Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
1
2021
01
01
Comparison of the Effects of Metacognitive Therapy and Compassion- Focused Therapy on Anxiety in the Mothers of Children with Cerebral Palsy
1
9
EN
Negin
Khoshvaght
0000-0002-7423-3769
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
khoshvneg@yahoo.com
Farah
Naderi
0000-0001-5801-5967
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
naderifa2@gmail.com
Sahar
Safarzadeh
0000-0002-6571-1829
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
safarzadesa@gmail.com
Marjan
Alizadeh
0000-0002-0004-8798
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
marjalizad@gmail.com
10.30476/whb.2020.88585.1087
<strong>Background:</strong> Raising a child diagnosed with cerebral palsy (CP) is a major challenge for parents and may greatly change the family’s lifestyle. The present study aimed to investigate the effects of metacognitive therapy (MCT) and compassion-focused therapy (CFT) on anxiety in the mothers of children with cerebral palsy.<br /><strong>Methods:</strong> The research method was quasi-experimental with a pre-test, post-test, and follow-up design and a control group. Selected by convenience sampling, the sample consisted of 45 mothers of children with cerebral palsy who referred to Bahar Rehabilitation Center, Shiraz, Iran, in 2020. We randomly divided the participants into two experimental groups (metacognitive therapy and compassion-focused therapy) and a control group (n=15 per group). The research instrument included the Beck Anxiety Inventory. The first experimental group underwent 12 sessions (60-minute sessions per week) of metacognitive therapy and the second experimental group underwent eight sessions of compassion-focused therapy (60-minute sessions per week).<br /><strong>Results:</strong> The mean±SD of the anxiety for metacognitive therapy, compassion-focused therapy, and control groups in the posttest stage were 24.30±6.21, 25.10±2.44, and 42.70±4.46, respectively. Based on the results, both metacognitive therapy (MTC) and compassion-focused therapy (CFT) were effective in reducing anxiety in the mothers of children with cerebral palsy (CP) (P=0.0001); also, there was no significant difference between the effects of MCT and CFT on anxiety in this group of mothers.<br /><strong>Conclusion:</strong> Metacognitive therapy and compassion-focused therapy can be employed to reduce anxiety in mothers of children with cerebral palsy.
cerebral palsy,Anxiety,Metacognitive therapy,Compassion therapy,Empathy
https://womenshealthbulletin.sums.ac.ir/article_47199.html
https://womenshealthbulletin.sums.ac.ir/article_47199_964a44c5ba8d713693c662f996f2b262.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
1
2021
01
01
Attitude Barriers to Breast Self-Examination from the Perspective of Women Referred to Health Centers Affiliated with Shiraz University of Medical Sciences
10
17
EN
Roya
Zare
0000-0001-5454-2559
Virtual School and Center of Excellence in E-Learning, Shiraz University of Medical Sciences, Shiraz, Iran
royazare88@gmail.com
Zahra
Karimian
0000-0002-5631-6448
Virtual School and Center of Excellence in E-Learning, Shiraz University of Medical Sciences, Shiraz, Iran
z_karimian_z@yahoo.com
Nahid
Zarifsanaiey
0000-0002-1297-8271
Virtual School and Center of Excellence in E-Learning, Shiraz University of Medical Sciences, Shiraz, Iran
nzarifsanaee@gmail.com
10.30476/whb.2020.87453.1086
<strong>Background:</strong> Breast Neoplasms is believed to be one of the most prevalent types of cancer in women. In the early stages, the disease could be diagnosed and controlled by breast self-examination (BSE). However, attitude barriers stop women to BSE on a number of occasions. We conducted the present study to investigate the attitude barriers of breast self-examination from the perspective of women who referred to health centers affiliated to Shiraz University of Medical Sciences (SUMS).<br /> <strong>Methods:</strong> The current research was conducted as a cross sectional method from August to September 2019 on women aged 20- 60 years referring to health centers affiliated to SUMS. The participants were selected with simple Random sampling and 101 complete questionnaires were returned. The data collection tool was the researcher-made questionnaire comprising 5 components (12 items) in Likert scales. The obtained data were analyzed with SPSS22 software using One sample T-test, Independednt T-test, and Pearson correlation.<br /> <strong>Results:</strong> Except for the component of mental beliefs (P=0.92), all the other components were significantly lower than expected (p <0.001). The mean scores were for embarrassment (2.85±0.48), previous knowledge (2.93±0.69), negligence (3.03±0.49), and fear of breast mass (3.05±0.43). Attitudinal barriers decreased with the increase in education (P=0.01). Moreover, regarding the evaluation of the correlation between the components, the highest correlation was between previous knowledge effect and negligence (r=0.66), embarrassment (r=0.52), fear of breath mass (0.50). Additionally, the correlation between negligence and fear of breast madd was found to be 0.52.<br /> <strong>Conclusion:</strong> Since certain factors, such as incorrect previous knowledge, examination-associated embarrassment, fear, and forgetfulness are barriers to BSE, designing educational programs at different ages and educational levels seems to be essential, for adolescents in particular. To eliminate previous misconceptions and attitudes, creating good culture through public media and social networks could be effective.
