennis forehand in multiple sclerosis patients.

    Methods

    The present study was semi-experimental, including intra / inter group design. For this purpose, 33 patients with MS (37.5±3.02) were participated as a statistical sample in this study, who purposively selected among referrals to MS Society of Kermanshah city. First, Kinestatic and visual imagery questionnaire (Malouin et al, 2007) was used to examine the imagery ability of MS patients and then Edinburgh Handedness Inventory Questionnaire was used to confirm the right handedness of the subjects, then a table tennis forehand pre-test was taken from the subjects and they were divided to three groups of PETTLEP imagery, physical training and Combined group) PETTLEP imagery & physical training) Based on pre-test scores with Peer-matching method.The PETTLEP imagery group intervention included Mental imagery practice of Table Tennis Forehand using the PETTLEP method during 30 minutes.and the physical training group performed practically Table Tennis Forehand skill during t the same time in each session. Combined group Were placed under the PETTLEP imagery (15 minutes) and physical training (15 minutes). All groups 3 Sessions each week (for 6 weeks) performed related intervention. After one week from intervention, retention (Similar to pre-test) and transfer (Parallel forehand; Change direction of forehand) tests were performed. The research tool included the accuracy test of the Table Tennis Forehand Which was designed by lio and Master.The repeated measure ANOVA test was used to analyze the acquisition sessions. Observed significant effects were further assessed with LSD post-hoc tests. As well as, One-way was used to compare the groups in pre-test, post-test, retention and transfer tests. These analyses were based on Shapiro–Wilk's of normality and homogeneity of variance tests for all analyses, the level of significance was set at p < .05.

    Results

    For MS patients, repeated measures ANOVA in acquisition sessions showed effects of groups (p=0.003, η2=0.324), sessions (p<0.001, η2 =0.0865), and interaction (p<0.001, η2=0.208) was Significant. Post hoc test showed that that tennis forehand accuracy of the all groups improved during acquisition sessions(p<0.05), and the tennis forehand accuracy of the PETTLEP imagery group was Significantly less than the physical training (P =0.014), and Combined groups (P =0.001). Whereas, there was no significant difference between the physical training and Combined groups (P >0.05). In addition, Results of one-way ANOVA in retention test showed that the tennis forehand accuracy of the Combined group was better than the physical training (P =0.001), and PETTLEP imagery groups (p<0.001). As well as the physical training group was better than the PETTLEP imagery groups (P =0.001). results of transfer test showed that the forehand accuracy of the PETTLEP imagery group was Significantly less than the physical training (p<0.001), and Combined groups (P =0.002), Whereas, there was no significant difference between the physical training and Combined groups (P =0.125).

    Conclusion

    Based on the findings, it seems the combination of physical exercises with PETTLEP imagery can be more effective as a treatment for multiple sclerosis patients, But Only PETTLEP imagery can not be a Suitable Alternativefor physical training alone

    Keywords: Mental Imagery, Physical training, Table tennis, Multiple sclerosis
  • Navab Kazemi*, Fariba Dadashloo, Fateme Sadat Seyf Page 5
    Background & Objective

    Mothers of children with autism spectrum disorder (ASD) require strong coping and support patterns because of the problems they face. The purpose of this study was to investigate the relationship between cognitive flexibility and psychological well-being and resilience in mothers with ASD children in Zanjan.

    Methods

    This descriptive-analytic study was of correlational type. The statistical population of the study included all mothers of students with ASD at elementary schools for exceptional children in Zanjan in the academic year of 2018-19. A sample of 180 mothers with these children was selected through availability sampling. The data were collected using Dennis & Vander Wal’s Cognitive Flexibility Inventory, the Reef Psychological Well-being Scale and the Conner-Davidson Resilience Scale. Pearson’s correlation and multivariate regression used for data analysis (α=0.05). Data were analyzed using SPSS software version 21.

    Results

    There was a positive and significant relationship between the components of cognitive flexibility and the psychological well-being of mothers (p<0.001). Among the subcomponents of cognitive flexibility, the subcomponents of perceived behavioral justification and controllability had a positive and significant relationship with the psychological well-being of mothers; the former subcomponent was the most important predictor (p=0.003). Moreover, there was a positive and significant relationship between cognitive flexibility components and maternal resilience (p<0.001). The results of simultaneous multivariate regression analysis conducted to predict maternal resilience showed a positive and significant relationship between the subcomponent of perceived behavioral justification and controllability; the latter subcomponent was the most important predictor of resilience in these mothers (p<0.001).

    Conclusion

    Given the significance of the role of cognitive flexibility in predicting psychological well-being and resilience in mothers of children with ASD, emphasis must be laid on its components by relevant specialists in the field.

    Keywords: Cognitive Flexibility, Psychological Well–being, Resilience, Mothers
  • Saeedeh Fattahi, Mehrangiz Deldadeh Moghaddam, Fereshteh Taghavi* Page 6
    Background & Objective

    Learning disabilities can have negative consequences for both the individual and the family, and in particular due to the close relationship between mother and child for mothers. This disability can affect an individual's daily activities. Because the memory, reasoning, and ability to solve the problem in these children are painful. This disorder can provide challenges for the child in the social, emotional, and educational context. The history of research shows that the mothers of a child with a learning disorder have psychological stress and crisis and threatens the existence of a disabled child, compromise, and physical and mental health. Learning disability is a problem that affects the family and disturbs the mental function of mothers. The two components of psychological interest in this process are the maturity and happiness of mothers. Considering the newness of this therapeutic approach, its effectiveness on mental problems of mothers with children with special conditions seems to be necessary and can be transformed in psychotherapy of psychological issues. Also, due to the existence of psychological stress and low level of joy and happiness among mothers with a child with learning disorder and the existence of a research vacuum in the field of teaching the effectiveness of mindfulness on the purpose of this study was to determine the effect of mental education Knowledge about the level of resilience and happiness in mothers of children with learning disorder.

    Methods

    The research method was semi-experimental with pretest-posttest design with two experimental and control groups. The statistical population of this study included all mothers with children with a learning disorder in Tehran. Callings made in psychology and social networks and 45 mothers were selected using available sampling. Following a resiliency and happiness test for these 45 people, 12 eliminated and 33 had entry criteria. The criteria for entering mothers was to have a child with learning disabilities and no–divorce. Of the 33 patients, 30 patients willing to receive eight treatment sessions were entered into the study and randomly divided into two groups of control and test. Exit criteria were also a session absent during the course of treatment. The research tools were Conner and Davidson's Resilience Scale (2003) and Happiness Argyle et al. (1989). For the experimental group, eight sessions of 90 minutes of mindfulness training performed. For both groups, pre-test and post-test performed. To observe the ethical principles of research for the control group, after the research sessions, therapeutic sessions were also provided, and the confidentiality of the data of the research samples was assured. Finally, by using SPSS software version 20, Independent T-tests used to compare the age of the two groups and covariance test to measure the effectiveness at the level of 0.05 to analyze the findings.

    Results

    The results showed that the mean of the resilience of the experimental group was 45.14±7.15 in the pretest to 61.41±9.96 in the posttest and the mean of happiness was 35.78±7.52 up to 52.74±9.34 increased. The result of covariance analysis showed that after eliminating the effect of pre–test, the mean scores of post–test of two groups were statistically significant (p<0.001).

    Conclusion

    This study shows that mental education for mothers with children with learning disabilities is useful, and it is effective in increasing the resilience and happiness of mothers. In other words, this study suggests that Mindfulness Education can be used for mothers with children with learning disabilities and can be used as a psychological intervention along with other interventions. It can also be an excellent treatment to increase the resilience and happiness of mothers with children with learning disabilities.

    Keywords: Mindfulness, Resilience, Happiness, Learning disorder
  • Masoumeh Tavakoli, Hasan Pasha Sharifi* Page 7
    Background & Objective

    Female heads of the household include women who are in custody of the family due to death, divorce, wife imprisonment, etc. These women are among the vulnerable groups of society due to problems with care. In the current communities, the occurrence of social, economic, and cultural changes has led to changes in the construction of the family and the formation of the phenomenon of "supervised woman" has become commonplace. At all levels of human resource management and resources, organizations have become increasingly important as business success. This study aimed to compare the personality traits and coping strategies in successful and unsuccessful women in the field of occupation.

    Methods

    The statistical population of this study included all women heads of families in Tehran and Alborz provinces who during the years 2015 to 2018 entered the continuous cycle of support services of the welfare organization. The sample was selected using cluster random sampling method, and finally, 266 of these women evaluated in two groups of successful and unsuccessful women in terms of the job. Tools were, NEO questionnaires and coping strategies completed by the members of the sample group, and the data were analyzed using independent sample T-test.

    Results

    The results show that among successful and unsuccessful women, there is a significant difference in the level of high neuroticism, extroversion, and flexibility. Also, the emotional-focused coping strategy has a significant difference in successful and unsuccessful women. So that unsuccessful women used the approach more than normal women.

    Conclusion

    Considering that female-headed households are in a position to deal with the challenges of family cohesion and family well-being, the way they spend financial and human resources on their self-employed support is significant. Therefore, because of these findings, it can be said that in creating employment for a female head of household, the role of personality factors along with economic support should be paid special attention and can also be paid attention to personality traits, guidance, and guidance Effective and timely, and ultimately prevented from failing.

    Keywords: Head of Household Females, personality characteristics, successful employment, coping strategies
  • Hajar Hasani Ardakani, Hojtalah Javidi*, Amirhoshang Mehryar, Ebrahim Hosseini Page 8
    Background & Objective

    Bipolar disorder (BD) is one of the chronic psychiatric disorders that accompany depression and mania phases. This study aimed to compare the effectiveness of mindfulness-based cognitive therapy (MBCT) and recovery-focused cognitive behavioral therapy (RFCBT) on bipolar depression and mania in patients with BD.

    Methods

    This study was a semi-experimental design with pre-test and post-test type with a control group. The statistical population of this study included all patients with bipolar disorder in psychiatric hospitals of Mohariri, Ibn Sina, and Hafez in Shiraz. Out of this sample population, 36 bipolar patients were selected to participate in the study. After obtaining informed consent from them, samples matched in terms of sex, age, illness, and drug therapy (all patients received lithium). Then, they randomly assigned to two experimental groups and one control group. The criteria for entering the study include the definitive diagnosis of bipolar disorder by a psychiatrist; having a DSM-5 diagnostic criterion for having mania, semi-mania, major depression, or mixed-age; age over 18; having a minimum reading and writing literacy and the ability to complete questionnaires; ; Absence from the acute phase of illness or hospitalization in the hospital during the past 2 months due to the intolerance of psychological treatment in the critical period of the disease (at least two months from the last recurrence period) and willingness to participate in the study. Exit criteria include spinal bipolar disorder (more than four periods of depression and mania less than one month that occurred during the past year), secondary bipolar disorder due to organic causes, and history of substance abuse during the past and present, the past or current history of other psychiatric disorders was in the first and second axis. A test group (12 people: 4 women, eight men) received cognitive-based Mindfulness Therapy. The second trial group (12 people: 4 women, eight men) received cognitive behavioral therapy focused on recovery, and the control group (12 people: 5 women, seven men) received no intervention and placed on the waiting list. Participants completed the Bipolar Depression Scale and Yang Mania Scale in pre-test and post-test. Data were analyzed by SPSS-22 software using covariance analysis.

    Results

    The results of this study showed that both cognitive-based cognitive therapy interventions focused on recovery significantly decreased bipolar depression and mania in bipolar patients (p< 0.01). However, among There were no significant differences in the effectiveness of these two interventions on these variables.

    Conclusion

    In general, according to the findings of this research, it can be concluded that depression and mania which are the symptoms of patients with bipolar disorder can be as a result of the use of psychological interventions such as cognitive therapy based on mind-awareness and focused cognitive behavior therapy Improve on recovery. Also, since the sample of this study was under medical treatment, these two treatments can be used in conjunction with drug therapy for patients with bipolar disorder. On the other hand, these two treatments did not have any effect on depression and mania, and both treatments were equally effective.

    Keywords: Mindfulness, Recovery-focused cognitive behavioral therapy, bipolar depression, Mania, Bipolar disorder
  • Mohammad Mahdi Amini*, Seyedeh Majedeh Azhadi, Zahra Mansourjozan Page 9
    Background & Objective

    In recent years, our awareness of excessive child mobility has increased dramatically, and attention has been paid to the level of activity, to attention defects and then to broader issues of social development. Estimates show a prevalence of 5 to 15 percent of primary school children with attention deficit hyperactivity disorder. Today, various interventions are used to treat sensory and motor disorders in children. One of these is the new hipo therapy. This study aimed to investigate the effect of horse therapy on some psychological and sensory-motor performance indicators in children with attention deficit hyperactivity disorder (ADHD).

    Methods

    The research was a semi-experimental study based on its nature and objectives, and a pre-test-post-test design with the control group. The target sample in this study was 20 children with attention deficit hyperactivity disorder (10 in the experimental group and 10 in the control group) who were selected using purposeful sampling. Tools were Conner's neuropsychological tests and Conners' questionnaire (teacher's version). Conner's neuropsychological test in Connor in 2001 was designed for the assessment of psychological nerve skills such as attention, memory, sensory-motor activity and visual-spatial processing in four spectra (not observed to severe) for children aged 5 to 12 years. The Conners Questionnaire (Teacher's Edition) has 38 questions and aims to diagnose children with attention deficit disorder and over-active by teachers. The method of rating is as follows: In no way zero points, low 1 point, average 2 points, high 3 points. The questionnaire has three components that measure the behavior of the child in the class, participation, and group collaboration, an attitude toward the authorities. The survey has 38 questions, and therefore, the total test score will range from 0 to 114. If the child's score is above 57, it indicates a defective disorder. The higher the score, the more the child's disorder will be, and vice versa. The construct validity of this tool was appropriately evaluated, and the reliability of this Cronbach alpha was reported to be 0.72. In this study, the experimental group was trained for horse riding for eight weeks and weekly three 90-minute sessions. The protocol of each session includes: familiarization with the horse (about 10 minutes) , horse's behavioral (about 10 minutes) , horse's coloring (about 10 minutes) , preparation and preparation of food (about 10 minutes) , horse feeding (about 10 minutes) Brush and horseradish (about 10 minutes) , horse riding (about 10 minutes) , familiarization with horse equipment (about 10 minutes) , and balance control on the horse at the time (10 minutes). During this period, the control group did not receive any relevant training. Kolmogorov-Smirnov and independent T-tests were used to analyze the data.

    Results

    The findings showed that eight weeks of horse therapy intervention on psychological and sensory-motor performance including psychological symptoms, attention problems, sensory-motor function, memory and learning, executive functions, cognitive abilities, attention deficit disorder, child behavior in the class, participation and group collaboration and attitudes towards empowerment in children with ADHD have a significant effect and improve these indices (p<0.01).

    Conclusion

    A horse therapy period affects psychological parameters and sensory-motor performance in children with attention deficit hyperactivity disorder (ADHD).

    Keywords: Hipo therapy, sensory-motor function, attention-deficit, hyperactivity disorder
  • Parvaneh Hadadi, Seyyed Amir Amin Yazdi*, Hossein Kareshki, Javad Hatami Page 10
    Background & Objective

    Autism is a neurodevelopmental disorder characterized by deficits in social communication and social interaction, as well as restricted, repetitive patterns of behaviors and interests. Infants who develop autism have early deficits in social motivation, which is expressed by decreased attention to social information. These deficits lead to impaired socio-cognitive development. Base on researches, interventions implemented between 12–48 months is associated with significant gains in cognition, language, and adaptive behavior. To facilitate early diagnosis, screening tools whit suitable sensitivity and specificity are needed. The eye tracker is one of the screening tools that have attracted much attention in recent years. It requires no skills unless eye movement. So, it is suitable for screening at early ages. The goal of the present study was to investigate the social orienting in at-risk infants. It was expected that, in contrast to typically developing (TD) and developmentally delay (DD) infants, at-risk infants would show impaired performance on tasks measuring social orienting.

    Methods

    This study was a causal-comparative. The statistical population included 10-12 months boy infants in Tehran. The research sampling was Stratified sampling. Fifty-three boy infants were selected and divided into three groups based on diagnostic criteria (the experimental group included 13 at-risk infants, and control groups included 20-TD and 20-DD infants). Parents were asked to complete the Age and Stage Questionnaire (ASQ) (Bricker & Squires, 1995) and the Functional Emotional Developmental Questionnaire (FEDQ) (Greenspan, 2002). Then infants regarding ASQ and family history of autism were divided into an at-risk group (developmentally delay and ASD-sib), DD-group (developmentally suspend without autistic history) and TD-group (no history of developmentally delay or ASD). Then, Infants completed three social orienting tasks: orienting to direct gaze, biological motion, and dynamic social images (DSI, children moving) and their eye movements record whit eye-tracker (Tobii, TX300). For each kind of stimuli, we calculated several variables: the total fixation duration, the whole looking time on screen, and the number of saccades between images. Results analyzed by Kruskal–Wallis one-way analysis of variance, one-way ANOVA, Wilcoxson test, paired sample T-test with dependent groups, and Bonferroni method (p value=0.05) Using SPSS version 21 software.

    Results

    The total time spent looking at the screens was not statistically significantly different between the three groups (p>0.05). When viewing point-light displays of biological motion, at-risk infants were random in their looking patterns: 44.72% on the upright figure vs. 55.28% on the inverted (p=0.116). In contrast, both control groups demonstrated significant preferential attention to the upright animations: 61.54% upright for the TD group (p=0.002), and 57.54% upright for the DD group (p=0.002). Comparison across groups was not significantly different (by Kruskal–Wallis one-way analysis of variance, p=0.336). The difference in the fixation duration on dynamic social images (DSI) between the three groups is statistically different (by one-way ANOVA analysis of variance, p=0.003). In pairwise comparisons, looking by the at-risk group differed significantly from that of the TD group (p = 0.002 in comparison with the TD group, and p= 0.065 relatives to the DD group). The percentage of time spent on DSI was 55.4% vs. 44.6% on the dynamic geometric images (DGI, moving geometric shapes or toys) in the at-risk group (p=0.283). In contrast, both control groups demonstrated significant preferential attention to the DSI: 60.91% for the TD group (p=0.001), and 60.69% for the DD group (p=0.005). Comparison in the fixation duration on direct gaze across groups was not significantly different (by Kruskal–Wallis one-way analysis of variance, p=0.892). The percentage of time spent on direct gaze was 50.6% vs. 49.4% on the averted gaze in the at-risk group (p=0.600); 50.54% vs. 49.45% for the TD group (p=0.940) and 53.44% vs. 46.56% for the DD group (p=0.086).

    Conclusion

    This finding highlights that social orientation in the first months of life is damaged in at-risk infants. It appears that social orientation assessment in at-risk infants has the potential to autism screening in early years. Eye-tracking revealed a promising future for autism screening at an early age. Further research is needed to confirm the findings.

    Keywords: Autism, Eye Tracker, Social Orientation
  • Marzieh Gholamitooranposhti, Ali Delavar*, Hassan Pasha Sharifi, Nastaran Sharifi Page 11
    Background & Objective

    In elementary schools, especially in lower classes, we often encounter students who have difficulty reading, writing, counting, and other educational activities, although they are normal or near-normal levels of intelligence. Such students are not known before they go to the primary school, on the other side we know that a high percentage of children's brain develops in the first six years of life, and many neuroscientists believe that synaptic bonds in brain development at an early age are far higher than in the later periods, and in the age range of 5, It reduces a little whereas decrease in memory will cause troubles in life and may lead to impairment in reading and math. For this reason, diagnosis and rehabilitation of learning disabilities are essential before entering school. The purpose of this study was to predict learning disabilities in pre-school children.

    Methods

    The research method is a correlation. All students who studied at a pre-school level in one of the cities of Kerman selected as the statistical population. Using the Cochran formula, about 180 people are enough for the sample group. To avoid the fall error, 240 questionnaires distributed, of which 206 questionnaires entirely completed. The sampling method is a random cluster. The sample includes children aged between 5 years and six months to 5 years and 12 months. The individual test  run and the approximate time for each child was about two hours since five-year-old children cannot answer all the questions at one time, the test conducted in 5 sessions. The research tool to test learning failure is a visual-auditory memory test and Goodenough test, which is stable and reliable enough. Preschoolers responded to all three tests. Data were analyzed using descriptive statistics and logistic regression model. The examiners were eight graduates of elementary education major who had experience in kindergarten.

    Results

    To determine the prevalence of learning disability, children's crude scores first calculated in the test, Diagnosis of Learning failure. According to the cut-off point (a standard deviation below the mean), the number of children who scored below the cut-off point was 26 from which one of the children diagnosed with the Goodenough IQ test and interview with the border teacher. Since the total sample is 206 children, the prevalence rate is 12.13%. The average total memory scores of the normal children were 24.58±5.26, and the average total memory scores of children with learning disabilities were 18.11±5.7, respectively, and the average score of the total test of learning disabilities in children with this problem was 126.5 ± 9.91 and in normal children was 162.51±11.93. As we have seen, the mean scores of normal children in the total test of learning failure, including subscales (shape rotation, shape and field, voice recognition, numeric detection, writing letters same as patterns, visual argumentation, word meaning, symbolizing, maze, different phone(me) recognition, comprehension, auditory differentiation, completion of unfinished sentences, visual distinction), and in the memory test, which includes subscales (numerical, verbal, reversible numerical and visual), is higher than children with learning disabilities. The results of the analysis of Logistics regression showed that the effect of memory on learning disability was significant (p<0.01), but the gender effect was not significant. Two independent variables (memory and gender) have been able to explain 29% of the variation in the level of learning disability. The accuracy of the total classification of individuals was 87.7%. This accuracy is 20% for people with learning disabilities and 98.7% for normal people.

    Conclusion

    The results showed that this model could be used to detect the early learning disability of pre-school students, and if a child got a low score in the memory test, he would be referred to the treatment centres as soon as possible.

    Keywords: Regression, Logistics, Learning Disability, Children, Preschool, Memory
  • Gita Afrookhteh, Mokhtar Arefi*, Keyvan Kakabarayee Page 12
    Background & Objective

    Cardiovascular disease is one of the main causes of mortality in industrialized countries. Many psychological factors such as emotional regulation, personality traits have an impact on the quality of life and life expectancy of heart patients, and these factors have an important role in the development of the cardiac disease. Therefore, this study was aimed to find a pattern of structural relationships between personality traits, quality of life and life expectancy by mediating emotional regulation in cardiac patients.

    Methods

    The research applied (in terms of purpose and conditions of data collection method) descriptive and correlational. The statistical population of included all patients with congested heart disease and outpatients from April to the end of June 2018 who were admitted to Farshchian Hospital and outpatients referred to the clinic and heart clinic, as well as the private clinic of heart in Hamedan (Hamedan province, West of Iran). The method of sampling in this study was that from the list of patients referring to the hospitals and clinics of heart rehabilitation centre of Hamadan. Conditions entry into the present study were surgery, admission and ambulatory treatment. With the available sampling method, 250 people selected and completed the relevant questionnaires — this research conducted in a field and library manner. In the field method, using the questionnaire and its distribution in cardiovascular patients, the data needed to be analyzed, and in the library method, using the vector of the relevant books, scientific articles, the research sites and journals of the theoretical and empirical backgrounds related to the present research were collected. The present investigation was correlation research using "structural equation modelling" methods, which was studied through modelling and analyzing the correlation path between each of the variables. The structural equation modelling method is used in two stages to test the pattern, which includes the test of the model of measurement and structural. The measurement model examines the validity and validity of measurement instruments, research structures and tests the structural pattern of the hypotheses and relationships of the variables. The research tools consist of quality of life questionnaires (Varsharbun, 1992), cognitive emotion regulation (Garneschi et al., 2001), five factors of the Neo character (Costa and McCraey, 1992) and the life expectancy test (Miller and Powers, 1988). SPSS-22 and AMOS-22 were used to analyze the data. In general, using the structural equation modelling technique and using the Amos-22 software, the research hypotheses are tested. The most current statistical fitness indexes of the model including absolute fitness (Chi-square, CMIN, fit indices) (Root Mean Squared Estimate Error (RMSEA), normalized equilibrium index (PNFI), and adaptive adjustment indicators (CFI), Benthaler-Bonte (NFI), Tucker-Louis index (TLI) calculated. Standard fit indices presented in the measurement models for the research variables below each form. Fit if the ratio of Q2 to the degree of freedom was less than two, the model had a suitable fit, the RMSEA index was less than 0.05, and the other indicators were also preferable to the one closer to each other.

    Results

    There was a significant relationship between life expectancy, personality traits and emotion regulation, with standard coefficients of 0.75, 0.63 and 0.37 with quality of life variable at 1% error level, respectively (p<0.01). By fitting the structural equation model and fitting the final model, the fitting indices for Chi-square with the value (CMIN=632.752, NPAR=67, p=0.056), TLI=0.996, CFI=0.935 and NFI=0.962. On the other hand, the value of the normalized fitting index (PNFI) equalled 0.578 and RMSEA was 0.045. These values, albeit meaningfully, of the Chi-square, indicate that the model obtained has a suitable fit for the data.

    Conclusion

    According to the findings of this study, holding workshops for patients in the early stages and during treatment for education (hope for treatment) and modifying the type of personality is a very useful and preventing exacerbation of the disease.

    Keywords: Personality traits, Quality of Life, Life Expectancy, Emotional Regulation, Cardiac Patients
  • Maryam Bashour Lashgari, Parisa Tajalli*, Mojtaba Amirimajd Page 13
    Background & Objective

    Specific learning disabilities involve disorders of learning and cognition that are intrinsic to the individual. Specific learning disabilities are specific in the sense that these disorders each significantly affect a relatively narrow range of academic and performance outcomes. Specific learning disabilities may occur in combination with other disabling conditions, but they are not due primarily to other conditions, such as intellectual disability, behavioral disturbance, lack of opportunities to learn, or primary sensory deficits. Children with specific learning abilities have a poor sense of self-efficacy. Research has demonstrated a relationship between child self-efficacy and mother-child interaction. Mother created an environment that may influence child self-efficacy in a numerous way. There continues to be a need for effective interventions that can be utilized within the home setting to assist the student with specific learning abilities. One of these interventions is Mindfulness-Based Cognitive Behavioral training. Mindfulness is a process of openly attending, with awareness, to one’s present moment experience. Despite numerous studies available on Mindfulness-Based Cognitive Behavioral training, only a few have examined the effectiveness of this therapy on a student with specific learning disabilities and their mothers, Therefore the present study aimed to investigate the effects of mothers’ Mindfulness-Based Cognitive Behavioral training on Self-Efficacy in their children with specific learning disabilities.

    Methods

    In a quasi-experimental design, a pretest-posttest and follow-up with the control group paradigm applied. The statistical participants of this study consist of all mothers and students aged 8-12 years with specific learning disabilities in Tehran city in the academic year of 2017-2018. A sample of, 56 (28 mothers and 28 children) were selected through purposive sampling method and randomly divided into experimental (14 students with their mothers) and control groups (14 students with their mothers). The Inclusion Criteria for mothers were being 25 years old or above, holding a diploma degree or above. Also, the exclusion criteria were suffering from psychotic disorders. Inclusion and exclusion criteria were evaluated based on interviews and self-reports of participants. Data collection tools were the Morgan Jinks Children's Self-Efficacy scale which was performed before and after the intervention and in the follow-up period of 3 months on both control and experimental groups. Morgan-Jinks self-efficacy scale has thirty items and three subscales: talent, effort and context. This instrument was validated through field testing and item analysis. The resulted in the 30-item scale with an overall reliability coefficient of 0.82; the subscale alphas were 0.78 for talent; 0.70 for context, and 0.66 for effort. The experimental group received cognitive-behavioural of Mindfulness-Based Cognitive Behavioral training in 8 sessions of 2 hours. The control group did not receive any specialized training. The groups tested before and immediately after the intervention and at the follow-up period of 3 months. Repeated measures of variance analyzed the collected data. All analyses were done in SPSS.

    Results

    Data analysis showed that Mindfulness-Based Cognitive Behavioral training for mothers has no significant effect on the Self-Efficacy of their children with specific learning disabilities in the experimental group. Also, there was no significant difference among, pretest, posttest and follow up scores of Self-efficacy subscales (talent, context and effort) in the control group and the experimental group.

    Conclusion

    As a part of the treatment for students with specific learning Disabilities, mindfulness should be used with caution.

    Keywords: Mindfulness, Learning Disability, Self-Efficacy
  • Elyas Niazi, Shahram Mami*, Vahid Ahmadi Page 14
    Background & Objective

    With the growing complexity of marriage and family, there is abundant literature on marital relationships and marital adjustment and an emerging understanding of how marriage might influence health and well-being. The understanding marital relationship is also very timely, given the changes the institution of marriage has been witnessing over the last several decades. The link between “better” or “worse” marriages and “sickness and health” has been a subject of much researcher interest over the last half-century. Being married contributes to concordance in health behaviors over time between spouses. Moreover, the marital adjustment may also buffer against the impact of non-marital stressors on health behaviors and increase personal resources (i.e., self-efficacy, self-regulatory capacity) needed for initiating and maintaining health behavior change. The marital strain may add or interact with non-marital stressors leading to increased use of health-compromising behaviors to cope with such stressors and decreasing personal resources that could be used during change attempts. Marital adjustment, which refers to affective and cognitive states along with the related actions that are precedent to terminating a relationship, is a crucial indicator of well-being. Several studies have shown that separated and divorced couples experience more significant risk for mental and physical health problems, as well as can have strong negative consequences for their children, such as impacting their children’s mental health, academic and social performance. Since marriage maladjustment is detrimental to the family unit and society, the importance of identifying the factors that promote marital adjustment is overwhelmingly apparent. Meanwhile, the role of the family and the way their members communicate with each other in shaping the quality of marital life is very important. The beliefs and cognitions that exist in the minds of individuals, such as couples, affect their communication. Understanding these beliefs and their influence on couples, family functioning, marital adjustment and the continuity of this relationship cannot be ignored. The purpose of this study was to compare the efficacy of the integrative behavioral couple therapy and couple rational- emotive- behavior therapy on communication beliefs among maladjustment couples.

    Methods

    This study method was a semi-experimental study with pre-test, post-test, and control group. The statistical population of this study was all couples with marital complaints referred to Ilam counselling and psychology centres in 2017. Among them, 30 couples were selected through the available sampling method and accidentally homogenized in three groups. Relationship Belief Inventory by Eidelson & Epstein (1982) for pre-test and post-test. Data were analyzed using multivariate analysis of covariance, Bonferroni follows up test and SPSS software and 0.05 probability values.

    Results

    The results of this study showed that Integrative Behavioral Couple Therapy was effective on post-test scores of disagreement is destructive belief (20.10±2.58, p=0.001), mindreading is expected belief (22.50±4.12, p=0.001), partners cannot change belief (22.50±4.12, p=0.001), sexual perfectionism belief (22.40±3.72, p=0.001) and sexes are different belief (22.00±3.43, p=0.001). Rational-Emotive Behavior Therapy was effective on post-test scores of disagreement is destructive belief (19.45±2.23, p=0.001), mindreading is expected belief (23.40±3.16, p=0.002), partners cannot change belief (23.75±3.41, p=0.003), sexual perfectionism belief (22.00±3.15, p=0.001) and sexes are a different belief (22.30±3.71, p=0.001).

    Conclusion

    The purpose of psychotherapy is to make desirable changes in the system of individual beliefs. Rational-Emotive Behavior Therapy is characterized by commonly accepted approaches to cognition and behavior, which emphasizes thinking, judging, deciding, analyzing and practicing. Another method used for couple treatment is Integrative Behavioral Couple Therapy. The goal of Integrative Behavioral Couple Therapy is emotional acceptance through the release of vulnerable emotions that enhance empathy and change behavior. Based on the findings of this research couple therapists and counsellors can increase marital adjustment of the couple by training correct relational beliefs via integrative behavioral couple therapy and rational- emotive behavior therapy.

    Keywords: Integrative Behavioral Couple Therapy, Communication Beliefs, Maladjustment Couples, Rational- Emotive- Behavior Therapy
  • Parvaneh Nazarpour Samsami, Zinat Mahdiani, Mehdi Ghasemzadeh, Hafez Padervand* Page 15
    Background & Objective

    Emotion regulation refers to internal and external processes of responding to inhibition and monitoring, evaluation and modulation of emotional interactions, especially their transient features, to achieve the desired goal. Emotion regulation plays an important role in adapting to the stressful events of life, and it is one of the adolescent requirements to assertiveness. Assertiveness refers to the ability of individuals to express honestly, directly, explicitly, decisively and without violating the rights of others with the dignity of expressing feelings, beliefs and needs. Assertiveness as an individual's ability to defend themselves and the ability to "say not". The purpose of this study was to compare the emotion regulation strategies and assertiveness in students with and without learning disabilities in Khorramabad city. 

    Methods

    The method of this study was causal and comparative; this means that the variables of emotion regulation strategies and assertiveness are compared between the two groups. The statistical population of this study was boy students aged 12-16 years at high school in 2016-2017. Among the statistical population, 30 students with special learning disabilities selected through targeted sampling and 30 normal students through cluster sampling. The sample was matched based on the level of education and gender. After obtaining the necessary permissions from the education department of Lorestan province (West of Iran), a list of the first high schools of Khorramabad city was selected to select normal students in a cluster sampling from all schools. The validity and confirmation of the diagnosis recorded in each student with a special learning disability investigated by a clinical interview which conducted based on DSM-5 criteria for students with a learning disorder and diagnostic checklist of special learning disorder. Data were collected using the Diagnostic Checklist for Specific Learning Disorders and the Garnefsky Emotion Regulation Strategies Questionnaire and the Gambler and Richie Expression Scale. Independent t-test also used for data analysis.

    Results

    There was a significant difference between two groups of students in emotion regulation strategies and assertiveness in the group of students with learning disabilities, less than normal students was (p≤0.001). This means that students with learning disabilities had problems and weaknesses in emotion regulations and assertiveness. 

    Conclusion

    Regarding the role of emotion regulation strategies and assertiveness in psychological and social adjustment and the weakness of students with learning disabilities in emotional regulation and assertiveness, it is suggested that psychologists and clinical counselors in schools use training to strengthen variables.

    Keywords: Emotion Regulation Strategies, Assertion, Students, Special Learning Disabilities
  • Farangis Demehri*, Mohsen Saeidmanesh, Shahrzad Razban Page 16
    Background & Objective

    Prevalence of childhood eating problems is far from being described in preadolescence. A range of eating behavior problems has been described in preadolescence. However, knowledge of the development and course of these problems are not understood. Because eating pathology most commonly emerges in adolescence, the preadolescent years may be a particular key-development period of interest in relation to the development of eating behavior problems. Parents have challenges on their children’s eating behaviors. One important determinate of children’s eating behaviors is the feeding practices that parent’s use. Among the behavioral abnormalities of children, one can point out their behavioral problems during meals. Accordingly, the purpose of this study was to investigate the effectiveness of art therapy based on painting approach on eating and maladaptation problems in children. The items can be grouped into two broad categories: items pertaining to the child and items pertaining to assess food preferences, motor skills, and behavioral compliance. The items in the parent domain are indented to assess parental child behavior controls, cognitions and feeling about feeding one’s child and interaction between family members.

    Methods

     The research was semi-experimental (post-test pretest with control group). The statistical population of this study was on 4-6 year-old children. Using randomized cluster sampling from 5 kindergartens and preschool children from Malayer city (Hamedan province, west of Iran), 30 children with behavioral and incompatible problems were selected as sample and randomly selected in two groups (15 children in experimental group and 15 children in control group). The instrument used was Rutter's parent behavioral assessment questionnaire (1979) and the child behavioral eating inventory (CEBI, 1990). The Rutter’s parent behavioral assessment assesses four dimensions of anxiety and depression, antisocial behaviors, social incompatibility and hyperactivity, a lack of attention, which includes 31 questions. The CEBI is a parent- report instrument that conceptually derived from a transactional/ systemic approach to childhood eating and mealtime problems. The CEBI has 40 items. The intervention program (art therapy) was run in accordance with a protocol at 8 sessions of 45-30 minutes and twice a week. Art therapy was one-to-one. Although in one of the schools it was also offered in a small, closed group, all the children spoke only about one-to-one art therapy. The art therapist met with parents and teacher first to obtain their understandings of the child’s difficulties, and to enquire about developmental history, sources of resilience in the child and family, and any traumatic events. Engagement in art or other activities together that had a creative element, such as play, gardening or choosing clothes, may be enquired about. The art therapist then met with the child to talk about what difficulties therapist and child might work on together, explain how making art may help the child to talk about and understand difficult feelings, and explain about confidentiality.

    Results

    Covariance analysis showed a significant difference between the mean scores of pre-test and post-test in both experimental and control groups. Finding was for eating disorders (F₌201.146, p≤0.001) and for maladaptive problems (F₌50.38, p≤0.001).

    Conclusion

    Therapeutic painting program was effective in reducing the eating disorder also the results of the findings showed that art therapy with a painting approach was effective in improving the compatibility of children with eating behavior problems. Compliance problems in these children were behaviors such as excessive extortion, repetitive behavioral habits, and turbulent mood. On the other hand, art is like a behavioral exercise that teaches children how to recognize their emotions in different situations and use them to adapt to those learned skills.

    Keywords: Art therapy, Eating Behavior Problems, Maladaptive Problems
  • Faeze Jahan*, Rasool Noghabi Page 17
    Objectives

    Elderly is a sensitive period in human life. Attention to needs of this stage is a social necessity. The presence of mind and consciousness in the instant can be a way to achieve recognition, affection and a stronger wisdom is in years of aging. According to the view of most researchers, it is a summation of the person's life and if person be stronger in structures such as wisdom, moral intelligence and spiritual intelligence, it will have a better performance in terms of life. Therefore, the purpose of this study was to determine the effect of mindfulness education on ethical intelligence, spiritual intelligence and elderly wisdom.

    Methods

    This experimental study was a pre–test and post–test type with control group. The statistical population of the study consisted of all elderly members of the old age centers of Tehran. Sampling was done in two steps, in the first stage, aged population were selected from 23 districts of Tehran. The local areas of 1, 14 and 19 were considered and according to the number of elderly of each district (amount of elderly people were weighed in each district). Subjects were randomly systematic and based on entry conditions, which included age 65 years and older, no history of physical and psychological illness and marriage among the members of the districts. To do the research, written consent were recorded from elderly club. The research Instruments included the questionnaire of ethical intelligence of Link and Kiel, King's spiritual intelligence questionnaire, and the three–dimensional questionnaire of Ardlet's micro. Experimental intervention (mindfulness training) was performed only for the experimental group, during eight 90–minute sessions and the intervention group did not attend in them. The obtained data are analyzed using mean, standard deviation and independent T–test analyses.

    Results

    There were not significant differences between the two groups in the pre–test scores. Therefore, it is not necessary to control the pre–test values. Independent T–test for comparing the post–test scores of the two groups test and evidence were used. Findings showed that the mean post–test scores of the two test groups were significantly different in the mentioned components, it meaning that the experimental group received training, namely, mindfulness training, in all four components of the spiritual intelligence variable. It had a desirable and significant increase in the two components of the moral intelligence variable, as well as the experimental group receiving mindfulness training in all three components of the variable wisdom have shown significant improvement and improvement (p<0.01). The findings showed that there was no significant difference between the two groups of the experimental and control groups in the two components of the moral intelligence variable meaning that the experimental group did not upgrade and increase the score with the knowledge of mind education in these two variables (p>0.01).

    Conclusion

    Mindfulness by focusing on individual concentration and non–judgmental acceptance of what is happening can be seen in contrast to situations like mental employment with memories of program imagination or anxiety and automatic behavior in which attention to the other thing is focused. Given that the mind of consciousness as a lifestyle, consistent with the natural nature of man, is capable of influencing the emotional system of individuals, raw feelings and impulses of their actions, transforming the view into transformational life and improve the quality of communication with oneself, others and the world, or compassionate and realistic acceptance in order to increase satisfaction. Being educated at the elderly and retirement homes after old age, the program could be seen in contrast to situations like mental employment with memories of program imagination or anxiety and automatic behavior in which attention is focused on something else centralized.

    Keywords: Mindfulness, Moral Intelligence, Spiritual Intelligence, Wisdom, Elderly
  • Leyla Alikhani, Farzaneh Taghian*, Rokhsareh Badami Page 18
    Background & Objective

    Subjective mental retardation is one of the agents that in the condition people have less activity than other normal one because of their mental and psychological problem. Based on type of society approach to them, they have less active in comparison with healthy people, and due to this lack of mobility, suffer from physical–motor weakness. One of ways to improve motor behavior of children with intellectual disabilities is physical activity and exercise. Experts believe that physical fitness is a prerequisite for success in other forms of movement. Accordingly, the purpose of this study was to compare effects of functional exercises and school games on motor skills of educable intelligence girls.

    Methods

    This study was semi experimental and pre–test and post–test. The statistical samples of this study was 30 girl students 10–16 year’s old schoolchildren of psychology and exceptional school from Neiriz city (Fars province, South of Iran). Participants were identified based on diagnosis of mentally retarded psychiatrists and at Raven's intelligence test; they scored 50 to 70, indicating that they were educable. Then the participants were ranked from top to bottom according to the score in the test. Therefore, based on three consecutive scores divided in the exercise practice group, control group and primary game group. The instrument for collecting data in this study was the Brinhinks–Overstrain expiratory test, which is a normal reference for general and subtle motor skills. Some functional exercises practice included walking forward, sitting and getting up from the chair, spiral movement from eight cones for distance of 1 meter, standing on the soles and heels of feet, along with changes in the direction of the side to side, front and rear. In the primary games group, 45 minutes played after 15 minutes warming, were considered smooth running. The exercise practice group, as well as the primary school group, trained for 8 weeks and the control group was only followed up and did not receive an intervention. For data analysis, SPSS software version 21 was used for comparison between paired t–test and covariance analysis was used for comparison between groups. A significant level of p≤0.001 was considered.

    Results

    The results of covariance analysis showed that there was a significant difference between the scores in the exercises practice and primary school game and the control group. These deference were in the large motor skills (F=81.54, p≤0.001), balance (F=28.8, p≤0.001), coordination (F=19.47, p≤0.001), running speed (F=74.22, p≤0.001) and foot strength (F=98.9, p≤0.001). Also, post–test results showed that there was no significant difference between the scores in the functional training group and the games in the variables of gross motor skills, balance, coordination, running speed and strength of the feet.

    Conclusion

    Functional exercises and primary school games can be used to improve motor skills and balance, leg strength, speed, and coordination of girls with intellectual disabilities.

    Keywords: Functional Exercises, Primary School Games, Gross Motor Skills, Intellectual Disability
  • Maryam Hashemi Bakhshi, Gholam Ali Afrooz*, Parviz Sharifi Dahmadi, Masoud Gholam Ali Lavasani Page 19
    Background & Objective

    Sense of vision is the basis of visual imagery. Blind people can compensate for their deficiencies in mental imagery, based on the sensory compensation theory. However, the effect of blindness on some mental processes shows that the performance of blind children and adolescents in visual imaging is different toward normal children and adolescents. Therefore, hearing perception plays a crucial role in the visual image of the blind. The process of formation and perception of space symbols create in the blind people by gradually listening to the sound patterns of different people from their personality traits; imagine the images in their mind and believe into it. Therefore, the present research aimed to consider the visual imagination of personality characters of a teacher in seeing and blinded boys with and without experiencing the puberty.

    Methods

    This study was a causal-comparative study. The statistical population of this study included all of normal and blind students of Tehran city (capital city of Iran) with and without the puberty experience. One hundred twenty students of primary school (fourth, fifth, sixth grades) and high school (tenth, eleventh, and twelfth grades) were chosen by purposive sampling method for the study. The first stage, five female volunteer teachers who differed in terms of biological and personality characteristics were selected, and his voice recorded by saying a single sentence. The normal and blind student chose one voice from five voices individually, and it was chosen as the selected voice, and the study entered the second stage of sampling. The selected voice replayed for people who voted on it, and those who voted for four other voices were excluded from the study. Then the participants in the sample were asked by using the questionnaire and rebroadcasting the selected voice individually. To data gathering, Catell’s sixteen factors personality inventory and biological features and researcher-made questionnaire on psychological characteristics were used. Validity and reliability of self–made questionnaire were assessed by experts’ opinion and Cronbach’s alpha. We used Chi-Square for data analysis. Validity and reliability of two constructed teacher questionnaires were evaluated at a very good level. Collected data were analyzed using SPSS version 24 and Chi-square test at a significant level (p<0.05).

