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Effect of Mindfulness-based Cognitive Therapy on Cognitive Emotion Regulation, Psychosomatic Symptom Severity of Migraine, and Stress Coping Styles of Women with Migraine 正念认知疗法对女性偏头痛患者认知情绪调节、心身症状严重程度及压力应对方式的影响
Q4 PSYCHIATRY Pub Date : 2023-04-01 DOI: 10.32598/ijpcp.29.1.4414.1
Ameneh Shahverdi, Maboud Omidi, Maryam Mousavi Nik
Objectives The present study aims to examine the effect of mindfulness-based cognitive therapy (MBCT) on cognitive emotion regulation, psychosomatic symptom severity of migraine, and stress coping styles of women with migraine. Methods This is a quasi-experimental study with a pre-test and post-test design. The study population consisted of all women suffering from migraine referred to neurologists in Khorramabad city, Iran in 2022. Of these, 32 were selected by a convenience sampling method and randomly divided into two groups of intervention (n=16) and control (n=16). Garnefski’s cognitive emotion regulation questionnaire, Najarian’s psychosomatic symptoms of migraine questionnaire, and Billings and Moss’s stress coping styles questionnaire were used to collect data. The MBCT was provided to the intervention group for 8 consecutive weeks, one session per week. The data were analyzed using analysis of covariance (ANCOVA). Results The results of multivariate ANCOVA showed that MBCT significantly affected at least one of the variables (F=14.406, P<0.01). The results of univariate ANCOVA showed that MBCT had a significant effect on cognitive emotion regulation strategies (F=60.7, P<0.01), the severity of migraine (F=53.46, P<0.01), and stress coping styles (F=18.5, P=0.03) in the post-test phase. Conclusion MBCT is effective in improving cognitive emotion regulation strategies, reducing the psychosomatic symptom severity of migraine, and improving stress coping styles of women with migraine. By this method, women learn how to use cognitive methods and mindfulness techniques to stop the automatic processes that cause a deficiency in positive emotion regulation, intensify migraine, and avoid the use of adaptive stress coping styles.
目的探讨正念认知疗法(MBCT)对女性偏头痛患者认知情绪调节、心身症状严重程度和压力应对方式的影响。方法采用准实验研究,采用前测和后测设计。研究人群包括2022年在伊朗霍拉马巴德市就诊的所有患有偏头痛的女性。采用方便抽样法抽取32例,随机分为干预组(n=16)和对照组(n=16)。采用Garnefski的认知情绪调节问卷、Najarian的偏头痛心身症状问卷和Billings和Moss的压力应对方式问卷收集数据。MBCT连续8周提供给干预组,每周一次。采用协方差分析(ANCOVA)对数据进行分析。结果多元方差分析结果显示,MBCT至少对其中一个变量有显著影响(F=14.406, P<0.01)。单变量方差分析结果显示,MBCT对测试后认知情绪调节策略(F=60.7, P= 0.01)、偏头痛严重程度(F=53.46, P= 0.01)和压力应对方式(F=18.5, P=0.03)有显著影响。结论MBCT对改善女性偏头痛患者的认知情绪调节策略、减轻偏头痛心身症状严重程度、改善压力应对方式有积极作用。通过这种方法,女性学会了如何使用认知方法和正念技术来停止导致积极情绪调节不足、加剧偏头痛的自动过程,并避免使用适应性压力应对方式。
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引用次数: 0
Launching A Specialized Clinic for Adults With Autism Spectrum Disorder in Roozbeh Hospital, Tehran, Iran 在伊朗德黑兰的Roozbeh医院开办了一个专门的成人自闭症谱系障碍诊所
Q4 PSYCHIATRY Pub Date : 2023-04-01 DOI: 10.32598/ijpcp.29.1.4310.1
Samira Jamaloo, Javad Alaghband Rad, Mahtab Motamed
This study aims to introduce a specialized clinic for adults with autism spectrum disorder (ASD) launched in Roozbeh Hospital, Tehran, Iran, in 2019. The target group is male and female adults (age>18) with ASD. The main goal of this clinic is the diagnosis, comprehensive evaluation, and evidence-based treatments, including medication therapy and psychotherapy. In addition, the academic department of this clinic pursues research and educational programs. Due to the prevalence of ASD in adults, we expected many clients to visit the clinic, but the number of cases recorded in this clinic so far has been much lower than expected. The reasons were discussed in this study. The launch of this clinic can be the starting point for creating a coherent ASD screening and diagnosis system and providing lifetime services to adults with ASD in Iran. We provide recommendations in this regard at the end of this paper.
