Iranian Journal of Psychiatric Nursing
Year:2023 | Volume:11 | Issue:3|Papers Count:9

2  Introduction: Identifying factors affecting the tendency to risky behaviors is important and necessary, which can be useful in reducing these behaviors. Therefore, the present study was conducted with the aim of investigating the predictors of suicidal behavior with an emphasis on protective factors and risk factors  among prisoners. Method: The method of this research is descriptive-correlation. The statistical population in this research includes the prisoners of Kermanshah Central Prison (Dizil Abad) in the first 6 months of 1401, 250 people who met the criteria for entering the present study and declared their readiness to fill out the research instruments were selected by convenience sampling method. and answered to Millon Clinical Multiaxial Inventory (MCMI), Multidimensional Scale of Perceived Social Support (MSPSS), Conner-Davidson Resilience Scale (CD-RIS), The Suicide Behaviors Questionnaire-Revised (SBQ-R), Schizotypal Trait questionnaire-B form (STB). After collecting the questionnaires, the collected data were analyzed using multiple regression analysis. After collecting the questionnaires, the collected data were analyzed using the multiple regression test simultaneously. Results: The results showed that the results showed that Borderline personality symptoms (β=0.496, P=0.21), Symptoms of antisocial disorder (β=0.144, P=0.001) and Resilience (β = -0.217, P=0.005) provides a meaningful explanation of the suicidal behavior of prisoners. Also, none of the components of social support provide a meaningful explanation of the suicidal behavior of prisoners. Conclusion: Based on the results of this research, borderline and antisocial personality disorders and resilience can play a central role in suicide attempts. Since timely educational and rehabilitation interventions can save time and treatment costs, it is suggested that after identifying prisoners at risk of committing suicide, these prisoners are separated from other prisoners and in classes and training sessions with Emphasis on psychotherapy based on dialectical behavior therapy and psychotherapy based on mentalization and training based on resilience, which has empirical evidence for these disorders, with the aim of preventing suicide attempts.

2Introduction: Since traumatic spinal cord injury involves both the body and mind, in addition to pharmacological and physiological interventions, psychological interventions should also be considered in the management of the problems of this group of patients. The present study was conducted with the aim of determining the effectiveness of group narrative therapy on the mental coherence of patients with traumatic spinal cord injuries. Methods: This clinical trial study was conducted on 32 patients with traumatic spinal cord injury referred to Tabriz welfare counseling center. For the first time, the samples were selected by convenience sampling method and were randomly divided into experimental and control groups. The patients in the experimental group received the group narrative therapy in 8 sessions of 90 minutes. The Flensburg sense of coherence questionnaire was completed before and immediately after the intervention sessions in both groups. Data were analyzed by ANOVA with repeated measures. Results: The mean age of the patients in the experimental group was 45.69±12.53 and in the control group, it was 44.63±12.98 years. In the pre-test, there was no significant difference between the mean mental coherence score of patients in the experimental group (73.06±14.62) and the control group (78.56±10.10) (p>0.05). After the group narrative therapy, the mean mental coherence score of the patients was significantly different between the experimental (88.69±4.60) and control (82.25±9.98) groups. Conclusions: Group narrative therapy can increase the mental coherence of patients with traumatic spinal cord injuries. Therefore, it seems that psychiatric nurses can use this method as a suitable intervention in improving the mental coherence in this group of patients.

2Introduction: Cancer disease can cause body shame in patients by causing physical changes, which needs to be researched. Therefore, the present study was done aimed to investigate the structural relationship model of mindfulness and self-compassion with body shame through body appreciation in cancer patients. Methods: The research method was descriptive and correlational. The statistical population included all cancer patients who referred to the treatment clinics of Bandar Abbas city in 2022 that 200 patients were selected by purposive sampling. Body Image Shame Scale (BISS), Kentucky Inventory of Mindfulness Skills (KIMS), Self-Compassion Scale (SCS) and Body Appreciation Scale (BAS) were used for gathering data. Data were analyzed through structural equations modeling and SPSS-26 and Amos-23 software. Results: The results showed that there is a relationship between body appreciation and body shame with a rate of -0.426. There is a relationship between mindfulness and self-compassion with body appreciation with 0.481 and 0.453, respectively. Also, the results showed that there is a direct relationship between mindfulness and self-compassion with the rate of -0.276 and -0.411 and indirectly with the rate of -0.205 and -0.193 with body shame. Conclusion: According to the findings of this research, it can be concluded that mindfulness and self-compassion can reduce body shame in cancer patients by increasing body appreciation. Therefore, the obtained findings highlight the importance of interventions based on mindfulness and self-compassion to improve body shame in cancer patients.

