18 1735-4315 Iran University of Medical Sciences and Health Services 2761 Psychiatry and Psychology The Effect of a Parental Education Program on the Mental Health of Parents and Behavioral Problems of Their Children With Autism Spectrum Disorder Hakim shooshtari Mitra b Zarafshan Hadi c Mohamadian Mehrdad d Zareee Jamileh e Karimi Keisomi Issa f Hooshangi Helia g b Mental Health Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. c Psychiatry & Psychology Research center, Roozbeh Hospital, Tehran University of Medical Science, Tehran, Iran. d Mental Health Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. e Spiritual Health Research Center, School of Behavioral Sciences and Mental Health, Psychology Group, Iran University of Medical Sciences, Tehran, Iran. f School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran. g School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Tehran, Iran. 1 1 2020 25 4 356 367 14 09 2018 21 07 2019 Objectives: Early interventions can play an important role in alleviating or eliminating many of the major symptoms of Autism Spectrum Disorder (ASD) and enhancing new skills. Parental education can reduce the parents' depression and stress and increase their empowerment. This study aimed to evaluate the effect of a parental education program the mental health of parents, behavioral problems of their children with ASD.  Methods: A group of 30 parents of children with ASD in Tehran, Iran were selected by a convenience sampling and were randomly divided into intervention and control groups. The parents in the intervention group received psychoeducational program according to Tonge et al.'s (2006) method in 10 sessions each for 90 min in Tehran Psychiatric Institute. Data collection tools were the Family Assessment Device, the Childhood Autism Rating Scale, Billings and Mouse's Coping Strategies Scale, and 28-item General Health Questionnaire. All participants were evaluated at three stages of pretest, posttest, and 3-month follow-up. Results: The effect of parental education program on the clinical symptoms and its dimensions was significant at three measurement phases. In the 3-month follow-up duration, the results remained unchanged. There were a significant difference between the two study groups in general health, family function, coping strategies, and child behavior (F=4.859, P=0.023).  Conclusion: Parental education can improve the mental health of parents and reduce the behavioral problems of their ASD children. 
2955 Psychiatry and Psychology The Effect of an Anger Control Training Program on Resilience, Hardiness and General Health of School Girls Harooni Tahere h Zarabian Mohammad Kazem i Mousavi Ashraf Sadat j h Department of Psychology, Faculty of Humanities, Electronic Branch, Islamic Azad University, Tehran, Iran. i Research Center for Behavioral Disorders and Substance Abuse, University of Medical Sciences, Hamadan, Iran. j Department of Psychology, Faculty of Humanities, Tarbiat Modares University, Tehran, Iran. 1 1 2020 25 4 368 383 31 12 2018 11 08 2019 Objectives: The purpose of this study was to investigate the effect of an anger control training program on resilience, hardiness and general health of school girls. Methods: This is a quasi-experimental study with pre-test, post-test, follow-up design using control group. The study population consisted of all female students of technical vocational schools in Tehran, Iran (district 13) in 2017. Of these, 60 were selected using a convenience sampling method and randomly divided into two groups of intervention (n=40) and control (n=20) groups. The instruments were State-Trait Anger Expression Inventory-2 (STAXI-2), Connor-Davidson Resilience Scale, Kobasa’s Hardiness Scale, 28-item General Health Questionnaire (GHQ-28). The anger control training was presented in 12 sessions, one session per week. Collected data were analyzed using repeated measures ANOVA in SPSS v. 24. Results: The anger control training program could significantly reduce the amount of anger and increased the levels of resilience, hardiness and general health in the intervention group compared to the control group (P<0.05). Conclusion: Psychoeducational interventions such as anger control training can improve the mental health of school girls. 2284 Psychiatry and Psychology The Effectiveness of Premarital Counseling Based on a Relationship Education Program on the Idealistic Expectations of Single Young Adults Rajabi Golamreza k Abbasi Ghodratollah l k Department of Counseling, Shahid Chamran University of Ahvaz, Ahvaz, Iran. l Department of Psychology, Sari Branch, Islamic Azad University, Sari, Iran. 1 1 2020 25 4 384 395 10 05 2019 18 09 2019 Objectives: This study aimed to examine the effectiveness of premarital counseling based on a relationship education program in reducing the idealistic marital expectation in single young adults of Ahvaz city.  