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Tayebeh Ghafari Aghdam; Afsaneh Taheri; Nasrin Bagheri
Abstract
Objective: Students with a wide spectrum of personal, social and educational obstacles are faced with a broad spectrum of personal, social and educational obstacles that influence their welfare or well-being; however, the general health of students in the university, especially to deal with obstacles ...
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Objective: Students with a wide spectrum of personal, social and educational obstacles are faced with a broad spectrum of personal, social and educational obstacles that influence their welfare or well-being; however, the general health of students in the university, especially to deal with obstacles in educational and educational environments, depends on their well-being and self-care behaviors. On the other hand, it can be said that ensuring healthy life and promoting well-being in all ages is one of the goals of sustainable development of the world health organization until 2030. A promising strategy to promote health for all and improve health outcomes is self-care, an individual-oriented approach that is based on human rights and equity in health. However, the world health organization emphasized the urgent need to better conceptualize self-care to support clinical and interventions. Self-care is important at all stages of life and health status to promote well-being, prevent disease, and improve health outcomes. Currently, there is a need to better conceptualize self-care in the general adult population and provide an instrument to measure self-care in this group. Therefore, the aim of this study was to psychometric properties of the persian version of the self-care inventory and its relationship with internet addiction and self-esteem in students University. Method: The method of the present research is applied in terms of its purpose and descriptive in terms of survey type, which is considered quantitative research. The statistical population of the study was students University of Islamic Azad University, Rodehen Tehran city in winter year 2025. The sample size was selected based on Klein's model and with subjectivw sampling of 300 students University to be a undergraduate. complete consent for the study and the right to withdraw from continuing research and lack of physical and psychological disorders were based on the students' self-report, lack of complete accountability to questions of questionnaires, lack of necessary information for participation in the research was the criteria of departure. Data collection tools include the self-care inventory (SCI) of Luciani and et al (2022), internet addiction test (IAT) of Young 1998) and Rosenberg self-esteem scale (RSEs) of Rosenberg (1989). The internal consistency, as well as the internal consistency (Cronbach's alpha), composite reliability, Omega coefficient, exploratory, confirmatory, criterion validity, convergent and divergent validity, and Pearson correlation coefficient were evaluated using the SPSS software version 29 and AMOS software version 24. Results: The results indicated that this scale had a one-factor structure with an explained variance of 89.49%. Cronbach's alpha was 0.90 to 0.96, composite reliability was 0.79 to 0.82, and Omega coefficient was 0.87 to 0.89. The results of the factor analysis confirmed the one-factor structure of this scale (RMSEA=0/05, GFI=0/96, TLI=0/91 and SRMR=0/04). In this study, the parameter estimation method used was the maximum likelihood (MLE) method. According to the results, the RMSEA index was 0.07, and the root mean square residual (SRMR) was 0.04; therefore, it can be concluded that the model has a very good fit with the data and is appropriate. Additionally, the 95% confidence interval around the RMSEA index is between 0.047 and 0.056, which indicates a favorable state of model fit. The results of the correlation test also showed the positive correlation of this scale with self-esteem (r=0/53, p<0/01) and negative correlation between internet addiction (r=-0/63, p<0/01) with self-care, which convergent validity of this instrument. Conclusion: This research aimed to psychometric properties of the persian version of the self-care inventory and its relationship with internet addiction and self-esteem in students University. It can be said that is one of the most important factors that is considered in the use of a scale. In this study, convergent, divergent and concurrent validity were used to construct validity of scale .The coordination of the factor structure of this scale with its theoretical structure, is considered as an indicator of construct validity for this scale. In this regard, it can be said that in the validity of the structure, factor analysis method is powerful and inevitable. In this study, the omega factor and omega ratio in the range of 0.87 to 0.89 were obtained which indicates that the persian version of self-care inventory with very high accuracy or reliability of self - care behaviors will measure .how self-esteem can affect the psychological and physical function of the person can be said that self - esteem will lead to better management of our lives and have a higher value to deal with these challenges. Therefore, students who have higher self-esteem could be better self-care because of their ability to cope with different problems. It is reasonable to say that self-care is positively correlated with sel -care in students. It could be said that the Persian version of the self-care inventory has acceptable validity and reliability and its factor structure is reliable. Since this study was conducted in Tehran, it is suggested that such a study be repeated in other cities due to cultural, ethnic, and religious differences. In summary, it can be said that the Persian version of the self-care inventory is promising as an effective screening tool for identifying self-care behaviors and measuring the level of self-care in students, which has not previously existed in Iran. Using an appropriate and valid tool to identify self-care behaviors can lead to the early identification of poor self-care behaviors in students and can potentially prevent significant harm caused by these behaviors. This short and concise scale is freely available, easy to administer, and can also be used for other adults.
