Showing 57 results for Anxiety
Mahnaz Sharifain, Majid Saffarinia, Susan Alizadeh Fard,
Volume 12, Issue 4 (2-2019)
Abstract
The purpose of this study was to evaluate the structural model of the relationship between marital adjustment, sexual self-disclosure and sexual anxiety in vaginismus disorder by mediating social exchange styles. Population was composed of all women who referred to sexual disorder treatmernt centers in Tehran. Sample consisted of 220 women with vaginismus disorder. The research tool included marital adjustment scale, sexual anxiety questionnaires, sexual self-disclosure scale, multidimensional vaginal penetration disorder questionnaire and social exchange questionnaire.The results of structural equation modeling showed a rather good fit for the model. In addition, the results showed that all paths between the variables were statistically significant. According to the results, the indirect relationship of sexual self- disclosure, marital adjustment and sexual anxiety through mediation of social exchange styles was not statistically significant. However, marital adjustment and sexual anxiety directly predict the severity of vaginismus disorder, but thire indirect effects through social exchange styles on vaginismus was not significiant. Therefore, sexual anxiety and marital adjustment are important components in predicting vaginismus disorder and should be considered as one of the main goals of treatment in women with vaginismus disorder.
Himan Naderzadeh, Mahdea Salehy, Marjan Jafariroshan, Roya Kochakentazar,
Volume 13, Issue 1 (5-2019)
Abstract
Clinical and epidemiological studies have proved the role of cognitive processes in the formation and continuity of social anxiety. This study aimed to predict the social anxiety symptoms among adolescents based on the early maladaptive schemas and cognitive distortions. Population included all junior high-school students in Marivan city and among whom 400 students (200 males and 200 females) were selected as samples. To select sample size, the researcher referred to the selected high schools and distributed Connor’s social phobia index questionnaire among students who were suspicious of suffering from social anxiety (diagnosed by schools consultants and consistent with symptoms indicated in DSM-V). Upon the completion of the questionnaire, the students with confirmed social anxiety disorder were randomly selected as the sampling of the study. Data were gathered using social anxiety questionnaire, early maladaptive schemas questionnaire (short form) and cognitive distortions questionnaire. The collected data analyzed using Structural Equation Model. The results showed the structural model was fit. Five areas of the early maladaptive schemas (disconnection and rejection, impaired autonomy and performance, impaired limits, directedness, over-vigilance, and inhibition) can predict 63% of social anxiety. There was a direct and significant correlation between the variables of the early maladaptive schemas and social anxiety. Bootstrapping analysis revealed cognitive distortions served as a mediator between the early maladaptive schemas and social anxiety symptoms. The results of this study supported the role of the early maladaptive schemas as a vulnerability factor in social anxiety and the role of cognitive distortions as a linking mechanism between the early maladaptive schemas and social anxiety.
Amir Nabizadeh, Mehran Farhadi, Khosro Rashid, Rasoul Kordnoghabi,
Volume 13, Issue 1 (5-2019)
Abstract
The purpose of this study was to examine the effectiveness of the neutralization of tactical defenses in Intensive Short-Term Dynamic Psychotherapy (ISTDP) on Defensive Styles, Anxiety, and Fear of Intimacy. In fact, the purpose of this research that distinguishes it from the few studies in the Psychotherapy field is to study the structure of the conflict triangle (feeling, anxiety and defense) with an emphasis on interpersonal defenses. The method of this research was quasi-experimental (pre-test and post-test with control group). Population of this study was all students from Bu-Ali Sina University in Hamedan (dormitories-central site) in the years 2017-2018. Twenty-six of them selected by voluntarily accessible sampling (non-randomized and random replacement sampling) in both experimental and control groups. Data of the research were collected by defense styles questionnaires, state- trait anxiety and fear of intimacy. Clients in the experimental group received each of the interventions (Questioning technique, Pressure, and challenge of the therapeutic protocol ISTDP) during 10 sessions in 45 minutes. Control group received no intervention. Results indicated that the neutralization of tactical defenses reduces the use of immature and neurotic defensive styles, and state and trait anxiety. However, treatment was not effective for increasing the use of mature defensive style and reducing fear of intimacy. The results of this study indicate that the removal of tactical or external defenses that rooted in fear of re-failure in the intimacy and emotional closeness can be effective in reducing interpersonal and interpersonal tensions. In addition, this kind of intervention could change some kind of defensive styles.