Methods: The is a quasi-experimental study with pretest, posttest, and follow-up design using control group. Thirty two single young adults were voluntarily participated and assigned randomly into intervention group (n=16) and control group (n=16). The data were collected using Jones and Nelson’s Marital Expectation Scale (idealistic expectation subscale) at three stages: pre-test, post-test, and 60-day follow-up. The intervention group received relationship education program in 9 sessions, twice a week for 90 minutes, while the control group received premarital counseling only in one session. Data were analyzed using ANOVA with repeated measures in SPSS v. 21.  Results: The premarital counseling based on the relationship education program could reduce the idealistic marital expectation in the intervention group from pretest stage to the follow-up stage.  Conclusion: The relationship education program can be used as a useful and appropriate program in premarital counseling and in reducing the idealistic expectations of marriage in young people. 2935 Psychiatry and Psychology Mediating Role of Emotion Regulation in the Relationship of Metacognitive Beliefs and Attachment Styles With Risky Behaviors in Children of Iran-Iraq War Veterans With Psychiatric Disorders Mohammadkhani Shahram m Hasani Jafar n Akbari Mehdi o Yazdan Panah Nasibe p m Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran. n Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran. o Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran. p Department of Clinical Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran. 1 1 2020 25 4 396 411 13 11 2018 19 08 2019 Objectives: Risk behaviors among adolescents are a major concern for mental and social health. The purpose of this study was to investigate the mediating role of adaptive and maladaptive emotion regulation strategies in the relationship of metacognitive beliefs and attachment styles with risky behaviors among adolescent children of war veterans with psychiatric disorders. Methods: This is a descriptive correlational study conducted on 243 adolescent children of Iraq-Iran war veterans suffering from psychiatric disorders who were selected using a convenience sampling method. They responded to Cognitive Emotion Regulation Questionnaire (Short form), Revised Adult attachment Scale, Metacognitions Questionnaire for Children, and Risky Behaviors Scale. Results: emotion regulation strategies mediated the relationship of metacognitive beliefs and attachment styles with risky behaviors. There was no significant relationship between adaptive strategies of emotion regulation and risky behaviors, and between metacognitive beliefs adaptive strategies of emotion regulation (P>0.001), but the relationship between metacognitive beliefs and maladaptive strategies was significant. All attachment styles had a direct and significant correlation with both adaptive and maladaptive strategies of emotion regulation. The presented model could explain 14% of the risky behaviors in subjects. Conclusion: Metacognitive beliefs and attachment styles are directly and indirectly related to emotion regulation strategies and risky behaviors of the children of war veterans. These results can be used for designing the preventive programs for this group. 2946 Psychiatry and Psychology The Mediating Role of Sexual Self-Schema in the Relationship of Sexual Functioning With Sexual Satisfaction in Married Female College Students Zargarinejad Fatemeh Ahmadi Mehrnaz Department of Psychology, Faculty of Education and Psychology, South Tehran Branch, Islamic Azad University, Tehran, Iran. Department of Psychology, Faculty of Education and Psychology, South Tehran Branch, Islamic Azad University, Tehran, Iran. 1 1 2020 25 4 412 427 12 12 2018 31 08 2019 Objectives: This study aimed to examine the mediating role of sexual self-schema in the relationship of sexual functioning with sexual satisfaction in married female students. Methods: This is a descriptive correlational study. The study population consists of all married female students of Alzahra University and Islamic Azad University of South Tehran branch in 2017. Of these, 360 were selected by multistage cluster random sampling method. Data were collected using Women’s Sexual Self-Schema Scale of Anderson and Cyranowski (1994), Female Sexual Function Index of Rosen et al. (2000), and Index of Sexual Satisfaction designed by Hudson (1993). Data were analyzed using descriptive statistics and using path analysis. Results: The Passionate-Romantic factor of sexual self-schema had a positive mediating role in relationship of sexual function with sexual satisfaction, while its Embarrassed-Conservative dimension had a negative mediating role (P<0.001). The factor of Open-Direct had no mediating role. Moreover, sexual functioning had a significant positive effect on Passionate-Romantic and Open-Direct dimension of sexual self-schema, while its effect on Embarrassed-Conservative was significantly negative. Furthermore, the Passionate-Romantic factor had a significant positive effect on sexual satisfaction, while the factor of Embarrassed-Conservative had a significant negative effect (P<0.001). The factor of Open-Direct had no direct effect on sexual satisfaction. The effect of sexual functioning on sexual satisfaction was significantly negative (P<0.001). Conclusion: Sexual self-schema mediates the relationship of sexual functioning with sexual satisfaction.  