نشریه مدیریت ارتقای سلامت
سال سیزدهم شماره 5 (پیاپی 69، زمستان 1403)

Mindfulness can be effective in reducing mind wandering and internet addiction. The present study aimed to predict Internet addiction based on mindfulness with the mediation of mind wandering in students of the second secondary school in Tehran.

The research method is descriptive-correlation. The statistical population of the research was all the secondary school students in Tehran in the academic year 2021-2022, from which 200 were selected by non-random sampling method. Research instruments included the demographic questionnaire, "Internet Addiction Test", "Five Facet Mindfulness Questionnaire" and "Mind Wandering Questionnaire". The validity of the instruments was measured using content validity using a qualitative method and reliability using the internal consistency method by calculating Cronbach's alpha coefficient. The collected data were analyzed in SPSS .26 and Amos. 24.

The mindfulness negatively and significantly predicts Internet addiction (β=-0.148, P=0.001). Mind wandering positively and significantly predicts Internet addiction (β=0.393, P=0.001). Mindfulness negatively and significantly predicts Internet addiction through the mediation of mind wandering (β=-0.085, P=0.001).

Mindfulness, with the mediation of mind wandering, predicts Internet addiction in high school students in Tehran. Therefore, it is suggested that health counselors and psychologists reduce their mind wandering and internet addiction by holding mindfulness courses for high school students.

One of the reasons for patients' resistance and the poor effectiveness of treatment approaches is the comorbidity of depression and anxiety disorder. Therefore, the purpose of the present study was to determine the effectiveness of "Cognitive Behavioral Therapy" on difficulties in emotion regulation, intolerance of uncertainty and thought fusion in people suffering from comorbid depression and anxiety.

The present research was semi-experimental with a pre-test, post-test design with a control group. The statistical population of this research included all the people who had referred to psychological centers in Isfahan city with comorbid symptoms of depression and anxiety in 2019. The samples were selected by convenience method from the counseling center of the 5th and 7th regions of Isfahan city. After passing a clinical interview according to DSM-5 and completing the "Beck Depression Inventory, Version 2" and "Beck Anxiety Inventory", finally, 32 people were eligible for the study. The samples were randomly assigned to intervention (16 people) and control (16 people) groups. Data collection was Done with demographic questionnaire, "Difficulties in Emotion Regulation Scale", "Intolerance of Uncertainty Scale" and "Thought Fusion Instrument". Content validity and face validity were measured by qualitative method and reliability was also measured by internal consistency method by calculating Cronbach's alpha coefficient. "Cognitive Behavioral Therapy" was implemented for 10 sessions of 90 minutes for the intervention group and the control group was on the waiting list. The data was analyzed with SPSS .21.

“Cognitive-Behavioral Therapy” in the intervention group caused a significant improvement in the intolerance of uncertainty, difficulties in regulating emotions and mixing thoughts in the post-exam stage. However, the effectiveness of “Cognitive-Behavioral Therapy” was stable only on the uncertainty intolerance variable until the follow-up stage (P<0.05).

The effect of "Cognitive Behavioral Therapy" has shown more lasting changes on the uncertainty intolerance variable than other variables. Considering the negative prognosis and the high complexity of  comorbid depression and anxiety, it is suggested that this intervention be combined and strengthened with complementary therapy for the long-term effectiveness of this intervention on other correlates of this disorder.

Attitude towards infidelity and honesty are among the factors affecting the perceived quality of marital relationship. The present study aimed to predict the perceived quality of marital relationship based on the attitude towards infidelity and honesty.

The research method was descriptive correlation type. The statistical population of the present study included all married women in the 15th district of Tehran in 2023. Among them, 236 people were selected by the convenience sampling method from the neighborhood houses of the 15th district of Tehran. The research tools included demographic scale, "Perceived Relationship Quality Components Inventory", "Attitudes towards Infidelity Scale" and "Honesty Inventory". The validity of the instruments was measured using content validity using a qualitative method and reliability using the internal consistency method by calculating Cronbach's alpha coefficient. The collected data were analyzed in SPSS.26.