Shahram Vakili Heris, Sholeh Livarjani, Naeimeh Moheb,
Volume 13, Issue 1 (5-2019)
Abstract
The aime of this study was to investigate a transdiagnostic model for explaining comorbidity between anxiety and depression based on the overcontrolling, sensivity to reward and sensivity to threat.The participants were 586 students of Islamic Azad University Tabriz Branch, University of Tabriz and Azarbaijan Shahid Madani University in Iran. Data were collected by Depression Anxiety Stress Scale (DASS-21), Acceptance and Action Questionnaire (AAQ-II), behavioural inhibtion/Behavioural activation scale (BAS/BIS), Intolerance of Uncertainty Scale (IUS), Ambivalence over Emotional Expression Questionnaire (AEQ) and Frost Multidimensional Perfectionism Scale (FMPS). Sensitivity to reward with overcontrolling mediation affects anxiety and depression with standard coefficients of -0.29 and -0.36. Also, sensitivity to threat with standardized coefficients of 0.31 and 0.39, respectively, have a significant effect on anxiety and depression by the mediation of overcontrolling. Our findings proposes a suitable framework for explaining comorbidity between depression and anxiety. Low sensitivity to reward and high sensitivity to threat by the mediation role of overcontrolling could predict comorbidity between anxiety and depression. These findings can be useful in understanding the etiology of comorbid emotional disorders, and developing efficacious therapeutic interventions and prevention of comorbid emotional disorders.
Marziyeh Noorifard, Hamid Taher Neshat Doost, Ilnaz Sajjadian,
Volume 13, Issue 2 (9-2019)
Abstract
The purpose of the present study was to investigate the effectiveness of cognitive therapy based on mindfulness combined with memory specificity training (MeST) and comparing it with mindfulness therapy and memory specificity training (MeST) on anxiety in hemodialysis patients. The research method is semi-experimental with pretest-posttest design with control group. The statistical population of the present study was hemodialysis patients referring to hemodialysis centers of Tehran and Alborz hospitals in 2017. A total of 48 people were selected through purposeful sampling. Beck Anxiety measurement questionnaire.The interventive methods were included mindfulness protocol, memory specificity training (MeST), and mindfulness protocol were used to collect data. The data were analyzed using multivariate covariance.The results show that there is a significant difference between the anxiety of the groups of mindfulness therapy combined with memory specificity training (MeST), mindfulness, memory specificity training (MeST) and control group in the post-test phase of hemodialysis patients. The results also showed that in the follow up phase, there was a difference between the groups in favor of the integrated intervention group, But in the mindfulness group, the anxiety returned to a low level. In explaining the findings, it can be stated that the conscientious mind with the teaching of memory specificity is the relationship between the past and the solution of the incomplete problems of the past in the first step and in the second step, is entering into the present and improving the acceptance and awareness. Since the type of treatment used in this research has a clear structure and home-based homework, it increases the ability of follow-up referrals and has significantly influenced the relevant techniques in changing the mental state of individuals.
Kobra Ghasemi, Tahereh Elahi,
Volume 13, Issue 3 (12-2019)
Abstract
The purpose of this study was to investigate the mediating role of experiential avoidance in relationship of early maladaptive schemas with illness anxiety. The research was carried out using correlation method on 308 students of Qazvin University who were selected with convenience sampling method. Data were collected using Early maladaptive Scheme (Young), hypochondrias (Evans) and Acceptance and Action Questionnaires (Hayes). Results showed a significant role of schemas of impaired autonomy - performance and impaired limits domains in illness anxiety. Also, the role of vulnerability to harm or illness and entitlement/undeveloped schemas was significant predictor of illness anxiety. The results of hierarchical regression showed that the mediating role of experiential avoidance in the relationship between vulnerability to harm or illness and entitlement/ undeveloped schemas with illness anxiety severity was significant. It could be concluded the experiential avoidance and early maladaptive schemas were contributed in the maintenance of illness anxiety.
