FAMILY AND HEALTH
Year:2024 | Volume:14 | Issue:1 (پیاپی 39)|Papers Count:12

AbstractIntroduction: The rapid increase in the prevalence of obesity, which is a multi-causal problem, in the past twenty years, in addition to genetic factors, has been attributed to cultural environmental factors, including family environment, eating and activity. . This research was conducted with the aim of predicting children's body mass index based on the mother's attachment style, taking into account the mediating role of emotional overeating in children.Research method: The research method was applied and of the correlation type, which was done using structural equation modeling. 280 children aged 7-12 years (including 144 boys and 136 girls) along with their mothers were selected to participate in the research by using the purposeful sampling method, based on the referral of nutritionists. Research tools include body mass index (BMI), Hazen and Shaver attachment style questionnaire and emotional eating scale (EES).Findings: The investigated model had a good fit and the results showed that mother's secure, avoidant and anxious attachment styles predict the child's body mass index both directly and indirectly through the mediation of the child's emotional overeating.Conclusion: This research highlights the role of the child's early environment, especially the mother, in the development of childhood obesity.

Abstract: Introduction: Covid-19 disease has led to high workload and challenges to moral values in midwives. This study aimed investigating professional behavior in midwives, who work in the comprehensive urban health centers and hospitals under the auspices of Tehran University of Medical Sciences, during the pandemic of covid-19.Research Method: This cross-sectional descriptive study was performed on 400 midwives working in comprehensive urban health centers and hospitals under the auspices of Tehran University of Medical Sciences. The samples were entered into the study by a multi-stage method with proportional allocation. Data collection tools were a self-report questionnaire including two sections of demographic information and a professional midwifery behavior questionnaire. Data were analyzed by SPSS/25 using descriptive statistics and inferential.Results: According to the results, the rate of professional behavior in midwives working in comprehensive urban health centers and hospitals was 85.50%. The rate of professional behavior in each dimension was: dignity-based behavior dimension (86.81%), evidence-based performance dimension (83.39%), professional ethics dimension (87.88%), dimension Effective communication (81.23%), professional commitment dimension (87.51%). There was no difference between the professional behavior of hospital midwives and comprehensive urban centers midwives during the pandemic of covid-19 (P> 0.05).Conclusion: Despite the high professional behavior of midwives as an active group of health and treatment staff in the covid-19 pandemic, some aspects of professional behavior, such as effective communication, have changed during Covid 19 Pandemic. So, there is a need to empower midwives in this area.

Abstract:Introduction: The aim of the present study was to compare the effectiveness of cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) on Hatfield's love model in heterosexual and unequal couples.Research method: The present research method was a semi-experimental type, which was conducted as a pre-test, post-test, with a control group and a 1-month follow-up. The statistical population of the research included all the couples who referred to the welfare counseling and social emergency centers of Torbat Jam city. Among the statistical population, using the purposeful and available sampling method and based on the score of the Passionate Love Questionnaire by Hatfield and Rapson (1993) in the pre-test, 24 couples (24 men and 24 women) who met the entry and exit criteria were selected to The title of the selected sample, and were randomly replaced in 3 groups of 8 couples (8 men and 8 women) A, B and C (2 experimental groups and one control group) that group A received cognitive behavioral therapy, group B received acceptance and commitment therapy and Group C was the control group that did not receive treatment. In order to analyze the research data, multivariate covariance analysis and post hoc tests such as Benferroni were used.Findings: Data were analyzed with SPSS-22 software. The results showed that both groups of cognitive behavioral therapy (CBT) and acceptance and commitment based therapy (ACT) were effective on Hatfield's love model in unequal couples. But this difference was not significant in Hatfield's love model. Therefore, these two methods can be used to improve marital relations.Conclusion: Therefore, both cognitive behavioral therapy and therapy based on acceptance and commitment can be used to increase love and marital satisfaction between couples.