本研究旨在介绍2019年在伊朗德黑兰Roozbeh医院推出的成人自闭症谱系障碍(ASD)专业诊所。目标人群是患有ASD的成年男性和女性(18岁)。该诊所的主要目标是诊断,综合评估和循证治疗,包括药物治疗和心理治疗。此外,本诊所的学术部门从事研究和教育项目。由于ASD在成人中的普遍存在,我们预计会有很多客户来诊所,但到目前为止,这个诊所记录的病例数量远远低于预期。本文对其原因进行了探讨。这家诊所的启动可以成为建立一个连贯的ASD筛查和诊断系统的起点,并为伊朗的ASD成年人提供终身服务。在本文的最后,我们提出了这方面的建议。
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引用次数: 0
Effect of Group Acceptance and Commitment Therapy on Body Image and Self-compassion of Women Undergoing Dialysis: A Randomized Clinical Trial 团体接受与承诺治疗对透析妇女身体意象与自我同情的影响:一项随机临床试验
Q4 PSYCHIATRY Pub Date : 2023-04-01 DOI: 10.32598/ijpcp.29.1.225.13
Monireh Pourfarahani, Hossein Shareh, Fatemeh Haji Arbabi
Objectives Dialysis for the treatment of chronic kidney failure has negative effects on the quality of life, daily activities, lifestyle, and physical, mental, and social health. The present study aims to assess the effect of group acceptance and commitment therapy (ACT) on the body image and self-compassion of women undergoing dialysis. Methods This is a quasi-experimental study (randomized clinical trial) with a pre-test/post-test/follow-up design. The study population consisted of all women receiving dialysis who were referred to the Dialysis Patients Support Association in Khorasan Razavi, Iran, in 2021-2022. Of these, 30 were selected by a convenience sampling method and were randomly assigned to two groups of intervention and control. The intervention group received group ACT at 10 sessions each for 120 minutes, while the control group received no intervention. Both groups completed the Body Image Concern Inventory and the Self-Compassion Scale in the pre-test, post-test, and two-month follow-up phases. The data were analyzed using the repeated measures analysis of variance in SPSS software, version 25. Results The intervention group showed a significant improvement in body image (F=39.271, P=0.001) and self-compassion (F=7.342, P=0.001) in the post-test phase compared to the control group, which remained stable in the two-month follow-up. Conclusion The group ACT can be a suitable method to increase body image satisfaction and self-compassion in women undergoing dialysis.
目的透析治疗慢性肾衰竭对患者的生活质量、日常活动、生活方式以及身体、心理和社会健康均有负面影响。本研究旨在探讨团体接纳与承诺治疗(ACT)对透析女性身体形象与自我同情的影响。方法准实验研究(随机临床试验),采用前测/后测/随访设计。研究人群包括所有接受透析的妇女,她们在2021-2022年被转介到伊朗呼罗珊拉扎维的透析患者支持协会。采用方便抽样法抽取30例,随机分为干预组和对照组两组。干预组接受ACT治疗,每次10次,每次120分钟,而对照组不接受干预。两组分别在测试前、测试后和两个月的随访阶段完成了身体形象关注量表和自我同情量表。数据分析采用SPSS软件25版的重复测量方差分析。结果干预组在测试后身体形象(F=39.271, P=0.001)和自我同情(F=7.342, P=0.001)方面较对照组有显著改善,并在2个月的随访中保持稳定。结论团体ACT是提高透析妇女身体形象满意度和自我同情的有效方法。
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引用次数: 0
Assessing the Psychometric Properties of the Persian Version of Brief-mentalized Affectivity Scale 波斯语简记情感量表的心理测量特征评估
Q4 PSYCHIATRY Pub Date : 2023-04-01 DOI: 10.32598/ijpcp.29.1.3960.2
Seyede Mansoureh Hakak, Parviz Azadfallah, Hojjatollah Farahani
Objectives Despite the increasing importance of emotion regulation, there are limited scales for its assessment. Mentalized affectivity theory proposes a novel perspective on emotion regulation. This study aims to investigate the psychometric properties of the Persian version of briefmentalized affectivity scale (B-MAS). Methods This is a descriptive psychometrics study. Participants were 414 students from Tarbiat Modares University, Tehran University, and Shahid Beheshti University in the academic year 2022-2023, who were selected by a convenience sampling method. They completed the Persian versions of B-MAS, ten-item personality inventory (TIPI), satisfaction with life scale (SWLS), Beck anxiety inventory (BAI), and difficulties in emotion regulation scale (DERS). Construct validity was evaluated using confirmatory factor analysis (CFA). Convergent and divergent validity were assessed by the Pearson correlation test. Internal consistency (using Cronbach’s α), test re-test reliability, and composite reliability were also evaluated. Results The CFA results confirmed the three-factor solution (identifying, processing, and expressing) and showed the good fit of the model. The significant correlation of the Persian B-MAS score with the BAI, TIPI, SWLS, and DER scores confirmed its convergent and divergent validity. Cronbach’s α for the three factors was from 0.86 to 0.88. Test re-test reliability for the three factors was from 0.75 to 0.80. Composite reliability was from 0.79 to 0.82. Conclusion The Persian version of B-MAS with three subscales has acceptable validity (construct, convergent, divergent) and reliability for psychological studies on the Iranian population.
