IRANIAN JOURNAL OF PSYCHIATRIC NURSING (IJPN)
Year:2021 | Volume:9 | Issue:2|Papers Count:8

Introduction: Overeating as a common health problem in the world is associated with several negative health effects and consequences. The aim of the study was to investigate the moderating role of coping styles in the relationship between early maladaptive schemas and binge eating disorder. Methods: The present study was a correlational study. The statistical population of the study included men and women aged 23 to 65 years who referred to health centers in Tehran and also Internet users of these centers and related social media between 2019 and 2020. 409 people were selected by the convenience sampling method. Bing Eating Scale, Young-Rygh Avoidance Inventory, Young Compensation Inventory, and Yang's early maladaptive schemas questionnaire were used to collect data. The analysis method was multiple regression using SPSS version 25. Results: According to the results, overeating disorder had a positive and significant relationship with early maladaptive schemas and coping styles at the level of 0. 01. Also, the interaction of avoidance style and impaired autonomy and performance (β = 0. 19 and P = 0. 03), avoidance style and approval-seeking/recognition-seeking (β =-0. 23 and P = 0. 01) and extreme compensation and scope disconnection and rejection (β =-0. 16 and P = 0. 001) were significant in predicting binge eating disorder (P <0. 05). Conclusions: According to the results, the variable of coping styles in a moderating role acts on the relationship between early maladaptive schemas and binge eating disorder. In other words, early maladaptive schemas at high levels of avoidance and extreme compensation, styles are associated with increased overeating disorder.

Introduction: The formation of restructured families has many effects, but one of the worrying effects are the consequences of these families for children, who can expose them to emotional disorders such as depression, and failure to treat this depression in a timely manner can have lasting impacts on the child's quality of life. The present study aims to investigate the effectiveness of cognitive-behavioral therapy on the depression of children in restructured families. Methods: This research is a quasi-experimental (pre-test, post-test, follow-up with control group). The sample size consists of 20 children who were selected using purposeful sampling among eligible children and randomly assigned to two experimental groups (10 children) and a control (10 children). The Achenbach questionnaire (parental form), was used to collect data. The obtained data were analyzed by SPSS-22 software. Results: The results of variance analysis with repeated measurements between the subjects of the experimental group and the control group showed a significant difference in the dependent variable, i. e., depression. Conclusions: According to the results of the study, it seems that cognitive-behavioral therapy has been able to reduce the rate of depression caused by environmental events related to the restructured family situation in children, using its techniques such as cognitive reconstruction, rumination reduction, problem-solving training, improving psychological awareness and psychological resilience as well as the ability to recognize and deal with emotions. Therefore, this treatment can be used as an effective treatment to reduce depression in children in these families.

Introduction: Infertility is associated with numerous complications and negative consequences. The aim of this study was to investigate the moderating role of family resilience in the relationship between mental health and marital boredom in infertile women. Methods: The present study was a correlational study. The statistical population included infertile women referring to the infertility ward of Khatam Al-Anbia Hospital in Tehran in 1397-1397. Through available sampling, 361 people were selected to participate in the study. The Couple burnout measure, Family Resilience Assessment Scale and the General Health Questionnaires were used to collect data. Regression and 23-SPSS methods were used to analyze the data at a significance level of 0. 01. Results: According to the results, the correlation coefficient between mental health and (-0. 46) and family resilience (-0. 31) with marital boredom were all significant at the level of 0. 01. Considering the interactive effect of mental health and family resilience at a level less than 0. 01 (SE=05/0, P< 0. 01, β =0. 22), it can be concluded that family resilience has a moderating role in the relationship between mental health and marital boredom. Conclusions: According to the results, the family resilience variable in a moderating role has a positive effect on the relationship between mental health and marital boredom of infertile women. In other words, mental health at high levels of family resilience predicts a reduction in marital boredom.

Introduction: Marital satisfaction is important in the continuation of the main marital life and it is important to identify the factors and effective interventions in strengthening it. The aim of this study was to evaluate the effectiveness of cognitive-behavioral therapy on early maladaptive schemas of women with marital problems. Methods: The present study was a quasi-experimental with pre-test-post-test design and control group. The statistical population included all women referring to counseling centers in Tehran in 1398. Among them, 32 people were selected by the purposive sampling method based on the inclusion criteria and randomly assigned to the experimental and control groups (16 people in each group). The experimental group underwent 12 sessions of 90 minutes of cognitive-behavioral therapy. No action was taken for the control group. Data collection tools were the Young Schema Questionnaire and the Spanier Dyadic Adjustment Scale. Data were analyzed using multivariate analysis of covariance SPSS 21 software. Results: The results showed that both groups are homogeneous in terms of demographic information. The results showed that cognitive-behavioral therapy is effective in reducing early maladaptive schemas in women with marital problems. The difference between the mean of early maladaptive schemas, except for the emotional deprivation and defect schemas were statistically significant in the research groups (intervention and control groups) in the post-test stage (P≥ 0. 001). Conclusions: According to the results, behavioral cognitive therapy can be used as an effective intervention especially in improving early maladaptive schemas in designing programs related to promoting family health and couple relationships.

