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Nader Hajloo; Hasan Abdollahzadeh; Ali Salmani; Aysan Sharei; Negar Farhoudi
Abstract
Objective: Tension headache is known as the second most common chronic disease in the world. Tension headaches pose a significantly greater social burden than migraines, especially in chronic cases, and can have significant negative consequences on various aspects of an individual's well-being, including ...
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Objective: Tension headache is known as the second most common chronic disease in the world. Tension headaches pose a significantly greater social burden than migraines, especially in chronic cases, and can have significant negative consequences on various aspects of an individual's well-being, including physical, psychological, and social interactions. This type of headache has attracted the attention of many researchers and health professionals due to its prevalence and significant impact on quality of life. Therefore, designing a specific questionnaire can be an important step towards developing related research. The present study aimed to design and validate a tension headache questionnaire in the Iranian population. Method: The present study is a mixed qualitative-quantitative study. The qualitative part of the research was conducted in an inductive manner to extract the items used in developing the questionnaire. In the quantitative part, a descriptive method was used in the form of psychometric studies to examine the validity and reliability of the developed tool. In the qualitative part, the statistical population was all articles extracted from the scientific databases SID, Magiran, and Web of Science, PubMed, Scopus, Cochrane Library, Since direct, and Google scholar between 2000 and 2024. The statistical population of the research in the quantitative part consisted of all people with tension headaches based on the diagnostic criteria of the International Classification of Headache Disorders (ICHD-3) in 2025. The sample of the present study was 240 individuals from four cities selected by purposive sampling method and responded to the Tension Headache Questionnaire (2025), Questionnaire for Measuring Symptoms of Migraine Headache of Najarian (1997) and Psychological Well-Being Scale of Ryff (1989). Internal consistency coefficient, concurrent validity, exploratory and confirmatory factor analysis were used to analyze the data. The data were analyzed using SPSS.26 and LISREL.10.20 software. Results: The results of the internal consistency coefficient showed that this questionnaire and its subscales have adequate reliability (α>0.70). The results of the correlation coefficient showed that the positive relationship between the tension headaches variable and the severity of migraine symptoms (r=0.750, P<0.001) indicates appropriate convergent validity and the negative correlation coefficient between the psychological well-being variable (r=-0.155, P<0.05) indicates appropriate divergent validity. The fit indices of the confirmatory factor analysis model also confirmed the final model of this questionnaire with eight components of factors related to repetition, pain, time, environment, sensitivity, distress tolerance, pressure/tension, and mood (P<0.001). Conclusion: The results of this study showed that the tension headache questionnaire has acceptable validity and reliability in the Iranian society and is well-adapted to the cultural and indigenous characteristics of Iranian patients, which allows for a proper understanding of its items. Using this tool in diagnosing or assessing the severity of tension headaches can have a significant impact and is a suitable self-assessment scale for clinical and research situations.
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Esmaiel soleymany; hanie pakravan
Abstract
Objective: Breast cancer is one of the most common malignancies affecting women globally, with significant physical, psychological, and social consequences. Treatments such as mastectomy, chemotherapy, and radiotherapy often lead to body image disturbances, reduced self-esteem, and lower quality ...
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Objective: Breast cancer is one of the most common malignancies affecting women globally, with significant physical, psychological, and social consequences. Treatments such as mastectomy, chemotherapy, and radiotherapy often lead to body image disturbances, reduced self-esteem, and lower quality of life. Among psychological coping strategies, body acceptance, defined as acknowledging, normalizing, and adapting to bodily changes, plays a key role in promoting mental well-being in breast cancer patients. This study aimed to validate and norm the Body Acceptance Scale for Women with Breast Cancer (BAS-BC), a newly developed instrument designed to assess body acceptance among breast cancer survivors. The research evaluated the psychometric properties of the BAS-BC in an Iranian population. Method: A descriptive validation design was employed. Participants included 457 Iranian women diagnosed with breast cancer, recruited via convenience sampling. Data were collected online through validated instruments: BAS-BC (Ahn & Suh, 2023), the Multidimensional Body-Self Relations Questionnaire (MBSRQ), and the SF-36 Health-Related Quality of Life Questionnaire. Statistical analyses, including confirmatory factor analysis (CFA), Pearson correlation, and Cronbach’s alpha, were conducted using SPSS-23 and AMOS-24. Results: CFA supported a six-factor structure of the BAS-BC (exposure, perception, adaptation, return to daily life, successful transition, and leap toward the future), consisting of 17 items. The scale demonstrated high internal consistency (Cronbach’s alpha = 0.84). Convergent validity was confirmed through significant correlations between BAS-BC scores and both MBSRQ and SF-36 measures. The six factors explained 82.5% of the total variance, indicating strong construct validity. Conclusion: The BAS-BC offers a robust tool for both research and clinical assessment of body acceptance among breast cancer patients. Its application can inform personalized therapeutic approaches aimed at improving psychosocial outcomes and quality of life. Future research should explore cultural influences on body acceptance and develop targeted interventions to support body image adjustment in this population.
