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Psychometric Evaluation of the Persian Version of the Post-Traumatic Symptom Scale: Exploratory and Confirmatory Factor Analysis 创伤后症状量表波斯语版本的心理计量学评估:探索性和确认性因子分析
IF 1 Q4 Medicine Pub Date : 2024-04-22 DOI: 10.5812/ijpbs-141873
S. M. Razavi, A. Amirfakhraei, Kobra Hagi Alizadeh
Background: Iranian youth encounter numerous stressors, including accidents, suicide, and unemployment, heightening their risk for posttraumatic stress disorder (PTSD). It's crucial to assess, diagnose, and treat PTSD in this demographic. Objectives: This study aimed to evaluate the factor structure and validate the Post-Traumatic Symptom Scale (PTSS). Methods: A cross-sectional approach was employed for the validation of the PTSS in Bandar Abbas, 2022, with a sample of 901 young residents selected via random cluster sampling. Data were gathered using the PTSS and the Mississippi Scale for Posttraumatic Stress Disorder (MSPSS). Validation of the scale encompassed content validity, concurrent validity, and factor analysis. Reliability assessments included internal consistency, test-retest, and split-half reliability. The optimal cut-off point was identified through receiver operating characteristic (ROC) curve analysis and the Youden Index. Results: The PTSS demonstrated robust face and content validity, evidenced by impact factor (1.6 < impact factor < 3.6), content validity ratio (CVR = 0.68 to 0.91), and Content Validity Index (CVI = 0.70 to 0.94). The PTSS's concurrent validity with the MSPSS was positively strong (r = 0.64, P < 0.001). Factor analyses, both exploratory (EFA) and confirmatory (CFA), substantiated a four-factor model of the PTSS, accounting for 56.288% of the variance (19% for arousal and reactivity, 14% for negative alterations in cognitions and mood, 11% for avoidance, and 11% for intrusion). The scale's overall Cronbach's alpha was 0.87, with subscales ranging from 0.77 to 0.88. Test-retest reliability stood at 0.81 (P < 0.01), and split-half reliability at 0.81. The PTSS's optimal cut-off for PTSD diagnosis was 60, delivering a sensitivity of 0.70, specificity of 0.99, and Youden Index of 0.69. Conclusions: The PTSS proves to be a reliable and valid instrument for assessing posttraumatic stress symptoms among young Iranians, offering a useful resource for researchers and practitioners in the prevention and treatment of PTSD.
背景:伊朗青少年会遇到许多压力,包括意外事故、自杀和失业,这增加了他们患创伤后应激障碍(PTSD)的风险。对这一人群进行创伤后应激障碍的评估、诊断和治疗至关重要。研究目的本研究旨在评估创伤后症状量表(PTSS)的因子结构并对其进行验证。研究方法采用横断面方法在阿巴斯港(2022 年)对创伤后症状量表进行验证,通过随机分组抽样选取了 901 名年轻居民作为样本。使用创伤后应激障碍量表(PTSS)和密西西比创伤后应激障碍量表(MSPSS)收集数据。量表的验证包括内容效度、并发效度和因素分析。信度评估包括内部一致性、重测和半分信度。通过接收者操作特征曲线(ROC)分析和尤登指数(Youden Index)确定了最佳切点。结果从影响因子(1.6 < 影响因子 < 3.6)、内容效度比(CVR = 0.68 至 0.91)和内容效度指数(CVI = 0.70 至 0.94)来看,PTSS 显示出强大的表面和内容效度。PTSS 与 MSPSS 的并发效度呈正相关(r = 0.64,P < 0.001)。探索性(EFA)和确认性(CFA)因子分析证实了 PTSS 的四因子模型,占变异的 56.288%(唤醒和反应性占 19%,认知和情绪的负面改变占 14%,回避占 11%,入侵占 11%)。量表的总体 Cronbach's alpha 为 0.87,子量表的 Cronbach's alpha 为 0.77 至 0.88。重测信度为 0.81(P < 0.01),半分信度为 0.81。PTSS诊断创伤后应激障碍的最佳临界值为60,灵敏度为0.70,特异度为0.99,尤登指数为0.69。结论事实证明,PTSS 是评估伊朗年轻人创伤后应激症状的可靠而有效的工具,为研究人员和从业人员预防和治疗创伤后应激障碍提供了有用的资源。
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引用次数: 0
Effect of Positive Psychology Online Group Therapy on Spiritual Well-Being, Positive and Negative Affect of Working Women in COVID-19 Pandemic 积极心理学在线小组疗法对 COVID-19 大流行中职业女性精神健康、积极和消极情绪的影响
