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حفظ شأن علمی زبان فارسی به‌عنوان زبان تفکر، فرهنگ وتاریخ Preserving the Scientific Dignity of the Persian Language as the Language of People With Rich Culture and History 1 1 هویت در طول زمان و درگروه‌های مختلف مردم تغییر می‌کند. مؤلفه‌های بسیاری در شکل‌گیری هویت ملی ایرانی دخیل هستند که یکی از اصلی‌ترین آن‌ها زبان فارسی است. زبان در هر کشوری و زبان فارسی در ایران وسیله‌ای برای اندیشیدن است. آنچه مشخصه فرهنگ ایرانی است، فکر، معارف و ادب ایرانی می‌باشد که تحصیل آن در دامن ادبیات و علوم انسانی و به زبان فارسی ممکن می‌شود. در کنار احترام و ارتقای زبان‌های بومی، ایرانی بودن مستلزم ایرانی اندیشیدن است. به‌عبارتی به زبان فارسی اندیشیدن راهی برای معرفت پیدا کردن به فرهنگ ایرانی تلقی می‌شود. توجه به شأن و جایگاه زبان دارای اهمیت بالایی می‌باشد. یکی از شئون زبان، شأن علمی، آموزشی و دینی آن است. زبان بیانگر هویت یک ملت است و در اصل نماد هویت ملی تعریف می‌شود. به‌گونه‌ای که در برنامه‌ریزی زبان، کسب هویت غایت اصلی است. برخی اندیشمندان زبان را به منزله کلید نجات حتی برای ملت‌های شکست‌خورده می‌دانند.  2 Language is one of the most important parts of any culture. Persian language is one of the main components of the Iranian culture. Learning Persian language is a way for understanding Iranian culture and history. Like other languages in the world, It is crucial to pay attention and preserve all aspects of Persian language including scientific, educational and religious. All cultural institutions in Iran including the Academy of Persian Language and Literature and important people such as the leader of the Islamic Republic of Iran have strongly emphasized that “Persian language should be expanded and its cultural influence in the world should be increased”. They emphasize “writing in Persian”, “creating words in Persian” ,”creating terms in Persian”, and “publishing scientific works in Persian”. Publication of scientific works in Persian can lead to the enrichment of the Persian language and reading by more people and contribute to improving the dissemination of scientific information in society particularly in human sciences. 404 409 2022/08/5 1401/5/14 2023/03/1 1401/12/10 محمد باقر صابری زفرقندی Mohammad Bagher Saberizafarghandi گروه اعتیاد، دانشکده علوم رفتاری و سلامت روان (انستیتو روان پزشکی تهران)، دانشگاه علوم پزشکی ایران، تهران، ایران. Iran saberi.mb@iums.ac.ir Razi Research Festival Persian language Iranian culture and thought Iranian Journal of Psychiatry and Clinical Psychology شان زبان فارسی فصلنامه روان پزشکی وروان شناسی جشنواره رازی حفظ زبان فارسی Davari Ardakani, N. [Symbols of Iranian identity and Persian language (Persian)]. National Studies. 2007; 8(2):3-26. [Link]##Yousefi, Gh. [Persian language, the foundation of our thought and culture (Persian)]. Yaghma. 1972; 2(25):65-71. [Link]##Rahimpour A, Nourozi S. [Farsi language in the words of the supreme leader, Imam Khamenei (Persian)]. Baharestan. 2018; 38:193-210. [Link]##Mohseni Sh. [History of Tehran Psychiatric Institute (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2016; 22 (1):77-80. [Link]##IRNA. [The winners of the 27th Razi Medical Sciences Festival were announced (Persian)] [Internet]. 2022 [Updated 2022 February 14]. Availble from: [Link]##Fereshtehnejad SM, Motevalian SA, Moradi Lakeh M, Aghili S, Shafiee Sabet A. [Comparison of the qualitative and quantitative indexes of scientific medical journals affiliated to Iran University of Medical Sciences with Iranian Exemplary Medical Journals during 2008-2010 (Persian)]. Razi Journal of Medical Sciences. 2010; 17(77):40-54. [Link]## ##

درمان ارتباط جنسی مبتنی بر ذهن آگاهی بر کیفیت ارگاسم و عملکرد جنسی زنان مبتلا به اختلال ارگاسم: یک کارآزمایی بالینی Effect of Mindfulness Based Sexual Relationship Therapy on Orgasm Quality and Sexual Function in Women With Orgasmic Disorder: A Clinical Trial 1 1 اهداف کیفیت رابطه جنسی و به‌ویژه مرحله ارگاسم یکی از مهم‌ترین مسائل حوزه سلامت جنسی و باروری محسوب می‌شود. باتوجه‌به اهمیت مسئله و نظر به نیاز به شواهد علمی و مطالعات قابل استناد برای تدبیر مداخلات اثربخش و کارآمد، مطالعه حاضر به بررسی اثربخشی درمان ارتباط جنسی مبتنی بر ذهن آگاهی بر نشانگان اختلال در زنان مبتلا به اختلال ارگاسم می‌پردازد. مواد و روش ها این پژوهش یک مطالعه تجربی ازنوع کارآزمایی بالینی با جامعه آماری زنان متأهل ایرانی مراجعه‌کننده به کلینیک‌های دانشگاهی خانواده، اختلالات جنسی و نیز روان‌شناسی و روان‌پزشکی اجرا شده است. به منظور اجرای پژوهش، 25 نفر از زنان واجد شرایط با داشتن ملاک‌های ورود با روش دردسترس انتخاب و پس از کسب رضایت آگاهانه، پرسش‌نامه عملکرد جنسی و پرسش‌نامه محقق‌ساخته کیفیت تجربه ارگاسم تکمیل شد. سپس آموزش‌های اولیه درخصوص ساختار و عملکرد دستگاه جنسی زوجین و فرایندهای پاسخ جنسی و اختلالی که در حال حاضر با آن روبه‌رو هستند، ارائه شد و پروتکل درمان ارتباط جنسی مبتنی بر ذهن‌آگاهی در 8 جلسه برای داوطلبان اجرا شد. بررسی تغییر عملکرد جنسی و نشانگان اختلالات ارگاسم، قبل از مداخله، پس از تکمیل مداخله