尽管情绪调节的重要性日益增加,但其评估量表有限。心理情感理论提出了一种新的情绪调节视角。本研究旨在探讨波斯语版简要情感量表(B-MAS)的心理测量特征。方法采用描述性心理测量学研究。研究对象为2022-2023学年Tarbiat Modares大学、德黑兰大学和Shahid Beheshti大学的414名学生。他们完成了波斯语版的B-MAS、十项人格量表、生活满意度量表、贝克焦虑量表和情绪调节困难量表。采用验证性因子分析(CFA)评估结构效度。采用Pearson相关检验评估收敛效度和发散效度。内部一致性(采用Cronbach’s α)、重测信度和复合信度也进行了评估。结果CFA结果证实了三因素解(识别、处理、表达),模型拟合良好。波斯B-MAS得分与BAI、TIPI、SWLS和DER得分显著相关,证实了其收敛效度和发散效度。三个因子的Cronbach’s α值为0.86 ~ 0.88。三因素的重测信度为0.75 ~ 0.80。复合信度为0.79 ~ 0.82。结论波斯语版的B-MAS量表具有可接受的效度(构念、收敛、发散)和信度,适用于伊朗人群的心理研究。
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引用次数: 0
Evaluating the Efficacy of School Mental Health Promotion Program in Iranian Schools: A Qualitative Study 评价伊朗学校心理健康促进计划的效果:一项质性研究
Q4 PSYCHIATRY Pub Date : 2023-04-01 DOI: 10.32598/ijpcp.29.1.4560.1
Mitra Borji, Amirali Hajebi, Morteza Naserbakht, Helia Ranjbar, Asal Fazeli, Zahra Khorrami, Ahmad Hajebi
Objectives Considering the importance of identifying the mental health problems among school students and their proper management by offering specialized services to them, the present study aims to evaluate the efficacy of school mental health (SMH) program in Iranian schools, identify its shortcomings and provide recommendations for it improvement. Methods This is a qualitative study using conventional content analysis method. A semi-structured in-depth interview was used to collect information from 35 participants who included teachers, principals, and developers of the SHM Program in Iran. Results Based on the results, four themes (strengths, weaknesses, barriers, and recommendations) and 14 subthemes were extracted. Overall, 50 codes were obtained. The results showed the effectiveness of the SMH program. Conclusion The SMH program is effective and has opened a new perspective to school-based interventions. However, expecting the full implementation and continuation of this program in the short term and with limited resources does not seem logical. Therefore, it is first recommended to improve the infrastructure for implementing this program, use trained personnel, upgrade the counseling departments of schools, and remove the time limit of teachers and legal limitations. Then, this project should be implemented at the national level for all schools in Iran.
