International Journal of Health Studies (IJHS - Shahroud University of Medical Sciences)
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The Effectiveness of Dialectical Behavioral Therapy on Emotional Regulation and Marital Conflicts of Women with Borderline Personality Disorder in Isfahan City
Background: This study aimed to investigate the effectiveness of dialectical behavioral therapy on emotional regulation and marital conflicts of women with borderline personality disorder in Isfahan city in Isfahan.
Methods: This is a semi-experimental method with pre-test, post-test, and followed with the control group. To conduct the study, 30 women with borderline personality disorder referring to Isfahan Family Therapy Clinics in 2017, who were willing to participate in the study were selected based on criteria of entry and exit and were randomly divided into two experimental groups (15 persons) and control (15 persons) and complete the pretest, Gross & John (2003) and Marital Conflict Questionnaire (MCQ). The experimental group underwent dialectical behavioral therapy at 10 sessions (weekly and 2 hours) and one week after intervention, both experimental and control groups were subjected to post-test. After the completion of the training and post-test, a one-month follow-up period was completed. The repeated measures analysis of variance was performed using SPSS Statistics ver22. The significant level was set at 0.05.
Results: The results of repeated measures of variance analysis showed that dialectical behavioral therapy had an effect on emotional regulation and marital conflicts. And leads to improved emotional reactions and reduced marital conflicts in women with borderline personality disorder in Isfahan (p-value<0.001).
Conclusions: The effect of this treatment on emotional regulation and marital conflicts of women with borderline personality disorder was stable. As a result, dialectical behavioral therapy as a therapeutic approach is recommended to improve the psychological status of women with borderline personality disorder symptoms.
Keywords: Dialectical behavioral therapy, Emotional regulation, Marital conflicts, Borderline personality disorder
Evaluation of Anthropometric and Cardiometabolic Indices in Professional Drivers
Background: Professional drivers are populations that are exposed to a sedentary lifestyle. A sedentary lifestyle can cause anthropometric, metabolic, and cardiological disorders in individuals. Accordingly, the present study aimed to investigate the anthropometric and cardiometabolic disorders in professional drivers in Shahroud.
Methods: This cross-sectional study was performed on 984 professional drivers (who drove more than 8 hours a day) in Shahroud in 2020. Required information includes metabolic factors (LDL, HDL, cholesterol, fasting blood sugar, and blood pressure) and anthropometric factors (BMI, Waist circumference, Hip Circumference, and Wrist Circumference) extracted from their health records.
Results: In professional drivers, the prevalence of overweight and obesity was 41.6% and 18.9%, respectively. 77.8% had abnormal waist circumference, 3.8% had FBS≥126 mg/dl, 32.8% had LDL more than 130 mg/dl, 31.7% Cholesterol more than 200 mg/dl and 81.8% drivers had HDL less than 45 mg/dl. The mean level of cardiometabolic factors such as SBP, DBP, FBS, and cholesterol was 132.20, 80.56, 97.13, and 190.35, respectively. Also, from view point of anthropometric indices, the average weight, waist circumference, hip circumference, wrist circumference, and BMI was 80.22, 98.59, 103.30, 18.21, and 27.02, respectively.
Conclusions: According to the findings, professional drivers are exposed to cardiometabolic risk factors including FBS, cholesterol, LDL, and blood pressure, as well as anthropometric disorders including increased body mass index, weight, waist circumference, and hip circumference
The Effectiveness of Mental Health Literacy Program in Promoting Emotion Regulation and Mate Selection Attitudes in People on the Verge of Marriage
Background: In a successful marriage, many psychological and physical needs can be met in a safe environment. Choosing a mate is the first and most important step in the marriage process. Towards this end, the present study examined the effect of a mental health literacy program on improving emotion regulation and attitudes towards the selection of a mate in individuals on the verge of marriage.
Methods: The present study applied research in terms of a quasi-experimental research method of pre-test-post-test with a control group. The statistical population of this study included all girls and boys on the eve of marriage in Shahroud in 1400. The scales of the Mate Selection Attitudes Questionnaire (Shahabi Farahani, 2018) and the Cognitive Emotion Regulation Questionnaire (Garnefski and Kraaij, 2006) were used to collect data. The data were analyzed using a multivariate analysis of covariance.
Results: The results of covariance analysis showed that the mental health literacy program led to the improvement of emotion regulation and attitudes towards choosing a mate in people on the verge of marriage (P<0.01).
Conclusion: Considering the results of this study, it is believed that a mental health literacy program will help not only with emotion regulation but also with modifying mate selection attitudes.