women,Breast self-examination,Breast neoplasms,Attitude,barrier
https://womenshealthbulletin.sums.ac.ir/article_47248.html
https://womenshealthbulletin.sums.ac.ir/article_47248_5c98a443edcc853001e860c8666a4a52.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
1
2021
01
01
Effectiveness of Cognitive-Behavioral Treatment Community on Progress in Patients with Obsessive-Compulsive Disorders
18
25
EN
Hamid
Mohyadini
0000-0002-5227-974X
PhD Student of Psychology, Department of Psychology, Khuzestan Science and Research Branch Islamic Azad University, Ahvaz, Iran
hamid.psychologist@gmail.com
Saeed
Bakhtiar Pour
0000-0002-3484-8435
Assistant Professor, Department of Psychology , Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
saeedb8@yahoo.com
Reza
Pasha
Assistant Professor, Department of Psychology , Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
rezapasha81@yahoo.com
Parvin
Ehteshmzadeh
Assistant Professor, Department of Psychology , Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
parvin81@yahoo.com
10.30476/whb.2021.87708.1075
<strong>Background:</strong> The latest recommended psychological choice for the treatment of OCD is a therapeutic intervention. The metaanalytic study has found that the strongest degree of scientific evidence for CBT is the effect of OCD psychiatric therapies. We conducted the present study to examine the efficacy of group cognitive-behavioral therapy in patients with enhanced obsessivecompulsive disorder.<br /><strong>Methods:</strong> The study was a quasi-experimental with a manipulate group, pre-test, and post-test. 32 women were referred to counseling offerings and psychological services in Bandar Abbas province from November 2019 to April 2020, who were purposefully chosen from the 80 individuals narrowed down according to the inclusion criteria. Afterwards, they were randomly (by envelopes) assigned to the experimental and control groups. The experimental group (n=16) was treated with cognitivebehavioral therapy for 12 weekly 90-minute sessions while the control team (n=16) obtained no treatment. At the beginning of the study, after 10 weeks, all the participants were tested with the Yale-Brown Obsessive-Compulsive Questionnaire. In addition to descriptive statistics, standard deviation, and the mean and inferential statistics, we employed one-way analysis of covariance and LSD. For the statistics analysis SPSS software program model 18 was used.<br /><strong>Results:</strong> In the current study, the mean and standard deviation of the ages were 26.78±2.80 in the experimental team and 28.50±3.56 in the control group, respectively. We discovered a significant effect in the experimental group’s obsessive-compulsive signs following the cognitive-behavioral therapy (P=0.005). In addition, the suggested ratings for the participants in the experimental team were significantly lower than those in the control group (p <0.001).<br /><strong>Conclusion:</strong> According to the findings, it could be inferred that cognitive-behavioral therapy could significantly reduce OCD symptoms. It is recommended that the therapists, particularly in Iranian clinicians, apply this method.