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Maryam Shahmoradi Pilehrood; Majid Zarghamhajebi; Malek Mirhashemi
Abstract
Objective: Multiple Sclerosis (MS) is a common and chronic disease of the central nervous system that leads to the destruction of neuron myelin, causing disturbances in movement, speech, memory, and other bodily functions. The exact cause of this disease is still unknown, but genetic and environmental ...
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Objective: Multiple Sclerosis (MS) is a common and chronic disease of the central nervous system that leads to the destruction of neuron myelin, causing disturbances in movement, speech, memory, and other bodily functions. The exact cause of this disease is still unknown, but genetic and environmental factors play a role in its development. MS is three times more common in women than men and typically occurs between the ages of 20 and 50. The progression of the disease is unpredictable, and it can either progress rapidly or in periodic episodes. Patients with MS face anxiety and uncertainty about their future. A negative orientation towards problems, especially in the face of stress caused by the disease, leads to a reduced ability to solve problems and increased worry among patients. This study examines psychological tools, particularly the Negative Problem Orientation questionnaire, in MS patients, with the aim of validating the Persian version of this questionnaire. Method: This study was a descriptive correlational research conducted on 350 patients with multiple sclerosis (MS) who visited various centers in Tehran in 2022. The patients were categorized based on the duration of their illness (ranging from less than 5 years to over 20 years). The tools used included the Ambiguity Tolerance Scale and the Cognitive Avoidance Questionnaire, which were translated into Persian using the back-translation method. Data analysis was performed through confirmatory factor analysis using various model fit indices. The aim of this study was to evaluate the validity of the Persian version of the Negative Problem Orientation Questionnaire in MS patients. Results: The results of the confirmatory factor analysis empirically supported the unidimensional structure of the Persian version of the Negative Problem Orientation Questionnaire in multiple sclerosis patients. Additionally, a significant positive correlation between negative problem orientation, cognitive avoidance, and ambiguity tolerance supported the construct validity of the questionnaire. The internal consistency of the questionnaire, measured by Cronbach's alpha, was found to be 0.945. This study analyzed the factor structure and psychometric properties of the Persian version of the Negative Problem Orientation Questionnaire in multiple sclerosis (MS) patients. The results confirmed the unidimensional structure of the questionnaire, supporting its construct validity. Significant positive correlations between negative problem orientation, ambiguity intolerance, and cognitive avoidance further supported the tool's validity. Additionally, the internal consistency coefficient (Cronbach’s alpha) confirmed the tool’s reliability. Conclusion: The findings highlighted that MS patients' negative problem orientation is linked to higher levels of ambiguity intolerance and cognitive avoidance, which aligns with previous studies. Limitations included the lack of additional psychometric tests like convergent and divergent validity and the absence of gender-based analysis in the factor structure. Despite these, the study provided strong evidence for the validity and reliability of the Persian version of the questionnaire for assessing negative problem orientation in MS patients.
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gholam reza manshaei; Farzaneh Bagherian
Abstract
Objective: In today's world, the Internet has become a very important and vital part of our lives. One of the harmful effects of excessive use of the Internet in relation to health is cyberchondria. This related to an increase in the level of anxiety or health distress, and in other words, it is a type ...
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Objective: In today's world, the Internet has become a very important and vital part of our lives. One of the harmful effects of excessive use of the Internet in relation to health is cyberchondria. This related to an increase in the level of anxiety or health distress, and in other words, it is a type of anxiety that leads to searching for health-related information online, and this causes an increase in the level of anxiety, worry and unnecessary expenses. The aim of this study was to investigate the Psychometric properties of the short form of Cyberchondria questionnaire. Method: The present study applied in terms of purpose and its method is descriptive and psychometric studies. The statistical population of the present study was students of public and private universities in Isfahan in 1398. For the present study, 566 students (344 females and 223 males) from Isfahan University students selected by stratified random sampling method using virtual self-examination questionnaires (McElroy and Shevlin, 2014) and health anxiety questionnaire. (Salkovskis and Warwick, 2002) responded. Research data analyzed using SPSS 23 and AMOS 22 software. Results: The findings showed that in the virtual Cyberchondria questionnaire measurement model, all factor loads including compulsion (0.714), distress (0.878), excessiveness (0.805), and reassurance (0.921) were significant. (P <0.001). In addition, the CVI coefficient for all items of the Cyberchondria questionnaire was higher than 0.9 and the intra-class correlation coefficient of the questionnaire resulting from its two implementation was equal to 0.971, which is at a safe distance and is higher than the acceptable value. The reliability obtained using Cronbach's alpha and halving coefficient for the whole questionnaire and all four dimensions is higher than 0.7. The findings also showed that there was a positive and significant relationship between Cyberchondria questionnaire and health anxiety (P <0.001) and the correlation coefficient of the two questionnaires was 0.782. Conclusion: Health-related internet use, in the context of health anxiety is best conceptualized as health-related safety behavior maintained through intermittent reinforcement. In general, according to the results of validity and reliability, the virtual autopsy questionnaire can used in psychological research. Also, these results support the psychometric characteristics and validity of the virtual self-diagnosis questionnaire among the non-clinical sample, and it can be said that this questionnaire is approved in the Iranian sample and has psychometric characteristics and practical tools for diagnosis. It can also used in a short period of time due to the short length of the too
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Azadeh CHoobforoushzadeh; Ali akbar SHarifi; Kobra Sayadifar
Volume 7, Issue 25 , June 2018, , Pages 121-132
Abstract
Objective: Health-related concerns do not destroy with the usual reassurance from others and even the physicians but are transmitted over time from one disease to another. The purpose of this study was to investigate the psychometric properties of health anxiety inventory in caregiver of cancer patients. ...
