Research in psychological health

Comparing the Effectiveness of Behavioral Activation Treatment with Anger Management on the Identity Crisis of Patients with Multiple Sclerosis

Alireza Rajaei

One of the disabling disorders of the central nervous system is multiple sclerosis. Chronic illness, lack of definitive treatment, and involvement of young patients lead to psychological disorders and identity crises. The purpose of this study was to evaluate the effect of behavioral activation group training and anger management group cognitive-behavioral training on identity crisis in patients with multiple sclerosis. The research method was quasi-experimental with pre-test and post-test with control group. From the statistical population of which all female patients with multiple sclerosis who were members of Karaj Emam Association, 45 were selected by convenience sampling method and were randomly divided into three groups of 15 each. Experimental group 1 received 10 sessions of behavioral activation training and experimental group 2 received anger management training in 8 sessions of 90 minutes and the control group received no intervention. The research tool was Identity Crisis Questionnaire. The identity crisis questionnaire was administered in two stages of pre-test and post-test to collect data on each subject group. The results of multivariate analysis of covariance showed that group training of behavioral activation and group training of anger management with cognitive-behavioral approach resulted in reduction of identity crisis in MS patients (p <0.05). Regarding the effectiveness of the training provided, it can be said that teaching these skills to the patients can be effective in reducing many of their problems and their use in promoting health and creating a positive attitude in Patients' lives are essential.

Memory functioning and Negative Emotions in patients undergoing heart bypass surgery with and without the use of cardiopulmonary pump

Somayeh Naghavi

In many of heart patients coronary artery bypass surgery is the best choice for treatment. Two types of techniques are used in this type of surgery. One of them is on-pomp surgery and another is off-pomp surgery. Based on some studies, patients experience some complications after surgery, including: depression, anxiety and decreases in cognitive performance. In this study, the patients psychological conditions and memory functioning which is one of cognitive function are described before and after surgery in two groups. Descriptive- comparative method is used. Total of 62 patients participated in this study, convenience Sampling is used. At the first patients one day before and then two months after surgery were evaluated. Depression, anxiety and stress scale (DASS-21) and also, Wechsler Memory Scale (WMS-R) are used. Results showed that patients in both groups had similar preoperative psychological conditions. The groups showed differences in memory function, on-pomp group showed significant decreases in memory functioning after surgery. According to these results, it seems temporary heart failure and use of cardiopulmonary pump device during surgery, leading to a decline in cognitive function. Because of these, should consider some interventions to improve memory function and psychological conditions of cardiac patients that undergoing cardiovascular surgery.

Qualitative evaluation of recovery process in patients with bipolar disorder

Fatemeh Mahmoudi

Recovery is a process by which one promotes health, lives meaningfully, and participates in a community outside the mental health system. Focusing on biotherapeutics and drug therapy has neglected to consider the non-biological factors affecting recovery and planning for its correction. The present study aimed to develop a comprehensive and integrated model for facilitators of recovery in bipolar disorder. This research was a qualitative and grounded theory study. Participants were 31 individuals with ameliorated bipolar disorder who were selected using purposive sampling and snowball sampling. Data were collected using triangulation method (semi-structured interview, narrative interview and interview with family member). Systematic method of Strauss and Corbin was used for data analysis. The model extracted includes causal conditions, mediators, strategies, and recovery outcomes in people with bipolar disorder. The categories extracted include individual (low sensitivity to stigma disorder, positive attitude, active lifestyle, balanced spirituality, intimacy perception, internal control locus), family (positive family atmosphere and family awareness and participation), and social (social support, Positive image of community, perception of justice, low social stigma, employment and social networks). This finding could be a step towards multidimensional treatment of bipolar disorder and focus on its non-biological aspects.