Mr Hadi Panahi, Firoozeh Ghazanfari, Simin Gholamrezayee, Masoud Sadeghi, Mohammad-Ali Sepahvandi,
Volume 13, Issue 4 (2-2020)
Abstract
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.
Mis Fateme Malekshahi Beiranvand, Mis Roshanak Khodabaksh Pirkalani, Mis Zohreh Khosravi, Mis Farideh Ameri,
Volume 13, Issue 4 (2-2020)
Abstract
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.
Azam Nourisaeid, Reza Shabahang, Farzin Bagheri Sheykhangafshe, Maryam Saeedi, Seyedeh Maryam Mousavi,
Volume 14, Issue 1 (6-2020)
Abstract
During the COVID-19 epidemic, different individuals experience different levels of anxiety associated with COVID-19, and many of them cite the Internet and online health information. The aim of the present study was to compare the online health information utilization, online shared identity, and online shared information usage in different levels of COVID-19 anxiety. In this causal-comparative study, the statistical population of the study consisted of college students of Faculty of Literature and Humanities of Guilan University during COVID-19 outbreak in 2020. Among them, 387 students were selected by convenience sampling method and responded to COVID-19 Anxiety Questionnaire, Online Health Information Utilization Questionnaire, and Identity Bubble Reinforcement Scale. Considering the high and low total scores of the COVID-19 Anxiety Questionnaire, participants were divided into high-level COVID-19 anxiety (n=100) and low-level COVID-19 anxiety (n=100) groups. The results indicated individuals with high level of COVID-19 anxiety got higher scores in online health information utilization and online shared identity compared to individuals in low-level COVID-19 anxiety group (p <0/01). Admittedly, online shared identity is more prominent in individuals in high-level COVID-19 anxiety group and they rely more on health information available on the Internet.
Afagh Zolfaghari, Tahereh Elahi,
Volume 14, Issue 1 (6-2020)
Abstract
The aim of this study was to investigate the relationshipbetween children'sanxiety level and children'sawareness of coronavirus based on the healthbelief model and their mothers'anxiety, stress and depression during social distancing period. This correlational study was done on260students of preschool and elementary schools of educational areas in Tehran in 2020 and theirmothers that were selected as available sampling. Data were collected by a self-designed questionnaire of children'sawareness and attitude to coronavirus, Spence Children'sAnxiety Scale (SCAS), and depression, anxiety and stress scales (DASS-42) in adults.
The results indicated significant relationship of children'sanxiety with anxiety (r = 0.45), stress (r = 0.35) and depression (r = 0.44) of their mothers and level of their awareness ofCorona (r = 0.19) and age (r = 0.14).Also, the results of multiple regression analysis in step-by-step manner showed that anxiety, depression and stress of mothers and children'sawareness of Coronavirus were significant predictors of children'sanxiety (altogether 34%).
According to the results of this research, one of the necessary measures toprotect and improve the mental health of children in critical conditions consequent Coronavirus is parents'training to regulate their negative emotions. It is also important to provide information about coronavirus to children with considering their age and cognitive development.
