Journal of Rafsanjan University of Medical Sciences
Year:2023 | Volume:22 | Issue:5|Papers Count:9

Background and Objectives: Psychologically, cancer causes a significant decrease in the patient's quality of life. The present study was conducted with the aim of investigating the mediating role of positive psychological functioning in the relationship between mood, overcompensation, and emotional suppression and resilience in patients with gastrointestinal cancer. Materials and Methods: This descriptive research method was correlation type. The statistical population was all patients with gastrointestinal cancer in Shahid Rahimi and Shohada-ye Ashayer Hospitals in Khoramabad City in 2021, and 148 people were selected by purposive sampling. The desired data were collected using Weinberger's Emotional Suppression, Conner-Davidson's Resilience, Young-Rygh's Extreme Compensation, and Rajaei et al. 's Positive Psychological Functioning Questionnaires, and Temperament and Character Inventory. Data analysis was done using path analysis method. Results: The results showed that positive psychological performance has a mediating role in the relationship between temperament and resilience (β=0. 621) and in the relationship between overcompensation and resilience (β=0. 412) (p<0. 001). Also, mood (β=0. 421, extreme compensation (β=0. 365), repression (β=0. 647), and positive psychological function (β=0. 723) have a direct effect on the resilience of patients with digestive cancer (p<0. 001). Conclusion: The results of the present study showed that positive psychological functioning mediates the effect of mood on the resilience of cancer patients. Therefore, it appears that cancer patients with positive psychological functioning can increase their resilience to deal with the negative consequences of cancer.

Background and Objectives: Validating the suicide behavior scale can provide a better assessment of the quality and nature of behavior. Therefore, the aim of this study was to determine the factor structure and validity of the Suicide Behavior Assessment Scale in female high school students in Kerman City in 2021. Materials and Methods: In this descriptive study, statistical population included all female high school students in Kerman city in 2021. A sample size of 682 was selected using cluster random sampling method. Data were collected through two suicide behavior assessment scales and the Cull and Gill’s Suicide Probability Scale. Content validity, convergent validity, structural validity, and internal consistency methods were used to examine the validity and reliability of the scale. Results: Exploratory and confirmatory factor analysis showed that the Suicide Behavior Assessment Scale consists of three factors that explain 62. 88% of the variance of suicide behavior. The content validity ratio and content validity index were acceptable for all questions. This questionnaire, along with the Cull and Gill’s Suicide Probability Scale, with 16 items, had appropriate concurrent validity (p<0. 001). The Cronbach's alpha coefficient for the entire scale was 0. 84 and for subscales ranged from 0. 87 to 0. 95. Conclusion: The 16-item Suicide Behavior Assessment Scale has appropriate reliability and validity for female high school students. Therefore, this scale can be used to evaluate the status of suicide behavior in female high school students.

Background and Objectives: People with stuttering have lost their positive attitude towards themselves and their ability to communicate and show little desire to participate in social communication. The aim of the present study was to compare the effect of mindfulness-based stress reduction (MBSR) with acceptance and commitment therapy (ACT) on dimensions of emotion regulation in adults with stuttering. Materials and Methods: This study was a quasi-experimental type with two experimental groups and one a control group, which was carried out with a pre-test, post-test, and follow-up design. The statistical population included all adults aged 18 to 40 with stuttering who referred to speech therapy and psychology centers in Isfahan city in 2022-2023. The sample size was 45 people who were purposefully selected and randomly divided into two experimental groups and one control group (15 people in each group). The experimental groups received ACT and MBSR treatments during 8 sessions of 90 minutes, while the control group did not receive any intervention. Emotion Regulation Questionnaire (Gross and John, 2003) was used to collect data. Data were analyzed using two-way repeated measures ANOVA. Results: The results of the study indicated the effect of MBSR and ACT on emotion regulation dimensions of stuttering adults (p<0. 001), and the effectiveness of both methods was similar (p>0. 05). Conclusion: According to the results, active specialists in the field of stuttering can consider the use of MBSR and ACT in the treatment of these people, along with other treatments.

Background and Objectives: Running related fatigue in people with a history of COVID-19 can lead to an alteration of ground reaction forces due to electromyography changes. The aim of this study was to compare the peak values of ground reaction forces before and after fatigue in women with a history of COVID-19 and healthy women during walking. Materials and Methods: In the present quasi-experimental study, the statistical sample included 14 women with a history of COVID-19 and 14 healthy women in Ardabil province in 2021, who were selected by convenience sampling. People with the history of COVID-19 had a positive Polymerase Chain Reaction (PCR) test during the disease engagement. Bertec force plate with a sampling rate of 1000 Hz was used to record the ground reaction force data during walking. Data were analyzed using independent two-sample t-test. Results: The results did not show any statistically significant difference in mean changes of pre-and post-test across healthy and COVID-19 women (p>0. 05). However, the values of pre-and post-test mean differences of lateral ground reaction forces approach a significant level (p=0. 055) with a high effect size value (d=0. 83). Conclusion: It appears that the inability to apply a compensatory mechanism during the appearance of fatigue in people with COVID-19 can be a serious reason for the occurrence of injury and reduce joint stability during walking.