و 3 ماه پس از مداخله به روش تحلیل واریانس چندمتغیره ارزیابی و تحلیل شد. یافته ها در مقایسه با نتایج ثبت‌شده پیش از مداخله، درمان ارتباط جنسی مبتنی بر ذهن آگاهی را طی زمان انجام مطالعه در شرکت‌کنندگان افزایش داد و ارتباط بین درمان و زمان اثر متقابل را معنادار نشان داد. در ارزیابی تأثیر مداخله، براساس نتایج پرسش‌نامه عملکرد جنسی، تغییرات عملکرد جنسی تفاوت معنا‌دار پیدا کرد (F(2, 22)=195/95, P<0/0001). نتایج حاصل از تحلیل پرسش‌نامه محقق‌ساخته (F(2, 22)=330/97, P<0/0001)، ابزار سنجش نمره ارگاسم (F(2, 22)=352/28, P<0/0001) و نیز ارزیابی تعداد دفعات روابط جنسی در ماه (F(2, 22)=183/15, P<0/0001) نیز اختلاف معنادار در بهبود نشانگان اختلالات ارگاسم را نشان دادند. نتیجه گیری باتوجه‌به نتایج مطالعه، به نظر می‌رسد روش‌های درمانی که بتواند ذهن فرد را بر فرایند تجربه جنسی متمرکز کند، در بهبود و درمان اختلالات جنسی از جمله اختلال ارگاسم مؤثر باشد. 2 Objectives The quality of sexual function, especially orgasm, is one of the most important issues related to sexual health and fertility. The present study aims to investigate the effect of mindfulness-based sex therapy on orgasm quality and sexual function of women with orgasm disorder. Methods This is a clinical trial. Participants were 25 Iranian married women referred to clinics of family therapy, sex therapy, and psychiatry in Tehran, Iran who were selected by a convenience sampling method. After obtaining informed consent, they completed the sexual function questionnaire and a researcher-made questionnaire on orgasm quality. Then, education in about the structure and performance of sexual system and sexual response processes were given to them and received the mindfulness-based sex therapy at 8 sessions before, immediately after, and three months after the intervention. The data were compared using multivariate analysis of covariance (MANOVA). Results The interventions improved orgasm quality and sexual function, and the interaction effect of treatment and time was significant. Results of MANOVA showed a significant difference in sexual function (F(2,22)=195.95, P<0.0001), orgasm quality (F(2,22)=330.97, P<0.0001), number of orgasms per month (F(2,22)=352.28, P<0.0001) and number of sexual intercourses per month (F(2,22)=183.15, P<0.0001) over time.  Conclusion It seems that mindfulness-based sex therapy is effective in improving sexual function and treating orgasmic disorders in women. 410 423 2022/08/52022/10/5 1401/7/13 2023/03/12022/10/16 1401/7/24 مهرداد کاظم زاده عطوفی Mehrdad Kazemzadeh Atoofi گروه روانشناسی بالینی، دانشکده پزشکی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز. دانشکده علوم رفتاری و سلامت روان، دانشگاه علوم پزشکی ایران، تهران، ایران. Iran atoofi.m@iums.ac.ir قاسم نظیری Ghasem Naziry گروه روانشناسی بالینی، دانشکده پزشکی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران. Iran parvaznoor0465@gmail.com مسعوذ محمدی Masood Mohammadi گروه روانشناسی بالینی، دانشکده پزشکی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران. Iran mmohamadis@yahoo.com ساره بهزادی پور Sareh Behzadipour گروه روانشناسی بالینی، دانشکده پزشکی، واحد شیراز، دانشگاه آزاد اسلامی، شیراز، ایران. Iran sarebehzadi@gmail.com Mindfulness Orgasm Sex Sex Therapy Sexual Dysfunction ذهن آگاهی ارگاسم رابطه جنسی درمان‌های جنسی اختلال عملکرد جنسی Bagherzadeh R, Sohrabineghad R, Gharibi T, Mehboodi F, Vahedparast H. Effect of mindfulness-based stress reduction training on revealing sexual function in Iranian women with breast cancer. Sexuality and Disability. 2021; 39(1):67-83. [DOI:10.1007/s11195-020-09660-1]##Johnson SM, Simakhodskaya Z, Moran M. Addressing issues of sexuality in couples therapy: Emotionally focused therapy meets sex therapy. Current Sexual Health Reports. 2018; 10(2):65-71. [Link]##Hamid N, Dehghanizadeh Z, Firuzi AA. [Effects of cognitive-behavioral therapy on sexual function in women with vaginismus disorder (Persian)]. Iranian Journal of Obstetrics, Gynecology and Infertility. 2012; 15(20):1-11. [Link]##Abedi Shargh N, Bakhshani NM, Mohebbi MD, Mahmudian K, Ahovan M, Mokhtari M, et al. The effectiveness of mindfulness-based cognitive group therapy on marital satisfaction and general health in woman with infertility. Global Journal of Health Science. 2015; 8(3):230-5. [DOI:10.5539/gjhs.v8n3p230] [PMID] [PMCID]##Kajbaf M. [The effectiveness of cognitive-behavioral therapy on the sexual temperament of Afghan women (employed and educated in Iranian universities) (Persian)]. Family and Sexual Health. 2021; 2(1):17-28. [DOI:10.52547/fash.2.1.17]##Brown KW, Ryan RM. The benefits of being present: Mindfulness and its role in psychological well-being. Journal of Personality and Social Psychology. 2003; 84(4):822-48. [DOI:10.1037/0022-3514.84.4.822] [PMID]##Adam F, Géonet M, Day J, De Sutter P. Mindfulness skills are associated with female orgasm? Sexual and Relationship Therapy. 