Introduction: Social health is one of the dimensions of health, which interacts with the physical and mental dimensions of health. The aim of this study was to design a structural model of social health of employees of health centers in the south of Kerman province based on cultural intelligence variables and religious values. Methods: This is a correlational study of structural equations. The statistical sample of this study included 350 employees of health centers in the south of Kerman province in 1397 who were selected by multi-stage cluster sampling. To collect the data, Ang et al. Cultural Intelligence Questionnaire, Keyes Social Health Questionnaire and the Researcher-Scale Religious Values Scale were used. Data were analyzed using Pearson, Bootstrab and Sobel correlation coefficient tests. Results: The direct effect of cultural intelligence (0. 25) and religious values (0. 28) on the social health of nurses in health centers is significant (P<0. 01). Also, the indirect effect of cultural intelligence (t-value=2) mediated by moral values was significant. Findings also showed that between cultural intelligence (r= 0. 289), motivation component (r=0. 211), cognitive component (r=0. 308), behavioral component (r= 0. 217), religious values (R= 0. 286), moral component (r = 0. 217), devotional component (r=0. 257) and belief component (r=0. 216) have a positive and significant relationship with social health. The results showed that the value of the R2 coefficient is equal to 0. 180, which means that cultural intelligence and religious values explain 18% of the variance of nurses' social health. Findings related to simultaneous multiple regression showed that both predictor variables have a significant role in predicting nurses' social health, so that cultural intelligence (p=0. 005, β =0. 457) and value Religious students (p= 0. 005, β =0. 398) positively predicted the social health of nurses. Conclusions: Considering the direct and indirect effects of cultural intelligence factors and dimensions of religious values on the level of social health of employees, it seems that by strengthening cultural intelligence and religious values, the social health of employees can be increased.

Introduction: Psychiatric wards nurses are face many problems, especially in the field of health. Therefore, present research aimed to investigate the role of positive meta-emotions and metacognition in predicting subjective well-being of psychiatric wards nurses. Methods: This study was a cross-sectional from type of correlation. The research population was nurses of psychiatric wards of Urmia and Tabriz cities in the spring and summer seasons of 2018 year with number of 196 people. All of them were selected as a sample by census sampling method. The research tools were the questionnaires of Beer & Moneta positive meta-cognitions and meta-emotions (2010) and subjective well-being Keyes & Magyar-Moe (2003). Data were analyzed by methods of Pearson correlation coefficient and multiple regression in SPSS-21 software at the significance level of 0. 05. Results: The finding showed that positive meta-cognitions and meta-emotions (r=0/55) and the components of confidence to interpreting own emotions (r=0/51) and confidence to setting of goals (r=0/44) had a positive and significant relationship with subjective well-being of psychiatric wards nurses (P<0. 01), but the component of confidence to extinguishing thoughts (r=-0/08) hadn’ t significant relationship with their subjective well-being (P>0. 05). Also, the positive meta-cognitions and meta-emotions and their components were able to predict 30 and 39 percent from the variance of subjective well-being of psychiatric wards nurses, respectively (P<0. 001). Conclusions: According to the results, planning to improve the subjective well-being of psychiatric wards nurses is essential through the promotion of positive meta-emotions and meta-cognition. As a result, health professionals can improve their subjective well-being through increasing positive metaemotions and meta-cognition.

Introduction: Resilience and life expectancy of patients are among the most crucial psychological concepts that have been mentioned in previous research for their importance in effectively dealing with cancer-related problems. The present study aimed to investigate the effect of mindfulness-based stress reduction intervention on resilience and life expectancy of gastrointestinal cancer patients. Methods: The present study is a quasi-experimental study with a pretest-posttest design with a control group. The statistical population of the study included patients with various gastrointestinal cancers in Rasht who referred to medical centers (Razi hospital and Beasat clinic) in the period from September to January 2019-2020; 60 participants were selected by random sampling method and randomly assigned to experimental (n = 30) and control (n = 30) groups. The experimental group received 8 sessions of mindfulness-based stress reduction intervention compared to the control group. Research tools included the Connor-Davidson Resilience Questionnaire (Connor & Davidson, 2002) and the Hope Scale (Snyder et al., 1991). Data were analyzed by SPSS24 by using multivariate analysis of covariance (MANCOVA). Results: Based on the findings, mindfulness-based stress reduction intervention improved resilience and life expectancy of the experimental group participants (p<0. 01). Conclusions: Improving resilience and life expectancy is recognized as a critical part of the cancer treatment process. The present study shows that mindfulness-based stress reduction intervention with emphasis on relaxation techniques such as meditation can be an effective way to improve resilience and life expectancy in patients with gastrointestinal cancers which ultimately lead to increased patient adaptation. Therefore, it is recommended to utilize mindfulness-based stress reduction intervention to enhance the coping capacity of cancer patients.

Introduction: Fear of emergence in society and social discourse is one of the most common types of social fears and this disorder is recognized as a multifaceted disorder. Therefore, the present study was conducted to determine the effectiveness of virtual reality package on social panic and social lectures. Methods: This study was a quasi-experimental study with a pretest-posttest design and a two-month follow-up with a control group. The statistical population of the present study consisted of managers of the IT department in Tehran in 1399, from which 30 people were selected by convenience sampling and randomly divided into two groups of experimental (15 people) and control (15 people). The experimental group underwent virtual reality treatment protocol for 12 sessions (15 minutes each session). But no intervention was done for the control group. Both groups responded to Conner et al. 's (2000) list of social phobias at different stages. Analysis of variance mixed with repeated measures and Bonferroni post hoc test using SPSS software version 23 were used to analyze the data. Results: The results showed that the virtual reality package was able to fear (F = 23. 08; P <0. 001), avoidance (F = 13. 590; P <0. 001), physiological discomfort (F = 23. 88; 001 P <0. 05) and social phobia in general (F = 67. 54; P <0. 001) significantly improved and the results were lasting in the follow-up period (P <0. 05). Conclusions: The results showed the effectiveness of virtual reality therapy protocol in reducing the symptoms of social phobia and social speeches. Therefore, this method can be used as a new treatment method to treat social phobia and other similar disorders.