Keywords: Mental Health Literacy, Mental Health, Emotion Regulation, Mate Selection Attitudes
Integration of Research, Public Health, and Hospital Interventions as a Successful Model for Controlling COVID-19 Pandemic: A Perspective
The COVID-19 pandemic has been a serious health problem in most countries in the last few months, with every country adopting different preventive and therapeutic measures based on their specific circumstances. The epidemic began in Iran on February 19, 2020, and gradually spread across the country. The epidemic extent varies, and different preventive and therapeutic measures are taken in Iran. Shahroud and Miami Counties, covered by the Shahroud University of Medical Sciences, have experienced the highest incidence of COVID-19 in Iran. However, the epidemic is well controlled by integrating the activities of the health, treatment, and research sectors and using information technology and a proprietary software application. This model can be thus studied as a successful experience.
Keywords: COVID-19, Control, Successful model, Ira
Comparison of the Effects of Core Stability and Balance Exercise on Static and Dynamic Balance and Q-angle of the Students with Genu Varum
Introduction: Genu Varum is one of the most widespread lower limb abnormalities in male young adults. Therefore, this study aimed to compare the effects of balance exercises and core stability exercises on static balance, dynamic balance, rang of motion, muscular endurance and Q-angle in students with Genu Varum.
Methods: The statistical population of the study consisted of forty-five 15 to 18-year-old high school students from Mashhad with Genu Varum who divided into three homogeneity groups. At first, pre-test, McGill protocol, Y-test in three directions, tandem test, star test and parenthesis score evaluated. Then, a group of core stability exercises, received Nissari and Qasemi standard protocols (1393), and one group received balance exercises, including the standard protocol of Razavi et al. (1394), and the control group did not exercise any training. Then the post-test done.
Results: The findings of the study showed that balance exercises and core stability exercises significantly affect the improvement of static balance, dynamic balance, range of motion, muscular endurance and Q-angle. There is also no difference between the degree of effectiveness of balance exercises and core stability training.
Conclusions: Based on the findings, it can be concluded that balancing exercises and core stability can improve the abnormalities of parenthesis and balance knee in students and athletes, and can be used in the physical education curriculum.
Keywords: Genu Varum, Balanced exercises, Core stability exercises
Effectiveness of Cognitive-Behavioral Therapy and Mental Imagery on Hope and Self-Efficacy of Patients with Leukemia and Lymphoma
Background: Cancer treatment accompanies several psychological pressures some of which reduce the quality of life and cause anxiety and depression. The present study aimed to investigate the effectiveness of cognitive-behavioral therapy and mental imagery on the hope and self-efficacy of patients with leukemia and lymphoma.
Methods: The research method was quasi-experimental with a pretest-posttest design and a control group. The statistical population of this study consisted of all male and female patients with leukemia and lymphoma visiting the hematology department of Ayatollah Rouhani Hospital of Babol in 2019. Of them, 45 patients (15 per group) were selected using convenience sampling and randomly assigned to two experimental groups and a control group. The first experimental group received eight 90-minute sessions of individual cognitive behavioral therapy and the second experimental group received ten 90-minute sessions of mental imagery. The control group received no intervention. The research instruments included the Miller Hope Scale (MHS) and Cancer Behavior Inventory (CBI). Data were analyzed using the analysis of covariance.
Results: Findings suggested that cognitive-behavioral therapy and mental imagery have a significant effect on patients’ self-efficacy and hope (Pvalue<0.001). There was no significant difference between the effectiveness of the two therapies.
Conclusions: Considering the effectiveness of the therapies, they are suggested to be utilized extensively along with medical and clinical interventions to improve the psychological well-being of cancer patients.
Keywords: Cognitive behavioral therapy, Imagery, Hope, Self-efficacy, Cance
Comparison of the Effectiveness of Metacognitive Therapy and Cognitive-Behavior Therapy on Intrusive Thoughts of Obsessive-Compulsive Disorder
Background: According to WHO statistics, Obsessive-Compulsive Disorder (OCD) is the tenth most disabling condition. Thus, this study aimed to compare the efficacy of metacognitive therapy (MCT) against Cognitive-Behavior Therapy(CBT) on intrusive thoughts in obsessive-compulsive disorder.
Methods: In this study, a quasi-experimental design was used with pre-tests, post-test, and a control group. The study population was all patients who attended psychological clinics in Tehran, Iran, between August to September 2019. Using a purposeful sampling method, 24 OCD patients were selected from the study population, eight in every two experimental groups and eight in the control group. The experimental groups received 8, 120-minute sessions of therapy once a week. The study instruments were a questionnaire on demographic features and the Thought-Action fusion scale (TAFS). To analyze the data, inferential statistics (Multivariate Analysis of covariance (MANCOVA) by SPSS24.
Results: The results revealed that MCT and CBT treatments had a significant effect on variables (Pvalue<0.05). As observed, there is a significant difference in all subscales between the two groups of experiment and control in pre-test and post-test, after removing the pre-test effect (Pvalue<0.05). Moreover, findings showed that both approaches significantly differ from the control group when comparing variables between the two treatments. However, MCT treatment had the greatest effect.