2015; 30(2):256-67. [DOI:10.1080/14681994.2014.986085]##Smedley DK, Leavitt CE, Allsop DB, Nance M, James SL, Holmes EK. Mindfulness and sexual mindfulness as moderators between conflict resolution and sexual and relationship satisfaction. Journal of Sex & Marital Therapy. 2021; 47(8):814-28. [DOI:10.1080/0092623X.2021.1958962] [PMID]##Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist. 2000; 55(1):68-78. [DOI:10.1037/0003-066X.55.1.68] [PMID]##Sheybani F, Dabaghi P, Najafi S, Rajaeinejad M. [Effectiveness of Mindfulness-Based Stress Reduction (MBSR) on pain intensity, anxiety, depression and quality of life of patients with chronic pain (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2022; 28(2):182-95. [DOI:10.32598/ijpcp.28.2.1627.2]##Jaderek I, Lew-Starowicz M. A systematic review on mindfulness meditation-based interventions for sexual dysfunctions. The Journal of Sexual Medicine. 2019; 16(10):1581-96. [DOI:10.1016/j.jsxm.2019.07.019] [PMID]##Kabat-Zinn J. Mindfulness for beginners. In: Schwartz DG, editor. Reclaiming the present moment-and your life. Colorado: Sounds True; 2012. [Link]##Kabat-Zinn J. Mindfulness. Mindfulness. 2015; 6(6):1481-3. [Link]##Park T, Reilly-Spong M, Gross CR. Mindfulness: A systematic review of instruments to measure an emergent patientreported outcome (PRO). Quality of Life Research. 2013; 22(10):2639-59.[DOI:10.1007/s11136-013-0395-8] [PMID] [PMCID]##Visted E, Vøllestad J, Nielsen MB, Nielsen GH. The impact of group-based mindfulness training on self-reported mindfulness: A systematic review and meta-analysis. Mindfulness. 2015; 6(3):501-22. [Link]##Chiesa A, Serretti A. Mindfulness based cognitive therapy for psychiatric disorders: A systematic review and meta-analysis. Psychiatry Research. 2011; 187(3):441-53. [DOI:10.1016/j.psychres.2010.08.011] [PMID]##Hosein Esfand Zad A, Shams G, Pasha Meysami A, Erfan A. [The role of mindfulness, emotion regulation, distress tolerance and interpersonal effectiveness in predicting obsessive-compulsive symptoms (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2017; 22(4):270-83. [DOI:10.18869/nirp.ijpcp.22.4.270]##Fjorback LO, Arendt M, Ornbøl E, Fink P, Walach H. Mindfulness-based stress reduction and mindfulness-based cognitive therapy: A systematic review of randomized controlled trials. Acta Psychiatrica Scandinavica. 2011; 124(2):102-19. [DOI:10.1111/j.1600-0447.2011.01704.x] [PMID]##Warne RT. A primer on multivariate analysis of variance (MANOVA) for behavioral scientists. Practical Assessment, Research & Evaluation. 2014; 19(17):1-10. [Link]##Stevens JP. Applied multivariate statistics for the social sciences. New York: Routledge; 2012. [DOI:10.4324/9780203843130]##Carson JW, Carson KM, Gil KM, Baucom DH. Mindfulness-based relationship enhancement (MBRE) in couples. In: Baer RA, editor. Mindfulness-based treatment approaches: Clinician’s guide to evidence base and applications. Elsevier Science; 2015. [Link]##Farajkhoda T, Sohran F, Molaeinezhad M, Fallahzadeh H. The effectiveness of mindfulness-based cognitive therapy consultation on improving sexual satisfaction of women in reproductive age: A clinical trial study in Iran. Journal of Advanced Pharmacy Education & Research. 2019; 9(S2):151-60. [Link]##Fard R, Kalantarkousheh M, Faramarzi M. Effect of mindfulness-based cognitive infertility stress therapy on psychological well-being of women with infertility. Middle East Fertility Society Journal. 2018; 23(4):476-81. [DOI:10.1016/j.mefs.2018.06.001]##Helgadóttir FD, Menzies RG, Onslow M, Packman A, O’Brian S. A standalone Internet cognitive behavior therapy treatment for social anxiety in adults who stutter: CBTpsych. Journal of Fluency Disorders. 2014; 41:47-54. [DOI:10.1016/j.jfludis.2014.04.001]##Helgadóttir FD. Internet-based mindfulness therapy for social anxiety and negative future thoughts in adults with stuttering. Journal of Fluency Disorders. 2019; 12:241-59.##Moghadam NK, Kazerooni G. A study of mindfulness-based stress reduction’s effectiveness on marital satisfaction in women. International Journal of Health Studies. 2017; 3(1):1-4. [Link]##Bakhtiari M, Sheydaei H, Bahreynian SA, Nori M. [The effect of cognitive-behavioral therapy on sexual desire and marital satisfaction (Persian)]. Journal of Behavioral Thought. 2014; 9(36):7-16. [Link]##Mauvais-Jarvis F, Merz NB, Barnes PJ, Brinton RD, Carrero JJ, DeMeo DL, et al. Sex and gender: Modifiers of health, disease, and medicine. The Lancet. 2020; 396(10250):565-82. [DOI:10.1016/S0140-6736(20)31561-0]##Brotto LA, Heiman JR. Mindfulness in sex therapy: Applications for women with sexual difficulties following gynecologic cancer. Sexual and Relationship Therapy. 2007; 22(1):3-11. [DOI:10.1080/14681990601153298]## ##