    Results

    There is a significant difference (p<0.05) between four groups in terms of visual imagery of the arranged teeth, having smooth skin, age, height and psychological features: the high–performance, irascibility, daring and attractiveness of the sound owner. However, in some biological and psychological characteristics, there is no significant difference between them. Also, mature blinded students had a clearer visual imagination of voice owner.

    Conclusions

    The study indicates that according to the characteristics of students (regular and blind with and without the experience of puberty), they have different sound imaging. Also, they did not give a negative personality, and they attributed all the positive biological and psychological attributes to the teacher's volunteer, which can be explained according to social psychology theories as well as the teacher's voice in teaching and learning, adaptation, and rehabilitation of blind students is important. Therefore, sound with reverence, affection, happiness and respect is important in the mental health of blind students.

    Keywords: Mental Imaging, Visually Impaired, Maturity
  • Farzad Farhoodi, Mohsen Saeed Manesh, Farzad Mirshahi* Page 20
    Background & Objective

    It has been observed that short–term solution–focused approach training is effective in addressing behavioral, emotional and educational problems, and promoting social and communication skills in different groups of clients, including teenagers and students. This study aimed to examine the group training of solution–focused approach on examination anxiety and self–esteem of students and this study is seeking to answer this question: whether group training of solution–focused approach is effective in examination anxiety and self–esteem. 

    Methods

    The research design was a quasi–experimental design with control group and was examined in a way such as pre–test, intervention and post–test. The statistical population of this study consisted of all female students of first secondary school of Koshkuiyeh in 2016–2017 academic year with 352 students. Among the first secondary schools of Koshkuiyeh, a school was randomly selected and after initial screening, 50 female students who had high examination anxiety and low self–esteem were randomly assigned to two experimental (n=25) and control groups (n=25). The educational intervention program was conducted in 8 sessions of 90 minutes based on the educational sessions of solution–focused approach. In order to measure the desired variables such as examination anxiety and self–esteem used Speilberger and Cooper Smith Self Esteem Inventory respectively. In this research, we used the descriptive statistics method to answer the research hypotheses including: frequency, percentage and cumulative frequency, mean and standard deviation and in order to determine real data, we used Kolmogorov–Smirnov Test and for answering the research question was used Analyze of Covariance test with SPSS–22. 

    Results

    The results showed that there was a significant difference between the examination anxiety scores in post–test after eliminating the effect of pre–test (p≤0.001). The results also showed that there was a significant difference between the scores of self–esteem in post–test after eliminating the effect of pre–test (p≤0.001). 

    Conclusions

    According to the results of this study, it can be stated that a solution–focused brief therapy can reduce the examination anxiety in high school girls.

    Keywords: Solution–Focused Brief Therapy, self–esteem, test anxiety
  • Fatemeh Sadat Tabatabaienejad, Mohsen Golparvar*, Asghar Aghaei Page 21
    Background & Objective

    Adolescence is a crucial period in the human developmental cycle. The profound psychological, physical and social changes that occur during this period distinguish adolescence from other humans’ developmental periods. Adolescents are prepared at this stage in human development to enter an adult education and deal with life issues. From the range of teens' problems, depression is a disruptive mood disorder that can lead to many problems in their lives. The prevalence of adolescent depression may be higher among adolescent girls compared to boys. Sexual changes and identity–related questions and challenges, along with their need to gain independence from childhood dependencies, cause some adolescents to experience different social maladjustments during this period. These maladjustments, in addition to family tensions, have been influenced by the type of interactions among students through the spread of other social environments, especially in school, and may include issues such as maladjustment with classmates and teachers, academic failure, leaving school, anxiety and decreased self–esteem. For this reason, social adjustment is one of the variables that can be taken into consideration in the direction of assistance to depressed student girls. Accordingly, this study aimed to determine the effect of positive mindfulness therapy, mindfulness–based cognitive therapy and cognitive–behavioral therapy on social adjustment in female students with depression.

    Methods

    The research method was semi–experimental, and research design was four groups with two stages (pretest and post–test design). To carry out the research, from 400 first secondary school female students with depression in Naein city (Yazd province, Iran) in 2017, 60 female students were selected based on criteria of entry and exit. Then randomly assigned in four groups; including three groups of positive mindfulness therapy, mindfulness–based cognitive therapy and cognitive–behavioral therapy (each group with 15 persons) and control group (with 15 people). Social adjustment questionnaire was used to measure the dependent variable in the pretest and post–test. The group of positive mindfulness therapy, mindfulness–based cognitive therapy, and cognitive–behavioral treatment received 12 sessions of treatment, and the control group did not receive any treatment. The data were analyzed by analyzing the pre–assumptions for the normal distribution of data, equality of error variance, regression line slope and equality of variance–covariance matrix by multivariable analysis of covariance. Data analysis was done using SPSS 21 software. 

    Results

    Descriptive findings showed that in the overall social adjustment, the mindfulness–based cognitive–therapy group had a mean of 36.5 in the pretest phase and in the post–test phase, the mean of this variable changed to 17.7. In the positive mindfulness therapy group, the mean of overall social adjustment in the pretest phase was 48.1, and in the post–test phase, it changed to 3.1. In the cognitive–behavior therapy group, the mean of overall social adjustment in the pretest phase was 35.97, and in the post–test phase, it changed to 7.53. In the control group, the mean of overall social adjustment in the pretest phase was 38.6 and in the post–test phase, it changed to 34.87. In four research groups, three components of social adjustment, emotional adjustment and academic adjustment were changes in the direction of changes in overall social adjustment. Results of multivariable analysis of covariance showed that there was a significant difference between the positive mindfulness therapy, mindfulness–based cognitive therapy and cognitive–behavioral therapy and control groups in social adjustment and their components (social adjustment, emotional adjustment and scholastic adjustment) in post–test after controlling for pretest (p<0.001). Also, there was a significant difference between positive mindfulness therapy with cognitive–behavioral therapy in scholastic adjustment and total of social adjustment.

    Conclusion

    Positive–mindfulness treatment as a modern and valid treatment can be used alongside other treatments to help depressed student girls and their families, and in particular to promote the social adjustment of these girls. Therefore, at the practical level, it is necessary, first, to provide accurate information in girls' schools about the possibility of solving the problems of social adjustment of depressed student girls to school administrators, teachers, counselors and families. At the level of psychological treatment centers, also it is necessary to use positive–mindfulness therapy along with other mental treatments for depressed girls who have a problem of social adjustment and refer to these centers through schools or families. In sum, the results of this study by documenting the effect of positive–mindfulness therapy suggest that this new and combined therapeutic approach has significant potential for the treatment of mood disorders in adolescents.

    Keywords: Positive Mindfulness Therapy, Mindfulness Based Cognitive Therapy, Cognitive–Behavioral Therapy, Social Adjustment, Female Students with Depression
  • Mahmoud Tahmasbzadeh, Bahram Mirzaian*, Ramzan Hasanzadeh Page 22
    Background & Objective

    Special learning disorder is one of the most popular psychiatric disorders in children. In fifth diagnostic guide and statistical classification of mental disorder, the prevalence of this disorder in educational fields (reading, writing and mathematics) was reported 5–15% in elementary schools in different languages and cultures. The prevalence value in adults is unknown, but it seems that it is approximately 4%. Birth and presence of child with disability in each family can be an undesirable and challenged event, which causes tension, disillusion and disappointment. This situation irrespective of the culture type and society provides the conditions to reduce the psychological health, life quality, life satisfaction and to increase the challenges and problems in the family. Under such a situation, although all members of the family will damage but mothers influence more due to having the traditional role of caregiver, feel more responsibilities towards their children. Particularly, when there is a problem about her child, mother feels more discomfort and this problem affects their mental health and compatibility. As a result, they will face with more psychological problems and pressures. Researches have shown the amount of anxiety–based disorders in mothers of children with learning disability is more than that of mothers of normal children. Regarding the importance of psychological health of mothers and expansion of influential area of social anxiety disorder and its correlations, treatment of the disorder and its associated characteristics will have dual importance. One of the most applied approaches in treatment of anxiety–based disorders is cognitive–behavioral therapy. The essential principle of cognitive–behavioral approaches is that the cognition affects the feeling and behavior. These approaches emphasizes on decreasing the effect of incompatible or inefficient feedbacks or beliefs. On the other hand, specialists believe that reality therapy is a type of therapy, which its application is possible for all people with problems. lack of correction of reality, taking responsibility and accordingly, planning to achieve the goals are the most fundamental requirements of human–being in the life process which have been considered important in this therapeutic approach. Reality therapy is established based on the selection theory. In this theory, it is believed that all actions, which we perform, is behavior and almost all our behaviors are selected. The present study was performed to examine the difference between the efficacy of cognitive–behavioral group therapy and reality therapy on reducing social anxiety in mothers of students with special learning disorder.

    Methods

    Research method was semi–experimental with pretest and posttest design with control group. In this study 45 mothers of children with special learning disorder were selected as available sampling from learning disorders therapy centers from Babol city (Mazandaran province North of Iran) during 2017–2018 academic year (in the research process due to the test decline, it reduced to 40 persons). They were included randomly and in equal volume in three groups including two experimental groups and one control group. An intervention was performed during 8 sessions in two empirical groups. Connor (2000) social anxiety questionnaire was used before and after teaching. For analysis, covariance test was calculated using SPSS–22 software.

    Results

    Koalas analyses showed that cognitive–behavioral group therapy (F=8.88, p=0.007) and reality therapy group (F=12.89, p=0.001) significantly affected on reducing social anxiety of mothers of students with special learning disorders. However, Toki's following test showed that there was no significant difference between the efficacy of these two methods.

    Conclusion

    Regarding the results of this research, it is recommended to therapists who are working with parents of students with special learning disorder to use cognitive–behavioral group therapy and reality therapy to reduce the symptoms of social anxiety of mothers of these students.

    Keywords: Special learning disorder, Social anxiety, Cognitive–behavioral therapy, Reality therapy
  • Ali Seyfzadeh, Mansour Haghighatian*, Ali Asghar Mohajerani Page 23
    Background & Objectives

    Many senile people describe the ageing period as a loneliness period, calling it an unpleasant and scary experience. Social isolation is a widespread phenomenon. Near the 25 to 50 percent of the total population, over 65 years old experience it in terms of age and gender. Given to elderly population growing and the fact that in our country (Iran) has begun to experience ageing, it is important to consider the social needs and communication networks of the elderly. The primary purpose of the study was to investigate the relationship between socio–economic, social and social characteristics of the elderly in Tehran.

    Methods

    This cross–sectional study was descriptive. This study conducted in 2017 among 382 elderly 65 years old in Tehran (the capital city of Iran) selected by multistage cluster sampling method. The data–gathering tool was a social isolation questionnaire. To assess the validity of the questionnaire, used two types of content validity and structure, and reliability evaluated by Cronbach's alpha test. The pre–test questionnaire completed after the elaboration of 30 elderly people in Tehran and defects resolved. Finally, a final questionnaire developed. Data analyzed by SPSS software version 25 using descriptive and analytical methods using t–test and ANOVA. The significant level considered for comparison of social isolation among different groups of elderly people (0.05%).

    Results

    The average social isolation in the elderly was about 62%. Investigating the dimensions of social isolation of this vulnerable group showed that the two dimensions of associative links (81.8%) and instrumental social capital (78.2%) were the highest levels of isolation. On the other hand, the lowest level of isolation has been experienced in family relationships, and about 33% of the elderly have experienced social isolation in their family relationships. There was no significant difference between the mean of social isolation of men and women, and the elderly men and women had similar levels of social isolation (p=0.118). Social isolation of elderly people who lost their spouse (due to death and divorce) was more than spouses one (p=0.001). Also, the elderly living in the same neighborhood less than five years had more social isolation than the other elderly (p=0.001). With increasing age, we saw an increase in social isolation. Social isolation of the elderly people who were 80 years and bigger was more than other elderly people (p=0.001). With increasing education, social isolation decreased and high educated was lower than others were (p=0.033). There was no significant difference between the social isolation of elderly people of different ethnic groups in Tehran (p=0.092). Elderly people with a diverse economic and social base had the same level of social isolation, and there was little difference between them.

    Conclusion

    The social isolation rate of the elderly in Tehran was high, and there was a significant difference between social isolation in the elderly according to the variables of marital status, age, education, the residence time in a neighborhood. So that people aged 65 to 69, older people with higher education than those with a diploma, and respondents with a residence of less than five years in their current residence had less social isolation than other elderly people.

    Keywords: Economic, Social, demographic characteristics, Social isolation, elderly in Tehran
  • Nariman Barani Zaghe, Azar Mehri*, Shohreh Jalaie, Ronak Moradi Page 24
    Background & Objective

    In bilingual people, lexical selection, in addition to contending the competition between semantically related lexical representations, competing for word selections also occur between languages, which makes word retrieval a bit difficult. There are two views to explain how bilingual speakers select the correct words for the presented image in the intended language. First one assumes that lexical access in the target language is achieved by an imbalance in the activation levels of the two lexicons, but second view assumes that selection of the target word in the intended language is achieved by means of a lexical selection mechanism sensitive only to the activation of the lexical items of the intended language. Cognate status can influence recalling and retrieval of words from bilingual is lexical system. Cognates are word pairs with similar form and the same meaning in two languages; in contrast, non–cognate words have a common meaning and a different form. The purpose of the present study was to investigate whether cognateness affects verbal recalling performance in balanced Kurdish–Persian bilinguals and ultimately to achieve a model or hypothesis that would explain the retrieval of vocabulary in bilingual individuals.

    Methods

    This study was a cross–sectional and comparative study. The population of this study was all Kurdish–Persian bilinguals in Kurdistan province. The participants completed the language experience and proficiency questionnaire. They were also administered the original version of the Persian verbs picture naming test by using DMDX software in two Kurdish and Persian languages, with a 7–day interval. Paired t–test, Pearson and spearman correlations and independent t–test were used to analyze the data.

    Results

    In comparing the cognate verbs with non–cognate verbs, the speed and accuracy of recalling of cognate verbs was higher than non–cognate verbs in both language. Whereas corresponding comparison of cognate and non–cognate verbs of the first language with cognate and non–cognate verbs of the second language indicate that the second language (Persian language) words in both verb type (cognate and non–cognate) are retrieved more easily. There was a significant difference between the accuracy of recalling the cognate and non–cognate verbs of the first language (p˂0.001) and the accuracy of recalling non–cognate verbs between the first and second languages (p˂0.001). In addition, there was a significant relationship between the level of education and the accuracy of recalling of non–cognate verbs (p=0.002). Comparing the speed and accuracy between male and female groups showed a significant difference between the two groups in accuracy of recalling non–cognate verbs in first (p=0.003) and second languages (p˂0.001).

    Conclusion

    Based on the findings of this study, it can be concluded that the cognate status and phonological similarities can effect on word retrieval and picture naming abilities in bilingual individuals. Based on the results “Cascade Activation Model” can explain the word retrieval in bilinguals was well.

    Keywords: Recalling speed, Recalling accuracy, Cognate verbs, Non–cognate verbs, Kurdish–Persian bilingual
  • Mohsen Saeidmanesh*, Farangis Demehri, Mohamadali Jafari Nodushan Page 25
    Background & Objective

    Attention–deficit hyperactivity disorder (ADHD) is a developing behavioral disorder. Usually, the child cannot focus and focus on one subject action, and the learning process is slow in him them, and the child these children haves unusual and very high physical activity. This disorder is associated with lack of attention, excessive activity, impulsive behavior, or a combination of these. A doctor should carefully monitor any child with ADHD suspicion. Many of these children also have one or more behavioral disorders. They may also have a psychiatric problem, such as depression or bipolar disorder. ADHD is the most common behavioral disorder in childhood and puberty, and it affects about 3% to 5% of children before the age of seven. This complication occurs more early in primary school era for children and at puberty, and as many patients become older as age grows. The cause of most people with hyperactivity disorder is still unclear, but it is thought to be a multifactorial disease with genetic origins and the environment. There is a definite cause for trauma and brain infections. The genetic factor of this disorder is greater in the fathers of children with hyperactivity, but environmental factors are also very effective in increasing the severity of this disorder. This disorder is more common two to four times in boys than girls are by two to four times. If the child has a mental or psychological problem during the first infancy (the first four weeks of birth), or if the mothers cigarettes or alcohol consumes cigarettes or alcohol during pregnancy. These children are more at increased risk of the disorder hyperactivity. Family therapy is a general term for several treatment approaches that, instead of separating individuals for individual treatment, participants in the treatment of this whole family as a whole. This term is neutral from the point of view. Therapeutic family it can be used in many different frameworks. Function ofal family therapy (Alexandr oupersonson Personson, 1982; Barton & and Alexander, 1981) is designed to make cognitive and behavioral changes in their family members. This approach is based on a clear set of principles and is strongly supported by research findings. The Functional functional family practice of Alexandro person (1982), attempts to create a non–rebellious communicative view and provide explanations for the behavior of all members in which the motivation of the members is not questioned. For functional family therapists, all behaviors are adaptive. Instead of behaving a person as "good" or "bad," they assume that the behavior always has one function. Because it is an attempt to create a particular result in interpersonal relationships. While privileges or interpersonal functions for family members can have different forms, they are ultimately trying to achieve one of the three following interpersonal situations: call/proximity (integration or unification), independence (Detachment detachment), or a mixture of both (immobilized). The purpose of this study was to investigate the effectiveness of functional family therapy on impulsive behavior and social skills on children with attention–deficit/ hyperactivity disorder.

    Methods

    The method of this study was a quasi–experimental type with pre–test and post–test. A total of 30 families with ADHD children with ADHD are were selected randomly and are considered randomly and evenly in experimental and control groups. The experimental group received family therapy in 5 sessions, the questionnaires that used, are were SNAP (1980) and social skills questionnaire Matson. A grading scale for the diagnosis of attention–deficit / hyperactivity disorder ADHD, first developed in 1980 by Swanson, Nolan, and Pellham, et al., based on the behavioral descriptions of attention deficit disorder in the third edition of the diagnostic and statistical manual of mental disorders. The questionnaire has a scale of 18 questions that parents or teachers have can respond to it. Neither the first question of behavioral symptoms are often neglected, nor the second question of behavioral symptoms are often measured by exaggeration/impulsivity, and ultimately all 18 items are designed to identify the hybridization. The cutoff point in the whole scale and each of the inferior subscales of attention and excitement has been reported at 2.08, 2.10, and 2.37, respectively. Matson et al developed the social skills measurement scale in 1983 to measure the social skills of people aged 4 to 18 years. The primary form of this scale was 62, which was reduced by Yousefi and Noor (2002), a factor analysis of 56 phrases that describe the social skills of individuals. To answer that, the subject must read each statement and then specify his answer based on a 5–point Likert type index with a range from 1 (never/never) to 5 (always). The main objective of the Matsun Matson social skills questionnaire is to measure social skills from different dimensions (appropriate social skills, non–social behaviors, aggression and impulsive behaviors, supremacy, high self–confidence, relationship with peers). The data was analyzed by spss21. 

    Result

    Functional family therapy could reduce impulsive behavior and increase social skills in children with ADHD (p<0.001).

    Conclusion

    Use of functional family therapy recommended to professionals in treatment of children with ADHD.

    Keywords: Functional Family Therapy, Impulsive Behavior, Social Skills, Attention Deficit Hyperactivity Disorder
  • Azadeh Chubforush, Mohsen Saeidmanesh*, Abolfazl Gelimi Page 26
    Background & Objective

    Masturbation is a method of satisfying sexual desire this act by motivating and stimulating a person's sexual limb by him/herself or by machine tools that make the same situation of sexual intercourse. In addition to sexual pleasure, masturbation is performed to escape sexual tensions, especially when a sex partner is unavailable. It usually continues until the orgasm. In teenagers, sometimes it is done with the curiosity of the genitalia. It is sometimes used to prevent transmissible sexual diseases (STDs) or pregnancies. A doctor in some of the sexual dysfunctions sometimes prescribes masturbation. Obsessive masturbation is a type of abnormality associated in which a person becomes socially or professionally problem due to masturbation. The psychological complications related to this may include disorders like anxiety, rush or drug abuse. Obligate masturbation (addiction to masturbation) can be a secret subject for a person and can cause isolation from society. For man or woman, the behaviors associated with compulsory masturbation can be different from another with or without the use of exciting sexual or pornographic content. In this case, masturbation may be accompanied by spent hours to watch pornographic content or fantasy. In compulsory masturbation, usually, there are not any intimate relationships with others; therefore, it can lead to much embarrassment. Like other compulsive behaviors, compulsive masturbation is also an indication of an emotional problem and mental health professionals may need to be treated it. Similar to other neurological habits, it is important to consider the cause of this compulsive behavior instead of suppressing activity. In recent decades, researchers have believed the structure of their compassion as an adaptive form of interpersonal communication. Self–compassion consists of the importance and compassion toward self–perceived hardship or inefficiencies. Naim et al. have defined his compassion as a structure composed of three main elements: self–esteem against self–judgment, the commonality of human beings against isolation and self–reliance against extreme identification. When one has compassion, he confronts himself with warmth and unconscious understanding when faced with pain, inefficiency or failure instead of hurting his suffering and blaming himself. This process also involves understanding that incompleteness, confusion, and dealing with life problems are part of a shared human experience, something that happens to every human being, not just something that happened. Self–compassion also requires a balanced distance from negative experiences. In this case, negative emotions are neither suppressed nor magnified. A person who cannot relate to his feelings is sympathetic; his feelings are suppressed and ignored. In contrast, compassion involves maintaining a proper distance with emotions, as it is fully experienced. This study aimed to investigate the effectiveness of psychotherapy based on the component of self–compassion on the subscale of self–esteem of a teenager with obsessive masturbation behavior.

    Methods

    The present study was a quasi–experimental design with the experimental group without a control group. The pre–test, intervention and post–test evaluated. The research population consists of adolescents in Kashan city (Isfahan province, the centre of Iran), among ten adolescents who had obsessive masturbation. For assessment of self–esteem, Cooper Smit questionnaire was used. Data were analyzed using SPSS–22 software, and descriptive statistics, including frequency, mean and standard deviation and inferential statistics, including paired t–test or dependent t–test, were used to examine the difference between pre–test and post–test mean.

    Results

    Results of t–test showed the mean of self–esteem after treatment was significantly increased (p<0.01). Among the components of self–esteem, the mean of family self–esteem did not change, and the mean of total self–esteem and the mean elements of self–esteem, social and occupational–education in posttest significantly increased (p<0.001).

    Conclusion

    Self–compassion–based intervention could increase self–esteem of adolescent with obsessive masturbation behavior.

    Keywords: Self–Compassion Therapy, Self–Esteem, Obsessive Masturbation
  • Aghil Hosseinlu*, Masume Esma’Ili, Somaye Kazemian Page 27
    Background & Objective

    Having a different physical and emotional experience, including stressors in human life, could affect individual identities, psychosocial dimensions, emotional balance, self–satisfaction, sense of competence and achievement, social interactions, interpersonal relationships and individual needs adaptability. Blindness is a different experience. Blind people usually have difficulties in adaptation with their environment because they lose their basic sense of mobility and navigation skills. However, it is said that a person with a behavioral pattern can achieve success when a person can navigate his work and his personal life. Identifying behavioral patterns of individuals can lead to the correct design of the movement for successful relationships and constructive interaction with others to obtain the desired outcomes from work negotiations, family relationships and friendly communication. Therefore, the present study was conducted to examine the life experience of blind people to recognize their driving patterns.

    Methods

    This research was a qualitative study and phenomenological research. The sample and statistical population of the study were blind subjects with 22 years and older in Tehran. The people were selected using targeted sampling method, and the data–gathering tool was semi–structured interviews. In analyzing the data obtained from the interview, two methods of descriptive phenomenological analysis (Clayzee method) and the coding method used simultaneously. Interview data at the same time and after completing interviews and recording the main points during the session, the participants 'statements repeatedly listened to the recorded notes, and their statements word–of–word wrote on paper and several times studied to understand participants' feelings and experiences.

    Results

    Analysis of interviews data about the living experience of blind people to determine the characteristics of their driving patterns had 21 major categories. They include: normalization in the course of time, the color of divinity, the relationship with God and Holliman’s, the blessings of God, strong self–concept and self–reliance, self–belief, strong will, sense of usefulness, positive effects, emphasis on self–help, help–seeking and consulting with others, communication with others, communication with the blind, community support, family support, friendship support, welcoming culture, hindering others, negative impacts, education, financial dependence, outcomes and livelihood status obtained. Ultimately identified five core categories :as char:acteristics of the driving patterns of blind people, including overtime adaptation, association with God, social skills, individual support factors and social support.

    Conclusion

    Characteristics of the driving patterns of blind people were a set of interpersonal and interpersonal features and factors such as environmental factors and, most important, communication with the creator of being. Therefore, it seems that neglecting or ignoring any of these factors and features can deprive an individual of having driving patterns.

    Keywords: Phenomenology, Life experience, Blind, Adaptability, Driving patterns
  • Sara Rajabpour*, Hamid Nejat Page 28
    Background & Objective

    Sexual instinct is a deep blend of psychological needs; this is why the ability has an irrefutable effect on marital life and its cohesion and sustainability. Sex anxiety refers to the fear of discussing sex with another person, which can affect sexual satisfaction. It also has an undeniable influence on marital life and its cohesion and sustainability. A high level of sexual satisfaction leads to an increase in the quality of life of marital life, resulting in increased marital stability throughout life. Sexual satisfaction and passion for life are two of the factors that can predict the quality of life and the interpersonal relationships of couples. Sexual problems and, consequently, marital conflicts can have devastating effects on couples' lives. These problems can, in addition to reducing the quality of life and mental health, will be effective in the future of common life and sometimes even divorce and separation of couples. Therefore, it is necessary and inevitable to intervene and improve this situation in couples. Cognitive-behavioural therapy is one of the treatments currently used in a wide range of psychiatric disorders and research support. In this way, people are taught how to substitute positive and healthy emotions for malicious and annoying emotions. Also, the use of bupropion anxiety medication can be useful in reducing these feelings by affecting both epinephrine and dopamine. The purpose of this study was to compare the effectiveness of cognitive-behavioural therapy and medication therapy using bupropion on sexual satisfaction and marital disturbance in women with sex-related anxiety.

    Methods

    The present study was a semi-experimental design with a pretest-posttest design with three groups. The statistical population of the study included people who referred to the midwifery and psychiatric clinics of Neyshabour in the spring of 2017 with anxiety complaints. Of these, 39 were selected by convenience sampling, taking into account the criteria for entering and leaving the research in a randomized manner. Three groups (cognitive-behavioural therapy, drug therapy and control group) placed. The first group received eight sessions of cognitive-behavioural therapy, and the second group received the drug, the control group did not receive any psychological or medication intervention — all three groups evaluated by questionnaires including sexual satisfaction scale and marital distress at the beginning and end of the study. The results analyzed by multivariate variance (covariance) and Bonferroni post hoc test using SPSS software.

    Results

    Cognitive-behavioural therapy and medication therapy were effective in improving sexual satisfaction and marital disturbance. There was no significant difference between the two treatments.

    Conclusion

    It suggests that cognitive-behavioural therapy be used as a research-based therapeutic approach to improving sexual satisfaction and marital disturbance of people with marital anxiety.

    Keywords: Sexual anxiety, Bupropion, Drug therapy, Cognitive-behavioral therapy, Marital disturbance, Sexual satisfaction
  • Kowsar Esfandeh*, Gholamreza Hajvalii, Hashem Farhangdoost Page 29
    Background & Objective

    Inhibition refers to the ability to actively suppress, interrupt or delay an action. Several authors have shown a possible role for self–regulatory processes, attentional control processes, and more specifically inhibitory control in the development of stuttering. Inhibition control (IC) is essential for doing daily tasks and implicate in cognitive development, executive functioning and the conscious use of attention or attentional control. Inhibition control relates to the coordination and integration of mental processes in successful task doing and plays an important role in the self–regulation of emotional states. Children who stutter (CWS) have low adaptability, lower in biological rhythmicity and less efficient in emotional regulation. Based on role of IC in speech motor planning and production, study in this field is important. The aim of this study was to investigate differences in inhibitory control performance between CWS and children who not stutter (CWNS).

    Methods

    This cross sectional study investigated inhibitory control ability of 30 children diagnosed with developmental stuttering and 30 typically developing nonstuttering children aged 7–13 in Tehran (capital city of Iran), matched by age and gender to the children who stutter. All children were monolingual speaking (Persian). All participants had normal or corrected to normal vision and normal speech and language development (except for stuttering in the experimental group), based on the criteria described below. Participants had no known or reported neurological, psychological, developmental or hearing problems. Auditory Go/No Go task was used that assess to inhibitory control in CWS and CWNS. One of two easily discriminated auditory stimuli –the low frequency tone (1000 Hz) and high frequency tone (1300 Hz) – is randomly presented for 100 milliseconds. Pairs corresponding to trials present stimuli. Inter–stimulus interval in a pair was equal to 1000 millisecond. Two different pairs of stimuli are presented only: Low–Low pair (“Go” trial) and Low–High pair (“Nogo” trial). Trials presented at random order with 50% probability. Subject has to press a button (right arrow key) as soon as possible in case of presentation of Low–Low pair and ignore Low–High pairs of stimuli. The total number of trials was equal to 480. The parameters of performance were calculated for Go and No Go condition. Data analysis in this cross sectional study was done using descriptive–analysis statistics such as independent sample T–test, Mann–Whitney test and Pearson correlation coefficient test using SPSS program 24 series.

    Results

    Mean percentages of Commission errors and Omission errors were higher in the stuttering group (M=10.47, SD=13.09), (M=30.21, SD=15.11) than in the nonstuttering group (M=8.02, SD=6.17), (M=24.66, SD=13.73). Nevertheless, there was not any significant differences in Commission errors and Omission errors statically. The mean reaction time was higher in the stuttering group than in the nonstuttering group (M=627.06, SD=73.9) (M=615.4, SD=53.37). However, the mean reaction time for CWS and CWNS was not significantly different. 

    Conclusion

    According to results obtained in this study, based on auditory Go/No Go task, showed that CWS and CWNS not differ in inhibitory control. CWS had lower mean in inhibitory control, which suggests a lowered ability to inhibit prepotent response tendencies. The findings were showed that inhibitory control ability had important role in persistent developmental stuttering. CWS, who exhibit a lowered IC, would most likely exhibit difficulties in suppressing prepotent responses across a variety of settings (school setting, playing with a friend). Therefore it might be important to council parents that these children may have more difficulties dealing with everyday situations requiring response inhibition (following instructions, waiting for something, ending an activity), resulting in increased emotional arousal.

    Keywords: Auditory Go, No Go, Inhibitory control, Developmental stuttering
  • Jafar Shoviachi* Page 30
    Background & Objective

    In mental health research, mindfulness is considered as a self-awareness that promote self-esteem. Social anxiety disorder is the most common type of anxiety disorder that affects the person's social performance. One of the most common causes of childhood disability is learning disabilities. These children are typically faced with problems such as academic, cognitive and emotional backgrounds. In addition, social anxiety disorder is a common disorder and causes to the isolation of the patient and loss of its efficacy. In the formation of social anxiety disorder, various factors are involved. Identification of these factors can contribute to effective treatment and coping with this disorder. Social anxiety is a chronic disorder that is known as an overlooked disorder, which is a major disorder in work and social domains and is a risk factor for the development of depression. The failure of students to do their tasks is a major issue that influence from school and the family. These discomforts about the failure of learning and its topics are one of the most common learning problems. Cognitive therapy based on mindfulness is a new approach in explaining the cognitive-behavioral therapy approach. Mindfulness means that a person focuses his consciousness from past and future to present. Mentally education requires metacognitive learning and new behavioral strategies to focus on attention, prevent rumors of thought and tend to be disturbing responses, and develop new thoughts and reduce unpleasant excitement. The purpose of this study was to determine the effectiveness of mindfulness therapy on the level of social anxiety and self-esteem of elementary students (from 4th to 6th grade) with learning disorder.

    Methods

    This study was a semi-experimental design with pre-test and post-test design with control group. The statistical population of this study included all students with learning disabilities, in the elementary school of the fourth to sixth grade of Shadegan city (Khuzestan province Southwest of Iran) in 2018-2019. In this study, among the educational districts, two boys' elementary schools of district 1 were randomly selected. Sampling method was multi-stage cluster. First step was selection of a region (region 1) from Shadegan's education areas, after that selection of two elementary schools from primary schools in district 1. The third step was to select 30 of 90 elementary students who performed social anxiety and self-esteem tests on them and their social anxiety score was higher than the third quartile (above 50) in this test. At the same time students had to learning disorders based on clinical interview and physical problems. A total of 90 students with learning disabilities filled out questionnaires and then 30 people with the highest score were entered randomly to two groups of experiment (mindfulness intervention program) and control. The experimental group received a program of mindfulness intervention in 8 sessions of 90 minutes, but control group was without intervention. After the intervention period, a post-test was conducted for both groups. Data were collected from two questionnaires of the social anxiety scale (LSAS) (1987) and Cooper-Smith's self-esteem questionnaire (1996). Data were analyzed by multivariate analysis of covariance and SPSS 18 software at a significant level of =α0.05.

    Results

    According to the scores of all variables, the mean standard deviation (SD) of total social anxiety score in pre and post-test in the experimental group was 54.46±12.07, 42.6±7.54, respectively. Mean SD the pre and posttest scores of total social anxiety in the control group was 50±8.39, 52.46±7.99, respectively. The mean SD of total self-esteem score in pre and post-test in the experimental group was 22.2±5.35, 36.47±4.59, respectively. Also, the mean (pre-test) pre- and post-test score of total self-esteem in the control group, it was 21.8±3.43, 23.33±3.85, respectively. Multivariate covariance analysis indicated that the intervention program of mindfulness education was effective in reducing social anxiety and increasing self-esteem of students with learning disabilities (p<0.001).

    Conclusion

    Based on the findings of this study, it could be concluded that the education of mindfulness improved students with social anxiety learning disorder and their self-esteem. Therefore, it provides the groundwork for using this method in a psychological center for students with social anxiety.

    Keywords: Mindfulness, Social anxiety, Self-esteem, Learning disorder
  • Elmira Dashti Daryan, Kianoush Hashemian*, Khadijeh Abolma'ali Al Husseini Page 31
    Background & Objective

    Academic exhaustion refers to fatigue due to school duties, pessimistic attitudes towards school, and ineffective belief in achieving school goals. Based on the importance of student's educational life, experimental interventions need to reduce the academic exhaustion is necessary. Appropriate experimental interventions is the teaching of psychological capital and self-identification. Psychological capital can be considered as an important personal source, according to the theory of conservation of resources. On the other hand, self-determination, introduced by Decis and Ryan in 1985 and 2002, is one of the motivational approaches that have considered more attention to it recent years. Since psychological capital and self-determination are both effective in promoting academic achievement by providing motivation, it seems that the teaching of psychological capital and self-determination can affect students' academic exhaustion and reduce it. Therefore, the purpose of this study was to determine the effectiveness of the combination of self-determination education and psychological capital on reducing the academic burnout of female students.

    Methods

     The study was a semi-experimental and pretest-posttest design with a control and follow up group. The statistical population consisted of the 7th, 8th and 9th grade students of a school in Tehran (capital city of Iran) in 2016 (n=118). The study tool was a questionnaire for a burnout study of Shaoufli (2002). In order to select samples, Maslach educational burnout questionnaire was first performed on the entire population. Students with high and moderate academic burnout scores of over 37 were identified as students with academic burnout (89 people in the study). To select the sample size, using Cohen table, the effect of 0.5, test power of 94 and significance level of 0.05, the volume of each group was 15, and the total sample size was estimated to be 30. Then, 30 students were selected randomly among students with high and moderate academic burnout. They were randomly assigned into two experimental and control groups. To analyze the data, multivariate analysis of covariance was used. The time variable was considered as a factor with three levels of pre-test, post-test and follow-up, and the variable of compilation of psychological capital and self-determination were studied as the second factor.

    Results

    In this study, 30 participants participated in two experimental and control groups (n in each group was 15), the mean and standard deviation of the experimental group were 14.53 ± 0.58 and 14.38 ± 0.414, respectively. The two groups did not differ significantly in terms of mean age (p=0.816). This suggests that two groups were homogeneous in terms of age. The mean and standard deviation of the experimental group were 19.58 ± 0.15 and 19.35 ± 0.33, respectively. Two groups did not have a significant difference in terms of grade gained (P=0.331). The combination of teaching psychological capital and self-determination led to a significant reduction in the levels of anxiousness (p<0.001) at 0.01 and educational inefficiency (P=0.047) at the level of 0.05. According to the results of the follow-up test, these effects it was lasting over time. However, compilation training did not reduce the emotional exhaustion component.

    Conclusion

     It could be concluded that training of psychological capital and self-determination by improving the level of self-efficacy, resilience, hope and optimism, as well as increasing the perception of competence, autonomy and communication, have reduced the academic exhaustion of the students of the school.

    Keywords: Self-determination, Psychological capital, Academic burnout
  • Maryam Bayatpour, Masumeh Shojaei*, Ali Kashi Page 32
    Background & Objective

    Developmental coordination disorder (DCD) affects 5–6% of school-aged children. The impacts of DCD are also not just confined to daily activities and educational function, but are associatedwithpoor physicalhealth,fitness, psychologicalandsocialoutcomes.The aim of this study was to compare effectiveness of different type of selected training programs (physical, mental and compound)to investigate the best intervention method in order to improve motor skills performance of children with developmental coordination disorder.

    Methods

    This empirical study, pre and post-test with control group design consisted of 55 school age (9-10 year old) boys diagnosed to have developmental coordination disorder according to developmental coordination disorderquestionnaire)DCDQ-07) and movement assessment battery for children second edition (MABC-2). The subjects were selected based on a degree of homogeneity of their answers to visual vividness questionnaire and accidentally divided to 4 groups, 3 training groups (physical, mental and compound) each group (n=14) and the control group (n=13). The programs include selected physical training in group, individual mental training conducting PETTLEP (physical, environment, task, timing, learning, emotion, perspective) method and a compound training, the one gives a training order in different turns (physical+ mental and vice versa). No intervention was assigned to control group. To modify cognitive and arousal effects induced by training order, counterbalance method was recruited. All measures were administered pre and post an 8-week 3 times a week training program involved 24 sessions of 45 min each.To identify the changes in motor skills performance associated with trainings Ancova and paired sample T-Test were conducted to detectdifferences between the pre-and post-test, after making sure of normal distribution of data utilizing Shapiro-Wilks normality test, Levene’s test was used for testing equality of variances and Post-Hoc comparisons were carried out with Bonfrroni test (set at 0.05). All data were analyzed using SPSS19 for windows.

    Results

    Mean±SD score on all3training groups (mental, physical and compound) respectively indicates significant improvement (p<0.001) in motor skills performance from pre-test (58.851±4.102, 57.503±6.823, 57.793±4.357) to post-test (62.231±3.671, 63.502±4.235, 65.794±2.773). Within group comparisons implies that compound training significantly (p<0.05) caused more effect than the others.

    Conclusion

    This study set out with the aim of comparisoneffectiveness of different type of selected training programs (physical, mental and compound) to investigate the best intervention method in order to improve the motor skill performance of children with developmental coordination disorder. The result determined significant improvement in motor skill performance that could be reached by using physical and mental trainings for 9-10 year old boys who had developmental coordination disorder, and compound training might be the best way to facilitate motor development in DCD children. Literature focuses on measurement of impairment and description of intervention approaches for individual children. Nevertheless, some studies are known about the principles that should guide best practice and service delivery for children with DCD as a population though. This study might help to develop training protocol for DCD children based on more document, which improves our knowledge of both physical and mental trainings functions that would be beneficial for DCD children and therapists.

    Keywords: Developmental coordination disorder, Mental training, PETTLEP based imagery, Movement assessment battery for children- 2
  • Fahimeh Akhondi, Abolfazl Karami Page 33
    Background & Objectives

    Increasing in use of drug (drug addiction and drug abuse) has become a concern of all communities as a health and social problem. Therefore, the purpose of this study was to investigate the effectiveness of cognitive-behavioral training on people happiness increase dependent on stimulant drugs. 

    Methods

    The research was quasi-experimental study with random assignment of subjects to experimental and control groups, with pre-posttest and follow-up. The statistical population of the present study was to identify the drug addicts who were referred to the welfare organization of Tehran (capital city of Iran) to reduce the dependence on addiction treatment centers. Samples in this study be included 30 patients’ dependent on stimulants for available sampling formed in the respective centers. The criteria for entry into the study included the use of stimulants, the length of drug addiction for more than one year, male subjects and lack of physical and mental illness. The subjects were randomly divided in two experimental (n=15) and control (n=15) groups. The ethical considerations of this study included obtaining written consent from subjects, confidentiality of the information of all subjects, not using the names and information of subjects in the process of data analysis, and group analysis of scores. Instruments used in this study were the Oxford happiness questionnaire. Cognitive-behavioral group therapy sessions a week for 10 sessions over 3 months for 1 session and every 90 minutes using cognitive-behavioral pattern derived from relevant research records prepared and held for trial. Data were analyzed using SPSS software using descriptive statistics (mean and standard deviation) and inferential statistics (covariance analysis and repeated measures variance analysis).

    Results

    Descriptive findings showed that the average pretest experimental and control groups was not different, while the posttest differences between the experimental group (25.78) and control (18.33) has been observed. Covariance analysis was used to investigate the difference between groups in the posttest area or to remove the pretest effect. The results showed that there was a significant difference between the mean posttest scores of the experimental group and the control group after limitation of initial differences in the pretest was significance in happiness (p<0.001, F=12.84). In other words, cognitive-behavioral education had effective impact on increasing the happiness of addicted people to stimulants. The difference between the mean scores of the pre-test and the post-test of the test group, after limitation of initial differences in the pretest, was significant in the happiness score (p<0.001), while there was not a significant difference between the scores before test and posttest control group in happiness score (p=0.521). Therefore, cognitive-behavioral education had influential effects on people with substance dependence on their happiness in the experimental group. In addition, the effects of this training were stable after 1 month, and there was no significant difference between the mean posttest scores and the follow-up of the experimental group (p=0.730). Other findings of this study also showed that there was no significant difference between the mean posttest scores and the follow-up of the control group in the happiness score (p=0.460).

    Conclusion

    According to the results, it seems that cognitive-behavioral training could enhance happiness. Therefore, cognitive-behavioral training, by psychologists and psychotherapists, in substance as a preventive intervention is recommended.

    Keywords: Cognitive-behavioral training, Happiness, People dependent on stimulant drugs
  • Shirin Eydelkhani, Hasan Heydari*, Hossein Davoodi, Mehdi Zare Bahramabadi Page 34
    Background & Objective

    One of the major disabilities in marital affairs is related to inability to cause mental and emotional problems (emotional divorce), marital disturbance and couples' divorce. Statistics show an increase in divorce, conflict, and marital disagreement, with about 55 percent of the first marriages in the United States, 40 to 45 percent in Australia, England, Germany and Switzerland, resulting in divorce. In East Asian countries such as Japan, South Korea and Hong Kong, divorce has grown steadily, as these countries are on the same path as the West has gone. Statistics in Iran also clearly indicate an increase in the proportion of marriage to divorce. As the marriage, divorce in the whole country in 2011–2014 was 6.1, 5.5, 4.4, 4.3, and this trend has increased in 2016 and 2017, respectively. Since psychological interventions are needed to stabilize marriage and prevent marital disturbance, it is necessary to conduct a trial to treat marital distress in a manner consistent with integrated communication skills. In addition, lack of research on sincere communication skills and integrated approach, led the researcher to compare the effectiveness of Feldman's multidimensional family therapy education and intimate communication skills of couples on marital quality of life among women.

