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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 ...
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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.
Rahele Fallah; Seyed Abolghasem Mehrinezhad; Mehrangiz Peyvastehgar; Mohammad Reza Sharbafchi
Abstract
Objective: This study aimed to examine the effectiveness of individual-online dignity therapy in reducing psychological distress in women with metastatic cancers. Method: It was a quasi-experimental study with a pre-test, post-test, follow-up design, and a control group, in block design. The statistical ...
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Objective: This study aimed to examine the effectiveness of individual-online dignity therapy in reducing psychological distress in women with metastatic cancers. Method: It was a quasi-experimental study with a pre-test, post-test, follow-up design, and a control group, in block design. The statistical population was women with metastatic cancers referred to the Iranian Cancer Control Institute (MACSA) in Tehran during the summer and autumn of 2020. Thirty women were selected by a convenience sampling method and then randomly assigned to two groups of 15 in experimental and control. It also blocked participants at three levels based on the palliative performance scale. Each participant's psychological distress was assessed using the depression-anxiety-stress scale. The experimental group participated in three individual online dignity therapy sessions, each 40-60 minutes. Data were analyzed by repeated-measures analysis of variance in SPSS-23. Findings: There was a significant decrease in the experimental groups’ psychological distress scores in the post-test and in follow-up (P≤0.01). Also, it was found that dignity therapy is more useful in lower levels of the palliative performance scale. Conclusion: Given the findings, it is recommended that psycho-oncologists and palliative care practitioners use online dignity therapy to reduce the psychological distress of women with metastatic cancer.
Farhad Tanhaye Reshvanloo; Hossein Kareshki; Zahra Asgari
Abstract
Objective: The purpose of present study was to evaluate the motivational model for predicting adherence to the measures in the Covid-19 pandemic. Method: In a descriptive-correlational design, 306 people (204 females, 102 males) from the community sample older than 18 years were selected by convenience ...
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Objective: The purpose of present study was to evaluate the motivational model for predicting adherence to the measures in the Covid-19 pandemic. Method: In a descriptive-correlational design, 306 people (204 females, 102 males) from the community sample older than 18 years were selected by convenience sampling method. Data were collected with Adherence to governmental measures survey, Basic Psychological Need Satisfaction and Frustration Scale, Feelings of uncertainty and threat scale, Motivation to adhere to governmental measures scale, and Kessler Psychological Distress Scale. Data were analyzed with structural equation modeling based on the partial least squares approach. Findings: Results showed that motivation has a mediating role in relation to needs satisfaction with distress, feelings of uncertainty and threat and adherence to governmental measures. Psychological distress and feelings of uncertainty and threat also played a negative mediating role in the needs frustration and adherence to governmental measures. Other results showed that psychological needs, motivation, distress, and feelings of uncertainty and threat explain 33% of the adherence to governmental measures variance. Conclusion: It seems that the adherence to governmental measures in the Covid-19 pandemic is influenced by motivational and emotional factors. Accordingly, giving the opportunity to participate in related decisions and provide feedback systems seems to be effective in complying with adherence to governmental measures in order to increase the autonomy and competence and reduce stress.
MAHNAZ ALI AKBARI DEHKORDI; mozhgan bitaneh
Abstract
Objective: Psychological capital can strengthen people's sense of self-efficacy, hope of life, resilience, and optimism. therefore the present study was conducted aiming to investigate effectiveness of psychological capital elements training on psychological flexibility and psychological distress on ...