Developing a Model of Generalized Anxiety in Preschool Children of Tehran (A Qualitative research)

Firoozeh Ghazanfari

The aim of this study was to develop a model of generalized anxiety disorder in preschool children in Tehran. The present study was conducted in a qualitative method using a grounded theory approach. 19 child specialists (psychologist / psychiatrist) were selected by purposeful sampling method. Data were collected through semi-structured and interactive interviews to reach information saturation. MAXQDA version 18.2.0 software was used for data analysis. In open coding, 141 primary codes were obtained, which were categorized into 21 thematic categories based on thematic similarity, in axial coding. In the third stage or selective coding, generalized anxiety disorder was identified as the central or major variable. Understanding the causes of generalized anxiety disorder can help families, therapists, and mental health policy-makers to improve the conditions that cause the disorder.

Investigate of the efficacy of death awareness- based intervention on panic disorder and death anxiety and to compare it with cognitive-behavioral intervention

fateme malekshahi beiranvand

The purpose of the present study is to investigate the impact of adding death-based intervention to cognitive-behavioral therapy on symptoms of panic and death anxiety among patients with panic disorder. It is also compared with cognitive-behavioral therapy for panic disorder as usual treatment. The research population comprised female patients with panic disorder referred to one of the psychiatric and counseling centers to treat in Qom city in 2019. Due to the limitation of the statistical population, the samples were selected through available sampling technique. The clients were interviewed by the researcher in addition to the psychiatrist's diagnosis. The total number of patients had cooperated in the research were 10, 11 and 9 in the first experimental group , second experimental group and control group, respectively. Templar Death Anxiety Scale, Anxiety Sensitivity Questionnaire were used for gathering information. The collected data were analyzed by repeated measures ANOVA.The results showed that the mean score of death anxiety and panic symptoms for both groups of the post-test and follow-up in death awareness-based intervention were significantly lower in comparison with the cognitive-behavioral and the control groups. According to the research findings, it seems that treatment of panic disorder would be more effective by reducing or eliminating death anxiety simultaneously. In addition, it would be reduced the risk of recurrence.

The Effectiveness of Tolerance Training on Mental Health and Adaptation of Elementary Primary Children

Mohammad mahdi Shamsaee

The purpose of the present study was to investigate the effectiveness of tolerance training on mental health and adjustment in primary school children. The research method was quasi-experimental with pretest-posttest design with control group. The statistical population consisted of all elementary school children in Gorgan. Out of this population, 170 students completed the Mental Health Assessment Questionnaire for Children and Adolescents (CSI-4), Sprafkin et al. (1984) and Dokhanchi Adaptation Questionnaire (1998). Of these, 30 children who achieved a mean score in the tests were randomly divided into two experimental and control groups. Then life value training sessions were conducted in 9 sessions of 90 minutes, one session per week. Multivariate analysis of covariance was used to test the hypotheses using SPSS 22 software. The results showed that tolerance training improved the fitness and mental health of the statistical sample. Given the content of the intervention, it is suggested that life values such as tolerance be taught in group games to take a fundamental step in improving and promoting children's mental health and adaptability.

Psychometric Properties of Gender Identity/Gender Dysphoria Questionnaire for Adolescents and Adults in Female Adolescents

Mohammad Soltanizadeh

The purpose of this study was to investigate the factor structure, reliability and validity of Gender Identity/Gender Dysphoria Questionnaire in adolescent girls. Using multistage cluster sampling method, 400 female students aged 16-18 years old in Isfahan Secondary School were selected as the sample. Data were collected using Mental Health Questionnaire (Najjarian & Davoodi, 2001), Sexual Identity Questionnaire (Akefi, 2012) and Sexual Discontent and Sexual Identity Scale (Deogracias, 2007). Cronbach's alpha, test-retest reliability, exploratory and confirmatory factor analysis, and concurrent validity were used for data analysis. Reliability of test-retest and internal consistency were 0.93 and 0.92, respectively. The factor structure of gender dissatisfaction and gender identity scale was investigated using both exploratory factor analysis and confirmatory factor analysis. The results of exploratory factor analysis with principal component analysis and varimax rotation indicated that there were four factors in this scale that explained 63.44% of the total variance and the results of confirmatory factor analysis showed four factor model of There is a good fit. Correlation coefficients indicated that concurrent validity of gender dissatisfaction and gender identity scale with other instruments was desirable. The 27-item scale of gender identity/gender dysphoria has good validity.