2Introduction: Patients with beta thalassemia major face various challenges in physical and psychosocial aspects. The need for resilience capacity to overcome these challenges can be effective. Identifying factors affecting resilience can be considered as a framework for designing nursing interventions. The present study was conducted with the aim of determining the mediating role of hope in the relationship between spiritual well-being and resilience among adolescents with beta thalassemia major. Methods: This was a descriptive-correlational study. The statistical population of the research included adolescents aged 11 to 21 years with beta thalassemia major who referred to thalassemia centers in Fars province in south of Iran in 1401, from which 288 participants were selected via convenience sampling method. Paloutzian and Ellison's spiritual well-being questionnaire (1982), Connor-Davidson resilience questionnaire (2003) and Herth Hope questionnaire (1992) were the instruments used in this study. Data analysis was conducted using descriptive tests, Pearson correlation, and a structural equation model in Spss-24 and Amos-24. Results: The results showed that all the fit indices are within the acceptance range of the model. The results obtained from structural equation modeling indicate a positive and significant effect between spiritual well-being and resilience (t=2.78, β=0.25), spiritual well-being and hope (t=2.31, β=0.32), and Hope with resilience (t=2.53, β=0.57). Finally, the indirect effect of spiritual well-being on resilience through hope is significant (p < 0.01, β = 0.052). Conclusions: According to the results of this research, it is suggested to pay more attention to the promotion of spiritual health as a mechanism for improving hope and resilience in the care programs of these patients.

2Introduction: Chronic pain is one of the most common medical problems that affects the lives of patients from biological, social, professional and educational aspects. Objective: The aim of this study was to investigate the effectiveness of emotion focused therapy on anxiety sensitivity and pain catastrophizing in Patients with chronic pain and alexithymia. Method:  This research was a experiential study with pre, post-test and follow-up with control group. The statistical population included all patients with chronic pain in Isfahan city in 1400. Sampling was done by available and voluntary sampling method and in two stages. In this way, 24 patients with chronic pain who scored above 60 in the Tronto alexithymia questionnaire (1994) were selected and randomly assigned to the experimental and control groups (n = 12). The experimental group received online emotion-focused group therapy for 12 weekly sessions and the control group did not receive any intervention. Instruments were Sullivan's pain catastrophizing scale questionnaire (1995) and Taylor and Cox's anxiety sensitivity questionnaire (1998), which were completed in three stages of the research. data were analyzed using repeated measure analysis. Findings: The results of data analysis showed that there is a significant difference between the adjusted averages of anxiety sensitivity and pain catastrophizing in the two groups (P<0.05). Therefore, it can be concluded that emotion focused therapy is effective on anxiety sensitivity and catastrophizing pain in Patients with chronic pain and alexithymia (P<0.05). Conclusion: Considering the effect of emotion focused therapy on research variables, this treatment method can be used to improve Patients with chronic pain and alexithymia.

2Introduction One of the variables that is strongly related to overweight is emotional eating. The aim of the present study was to investigate the relationship between self-split conflicts and emotional eating with the mediation of self-compassion in overweight women. Methods: The research method was descriptive-correlation. The statistical population consists of overweight women with the age range of 20-50 years in the universities of Tehran city. A total of 496 people were selected by Convenience sampling. The research tools included Emotional Eating Scale (EES), Short Form of Self-Compassion Scale (SCS-SF) and The Forms of Self-Criticizing/Attacking & Self-Reassuring  Scale (FSCRS). For data analysis, structural equation method and SPSS software version 25 and AMOS version 24 were used. Results: The results showed the fit of the proposed research model (RMSEA= 0/06). The results showed that self-confident and self-haterdo not have a significant direct effect on emotional eating (P > 0.05), but with effect sizes of -0.06 and 0.07, respectively, they have a significant indirect effect on emotional eating with the mediation of self-compassion (P<0.05). Also, the results showed that the direct and indirect effects of self-insufficiency on emotional eating are significant with  respectively effect sizes of 0.24 and 0.24(P<0.05). Conclusions: Considering self-compassion considering the role of self-split conflicts, can help explain emotional eating in overweight women.