考虑到识别学校学生的心理健康问题以及通过提供专门服务对其进行适当管理的重要性,本研究旨在评估伊朗学校的学校心理健康方案的效果,找出其不足之处,并提出改进建议。方法采用常规含量分析法进行定性研究。采用半结构化的深度访谈收集了35名参与者的信息,其中包括伊朗SHM项目的教师、校长和开发者。结果根据结果,提取出4个主题(优势、劣势、障碍和建议)和14个子主题。总共获得了50个编码。结果表明SMH方案的有效性。结论SMH项目是有效的,为校本干预开辟了新的视角。然而,在资源有限的情况下,期望在短期内全面实施和继续实施这一方案似乎是不合逻辑的。因此,首先建议完善实施该方案的基础设施,使用经过培训的人员,升级学校的咨询部门,取消教师的时间限制和法律限制。然后,这个项目应该在伊朗所有学校的国家层面上实施。
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引用次数: 0
Investigating the Relationship Between Perceived Impact of Terrorist Attacks, Resilience, and Religious Beliefs on Death Anxiety in Students in Islamabad 调查伊斯兰堡学生对恐怖袭击、心理韧性和宗教信仰对死亡焦虑的感知影响
Q4 PSYCHIATRY Pub Date : 2023-04-01 DOI: 10.32598/ijpcp.28.2.4060.1
Ayesha Khan, Rafig Nasreen
Objectives The present research aims to explore the perceived impact of terrorist attacks on death anxiety in terms of dread, lack of control, and extent of exposure. In addition, this study is conducted to explore the moderating effect of resilience attributes and religious beliefs. Methods In this study, the samples include 359 students (directly perceived = 159, and indirectly perceived = 200). The students were in the age range of 15 to 22 years. The samples were collected from Islamabad City and Rawalpindi City, Pakistan. A total of 223 of the participants were male with a mean age of 18.97 years and a standard deviation of 2.48, and the remaining 136 participants were female with a mean age of 18.53 and a standard deviation of 2.68. The data were collected through the perceived impact of terrorist attack scale (Khan & Rafiq, 2016), the death anxiety scale (Templer, 1970), the resilience scale for adults (Friborg, 2003), and the religiosity questionnaire (Rafiq & Shehzadi, 2013). We used the quantitative research method in this study. After the data collection, they were analyzed using the SPSS software, version 23. Meanwhile, descriptive statistics, correlational analysis, and moderation was done. Results The results of the correlational analysis indicated that the perceived impact of terrorist attacks (dread, lack of control, and extent of exposure) was significantly and positively (P ≥ 0.001) associated with death anxiety among directly and indirectly perceived individuals; however, directly perceived individuals were less fearful about death when compared to indirectly perceived individuals. Religious beliefs and resilience attributes had moderating effects on the relationship between the perceived impact of terrorist attacks and death anxiety. Conclusion According to the findings, we can conclude that the belief about the hereafter, the presence of God, and coping may reduce death anxiety more in directly exposed individuals compared to indirectly exposed people.
本研究旨在探讨恐怖袭击对死亡焦虑的感知影响,包括恐惧、缺乏控制和暴露程度。此外,本研究还探讨了弹性属性和宗教信仰的调节作用。方法本研究共调查359名学生,其中直接感知159名,间接感知200名。这些学生的年龄在15到22岁之间。样本采集自巴基斯坦的伊斯兰堡市和拉瓦尔品第市。其中男性223人,平均年龄18.97岁,标准差2.48;女性136人,平均年龄18.53岁,标准差2.68。数据是通过恐怖袭击的感知影响量表(Khan &Rafiq, 2016)、死亡焦虑量表(Templer, 1970)、成人心理弹性量表(Friborg, 2003)和宗教虔诚度问卷(Rafiq &Shehzadi, 2013)。本研究采用定量研究方法。数据收集后,使用SPSS软件23版进行分析。同时进行描述性统计、相关分析和调节分析。结果相关分析结果显示,在直接和间接感知个体中,恐怖袭击的感知影响(恐惧、缺乏控制和暴露程度)与死亡焦虑呈显著正相关(P≥0.001);然而,与间接感知的个体相比,直接感知的个体对死亡的恐惧程度较低。宗教信仰和韧性属性对恐怖袭击感知影响与死亡焦虑之间的关系有调节作用。结论与间接接触者相比,直接接触者对来世、上帝存在和应对的信念更能降低死亡焦虑。
{"title":"Investigating the Relationship Between Perceived Impact of Terrorist Attacks, Resilience, and Religious Beliefs on Death Anxiety in Students in Islamabad","authors":"Ayesha Khan, Rafig Nasreen","doi":"10.32598/ijpcp.28.2.4060.1","DOIUrl":"https://doi.org/10.32598/ijpcp.28.2.4060.1","url":null,"abstract":"Objectives The present research aims to explore the perceived impact of terrorist attacks on death anxiety in terms of dread, lack of control, and extent of exposure. In addition, this study is conducted to explore the moderating effect of resilience attributes and religious beliefs. Methods In this study, the samples include 359 students (directly perceived = 159, and indirectly perceived = 200). The students were in the age range of 15 to 22 years. The samples were collected from Islamabad City and Rawalpindi City, Pakistan. A total of 223 of the participants were male with a mean age of 18.97 years and a standard deviation of 2.48, and the remaining 136 participants were female with a mean age of 18.53 and a standard deviation of 2.68. The data were collected through the perceived impact of terrorist attack scale (Khan &amp; Rafiq, 2016), the