    Methods

    The present study, based on the type of data collection, was a semi–experimental method with a pretest–posttest design with two experimental groups and one control group. The statistical population of this study was all women with marital distress in Tehran (capital city of Iran). The community called in a public call (recalled in virtual networks, family court and clinics in Tehran) who were eligible for the study; individuals willing to participate in the research were randomly selected and assigned to three groups: two experimental groups, and control (12 women in each group).  In the substitution of individuals for both groups (experimental 1 and 2, and controls), they matched in age and education levels. First, for each of three groups a pretest of marital quality of life questionnaire was implemented, then the Feldman multidimensional intervention plan for the experimental group 1 and the intervention with the sentimental training approach for the experimental group 2 but for the control group, no intervention was applied. Immediately after the intervention for the experimental groups, a posttest was performed for all three groups and the required data were collected. Finally, the analysis of the findings was done using SPSS version 23 and covariance analysis and analysis of variance.

    Results

    In this study, 36 women with marital disturbance were present. The mean age of the control group was 74.88 (SD=5.76), the mean age of the experimental group 1 was 39.05 (SD=6.85) and mean age of the experimental group 2 was 38.56 with a standard deviation of 5.25. In addition, the mean depression in the control group was 6.72 (SD 2.98), the mean of the experimental group 1 was 5.96 (SD=2.12) and mean of the experimental group 2 was 6.42 (with a standard deviation of 2.25). The results of covariance showed that Feldman's multidimensional method and sincere pairs skills have a significant effect on marital quality and its components in married women (p<0.001). In addition, the results of analysis of variance showed that there was no significant difference between the effectiveness of the two approaches.

    Conclusion

    Feldman multilevel method and sincere pairs skills affect the increase of marital quality of life and its components in women with marital disturbance and there was no significant difference between the effectiveness of these two approaches. Therefore, Feldman's multilevel approaches and sincere pairs skills could be used to enhance marital quality of life.

    Keywords: Feldman's multidimensional approach, Intimate Skills, Quality of life in marriage, Marital disturbance
  • Esmaeel Aghazadeh, Farzaneh Taghian*, Gholamali Ghasemi Page 35
    Background & Objective

    Awareness of the extremities and its movable range, side supremacy and correct orientation is necessary skill to maintain the body alignment. In blind people, obtaining these skills is slow due to lack of vision. Therefore, they are susceptible to a variety of functional disorders of the muscles if not exist compensatory training. These disorders cause muscle imbalance on both sides of the body and predispose a person to musculoskeletal abnormalities. One of the most common defective cervical spine postures in blind subjects is forward head with a prevalence of 66%. Sports exercises like those that Trabant is widely used among different people to maintain health and well–being with the goal of increasing strength, rehab and preventing injuries. Therabands with its elastic resistance have several advantages over other free weights. Therefore, the purpose of this study was to investigate effect of Theraband's exercises on the forward head, power and range of motion in blinds and low visibility boys who suffering forward head.

    Methods

    The present study was semi–experimental and pre–posttest with control group. Out of 90 male students, 12–16 years old, blind and low vision students who studying at Shourideh Shirazi University (Fars province, south of Iran), with a forward head abnormality (angle>27 degrees), 30 were targeted intentionally and based on the criteria for entering the study. They were selected in an accessible and purposeful way and randomly divided into two groups of experimental (Trabant training, n=15) and control (n=15). The experimental group performed resistance training for 8 weeks, 3 sessions per week, and 60 minutes, with Theraband latex. These exercises are used to strengthen the muscles of scapula, parallelogram, upper and middle trapezius, muscles of the back, as well as the stretching muscles of the chest. The normal direction of the body should be maintained in all exercises. The control group did not have any sports activities during this period. The instrument used in this study was a chessboard (for the primary screening of subjects), a goniometer to determine the exact angle of the head and neck and the range of joints, dynamometer to measure the strength of the extensors and muscles of the subjects. Power, head angle and motor range of subjects were measured before and after eight weeks in both groups. The Kolmogorov–Smirnov test was used to determine the natural distribution of data. Levin test was used to determine the consistency of variances. T–test was used for comparing the intra–group data and the mean of independent t–test was used in SPSS version 21. The significance level concidered less than 0.05.

    Results

    Eight weeks of training with Theraband improved forward head angles with mean difference and p value of (2.53±0.17, p=0.007), hand power (-0.93±-0.56, p=0.004), abduction (-15.67±0.63, p=0.044), the strength of back extensors (19.33±1.66, p=0.012), outer joint rotation (3.23±0.51, p=0.037(, extension of head and neck (-2.07±1.51, p=0.001). However, no changes were seen in the internal displacement of the shoulder joint (-0.74±0.037, p=0.584), flexure (-11.87±1.16, p=0.072), left flexure (p=0.441, 0.074±0.01) and right flexure (-0.46±1.2, p=0.573).

    Conclusion

    Theraband exercises could improve the forward angle, range of motion and muscle strength in people with low vision and blinds withmovement forward head. Therefore, considering the effectiveness of these exercises, it could be used as an effective way to treat this condition. Considering the limitations of the present research and lack of cooperation of the subjects, it is suggested that in future research, the performance of deep receptors, quality of life, life expectancy and functional factors such as static and dynamic equilibrium was surveyed.

    Keywords: Forward head, Motor range, Muscle strength, Theraband training, Blind people
  • Mohammadreza Moradi*, Mohammadsadegh Sa’Adat Page 36
    Background & Objective

    Sports activities have obvious benefits, including physical, psychological and social for all members of the community, including healthy people and especially for the physically disabled. Athletic identity can lead to motivation and continuous participation in sports activities as well as success at high levels. Thus, the purpose of this study was to examine the relationship between athletic identity and participation in sports activities among physically disabled persons.

    Methods

    This research was a survey, and a questionnaire used for data collection. The statistical population of this study was physically disabled people in Shahrekord (Chaharmahal and Bakhtiari province, Southwest of Iran) in 2016. In this study, using the Cochran formula at the 5% error level, 320 people (186 males and 134 females) with an average age of 28.65 ± 9.71 were selected from 2139 physically disabled people, in a simple random sampling method. Athletic Identity was measured by using Cieslak’s athletic identity scale, which was a 22–item self–report questionnaire with five dimensions, including self–identity, social Identity, exclusivity, positive and negative affectivity. All five dimensions were answered on a 10–point scale from 1 (strongly disagree) to 10 (strongly agree) – also, a researcher–made questionnaire used for participation in sports activities. The questionnaire had four items that measured the rate of participation in sports activities according to minutes per week. Pearson correlation coefficient used to analyze data. All statistical analyses were conducted using SPSS (Version 24) with the error level less than 0.05.

    Results

    A total of 58.1% of respondents were men, and 41.9% were women. The mean age of the women was 65.9±53.55 years old, and the mean age of the men was 20.9±19.26 years. In terms of involving in sport, 86% of men and 48% of women involved in sports activities, while 14% of men and 52% of women did not include in any sports activities. In total, 56% of men and women participated in sports activities, and 44% did not participate in any sports activities. The average participation in sports activities was 52.20±32.22 min/week. The mean of athletic identity was 126.94±14.32, which was higher than average. Results of Pearson's correlation coefficient showed that there was a significant positive relationship between self–identity and participation in sports activities (r=0.34, p<0.001). There was a significant positive relationship between social identity and participation in sports activities (r=0.30, p<0.001). There was a significant positive relationship between exclusivity and participation in sports activities (r=0.40, p<0.001). There was a significant negative correlation between negative affectivity and participation in sports activities (r=-0.16, p<0.001). There was a significant positive relationship between positive affectivity and participation in sports activities (r=0.31, p<0.001). Finally, there was a significant positive relationship between sport identity and participation in sports activities (r=0.30, p<0.001).

    Conclusion

    Athletic identity could be a facilitator for participation in sports activities for physically disabled persons and their commitment to the continuous involvement in sports activities that can lead to their physical and mental health. Athletic identity by increasing the participation of physically disabled people in sports activities can reinforce the feeling of strength and self–esteem in physically disabled athletes, reduce the negative affectivity of others, and lead to reinforcing of social identity and eventually develops the capability of physically disabled persons.

    Keywords: Athletic Identity, Sports, Physically Disabled
  • Sanaz Azizmohammadi*, Nazanin Rakebi, Zahra Jamshidi, Maryam Zomorodi Page 37
    Background & Objective

    Autism disorders have severe effects on family including mental integrity and quality of life. Therefore, the present study aimed at the effectiveness of logo–therapy on sense of coherence and quality of life of autistic student mothers.

    Methods

    The present study was a pre–test and post–test design with a control group. The statistical society was mothers of 12–14 year–old children with autism, the center of autism in the Baharestan city at the last three months of 2019. A sample of 30 mothers was selected through convenience sampling and randomly assigned to two groups (experimental and control). To collect data, the Antonovski psychological integrity scale (1993) and world health quality scale (2002) were used. The subjects in the experimental group were treated in 8 sessions of psychotherapy and the control group received no treatment. For data analysis, SPSS software version 22 and after confirmation of the assumption of homogeneity of covariance matrix and homogeneity of variance of dependent variables among the groups as covariance analysis assay, multivariate and one–variable covariance analysis was used and the level of significance was considered as 0.01.

    Results

    The results showed that there was a significant difference between the two groups of experimental and control in mental integrity and quality of life. The results showed that the mean and standard deviation of life quality of the experimental group before and after the intervention were 27.45±6.54, 29.97±6.43, respectively; psychological coherence before and after the intervention was 48.76±5.23 52.89±5.57. In addition, the effect size of the quality of life score was 0.421 (p<0.001) and mental integrity was 0.378 (p<0.001). Therefore, the results showed that psychological education and psychological well–being and quality of life of mothers of autistic students increased.

    Conclusion

    Semanticism is a method by which members, with the aim of discovering themselves, seek a self–discovered journey to become capable of being true to themselves, to develop their own visions of themselves, of the world around them, and to clarify what is relevant to the present and future life. As a result, the tendency towards meaning and the meaning of pain and unforeseen catastrophic incidents improves the mental integrity and quality of life of autistic children mothers in these severe conditions. Therefore, the use of this method in other mothers with autism child is recommended.

    Keywords: Logo therapy, Sense of Coherence, Quality of Life, Autism Mothers
  • Bahman Alizadeh, Abdollah Ghasemi*, Elahe Arabameri, Meysam Rezaey Page 38
    Background & Objective

    There is a little study on the validity and reliability of motor tests in children with intellectual disabilities. Deficit in motor performance is common in children with intellectual disabilities (ID). It is important to use standardized test for evaluating the clinical and research based performance assessment in children. The purpose of this study was to examine the reliability and concurrent validity of age band 2 of the movement assessment battery for children–second edition (MABC–2) in intellectual disability children.

    Methods

    The present study was descriptive and correlational. A total of 124 children whit intellectual disability (58 girls and 66 boys) 7–10 years old were selected as sample. The criteria for entering the study were aged between 7 to 10; having an IQ score between 50 to 70 that were available in their medical records at the school: without serious emotional and behavioral disorders and lack of any participation in physical and therapeutic programs. For minimizing data impairment children with autism spectrum, cerebral palsy, blindness and deafness, neurological disorders such as stroke, muscular dystrophy and epilepsy were excluded from the study. For measuring concurrent validity of MABC–2 test we used from BOT–2 test. In accordance with the instruction manual, the examiner, before testing each assignment, gave the opportunity to become familiar with the way the task that was performed, this opportunity varied for different assignments. Scoring was done according to the manual. To obtain rating of intellectual disability (IQ score), students dossier were used. To evaluate concurrent validity, 55 children in two consecutive days, evaluated with two tests. In addition, for reliability we used internal consistency with Cranach's alpha. Data were analyzed using SPSS software version 19 and significance level was 0.05.

    Results

    The Cronbach's alpha value was 0.89, indicating a high correlation. In addition, the lowest and highest correlation between each item with total score was related to the task of throwing beanbag with 0.38 and one–board balance with 0.79. Spearman correlation coefficient showed the positive and significant correlation between manual dexterity component of the MABC–2 test with two composite areas of fine manual control (r=0.58, p=0.001) and manual coordination (r=0.41, p=0.002) of BOT–2 test. Also positive and significant correlation between manual dexterity component of the MABC–2 test with four subscales of fine motor precision (r=0.58, p=0.000), fine motor integration (r=0.55, p=0.001), manual dexterity (r=0.42, p=0.000) and upper–limb coordination (r=0.41, p=0.002) of BOT–2 test. However, there was no correlation between the aiming and catching component of the MABC–2 test with four composite areas of fine manual control (r=0.21, p=0.441), manual coordination (r=0.198, p=0.148), body coordination (r=0.198, p=0.148), strength and agility (r=0.126, p=0.359) of BOT–2 test. There was significant correlation between balance component of the MABC–2 test and running speed and agility (r=0.30, p=0.024) and balance (r=0.29, p=0.027) of BOT–2 test but no significant correlation between balance component of the MABC–2 test and bilateral coordination (r=0.03, p=0.984) and strength (r=0.024, p=0.863).

    Conclusion

    The MABC–2 test had a good validity and reliability for intellectual disability children, but some of its items need to be adjusted for these children. The high correlation between fine motor skills in two tests states that two MABC–2 and BOT–2 tests measuring better from fine motor skills compare to gross and balance motor skills in children 7 to 10 years old with intellectual disability.

    Keywords: intellectual disability_Movement assessment battery for children–2 second edition_Concurrent validity_reliability_Bruininks–Oseretsky test of motor proficiency – 2nd edition
  • Shaghayegh Bazargan, Mohsen Saeidmanesh*, Mohammadreza Irvani Page 39
    Background & Objectives

    Reading disorder is most common learning disability and allocated most of special education services and specialized intervention programs to it. Dyslexia represents one of the most common problems affecting children and adults; the prevalence of dyslexia in the United States is estimated to be 5 to 17% of school–age children. Dyslexia is believed to be caused by both genetic and environmental factors. It often occurs in people with attention deficit hyperactivity disorder (ADHD). Dyslexia is diagnosed through a series of memory tests, spelling, vision and reading skills. Dyslexia can result in low self–esteem, stress, behavioral problems, and underachievement. However, with the right support, children and adults with dyslexia can reach their potential to improve. Working memory is a cognitive system with a limited capacity that is responsible for temporarily holding information available for processing. Working memory is important for reasoning and the guidance of decision–making and behavior. Working memory is often used synonymously with short–term memory, but some theorists consider the two forms of memory distinct, assuming that working memory allows for the manipulation of stored information, whereas short–term memory only refers to the short–term storage of information. Working memory is a theoretical concept central to cognitive psychology, neuropsychology, and neuroscience. Rapid automatized naming (RAN) is a task that measures how quickly individuals can name aloud objects, pictures, colors, or symbols (letters or digits). Variations in rapid automatized naming time in children provide a strong predictor of their later ability to read, and is independent from other predictors such as phonological awareness, verbal IQ, and existing reading skills. Importantly, rapid automatized naming of pictures and letters can predict later reading abilities for pre–literate children. The purpose of this study was to comparison of working memory and rapid automized number in children with and without dyslexia disorder. 

    Methods

    The present study was a quasi–experimental design with pretest posttest by control and experimental groups. Statistical communication is second primary pupils in Yazd city (Yazd province, Iran). For this study, 50 students with dyslexia disorder and 50 normal student were chosen in randomized sampling. Data for this study were collected by the test of working memory and rapid automatized naming. For measuring of working memory, we used working memory subscale of Wechsler test and for measuring of rapid atomized naming, we used rapid automized naming test of Barkhordar. For diagnostic of dyslexia we used NEMA test. NEMA was developed by Kormi noori in 2016. The overall alpha Cronbach’s for test with high frequency word, word with medium frequency, low frequency word was 0.97, 0.98 and 0.98. The Wechsler intelligence scale for children (WISC), developed by David Wechsler, is an individually administered intelligence test for children between the ages of 6 to 16. It generates a full scale IQ (formerly known as an intelligence quotient or IQ score) that represents a child's general intellectual ability. It also provides five primary index scores: Verbal comprehension index, visual spatial index, fluid reasoning index, working memory index and processing speed index. For analyzed data, we used t–test. Data analyzed by SPSS 21. 

    Results

    Working memory and rapid automatized naming was different in dyslexic and normal children (p<0.001). 

    Conclusion

    For this reason of working memory and rapid automatized naming was different in dyslexic and normal children, it is recommended that teachers use these skills for educating this children.

    Keywords: Working Memory. Rapid Automatized Naming. Dyslexia
  • Mones Hoseiny, Armin Mahmodi*, Alireza Maredpour Page 40
    Background & Objective

    Many factors, as well as the inability of couples to maintain a sincere marital relationship can influence sincere relationships between them. Therefore, there is a two–way relationship between these two categories, among which these are the spiritual and social dimensions of the couples. Due to the impact of psychological well–being of individuals on spirituality, meaning and existential health, and the importance of marital empathy in improving marital relationships and reducing harm to families, it important to study on social well–being and its role in influencing spiritual variables affect marital relations. According to the mentioned contents, the effect of mental–spiritual structures (spiritual health) and social (social well–being) the present study was to determine mediating role of social welfare marital intimacy between the intellectual healths of married students was conducted.

    Methods

    This research was a descriptive–correlational study of structural equation. In structural correlation research, it is possible to examine the direct and indirect relationship between research variables in the form of a hypothetical model. The statistical population in this study was married students of the universities affiliated to the Ministry of Science in Gachsaran (Islamic Azad University and Payame Noor University) who studied in the academic year 2017–2018. According to the Krejcie and Morgan table and other sampling formulas, the maximum number of samples in the correlation research has been proposed to be about 390 people, but finally 398 were selected as an availble sample. The present study has been some ethical considerations, one of the most important of which was the informed consent of sample members to participate in the study, the confidentiality of the identity of the subjects, and the optional entry and exit of the research. To collect information we used Walter and Thompson's marital intimacy scales (1983), Guyverz and Maghrimo (2003) and Pulutzin and Ellison (1983) spiritual well–being. The collected data analyzed using descriptive indexes such as mean and standard deviation and structural equation modelling using AMOS version 23 and taking into account the significance level of 0.95 and 0.99.

    Results

    Majority of participants were in the age range of 20–30 years old (n=123, 30.91%). Based on their last document, 42 individuals had Associate Degree (10%), 328 had Bachelor of Science (57%) and 128 had Master of Science (65%). In addition, in the descriptive findings, the mean and standard deviation of marital intimacy, social well–being and spiritual well–being were (101.42±16.61), (75.18±12.04) and (75.14±8.55) respectively. Also, in the inferential findings of this study, the overall score of spiritual well–being and its component (religious health) had a positive and direct effect on the main dependent variable of intimacy (β=0.213 and p<0.001). The overall score of spiritual health and one of its components (religious health) had a positive and significant effect on the dependent variable of social welfare (β=0.165 and p<0.001). In addition, the direct effect of social welfare on marital intimacy was significant (β= 0.421, p<0.001). In total, the variance of marital intimacy was 0.24 through spiritual well–being and social well–being.

    Conclusion

    The results of this study showed that spiritual health in addition to direct effect on marital intimacy, indirectly, also influences the main aspect of spiritual well–being (religious health) by mediating social welfare on students' marital intimacy. Therefore, given the findings and theoretical and empirical background, it can be concluded that social well–being plays a critical role in the individual and marital life of students, and as the results of various studies have shown, social well–being aspects of student marital life are effective. Therefore, in family education programs and marital interventions in improving the quality of marital life of students, attention should be paid to their promotion strategies for social welfare.

    Keywords: Spiritual health, Social well–being, Marital intimacy, Married students
  • Anahita Khodabakhshi Koolaee, Mohammadreza Falsafinejad, Akram Sanagoo Page 41
    Background & Objectives

    Murder is a horror crime in human society. Because of women are the main members in family and they are formed the body of society therefore, they playing key role in mental health of society. The health of community is affected by the well–being of them. The previous studies revealed the psychological and social elements to commit to murder for example low–interest to life, low self–concept, weak power organization of family, low competence to parenting, and weak child–parent relationship. Most of previous studies were utilized in quantities and those done in other countries. We need to know this issue from Iranian women view. For study in–depth about the emotional reactions in murdered women, researcher needs narrow and deep study surrounding the psychological and emotional of this phenomenon. For assess, this aim the phenomenological study is need. Therefore, the aim of this study was to survey emotional reactions in women accused of murdered about crime in a phenomenological study.

    Methods

    This study was a qualitative by phenomenological approach and qualitative content method. Seventeen women who were stay in the women prison in Isfahan (Isfahan province, Iran) selected by target–based sampling in 2016. This selection implemented by the focused individual semi–structured interview method to get results until saturation. The data gathering took five months. The interview completed by the researcher with Master of Science degree and familiar to semi–structural interview. For utilized ethical considerations in study, these items considered; the time of interview depends on interviewee tolerance, the participants in the study did not have any mental or psychical damages. In addition, in all of tapes, transcripts or field notes used the code rather than name of participant, even though names place of participants wrote in informed consent. Data analyzed by thematic analysis with seven–step Colaizzi’s method. 

    Results

    Themes classified into seven major categories including; sadness feeling, shock, horror, suffocation feeling and lack of comfort, insanity and anger, regret, and confesses and bewilderment.

    Conclusions

    The analysis of feelings and emotional experiences of murderer in women indicated that the regret and sadness feelings after the crime pointed out that the weak emotional control and anger were play key role in committed to murder. Therefore, these findings bring the emotional experienced insight of murder among women. The implications for social worker, psychologist, counselors, criminologist and forensic medicine specialists practice and education are important. In addition, social workers and counselors who work in the prison could be held the seminars or educational classes about the disability emotional control and problem solving to improve the well–being of women in the prison. It seems that besides the focusing on the psychological and family factors of crime in women, the professionals need to point out the emotional and feeling of women before, at the moment and after of committed crime.

    Keywords: Crime, Prison, Women, Murder, Phenomenology, Qualitative study
  • Khaled Aslani, Mahnaz Hajiheydari*, Gholamreza Rajabi, Abbas Amanellahi Page 42
    Background & Objective

    Lose a loved person is considered as painful experiences, but most people cope well with their loss and do not need professional help. Their experiences involve feelings of sadness, a deep sense of pain and the perception of their life never being the same compared to before the loss. However, reviews showed that the process of grieving in individuals experience grief after a loss of loved ones may be harder, which can impair their cognitive, emotional and behavioral functioning. This bereavement can be associated with physical decline, mental health problems, change in social roles, cognitive deficits and fewer relationships with others, which make the grieving process more difficult. For some the grieving process may be distorted termed complicated grief, which is a form of chronic grief with intense separation distress related to the loss. The resulting syndrome of complicated grief causes substantial distress and functional impairment even years after a loss, yet knowing when and how to intervene can be a challenge. As a result, grief work will be one of the common challenges that social workers, psychologist and grieved people will face. Providing a mindfulness based cognitive therapy for people with complicated grief can be a benefit for their individual growth in understanding a sense of bereavement and for the purpose of social interconnection. This Therapy will cover bereavement life with a concept of mindfulness and how it can be utilized for people in their day–to–day lives. Overall, the goal for this project for participants was to learn coping skills, gain knowledge in the mechanism of mindfulness during the grieving process and how they can integrate mindfulness principles into their grieving process to better facilitate their coping with their loss.

    Methods

    In the present study, we used multiple baseline experimental single case study design. Three women with complicated grief were selected from patients of counseling service centers by using purposeful sampling method, along with inventory of complicated grief (ICG). This questionnaire describe an emotional, cognitive, or behavioral state associated with complicated grief. The ICG consists of 19 items and answers are given on a 5–point scale ranging from never (0) to always (5). ICG gives a possible range of 0–76 with high scores indicating high levels of CG. The ICG has shown high internal consistency, test–retest reliability. In this study, Cronbach's alpha was calculated 0.92. Patients underwent the treatment process subsequent to obtaining treatment requirements. The efficacy of mindfulness–based cognitive therapy was carried out in three phase of intervention (baseline, treatment and follow–up) by using Inventory of complicated grief. In this project, Data analyzed with visuals inspection, improvement percentage and reliable change index (RCI) strategies. In addition, to examine the efficacy of this psychological intervention (MBCT), it used the six indices of Ingram (2000). These six indices include magnitude of change, universality of change, generality of change, generality of change, stability, and acceptability.

    Results

    Finding showed mindfulness–based cognitive therapy is both clinically and statistically (p<0.01) significant efficient on the reduction of people with symptoms of complicated grief

    Conclusion

    Mindfulness–based cognitive therapy has appropriate efficacy in the symptom reduction of people suffering from complicated grief.

    Keywords: Mindfulness–based cognitive therapy, Complicated grief
  • Maasume Esmailpoor, Ali Shaker Dioulagh* Page 43
    Background & Objective

    Specific learning disabilities and hyperactivity are one of the most common problems in early childhood. Learning disorder has a heterogeneous nature reflected in the educational patterns, strengths, and weaknesses of information processing. Children with learning disabilities present high levels of alpha and beta wave activities, which harm the development of their mental activities, and the attention deficit hyperactivity disorder (ADHD) is one of the most common psychiatric disorders that cause damage in different aspects such as educational, social, and familial. This attention deficit hyperactivity disorder (ADHD) is one of the most common childhood developmental disorders that is identified by impulsivity, hyperactivity, and neglect. The prevalence of this disorder is reported to be between 3 to 20% (a probability figure of about 3 to 5%) in school–age children. Recovery occurred between 12 to 20 years, and recovery is rarely less than 12 years old. Also, in the United States, the prevalence of this infection among children and adolescents aged 5–17 years in the 2012–14 period is about 10.2%, and during this period, children aged 10–17 were approximately 11.8%. Mindfulness develops the ability to observe thoughts and emotions as transient phenomena through increasing awareness of each ongoing moment. The formation of self–perception during this period can have a significant effect on adolescents’ growth and development. Besides, learners with better self–concept may be more likely to succeed. This research was done with the aim of compare self–concept of school and mindfulness between specific learning disabilities, hyperactivity, and normal Ardabil students at the sixth school level. 

    Methods

    This study was a descriptive, causal–comparative one (sample–instance). The statistical population were included of the students with learning disability and normal students in the primary school of exceptional schools (N=256) and normal schools (N=31112) in Ardabil during 2017, that 90 people selected accidentally (30 people with a learning disability, 30 with hyperactive activity and 30 normal students). Learners with learning disabilities and ADHD were selected based on the diagnosis included in their school records, and the selection of normal subjects was done by sampling from normal elementary students (girls and boys). A School self–concept inventory and a mindfulness questionnaire (Maas) were used to collect data. Two main statistical methodologies used in data analysis: descriptive statistics by using frequency distribution, percentage, mean and standard deviation, and inferential statistics using MANOVA using SPSS software. In this study, all relevant ethical issues considered.

    Results

    The results showed that there was a significant difference between students with a learning disability and hyperactive activity and normal in school self–concept. Moreover, the mean of self–concept of the school of students’ normal was significantly greater than learning disability and hyperactive activity (p<0.001). In other to students with learning disability and hyperactivity get low scores in the self–concept of school comparer to normal students, the results of the following test Scheffe showed was no significant difference between the two groups with learning disabilities and hyperactivity disorder in the self–concept of school. Also, the results showed that there was a significant difference between students with a learning disability and hyperactive activity and normal in mindfulness. Moreover, the mean of mindfulness of students’ normal was significantly greater than learning disability and hyperactivity (p<0.001). In other to students with learning disability and hyperactivity get low scores in mindfulness comparer to normal students, the results of following test Scheffe showed was no significant difference between the two groups with learning disabilities and hyperactivity disorder in the mindfulness.

    Conclusion

    Based on the findings, students with learning disabilities and hyperactive in comparison with normal students reported lower scores in the self–concept of school and mindfulness. Thus, planning special training programs is highly recommended to increase the self–concept of school and mindfulness among the students with a learning disability and hyperactive. Also, it can be argued that the presence of hyperactivity and learning problems causes these students not to be able to socialize well with them because of the embarrassment or rejection of the students, which can increase their social–emotional issues. Besides, the results emphasize the necessity of implementing educational and therapeutic programs in students with specific learning disabilities and hyperactivity disorder.

    Keywords: Mindfulness, Self–Conception of School, Learning Dis Abilities, Hyperactivity
  • Rasoul Heshmati*, Mahsa Hatami, Mahshid Ebneahmadi, Soraya Pirmardvand Chegini Page 44
    Background & Objectives

    Emotion regulation is one of the most important problems in children with attention deficit/hyperactivity disorder (ADHD). The aim of this study was to investigate effectiveness of mindfulness based stress reduction–children (MBSR–C) on emotional self–regulation and emotional resilience in students with attention deficit/hyperactivity disorder.

    Methods

    in a semi–experimental study with pre–test–post–test design, 24 students with AD/HD selected by convenient sampling method, assigned to experimental, and control group randomly. The research instruments were child and youth resilience measure (CYRM) and emotion regulation checklist. MBSR–C program was used eight sessions on children with AD/HD and the control group did not receive any intervention. SPSS 18 was used for data processing and MANCOVA was used to analyze the data. The significance level was considered as 0.05 in all tests.

    Results

    the results revealed that mindfulness based stress reduction had significant effect on emotional self–regulation (p<0.001) and emotional resilience (p<0.001) in patients with AD/HD. From resilience components, MBSR–C had significant effect only on caregiver components (p=0.030). As well as, from emotional self–regulation, MBSR had significant effect on emotional liability/negativity (L/N) (p<0.001) and emotion regulation (ER) (p<0.001). 

    Conclusion

    According to the results, it concluded that MBSR–C had effect on emotion modulation and regulation and enhancing of resilience of children with AD/HD. It is suggested that the mindfulness based stress reduction–children (MBSR–C) be used along with other interventions to regulate the negative emotions of these children.

    Keywords: Mindfulness Based Stress Reduction–Children (MBSR–C), Emotional Self–Regulation, Emotional Resilience, AD, HD
  • Roya Fasihi, Javanshir Asadi*, Ramazan Hassanzadeh, Firozeh Derakhshanpour Page 45
    Background & Objective

    Cognitive flexibility is one of the variables of healthy lifestyle; cognitive flexibility has a positive effect on the individual's ability to control inner and outer stresses. Formation of flexibility is an evolutionary process, because it succeeds in overcoming unpleasant situations, self–efficacy and increasing confidence in its ability to influence the environment. One of the treatment methods that increase the psychological flexibility of individuals is cognitive therapy based on admission and commitment. Acceptance and commitment therapy emphasizes the role of individual psychological resources in dealing with stressors. This evidence–based treatment is used to treat various types of mental disorders and medical conditions. The main goal of teaching admission and commitment is mental flexibility. It means the ability to make practical choices among the different choices that are appropriate, rather than just acting in order to avoid disturbing thoughts, emotions, memories or desires. In fact, this treatment emphasizes the role of the individual's psychological resources in dealing with stressors. Investigating the effectiveness of treatment based on admission and commitment on cognitive flexibility of individuals can indicate the efficacy of this treatment in medical students. Therefore, the purpose of this study was to determine the effect of cognitive therapy based on admission and commitment on cognitive flexibility on Gorgan University of Medical Sciences students.

    Methods

    The research method was quasi–experimental with pre–test and post–test with control and follow–up groups. The statistical population included all students of Gorgan University of Medical Sciences. Among them 30 students were selected based on entry criteria. Criteria for entering including informed consent from the company in the research, exit criteria from the intervention, absence in more than 2 educational sessions. They randomly divided into two groups (experimental and control groups, n=15 for each group) and informed consent was obtained. Treatments were provided to the experimental group for eight weeks sessions and the control group was placed on the waiting list. Flexibility was evaluated in three stages: pre–test, post–test and follow–up with Dennis Wonderwall (2010). Data were analyzed using SPSS 23 software and descriptive statistics such as mean and standard deviation, F Levin's test, Kolmogorov–Smirnov and covariance analysis with repeated multivariate measurements (p<0.001).

    Results

    Kolmogorov–Smirnov test showed a normal distribution of data. In addition, the results of the Lone test for homogeneity of variances showed that cognitive flexibility variables (p=0.807), replacement (p=0.417), control (p=0.205) and replacement for human behavior (p=0.067) had homogeneity of variances among the research groups. Results of the Mbox test showed that covariance flexibility variables (p=0.050), replacement (p=0.158), control (p=0.022) and substitution for human behavior (p=0.008) with covariance homogeneity between research groups. Accordingly, the assumption of the normality and homogeneity of variances was established. In addition, time–related resources in all variables except for the subsample of control were meaningful. Group–time resources were meaningful in all variables. Considering the design of the control group, pre–test, post–test and follow–up period, the results showed that acceptance–based therapy and commitment had a significant effect on cognitive flexibility (p<0.001). The effect of this intervention on the interaction of time and group on the total score of cognitive flexibility was 46% (p<0.001), replacement of 33% (p<0.001), control 39% (p<0.001), and substitution for behavior human was 10% (p<0.048). Therefore, acceptance and commitment therapy had a significant effect on cognitive flexibility.

    Conclusion

    It could be concluded that acceptance and commitment therapy, cognitive flexibility and its components in medical students increased and the results are stable in the follow–up phase. Therefore, it seems that people with little flexibility are beginning to forget their early learning and insist on their previous learning that has negative consequences, and this insistence on damage to their compatibility leads to new conditions. Therefore, acceptance and commitment therapy increases the ability to continue valuable activities when faced with negative feelings and thoughts. This treatment is considered as an effective intervention in increasing the flexibility of medical students.

    Keywords: Acceptance, Commitment, Cognitive Flexibility
  • Marziyeh Noorifard, Hamid Taher Neshat Doost*, Ilnaz Sajjadian Page 46
    Background & Objective

    Chronic renal failure is a progressive and irreversible loss in kidney function, which results in numerous physical and psychological complications. The complications of hemodialysis treatment causes disruption in patients’ happiness and well-being and therefore leads to depression, anxiety and sometimes suicide attempts. Cognitive emotion regulation strategies are an important part of hemodialysis patients’ lives. Disturbance in emotion and failure in its regulation can cause psychological trauma. The aim of this study was to investigate the effectiveness of mindfulness with memory specificity training (MEST) on cognitive emotion regulation strategies of hemodialysis patients. 

    Methods

    The present study was quasi-experimental with a pretest-posttest and two-months follow-up with the control group. The statistical population consisted of hemodialysis patients who referred to hemodialysis centers of Tehran city (capital city of Iran) in 2017. In total, 36 individuals were selected using purposive sampling method from the statistical population, and were randomly assigned into three groups: mindfulness therapy group (n=12), MEST group (n=12) and control group (n=12). In order to collect data, the cognitive emotion regulation questionnaire (CERQ) developed by Garnowski, for intervention mindfulness therapy (Segal, 2013), memory specify training (Maxwell, 2016) were used. After selecting the sample, mindful and memory specificity training were done for the groups, no training was provided for the control group. After training completion, posttest was performed for the subjects in all three groups. The posttest included the previous questionnaire. Two months after the course completion, patients were asked to complete the same questionnaire again. This was done to track and evaluate the viability of interventions. The obtained data were analyzed using SPSS-22 software and mixed analysis of variance.

    Results

    There was a significant difference in cognitive emotion regulation strategies between mindfulness therapy group and MEST group in the port-test stages among hemodialysis patients (p<0.001). In addition, there was a significant difference in cognitive emotion regulation strategies between mindfulness therapy group and MEST group in the follow up stages among hemodialysis patients (p<0.001).

    Conclusion

    In the present study, mindfulness therapy and MEST, compared with control group, were more effective for the positive and negative cognitive emotion regulation during the posttest, and the effect was more durable during interventions. Comparison of MEST to mindfulness therapy showed that MEST was more effective than mindfulness therapy for positive and negative cognitive emotion regulation. In order to explain this effectiveness, it can be argued that mindfulness therapy and its techniques target the fundamental beliefs and negative thoughts of self-efficacy in patients. It after making cognitive changes in patients and made aware of his own cognitive and emotional content, allow him to explore more appropriate alternatives and avid automated responses. Furthermore, in MEST and its techniques, by challenging the memory, irrational thoughts and beliefs about the chronic illness with depression, anxiety and emotional disorders caused by incurable renal therapy, by reducing over general memory, increases the ability of solving social problems in individuals and prevent negative social interactions. It also leads to increased sense of hope in patients by influencing on future visualization capabilities. This therapy prevents rumination as well. It also reduces the psychological disorders in patients by experimenting with negative memories and the resultant negative emotions. Being exposed to distressing memories and emotions, even if they cause worries and unpleasantness for a short period of time, has long-term benefits for an individual’s mental health. According to the findings of this study, it can be deduced that MEST is more effective than mindfulness therapy and control group in improving cognitive emotion regulation and this therapy is more durable, this durability is due to easier treatment and faster training for patients as well as shorter duration of intervention sessions.

    Keywords: Mindfulness therapy, Memory specificity training (MEST), Cognitive emotion regulation strategies, Hemodialysis
  • Abbas Mahvash*, Parviz Sharifidaramadi, Saeed Rezayi, Mohammad Asgari Page 47
    Background & Objective

    Hearing impairment is one of the most common congenital and acquired diseases in children. Hearing damage can cause secondary problems (i.e. perceptual, communication, emotional, social problem, etc.) which based on the degree of hearing impairment, the age of child at the onset and child’s intellectual potential, the magnitude of problems may vary. Some evidence suggests that hearing impairment has negative effect on psychological characters of hearing–impaired adolescences and they are more vulnerable to mental health problems than their hearing peers are. The hearing–impaired child is at risk the loneliness living and the loss of social discussion coequals partnership. Consequently, it causes the hearing impaired people in interpersonal relationship crisis. Deaf students are one of the groups of children with special needs, and deafness is widely recognized as one of the most common disabilities. Developing appropriate curriculum for the education of deaf children depends on identifying the needs of this group. Various studies indicate that hearing–impaired children compared with normal children have problems in all aspects of emotional development. Hearing impaired children encounter difficulties in cognitive emotion regulation and social skills. It has been proved that emotion regulation plays an important role in adaptation to the stressful life events. The purpose of this research was to determine the effectiveness of instructional program for cognitive emotion regulation on social skills in students with hearing impairments.

    Methods

    A semi–experimental design with pre–test and post–test with control group was used in this study. The statistical population consisted of students with hearing impairment in inclusive schools of Tehran (capital city of Iran) in 2018–2019 academic years. In this study, thirty students with hearing impairment were randomly selected and assigned to an experimental group (15 students) and a control group (15 students). The participant’s age were between 10 to 16 years old. The pretest of social skills rating scale took by students. The experimental group received cognitive emotion regulation training two times a week and each session took two hours. Cognitive emotion regulation training lasted in 7 weeks. Social skills rating scale (Gresham & Elliote, 1999) was used in pretest and posttest. The post test was administered immediately after intervention. Multivariate analysis of covariance applied for data analysis. The data analyzed using the SPSS software version 21, and the level of significance was set at 0.05 for all tests.

    Results

    The score for “social skills” of the experimental group increased more than that of the control group. The results of the multivariate analysis of covariance showed that there was a significant difference between the experimental and control groups regarding social skills and components (co–operation and assertiveness) (p<0.001), and there was a significant difference in self–restraint component (p=0.009). It can could be concluded that cognitive emotion regulation training can have a positive impact on effective on the increase in social skills in hearing–impaired students. Thus, the instructional program for cognitive emotion regulation significantly increased the social skills in students with hearing impairment in inclusive schools.

    Conclusion

    According to the obtained findings on the importance and role of cognitive emotion regulation in students with hearing impairment, an instructional program for cognitive emotion regulation can be used to increased social skills in these people and improve their emotional control. According to the results, we can say that cognitive emotion regulation skills training grew the use of positive emotional strategies and developed the appropriate social skills. These results are important references in the field of pathology and treatment of disability so that the training program can be used as an intervention in schools and health centers. Accordingly, we suggest that professionals and teachers should more consider emotional problems in this group, and related programs should be designed for the improvement of the issues of these children.

    Keywords: Social skills, Cognitive emotion regulation, Hearing impaired
  • Somayeh Keshavarz*, Alireza Kakavand, Hanieh Dashtdar Page 48
    Background & Objective

    Children's health and illness is effective in the health and illness of future generations. Therefore, mental health and study on the adaptation of children to their growth and fertility at adulthood, and the lack of attention to the growth conditions of childhood will bring irreparable harm to mental health of the community. Attention deficit hyperactivity disorder is one of the most controversial mental disorders in childhood and has a profound impact on the lives of thousands of children and their families. The purpose of this study was to investigate the relationship between anxiety and impulsivity disorders with interaction with peers in students with attention deficit/hyperactivity disorder (ADHD).

    Methods

    The research method was descriptive–correlational. The statistical population included all students with aged 8 to 11 years old who was referred to the clinics in Karaj (Alborz province, Iran), among whom 100 subjects were selected as samples of the study. Using available sampling method. The criteria for entry into the study included children aged 8 to 11 years old, the choice of girls and boys in the same way and having no history of physical diseases. Research instruments included Weinberger and Schwartz self–restraint questionnaire (1990), Behmehherr anxiety disorders (1991), and the social skills of Truscat (1989). Self–sufficiency scale has a general scale and 4 sub–scales. Sub–scales of this test, which are similar but distinct structures, are suppressing anger, impulse control, others' attitudes and accountability. On a 5–point Likert scale, the subjects expressed their acceptance or opposition to each of the phrases. In the present study, the subconsciousness of impulse control was used to examine the impulsivity of these children. Low scores in impulse control, indicating high impulsivity and high scores in impulse control indicate low impulsivity. Weinberger has reported a correlation coefficient of this scale 0.91. The retest reliability was also observed at a two–week interval 0.89 and reported 0.76 in a 7–month interval. The content validity and reliability of this questionnaire were 0.82 and its reliability was as high as 0.88. The social skills questionnaire is a 56–item test that consists of three subscales of social inadequacy, social skills, and communication with peers in the child's personality questionnaire (Truskat, 1989). The lowest score is zero and the highest score is 56. In this study, the Cronbach's alpha value was 0.88. Anxiety–related anxiety disorder questionnaire, a self–reporting tool, was developed by Birmahler (1999) to assess the symptoms of anxiety disorders according to DSM–IV criteria in children aged 8 to 17 years and includes a general anxiety scale and five subscales (anxiety Pervasive, separation anxiety, school of panache, social anxiety and panic/physical impairment). The current form of this test, which is mostly used in research, has 41 entries. In the present study, the Cronbach's alpha coefficient for the total anxiety scale was 0.90 and the internal consistency of the sub–scales was in the range from 0.75 to 0.80. The social skills questionnaire is a 56–item test that consists of three subscales of social inadequacy, social skills, and communication with peers in the child's personality questionnaire (Truskat, 1989). The lowest score is zero and the highest score is 56. In this study, the Cronbach's alpha value was 0.88. In this research, descriptive statistics, including mean, standard deviations and inferential statistics including analysis of multi–variable regression analysis were used to describe, categorize and analyze the data obtained from descriptive statistics.

    Results

    The results showed that interaction with peers was significant only with two components related to anxiety–related disorders, namely: social anxiety (p=0.031) and school of fear (p=0.044). There was also a negative and significant relationship between interaction with peers and impulsivity (p<0.001).

    Conclusion

    In order to have effective interaction with others, the individual must be taken into consideration and be able to control his impulsive behavior and be responsible for his or her behavior. Regarding the results of generalized anxiety disorder in the first degree and panic disorder, and it is important to predict the lack of positive interaction with peers. Disorders associated with anxiety and impulsivity can be considered as predictors of interaction with peers in children.