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Yasamim Mehrzad; Nasrin Bagheri; Mina Mojtabaie
Abstract
Objective: Breast cancer is one of the most common and deadly cancers among women worldwide, affecting millions of people, with 2.3 million new cases (one in four new cancer cases) and leading to cancer-related deaths among the female population, with 685,000 cancer deaths (one in six deaths) reported ...
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Objective: Breast cancer is one of the most common and deadly cancers among women worldwide, affecting millions of people, with 2.3 million new cases (one in four new cancer cases) and leading to cancer-related deaths among the female population, with 685,000 cancer deaths (one in six deaths) reported in 2020. After lung cancer, breast cancer is the most common cause of death in women globally. The disease, due to its nature and the fact that the breast is a symbol of femininity, holds emotional significance for all affected women; therefore, being diagnosed with breast cancer causes psychological distress. The purpose of the present study was to investigate structural equation modeling of psychological distress based on self-compassion, with the mediating role of negative body image in married women with breast cancer. Method: This was descriptive-correlational research. The statistical population of the study was women with breast cancer in Kerman city during the summer of 2024. The sample size was selected based on Klein's model (2023) and involved convenience sampling of 400 women. Data collection tools included the psychological distress scale (K-10) by Kessler et al. (2003), the short form of the self-compassion scale (SF-SCS) by Raes et al. (2011), and the body image concern inventory (BICI) by Littleton et al. (2005). Data were analyzed using Pearson correlation and structural equation modeling. The data analysis software was SPSS and AMOS version 28. Results: The results showed a direct effect of self-compassion (β = -0.66, sig = 0.001) on psychological distress, which is significant. The results also indicated that negative body image has a significant mediating role in the relationship between self-compassion (β = -0.71, sig = 0.001) and psychological distress. Additionally, the final research model demonstrated a good fit (RMSEA = 0.06, p < 0.05), explaining 97% of the variance in psychological distress. Conclusion: In explaining the results, it can be said that those who lack self-compassion and are unkind to themselves also have a negative view of their bodies when they are ill. Body image refers to the complex psychological relationship with one's body, which focuses mainly, but not exclusively, on one's physical appearance. It includes a person's perceptions and attitudes about their body, encompassing a wide range of thoughts, beliefs, feelings, and behaviors related to the body. Body image issues can also stem from social standards that emphasize vitality, physical beauty, and fitness. As a result, the removal of part of the breast (lumpectomy), the entire affected breast (mastectomy), or both breasts (double mastectomy) may be interpreted as an indicator of failure. Patients who have undergone surgery to remove a cancerous tumor in the breast must adapt to changes in body structure, function, and image at the physical, social, and psychological levels, which can lead to increased levels of psychological distress. Therefore, it is logical to say that negative body image can play a mediating role in the relationship between self-compassion and psychological distress in women with breast cancer. According to the findings of this research and the roles of self-compassion and negative body image in psychological distress in women with breast cancer, it is suggested that the results of this study be used to reduce psychological distress in this population.