Susan Alizadeh Fard, Ahmad Alipour,
Volume 14, Issue 1 (6-2020)
Abstract
The corona disease epidemic have had different effects on the social and psychological aspects of individuals. Studies show that with spread of disease, the fear of this is also increasing. The aim of this study was to investigate the relationship between intolerance of uncertainty and health anxiety with corona phobia in Tehran society. For this purpose, a sample of 430 adult men and women evaluated by health anxiety questionnaire (Salkovskis, 2002), intolerance of uncertainty (Freeston, 1994), and fear of corona (Griffiths & pakpour, 2020) through online recall and via social network. To analyze the data, Pearson correlation and path analysis were used. The results showed health anxiety and intolerance were positively and directly correlated with fear of corona. Also, intolerance to uncertainty was indirectly correlated with fear of corona through mediating of health anxiety. These results will have practical implications for controlling and reducing fear of corona and corona phobia. It is suggested that according to these personality and cognitive variables, they should be used to design psychological interventions to maintain and promote the mental health of the community in pandemic corona disease.
Elham Ghasemi, Mohsen Amiri, Tahereh Elahi,
Volume 14, Issue 3 (12-2020)
Abstract
The present study aimed to investigate the effect of Parent-Child Interaction (PCIT) Therapy of mothers on children with separation anxiety disorder, on reducing over protection, parenting anxiety and anxiety symptoms of their 3-6 years old children. The research design was quasi-experimental with pre-test and post-test and control groups. To do so, 30 mothers of children with SAD (separation anxiety disorder) were selected using at-hand sampling and, then, they were replaced into two experimental and control groups after being matched. The research tools were included CSI-4 questionnaire (Sprafikin & Gadow, 1994), MCRE questionnaire (ROBERT, 1961), and State-trait Anxiety Inventory (STAI) (Spielberger, 1960). The parental behavior training was performed in ten 90-minute sessions in experimental group. Data were analyzed using analysis of covariance, gain score, and T-test. The results show the effectiveness of experimental treatment on reduced scores of anxiety in children of mothers in the experimental group compared with the control group. The results also showed decrease in over protection and anxiety in mothers in the experimental group. Generally speaking, the findings demonstrated that parent-child interaction education causes to reduce the separation anxiety disorder signs, parental anxiety symptoms, and over protection. Moreover, it constructs secure attachment between child and parents.
Yasaman Shahriari, Sogand Ghasemzadeh, Leila Kashani Vahid, Samira Vakili,
Volume 15, Issue 1 (5-2021)
Abstract
The aim of this study was to investigate the effectiveness of group Transdiagnostic Treatment on anxiety in adolescents with type 1 diabetes and their parenting stress. The present study was a quasiexperimental with a pretest and posttest design with a control group. The statistical population of the present study was all adolescents aged 1215 years with type 1 diabetes referred to the Iranian Diabetes Association and their parents in 2020. Using available and targeted sampling method, fortyfour people were selected and randomly divided into two groups of twentytwo. In order to assess parental stress, parental stress index (Abidin, 1990) and Child / adolescent Behavior Checklist (Achenbach, 1991) were used before and after the Protocol. The Protocol was performed for the experimental group during 17 sessions. Data analysis was performed using covariance analysis. The results showed that there was a significant difference between the groups in terms of parental stress (P<0.005) and anxiety in adolescents (P<0.001). The analysis of the results showed the effect of the group Transdiagnostic Treatment on reducing anxiety in adolescents with type 1 diabetes and reducing their parenting stress.This Protocol can be used to provide education to adolescents with diabetes and their families and to provide preventive interventions.
Dr. Mahdieh Rahmanian, Dr. Mohammad Oraki, Mrs. Fahimeh Mirzadeh Ahari,
Volume 15, Issue 2 (9-2021)
Abstract
The purpose of this study was to investigate the effectiveness of mindfulness based cognitive therapy anxiety and cigarette craving. The present research is a quasi-experimental, pre-test and post-test with the experimental and control group. The statistical population consisted of all smokers who were referred to health centers in 22nd district of Tehran in the spring of 1396. 30 Individuals were selected by available sampling method. The subjects were randomly assigned into experimental and control groups. To measure anxiety, the Spielberger questionnaire and cigarette craving, Fagerstrom questionnaire were used. After selecting the experimental and control group, interventional training on mindfulness based cognitive therapy on the experimental group was performed for 8 sessions of 90 minutes and one session per week. One-way covariance analysis was used to analyze the data. Data analysis showed that there was a significant difference between the mean of post test scores of the experimental and control groups in anxiety and cigarette craving (p<0.01); as mindfulness based cognitive therapy reduced anxiety and cigarette craving in experimental group. Generally, could be showed that mindfulness based cognitive therapy could improve the psychological components of smoking cessation.