    Keywords: Disorders associated with anxiety, Impulsivity, Negative interaction with peers, Attention deficit, hyperactivity disorder
  • Ahmad Shahivandi*, Shirin Safari Foroushani Page 49
    Background & Objective

    Human as a social creature has a right to participate in society and communicate with surrounding environment and community. Making special and physical contexts and what is required to access these contexts desirable and accessible for everyone is counted as a fundamental necessity for the development of each society. Handicapped, physical and mental disabled and veterans that have formed part of each society, have a right to use public spaces and community services and facilities. Despite of their potential and abilities, these people encounter with lack of accessibility to the urban space. Urban transport in its public form should meet the needs of different groups. Therefore, it is necessary to make public transportation modes prepare in order to ease conditions for their presence. Providing the possibility of being present in society for mentioned people has a huge influence on their mental health. On the other hand, by utilizing their potential, it will contribute to the whole society advancement. In addition, every human being will encounter with a disability during a period of life like as elderly, childhood and pregnancy. This fact that all of us may experience disability during our life makes it issue that is more significant.  This study aimed to assess the role of public transport system in Isfahan city to meet the physical needs of disabled persons and their social involvement in the community. In this research, was attempted to evaluate the efficiency of public transport network of Isfahan city, in behavioral, economical, accessibility, safety, security, convenience, and comfort dimensions, on the quality of disabled persons’ social life.

    Methods

    The research method, was practical and descriptive-analytic. Disabled people of Isfahan city (Isfahan province Center of Iran) were the study statistical society, 100 of them that were present in buses and bus stations chose as statistical sample. In order to data analysis, the factor analysis method was used in Amos Graphic software and role of measurable variables and main factors influenced in satisfaction of urban public transport has been determined. The acceptable meaningful level of factor loads (p<0.05) and the confidence interval was 95%. 

    Results

    Standardized regression scale indicated that there was a meaningful relationship between independent variables (behavior, expenditure, accessibility, safety and security and comfort) and dependent one of disabled presence in urban spaces. Independent elements and dependent justified 48.25% and 38.73% respectively. According to the study consequences, the factor of accessibility with regression scale of 0.77 was a priority in order to satisfy disabled persons from urban transport. Then the factor of safety and security with regression scale of 0.61 was in the second level and the factor of people behavior with regression scale of 0.47 gathered the third level. Finally, the last rank belonged to the factor of comfort and convenience with regression scale of 0.43. Furthermore, around 96% of dependent variation was related to the quality of public transport system.

    Conclusion

    The results show that taking necessary measures to accommodate Isfahan public transport plays an effective role in the social presence of people with disabilities in the city.

    Keywords: Presence, Public transport system, Isfahan city, Disabled persons, handicapped
  • Sayed Sina Safari Mousavi, Mojtaba Nadri*, Meysam Amiri, Farhad Radfar, Mehdi Farokhcheh Page 50
    Background & Objective

    Diabetes mellitus is one of the most common chronic diseases in the world, the disease is a metabolic one characterized by deficiencies in insulin secretion, which is classified to two different diabetes type. Considering the high prevalence of psychiatric disorders in type 2 diabetic patients and role of psychological flexibility and cognitive emotion regulation strategies on psychological problems, the aim of this study was to investigate the predicting role of psychological flexibility and cognitive emotion regulation strategies on depression, anxiety and stress in type 2 diabetic patients. 

    Methods

    The study was a cross–sectional and correlation one. Participants consisted of 102 men and women with type 2 diabetes that they referred to treatment centers in Khorramabad city (Lorestan province, West of Iran) including public and private hospitals, clinics and health centers who were selected by convenient sampling. Using cognitive emotion regulation questionnaire (CERQ), acceptance and action questionnaire (acceptance and action questionnaire–II) and anxiety, stress and depression questionnaire (24–DASS) to collect data. To analyze the data at the level of descriptive statistics, mean and standard deviation were used and at the level of inferential statistics Pearson correlation coefficient and regression were used and to analyze data SPSS software (SPSS version 24 IBM crop., Armonk. NY) were used. 

    Results

    There is a significant negative correlation between psychological flexibility with depression in patients (p<0.001). There was a significant negative correlation between mental flexibility and anxiety variable in patients (p=0.028). On the other hand, a significant negative relationship between psychological flexibility and stress in patients (p<0.001) observed. There was a significant negative correlation between the depression variable and the adaptive cognitive emotion regulation strategies (p=0.015). There was a significant negative correlation between the stress variable and the adaptive cognitive emotion regulation strategies (p=0.017). However, there was not a significant relationship between adaptive cognitive emotion regulation strategies and anxiety. There was a significant adaptive correlation between the depression variable and the inadaptive cognitive emotion regulation strategies (p=0.05). However, there was not a significant relationship between adaptive cognitive emotion regulation strategies with stress, and there was not a significant relationship between adaptive cognitive emotion regulation strategies with anxiety. Also, psychological flexibility was an acceptable tool to determined depression, anxiety; also, it was the most important factor in predicting stress (p<0.001). Adaptive and inadaptive variables of cognitive emotion regulation strategies were not able to predict components of depression and anxiety significantly. However, the cognitive emotion regulation adaptive strategy could predict the stress component (p<0.01) significantly, and psychological flexibility and adaptive cognitive strategies were predictors of stress (p<0.001).

    Conclusion

    In general, individuals with high adaptive cognitive emotion regulation strategies and psychological flexibility accept their defects and problems, judge themselves less, and they are aware of their problems. This condition has led to less stress, anxiety, and depression. Therefore, it is recommended to exercise suitable practices to increase positive cognitive emotion regulation strategies and psychological flexibility in type 2 diabetic patients.

    Keywords: Anxiety, Cognitive emotion regulation, Depression, Psychological flexibility, Stress
  • Fuad Nik Nasab*, Mahmoud Sheikh, Rasoul Hemayat Talab Page 51
    Background & Objective

    Attention deficit hyperactivity is one of the most common childhood disorders, which has recently attracted the attention of psychiatrists and psychologists. The main characteristics of this disorder include inability to control motor behavior, learning disability, aggression, educational problems, impulsiveness and motor restlessness. The present study was aimed to determine effect of teaching neurofeedback on symptoms of children suffering from attention deficit–hyperactivity disorder.

    Methods

    Present research was a pretest–posttest study with a control group. In terms of using the results, it was an applied study. The statistical population included the children with attention deficit hyperactivity disorder (ADHD), who were selected using the list of the clients who had referred to Refah Clinic in Tehran over a period of 2 months and were diagnosed with ADHD by a psychiatrist. Convenience sampling method was used to select the study sample that consisted of 30 children (girls and boys) in an age range of 5–10 years. The subjects were selected based on the study’s objectives and the inclusion criteria, which were definitive diagnosis of ADHD by a psychiatrist based on DSM–IV criteria, completion of the written consent to participate in the study by the subjects’ families, age range of 5–12 years, lack of other attention deficit hyperactivity disorders, lack of receiving any other special treatments such as medication. Afterwards, in order to observe ethical considerations, the study’s objectives were explained to the parents and confidentiality of the subjects’ information was assured, the parents entered the study following their complete satisfaction, and they were ensured that their children would not harm at all. After the parents were familiarized with the clinical and research aims by the researcher, they filled out the participation consent form. The 30 chosen children were randomly assigned into two groups (15 children in the neurofeedback training group and 15 in the control group). After the desired sample was obtained, the child symptom inventory–4 (CSI–4) was distributed among the parents as the pretest, and they were required to fill it out. After a week, the experimental group received an intervention program for 20 sessions (every session lasted an hour and was held twice a week).

    Results

    The results obtained from comparing the neurofeedback means of the experimental group in the pretest and posttest stages indicated that the symptoms of attention deficit hyperactivity disorder had a significant decrease in the posttest phase (16.26) compared to the pretest phase (28.33). In the control group; however, the neurofeedback means in the pretest (28.73) and posttest (28.93) had no significant difference. In fact, the results of the present study showed that neurofeedback training led to a decrease in ADHD symptoms (p<0.001).

    Conclusion

    The present study showed that neurofeedback training had a positive impact on the symptoms of children with attention deficit hyperactivity disorder (ADHD). In fact, the results of the present study can theoretically be the basis for the effect mechanism of this method among children with ADHD, and they can practically be a guidance for trainers and those who work with such children. Therefore, it is recommended that this effective method be utilized along with other therapeutic methods in order to reduce ADHD symptoms among children.

    Keywords: Teaching neurofeedback, Attention deficit–hyperactivity disorder, Children
  • Zeinab Sadat Tavakoli, Farangis Demehri*, Mahiye Azizi Page 52
    Background & Objective

    The deficiencies in social adequacy and self–esteem skills in Down's syndrome children have prevented them from having adequate behaviors in social situations and lacking interpersonal interactions. The purpose of this study was to investigate the effectiveness of teaching the theory of mind on the social adequacy and self–sufficiency of Down syndrome in the first and second elementary schools of Yazd in the academic year 2017–2018.

    Methods

    This is a semi–experimental design with pretest–posttest design with control group. The statistical population of all children was Down syndrome in Yazd city, in which 24 children with Down syndrome were selected by available sampling method and randomly divided into two experimental and control groups (each group was 12). The social skills questionnaire (Gersham and Elliott, 1990), using social competency tests (Prandin, 2006) and the subscale of self–restraint of social skills questionnaire (Gersham and Elliott, 1990), were assessed in both pretest and posttest. Twelve sessions of mind theory training were conducted for the experimental group. Data were analyzed using descriptive statistics (mean, standard deviation) and inferential (covariance analysis) by SPSS21 software.

    Results

    The results showed that training of mind theory had a significant effect on social adequacy (p<0.001) and restraint (p<0.001) in children of experimental group.

    Conclusion

    According to the results, teaching the theory of mind improves the social adequacy and self–control of children with Down syndrome.

    Keywords: Mind Theory, Down Syndrome, Mental Retardation, Social Adequacy, Restraint
  • Mohammad Moshkani*, Gholam Ali Afrooz Page 53
    Background & Objective

    Among some scientists in this field, there is general agreement that offenders juvenile are often exposed to a kind of social relationship that has its characteristics. Some factors are directly related to delinquency of them including the existence of personality problems, lack of relationship and close links between parents and disorderly condition of the family environment. Therefore, this study aimed to compare big five personality traits, attachment and self–perception between delinquent and normal adolescents. 

    Methods

    This study was a descriptive, causal–comparative study. The statistical population included normal and delinquent adolescents in Gorgan city (North of Iran). The study sample consisted of 120 offenders juvenile and 120 normal male boys who were selected through convenience sampling. Among them, 71 offenders and 71 normal adolescents were selected randomly. To collect data, the Neo characteristics personality questionnaire (1985), Collins and Reid attachment inventory (1996) and Sherer and Mados (1982) self–efficacy scale were used. Data were analyzed by multivariate analysis of variance (MANOVA) using SPSS software and probability values less than 0.05 were considered as statistically significant. 

    Results

    There was a significant difference between the personality traits of delinquent and normal adolescents (p<0.001). The findings revealed that adolescent teenagers scored higher in psychosocial subscales than normal adolescents (mean and standard deviation in offenders juvenile were 31.6±6.77 and in normal adolescents were 20.13±4.66). However in the extraversion subscales (mean and standard deviation in delinquent adolescents were 28.14±5.68 in normal adolescents 32.23±3.75), openness to experience (mean and standard deviation in delinquent adolescents was 30.14 ± 8.3 and in normal adolescents 35.28±4.25 agreement), agreeable (mean and standard deviation in delinquent adolescents were 27.74±7.53 and in the adolescents were 34.58±4.18, respectively), and in the variable of duty (mean and deviation The level of adolescents in adolescents was 21.91±6.21 and in normal adolescents 33.74±3.33) had a lower score than the control group (p<0.001). Delinquent adolescents in the component of anxiety attachment style had a higher score (mean and standard deviation in delinquent adolescents was 21.98 ± 3.36 and 11.34±2.31 in normal adolescents). Finally, there was a significant difference between the self–efficacy variable in delinquent and normal adolescents in the variable, so that the level of self–efficacy of offenders juvenile was lower than that of adolescents (mean and standard deviation in delinquent adolescents was 34.54±4.69 and in normal adolescents 62.9±4.2) (p<0.001).

    Conclusion

    Personality traits, perceived attachment and self–efficacy are considered as effective psychological factors in the dimension of community–based behaviors. Therefore, attention to the role of parental attachment in childhood and the importance of personality traits can be effective in keeping children and adolescents safe from possible offenses.

    Keywords: Juvenile delinquency, Five major factors, Self–efficacy, Perceived attachment
  • Mohammad Hassannezhad, Hamid Nejat*, Hassan Toozandejani Page 54
    Background & Objective

    Diabetes mellitus is a metabolic disorder and a multifactorial disorder characterized by hyperglycemia, due to disfunction in insulin secretion or activity, and it cuses to an extinct disease. Diabetes as a chronic disease affects all levels of individual and social life of a patient, including life satisfaction. In this regard, according to existing studies, the most important cause of mortality in diabetic patients is the lack of self–care. Self–care in diabetes patients is the correct and timely delivery of insulin, dieting, regular exercise activities, identifying signs of increased blood glucose, taking regular medications, taking care of the legs, and improving the quality of life. Therefore, diabetes in addition affect physiological, psychological, and satisfaction of life in these patients. Considering the increasing prevalence of diabetes, which suggests that self–care activities in diabetic patients are not performed, and the effects of diabetes on life satisfaction in these patients. Finding the most effective treatments in diabetes mellitus seems necessary, since admission and commitment treatment is affected by local culture, it is necessary to test in different social and cultural contexts in order to increase its effectiveness. Therefore, this study aimed to investigate the effectiveness of group therapy based on admission and commitment on self–care behaviors and life satisfaction in patients with type 2 diabetes.

    Methods

    This study designed as a semi–experimental pre–test, post–test with control group. The statistical population was all patients with type 2 diabetes who referred to Neyshabour (Khorasan Razavi province, Northeaset of Iran) diabetes clinic in 2017. Among them 30 were selected by convenience sampling and randomly assigned to two groups of experimental (n=15) and control (n=15). The research tools included a short–term self–care scale of diabetes mellitus, Tubert et al. (2000), Diner et al. (1985), and eight sessions of 90–minute group therapy based on acceptance and commitment from Grik et al. (2007). For data analysis, SPSS software version 22 and single–variable covariance analysis was used. 

    Results

    The mean and standard deviation of the self–care group in the experimental group before intervention was 23.93±5.970 and after intervention was 27.07±5.45. Mean and standard deviation of life satisfaction scores in the experimental group before intervention was 13.13±3.91 and 17.27±3.78 after intervention. Therefore, there was a significant difference in the mean scores of self–care behaviors and life satisfaction among the experimental group in comparison to the score before and after the intervention (p<0.05), but these changes were not significant in the control group.

    Conclusion

    Using an admission and commitment group, as an effective educational intervention, improves self–care behaviors and life satisfaction in patients with type 2 diabetes. Studies showed the importance of treatment interventions to increase self–care and life satisfaction in type 2 diabetic patients. Given the growing trend of diabetes and high rates of sufferers, it is worthwhile for patients to take the necessary training from educational programs and pay more attention to the role of counseling and education. In addition, according to results of this study, acceptance and commitment therapy showed improving in self–care and life satisfaction in patients with type 2 diabetes; attention to acceptance and commitment group therapy, as an approach It is essential to support patients with type 2 diabetes.

    Keywords: Admission_commitment based on self–care behaviors_life satisfaction_type 2 diabetes patients
  • Faramarz Sohrabi, Ahmad Borjali, Malihe Rezaei Mirghaed* Page 55
    Background & Objective

    Because of the need to reduce aggressive from anger, Anger management programs are growing. This study aimed to determine the efficacy of anger control training on improving communication skills and anger control is delinquent girls.

    Methods

    This study is a type of quasi-experimental pre-test and post-test and control groups. The study sample consisted of all female offenders in Tehran in 1392, which were held in a juvenile institution they’re. Due to the limitation of the study population, all members selected by the census sampling method and randomly divided into two groups (n=30) and controls (n=30) placed. The experimental group received eight sessions of anger management technique, while the control group received no training. The measuring instrument of this research was the Spielberger Anger Inventory, and Data analyzed by ANCOVA.

    Results

    The result confirmed the hypothesis that training on anger management is an effective on anger management of delinquent girls (p<0.001).

    Conclusion

    The results of this study will help authorities correcting and training centers for anger control training in their programs to reduce anger criminals and thus are its potential adverse consequences.

    Keywords: Anger Management, Female Offenders, Juvenile Institution
  • Sanaz Azizmohammadi*, Nazanin Rakebi, Soodabeh Kamra Koochesfehani, Hadi Asadi Page 56
    Background & Objectives

    The vulnerability of female household heads at individual and social levels leads to a decline in their social health. Therefore, the present study aimed to determine the role of self–compassion and distress tolerance in the social health of female household heads.

    Methods

    The present study was a descriptive correlational research. The statistical population of the study consisted of all female household heads supported by the Imam Khomeini Relief Foundation in 2019 in Baharestan County. 291 subjects were selected by available sampling using the Morgan table. The tools used to collect Data were Simon and Gaher's Distress Tolerance Scale (2005), Self–Compassion Scale – Short Form (SCS–SF) (2003), and Keyes Social Health Questionnaire (2004). To anaylze data, SPSS software version 21 and descriptive statistical methods such as mean, standard deviation, and inferential statistics (Pearson’s correlation test and multiple linear regression) were used by the step–by–step method, and the significance level was considered at 0.05.

    Results

    The means and standard deviations of compassion, distress tolerance and social health were, 16.78±1.57, 13.4±1.27, and 18.41±2.29, respectively. There were direct and significant relationships between self–compassion and social well–being (r=0.627, p<0.001) and between distress tolerance and social well–being (r=0.545, p<0.001). Self–compassion (r=0.603, p<0001) and distress tolerance (r=0.517 and p<0.001) were significantly able to predict social health.

    Conclusion

    The promotion of self–compassion and tolerance in distress will promote the social health of women household heads. Therefore, improving their health status should be considered by conducting training courses or workshops on self–compassion and distress tolerance for these individuals.

    Keywords: self–compassion, distress tolerance, Social health, Female household heads
  • Solmaz Babaei Bonab* Page 57
    Background & Objective

    Asthma is a Lifestyle inflammatory and reversible disease of airways. Change in Lifestyle by increasing obesity and decreasing physical activity is the main cause of its high prevalence. Asthmatic patients are less fit than their healthy control subjects. Evidence reveals the association between mechanical life, inadequate physical activity, and increased daily calorie expenditure with adolescent obesity syndrome, On the other hand, overweight and obesity has increased the risk of asthma and inefficiency of lung function. Therefore, the role of the respiratory system in adjusting the acid-free balance during exercise can be considered very important. If an efficient respiratory system leads to a better refinement of toxic substances, attention to pulmonary capacity and volume in different individuals, and the impact of environmental factors on it seems to be necessary. Accordingly, one of the most critical indicators of respiratory function is vital; vital capacity is a reflection of a large amount of respiratory capacity that results in better air purification in the lagoon of the lungs. Pulmonary vital capacity and output volume (FEV) are a strong indicator of lung function that has been reduced due to obesity and inactive Lifestyle. One of the known methods for the treatment of asthma patients is rehabilitation; rehab programs have added therapeutic value to patients with asthma. They cause a significant improvement in these patients, which is one of the essential components of pulmonary rehabilitation. Therefore, this study aimed to evaluate the effect of aerobic training on pulmonary function (FEF, PEF, MVV, FEV) in middle-aged women with mild asthma.

    Methods

    This semi-experimental study was performed on two groups of 30 obese women with mild asthma, referring to medical centers in Urmia. The subjects were randomly assigned to control (n = 15) and exercise (n = 15). The exercise group performed aerobic exercise for eight weeks in the form of fast-paced walking and intermittent running and aerobic base movements. The program of each exercise session from the first week to the third week consisted of 50 minutes of aerobic exercise with an intensity of 50% of maximum heart rate. Lasted seven to eight weeks, every 60 minutes of aerobic exercise with an intensity of 70-75% of the maximum heart rate given by the Polar machine was measured. In this study, spirometric measurements used for factors such as expiratory flow, maximum voluntary ventilation, expiratory flow maximal in 75% of the vital capacity, and expiratory volume ratio in the first seconds to mandatory vital capacity. Statistical analysis performed using the Shapiro-Wilk test and covariance analysis, and the significance level was 0.05. Data analyzed by SPSS version 22.

    Results

    The results showed that MVV, FEF, FEV, and PEF and their changes in pretest and post-test stages after eight weeks of aerobic training evaluated. The results of the covariance analysis showed that there was a significant difference between the two groups of training and control in all the respiratory variables by maintaining the pretest and post-test scores (p<0.05). The findings indicated that eight weeks of aerobic exercise had a significant effect on the increase of MVV (p=0.003), FEF (p=0.024), FEV (p<0.001), and PEF (p=0.002) in the research sample. No significant changes observed in the control group.

    Conclusion

    Performing asthma exercises can contribute to the improvement of asthma treatment for asthmatic patients. Therefore, considering the beneficial effects of exercise, especially aerobic exercise, the protocol of treatment of asthma patients in our country must also be modified to use sports protocols under the supervision of medical specialists and with their advice. Patients with asthma improve their respiratory rate by participating in the exercise rehabilitation program; they can better handle daily tasks, as a result of the aerobic exercise presented in the present study. Effective treatment intervention for obese people asthma is mild because this exercise volume reduces the body composition index, which is a factor in asthma.

    Keywords: Aerobic Exercises, Mild Asthma, Obese Women, Pulmonary Function, Spirometry
  • ‌‌Mohsen Saeidmanesh*, Leyli Madayeni Page 58
    Background & Objective

    Female–headed households is a woman who is finance of family and a spouse is live but cannot do it. As a result, a woman has been in charge of the family's financial management. Some researches have shown that these women have psychological problems such as depression and anxiety. One of the psychological therapies to prevent return or relapse of depression and anxiety is cognitive therapy based on mind–consciousness. Cognitive techniques can inform and educate the participant(s) about depression, anxiety and resilience. The purpose of this study was to investigate the effectiveness of cognitive–therapeutic based on conscious mind on depression, anxiety and resiliency of female–headed households in Tehran.

    Methods

    The design of this quasi experimental study was a pretest–posttest with a control group. The statistical population consisted of all female–headed households referred to the Imam Khomeini relief committee of district 1 in Tehran (capital city of Iran). Among them, 40 women were selected using convenience sampling. Subjects were randomly assigned into experimental and control groups after pre–test. The intervention was conducted in 8 sessions for the control group and resiliency questionnaire was used to measure the power of coping with pressure and threat (Caner and Davidson (2003)). The Beck depression inventory was used to measure depression. The Beck anxiety inventory (1990) with 21 questions was used to measure severity of anxiety. Data analyzed with descriptive (mean and standard deviation) and inferential (analyze the covariance) statistics.

    Results

    Covariance analysis showed that level of anxiety (F=587.5, p=0.022) and depression (F=125.4 and p=0.028) of female headed–households, respectively, decreased significantly in interventional cognitive therapy based on mind–awareness. This intervention did not have a significant effect on the resiliency.

    Conclusion

    Based on the results of this study, therapists can use cognitive therapy based on mind–awareness to reduce anxiety and depression.

    Keywords: Cognitive therapy, Mindfulness, Anxiety, Depression, Resiliency, Female–headed household
  • Mohsen Saeed Manesh, Mojtaba Sohrevardi, Parisa Jamalabadi* Page 59
    Background & Objective

    Thalassemia is one of the global health problems and the most common hereditary anemia in the world. Thalassemia can have many adverse effects on the patient, family and community. Therefore, it is necessary to examine the solution to improve the quality of life of these patients. Positive parenting program is one of the most effective interventions on parenting styles and parenting communication with children, which planed and developed by Sanders et al. This program is established based on the principles of social learning and prepare parents to better deal with their children and researchers used it to study and improve the parent–child relationship. Even it had an appropriate impact on the relation of children with intellectual disabilities with their mothers. The purpose of this study was to investigate the effectiveness of teaching a positive parenting program on reducing the anxiety and aggression of children with thalassemia in terms of drug control in Shiraz, Iran.

    Methods

    The research design was a quasi–experimental design with experimental group and control group and it evaluated by pre–test, intervention and post–test. The statistical population consisted of all children aged 8–15 years old with thalassemia who referred to Shahid Dastgheib Hospital in Shiraz (Fars province, South of Iran) in 2014–15. The statistical sample was 32 children who were randomly assigned to two experimental groups (n=16) and a control group (n=16). To measure the desired variables, such as anxiety, screening test was used to emotional disturbances associated with childhood anxiety; Scard questionnaire (1997) and Nelson's anger inventory (2000) were used to measure aggression. In order to conduct the research plan, the parents of the experimental group were under the eight sessions of the positive parenting program (every week one session). At the end of the sessions, pre–test was taken from the subjects. The subjects were subjected to post–test. Data were analyzed using independent t–test and dependent t–test and covariance analysis using SPSS 22 software.

    Results

    The results of covariance analysis showed that 8 sessions of positive parenting program reduced children's anxiety (p≤0.001) and children's aggression (p≤0.001) with thalassemia. Independent t–test showed that there was no significant difference in children's anxiety in the pre–test between the experimental and control groups but there was a significant difference between the experimental and control groups in the post–test (p<0.001). In addition, there was no significant difference in the aggression of children in the pre–test between the experimental and control groups. However, there was a significant difference between the experimental and control groups in the post–test (p=0.006). Results of t–test showed that there was a significant difference in children's anxiety between pre–test and post–test in the experimental group (p<0.001), but there was no significant difference between pre–test and post–test in the control group. In addition, here was a significant difference in children's aggression between pre–test and post–test in experimental group (p<0.001), but there was no significant difference between pre–test and post–test in control group.

    Conclusion

    According to the results of this study, it could be stated that 8 sessions of positive parenting program could reduce children's anxiety and the incidence of aggression in children with thalassemia. Furthermore, teaching a positive parenting program to mothers of children with thalassemia can have a positive effect on decreasing the anxiety and aggression of these children. Therefore, positive parenting program can be used as an effective treatment for the treatment of anxiety and aggression in children with Thalassemia.

    Keywords: Thalassemia, Positive parenting program, Anxiety, Aggression
  • Reza Arab Markadeh, Akram Dehghani* Page 60
    Background & Objective

    Depression is one of the most common psychiatric disorders that does not belong to a specific time and place. In this regard, studies have shown that the academic course is due to the presence of several factors of a period of pressures that is likely to occur in the case of an officer. Researchers reported a high prevalence of depression among students (ranged from 10 to 64%). Considering that depression as a disorder can cause personal, familial and social inappropriate complications among students. For examples depressed mood, lack of pleasure, severe loss of interest, weight loss and appetite, sleep disturbances, restlessness or slowness, mental retardation, fatigue, energy loss, guilty feelings, inefficiency, lack of concentration, doubtfulness, recurrence of thoughts about death or suicide, family conflicts, and occupational dysfunctions. It is necessary to intervene in reducing these symptoms. Therefore, the present study aimed to investigate the effectiveness of dialectical behavioral therapy in a group way on the mindfulness and interpersonal skills of female students with depression. 

    Methods

    The study was a semi–experimental study with pre–test and post–test with control group. The statistical population of the study consisted of all female students of Islamic Azad University of Najafabad city (Isfahan province, Iran) who studied in the academic year of 2017–18. The target group was selected through a Beck depression inventory in a targeted sampling method and was replaced in two experimental groups (n=15) and control (n=15). The experimental group was in dialectical behavioral therapy for 8 sessions of 90 minutes. The Beck depression scale (1961) with a reliability coefficient of 0.86, the five–factor mindfulness scale, Baer et al. (2006) with a reliability coefficient of 0.92, and interpersonal skills scale (2004) with a reliability coefficient of 0.71, were used to collect the data. For both groups, pre–test and post–test were used. Data were analyzed using covariance analysis at a significance level of p<0.05. In order to study the assumptions of covariance analysis, Levine test was used to examine the equality of error of variance in two groups. 

    Results

    Results of homogeneity of variances showed that Levin's test was significantly more than 0.05 in mindfulness scores, and interpersonal skills. According to this assumption, the homogeneity of error variances in the studied groups realized. Regression line tilt homogeneity also supports non–significant interaction of conditions and pre–test. Results showed that dialectical behavioral therapy was effective in improving mindfulness (p=0.018) of female students with depression but did not affect their interpersonal skills improvement. In addition, dialectical behavioral therapy was applied to all subscales of mindfulness including observation (p=0.027), alertness (p=0.008), description (p=0.006), and non–reactivity (p=0.033) and Non–judgmental (p=0.04) and it was effective.

    Conclusion

    Based on findings of this study, dialectical behavioral therapy could be used to improve the mindfulness of female students with depression, but they have not been effective in improving their interpersonal skills. Therefore, this intervention could be used as an effective treatment for the improvement of depression symptoms and help improve the condition of people with depression.

    Keywords: Dialectical behavioral therapy, Mindfulness, Interpersonal skills, Depression
  • Sudabeh Ali Mohammadi*, Farshad Mohsenzadeh, Kianoush Zahrakar Page 61
    Background & Objectives

    Neurological overdose is a psychological disorder characterized by extreme eating disorders and inappropriate compensatory behaviors to prevent weight gain. Having mental disorders, including nervous overcrowding is considered a crisis for the whole family. Among the aspects affected by this crisis, marital satisfaction and marital boredom require special attention. Several approaches have been proposed to treat and correct inefficient beliefs, one of which is schema therapy. The schema therapy developed by Yang et al (1990 –1990) is a modern and integrated therapy. The schema therapy provides a framework that recognizes behaviors and interpersonal interactions associated with eating pathology in a specific way. The schema–based model for eating disorders, including nerve birth, suggests that compensatory processes and schemes play a central role in eating disorders. Therefore, the aim of this study was to determine the effectiveness of group schematic therapy on increasing marital satisfaction and reducing marital burning in women with bulimia.

    Methods

    This study designed as a quasi–experimental pre–test and post–test with control group. The study population was women (18–40) with neurological overcharge who had referred to the weight gain/loss and diabetes clinic in Tehran (capital city of Iran) and were exposed to medical nutritional interventions. Totally, 68 people were diagnosed to be affected by extreme eating disorder. These people at least once a month reported compassionate behaviors such as deliberate vomiting, the arbitrary use of diarrhea and urinary tract medication and extreme sports. To this end, 40 people were selected by available sampling method from the people who referred to the Obstetrics and Gynecologic Clinic, and randomly 20 subjects divided in the experimental group and 20 in the control group. Anrich’s marital satisfaction questionnaire and Paynes's burnout married scale (CBM) was completed. The experimental group was trained the schema therapy program for 10 sessions 2 hours per week, while the control group did not receive any training in this period. After the end of the sessions, Anrich’s marital satisfaction questionnaire and Paynes's burnout married scale were performed for the second time in two groups as post–test. Eventually, data were analyzed using descriptive statistics, multivariate covariance analysis with SPSS16 software.

    Results

    The results of multivariate analysis showed that by controlling the effect of pre–test scores, the mean score of total marital boredom of the experimental group in the posttest stage was significantly lower than the mean score of marital burnout in the control group (p<0/05). In addition, results of  multivariate covariance analysis showed that by controlling the effect of pre–test scores, the mean total score of marital satisfaction in the experimental group was significantly higher in the experimental group than the mean marital satisfaction scores in the control group (p<0.05). 

    Conclusion

    Considering results of the research obtained, it may be stated that schema therapy has been led to reduction in marital burnout and increased marital satisfaction and its subcomponent in women affected by nervous bulimia.

    Keywords: Marital Satisfaction, Marital Burnout, Schema Therapy, Nervous bulimia
  • Hossein Khosroshahi, Bahram Mirzaian*, Ramezan Hassanzadeh Page 62
    Background & Objective

    heart disease is caused by stenosis and coronary artery disease, is a health problem in developing and developing countries, and is one of the leading causes of death in the world, including Iran. Coronary heart disease (CHD) is among the diseases affected by psychological factors. Recently, role of disease perception has been taken into account on the life quality of people with chronic diseases. The concept of perceived illness is organized cognitive representation of the patient. One of the factors influencing the life quality of patients is self–efficacy during researches on different patients, which refers to the ability of a person to perform their caring behaviors in specific circumstances. Self–efficacy is considered as an important predictor of behavior that it acts as an independent part of a person's basic skills. Of course, it should be noted that the role of self–efficacy in initiating and maintaining health behaviors is illustrated by several studies in other subjects. Holistic philosophy about health emphasizes on the unity of various human dimensions. From the perspective, diseases are result of an irregular in physical, psychological and environmental dimensions. Therefore, all dimensions integrate and work together such as health types including physical, social and emotional health. Several studies have been carried out on the identification of risk factors for cardiovascular disease. The treatment that emphasis in this study was metacognitive therapy. The metacognitive therapy approach describes the cognitive and metacognitive factors of the underlying and continuing perspectives of psychological disorders and emotional vulnerabilities. The aim of this study was to investigate the effect of metacognitive therapy on general health, self–efficacy and perception of disease in cardiovascular patients

    Methods

    In this study, 30 patients were selected through purposeful sampling. Then, 15 patients were randomly assigned to the experimental group and 15 to the control group. The questionnaires included general health questionnaire, self–efficacy and perception of the disease. Data were collected before and after the implementation of 8 sessions of treatment and analyzed by SPSS 21 software and by covariance analysis.

    Results

    Mean and standard deviation of pretest scores in the experimental group in the general health, self–efficacy and perceived disease variables were 63.67, 2.14, 54.8, 6.1, 54.2 and 71.7 respectively. The post–test was 46.45, 23.2, 66.13, 58.9, 58.46 and 12.28 respectively. In addition, the pre–test score in the control group was 62.22, 2.71, 64.06, 4.84, 39.26, 4.99 and 63.41 after test, 2.71, 65.73, 41.4, 40.38 and 65.2. The results of covariance analysis indicated that treatment significantly decreased anxiety and depression in general health, increased autoimmunity and perceived illness (p<0.001).

    Conclusion

    As a result, metacognitive therapy could be an effective treatment for general health, self–efficacy and modulation of perception of disease in patients with coronary artery disease.

    Keywords: Metacognitive therapy, General health, Self–efficacy, Perception of the disease, Coronary artery disease
  • Zahra Mohammadi, Ali Soleimani*, Ali Fathi Ashtiani, Emad Ashrafi, Kamran Mokhberi Page 63
    Background & Objective

    Obsessive-compulsive disorder is a common psychological disorder that causes severe disruption in personal life. Common treatments for obsessive-compulsive disorder include pharmacotherapy, cognitive therapy, and behavioral therapy. Much experimental evidence suggests that Exposure and Response Prevention (ERP) therapy is at the forefront of the treatments of patients with obsessive-compulsive disorder. Some researchers believe that exposure and Response Prevention therapy requires alternative or complementary approaches. One of the newest of these integrated approaches is the paradoxical time table therapy. An approach that incorporates systemic, behavioral, and analytical aspects into treatment can be an appropriate approach for all disorders, including anxiety and obsessive-compulsive disorder. This study aimed to compare the effectiveness of Paradoxical Time Table Therapy, Exposure and Response Prevention therapy and pharmacotherapy on Reducing Symptoms in Patients with Obsessive-Compulsive Disorder.

    Methods

    In this research, the single-case experimental method used. The population of the present study was people with OCD who referred to the Aramesh Novin Clinic in Tehran, who had an active case in the spring of 2019. Among these, three patients received exposure and prevention of response therapy; three patients received pharmacotherapy with one of the serotonin reuptake inhibitors, and three patients received paradoxical time table therapy. The sample of this study selected among purposive sampling. Exposure and Response Prevention Therapy consists of 17 sessions presented by Foa, Yadin, and Lichner (2012) for patients with obsessive-compulsive disorder. The paradoxical time table therapy consists of six therapeutic sessions consisting of two basic paradoxical techniques and a time table. Yale-Brown Obsessive-Compulsive Scale used for collecting data. Chart analysis, reliable change index, clinical significance and Improvement percentage of paradoxical time table used for data analysis.

    Results

    The results showed that in the paradoxical time table group, considering that the reliability index values were higher than the criterion value of 1. 96, it can be concluded that the results were not due to measurement error and unreliability of the test and they were the result of therapeutic intervention. Notably, a significant amount remained after the intervention, and it indicated that the paradoxical time table therapy maintained its consistency of reducing the symptoms in all three subjects at the follow-up phase. In the first, second, and third subject, the reliability index values were higher than the criterion value of 1. 96, so ERP therapy was effective in reducing OCD. The effectiveness of ERP therapy retained its significant effect on reducing obsessive-compulsive disorder in the follow-up phase for the first, second, and third subjects. In pharmacotherapy, reliability index values indicated that this method has not been effective in reducing the obsessive-compulsive disorder symptoms in these subjects. However, this intervention was effective for subject number 2 and reduced his obsessive-compulsive disorder symptoms initially, but lost its effectiveness in the follow-up phase. Regarding the reliability index and improvement percentage, the paradoxical time table therapy was significantly more effective than the exposure and response prevention therapy and pharmacotherapy in reducing symptoms of obsessive compulsive disorder.

    Conclusion

    Regarding the effectiveness of both paradoxical time table therapy and exposure and response prevention therapy in compare to pharmacotherapy, it can be said both of these approaches can be well target source of obsessive-compulsive disorder the communication between cue and anxiety. Paradoxical time table therapy can have a more significant impact because it increases the power of ego as well as disrupts communication between cue and anxiety, and it changes their meaning well. By the way, pharmacotherapy has a different mechanism of action and cannot target the underlying causes of obsessive-compulsive disorder. This intervention can eliminate the symptoms by the only effect at reducing anxiety. However, once the pharmacotherapy is discontinued, the link between cue and anxiety will return.

    Keywords: Paradoxical time table therapy, Exposure, response prevention, Obsessive compulsive disorder
  • Hassan Yaghoubi*, Masoud Karimlo, Setareh Hajdivanbachari Page 64
    Background & Objective

    Autism Spectrum Disorders (ASD) is a range of mental disorders of the neurodevelopmental type. Individuals on the spectrum often experience difficulties with social communication and interaction; and restricted, repetitive patterns of behavior, interests or activities. Autism spectrum disorders include a wide variety of characteristics. Some of these include behavioral symptoms which widely range from slow development of social and learning skills to difficulties creating connections with other people. Other behavioral characteristics include abnormal responses to sensations including sights, sounds, touch, and smell, and problems keeping a consistent speech rhythm. These problems displayed by those with autism spectrum disorders typically influence development, language, and social competence. Game-based interventions that involves technology have shown to facilitate motivation and learning process in children with autism spectrum disorders. There are no definitive statistics on the prevalence of gaming among autistic children, but it has been found that 41.4% of children and adolescents with autism spectrum disorder spend the majority of their free time playing video games versus 18% of youths in the general population. These numbers underscore the importance of taking a look at the amount of time spent on video games by autistic gamers and paying attention to any potential side effects. Video game addiction and excessive time spent playing games can result in health and behavioral issues, such as sleep deprivation, lack of exercise, irritableness, and several other problems. On the other hand, video games are viewed as a safe space by some autistic people, in addition to their behavioral and entertainment value. This study aimed to determine the effect of video games on the behavior of children with an autism spectrum disorder.

    Methods

    The research method was semi-experimental with pre-test-post-test design with two experimental and control group. The statistical population consisted of all children aged 7-15 years old with autism in Arak city in 2018, of which 30 selected using an available sampling method. They randomly assigned to experimental and control groups. The experimental group participated in the video game witch names Minecraft during the fifteen weeks (2 sessions each) and each session for 1 hour and no intervention performed in the control group. The research tool was the Rutter Behavioral Assessment (Parent Form). Data were analyzed using covariance analysis by SPSS-23 software.

    Results

    Testing the hypothesis of the research, about the effectiveness of video games on the behavior of children with an autism spectrum disorder, showed that performing video games could have a significant effect (p=0.002) on improving the behaviors of children with autism spectrum dysfunction.

    Conclusion

    Based on the findings, performing video games improves the behavior of children with autism spectrum disorder. Therefore, video games are recommended for these children.

    Keywords: Video game, Behavior of children, Autism spectrum disorder
  • Mahbubeh Dastani*, Rasoul Roshan, Masoud Janbozorgi, Mohammad Reza Shaeiri, Elham Aghaei Page 65
    Background & Objective

    Depression is the most common psychiatric disorder that has been increasing over the past fifty years and is considered the most common cause of hospitalization. Mainly, depressed people are self–assimilated and self–assertive, attention is paid to the positive effects of religion and spirituality is essential in the prevention and treatment of mental disorders. The present study aimed to investigate the effect of religious–spiritual approaches on decreasing depression syndromes in Iran using a meta–analysis model.

    Methods

    This research was a review study. The statistical population consisted of theses and research published in scientific and research journals that have been conducted over the past twelve years (2004–2015) in the field of spirituality and religion–based depression approaches in Iran. In this research, 13 articles that had criteria for entry, and they had an adequate sample size and methodologically. Sources of research in the present study consisted of Master's and Ph.D. thesis of Universities, scientific–research journals in the field of psychology, information resources of the Jihad University, and documents center of Iran. The search keywords included treatment, psychotherapy, intervention, psychotherapy, education, counseling, spirituality, spiritual, religious, depressed, and depression. Including criteria for the meta–analysis were experimental and quasi–experimental research; with at least one experimental group; measurement tools were sufficient reliability and validity; the topic of research had religion–based approaches and spirituality in depression; the study conducted in the form of group research; in–person intervention (without internet and telephone). A content analysis checklist was used to selected research papers with inclusion criteria and extracting the necessary information to perform their meta–analysis. The checklist included the following components: title of research on depression, full details of the executives, had study year, implementation of the study, hypotheses, data collection tools, statistical population and sample size. A significance level of tests that used in this research was performed based on Kuhn's meta–analysis steps. The data was analyses by CMA2 software.

    Results

    The best estimate for impact of spirituality and religion–based approaches on depression was 0.48, which was roughly high according to the Cohen's (1988) coefficient of interpretation (spirituality–based approaches and religion had a modest effect on depression).

    Conclusion

    Discrepancies are effective interventions to reduce depression; it seems that a meta–analysis will help clarify the actual impact of interventions on depression symptoms and will determine the degree of effectiveness. Overall, the results of this study showed that spiritual and behavioral therapies could be effective in reducing the symptoms of depression, but a closer examination of the study revealed the basic difficulties in reporting and the quality of their performance. It seems that conducting accurate research based on the theoretical, scientific background, using authoritative sources related to the teachings, concepts of religion, Islamic culture treatment of depression is essential. It is necessary to study on validity and effectiveness of the procedure and to compare its efficacy with standard golden treatment. It can be said that multi–drug therapy needs to design to Iranian–culture that can increase the effectiveness of secular remedies on Iranian society. Based on these findings, therapists could select and execute treatment patterns appropriate to the problems encountered, and to achieve better and more reliable outcomes.

    Keywords: Meta-analysis, Depression, based on spirituality, religion approaches
  • Afsaneh Sadat Seyed Hosseini, Zahra Tabibi*, Hossein Kareshki, Morteza Gharavi Page 66
    Background & Objective

    As a complex phenomenon, menopause is accompanied by simultaneous biological, psychic and social changes in life. Attachment styles have critical role in determining the way a woman behave to her body. Researches have shown that there is a relation between unsecure attachment and somatization. They are more vulnerable and tolerate more anxiety. Most of them use psychical mechanism to reduce their anxiety. Moreover, reduction of sexual desire is one of the widespread symptoms of menopause that is related to attachment styles, too. Sex guiltiness is the most important reason of reduction in sexual desire in women and it is related to somatization. Therefore, this study was conducted to investigate the relation between severity of menopausal symptoms with attachment styles based on the mediation role of defense mechanism and sex guiltiness feel. 

    Methods

    According to Morgan table, 388 individuals was participated to study, menopause women ranging from 45 to 65 years old in the city of Mashhad (Khorasan Razavi province, Northeast of Iran). They were selected by using convenience sampling. Inclusion criteria included to be in menopausal period, consent to participate in research, between 45 to 65 years old, Mashhad inhabitant, at least elementary literacy, no background of chronic psychical or physical disease, hysterectomy or artificial menopause and not using replacement therapy like hormone therapy. For data collection, different questionnaire including that of Greene questionnaire of severity of menopausal symptoms, Hazan and Shaver's adult attachment style, Andrews' defense style and Mosher's sex guilt were used. These questionnaires were spread in parks and recreation centers of five main districts of Mashhad. Mean, standard deviation and Pearson correlation accounted by the use of SPSS Ver.21 and data were analyzed by using path analysis in Lisrel software.  