IF 1 Q4 Medicine Pub Date : 2024-04-21 DOI: 10.5812/ijpbs-138380
Marziye Feizi, Zahra sadat Pour Seyyed Aghaei, Jafar Sarani Yaztappeh, Saeeda Karbalai Tarkashduz, A. Kianimoghadam, Maryam Bakhtiyari, Fatemeh Ghasemi Niaei
Background: Positive psychology is a branch of psychology that deals with the factors shaping mental health, even in dangerous situations such as the COVID-19 pandemic, by emphasizing human capabilities. Objectives: The present study aimed to investigate the impact of positive psychology in online group meetings on the spiritual well-being and positive and negative effects of Iranian working women during the COVID-19 pandemic. Methods: The present study was a clinical trial conducted with a pre-test, post-test, 1-month follow-up, and a control group conducted on all Iranian working women aged 18 - 45 years who were users of social networks (such as Instagram, Telegram, and WhatsApp) in 2022 - 2023. The sample was selected by convenience sampling and included 52 women assigned to the experimental (26 women) and control (26 women) groups. Data were collected using the Spiritual Well-Being scale (SWBS) of Paloutzian and Ellison and the Positive and Negative Affect Schedule (PANAS). The experimental group received 6 one-hour training sessions. The data were analyzed using a multivariate analysis of covariance (MANCOVA) through SPSS software (version 22). Results: The MANCOVA results revealed that after the intervention, there was a significant difference between the groups regarding the positive affect variable (P < 0.001), while no difference was observed between the two groups in spiritual well-being and negative affect (P > 0.05). Conclusions: The findings recommend interventions based on positive psychology to increase positive affect due to its emphasis on the positive points of the current situation and strengthening them, leading to the adoption of an active stance towards life. On the other hand, the insignificant effect of the treatment on spiritual well-being and negative effects necessitates more studies and more serious and long-term interventions.
背景:积极心理学是心理学的一个分支,它通过强调人的能力来研究影响心理健康的因素,即使是在 COVID-19 大流行病等危险情况下。研究目的本研究旨在调查在线小组会议中的积极心理学对 COVID-19 大流行期间伊朗职业女性精神健康的影响以及积极和消极影响。研究方法本研究是一项临床试验,对 2022 - 2023 年所有使用社交网络(如 Instagram、Telegram 和 WhatsApp)的 18 - 45 岁伊朗职业女性进行了前测、后测、1 个月随访和对照组试验。样本通过便利抽样法选出,包括被分配到实验组(26 名女性)和对照组(26 名女性)的 52 名女性。数据采用 Paloutzian 和 Ellison 的精神健康量表(SWBS)和正负情表(PANAS)进行收集。实验组接受了 6 个小时的培训课程。数据通过 SPSS 软件(22 版)进行多变量协方差分析(MANCOVA)。结果显示MANCOVA 结果显示,干预后,两组之间在积极情绪变量方面存在显著差异(P < 0.001),而在精神幸福感和消极情绪方面没有观察到差异(P > 0.05)。结论研究结果建议采取基于积极心理学的干预措施,以提高积极情感,因为积极心理学强调当前形势的积极因素,并加强这些积极因素,从而采取积极的生活态度。另一方面,治疗对精神健康和负面影响的效果不明显,因此有必要进行更多的研究和更认真、更长期的干预。
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引用次数: 0
A Scoping Review on the Use of Rumi’s Allegories and Metaphors in Psychotherapy 关于在心理治疗中使用鲁米寓言和隐喻的范围审查
IF 1 Q4 Medicine Pub Date : 2024-04-17 DOI: 10.5812/ijpbs-142718
Faeze Alipour, Asghar Norouzi, Seyed Hamzeh Hosseini