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Objective: Health-related concerns do not destroy with the usual reassurance from others and even the physicians but are transmitted over time from one disease to another. The purpose of this study was to investigate the psychometric properties of health anxiety inventory in caregiver of cancer patients. Method: In a descriptive study, a sample of 255 people (153 women and 102 males) was selected through available sampling method from caregivers of cancer patients as samples of this study. Result: The reliability of the questionnaire was calculated using the internal consistency, split- half and test-retest, respectively 0.95, 0.86 and 0.63. Also, the convergent validity of the questionnaire was 0.74 with Beck Depression Inventory. The results of confirmatory factor analysis showed that the two- factor model had moderate fitness and the three-factor model proposed by authors had a good fitness. Conclusion: The results showed that health anxiety inventory has good psychometric properties in caregiver of cancer patients.
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jahangir karami; M.Javad Bagian; khodamorad Momeni; Adele Elahi
Volume 7, Issue 25 , June 2018, , Pages 146-172
Abstract
Objective: mental pain is a psychological experience, including negative self-evaluation; therefore, it should be measured by self-report tools. The aim of the present study was to determine factor structure and psychometric properties of Mental Pain Scale.Method: this was correlational study and its ...
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Objective: mental pain is a psychological experience, including negative self-evaluation; therefore, it should be measured by self-report tools. The aim of the present study was to determine factor structure and psychometric properties of Mental Pain Scale.Method: this was correlational study and its statistic population consisted all students of the University of Razi Kermanshah. The sample included 300 of these students selected via multi-stage random cluster sampling method. The data was analyzed through exploratory and confirmatory factor analysis by SPSS-22 and AMOS-21 software.Result: the results showed a significant positive correlation among components of mental pain, anxiety, depression, and negative cognitive emotional regulation strategies (P≥0.001). Also, a significant positive correlation was found among components of mental pain and self-compassion (P≥0.001). The results of the exploratory factor analysis identified 6 factors, which in total, explained 66.40% of the variance in mental pain. 44 items in 6 factors were validated by confirmatory factor analysis. Cronbach’s alpha was 0.966 for the whole MPS, 0.925 for emptiness, 0.893 for emotional flooding, 0.877 for loss of control, 0.872 for irreversibility, 0.869 for self-estrangement, and 0.617 for freezing.Conclusion: Persian version of Mental Pain Scale has acceptable psychometric properties among academic students and can be used as a valid tool in psychological research.
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masoomeh abdolkhaleghi; omid shokri; maryam safaei; Raheme Salehi
Volume 4, Issue 13 , February 2015, , Pages 113-126
Abstract
Objective: The main purpose of the present study was to investigate psychometric properties of the Brief Religious Coping Scale (BRCS, Pargament, Koenig & Perez, 2000) among male and female cancer patients. 155 cancer patients (119 female, 36 male) completed the Brief Religious Coping Scale. Method: ...
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Objective: The main purpose of the present study was to investigate psychometric properties of the Brief Religious Coping Scale (BRCS, Pargament, Koenig & Perez, 2000) among male and female cancer patients. 155 cancer patients (119 female, 36 male) completed the Brief Religious Coping Scale. Method: The exploratory and confirmatory factor analysis methods and internal consistency coefficients were used to compute the BRCS's factorial validity and reliability, respectively. Results: The results of principal component analysis (PC) with varimax rotation replicated 2-factor structure of positive and negative religious coping strategies for cancer patients. Goodness-of-fit indices of confirmatory factor analysis confirmed the 2 extracted factors. Internal consistency coefficients for positive and negative religious coping strategies were 0/85 and 0/80, respectively. Conclusion: In sum, BRCS appears to be a good instrument that does what it was intended to do: assess religious methods of coping in an efficient, psychometrically sound, and theoretically meaningful manner