    Results

    Correlation between severity of menopausal symptoms, attachment styles, defense mechanisms and sex guilt were significant (p<0.01). In another words, with an increase in severity score of menopausal symptoms, participant’s scores in sex guilt, immature and neurotic defense mechanism, avoidant, and ambivalence attachment styles were augmented. Fitness parameters of path analysis indicated that the model was generally fitted. The results of path analysis also showed that insecure attachment styles (avoidant and ambivalent) through sex guilt, immature and neurotic defense mechanism, can affect the severity of menopausal symptoms. The effect of avoidant attachment on severity of menopausal symptoms was 0.23, through sex guiltiness feel was 0.26 and through immature and neurotic defense mechanism was 0.24 and they were significant (p<0.01). The effect of ambivalent attachment on severity of menopausal symptoms was 0.18, through sex guilt was 0.21 and through immature and neurotic defense mechanism was 0.20 and they were significant, too (p<0.01). Women with avoidant or ambivalent attachments experience more severe symptoms. In addition, women with high score in menopausal symptoms scale, have higher score in immature and neurotic defense mechanism and sex guilt. 

    Conclusion

    According to findings, conceptual model of the research confirmed and the results of path analysis, indicated that insecure attachment styles (avoidant and ambivalence) with more sex guilt and by the use of immature and neurotic defense mechanisms, affect the severity of menopausal symptoms. Thus, effects and relations of attachment styles on the severity of menopausal symptoms are mediated by sex guilt and defense mechanism. Insecure women experience more anxiety, therefore they use more immature and neurotic defense mechanism that it results in the increase of severity of menopausal symptoms. Moreover, when women feel sexual guilt, it also may cause the increase in severity of menopausal symptoms.

    Keywords: Severity of Menopausal Symptoms, Attachment Styles, Defense Mechanism, Sex Guilt
  • Lila Sadat Azizi, Mojgan Sepah Mansour*, Roya Kochakentezar Page 67
    Background & Objective

    Autism spectrum disorders are a neurological disorder that is a clear sign of failure in communicating with behaviors, interests and stereotypical activities. The degree of family adaptation to the stress of having such children is different and studies on the stressors in the lives of children parents with autism indicate that parents have more stress. Stress coping styles is one of the most influential personal that influences on family stress. Those parents of children with autism who use positive styles of coping with stress (such as problem-based coping and positive assessment), reduce negative outcomes and increase positive outcomes, while using coping negative styles (such as a counter-focus on excitement and avoidance coping) is associated with increasing negative outcomes. Autism spectrum disorders due to restrictions on the child can cause many problems in the care of the child. On the other hand, families with these children tolerate a lot of stress. This study aimed of determining the role of the mediator of perceived stress among relation coping style of problem-oriented stress with family adaptive in the family of children with autism.

    Methods

    The correlation research method was based on the structural equation modelling method. The statistical population consisted of families with autism children in the autism association of Tehran (capital city of Iran). A total of 360 samples selected by available sampling method. The instruments for collecting were Cohen et al., (1983) perceived stress questionnaire, Billings and Moos (1984) coping style questionnaire, and Olson, et al Family adaptability (1985). To analyze the obtained data, descriptive statistics including mean and standard deviations and inferential statistics of Pearson correlation and regression equations used in the probability of 0.05 with SPSS-18 and AMOS-23 software.

    Results

    There was a significant direct correlation between the coping style of problem-oriented stress with family adaptive of children with autism (p<0.001, β=0.21) and there was a significant negative correlation between parental perceived stress with family adaptive of children with autism (p<0.001, β=-0.38). In addition, parental perceived stress played a mediator role in the relationship between the problem-oriented coping styles with family adaptive.

    Conclusion

    Based on the findings of this study, it can be concluded that parental perceived stress and coping style of problem-oriented stress was effective in family adaptive of children with autism. According to the results of this study, the parents of children with autism use problem-oriented coping styles and more emotional styles than mothers with normal children are.

    Keywords: Adaptability, Stress coping style, Perceived stress, Autism
  • Azita Amirfakhrayi, Eshrat Karimi Afshar*, Alireza Manzari Tavakoli Page 68
    Background & Objective

    Due to the critical period of adolescence and disorders that can affect this period, family support and play an important role in promoting or reducing mental health in adolescents. Because the growth and behavior of affected individuals is the type of family in which they live, children in the family, in interaction with others, learn communication skills, interpret the behavior of others and feelings experience. The inadequate performance of family and parent due to separation or death can lead to the teenager's participation in high–risk behaviors, mental health problems and increased psychiatric disorders. The rupture of the family as well as other factors in Iranian society has left many families with child abandonment. Parental mismatches and divorced increased the psychological vulnerability of children. One of the obstacles to the presence of these children in the community is the society's view of this kind of children, the viewpoint and the attitude that lies in schools and in the surroundings with unaccompanied children can be in the growth and enhancement of the personality or vice versa, in order to reduce self–esteem and escape. The child will be affected in the future. Earlier research has shown that emotional problems and types of mental disorders have a high percentage in adolescents who are mentally ill and overweight in Iran and various communities. Emotional problems also have a direct relationship with psychological flexibility. Psychological flexibility is defined as the ability to perform practical now in accordance with personal values. Teens throughout the course of their lives face chronic and acute needs that can be unpleasantly influenced by their physical and psychological health, so individuals must be equipped with psychological flexibility. Psychological flexibility means creating the ability to make practical choices. It is more appropriate than the various options, rather than doing things that are only disturbing to avoid thoughts, feelings, memories or desires. Regarding the above mentioned the importance of studies in the field of children with impaired caregivers and identifying their psychological characteristics, this study aimed to compare the psychological flexibility of ordinary adolescents with adolescent boys and nurses who were kept in centers under the supervision of welfare Kerman city.  

    Methods

    The current study was a comparative and causal study. The statistical population of this study was all adolescents (13 to 18 years old) who were nulliparous and unprotected and held in centers under the supervision of welfare and normal adolescents in Kerman (Kerman province, South of Iran). Using purposeful sampling, 80 adolescent in well–being care centers selected as well as 80 normal children (in high school) through targeted sampling. Data collection tools were Bond and associates (2011) psychological flexibility questionnaire. Data were analyzed using multivariate test and independent T–test.

    Results

    T–test showed that the difference between the two groups was significant in cognitive flexibility (p<0.001). Thus, unprotected and unprotected adolescents have less cognitive flexibility than their normal husbands do.

    Conclusion

    The results of this study highlight the role of psychological variables such as cognitive flexibility in adolescents who are not at risk and the need for using new psychotherapy methods to increase it. The results showed that unprotected and unprotected adolescents, in comparison with their normal counterparts, obtained a penny scores in cognitive resilience. Identification of common risk factors among cognitive impairments among adolescents is of particular importance. In recent years, much attention has been paid to the psychological inflexibility as a pathologic factor of various types of mental disorders. It is suggested to use psychiatric courses in order to increase the psychosocial flexibility of the mentally ill adolescents.

    Keywords: Psychological flexibility, Bad adolescents, Unproductive
  • Mohsen Karimzandi*, Fatemeh Pourhoseini Lilakohi, Sogra Mosadeg Firozabadi, Maryam Mohseni Taromsari Page 69
    Background & Objective

    Having social skills and good behavior play crucial role to have useful function in life. These skills make us to know what should we say, how to choose best choice and how to behave in different situation. At the same time comprehending ourselves and understanding others is essential to have effective social interactions. Therefore successful social relationship require to have special mechanism to understand others internal states and to process others` mental states. Theory of mind is a qualification to perceive the social environment and is essential to engage in competitive behavior and has been defined as an ability to understand what other think and feel and responding others` emotional signals appropriately. Recent studies mostly survey the effect of training of Theory of mind on improvement of adaptive behavior, communications and social skills of different group of exceptional students and sometimes observed contradictory consequence. Problem in reading or dyslexia is one of the specific learning disability (SLD) that is the most significant factor in failure at school. Incidence rate of this disorder among schoolchildren has been reported between 3 to 17.5 percent. More than 50 percent of people with SLD has behavioral, emotional and social problems. Therefore the goal of this study was to survey the effectiveness of training theory of mind on social skills and behavioral problems in SLD with impairment in reading or dyslexia students. 

    Methods

    The research was experimental with pre–test, post–test experimental and control groups. The statistical population included primary dyslexic students in Rasht (2016–2017) (North of Iran) who had been referred to learning problems center. Among these students, thirty students were randomly selected as experimental and control groups. To evaluate children's intelligence, an IQ test was used which was validated through 0.95 for the total intelligence, 0.95 for verbal intelligence, and 0.91 for practical intelligence. To diagnose reading disorder, the Noma diagnostic reading test, which standardized by Koromi and Moradi, was used. The alpha coefficient of this test is 0.82. Gersham and Elliott (1990) has been used to assess social skills and behavioral problems. The reliability of this scale in the study was 0.86 for social skills, 0.76 for cooperation, 0.72 for determination and 0.86 for self–restraint. This scale was applied to both groups before and after training. Participants of the experimental group received theory of mind training during twelve sessions and each session was sixty minutes. Data were analyzed by analysis of variance and SPSS version 23 software. 

    Results

    The mean and standard deviation of the experimental group before training for social skills were 47.00 ± 3.93 and for behavioral problems, 43.7 ± 5.21 respectively. These values after theory of mind training, for social skills are 68.2 ± 5.57, and for behavioral problems 31.5 ± 5.96. While these indicators did not change for the control group in both variables before and after education. Results analysis of variance of post–test scores on social skills scale showed a significant difference between groups (p<0.001). 

    Conclusion

    Theory of mind training increases social skills and decreases behavioral problems in SLD with impairment in reading or dyslexia students.

    Keywords: SLD, Reading, Dyslexia, Theory of mind, Social skills, Behavioral problems
  • Khalil Alimohammadzadeh*, Seyyedeh Fatemeh Mohebbi, Somayyeh Bolboli, Seyyed Mohammad Mohebbi Page 70
    Background & Objective

    Providing elder-friendly health care centers is serious for multidimensional health promotion of the elderly. Iranian society encounter with elderly overpopulation in comparison with the whole population of society, during the coming years. The aim of the present research is to study the significant factors of such a health care centers from elders’ viewpoints besides their expectations and lived experiences from these centers. Elders’ welfare is an important affair, which should be obtained through planning for future health services.

    Methods

    Qualitative methodology was used in this research. In order to understand participants’ lived-experience through analyzing their interviews, the “phenomenology” was applied as a proper method during the study. Collecting data is through purposeful sampling and deep semi-structured interviews with 30 elders above 65 years old. For purposeful sampling, the participants were selected with recognition to these factors: elders above 65 years old who wanted to participate the face-to-face interview with the researcher, they also have to be able to express their lived experience. Any cognitive difficulties, psychosis, and any severe or emergent disease were important filters during the process of participant selection. In fact, they have to lack all of the mentioned difficulties. Another important factor for purposeful sampling in this research was that the participants should had the experience of attendance at medical centers. Maximum variation interms of gender and social class was applied among participants. Then, thematic analysis was used to analyze data extracted from face to face interviews with participants.

    Results

    Results showed that elder-friendly health centers had two significant indicators from elders’ viewpoints: “protective environment” and “attentive environment”. The protective environment includes “information protection”, “legal protection”, “service protection”, “emotional protection”, “security protection”, “physical protection”, “environmental protection”, and “social protection”. Interms of information protection, adults concentrate on promotion of sanitation information, education of self-caring, and updating caring staffs’ information. Elders who were interviewed during the study believed that extending the quality of medical services, protecting patients’ security and supplying rehabilitation equipment were part of their protective needs. From their point of view, emotional protection such as empathy, sympathy, stress deduction during important surgeries, and security protection especially wholly insurance, treatment expense deduction and equal welfare attainments are part of their protection needs. Besides the important factors mentioned above, participants referred to factors such as treatment environments and easy arrive to medical centers as part of their environmental protection needs. Attentive environment also contains sanitation security, health promotion, medical accuracy and active answering.

    Conclusion

    Recognizing needs of elders and their viewpoints as patient stratum of society is an important affair for new policymaking in health system. Therefore, the health system must be attentive to elder-oriented services because of their needs and expectations. Understanding elders’ sanitation and health care needs and framing a practical plan for caring them would be helpful in the process of elders’ health treatment.

    Keywords: Health care centers, elderly, elder-friendly, Health system
  • Mohsen Saeid Manesh, Mozhgan Sheikh Ashkevari*, Mahdieh Azizi Page 71
    Background & Objective

    Oppositional defiant disorder (ODD) is one of the most common psychiatric disorders in childhood. The disorder is one of the most important disorders referral to mental health clinics in children and adolescents, and it will be appeared as a pattern of irritable/ rebellious temperament, oppositional/ controversial behavior and implacability with at least four distinctive symptoms that lasts for at least six months. Oppositional defiant disorder puts children’s adaptation in critical situations and is considered as a serious challenge for the family and the educational environment. Adaptation refers to an attempt to control potentially stressful situations and is a method by which the person has adapted himself with the environment and conversely and grows with it. It also helps to strengthen mental and psychological health and help in useful choices. On the other hand, acceptance and commitment therapy is one of the mindfulness and acceptance-based behavioral therapies which its effectiveness has been known in a wide range of clinical situations. The purpose of this study was to determine the effectiveness of acceptance and commitment therapy group treatment on the adaptation rate of male students with ODD. 

    Methods

    The research design was a quasi-experimental design with pretest, and posttest with control group. In order to evaluate the effectiveness of group treatment, acceptance and commitment therapy was based on adaptation rate of 8-12 years old students with ODD. The statistical population of this study consisted of all the primary students of Tonekabon city (North of Iran) in the academic year 2017-2018. The statistical sample of this study consists of 30 students with ODD that were selected in the convenient method, were randomly assigned into two experimental and control groups. The data collection tools consisted of an adjustment inventory of elementary students and rating scale of ODD. The training session’s program was arranged in eight 45-minute sessions based on the treatment plan driven from the therapeutic sessions of solution-focused approach. The training sessions and practical exercises were applied two days a week for eight sessions with relatively familiar content in a simple language for participants. The researcher developed a step-by-step training on weekly assignments and regular exercises. We used the descriptive statistics method to answer the research hypotheses including: frequency, percentage and cumulative frequency, mean and standard deviation and in order to determine real data, we used Kolmogorov-Smirnov test and Analyze of Covariance test with SPSS-22 was used in a significant level. 

    Results

    The descriptive statistic indicators related to the individual characteristics of participants showed that there was no significant difference between the research variables in the experimental and control groups in the pre-test. The results of Kolmogorov-Smirnov test showed that the data obtained in both the experimental, control groups in the pre-test and post-test phases had normal distribution (p>0.05), and the possibility of using parametric tests was given to the researcher. The results of covariance analysis indicated 8 sessions of acceptance and commitment therapy group treatment could increase the adaptation (p≤0.001), emotional adaptation (p≤0.001) and educational adaptation (p≤0.001) in students with ODD. 

    Conclusion

    According to the results, 8 weeks of acceptance and commitment therapy group treatment could increase the adaptation of male students with ODD, so acceptance and commitment therapy group treatment can be used as an effective therapeutic approach to increase the adaptation of students with ODD. Based on these findings, it can be concluded that acceptance and commitment therapy has enabled students to use the components such as acceptance, dissonance, association with the present, themselves as fields, values, and the identifying the commitment to inappropriate activities and impenetrable impulsivity and making adaptive behaviors consistent with emotional and social situations.

    Keywords: Group therapy based on acceptance, commitment, coping disorder, adaptability
  • Somayeh Inanloo Ganji, Nader Monirpoor*, Majid Zargham Hajebi Page 72
    Background & Objective

    One of the most critical periods of life is marriage. The family is the first founder of personality, values and intellectual criteria, which plays an important role in determining the future, lifestyle, ethics, health and mental health of the individual. The relationship between children and parents and other members of the family can be considered as a system or network that interacts with each other. This system, directly and indirectly, influences children's through different ways of parenting. Each family uses a particular form of parenting in the education of their children, influenced by a variety of factors, including cultural, social, political and economic factors.  Differences in the core elements of parenting (such as kindness, being involved, age-old requests and supervision) make changes in how the child responds to the effects of parents. In general, several scholars have devised four basic parenting approaches based on two main indicators: parenting love (parental responsiveness) and parental control (parental hardening), which include authoritative, lucid and neglected parenting styles. Studies have argued that marital problems are rising and divorce has increased. Therefore, researchers should consider factors related to marital adjustment. Studies have shown that coping strategies, parenting, and early maladaptive schemas are related to marital adjustment. Although most studies have shown the relationship between marital adjustments, coping strategies, parenting and early maladaptive schemas; but has not been explained a statistical model for predicting marital adjustment with respect to coping strategies, parenting and early maladaptive schemas. Therefore, the purpose of this study was to provide a model of marital adjustment based on parenting styles with mediating disconnection/rejection schema and coping strategies.

    Methods

    The present study was a descriptive study done by correlation method. The statistical population of the present study was couples who referred to welfare counseling centers of Alborz province (North of Iran) in 2017. According to the estimates, 570 (50% female) samples were selected. The instruments were marital adjustment questionnaire (Spinner, 1976) and Yang-Rae coping strategies questionnaire (1994), Young parenting inventory (Young, 1994), and early maladaptive schemas questionnaire-short form (Young, 1988). The used questionnaires had a good validity and reliability. Data were analyzed using linear modeling, Pearson correlation and independent t-test using SPSS-22 software.

    Results

    Pearson correlation results showed a positive and significant correlation between parenting, regeneration strategy, avoidance strategy and disconnection/rejection schema (p<0.001). In addition, there was a positive and significant correlation between marital adjustment, regeneration strategy and parenting (p<0.001), but there was a negative correlation between marital adjustment and disconnection/rejection schema (p<0.001). The results of structured modeling of path analysis showed that parenting styles with mediating role of avoidance, regeneration strategies and disconnection/rejection schema could explain marital adjustment (p<0.001).

    Conclusion

    In general, the findings revealed parenting with the mediator roles of avoidance, regeneration strategies and impaired limits schema in explaining marital adjustment.

    Keywords: Marital adjustment, Coping strategies, Parenting style, Impaired limits schema
  • Leila Kayedpour, Saeed Jahanian* Page 73
    Background & Objective

    Heart disease is one of the main causes of mortality in the world. Various biotic factors, including abnormal levels of fatty acids in the blood, increased levels of bad cholesterol or low levels of lipoprotein cholesterol, hypertension, smoking, lack of physical activity or exercise, overweight, aging, family history early heartbeat coronary heart disease, makes people susceptible to heart disease. However, several studies have shown that these factors alone do not play a determining role in the development of these diseases, but psychological factors and personality factors also have a significant impact on the disease. In Iran, cardiovascular disease is the most common cause of death (about 64%). Since this is a mental illness, it is necessary to consider the combination of biological and psychological factors in the study of its effective factors. Importance of psychological factors in the development of heart disease has been proved and there has been little research in Iran in this regard. Therefore, the purpose of this study was to predict perceived stress based on activating and disabling systems of personality traits and behaviors.

    Methods

    The research method was correlation–prediction type. The statistical population of this study was cardiac patients admitted to cardiac department of Heart, Shariati and Naft hospitals, in 2018, which were selected by available method for 150 patients with heart disease. Perception questionnaire Cohen et al. (1983), Carver and White's (1994) and Neo (1992) multifaceted personality–based systems of inhibition/activation were distributed among patients. After performing the research and collecting, the necessary data to verify the hypothesis the research method was Pearson correlation test and multiple regression analysis.

    Results

    Pearson correlation between perceived stress and behavioural activation systems and behavioural systems in cardiac patients was positive and significant. Correlation coefficient between perceived stress and neuroticism was positive and with negative dimensions of extroversion and openness, but there was no significant relationship between the other two dimensions of perceived stress. The result of regression showed that the multivariate correlation coefficient between predictor and criterion variables was equal to 0.44. This correlation coefficient resulted in a coefficient of 0.41. The adjusted adjustment coefficient equalled 0.39.

    Conclusion

    The results of the research showed that about 39% of changes in the dependent variable (perceived stress) were predictable through the dimensions of the personality and the activating and inhibiting systems of behaviour. The result of the current research suggests that importance of personality dimensions and activating and inhibiting systems in predicting perceived stress in cardiac patients. High magnitude of the determination coefficient indicated the importance of these factors, suggesting that therapists and counsellors should consider these predictors of perceived stress to be rehabilitated to patients. The result of this study, in particular, supports role of the effect of behavioural inhibition system in predicting perceived stress, which is essential for the rehabilitation of these patients as an intervening factor in the treatment of anxiety and stress in cardiac patients.

    Keywords: Perceived stress, Activation, restraint systems, Personality characteristics, Heart patients
  • Leila Akrami*, Mokhtar Malekpur, Salar Faramarzi, Ahmad Abedi Page 74
    Background & Objective

    Puberty is one of the most important stages in life that a person faces with various physical and mental changes and requires training. This issue is especially important for adolescents with high–functioning autism (HFA) disorder. Amplification social skills and enhancing sexual knowledge for this group of teens will have an important role in acceptance by others and reducing the sexual abuse of these teenagers. The purpose of this study was to investigate the effect of Kate Ripley program on increasing social skills and sexual knowledge in boy teens with High–functioning Autism (HFA) disorder. 

    Methods

    The present study was a single case study of type A–B–A. The statistical population included all adolescents with HFA in Yazd city (Center of Iran) and the subjects of this study were three 13–year–old boys with HFA disorder that selected by purposive sampling method. The social skills improvement system (SSIS) were used to assess social skills and in order to study sexual knowledge a questionnaire that was designed by the researchers was applied. The SSIS questionnaire prepared by Gersham and Elliot (2008) and contains 79 questions, with answers "never, rarely, often, and always", which are graded in the order of 0,1,2,3. The questionnaire consists of two sections of social skills and behavioral problems. A sexual knowledge questionnaire has 39 questions that includes five sub–scales (knowledge of physiology, sexual issues, pregnancy physiology, sexually transmitted diseases and gender identity). Answers to the questions are in the form of three options: "correct", "false" and "I do not know" and each correct answer scored one. Concerning the reliability of the questionnaires in relation to the SSIS questionnaire, the Cronbach alpha was 0.83 and the correlation coefficient in the test–retest was 0.89. In relation to the Sexual Knowledge Questionnaire, the correlation coefficient in the test–retest was 0.91 and the internal consistency was 0.82 using the Kuder–Richardson method. Findings of the research were analyzed through based on visual analysis and descriptive statistics. A training program by Kate Ripley in 2014 on adolescents with HFA disorder has been developed. The program consists of two parts and 30 sessions and topics. After translating the program and verifying its content by five experts, the program was used.

    Results

    Ripley's Kate program has been effective on improved social skills with PND 83.34 for the first and third subjects and 66.66 for the second subject and increase sexual knowledge with a PND of 1.0 for the first subject and 83.34 for the second and third subjects and in relation to all three subjects, the scores in the post–intervention phase are upward as before the intervention. In relation to social skills, the scores of three subjects before intervention to after the interventions were equal to the first one was 62 to 87, the second one was 56 and 71, and the third was 63 to 87. In relation to sexual knowledge, the scores of subjects before intervention to after the intervention are equal to the first subject, 6 to 17, the second subject 7 to 21, and the third subject 2 to 11.

    Conclusion

    Kate Ripley's program, with structured content in the intervention program, could play an effective role in increasing the social skills and sexual knowledge of adolescents with HFA disorder and reducing their problems and further research on adolescents with autism disorder is essential.

    Keywords: High–functioning autism (HFA), Kate Ripley program, Puberty, Sexual knowledge, Social skills
  • SS Pourbagheri, S Jahanian* Page 75
    Background & Objective

    Nowadays, cancer is one of the most important global health issues. Despite the many advances in the field of medical science cancer is still considered a serious disease and in many cases incurable. Today, many physicians and psychologists believe in the psychological and sociological aspects of physical health and consider the improvement of mental health to be an essential aspect of treatment. Therefore, the purpose of this study was to predict the psychological well–being of cancer patients based on perceived social support and stress–coping strategies.

    Methods

    We applied a correlational research design. The statistical population of the study included 230 cancer patients from Tehran’s Shohadaye Hospital (district 1) and Parsian Hospital (district 2) in 2017, selected through simple random sampling. The Reef Psychological Well–being Questionnaire (1984), Zimet’s Perceived Social Support Scale (1998) and Folkman and Lazarus’ Stress Tolerance Inventory (1985) were used to collect data. The data were analyzed using Pearson’s correlation and multiple regression.

    Results

    The social support and coping strategy variables were significant predictors of psychological well–being (p<0.01). The results of the coefficient of determination also showed that about 17% of changes in the dependent variable (psychological well–being) can be determined through coping strategies and perceived social support.

    Conclusion

    Problem–oriented and emotional–focused coping strategies and social support can predict psychological well–being in people with cancer. We recommend using the findings of this research to improve and increase the psychological well–being of cancer patients in the form of short–term training courses in hospitals to help improve their stress–coping strategies.

    Keywords: Psychological Well–Being, Perceived Social Support, Stress–Coping Strategies, Cancer Patients
  • Koorosh Saraeezadeh*, Mahboobeh Fouladchang Page 76
    Background & Objective

    Behavioral problems are divided into two major categories (internalized and externalized). Internalized behavioral problems are such as depression and anxiety, which are related to the individual's inner world and are associated with mental and emotional conflicts. External Behavioral problems include issues that are related to individual problems with others. In a more detailed division by Achenbach (2001), behavioral problems are classified into ten classes: anxiety, depression, physical complaints, social problems, problems of thinking, attention problems, breaking rule, aggressive behaviors, internalizing, and externalized. Most students who have behavioral problems, have negative feelings, and have no suitable interactions with others. In most cases, teachers and classmates reject them, and as a result, their educational opportunities are reduced. Research has shown in schools where students report school climate as desirable, and that they feel protected and respected at school, less victimization and aggression would occur. The school climate also affects psychological well–being over time and is inversely associated with behavioral problems, physical complaints, and the development of risky behaviors over time. The purpose of this study was to investigate the effect of psychosocial school climate on internalized and externalized behavioral problems in senior high school students in Isfahan, Iran.

    Methods

    The research method was correlational with structural equation modeling analysis. Participants were 506 students (240 boys and 266 girls) selected through random cluster sampling. They completed questionnaires of Achenback and Rescurla checklist behavior problems (2001) and psychosocial class climate (Fraser, Giddings and McRobbie, 1995). The data analyzed through Amos–23.

    Results

    The results indicated the suitable fitness model to the data. According to results, psychosocial class climate had a significant effect on both internalized and externalized behavior problems (β=-0.50, p<0.001). It means having a cohesive and disciplined class besides less competition leads to less internalized and externalized problems.

    Conclusions

    Based on the results of this research improvement in psychosocial school climate is recommended for decreasing internalized and externalized behavioral problems in high school students.

    Keywords: Psychosocial school climate, Behavioral problems, Students
  • Mahnaz Asadi Haghighat, Kianoush Zahrakar*, Valiollah Farzad Page 77
    Background & Objective

    Multiple sclerosis (MS) is a chronic autoimmune disease affecting the central nervous system with unknown causes. Beginning often in the late adolescence and early adult life. Prevalence among women is more than men is. MS can produce a wide variety of symptoms, including loss of function or feeling in limbs, loss of bowel or bladder control, sexual dysfunction, debilitating fatigue, blindness, loss of balance, pain, loss of cognitive functioning and emotional changes. Chronic illnesses like MS cause to increase stress levels. The belief that stress causes exacerbation is widespread among people with MS. Among the effective therapies for deduction of stress symptoms, cognitive–behavioral stress management approach has been successfully applies to combine stress reduction methods such as muscle relaxation, cognitive rehabilitation, effective copying training, and anger management. Therefore this studies aimed to review the effectiveness of cognitive–behavioral stress management training on reducing stress symptoms of women with Multiple Sclerosis (MS).

    Methods

    The design of this study was quasi–experimental with pre–test, post–test and control group. The study population consisted of all female MS patients who were member of Tehran MS associations in the year of 2017. The sample consisted of 30 patients, who were selected by volunteer sampling method and were placed by matching method in experimental and control groups. For collecting the data, stress symptoms inventory of Khorasani (designed in year 1998) was used. The experimental group was trained in cognitive–behavioral stress management approach, designed by Antoni, Ironson and Schneider in year 2007 and the control group received no intervention. The duration of the treatment sessions consisted of 8 sessions of 90 minutes, performed as a group once a week in the MS center. Research data were analyzed by repeated measurement analysis using SPSS software.

    Results

    To analyze the variance for repeated measures, we examined the assumptions of this test. Shapiro Wilk test was used to check the normal scores. The result showed that the distribution of data is normal. Levin Levin's findings also showed that the homogeneous assumption of covariance of data and the slope of regression was established. The mean of the stress symptoms variable for the experimental group in the pre–test was 184.47 which decreased in the post–test into 146.80 and in the follow up reached to 143.73 but there was no meaningful changes in control group. The mean of the physical stress symptom for experimental group in pre–test was 81.07 which reached in the post– test into 66.40 and in the follow up reached to 67 )p<0.001.( There was no significant changes in control group in 3 stages. The mean of the behavioral stress symptom for experimental group in pre–test was 42.27 which reached in the post– test into 37.47 and in the follow up reached to 36.60 (p<0.001). There was no significant changes in control group in 3 stages. The mean of the emotional stress symptom for experimental group in pre–test was 34.07, which reached in the post– test into 30.33 and in the follow up reached to 30.87. There was no significant changes in control group in 3 stages (p<0.001), but there was no significant changes in control group in 3 stages. The mean of the cognitive stress symptom for experimental group in pre–test was 27.07 which reached in the post–test into 22.80 and in the follow up reached to 22.60. There was no significant changes in control group in 3 stages (p<0.001). Result of Bonferroni correction showed there was significant difference in comparing mean of pre–test with post–test and pre–test with follow up in stress symptoms and its components. Based on the results of the repeated measurement analysis test, there was significant difference between the pre–test scores with post–test and follow up scores, therefore stress management training had a meaningful effect on the reduction of stress symptoms.

    Conclusion

    Trainings presented in form of stress management in a cognitive–behavioral approach have significant positive effects on the reduction of all stress symptoms of women with multiple sclerosis (MS). Therefore, it can be used as a useful intervention to reduce the stress symptoms of women with MS and benefit from it in educational and health centers.

    Keywords: Stress management training, Stress symptoms, Multiple Sclerosis, Women
  • Hamid Omidi, Firoozeh Ssjedi*, Reza Rostami, Enayatollah Bakhshi Page 78
    Background & Objectives

    Children with attention deficit hyperactivity disorder (ADHD) suffer from significant deficiencies in the acquisition and application of social skills. Weak social skills negatively affect their self–esteem and individual cognition, academic and social performance, and interpersonal relationships. Social Skills Training is an effective treatment for solving social problems among children. Therefore, the present research was conducted to examine the effectiveness of group social skills training on the improvement of social skills and its components in students with ADHD.

    Methods

    The study procedure was of quasi–experimental pretest–posttest design and follow–up was done with a control group. The statistical population consisted of 8–12 year–old male students with ADHD from Tehran in 2013–2014. Thirty–two of these students who had attended the Atiye Psychology Clinic were selected through convenience sampling and were randomly assigned to the experimental and control groups (16 in each). The measures used were the Child Behavior Checklist (Achenbach/1978) and the Social Skills Rating System–Parent form (Gresham and Elliot/1990). The experimental group underwent Social Skills Training in ten sessions (one hour each). However, no intervention was performed for the control group until the post–test was completed. Then, both groups responded to the Social Skills Rating System after the training sessions and again one month later. The data was analyzed using descriptive statistics (frequency, mean and standard deviation) and repeated measures analysis of variance (RMANOVA) using SPSS software at a significance level of 0.01.

    Results

    Upon comparing the mean (±SD) pretest (19.68±3.73) and the mean (±SD) posttest (38.25±3.35) social skills scores in the experimental group, the results of the RMANOVA showed that the Total Social Skills Score and its components (cooperation, decisiveness and self–control –except for the responsibility component) had significantly increased in students with ADHD in comparison to the control group (p<0.001). This effect was still present one month after the intervention (p<0.001).

    Conclusion

    It was concluded that teaching social skills to students with ADHD can enhance their social skills and its components. Therefore, the development of social skills training programs and including these programs in the form of supplementary training can prove useful to these children.

    Keywords: Attention Deficit Hyperactivity Disorder (ADHD), Social Performance, Social Skills
  • Behnaz Abooie*, Mohsen Amiri Page 79
    Background & Objective

    Depression mood is a state of affliction and escape from activity or unconsciousness and reluctance, and can affect one's thoughts, feelings, health, and wellbeing. People with depression can feel discomfort, anxiety, emptiness, frustration, and helplessness, loss of life, embarrassment, or restlessness. They may lose their passion for performing activities that are once enjoyable for themselves, lose their appetite and focus, have difficulty remembering details and make decisions, deal with problems in their relationships, thinking to suicide, and intend or do it. Depression causes insomnia, excessive sleep, tiredness, and burning digestive problems, or reduced body energy in some cases. Emotional self–regulation or regulation of emotion is the ability to respond to the ongoing demands of experience with the range of emotions in a manner that is socially tolerable and sufficiently flexible to permit spontaneous reactions as well as the ability to delay spontaneous reactions as needed. It can also be defined as extrinsic and intrinsic processes responsible for monitoring, evaluating, and modifying emotional reactions. Emotion self–regulation belongs to the broader set of emotion–regulation processes, which includes the regulation of one's feelings and the regulation of other people's feelings. Low frustration tolerance (LFT), or "short–term hedonism" is a concept utilized to describe the inability to tolerate unpleasant feelings or stressful situations. It stems from the feeling that reality should be as wished that any frustration should be resolved quickly and easily. People with low frustration tolerance experience emotional disturbance when frustrations are not quickly resolved. Behaviors are then directed towards avoiding frustrating events, which, paradoxically, leads to increased frustration and even greater mental stress. This study aimed to explore the relationship of frustration tolerance, defect in cognitive regulation, and perceived stress with depression syndrome among central prison employees. 

    Methods

    The present research method was correlational. The population of this study was 120 personnel of employee in central prison that were chosen by random sampling. The questionnaire of perceived stress scale (PSS) of Cohen, Goldberg depression scale (GDS), cognitive emotion regulation of Granfaski, and frustration tolerance questionnaire distributed, and the PSS is the most widely used psychological instrument for measuring the perception of stress. It is a measure of the degree to which situations in one's life are appraised as stressful. Items were designed to how unpredictable, uncontrollable, and overloaded respondents find their lives. The scale also includes several direct queries about current levels of experienced stress. Granfaski developed the cognitive emotion regulation questionnaire in 2001. Hassani updated this questionnaire based on Iran's condition. Alpha Cronbach of this questionnaire in this research was 0.78. Harington developed a frustration tolerance questionnaire in 2005; he made this questionnaire by using Ellis's theory; Babareisi updated this questionnaire based on Iran's condition. Goldberg depression questionnaire used to help determine the need to see a mental health professional for diagnosis and treatment of depression or to monitor mood. Aminpoor updated this questionnaire based on Iran's condition. For analyzing data, we use descriptive statistical (Pearson correlation) and inferential statistics (step by step regression). The data was analyzed by SPSS 21. 

    Results

    There was a meaningful correlation between depression and perceived stress (r=0.37, p<0.001). In addition, results showed there was negative correlation between frustration tolerance (r=0.034, p<0.001) and cognitive regulation (r=0.28, p<0.001). The result of step by step regression showed that perceived stress and frustration tolerance could predict depression.

    Conclusion

    Regard to the correlation between frustration tolerances perceived stress and cognitive emotion regulation with depression, attention to these advised to all of the professions in this field.

    Keywords: Perceived stress, Cognitive emotion regulation, Frustration tolerance, Depression
  • Maryam Bayatpour, Masumeh Shojaei*, Ali Kashi Page 80
    Background & Objective

    Developmental coordination disorder (DCD) affects 5–6% of school–aged children. Abrupt determination and adopt a supportive strategy is necessarily. DCD not only influences in daily activities and educational function but also associated with poorer physical health, fitness, psychological and social outcomes. The aim of this study was to compare the effect of different types of selected training programs (physical, mental and compound) to investigate the best intervention method in order to improve perceived motor competence in 9–10–year–old children with developmental coordination disorder.

    Methods

    This study was an experimental, pre and post–test study with control group design. According to developmental coordination disorder questionnaire (DCDQ–07) and movement assessment battery for children second edition (MABC–2), 55 school age (9–10–year–old) boys diagnosed to have developmental coordination disorder. The children were randomly grouped in four experimental groups, 3 training interventions groups (physical, mental and compound) (n=14) and the control group (n=13). Visual vividness and physical self–perception determined by visual vividness questionnaire (VVQ) and Harter scale respectively. Training programs involved 24 sessions of 45 minutes for each of them. The programs consist of selected physical, mental and compound trainings, which respectively conducted in groups and individually. Compound group was given different training order in turn (physical+mental and vice versa) and control group was not assigned to any intervention. In order to modify cognitive and arousal effects induced by training order counterbalance method was recruited. All measures were administered pre and post an 8–week, 3 times a week to identify the changes in physical self–perception associated with trainings. To detect differences between the pre– and post–test, after making sure of normal distribution of data utilizing Shapiro–Wilks normality test and Levene’s test, Ancova and paired sample T–Test were conducted to calculate equality of variances and Post hoc comparisons were followed by Bonfrroni test (set at 0.05). Effect size was calculated to determine the practical significance of statistical difference (p<0.05). All data were analyzed using SPSS–19 for windows.

    Results

    The results showed that all 3 training groups (mental, physical and compound) indicates significant improvement (p<0.001) in motor perception from pre–test to post–test. Within group comparisons implies that compound training significantly (p<0.05) caused more effect than the others. As well as statistical, this positive improvement also showed a large practical significance (d=0.43), (d=0.55), (d=0.73) in mental, physical and compound groups respectively after the intervention period. 

    Conclusion

    The result determines significant improvement in physical self– perception that can be fulfilled by using physical and mental trainings for 9–10–year–old boys who have developmental coordination disorder, and compound training might be the most effective way to facilitate motor development in DCD children. It is important to remember that the motor competence and self–concept of children are two important components of their total well– beings, which seemed to be interlinked from young age. When they experience problem such as those indicate for DCD, specific intervention seems to be necessary in order to optimally improve these aspects. This study might help to develop training protocol for DCD children based on more documents, which improve our knowledge of perceived competence from both physical and mental trainings functions that would be beneficial for DCD children and therapists.

    Keywords: Developmental coordination disorder, Perceived motor competence, Mental training, Movement assessment battery for children– 2
  • Laleh Javanbakht Amiri, Mohammad Hatami*, Javanshir Asadi, Tahereh Ranjbaripoor Page 81
    Background & Objective

    Coronary heart disease (CHD) is the most common type of cardiovascular disease among adults throughout the world, including in Iran. Stress is experienced during the life and effect of that depends on individual sensibility will different. McEwen (1998) explained that a controllable stress is healthy and has beneficial to grow. However, high level of perceived stress may influence the quality of the immune system (Cohen, 1996). For example, Morgan (1997) and Walton (2002) found that exam anxiety is the most commonly perceived stress experienced by undergraduate students. Sometime high level of perceived stress lead to suicide. Emotion adjustment refers to strategies that individuals use to control of excite, exacerbate and express a wide range of emotions. Emotion regulation and dysregulation plays an important role in the continuation of emotional disturbances. People who have trouble in expressing and experiencing excitement use maladaptive emotional regulation strategies such as suppressing and avoiding, hiding or ignoring them, with negative consequences. More effort to control an emotional experience leads to an increase in emotions that an individual try to adjust them. This pattern may put individuals in a disorder emotional and psychological arousal. Therefore more unsuccessful attempts to suppress them, which in turn contribute to psychological distress and reduce mental well–being and quality of life. The purpose of this study was to evaluate the effectiveness of emotion regulation strategies based on Gross model processing on perceived stress in patients with coronary artery disease.

    Methods

    The study method was semi–experimental (experimental) and statistical population of the study was coronary heart patients who referred to the heart clinic of Dr. Bahonar Hospital in Karaj city (Alborz province, North of Iran) in 2015–16. Of them, 40 volunteers were selected and then randomly divided into two groups experiment and control (n=20 for each group). The experimental group received acceptance and commitment treatment (ACT) in 9 sessions. The instruments of the research were stress perception questionnaire. Data were collected before and after the treatment, and analyzed by SPSS software, using variable analysis with repeated measurements.

    Results

    The results showed that the mean and standard deviation of the pre–test scores of perceived stress in the experimental group were 37.65 and 7.60, respectively. Mean and standard deviation of post–test score in the experimental group were 20.54 and 5.38, respectively. The mean and standard deviation of the pre–test scores of perceived stress in the control group were 25.30 and 6.62, respectively. Mean and standard deviation of post–test scores in the control group were 38.30 and 5.68, respectively. The results of analysis of variance analysis with repeated measurements showed that Grass's emotional ordering strategies significantly reduced the perceived stress of cardiac patients (p<0.001).

    Conclusion

    Based on the findings of this study, these results can be considered as a supportive tool for psychotherapy based on Grass's emotional ordering strategies in coronary heart disease patients to improve stress.

    Keywords: Process emotion regulation, Perceived Stress, Coronary Heart Disease
  • Arezoo Shahmiveh Esfahani, Ahmad Abedi*, Salar Faramarzi, Ahmad Yarmohamadiyan Page 82
    Background & Objective

    Attention deficit/hyperactivity disorder (ADHD) is a developmental neurodevelopmental disorder in children who exhibits distressing behavior, impulsivity, or inattention that is not appropriate to his or her age. In the first line treatment of this disorder, education of parents, especially mothers, has a special place in order to reduce its syndrome. The aim of this study was to compare the effectiveness of positive behavioral support (PBS) program with Barkley parenting model on improving the symptoms in ADHD children.

    Methods

    Regarding the subject and research hypothesis in this research, a pretest–posttest test with control group was used. The sampling method was multi–stage, randomized placement in the experimental, and control groups. Four schools were selected from schools in Isfahan city (Isfahan province, Iran) and from these schools, 30 ADHD children and their mothers were selected and randomly assigned to experimental groups (20 mothers) and control group (10 mothers). The criteria for entering the study were, having an ADHD diagnosis from a psychiatrist and a psychologist, having criteria for this disorder according to DSM–5, having no other disorder other than ADHD. To assess the ADHD symptoms, the Conners questionnaire (parent form) was used. This scale is the most commonly used grading scale for attention deficit/hyperactivity disorder and has four subscales: dissonance, cognitive/inattention, hyperactivity disorder, and attention deficit/hyperactivity disorder. All of selected mothers completed a questionnaire in two stages of pre–test and post–test. The mothers of the experimental group received 8 sessions and were treated with PBS and Barkley for about two months. Mothers of the control group did not receive any training; they were placed on the waiting list and received the training after the end of the intervention. To compare the effect of two methods training on ADHD syndrome improvement, multivariate covariance analysis was used to control the pretest effect. The post–hoc test was used to determination the difference between the groups in each variable. Data analysis was performed with SPSS 20 software at 95% confidence level.

    Results

    There was a significant difference between cognitive/inattention (p=0.017) and hyperactive (p=0.047) and inattention/hyperactive (p=0.021) variables between the two groups. However, no significant difference was found in the opposition variable (p=0.063). In the hyperactivity and inattention/hyperactivity, the difference between the two groups of education Barkley parenting education (p=0.040) and PBS education (p=0.008)) was significant with the control group. This means that both methods have been able to reduce and improve the ADHD symptoms. Also, in the variable of cognitive/inattention (p=0.006) and opposition (p=0.024), only PBS program was able to make a significant difference with the control group. There was no significant difference in education in all subscales.