Context: Utilizing metaphors assists clients in gaining insight and effecting changes in their lives. Given that Rumi predominantly uses metaphors and allegories to convey profound thoughts, we have focused our attention on his works. This review aims to evaluate what is known from the research literature about the utilization of Rumi’s metaphors and allegories in the context of psychotherapy. Evidence Acquisition: The literature search was conducted in Scopus, PsychInfo, Proquest, Google Scholar, PubMed, and Cochrane databases in English, and SID and Google Scholar databases in Persian (until May 31, 2022). To identify relevant literature, the searched terms included Persian and English key terms: “Rumi,” “Psychology,” and “Psychotherapy.” The studies included in our review were those published in either English or Persian and specifically focused on therapeutic approaches. We excluded studies that had a religious, mystical, philosophical, or literary view of Rumi's thoughts. Results: Overall, 24 studies were included in this scoping review. Among the studies, Rumi's metaphors and allegories have been employed more in cognitive, mindfulness-based, and existential-humanistic approaches (29%, 29%, and 25%, respectively). Additionally, three studies developed an interventional package based on Rumi’s thoughts. We found that the number of studies using Rumi's ideas in psychotherapy approaches has been growing increasingly in recent years, with 10 of 24 studies published in 2020 and 2021. Conclusions: Although the small number of identified articles makes definitive conclusions challenging, they reveal that Rumi's metaphors and allegories have the potential to enhance clients' insight within diverse therapeutic approaches. It is suggested that the metaphors and allegories in Rumi's thoughts can be effectively utilized across a wide spectrum of cultural contexts.
背景:利用隐喻帮助客户获得洞察力并改变他们的生活。鉴于鲁米主要使用隐喻和寓言来传达深刻的思想,我们将注意力集中在他的作品上。本综述旨在评估有关在心理治疗中使用鲁米的隐喻和寓言的研究文献。证据获取:文献检索在 Scopus、PsychInfo、Proquest、Google Scholar、PubMed 和 Cochrane 英文数据库以及 SID 和 Google Scholar 波斯文数据库中进行(截至 2022 年 5 月 31 日)。为确定相关文献,检索词包括波斯语和英语关键术语:"鲁米"、"心理学 "和 "心理疗法"。纳入我们综述的研究均以英语或波斯语发表,并特别关注治疗方法。我们排除了对鲁米思想持宗教、神秘、哲学或文学观点的研究。结果:共有 24 项研究被纳入此次范围界定审查。在这些研究中,鲁米的隐喻和寓言更多地被用于认知疗法、正念疗法和存在主义人本主义疗法中(分别占 29%、29% 和 25%)。此外,有三项研究根据鲁米的思想开发了一套干预方案。我们发现,近年来在心理治疗方法中使用鲁米思想的研究越来越多,24 项研究中有 10 项发表于 2020 年和 2021 年。结论:尽管所发现的文章数量较少,因此很难得出明确的结论,但这些文章揭示了鲁米的隐喻和寓言有可能在不同的治疗方法中提高客户的洞察力。我们认为,鲁米思想中的隐喻和寓言可以在广泛的文化背景下得到有效利用。
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引用次数: 0
Spiritual Experiences of COVID-19 Recovered Patients: A Phenomenological Study COVID-19 康复患者的精神体验:现象学研究
IF 1 Q4 Medicine Pub Date : 2024-04-17 DOI: 10.5812/ijpbs-141978
Naser Masoudi, Moloud Radfar, Masoome Hemmati Maslak, F. Mohammadi
Background: During the COVID-19 crisis, spirituality can offer support to patients, assisting them in coping with the disease despite its associated pain and suffering. Objectives: This study investigates the spiritual experiences of patients who have recovered from COVID-19. Methods: This qualitative, interpretive phenomenological study utilized in-depth, semi-structured interviews with 16 patients, selected via purposive snowball sampling. All interviews were recorded and analyzed using Van Manen’s interpretive phenomenological approach. Results: Data analysis revealed four major themes and eleven sub-themes, each conceptually named to reflect its essence. The major themes are “the miracle of spirituality,” “discovering a new meaning for life,” “strengthening spiritual beliefs,” and “rebirth of spiritual life.”
