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Efficacy of Peer-Group Support on Resilience and Self-Esteem of Adolescents with Parents with Mood Disorder: A Randomized Controlled Trial 同伴群体支持对父母有情绪障碍的青少年心理弹性和自尊的影响:一项随机对照试验
Q4 Medicine Pub Date : 2023-09-12 DOI: 10.5812/ijpbs-136491
Fatemeh Assarian, Tayebeh Panjehpour, Anahita Rahmani, Fatemeh Ghoreishi, Habibollah Rahimi
Background: Over 21% of children live in households where at least one parent has a mental illness. Peer-group support is one of the programs designed for children to protect them from the consequences of parents’ mental diseases and aims to increase children’s knowledge of mental illnesses and strengthen their adaptability. Objectives: This study aims to examine the effectiveness of peer-group support on the resilience and self-esteem of adolescents whose parents have mood disorders. Methods: This randomized clinical trial was conducted in clinics affiliated with the Kashan University of Medical Sciences on adolescents aged 12 - 18 years whose parents suffered from mood disorders. The participants were divided into the intervention and control groups. In the intervention group, a psychiatric assistant held 90-minute sessions every week for eight consecutive weeks. Participants in both groups answered two questionnaires (Connor and Davidson Resilience and Rosenberg Self-Esteem) before and after the intervention. Results: Based on our results, except for the subscale of resilience: trust in individual instincts, there was no significant difference in the scores obtained by the adolescents in the two study groups after the intervention; however, the scores obtained showed elevation compared to the baseline. Participants felt more relieved and reported an increase in their awareness of mental illnesses after participating in peer-group sessions. Conclusions: Peer-group support for eight weeks increased the self-esteem and resilience scores of adolescents with parents with mood disorders. However, these increases were not statistically significant, requiring studies with larger sample sizes to obtain more accurate measurements.
背景:超过21%的儿童生活在父母中至少有一方患有精神疾病的家庭。同伴群体支持是为保护儿童免受父母精神疾病后果影响而设计的项目之一,旨在增加儿童对精神疾病的认识,增强儿童的适应能力。目的:本研究旨在探讨同伴群体支持对父母有情绪障碍的青少年心理弹性和自尊的影响。方法:本随机临床试验在卡山医科大学附属诊所进行,研究对象为父母患有情绪障碍的12 - 18岁青少年。参与者被分为干预组和对照组。在干预组中,一名精神科助理连续八周每周进行90分钟的治疗。两组参与者在干预前后分别回答了两份问卷(Connor and Davidson Resilience和Rosenberg自尊)。结果:干预后,两组青少年除心理弹性子量表“信任个体本能”外,其余得分均无显著差异;然而,与基线相比,获得的分数显示出升高。参与者感到更加轻松,并报告说,在参加了同伴小组会议后,他们对精神疾病的认识有所提高。结论:父母有情绪障碍的青少年接受8周的同伴团体支持后,其自尊和恢复力得分有所提高。然而,这些增加在统计上并不显著,需要更大样本量的研究来获得更准确的测量结果。
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引用次数: 0
Autism Spectrum Disorders Registry in Hamadan, Iran: A Study Protocol 伊朗哈马丹自闭症谱系障碍登记处:一项研究方案
Q4 Medicine Pub Date : 2023-09-12 DOI: 10.5812/ijpbs-135500
Ensiyeh Jenabi, Erfan Ayubi, Saeid Bashirian, Mohammad Rezaei, Mahdieh Seyedi, Katayoon Razjouyan, Maryam Farokhi, Fatemeh Malmir, Hanieh Jourmand
: Autism spectrum disorder (ASD) begins in early childhood and has short-term and long-term effects in later life. Deficits in social communication, social interaction, and limited and repetitive behaviors characterize this disorder. We aimed to develop and design a registration system for ASD patients in Hamadan Province to have comprehensive and valuable epidemiological data for researchers about the frequency, distribution, and causes of ASD. This epidemiological information can help target prevention measures and plan care. By designing and developing a patient registry system for ASD, valuable uniform epidemiological information about the web of causes and consequences of ASD is available. The next step is to utilize valid and reliable information for public health, clinical, or policy purposes.
