درخت حوزه‌های تخصصی

Objective: Somatic symptoms consist of a wide range of symptoms and until yet clustering them has been very challenging for researchers and therapists. The present study aims to explore underlying psychological factors of various functional somatic symptoms and determine if there are any similarities or differences in these factors that could help classify these symptoms as one syndrome or discrete ones. Method: This study adopted an association rule mining method based on data mining. 643 participants were recruited using a convenience sampling technique. Data were collected using the checklist of somatic symptoms (Lacourt et al., 2013), Attachment Questionnaire (Hazan & Shaver, 2017), Defense Style Questionnaire (Andrews et al., 1993), and Levels of Emotional Awareness Scale (Lane, 2006). Results: Cognitive, gastrointestinal, and fatigue symptoms are related more to immature defense mechanisms. Musculoskeletal, respiratory, and cardiac symptoms are associated with neurotic defenses. Fatigue symptoms are associated with ambivalent attachment and musculoskeletal symptoms are related more to avoidant attachment. Indeed, it could be said that there are two clusters of somatic symptoms, one of which is attachment and the other is defense mechanisms. This supports the splitters’ view about somatic syndromes. Conclusions: These findings show various types of somatic symptoms have qualitatively different risk factors. Our findings imply that psychotherapists should consider the kind of syndromes a patient has and their underlying psychological predispositions to manage the problem better.  

The objective of this study was to explore the influence of organizational ergonomics on the burnout experienced by administrative personnel at the University of Sistan and Baluchestan, Zahedan, Iran. The utilized research approach was of a descriptive correlation-predictive nature. The study's statistical population included all administrative personnel at the University of Sistan and Baluchestan. The study sample included 130 individuals (54 males and 76 females) chosen through convenience sampling and took part in the research. A questionnaire on burnout and organizational ergonomics was utilized to gather data. The research data were analyzed using the Pearson correlation coefficient and stepwise regression. The correlation coefficient results indicated that the emotional exhaustion sub-scale exhibited a negative and significant correlation with scores in engineering psychology, work physiology, anthropometry, and job biomechanics (p<.05). The depersonalization sub-scale exhibited a negative and significant relationship with scores in engineering psychology, work physiology, and anthropometry (p<.05). However, no notable relationship was found between depersonalization and job biomechanics. The personal accomplishment sub-scale showed a positive and significant relationship with engineering psychology, work physiology, and anthropometry (p<.05). However, there was no notable correlation between the personal accomplishment sub-scale and job biomechanics. The findings from stepwise regression indicated that anthropometric measures accounted for 25.4% of the variance in emotional exhaustion, while work physiology accounted for 11.3% and 12.7% of the variance in depersonalization and personal accomplishment, respectively. It is concluded that appropriate organizational ergonomics leads to enhanced productivity and diminishes occupational stress, particularly job burnout.

Objective : This study aimed to investigate the effectiveness of mindfulness-based stress reduction (MBSR) training on pain beliefs and dimensions of anger in women with rheumatoid arthritis. Method : The research design was quasi-experimental with a pre-test-post-test and a control group. The statistical population of the study consisted of women with rheumatoid arthritis referred to medical centers in Tabriz City in 2022. The sample included 25 women with rheumatoid arthritis selected through convenience sampling based on inclusion and exclusion criteria, who were then randomly assigned to two groups. The research instruments used were Williams and Thorne's Belief in Pain Questionnaire and Spielberger's State-Trait Anger Questionnaire, which were provided to both groups to collect the required data. The control group remained on the waiting list, while the experimental group underwent MBSR training over eight weekly sessions (90 minutes per week) following Jon Kabat-Zinn's approach. The research data were analyzed using multivariate analysis of covariance (MANCOVA). Results : The results indicated significant differences between the MBSR and control groups in pain beliefs and anger. Specifically, MBSR treatment led to a reduction in pain-related beliefs and anger in the experimental group ( P <0.001). Eta-squared values showed that 76.3%, 71.8%, 74.4%, and 69.6% of the variance in pain beliefs and anger could be attributed to the effects of MBSR, respectively. Conclusion : Based on the findings, mindfulness-based stress reduction (MBSR) training can be considered as a complementary and protective treatment technique for patients with chronic and painful conditions such as rheumatoid arthritis.

Objective: Psychological defense mechanisms reflect how individuals cope with conflicts and stress. This study aimed to describe defense mechanisms in medical interns and their correlation with spiritual health. Method: This cross-sectional study, characterized by its descriptive nature, was carried out among medical students during the 2019-2020 academic year. The participants were 168 medical interns who met the established study criteria and completed two questionnaires: The Defense Mechanisms Questionnaire (DSQ-40), devised by Andrews et al. (1993), and the Spiritual Health Questionnaire by Paloutzian and Ellison (1982). Data analysis was conducted utilizing SPSS version 25, employing Pearson correlation, t-tests, and ANOVA for statistical evaluation. Results: The mean score of mature defense mechanisms (43.31±16.83) among medical interns was higher than immature (98.52±52.8) and neurotic (36.75±18.3) defense mechanisms. The immature defense mechanism was significantly higher in males than in females (99.43±23.41 vs 108.47±23.21, p=0.014). Also, the mean score of immature defense mechanisms in single individuals was considerably higher than in married ones (106.66±24.02 vs 93.12±19.56, p=0.001). The spiritual health of interns had a significant and direct correlation (r=0.249) with mature defense mechanisms and a significant negative correlation (r=-0.336) with immature defense mechanisms. Conclusion: Higher spiritual health in medical interns is associated with greater use of mature defense mechanisms and lesser use of immature defense mechanisms.