درخت حوزه‌های تخصصی

Background and Purpose: Epilepsy is one of the most prevalent neurological disorders, the contracting of which causes numerous physical, psychological and social consequences. However, there are a number of defense mechanisms humans possess, which are responsible for protecting an individual against the stress, anxieties and pressures of everyday life. Accordingly, the present study was undertaken with the aim of comparatively investigating the defense mechanisms in a group of woman with temporal lobe epilepsy against a non-clinical group of females. Materials & Methods: The research design of the present study was based on a causal-comparative case study. The statistical population of the study consisted of all epileptic women and their normal counterparts who had referred to Imam Hossein Hospital in Tehran during the first half of 2019. The sample population included 40 female patients already diagnosed with temporal lobe epilepsy by neurologists through electro-encephalography who were randomly selected and compared to their 40 normal counterparts. The two studied groups were similar in terms of age, education and marital status. Research data were gathered using the Andrews Defense Mechanism Questionnaire (DSQ40) and analyzed by the SPSS24 software program employing multivariate statistical analysis of variance. Results: There was a significant difference (p <0.05) between the defense mechanism used in epileptic women and that of healthy women. Conclusion: It can be concluded that women with epilepsy have different defense mechanisms and are more likely to use immature mechanisms and neurotic defense mechanisms (only in terms of False Altruism ) when compared to normal women

Objective: The purpose of the present study was to examine the effect of lifestyle-based stress management program on emotional problems and life satisfaction in patients with myocardial infarction. Method: This research was quasi-experimental with pre-test, post-test and control group. The statistical population of this research consisted of all patients aged 40-65 years old with myocardial infarction who were under treatment at Kasra Hospital in Karaj in the first six months of 2019. The study sample consisted of 90 patients with heart attack who were identified among the patients and selected by targeted sampling method and randomly assigned to two experimental and control groups. Data were collected using the Depression, Anxiety and Stress Scale as well as the Satisfaction With Life Scale. The collected data were analyzed using the method of Multivariate analysis of covariance (MANCOVA). Results: Multivariate analysis of covariance showed that the lifestyle-based stress management program significantly reduced emotional problems and increased life satisfaction in the experimental group (p <0.01). Conclusions: The stress management program helped patients identify dysfunctional thoughts that trigger anxiety and depression and experience fewer emotional problems by feeling self-control, attention management, changing the assessment system and using cognitive strategies. Also, by identifying and correcting irrational attitudes and beliefs, the subjects were able to better cope with the physical effects of the disease or to deal with its negative psychological complications and have more life satisfaction. These findings have important implications for education and promoting mental health of patients with myocardial infarction.