Conclusions: Both MCT and CBT were found to be effective in reducing intrusive thoughts, though MCT had a greater reduction than CBT.
Keywords: Metacognitive therapy, Cognitive-behavior therapy, Intrusive thoughts obsessive-compulsive disorde
The Effectiveness of Schema Therapy on Aggression and Emotion Dysregulation in Adolescent Girls with Self-harm
Background: Many interventions currently recommended for young people whose self-harm are clinic-based, delivered by mental health clinicians, and primarily aimed to address the underlying mood and personality disorders. This study aimed to evaluate the effectiveness of schema therapy on aggression and emotion dysregulation in an adolescent girl with self-harm.
Methods: The research method was semi-experimental with pre-test & post-test design with the control group. The study population included all female patients with self-harm who had been referred to public and private Center for Psychiatry and Psychology, Aram, during November to January in Tehran District 3, Iran, in 2021. 30 people were selected through purposive sampling method and randomly divided into two groups of experimental (n=15) and control (n=15). Questionnaires such as Aggression questionnaire (AGQ) and The Difficulties in Emotion Regulation Scale (DERS) were used for data collection. The emotional schema therapy was performed for 8 sessions, 90 minutes each for the experimental group, and the control group received none. Multivariate analysis of covariance (MANOVA) and one-way analysis of covariance (ANOVA) on the SPSS software version 23 were used for data analysis.
Results: In this study, participants ranged in age from 12 to 18 years old, with a mean of 15.53 years (SD = 1.84). Results suggest that the schema therapy approach had positive effects on aggression and emotion dysregulation in adolescent\u27s girls with self-harm (P-value<0.001).
Conclusions: Study results showed that schema therapy for aggression and emotion dysregulation was a cost-benefit intervention for adolescent girls with self-harm aged between 12 and 18
The Effect of Perceived Social Support and Spiritual Capital in Psychological Resilience of Martial Athletes
Background: This study aimed to analyze the effect of perceived social support and spiritual capital on the psychological resilience of martial athletes.
Methods: The statistical society of the current research male athletes of martial sports clubs in Kermanshah city among whom the sample was chosen based on random cluster sample. Considering the percentage error to be 0.5, test power to be 0.80, effect size to be 0.15, 160 samples were taken as the sample size for the present study. To heighten the validity of the research and the possibility of the removal of some of the samples, the sample size was considered as 180 people. The data was gathered based on the perceived social support questionnaire by Zimet et al (1988), spiritual capital questionnaire by Golparvar et al (2014), and short-form of resilience by Conner-Davidson and was analyzed through Pierson’s Correlation test and stepwise regression analysis.
Results: The results of the correlation test indicated that both variables of perceived social support and spiritual capital have a positive and significant relation to psychological resilience, respectively (r=0.16, Pvalue=0.03), (r=0.17, Pvalue=0.02). However, the result of stepwise regression showed that perceived social support has the main effect in helping us predict the resilience of martial athletes (Pvalue≤0.05).
Conclusions: Therefore, according to the results, one can claim that upon the increase in perceived social support, the psychological resilience of the martial athletes also increases.
Keywords: Perceived social support, Spiritual capital, Resilience, Martial sport
Comparing the Effects of Solution-based Couple Therapy and Training of Couple Communication Program on the Style of Marital Conflict Resolution
Background: Marital conflicts are the result of a couple disagreeing about personal goals, motivations, values, or behavioral priorities. This study aimed to evaluate the effect of the solution-based couple therapy and training of couple communication program (TCCP) on the marital conflict resolution style of women visiting counseling centers.
Methods: The present study was a quasi-experimental and pre-test-post-test with a control group. The statistical population of this study included all women with conflict (N=240) who were referred to specialized counseling centers for family consolidation in the 19th district of Tehran in 2020. The research sample consisted of 60 people who were selected by the available sampling method and were randomly assigned to three groups (two experimental groups and one control group). After performing the pre-test, solution-based couple therapy and TCCP were performed on the experimental groups, but the control group did not receive any treatment. In the end, a post-test was performed on all three groups. The research instrument included a Rahim Couples Conflict Resolution Styles Questionnaire and data were analyzed by analysis of variance. The significant level was set at 0.05.
Results: The results showed that solution-based couple therapy and TCCP are effective in the marital conflict resolution style of women referring to counseling centers. Also, there is no significant difference between the effectiveness of solution-based couple therapy and TCCP on the marital conflict resolution style of women referring to counseling centers (Pvalue=0.025).
Conclusions: solution-based couple therapy and training of couple communication programs can reduce the marital conflict of women referring to counseling centers to an acceptable level.
Keywords: Solution-based couple therapy, Training program, Marital conflict, Wome