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Objective: Psychological capital can strengthen people's sense of self-efficacy, hope of life, resilience, and optimism. therefore the present study was conducted aiming to investigate effectiveness of psychological capital elements training on psychological flexibility and psychological distress on the women with breast cancer. Method: It was a quasi-experimental study with pretest, posttest with control group. The statistical population of the current study was the women with breast cancer referring to Shohadaye Tajrish hospital in the city of Tehran in three months of the spring of 2018-19. 30 women with breast cancer were selected through with conscious and voluntary consentand they were randomly accommodated into experimental and control groups (each group of 15). The women present in the experimental group received psychological capital elements training (Akhondi, 2017) ten ninety-minute sessions of training psychological capitals during ten weeks. The applied questionnaires in this study included the questionnaire of psychological flexibility (Denis and Vanderwal, 2010) and the questionnaire of psychological fusion (Kesler et.al, 2003). The data from the study were analyzed through MANCOVA method. Findings: The results showed that psychological capital elements training has had significant effect on psychological flexibility and psychological distress in the women with breast cancer (p<0.001) in a way that this therapy was able to lead to the improvement of psychological flexibility and decrease of psychological distress in the women with breast cancer. Conclusion: Considering the study results, psychological capital elements training can be used as an efficient method to improve psychological flexibility and the decrease of psychological distress on the women with breast cancer through applying the concepts such as resilience, hopefulness, self-efficacy and optimism.
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Razieh poorhosseini Dehkordi; ilnaz sajjadian; mohammad raza sharbafchi
Abstract
Objective: The increasing growth of breast cancer in recent decades has affected the psychological aspects of these patients' lives. The aim of this study was the effectiveness of compassion-focused therapy on perceived stress and psychological distress in the women suffering from breast cancer. Method: ...
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Objective: The increasing growth of breast cancer in recent decades has affected the psychological aspects of these patients' lives. The aim of this study was the effectiveness of compassion-focused therapy on perceived stress and psychological distress in the women suffering from breast cancer. Method: The statistical population of the present study included women with breast cancer referring to Ala' cancer prevention and control center in Isfahan in spring and summer of 2018. Research method was quasi-experimental. The sample size was 26 women with breast cancer who were selected from those referring to Ala' cancer prevention and control center through convenient method and were randomly replaced into experimental and control groups. The experimental group received eight sessions of compassion-focused therapy once a week while the control group didn't receive any intervention during the study. The instruments included perceived stress questionnaire (Cohen, et.al, 2005) and psychological distress questionnaire (Kesler, et.al. (2003). Results: The results of repeated measurement analysis showed that compassion-focused therapy has significantly influenced perceived stress and psychological distress in the women with breast cancer at the posttest and follow-up stage. Conclusion: Based on the findings of this study, compassion -focused therapy as an effective method for reducing perceived stress and psychological distress in women with breast cancer can be used along with medical treatments.
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nahid khanbabaei; razieh zahedi; amin rafiepoor
Abstract
Objective: Rheumatoid arthritis is a preexisting chronic inflammatory autoimmune disease with a prevalence of 0.5 to 2.4 percent in the world. The present study aimed to investigate the effectiveness of the effectiveness of acceptance and commitment therapy (ACT) on the psychological distress and fear ...
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Objective: Rheumatoid arthritis is a preexisting chronic inflammatory autoimmune disease with a prevalence of 0.5 to 2.4 percent in the world. The present study aimed to investigate the effectiveness of the effectiveness of acceptance and commitment therapy (ACT) on the psychological distress and fear of disease progression in patients with rheumatoid arthritis. Methods: this quasi-experimental clinical trial study was performed on 30 people with rheumatoid arthritis selected through purposive sampling and randomly assigned in tow groups, experimental and control (n= 15 persons) the intervention was implemented 8 session per week is a one-half hour session in the experimental group. Data were collected using Psychological distressquestionnaire (DASS)and fear of disease progression and analysis was done by SPSS-22 software. Descriptive and inferential statistics and repeated measures ANOVAand Bonferroni post hoc test were used. Findings: Results of repeated measure ANOVA showed significant difference between the two groups in mean depression and stress (P> 0.05). Anxiety scores were not significantly different between the two groups (P Conclusion: the results indicate the effect of ACT on the psychological distress and fear of disease progression in patients with rheumatoid arthritis; therefore, this treatment can be used as a complementary treatment, along with medication, to improve the quality of life of these patients.