    Conclusion

    the results showed that training with both programs could improve the symptoms of ADHD. Therefore, it is suggested that parent education be widely used in both methods to treat the problems of children with this disorder and their families. In addition, these patterns can use in a group method in schools and childcare centers as well as in child–rearing workshops. Coaches and therapists can also use the contents of these patterns for parenting counseling and ADHD treatment for children.

    Keywords: Positive behavioral support, Barkley parenting model, Attention deficit, hyperactivity disorder, hyperactivity disorder symptoms
  • Younes Mosadegh*, Mehran Nasiri, Zahra Ghadimi Kalate, Mohammad Alghosi Page 83
    Background & Objective

    Multiple sclerosis (MS) disease is one of the common diseases of central nervous system. In the disease white blood cells attack to the sheath of the central nervous system, which is called myelin. The amount of MS infection in women is two or three times more men and infecting age range is between 15-50 years old that its peak is in 30 years. Multiple sclerosis can result in variable neuromuscular deficit including muscle weakness, spasticity, balance impairment and sensory disturbance. Walking difficulties and cognitive impairments are clinical hallmarks of people with multiple sclerosis. Among symptoms of the disease, growing attention has focused on cognitive functions. Cognitive deficit have been reported in 45-70% of people affected by this disease. Cognitive impairments can play a significant role in memory, attention, learning, performance, information processing ability and speed of information processing. One of the most important problems in MS patients is memory impairment. This memory involves the process of temporary storage of information and its application in the process of processing information and complex cognitive skills such as reasoning and learning; in other words, working memory is the result of controlling attention and maintaining concentration in a particular mental activity. In many daily activities, people often require performing an additional cognitive demanding task while walking. Therefore, purpose of this study was to evaluate the effect of cognitive task on stance phase timing of walking in multiple sclerosis patients.

    Methods

    The current study design was a quasi-experimental with pre and posttest. Twenty volunteer men and women with multiple sclerosis (mean±SD age: 41.85± 12.59 years old and EDSS score 0-5) from Tehran (capital city of Iran) multiple sclerosis association were participated in this study and stance phase timing of walking measured in 3 different level by foot Medisense. Analysis of variance with repeated measurement test and Bonferroni post Hoc tests were used for statistical analysis (p<0.05).

    Result

    Performance cognitive task had a significant effect on increased time of hill strike phase, foot flat phase, mid stance phase, hill off phase and toe off phase in right leg (p<0.001) and in left leg. In addition, performance of cognitive task had a significant effect on increased time of hill strike phase, foot flat phase, mid stance phase, hill off phase and toe off phase (p<0.001). Except for stage 2 versus stage 3 in left leg, there was a significant difference between the time of walking stance phase in all level in the left leg (stage 1 versus stage 2, stage 1 versus stage 3, stage 1 versus stage 4, stage 2 versus stage 3, stage 2 versus stage 4 and stage 3 versus stage 4) and right leg (stage 1 versus stage 2, stage 1 versus stage 3, stage 1 versus stage 4, stage 2 versus stage 4 and stage 3 versus stage 4).

    Conclusion

    Stance phase time in multiple sclerosis patients increased during cognitive task and multiple sclerosis patient walk slower during cognitive task.

    Keywords: Multiple sclerosis, Cognitive task, Stance phase, Walking
  • Azadeh Taghavi Behbahani, Ali Mohammad Nazari*, Soodabeh Shahid Sales, Afsaneh Khajevand Page 84
    Background & Objective

    Breast cancer is one of the most important diseases in women. Women with breast cancer suffer from different psychical and psychological problems. Researchers have shown that there are some psychological problems in this disease, including low self–efficacy, anxiety, depression, and low quality of life. Thus, it seems that post–traumatic growth (PTG) of women with breast cancer is important to be investigated. Post–traumatic growth is a factor that pays attention to the adaptation to psychological challenges. Post–traumatic growth is not about returning to the same life as it was previously experienced before a period of traumatic suffering. However, instead, it is about undergoing significant 'life–changing' psychological shifts in thinking and relating to the world that contributes to a personal process of change that is deeply meaningful. Psychological interventions have been done to help for increasing this factor and related–factors of breast cancer. The spiritual intervention has been considered as an effective therapeutic method in recent years. Religion and spirituality provide a series through which human beings can understand the meaning of their lives. That is why spirituality, a strong predictor of hope and mental health, is an important source of physical health and improvement of the condition of the disease. We have a particular need for intervention in patients with cancer. However, in this study, we applied spiritual therapy to improve post–traumatic growth in women with breast cancer. 

    Methods

    The method of present study was a semi–experimental study with pre–posttest with a 3 month follow–up and control group design. The population was women with breast cancer at Omid hospital of Mashhad (Khorasan–e–Razavi province, Northeast of Iran). After considering the inclusion and exclusion of criteria, an availability sampling method was conducted to recruit subjects. The study carried out in 2017. First, we randomly assigned 14 patients for each group (control and experimental groups), then we conducted pretests for each group using PTG questionnaire (Tedeschi, Calhoun, 1996; this 21–item scale includes factors of new possibilities, relating to others, personal strength, spiritual change, and appreciation of life, the reliably and validity of this scale is good). Next, experimental group received the spiritual therapy (12 sessions, 120 minutes) and control group did not receive any programs. After the program, both groups were assessed as a posttest and after three months, were again measured as a follow– up session. Finally, the data analyzed by SPSS22 and using a repeated measure of ANOVA and descriptive indexes such as arithmetic mean and standard deviation. 

    Results

    The mean age of the experimental and control group was 47.92 (SD=9.77) and 46.85 (SD=8.72), respectively. In the result section, we first examined ANOVA assumptions. The findings showed that all assumptions were homolog. After that, the results showed that the spiritual therapy had a significant effect on factors of new possibilities, relating to others, personal strength, spiritual change, and appreciation of life (p<0.05). Moreover, the results showed that the spiritual therapy significantly influence on the total score of post–traumatic growth (p<0.05).

    Conclusion

    Spiritual therapy was an acceptable intervention to improve post–traumatic growth in women with breast cancer. It is recommended to use this program for women with breast cancer.

    Keywords: Spiritual therapy, Post trauma growth, Breast cancer, Women
  • Hossein Khosroshahi, Bahram Mirzaian*, Ramezan Hasanzadeh Page 85
    Background & Objective

    Heart disease is caused by coronary artery stenosis is a health problem in developing and developed countries. The disease is one of the leading causes of death in the world. Acceptance and commitment therapy (ACT) is a form of counselling and a branch of clinical behavior analysis. It is an empirically–based psychological intervention that uses acceptance and mindfulness strategies mixed in different ways with commitment and behavior–change strategies, to increase mental flexibility. There is a variety of protocols for the ACT, depending on the target behavior or setting. For example, in behavioral health areas, a brief version of ACT is called focused acceptance and commitment therapy (FACT). The goal of ACT is not the elimination of complicated feelings; instead, it is to help us to move toward valued behavior. Acceptance and commitment therapy invites people to accept unpleasant feelings, and learn do not to overreact to them and not to avoid those situations. The therapeutic effect of the method is like a positive spiral; feeling better leads to a better understanding of the truth. In the ACT, 'truth' is measured through the concept of 'workability'. Coronary heart disease (CHD) is among the conditions that affected by psychological factors. The purpose of this study was to investigate the impact of acceptance and commitment therapy in illness perception in male patients with cardiovascular disease.

    Methods

    The research method was quasi–experimental study with two groups (experimental and control) pre–posttest design. The statistical population comprised men with cardiovascular disease admitted to the heart clinic of Valiasr Hospital in Qaemshahr (Mazandaran province, North of Iran) in the spring of 2017–2018. A total of 28 subjects were voluntarily chosen and were randomly assigned into two experimental (n=14) and control (n=14) groups. The experimental group received six session acceptance and commitment therapy (ACT). Brief illness perception questionnaire (Brief IPQ) was administered before and after training. The data was analyzed using one–way analysis of covariance (ANCOVA). 

    Results

    The results indicated that in the post–test after controlling the pre–test, there was a significant difference between the experimental and control groups in illness perception (p=0.032). 

    Conclusion

    Acceptance and commitment therapy could reduce the perception of disease in patients with heart disease.

    Keywords: Acceptance, commitment therapy, Illness perception, Coronary heart disease
  • Amineh Zarandi, Sima Ghodrati*, Hamid Reza Vatankhah Page 86
    Background & Objective

    Hyperactivity disorder is a nervous–developmental disorder that is characterized by continuous behavioral patterns such as attention–deficit or hyperactivity–impulsivity. One of the most prominent symptoms of this disorder is the problem of attention span, impulsivity, and excessive mobility that affects the functions of a person's life negatively. The absence of treatment raises the risk of academic failure, drug consumption abuse, and psychiatric disorders. One of the ways to help these children is the game. Cognitive–behavioral therapies include strategies that have been designed for changing the thinking, attitude, perception, and behavior of problematic individuals. In this approach, which cognitive–behavioral methods are used together, it is emphasized on the identification of false, negative, and irrational beliefs affecting the emotions and behaviors of patients and the correction of these underlying beliefs. Impulsivity is to act without sufficient thought and not to restrain the quick actions of mind and movement that occur in the absence of a conscious judgment. The primary goal of cognitive–behavioral therapy games is to identify and modify conflicting thoughts related to the child's emotional behaviors and problems. One way of helping these children are playing; through the use of play and the use of toys, children can convey thoughts, feelings, and concerns that they cannot express otherwise. This study aimed to determine the effectiveness of cognitive–behavioral game teaching on the impulsivity of children with attention–deficit.

    Methods

    The research method was a semi–experimental design with pretest–posttest design with randomized control group. The research population consisted of all 7 to 10 year–old school–age children with primary that had attention deficit and hyperactivity disorders in 3 district of Karaj. A total of 24 people were selected by multi–stage cluster sampling and randomly divided into two groups of experimental (12 people) and control (12 people). The experimental group received a cognitive–behavioral therapy game for 8 sessions of 30 minutes. Both groups responded to the Conners parent questionnaire in two stages of pre–test and post–test. Data were analyzed by covariance analysis using SPSS–20 software. All has been significant at level (p<0.001).

    Results

    The research results showed that there was a significant difference between the mean of behavioral problems, learning difficulties, psychological problems, impulsivity and anxiety–passivity in the experimental and control groups in the post–test stage.

    Conclusion

    According to the findings of the research, it can be concluded that behavioral–cognitive game teaching has been improved impulsivity and lack of attention of children with attention deficits/ hyperactivity.

    Keywords: Cognitive play therapy, attention deficits, hyperactivity disorder
  • Baqer Rigi Khas*, Farzad Faraji Khiavi, Kambiz Ahmadi Angali, Gholamhosein Nasaj, Younes Amirian Page 87
    Background & Objective

    Innovation is the key to business success and survival. Creative and innovative people are the source of dynamism in firms. In small corporations creating a dynamic and innovative climate may lead to creating jobs, increasing income, and empowering people. Vocational training centers are supposed to support disabled people to develop novel ideas. The support is meant to help disabled people get employed, improve their welfare and increase their social capitals. Innovation climate in these centers may create self–sufficient, independent, satisfying jobs for a better lifetime occupation for disabled people. This research aimed to investigate the innovation climate in vocational training centers for people with disability in Ahvaz, Iran.

    Methods

    In this study used a descriptive and cross–sectional method. The study population consisted of full–time employees of five vocational training centers for people with disability in Ahvaz. Since all the employees participated in the research, there was no need for sampling. Demographic information, namely, age, gender, were collected. The research instrument was a revised form of Organizational Innovation Inventory adapted for vocational training centers on a five–point Likert scale. This inventory included the following components: challenge/participation (7 statements), freedom (6 statements), trust (3 statements), time for idea (6 statements), good traits (5 statements), conflicts (11 statements), discussion and negotiation (6 statements) and accepting risks (4 statements). Cronbach’s alpha calculated to be 0.86 for this tool. Five professors confirmed the instrument’s face and content validity from rehabilitation and health schools. Descriptive statistics indices, namely, mean, standard variation, frequency as well as independent sample t–test and one way ANOVA used for data analysis. 

    Results

    87.5% of the participants were female. 60% of the participants were between 31to 40 years old. 45% of them enjoyed University degrees, though not often higher than BSc. 42.5% of the participants had a high school diploma. The participants scored 25.2 on challenge/participation subscale, 20.7 on freedom subscale, 9.8 on trust subscale, 21.05 on time for idea subscale, 18.3 on good traits subscale, 35.8 on conflicts subscale and 20.5 on discussion and negotiation subscale, which were considered to be appropriate. However, they scored 10.7 on accepting risks subscale, which is relatively low. The overall score for innovation climate was 161.1, which is relatively appropriate. Gender, age groups, education levels of employees and type of center showed no significant difference in innovation climate. However, work experience demonstrated a significant medium size negative correlation with innovation climate. 

    Conclusion

    A relatively appropriate innovation climate observed in vocational training centers for people with disabilities in Ahvaz, Iran. Younger employees embraced the innovation climate better than more experienced employees, whose perception of the organization was not as positive. Perhaps they were convinced that the organization was supportive enough of innovation and creativity as a result of their past experiences. Managers of these centers may create more innovative climate via constructing a trustful correlation with employees, introducing proper on job training programs, supporting new ideas and giving a proper score to innovative approaches in staff yearly final evaluation.

    Keywords: Innovation, Innovation climate, People with disabilities, Vocational training centers
  • Samare Musa Akbari_Ahmad Shahvaran*_Mohsen Rostami_Mohamad H Behzadi Page 88
    Background & Objective

    Students with math disorders have problems with cognitive functions in addition to educational problems. Today, math skills are one of the basic skills that helps a person to succeed in many daily routines. Children usually learn basic math skills in the first years of primary school. Some of these children despite their natural intelligence have difficulty in acquiring these basic skills and are often identified as children with malfunction. According to some researches, roughly 6% of primary school students suffer from math disorders. Their mathematical score is constantly lower than 80 percent of their classmates while their IQs are often within the natural range. In order to provide educational methods and appropriate treatment processes for students with math disorders, some researchers want to recognize the defective cognitive function in these children. Probably, cultural–social and hereditary differences, as well as differences in the educational practices of Iran impact on the disorder in our country. Regarding the existing history, poor performance in general cognitive skills can be cause of motility disorders especially in elementary students. Therefore, the present study aimed to investigate general cognitive functions in Iranian students with math disorder and compare them with their normal peers.

    Methods

    The research method was causal–comparative. The statistical population of this research was all students of the first elementary school of high population and governmental schools (about 1500–2000 students) in the Kerman city (Kerman province, Southeast of Iran). The primary sampling method was to select the two schools with the highest population among the elementary schools and then select the research sample by referring to them. Since this research was a comparative study, in order to determine the number of suitable samples in each group, a researcher–made mathematical test was performed for all students. Then, students who achieved score less than 80% of all students were separated, and video subjective tests and vocabulary of Wechsler adult intelligence test were applied to them. Among these students, those who showed normal and proportional scores to their age in these sub–tests were selected (40 of them were selected by simple random sampling method). These students were considered as the sample group of students with math disorders (with normal IQ) for the next steps. Other students who achieved score more than 50% of all students in the math test researcher, 40 students were randomly selected as normal students. In order to ensure the intelligence status of this group and to make it proportionate to the group of people with mental disorders in terms of intelligence, video arts subtasks and Wechsler vocabulary were also conducted on this group. The research instruments were Wexler's intelligence test for children and active acoustic memory tests, visual–spatial memory and long–term memory. Data were analyzed using mean, standard deviation, ANOVA and independent t–test.

    Results

    There was a significant difference between the cognitive functions of students with math disorder and normal students in the first period of primary education at the level of (p<0.001). Cognitive functions were more common in math disorder students than in primary school normal students.

    Conclusion

    General cognitive skills are a prerequisite for math learning and authorities have to plan for these skills in order to prevent any learning problem in children. In addition, the results of this study show that general cognitive skills, especially active memory and information processing speed have a supporting role in the ability to learn numerical computing. Therefore, before the formal training of numerical calculus was begun. Student with the disorder should refer to the relevant specialists to undergo specific training.

    Keywords: General cognitive functions, Students with math disorders, Elementary students
  • Zeynab Hossaini, Mojtaba Ansari Shahidi*, Mohammad Reza Ravanbod, Hassan Rezaei Jamaloei, Mahboubeh Ramezanzadeh Page 89
    Background & Objective

    Cancer has turned out to be one of the most prevalent health hazards globally. Among the various types, breast cancer is the most common one in women and also is the main cause of cancer mortality in women. Breast cancer is the most common cancer in females in Iran and most of the developed countries. Studies have shown that having chronic stress in individuals predisposes several types of cancer, including breast cancer. In recent years, there has been overwhelming evidence to point out the effects of religion or spirituality on mental and physical health. Rapidly growing evidence shows that stress, negative feelings, and lack of spirituality, such as depression and anxiety, have adverse side effects on physiological systems which are necessary to maintain physical health and increase susceptibility to a wide range of physical disorders. Spiritual factors correlate with indices of breast cancer, so do psychiatric conditions and changes in receptor gene expression in breast cancer. The spiritual therapy program training has a considerable effect on the attitude of an individual with estrogen receptor (ER) and progesterone receptor (PR) receptor breast cancer. Because these individual are facing main problems in alexithymia. Women, especially women with breast cancer in emotional reactions, face many challenges. Undoubtedly, inattention to spiritual therapy can lead to alexithymia in an individual with breast cancer. Therefore, this study aimed to determine the effectiveness of spiritual therapy on alexithymia in the individual with ER and PR receptor breast cancer.

    Methods

    The present research was a quasi-experimental study with pre-test, post-test design with the control group. The participants were 30 women with ER and PR receptor breast cancer aged 30-65 years old in the 2019 year. They were from middle socio-economical class. Subjects were selected by convenient sampling method from Shohaday Persian Gulf hospital in Bushehr city. Subjects divided into experimental with control groups. They assigned into groups with the random method, each group consisting of 15 individuals randomly. The experimental group participated in spiritual therapy program training in 12 sessions (One session weekly; each lasts for 90 minutes), while the control group did not. The alexithymia scale (Bagby, Parker and Taylor, 1994) used for assessment of all participants. The alexithymia scale completed by participants in pre-test and post-test. Data collected through the questionnaire before and after the training sessions. Multivariate analysis of covariance (MANCOVA) used with 24th version of statistical package for social sciences (SPSS).

    Results

    The first, normality of variables and contingency of variance and covariance assumptions tested. The Kolmogorov Smirnov test showed that all variables were standard. Also, the Box test confirmed the contingency of variance-covariance assumption. So, assumptions of multivariate analysis of covariance test proved and can be used the multivariate analysis of covariance test for analysis of data. Results of multivariate analysis of covariance showed that experimental with control groups had a significant difference in alexithymia (p <0.001). The results of multiple analysis of covariance showed spiritual therapy program training had a significant effect on alexithymia in women with ER and PR receptor breast cancer (p <0.001). Spiritual therapy program training has led to the decrease alexithymia in women with ER and PR receptor breast cancer. It can be said that according to Eta square, 55% of variations of the alexithymia variable, can be explained by the subjects’ participation in spiritual therapy program training. Also, the results revealed that spiritual therapy program training had a significant effect on all subscales of alexithymia (difficulty in identifying feelings, difficulty in describing emotions and objective thinking) in these participants. It can be stated that according to Eta square 53%, 58%, and 54% of variations in components such as difficulty in identifying feelings, difficulty in describing emotions and objective thinking respectively, can be explained by the subjects’ participation in spiritual therapy program training.

    Conclusion

    Planning for such training programs similar to the spiritual therapy program training has an important role in the decrease of alexithymia in women with ER and PR receptor breast cancer. Based on the finding of this research, the spiritual therapy program training can have improved alexithymia in an individual with ER and PR receptor breast cancer.

    Keywords: Alexithymia, Breast Cancer, Spiritual Therapy
  • Seyed Valiollah Mousavi, Pegah Azadi Manesh*, Saeid Sadeghi, Bita Shalani, Fatemeh Momeni Page 90
    Background & Objective

    Based on the passion of autism spectrum disorder children to social story, it is important way to handle them and learn relation to them. The aim of this study was to evaluate the effectiveness of social stories on increasing social skills of children was with autism spectrum disorder.

    Methods

    Method of study was experimental and pretest–posttest design with control group. The statistical population was 10 students with autism spectrum disorder (8–11 years, son) was born in Kermanshah (Western of Iran). They randomly selected were located in two experimental and control groups. The experimental group received 35 sessions of 30–minute sessions and was conducted during two and a half months, while the control group did not receive such training. Both group were evaluated by social communication questionnaire (SCQ) in two pre–test and post–test and by use of independent samples t–test. 

    Results

    The results showed that the use of social story on the experimental group has a significant effect in improving their social skills (p<0.05). 

    Conclusion

    The results of this research can be concluded that the use of social stories can be an appropriate way to improve the social skills of children with autism spectrum disorder.

    Keywords: Social stories, Social skills, Children with autism spectrum disorder
  • Ahmad Gharekhani, Saeid Hassanzadeh*, Gholamali Afrooz Page 91
    Background & Objective

    Learning of reading and writing are basic skills, which unfortunately some children have problem in this process. Review of related literature supports this idea that many children and adolescents with Down syndrome, who have learned reading materials from an early age, could improve their spoken language and memory skills. Patients with more efforts and simplified tasks could learn to read in the same way as typically developing children. They build on their good visual memory skills but find it more difficult to use phonics. Reading skills in the patients, is one of the most basic tools for communication and social function. The present research addressed the developing an applied reading program and evaluation of its effectiveness on understanding written material on daily life situations in patients. 

    Methods

    The research was a quasi–experimental one with pretest–posttest design for two experimental and control groups. The research sample comprised 30 children and adolescents with Down syndrome who were selected through availability sampling among students of two special schools in Hamedan city (Hamedan province, West of Iran). Subjects were randomly assigned into two experimental (n=15) and control (n=15) groups. The research instruments included: A) the Wechsler intelligence scale for children– revised version (WISC–R), which this test has five primary index scores, the verbal comprehension index (VCI), visual spatial index (VSI), fluid reasoning index (FRI), working memory index (WMI) and processing speed index (PSI). Two subtests had to be administered to obtain each of the primary index scores; thus, 10 subtests were primary subtests. The full scale IQ was derived from 7 of 10 primary subtests: both verbal comprehension subtests, one visual spatial subtest, two fluid reasoning subtests, one working memory subtest, and one processing speed subtest. B) The Persian version of test of language development–primary 3 (TOLD–P3), which this test consists of 5 core subtests (picture vocabulary, oral vocabulary, grammatical understanding, sentence imitation and grammatical completion) which then comprise the overall composite score (language quotient). Three supplemental subtests (word discrimination, phonemic analysis, and word articulation) were provided for an expanded clinical analysis of “speech” systems, and C) two researcher–made written tasks as the pretest and post–test, they used to measure the written texts comprehension in the experimental and control groups. The intervention program was conducted in 12 sessions. Each session was 30 minutes. Some tasks were taken to parents as home tasks. This program was included basic reading skill tasks (phonological awareness, visual decoding tasks and vocabulary development). 

    Results

    Results of covariance analysis showed that Applied Reading Program had a significant effect on comprehension of written material in students with Down Syndrome (p<0.001).

    Conclusion

    Based on the results of this study, teachers and pediatricians of children with Down syndrome are recommended to use a reading program that improves understanding of the written material and reading performance in these children. The intervention evaluated here was novel in its integrated approach to reading and language instruction for children with Down syndrome and is educationally realistic.

    Keywords: Reading program, Down syndrome, Applied reading program
  • Leila Sarrami, Abdollah Ghasemi*, Elahe Arabameri, Ali Kashi Page 92
    Background & Objective

    Movement assessment battery for children (MABC) is one of the most used assessment to distinguish children with movement difficulties. First edition of this assessment tool published in 1992 by Henderson and Sugden. In 2007, the second edition of a movement assessment battery for children–2 (MABC2) published and believed to have more strengthened psychometric properties. In this issue, a large body of literature has been conducted to assess the reliability and validity of this version of the assessment tool. However, most of these studies have been conducted in European, North American, and Far Eastern countries. Given this limitation, this study aimed to explore the psychometric properties of MABC2 in 3 – 6 years Old Iranian children.

    Methods

    Three hundred and eighty four typically developing 3 – 6 years old children (female=157, male=227) completed the test. The samples were selected from Isfahan (Isfahan province, Iran). All children`s parents were asked to fill out demographic questionnaire and announce their written agreement. Verbal agreement were also received from children. The institutional review board of the corresponding author’s university approved this study. All the criteria for performing the test were provided according to the manual test. At the beginning of the test, each participant was briefly introduced to the test. Four assessors with at least 5 years' experience of testing performed the test. For interrater reliability, 56 children were assessed by two examiner, while one assessor performed the test and scored. For interrater design, same assessor tested 57 children in a one to two weeks interval. For inter and intra test reliability, intra class correlation coefficient (ICC) and standard error of mean (SEM) were used. Internal consistency of the test was evaluated using Cronbach’s alpha. Structural validity of the test were also evaluated using confirmatory factor analysis. Fit indices were chosen based on Hu and Bentler (1999) suggestion as followed; X2/df, RMSEA, RMR, CFI, GFI and NNFI. All the statistical analysis were set at 0.05. All data were analyzed using SPSS for Windows and LISREL 8. 

    Results

    Descriptive statistic showed a similar standard score of Iranian children to normative sample. Cronbach’s alpha showed that it was in a good range (p=0.80). Also all correlation among tasks and total score were significant (p<0.05). Results for inter and intra correlation coefficient was satisfying. ICC for interrater was excellent, between 0.93 – 0.99, and for interrater was in a good range (0.71–0.89). ICC for total test score were also excellent, for interrater (0.96) and good for intrarater (0.79). Data from confirmatory factor analysis affirmed three components model, including manual dexterity, aiming and catching and balance to be well fitted. All the fit indices were well fitted (χ²/df=2.7, df=31, sig=<0.001, NNFI=0.93, CFI=0.93, GFI=0.92, RMSEA=0.071, RMR=0.080). Factor loading of all eight tasks on relative component were significant (0.31–0.82). Correlation between three components were also significant, but moderate.

    Conclusion

    The primary issue investigated in this study was to explore psychometric properties of movement assessment battery for children –2 in a new context of cultural setting in Iran. Results of this study revealed its reliability features were good. This data proof that MABC2 is able to reproduce reliable scores among 3–6 years Old Iranian children. In addition, no any task, which destroy construct of test, were not seen. While some of studies in different countries reported a problematic structure of MABC2 which may need some adjustment, our findings affirmed proposed three components test structure–manual dexterity, aiming and catching and balance–with related test items.

    Keywords: Movement assessment battery for children–2 (MABC–2), Developmental coordination disorder (DCD), Reliability, Factor validity, Preschool children, Motor test
  • Mehdi Hashempour, Mohsen Saeid Manesh*, Mohamad Hossein Gerami Page 93
    Background & Objective

    Postpartum depression is a form of depression that may appear shortly after childbirth. This depression is seen in 5–25% of women. Severe insomnia, mood instability and tiredness are common symptoms of the disease. Delusional beliefs and suicidal thoughts (as opposed to newborns) may arise. Therefore, based on the danger condition for mother and child's life, it may be considered urgent. Symptoms of childbirth and postpartum depression include: anger, feeling unprofitable, failing or guilty, crying, impatient (sensitive), restlessness, sadness, fatigue, inflammation, mood fluctuation are these symptoms. Other symptoms occur with sadness after delivery (which can be accompanied by a feeling of loneliness, anxiety, confusion and obsessive–compulsive disorder) disappear from a few days to a few weeks. Such symptoms are severe and durable with postpartum depression. It may interfere with patient ability to function and can include different range of symptoms: feelings of numbness or falling, fear of harm to self or to the baby, distracted focus and thinking, lack of pleasure in life, reduced interest to sexual intercourse, increased or no attention to the baby, weight loss, avoid from family or friends, headaches, chest pain, increased breathing may occur, although these are not the main symptoms of depression. Signs and symptoms associated with postpartum insanity are rare. These symptoms are more severe and usually start early. The purpose of this study was investigate the effectiveness of mental–based group therapy on marital satisfaction and decreasing signs of postpartum depression in women with postpartum depression disorders referring to maternal hospital in Yazd. 

    Methods

    This study was a semi–experimental design pretest– posttest with control group. The statistical population was women with postpartum depression disorders referring to maternal hospital in Yazd (Yazd province, center of Iran) at 2017. A total of 30 female were selected using available sampling. Subject were randomly divided to experimental and control group. The subject in experimental group were treated by mindfulness based on cognitive therapy in 9 sessions. The questionnaires of Beck depression (1996) and Enrich marital satisfaction was done in pretest and posttest. The Beck depression inventory (BDI, BDI–1A, BDI–II), created by Beck that is a 21–question multiple–choice self–report and one of the most widely used psychometric tests for measuring the severity of depression. Its development marked a shift among mental health professionals, who had until then, viewed depression from a psychodynamic perspective, instead of it being rooted in the patient's own thoughts. In its current version, the BDI–II is designed for individuals aged 13 and over, and is composed of items relating to symptoms of depression such as hopelessness and irritability, cognitions such as guilt or feelings of being punished, as well as physical symptoms such as fatigue, weight loss, and lack of interest to sex. 

    Results

    The findings of this study indicated that mindfulness–based cognitive group therapy reduced the symptoms of depression (experimental group post–test: 27±5.87 and control: 29.87±6.60, p<0.001) and increased marital satisfaction in affected women. Postpartum depressive disorder (Experimental group: 97.33±12.23 and control: 86.82±13.38, p<0.001).

    Conclusion

    Based on the result of this study use of mindfulness based on cognitive therapy were recommended to psychologist and experts in this area.

    Keywords: Mindfulness based on cognitive therapy, Marital satisfaction, Depression, Postpartum depression
  • Seyed Mehdi Hosseini, Hojjatollah Javidi*, Amir Hoshang Mehryar, Seyd Ebrahim Hosseini Page 94
    Background & Objective

    Obsessive–compulsive disorder (OCD) is a psychological disorder with debilitating impacts on many aspects of daily functioning, including relationships and quality of life. Exposure to ritual prevention (ERP) is the psychotherapeutic treatment of choice for obsessive–compulsive disorder. Also, metacognitive therapy (MCT), based on Wells’ metacognitive model of OCD aims to modify the maladaptive metacognitive beliefs and processes implicated in the disorder, to alleviate symptoms. The present study aimed to compare the efficacy of Well’s metacognitive therapy (MCT) and exposure and response prevention (ERP) for the treatment of thought fusion symptoms in women with obsessive–compulsive disorder (OCD).

    Methods

    The study was a semi–experimental that was done through a pretest–posttest design using a control group. The statistical population included all OCD patients who referred to the counseling centers in Shiraz city (Fars province, South of Iran) during 2015–2016. A total of 60 patients who had been diagnosed as having OCD by the psychiatrist or clinical psychologist were selected and divided into two groups (each group n=20) (MCT and ERP) and a control group (n=20). Experimental group 1 experienced Wells’ metacognitive therapy in 8 sessions and the experimental group 2, experienced ERP in 14 sessions of 90 minutes during the course of two months. Both experimental and control groups received equal doses of medicine during the course of the study. Participants completed the obsessive beliefs questionnaire and Beck depression instrument as a research scale (Beck, 1996). The participants answered the Beck depressive inventory and obsessive beliefs questionnaire as the study tools. The obsessive–compulsive disorder workgroup designed obsessive beliefs questionnaire. This questionnaire measures three core domains of obsessive beliefs, namely, 1) over the importance and thinking over–control, 2) perfectionism and intolerance of ambiguity, and 3) inflated responsibility and exaggerated danger expectancies. The respondent was asked to declare his/her agreement on each of the options in a scale of 0 to 7. The scale was different agreement, including (–3) strongly disagree, (0) no idea, and (+3) strongly agree. In Iran, Shams et al. (2004) calculated the Cronbach's alpha, split–half estimate, and test–retest of the questionnaire as 0.92, 0.94, and 0.82, respectively. Beck depressive inventory was one of the most widely used questioners and among the oldest tools for measuring the severity of the obsession. It had 21 items and scaled based on a 4–degree range. Its psychometrics features analyzed all over the world (Beck and Steer, 1996). In Iran, Dabson K, Mohammadkhani reported the values of 0.91 and 0.94 for Cronbach’s alpha and the reliability coefficient of this test. The data of the study were analyzed using analysis of covariance via SPSS software package v.21.

    Results

    The MCT group had a significant reduction (more efficacy) in two factors of thought–action and thought–event fusion in comparison to the ERP group (p<0.001). No significant difference was observed in the thought fusion of the experimental groups. ERP group, on the other hand, showed a significant reduction in all factors in comparison to the control group (p<0.001). 

    Conclusion

    Despite some methodological limitations, results showed that MCT proved to be a promising psychotherapeutic alternative to the well–established ERP in the treatment of the obsessive–compulsive disorder. Further investigations need to survey the efficacy of MCT to answer questions as to the working mechanisms underlying therapy for obsessive–compulsive disorder.

    Keywords: Well’s metacognitive therapy, Exposure, response prevention, Obsessive beliefs, Depression, Obsessive–compulsive disorder
  • Zahra Gharbi, Tahereh Ranjbaripour*, Ardeshir Asadi Page 95
    Background & Objective

    Nowadays, obesity has become one of the serious health problems in the world as well as in Iran and has increased dramatically over the past years. According to reports, the prevalence of obesity is raising.One of the variables that is closely related to obesity is the body image. The body image is the same as our mental image of the physical appearance of our attitudes and feelings about it. The body image represents the concept that a person has from his body and is the most important part of the person's own imagination, since the physical appearance of the individual is the first part of the body that to be judged in dealing with another. On the other hand, one of the important criteria is mental health, satisfaction of physical body image and positive attitude toward the body. Several psychological interventions have been used to reduce obesity and to modify the body image. In the present study, mindfulness–based cognitive therapy applied. Mindfulness or the presence of mind means awareness of thoughts, behaviors, emotions and motivations so that we can better manage and regulate them. The aim of this study was to investigate the effectiveness of mindfulness–based cognitive therapy on body image in obese individuals.

    Methods

    The present study was conducted as a semi–experimental method with two groups (pretest–posttest) and a three–month follow–up period with the control group. The statistical population of the study was obese with over 30 BMI in Karaj (Alborz province, North of Itan) that were selected according to availability method. As regards the fallout, 60 individuals were considered as a statistical sample (30 in each group), which were randomly assigned to experimental and control groups according to the following entry conditions. The multidimensional body–self relations questionnaire (Cash, 2000) was used to evaluate the pre–test, post–test and follow–up period. This tool contains 46 questions, which has a good reliability and validity. The experimental group received mindfulness–based cognitive therapy (8 sessions, 90 minutes), while the control group did not receive any interventions. Data analyzed by repeated measure ANOVA using SPSS22 software.

    Results

    The mean and standard deviation (SD) age of the experimental and control group was 29.9 (5.72) and 30.99 (5.72), respectively. Descriptive results showed that the average of the body image in the experimental group at pre–test, post–test and follow–up times was 10.23, 16.61, 16.66, respectively. Inferential findings showed that mindfulness–based cognitive therapy has a significant effect on the body image of obese people (p<0.05). The reported effect size was 0.52. In addition, the LSD test showed that the average change in body image was significantly higher in the experimental group than in the control group (p<0.05). 

    Conclusion

    According to research findings, mindfulness–based cognitive therapy has effective mechanisms for modifying the body image of obese individuals. In addition, this treatment has long–term effects.

    Keywords: Mindfulness–based cognitive therapy, Body image, Obesity, Obese
  • Mohammad Ebrahim Hokmabadi, Imanollah Bigdeli*, Javanshir Asadi, Mohammad Javad Asghari Ebrahim Abad Page 96
    Background & Objective

    Many studies have provided the combination and incorporation of the fields of psychology and Cardiology. Using science of psychology has been suggested to prevention and treatment of diseases related to the heart. Type D personality is recognized as a risk factor for a wide range of diseases. Type D personality is the inter action of two stable personality traits: negative affectivity (NA), which is the tendency to negative emotions experience across time and situations, and social inhibition (SI), which is the tendency to inhibit the expression of emotions. Patients who have high score in NA, frequently report feelings of dys phoria, worry, tension and patients who have high score in SI tend to avoid negative reactions from others. Adherence to medication is defined as a degree to the patient who is in accordance with the interval and dose regimen prescribed. Adherence to medication refers to the degree or extent of compliance to the health care provider’s recommendations for day–to–day treatment. Cognitive function disturbances in patients with cardiovascular disease (CVD) occur relatively often. This fact can have significant influence on physiological, psychological and social aspects of a patient’s life. A recent study found that although heart doctors do cognitive problems test, but many of them miss memory loss in their patients. However, some heart doctors do not believe that diagnose of cognitive problems is not their duty, and they are mainly trained to focus on heart problems. They feel that check for memory problems should be done by primary care physicians. However, if you care someone with heart disease, make sure that one of their doctors tests them for memory loss, as it could be the difference in the success or failure of their treatment. Working memory is a cognitive system with a limited capacity that is responsible for temporarily holding information available for processing. Working memory is important for reasoning and the guidance of decision–making and behavior. Prospective memory is a form of memory that involves remembering to perform a planned action or recall a planned intention at some future point in time. Prospective memory tasks are common in daily life and range from the relatively simple to extreme life or death situations. This study aimed to evaluate schema therapy on personality type D, working and prospective memory and adherence to treatment in patients with cardiovascular disease.

    Methods

    Five man with heart disease were selected from patients referred to Mashhad (Northeast of Iran) Razavi hospital along with using purposeful sampling method. The statistical population of all cardiac patients was Razavi Specialist Hospital in Mashhad. Patients participated in this study after obtaining treatment requirements. The efficacy of treatment protocol was evaluated in three phase (Baseline, 6 session treatment and 6 weeks follow–up) by using the Type D personality questionnaire (DS14), prospective memory questionnaire, Wechsler working memory test and Morisky Medication Adherence Scale (MMAS–8–Item). The data were analyzed using visual analysis using Excel software, calculating the permanent change index (RCI), and calculating recovery percentages.

    Results

    The results showed that cognitive, experimental, interpersonal and behavioral techniques in the D character was (p=0.033), working memory was (p=0.085), prospective memory was (p=0.042), and follow–up therapy medicine was (p=0.003). Cardiovascular patients were statistically and clinically significant.

    Conclusion

    According to the results, schema therapy waseffective in reducing personality type D, increasing working memory, reducing prospective memory defects and increasing the medication adherence to treatment.

    Keywords: Schema Therapy, Personality Type D, Prospective Memory, Working Memory, Adherence to Medication, Cardiovascular Disease
  • Neda Nazarboland*, Parvin Amini Yeganeh, Hajar Falahzadeh Page 97
    Background & Objective

    Orphanage children and adolescents might experience major mental issues due to lacking family-related advantages. Such problems include generating internalizing and externalizing disorders, as well as maladaptive and antisocial behaviors. Due to unsatisfied primary emotional needs, they may use maladaptive schemas, i.e., responsible for developing aggressive and antisocial behaviors in them. The early maladaptive schemas often unconsciously affect the information processing system and are activated automatically. Cognitive emotion regulation is defined as an individual's thoughts post negative events. Cognitive emotion regulation strategies are mostly dependent on an individual’s metacognitive strategies; that refers to how one manages and modifies thoughts after assessing feelings and psychological status in different situations. Emotion regulation could be learned through family modeling and influenced by parenting styles during a child’s development. Therefore, orphanages, who lack a regular family structure experience, may develop inappropriate behavioral expressions of emotions as a result of applying poor emotion regulation strategies. Thus, the present study aimed to compare early maladaptive schemas, metacognition, and cognitive emotion regulation strategies between the orphanage and non-orphanage adolescents. Data in this regard are scarce; therefore, the current research aimed to provide a framework for preventive and therapeutic programs while addressing the existing ambiguities.

    Methods

    This was a retrospective (casual/comparative) study. The study population included all adolescents (13-17-year-olds) in Tehran and Karaj Cities, Iran. The study sample included 191 adolescents, 90 of whom were selected using a convenience sampling technique from orphanage adolescents. Moreover, 101 of the study subjects were non-orphanages and selected by the multi-stage cluster sampling method. To ensure the orphanage subjects enjoyed a healthy Intellectual Quotient (IQ) range (≥90), the Raven's Progressive Matrices test was performed in them.Additionally, non-orphanage adolescents were evaluated in terms of IQ, according to their school-provided academic scores (grade point average: ≥15.20). The study inclusion criteria included the lack of severe diseases or psychiatric disorders; for orphanage adolescents, a history of living in supporting organizations without their family since the age of ≤3 years, and non-orphanage adolescents to live with their family since birth. All study subjects completed the Young Schema Questionnaire-Short Form (YSQ-SF), Metacognition Questionnaire (MCQ), and Cognitive Emotion Regulation Questionnaire (CERQ). The obtained data were analyzed using Multivariate Analysis of Variance (MANOVA).

    Results

    The collected results revealed a significant difference between the orphanage and non-orphanage adolescents’ early maladaptive schemas in terms of its components. These components included emotional deprivation (p=0.009), failure (p=0.004), dedication (p=0.002), emotional inhibition (p=0.032), and unrelenting standards (p=0.027). The study groups also significantly differed in metacognitive beliefs; orphanage adolescents experienced lower cognitive confidence, compared to their non-orphanage counterparts (p<0.001) in the components of metacognitive beliefs. Furthermore, there was a significant difference between the two groups in the cope/reception (p=0.012) and blaming others (p=0.003) components of cognitive emotion regulation strategies. The two study groups demonstrated no significant difference in other components of the research variables.

    Conclusion

    The present findings indicated that, compared to non-orphanage adolescents, orphanage ones used maladaptive schemas and experienced disrupted metacognitive beliefs, especially concerning cognitive confidence. Besides, they were weaker in applying appropriate cognitive emotion regulation strategies. Consistent with the expectations, these results highlighted the lack of family-related needs in orphanages. Additionally, their failure to exploit the family environment and parenting benefits may develop early maladaptive schemas in them, especially in components related to emotional fulfillment. This can unconsciously influence their metacognition abilities, and consequently, their failure to implement proper metacognition strategies, especially when emotional issues are considered. Such distortions in the cognitive processes of emotions may lead this group to use inappropriate cognitive emotion regulation strategies. These findings could be used to develop preventive, rehabilitative, and therapeutic plans by the experts.

    Keywords: Cognitive emotion regulation strategies, Early maladaptive schemas, Metacognitive beliefs, Orphanage adolescents
  • Morteza Taheri*, Khadijeh Irandoost, Masoud Mirmoezzi, Zeinab Taheri Page 98
    Background & Objective

    Aging is a natural process concerning the physiological and psychological changes in humans over a period of time. Increasing prevalence of aging has recently been reported in Iran and it predicted to be increased tremendously by 2031. Aging affects the physiological systems associated with balance. The flexibility, strength and balance training program for the elderly can reduce the risk factors of falling with increasing muscle strength, flexibility, balance, coordination, reaction speed and deep sensation in walking, and enhance the performance of the elderly in daily life. Elderly people are not able to perform any kind of activity due to some physiological, physical and motor limitation. Meanwhile, Tai Chi, Pilates and Yoga are activities that good for the elderly. However, the main question is whether the Yoga, Kouk Sun Do (KSD) and mental exercises that result from any extreme physical exertion stress for the elderly can play a significant role in general health by promoting balance, muscular and flexibility, which is one of the main factors in improving the performance of elderly people with mobility limitation. Therefore, the aim of this study was to investigate the effects of mental practice, yoga and KSD exercises on functional tests in elderly with mobility limitation.