بررسی تأثیر فعالیت باغبانی بر روی علائم افسردگی خفیف تا متوسط: یک کار‌آزمایی کنترل‌شده‌ تصادفی Effects of Horticultural Activities on Mild to Moderate Depression Symptoms: A Randomized Controlled Trial 1 1 اهداف این مطالعه با هدف ارزیابی اثربخشی شرکت در فعالیت باغبانی بر تغییرات شدت علائم افسردگی در افراد دچار علائم افسردگی خفیف تا متوسط طراحی شد. مواد و روش ها در این کار‌آزمایی کنترل‌شده تصادفی 102 نفر که واجد معیارهای ورود به مطالعه بودند به‌صورت تصادفی به 2 گروه آزمایش (51 نفر) و کنترل ( 51 نفر) تقسیم شدند. هر 2 گروه کار‌برگ آموزشی درمان افسردگی شامل فعال‌سازی رفتار، جدول فعالیت‌های روزانه، دستورالعمل باز‌آموزی تنفس و دستورالعمل آرام‌سازی را دریافت کردند و افراد گروه آزمایش علاوه‌بر‌آن در برنامه فعالیت باغبانی شامل گل‌کاری و سبزی‌کاری در فضای بسته گلخانه به‌صورت 3 ساعت در هفته به‌مدت 6 هفته شرکت کردند. هر 2 گروه پیش از شروع مطالعه و سپس در پایان مداخله و 4 هفته پس از اتمام مداخله، با پرسش‌نامه افسردگی بک، ویرایش دوم ارزیابی شدند. داده‌ها به‌روش تحلیل واریانس تجزیه‌وتحلیل شدند. یافته ها نتایج تجزیه‌و‌تحلیل داده‌ها نشان داد شدت علائم افسردگی در گروه آزمایش نسبت به گروه کنترل در پایان مداخله به میزان 5/68 نمره 0/001=P و در پیگیری 4 هفته پس از پایان مداخله به میزان 2/32 نمره P=0/016 به شکل معنا‌داری کاهش یافته است. نتیجه گیری نتایج مطالعه مؤید آن است که فعالیت باغبانی می‌تواند بر کاهش شدت علائم افسردگی مؤثر باشد. 2 Objectives This study was designed to evaluate the effect of participating in horticultural activities on changes in the severity of depression symptoms in adults with mild-to-moderate depression symptoms. Methods In this non-blinded, randomized controlled trial, 102 eligible participants were assigned randomly to the experimental and control groups (51 members each). The inclusion criteria were as follows: age of 18 years or more, mild-to-moderate depression symptoms, and willingness to participate in the study. However, the exclusion criteria were physical or mental diseases limiting horticultural activities and using antidepressants. Both groups received educational worksheets, including behavioral activation, daily activity schedules, breathing training, and relaxation instructions. Moreover, the experimental group participated in weekly three-hour horticultural program sessions for six weeks. The severity of depression symptoms was then appraised at baseline, at the end of the intervention, and four weeks after the end of the intervention through the Beck depression inventory-II (BDI-II). The repeated-measures ANOVA was used for data analysis. Results The results revealed that the mean BDI-II scores in the horticultural group declined by 5.68 (P=0.001) and 2.32 (P=0.016) points more than the control group at the end of the intervention and four weeks later, respectively. Conclusion This study indicated that horticultural activity might mitigate the severity of depression symptoms.  424 441 2022/08/52022/10/52022/08/21 1401/5/30 2023/03/12022/10/162023/02/27 1401/12/8 فرانس میناگر France Minagar گروه پزشکی اجتماعی و خانواده، دانشکده پزشکی، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran francemina@yahoo.com مسعود احمدزاد اصل Masoud Ahmadzad-Asl گروه روانپزشکی، مرکز دانش سلامت سانی بروک، دانشکده پزشکی تمرتی، دانشگاه تورنتو، تورنتو، کانادا. Canada m.ahmadzad@gmail.com آرش طهرانی بنی هاشمی Arash Tehrani Bani Hashemi گروه پزشکی اجتماعی و خانواده، مرکز تحقیقات طب پیشگیری و سلامت جمعیت، پژوهشکده سلامت روانی اجتماعی، دانشکده پزشکی، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran tehranib@gmail.com بتول طایفی Batool Tayefi گروه پزشکی اجتماعی و خانواده، مرکز تحقیقات طب پیشگیری و سلامت جمعیت، پژوهشکده سلامت روانی اجتماعی، دانشکده پزشکی، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran tayefib@yahoo.com نسیم محبت Nassim Mohabbat گروه مهندس کشاورزی-گیاه‌پزشکی، مرکز تحقیقات و آموزش گل و گیاه شهرداری تهران، تهران، ایران. Iran nasimmohabat1400@gmail.com مژده رمضانی Mozhdeh Ramezani گروه پزشکی اجتماعی و خانواده، مرکز تحقیقات طب پیشگیری و سلامت جمعیت، پژوهشکده سلامت روانی اجتماعی، دانشکده پزشکی، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran ramezani.m@iums.ac.ir Depression Ecological and environmental concepts Gardening Horticultural therapy Nature افسردگی مفاهیم محیطی و اکولوژیکی باغبانی باغبانی‌درمانی طبیعت Jia H, Lubetkin EI. Incremental decreases in quality-adjusted life years (QALY) associated with higher levels of depressive symptoms for U.S. Adults aged 65 years and older. Health and Quality of Life Outcomes. 2017; 15(1):9. [DOI:10.1186/s12955-016-0582-8] [PMID] [PMCID]##Lim GY, Tam WW, Lu Y, Ho CS, Zhang MW, Ho RC. Prevalence of depression in the community from 30 countries between 1994 and 2014. Scientific Reports. 2018; 8(1):2861. [DOI:10.1038/s41598-018-21243-x] [PMID] [PMCID]##Kessler RC, Bromet EJ. The epidemiology of depression across cultures. Annual Review of Public Health. 2013; 34:119-38. [DOI:10.1146/annurev-publhealth-031912-114409] [PMID] [PMCID]##Tahan M, Saleem T, Zygoulis P, Pires LVL, Pakdaman M, Taheri H, et al. A systematic review of prevalence of depression in Iranian patients. Neuropsychopharmacologia Hungarica. 