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Zoha Saeedi; Nima Ghorbani; Mehdi reza Sarafraz; Atefe Zabihi
Volume 6, Issue 24 , March 2018, , Pages 69-86
Abstract
Objective: Scientists have always been interested in the mutual relationship between psychological and physical health. Besides, the emotion regulation strategies as the moderator play a great role in this relationship. The aim of the present study was to explore how repressiveness and mindfulness may ...
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Objective: Scientists have always been interested in the mutual relationship between psychological and physical health. Besides, the emotion regulation strategies as the moderator play a great role in this relationship. The aim of the present study was to explore how repressiveness and mindfulness may play a role as a moderator in the effects of psychological distress on the physical symptoms.Method: In this regard, 271 Iranian university students answered the short-form of the Weinberger Adjustment Inventory, the Mindful Attention and Awareness Scale, and the Bartone Symptoms checklist. Results: The result of the hierarchical regression analysis showed the moderating effect of repressiveness and mindfulness. This means, in high distress, those with high mindfulness and those with high repressiveness, reported lower scores in physical symptoms. Whilst, in the low distress, those with high repressiveness, reported more scores in physical symptoms than those with low repressiveness. Conclusion: These results are discussed in terms of adaptivity of the mindfulness and repressors' overly positive self-evaluations in the different distress situations
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Mohammad Mahdi Zakeri; Jafar Hasani; Nafiseh Esmaeili
Volume 6, Issue 23 , December 2017, , Pages 39-56
Abstract
Introduction: The role of psychological distress has been approved in the clinical course of skin diseases which can lead to the development and incidence of some skin diseases. The aim of this study was to examine the effectiveness of processing emotion regulation strategies training (PERST) in psychological ...
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Introduction: The role of psychological distress has been approved in the clinical course of skin diseases which can lead to the development and incidence of some skin diseases. The aim of this study was to examine the effectiveness of processing emotion regulation strategies training (PERST) in psychological distress (PD) of patient with vitiligo. Method: This study is an experimental study with a single subject in which design A B were used. The study measured 6 times (once as a baseline, four times, once during treatment and in the follow up) was performed. Among patients with skin disorders treatment centers, 3 patients with vitiligo disease were recruited through convenient sampling. The instruments of research were include the complete package of PERST based on Gross Model, Depression, Anxiety, Stress Scale (DASS) and structured clinical interview for axis I disorders in DSM-IV (SCID-I). Results: The results showed a stable downward trend for PD scale scores and the components of depression, anxiety and stress that reflects the effectiveness of PERST in these variables. Conclusion: Psychological distress role in predisposing, precipitating and continuation of skin diseases, including vitiligo and subsequently in other aspects of their lives and PERST can play an important role by reducing PD as adjunctive and Rehabilitation therapies with medical treatment.
M
maryam Haghshenas; SHEIDA SODAGAR; MARYAM BAHRAMI HIDAJI
Volume 6, Issue 23 , December 2017, , Pages 92-117
Abstract
Introduction: The aim of this study was to investigate the mediating role of the perceived support in predicting psychological distress based on emotional control and coping styles in the mothers of children with thalassemia. Method:The statistical population included the mothers of children with thalassemia ...
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Introduction: The aim of this study was to investigate the mediating role of the perceived support in predicting psychological distress based on emotional control and coping styles in the mothers of children with thalassemia. Method:The statistical population included the mothers of children with thalassemia in Tehran. The convenience sampling method was used to select 200 subjects as the sample.Results: The research evidence and the results of the confirmatory factor analysis indicated that the perceived support had the mediation role in predicting psychological distress, based on coping styles, but it didn’t have the mediation role in predicting psychological distress, based on emotional control. Also the perceived support had a significantly direct impact on psychological distress (-0.75). Emotional control had a significantly direct impact on psychological distress, too (0.36). The significantly direct impact of coping styles on psychological distress and the perceived support was 0.36; however, emotional control did not have a significantly direct impact on the perceived support. Conclusion: According to the research findings, it can be concluded that the perceived support, emotional control and coping styles influenced the psychological distress among the mothers of children with thalassemia. Therefore, training in these topics can help reduce the psychological distress among the mothers of children with Tallahassee.