death anxiety scale (Templer, 1970), the resilience scale for adults (Friborg, 2003), and the religiosity questionnaire (Rafiq &amp; Shehzadi, 2013). We used the quantitative research method in this study. After the data collection, they were analyzed using the SPSS software, version 23. Meanwhile, descriptive statistics, correlational analysis, and moderation was done. Results The results of the correlational analysis indicated that the perceived impact of terrorist attacks (dread, lack of control, and extent of exposure) was significantly and positively (P ≥ 0.001) associated with death anxiety among directly and indirectly perceived individuals; however, directly perceived individuals were less fearful about death when compared to indirectly perceived individuals. Religious beliefs and resilience attributes had moderating effects on the relationship between the perceived impact of terrorist attacks and death anxiety. Conclusion According to the findings, we can conclude that the belief about the hereafter, the presence of God, and coping may reduce death anxiety more in directly exposed individuals compared to indirectly exposed people.","PeriodicalId":43609,"journal":{"name":"Iranian Journal of Psychiatry and Clinical Psychology","volume":"358 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135773148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Affecting the Sense of Dignity in Patients With Psychiatric Disorders During Hospitalization in a Psychiatric Hospital in Tehran, Iran 伊朗德黑兰一家精神病院住院期间影响精神障碍患者尊严感的因素
Q4 PSYCHIATRY Pub Date : 2023-04-01 DOI: 10.32598/ijpcp.29.1.2941.1
Laleh Loghmani, Mohammad Ali Mardom, Massod Fatemi, Soheyla Kalantari, Zahra Shafiei Kisomi, Seideh Madineh Ghasemnegad, Hadi Ranjbar
Objectives This study aims to determine the factors affecting the sense of dignity in patients with psychiatric disorders during hospitalization in a psychiatric hospital in Tehran, Iran. Methods This is a cross-sectional study. Participants were 253 adult patients with psychiatric disorders admitted to Iran Psychiatry Hospital, who were selected by a convenience sampling method. A researcher-made questionnaire was used to assess the patients’ sense of dignity. To analyze the collected data, independent t-test, Pearson’s correlation test, ANOVA, and linear regression analysis were used. Results There was a significant correlation between age and a sense of dignity (r=0.266, P<0.001). Patients with an educational level above a diploma had a lower sense of dignity than those with a diploma or lower (3.01 vs. 3.15, P=0.023). Patients who were aware of their own disease diagnosis had a lower sense of dignity than those who were not aware (3.06 vs. 3.17, P<0.001). The linear regression model showed the significant ability of age, knowledge of own disease diagnosis, and educational level to predict the sense of dignity. Conclusion Psychiatric patients’ age, educational level, and knowledge of own disease diagnosis can predict their sense of dignity during hospitalization. Healthcare providers and policy makers should consider these factors during interventions to improve the sense of dignity in these patients
目的本研究旨在了解影响伊朗德黑兰某精神病院精神障碍患者住院期间尊严感的因素。方法采用横断面研究。研究对象为253名在伊朗精神病院住院的成年精神障碍患者,采用方便抽样方法。研究人员制作了一份问卷来评估患者的尊严感。对收集到的资料进行分析,采用独立t检验、Pearson相关检验、方差分析和线性回归分析。结果年龄与尊严感存在显著相关(r=0.266, P<0.001)。学历在大专以上的患者的尊严感低于学历在大专以下的患者(3.01 vs. 3.15, P=0.023)。知道自己的疾病诊断的患者的尊严感低于不知道的患者(3.06 vs. 3.17, P<0.001)。线性回归模型显示年龄、自身疾病诊断知识、文化程度对尊严感的预测能力显著。结论精神科患者的年龄、文化程度和对自身疾病诊断的了解程度可以预测其住院期间的尊严感。医疗保健提供者和政策制定者应该在干预期间考虑这些因素,以提高这些患者的尊严感
{"title":"Factors Affecting the Sense of Dignity in Patients With Psychiatric Disorders During Hospitalization in a Psychiatric Hospital in Tehran, Iran","authors":"Laleh Loghmani, Mohammad Ali Mardom, Massod Fatemi, Soheyla Kalantari, Zahra Shafiei Kisomi, Seideh Madineh Ghasemnegad, Hadi Ranjbar","doi":"10.32598/ijpcp.29.1.2941.1","DOIUrl":"https://doi.org/10.32598/ijpcp.29.1.2941.1","url":null,"abstract":"Objectives This study aims to determine the factors affecting the sense of dignity in patients with psychiatric disorders during hospitalization in a psychiatric hospital in Tehran, Iran. Methods This is a cross-sectional study. Participants were 253 adult patients with psychiatric disorders admitted to Iran Psychiatry Hospital, who were selected by a convenience sampling method. A researcher-made questionnaire was used