Dr Sanaz Dehghan Marvasti, Rezvaneh Ghorbani Ranjbar, Navid Khalesi, Ali Asghar Ranjbar Totoni ,
Volume 15, Issue 2 (9-2021)
Abstract
The aim of this study was to investigate the effect of art therapy-based education on the symptoms of overt and covert anxiety, depression, and chronic fatigue in patients with multiple sclerosis (MS). The study was a quasi-experimental clinical trial with pre-test and post-test research with a control group. Univariate analysis of covariance was used for the statistical analysis of data. The study population was all patients (319 people) referred to the clinic of the special disease of Ali Ibn Abi Taleb Hospital in Rafsanjan in the age range of 18 to 55 years. At the screening stage, a sample of 40 subjects was considered who were randomly divided into experimental and control groups. Art therapy-based training classes for the experimental group were held in 14 sessions on Mondays and Wednesdays, and the control group classes were held in 14 sessions (45-minute) with different content on Sundays and Mondays. The results showed that art-based education reduced the symptoms of anxiety, depression and fatigue In other words, 14 sessions of Art therapy-based training explained 30%, 11%, 22% and 11% of the variance of Explicit anxiety, hidden anxiety, depression, and fatigue.
Marzieh Asghari, Mojtaba Dehghan, Sima Shahinfar, Elaheh Azad Manjiri,
Volume 15, Issue 4 (2-2022)
Abstract
The aim of this study was to investigate the role of self-concept, emotion regulation, and coronavirus anxiety in predicting self-care behaviors related with covid-19 disease. Design of this study was correlation (prediction-based). The statistical population of the study included people aged 18 to 45 years, 355 people participated in the study by available sampling method and voluntarily through online calling. Data were collected using self-care behaviors questionnaire, emotion regulation questionnaire, integrative self-knowledge scale, self‐compassion scale–short form, self-concept clarity scale and corona disease anxiety scale. Data were analyzed using correlation tests and hierarchical multiple regression analysis. The results showed a correlation test that self-concept clarity, cognitive reappraisal and coronavirus anxiety were positively and significantly correlated with self-care behaviors, but suppression was negatively and significantly correlated with it. Regression results showed that self-concept clarity, cognitive reappraisal and coronavirus anxiety were predictors of increased self-care behaviors, but suppression was negatively and significantly its predictor. According to the findings of this study, it can be used to determine educational priorities and psychological interventions to increase self-care behaviors and reduce the risk of Covid-19 disease.