Background and Objectives: Occupational noise exposure can be associated with various psychological effects. The present study was conducted with the aim of determining the relationship between noise exposure, annoyance, and loudness perception and social intelligence and general decision-making styles in workers. Materials and Methods: This descriptive study was conducted in a mine in Yazd Province in 2022. In this research, 65 workers were selected by convenience sampling and included in the study. In order to determine the level of noise exposure of workers, dosimetry was performed using a TES-1354 device. According to the sound equivalent level, workers were divided into two groups of permitted and unauthorized noise exposure. Worker's annoyance and loudness perception were determined using a questionnaire. Also, in order to evaluate social intelligence, Silvera et al. 's questionnaire was used. Decision-making styles were evaluated by Scott and Bruce's questionnaire. Data analysis was performed using independent sample t-test, Pearson and Spearman’s correlation coefficients, and chi-square and Mann-Whitney tests. Results: In the present study, there was no significant difference between the two studied groups in terms of demographic variables (p>0. 05). The median score of noise annoyance (p<0. 001) and loudness perception (p=0. 003) were significantly higher in the workers with unauthorized noise exposure. Also, the mean score of the avoidant decision-making style was significantly higher in the workers with unauthorized noise exposure (p=0. 018). Conclusion: In general, the results of the present study showed that unauthorized noise exposure was related to annoyance, loudness perception, and avoidant decision-making style. Considering the non-auditory effects of noise exposure, it seems necessary to implement a hearing protection program in workplaces with unauthorized noise.

Background and Objectives: One of the psychological consequences of the COVID-19 epidemic was the occurrence of suicidal thoughts and attempts among people, especially the medical staff. Therefore, the present study was conducted with the aim of investigating suicidal thoughts and attempts among the treatment staff. Materials and Methods: The present systematic review was performed in relation to the thoughts and attempts of suicide of the treatment staff in April 2023, using search engines SID, Magiran, ScienceDirect, Google Scholar, PubMed, Springer, and Scopus, and also keywords Suicide, Treatment staff, Health care workers, Nurses, Physicians, COVID-19, Coronavirus, and their Persian equivalents. A number of 10 articles were reviewed. Results: The results of this study showed that suicidal thoughts ranged from 6. 31 to 15. 81 percent, and attempted suicide among the treatment staff ranged from 10. 8 to 11. 1 percent. Factors such as poor mental health, low sleep, high stress, low support, low self-confidence, use of psychoactive drugs, income worries, loneliness, social isolation, childlessness, stress caused by the COVID-19 pandemic, depression, anxiety, and previous suicide attempts, were among the most important predictors of suicide attempts. Conclusion: The results of this research, while emphasizing the growth of awareness in the field of causes and methods of suicide among the medical staff, point out to the necessity of this issue that managers and planners of health and medical organizations have to take basic steps in order to formulate suicide prevention policies in epidemics.

Background and Objectives: Satisfaction with the services provided in health centers is one of the tools to improve the quality of services. The present study was carried out with the aim of determining the level of satisfaction among the clients of Anar urban comprehensive health service centers during the covid-19 epidemic. Materials and Methods: This descriptive study was conducted among 322 clients of comprehensive health service centers. The data were analyzed using descriptive statistics, independent t-test, and one-way analysis of variance. Results: In the present study, the lowest level of satisfaction was reported from the waiting time to receive services and the unit providing mental health services. Regarding the level of satisfaction with educational skills, communication skills, and care skills of the personnel respectively 72.66%, 71.11%, and 72.97% of the clients chose the options high and very high. Conclusion: Clients' satisfaction with health services during the Covid-19 epidemic was relatively favorable. It is recommended to reduce dissatisfaction factors and improve satisfaction with the services provided, especially mental health and dental services. Key words: Patient satisfaction, Health services, COVID-19, Health centers, Anar City Funding: This study was funded by Rafsanjan University of Medical Sciences. Conflict of interest: None declared. Ethical approval: The Ethics Committee of Rafsanjan University of Medical Sciences approved the study (IR.RUMS.REC.1399.120). How to cite this article: Tabatabaei Seyed Zia, Neshan Mahdi, Ahmadinia Hassan, Lotfipur Rafsanjani Seyedeh Shirin, Abdolkarimi Mahdi. Satisfaction Assessment of Clients Referred to Urban Health Centers of Anar City During the COVID-19 Pandemic in 2021: A Short Report. J Rafsanjan Univ Med Sci 2023; 22 (5): 539-48. [Farsi]