背景:在 COVID-19 危机期间,精神可以为患者提供支持,帮助他们克服疾病带来的痛苦和折磨。研究目的本研究调查 COVID-19 康复患者的精神体验。研究方法这项定性、解释性现象学研究通过有目的的滚雪球式抽样,对 16 名患者进行了深入的半结构化访谈。所有访谈均有记录,并采用范马南的解释现象学方法进行分析。研究结果数据分析揭示了四个主要主题和十一个次主题,每个主题都以概念命名,以反映其本质。主要主题是 "灵性的奇迹"、"发现生命的新意义"、"加强精神信仰 "和 "精神生活的重生"。
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引用次数: 0
Effect of Educational Intervention on Reducing Mobile Phone Addiction: Application of Transtheoretical Model 教育干预对减少手机成瘾的影响:跨理论模型的应用
IF 1 Q4 Medicine Pub Date : 2024-04-15 DOI: 10.5812/ijpbs-143215
A. Noroozi, Robab Mondanizadee, R. Tahmasebi
Background: Mobile phone addiction (MPA) among students leads to significant psychological changes. Therefore, modifying mobile phone usage (MPU) patterns using behavioral change theories and models can be beneficial. The transtheoretical model (TTM) is commonly employed in the field of addictive behaviors. Objectives: This study aimed to assess the effect of an intervention based on TTM on MPA in female primary school students. Methods: This experimental study included 72 students (36 participants in each group) randomly selected from girls' primary schools in Bushehr. The data collection tool comprised a questionnaire covering demographic factors, stage of changes, decisional balance (DC), self-efficacy (SE), excessive mobile phone use, and an MPA questionnaire. The training was conducted through motivational interview sessions: Two for participants in the preparation stage and three for those in the pre-contemplation and contemplation stages, utilizing the constructs of the TTM. After 3 months, the collected data were analyzed using SPSS software with a significance level of less than 0.05. Results: The findings indicated similarities between the two groups before the study. Following the intervention, the training led to a significant increase in the mean score of SE and DC distribution count of excessive MPU (P = 0.013) and stage of change (P < 0.001) over time between the two groups. Mobile phone addiction significantly decreased in the intervention group three months after training (P < 0.001). Conclusions: Education based on TTM can effectively reduce MPA in students.
背景:学生中的手机成瘾(MPA)会导致重大的心理变化。因此,利用行为改变理论和模型来改变手机使用(MPU)模式是有益的。跨理论模型(TTM)是成瘾行为领域常用的模型。研究目的本研究旨在评估基于 TTM 的干预对女性小学生 MPA 的影响。研究方法这项实验研究包括从布什尔女子小学随机挑选的 72 名学生(每组 36 人)。数据收集工具包括一份调查问卷,内容涉及人口统计学因素、变化阶段、决策平衡(DC)、自我效能感(SE)、过度使用手机以及 MPA 问卷。培训通过激励性访谈课程进行:对处于准备阶段的参与者进行了两次访谈,对处于沉思前和沉思阶段的参与者进行了三次访谈,访谈中使用了 TTM 的结构。3 个月后,使用 SPSS 软件对收集到的数据进行分析,显著性水平小于 0.05。结果显示研究结果表明,在研究之前,两组之间存在相似之处。干预后,两组的 SE 平均分和过量 MPU 的 DC 分布计数(P = 0.013)和变化阶段(P < 0.001)随着时间的推移显著增加。培训三个月后,干预组的手机成瘾程度明显降低(P < 0.001)。结论基于 TTM 的教育可有效减少学生的 MPA。
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引用次数: 0
Eating Disorders and Suicidal Ideation in Morbid and Non-morbid Type 2 Diabetes Mellitus: A Cross-sectional Study 病态和非病态 2 型糖尿病患者的进食障碍和自杀意念:横断面研究
IF 1 Q4 Medicine Pub Date : 2024-03-26 DOI: 10.5812/ijpbs-144042
Amin Soltani Esmaeli, Hamid Owliaey, H. Ghasemirad, Shadi Talebi, Reyhane soltaninezhad, Hossein Toreyhi, Zahra Pournasiri, Mehrnoush Giahi Yazdi, Saeed Rahmani, Reza Bidaki, Meraj Kargar
Background: Patients with chronic illnesses like type 2 diabetes mellitus (T2DM) are at a higher risk of depression and psychiatric disorders, potentially leading to adverse outcomes. Eating disorders appear to be one of the factors contributing to T2DM and resulting in poor glycemic control and complications. Objectives: This study aimed to compare the prevalence of eating disorders and suicidal ideation between morbid and non-morbid T2DM patients. Methods: A cross-sectional questionnaire was conducted at the Yazd Diabetes Research Center from August 2021 to March 2022. A total of 232 T2DM patients aged between 30 and 65 were included in the study. Through convenience sampling, data were