    Methods

    A total of 80 elderly women (68.46 ± 2.92) with mobility limitation voluntarily participated in four groups (n=20 in each group). Experimental groups participated in the KSD, Mental and Yoga exercises for four months, two sessions a week. Stork test for static balance timed get up and go test for dynamic balance sit and reach test for flexibility, standing chair test for muscle strength of lower body and legs were performed before and after intervention. Inclusive criteria were women aged above 65 years, mobility limitation, no limitation of mobility due to amputation, score 7 and above in the abbreviated mental test (AMT) psychological health test, and lack of a regular exercise program in the past six months. Exclusive criteria were absence if subjects in training sessions. The survey of activities and fear of falling in the elderly (SAFE) were used to enter elderly with mobility limitation. In implementing the mental training protocol, participants first filled out the movement imagery questionnaire–revised (MIQ–R) to measure motion visual and visual imaging ability and the imaging scores were less than 1 omitted in the research. Levene test was used to determine the homogeneity of variances and two–way repeated–measures ANOVA was used to compare the groups at a significance level of 0.05.

    Results

    Based on the results of two–way repeated–measures ANOVA, there was a significant difference between KSD, mental, yoga and control groups (p≤0.05). There was also a significant difference in functional tests (static balance, dynamic balance, flexibility and muscular strength) of the elderly before and after intervention (p≤0.05). The results of Bonferroni test showed a significant difference in KSD and yoga groups compared to the control group. 

    Conclusion

    Results of the study suggested that performing the yoga and KSD practice protocol improves the static balance, dynamic balance, physical flexibility and muscular strength of elderly women with mobility limitation. Elderly people can get profit from yoga and KSD training with no extra need to any special facilities.

    Keywords: Yoga, Mental, Elderly, Mobility Limitation
  • Mahsa Sadati Baladehi, Beheshteh Niusha*, Mahnaz Esteki Page 99
    Background & Objective

    Learning disabilities are the essential poor academic performance, of which mathematical problems are the most important. One of the significant issues in young children with learning disabilities is a weakness in executive functions and memory. One of the most important components of executive functions is working memory, and another is the ability of planning and problem-solving. On the other hand, Playing is an important part of everyday life, and it has different functions, one of which is its educational aspect. Given the weaknesses in executive functions such as working memory and the ability of planning in students with learning disabilities, also, due to the emergence and development of new technologies, the purpose of this study was to compare the effectiveness of computer games with traditional Iranian games on working memory and planning in students with mathematical disabilities.

    Methods

    The research method was quasi-experimental with pretest-posttest design with the control group. The statistical population was all fourth to sixth-grade elementary school students aged 10-12 years in Tehran who faced mathematical disabilities in the 2017-2018 school year. For this purpose, 30 subjects who were qualified and satisfied selected by convenience and purposive sampling, were chosen, they were included in the study and then randomly divided into three groups (control group, traditional game experimental group, and computer game experimental group). Inclusion criteria were three criteria as teacher Report Based on DSM5 Mathematical Disability Screening Test, Wechsler Test, and key-math Test. According to the DSM5 Screening Criterion for Mathematical Disability, students with specific learning disabilities were selected, and then the Wechsler Intelligence Test was taken from them. According to the Wechsler test, students with a difference of 20 points or more in verbal and non-verbal intelligence who were weak in calculations and numerical memory subscales diagnosed with mathematical learning disabilities. Then the third criterion, the key-math mathematical test, obtained from them, and when these three criteria showed that the student had a mathematical disability, they selected as the sample group. Before running training packages, Pre-test was taken from the students of the sample group by using a key-math mathematical test (1976), WISC-R (1949) to measure working memory and London Tower Computer Test (1982) to measure planning ability and after the training sessions, each person was taken post-test. Mean and standard deviation used to describe the data and according to the pre-test and post-test with the control group, multivariate analysis of covariance) MANOVA (was used to analyze the data, and the assumptions of applying covariance analysis used by Levine test at the significant level of 0.01. Statistical analysis performed by using SPSS-24 software.

    Results

    The results showed that the mean of the working memory of the traditional game experimental group was 48.60±6.932 in the pretest to 50.60±6.077 in the posttest, and the mean of the planning of the traditional game experimental group was 24.20±4.211 in the pretest to 25.70±4.111 in the posttest. The mean of the working memory of the computer game experimental group was 46.80±8.284 in the pretest to 50.61±8.168 in the posttest, and the mean of the planning of the computer game experimental group was 23.10±4.149 in the pretest to 25.50±4.007 in the posttest, increased. At last the results showed that the effectiveness of computer games was more than traditional Iranian games (p<0.001).

    Conclusion

    The results showed that there was a significant difference between the effect of traditional games and computer games in the area of working memory and planning, and the impact of computer games was more significant. It found that using computer-based learning games strategies, increased motivation, and a positive attitude toward learning lessons and a positive attitude towards oneself. When computer games are used purposefully, information enters memory through audio and visual channels and combined with prior knowledge. It will lead to the creation of new, consistent information in memory. Computer program assignments are designed to incorporate more sections of working memory and planning components, and they are progressing more purposefully, and that could be one of the reasons for the success of these programs.

    Keywords: Computer Games, Iranian Traditional Games, Working Memory, Programming, Students with Mathematical Disability
  • Fatemeh Pazan, Maryam Esfahani Asl* Page 100
    Background & Objective

    The contribution of women to a society's transition is undeniable, so when it comes to women's issues, life satisfaction is one of the most important elements, life satisfaction refers to the personal attitudes toward life situations. Women are more likely to feel burned out by work, which causes a lack of motivation. The other important aspect among women who have a job is the quality of life, which means how someone perceives physical and psychological and social health. Training hardening can improve resistance in facing job's troubles. High hardiness level in person means high compatibility; this is the key to facing life challenges with patience. This study aimed to investigate Hardiness Training on Life Satisfaction, Job Burnout, and Quality of Life among the Female Employees of Ganjavian Hospital of Dezful.

    Methods

    The research type was semi-experimental with a pre-test, post-test designed with a control group. The population of this study was all women employees of Gonjvyaneh Hospital. The sampling method was available. They assigned in two groups, each group 15 participants. Inclusion criteria were in at least one year of work, no psychological disturbances, and a lack of counseling services outside of hard habits during the course. The research instruments include Life satisfaction questionnaire (Dinell et al., 1985), Burnout Questionnaire by Master and Jackson (1981), and the World Health Organization Quality of Life Questionnaire (1996), which completed by the participants at the beginning (pre-test) and the end of the training (post-test). The hardiness training of the Cuban Sah model (2008) conducted on the experimental group in eight sessions (each session 45 minutes) three times a week. There was no intervention in the control group. The gathered data analyzed through MANCOVA.

    Results

    The results showed that there was a significant difference between the two groups in terms of life satisfaction (p<0.001), job burnout (p=0.007), and quality of life (p<0.001) after training.

    Conclusion

    According to the findings of this study, it can be said that hard training can increase life satisfaction, quality of life and decrease academic burnout in female staff of Ganjavian Dezful Hospital.

    Keywords: Satisfaction of Life, Job Burnout, Quality of Life, Hardiness
  • Maryam Ghasemi Sichani* Page 101
    Background & Objective

    Disability, as a social phenomenon, has been existing in societies since past times. It has also been an essential problem regarding entity recognition and social relations. In contrast to a disability, having exercise and physical activity has a proven effect on the physical and spiritual health of human beings.  This study aimed to analyze the status of three sports complexes in Isfahan regarding disabled people`s needs (in various spectrums).

    Methods

    In this research, at first, by using the descriptive-analytical research method and based on other conducted studies in different countries all over the world, and laws presented to improve the disabled people`s lives and their rehabilitation, the spaces design standards and requirements related to required equipment in a swimming pool for disabled people extracted. According to these standards and requirements, a researcher-made checklist prepared. Based on this checklist and using observing tools, the status of three swimming pools in Isfahan evaluated. To select the sample (swimming pools), we used the comments of experts in the disability field, such as some doctors’ ideas in the Spinal Cord Injury Association in Isfahan. These doctors believed that these three swimming pools are more suitable than the other in Isfahan for disabled people. Therefore, samples selected through purposive sampling. The validity of this researcher-made checklist was confirmed using disability and sports experts` comments. This researcher-made checklist was prepared based on the presented standards of the global disability field`s experts. Hence it also had the necessary reliability.

    Results

    The findings of the current research indicated that in the design of the three investigated swimming pools, a lot of necessary design standards and requirements for disabled people had not been considered. Some of these findings include: these pools lacked separate parking spaces with a suitable scale for disabled people. There were not any special warning signs for the disabled in these three pools. Only one of the pools had the training pool with low depth for disabled children. No pool had movable floors. Water accessibility tools such as slides, throwing boards appropriate for disabled people, and mechanical lifts, as well as Portable boards, were not provided in any of the three selected pools. Two pools had the ladder with suitable handles for disabled people`s entrance to the water. Pools` slope and ramp`s slope were not designed based on the design standards for the disabled.

    Conclusion

    The results of this research, which investigated the architectural status of three swimming pools in Isfahan considering disabled people`s requirements based on 11 factors, indicated that most design requirements for people with disabilities had not been considered in the design of these sports pools. Even one of these three pools that have been recently reconstructed lacked the minimum requirements presented in this research, which had been extracted through standards used in other countries of the world.

    Keywords: Analyzing Architectural Status, Swimming Pools, Isfahan, disabled people’s needs
  • Parisa Aghagedi, Mohsen Golparvar*, Floor Khayatan, Asghar Aghaei Page 102
    Background & Objective

    Cheating is one of the serious injuries of marital life. This can have negative consequences for cheated. The major disruptions experienced by an injured spouse are intense rumination about the event and reduced marital satisfaction. Therefore, marital satisfaction along with rumination seems to play a significant role in the life and mental health of women damaged by husband's infidelity. Positive psychological approaches, such as forgiveness therapy and mindfulness therapy, are particular importance in this regard and ever-increasing research suggests the benefits of these two treatments. In spite of the fact that the evidence and ideas in the area of mindfulness and forgiveness speak of the possibility of combining the strengths of these two treatments, but so far, specifically and specifically, these two treatments have not been used in the formulation or integration of this group of injured women. Therefore, with the formulation and implementation of a package of forgiveness-based mindfulness, it is likely that this group of women can help to control the wrath they feel from their spouse in a desirable manner and by forgiving; they will feel more relieved than their unpleasant excitement. This study aimed to determine the effect of forgiveness based mindfulness and emotionally focused therapy on the mental rumination and marital satisfaction of women injured by husband infidelity. 

    Methods

    The research method was a semi-experimental with 3 groups of two stages (pre-test and post-test). The statistical population of the study consisted of 100 women hearted by husband's infidelity in Isfahan (Isfahan province, Iran) during the winter of 2017, who responded to the recall of the consultation centers and treatment centers in the city of Isfahan, 45 of them were selected by purposeful sampling based on entry and exit criteria. The subjects were randomly assigned to two groups of experimentation (forgiveness based mindfulness axis of 15 people and emotionally focused therapy of 15 people) and control group (n=15). In this research, rumination questionnaire (Nullen-Huximaa 1991) and marital satisfaction (Inrich, 1993) were used. Forgiveness based mindfulness group was treated for 11 sessions of 90 minutes and the emotionally focused group was treated for 9 sessions of 90 minutes, but the control group did not receive any treatment during this period. Data were analyzed using covariance analysis using SPSS-20 software.

    Results

    The results showed that there was a significant difference between forgiveness based mindfulness therapy and emotionally focused therapy with the control group in post-test stage after pre-test control in rumination and marital satisfaction (p<0.001). Both treatments reduced rumination and increased marital satisfaction. But there was no significant difference between the treatments of forgiveness based mindfulness therapy and emotionally focused therapy in rumination and marital satisfaction in post-test stage after pre-test control.

    Conclusion

    Based on the findings of this study, both treatment forgiveness based mindfulness and emotionally focused therapy to increase marital satisfaction and reduce rumination in women injured by husbands infidelity are potently effective.

    Keywords: Forgiveness based mindfulness therapy, Emotionally focused therapy, Husbands’ infidelity, Marital satisfaction, Thinking rumination
  • Sedigheh Azizi, Ahmadreza Movahedi*, Elaheh Arabameri, Abdoallah Ghasemi Page 103
    Background & Objective

    Pathophysiological and atrophic changes in the cerebellum have been proven one of the reasons for embryonic stress in Parkinson's patients. Without compensatory activity, such abnormalities can have widespread effects on the motor and non–motor movement of these patients. The aim of this study was to investigate the pre–treatment effects of aerobic exercises on Purkinje cells of cerebellum in Parkinson's rats with fetal stress.

    Methods

    The research method was experimental. A total of 40 pregnant Wistar rats were randomly divided into two groups with and without stress. The stress–related group was subjected to immobilization stress from day 8 to 21 for 3 hours each day. A total of 26 neonates with prenatal stress and 26 neonates with prenatal stress (30 days old) were randomly assigned to groups. There was eight groups including control group 1 (without perinatal stress, motionless, healthy, n=6), sham group 1 (without perinatal stress, motionless, n=6), sham group 2 (with perinatal stress, motionless, n=6), experimental group 1 (without perinatal stress, treatment, motionless, n=6), experimental group 2 (without perinatal stress, treatment, treadmill exercises, n=8), control group 2 (with perinatal stress, healthy, without activity, n=6), experimental group 3 (with perinatal stress, treatment, no activity, n=6), experimental group 4 (with stress perinatal, treatment, treadmill exercises, n=8). Aerobic training groups performed aerobic exercises on the treadmill five days a week for 8 weeks. In order to introduce animals with treadmill and minimize the stress of rats, they were practiced extensively on the treadmill for 3 days before the start of the protocol (3 days, 10 minutes, speed 12 meters per minute). Animals were reluctant to run on treadmill during the introduction. The main training program was progressive and included a 25–minute ran at speeds of 15 m/min in the first week and 64 minutes ran at a speed of 22 m/min in the eighth week. To create the Parkinson's model, the substantia nigra was destroyed by injecting 5μg of 6–hydroxy dopamine solution into the substantia nigra. Three weeks after surgery and Apomofin rotation test, animals sacrificed and the brain extracted from the skull, and after the procedure, tissue passage, cutting and staining, the number of cerebral pourkingia cells counted using a microscope. To normalize the distribution of dependent variables from Shapirowilk and assume the equality of variances, Levin test and one–way variance for intergroup change were used.

    Results

    Perinatal stress caused a significant decrease in the number of pourkingia cells. Therefore, the number of control cells in the control group was significantly lower than the control group without stress (p<0.001). However, there was no significant difference between the control and sham groups without stress and between control and sham groups with stress (p<0.001). Injection of 6–OHDA poison reduces the number of Parkinson's cerebral pourkingia cells And the mean number of pourkingia cells in the Parkinson's with stress and Parkinson's without prenatal groups was lower than the mean number of pourkingia cells in the control groups (p<0.001). This decrease was observed in Parkinson's group with prenatal stress (p=0.011). Parkinsonian groups with stress and no stress+aerobic training showed a significant increase in the number of porcini cerebellar cells, which showed a significant difference at the level (p<0.001). Prenatal stress also reduced the beneficial effects of exercise on the number of pourkingia cells in the cerebellum (p=0.017).

    Conclusion

    Prenatal stress seems to significantly reduce the number of Parkinsonian rats' pourkingia. Aerobic exercises have reduced the negative effects of prenatal stress and the reduction of the negative effects of Parkinson's on the changes in the pourkingia cells of the cerebellum. The results of the beneficial effects of aerobic activity on the protection of pourkingia cell cells in Parkinson's patients show prenatal stress.

    Keywords: Pre–treatment, Purkinje cells in the cerebellum, Prenatal stress, Parkinson’s disease, Aerobic exercise
  • Roza Salehian, Isaac Rahimian Boogar*, Javanshir Asadi, Farahnaz Ghahremanfard Page 104
    Background & Objective

    Cancer is one of the most important physical problems in the female population. The onset of the disease start with a psychological high–pressure period for women who may lose control, helplessness, depression, and anxiety. If they do not pay attention to their mental status, these psychological complications influence continuing treatment process and subsequent follow–up threaten to survival of patients. Breast cancer is a kind of cancer that begins with breast tissue. One of the common problems among women with cancer is reduced self–efficacy. Various interventional models for self–efficacy have been considered. In this research, motivational interview used. This study aimed to determine the effectiveness of motivational interviewing on self–efficacy in patients with breast cancer of Semnan.

    Methods

    To investigate the aim, 44 patients with breast cancer were firstly selected according to availability method and then were randomly assigned into three groups (15 for group experimental group, 14 for person–centered experimental group and 15 for control group). Patients referred to Kosar hospital in Semnan city (center of Iran). This study was carried out in 2017. After applying pre–test in three groups based on self–efficacy scale for self–management of breast cancer, the group therapy and the person–centered therapy of motivational interviewing (5 sessions, 45 minutes) were applied and after that post–test was taken. Data was analyzed using ANCOVA by SPSS–21. 

    Results

    The mean of self–efficacy in the experimental group of group therapy increased from 63.48 to 73.86, and in the experimental group of individual therapy, this mean increased from 64.28 to 72.42. While in the control group, the change was from 20/63 to 66/73. In general, the results of the covariance analysis showed that the motivational interview increases self–efficacy in the group and individual group (p=0.004). Benoferoni post HOC test was used to examine the difference between the groups. The results showed that there was no significant difference between the experimental group and the individual experimental group, but there was a significant difference between the group therapy’s group and the control group (p<0.001) and between the individual therapy’ group and the control group (p<0.001).

    Conclusion

    Generally speaking, motivational interviewing has an effective mechanism for increasing self–efficacy in patients with breast cancer. It is recommended to apply this therapy for women with cancer.

    Keywords: Motivational interviewing, Self–efficacy, Breast cancer
  • Majid Ojari, Elaheh Arabameri, Abdollah Ghasemi*, Ali Kashi Page 105
    Background & Objective

    Motor competency refers to ability of children to perform wide range of fine and gross motor activities. Children with low motor competency, might mostly face to many unsuccessful situation and may experience and develop a lots of problems in their life. The aim of this study was to investigate the effect of some selected factors including age, birth order, social status and contribution in outdoor physical activity program on motor competency of 7–10 years old children using movement assessment battery for children–second edition (MABC2) which is a one of the most valid assessment tools for assessing motor competency. 

    Methods

    Five hundred and three (girls=244, boys=259) 7–10 years old children from the Arak city (Markazi province, Center of Iran) were participated in this cross sectional study. Inclusion and exclusion criteria of this study were as follow; lack of any developmental, neurological and learning difficulties, which may impair their typical performances. In addition, children without demographic data were excluded from the data set. Asked from parents to fill out the demographic questionnaire (data including; age, gender, level of parents` education, birth order and sibling and level of outdoor physical activities of children). In addition, written consent of parents was obtained. After collecting demographic data, testing started. Three well experienced examiners in the field of children` motor skills performed testing. All the requirement of testing instructions based on MABC2 manual was observed. Children, having trouser and shoes, were tested individually with MABC2 in a quiet room. When testing completed, we analyzed the data. Ojari et al. (2018) reported psychometric properties of MABC2 that the properties are acceptable in Iran. The proposed 3 factors structure was confirmed and intra and interrater reliability were (0.93–0.99) and (0.45 – 0.85) respectively. Descriptive statistic as well as multivariate analysis of variance (one–way MANOVA) were used to analyzing the data. Significant level was set at 0.05 and all analysis was carried out using SPSS 21 for Windows (SPSS, Chicago, IL, USA).

    Results

    multivariate ANOVA showed there was statistically significant differences of factors age (F=7.16, p<0.001) and birth order (F=2.621, p<0.001), however, no statistically differences were found for the outdoor physical activity (F=1.487, p=0.218) and social status (F=1.74, p=0.158). The effect size of age and birth order were 0.14 and 0.016 respectively, which indicate large and negligible importance. When age increased, performance of children improved dramatically so that in most tasks 9 and 10 years old children were superior to younger children. The result of multivariate analysis also showed that statistical differences in birth order factor was only because of differences in manual dexterity sub–component. 

    Conclusion

    Age is considered as an important and effective factor on children` motor competency. MABC2 is able to differentiate age group very well. Improved coordination and performance during childhood is due to integration of sensory–motor systems. Of other factors, only the birth order showed a statistically differences, however, that was not large enough to be considered practically important. This study should be duplicated by another similar tools assessment to find out whether lack of non–statistical differences is attributed to poor influence of related factors or poor differentiate ability of MABC2.

    Keywords: Motor competency, Movement assessment battery for children–2 (MABC2), Birth order, Physical activities, Socio–demographic factors
  • Bahareh Shabgard, Mohammad Ebrahim Madahi*, Afsaneh Khajehvand Page 106
    Background & Objective

    One of the most common diseases is cancer. Cancer refers to a set of diseases that occurs through unprotected cell proliferation. The exact cause of this phenomenon is unclear, but genetic factors or cases that can interfere with the cell's activity are likely to occur in the cell nucleus. Researchers have emphasized the importance of preventive education. Many health problems, such as obesity, cardiovascular disease, types of cancers and addiction present in most developing countries, are somehow associated with changes in the lifestyle of those societies. In fact, it is better the treatment of early prevention and early detection, the easier and less costly treatment. In fact, the best way to reduce the therapeutic profile of patients with severe illness is to transfer costs from the treatment to the prevention phase. Health education is the most effective method to deal with this problem. One of the most important health education models is the Basnefe model, which relates to awareness and thinking. Studies have shown that health education can enhance awareness and lifestyle to prevent cancer. Therefore, the purpose of this study was to investigate the effect of educational intervention based on the Basnefe model on lifestyle, awareness and preventive behaviors of cancer in women in Rasht.

    Methods

    The present study was a semi–experimental research with pretest–posttest design and control group. This study was performed on women in Rasht city (North of Iran) in 2018. A total of 80 volunteers were selected (mean age: 36.42), and they randomly were assigned in the control group (n=40) and in the experimental group (n=40). To collect information, three questionnaires of awareness (including 10 questions, researcher made), Miller and Smith's lifestyle (including 20 questions) and preventive behaviors (including 10 questions, researcher made) were used. Groups first completed questionnaires. Then, for the experimental group, eight sessions of cancer prevention training were performed based on the Basnefe model. After the training period, the questionnaires were completed by the two groups. Data were analyzed using SPSS–22 software and ANCOVA.

    Results

    Descriptive findings showed that the mean level of awareness in the experimental group in the pre–test stage increases from 10.18 to 14.25 in comparison with the post–test. In addition, the mean of lifestyle in the experimental group in the pre–test phase compared to the post–test decreased from 61.12 to 54.70, and the mean of preventive behaviors in the experimental group in the pre–test stage was from 23.87 to 28.58 that it has increased. The results of ANCOVA showed that the Basnefe model's educational intervention had a significant effect on lifestyle, awareness and preventive behaviors of cancer in women (p<0.001).

    Conclusion

    The results of this study revealed that the education program based on the Basnefe model was an effective method in raising awareness, improving lifestyle and promoting preventive behaviors of cancer in women.

    Keywords: Basnefe model, Awareness, Lifestyle, Preventive behaviors, Cancer
  • Amin Gholami* Page 107
    Background & Objective

    Fundamental motor skills are basic skills necessary for movement competence and considered the basic building blocks for more complex motor skill development. However, autistic children have significant delays in fundamental motor skills. Additionally, motor impairments in autistic children can have a negative impact on other developmental aspects of them like social communication and social interaction skills in this population. With regard to the marked differences in developmental aspects between children with autism spectrum disorder and normal children, it is recommended to develop interventions or games requiring whole body exercises for children with autism spectrum disorder to improve their gross motor growth. Rainbow parachute is one of the most popular active play toy used recently in kindergartens and playhouses to carry out various types of active play programs. It seems that this toy has the indices needed to design the motor games of children with autism spectrum disorder. It seems that this toy instrument has the indices needed to develop active games for children with autism spectrum disorder. The present study aimed to determine the effect of selected Rainbow parachute games on motor development of autistic children. The parachute is a multicolored, nylon sheet used by arranging children on the outside. That is commonly used in kindergarten and elementary school physical education classes. The aim of this study was to survey the effect of selected rainbow parachute games on motor development of autism spectrum disorder children.

    Methods

    This study was quasi–experiment. 20 autistic children (4 to 6 years old) from two rehabilitation centers of Tehran city (capital city of Iran), based on their pre–test scores randomly were selected and divided into two groups, control (n=10) and experimental (n=10). Test of gross motor development–2 Ulrich (TGMD–2) was used to assess the motor development. TGMD–2 is one of the reliable tools for evaluating development of gross motor skills; that was provided by Ulrich (1985) in the United States of America for the first time and reported its stability and justifiability for 3–10 years old American children. The test reliability was 96% and the stability was 87%. The test included six displacement skills (running, trotting, hopping, skipping, jumping, sliding) and six object control skills (striking a stationary ball, stationary dribble, catch, kick, overhand throw and underhand roll). Running pretest, the experimental group played selected parachute games for 8 weeks (2 sessions per week each 45 min.). Each session started at 10 a.m. and was divided into 3 sections: (a) warm–up activities: 10 min.; (b) selected parachute games: 25–min; (c) cool down activities: 10 min. The main focus of the program was on developing fundamental motor skills but developing physical fitness by modifying the intensity, duration and complexity of the activities was also considered. The program was developed based on rough–and–tumble play, running around, and other physical play that provides whole–body exercise and helps the child develop gross motor skills. During games, all experimental children had the experience of interacting with other each other and objects in their surroundings. One head coach managed sessions and three qualified trained assistants. At the end of the play program, pretests were re–performed in both experimental and control groups. Data were analyzed using analysis of covariance, Shapiro–Wilk test and Levin tests by statistical package of SPSS (version 17) at a significance level of 0.05. 

    Results

    The results showed that selected parachute games significantly affected running (p=0.011), skipping (p=0.042), hopping (p=0.033) and jumping (p=0.026) skills from the displacement scale and striking (p=0.033), throwing (p=0.032) and rolling (p=0.044) from object control scale. In addition, results showed that the intervention did not have significant effect on remained subscales of displacement and object control scales. 

    Conclusion

    The results revealed that the selected rainbow parachute games, which have been developed according to fundamental motor skills, could improve some subscales of displacement and object control scales in children with autism spectrum disorder. Therefore, it seems that engaging in physical activity programs by rainbow parachute games resulted in greater sensory integrity and more environmental information, which may increase brain activity and improve bilateral coordination in children with autism spectrum disorder. Exercise may improve motor skill in individuals with autism by strengthening whole muscle, enhancing motivation through improvement in self–esteem, and using cognitive techniques to sharpen the child ability in a new task. We encourage mentors to use rainbow parachute games to improve motor development of children with autism spectrum disorder.

    Keywords: Motor Development, Rainbow Parachute Game, Autism Spectrum Disorder Children
  • Hadis Tavakoli, Bahman Akbari*, Arsalan Salari, Alireza Varasteh Page 108
    Background & Objective

    Chest pain is one of the most common reasons for referring people to cardiovascular clinics. The cause of chest pain with non–cardiac origin can be physical or mental. Because mental causes are less of a concern for specialists, therefore, they are more important for diagnosis and treatment. The aim of this study was to determine the effectiveness of acceptance and commitment therapy on quality of life and psychological flexibility in patients with non–cardiac chest pain.

    Methods

    This study was a semi–experimental and clinical intervention, pre–test, post–test, and follow up test (two months later), with the control group. The statistical population of this study included all patients with non–cardiac chest pain referring to Dr. Heshmat Hospital in Rasht city (Northern of Iran) in 2017–2018. All of them were residents of Rasht city. During referrals within three months prior to the beginning of this study, a list of patients referred to the emergency department and echocardiography were extracted. The 40 samples were selected by convenience sampling and randomly divided into two groups. Participants responded to two questionnaires: SF–36 and AAQ–II. The experimental group received 8 sessions of training for 90 minutes based on acceptance and commitment. The psychological flexibility and quality of life of these individuals were first assessed (pre–test), after the end of the sessions (post–test) and again two months later in the next follow–up. The required information was collected by questionnaires as well as the results of the medical examinations of these people. The control group responded to all the questionnaires at the third time, but they did not receive any treatment. The summary of the content of the sessions and activities performed in the ACT group is as follows: Session 1: Introduction and treatment agenda (including familiarity and introduction of exercises); Session 2: Options and setting a course of treatment (behavior change and mindfulness); Session 3: Learning to live with chronic pain (acceptance, values, and mindfulness); Session 4: Clarification of values and objectives; Session 5: Motivation, thoughts and emotions (initiating plans and acting); Session 6: Desire to act, move forward; Session 7: Commitment; Session 8: Practicing and retaining therapeutic achievements throughout life. After collecting data, results were analyzed by T test with independent groups, variance with repeated measurements and Bonferroni method and, using SPSS version 23 software.

    Results

    Mean scores of psychological quality of life scale and physical quality of life scale and psychological flexibility in the treatment group have increased. The results of repeated–measures variance analysis for these three variables in three stages of pre–test, post–test and follow–up showed there was a significant difference in the treatment based on acceptance and commitment on the psychological quality of life (F=7.23, p<0.001‏), physical quality of life (F=13.15, p<0.001) and psychological flexibility (F=74.52, p<0.001). The results of the Bonferroni test for the experimental group showed that there was a significant difference in the psychological quality of life between the two methods (p<0.001), pre–test–post–test (p<0.001), and pre–test–follow–up (p<0.027) but there was no significant difference between the mean post–test and follow–up stages. In the variable of physical quality of life, there was a significant difference between the two pre–test and post–test phases (p<0.001) and pre–test–follow–up (p<0.016), but in comparison no significant difference was observed between the post–test and follow–up stages. In addition, in the case of psychological flexibility, there was a significant difference between the comparison between two pre–test, post–test and pre–test–follow–up (p<0.001). However, no significant difference was observed between the mean post–test and follow–up stages.

    Conclusion

    Overall, the findings of this study showed that admission and commitment therapy is an effective approach to improving the physical and psychological quality of life and increasing the psychological flexibility of patients with non–cardiac chest pain; and can be used as a therapeutic therapy Supplemented with medication.

    Keywords: Non–cardiac chest pain, Acceptance, commitment therapy, Quality of life, Psychological flexibility
  • Seyed Kazem Mousavi Sadati*, Somayeh Paridokht Page 109
    Background & Objective

    Based on some problems in gross movement’s skills (fundamental skills) some students with developmental coordination disorder (DCD) play weaker from their peers. They spend more energy when play. It seems essential to recognize it on time and adopt a supportive and suitable treatment for these students. There is evidence that the effectiveness of exercise training confirms in improvement of coordination, balance, and sensory– perceptual function on children with DCD, but small research has been done on the types of perceptual–motor exercises that can help children with DCD to improve their cognitive and motor skills. The purpose of this study was to examine the effect of some selected physical exercises on the development of fundamental and cognitive skills on these students.

    Methods

    This study was a quasi–experimental, pre– and posttest design. A total of 30 participants were in the study and were randomly assigned to control and experimental groups. One of the criteria for entering the subjects was to gain score from 15 to 46 in the DCD questionnaire based on the American psychological association. The experimental group performed 24 sessions of selected physical exercises. The study variables included locomotor fundamental skills (run, hop, gallop, leap, horizontal jump and slide), object control (striking a stationary ball, stationary dribble, catch, kick, overhead throw, under hand roll), stability skills (static and dynamic balance) and cognitive skills (reaction and delay time, error, problem solving time). All dependent variables were measured before and after introduction of independent variable (exercise training). Test of gross motor development second edition (TGMD2) was used to evaluate locomotor and object control fundamental skills. Stability skills, the validity of this test has been reported 96% and the reliability of this test has been reported at 85% in the locomotor subtest and 78% in the object control subtest. The stability skills were evaluated by static equilibrium test and dynamic star balance test, the interrater reliability ICC of static equilibrium test has been reported more than 0/80 and the interrater reliability ICC of dynamic star balance test 0.82–0.96. Cognitive skill was measured by London tower test, the validity of this problem–solving test, which was performed by using a computer, has been reported 76%.

    Results

    Data analysis was performed using Shapiro–Wilk, Leven, homogeneity of slope regression and covariance test. Results indicated a significance difference from pretest to posttest in experimental group. Exercises training improved locomotor fundamental skills (p<0.001), object control (p<0.001), stability skills (p<0.001) and cognitive skills (p<0.001) in children with DCD. The effect size calculated on motor variables showed that more than 90 percent of the difference between the experimental and control groups in the post test was related to exercise training intervention in the experimental group, while the effect size of exercise interventions in cognitive skills justifies about 50% of the differences between experimental and control groups. However, no significance difference was observed in control group from pretest to posttest.

    Conclusion

    Since there were positive effects of exercises on the motor– sensory function in the students with developmental coordination disorder, therefore we could claim that the motor and physical treatments had an effective rule on the development of motor disorder among these students and an on time treatment can prevent from the next consequences or more social cost. Finally, these students can educate and do their daily jobs like their peers.

    Keywords: Developmental coordination disorder, Perceptual–motor training, Locomotion skills, Manipulation skills
  • Fahimeh Adib Saber, Masoumeh Shojaei*, Afkham Daneshfar, Abbasali Hossein Khanzadeh Page 110
    Background & Objective

    Autism spectrum disorder (ASD) is a neurodevelopmental disorder that occurs in early childhood and is characterized by two main cores of impairment in communication and social interaction, as well as repeated and limited behaviors, called stereotypical behaviors. Stereotypic behaviors refer to behaviors that are repetitive, rigid, invariant, maladaptive, and self–stimulatory. Furthermore, sleep problems are one of the most common clinical difficulty associated with autism. Sleep problems in children with ASD are much more common than other developmental disorders, and the percentage of outbreak is reported to be between 50 to 80%. Sleep disturbances can have detrimental effects on children’s cognitive development and daily functioning in areas such as attention, learning, memory, mood regulation, and behavior. According to past research, there was a direct and positive relationship between the severity of sleep problems and the severity of the symptoms of autism. Aquatics programs have clear benefits for children with ASD. Previous studies have shown that aquatic exercise can be used to improve the behavioral, physical and cognitive problems of children with ASD; but there is some shortage about its effect on sleep habits in ASD. This study aimed to investigate the effect of aquatic exercise on stereotypic behaviors and sleep habits in children with ASD.

    Methods

    This study was an experimental research with a pretest–posttest randomized design with control group. The population consisted of children with ASD, being a member of Guilan Autism Association in Rasht (Guilan province, North of Iran). A total of twenty children with ASD (mean aged 10.9±2.91 years) were selected according to convenience sampling. Inclusion criteria included; male gender (8–14 years), parental satisfaction, and having behavioral and sleep problems, according to parents’ reports. Exclusion criteria also involved having severe autism, being absence more than two times in aquatic exercise sessions and receiving specialized treatment in addition to the usual treatment receiving at their association. The participants were randomly divided into two groups, namely, experimental (N=10) and control (N=10). Experimental group received aquatic training program 60 min, 2 sessions per week/for ten week, including 5 minutes of warm–up, 20 minutes of aerobic exercise, 20 minutes of strengthening training using water resistance, 10 minutes of free swimming and 5 minutes cool–down. The research instruments were the stereotypic behaviors subscale of Gilliam autism rating scale (GARS 2) and Owens children’s sleep habits questionnaire. Parents of both groups completed the stereotypical behavior and sleep habits questionnaire before and after 10 weeks of intervention. Shapiro–Wilk test was used for normality and analysis of covariance (ANCOVA) was utilized to determine if differences existed between pretest–posttest in two groups.

    Results

    Mean and SD of the age of experimental and control group were 11.30 ± 3.36 and 10.50 ± 2.50, respectively. Results revealed that ten weeks aquatic exercise had a significant effect on stereotypic behaviors and total score of sleep habits in children with ASD (p<0.001). Furthermore, the results of the analysis of covariance showed that aquatic exercise had a positive effect on bedtime resistance, sleep onset delay, sleep duration and sleep anxiety, but there was no effect on night wakening, parasomnias, sleep disorder breathing and daytime sleepiness in children with ASD.

    Conclusion

    The results of presnt study showed that aquatic exercise had a positive effect on stereotypic behaviors and sleep habits in children with ASD. Water provides relatively constant somatosensory input, which is an important feature for sensory integration (SI) techniques often used in treating children with ASD. At the same time, because there is less physical stress on specific body parts, the water allows for freer, independent movement. Therefore, it could be concluded that aquatic activities can be a valuable option added to the educational programs to reduce repetitive Behaviors and to improve sleep pattern in ASD.

    Keywords: Aquatic therapy, Repetitive Behaviors, Sleep Behaviors, Autism spectrum disorder
  • Ahmad Gharekhani, Saeid Hassanzadeh*, Gholamali Afrooz Page 111
    Background & Objective

    Reading and understand written content skill is one of the most basic problems in children who are mentally retarded. It can be said that the skill of reading is one of the most basic social and communication problems for children and adolescents with Down syndrome, which is an inability to enter to social world. Learning to low–speed in understanding children with Down syndrome is helped by developing the applied–readable materials to help train and develop skills with regard to serious problems that are in the field of abstract thinking. Applied reading is the ability to read, understand and implement the types of important reading materials in daily life and social situations. The purpose of this study was to develop a particular reading program for children with Down syndrome, and examining its effectiveness on understanding written content in the situations of everyday life.

    Methods

    The research plan was pretest and posttest test types with experimental and control groups. The statistical community included of pupils in elementary school with Down syndrome of Hamedan city (west of Iran), in 2016–17. Samples consisted of 30 children with Down syndrome that were selected and replaced in a randomly in two groups of control and experiment. Research tools include the Persian version of (WISC–R), Persian version of language development test (TOLD–P3) and there were two written texts that written by pretest and posttest test types, to measure understanding of written content, before and after intervention. In order to determine the validity of written texts, the percentage of agreement was used. For this purpose, it determined the achievement of mastery for the test, followed by two parallel forms of this test on a group of 30 students at the same base. Then the percentage of students who gained mastery in both tests was 0.89, respectively. In other words, the reliability coefficient of the test 0.89 was obtained. After conducting the intervention in 12 minutes session, the data were analyzed through the covariance analysis test and by using SPSS software (Ver.25). The application of an applied reading intervention program used in this study aims to develop a novel approach to improve the comprehension of developmental basis skills, linguistic programming of children with Down syndrome to enhance understanding of material and based on reading and listening skills of phonological awareness, psychological pattern–linguistic test of Illinois by the researcher.

    Results

    Univariate analysis and the Kolmogorov–Simonov analysis about the skill of understanding written material in everyday life situations showed significant differences between the average test and test groups, with the superiority of the test group scores (p<0.001).

    Conclusion

    The study showed that mentally retarded children with Dawn syndrome could be taught to learn the word decoding skills and reading new words, and they need to be trained in this regard as children's inability to read Down syndrome is associated with weakness in auditory memory and auditory perception. The results of the data analysis indicated that the applied reading program had a significant effect on the comprehension of written materials. Based on the results of this study, to teachers and pediatricians of children with Down syndrome are recommended to use a reading program that improves understanding of the written material in these children. Thus, the provision of education–based programmers and promoting awareness based on words that have the most everyday use in the natural and immediate environment could be an important step to improve reading performance behind subjective.

    Keywords: Literacy programs, Down syndrome, Understanding
  • Nasim Nateghi, Mohsen Dadashi*, Majid Mahmoud Alilou Page 112
    Background & Objective

    Obsessive-compulsive disorder is a disabling mental disorder that affects the quality of life, social and occupational functioning. Symptoms of obsessive-compulsive disorder are presence of both obsessions and compulsions. Obsessive-compulsive disorder is a complex and heterogeneous disease. If it is not treated, it will chronic. Possibility of recovery without treatment is low. Many treatments for this disorder are suggested including drug therapy, psychotherapy, family therapy, group therapy, electroconvulsive therapy (ECT) and psychosurgery. Today, cognitive-behavioral therapy is a selective method for treatment of obsessive-compulsive disorder. Exposure and response prevention (ERP) therapy is the main approach of cognitive-behavioral therapy for obsessive-compulsive disorder. In new cognitive theories, in the mode of anxiety disorders, metacognitive structures have a special place. Metacognition refers to beliefs and processes that are used to evaluate, adjustment or review and reflection of thoughts. Wells and Mathews have developed a model for obsessive-compulsive disorder, based on which obsessive thoughts engage in metacognitive beliefs related to the meaning of thoughts, and at the same time appeals to behavioral responses that can reduce the risk assessed with obsessive though. In the metacognitive approach, it focuses on revising beliefs about the importance and power of thoughts. The purpose of this study was to determine the effectiveness of metacognitive therapy in improving sign and metacognitive beliefs and thought fusion beliefs in patients with obsessive-compulsive disorder. 

    Methods

    In the present study we used non-congruent, multiple baseline experimental single case study design. Three women with obsessive-compulsive disorder (OCD) were selected from patients who referred to the counseling center of Zanjan university of medical science (Zanjan province, Northwest of Iran) in 2016٫ using purposeful sampling method, along with diagnostic interview and structured clinical interview for DSM-IV (First, Gibbon1997) based on disorders axis I. The efficacy of metacognitive therapy protocol was carried out in three phase of intervention (Baseline, 8 session treatment and 8 weeks follow-up). The data collection tools were the Y-Brown obsessive-compulsive inventory (Goodman 1989) has ten substances. The reliability of this scale is 0.98 and the internal consistency coefficient of 0.9 has been reported. Thought fusion questionnaire (Wells 2001), the questionnaire is a 14-item questionnaire. The Cronbach's alpha is 0.89 and the convergent validity is 0.65. Metacognition questionnaire (Wells 1997), this is a 30-item questionnaire whose reliability is 0.87 and its Cronbach's alpha is 0.93. Data analyzed with visuals inspection, improvement percentage, effect size and reliable change index (RCI) strategies.

    Results

    According to the obtained results, the effect size of three variables measured was high than average. In addition, rate of reliable change index was high (1.98) in all three variables, which is significant in clinical terms. Results showed metacognitive therapy was both clinically and statistically (p<0.05) significant efficient on the reduction of treatment's target severity (signs of obsessive-compulsive disorder (OCD) and metacognitions and thought fusion). 

    Conclusion

    We conclude that metacognitive therapy was effective in improving the metacognitive beliefs and the thought fusion and the improvement of obsessive-compulsive symptoms. Metacognitive therapy has appropriate efficacy in (OCD signs, metacognitive beliefs and thought fusion) reduction of people suffering from OCD.

    Keywords: Obsessive–Compulsive Disorder (OCD), Thought Fusion, Meta Cognitions, Metacognitive Therapy
  • Abbas Motavalli Pour*, Ahmad Beh Pajooh, Mohsen Shokoohi Yekta, Baqer Ghobari Bonab, Aliakbar Arjmandnia Page 113
    Background & Objective

    Attention Deficit and Hyperactivity Disorder (ADHD) is one of the common disorders that occurs in the early stages of childhood development. ADHD is one of the disorders that has a complex and multidimensional nature which can also derived from a variety of factors and affect the various dimensions of individual and social growth of the child. So treatment of this disorder consists of variety of approaches from medication to relaxation. Todays, some studies on attention deficit hyperactivity disorder focused on non–pharmacological therapies and family–based. Regarding this necessity, the goal of this study was to design a family–based cognitive–behavioral play therapy program for students with attention deficit hyperactivity disorder and its effectiveness on the symptoms of this disorder.

    Methods

    The present study was interventional with quasi–experimental design and pre–test, post–test with control group. The sampling method was convenience. The statistical population of this study was the second–grade students of elementary school with symptoms of ADHD. A total of 34 male students of the second grade of elementary school with the symptoms of ADHD –combined type– were selected by convenience sampling method from two elementary schools with about 1000 population. Student of One randomly assigned to experimental group and students of another group randomly assigned to control group. Reviewing the existent literature, resulted in extraction of main components of program that was consist of self-instruction, problem solving, self-control, feelings discrimination, relaxation and attribution retraining. In the next step need assessment resulted in some behavioral problems such as aggression, social skills problems, problems in math and writing. Validation of program done by 3 University professors (for objectives of program) and 3 play therapists (for plays). After validation the protocol, pilot study done on 4 mothers with ADHD children and some corrections done in program. Then the program used in experimental phase. the mothers of the experimental group received 7 sessions (in seven weeks) of training on cognitive–behavioral plays then performed them on their children for 16 sessions (45 minutes) at home, while the control group did not receive any training. The program for training mothers consist of session 1: understanding ADHD; session 2: understanding cognitive–behavioral therapy; session 3: understanding CBPT for ADHD; session 4: training first to fourth plays of program; session 5: training fifth to eighth plays of program; session 6: training ninth to twelfth plays of program; session 7: training Thirteenth to Sixteenth plays of program. The plays in present program consist of: session 1: eye to eye and snowballs; session 2: bit the clock; session 3: electrocardiogram making and guidance; session 4: bit the clock and say, do, say; session 5: opposite pairs, snowballs and lax/iron doll; session 6: classmates; session 7: snowballs and coloring an snake; session 8: electrocardiogram making; session 9: post box and Treasure finding; session 10: color your life and corrective sentences; session 11: three whistle and Bubbling; session 12: making a film and Treasure finding; session 13: the feeling word and corrective sentences; session 14: be careful, exam and cooking; session 15: color your life and who arrive sooner; session 16: who arrive sooner and Bubbling. 