Cognitive-behavioral therapy,Patients,Obsessive-compulsive disorder,Schools
https://womenshealthbulletin.sums.ac.ir/article_47264.html
https://womenshealthbulletin.sums.ac.ir/article_47264_2d1dc32e36686c3c6c448183ac0829eb.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
1
2021
01
01
Comparison of Group Psychotherapy Effectiveness based on Acceptance and Commitment Therapy Matrix with Group Behavioral Activation Therapy on Quality of Life and Alexithymia in Depress Mood Females
26
36
EN
Amin
Khaledinia
0000-0003-2862-9647
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
aminkhaledinia@yahoo.com
Behnam
Makvandi
0000-0002-1866-5540
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
makvandib@yahoo.com
Parviz
Asgari
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
parvizasgari@yahoo.com
Reza
Pasha
Department of Psychology, Ahvaz Branch, Islamic Azad University, Ahvaz, Iran
reza.a@yahoo.com
10.30476/whb.2021.87951.1082
<strong>Background:</strong> Research has shown that the incidence of psychological well-being problems among students is on an increasing trend. According to the Pennsylvania State University Center for Public Health Psychology, the number of students seeking mental health help rose by 50% between 2015 and 2016. The present study was conducted to compare the effectiveness of group acceptance and commitment therapy (ACT) matrix with group Behavioral Activation Therapy on quality of life and Alexithymia in depress mood females.<br /><strong>Methods:</strong> In a quasi-experimental pre-test-post-test design with a control group, 45 students with mood depressive disorder were selected following initial clinical evaluation and research conditions. They were randomly divided into three groups of Behavioral Activation Therapy (n=15), ACT matrix (n=15), and control (n=15). The experimental group received six sessions of weekly treatment based on acceptance and commitment employing matrix method with group Behavioral Activation Therapy. All the participants completed the Hamilton Depression Scale, the World Health Organization Quality of Life Questionnaire (WHOQOL-BREF), and the Alexithymia Scale (AAS-26), in three stages: pre-test, post-test, and one-month follow-up. The obtained data were analyzed using SPSS V. 23<br /><strong>Results:</strong> The results revealed that weekly treatment based on acceptance and commitment employing matrix method with group Behavioral Activation treatment positively affected the quality of life F=6.324; P=0.004), and reduced Alexithymia-associated symptoms (F=1.780; P=0.181). The results were maintained in the one-month follow-up phase.<br /><strong>Conclusion</strong>: Group psychotherapy based on acceptance and commitment through matrix method with group Behavioral Activation Therapy had a significant effect on increasing the quality of life and reducing the symptoms associated with Alexithymia in depressed females.
Matrix acceptance and commitment,Behavioral activation, Quality of life, Affective Symptoms, Students
https://womenshealthbulletin.sums.ac.ir/article_47272.html
https://womenshealthbulletin.sums.ac.ir/article_47272_6bdd59b767de1bd8679ca5efb04d0f89.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
1
2021
01
01
The Effect of Virtual Reality on Postural Stability and Fall Risk Assessment of Older Women
37
43
EN
Hassan
Sadeghi
0000-0002-5602-1754
Department of Biomechanics and Sports Injuries, Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran
hassan.sadeghi81@yahoo.com
Seyed Sadredin
Shojaedin
0000-0002-9428-685X
Department of Biomechanics and Sports Injuries, Faculty of Physical Education and Sports Sciences, Kharazmi University, Tehran, Iran
sa.shojaedin@gmail.com
10.30476/whb.2021.89163.1092
<strong>Background:</strong> Exergames (exercise and gaming) or virtual exercises have been reported to improve balance and functional mobility in older adults. The present study was conducted to evaluate the effects of virtual reality exercise, on the static balance, postural stability, and functional mobility among older women.<br /><strong>Methods:</strong> In this quasi-experimental pilot study, 15 older women aged 65 years old and above were divided into control and experimental groups. Our participants were recruited from Gorgan Neighborhood House in Tehran-Iran in June and July 2020. Following the pre-test, the experimental group completed three weeks of virtual training three times per week via Xbox Kinect Software, and the effects were measured after three weeks. The Biodex Balance System was employed to measure the fall risk index and postural stability index. Moreover, Timed Up and Go (TUG) test were used for functional mobility.<br /><strong>Results:</strong> One-way analysis of covariance (ANCOVA) revealed a statistically significant difference in post-test between the groups concerning fall risk index in open eye conditions, (p <0.001), fall risk index in close eye conditions (p <0.001), overall stability index (p <0.001), and TUG (p <0.001).<br /><strong>Conclusion</strong>: This study demonstrated that virtual reality exercise could improve the fall risk index and functional mobility of healthy older women. Consequently, these types of exercise could be recommended as practical exercises for elderlies to be done at home or health care institutions.