collected using structured questionnaires to assess eating disorders, suicidal ideation, and demographic information. Statistical analyses were performed to evaluate the associations between variables. Results: The study revealed that there was no statistically significant difference in the prevalence of eating disorders between the two groups of T2DM patients (P = 0.083). However, upon considering age as a contributing factor, it was observed that younger patients afflicted with morbid T2DM exhibited a markedly higher incidence of eating disorders when compared to their non-morbid counterparts (P = 0.019). In contrast, a significant distinction emerged in terms of suicidal ideation between the two groups (P = 0.015), with patients suffering from morbid T2DM reporting elevated rates of contemplating suicide. Subgroup analyses further underscored a heightened prevalence of suicidal ideation among female patients and those aged 30 - 59 who were afflicted with morbid T2DM. Conclusions: This study highlights the importance of mental health assessment in T2DM patients, particularly those with morbid disease, younger age, higher Body Mass Index (BMI), and poor glycemic control. Early detection and intervention for eating disorders and suicidal ideation could significantly improve the overall well-being and outcomes of T2DM patients.
背景:2 型糖尿病(T2DM)等慢性病患者患抑郁症和精神障碍的风险较高,有可能导致不良后果。进食障碍似乎是导致 T2DM 的因素之一,并导致血糖控制不佳和并发症。研究目的本研究旨在比较病态和非病态 T2DM 患者饮食失调和自杀意念的发生率。研究方法于 2021 年 8 月至 2022 年 3 月在亚兹德糖尿病研究中心进行了横断面问卷调查。研究共纳入 232 名年龄在 30 岁至 65 岁之间的 T2DM 患者。通过便利抽样,使用结构化问卷收集数据,以评估进食障碍、自杀意念和人口统计学信息。研究人员进行了统计分析,以评估变量之间的关联。结果显示研究显示,两组 T2DM 患者的饮食失调患病率在统计学上没有显著差异(P = 0.083)。然而,当考虑到年龄这一因素时,发现年轻的病态 T2DM 患者与非病态 T2DM 患者相比,饮食失调的发生率明显更高(P = 0.019)。相比之下,两组患者在自杀意念方面存在明显差异(P = 0.015),病态 T2DM 患者的自杀率较高。亚组分析进一步表明,女性患者和年龄在 30 - 59 岁之间的病态 T2DM 患者的自杀意念发生率更高。结论本研究强调了对 T2DM 患者进行心理健康评估的重要性,尤其是那些患有病态疾病、年龄较小、体重指数(BMI)较高以及血糖控制不佳的患者。对进食障碍和自杀意念的早期发现和干预可显著改善 T2DM 患者的整体健康和预后。
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引用次数: 0
Prevalence of Elder Abuse and Its Related Factors in Isfahan, Iran 伊朗伊斯法罕的虐待老人现象及其相关因素
IF 1 Q4 Medicine Pub Date : 2024-03-16 DOI: 10.5812/ijpbs-137699
S. Siadat, Narges Motamedi
Background: Elder abuse presents a significant public health concern with implications for overall well-being. As Iran undergoes demographic aging, there is a lack of data regarding the prevalence of elder abuse. Objectives: This study aimed to provide insight into the prevalence of elder abuse in Isfahan, Iran. Methods: A cross-sectional study was conducted in Isfahan in 2021, recruiting 424 individuals aged 60 and above from the "Comprehensive Health Services Centers" through simple random sampling. Demographic information and responses to the Elderly Abuse questionnaire were collected via interviews. Descriptive statistics, including mean and confidence intervals, were utilized, while analytical methods such as independent t-tests, chi-square tests, Spearman and Pearson correlation coefficients, and logistic regression were employed for data analysis. Results: The study revealed a 36% prevalence of elder abuse across at least one category, with authority deprivation (19.6%) and emotional neglect (19.3%) being the most prevalent forms. This prevalence was higher among individuals aged 60 - 69 years (adjusted odds ratio (OR) = 2, CI (1.19 - 3.45), P = 0.01), females (adjusted OR = 2.61, CI (1.30 - 5.25), P = 0.007), retirees (adjusted OR = 4.15, CI (1.59 - 10.92), P = 0.004), and those with a history of chronic illness (adjusted OR = 2.11, CI (1.26 - 3.53), P = 0.004). Conclusions: Elder abuse emerges as a significant public health issue in Isfahan. Given the ongoing aging process nationwide, there is a critical need for interventions aimed at preventing and mitigating this public health concern.