2997 Psychiatry and Psychology A Cross-sectional Study on the Ability to Remember Mania Symptoms in Patients With Type I Bipolar Disorder 60 Months After Hospital Discharge Zarein Fatemeh Shabani Amir Jalali Nadoushan Amir Hossein Ahmadzad-Asl Masood Alaei Solmaz Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Mental Health Research Center, Mood Disorders Research Group, Iran University of Medical Sciences, Tehran, Iran. Mental Health Research Center, Community Mental Health Research Group, Iran University of Medical Sciences, Tehran, Iran. Mental Health Research Center, Community Mental Health Research Group, Iran University of Medical Sciences, Tehran, Iran. Fellowship in Psychotherapy, Department of Psychiatry, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. 1 1 2020 25 4 428 439 22 04 2019 31 08 2019 Objectives: Identifying the acute symptoms of manic episode remembered by the patients can help psychiatrists improve their ability to manage bipolar disorder. Given the importance of remembering symptoms, the aim of this study was to evaluate the ability of patients with type I bipolar disorder during the euthymic period to remember their past mania symptoms after hospital discharge. Methods: Participants were 59 patients with type I bipolar disorder admitted to Hazrat-e-Rasool-e-Akram Hospital and Iran Psychiatry Hospital in 2012. They measured by using Structured Clinical Interview for DSM-IV axis I Disorders (SCID-I) and Young Mania Rating Scale (YMRS) and their mania symptoms were recorded. Their demographic information were extracted from their medical records. Sixth months after discharge, they were evaluated again by using the 17-item Hamilton Depression Rating Scale (HRSD-17), SCID-I, YMRS, and Mini–Mental State Examination (MMSE) through face-to-face interview. To assess the agreement on the symptoms during admission and 60 months after discharge, McNemar Test and Kappa coefficients were used. Results: most common mania symptoms remembered by the patients were decreased need for sleep (91.2%), irritability (83.9%), excessive involvement in activities with a high likelihood of painful consequences (81.3%) and the least frequent remembered symptom was distractibility (17.6%). The highest positive predictive values were related to the symptoms of irritability (100%), talkativeness (100%) and decreased need for sleep (96.3%), while the highest negative predictive value was related to elevated mood (87.5%). Conclusion: management of patients with bipolar disorder, psychiatrists can trust the patients’ ability to remember the three mania symptoms including irritability, decreased need for sleep and talkativeness. Regarding the symptom of elevated mood in bipolar patients, negative response of patients can be trusted. 2934 Psychiatry and Psychology Developing the Persian Version of Positive and Negative Affect Scale for Children (Original and Short Form) and Assessing Its Psychometric Properties Lotfi Mozhgan Bahrampoori Leila Amini Mahdi Fatemitabar Reyhane Birashk Behrooz Shiasi Yasaman Department of Mental Health, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran. Azad University, Science and Research Branch, Tehran, Iran. Department of Addiction, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran. Azad University, Science and Research Branch, Tehran, Iran. Department of Clinical Psychology, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran. Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. 1 1 2020 25 4 440 453 31 10 2018 13 07 2019 Objectives: This study aimed to develop and validate the Persian version of original and short forms of Positive and Negative Affect Schedule for Children (PANAS-C) and evaluates its psychometric properties. Methods: The is a cross-sectional study conducted on male and female students of public elementary and secondary schools in Tehran, Iran in the academic year 2017-2018. The samples were 412 students (56.8% female) selected using cluster sampling method. The data collection tools included PANAS-C, Emotion Regulation Questionnaire For Children And Adolescents (ERQ-CA), Children's Depression Inventory (CDI) and Spence Children's Anxiety Scale (SCAS). Data analysis were performed in SPSS v.20 using descriptive and inferential statistics (exploratory factor analysis, Cronbach's alpha and Pearson correlation test). Results: The factor analysis revealed that the two factors (Positive and Negative Affect) for original and short forms of PANAS-C. Cronbach's alpha for the total items of original and short forms were 0.85 and 0.81, respectively Moreover, the correlation of positive and negative affects with reappraisal and suppression strategies, anxiety disorders (except obsessive-compulsive) and depression was significant (P= 0.01, and 005).  