自闭症谱系障碍(ASD)始于儿童早期,在以后的生活中有短期和长期的影响。社会沟通、社会互动、有限和重复行为的缺陷是这种疾病的特征。我们的目标是在哈马丹省开发和设计一个ASD患者登记系统,为研究人员提供关于ASD的频率、分布和病因的全面和有价值的流行病学数据。这种流行病学信息有助于确定预防措施和规划护理。通过设计和开发ASD患者登记系统,可以获得关于ASD病因和后果网络的有价值的统一流行病学信息。下一步是将有效和可靠的信息用于公共卫生、临床或政策目的。
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引用次数: 0
Effects of Cognitive Training on Improving Cognitive Functions in the Elderly: A Systematic Review and Meta-Analysis Study 认知训练对改善老年人认知功能的影响:一项系统回顾和荟萃分析研究
IF 1 Q4 Medicine Pub Date : 2023-09-06 DOI: 10.5812/ijpbs-83665
Zeinab Mihandoost
Context: A methodical review and meta-analysis of cognitive intervention studies were conducted to clarify the effect of such interventions on memory. Objectives: The present study aimed to investigate the effects of cognitive training on the improvement of cognitive function in older adults. Data Sources: The programs for improving cognitive performance, along with characteristics, among older adults were assessed by considering a literature review of previous studies. Study Selection: A total of 174 articles published between 1990 to 2017 in the area under study were selected. Each article was reviewed by two independent reviewers. Data Extraction: In this study, 15 studies and 910 subjects were selected for data analysis, and the meta-analysis was performed according to the Hedge method. Results: Based on the results, a positive effect size of 0.30 (SE = 0.07, 95% confidence interval [CI] = 0.165 - 0.436) was observed regarding the subjects’ cognitive function stemming from the interventions on individual and group cognitive-related therapies. The results were consistent, indicating that variances in effect size might be related to sampling error (Q = 88.592, df = 14, P = 0.000). Conclusions: The results confirm previous meta-analyses and methodical reviews showing that memory training plays a positive role in enhancing cognitive function.
背景:对认知干预研究进行了系统的回顾和荟萃分析,以阐明此类干预对记忆的影响。目的:本研究旨在探讨认知训练对老年人认知功能改善的影响。数据来源:通过对先前研究的文献综述,对提高老年人认知表现及其特征的计划进行了评估。研究选择:选择了1990年至2017年间在研究领域发表的174篇文章。每一篇文章都由两名独立评审员进行评审。数据提取:在本研究中,选择15项研究和910名受试者进行数据分析,并根据Hedge方法进行荟萃分析。结果:根据结果,对个体和群体认知相关疗法的干预对受试者的认知功能产生了0.30的积极影响(SE=0.07,95%置信区间[CI]=0.165-0.436)。结果一致,表明效应大小的差异可能与抽样误差有关(Q=88.592,df=14,P=0.000)。结论:该结果证实了先前的荟萃分析和系统综述,表明记忆训练在增强认知功能方面发挥着积极作用。
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引用次数: 0
Mental Health and Coronavirus Anxiety in Active and Inactive Elderly People During COVID-19 Pandemic 新冠肺炎大流行期间活跃和不活跃老年人的心理健康与冠状病毒焦虑
IF 1 Q4 Medicine Pub Date : 2023-09-05 DOI: 10.5812/ijpbs-129680
Kazem Cheragh Birjandi, Elham Ghasemi, Davood Mirboroon, Hamidreza Ghafari
Background: The coronavirus pandemic and the controlling measures have had disparate impacts on older adults' physical, mental, and social health. Objectives: This study examined the psychological status, vitality, happiness, loneliness, and anxiety among active and inactive older men during the COVID-19 pandemic. Methods: In this causal-comparative study, 400 men aged 60 - 75 were selected by convenience sampling. Subjects were assessed for cognitive status, vitality, happiness, loneliness, and coronavirus anxiety. Data were analyzed statistically using covariance and Pearson correlation coefficient tests. Results: There was a significant difference between active and inactive older adults regarding cognitive status, happiness, and vitality, such that the active older adults scored higher (P < 0.05). Also, there was a significant difference between the two groups regarding coronavirus anxiety and loneliness, such that the inactive group scored higher in these two variables (P < 0.05). The correlation analysis indicated a significant correlation between cognitive status and coronavirus anxiety in both active and inactive groups (P < 0.05). Conclusions: An active lifestyle and physical activity in older adults are important factors in improving cognitive status and vitality and reducing anxiety, especially during the coronavirus outbreak. Therefore, engaging older adults in physical activities will elevate their mental health and cognitive status.