Abstract Introduction: Children are always the most vulnerable group of society, who are not able to fully protect and support themselves due to various reasons, including their young age and lack of sufficient skills, and they need the support of adults, especially their parents. The aim of this research was investigating the effectiveness of child abuse copping parenting training on, parenting stress and children's behavioral problems in mothers with a history of child abuse in Isfahan.Methods: The research method was a semi-experimental pre-test-post-test-follow-up with control group. For this purpose, 30 mothers with a history of child abuse were available selected among the clients of social emergency centers in 2022 and were randomly assigned in two experimental and control groups. Subjects of both groups answered parenting stress questionnaires and children's behavioral problems in the pre-test, post-test, and two-month follow-up stages. The experimental group received eight 60-minute sessions of Child abuse copping parenting training twice a week. The control group did not receive any training during this period to analyze the data using descriptive statistical methods (mean and deviation standard) and inferential (repeated measurement analysis of variance) were used.Findings: The results of repeated measurement analysis of variance showed that Child abuse copping parenting training reduces parenting stress and children's behavioral problems in mothers with a history of child abuse (P<0.05).Conclusions: According to the results, it can be said that one of the effective ways to reduce parenting stress and children's behavioral problems in mothers with a history of child abuse can be Child abuse copping parenting training.

Introduction: My strength, a set of my actions is considered as one of the basic structures of personality. The normal process of transformation requires my ability to face the demands and conflicts of the institution, order, fTherefore, this research aims to compare the effectiveness of treatment based on acceptance and commitment and intensive short-term dynamic psychotherapy. On the strength of me in women suffering from obsessive-compulsive disorder-practice was done. Research Method: This research was a semi-experimental type with a pre-test, post-test and follow-up plan with a control group. The statistical population of the research included all the patients referred to the consultation centers of Mehr Neuropsychiatric Hospital, Imam Reza and Khorramabad Health Center in the second half of 1401-1402, of which 42 were participants in three short-term dynamic psychotherapy groups (14 people ), the treatment based on acceptance and commitment (13 people) and the control group (15 people) were selected by available sampling and placed in the experimental and control groups and according to the psychological strength questionnaire of Clough et al. (2002) in 3 They responded and the treatment group based on acceptance and commitment during 8 sessions based on the treatment protocol according to Hayes et al. and the control group did not receive training, and the obtained data were analyzed by variance analysis with repeated measurements. Findings: The results showed that the average difference of my strength components in the pre-test-post-test and pre-test-follow-up stages is statistically significant, but the average difference of those scores in the post-test-follow-up stages is not significant. Conclusion: According to the findings, treatment based on acceptance and commitment has increased the average of those components more compared to short-term dynamic psychotherapy. Based on this, it was concluded that the treatment based on acceptance and commitment is a more effective method to increase my strength in patients with obsessive-compulsive disorder compared to short-term dynamic psychotherapy

Abstract: Introduction: drug administration is one of the most important duty of a nurse. Some of the reasons for incomplete implementation of pharmaceutical calculations are poor skill and lack of proper training in pharmaceutical calculations in universities. The aim of this study was to investigate the effect of drug calculation skills education on the performance of nurses working in the Intensive Care Units.Methods: This study was a semi-experimental type, and the studied population consisted of nurses working in the special departments of Fatemeh Al-Zahra Hospital in Sari city, and 45 people were randomly selected. In this way, the nurses who worked in the special departments in the morning, evening and night shifts during the week in the selected hospital and met the criteria for entering the research were examined in one group before and after the intervention, which lasted for two months. It lasted the data of this research was used through a two-part questionnaire for qualified nurses to measure their skill in pharmaceutical calculations. The first part of the questionnaire included 9 questions about the demographic characteristics of the research units, and the second part included 18 questions related to the cognitive skills of pharmaceutical calculation. The data collection tool was a researcher-made questionnaire with a pre-test and post-test design. The data was collected using SPSS software and descriptive statistics (to determine the mean, standard deviation) and inferential (paired t) and Cronbach's alpha. It was examined and analyzed.Results: Mean (standard deviation) and median were equal to 15.6 (± 1.3) and 16 questions, respectively. Paired t-test showed a significant increase in the number of correct answers after the test compared to the number of correct answers before the test (Mean Difference: 5.91, 95% CI = 5.15 - 6.68; p-value: <0.0001). The mean scores obtained from the pre-test increased from 20% to the mean of 100% in the questionnaire after the intervention.Conclusion: The results show that nurses do not have sufficient information and calculational skills of medicine and the authorities are suggested to hold training workshops for them.