to assess the patients’ sense of dignity. To analyze the collected data, independent t-test, Pearson’s correlation test, ANOVA, and linear regression analysis were used. Results There was a significant correlation between age and a sense of dignity (r=0.266, P<0.001). Patients with an educational level above a diploma had a lower sense of dignity than those with a diploma or lower (3.01 vs. 3.15, P=0.023). Patients who were aware of their own disease diagnosis had a lower sense of dignity than those who were not aware (3.06 vs. 3.17, P<0.001). The linear regression model showed the significant ability of age, knowledge of own disease diagnosis, and educational level to predict the sense of dignity. Conclusion Psychiatric patients’ age, educational level, and knowledge of own disease diagnosis can predict their sense of dignity during hospitalization. Healthcare providers and policy makers should consider these factors during interventions to improve the sense of dignity in these patients","PeriodicalId":43609,"journal":{"name":"Iranian Journal of Psychiatry and Clinical Psychology","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135773161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of Repeated Trans Cranial Magnetic Stimulation on Cognitive Functions of Policemen With Post-traumatic Stress Disorder 反复经颅磁刺激对创伤后应激障碍警察认知功能的影响
Q4 PSYCHIATRY Pub Date : 2023-04-01 DOI: 10.32598/ijpcp.29.1.4493.1
Saber Heydarpour, Leila Mehdizadeh Fanid, Zahra Mirza Asgari, Soomaayeh Heysieattalab
Objectives The present study aims to investigate the effects of repeated transcranial magnetic stimulation (rTMS) on the cognitive functioning of policemen with post-traumatic stress disorder (PTSD). Methods This is a quasi-experimental study with a pre-test/post-test design. The study population included all male police officers referred to the neuropsychiatric department of Imam Sajjad Hospital in Tehran, Iran, in 2022. Of these, 30 policemen diagnosed with PTSD were selected using a convenience sampling method and randomly divided into two groups of control and intervention. Their PTSD was diagnosed using a diagnostic interview by a psychiatrist and an expert clinical psychologist. Cognitive functions were evaluated using Rey’s visual memory test (VMT), Rey’s auditory-verbal learning test (AVLT), Tower of London test (TLT), Stroop test, and Wisconsin card sorting test, which were performed at the pre-test and post-test phases for both groups. The intervention group received 20-Hz rTMS at 10 sessions, including 5 seconds of stimulation and 20 seconds of rest interval between each stimulation (1000 pulses per session). The data were analyzed by multivariate analysis of covariance in SPSS software, version 22. Results The intervention group showed better scores in the VMT, AVLT, TLT, residual error, number of card designs, interference score, interference time, congruent error, and incongruent error compared to the control group Conclusion The high-frequency rTMS has a positive effect on the cognitive functions of policemen suffering from PTSD.
目的探讨反复经颅磁刺激(rTMS)对警察创伤后应激障碍(PTSD)认知功能的影响。方法准实验研究,采用前测/后测设计。研究对象包括2022年到伊朗德黑兰伊玛目萨贾德医院神经精神科就诊的所有男性警察。采用方便抽样法,选取30名被诊断为PTSD的警察,随机分为对照组和干预组。他们的创伤后应激障碍是通过精神病学家和临床心理学专家的诊断性访谈诊断出来的。采用Rey’s视觉记忆测验(VMT)、Rey’s听觉语言学习测验(AVLT)、伦敦塔测验(TLT)、Stroop测验和威斯康星卡片分类测验对两组的认知功能进行评估,分别在测试前和测试后进行。干预组接受20 hz rTMS,共10次,每次刺激5秒,每次刺激间隔休息20秒(每次1000次脉冲)。采用SPSS软件(version 22)进行多变量协方差分析。结果干预组在VMT、AVLT、TLT、残差、卡片设计数、干扰分、干扰时间、一致性错误、不一致性错误等方面得分均高于对照组。结论高频rTMS对PTSD警察的认知功能有积极影响。
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引用次数: 0
Importance of Cognitive-Behavioral Therapy During the COVID-19 Pandemic: A Bibliometric Analysis 认知行为疗法在COVID-19大流行期间的重要性:文献计量学分析
IF 0.9 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.32598/ijpcp.28.4.4183.2
I. Shubina
The impact of coronavirus disease 2019 (COVID-19) on people’s life was high, influencing almost all aspects of human functioning, causing sleeping disorders, eating disorders, stress, anxiety, depression, and other mental health problems due to the increasing levels of sickness, fear of death, and imposing various restrictions such as travel ban, social distancing, and quarantine which increased the need for mental health support for people and health workers. Cognitive-behavioral therapy (CBT) is a promising method to treat patients with psychological disorders such depression, anxiety, etc.