The attitude towards infidelity had a significant inverse correlation with the commitment, trust and love components of the perceived quality of marital relationship (P<0.05). Honesty had a significant direct correlation with satisfaction, intimacy, trust, sexual passion and love components of the “Perceived Relationship Quality Components Inventory” (P<0.05). The results of the present model showed that 16% of the variance of perceived quality of marital relationship is predicted based on the attitude towards infidelity and honesty. The regression coefficients showed that honesty (P<0.01, β=0.378) can explain the variance of the perceived quality of marital relationship and was a predictor of the perceived quality of marital relationship.

The attitude towards infidelity and honesty were related to the perceived quality of marital relationship, and honesty predicts the perceived quality of marital relationship. Therefore, it is suggested that family counselors and psychologists focus on people's attitudes towards infidelity and the level of honesty of couples in marital relationship in couple therapy to improve the quality of marital relationship.

Low academic performance is a common problem among students. Therefore, the implementation of psychological interventions in this group is of great importance. The aim of the present study was to determine the effectiveness of "Acceptance and Commitment Therapy" on academic buoyancy and psychological capital in students with low academic performance. 

The research method was semi-experimental with a pre-test-post-test-follow-up design of 2 months with a control group. The statistical population included all female students of the second secondary level of Borujerd city in the academic year of 2023-2024, among them, 30 people were selected by cconvenience sampling method and assigned to the intervention and control groups by simple random assignment. The research instruments included demographic questionnaire, “Academic Buoyancy Scale” and “Psychological Capital Questionnaire". Content validity of instruments was measured by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. After 8 sessions of " Acceptance and Commitment Therapy" for the intervention group, the data were analyzed in SPSS.22. 

" Acceptance and Commitment Therapy” over time has been effective in increasing academic consistency (P=0.01, F=27.21) and psychological capital (P=0.01, F=89.44) in students. 

"Acceptance and Commitment Therapy" was effective in increasing academic persistence and psychological capital of students with low academic performance. It is suggested that in order to increase academic buoyancy and psychological capital, "Acceptance and Commitment Therapy" courses for knowledge Students will be held.

Adolescence, as an important growth period and accompanied by all-round changes, can be associated with many problems. Therefore, the current research was conducted with the aim of developing "Education Based on Psychological Empowerment" and its effectiveness on academic hope and acceptance and action of adolescents.

The current research consists of 2 parts in terms of method. The first part was to design the educational intervention and the second part was semi-experimental with a pre-test, post-test and follow-up plan with the control group. The statistical population of the present study included all the male students of the first secondary level in the first district of Ahvaz city in the academic year of 2023-2024. Among them, 40 people were selected by the convenience non-random sampling method and were replaced by a simple random method using lottery in the intervention group (20 people) and the control group (20 people). The research tools included demographic questionnaire, "Academic Hope Scale" and "Acceptance and Action Questionnaire-II". The content validity of the instruments was measured by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha. After conducting 10 sessions of "Education Based on Psychological Empowerment" for the intervention group, the data were analyzed in SPSS .23.

The findings showed a significant difference between the performance of the intervention and control groups in the score academic hope and acceptance and action in the post-test and follow-up phase (P<0.001).

"Education Based on Psychological Empowerment" is an effective training to increase the academic hope and acceptance and action of adolescents. Therefore, the implementation of such education sessions for adolescents is recommended by education officials, counseling centers and managers of all organizations related to adolescents.

Health anxiety is one of the main factors affecting the mental health of nurses. The aim of the present study was to determine the correlation between psychological distress and Coping with stressful situations, health anxiety in nurses with the mediating role of job burnout.