2Introduction: Considering the high statistics of children with autism disorder and the many psychological problems of this group, intervention is necessary to reduce their psychological problems. As a result, the current research was conducted with the aim of determining the effectiveness of play therapy based on cognitive behavioral approach on social anxiety and self-harm behaviors in children with autism disorder. Methods: The present research was a quasi-experimental study with a pretest and posttest design with a control group. The research population was boys with autistic disorder who referred to counseling and occupational therapy centers of Ahvaz city in the second half of 2021 year, which from them number of 24 people after reviewing the inclusion criteria were selected by purposive sampling method and randomly assigned into two equal groups (each group 12 people). The experimental group trained 10 sessions of 45 minutes by play therapy based on cognitive behavioral approach method and the control group remained on the waiting list for training. Data were collected with demographic information form, Connor et al.'s social anxiety inventory (2000) and Sansone et al.'s self-harm inventory (1998) and analyzed with chi-square and multivariate analysis of covariance tests in SPSS-23 software. Results: The findings showed that there was no significant difference between the experimental and control groups in terms of age, educational grad and past time of autism disorder (P>0.05). Also, there was a significant difference between the groups in terms of social anxiety and self-harm behaviors. In the other words, play therapy based on cognitive behavioral approach significantly reduced social anxiety and self-harm behaviors in children with autism disorder (P<0.001). Conclusions: According to the results of this research, psychologists and therapists can use play therapy based on cognitive behavioral approach method along with other treatment methods to improve psychological characteristics, especially reducing social anxiety and self-harm behaviors.

2Introduction: Substance use disorder not only overshadows the addict's life but also creates many problems and inconveniences for the family and spouse of addicts. Therefore, the present study was conducted to develop and validate the package of psychological empowerment of women-addicted spouses and investigate its effectiveness on marital responsibility and mental well-being. Methods: A quasi-experimental method was used with a pre-test-post-test design and a control group. The statistical population of the current study included all women with methamphetamine-addicted husbands in Tehran in 2022, whose husbands had been referred to addiction treatment centers. 30 women were selected by purposive sampling method and randomly assigned to the experimental group (15 people) and control group (15 people). The members of the experimental group participated in 12 sessions (90 minutes per session), but the members of the group did not receive evidence of intervention. Adams and Jones' responsibility questionnaire (1997) and the short version of Ryff's psychological well-being scale (2006) were used to collect data. Data analysis with SPSS software. v21 and at a significance level of 0.05, it was done through univariate analysis of covariance. Results: The results showed that the psychological empowerment package improved the overall score of responsibility and personal commitment, and moral commitment subscales. In addition, the effect of the psychological empowerment package on improving the overall mental well-being score and personal growth, positive relationships with others, and self-acceptance subscales were significant. Conclusion: Regarding that living with an addicted spouse has negative psychological consequences for women, comprehensive attention to the psychological empowerment of this group of women and strengthening it through approaches such as the psychological empowerment package suggested.

2Introduction: Some cognitive and emotional reactions in depressed people have been suggested as predictors of depression. Therefore, it is necessary to identify, evaluate and treat the factors that can contribute to these cognitive and emotional reactions. Therefore, the present study was conducted with the aim of investigating the effectiveness of mindfulness-based cognitive therapy (MBCT) on autobiographical memories, cognitive avoidance and cognitive emotion regulation in patients with major depression. Methods: The present research was conducted in the form of a semi-experimental pre-test-post-test design with a control group. Among the people with major depressive disorder referring to zhuan clinic in Tehran, 40 people were selected using convenience sampling method and randomly assigned to two experimental and control groups. The experimental group received 8 sessions of mindfulness-based cognitive therapy, while the control group did not receive any specific intervention. Williams and Broadbent Autobiographical memory test, Sexton and Dugas cognitive avoidance questionnaire, Garnefsky et al.'s cognitive emotion regulation questionnaire were administered in the pre-test and post-test stages on two groups and the obtained findings were analyzed using multivariate covariance in SPSS-21. Results: There is a significant difference between the two experimental and control groups in the components of autobiographical memories, cognitive avoidance and cognitive emotion regulation, in the post-test stage (P<0.01), which means that mindfulness-based cognitive therapy training significantly improves autobiographical memories (F=11.409, P=0.002), reduces cognitive avoidance (F=10.575, sig=0.003), reducing maladaptive cognitive emotion regulation strategies (F=9.272, P=0.010), and increasing adaptive cognitive emotion regulation strategies (F=8.202, P=0.025) has an effect in the post-test stage. Conclusions: These preliminary findings support the role of mindfulness-based cognitive therapy in improving the recall of autobiographical memories, reducing cognitive avoidance, reducing maladaptive cognitive emotion regulation strategies, and increasing adaptive cognitive emotion regulation strategies. It is suggested that future research should pay more attention to the role of MBCT in improving these components in depressed patients.