2020; 22(1):16-22. [PMID]##Ho RC, Mak KK, Chua AN, Ho CS, Mak A. The effect of severity of depressive disorder on economic burden in a university hospital in Singapore. Expert Review of Pharmacoeconomics & Outcomes Research. 2013; 13(4):549-59. [DOI:10.1586/14737167.2013.815409] [PMID]##Husk K, Lovell R, Cooper C, Garside R. Participation in environmental enhancement and conservation activities for health and well-being in adults. Cochrane Database of Systematic Reviews. 2016; 5:CD010351. [DOI:10.1002/14651858.CD010351]##Nilsson K, Sangster M, Gallis C, Hartig T, de Vries S, Seeland K, et al. Forests, trees, and human health. Berlin: Springer; 2010. [DOI:10.1007/978-90-481-9806-1]##Corazon SS, Stigsdotter UK, Moeller MS, Rasmussen SM. Nature as therapist: Integrating permaculture with mindfulness-and acceptance-based therapy in the Danish Healing Forest Garden Nacadia. European Journal of Psychotherapy & Counselling. 2012; 14(4):335-47. [DOI:10.1080/13642537.2012.734471]##Davis S. Development of the profession of horticultural therapy. In: Simpson SP, Straus MC, editors. Horticulture as therapy: Principles and practice. New York: Food Products Press; 1998. [Link]##Monroe L. Horticulture therapy improves the body, mind and spirit. Journal of Therapeutic Horticulture. 2015; 25(2):33-40. [Link]##Grahn P, Bengtsson IL, Welén-Andersson L, Lavesson L, Lindfors L, Tauchnitz F, et al. Alnarp rehabilitation garden: Possible health effects from the design, from theactivities and from the therapeutic team. Paper presented at: International Approaches to Research Excellence in Landscape and Health. 21 September 2007; Edinburgh, Scotland. [Link]##Corazon SS, Stigsdotter UK, Jensen AGC, Nilsson K. Development of the nature-based therapy concept for patients with stress-related illness at the Danish healing forest garden Nacadia. Journal of Therapeutic Horticulture. 2010; 20:33-51. [Link]##Hitter T, Kallay E, Olar LE, Ştefan R, Buta E, Chiorean S, et al. The effect of therapeutic horticulture on depression and Kynurenine pathways. Notulae Botanicae Horti Agrobotanici Cluj-Napoca. 2019; 47(3):804-12. [DOI:10.15835/nbha47311544]##Ng KST, Sia A, Ng MKW, Tan CTY, Chan HY, Tan CH, et al. Effects of horticultural therapy on Asian older adults: A randomized controlled trial. International Journal of Environmental Research and Public Health. 2018; 15(8):1705.[DOI:10.3390/ijerph15081705] [PMID] [PMCID]##Wong GCL, Ng TKS, Lee JL, Lim PY, Chua SKJ, Tan C, et al. Horticultural therapy reduces biomarkers of immunosenescence and inflammaging in community-dwelling older adults: A feasibility pilot randomized controlled trial. The Journals of Gerontology. 2021; 76(2):307-17. [DOI:10.1093/gerona/glaa271] [PMID] [PMCID]##Lee AY, Kim SO, Gim GM, Kim DS, Park SA. Care farming program for family health: A pilot study with mothers and children. International Journal of Environmental Research and Public Health. 2019; 17(1):27. [DOI:10.3390/ijerph17010027] [PMID] [PMCID]##Chen YM, Ji JY. Effects of horticultural therapy on psychosocial health in older nursing home residents: A preliminary study. The Journal of Nursing Research. 2015; 23(3):167-71. [DOI:10.1097/jnr.0000000000000063] [PMID]##Kam MCY, Siu AMH. Evaluation of a horticultural activity programme for persons with psychiatric illness. The Journal of Nursing Research. 2010; 20(2):80-6. [DOI:10.1016/S1569-18611170007-9]##Gonzalez MT, Hartig T, Patil GG, Martinsen EW, Kirkevold M. Therapeutic horticulture in clinical depression: A prospective study of active components. Journal of Advanced Nursing. 2010; 66(9):2002-13.[DOI:10.1111/j.1365-2648.2010.05383.x] [PMID]##Währborg P, Petersson IF, Grahn P. Nature-assisted rehabilitation for reactions to severe stress and/or depression in a rehabilitation garden: Long-term follow-up including comparisons with a matched population-based reference cohort. Journal of Rehabilitation Medicine. 2014; 46(3):271-6. [DOI:10.2340/16501977-1259] [PMID]##Nicholas SO, Giang AT, Yap PLK. The effectiveness of horticultural therapy on older adults: A systematic review. Journal of the American Medical Directors Association. 2019; 20(10):1351.e1-11. [DOI:10.1016/j.jamda.2019.06.021] [PMID]##Makizako H, Tsutsumimoto K, Doi T, Makino K, Nakakubo S, Liu-Ambrose T, et al. Exercise and horticultural programs for older adults with depressive symptoms and memory problems: A randomized controlled trial. Journal of Clinical Medicine. 2019; 9(1):99. [DOI:10.3390/jcm9010099] [PMID] [PMCID]##Clatworthy J, Hinds J, Camic PM. Gardening as a mental health intervention: A review. Mental Health Review Journal. 2013; 18(4):214-25. [DOI:10.1108/MHRJ-02-2013-0007]##Kamioka H, Tsutani K, Yamada M, Park H, Okuizumi H, Honda T, et al. Effectiveness of horticultural therapy: A systematic review of randomized controlled trials. Complementary Therapies in Medicine. 