Background and purpose: Psychosomatic diseases are physical diseases that psychological factors are effective in starting or aggravating them, and intensive and short-term dynamic treatment can play an effective role in improving psychological symptoms,Therefore, the present study was conducted with the aim of determining the effectiveness of intensive and short-term dynamic therapy on the difficulty in regulating emotions and attachment styles in psycho-physical patients. Materials and methods: The research method was semi-experimental with a pre-test-post-test design and follow-up with a control group. The research population was all psychosomatic patients referred to psychosomatic clinics in Tehran in 1402. Among them, 30 people were selected by available sampling and randomly assigned to two experimental and control groups (15 people). The experimental group received dynamic therapy 15 sessions of 90 minutes, while the control group did not receive any intervention. Two groups with difficulty in emotion regulation and attachment styles were evaluated in three stages. Two-way analysis of variance with repeated measurements was used to analyze the data. Findings: The average scores of difficulty in emotion regulation and attachment styles before the intervention were 72. 25, 58. 36, 24. 08 in the treatment group and 72. 12, 59. 16, 23. 52 in the control group respectively. (p<0. 05), but after the intervention, the average scores of attachment styles in the treatment group increased significantly compared to the control group and showed a decrease in difficulty in emotion regulation (p<0. 01). Conclusion: The results of the study indicated the effect of intensive and short-term dynamic therapy intervention on the improvement of psychological symptoms in the experimental group. With caution, it is recommended to use this intervention as a complementary treatment in psycho-physical patients.

Introduction: People with body deformity disorder suffer from anxiety in different areas of their life due to their perceived defects and they are often attacked by disturbing or unwanted images and thoughts about their physical appearance, and as a result, their quality of life and daily functioning decreases, so the research The purpose of this study was to determine the relationship between sexual schemas and body image through the mediation of perfectionism and dysfunctional beliefs in people with body deformities in the beauty clinics of Mazandaran province. Research Method: The current research method is correlational and structural equation modeling (SEM). The statistical population of the research was made up of people who referred to the beauty clinics of Mazandaran province (the cities of Amol, Babol, Sari and Qaimshahr). Based on Klein's opinion, the sample size was 330 people selected in a purposeful and random way. The data collection tool was Anderson and Siranoski's gender schema questionnaire, Ten Sooto and Garcia's body image satisfaction questionnaire, Trishort et al. 's perfectionism questionnaire, and Wiseman and Beck's dysfunctional beliefs scale. In this research, SPSS22 and Amose23 software were used to analyze the information obtained from structural regression equation modeling. Findings: The results of the research showed that the lower limit is 0. 46 and the upper limit is 0. 65 between the two variables of perfectionism and ineffective beliefs as mediating variables between gender schema and body image. The confidence level for this confidence interval is 95. Considering that zero is outside this confidence interval, this relationship is a significant mediator. Conclusion: considering that the extent to which people pay attention to their appearance largely depends on the schemas related to appearance. These body patterns are used as a cognitive format to evaluate a person's appearance and body image emotions-the body image is the shape that a person has of his body in his mind. When contextual trigger events occur, body image thoughts and emotions trigger adaptive and self-directed activities or coping strategies. Disturbance in these emotional, behavioral and cognitive elements of body image is the core of the pathology of anorexia nervosa, anorexia nervosa and body image disorder.

Introduction: Mate selection is one of the most important decisions that people make in their lifetime. The present study was conducted with the aim of investigating role of gender, age, birth order and the level of education in mate selection criteria of Shiraz students. Methods: The research design is descriptive and the statistical population of this research is all students of Islamic Azad University of Shiraz branch who studied in this branch in 2022. A sample of 377 people (235 women and 142 men) was selected using the step-by-step clustering method and was evaluated by the demographic factors questionnaire and the mate selection criteria inventory (MSCI) were investigated. After collecting the questionnaires with SPSS software version 26, they were analyzed at two descriptive and inferential levels. Results: The results of the analysis of the findings using the multiple regression method in a simultaneous manner showed that gender and level of education play a negative and significant role in mate selection criteria of the participants. Also, the results of the analysis of the findings using the step-by-step multiple regression method showed that among these factors, gender plays the most important role in mate selection criteria. Conclusion: So that women had more criteria to choose their future husband. This could be related to their foresight. From that point, women are thinking about their future and their children, they will prefer a spouse who can best provide their future needs and draw a bright and beautiful future for them.