背景:虐待老人是一个重大的公共卫生问题,会影响老年人的整体健康。随着伊朗人口老龄化的加剧,有关虐待老人行为发生率的数据十分匮乏。研究目的本研究旨在深入了解伊朗伊斯法罕市虐待老人的普遍程度。研究方法2021 年在伊斯法罕进行了一项横断面研究,通过简单随机抽样从 "综合健康服务中心 "招募了 424 名 60 岁及以上的老人。通过访谈收集了人口统计学信息和对虐待老人问卷的回答。数据分析采用了包括平均值和置信区间在内的描述性统计,以及独立 t 检验、卡方检验、Spearman 和 Pearson 相关系数和逻辑回归等分析方法。结果研究显示,至少有一种类型的虐老行为发生率为 36%,其中权力剥夺(19.6%)和情感忽视(19.3%)是最普遍的形式。年龄在 60 - 69 岁之间的受虐率较高(调整后的几率比 (OR) = 2,CI (1.19 - 3.45),P = 0.01),女性(调整后的几率比 = 2.61,CI (1.30 - 5.25),P = 0.00)。25),P = 0.007)、退休人员(调整后 OR = 4.15,CI(1.59 - 10.92),P = 0.004)和有慢性病史者(调整后 OR = 2.11,CI(1.26 - 3.53),P = 0.004)。结论虐待老人已成为伊斯法罕的一个重大公共卫生问题。鉴于全国范围内正在进行的老龄化进程,亟需采取干预措施来预防和缓解这一公共卫生问题。
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引用次数: 0
The Relationship Between Body Image and Psychological Well-Being with Post-Traumatic Growth in Women with Breast Cancer and a History of Mastectomy 乳腺癌和乳房切除史妇女的身体形象和心理健康与创伤后成长之间的关系
IF 1 Q4 Medicine Pub Date : 2024-03-06 DOI: 10.5812/ijpbs-139377
Saeed Alikhani, Maryam Asadolah Tooyserkani, Elham Aghaie
Background: Despite the challenging nature of cancer, research has indicated that the battle against this illness can lead to positive transformations following diagnosis and treatment, a phenomenon known as post-traumatic growth. Objectives: This study aimed to explore the association between body image and mental well-being and post-traumatic growth among women who have undergone breast cancer treatment and mastectomy surgery. Methods: Employing a correlational research design, this study sampled 276 participants, focusing on married women in Tehran who have experienced mastectomy. The instruments used included McKinley and Hyde's Body Image Scale (1996), the Ryff Scale of Psychological Well-Being 1989 (RSPWB-18), and the Post-Traumatic Growth Inventory (PTGI) by Tedeschi. Results: Data analysis was conducted using Pearson's correlation test and multivariate regression analysis. The findings revealed a significant association between psychological well-being and post-traumatic growth in women (P < 0.01). Conclusions: The results underscore the importance of incorporating an understanding of the relationship between these variables into the development of educational and psychological interventions, integrating them with treatment plans for patients post-breast cancer surgery.