Postural Balance,Accidental Falls,Virtual Reality,Frail elderly
https://womenshealthbulletin.sums.ac.ir/article_47276.html
https://womenshealthbulletin.sums.ac.ir/article_47276_92ce8df9d34d42ace46f9ff9f5030db9.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
1
2021
01
01
The Prediction of Hospital Stress Based on Self-Actualization and Life Orientations (Optimism and Pessimism) in Female Nurses
44
48
EN
Habibollah
Naderi
Department of Psychology, University of Mazandaran, Babolsar, Iran
h.naderi@umz.ac.ir
Abbas
Akbari
Department of Psychology, University of Mazandaran, Babolsar, Iran
abbas.akbari47@yahoo.com
Roya
Abbasi-Asl
0000-0003-1186-5424
Department of Psychology, University of Mazandaran, Babolsar, Iran
roya.abbasiasl@gmail.com
Fatemeh
Amraee
Department of Nursing, Lorestan University of Medical Sciences, Lorestan, Khorramabad, Iran
akbari143@gmail.com
10.30476/whb.2021.83716.1009
Background: Hospital stress is one of the most important factors in nurses’ mental health. So, this study aimed to investigate the effects of self-actualization and life orientation on hospital stress. Methods: This research was a correlational study. We analyzed the data via multiple regression and SPSS version 22. Participants included 178 female nurses from Borujerd city, Lorestan Province, Iran, selected by simple random selection method. They completed hospital stress, self-actualization, and life orientation scales. Results: Results showed that self-actualization (β=-0.29, P=0.001) and optimistic orientation (β=-0.28, P=0.001) were significant negative predictors of hospital stress, but pessimistic orientation was not a predictor. Also, the results showed that 29% of variable hospital stress was explained by the proposed model. Conclusions: According to the results of this study, increased self-actualization and optimism reduced hospital stress in female nurses.
hospital,Stress, Self-actualization,Optimism,Pessimism
https://womenshealthbulletin.sums.ac.ir/article_47356.html
https://womenshealthbulletin.sums.ac.ir/article_47356_b84ee91ed3da6421c48c20503e6857ed.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
1
2021
01
01
The Effect of Smart Phone Messaging versus Face-to-Face Counseling on the Primiparous Mothers’ Breastfeeding Self-efficacy: An Educational Intervention
49
55
EN
Manoosh
Mehrabi
0000-0002-2024-9415
Distance Educational Planning, Department of e-Learning in Medical Sciences, Virtual School, Shiraz University of Medical Sciences, Shiraz, Iran
mehrabi.manoosh@gmail.com
Shole
Zarei
Medical Education, Mother’s Health officer, Midwifery Office, Vice-Chancellor’s in treatment affairs, Shiraz University of medical Sciences, Shiraz, Iran
salamatmadaran@gmail.com
Leila
Bazrafkan
0000-0002-9741-3981
Medical Education, Clinical Education Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
bazrafcan@gmail.com
Ali Reza
Safarpour
0000-0002-9880-0043
Gastroenterohepatology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran
safarpourar@gmail.com
10.30476/whb.2021.89252.1093
<strong>Background:</strong> Increasing breastfeeding rates around the world is one of the most important goals of the World Health Organization. This study was conducted to investigate the impact of smart phone-based education and regular delivery of designed messages on breastfeeding self-efficacy in primiparous mothers.<br /> <strong>Methods:</strong> This study was an educational intervention in which 120 primiparous breastfeeding mothers were randomly allocated into two groups from March 2018 to March 2019. The control group received routine counseling interventions and the intervention group received a smart phone messaging program. We collected the data using demographic questionnaire and Dennis short form breast feeding questionnaire. Self-efficacy levels were compared in the two groups before and after the study procedures. We analyzed the data utilizing Student t-test, chi square, and one way – ANOVA.<br /> <strong>Results:</strong> In this study, 60 mothers were studied in each group, and then the collected data were analyzed. The mean posttest scores in the intervention group (60.40±4.92) and the control group (50.10±7.60) were compared. The results indicated a statistically significant difference between the groups (p <0.001). Working mothers and mothers with a higher level of education had significantly higher self-efficacy score following the intervention (P=0.04 and P=0.05, respectively).<br /> <strong>Conclusion:</strong> Breastfeeding counseling through text, audio, and video messages may increase maternal self-efficacy, particularly in high educated mothers and working ones.