    Results

    After analyzing the data, the results showed that, the family–based cognitive–behavioral play therapy program significantly reduced symptoms of ADHD (p˂0.05). The results have showed that the program's impact has remained strong over a three–month period (p˂0.05).

    Conclusion

    Cognitive–behavioral play therapy use for variety of behavioral problems in children. Goal of this study was to design a family–based cognitive–behavioral play therapy program for students with attention deficit hyperactivity disorder and its effectiveness on the symptoms of this disorder. Results of this study supported the efficacy of cognitive–behavioral play therapy program that performed by mother in home to decrease the symptoms of ADHD. According to the findings of the study, the present cognitive–behavioral play therapy program can be used as a family–based tool to reduce the symptoms of ADHD. Also mothers can be used as main agent of family–based treatments in childhood ADHD.

    Keywords: Attention Deficit Hyperactivity Disorder, Developing Cognitive–Behavioral Play Therapy Program, Family–Based
  • Zahra Ostadian Khani, Malihe Fadai Moghadam* Page 114
    Objective

    The aim of this research was to consider social skills training, cognitive therapy and way of solving the problem of low mobility of Qom welfare by consolidation. 

    Methods

    Research samples was made of 200 disabled people from all parts of the Qom city (center of Iran) that 30 individuals were selected randomly. Samples divided to two groups (15 for control group and 15 for test group) at the age of 20–30 and high school education. They were in an institute under the responsibility of welfare. This method was half–examined and participants were taught in 10 sections each 120 minute for 75 days. Then we gathered information according to pre–examined–past examined plan in control group and implementation hardiness questionnaire Kubasa and Cassidy and Long problem solving procedures. Data were analyzed by covariance. 

    Results

    The results showed that Integrated teaching social skills and cognitive therapy increased psychological hardiness as well as increased problem–solving styles including (failure p<0.001, control p<0.001, creativity p<0.001, confidence p=0.005, style and light to avoid confrontation p=0.016 & p<0.001) were effective. Combined social skills training and cognitive–behavioral therapy for people with motor disabilities reduced their anxiety (especially social anxiety). It also led to increased stiffness (p<0.001), resistance and adaptation to their physical condition and improved problem solving skills.

    Conclusion

    Blended learning social skills and cognitive–behavioral therapy is effective problem–solving and tenacity disability.

    Keywords: social skills, cognitive–behavioral therapy, hardiness, problem solving methods
  • Zahra Noroozi Mehmandoost, Zahra Gholami Heydarabadi* Page 115
    Background & Objective

    Depression is an emotional disorder characterized by changes in mood and excitement. This disorder is a chronic, recurrent, and potentially life-threatening disorder, with symptoms of dissatisfaction, loss of strength and past interests, low self-confidence, feelings of sadness and sin, changes in appetite, and sleep patterns. The prevalence of it in women is almost twice that of men and has the highest prevalence of life expectancy (about 17%) among psychiatric disorders. This impairment leads to personal and family harm, occupational destruction, and interpersonal communication, and generally does not have a focus on natural life. One of the effective factors in the emergence of depression, anxiety, and stress in individuals is based on cognitive models, cognitive distortions, and ineffective attitudes toward conditions. Ineffective attitudes, as an underlying factor in the onset of depression periods, are considered directly or as a vulnerability factor under perceived stress conditions. On the other hand, studies show the role of nougat mood as a personality trait in diagnosing and describing emotions and depression. Mood clutter or emotional deficiency as a cognitive-emotional phenomenon refers to a specific disorder in mental function, which results from the process of automatic inhibition of information and emotional emotions. Many factors, including dysfunctional attitudes and mood disorders, affect the psychological state of depressed women. Therefore, this study aimed to determine the effectiveness of admission and commitment training on ineffective attitudes and mood disorder in depressed women.

    Methods

    In this descriptive, semi-experimental study with a pre-test-posttest-control design with the control group in 2019, 30 depressed women referred to the counseling center in Tehran's 4th district were selected through purposeful sampling and randomly assigned to the experimental and control groups (15 subjects for each group) were placed. The tools were the Beck Depression Inventory (1979), Ellis's inefficient attitudes (1978), and Goughby and colleagues (1994). Admission and commitment therapy conducted in eight sessions for the experimental group, but no intervention used for the control group, and from both groups, the pre-test and post-test performed. Data were analyzed by SPSS 22 using descriptive statistics and covariance analysis (α=0.01).

    Results

    The results showed that the mean scores of the experimental group compared with the control group in inefficient attitudes and its components (100.50±30.22, 87.58±28.93) and mood (65.16±6.42), the mean differences were statistically significant (p<0.001).

    Conclusion

    Based on the results of this study, it can be concluded that admission and commitment therapy has been effective in decreasing dysfunctional attitudes and depression in depressed women. Therefore, the use of commitment and acceptance approach as an effective method in health centers can be implemented effectively. Thus, the use of admission and commitment therapy can help people to improve their psychological characteristics; therefore, counselors, therapists, and clinical psychologists can use the admission and commitment treatment method to reduce inefficient attitudes and mood disorders.

    Keywords: Acceptance- Commitment Therapy, Dyfunctional Attitudes, Alexithymia, Depressed Women
  • Hamid Tahmasian, Yoones Amiri Shavaki*, Mohammad Kamali, Mohammad, Sadegh Jenabi Page 116
    Background & Objective

    Semantics is one of the most important aspects of language acquisition the development of which maybe deviated in severe and profound hearing-impaired. The more words Deaf learned, the better they can communicate with their audience and understand the correct meaning of spoken and written messages of others. This study reports on the development of a lexical-semantic test and investigates its validity and reliability in adults with severe to profound hearing loss.

    Methods

    For the development of the test, a list of high frequency words including 120 words appropriate for literate adults was gathered. Then each word was placed in a sentence context for the purpose of contextualization. Afterwards, some choices were selected according to Haladyna rules. Content validity was assessed according to experts’ ratings and finally 44 questions remained. The test was administered to 35 participants (19 females and 16 males) with severe to profound hearing loss with school diploma, upper diploma and Bachelor of Science, while a group of 35 participants with normal hearing was considered as the control group.

    Results

    The overall average of content validity ratio and index were obtained respectively +1 and 0.923. Cronbach's alpha value was equal to 0.918. In correlation between test-retest scores, there was a positive significant correlation between the scores (r=0.893, p<0.001). Hearing impaired girls’ mean score in comparison with boys’ was significantly higher (p<0.001). There were significant differences in the different educational levels (p= 0.032).

    Conclusion

    The test enjoyed high reliability and validity indices. The mean score of the girls was more than that of the boys. The higher the level of education of hearing impaired persons, the higher their performance on the lexical-semantic test.

    Keywords: Severe & Profound Hearing Loss_Lexical-Semantic Test_Validity_Reliability
  • Roya Nabizade Nodehi, Ahmad Borjali*, Mahnaz Esteki, Noorali Farrokhi Page 117
    Background & Objectives

    Children with dyslexia have long been the focus of psychological and educational studies. Dyslexia is divided into 5 subgroups. In this study, two main types, visual and auditory dyslexia, were examined. Some experts believe that visual and auditory types of dyslexia could be distinguished based on differences between the verbal and non–verbal index of the Wechsler Intelligence Scale, which indicates left and hemisphere performances, respectively. According to some researchers, most childhood neurological disorders, like dyslexia, are due to the lack of brain development at the same rate and imbalance in electrical activities between its different areas, especially in the right and left hemispheres. Executive functions are controlled in the prefrontal lobe of the cortex; they drive how a child will think, plan, control impulses, establish goals and regulate behavior, and engage in other high–level activities. Defect in executive functions also results from the fact that important parts of the brain might not have been properly developed; by training the two hemispheres, the imbalance between the hemispheres could be fixed. Therefore, the current study aimed to investigate the effect of two–hemisphere training on the executive functions of planning and response inhibition of auditory dyslexic students.

    Methods

    We implemented a convenience sampling method for selecting the study samples. The statistical population of the present study included 90 students from the waiting list of two educational centers for learning disabilities in Tehran City, Iran, in the 2016–2017 academic year. Using a quasi–experimental and pretest–posttest design with a control group, 59 students in the second and third grades of primary school were selected according to the research inclusion criteria. Based on the differences between the scores of verbal comprehension and perceptual reasoning in the fourth edition of the Wechsler Intelligence Scale for Children (Wechsler, 2003), 20 students were identified with auditory dyslexia. Then, from auditory dyslexic students, randomly and by drawing lots, half were included in experimental and half in control groups. After obtaining consent from the parents of children, the experimental group received two–hemisphere training after performing pretests; however, the control group received no training. After conducting 16 sessions of two–hemisphere training, posttests were performed in the study participants. To observe research ethics on the non–exclusion of a group from training, the controls were also trained after the implementation of the posttests. The research screening tools consisted of the Clock Drawing Test (Tuokko, 1995); the test’s reliability was obtained as 0.91. Moreover, the Raven Progressive Matrices test for children (Raven, 1956) was used, with the reliability of 0.89–0.95. Other research tools included the Reading and Dyslexia Test (NEMA; Moradi & Kormmi Nouri, 2008), and the Wechsler Intelligence Scale, the fourth edition; the reliability of this version for FSIQ was reported to be 0.97. The computer version of the Tower of London Test (Shallice, 1982) was used in the present study to measure the executive function of planning and organization. The reliability of The Tower of London Test was reported to be 0.79. The Stroop Color and Word Test (SCWT) (Stroop, 1935) was also applied to measure response inhibition capability. The reliability of this inventory was reported as 0.768 for the congruent colored words and 0.904 for incongruent colored words. The obtained data were analyzed in SPSS by Multivariate Analysis of Covariance (MANCOVA) (p<0.05).

    Results

    After adjusting the test effect on the experimental group, in the variable components of planning, including test time (p=0.027), delay time (p=0.038), error (p=0.036) and score (p=0.018); And in the variable components of response inhibition include, consistent response (p=0.017), matching response time (p=0.019), inconsistent response (p=0.004), inconsistent response time (p=0.009) and Interference scores (p=0.013) showed a significant difference.

    Conclusion

    The obtained mean (SD) scores suggested that in all components of the two variables, the performance of planning and response inhibition after the intervention was significantly different in the pretest and posttest of the experimental group. However, these differences were not significant in the controls. The collected results indicated that two hemisphere training was effective in improving the performance of planning and response inhibition of the investigated auditory dyslexic students. It is suggested that, along with other therapeutic methods, two hemisphere training be implemented to increase the academic and cognitive efficiency of dyslexic students and children with other neurodevelopmental disorders.

    Keywords: Two–hemisphere training, Planning, Response inhibition, Auditory type
  • Shahrooz Nemati* Page 118

    Background &

    Objective

    Intellectual and developmental disabilities is a neurodevelopmental disorders characterized by significant limitations both in mental function includes learning process, memory, reasoning and problem solving and in adaptive skills (social practical and conceptual). This condition covers a range of everyday social and practical skills and independence life. This disability originates before the age of 18. Birth of the children with intellectual and developmental disabilities brings major challenges to society as well as families due to their cognitive, affective and behavioral deficits. Traumas, hurts and interpersonal pains caused by personal interactions are one of these challenges that mothers of children with intellectual and developmental disabilities have experienced. Forgiveness defined as a letting go of negative affect (e.g., hostility), negative cognition (e.g., thoughts of revenge), and negative behavior (e.g., verbal aggressive) in response to considerable injustice. In addition, it may involve responding positively toward to offender (e.g., compassion). The aim of this project was to identifying the role of forgiveness on improvement of mother–child interaction and other related variable to interpersonal relation such as mental health, marital satisfaction and psychological well–being in families of people with intellectual and developmental disabilities.

    Methods

    In the current research, a narrative review method was applied. 
    In the same vein with use of key words includes mothers of children with intellectual and developmental disabilities, child–mother interaction and forgiveness at database which are PubMed, Springer, ProQuest, Scopus, Elsevier, and in local data base (Iran) in the Magiran, Sid database, thesis between 1984–2017 was conducted in accordance with research objectives to executed current study.

    Results

    Seven research was related to forgiveness, intellectual, and developmental disabilities. Only on direct project had been studied about the effectiveness of forgiveness on mother–child interaction. This project was carried out in Tehran (capital city of Iran) among 24 mothers of children with intellectual and developmental disabilities. Statistical population in the study was consisted of students mother with intellectual disabilities in academic year of 2013–2014, experimental group had been improved in marital satisfaction, mental health indexes, and mother–child interactions because of intervention. The forgiveness is one of the important positive psychological variables that can be helps the parents of children with intellectual and developmental disabilities through healing interpersonal relationship impairments through decreasing the negative emotions and increasing marital satisfaction and psychological mental health. It reduce the problems of mothers of children with intellectual and developmental disabilities and had a positive impact on mother–child interactions of the family as well. 

    Conclusion

    With use of forgiveness, will be improved impaired relations of the children parents with intellectual and developmental disabilities. This method can help mother–child interactions, providing mental health, and marital satisfaction of families. It also could be used with mother of children with intellectual disabilities as well as other groups.

    Keywords: Forgiveness, Intellectual, Developmental Disabilities, Mother-Child Interaction
  • Parisa Rashidzadeh, Seyed Kazem Mousavi Sadati * Page 119
    Background & Objective

    Loss of balance and falling is one of the health problems in the elderly people who causes a change in their quality of life. Reducing balance and postural control skills is one of the key factors in the aging of the elderly. The aim of the present study was to investigate the effect of cerebellar transcranial direct current stimulation on kinetic variables of postural control and balance of elderly people.

    Methods

    This study was a quasi–experimental, pre– and posttest design. Participants of this study included 20 elderlies (60–75 year–old) of both genders who referred to the Tehran Rehabilitation Center of Red Crescent Society in the summer of 2017. They were selected based on inclusion and exclusion criteria and available and targeted sampling method, and randomly assigned to two “Intervention” (real) and “control” (Placebo) groups. Participants had criteria witch is needed to use transcranial direct current stimulation (TDCS), computerized dynamic posturorghraphy and Huber apparatus based on safety screening questionnaire for TDCS & TACS (transcranial direct current stimulation & transcranial direct alternating stimulation) and gained score cognitively over 23 in mini mental status evaluation (MMSE). The subject's exclusion criteria from the research included these cases: having acute cerebrovascular diseases such as epilepsy, which increases risk of stimulation, acute eczema of the skin, the presence of any metal implants in the brain, having a history of imbalance and frequent dizziness, and fear of electrical stimulation of the brain. After a preliminary assessment of kinetic postural parameters by computerized dynamic posturorghraphy apparatus, intervention group received direct current stimulation over the cerebellum at 2mA and placebo group received sham stimulation, twenty minutes in five sessions. Based on the protocol that used in this study, the anode electrode was placed 2 cm below the occipital inion and the cathode electrode on the right buccinators muscle. At each session, immediately after stimulation, participants performed half–hour equilibrium exercises on the Huber apparatus. After completing five sessions, the kinetic variables of postural control were re–measured by the posturorghraphy apparatus. The computerized dynamic posturorghraphy apparatus was the equitest model of the American NeuroCom company, one of the most advanced kinetic variables assessor apparatus that are used to manipulate effective sensory systems in control posture. This device has a unique evaluation technique that provides quantitative data in posture control and it is a suitable tool for analyzing age–related changes, TDCS device was an ActivaTek Attenda Inc model. The Huber device was the Valence Cedex 09 model, which was used to improve neuromuscular coordination, muscle strength and body posture correction, Sensory integration and motor control improvement.

    Results

    In analyzing the results, Shapiro–Wilk test was used to evaluate the normal distribution of data and Levene's test for equality of error variances between the groups, and after checking the homogeneity of slope regression, covariance analysis was used to determine the difference between the post test scores of intervention and control groups. The results of the study indicated that cerebellar transcranial direct current stimulation had a significant effect on the center of pressure velocity (p=0.020), the center of pressure distance (p=0.037), postural control strategy (p=0.042) and equilibrium composite (p=0.018) on the elderly participants of the experimental group. 

    Conclusion

    The results of this study showed that cerebellar TDCS has beneficial effects on kinetic variables of postural control and balance of elderly people. This can be a good opportunity to promote healthy for the elderly and to develop therapeutic approaches for elderly people with equilibrium disorders. The field of transcranial direct current stimulation and neural rehabilitation are experiencing a new phase with the advent of the cerebellum TDCS. This new knowledge can be useful in understanding the interactions between the cerebral cortex and deep cerebellar nuclei.

    Keywords: transcranial Simulations, elderly, Postural Control, Cerebellum
  • Mahshid Movaghar, Hassan Mirza Hoseini, Majid Zargham Hajebi* Page 120
    Background & Objective

    Depression (major depressive disorder) is a frequent and severe psychiatric illness that negatively affects how one feels, the way one thinks, and how one acts, and it is also treatable. Depression causes feelings of sadness and/or a loss of interest in activities once enjoyed. It can lead to a variety of emotional and physical problems and can decrease a person’s ability to function at school and home. Researchers have identified the factors associated with depression in childhood. Social support is a multidimensional concept defined in various ways, for example, it can be defined as a resource provided by others, as a means to deal with stress, or as an exchange of resources. On the other hand, some scholars have defined social support as the amount of love, companionship, care, respect, attention, and assistance received by the individual or other groups such as family members, friends, and others. Some social support is a social reality, and others see it as a result of the perception and perception of the individual. Sarason considers that social support is a multi–dimensional concept that embraces both real and imaginary dimensions. In sum, perhaps social support is the feeling that the person is at the center of attention of others, that others value him, and that he belongs to a social network. Attitude is a combination of beliefs and excitements that prepare a person in advance to look at others, objects, and groups positively or negatively. Attitudes summarize the evaluation of objects and, as a result, predict or guide future actions or behaviors. Attitude can be defined in terms of learning theories and cognitive approaches. In each of these theories, the concept of attitude is defined differently and emphasizes each of the different aspects of attitude. The purpose of this study was to explain depression based on the direct role of social support and mediating the role of an ineffective attitude in children.

    Methods

    The research method was descriptive and correlational methods. The statistical population of this study was all children of Tehran's welfare centers in 1120 children aged 7 to 12 years in 79 centers in 2018 that 545 children were selected by available sampling method. The research instruments included the Kovacs children's depression inventory (1992), dysfunctional attitude of children questionnaire of D’Alessandro and Burton (2006), Procidano and Heller's social support questionnaire (1983). Data were analyzed using SPSS–22 and AMOS 23 software. Path analysis and Pearson correlation were applied in order to analyze the data.

    Results

    Pearson's correlation showed that ineffective attitude of individual with social support was inverse and significant (p<0.001, r=–0.89) and had a direct and significant relationship with depression (p<0.001, r=0.66). In addition, there was a significant negative relationship between social inefficient attitude and social support (p<0.001, r=–0.86), and there was a direct and significant relationship with depression (p<0.001, r=0.61). The total score of inefficient attitude with social support was inverse and significant (p<0.001, r=–0.88) and had a direct and significant relationship with depression (p<0.001, r=0.64). Social support had inverse and significant relationship with depression (p<0.001, r=–0.43). In addition, at the level of structural equation results, social support can predict depression in children with mediating role of inefficient attitude (p<0.001, r=–0.37).

    Conclusion

    In general, the results of this study revealed that social support with the mediator role of dysfunctional attitude could be a desirable model for predicting depression in children. As a result, the results of this study can be used to identify the type of social support and dysfunctional attitude in psychological counseling in depressed children.

    Keywords: Depression, Social Support, Dysfunctional Attitude, Children.Full-Text [PDF 472 kb] (96
  • Fateme Sheibani Tazraji *, Shahla Pakdaman, Mohamad Karim Khodapanahi, Mahmood Heidari, Fatemeh Bagherian Page 121

    Background & Objective

    In today's world, where many mothers are employed and have little time for their children, children's relationships with adults have become more critical. As far as can be said, their existence has been indispensable to prevent the vacuum in human and emotional relations. Strangely enough, some children tell their grandparents that children care about these relationships. Grandparents can significantly compensate for this lack of human relationships around the child. Relationships with children and grandchildren are usually more prominent in women's lives than men's. As the number of older adults in the international community, and in particular Iranian society in recent decades, has been increasing steadily, and this upward trend will increase significantly in the coming years, as well as the stereotyped perceptions of children. Now, considering what has been said and since Iran is a multi-ethnic country, the present study was conducted to investigate the differences in attitudes toward aging among children of Farsi, Kurdish, Baluchi, and Turkish population.

    Methods

    The present study was a causal-comparative study. The population of this study included all children living in Isfahan (Fars), Sanandaj (Kurdish), Zahedan (Baloch) and Tabriz (Turks) in 2018. In this research, 800 people selected using an available sampling method. The data gathering tool was a researcher-made questionnaire of attitude towards old age. Two-way variance analysis used for data analysis.

    Results

    Findings showed that there is a significant difference between children of different ethnic groups in attitude toward old age (p<0.001). The results of Shafa's follow-up test showed that the attitude of Fars ethnicity was more positive than other ethnicities, Kurdish ethnic attitude was more favorable compared to Turk and Baluch ethnicities and Turkish ethnicity's attitudes toward Baloch ethnicity. The attitude of Baloch ethnicity has been worse than other ethnic groups. Also, the results showed no significant difference in attitude toward aging in each ethnic group between boys and girls (p<0.001).

    Conclusion

    Overall, the study's results showed that children's attitudes to the elderly are influenced by factors such as gender, the level of interaction with the elderly, and the type of their parents' views. Many scholars believe that the attitudes of aging phobia and anti-aging in modern cultures are more than traditional cultures, and believe that the aging period is associated with vulnerability and dependency and that it is passed down from generation to generation. It is also related to social issues.

    Keywords: Attitude towards Aging, Children, Ethnicities
  • Sedigheh Ahmadi, Hossein Ilanlou, Manochehr Rezaee*, Mohammad Bagher Hasani, Davood Mohammadian Page 122
    Background & Objective

    To have a healthy and prosperous society, we need the factors that education has an important place among these factors. Education is one of the key educational pillars of the country, and teachers have an essential role to play in this organization. Psychological well- being is one of the most important components in positive psychology. Wellness feeling has an emotional part and also cognitive ones. People who have a high level of wellness feelings predominantly experience positive feelings. They evaluate positive emotions from their events and environments. While persons with a low level of wellness feelings have an unfavorable appraisal from their life and situations, and they mainly experience negative emotions such as anxiety, depression, and indignation. There are different kinds of existential variables like the purpose and foundation of life, which are scientific variables in researches related to well-being subjects. And other existential variables such as existential vacuum, finding the purpose of life, and accepting death is a predictor of psychological health. The purpose of this study was to determine the effectiveness of existential hegemony education on the mental well-being of teachers.

    Methods

    This study was a semi-experimental and pretest and post-test design with the control group. Among teachers in the city of Takestan in the school year of 2016-2017, a school with 20 teachers was selected in their own way and randomly replaced in experimental and control groups. The instrument of the research was Ryff's psychological well-being (1989). Then, the teachers randomly assigned to two groups of intervention and control (each 10 people) were divided. After substituting the subjects randomly and receiving the pretest from the experimental and control groups, interventional existential healing intervention was performed for 10 sessions of 2 hours in a group and weekly manner for the experimental group, but the control group did not receive. The procedure was followed by pretest, existential heuristic training for the experimental group, and finally, from both groups after the test. The results of the study were analyzed using software, single-variable covariance (SPSS).

    Results

    The findings showed that the psychological well-being of the experimental group increased from 255.70 to 270.10, Single-variable covariance analysis showed that after removing the effect of pre-test, the mean scores of the two groups were significantly different (p<0.001).

    Conclusion

    The results showed that teaching existential consciousness was effective in increasing their psychological well-being and improved it. This study suggests that existential healing education can be applied to teachers and is effective in increasing their mental well-being.

    Keywords: Education, Existential Consciousness, Psychological Well-Being, Teachers
  • Seyyedeh Fatemeh Mousavi* Page 123
    Background & Objective

    Children are a source of energy and happiness for parents, however, if the parent–child interactions are viewed in the family context, it can be seen that parenting is a complex and stressful career and for some people. It is associated with a feeling of exhaustion‎ and lack of energy due to caring of their children. This lack of energy and necessary physical and mental resources for the management of children goes so far as cause to exhaustion and tiredness from parenting role, the emotional distance of children, and the loss of parental efficiency. Therefore, functioning as important dimensions of parental burnout in parents and especially for mothers who are considered as permanent caregivers of children in the family. The parental burnout that has recently been affected by burnout in the professional environment entered to psychological literature and in the context of parent–child interactions, it is associated with environmental, personality, and demographic variables and in the case of stability, cause to negative psychological and physical consequences for children and caregiver. The purpose of current study was to investigate the role of demographic variables in burnout and exhaustion caused by parenting tasks. 

    Methods

    The research method was descriptive and correlation. The statistical population of the study consisted of all mothers, including mothers of children with disability and mothers with non–disabled children living in Qazvin city (North of Iran), among them the research sample consist of 149 mothers including 67 mothers of children with physical–motor and deafness disability and 82 mothers with non–disabled children were selected. Mothers with a disabled child were selected by referring to rehabilitation centers of the disabled under supervise of the general department of welfare and mothers of children with no disabilities were sampled from the public centers of the city, such as parks, sport clubs and cultural centers between summer to autumn of 2018 by convenient and voluntary sampling. After explaining the purpose of the study, taking consent of mothers to participate in the study and ensuring them about confidentiality of their information, they completed the measurement tools. These scales included a questionnaire containing the demographic variables related to parent–child (researcher–made) and parental burnout assessment (Roskam et al., 2017) consist of four dimensions emotional exhaustion, contrast with parenting role in the past, loss of parental accomplishment and emotional distancing. In the present study, the reliability of the subscales and the total scale were 0.91, 0.90, 0.88, 0.69 and 0.96 respectively. Regarding to the aim of the study, to examine the relationship between demographic variables in predicting parental burnout, Pearson correlation test and multiple linear regression were used.

    Results

    Among the parent–related variables, including the age of the mother, the number of children, the level of mother's education, the length of marriage, the age of the mother's marriage, the status of mother's job and child–related variables, including the age of the oldest child and the child's health status that entered into the correlation analysis the results showed the significant negative correlation between the length of marriage (r=–0.18, p=0.04) and the education level of mothers with parental burnout (r=–0.21, p=0.014). There was a significant positive correlation between having a child with disability and parental burnout (r=0.17, p=0.042). Among the variables entered in the regression analysis the results also showed that the education level of mothers (β= –0.25, p=0.003) and the length of marriage had the most power in predicting parental burnout (β= –0.22, p=0.007).

    Conclusion

    The presence of child in the interaction field of couples, especially the child with special needs, imposes the responsibilities beyond the ability of parents particularly, to mothers. Based on the result of the current study considering the variables that cause burnout and exhaustion of in mothers as permanent caregivers and main educators of children is essential in development and richness of parent–child relationships and family stability.

    Keywords: Demographic variables, Disability, Exhaustion due to parental responsibilities
  • Solmaz Babaei Bonab* Page 124
    Background & Objectives

    Multiple Sclerosis (MS) is an autoimmune disease of the Central Nervous System (CNS) and often occurs between the ages of 20 and 40years. It is twice likely to affect women, considering their inflammatory conditions and bodily changes. Due to unclear immune system issues, the disease damages the white matter of myelin and creates numerous plaques in this area. The cause of developing plaque in the disease is the infiltration of lymphocytes and macrophages into the brain and inflammatory reactions. MS is a chronic autoimmune disease, progressively destroys myelin and impairs the CNS in young adults. It has spread throughout the world in recent years. Although the Middle East region is at low risk of developing the disease, its prevalence has increased over the past few years. Iran, as one of the countries in this region, has a moderate to high rate of MS prevalence. Furthermore, due to the high cost of pharmacotherapy for controlling MS symptoms as well as numerous complications arising from them, applying complementary therapies for this disease is rising. Therefore, the current study investigated the effect of selected exercises and ginger consumption on the physical characteristics of young girls with MS.

    Methods

    This was a quasi–experimental study with a pretest–posttest design. The statistical population of the present study included young girls with MS, referring to the MS Society and Welfare Organization of Urmia City, Iran. Forty women with MS were randomly divided into 4 groups of 10; control, placebo, exercise + supplement (ginger), and supplement (ginger). Before and after conducting the protocol, all subjects participated in the tests of muscular strength, muscular endurance, flexibility, and balance. Then, intervention groups conducted Pilate’s exercises, and central stability exercises three sessions per week for an additional 12 weeks. The recipient groups of ginger daily received three grams of ginger after the meal, and the placebo group received three grams of maltodextrin capsules once a day. To analyze the data, Analysis of Covariance (ANCOVA) was conducted in SPSS.

    Results

    The obtained results suggested that in the weight variable, all three intervention groups were compared with the control group (p<0.001), exercise + placebo and exercise + supplement (ginger) (p<0.001) and exercise + supplement group (ginger) with supplement (ginger) (p<0.001); however, there was no significant difference between the exercise + placebo and supplement (ginger) groups. In other words, the exercise + placebo and exercise + supplementation (ginger) groups were superior to the supplement group (ginger) in the weight variable and demonstrated significant decreases in weight. In the BMI, there was a significant difference between the three intervention groups, compared to the controls (p<0.001) and exercise + supplement (ginger) with supplement (ginger) groups (p=0.024). However, there was no significant difference between the exercise + placebo and the exercise +supplement (ginger) groups (p<0.001) as well as the exercise + placebo and supplementation (ginger) group (p=0.685). In other words, the exercise + supplement group (ginger) was superior to other groups in the BMI and revealed a significant decrease in BMI. In the endurance index, all three intervention groups were significantly different from the control group (p<0.001), exercise + placebo, and supplement (ginger) (p<0.001), as well as exercise + supplementation (ginger) and supplement (ginger) groups (p=0.025). However, there was no significant difference between the exercise + placebo and exercise + supplementation (ginger) groups (p=0.497). In other words, the exercise + supplement group (ginger) was superior to the other groups in the endurance variable and suggested a significant increase in endurance. In the strength variable, all three intervention groups were compared with the control group (p<0.001), exercise + placebo and exercise + supplement (ginger) (p<0.001) as well as the exercise + supplement and supplement (ginger) groups (p<0.001); however, there was no significant difference between the exercise + placebo and supplement (ginger) groups (p<0.001). In other words, the exercise + supplement group was superior to other groups in the power variable and indicated a significant increase in power. Besides, the exercise + supplement group (ginger) was superior to the other groups in terms of flexibility and demonstrated a significant increase in flexibility. Finally, in the balance variable, all three intervention groups had a significant difference compared to the controls (p<0.001); however, there was no significant difference between the intervention groups in this regard. In other words, there was no superiority in the intervention type in the balance variable between the study groups.

    Conclusion

    Performing selected exercises with ginger consumption could significantly affect the physical characteristics of people with MS. Therefore, implementing a training program with the use of ginger positively influenced the performance of the studied girls with MS.

    Keywords: Selected exercises, Physical factors, Multiple sclerosis, Young girls
  • Taraneh Khodavirdi, Hossein Eskandari*, Ahmad Borjali, NoorAli Farrokhi Page 125
    Background & Objective

    Among all the types of cancer, breast cancer is the most common type of women's cancer that can cause many challenges for women. The diagnosis of cancer provokes many spiritual crises in the individual. Also, the nature of cancer disease increases the spiritual needs of patients and requires comprehensive care for them. Dealing with the condition can lead to severe crises in one's health; on the one hand, it makes them more vulnerable and, on the other hand, leads to personal and spiritual growth. This study aimed to explain the spiritual needs of breast cancer patients.

    Methods

    This study is a qualitative study conducted with a content analysis approach to explain spiritual needs in patients with breast cancer. The target population of this study was Iranian women with breast cancer. The sample size based on data, and the interview continued until data saturation. As a result, a sample of 14 women with breast cancer recruited at Behnam Deshpour charity resort in spring and summer of 2019. In fact, in this study, after 12 interviews, the data were saturated, and with two more cases, the sample size was 14 women with breast cancer. Inclusion criteria included a diagnosis of breast cancer, age between 30 and 50, female gender, ability to speak, and absence of Cognitive-perceptual disorders in patients and the absence of mental disorders in patient's records. Interest in research participation considered another criterion for inclusion. Also, the exclusion criterion was a lack of fluency in the Persian language during the interview. The main method of data collection in this study was in-depth semi-structured individual interviews. The interviews lasted between 30 and 45 minutes. All conversations were recorded in one session using a special audio recorder application and then transcribed verbatim on paper. Other methods used to collect data were field notes used as a complementary and unverified method of interviewing. The researcher also used reminder writing to collect the data. The research used several questions from a pre-designed and related study topic to guide the interview process and data collection. Data were analyzed using continuous comparisons and compared with each other. Also, to increase credibility, the researcher had a long and close relationship with the subject, the research location, and the participants. All interviews were reviewed by the participants while reviewing the code obtained by the contributors, and corrections made using their comments. The review by the participants and colleagues indicated that the data were verifiable. Also, researcher triangulation (employing more than one researcher to collect, analyze, or interpret data) was another method used to increase the validity of the findings.

    Results

    According to the findings of this study, spiritual needs included two subgroups of existential needs and religious needs, each containing subcategories; existential needs include hope, meaning-seeking, gratitude, courage, forgiveness, human dignity, and religious needs. It includes worship and worship, spiritual safety, closeness to God.

    Conclusion

    In this study, the spiritual needs of patients with cancer were explored in greater depth, which results emphasize the important role of two religious and existential dimensions in patients' spiritual needs. These needs may affect patient satisfaction with care and understanding of the quality of care. As a result, it is necessary to pay more attention to the spiritual needs of these patients in order to improve the quality of services provided to them.

    Keywords: Spiritual Needs, Breast Cancer, Qualitative Research
  • Roghayyeh Mohammadi, Mohammad Narimani*, Abbas Abolghasemi, Somayyeh Taklavi Page 126
    Background & Objective

    Autism spectrum disorders are a group of disorders that the fifth edition of the diagnostic and statistical guide of mental disorders has presented it into the neuro-developmental classification which begins before the age of 3 and in a growth period and various genetic and environmental factors lead to the outbreak of this disorder. Children with autism have problems correlating with cognitive skills. Mental disability is perceived in 80% of these individuals (IQ less than 70). Other problems the individuals are dealing with are socializing and interacting with others in a meaningful and productive way in life stages and impairment in executive functions. There are different interventional methods for the treatment of autism. Two methods of treatment that have enticed the interest of researchers are the Treatment and education for autistic and related communication handicapped children (TEACH) and Neurofeedback. Parents of children with autism spectrum disorders and their educators should consider which therapeutic intervention is the most effective and appropriate one according to the status of disorder. Pursuant to the experimental and theoretical shortage in this area and considering the fact that these children are at a growing age, effectiveness plans have greatly empowered them and prevented the recurrence of their problems. Therefore, the purpose of the present study was to compare the effectiveness of the TEACH and neurofeedback method focusing on the promotion of cognitive, social skills, and daily activities in children with autism disorder.

    Methods

    The research method was half-experimental with pretest-posttest design with the control group. The statistical population included 7-12-year-old children with Autism spectrum, in which 45 eligible individuals and volunteers were selected random sampling and divided into two groups of intervention-educational and neurofeedback intervention and a control group of 15 individuals. Inclusion criteria were: diagnosis of autism by a psychiatrist, age 7-12 years, absence of seizure or control of it, having a moderate to high functional level by administering ASSQ questionnaire, and filling out the consent form by parents. The tools were Autism Domain Assessment Questionnaire (1999), the revised Wechsler intelligence scale (1969), TRIAD social skill assessment (2010), and the Waisman-ADL scale (2013). In addition to the center training programs, the TEACH method and neurofeedback interventions were performed individually in 20 sessions for 45 minutes and twice a week. The control group received only the routine center program. The obtained data were analyzed using SPSS 21 software and assessed T-test, chi-square test Shapiro-Wilk test, Leven's test, Lambda-Wilks test, multivariate analysis of covariance, and Bonferroni's follow-up test. All tests evaluated at the 0.05 level.

    Results

    The t-test and chi-square test showed that the subjects were homogeneous in terms of age and gender (P=0.005). By using Shapiro-Wilk, Leven, and Lambda Wilks tests, the covariance test hypotheses confirmed. The results of the analysis of covariance showed that intervention methods (functional behavior analysis and neurofeedback) were effective on a linear combination of dependent variables, and there was a significant difference between the mentioned groups (p<0.001). Also, the Bonferroni's follow-up test indicated that among the groups that received training and therapy with the groups were in neurofeedback training; there was no significant difference in the variance of cognitive skills with potential and social skills with the probability and daily activities with potential. But, in all three dependent variables, there was a significant difference between the two experimental groups and a control group (p<0.001).

    Conclusion

    According to the findings of this study, it can be concluded that both TEACH and Neurofeedback treatment methods have significant effects on cognitive and social skills and daily activities in children with autism and opting appropriate therapies depends on the environmental conditions and facilities of schools and institutes as well as parents' needs.

    Keywords: Educational Therapy, Neurofeedback, Cognitive Skills, Social Skills, Everyday Life Activities, Autism Spectrum Disorder
  • Fateme Bahrani *, Hassan Boland, Ali Sayadi Page 127
    Background & Objective

    Divorce can be one of the most stressful events in human life; however, some people can experience constructive and permanent changes after this event. Some individuals can grow when they encounter a trauma reaching high levels of personality performance even beyond the past. Posttraumatic growth refers to positive changes in life that resulted from traumatic events. The phenomenon of post–traumatic growth has some important adaptive values for the person involved. The purpose of this study was to provide a model for post–traumatic growth in divorced women. One of the important issues facing a divorced person is how to deal with the new situation, accepting it and even using it to promote personal growth. In this research, some of the issues related to acceptance and growth after divorce were studied. It is hoped that investigating the course of posttraumatic growth in divorced women could cast light on the main problems these women have encountered and the methods and strategies they have used to improve their mental health and quality of life. According to the high rate of family collapse in Iran and all around the globe, promoting “divorce hygiene” is an unneglectable necessity for all social welfare organizations and professionals. The main purpose of this research is achieving a qualitative and native model for Iranian divorced women covering a vast range of effective factors in post–traumatic growth.

    Methods

    The present study was carried out using qualitative method and grounded theory. Based on theoretical sampling and purposeful sampling method, 20 volunteered divorced women were selected according to these criteria: 1. At least 3 years have elapsed since the divorce sentences passed in these women. 2. The person has experienced the painful consequences of divorce, according to her report. 3. Divorced women should not have a history of mental disorder or severe emotional problems divorce. 4. Based on the Tedeschi and Calhoun) 1996), divorced women were scored high and very high and believe that divorce has somehow contributed to their growth. Post–trauma growth inventory (PTGI) (an instrument for assessing positive outcomes) reported by persons who have experienced traumatic events. This 21–item scale includes factors of new possibilities, relating to others, personal strength, spiritual change, and appreciation of life. Data were gathered through semi–structured interviews. The criterion for ending sampling and data gathering process was theoretical saturation– the point at which collecting new information seems to be redundant. After interviewing 18 participants, theoretical saturation was reached and to ensure, two extra interviews were carried out. Data were analyzed based on Strauss and Corbin's continuous comparative method in which a three–step process of coding, open coding, axial coding, and selective coding were used. Initially, the audio file of recorded interviews was transcribed into text and the text was read several times, and the concepts and categories were identified – the open coding. In the second step, the axial coding, the categories and subcategories obtained from the previous step were related to each other and the major classes of categories were developed. In the third and final step, integration and refinement of the categories was carried out, the central category was identified, and a model for post–traumatic growth in divorced women was proposed.

    Results

    Open coding were resulted in 16 categories which then processed distributed through axial coding into causal and intervening conditions, strategies, context and consequences. The central category for the post–traumatic growth model proposed in this research was “individuation and transcendence”. Accepting divorce and moving forward despite her suffering, were identified as causal conditions. For intervening conditions, family factors, earlier factors, children as motivations, psychological hardiness and an exposure–based approach toward new situations, were extracted. For strategies, independent active participation, inter–gender role management, the use of environmental potentials, and intelligent socialization were extracted. In addition, they use strategies such as finding specialized helping, focusing on job and continuing education and using problem solving skills. A somehow personally based spirituality was found as context. Finally, the consequences of the central category were expanding views and experiences, and being more flexible in thoughts and behaviors. 

    Conclusions

    Based on the findings of the present study, divorce as a traumatic event can have constructive aspects and lead to individuation, transcendence, and personal growth. These finding can be used for promoting divorce hygiene.

    Keywords: Divorce, Individuation, transcendence, Posttraumatic growth
  • Zamani L, Molanorouzi K*, Ghasemi A Page 128
    Background & Objectives

    This research investigated the effect of self–regulation on children's gross skills, motor development, and executive functions. Motor development, in the form of fine and gross motor skills, along with cognitive development, significantly affects executive function. It could be considered as the inhibition of response and attention in the future of children and how they perform motor and exercise skills. Developmental interventions can be critical in the development of motor and cognitive skills. There are various practice–related interventions. One of such approaches is self–regulation. Furthermore, executive functions, in the form of cognitive development, are meta–cognitive functions that provide a set of abilities, inhibition, self–initiation, strategic planning, cognitive flexibility, and impulse control. These functions are skills that help individuals to focus on the important aspects of the task and plan it till completion. Executive functions change during the development process and with the age of a child, and gradually help the child to perform more complex tasks. This study aimed to investigate Self–Regulation on Children’s Motor Development and Executive Function.

    Methods

    This was a quasi–experimental study with a pretest–posttest and a control group design. The study subjects consisted of 60 girls aged 7, 9, and 11 years from Isfahan City, Iran, who were selected purposively. Each age group participants were randomly divided into two groups of self–regulating and control groups (n=10). In the pretest phase, children participated in the Bruininks–Oseretsky Test of Motor Proficiency (Vaez Mousavi and Shojaee, 2005) and the Hearts and Flowers Task (a functional executive test) (Davidson et al., 2006). Then, the experimental group received an 8–week interventional program (two times per week, each lasting 60 minutes) in a self–regulation setting. Besides, for each child in a self–regulating situation, a child was placed in a control situation, i.e., participated in developmental interventions in consonance with the child's self–regulation situation and similar to his choices. At the end of the interventions, posttest and follow–up evaluations were performed on the motor and cognitive development variables. Statistical analysis was performed using the repeated–measures Analysis of Covariance (ANCOVA) at a significance level of 0.05 in SPSS.

    Results

    The obtained results concerning gross motor skills revealed the main effect of group in all age groups; 7–year–olds (F=7.00, p= 0.017); 9–year–olds (F=14.88, p>0.001) and 11–year–olds (F=16.31, p> 0.001) was significant. Comparing the study subjects’ means scores suggested that the growth of gross motor skills of the intervention group was significantly higher than that of the controls in all three age groups. Regarding cognitive development at the age of 7 years, the main effect of group was significant (F=5.07, p =0.038). However, in the age groups of 9 and 11 years, the main effect of the group was not significant.

    Conclusion

    The ANCOVA results suggested that providing self–regulation strategies in the training conditions improved the learning performance and the cognitive development of girls aged 7, 9, and 11 years. Therefore, it is suggested that this strategy be used to improve the performance of children's learning and development.

    Keywords: Self–regulation, Executive function, Development, Gross motor development, Bruininks–Oseretsky test, Hearts, Flowers task