背景:尽管癌症具有挑战性,但研究表明,与这种疾病作斗争可以在诊断和治疗后带来积极的转变,这种现象被称为创伤后成长。研究目的本研究旨在探讨接受过乳腺癌治疗和乳房切除手术的女性的身体形象和心理健康与创伤后成长之间的关系。研究方法本研究采用相关性研究设计,抽取了 276 名参与者,重点关注德黑兰曾经历过乳房切除手术的已婚女性。使用的工具包括麦金利和海德的身体形象量表(1996 年)、Ryff 心理健康量表 1989(RSPWB-18)和 Tedeschi 的创伤后成长量表(PTGI)。结果:数据分析采用了皮尔逊相关检验和多元回归分析。研究结果显示,女性的心理健康与创伤后成长之间存在明显的关联(P < 0.01)。结论研究结果表明,在制定教育和心理干预措施时必须了解这些变量之间的关系,并将其与乳腺癌术后患者的治疗计划相结合。
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引用次数: 0
The Role of Internalized Stigma in Modulating Hope, Self-Esteem, and Self-Efficacy among Outpatients with Mental Illness 内化成见在调节精神病门诊患者的希望、自尊和自我效能中的作用
IF 1 Q4 Medicine Pub Date : 2024-03-05 DOI: 10.5812/ijpbs-139613
Salehesadat Hosseini, Farideh Ranjbaran, Zahra Shahmoradi, Fahimeh Omidi, Mohammadreza Rezaie, Zahra Mohamadi, Amin Tajerian
Background: Mental health disorders influence emotions and behavior and frequently result in stigma, particularly personal stigma, where affected individuals internalize societal biases. This study explores the relationship between internalized stigma and hope, self-esteem, and self-efficacy in individuals with mental illness. Objectives: The aim was to investigate the relationship between internalized stigma and hope, self-esteem, and self-efficacy in patients with mental illness and to contribute to the discourse on mental health care. Methods: A cross-sectional study involving 126 mental illness outpatients from Amirkabir Hospital in Arak, Iran, was conducted. Instruments such as the Internalized Stigma Of Mental Illness (ISMI) Scale, Schneider's Dispositional Hope Scale, Rosenberg's Self-Esteem Scale, and the General Self-Efficacy Scale were utilized. Data were analyzed using statistical methods. Results: In this study of 126 participants (54% women, 46% men; ages ranging from 18 to 89), the average score for internalized stigma was 61.04 ± 18.37. There were significant negative correlations observed between self-stigma and hope (r = -0.658, P < 0.001), self-esteem (r = -0.666, P < 0.001), and self-efficacy (r = -0.641, P < 0.001). No significant relationships were identified with socio-demographic factors such as age, gender, and marital status. However, a significant relationship was observed between education level, self-stigma, and self-efficacy. Conclusions: The study confirms that internalized stigma significantly affects hope, self-esteem, and self-efficacy in patients with mental disorders. The findings emphasize the necessity for improved psychological services and educational programs to strengthen these factors, thus diminishing the impact of stigma and enhancing patients' lives.
背景:精神疾病会影响人的情绪和行为,并经常导致污名化,尤其是个人污名化,受影响的个人会将社会偏见内在化。本研究探讨了精神疾病患者的内在化成见与希望、自尊和自我效能之间的关系。研究目的目的:调查精神疾病患者的内化成见与希望、自尊和自我效能之间的关系,并为精神卫生保健方面的讨论做出贡献。研究方法对伊朗阿拉克市阿米尔卡比尔医院的 126 名精神疾病门诊患者进行了横断面研究。研究使用了精神疾病内部化耻辱感量表(ISMI)、施耐德希望倾向量表、罗森伯格自尊量表和一般自我效能感量表等工具。数据采用统计方法进行分析。研究结果在这项由 126 名参与者(54% 为女性,46% 为男性;年龄在 18 至 89 岁之间)参加的研究中,内化成见的平均得分是 61.04 ± 18.37。自我成见与希望(r = -0.658,P < 0.001)、自尊(r = -0.666,P < 0.001)和自我效能(r = -0.641,P < 0.001)之间存在明显的负相关。与年龄、性别和婚姻状况等社会人口因素没有发现明显的关系。然而,教育水平、自我耻辱感和自我效能感之间存在着明显的关系。结论研究证实,内化的成见会严重影响精神障碍患者的希望、自尊和自我效能感。研究结果强调,有必要改善心理服务和教育计划,以加强这些因素,从而减少成见的影响,改善患者的生活。
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引用次数: 0