The present research method is descriptive-correlation type. The research population was nurses working in Dr. Pirouz Hospital in Lahijan in 2023, 200 of them (27 men and 173 women) were selected by non-random and convenience sampling method. Data collection instruments include: demographic data questionnaire, "Kessler Distress Psychological Scale", "Coping Inventory for Stressful Situations", "Health Anxiety Inventory" and "Job Burnout Questionnaire" were completely completed. The content validity ratio of the instruments and reliability was done by calculating internal consistency by calculating Cronbach's alpha coefficient. Data were analyzed in SPSS .22 and Smart PLS. 3.

Psychological distress was correlated directly and positively with health anxiety (β=0.59, t=8.330, P=0.01). Coping with stressful situations with health anxiety had an indirect and negative significant correlation (β=-0.25, t=-2.167, P=0.01). Psychological distress was correlated directly and positively with burnout (β=0.71, t=17.86, P=0.01). Coping with stressful situations with burnout had an indirect and negative significant correlation (β=-0.14, t=-3.158, P=0.05). Job burnout was directly and positively correlated with health anxiety (β=0.24, t=3.57, P=0.001). Psychological distress (β=0.23) correlated directly and positively with health anxiety by mediating burnout. Also, coping with stressful situations (β=-0.169) with the mediation of burnout was correlated indirectly and negatively with health anxiety.

Psychological distress in a direct and positive manner and Coping with stressful situations in a direct and negative manner, due to burnout increases the health anxiety score in nurses. It is suggested that hospital managers provide the necessary support measures to promote the mental health of nurses working in hospitals by holding workshops on burnout and health anxiety.

Meaning in life by improving and affecting people's coping in the face of life crises, causes self-compassion and effective confrontation with stressors such as death anxiety. The present study aimed to formulate a structural model for predicting death anxiety based on meaning in life with the mediation of self-compassion in middle-aged employees of Islamic Azad University Science and Research Branch.

The research method was descriptive correlation type. The statistical population of this research was made up 50 to 65-year-old employees of Islamic Azad University Science and Research Branch in 2023-2024, from whom 308 were selected in a non-random and convenience method. The research instruments included demographic questionnaire, "Templer Death Anxiety Scale", "Meaning in Life Questionnaire" and "Self-Compassion Scale". The validity of the instruments was measured using content validity using a qualitative method and reliability using the internal consistency method by calculating Cronbach's alpha coefficient. The collected data were analyzed in SPSS.26 and AMOS.24.

Meaning in life negatively and significantly predicts death anxiety in middle-aged employees at the 0.01 level. Self-compassion negatively and significantly predicts death anxiety in middle-aged employees at the 0.01 level. Meaning in life negatively and significantly predicts death anxiety in middle-aged employees with the mediation of self-compassion at the 0.01 level.

Meaning in life predicts death anxiety in middle-aged employees through the mediation of self-compassion. Therefore, it is suggested that health counselors and psychologists reduce their death anxiety by holding meaning therapy and self-compassion courses for middle-aged employees.

Attitude towards divorce and justification of extramarital relations are among the factors affecting marital satisfaction. The present study aimed to formulate a structural model for predicting marital satisfaction based on the attitude towards divorce with the mediation of the justification of extramarital relationships in the students of the Islamic Azad University of Garmsar Branch.

The research method was descriptive correlation. The statistical population of the present study included all married students of the Islamic Azad University of Garmsar Branch in the academic year of the second semester of 2022-2023, and among them, 246 were selected by non-random and convenience sampling method. The research instruments included demographic questionnaire, "ENRICH Marital Satisfaction Scale", "Attitudes towards Divorce Scale", and "Justifications for Extramarital Relationships Questionnaire". The validity of the instruments was measured using content validity using a qualitative method and reliability using the internal consistency method by calculating Cronbach's alpha coefficient. The collected data were analyzed in SPSS .26 and Amos v.24.

Marital satisfaction is predicted based on positive (β=-0.300, P<0.001) and negative (β=0.549, P<0.001) attitude towards divorce in students of Islamic Azad University of Garmsar Branch. Marital satisfaction is predicted based on the justification of extramarital relationships (β=-0.523, P<0.001) in the students of Islamic Azad University of Garmsar branch. Positive attitude towards divorce (β=-0.200, P=0.001) and negative attitude towards divorce (β=0.191, P<0.001) predict marital satisfaction through the mediation of extramarital relationship justification.