Dr. Ebrahim Ahmadi,
Volume 16, Issue 1 (6-2022)
Abstract
Research has shown a negative correlation between mindfulness and defensive reactions to the reminder/thought of death, and the purpose of the present study was to illuminate the effect of meditation and mindfulness on these reactions using an experimental method. The call for participation in the study was sent to 30,000 subscribers of Hamrahe Aval and Irancell in Tehran and using the convenience sampling, 127 of them (53 males) with a mean age of 37 years were selected to participate in this study and were randomly assign to four groups of Meditation-Death Thought, Meditation-Without Death Thought, Without Meditation-Death Thought, and Without Meditation-Without Death Thought. After teaching Buddhist mindful breathing meditation and measuring mindfulness using Toronto Mindfulness Scale (TMS), death thought was created in participants using the method of Burke et al. (2010) and then death thought Suppression, as an immediate defense, was measured using the method of Arndt et al. (1997) once after creating death thought and once after a delay, and worldview defense, as a delayed defense, was measured using the method of Greenberg et al. (1990) after a delay. ANOVAs showed that meditation increased mindfulness and was able to prevent the effect of death thought on death thought suppression
Mrs Leila Soleimanian, Mrs Fatemeh Mohammadi Shirmahaleh, Mr Javid Peymani, Mrs Marzieh Gholami Tooranposhti, Mrs Nahid Havasi Soomar,
Volume 16, Issue 4 (3-2023)
Abstract
The purpose of this study was to cmpare the effectiveness of Cognitive behavioral therapy and compassion-based therapy on glycosylated hemoglobin and coronaanxiety diabetic patients. This research was semi-experimental with a pre-test-post-test design and with a control group. The research population of patients with diabetes were members of the Hamedan Diabetes Association in 2020. Among them, 48 people were selected using available sampling method and they were divided into two experimental groups and one control group with the help of lottery. In one group, cognitive-behavioral therapy intervention program and in the other group, compassion-based interventions were trained for 8 sessions of 90 minutes each, and the control group was placed on the waiting list for training.Blood tests of patients were used to measure glycosylated hemoglobin, and the Corona Virus Anxiety Scale (2018) was used to measure the anxiety of Corona virus. The research data were analyzed using the Mancova statistical method and appropriate post hoc tests. The results indicate that compassion-based therapy on glycosylated hemoglobin was more effective than cognitive-behavioral therapy.No significant difference was observed between the compassion-based therapy and the cognitive-behavioral therapy regarding the corona anxiety In ordertoincrese thephsical andpsychological improvement.using of these treatmentin indiviual or group coursesseemes be effective
Maryam Zareei, Dr Abdolmajid Bahrainian, Dr Qasem Ahi, Dr Ahmad Mansouri,
Volume 17, Issue 3 (12-2023)
Abstract
The present study was conducted with the aim of comparing the effectiveness of cognitive therapy based on mindfulness and schema therapy on mental rumination and social anxiety of women with practical obsessive-compulsive symptoms. The current research method was semi-experimental with pre-test, post-test and follow-up. The statistical population of the research included all women with obsessive-compulsive disorder who referred to the counseling centers of Mashhad in 1402, based on the entry and exit criteria, 48 people were selected as a sample using the purposeful-available sampling method and randomly divided into two experimental groups. and a control group were assigned. Subjects were evaluated using Hoeksma and Maro (1991) rumination questionnaires and Wells' (1994) social anxiety questionnaires in the pre-test, post-test and follow-up stages. The results of mixed analysis of variance showed that the difference Significance between intervention groups with control in mental rumination and social anxiety of women with obsessive compulsive symptoms, the presence of medication, cognitive therapy based on mindfulness and schema therapy has led to the reduction of mental rumination and social anxiety. Also, schema therapy is more effective than cognitive therapy based on mindfulness in mental rumination.
Masoumeh Modanloo, Mahmoud Najafi,
Volume 17, Issue 4 (3-2024)
Abstract
The present study was conducted with the aim of determining the mediating role of anxiety and depression in the relationship between childhood maltreatment and obsessive-compulsive symptoms. The research method was descriptive and of the correlation type (structural equation modeling). From among the general population of social media users in 2022, 350 people were selected according to the entry criteria by voluntary sampling method. The tools used in this research included the Revised scale of obsessive–compulsive Syndrome (Foa and et al), Childhood Trauma Questionnaire (Bernstein & Stein), Beck Anxiety Inventory & Beck Depression Inventory-II. Pearson's correlation test and structural equation modeling were used to analyze the data. The results showed that childhood abuse has a direct and significant relationship with obsessive-compulsive symptoms, and anxiety and depression play a mediating role in the relationship between childhood abuse and obsessive-compulsive symptoms, and overall, the results show that the model fits well. According to the obtained results, it can be said that childhood trauma, anxiety and depression play an important role in the formation of obsessive-compulsive symptoms. In general, it can be concluded that childhood trauma can cause obsessive-compulsive symptoms by affecting anxiety and depression.
