درخت حوزه‌های تخصصی

Background: Gratitude is a general state of thankfulness and appreciation. The majority of empirical studies indicate that there is an association between gratitude and a sense of overall well being..Currently, mental health is especially important in some occupations with harsh work conditions which require strong personal and mental capacities. Psychological well-being and happiness is especially important in personnel working in the healthcare sector. This study aimed to assess whether gratitude training affects psychological well-being and happiness in hospital personnel. Method: In this semi-experimental study with pre-test and post-test, 72 personnel working in 5 hospitals affiliated to Shiraz University of Medical Sciences, Shiraz, Iran, participated. The participants were randomly divided into intervention and control groups using block randomization. Then, the participants in the intervention group were given 10 group sessions of 90 minutes gratitude training. Ryff’s Scale of Psychological Well Being, Subjective Happiness Scale, Gratitude Questionnaire-6, and a Gratitude training package were used for data collection. Results: The results show that there is no significant difference in the mean scores of psychological well-being, domains of psychological well-being, and happiness between the two groups at baseline, and gratitude training significantly affected all domains of psychological well-being (except for autonomy) and happiness. Conclusion: This study demonstrates that Gratitude training is effective in enhancing psychological well-being and Happiness.

The purpose of the present study was to examine the relationship between psychological factors , Erectile Dysfunctional ( E D ) and quality of life ( Q O L) before and after Coronary Artery Bypass Graft ( C A B G ) and Percutaneous Transluminal Coronary Angioplasty ( P T C A ) procedures , in an Iranian sample of cardiovascular patients . To do so, one hundred ninety patients scheduled for CA BG and PTCA operations were selected and administered relevant questionnaires a day before the surgery . Subsequently , the same patients filled out the same questionnaires two months following the procedure . Data analysis showed an increase in Qol while revealing a decline in men’s sexual functioning after the PT CA procedure although no change was observed in women . Also , an improvement in psychological status of all patients was observed following both revascularization procedures .

Objective: The purpose of this study is to create a conceptual empirical model and develop a causal model that is able to explain overall performance of MS patients’ families and provide a scientific and empirical basis to Iranian culture to identify the psychological indexes of hardiness, hope, and resiliency, as well as the mediator role of moral foundations and spiritual experiences involved in family overall performances among patients’ spouses. For this purpose, using non-random sampling method, 220 subjects were selected out of all patients with MS and their spouses in two cities of Tehran and Karaj in 2014-2015. They completed the questionnaires of Family Assessment Device, Hardiness Scale (Kobasa, 1990), Connor-Davidson Resilience Scale, Snyder Hope Scale, Daily Spiritual Experiences Scale, and Moral Foundations Questionnaire (Hythe & Graham, 2007) personally and non- personally. In order to analyze the data, common methods of descriptive statistics, structural equations, path analysis, and multiple regression were used and the data were analyzed using the software packages of SPSS and LISREL. The results showed that hope was determined as the variable that predicts family overall performance with a good effect coefficient. The other important finding about the model was that the path from the mediator variable of spiritual experiences towards family overall performance was not direct, that is spiritual experience was effective on moral foundations and moral foundations in turn was the most effective path to family overall performance.