The marital satisfaction is predicted based on positive and negative attitudes towards divorce with the mediation of justification of extramarital relationships in the students of Islamic Azad University of Garmsar Branch. Therefore, it is suggested that family counselors and psychologists focus on couples' attitudes towards divorce in marital relationship in couple therapy.

Online gaming addiction has a negative effect on the physical and mental health of teenagers. The symptoms of online game addiction can be seen in school-age teenagers. The present study was conducted with the aim of determining the correlation between childhood psychological maltreatment and online game addiction with the mediating role of acceptance and action.

The research method is descriptive-correlation type. The statistical population included all male and female students (teenagers) of the first year of secondary education in Bastak Hormozgan city, who were studying in the academic year of 1400-1401, and 350 people were selected as a sample using a multi-stage cluster random sampling method. Data collection tools included demographic questionnaire, "Online Game Addiction Scale", " Psychological Maltreatment Inventory" and "Acceptance and Action Questionnaire-II". Content validity of instruments was measured by qualitative method and reliability by internal consistency method by calculating Cronbach's alpha coefficient. Data were analyzed with SPSS. 20 and AMOS .20 software.

Emotional unresponsiveness, rejection/intimidation, unethical/not being honest, high expectations/inflexibility, isolation from the components of “Assisted Maltreatment Inventory” respectively with coefficient values of 0.48, 0.41, 0.28, 0.31 and 0.35 They have a significant positive correlation directly with addiction to online games (P < 0.001). Also, emotional unresponsiveness, rejection/intimidation, high expectations/inflexibility, and isolation from the components of “Assisted Maltreatment Inventory” respectively, with coefficient values of 0.16, 0.19, 0.11, and 0.23 with the mediation of acceptance and action as Indirectly, they have a significant positive correlation with addiction to online games (P<0.001).

Childhood psychological maltreatment directly and indirectly with the mediation of acceptance and action have a significant correlation with online game addiction. Therefore, in order to reduce the online games addiction, it is suggested to the education officials to implement training courses on the correct communication methods of parents with their children, and training courses on optimal cognitive strategies during stressful events for students.

Today, job performance is an important and key competitive advantage that can be affected by many factors. The current research was conducted with the aim of developing and psychometrics of "Job Performance Scale" among employees of oil industry health and medical centers in Tabriz and Urmia.

The current research is of methodological type. The items were developed based on the description of general and specific job duties used in health and medical centers of oil industry, the theoretical foundations of job performance health and medical centers organizations, as well as the annual performance evaluation form of employees in the oil industry health and medical centers in Tabriz and Urmia was designed.Content validity was measured using the Waltz & Basel content validity index and the content validity ratio by the opinions of 16 lecturers of management courses at the University of Medical Sciences in Tabriz and Urmia. Construct validity wasinvestigated by exploratory factor analysis, confirmatory factor analysis, convergent validity and divergent validity, on 145 people using a stratified relative random method based on the share of medical and non-medical staff in Tabriz and Urmia cities. Reliability was calculated using the internal consistency method by calculating Cronbach's alpha coefficient and composite reliability on 35 medical staff in the health and medical centers of the University of Medical Sciences in Tabriz and Urmia. Data analysis was done in PLS. 3.

The results of the content validity index showed that 6 terms were removed due to the value of the content validity index less than 79% or the content validity ratio less than 0.49. Also, the findings of exploratory and confirmatory factor analysis showed that the scale has 20 terms and one factor. The results showed convergent validity of 0.79 and divergent validity of 0.71. Finally, reliability was calculated using the internal consistency method by calculating Cronbach's alpha coefficient of 0.78 and combined reliability of 0.89.

"Job Performance Scale" with 20 items and single factor was developed and psychometrically evaluated. It is suggested to use the developed instrument to measure the job performance of employees of health and medical centers in the oil industry.