2014; 22(5):930-43. [DOI:10.1016/j.ctim.2014.08.009] [PMID]##Soga M, Gaston KJ, Yamaura Y. Gardening is beneficial for health: A meta-analysis. Preventive Medicine Reports. 2016; 5:92-9.[DOI:10.1016/j.pmedr.2016.11.007] [PMID] [PMCID]##Beck AT, Steer RA, Brown G. Beck depression inventory–II. Psychological Assessment. 1996. [DOI:10.1037/t00742-000]##Jackson-Koku G. Beck depression inventory. Occupational Medicine. 2016; 66(2):174-5. [DOI:10.1093/occmed/kqv087] [PMID]##Ghassemzadeh H, Mojtabai R, Karamghadiri N, Ebrahimkhani N. Psychometric properties of a Persian-language version of the Beck depression inventory--second edition: BDI-II-PERSIAN. Depression and Anxiety. 2005; 21(4):185-92. [DOI:10.1002/da.20070] [PMID]##Shakeri M, Parhoon H, Mohammadkhani SH, Hassani J, Parhoon K. [Effectiveness of meta-cognitive therapy on depressive symptoms and quality of life of patients with major depression disorder (Persian)]. Journal of North Khorasan. 2015; 7(2):235-65. [DOI:10.29252/jnkums.7.2.253]##Cuijpers P, Noma H, Karyotaki E, Vinkers CH, Cipriani A, Furukawa TA. A network meta-analysis of the effects of psychotherapies, pharmacotherapies and their combination in the treatment of adult depression. World Psychiatry. 2020; 19(1):92-107. [DOI:10.1002/wps.20701] [PMID] [PMCID]##Jabbari M, Shahidi S, Mootabi F. [Effectiveness of group intervention based on positive psychology in reducing symptoms of depression and anxiety and increasing life satisfaction in adolescent girls (Persian)]. Iranian Journal of Psychiatry & Clinical Psycology. 2015; 20(4):287-96. [Link]##Husain SF, Yu R, Tang TB, Tam WW, Tran B, Quek TT, et al. Validating a functional near-infrared spectroscopy diagnostic paradigm for Major Depressive Disorder. Scientific Reports. 2020; 10(1):9740. [DOI:10.1038/s41598-020-66784-2] [PMID] [PMCID]##Zhang Z, Olszewska-Guizzo A, Husain SF, Bose J, Choi J, Tan W, et al. Brief relaxation practice induces significantly more prefrontal cortex activation during arithmetic tasks comparing to viewing greenery images as revealed by functional near-infrared spectroscopy. International Journal of Environmental Research and Public Health. 2020; 17(22):8366. [DOI:10.3390/ijerph17228366] [PMID] [PMCID]## ##

مقایسه عملکرد جنسی، نگرانی از تصویر بدنی و عزت نفس جنسی در زنان پس از زایمان طبیعی با اپیزیوتومی و سزارین Comparison of Sexual Function, Body Image Concern, and Sexual Self-esteem in Women After Natural Childbirth With Episiotomy and Cesarean Delivery 1 1 اهداف هدف انجام پژوهش حاضر مقایسه عملکرد جنسی، تصویر بدنی و عزت نفس جنسی در زنان پس از زایمان طبیعی با اپیزیومی و سزارین بود. مواد و روش ها این پژوهش علّی‌مقایسه‌ای بود. جامعه آماری شامل کلیه زنان مراجعه‌کننده به مراکز درمانی وابسته به دانشگاه علوم‌پزشکی تهران در سال ۱۴۰۱ بود که 200 نفر (100 زن با زایمان طبیعی به روش اپیزیومی و 100 زن با زایمان سزارین) از آن‌ها به‌روش در دسترس به‌عنوان نمونه انتخاب شدند. برای جمع‌آوری اطلاعات، از شاخص عملکرد جنسی زنان، سیاهه نگرانی د‌رمورد تصویر بدنی و شاخص عزت ‌نفس جنسی استفاده شد. داده‌ها با روش آماری آزمون تی مستقل و تحلیل واریانس چند‌متغیره تحلیل شدند. یافته ها یافته‌ها نشان داد عملکرد جنسی و عزت ‌نفس جنسی در زنان با زایمان طبیعی به روش اپیزیومی و سزارین تفاوت معناداری در سطح (0/05=‌P) وجود داشت؛ به‌گونه‌ای‌که زنان با زایمان طبیعی به‌روش اپیزیومی با وجود اختلال عملکرد جنسی کمتر، عزت ‌نفس جنسی پایین‌تری را نسبت به زنان با زایمان سزارین از خود نشان دادند. همچنین نتایج نشان داد اگرچه هر 2 گروه نگرانی از تصویر بدنی را تجربه کرده‌اند، اما تفاوت معناداری بین آن‌ها در نمره کل نگرانی از تصویر بدنی وجود نداشت (0/05=P). با‌این‌حال بین 2 گروه در زیر مؤلفه رضایت ظاهری تفاوت معناداری در سطح 0/05 وجود داشت. به این صورت که زنان با زایمان طبیعی از رضایت ظاهری کمتری نسبت به زنان با زایمان سزارین برخوردار بودند.  نتیجه گیری شواهد حاکی از آن است که هرچند زنان با زایمان طبیعی به‌روش اپیزیومی اختلال عملکرد جنسی پایین‌تری را نسبت به زنان با زایمان سزارین تجربه می‌کنند، اما در‌عین‌حال از عزت نفس جنسی پایین‌تر و همچنین رضایت ظاهری کمتری نسبت به زنان با زایمان سزارین برخوردار بودند. 2 Objectives The purpose of this study was to compare sexual function, body image concern, and sexual self-esteem in women after natural delivery with episiotomy and cesarean delivery.  Methods This research was causal-comparative. The statistical population included all women referring to medical centers affiliated with the Tehran University of Medical Sciences in 2021, of whom 200 participants (100 women with natural delivery and 100 women with cesarean delivery) were selected as a sample using the available sampling method. The female Sexual Function Index, Body Image Concern Inventory, and Sexual Self-Esteem Index were used to collect the data. The data were analyzed via independent t-test and multivariate analysis of variance. Results The results showed a significant difference between sexual function and sexual self-esteem in women with a natural delivery and cesarean delivery (P=0.05). In addition, although both groups experienced body image concerns, no significant difference was found between the scores in the two groups (P=0.05).  