In this survey, the intervention of cognitive behavioral stress management (CBSM) on psychological and immune indices and pain in patients with Rheumatoid Arthritis is studied.  <span class="s26"><span class="bumpedFont15">Method <span class="s17"><span class="bumpedFont15">: Statistical population of the study consisted of patients who referred to the rheumatology clinics in the northern parts of Tehran.  44 participants aged 25–60 using purposive sampling in accordance with inclusion and exclusion criteria selected and in two groups of 22 individuals were examined. Psychological, immune and pain evaluation tests of depression, anxiety and stress scale, blood sample, and McGill pain inventory were conducted in two stages of pretest and posttest using multiple covariance analysis.  <span class="s26"><span class="bumpedFont15">Results <span class="s17"><span class="bumpedFont15">: The results showed a significant effect of the stress management intervention on depression  <span class="s4"><span class="bumpedFont20">(F <span class="s13"><span class="bumpedFont20">1 <span class="s13"><span class="bumpedFont20">,37 <span class="s4"><span class="bumpedFont20">= <span class="s4"><span class="bumpedFont20">4/318, P= 0/046, η <span class="s5"><span class="bumpedFont20">2  <span class="s4"><span class="bumpedFont20">=0/104) <span class="s17"><span class="bumpedFont15"> among patients with RA. The use of this intervention was effective in reducing the immune parameter (CRP)  <span class="s4"><span class="bumpedFont20">(F <span class="s13"><span class="bumpedFont20">1 <span class="s13"><span class="bumpedFont20">,38 <span class="s4"><span class="bumpedFont20">= 17/593, P= 0/001, η <span class="s5"><span class="bumpedFont20">2  <span class="s4"><span class="bumpedFont20">=0/316) <span class="s17"><span class="bumpedFont15"> and their pain  <span class="s4"><span class="bumpedFont20">(F <span class="s13"><span class="bumpedFont20">1,39 <span class="s4"><span class="bumpedFont20">= 4/885, P= 0/033, η <span class="s5"><span class="bumpedFont20">2  <span class="s4"><span class="bumpedFont20">=0/111) <span class="s17"><span class="bumpedFont15">.  <span class="s26"><span class="bumpedFont15">Conclusion <span class="s17"><span class="bumpedFont15">: According to the results, employing this method for RA patients is very helpful and it can be suggested for improving their psychological and physical conditions.

Background: The affectivity system is a complex dynamic system, thus, it needs to be seen as a whole-system unit that is best studied by analyzing four profiles: self-destructive (low positive affect, high negative affect), low affective (low positive affect, low negative affect), high affective (high positive affect, high negative affect), and self-fulfilling (high positive affect, low negative affect). Our purpose was to examine individual differences in psychological well-being and self-regulatory strategies (assessment/locomotion). Additionally, we investigated if the effect of psychological well-being on self-regulatory strategies was moderated by the individual’s type of profile. Method: Participants (N = 567) answered the Positive Affect Negative Affect Schedule, Ryff’s Scales of Psychological Well-being, and the Regulatory Mode Questionnaire. We conducted a Multivariate Analysis of Variance using age as covariate and Structural Equation Modeling in a multi-group for moderation analysis. Result: Individuals with a self-fulfilling profile scored highest in all psychological well-being constructs and locomotion and lowest in assessment. Nevertheless, matched comparisons showed that increases in certain psychological resources might lead to profile changes. Moreover, while some psychological well-being constructs (e.g., self-acceptance) had an effect of self-regulatory mode independently of the individual’s profile, other constructs’ (e.g., personal growth) effect on self-regulation was moderated by the person’s unique type of profile. Conclusions: Although only theoretical, these results give an idea of how leaps/changes might be extreme (i.e., from one profile at the extreme of the model to the other extreme), while other might be serial (i.e., from one profile to another depending on matching affective dimensions).

The studies since the second half of the 20th century have revealed the effect of stress on the heart and vessels with mediating neurological indicators and techniques of dysfunctional coping techniques. They also have shown that stress management and the improvement of coping techniques improve the indicators. The present study examined the appraisal of the effect of coping-therapy on cortisol, Interleukin 6 (IL-6) and Interleukin 1β (IL-1β) in comparison with the control group. The study was a quasi-experimental research with pre-test and post-test design conducted on 44 patients (randomly assigned into two experimental and control groups) suffering from coronary heart disease who were hospitalized in Shahid Rajaei Heart Hospital in Tehran in 2011. The experimental group was treated with coping-therapy, and the immunological indicators of both groups were measured using ELISA at the beginning, the fourth, the eighth, (immediately after the end of treatment), the tenth, and the fourteenth weeks. The collected data were analyzed using repeated measures ANOVA by SPSS version 17. The gender and education of the sample was controlled statistically. The results revealed that coping-therapy could significantly decrease cortisol, IL-6, IL-1β from the eighth to the end of the fourteenth week (follow-up). Considering the cognitive limitations of the present study, one can conclude that coping-therapy may decrease the negative effects of stress on immunological indicators through improving dysfunctional techniques to effective ones, and in this way, reveal the positive effects on health.