2019冠状病毒病(COVID-19)对人们生活的影响很大,影响到人类功能的几乎所有方面,由于疾病程度的增加、对死亡的恐惧以及旅行禁令、社交距离和隔离等各种限制,导致睡眠障碍、饮食失调、压力、焦虑、抑郁和其他心理健康问题,增加了对人们和卫生工作者的心理健康支持需求。认知行为疗法(CBT)是治疗抑郁症、焦虑症等心理障碍的一种很有前途的方法。
{"title":"Importance of Cognitive-Behavioral Therapy During the COVID-19 Pandemic: A Bibliometric Analysis","authors":"I. Shubina","doi":"10.32598/ijpcp.28.4.4183.2","DOIUrl":"https://doi.org/10.32598/ijpcp.28.4.4183.2","url":null,"abstract":"The impact of coronavirus disease 2019 (COVID-19) on people’s life was high, influencing almost all aspects of human functioning, causing sleeping disorders, eating disorders, stress, anxiety, depression, and other mental health problems due to the increasing levels of sickness, fear of death, and imposing various restrictions such as travel ban, social distancing, and quarantine which increased the need for mental health support for people and health workers. Cognitive-behavioral therapy (CBT) is a promising method to treat patients with psychological disorders such depression, anxiety, etc.","PeriodicalId":43609,"journal":{"name":"Iranian Journal of Psychiatry and Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43784380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Mediating Role of Shame and Self-criticism in the Relationship Between Attachment Styles and Severity of Depressive Symptoms 羞耻和自我批评在依恋方式与抑郁症状严重程度关系中的中介作用
IF 0.9 Q4 PSYCHIATRY Pub Date : 2023-01-01 DOI: 10.32598/ijpcp.28.4.4492.1
Hosein Mahdavi Rad, Komeil Zahedi Tajrishi, Abbas Ramezanifarani, A. A. Asgharnejad Farid
Objectives Depression is the fourth major cause of disease burden in the world, which alone accounts for the largest share of non-fatal disease burden. The present study was done to investigate the mediating role of shame and self-criticism in the relationship between attachment styles and the severity of depression symptoms. Methods The current research design was descriptive and structural equation modeling. The statistical population of the current study was all people in the age range of 18 to 47 years in Tehran in 2022. The research sample consisted of 212 people who were selected using the available sampling method. In order to collect data, Beck’s Depression Questionnaire, Hazen and Shaver’s Attachment Styles Questionnaire, Tangeni et al.’s Shame Questionnaire, and Thompson, and Zaroff’s Critical Levels Questionnaire were used. For the statistical analysis of the data, structural equation modeling using Lisrel 8/8 software was used. Results The results of data analysis showed a positive and significant relationship between anxious-avoidant attachment styles (r=0.62; p<0.01) and anxious-ambivalent (r=0.51; p<0.01) and the severity of depression symptoms, shame and the severity of depression (r=0.75; p<0.01), and self-criticism and the severity of depression (r=0.45; p<0.01). Also, the anxious-avoidant insecure attachment path and the anxious-ambivalent insecure attachment path showed a significant relationship with the severity of depression symptoms with the mediating role of shame, with standard coefficients of 0.30 and 0.33, respectively, at the p<0.05 level. In addition, the anxious-avoidant insecure attachment path and the anxious-ambivalent insecure attachment path showed a significant relationship with the severity of depression symptoms with the mediating role of self-criticism, with standard coefficients of 0.22 and 0.33, respectively, at the p<0.05 level. Conclusion According to the results of the present study, anxious-avoidant and ambivalent insecure attachment, shame, and self-criticism are the underlying factors of depression, and paying attention to the mentioned variables helps researchers and therapists in the prevention and designing of more appropriate treatments.