背景:冠状病毒大流行及其防控措施对老年人的身体、心理和社会健康产生了不同的影响。目的:研究新冠肺炎大流行期间活跃和不活跃老年男性的心理状态、活力、幸福感、孤独感和焦虑感。方法:采用方便抽样的方法,选择年龄在60 ~ 75岁之间的男性400名。研究人员评估了受试者的认知状况、活力、幸福感、孤独感和冠状病毒焦虑。采用协方差检验和Pearson相关系数检验对数据进行统计学分析。结果:运动老年人与不运动老年人在认知状态、幸福感、活力方面存在显著性差异,运动老年人得分较高(P < 0.05)。此外,两组在冠状病毒焦虑和孤独感方面存在显著差异,不运动组在这两个变量上得分更高(P < 0.05)。相关分析显示,活跃组和不活跃组认知状态与冠状病毒焦虑有显著相关性(P < 0.05)。结论:老年人积极的生活方式和体育锻炼是改善认知状态和活力、减少焦虑的重要因素,特别是在冠状病毒疫情期间。因此,老年人参与体育活动可以提高他们的心理健康和认知状况。
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引用次数: 0
Effects of Cognitive-Behavioral Group Therapy on the Management of Internet Addiction, Depression, Anxiety, and Stress Among Nursing Students in Morocco 认知行为团体治疗对摩洛哥护生网瘾、抑郁、焦虑和压力管理的影响
IF 1 Q4 Medicine Pub Date : 2023-09-05 DOI: 10.5812/ijpbs-136425
Jamal Ksiksou, Lhoussaine Maskour, Smail Alaoui
Background: Internet addiction (IA) has emerged as a serious threat to the mental health of young individuals. Objectives: The present study aimed to test the effects of cognitive-behavioral group therapy (CBGT) on controlling Internet addictive behaviors and improving levels of depression, anxiety, and stress among nursing students in Morocco. Methods: A total of 60 nursing students participated in the study based on convenience sampling and were then randomly assigned to the intervention group (n = 30) and control group (n = 30). The intervention group received 8 sessions of CBGT, unlike the control group. The Internet Addiction Test and the Depression, Anxiety, and Stress Scale were used as the pretest, posttest, and 3-month follow-up tests to determine participants’ levels of IA, depression, anxiety, and stress. Analysis of covariance (ANCOVA) was applied to assess the effects of this therapeutic intervention. Results: The results showed that following the CBGT program, the intervention group showed a reduction in IA (P < 0.05), depression (P < 0.05), anxiety (P < 0.05), and stress (P < 0.05) scores. Conclusions: Cognitive-behavioral group therapy was observed to be more effective in improving the cognitive, psychological, and behavioral skills of Internet-dependent nursing students, thereby reducing levels of depression, anxiety, and stress. This outcome opens up important perspectives in the field of health sciences education by considering this approach as a preferred way to promote students’ mental health in this context.
背景:网络成瘾已成为青少年心理健康的严重威胁。目的:本研究旨在测试认知行为团体治疗(CBGT)在控制摩洛哥护生网络成瘾行为和改善抑郁、焦虑和压力水平方面的效果。方法:采用方便抽样的方法,将60名护生随机分为干预组(n = 30)和对照组(n = 30)。与对照组不同,干预组接受8次CBGT。使用网络成瘾测试和抑郁、焦虑和压力量表作为前测、后测和3个月的随访测试来确定参与者的IA、抑郁、焦虑和压力水平。采用协方差分析(ANCOVA)来评估这种治疗干预的效果。结果:CBGT方案实施后,干预组在IA (P < 0.05)、抑郁(P < 0.05)、焦虑(P < 0.05)、应激(P < 0.05)评分上均有降低。结论:认知行为团体治疗在改善网络依赖护生的认知、心理和行为技能方面更为有效,从而降低抑郁、焦虑和压力水平。这一结果开辟了健康科学教育领域的重要观点,认为这种方法是在这种情况下促进学生心理健康的首选方法。
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引用次数: 0
Effect of Facial Emotional Feedback Through Facial Electrical Stimulation on Mood Change and Its Clinical Application in Participants with Mild Depression: A Multiple Baseline Case Study 面部电刺激面部情绪反馈对轻度抑郁症患者情绪变化的影响及其临床应用:一项多基线病例研究
IF 1 Q4 Medicine Pub Date : 2023-09-01 DOI: 10.5812/ijpbs-136220
Mohsen Nouri Yalghouzaqaji, A. Pourshahbaz, Shima Shakiba, B. Akhbari, B. Dolatshahi, Sajede Rezaie
Background: The facial feedback hypothesis proposes that facial expressions influence people's emotional experiences. Objectives: The current study, conducted in 2022, aimed to investigate the impact of facial feedback on the nature and magnitude of changes in emotion, mood, and cognitive-emotional factors among individuals with mild depression. This was achieved through the use of electrical stimulation of the facial muscles. This study aimed to investigate the impact of bilateral electrical stimulation on the frontalis muscles (which act as inhibitory muscles of the corrugator) and zygomaticus muscles on the emotions and moods of individuals