Conclusion: The Persian version of both original and short forms of PANAS-C had good psychometric properties and it can be used for research and evaluation of positive and negative affect in Iranian children and adolescents. 2932 Psychiatry and Psychology Developing the Persian Version of Yale Food Addiction Scale and Assessing Its Psychometric Properties Panahi Ahmad Haghayegh Sayed Abbas Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran. Department of Psychology, Najafabad Branch, Islamic Azad University, Najafabad, Iran. 1 1 2020 25 4 454 471 27 10 2018 10 06 2019 Objectives: Food addiction is a common mental disorder that can cause several problems in the physical health, psychological function and life quality. The aim of this study was to develop and validate the Persian version of Yale Food Addiction Scale (YFAS) on people with food addiction. Methods: In this descriptive cross-sectional study, 98 people with food addiction referred to the Novin Food Center in Isfahan, Iran and 67 healthy people were participated in this study who were selected using convenience sampling technique from February to May 2018. Data collection tools were a demographic form and 25-item YFAS. Collected data were analyzed in AMOS v.18 and SPSS v.24. Results: The results of confirmatory factor analysis showed that the model had a good fit and hence, the Persian YFAS had good construct validity. According to the results of ANOVA, there was a significant difference between the study groups in terms of the YFAS subscales (p>0.05). The coefficients of Cronbach’s alpha and Guttman split-half were higher than 0.7 in all subscales except for the withdrawal subscale. Conclusion: The Persian version of YFAS had good reliability and validity, and can be used in evaluating food addiction for clinical and research purposes. 3117 Psychiatry and Psychology Management of Attention Deficit Hyperactivity Disorder in Children and Adolescents: A National Clinical Guideline Hakim Shsooshtari Mitra Shariati Behnam Kamalzadeh Leila Bolhari Jafar Memaryan Nadereh Jalali Nadoushan Amir Hossein Davari Rozita Razjouyan Katayoun Psychiatrist, Mental Health Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Psychiatrist, Mental Health Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Psychiatrist, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran. Psychiatrist, Mental Health Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Assistant Professor of Community Medicine, Department of Mental Health, Spiritual Health Research Center, School of Behavioral Sciences and Mental Health (Tehran Institute of Psychiatry), Iran University of Medical Sciences, Tehran, Iran. Psychiatrist, Mental Health Research Center, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. Psychiatrist, Behavioral Sciences Research Center, Department of Psychiatry, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Psychiatrist, Behavioral Sciences Research Center, Department of Psychiatry, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 1 1 2020 25 4 472 479 25 10 2019 27 12 2019 One of the best approaches for evidence-based care is providing and using the guidelines. Observing these guidelines results in a better quality of health care, decreased unnecessary or harmful interventions, lower health costs, and an increase in patients’ satisfaction. Management of Attention Deficit Hyperactivity Disorder (ADHD)-1 in children and adolescents is a guideline published after 6 years of research and review of resources in the domain of treatment of ADHD. A research team formed in Iran University of Medical Sciences provided this guideline by addressing reliable references and observing a scientific approach. This guideline is provided with respect to the present resources for the standard treatment of ADHD in our country. To prepare this guideline, this research team considered the most recent and strict version of the writing method in the treatment section of Health, Treatment, and Education Ministry. Although the present guideline has some shortcomings, it is a turning point in the history of the development of health care. It presents a systematic approach in the treatment of such disorder, one of the most prevalent disorders in child psychiatry. The colleagues and treatment centers can help such an issue by applying this guideline.