@article{ author = {Salami, Moein and Sayadi, Leila and Haqqani, Shima and Mohammadnejad, Esmaeil and Ghorbani, Azam}, title = {Investigating the Relationship between Emotional Intelligence and Life Expectancy in Leukemia Patients regarding Selected Hospitals of Tehran University of Medical Sciences in 2023}, abstract ={Introduction: Experiencing tensions such as anxiety, stress, and depression is inevitable due to the nature of the disease and treatment, which can affect the life expectancy of these patients. Emotional intelligence is one of the most effective components in adapting to a disease and its complications and in complying with treatment. This study is conducted with the aim of determining the relationship between emotional intelligence and life expectancy in leukemia patients. Methods: This was a descriptive -correlational study conducted on 200 patients with leukemia who were referred to the selected hospitals of Tehran University of Medical Sciences in 2023. The research tools included a demographic information form, Schutte emotional intelligence questionnaire, and Snyder life expectancy questionnaire. Data analysis was done in SPSS version 16 using descriptive and inferential statistics methods. Results: The average age of the participants in the research was 36/83 ± 11/13 in the age range of 18-69. Most of the patients were male (62%) and married (66/5%). The mean score of emotional intelligence in leukemia patients was 127/17 and the mean score of life expectancy was 32/19. According to the results of the study, there was a positive and significant correlation between emotional intelligence and life expectancy (P<0/001) (r=0/364). Conclusion: Based on the results of the study, patients with higher emotional intelligence had higher life expectancy. Since emotional intelligence is very helpful in facing stress and tension and can be taught and learned, implementing interventions to increase emotional intelligence can be the basis for improving the life expectancy of these patients.}, Keywords = {Emotional Intelligence, Life Expectancy, Leukemia}, volume = {23}, Number = {1}, pages = {1-17}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i1.15520}, url = {http://tbj.ssu.ac.ir/article-1-3608-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3608-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Mansoureiyeh, nastaran and kashani, mi}, title = {The Relationship between Mindfulness, Personality Factors and Perfectionism with Anger in Hypertensive Patients}, abstract ={Introduction: High blood pressure is one of the most common and important threats to human health and is the main cause of premature death all over the world. High blood pressure is caused by psycho-physiological factors. The present study was conducted with the aim of determining the relationship between mindfulness, personality factors and perfectionism and anger in high blood pressure patients. Methods: This research was a descriptive-cross-sectional and correlational study. The statistical population was the patients with high blood pressure who referred to the medical centers of Tabriz city in 1401. Using Cochran's formula, the sample size of the research was 184 people who were selected by convenience sampling method. Research tools were Multidimensional Perfectionism Questionnaire, Spielberger State-Trait Anger Questionnaire, Revised NEO Questionnaire (short form), and Brown and Ryan Mindfulness Assessment Scale. Data were analyzed by correlation and regression tests withthrough SPSS-25 software. Results: The results showed that there was a negative and significant relationship between mindfulness and anger in high blood pressure patients (P<0/05). Among the personality factors, narcissism and conscientiousness had a positive and significant relationship with anger. There was a negative and significant relationship between extroversion, flexibility and agreeableness and anger regarding high blood pressure patients (P < 0/05). There was a positive and significant relationship between self-oriented, other-oriented and community-oriented perfectionism and anger in high blood pressure patients (P< 0/05). Also, mindfulness, personality factors and perfectionism can predict anger (P<0/05). Conclusion: The results showed that there was a relationship between mindfulness, personality factors and, and anger. Therefore, by identifying psychological variables such as mindfulness, personality factors and perfectionism and its relationship with anger, blood pressure reduction in patients can be helped.  }, Keywords = {High Blood Pressure, Anger, Personality Factors, Perfectionism, Mindfulness}, volume = {23}, Number = {1}, pages = {18-34}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i1.15521}, url = {http://tbj.ssu.ac.ir/article-1-3593-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3593-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Ashofteh, Reyhaneh and GhasemBegloo, Amin and Motevalli, Maryam sadat}, title = {Predicting the Turnover Intention of Nurses through Their Organizational Commitment by Mediating the Compatibility of Personal and Organizational Values in the Hospitals ofAffiliated with Islamic Azad University of Medical Sciences in Tehran}, abstract ={Introduction: Turnover of nurses creates great problems in providing services to and the quality of care regarding patients. Organizational commitment and compatibility between personal and organizational values of nurses reduces turnover intention in nurses. The current research was conducted with the aim of investigating the relationship between organizational commitment and turnover intention, considering the mediating role of personal and organizational values. Methods: In this descriptive study, the statistical population included nurses working in the hospitals of Tehran Islamic Azad University of Medical Sciences in 2023. 250 people were selected by simple random sampling method and responded to the questionnaires of  Kim et al.'s turnover intention, Allen and Meyer's organizational commitment, Scroggins' person-organization fit, and demographic questionnaires. . In order to analyze data, Pearson's correlation coefficient, bootstrap method, and Sobel's test were used in structural equation modeling with Amos software. Results: The results of path analysis showed that the direct effect of organizational commitment on personal and organizational value and turnover intention was significant, and the direct effect of personal and organizational values on turnover intention was also significant. Moreover, the indirect effect of organizational commitment on turnover intention was confirmed through the mediation of personal and organizational values. Conclusion: The findings of the current research show the mediating effect of personal and organizational values on the relationship between the turnover intention and organizational commitment. It is suggested that nursing managers try to formulate intervention strategies to improve organizational commitment and compatibility of personal and organizational values of nurses.  }, Keywords = {Organizational commitment, Turnover intention, Personal and organizational values, Nurses}, volume = {23}, Number = {1}, pages = {35-50}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i1.15522}, url = {http://tbj.ssu.ac.ir/article-1-3602-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3602-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Tabatabaei, Fatemeh Sadat and Farahbakhsh, Kiumars and Fallah, Mohammad Hosein and Afshani, Saeid Alirez}, title = {Components of Adolescents\' Lived Experiences after Their Parents\' Divorce: A Qualitative Study}, abstract ={Introduction: Divorce within families has various and often detrimental effects on adolescents, and lack of understanding adolescents' psychosocial experience regarding their parents' divorce is considered an obstacle in employing effective intervention methods. Therefore, the aim of this present study was to investigate and identify the components of adolescents' lived experiences after their parents' divorce in Iran. Methods: This qualitative exploratory study was conducted using Colaizzi's theory in collecting, conducting, and analyzing the data. To this end, 24 adolescents aged 12 to 18 from Yazd city, who had experienced their parents' divorce, were identified through purposive sampling method, and their information was collected through semi-structured interviews in 2022. It is worth mentioning that all data were recorded, and the sampling continued until data saturation was achieved. Results: Analysis of the lived experiences of the participants revealed 9 main thematic units out of a total of 126 meaningful units. Subsequently, through integration and linking of the concepts, 3 main themes of positive emotional experiences (calmness and positive adjustment to divorce), negative emotional experiences (anger, fear, guilt, and helplessness), and negative behavioral experiences (changes in family structure and support networks, and personal problems) were inferred, and their related components and concepts were interpreted separately. Conclusion: After parental divorce, adolescents encounter various positive and negative emotional experiences as well as different negative behavioral experiences. Lack of awareness and timely treatment of these experiences can lead to more severe problems in their mental-social health. . Therefore, it is suggested that therapists interpret life experiences of these people more deeply and provide therapeutic interventions based on the themes obtained from the current research.  }, Keywords = {Divorce, Lived experience, Adolescents, Qualitative study}, volume = {23}, Number = {1}, pages = {51-66}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i1.15523}, url = {http://tbj.ssu.ac.ir/article-1-3574-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3574-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {borji, somaye and rahaei, zohreh and Aminisani, Nayyereh}, title = {Demographic Determinants of the Cognitive Status among Older Adults: Neyshabur Longitudinal Study on Aging}, abstract ={Introduction: Cognitive disorders affect the elderly’s personal and social life  by causing disturbances in their nervous system, and it is important to identify who is at the highest risk of these disorders; therefore, the present study aims to investigate demographic determinants of the cognitive status in the elderly visiting the Geriatric Cohort Center in Neyshabur. Methods: This cross-sectional study was conducted on 3451 people aged 60 and above (52.5% women and 47.5% men) from 2015 to the end of 2017. The selection of statistical sample was done first by classification method, and then, by random method. Data collection was done using demographic questionnaires, and the questionnaires of Mini Mental State Examination (MMSE)and Montreal Cognitive Assessment (MOCA), and data were analyzed using independent t-test, ANOVA, and hierarchical multiple regression in software. were analyzed by SPSS16 software. Results: With MMSE, one fifth of the participants (20/3%) and with MOCA, almost half of the respondents (49/3%) did not have cognitive disorder. Cognitive disorder became more severe with aging. The severity of cognitive disorder was higher in women (P< 0/05)  those who were living alone(P <0/05), the women who only did housework(P < 0/05), and the cases who were illiterate (P< 0/05). Conclusion: Screening of cognitive disorders in the elderly and early interventions including holding educational classes, especially for women with low literacy levels whose husbands have died, can prevent the progression of the disorder and improve their quality of life.                    }, Keywords = {The elderly, Demographic, Cognitive, MMSE, MOCA}, volume = {23}, Number = {1}, pages = {67-83}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i1.15524}, url = {http://tbj.ssu.ac.ir/article-1-3601-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3601-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {MazloomyMahmoodabad, Seyed Saeed and Ehrampoush, Mohammad Hassan and ZareAlliabad, salimeh and Ardian, Nahid and Soltani, Tahere and Yoshany, Nooshi}, title = {Tendency to Addiction from the Viewpoints of the Youth and Their Parents Based on the Marketing Model (Com-B), in 2020, Yazd}, abstract ={Seyed Saeed Mazloomy Mahmoudabad(Ph.D.)1, Mohammad Hassan Ehrampoush(Ph.D.)2 , Salime Zare Abdollahi(Ph.D.)3,  Introduction: The present research was conducted with the aim of explaining the views of teenagers-the adults and their parents regarding the prevention of drug addiction based on the mixed elements of the marketing model (audience needs, access to services, cost, and communication). Methods: This research was conducted based on a qualitative research method using an exploratory method. 14 teenagers-adults and 10 parents, 24 participants were selected through targeted sampling, from the marginal neighborhoods of Yazd in 2019; the neighborhoods included Maryam Abad, Hassan Abad, and Skan. In  total, 2 semi-structured in-depth interviews with parents and 3 focused group discussions were conducted with the presence of teenagers and young people in the neighborhood. In this study, the information, including demographic characteristics, and the results of market analysis were obtained with elements of Communication for Behavioral Impact (COMBI) social marketing model; they were investigated using focus group discussions (FGD) and semi-structured face-to-face interviews. Data were analyzed based on the content analysis method. Results: The qualitative study resulted in 63 codes, 26 subcategories, 4 categories, product, location, cost, and promotion according to the COMBI model structures. Product category or behavioral characteristics, having peace of mind, and seeking independence were mentioned by both groups of parents and the youth as the factors of addiction tendency. But, regarding the cost of addiction, while teenagers and the young people considered the social side effects of drug use, such as losing friends, more important, parents were more concerned about the physical side effects of drugs. Location or environmental and social conditions were important for both groups of parents and the youth. Conclusion: The results showed that although both groups of teenagers-the youth and their parents pointed to the social, environmental, and individual factors of addiction, their intended examples were different in many areas. Parents considered the most important factor in the tendency to drugs addiction to be the structure of the audience's need, having peace of mind, compensating for the sense of deficiencies and the need for independence, and the youth suggested the use of virtual space and creating motivation and awareness campaign to prevent addiction as a suitable method. Perceived costs according to the young people were loss of friends, feeling of rejection, loss of self-confidence, and negative view of others towards addiction. One of the reasons for the tendency towards addiction was mentioned by the young people as the location and easy access to drugs, and the parents said that the suitable place for the tendency towards addiction was having a risky and inappropriate family.  }, Keywords = {Addiction, Product, Place, Cost, Promotion, COMBI, Qualitative research}, volume = {23}, Number = {1}, pages = {84-97}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i1.15525}, url = {http://tbj.ssu.ac.ir/article-1-3587-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3587-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {TabatabaeiMazreno, Seyyed Jamaluddin and Moinuddin, Mahmoud and Taftian, Akram}, title = {Investigating the relationship between financial literacy and mental health with the mediating role of financial stress and financial behavior in second year high school students in Yazd city}, abstract ={Introduction: Financial literacy affects physical and mental health,  and a person acquires enough skills to participate in economic fields. This study investigated the relationship between financial literacy and mental health with the mediating role of financial stress and financial behavior in senior high students in Yazd city. method: The method of data collection is field- and library-based. It is also considered to be a survey in terms of strategy and descriptive in terms of goals. The statistical population included all the senior-high students in Yazd city in 2023. Using Cochran's formula, 384 people were selected, and the questionnaire of Parsia and Stimo (2022) was randomly distributed among them, and the data were analyzed through structural equation modeling Findings: According to the findings of this research, financial literacy leads to the improvement of financial behavior and plays a significant role in creating correct financial behavior; on the other hand, increasing financial literacy can improve mental health, and there is an inverse relationship between financial literacy and financial stress. Finally, financial literacy can lead to mental health of students by influencing their financial behavior, positive financial behavior will lead to financial satisfaction, and financial literacy will improve the mental health of senior-high students by reducing their amount of financial stress. Conclusion: Since financial literacy training has a significant effect on mental health, improving financial behavior and reducing stress, therefore, improves financial literacy in students and will reduce their anxiety.  }, Keywords = {students’ financial literacy, students’ mental health, students’ financial stress, students’ financial behavior}, volume = {23}, Number = {1}, pages = {98-108}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i1.15526}, url = {http://tbj.ssu.ac.ir/article-1-3614-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3614-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Pourmovahed, Zahra and Mirtazerjani, Motahera Al-Sadat and Ardian, Nahid and Akhondzardini, Razieh}, title = {Investigating the Relationship between Religiosity and Post-Traumatic Stress Disorder in Mothers of Children with Cancer Admitted to t Pediatric Oncology Department of Shahid Sadoughi Hospital , Yazd , 2019}, abstract ={Introduction: Religiosity can help in adapting to difficult situations and provide better care. Therefore, this study was conducted to determine the relationship between religiosity and post-traumatic stress disorder in mothers of children with cancer. Methods: This was a cross-sectional and descriptive-correlational study conducted on 115 mothers of children with cancer who were admitted to Shahid Sadoughi Hospital, in Yazd, in 2019. Sampling was done through convenience sampling method. Data collection tools were the  demographic information questionnaire, and Mississippi PTSD and Glock and Stark questionnaires. . Descriptive (mean and standard deviation) and analytical (Pearson's correlation, chi-square) statistical tests and indicators were used; data were investigated and statistically analyzed using SPSS 21 software with a confidence level of 95%. Results: The findings showed that in the post-traumatic stress disorder questionnaire, the average score was 97/61±36/78 and the average score of the religiosity questionnaire was 26/77±61/85. Pearson's correlation coefficient showed a negative relationship between religiosity and PTSD (p= 0/160, r= -0/132). The average score of PTSD and religiosity among mothers was not significantly different according to various variables such as mother's occupation, child's gender, and education level. The difference in the average score of PTSD in mothers was different according to the characteristics such as education level and occupation. The average score of religiosity was more different when comparing working mothers with housewives. The average stress score after the accident showed a greater difference in mothers according to the type of child's illness. The average PTSD score was 83/87±25/79 for neuroblastoma and 92/33±24/98 for solid tumor disease. Conclusion: PTSD among mothers was close to the cut-off point for the disorder. Although there was no significant relationship between PTSD and mothers' religiosity, it can be said that the severity of mental situation of mothers with severe cancer was effective in the study.    }, Keywords = {Religiosity, Post-traumatic stress disorder, Mothers, Children, Cancer}, volume = {23}, Number = {1}, pages = {110-121}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i1.15527}, url = {http://tbj.ssu.ac.ir/article-1-3582-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3582-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Alizadeh-siuki, Hadi and jadgal, mohamm}, title = {The Effect of an Educational Program Based on Protection Motivation Theory (PMT) in Adopting Preventive Behaviors from Uterine Cervical Neoplasm among Women Referring to Health Centers in Torbat Heydariyeh City}, abstract ={Introduction: One of the cancers that endangers women's health is cervical cancer which can be fatal due to the lack of significant symptoms. This study was conducted with the aim of determining the effectiveness of an educational program based on Protection Motivation Theory (PMT) in adopting preventive behaviors from uterine cervical neoplasm among Women Referring to Health Centers in Torbat Heydariyeh city. Methods: A quasi-experimental study was conducted on 200 women with average age of 30/62 (intervention 100 and control 100) referred to Torbat Heydariyeh city health centers by random cluster sampling method from October 2019 to May 2020.The data collection tools were researcher-made questionnaires based on PMT, and its validity and reliability were reviewed and confirmed. Pre-test was also performed for both groups. Based on the results of the pre-test, need assessment was done. The educational intervention was performed for case group as lecture, pamphlet, Power Point presentation and question and answer in three 90-minute sessions. Post-test was performed after three month using the same questionnaire for both groups. The collected data were analyzed by independent t-test, paired t-test, and Pearson and chi square using SPSS software v22. Results: Before the intervention, there was no significant difference between control and experimental groups(p<0/05)regarding the mean score of constructs of the PMT. After the intervention, however, there was a significant difference in the mean scores of all the constructs of PMT in the two groups (self-efficacy p=0/001, response cost p=0/001, response efficiency p=0/001, perceived vulnerability p=0/007, fear p=0/001, perceived intensity p=0/01, motivation p=0/002 and behavior p=0/001). Conclusion: The study results revealed effectiveness of educational intervention based on PMT in promoting Pap smear screening behavior. The rate of doing pap smear test in the experimental group increased to 56% in the intervention group. Therefore, the authors recommend designing educational interventions based on this theory to promote public health, especially for women.  }, Keywords = {Cervical cancer, Women ,Promotion Motivation Theory, Screening}, volume = {23}, Number = {2}, pages = {1-15}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i2.16094}, url = {http://tbj.ssu.ac.ir/article-1-3627-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3627-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Moradi, Mobarakeh and BakhshipourJoybari, Babollah and Emadian, Seyedeh Oli}, title = {The Effectiveness of Positive Parenting Training on Feelings of Shame in Children of Divorce}, abstract ={Introduction: The separation of parents from each other will bring a lot of damage and consequences to children, and it will also affect their growth and development and communication, which will lead to a feeling of shame in these children. The present study was conducted with the aim of investigating the effectiveness of positive parenting education on feelings of shame in children of divorce. Methods: The method of the current research was a semi-experimental type with a pre-test-post-test design, a control group, and a three-month follow-up. The statistical population of the research included all the divorced mothers with children (7 to 12 years old) who visited Trust Counseling Center of Sari city in 2022-2023, among whom 30 people were selected randomly through convenience sampling and were replaced in two experimental and control groups. Ferguson's internalized shame questionnaire was used to collect data. Positive parenting training was conducted for 8 2-hour sessions for the experimental group, and the control group did not receive any intervention. Before and after the implementation of the pre-test and post-test sessions, both groups were taken, and after three months, both groups were followed up again. To analyze data, analysis of variance with repeated measurements was used through SPSS version 26 software. Results: The results of the present study showed that there was a significant difference between the mean of the shame variable and its component in the pre-test-post-test and pre-test-follow-up stages (p<0/05). Conclusion: Based on the findings, it can be concluded that positive parenting training has been able to reduce the feeling of shame in divorced children; therefore, positive parenting training is suggested to reduce the feeling of shame in children.    }, Keywords = {Positive parenting, Feelings of shame, Children of divorce}, volume = {23}, Number = {2}, pages = {16-32}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i2.16095}, url = {http://tbj.ssu.ac.ir/article-1-3637-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3637-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Sarabi, Nasrin and Moosavi, Ahmad and Karimi, Hamid and Moradi, Ehas}, title = {Knowledge, attitude and practice of prevention of cardiovascular diseases in patients with type 2 diabetes in Dezful City in 2024}, abstract ={Introduction: Knowledge, positive attitude, and proper practice are the most important factors in controlling cardiovascular complications in chronic diseases such as diabetes. So, this study investigated the knowledge, attitude, and practice of cardiovascular disease prevention in patients with type 2 diabetes. Methods: In this descriptive-cross-sectional study, 385 patients with type 2 diabetes who visited the Diabetes Clinic of Ganjavian Dezful Hospital from January 2023 to April 2024 were selected by convenience sampling method. To collect data, the demographic information questionnaire and the questionnaire by Koohi et al. (2021) related to the knowledge, attitude and practice of prevention of cardiovascular diseases were used. The Cronbach's alpha of the questionnaire was >0/6 for all dimensions of the questionnaire, and its CVR and CVI in this study were 0/90 and 0/85. Data were analyzed using SPSS version 16 software and p-value of less than 0.05. Descriptive statistics including frequency, mean, and standard deviation as well as inferential statistics such as Pearson correlation, independent t test, and ANOVA were used to analyze the data. Results: This study showed that 57.1 percent of the participants were in the age range of 40 to 60 67/5 percent of whom were women. Patients had a high level of knowledge and attitude toward preventing cardiovascular disease (20/06 ± 5/42) and (46/80 ± 4/99), respectively); however, their performance level was not high (8.65 ± 5.03). A significant positive relationship was also observed between knowledge and attitude (r = 0/6, P= 0/001). Conclusion: Despite patients’ high level knowledge and attitude toward the prevention of cardiovascular diseases, their performance in this field is not appropriate, and this issue requires planning by hospital managers  }, Keywords = {Diabetes mellitus, Knowledge, Attitude, Cardiovascular disease}, volume = {23}, Number = {2}, pages = {33-49}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i2.16096 }, url = {http://tbj.ssu.ac.ir/article-1-3628-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3628-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {hashemihabybabady, Raheleh and dehbashi, akram and paridokht, fatemeh and sepehr, parvin and malekiroveshti, mehr}, title = {Investigating Occupational and Personal Factors Effective in Causing Musculoskeletal Disorders in the Personnel of One of the Hospitals in Zahedan City}, abstract ={Introduction: Musculoskeletal disorders are one of the main health problems among health care providers. This study aims to determine Job responsibilities and risk factors for work-related musculoskeletal disorders among the hospital employees of one of the largest hospitals in Zahedan. Methods: This cross-sectional study was conducted on 194 staff in one of the largest hospitals affiliated with Zahedan University of Medical Sciences. Data were collected using a demographic questionnaire and Cornell Musculoskeletal Discomfort Questionnaire. The collected data were analyzed using SPSS v19 and univariate logistic linear modeling, in addition to Kruskal-Wallis and Mann-Whitney U tests. Results: The highest average pain score was related to the back(21/10±26/19). Neck pain was more prevalent in people over 40 years old(50%). Women were 4.9 times more likely to experience neck pain than men, and the possibility of back pain in individuals older than 40 years was 2.2 times higher than in those younger than 30. Furthermore, participants with more than 20 years of work experience were 5/4 times more likely to develop knee pain than those working for 5 years and less. There was a significant difference between pain scores in different positions among the hospital staff(p=0/003). Conclusion: The results of the present study demonstrated that the prevalence of musculoskeletal disorders among nurse assistants, women, elderly people and those with more work experience was higher than other employees, and it is necessary to design and implement targeted and specific interventions to reduce these disorders for different groups in hospitals.  }, Keywords = {Musculoskeletal Disorders, Hospital Staff, Healthcare Services}, volume = {23}, Number = {2}, pages = {50-65}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i2.16097 }, url = {http://tbj.ssu.ac.ir/article-1-3625-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3625-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {zeidbadi, Batool and khodayarian, mahsa and sadeghi, rez}, title = {Persian Translation, Cross cultural Adaptation and Validity and Reliability of the Mental Health Literacy Knowledge Assessment Tool in Iranian Students}, abstract ={Introduction: The importance of mental health literacy is recognized as an essential component for increasing knowledge and changing attitudes towards mental health and mental illness in school students. To identify mental health problems, tools to measure knowledge of mental health literacy to cases, understanding mental health and mental illness, mental illness stigma, information about specific mental illnesses, experiences of mental illness، Assistance and the importance of positive mental health. The study aimed to translate, cultural adaptation and examine the validity and reliability of the mental health literacy knowledge assessment tool in Iranian students. Methods: The English version of the Mental Health Literacy Knowledge Measuring Tool was conducted with 28 knowledge questions and 8 attitude questions about mental disorders, initial translation, open translation and corrections. Then, the qualitative formalization of the questionnaire was reviewed and approved by 12 experts (psychiatrist, psychologist, educational sciences, health education and health promotion and biostatistics). To calculate the reliability, 30 students aged 13 to 15 completed the first Persian version of the questionnaire twice, 14 days apart. Results: In the translation of the tool, two questions were adapted and localized to Iranian culture. In the content validity check, the content validity ratio scale and the content validity index were calculated according to the tables of Lavshe, Waltz and Basel. CVI average of the items was 0/88 and in the CVR, questions 4 were unacceptable. Students’ Cronbach's alpha coefficient index of general health knowledge questions and attitude about mental disorders were obtained as 0/96 and 0/86, respectively and the Pearson correlation of the questions of the knowledge section was 0/93 and the attitude was 0/76, which is an acceptable reliability coefficient. Conclusion: The present tool is a tool for measuring mental health literacy knowledge that was translated and localized in Iran, which is useful for measuring mental health literacy among 13 to 15-year-old high school students. Using the mental health literacy knowledge measurement tool is suggested to increase knowledge and reduce the stigma of mental illness in order to improve mental health literacy in schools.  }, Keywords = {Mental health Literacy, Cultural Adoption, Validation, Knowledge, Attitude, Mental Illness}, volume = {23}, Number = {2}, pages = {66-80}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i2.16098}, url = {http://tbj.ssu.ac.ir/article-1-3620-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3620-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {MotevallyJoybari, Fatemeh and BakhshipourJoybari, Babollah and Abbasi, Qadratullah}, title = {The Effectiveness of Cognitive-Behavioral Intervention on Social Competence and School Refusal of Children with Separation Anxiety Disorder}, abstract ={Introduction: The present study was conducted with the aim of the effectiveness of cognitive-behavioral intervention on social competence and school refusal of children with separation anxiety disorder. Methods: This research was a semi-experimental type with a pre-test-post-test design, a control group, and a three-month follow-up. The statistical population of this research includes all the mothers of elementary school students in one Sari district in the academic year of 2022-2023 who were suffering from separation anxiety disorder, 30 of them were randomly selected and replaced in two experimental and control groups. To collect data, Han and Hajinlian's separation anxiety questionnaire, social competence questionnaire by behavior problem prevention research group, and school refusal questionnaire by Carney and Silverman were used. In the experimental group, cognitive-behavioral intervention was implemented for 12 sessions of 1 hour; But, the control group did not receive any intervention. Before and after the pre-test and post-test sessions were taken from both groups. To analyze the data, analysis of variance with repeated measurements was used with SPSS version 26 software. Results: The results of this research showed that there is a significant difference between the mean of the variable of social competence and school refusal in the pre-test-post-test and pre-test-follow-up phase compared to the control group (p<0/05). Conclusion: Based on the results, cognitive-behavioral intervention training on mothers of children with separation anxiety disorder increased social competence and reduced school refusal in children with separation anxiety disorder; therefore, this intervention can be recommended to children with separation anxiety disorder, psychologists, and child counselors. Keywords:}, Keywords = {Cognitive-Behavioral Therapy, Social Competence, School Refusal, Separation Anxiety}, volume = {23}, Number = {2}, pages = {81-99}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i2.16099}, url = {http://tbj.ssu.ac.ir/article-1-3634-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3634-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {KalatehSadati, Ahmad and alimondegari, Malihe and falakodin, zahra and Shiri-Mohammadabad, Hamideh and Kalantari, Forozandeh}, title = {Analyzing the Opinion of the Elites in the Field of Population Policies in the City of Yazd: A Qualitative Study}, abstract ={Introduction: Due to the lack and the continuation of low fertility in past decades, it is necessary to review the population policies of the country. In formulating or revising demographic policies, taking effective and timely measures to facilitate the process of marriage and family formation and encouraging young couples to have children is an important and unavoidable necessity in the current conditions of society. The purpose of the current research is to discover and analyze this issue in Yazd province, based on the opinion of elites and policy makers related to the issue. Methods: This study was conducted using qualitative and grounded theory methods in 2014 in the city of Yazd. The participants in the research were 18 health officials and academic elites from the province. Participants were selected through purposive sampling. Data were collected using a semi-structured interview tool. Data analysis was conducted using both theoretical and free coding methods as well as central and selective coding techniques. Results: The results showed that while the decision to have children is influenced by social and cultural contexts, it is primarily influenced by social policies.  57 sub-categories and 20 main sub-categories were extracted The themes of the research included rethinking marriage, postponing childbearing, the dangerous world of childlessness, dynamic policy making, family and child support policies. Also, the core category, the vacuum of dynamic, and efficient policy were calculated Conclusion: The results of the research show that the issue of having children is related to other needs and necessities of the family, such as taking care of children and the economic needs of the family. For this reason, policymakers should support programs that help families in this field and bring some kind of psychological comfort to the family.  }, Keywords = {Fertility, Marriage, Social, Cultural, Population policies, Iran}, volume = {23}, Number = {2}, pages = {100-118}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i2.16100}, url = {http://tbj.ssu.ac.ir/article-1-3592-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3592-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {YaghoobiSiahgoorabi, Fatemeh and Rezaei, Sajjad and Zebardast, Azr}, title = {Prevalence of Anxiety and Depression in Adolescent Girls in Lahijan and Associated Demographic Factors}, abstract ={Introduction: Anxiety and depression are common mental health disordersthat threaten physical and mental health and quality of life of adolescents and cause defects in their performance.. This study aims to determine the prevalence of anxiety and depression among adolescent girls in Lahijan, along with the associated demographic factors. Methods: This analytical-cross-sectional survey involved 291 girls aged 15 to 18, selected through convenience sampling method from public all-female' high schools in Lahijan in early 2024. Youth Anxiety Measure for DSM-5 and Kutcher Adolescent Depression Scale were the research tools. Data analysis was conducted using SPSS-26, independent t-tests, univariate and multivariate analyses of variance. Results: The prevalence rates of anxiety and depression among girls were 3/8% and 3/1%. Girls with physical illnesses exhibited higher levels of major depression, suicide, overall depression score, overall anxiety score, and panic compared to their healthy peers(P<0/05). Those with mental disorders reported higher levels of major depression, suicide, overall depression score, selective mutism, and panic compared to those without such disorders(P<0/05). 11th-grade girls demonstrated higher levels of separation anxiety, generalized anxiety, and overall anxiety score than 10th-grade girls(P<0/05). No significant differences were observed in anxiety and depression among girls from different fields of study(mathematics, empirical sciences, and humanities)(P>0/05). Conclusion: The study revealed a relatively low prevalence of anxiety and depression, which was associated with the girls' histories of physical and mental disorders, as well as their educational grade. These findings hold significant implications for school administrators and health professionals.  }, Keywords = {Prevalence, Anxiety, Depression, Adolescent}, volume = {23}, Number = {3}, pages = {1-15}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i3.16479}, url = {http://tbj.ssu.ac.ir/article-1-3649-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3649-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {nabaei, masomeh and alizadehbirjandi, zahr}, title = {Investigating the Effectiveness of Integrated Cognitive-Behavioral Therapy (CBT) with the Acceptance and Commitment-based Therapy (ACT) on Reducing Psychological Distress and Reducing Mental Fatigue in Nurses with Burnout Symptoms in Imam Reza Hospital, Mashhad, Iran}, abstract ={ Introduction: A large proportion of the healthcare workforce reports significant distress and burnout, which can lead to poor patient care. Several psychological interventions, one of the psychological interventions is integrated therapy, which can be effective in improving mental fatigue and stress tolerance. So, the purpose of research is to investigate the effectiveness of integrated cognitive-behavioral therapy with acceptance and commitment-based therapy on reduce Psychological Distress and mental fatigue in nurses with burnout symptoms in Imam Reza Hospital in Mashhad city. Materials and Method: The research was a semi-experimental pre-test-post-test study with a control group. The statistical population was all female nurses working in Imam Reza Hospital which had symptoms of burnout, and so 30 nurses were selected by purposeful sampling considering the inclusion criteria and then randomly divided into an experimental and a control group. Subjects of both groups responded to Meshach Job Burnout Inventory, Smits et al.'s Multidimensional Fatigue Inventory and Kessler Psychological Distress Scale. Before and after the intervention. After the pre-test, therapeutic intervention was provided to the experimental group twice a week for 10 sessions of 45 minutes. Results: The results showed that there was a significant difference between the two groups after the combined treatment intervention in terms of Psychological Distress and mental fatigue in nurses with signs of job burnout . Conclusion: suggested to use CBT-ACT in a continuous and regular manner in hospitals and universities in the form of training classes in order to reduce Psychological Distress and mental fatigue and job burnout.  }, Keywords = {sychological Distress, Psychological Fatigue, Combined Therapy (Cognitive-Behavioral (CBT) and Acceptance and Commitment (ACT), Job Burnout, Nurses}, volume = {23}, Number = {3}, pages = {16-29}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i3.16480}, url = {http://tbj.ssu.ac.ir/article-1-3638-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3638-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Izadkhah, Fereshteh and Moradi, Jalil and Bahrami, Alireza and Janbozorgi, Zohreh}, title = {The Effect of Motor and Cognitive Exercises on Working Memory and Selective Attention in Athletes with ADHD}, abstract ={Introduction: Athletes with attention-deficit/hyperactivity disorder (ADHD)  have deficits in executive functions, and it is very important to find new non-pharmacological methods to help them. The aim of this study was to determine the effect of motor and cognitive exercises on working memory and selective attention in athletes with ADHD. Methods: A quasi-experimental design with a pretest-posttest and follow-up was employed, including a control group. A total of 120 athletes(males and females) with ADHD, aged 9 to 11, from Lorestan province, were initially considered. Among them, 75 athletes were randomly assigned to three groups: control, motor exercises, and cognitive exercises, with each group consisting of 25 participants. The first experimental group received motor exercises, while the second experimental group received cognitive exercises (Captain’s Log), both delivered in 10 sessions of 20 minutes each. The control group did not receive any interventions. Post-tests were conducted immediately one day after the intervention period, followed by a two-week follow-up test. Working memory and selective attention were assessed using the N-back and Stroop tests. Data analysis included mixed ANOVA, one-way ANOVA, and Benferroni's post hoc test performed using SPSS version 22 statistical software. Results: The results demonstrated a significant difference between the group of motor exercises (P= 0/0001) and cognitive exercises (P= 0/0001) with the control group. However, no significant difference was found between the two experimental groups(P= 0/536). Conclusion: The mentioned exercises can be used as an effective treatment in improving working memory and selective attention in athletes with hyperactivity disorder and attention deficit disorder.  }, Keywords = {Memmory, Attention, Exercises, Athletes, ADHD}, volume = {23}, Number = {3}, pages = {30-45}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i3.16481}, url = {http://tbj.ssu.ac.ir/article-1-3646-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3646-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Sanjari, Paymaneh and Hashemi, Majid and Dehesh, Tania and AhmadiTabatabaei, Sayed Vahid and Faraji, Maryam}, title = {Effective factors on Migration to Kerman City and Immigrants’ Problems Using Analytical Hierarchy Process Model and Technique for Order of Preference by Similarity to Ideal Solution}, abstract ={Introduction: Marginal immigrants cause many problems in economic, social and cultural, physical ,and environmental aspects of cities. This study aims to investigate the factors affecting migration to Kerman city and the problems of marginalized immigrants using the analytical hierarchy process (AHP) and technique for order of preference by similarity to ideal solution (TOPSIS) models. Methods: This cross-sectional study was conducted in 2022, with a sample size of 147 households selected from Kerman suburban region. The data were collected by a standardized questionnaire measuring effective factors on the migration and the checklist of the immigrant problems. Results: The most important immigration factors were economic, social, geographical, political, educational and religious-cultural factors, respectively. Among 37 components studied, transferring the job of the family man as the family head, being on the main  land, air and rail ways, having a special position at the international level, burying the family’s dead members in the desired city, and the education of the wife or one of the children of the family were the most important components.  According to the results, more than 90% did not have access to public baths, sports facilities, government centers, private institutions, and parks, and recreational spaces. Conclusion: According to AHP model, economic factors ,and then social factors, were the most important reasons for migrating to the suburbs of Kerman. Therefore, it is suggested to create stable and long-term job opportunities , improve employment and business environment in the cities, and develop infrastructure to control migration to the city capitals.  }, Keywords = {Migration, Analytical Hierarchy Process (AHP), Technique for Order of Preference by Similarity to Ideal Solution (TOPSIS), Kerman.}, volume = {23}, Number = {3}, pages = {46-65}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i3.16482}, url = {http://tbj.ssu.ac.ir/article-1-3640-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3640-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {HajizadeTabriz, Mahsa and AliMohammadzade, Khalil and Safavi, Mahboobe}, title = {Investigating Team Work of Gynecologists and Midwives in Hospitals of Tehran Islamic Azad University}, abstract ={Purpose and background:  Caesarean section saves the life of mother and child. Unnecessary cesarean has complications. To reduce unnecessary cesarean sections, the health transformation plan was implemented. By editing this program in 2013, team services were added to it. The present study was conducted with the aim of investigating the status of team work among gynecologists and midwives. Methods: The current research is a descriptive-analytical study that was carried out cross-sectionally in the year 2021. The sample population included all the 45 gynecologists and midwives working in the maternity block of hospitals affiliated with Islamic Azad University of Tehran, and sampling method was convenience sampling. Nachioni questionnaire with appropriate CVI (0.87-1) and Cronbach's alpha coefficient of 0.94 was used to collect data. Statistical analysis of data was done using wilcoxon test with SPSS24 software. Results: The results of this study showed that the state of teamwork and its dimensions in the studied group are significantly higher than the average (p<0/001). The highest score in the dimensions of the questionnaire was related to the objective dimension (3/97 ± 0/63) and the lowest score was related to the constructive approach dimension (3/39 ± 0/35). Conclusion: The score of team work in the study group was medium to high. The highest score belonged to the dimensions of objective, trust, and accountability . It should be noted that the study cases have scored lower in the two dimensions of constructive interaction and responsibility.  }, Keywords = {Cesarean section, Interprofessional collaboration, Healthcare professionals}, volume = {23}, Number = {3}, pages = {66-75}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i3.16483}, url = {http://tbj.ssu.ac.ir/article-1-3641-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3641-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {MalekiAvarsin, Farideh and Pirkhaefi, Alireza and KalhorniaGolkar, Maryam}, title = {The Effectiveness of Spiritual Group Therapy on Psychological Well-Being and Self-Efficacy of Patients with Type 2 Diabetes in Tehran in 2023}, abstract ={Introduction: Diabetes, as one of the common causes of mortality worldwide, extends beyond physical aspects and can impact psychological and emotional dimensions as well. Therefore, the present research aimed to determine the effectiveness of spiritual therapy on the psychological well-being and self-efficacy of patients with type 2 diabetes in Tehran. Methods: This study was a semi-experimental research with a pretest-posttest and a three-month follow-up design with a control group. The study population consisted of all the patients with type 2 diabetes who attended treatment centers in Tehran (Masih Daneshvari, Nikan, and the Iranian Diabetes Association) from August to November 2023. Among the patients, 37 were selected using purposive sampling and were randomly assigned to two groups: the experimental group (N=18) and the control group (N=19). The data collection tools included a demographic information form, the standardized Ryff's scale of psychological well-being– short form (Cronbach's alpha= 0/72), and the General Self-Efficacy Scale (Cronbach's alpha= 0/83). Data analysis was conducted using SPSS-21 software. Additionally, given the different stages of measurement (pre-test, post-test, and follow-up), repeated measures ANOVA was used for data analysis. Results: The results indicated that spiritual therapy led to an increase in psychological well-being (F=132/56, P<0/001) and self-efficacy (F=15/51, P<0/001) in patients with type 2 diabetes. Furthermore, the effect size of spiritual therapy on psychological well-being was 79%, and self-efficacy was 31%, and the sustainability of its effects was observed up to three months after treatment. Conclusion: The findings suggest the impact of spiritual therapy on enhancing psychological well-being and self-efficacy in patients with type 2 diabetes. Therefore, it is recommended that, in addition to the routine treatment of patients with type 2 diabetes, spiritual therapy be utilized to enhance the psychological well-being of the patients.  }, Keywords = {Psychological well-being, Self-efficacy, Spirituality, Diabetes Mellitus Type 2}, volume = {23}, Number = {3}, pages = {76-91}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i3.16484}, url = {http://tbj.ssu.ac.ir/article-1-3644-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3644-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {farokhnjad, zahra and hosseiniabreshamei, ladan and yazdanshenas, atna and hosseini, saydeh saeedeh}, title = {The Effect of Eight Weeks of Selected Vestibular Exercises on Functional Balance, Walking Speed and Quality of Life of Sedentary Elderly Men}, abstract ={Introduction: Aging and sedentary lifestyle are associated with a decrease in physical and mental abilities. The purpose of this study is to investigate the effect of eight weeks of selected vestibular exercises on functional balance, walking speed, and quality of life of sedentary elderly men. Methods: This semi-experimental research was conducted from the winter of 1402 to the summer of 1403 with the participation of 30 sedentary elderly men from Tawheed Golmkan Elderly Care Center in Mashhad. The samples were selected purposefully and based on previous studies (25) and were divided into two experimental and control groups of 15 people. The experimental group performed selected vestibular exercises three sessions a week for eight weeks, while the control group did not perform any exercises. Dynamic comparison test, 10-meter walking speed and short-term life questionnaire were used to evaluate the quality of life. Data analysis was performed using Shapiro-Wilk test, analysis of covariance, and t-test at a significance level of P<0/05. Results: The results of paired t test showed that dynamic balance (P=0/001), walking speed (P=0/001), and quality of life (P=0/001) of the experimental group improved significantly after the exercise program.  This was while there was no improvement in the control group. The covariance results did not show a significant difference between the groups in the pre-test phase, but there was a significant increase in the scores of the experimental group in the post-test phase. Conclusion: It is recommended to use exercises to prevent the disabilities of the elderly and improve their quality of independent life.    }, Keywords = {Aging,Vestibular system, Balance,Walking speed, Quality of life}, volume = {23}, Number = {3}, pages = {92-106}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i3.16485}, url = {http://tbj.ssu.ac.ir/article-1-3647-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3647-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {ZanganehBaygi, mehdi and peyvand, Mostafa and MiraniBahabadi, Faezeh and Noormohamadi, Sayedeh Narges}, title = {Explaining the Experiences of the Reasons for Non-Adherence to Treatment of Leukemia Cancer Patients in the Least Privileged Province of the Country: A Qualitative Study}, abstract ={Introduction: One of the most important challenges in cancer patients is the long treatment period, and as a result, non-compliance with the treatment, considering the cultural and indigenous context of Sistan and Baluchistan province, the importance of this position is felt more. Therefore, the present study was conducted with the aim of explaining the experiences of non-adherence to treatment in Leukemia cancer patients. Methods: This cross-sectional study was conducted qualitatively with a content analysis approach via a purpose-based sampling method on 34 leukemia cancer patients with a mean age of 46±7 in 2022. The data collection tool was a semi-structured interview guide. All interviews were recorded and implemented daily on paper. Finally, the data was coded using conventional content analysis method. Results: In this study, 17 women and 17 men were included in the study. 9 (26.5%) of them were more than 50 years old. After summarizing and coding the issues raised by the participants, 114 initial codes were obtained, five main themes (financial problems, lack of access to medical services, distrust of the health system and treatment, drug interactions and lack of motivation to continue treatment) and 10 sub-themes were extracted. Conclusion: It can be concluded that adherence to drug regimen in cancer patients is a complex issue that depends on many factors. The financial and spiritual support of the government, increasing insurance coverage, and developing infrastructure for better access of patients to medicines and medical centers are among the implementation suggestions of this study.    }, Keywords = {Hospital, Cancer, Leukemia patients, Contract content analysis}, volume = {23}, Number = {3}, pages = {107-122}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i3.16486}, url = {http://tbj.ssu.ac.ir/article-1-3624-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3624-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Imani, fatemeh and bagheri, Maedeh}, title = {Predicting Depression in Middle-Aged Individuals in Tehran Based on Socioeconomic Status, Loneliness, Spiritual Well-Being, and Marital Satisfaction in 2023}, abstract ={Introduction: Information related to the amount of the most significant risk factors identified in relation to depression in middle-aged Iranian individuals is insufficient. Accordingly, the aim of this study was to predict depression in middle-aged residents of Tehran based on their socioeconomic status, feelings of loneliness, spiritual well-being, and marital satisfaction. Methods: This cross-sectional study employed a quantitative descriptive-correlational approach and regression analysis. A total of 216 middle-aged individuals visiting health centers in Tehran in 2023 were selected through convenience sampling. Participants completed questionnaires assessing marital satisfaction (Hudson), social-emotional loneliness in adults, spiritual well-being (Dehshiri et al.), socioeconomic status (SES), and the Beck Depression Inventory (BDI-II). Multiple linear regression analysis was conducted using SPSS version 24 to examine the relationship between predictor variables and depression. Rusults: Among the 216 middle-aged participants in Tehran, aged between 40 and 60 years, 47/68% were male (103 individuals) and 52/31% were female (113 individuals). The prevalence of depression among middle-aged individuals in Tehran was found to be 46/3% (100 individuals). Notably, only spiritual well-being significantly predicted the variability in depression among middle-aged individuals in Tehran (B=0/19, p< 0/01). Conclusion: Contrary to previous studies, socioeconomic status, loneliness, and marital satisfaction did not statistically predict the variability in depression among middle-aged individuals in Tehran. It is recommended that further research be conducted to identify the most significant risk factors associated with depression in this demographic.  }, Keywords = {Depression, Family conflict, spirituality, Loneliness}, volume = {23}, Number = {4}, pages = {1-14}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i4.17043}, url = {http://tbj.ssu.ac.ir/article-1-3672-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3672-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Tavallaei, Mehdi and Hesaraki, Motahareh and Seyhoon, Maryam and tahvilian, negin and Hosseinzadeh, Mahdieh}, title = {The Effectiveness of Treatment Based on Acceptance and Commitment Therapy on Psychological Capital, Weight and Fat Mass in Obese Women}, abstract ={Introduction: The present study was conducted with the aim of investigating the effectiveness of acceptance and commitment therapy (ACT) on psychological capital, weight and fat mass of obese women. Method: This study is a semi-experimental, involving a pre-test and post-test design with a control group. The research population comprised all overweight and obese women living in Yazd in 2021. According to the inclusion criteria, 30 people were selected and randomly replaced in two experimental and control groups (15 people in each group). The research instruments included a demographic information questionnaire, the psychological capital questionnaire, and the ACT treatment protocol. Following the pre-test, subjects in the control group underwent ACT treatment training sessions as the independent variable. The intervention consisted of nine group therapy sessions, each lasting 1.5 hours. Analysis of covariance (ANCOVA) was used to analyze the data. Results: At the beginning of the research, the average weight in the experimental group was 73.85 kg and in the control group was 74.01 kg. The findings of the research showed that the treatment based on ACT was able to play an effective role in increasing the psychological capital of overweight and obese women in Yazd city (p=0/001). This treatment was also effective in reducing the fat mass and weight of the participants (p=0/001). Conclusion: According to the results of the present study, it seems that ACT can play an effective role in solving the problems of overweight women and increase their psychological capital and reduce their weight and fat mass.    }, Keywords = {Acceptance and Commitment Therapy (ACT), Psychological Capital, Weight Loss, Fat Mass, Women}, volume = {23}, Number = {4}, pages = {15-30}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i4.17044}, url = {http://tbj.ssu.ac.ir/article-1-3659-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3659-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {SeyfiAvarsin, Aziz and Pirkhaefi, Alireza and KalhorniaGolkar, Maryam}, title = {The Effectiveness of Cognitive-Behavioral Group Therapy on Depression and Self-Efficacy of Patients with Hypertension}, abstract ={Introduction: Hypertension is one of the most common chronic diseases, which if not properly managed, can lead to not only physical health issues but also reduced psychological well-being and efficiency. Therefore, the aim of the present study was to determine the effectiveness of cognitive-behavioral group therapy on depression and self-efficacy in patients with hypertension. Methods: The present study was a quasi-experimental intervention, conducted as a pre-test, post-test design with experimental and control groups, and with a 90-day follow-up. The study population consisted of all hypertension patients who referred to healthcare centers in Tehran in 2023, from which 38 subjects were selected through purposive sampling and randomly assigned to experimental and control groups. The data collection tools included a demographic form, the Beck’s Depression Inventory (BDI-II), and the General Self-Efficacy Scale (GSE-17). Data were analyzed using repeated measures ANOVA with a significance level of 0.05, using SPSS-21 software. Results: Cognitive-behavioral group therapy was effective in reducing depression (F=78/6, P< 0/001) and increasing self-efficacy (F=12/7, P < 0/001) among patients with hypertension. Additionally, the effect size of cognitive-behavioral therapy was 70% for depression and 27% for self-efficacy, with the effects persisting up to three months post-treatment. Conclusion: The finding indicated that cognitive-behavioral therapy can lead to improvements in depression and an increase in psychological self-efficacy in patients with hypertension. Therefore, this cost-effective and affordable treatment method can be utilized alongside routine treatment (medication) to enhance the psychological well-being of these patients.  }, Keywords = {Depression, Self-Efficacy, Cognitive Behavioral Therapy, Hypertension}, volume = {23}, Number = {4}, pages = {31-43}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i4.17045}, url = {http://tbj.ssu.ac.ir/article-1-3645-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3645-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {ShomaliAhmadabadi, Mehdi and Zabihi, Mohsen and Khodarahmi, Ali and BarkhordariAhmadabadi, Atefeh}, title = {The Mediating Role of Self-Criticism in the Relationship between Fear of Negative Evaluation and Social Anxiety in Medical Science Students}, abstract ={  Introduction: Social anxiety disorder is an intense and persistent fear of being watched and judged by others. This fear can affect work, school, and other daily activities. This research was conducted with the aim of investigating the mediating role of self-criticism regarding the fear of negative evaluation and social anxiety of medical students. Methods: This is a correlational research conducted using structural equations. The statistical population of the research consisted of all doctoral students of medical sciences in Yazd in the academic year 1400-1401. The sample size of 227 people was determined and sampling was done by voluntary sampling method. The research tools included the social anxiety scale (Jarabek, 1996), self-criticism (Thompson & Zuroff, 2004) and fear of negative evaluation (Leary, 1983), which was published online. The data were analyzed using Pearson correlation and structural equation modeling, utilizing SPSS26 and Amos24 software. Results: The direct effect of fear of negative evaluation on social anxiety was significant (P=0/001). the direct effect of self-criticism on social anxiety (P=0/041), and the direct effect of fear of negative evaluation on self-criticism (P=0/001) were significant. Bootstrap results further indicated that the indirect effect of fear of negative evaluation on social anxiety through self-criticism was significant (P=0/019). Conclusion:These findings highlight self-criticism as a significant mediator between fear of negative evaluation and social anxiety in medical students, emphasizing the importance of addressing self-perception in interventions.    }, Keywords = {Self-Assessment, Fear, Self-Criticism, Anxiety, Students}, volume = {23}, Number = {4}, pages = {44-56}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i4.17046}, url = {http://tbj.ssu.ac.ir/article-1-3654-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3654-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Molaei, Amir and Izadi, Shahrzad and Moghani, Fatemeh and Paknazar, Fatemeh and Mansori, Kamyar and Hemmati, Hamid Rez}, title = {Survival Rate and Related Factors in Patients with COVID19 Undergoing Major Surgeries: A Cross-sectional study}, abstract ={Introduction: Surgery is one of the factors that may accelerate and intensify the progression of COVID-19. The present study was conducted with the aim of investigating the survival rate and related factors in patients with COVID19 undergoing a major surgery. Methods: In this cross-sectional-analytical study, 43 patients with COVID-19 who underwent a major surgery in Kowsar Semnan Hospital were examined in 2021. The data collection tool was a checklist including demographic and clinical variables, which was extracted from the patients' files by referring to the medical records section. Survival of patients after surgery was also checked through telephone calls. The data was entered into Stata 14 software and Chi-squared test was used to check the relationship between variables with 6-month survival. Results: The mean age (± S.D) of the patients age was 50/86 (± 23/14). . The mean (± standard deviation) age of male and female patients was 47.73 (± 20.89) and 55.65 (± 26.15), respectively.The survival rate 6 months after surgery was significantly lower in patients over 50 years old, who were admitted to the intensive care unit, and were suffering from an underlying disease, high body mass index, the presence of trauma and neurosurgery (P<0/05). Conclusion: Almost only half of the patients with COVID19 survived 6 months after major surgery, and age over 50, hospitalization in the intensive care unit, underlying disease, high body mass index, and presence of trauma and neurosurgery were the most important factors determining this decrease in survival.  }, Keywords = {COVID19, survival, major surgery}, volume = {23}, Number = {4}, pages = {57-66}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i4.17047}, url = {http://tbj.ssu.ac.ir/article-1-3630-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3630-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Fatemiaghda, Seyed Ali and Hazhir, Shadi and Langarizadeh, Mostaf}, title = {Determining Information Requirements for a Mobile Self-Care App for Chronic Kidney Disease Patients}, abstract ={Introduction: Chronic kidney disease is a common condition that affects a person's entire life after diagnosis. Self-care using a mobile phone helps to improve the management and ease the disease. This study aims to identify the educational content needed to design a self-care mobile application  for chronic kidney disease patients. Methods: This applied study was conducted using a descriptive method. The tool used was a researcher-made questionnaire, which was validated for reliability and validity. The study population consisted of nephrologists and general surgeons, from which 25 participants were randomly and purposefully selected from the nephrology clinics of Tehran and Kurdistan University of Medical Sciences. Data analysis was performed using descriptive statistics with SPSS software version 19. Results: The educational content of the application was organized into three main axes, comprising 28 educational needs: Disease information, including understanding kidney function, stages of disease progression, and early and primary signs and symptoms; medications, encompassing familiarity with prescribed medications, drug interactions, and the importance of accurate and timely medication intake; and lifestyle and personal habits, covering healthy nutrition, weight management, and work-related issues. However, topics such as diagnostic methods, various tests, drug side effects, dietary regimens, nutritional energy tables, and opioid use were not deemed essential. Conclusion: The educational needs serve as the first step in designing a self-care application for chronic kidney disease education. By defining the technical capabilities and various features of the application, patient awareness and adherence to desirable self-care behaviors will improve.  }, Keywords = {Self Care, Renal Insufficiency Chronic, Mobile Applications, Telemedicine}, volume = {23}, Number = {4}, pages = {67-79}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i4.17048}, url = {http://tbj.ssu.ac.ir/article-1-3652-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3652-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {DehghanManshadi, Marieh and Fallah, Mohammad Hossein and Sedrpoushan, Najmeh and Mohammadi, Fatemah}, title = {Examining The Psychological Experiences of Infertile Couples with Adopted ChildrenMarieh}, abstract ={Introduction: Having children has always been the best way to complete the family and evolve the couple's identity. Couples who were unable to have children due to infertility have used alternative paths. The aim of the present study was to investigate the psychological experiences of infertile couples with adopted children in Yazd. Methods: This study was of a qualitative type, with an exploratory nature. 18 infertile couples suffering from hormonal disorders, anatomical problems, infections and old age in women and sperm disorders and infections in men, who did not have children and had adopted children through the welfare of Yazd city, were identified in 1401 by targeted sampling method. And with a semi-structured interview, their information was collected, recorded and recorded and reached complete saturation. Rusults: The analysis of the lived experiences of the participants showed that out of a total of 154 semantic units, 10 main themes were obtained: accepting the role of parenting; infertility difficulties; encouraging the idea of adoption; difficulties and failures following adoption; Successes and facilitators following adoption; educational challenges and characteristics of adopted children; experiencing a crisis when a child enters the house; interactions with others; and matching tools; psychological changes in family life and relationships. Conclusion: Psychological changes in life and family relationships are one of the most important experiences of infertile couples. Lack of awareness and treatment can cause problems for the mental health of couples. It is suggested that therapists and counselors interpret the life experiences and psychological changes of people more deeply and use the themes obtained in this research in therapeutic interventions.    }, Keywords = {Infertility of Couples, Adoption, Psychological Changes, Psychological Experiences}, volume = {23}, Number = {4}, pages = {80-101}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i4.17049}, url = {http://tbj.ssu.ac.ir/article-1-3660-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3660-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Younesi, Fatemeh and SharifiDaramadi, Parviz and Hoseini, Masoomeh}, title = {Investigating the Effectiveness of Cognitive-Behavioral Therapy on Marital Commitment and Quality of Life in Women Following Satellite Series}, abstract ={Introduction: Given the negative effects of satellite series on marital commitment, and the quality of life of women, and the destabilization of family systems, the present study aimed to examine the effectiveness of cognitive-behavioral therapy on marital commitment and quality of life in women who follow satellite series in Tehran Methods: This study was designed as a quasi-experimental intervention with a pre-test and post-test approach. The statistical population consisted of women who were viewers of satellite series and members of an active institute in marriage and psychological services for couples in East Tehran. Using convenience sampling method, the first individual was selected randomly, and then through snowball sampling, 120 individuals were introduced. After screening and selecting eligible individuals, the sample size was reduced to 30, and the participants were randomly assigned to experimental and control groups (15 in each group). The women in the experimental group participated in virtual cognitive-behavioral therapy sessions. Data collection tools included two standardized questionnaires: the World Health Organization Quality of Life Questionnaire and the Adams and Jones Marital Commitment Questionnaire which were distributed and completed in both groups before and after the intervention. For data analysis, descriptive statistics such as mean, standard deviation, Shapiro-Wilk test, skewness, and kurtosis were used, and for inferential statistics to examine the significance of the intervention's effectiveness, analysis of covariance (ANCOVA) was employed. Data were analyzed using SPSS version 26. Results: The results indicated a significant difference between the experimental and control groups in both pre-test and post-test (p<0/05). The scores of the experimental group after the intervention showed a significant increase in the post-test analysis of covariance for the variables of physical health, psychological health, social relationships, social environment, overall quality of life, personal commitment, moral commitment, structural commitment, and overall marital commitment, compared to the pre-test (p<0/05). At the same time, the control group did not show a significant difference (p>0/05). Conclusion: The findings of this study suggest that cognitive-behavioral therapy has a positive impact on quality of life and marital commitment. This type of therapy can be utilized as an effective strategy to improve marital commitment and quality of life for women who watch satellite series.    }, Keywords = {Marital Commitment, Quality of Life, Satellite Series, Women, Cognitive-Behavioral Therapy}, volume = {23}, Number = {4}, pages = {102-116}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i4.17050}, url = {http://tbj.ssu.ac.ir/article-1-3642-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3642-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {kamali, parisa and Sajjadian2, Parinaz}, title = {The Effectiveness of Treatment based on Compassion for Aging, Self-care Behaviors and Pain Catastrophizing in Depressed Elderly People}, abstract ={Introduction: Introduction: Depression is a common mental disorder in the elderly and brings many complications to them. Therefore, this research was conducted with the aim of determining the effectiveness of compassion-based therapy on the perception of aging, self-care behaviors and pain catastrophizing in depressed elderly. Methods: The research method was semi-experimental with a pre-test-post-test-one-month follow-up design with a control group.The statistical population included all elderly women suffering from depression in Sadeghieh Nursing Home, Isfahan city, and 30 of them were selected by census sampling and randomly replaced in the subject group and the control group. Data collection tools included standard Beck depression questionnaires, perception of aging, elderly self-care and pain catastrophizing. The subject group received compassion-based therapy in 8 sessions 90-minute.The data was analyzed by variance analysis with repeated measurements using SPSS-27 software. Results: The average scores of aging perception and self-care in the experimental group increased more and pain catastrophizing decreased more than the control group. Therefore, compassion-based therapy has a significant effect on the perception of aging, self-care behaviors and pain catastrophizing in depressed elderly people of Isfahan city (p≤0.05); But this effect was not permanent in the follow-up stage of aging perception (p≥0.05) Conclusion: According to the results of this study, compassion-based therapy can be an effective intervention in improving the perception of aging, self-care behaviors and reducing pain catastrophizing in depressed elderly.  }, Keywords = {perception of aging, compassion therapy, self-care, pain catastrophizing, elderly}, volume = {23}, Number = {5}, pages = {1-17}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i5.17663}, url = {http://tbj.ssu.ac.ir/article-1-3674-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3674-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {hosseinitabaghdehi, leila and MahmoudiJoybari, Fatemeh and Yaghubi, Akram alsadat}, title = {effectiveness of cognitive emotion regulation strategies training on increasing the mental vitality of first-year secondary school students}, abstract ={Introduction: The purpose of this study was effectiveness of cognitive emotion regulation strategies training on increasing the mental vitality of first-year secondary school students in Neka city. Method: This semi-experimental research followed a pre-test-post-test design with a control group. The statistical population included all first-year secondary school students in Neka city during the 2022-2023 academic year, totaling 1,732 students. A purposive sampling method was used to select 60 students, who were randomly divided into two groups: one group (30 students) underwent cognitive emotion regulation strategies training, while the other group (30 students) served as a control and received no intervention. The study used the Subjective Vitality Scale (SVS) (Ryan & Frederick, 1997) to measure outcomes. The intervention involved 10 training sessions, each lasting 60 minutes and conducted twice a week. Data were analyzed through one-way analysis of covariance (ANCOVA) using SPSS-26 software. Results: The results demonstrated a significant difference in the mean scores of social competence and school avoidance between the pre-test and post-test phases, as well as between the pre-test and follow-up phases, when compared to the control group (P<0.05). Conclusion: The findings showed a notable improvement in mental vitality post-test scores in the intervention group, highlighting the positive and meaningful effects of cognitive emotion regulation strategies training on the mental vitality of first-year secondary school students (P<0.05). This indicates that such training can effectively enhance mental vitality, and it could be employed as a beneficial psychological intervention in counseling centers for students}, Keywords = {Cteaching cognitive strategies, emotional regulation, mental vitality, separation anxiety}, volume = {23}, Number = {5}, pages = {18-33}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i5.17664}, url = {http://tbj.ssu.ac.ir/article-1-3667-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3667-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Khalilnejad, Nahid and Asgari, Parviz and Ahmadian, Hamzeh and EslamiShahrbabaki, Heyder}, title = {The Effectiveness of Quality of Life Therapy on Psychological Well-Being and Social Adjustment in Breast Cancer Patients}, abstract ={Introduction: The present study aimed to determine the effectiveness of quality of life therapy (QoLT) on the psychological well-being and social adjustment of breast cancer patients. Methods:This study was a semi-experimental intervention with a pre-test, post-test, and two-month follow-up in two groups: experimental and control. The study population consisted of all breast cancer patients who were present at Shohadaye Kargar Hospital in Yazd from September to February 2024. From this population, 31 patients were selected through purposive sampling and were randomly assigned to two groups: experimental (N=15) and control (N=16). The data collection tools included a demographic form, the Ryff’s scale of psychological well-being- Short Form (RSPWB-18), and the Social Adjustment Scale (SAS). The data were also analyzed using SPSS-21 software and Chi-square, one-way ANOVA, Kolmogorov-Smirnov test, and repeated measures analysis of variance. Results:The results indicated that QoLT significantly increased psychological well-being (F=115/70) and social adjustment (F=45/78) in breast cancer patients (P<0/001). Additionally, the effect size of this therapy was high, with 80% for psychological well-being and 61% for social adjustment, and its effects persisted for up to two months after the treatment. Conclusion:The QoLT has a positive impact on improving the psychological well-being and social adjustment of breast cancer patients. Therefore, it is recommended that alongside routine treatment, QoLT should be utilized to enhance the psychosocial health of breast cancer patients.  }, Keywords = {Quality of Life, Psychological Well-Being, Social Adjustment, Breast Cancer}, volume = {23}, Number = {5}, pages = {34-49}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i5.17665}, url = {http://tbj.ssu.ac.ir/article-1-3663-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3663-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Mehrinejad, Abolghasem and Mehrinejad, Abolghasem and khosravi, zohreh and kamali, ho}, title = {The Effectiveness of Mindfulness Integrated Cognitive Behavioral Therapy on Negative Emotions and Cognitive Regulation of Emotions in Patients with Multiple Sclerosis: A Clinical Trial Study}, abstract ={Introduction: Multiple Sclerosis (MS) is a chronic autoimmune disease affecting the central nervous system. Patients with MS suffer from problems such as negative emotions and poor emotion regulation. The present study investigated the effectiveness of mindfulness integrated cognitive behavioral therapy (MICBT) on negative emotions and emotion regulation in patients with MS. Methods: This research was a semi-experimental study using a pre-test-post-test with a control group. A total of 52 patients with MS referring to Shafa Hospital in Kerman city, were selected by the convenience sampling method in 2023 and were randomly divided into two experimental (26 people) and control (26 people) groups. Patients completed the questionnaire of depression, anxiety and stress scale - 21 items (DASS 21) and cognitive emotion regulation questionnaire of Garnefski in the pre-test and post-test. The data were analyzed in the descriptive section using independent t-test and chi-square tests, and in the inferential section using multivariate analysis of covariance, using SPSS 24 software. Results: The results of covariance analysis showed that there was a significant difference between the groups in depression, stress, anxiety, positive and negative emotional strategies in the post-test (P < 0/001). Comparison of mean values showed that in the MICBT group, depression (14/46), stress (16/85) and anxiety (11/38) and negative emotion regulation strategies (M=35/38) decreased, while positive emotion regulation strategies (M=75/35) increased significantly. Conclusion: MICBT is suggested as an effective method in reducing depression, stress, anxiety and improving cognitive regulation of emotions in patients with MS.  }, Keywords = {Multiple Sclerosis, Emotions, Depression, Emotion Regulation, Mindfulness}, volume = {23}, Number = {5}, pages = {50-65}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i5.17666}, url = {http://tbj.ssu.ac.ir/article-1-3678-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3678-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {rahmanipour, mohammadamin and motaghi, monik}, title = {Investigating the Relationship between Occupational Stressors and Behavioral Deviation with the Mediating Role of Organizational Support in Health Care Workers of Najaf Abad City in 2024}, abstract ={Introduction: The purpose of this study was to investigate the relationship between occupational stressors and behavioral deviation with the mediating role of organizational support in health care workers in Najaf Abad city. Methods: The present cross-sectional correlational study was conducted on health care workers in Najaf Abad city. In this study, all 152 health care workers were selected by total population sampling method and participated in the study after obtaining informed consent, and questionnaires were distributed among them in person. The questionnaire used in this study had four parts, the first part of which was the demographic characteristics questionnaire. In order to evaluate the behavioral deviation, the Binet and Robinson questionnaire was used. In order to evaluate the organizational support, Eisenberger et al.'s organizational support questionnaire was used, and Mohammadreza Saffarzadeh's questionnaire was used to investigate job stressors. The data were analyzed using SPSS version 26. Results: It was observed that 83/33% of health care workers were at an average level of occupational stressors. Moreover, 63/33% of health care workers were at a weak level of behavioral deviation. The mean (standard deviation) of the organizational support variable in the studied sample was 28/08 (1/23). A positive and statistically significant relationship was observed between the variable of occupational stressors and the variable of behavioral deviation (p<0/05). Conclusion: By increasing the variable of occupational stressors, the behavioral deviation of health care workers also increases to a small amount, and also by increasing the variable of organizational support, the occupational stressors of health care workers decreases to a small amount. Organizations should consider the periodic measurement of the index of occupational stressors of employees to know the level of this index and take timely action.    }, Keywords = {organizational support, occupational stressors, behavioral deviation, health care workers, Najaf Abad}, volume = {23}, Number = {5}, pages = {66-80}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i5.17667}, url = {http://tbj.ssu.ac.ir/article-1-3665-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3665-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Zaddahesh, Bahareh and Poyamanesh, Jafar and AmiriMajd, Mojtab}, title = {Predicting Attitudes towards Extramarital Relationship Based on Sexual Satisfaction and Performance in Individuals with Attention Deficit/Hyperactivity Disorder}, abstract ={Introduction: Extramarital relationships pose a challenge to family life and can negatively affect the mental health and well-being of family members. Various factors can contribute to the development of extramarital relationships. The present study aimed to predict attitudes towards extramarital relationships based on sexual satisfaction and performance in individuals with attention deficit/hyperactivity disorder (ADHD). Methods: This study was correlational in nature. The study population included all married individuals seeking counseling and psychological services in Qazvin city in 2023, from which 216 individuals were selected by purposive sampling method. The World Health Organization ADHD self-report scale, Yeniceri and Kokdemir Extramarital Relationship Questionnaire, Larson Sexual Satisfaction Questionnaire, and the Farajina Sexual Performance Questionnaire were used for data collection. Data analysis was performed using SPSS-25 software and multiple regression analysis. All inferential analyses were conducted at a significance level of 0/05. Rusults: The results indicated that sexual satisfaction (β = 0/19, t = 2/85) and sexual performance (β = 0/15, t = 2/26) could predict the variance of changes related to attitudes towards extramarital relationships. Conclusion: Based on the obtained results, it is recommended to provide couples with this awareness during premarital counseling so that they can discuss sexual issues with marriage counselors and specialists and receive specialized counseling if needed to prevent the tendency towards extramarital relationships.  }, Keywords = {Attention Deficit/Hyperactivity Disorder, Extramarital Relationships, Sexual Satisfaction, Sexual Performance}, volume = {23}, Number = {5}, pages = {81-96}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i5.17668}, url = {http://tbj.ssu.ac.ir/article-1-3682-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3682-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {Khodadad, Farzaneh and Manshaee, Gholamreza and Torkan, Hajar}, title = {The Comparison of the Effectiveness of Child-Centered Mindfulness Therapy and the Role of Acceptance and Commitment Therapy on Emotional-Cognitive Empathy of Students with Attention Deficit Hyperactivity Disorder Experiencing Bullying in Isfahan}, abstract ={Introduction: Attention Deficit Hyperactivity Disorder (ADHD) is considered a serious problem in educational environments and has significant negative impacts on the psychological well-being of students. The present study aimed to compare the effectiveness of child-centered mindfulness therapy and acceptance and commitment therapy on emotional-cognitive empathy of primary school students with ADHD experiencing bullying. Methods: This semi-experimental study was conducted in 2023 using a pre-test and post-test design with a control group and a two-month follow-up over a six-month period in Isfahan city. A purposive sampling method was employed, and 54 boy students aged 9-11 years meeting the inclusion criteria were randomly assigned to three groups of 18 participants including child-centered mindfulness therapy (N=18), acceptance and commitment therapy (N=18), and a control group (N=18). Data were collected using the child and adolescent empathy questionnaire. Participants in the first group received child-centered mindfulness therapy in 10 60-minute sessions, conducted twice a week, while participants in the second experimental group received acceptance and commitment therapy in 9 60-minute sessions, conducted twice a week. By the end of the study, 15 participants remained in each group. Data analysis was performed using repeated measures ANOVA and Bonferroni post-hoc tests, utilizing SPSS software version 26. Results: The results indicated that both child-centered mindfulness therapy and acceptance and commitment therapy were effective in enhancing emotional empathy (p<0/05) and cognitive empathy (p<0/05).This effectiveness was also maintained at the follow-up stage (p< 0/05). However, no significant differences were observed between the effectiveness of the interventions (p>0/05). Conclusion: The results of this study indicated that both child-centered mindfulness therapy and acceptance and commitment therapy significantly affected emotional and cognitive empathy in students with ADHD and can be utilized by therapists.  }, Keywords = {Mindfulness, Acceptance and Commitment, Empathy, Attention Deficit Hyperactivity Disorder}, volume = {23}, Number = {5}, pages = {97-115}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i5.17669}, url = {http://tbj.ssu.ac.ir/article-1-3701-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3701-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {gakjalidashti, yousef and motaghi, monik}, title = {Investigating the Relationship between Job Demand and Job Control and the Mediating Role of Desire to Have Children among Employees of the Health Network in Saman City in 2024}, abstract ={Introduction: Work is an aspect of life where job demand and job control are important factors in providing services. And having children can affect the aforementioned variables, so the purpose of this research is to investigate the relationship between job demand and job control with the mediating role of desire for having children among employees of health network in Saman city in 2024 Methods: This was a descriptive-analytical study. The statistical population was 250 people from the personnel of the mentioned network who were selected through convenience sampling method. In order to collect data, questionnaires of job demand (Karasek), job control (Brief) and desire to have children were used. Results: The average age of the employees was 37/82 ± 8/79, of whom 42/8% were between 31 and 40 years old, and the average employment history of the employees was 13/03 ± 7/85. 68/8% of the participants were female, 58% had contractual or official employment status. The mean variable of job demand was 26/27 ± 5/699. The mean of occupational control variable was 88/64 ± 12/64. The mean variable of desire to have children was 28/95±5/30. A strong, inverse and significant relationship and a weak, inverse and significant relationship were observed between the job demand variable and job control and also between the job demand variable and the desire to have children. Also, no significant relationship was observed between the job control variable and the desire to have children. Conclusion: By increasing the job demand variable to a large amount, job control should be reduced, and by increasing the job demand variable to a small amount, the desire to have children should be reduced. Also, by increasing or decreasing the variable of job control, there are no changes in the variable of willingness to have children, so the above results can be used to improve the quality of services and improve the health of society.  }, Keywords = {Job demand, Job control, Willingness to have children, Health network}, volume = {23}, Number = {5}, pages = {116-127}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i5.17670}, url = {http://tbj.ssu.ac.ir/article-1-3669-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3669-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2024} } @article{ author = {ahmadimahali, seyede fateme and baghbanian, seyed mohammad and Fendreski, Afsane and bagheri, maede}, title = {The Effectiveness of Cognitive Behavioral Therapy on Resilience, Distress Tolerance, and Quality of Life in Women with Multiple Sclerosis During the Acute Phase: A Clinical Trial Study}, abstract ={Introduction: Multiple sclerosis (MS) is a disabling neurological disorder that affects patients not only physically but also cognitively. Therefore, the aim of the present study was to investigate the effectiveness of of cognitive-behavioral therapy on (CBT) resilience, distress tolerance and improving the quality of life of women with acute MS phase. Methods:This study was a semi-experimental intervention design with a pre-test and post-test, including a control group. Thirty women with acute MS attending the specialized clinic of Bou Ali Sina Hospital in Sari from 2023 to 2024 were selected through convenience sampling based on inclusion and exclusion criteria. They were randomly assigned (using a lottery method) into two groups of 15: an intervention group and a control group. Both groups completed the Connor-Davidson Resilience Scale, the Simmons and Gaher Distress Tolerance Scale, and the quality of life questionnaire for MS patients by Hobart et al. before the intervention and after its completion. The therapeutic intervention was conducted over eight sessions according to the Himbergh and Becker protocol. Pre-test and post-test data were analyzed using Analysis of Covariance (ANCOVA) with SPSS software version 26. Results:Cognitive-behavioral therapy had a significant impact on resilience (P<0/001, B=9/51), distress tolerance (P<0/001, B=0/245), and quality of life (P<0/001, B=-15/31) in women with MS in the acute phase of the disease. Conclusion:It is suggested that psychological interventions such as cognitive-behavioral therapy be provided for patients in the acute phase of the disease. Conflict of interest: The authors declared no conflict of interest.  }, Keywords = {Cognitive-Behavioral Therapy, Multiple Sclerosis, Resilience, Distress Tolerance, Quality of Life}, volume = {23}, Number = {6}, pages = {1-15}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i6.18189}, url = {http://tbj.ssu.ac.ir/article-1-3657-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3657-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2025} } @article{ author = {Dinarvand, Mohammad Reza and Bakhshipour, Abbas and Heshmati, Rasoul}, title = {Investigating the Relationship between Perceived Social Support and Psychological Distress in Students and the Mediating Role of Emotional Incompetence among Students of Tabriz University}, abstract ={                                                                                                       Introduction: Perceived social support and alexithymia are among the most important factors associated with psychological distress in students. The aim of the present study was to investigate the relationship between perceived social support and psychological distress in students and the mediating role of alexithymia in Tabriz University students. Methods: The research method was fundamental and descriptive-correlational path analysis. The statistical population included students of both genders, all majors, and all levels of education at Tabriz University in 2023, from which 203 individuals were randomly selected. Data collection tools included the Toronto Alexithymia Scale (1994), the Lovibond and Lovibond Stress, Anxiety, and Depression Scale (1995), and the Zimet Perceived Social Support Questionnaire(1998). For data analysis in the descriptive section, central tendency and dispersion indices were examined using SPSS version 26 software, and path analysis with Amos software was employed to test the hypotheses. Results: The direct effect of perceived social support on emotional alexithymia was negative (P<0/001), and the direct effect of emotional alexithymia on psychological distress was positive and significant (P<0/001). However, the direct effect of perceived social support on psychological distress was not significant (P>0/190). Additionally, the indirect effect of perceived social support on psychological distress through emotional alexithymia was negative and significant(P<0/001). Conclusion: The results of this study show that emotional alexithymia acts as an important mediator with a negative effect between perceived social support and psychological distress in students. It is suggested that strengthening support networks and providing training in communication skills should be carried out to reduce emotional alexithymia in students. Furthermore, holding training courses in university environments can help improve mental health and reduce psychological distress.  }, Keywords = {Social support, Psychological distress, Alexithymia, Students}, volume = {23}, Number = {6}, pages = {16-32}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i6.18190}, url = {http://tbj.ssu.ac.ir/article-1-3727-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3727-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2025} } @article{ author = {Sabri, Faeze and Barzegarbafrooei, Kazem and Hassani, Hossai}, title = {The Role of Childhood Emotional Maltreatment in Adult Aggression with the Mediating Role of Emotion Regulation in Students at Yazd University}, abstract ={Introduction: Dealing with aggression in adults and adolescents is essential for creating a better society, and one of the most important steps in this regard is understanding the variables and factors that influence aggression.Therefore, the present study aimed to investigate the role of childhood emotional maltreatment in adolescent aggression with the mediating role of emotion regulation in university students in Yazd. Method: The research method was quantitative in terms of approach, applied in terms of purpose, and non-experimental in nature (descriptive-correlational). The statistical population consisted of humanities students at Yazd University in the academic year 2022-2023, of which 200 were selected as the sample. Non-random sampling method was used. The research tools included the Buss and Perry Aggression Questionnaire (1992), the Life Experiences Questionnaire by Gibb et al. (2001), and the Emotion Regulation Difficulties Questionnaire by Gratz and Roemer (2004), with reliability coefficients obtained through cronbach's alpha of 0/88, 0/92, and 0/90, respectively. For data analysis, structural equation modeling was employed using SPSS25 and AMOS24 software. Rusults: The results showed that childhood emotional maltreatment significantly and directly predicts adolescent aggression (β=0/28, p<0/01), as well as emotion regulation difficulties (β=0/48, p<0/01), and that emotion regulation difficulties positively and significantly affect student aggression as a mediating variable (β=0/54, p< 0/01). Conclusion: F The type of parental behavior towards the child, especially emotional maltreatment during childhood, can have a significant impact on adult life, as well as the tendency towards aggression and the level of individual emotion regulation.   