with mild depression. Methods: In a single-subject experimental study with multiple baselines, six individuals with mild depression underwent daily sessions of facial electrical stimulation for 28 consecutive days. The stimulation was administered at two different sites, with three different baseline periods of 3, 6, and 9 days at each site. Specifically, three participants received electrical stimulation of the zygomaticus muscle, while the other three participants received electrical stimulation of the frontalis muscle. Visual analysis (diagrams and figures), within-phase examination, and between-phase examination were used to analyze longitudinal data using mixed model analysis (P < 0.05). Results: Mixed model analysis revealed significant changes in negative affect (P = 0.019), mood (P = 0.017), depression (P = 0.005), and symbol search (P < 0.001) among participants who received frontalis muscle stimulation. Additionally, the mood of participants who received zygomaticus muscle stimulation showed significant changes (P = 0.047) from pre-intervention to post-intervention. At the intervention and follow-up stages (one month after the last intervention session), all three participants who underwent frontalis muscle electrical stimulation met the standardized recovery criteria established by Siger et al. The reliable change index was measured at 8.46. A qualitative analysis of the depression scores revealed a significant difference in the post-intervention phase when frontalis muscle electrical stimulation was applied. Participants 4, 5, and 6 scored 9, 11, and 8, respectively. Conclusions: This preliminary study provides empirical evidence on using electrical stimulation of facial muscles to reduce negative mood and depression. Given the various factors that play a role, more research and focused controlled studies are needed to test these findings.
背景:面部反馈假说认为面部表情会影响人们的情绪体验。目的:本研究于2022年进行,旨在调查面部反馈对轻度抑郁症患者情绪、情绪和认知情绪因素变化的性质和幅度的影响。这是通过使用面部肌肉的电刺激来实现的。本研究旨在研究双侧电刺激额肌(充当波纹肌的抑制肌)和颧肌对轻度抑郁症患者情绪和情绪的影响。方法:在一项具有多个基线的单受试者实验研究中,6名轻度抑郁症患者连续28天每天接受面部电刺激。刺激在两个不同的部位进行,每个部位有三个不同的基线期,分别为3、6和9天。具体而言,三名参与者接受了颧骨肌的电刺激,而其他三名参与者则接受了额肌的电激励。视觉分析(图表)、期内检查和期间检查用于使用混合模型分析来分析纵向数据(P<0.05)。结果:混合模型分析显示,在接受额肌刺激的参与者中,负面影响(P=0.019)、情绪(P=0.017)、抑郁(P=0.005)和符号搜索(P<0.001)发生了显著变化。此外,从干预前到干预后,接受颧骨肌刺激的参与者的情绪发生了显著变化(P=0.047)。在干预和随访阶段(最后一次干预后一个月),接受额肌电刺激的三名参与者均符合Siger等人制定的标准化恢复标准。可靠的变化指数为8.46。对抑郁评分的定性分析显示,当应用额肌电刺激时,干预后阶段有显著差异。参与者4、5和6的得分分别为9、11和8。结论:该初步研究为使用面部肌肉的电刺激来减少负面情绪和抑郁提供了经验证据。考虑到发挥作用的各种因素,需要更多的研究和重点对照研究来检验这些发现。
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引用次数: 0
Effect of COVID-19 Pandemic on Female Sexual Function: A Systematic Review and Meta-Analysis COVID-19大流行对女性性功能的影响:系统综述和荟萃分析
IF 1 Q4 Medicine Pub Date : 2023-08-03 DOI: 10.5812/ijpbs-135905
Asma Zalpour, E. Zare, M. Nasiri
Context: Since sexual function is significantly influenced by tension, fear, and melancholy, all of which are intensified throughout epidemics, coronavirus disease 2019 (COVID-19) globally can also affect individuals’ sexual function and life. The strong relationship between sexual dysfunction and quality of life disorders has made it an important public health concern. Objectives: The current study was conducted to assess female sexual function throughout the COVID-19 quarantine. Methods: ScienceDirect, Web of Science, PubMed, Scopus, and Google Scholar databases were searched with no language limitations. Two independent researchers reviewed all relevant articles published until November 30, 2021. Finally, 22 articles were included in the study, 13 of which were eligible for meta-analysis. The data were combined using meta-analysis and a random effect model. A Begg’s funnel plot and Egger’s test were used to check the potential bias of publication. Results: The mean score of the Female Sexual Function Index (FSFI) was 23.34 (95% confidence