Introduction: This study was designed and conducted with the aim of comparing the effectiveness of group counseling based on Gutman couple therapy and integrated behavioral couple therapy on marital quality, emotional abuse and frustration of women with addicted husbands in Tehran. Research method: The present study was an experimental method with a repeated measurement design mixed with a control group. The statistical population of the research consisted of all women with addicted husbands who referred to the welfare organization of Tehran city in 1401. The sample of this study was 45 women with addicted husbands who were randomly assigned to two experimental groups and one control group based on the criteria for entering and exiting the study and based on the scores obtained in the questionnaire. Data collection tools were Busby Marital Relationship Quality Questionnaire, Brahimi Emotional Abuse Questionnaire, and Pines Marital Frustration Questionnaire, which were completed by subjects of all three groups in pre-test, post-test and one-month follow-up stages. To analyze the research data, analysis of variance with repeated measurements was used using SPSS 26 software. Findings: The results of the study confirmed the effectiveness of both group counseling methods based on Gutman couple therapy and group counseling based on integrated behavioral theory in improving the quality of marital relationship and reducing emotional abuse and frustration in the post-test and one-month follow-up phase. Conclusion: The findings indicated that the group counseling method based on Guttman's theory was more effective in emotional abuse and frustration than the integrated behavioral method. Also, group counseling based on integrated behavioral theory was more effective in marital quality than the group counseling method based on Guttman's theory.

Introduction: Attention-deficit/hyperactivity disorder is a part of neurodevelopmental disorders characterized by disruptive levels of inattention, disorganization, or hyperactivity-impulsivity. The aim of the present study was to identify the effects of neurofeedback on reducing attention and concentration problems in the visual field of children with ADHD. Research method: The method of the present research was quasi-experimental with a pre-test-post-test design with a control group and was placed in the category of applied research. The statistical population included children 6-11 years old with ADHD and visual problems who referred to the Elixir Psychotherapy Center in the 2nd district of Tehran in 2015. The sample size of this research was 30 people, after the clinical psychologist's diagnosis, the people were tested with accuracy and concentration test (IVA) and were selected non-randomly (purposefully) and randomly replaced in 2 groups of 15 people, control and experimental. Subjects received neurofeedback for 30 sessions of 50 minutes, 3 times a week. The research hypotheses were tested using descriptive statistics methods (mean indices and standard deviation) and for data analysis using inferential statistics methods (univariate and multivariate covariance analysis) SPSS 21 software program has been used. Findings: The results, considering the subscales related to the visual field, the two experimental and control groups had significant differences in the subscales of stability, care and concentration. Conclusion: The results of the analysis of covariance showed that the research hypothesis based on the effectiveness of neurofeedback on reducing attention and concentration problems in the visual field of children with ADHD was investigated, and the results showed that this therapeutic intervention was effective in the subscales of stability, care and concentration. Is.

AbstractIntroductio: Adverse childhood experiences/childhood trauma is a sensitive topic that is rarely addressed. However, childhood trauma can lead to personality change and mental health instability in adulthood; In this regard, the present study was conducted with the aim of explaining and predicting mental health and self-satisfaction based on childhood trauma.Research method: In a descriptive-correlational design, 440 students were selected as a research sample in a multi-stage cluster method among the students studying at the Islamic Azad University of Garmsar branch in the second half of the academic year 1401-1402. Data collection was done using Goldberg et al.'s general health questionnaire, Abbas-Nia's self-satisfaction and Bernstein et al.'s short form of childhood trauma questionnaire.Findings: The research results showed that childhood trauma can only explain and predict mental health. So that emotional abuse and emotional neglect were able to explain 21% of anxiety and sleep disorder. 19% of the impairment in social functions was explained by emotional abuse, physical abuse and emotional neglect. 10% of physical symptoms could be explained by the dimensions of sexual abuse and emotional neglect, and finally 7% of depression could be explained by emotional neglect. Another finding of the research showed that among the dimensions of childhood trauma, only sexual abuse can explain 4% of the variance of self-satisfaction in students.Conclusion: This finding has important consequences in how to understand and treat psychological problems and self-satisfaction in people with trauma experience in clinical environments.