درخت حوزه‌های تخصصی

Objective: Addiction is a physical-mental illness that, due to its progressive nature in all aspects of life, endangers the health of the individual, family and society. In order to prevent and resolve this destructive phenomenon, it is necessary to provide and implement comprehensive and appropriate programs in the rural area. Therefore, the aim of the present study is to determine the predictors of substance abuse of rural immigrant. Method: The statistical population included all addicted prisoners who migrated from rural to urban areas. Using cluster sampling method, 360 people were selected as the study sample. Descriptive statistics and logistic regression were used to analyze data. Result:The results showed that only the quality of life component can predict the drug abuse of migrant rural men and women, while the components of access to facilities, rural management performance, and individual participation, as well as marital status, age and education cannot predict their substance abuse (p <0.05). Conclusions: According to the results of the present study, since the quality of life is a predictor of substance abuse in migrant villagers, and this problem, in fact, indicates the basic infrastructural problems in preventing the migration of villagers and their substances abuse, related planning and policies in the field of social health are suggested in this regard.

Objective: Women with human immunodeficiency virus (HIV) experience negative emotions. Considering the importance of these emotions and their significant impact on mental health of women with HIV, and also considering the gap of information in this regard, this study aimed to assess the effect of compassion-focused therapy on mindfulness and rumination in women with HIV. Method: This was a quasi-experimental study with pre-test and post-test phases, and a control group. Sixty women with HIV were selected and randomly assigned to the experimental and control groups. The experimental group received nine 90-min sessions of compassion-focused therapy, held once a week. The instruments used included the Five-Facet Mindfulness Questionnaire (FFMQ) and the Rumination-Reflection Questionnaire (RRQ). The questionnaires were filled-out by patients in both the experimental and control groups in two stages before and after the intervention. Results: According to the analysis of covariance (ANCOVA), compassion-focused therapy significantly increased the mindfulness dimensions (observing, non-judging, non-reactivity to inner experience) in the experimental group, compared with the control group at post-test (P<0.05). No significant difference was observed between the experimental and control groups in terms of rumination-reflection.Conclusion: It appears that compassion-focused therapy would be effective in increasing the mindfulness dimensions in women with HIV.

Objective: Hemodialysis patients suffer many problems including feelings of loneliness, fatigue, and low lifestyle quality. This study aimed to investigate the effectiveness of online existential consciousness therapy on these patients’ loneliness, fatigue, and lifestyle. Methods: The research method was quasi-experimental with a pretest-posttest and follow-up design with a control group. The research population was all hemodialysis patients who were referred to the dialysis center of Nikan Hospital in Tehran. Using the convenience sampling method, 30 participants were selected as study samples. Research instruments for collecting data were the Rasel’s Loneliness Questionnaire (1978), the Fieck’s Fatigue Impact Questionnaire (1944), and the Corona Virus Lifestyle Scale (Ali Akbari Dehkordi, et al., 2020). For the experimental group, ten 90-minutes sessions were performed through Sky-room. Results: MANCOVA and ANCOVA showed that existential consciousness training reduced the feeling of loneliness in the sub-components of not having a close friend, lack of loneliness, and isolation, but was not effective in the sub-component of sociability. This intervention also reduced the fatigue in the cognitive and social components but did not affect the physical component. It was also effective on the happy lifestyle but did not affect on the healthy lifestyle. Conclusions: Existential consciousness therapy was effective in reducing the loneliness feeling, fatigue impact, and lifestyle changes of hemodialysis patients during home quarantine. Therefore, this method can be used as a new therapeutic approach to reduce the loneliness and fatigue impact caused by hemodialysis and change patients' lifestyles during quarantine in medical centers and psychological services.

The aim of this study was to compare the effectiveness of emotion-focused therapy and cognitive-behavioral therapy on pain coping strategies and pain catastrophizing in patients with pain disorder. The research method was a quasi-experimental with pretest-posttest design and a control group and a two-month follow-up. The statistical population of the study included all women with psychosomatic problems and pain who referred to Manoushan and Behsa counseling centers in Tehran. The sample size included 60 (three groups of 20). The research instruments included the Rosenstile and Keefe (1983) Pain Coping Strategies Questionnaire and the Bishop and Pivik (1995) Pain Catastrophe Scale. the emotion-focused experimental group received 12 training sessions and the cognitive-behavioral experimental group received 10 sessions training, but the control group did not receive any intervention during the study.. The results of mixed variance analysis and Benferroni pairwise comparison test showed that both emotion-focused therapy and cognitive-behavioral therapy have significant impact on the components of pain reinterpretation, pain catastrophizing, behavioral activity and coping efficiency (P <0.05), but they do not have significant effect on the components of return attention, ignoring pain, prayer and hope, and self-talking (P <0.05). The results also showed that both treatments have significant effect on pain catastrophizing (P <0.05). Also, no significant difference was observed between the two experimental groups (P <0.05). Therefore, the results of the present study show that emotion-focused therapy, like cognitive-behavioral therapy, can be used for patients with pain disorders and improve their cognitive factors.

Objective: Alzheimer's is a progressive and debilitating disease of the brain that causes serious damage to human thoughts and memory and is associated with psychological disorders such as insomnia and agitation. This study aimed to determine the effectiveness of body-centered meditation on insomnia and agitation in Alzheimer’s patients. Method: The research method was semi-experimental with a pretest-posttest design and a control group. From the statistical population of patients with Alzheimer's disease in mild to moderate levels referred to clinics and Alzheimer's Association of Tehran province, 20 people were selected randomly based on inclusion criteria and assigned into experimental (n = 10) and control groups (n = 10). The research questionnaires were Morin's insomnia (1993) and Cohen-Mansfield's Agitation (1986). Meditation was administered to the experimental group in eight sessions of 90 minutes. The research data were analyzed using multivariate covariance. Results: The results of covariance analysis showed that post-test scores of insomnia and agitation of patients with Alzheimer's in the experimental group were significantly lower than the control group (P≤0 / 005). Conclusion: Body-centered meditation can be used to improve insomnia and agitation in Alzheimer's patients. Keywords: Alzheimer's Disease, agitation, insomnia, meditation, psychiatry