interval: 21.17 - 25.52) using the random effect model. Out of the 6 studies that reported the FSFI scores before and throughout the COVID-19 crisis, 5 studies indicated a statistically significant drop in the mean scores of female sexual function throughout COVID-19, contrasting with before the epidemic. Most studies comparing the repetition of sexual activity before and through the COVID-19 epidemic reported a decrease in the repetition of sexual activity throughout the epidemic. Conclusions: Adverse psychological outcomes and restrictions caused by the COVID-19 crisis decreased female sexual function and the repetition of sexual activity. Health policymakers worldwide should scheme and execute helpful syllabi and interventions to reduce the adverse impact of the COVID-19 epidemic on the sexual health of individuals.
背景:由于性功能受到紧张、恐惧和忧郁的显著影响,所有这些在整个流行病期间都会加剧,全球2019冠状病毒病(新冠肺炎)也会影响个人的性功能和生活。性功能障碍和生活质量障碍之间的密切关系使其成为一个重要的公共卫生问题。目的:本研究旨在评估新冠肺炎隔离期间女性的性功能。方法:在没有语言限制的情况下搜索ScienceDirect、Web of Science、PubMed、Scopus和Google Scholar数据库。两名独立研究人员审查了截至2021年11月30日发表的所有相关文章。最后,研究中纳入了22篇文章,其中13篇符合荟萃分析条件。数据采用荟萃分析和随机效应模型相结合。Begg漏斗图和Egger检验用于检查出版物的潜在偏倚。结果:采用随机效应模型,女性性功能指数(FSFI)的平均得分为23.34(95%置信区间:21.17-25.52)。在新冠肺炎危机前和整个危机期间报告FSFI评分的6项研究中,有5项研究表明,与疫情前相比,新冠肺炎期间女性性功能的平均评分在统计上显著下降。大多数比较新冠肺炎疫情前和疫情期间性活动重复的研究报告称,在整个疫情期间,性活动重复减少。结论:新冠肺炎危机造成的不良心理后果和限制降低了女性的性功能和性活动的重复。世界各地的卫生政策制定者应制定和执行有益的教学大纲和干预措施,以减少新冠肺炎疫情对个人性健康的不利影响。
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引用次数: 0
The Effect of Fall-Prevention Multimedia Training on the Fear of Falling, Home Safety, and the Quality of Life in Older Adults: A Randomized, Parallel, Controlled Trial 预防跌倒多媒体训练对老年人跌倒恐惧、家庭安全和生活质量的影响:一项随机、平行、对照试验
IF 1 Q4 Medicine Pub Date : 2023-07-30 DOI: 10.5812/ijpbs-100791
S. Gholamzadeh, Mehran Rezaei, A. Safarpour, M. Mehrabi
Background: Falling is a common aging-associated problem. Over one-third of older adults have experienced at least one episode of falling, and its prevalence increases with age. Objectives: This study was conducted to determine the effect of fall-prevention multimedia training on the fear of falling, home safety, and the quality of life in older adults presenting to a designated healthcare center. Methods: Design: Parallel, double-blind, randomized, controlled trial. Setting: The orthopedic outpatient clinic of Dena Hospital in Shiraz, Fars province, Iran. Participants: 100 older adults, including 50 randomly allocated to the intervention group (multimedia training) and 50 to the control group (standard teaching) by permuted block randomization. Measurements: For data collection, a demographic information form, the fear of falling inventory, the home falls and accidents screening tool (HOME FAST), and LEIPAD (an instrument for assessing the quality of life in older adults) were completed before and three months after the intervention. The level of significance was set at 0.05. Results: The comparison of the pre-and post-intervention scores of the three assessed outcomes between the study groups showed a significant difference between the mean scores of home safety before and after the intervention (P < 0.001) in the intervention group; however, there were no significant differences in the scores of fear of falling (P = 0.30) and quality of life (P = 0.32). In the control group, there were no statistically significant differences in the mean scores of the three outcomes before and after the intervention. Calculating the standardized mean difference revealed the significant effect of the intervention on home safety (Cohen’s d = 0.84, 95% CI: 0.43 - 1.3). Conclusions: Given the potential effectiveness of multimedia training in the improvement of older adults’ fear of falling and quality of life, especially concerning home safety, this type of training should be emphasized in future educational programs.