抑郁症是世界上疾病负担的第四大原因,仅它就占非致命性疾病负担的最大份额。本研究旨在探讨羞耻感和自我批评在依恋类型与抑郁症状严重程度之间的中介作用。方法采用描述模型和结构方程模型。本研究的统计人口是2022年德黑兰18至47岁的所有人。研究样本由212人组成,他们是用现有的抽样方法选择的。为了收集数据,我们使用了Beck的抑郁问卷、Hazen和Shaver的依恋风格问卷、Tangeni等人的羞耻感问卷以及Thompson和Zaroff的临界水平问卷。对数据进行统计分析,采用Lisrel 8/8软件进行结构方程建模。结果数据分析结果显示,焦虑-逃避型依恋类型之间存在显著正相关(r=0.62;P <0.01)和焦虑-矛盾(r=0.51;P <0.01)、抑郁症状严重程度、羞耻感和抑郁严重程度(r=0.75;P <0.01)、自我批评与抑郁程度(r=0.45;p < 0.01)。焦虑-逃避型不安全依恋路径和焦虑-矛盾型不安全依恋路径均与抑郁症状严重程度显著相关,且羞耻感的中介作用显著,标准系数分别为0.30和0.33,p<0.05。此外,焦虑-逃避型不安全依恋路径和焦虑-矛盾型不安全依恋路径与抑郁症状严重程度显著相关,并具有自我批评的中介作用,标准系数分别为0.22和0.33,p<0.05水平。结论焦虑回避型和矛盾型不安全依恋、羞耻感和自我批评是抑郁症的潜在影响因素,关注这些因素有助于研究者和治疗人员预防和设计更合适的治疗方法。
{"title":"The Mediating Role of Shame and Self-criticism in the Relationship Between Attachment Styles and Severity of Depressive Symptoms","authors":"Hosein Mahdavi Rad, Komeil Zahedi Tajrishi, Abbas Ramezanifarani, A. A. Asgharnejad Farid","doi":"10.32598/ijpcp.28.4.4492.1","DOIUrl":"https://doi.org/10.32598/ijpcp.28.4.4492.1","url":null,"abstract":"Objectives Depression is the fourth major cause of disease burden in the world, which alone accounts for the largest share of non-fatal disease burden. The present study was done to investigate the mediating role of shame and self-criticism in the relationship between attachment styles and the severity of depression symptoms. Methods The current research design was descriptive and structural equation modeling. The statistical population of the current study was all people in the age range of 18 to 47 years in Tehran in 2022. The research sample consisted of 212 people who were selected using the available sampling method. In order to collect data, Beck’s Depression Questionnaire, Hazen and Shaver’s Attachment Styles Questionnaire, Tangeni et al.’s Shame Questionnaire, and Thompson, and Zaroff’s Critical Levels Questionnaire were used. For the statistical analysis of the data, structural equation modeling using Lisrel 8/8 software was used. Results The results of data analysis showed a positive and significant relationship between anxious-avoidant attachment styles (r=0.62; p<0.01) and anxious-ambivalent (r=0.51; p<0.01) and the severity of depression symptoms, shame and the severity of depression (r=0.75; p<0.01), and self-criticism and the severity of depression (r=0.45; p<0.01). Also, the anxious-avoidant insecure attachment path and the anxious-ambivalent insecure attachment path showed a significant relationship with the severity of depression symptoms with the mediating role of shame, with standard coefficients of 0.30 and 0.33, respectively, at the p<0.05 level. In addition, the anxious-avoidant insecure attachment path and the anxious-ambivalent insecure attachment path showed a significant relationship with the severity of depression symptoms with the mediating role of self-criticism, with standard coefficients of 0.22 and 0.33, respectively, at the p<0.05 level. Conclusion According to the results of the present study, anxious-avoidant and ambivalent insecure attachment, shame, and self-criticism are the underlying factors of depression, and paying attention to the mentioned variables helps researchers and therapists in the prevention and designing of more appropriate treatments.","PeriodicalId":43609,"journal":{"name":"Iranian Journal of Psychiatry and Clinical Psychology","volume":" ","pages":""},"PeriodicalIF":0.9,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44593094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Iranian Journal of Psychiatry and Clinical Psychology
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