Conflict of interest: The authors declared no conflict of interest.  }, Keywords = {Adulthood, Aggression, Childhood, Emotion Regulation, Emotional Maltreatment}, volume = {23}, Number = {6}, pages = {33-48}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i6.18191}, url = {http://tbj.ssu.ac.ir/article-1-3684-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3684-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2025} } @article{ author = {Harandimoghadam, Zhaleh and Alavilangroody, seied kazem}, title = {Comparison of the Efficacy of Metacognitive Therapy and Cognitive-Behavioral Therapy on Life Hope and Depression Severity in Adolescents with Depression in Yazd City}, abstract ={                           Introduction: In today's society, mental disorders, especially depression, have become highly prevalent among adolescents. This study was conducted with the aim of comparing the effectiveness of metacognitive therapy and cognitive-behavioral therapy on the hope for life and severity of depression in adolescents suffering from depression in Yazd. Method: This semi-experimental study was conducted in 2023 using a pre-test post-test design with a control group and a two-month follow-up in Yazd. The study population consisted of adolescents aged 12 to 18 in Yazd County. Using a convenience sampling method, 45 depressed 14-year-old girls were randomly assigned to three groups of 15 (metacognitive therapy, cognitive-behavioral therapy, and control group). After administering the pre-test using the Mariaquas Depression Questionnaire and Miller's Hope Scale, post-tests were conducted for all three groups after 8 sessions (90 minutes each). For data analysis, means and standard deviations were used for descriptive statistics, and analysis of covariance was employed for inferential statistics. The data were analyzed using SPSS version 24. Results: The results were analyzed using analysis of covariance. The findings indicated that there were significant differences between the experimental and control groups in both the pre-test and post-test (p < 0.05). The scores of the experimental groups showed significant changes in the variables of hope for life and severity of depression after the intervention (p < 0.05), while the control group did not show significant differences (p>0/05). Conclusion: The results were analyzed using analysis of covariance. The findings indicated that there were significant differences between the experimental and control groups in both the pre-test and post-test (p<0/05). The scores of the experimental groups showed significant changes in the variables of hope for life and severity of depression after the intervention (p<0/05), while the control group did not show significant differences (p>0/05). Conflict of interest: The authors declared no conflict of interest.  }, Keywords = {Metacognitive therapy, Cognitive-behavioral therapy, Adolescents, Severity of depression, Life expectancy}, volume = {23}, Number = {6}, pages = {49-63}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i6.18192}, url = {http://tbj.ssu.ac.ir/article-1-3714-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3714-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2025} } @article{ author = {Reisi, Rahele and Moghimian, Maryam}, title = {Predicting Nomophobia Based on Early Maladaptive Schemas Considering Depression, Anxiety and Stress in the Youth}, abstract ={Introduction: Excessive use and mental preoccupation with mobile phones is one of the behavioral problems among young people that can be accompanied by negative psychological consequences, including cell phone phobia in the form of fear combined with anxiety caused by being away from it. In order to design effective interventions, it is necessary to identify the factors that predict and influence the occurrence of this phenomenon. This study aimed to predict cell phone phobia based on early maladaptive schemas with respect to depression, anxiety, and stress in young people. Methods: This is a descriptive cross-sectional study of correlational type. The research population was young men and women aged 20-40 in Isfahan. Through a call on popular channels in virtual networks, young people with the inclusion criteria were invited to participate in the study. Based on Morgan's table, 384 people were selected from the users of virtual networks between October and December 2024 based on the inclusion criteria and answered the demographic characteristics questionnaire, Yildirim's nomophobia, Young's early maladaptive schemas, and DASS version 21. The data were analyzed using AMOS version 23 and SPSS version 21 software. Results: Structural equation modeling showed that nomophobia can be predicted based on early maladaptive schemas with respect to stress, anxiety, and depression in young people. These schemas were positive and significant predictors of nomophobia (p=0/001). Depression (p=0/001), anxiety (p=0/001), and stress (p=0/001) were positive and significant predictors of nomophobia. There was a significant relationship between schemas and depression (p=0/001,r=0/29), anxiety (p=0/001,r=0/27), and stress (p=0/001,r=0/28). The schemas of cut-off/exclusion and inhibition had the greatest and other-orienteers the least effect on nomophobia. Conclusion: The results of the present study show that early maladaptive schemas, mediated by stress, depression, and anxiety, predict nomophobia in young people. Given the greater impact of cut-off/exclusion and inhibition schemas, it is necessary to identify these schemas in young people and provide them with health interventions. However, larger studies should be conducted to generalize the results.   Conflict of interest: The authors declared no conflict of interest.  }, Keywords = {Nomophobia, Maladaptive Schemas, Depression, Anxiety, Stress}, volume = {23}, Number = {6}, pages = {64-77}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i6.18193}, url = {http://tbj.ssu.ac.ir/article-1-3718-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3718-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2025} } @article{ author = {aligol, mohammad and Golzadeh, Fatemeh and Kermani, Sam}, title = {Investigating The Effect of Education Based On hHealth Belief model On Predictive Factors of Breast Self-Examination In Women In Qom City In 2024}, abstract ={Introduction: Breast cancer is the most common cancer among women. Women who perform breast self-examination monthly are more likely to find lumps in the early stages. This study was designed and implemented to investigate the effect of education based on health belief model on predictive factors of breast self-examination in women in Qom. Methods: This semi-experimental study was conducted on 70 women referring to comprehensive health service centers in Qom in November and December 2024, divided into experimental and control groups. The data collection tool included demographic questions and the Persian version of the Champion’s Health Belief Model questionnaire. The educational intervention consisted of three educational sessions designed based on the constructs of the health belief model. Post-test data were collected three months after the intervention. Paired t-tests were used to compare each group before and after the intervention. Results: Paired T-test showed significant differences in mean and standard deviation of scores of all health belief model constructs including perceived sensitivity, perceived severity, perceived benefits, health motivation, perceived self-efficacy, and behavioral intention showed significant differences in mean and standard deviation of scores before and after the educational intervention (p<0/05). In the control group, no significant differences were observed in any of the constructs before and after the intervention. Conclusion: The use of appropriate educational methods based on the health belief model significantly improves the predictive factors of breast self-examination. Given the easy and inexpensive nature of these interventions and considering the implementation, cultural, and organizational constraints, this can be widely considered to increase equitable access to education and facilitate diagnosis and treatment. Conflict of interest: The authors declared no conflict of interest}, Keywords = {Breast Self-Examination, Breast Cancer, Health Belief Model}, volume = {23}, Number = {6}, pages = {78-91}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i6.18194}, url = {http://tbj.ssu.ac.ir/article-1-3715-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3715-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2025} } @article{ author = {khayatan, felor and hadian, safoora and golparvar, Mohse}, title = {Comparing Effectiveness of Emotional Schema Therapy, Forgiveness -Based Compassion Therapy and Cognitive-Behavioral Therapy on Affective Capital in Women of Victim of Domestic Violence}, abstract ={Introduction: Domestic violence refers to violence that occurs in the private environment of the family, and generally occurs between people who are tied together by intimacy and blood or legal relationship. The present study was conducted with the aim of comparing the effectiveness of emotional therapy schema, forgiveness-oriented compassion therapy and cognitive behavioral therapy on affective capital of women victims of domestic violence. Method: This semi -experimental study was conducted using a pre-test and post-test with a control  group and a 45 day follow-up. The statistical population included women victims of domestic violence referring to health centers in Falavarjan in the summer of 2023, of which 60 people were selected purposively and randomly assigned to three experimental groups and one control group (15 people). The experimental groups received emotional schema therapy, compassion therapy based on forgiveness, and cognitive behavioral therapy. Data were collected using the Affective Capital (Golparvar, 2016) Questionnaire. Data analysis was performed using repeated measures ANOVA and Bonferroni post-hoc tests, utilizing SPSS software version 23. Rusults: The results indicated the effectiveness of all three interventions on increasing affective capital and its dimensions in women victims of domestic violence. The effects of all three treatments remained in the follow-up phase as well (p<0/01); However, no significant difference was observed between the effectiveness of the mentioned treatment methods in this field (p<0/05). Conclusion: The results of this study indicated that all three approaches, schema of emotional therapy, forgiveness-based compassion therapy, and cognitive behavioral therapy significantly affected affective capital in women who are victims of domestic violence and can be utilized by therapists.   Conflict of interest: The authors declared no conflict of interest.  }, Keywords = {Affective Capital, Cognitive Behavioral Therapy, Domestic Violence, Forgiveness-Oriented Compassion Therapy}, volume = {23}, Number = {6}, pages = {92-108}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i6.18195}, url = {http://tbj.ssu.ac.ir/article-1-3704-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3704-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2025} } @article{ author = {noroozi, fatemeh and saremi, abbas}, title = {Pilates and Vitamin D is an Effective Intervention Protocol to Improve Strength and Muscle Mass and Quality of Life Related to Menopause in Women}, abstract ={Introduction:Postmenopausal women are at risk of developing sarcopenia and compromising musculoskeletal health and quality of life. Therefore, the aim of the present study was to investigate the effect of a course of pilates training with vitamin D supplementation on skeletal muscle strength and mass and quality of life in postmenopausal women. Methods: In this quasi-experimental study with a pretest-posttest design, 29 postmenopausal women (48.94±2.73 years old) were purposively selected through advertisements posted on the Internet in Arak city between March 2013 and April 2014 and randomly assigned to vitamin D supplementation (VD), pilates + vitamin D (PT + VD), and control (C) groups. The PT+VD group did 3 sessions of 60-minute pilates exercises every week for 8 weeks (a total of 24 sessions) and received vitamin D (dose 2000 units) every other day, while the VD group only used vitamin D every other day. Before and after the intervention, metabolic indices, quality of life (WHOQOL-BREF questionnaire with high reliability and validity: Cronbach's alpha = 0.92), body composition (bioelectrical impedance), and muscle strength (dynamometer) were assessed. Data analysis was performed using SPSS version 26 software and analysis of covariance tests. Results: The results of the present study showed that muscle strength and lean mass significantly increased in the VD and PT+VD groups (P<0.05). In the PT+VD group, all four domains of quality of life (physical health, psychological health, social relationships, and social environment) significantly improved (P<0.05). Conclusion: The results showed that vitamin D supplementation can improve quality of life as well as strength and lean mass in postmenopausal women. The improvement observed in quality of life and skeletal muscle function in postmenopausal women was doubled with the addition of pilates training. Conflict of interest: The authors declared no conflict of interest.  }, Keywords = {Menopause, Muscle strength, Healthy life expectancy, Exercise therapy, Vitamin D}, volume = {23}, Number = {6}, pages = {109-124}, publisher = {Shahid Sadoughi University of Medical Sciences, Yazd}, doi = {10.18502/tbj.v23i6.18196}, url = {http://tbj.ssu.ac.ir/article-1-3679-en.html}, eprint = {http://tbj.ssu.ac.ir/article-1-3679-en.pdf}, journal = {Tolooebehdasht}, issn = {1728-5127}, eissn = {2538-1598}, year = {2025} }