Predictive Factors for Methadone Maintenance Treatment Compliance: Exploring Resistance and Tolerance in Heroin Addiction 美沙酮维持治疗依从性的预测因素:探索海洛因成瘾的耐药性和耐受性
IF 1 Q4 Medicine Pub Date : 2024-03-04 DOI: 10.5812/ijpbs-143305
Mina Makvand, S. Mirtorabi, Arezoo Campbell, G. Ahangari
Background: Methadone maintenance treatment (MMT) has been a cornerstone in heroin addiction management. However, its efficacy varies among individuals. The complex interplay of genetic backgrounds and demographic data could influence the response to MMT in heroin addiction. No previous adoption study has aimed to merge these findings into a potential pre-treatment screening tool. Objectives: This study aimed to investigate the combined influence of dopamine and opioid receptors and receptor endocytosis machinery genes, individual genetic backgrounds, and demographic data on the response to MMT in patients with heroin addiction. Methods: We enrolled 80 heroin addicts receiving MMT for 3 months alongside 80 healthy individuals in a comparative study. The approach utilized multinomial, linear, and binary logistic regression analyses to investigate the interplay of genetic factors (DRD1-5, opioid receptors [µ1, δ1, and κ1], DNM1L, RAB22A, and COMT), demographic independent variables, including, family history, heroin duration, age onset, heroin dose, and methadone dose, and clinical markers Subjective Opiate Withdrawal Scale (SOWS) with compliance with MMT protocols. Results: Results revealed that a positive family history and a higher level of heroin dose significantly predicted poor compliance to MMT. Additionally, the patients with lower expression levels of DRD2 and higher expression levels of DNM1L and COMT genes were at higher risk for poor compliance with the treatment. Conclusions: By utilizing a comprehensive dataset of gene expression profiles and demographic and clinical parameters, this study developed a regression model predicting resistance or response to methadone. This innovative approach seeks to bridge the gap between pharmacogenomics and clinical practice and offer a potential pre-treatment screening tool for personalized MMT strategies in opioid addiction management. The obtained findings hold intriguing promise for future research, potentially unlocking deeper insights into the underlying risk factors of addiction.
背景:美沙酮维持治疗(MMT)一直是治疗海洛因成瘾的基石。然而,其疗效因人而异。遗传背景和人口统计学数据的复杂相互作用可能会影响海洛因成瘾者对美沙酮维持治疗的反应。以前的采用研究还没有旨在将这些发现合并成一种潜在的治疗前筛查工具。研究目的本研究旨在调查多巴胺和阿片受体及受体内吞机制基因、个体遗传背景和人口统计学数据对海洛因成瘾患者对 MMT 反应的综合影响。研究方法在一项比较研究中,我们招募了 80 名海洛因成瘾者与 80 名健康人一起接受为期 3 个月的 MMT 治疗。该方法利用多项式、线性和二元逻辑回归分析来研究遗传因素(DRD1-5、阿片受体[μ1、δ1 和 κ1]、DNM1L、RAB22A 和 COMT)、人口统计学自变量(包括家族史、海洛因持续时间、发病年龄、海洛因剂量和美沙酮剂量)以及临床指标主观阿片类药物戒断量表(SOWS)与 MMT 方案依从性之间的相互作用。结果显示结果显示,阳性家族史和海洛因剂量水平较高的患者对 MMT 的依从性较差。此外,DRD2表达水平较低而DNM1L和COMT基因表达水平较高的患者,治疗依从性较差的风险较高。结论通过利用基因表达谱、人口统计学和临床参数的综合数据集,本研究建立了一个预测美沙酮耐药性或反应的回归模型。这一创新方法旨在弥合药物基因组学与临床实践之间的差距,并为阿片类药物成瘾管理中的个性化美沙酮治疗策略提供潜在的治疗前筛查工具。这些发现为今后的研究带来了引人入胜的前景,有可能让人们更深入地了解成瘾的潜在风险因素。
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引用次数: 0
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Iranian Journal of Psychiatry and Behavioral Sciences
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