A
Bahareh Mirahmadi; Massoud Lavasani; Ahmed Alipour; Gholam Ali Afrooz
Abstract
Objective: The purpose of this study was to investigate the effectiveness of the family-oriented program on psychological distress and adherence to treatment in people with diabetes and hypertension. Method: The present study was a semi-experimental with pre-test-post-test design with a control group ...
Read More
Objective: The purpose of this study was to investigate the effectiveness of the family-oriented program on psychological distress and adherence to treatment in people with diabetes and hypertension. Method: The present study was a semi-experimental with pre-test-post-test design with a control group and a three-month follow-up. 40 people with diabetes and hypertension were selected to enter the study. Then, 40 volunteers participating in the research and eligible to enter the research were randomly assigned to two groups of 20 people by matching them in terms of age and history of diabetes. The data collection tool included demographic information questionnaire, depression, anxiety and stress scale and Madanlo's questionnaire of adherence to treatment orders. Results: The comparison of means indicates the effectiveness of the family-based program against the control group. Considering the different experimental and control groups, there is a significant difference between the anxiety scores in the pre-test, post-test, and follow-up stages. For the depression variable, the main effect of the group is substantial (Ƞ2=0.423 Ƞ^2=0.423 Ƞ2=0.423, p<0.05 p<0.05 p<0.05, F=27.846 F=27.846 F=27.846), indicating a significant overall difference in mean depression scores between the two groups. The results show that the main effect of time is substantial (Ƞ2=0.781 Ƞ^2=0.781 Ƞ2=0.781, p<0.05 p<0.05 p<0.05, F=135.824 F=135.824 F=135.824). For the stress variable, the main effect of the group is significant (Ƞ2=0.634 Ƞ^2=0.634 Ƞ2=0.634, p<0.05 p<0.05 p<0.05, F=65.767 F=65.767 F=65.767), indicating a significant overall difference in mean stress scores between the two groups. For the treatment adherence variable, the main effect of the group is substantial (Ƞ2=0.80 Ƞ^2=0.80 Ƞ2=0.80, p<0.05 p<0.05 p<0.05, F=172.726 F=172.726 F=172.726). The main effect of time is significant (Ƞ2=0.985 Ƞ^2=0.985 Ƞ2=0.985, p<0.05 p<0.05 p<0.05, F=2516.562 F=2516.562 F=2516.562), meaning that the changes in mean scores from the pre-test to the post-test and follow-up stages are significant regardless of the experimental and control groups. Conclusion: The results of this research showed that the family-based program is efficacious in improving treatment adherence and psychological distress in employees with diabetes and hypertension. Family empowerment involves providing and teaching a health-promoting lifestyle to families of individuals with chronic disorders, helping families cope with familial problems related to chronic disorders, and strengthening family strengths to improve the safety, well-being, and adaptation of the affected individual. Family empowerment in self-management and self-care for chronic disorders is an intervention that focuses on strengthening the core values of caregivers (families). Family empowerment can also increase positive control of mind and body, preventive care, and constructive relationships with the environment, enhance positive emotions, and improve the family's ability to manage the disorder independently. The more individuals control and master their living environment, particularly stressful life conditions, the greater their sense of inner satisfaction, self-efficacy, and self-belief, leading to better psychological well-being. Conversely, individuals suffering from stress-induced hypertension often lack cognitive and behavioral skills to control stressful environmental events, generally doubting their abilities and constantly worrying about negative evaluations from others regarding themselves and their behaviors.
amineh jalali; Reza Pourhosein; Ahmed Alipour; Gholam Ali Afrooz
Abstract
Objective: Living with diabetes limitations is associated with special psychological distress. Therefore, the study aimed to determine the effectiveness of stress management method based on cognitive behavioral approach and self-care training and the combination of both on quality of life in people with ...
Read More
Objective: Living with diabetes limitations is associated with special psychological distress. Therefore, the study aimed to determine the effectiveness of stress management method based on cognitive behavioral approach and self-care training and the combination of both on quality of life in people with type 2 diabetes. Method: The present study is a randomized four-group double-blind clinical trial with mixed between-and within-subjects design. The research sample included 60 people with type 2 diabetes selected purposefully among the members of the Kerman Diabetes Association by considering the inclusion and exclusion criteria for the study. The participants, after matching in terms of age and gender, were randomly replaced in 4 groups of 15 people and the experimental groups received the relevant interventions in 8 sessions and the control group did not receive any intervention. Pre-test, post-test and 2-month follow-up of the members of all 4 groups were performed by 36-item quality of life questionnaire. Findings: According to the results of the SPANOVA analysis, the mean scores of quality of life (physical and mental health) in the post-test and follow-up phases were increased compared to the pre-test phase and the occurred increase remained stable until the follow-up phase. Conclusion: although medical training and self-care and psychological interventions are solely necessary and useful for people with diabetes, the combination of medical and psychological interventions are necessary to improve the quality of life and stability of the obtained results.
Afrooz GHolamali
Abstract
Letters to the Editor
Read More
Letters to the Editor
A
GolamAli Afrooz; Mojtaba Dalir; Maryam Sadeghi
Volume 6, Issue 24 , March 2018, , Pages 180-195
Abstract
Objective: Surgery in the treatment of breast cancer is one of the most common treatments. The purpose of this study was to investigate the effectiveness of positive psychotherapy on body image, life expectancy , and happiness in women with mastectomy experience. Method: This research was a semi-experimental ...
Read More
Objective: Surgery in the treatment of breast cancer is one of the most common treatments. The purpose of this study was to investigate the effectiveness of positive psychotherapy on body image, life expectancy , and happiness in women with mastectomy experience. Method: This research was a semi-experimental study with pre-test and post-test design with the control group. The statistical population of this study was breast cancer women with mastectomy in Tehran. In this study, 30 patients participated voluntarily and the participants were randomly assigned into two groups of 15 individuals. The experimental group received positive psychotherapy in 90-minute sessions for 6 sessions, while the control group did not receive any intervention. To collect the data, The Multidimensional Body-Self Relations Questionnaire (1990), the Adult Dispositional Hope Scale of Snyder (1991) and Oxford Happiness Inventory (1989) were used. Results: Analysis of data by multivariate analysis of covariance showed that positive psychotherapy had a significant positive effect on life expectancy and happiness in women’s with mastectomy experience. Conclusion: According to the results, the use of positive psychotherapy in the treatment of women with breast surgery experience is recommended.
Mansooreh Fazilati; Gholam Ali Afrooz; Ahmad Alipour; Sedigheh Hantooshzadeh
Volume 6, Issue 23 , December 2017, , Pages 118-135
Abstract
The aim of the present study was to investigate the efficacy of family-oriented psychological interventions on marital satisfaction of pregnant mothers as well as their infant’s birth weight. Population of this quasi-experimental comprised all pregnant women which were in their first quarterly ...
Read More
The aim of the present study was to investigate the efficacy of family-oriented psychological interventions on marital satisfaction of pregnant mothers as well as their infant’s birth weight. Population of this quasi-experimental comprised all pregnant women which were in their first quarterly of gestation and came to Madaen Hospital for gestation cares. 30 pregnant mother were chosen by convenient sampling and assigned to experimental and control groups. All of mothers completed Afrooz Marital Satisfaction Scale as pre- and post-test and also the weight of their infants was measured after birth. Experimental group underwent family-oriented psychological interventions for 16 consecutive sessions once a week. Data analysis by ANCOVA and MANCOVA showed that family-oriented psychological interventions would improve marital satisfaction of pregnant mothers (p