背景:跌倒是一种常见的与衰老相关的问题。超过三分之一的老年人至少经历过一次跌倒,其患病率随着年龄的增长而增加。目的:本研究旨在确定跌倒预防多媒体训练对到指定医疗保健中心就诊的老年人的跌倒恐惧、家庭安全和生活质量的影响。方法:设计:平行、双盲、随机对照试验。地点:伊朗法尔斯省设拉子市Dena医院骨科门诊。参与者:100名老年人,其中50人随机分为干预组(多媒体训练)和对照组(标准教学)。测量方法:为了收集数据,在干预前和干预后三个月完成了人口统计信息表、对摔倒的恐惧、家庭跌倒和事故筛查工具(home FAST)和LEIPAD(一种评估老年人生活质量的工具)。显著性水平设为0.05。结果:三种评估结果干预前后得分比较,干预组干预前后家庭安全平均得分差异有统计学意义(P < 0.001);然而,在害怕跌倒(P = 0.30)和生活质量(P = 0.32)得分上没有显著差异。对照组干预前后三项指标的平均得分差异均无统计学意义。计算标准化均差显示干预对家庭安全的显著影响(Cohen’s d = 0.84, 95% CI: 0.43 - 1.3)。结论:鉴于多媒体训练在改善老年人对跌倒的恐惧和生活质量方面的潜在有效性,特别是在家庭安全方面,这种类型的训练应在未来的教育计划中得到强调。
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引用次数: 0
Investigating the Relationship Between Structural Determinants of Health and Domestic Violence against Pregnant Women based on the World Health Organization Model 基于世界卫生组织模式调查健康结构性决定因素与对孕妇的家庭暴力之间的关系
IF 1 Q4 Medicine Pub Date : 2023-07-25 DOI: 10.5812/ijpbs-130911
Sahar Roozbahani, M. Dolatian, Z. Mahmoodi, Atefeh Zandifar, H. Alavi Majd, J. Shams
Background: Domestic violence is recognized as a global health problem. In recent years, understanding the factors affecting violence against women has become one of the most prominent issues. Objectives: This study aimed to identify the relationship between the structural determinants of health and domestic violence against pregnant women. Methods: This descriptive cross-sectional study was conducted on 560 volunteer pregnant women, aged 28 - 35 weeks, who were referred to healthcare centers affiliated with Shahid Beheshti University of Medical Sciences in Tehran, Iran, during 2021 - 2022, using a multistage cluster sampling method. The data collection tools used in this research included questionnaires on demographic and gynecologic/obstetric factors, socioeconomic status, and domestic violence. The collected data were analyzed by measuring descriptive and inferential statistics using the chi-square test and multivariate logistic regression analysis. Results: Based on the results, more than 50% of women were subjected to domestic violence during pregnancy (66.3% emotional violence, 10.2% physical violence, and 9% sexual violence). Domestic violence showed a significant relationship with the majority of the structural determinants of health (P < 0.005). Based on the logistic regression model, demographic/obstetric and socioeconomic factors explained 73% and 85.3% of the variance in domestic violence, respectively. Certain structural social determinants of health acted as protective factors against domestic violence toward pregnant women, as the possibility of domestic violence was lower in women with high school education, working spouses, and high income (OR = 0.310, 0.217, and 0.255, respectively). Conclusions: This study showed that more than half of Iranian women experienced domestic violence during pregnancy. To prevent adverse maternal and neonatal consequences, it is necessary to identify these women and introduce them to support centers.
