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Zahra Mohamadifard; Ali Fathi-Ashtiani; Abbas HajiFathali; Bita Nasrollahi; Fazlollah Ahmadi
Abstract
Objectives: Investigating the psychological factors that facilitate the recovery of bone marrow transplant patients is crucial for appropriate policymakers to identify potential problems and develop appropriate interventions for the better benefit and increasing success of bone marrow transplantation. ...
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Objectives: Investigating the psychological factors that facilitate the recovery of bone marrow transplant patients is crucial for appropriate policymakers to identify potential problems and develop appropriate interventions for the better benefit and increasing success of bone marrow transplantation. The aim of this study was to review the psychological factors facilitating the recovery of bone marrow transplant patients. Method: In this systematic review, the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) utilized, along with their possible implications for risk of bias. In this regard, required information took from Science Direct, Scopus, PubMed databases for the selection of Latin articles and Persian articles databases, ISC with the selection period ranging from 1987 to 2022 for English articles and from the years 1390 to 1401 for selection of Persian articles. Based on the desired criteria, they limited. The narrative synthesis method used for combine the data. Results: In this study, the quality of 37 articles confirmed and psychological factors influencing the recovery of bone marrow transplant patients identified. Physical distress, decrease in patients' quality of life, psychosocial well-being, the possibility of increasing symptoms of anxiety and depression, are among the biggest challenges facing patient. Factors such as spirituality, health literacy, sports and psychological interventions aimed at disease acceptance the disease and increase psychological well-being and healthy coping strategies have a significant impact on improving psychological and medical health outcomes. Depression, homesick, tension, anxiety, post-traumatic stress disorder, delusions and cognitive deficits, feelings of lack of choice, need for special attention, and isolation are inevitable consequences of hematopoietic stem cell transplantation. Some psychosocial variables (depression, anxiety, stress, coping strategies, social support, optimism, rationality, and need for coordination) and clinical parameters indicating immune response after bone marrow transplantation. Conclusion: Identifying psychological factors influencing the recovery of bone marrow transplant patients, including; health literacy, sports programs, optimism, gender, social support, mental health, lifestyle factors, understanding of transplant, and follow-up are influential in setting protocols to increase the mental health and survival of bone marrow transplant patients. Identifying psychological factors that facilitate the treatment process helps psychologists and the medical team to identify and strengthen these factors in patients. To moderate the negative psychological consequences of transplantation, it is desirable to perform psychological interventions and to recognize and strengthen the positive psychological structures within the psyche by the treatment staff and the psychologist. Additionally, regulating the natural day and night cycle, palliative care, antipsychotic medication, disease management, lead to better health outcomes.
Maryam Farrokhnia; Ali Fathi-Ashtiani; Emad Ashrafi; Faermehr Abtahei
Abstract
Objective: In recent years, more attention has been paid to parent-focused behavioral interventions for the treatment of childhood obesity. Accordingly, this study was conducted with the main objective of reviewing the effectiveness of parent-focused interventions in the treatment of childhood and adolescent ...
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Objective: In recent years, more attention has been paid to parent-focused behavioral interventions for the treatment of childhood obesity. Accordingly, this study was conducted with the main objective of reviewing the effectiveness of parent-focused interventions in the treatment of childhood and adolescent obesity, and with the sub-objective of assessing the rate of attrition in selected studies. Method: 1476 articles between1957-2021, with a variety of keywords related to intervention, parent, obesity, and overweight, in the age range of 6-18 years, from the databases of PubMed, Science Direct, and PsyINFO, were identified in the first stage. After applying the inclusion and exclusion criteria and reviewing related articles, finally, ten randomized controlled trial (RCTs) studies, that their main outcome was a decrease in body mass index (BMI), were systematically reviewed. The standard method of evaluating Population,-Intervention-Control groups- Outcomes (PICO) in selecting, and the Consolidated Standards of Reporting Trials (CONSORT) in evaluating of the quality of the articles was used. Findings: The range of decrease in standard scores of body mass index at the end of the interventions was between 0.06-0.31, and at the end of 13-24 months follow-up was between 0.16-0.42. The mean attrition rate by the end of the study was 32.3% (13% to 50%). Conclusion: Comprehensive parent-focused behavioral lifestyle interventions are generally effective in reducing children's body mass index, but it is necessary to interpret the results of current articles with caution, and to conduct comprehensive and standardized research in future.