Breast Feeding,Self-efficacy,Smartphone
https://womenshealthbulletin.sums.ac.ir/article_47382.html
https://womenshealthbulletin.sums.ac.ir/article_47382_f06d54a5889c216258684029c20a89c2.pdf
Shiraz University of Medical Sciences
Women’s Health Bulletin
2345-5136
2382-9990
8
1
2021
01
01
Does Pilates Exercise Change the Memory, Attention and Balance in Women with Lymphedema after Modified Mastectomy?
56
62
EN
Arezoo
Kazemi
0000-0002-8693-1740
Department of Sport Sciences, School of Education and Psychology, Shiraz University, Shiraz, Iran
kazemiarezoo1994@gmail.com
Robabeh
Rostami
0000-0001-7769-714X
Department of Sport Sciences, School of Education and Psychology, Shiraz University, Shiraz, Iran-
dr.mitrarostamiya@yahoo.com
Maryam
Koushkie Jahromi
https://orcid.org/00
Department of Sport Sciences, School of Education and Psychology, Shiraz University, Shiraz, Iran
koushkie53@yahoo.com
Sedigheh
Tahmasebi
0000_0001_5880_2063
Department of Surgery, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
tahmasebikh@gmail.com
10.30476/whb.2021.88043.1083
<strong>Background:</strong> Breast cancer as the most common cancer and deadliest malignancy among women is one of the most important health concerns in the world. Therefore, the present study was conducted in response to the question of whether the Pilates training method affects the memory, attention, and balance of women with lymphedema after modified mastectomy.<br /> <strong>Methods:</strong> In this quasi-experimental clinical trial, we studied 20 women with an average and standard division in (age, 43.03±5.61year), height (163.85±4.63 cm) and weight (67±3.95 kg). Our subjects referred to Shahid Motahari clinic, Shiraz, Iran in 2019 with lymphedema after modified mastectomy. They were randomly divided into two groups: Pilates and control. The experimental group performed Pilate’s exercises for 2 weeks, 3 days a week with 60 minutes long each session. Memory, attention, and balance before and after the training program were assessed using one-way analysis of covariance and paired t-test at a significance level of 0.05.<br /> <strong>Results:</strong> Statistical analysis of age, height, and weight showed no differences between the two groups. Statistical analysis of paired t-test indicated a significant difference in pre-test and post-test scores of the training group, yet this difference was not significant in the control group. Moreover, one-way analysis of covariance revealed a significant difference between the two groups in pre to post- tests in the tests of Stroop test [exercise (pre): 449.70±45, (post): 421.30±58.13; Control (pre): 461.30±23.17, (post): 457.10±22.20, P=0.014), n-back [Exercise (pre): 69.50±19.69; (post): 88.00±13.23; Control (pre): 79.40±17.48, (post): 82.00±10.74 P=0.016), and Flamingo [Exercise(pre): 18.49 ±18.92; (post): 51.57±43.02; Control (pre): 10.85±4.36, (post): 10.83±3.91, P=0.001]. Attention: (431.30±33.59), (461±11.12), memory: (72.50±17.34), (90±8.27), and static balance: (9.96±4.23), (29.39±7.00). In control group, the mean and standard deviation of the scores were as follows: attention: (465.90±10.56), (462.60±6.99), memory: (79.40±17.48), (85.90±4.45), and static balance: (10.85±4.36), (10.83±3.91).<br /> <strong>Conclusion:</strong> According to our findings, it could be concluded that women with breast cancer can use the benefits of Pilates along with other treatments.
Pilates exercises,Memory,Attention,Balance,Breast cancer
https://womenshealthbulletin.sums.ac.ir/article_47390.html
https://womenshealthbulletin.sums.ac.ir/article_47390_39c3e1b6197805343bd266eec4a60541.pdf