背景:家庭暴力被认为是一个全球性的健康问题。近年来,了解对妇女的暴力行为的影响因素已成为最突出的问题之一。目的:本研究旨在确定健康的结构性决定因素与针对孕妇的家庭暴力之间的关系。方法:采用多阶段整群抽样方法,对2021 - 2022年期间转介至伊朗德黑兰Shahid Beheshti医学科学大学附属医疗中心的560名年龄在28 - 35周的孕妇志愿者进行了描述性横断面研究。本研究使用的数据收集工具包括人口统计和妇科/产科因素、社会经济地位和家庭暴力的问卷调查。收集的资料采用卡方检验和多元逻辑回归分析,采用计量描述性统计和推理统计进行分析。结果:根据结果,超过50%的妇女在怀孕期间遭受过家庭暴力(66.3%的情感暴力,10.2%的身体暴力,9%的性暴力)。家庭暴力与健康的大多数结构性决定因素有显著关系(P < 0.005)。根据logistic回归模型,人口/产科和社会经济因素分别解释了家庭暴力方差的73%和85.3%。健康的某些结构性社会决定因素是防止孕妇遭受家庭暴力的保护因素,因为受过高中教育、配偶有工作和高收入的妇女发生家庭暴力的可能性较低(OR分别为0.310、0.217和0.255)。结论:这项研究表明,超过一半的伊朗妇女在怀孕期间经历过家庭暴力。为了防止孕产妇和新生儿的不良后果,有必要确定这些妇女,并将其介绍给支持中心。
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引用次数: 0
The Relationship Between Movie Violence and Violent Behavior in Adolescents: A Cross-Sectional Population-Based Study in Isfahan, Iran 电影暴力与青少年暴力行为的关系:伊朗伊斯法罕的一项基于人口的横断面研究
IF 1 Q4 Medicine Pub Date : 2023-07-24 DOI: 10.5812/ijpbs-116383
P. Golshiri, Z. Farajzadegan, Maryam Mirzaean, N. Motamedi
Background: Violent behavior in adolescents is one of the important public health problems; however, studies on this issue in developing countries are limited. Nowadays, adolescents spend a lot of day-night time watching TV. Objectives: The aim of this study was to evaluate the relationship between watching violent movies and perpetrating violent behaviors among adolescents. Methods: In this cross-sectional study, 2800 adolescents, aged 11 - 18 years, residing in urban and rural areas of Isfahan province were enrolled. This study received a part of a grant No. 188169 dedicated to a project scrutinizing if watching violent movies by adolescents encouraged violent behaviors in the three domains of physical, verbal, and psychological violence. The data were gathered by a valid and reliable questionnaire, and SPSS software was used for data analysis. Results: Violent behaviors were significantly higher among adolescents who watched more violent movies (adjusted OR = 1.6, CI: 1.3 - 2.1). Physical, verbal, and psychological types of violence achieved the adjusted ORs of 1.6 (CI: 1.3 - 2.05), 1.3 (CI: 1.1 - 1.6), and 1.07 (CI = 0.8 - 1.3), respectively. Conclusions: Watching violent movies can noticeably increase the frequency of violent behaviors among adolescents, especially in boys and rural students.
背景:青少年暴力行为是重要的公共卫生问题之一;然而,发展中国家对这一问题的研究是有限的。现在,青少年花很多时间看电视。目的:本研究旨在探讨青少年观看暴力电影与暴力行为的关系。方法:在这项横断面研究中,纳入了居住在伊斯法罕省城市和农村地区的11 - 18岁的2800名青少年。这项研究获得了第188169号拨款的一部分,该拨款专门用于一个项目,该项目旨在调查青少年观看暴力电影是否会在身体、语言和心理三个方面鼓励暴力行为。采用有效、可靠的问卷收集数据,采用SPSS软件进行数据分析。结果:观看较多暴力电影的青少年的暴力行为显著增加(调整后OR = 1.6, CI: 1.3 ~ 2.1)。身体、语言和心理类型的暴力分别达到了1.6 (CI: 1.3 - 2.05)、1.3 (CI: 1.1 - 1.6)和1.07 (CI = 0.8 - 1.3)的调整后or。结论:观看暴力电影可以显著增加青少年暴力行为的发生频率,尤其是男孩和农村学生。
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Iranian Journal of Psychiatry and Behavioral Sciences
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