Conclusion The evidence indicates that although women with natural delivery experience better sexual function than women with cesarean delivery, they may suffer from lower sexual self-esteem and appearance dissatisfaction compared to the other group. 442 459 2022/08/52022/10/52022/08/212022/12/13 1401/9/22 2023/03/12022/10/162023/02/272023/03/19 1401/12/28 مهین نوروزی دشتکی Mahin Noroozi Dashtaki گروه مشاوره خانواده، دانشکده روانشناسی و علوم تربیتی، دانشگاه شهید بهشتی، تهران ایران. Iran noroozimahin@yahoo.com مونا باغبانی نادر Mona Baghbani Nader گروه مشاوره خانواده، دانشکده روانشناسی و علوم تربیتی، دانشگاه شهید بهشتی، تهران ایران. Iran monabaqebani@gmail.com علی حسین زاده اسکوئی Ali Hosseinzadeh Oskouei گروه روانشناسی بالینی، دانشکده پزشکی، دانشگاه علوم‌پزشکی شهید بهشتی، تهران ایران. Iran hosseinzadeh.aliso@gmail.com. محمد صادق زمانی زارچی Mohammad Sadegh Zamani Zarchi گروه مشاوره، دانشکده روانشناسی و علوم تربیتی، دانشگاه خوارزمی، تهران ایران. Iran Zamani.1370@yahoo.com امیرسام کیانی مقدم Amir Sam Kianimoghadam گروه روانشناسی بالینی، دانشکده پزشکی، دانشگاه علوم‌پزشکی شهید بهشتی، تهران ایران. Iran kianimoghadam@sbmu.ac.ir Body image Postpartum Self-esteem Sexual Women تصویر بدن پس از زایمان عزت نفس جنسی زنان Boerma T, Ronsmans C, Melesse DY, Barros AJD, Barros FC, Juan L, et al. Global epidemiology of use of and disparities in caesarean sections. Obstetrical & Ynecological Survey. 2019; 74(3):135-7. [DOI:10.1097/01.ogx.0000553986.21678.95]##Euro-Peristat Project. European perinatal health report: Health and care of pregnant women and babies in Europe in 2010. Paris: Euro-Peristat; 2013. [Link]##Pourshirazi M, Heidarzadeh M, Taheri M, Esmaily H, Babaey F, Talkhi N, et al. Cesarean delivery in Iran: A population-based analysis using the Robson classification system. BMC Pregnancy and Childbirth. 2022; 22(1):185. [DOI:10.1186/s12884-022-04517-1] [PMID] [PMCID]##Sandall J, Tribe RM, Avery L, Mola G, Visser GH, Homer CS, et al. Short-term and long-term effects of caesarean section on the health of women and children. Lancet. 2018; 392(10155):1349-57. [DOI:10.1016/S0140-6736(18)31930-5] [PMID]##Leeman L, Rogers R, Borders N, Teaf D, Qualls C. The effect of perineal lacerations on pelvic floor function and anatomy at 6 months postpartum in a prospective cohort of nulliparous women. Birth. 2016; 43(4):293-302. [DOI:10.1111/birt.12258] [PMID] [PMCID]##Kearney L. P51 - factors associated with spontaneous vaginal birth in nulliparous women at term: A systematic review. Women and Birth. 2022; 35(1):58. [DOI:10.1016/j.wombi.2022.07.166]##Zielinski R, Kane Low L, Smith AR, Miller JM. Body after baby: A pilot survey of genital body image and sexual esteem following vaginal birth. International Journal of Women's Health. 2017; 9:189-98. [DOI:10.2147/IJWH.S123051] [PMID] [PMCID]##Alp Yilmaz F, Avci D, Arzu Aba Y, Ozdilek R, Dutucu N. Sexual dysfunction in postpartum turkish Women: It's relationship with depression and some risk factors. African Journal of Reproductive Health. 2018; 22(4):54-63. [DOI:10.29063/ajrh2018/v22i4.6] [PMID]##Sharifzadeh M, Navininezhad M, Keramat A. Investigating the relationship between self-esteem and postpartum blues among delivered women. Journal of Research in Medical and Dental Sciences. 2018; 6(3): 357-62. [Link]##Banaei M, Moridi A, Dashti S. Sexual dysfunction and its associated factors after delivery: Longitudinal study in Iranian women. Materia Socio-Medica. 2018; 30(3):198-203.[DOI:10.5455/msm.2018.30.198-203] [PMID] [PMCID]##Mc Bride HL, Kwee JL. Sex after baby: Women’s sexual function in the postpartum period. Current Sexual Health Reports. 2017; 9(3):142-9. [DOI:10.1007/s11930-017-0116-3]##Gutzeit O, Levy G, Lowenstein L. Postpartum female sexual function: Risk factors for postpartum sexual dysfunction. Sexual Medicine. 2020; 8(1):8-13. [DOI:10.1016/j.esxm.2019.10.005] [PMID] [PMCID]##Rezaei N, Azadi A, Sayehmiri K, Valizadeh R. Postpartum sexual functioning and its predicting factors among Iranian women. The Malaysian Journal of Medical Sciences. 2017; 24(1):94-103. [DOI:10.21315/mjms2017.24.1.10] [PMID] [PMCID]##Akbarinejad Z, Alidoosti K, Ghorashi Z, Asadollahi Z. [The effect of psychoeducational group counseling on postnatall sexual intimacy of lactating women referring to urban health centers in Rafsanjan city: An educational trial (Persian)]. Journal of Rafsanjan University of Medical Sciences. 2020; 18(10): 969-84. [Link]##Sahin E, Erenel AS. A study examining women’s sexual function in twelve months postpartum. Medicine Science International Medical Journal. 2019; 8(1):148-53. [DOI:10.5455/medscience.2018.07.8953]##Mahmodiyan A, Kazemi S, Ghojazade M. [Comparison of sexual problems during the first 6 month after normal vaginal delivery and cesarean in nulliparous women referred to health centers of Ramsar in 2014-2015 (Persian)]. Iranian Journal of Obstetrics, Gynecology and Infertility. 2017; 20(5):7-14. [DOI:10.22038/ijogi.2017.9075]##Barbara G, Pifarotti P, Facchin F, Cortinovis I, Dridi D, Ronchetti C, et al. Impact of mode of delivery on female postpartum sexual functioning: Spontaneous vaginal delivery and operative vaginal delivery vs. Cesarean section. The Journal of Sexual Medicine. 2016; 13(3):393-401. [DOI:10.1016/j.jsxm.2016.01.004] [PMID]##Saydam BK, Demireloz Akyuz M, Sogukpinar N, Ceber Turfan E. Effect of delivery method on sexual dysfunction. The Journal of Maternal-Fetal & Neonatal Medicine. 2019; 32(4):568-72. [DOI:10.1080/14767058.2017.1387243] [PMID]##Chang SR, Chen KH, Ho HN, Lai YH, Lin MI, Lee CN, et al. Depressive symptoms, pain, and sexual dysfunction over the first year following vaginal or cesarean delivery: A prospective longitudinal study. International Journal of Nursing Studies. 2015; 52(9):1433-44. [DOI:10.1016/j.ijnurstu.2015.04.019] [PMID]##Kahramanoglu I, Baktiroglu M, Hamzaoglu K, Kahramanoglu O, Verit FF, Yucel O. The impact of mode of delivery on the sexual function of primiparous women: A prospective study. Archives of Gynecology and Obstetrics. 2017; 295(4):907-16. [DOI:10.1007/s00404-017-4299-7] [PMID]##Fan D, Li S, Wang W, Tian G, Liu L, Wu S, et al. Sexual dysfunction and mode of delivery in Chinese primiparous women: A systematic review and meta-analysis. BMC Pregnancy and Childbirth. 2017; 17(1):408. [DOI:10.1186/s12884-017-1583-2] [PMID] [PMCID]##Aksoy Derya Y, Gök Uğur H, Özşahin Z. Effects of demographic and obstetric variables with body image on sexual dysfunction in pregnancy: A cross-sectional and comparative study. International Journal of Nursing Practice. 2020; 26(3):e12829. [DOI:10.1111/ijn.12829] [PMID]##Gündüz A, Topçuoğlu V, Usta Gündüz EB, Ergun T, Gençosmanoğlu DS, Sungur MZ. Significant effects of body image on sexual functions and satisfaction in psoriasis patients. Journal of Sex & Marital Therapy. 2020; 46(2):160-9. [DOI:10.1080/0092623x.2019.1654582] [PMID]##Neumark-Sztainer D, Watts AW, Rydell S. Yoga and body image: How do young adults practicing yoga describe its impact on their body image? Body Image. 2018; 27:156-68.[DOI:10.1016%2Fj.bodyim.2018.09.001] [PMID] [PMCID]##Jones A, Ramseyer Winter V, Pekarek E, Walters J. Binge drinking and cigarette smoking among teens: Does body image play a role? Children and Youth Services Review. 2018; 91:232-6. [DOI:10.1016/j.childyouth.2018.06.005]##Rodgers RF, O'Flynn JL, Bourdeau A, Zimmerman E. A biopsychosocial model of body image, disordered eating, and breastfeeding among postpartum women. Appetite. 2018; 126:163-8.[DOI:10.1016/j.appet.2018.04.007] [PMID]##Kaur A, Sagar N, Mamta. Assess the attitude of women regarding body image during pregnancy and post-partum period. International Journal of Health Sciences and Research. 2018; 8(3):193-8. [Link]##Tylka TL, Wood-Barcalow NL. What is and what is not positive body image? Conceptual foundations and construct definition. Body Image. 2015; 14:118-29. [DOI:10.1016/j.bodyim.2015.04.001] [PMID]##Tugut N, Tugut F, Ata E. Assessment of body image and quality of sexual life of women using intraoral prosthesis: A follow-up study. Sexuality and Disability. 2015; 33(3):375-84. [DOI:10.1007/s11195-015-9407-7]##Rowlands IJ, Redshaw M. Mode of birth and women's psychological and physical wellbeing in the postnatal period. BMC Pregnancy and Childbirth. 2012; 12:138. [DOI:10.1186/1471-2393-12-138] [PMID] [PMCID]##Tavakoli M, Hasanpoor-Azghady SB, Farahani LA. Predictors of mothers' postpartum body dissatisfaction based on demographic and fertility factors. BMC Pregnancy and Childbirth. 2021; 21(1):8. [DOI:10.1186/s12884-020-03501-x] [PMID] [PMCID]##Pasupuleti S, Kumar MS. Comparison of body image dissatisfaction in postpartum mothers after normal and caesarean delivery. Indian Journal of Private Psychiatry. 2020; 14(1):11-5.[DOI:10.5005/jp-journals-10067-0056]##Youseflu S, Rostami F, Yousefi Afrashteh M, Bayat Z, Rastegari L. The effect of body image satisfaction on women’s sexual function in postpartum period. Preventive Care in Nursing & Midwifery Journal. 2019; 8(4):27-31. [DOI:10.29252/pcnm.8.4.27]##Pollack J, Nordenstam J, Brismar S, Lopez A, Altman D, Zetterstrom J. Anal incontinence after vaginal delivery: A five-year prospective cohort study. Obstetrics and Gynecology. 2004; 104(6):1397-402. [DOI:10.1097/01.aog.0000147597.45349.e8] [PMID]##Latifnejad-Roudsari R, Zakerihamidi M, Merghati-Khoei E, Kazemnejad A. Cultural perceptions and preferences of Iranian women regarding cesarean delivery. Iranian Journal of Nursing and Midwifery Research. 2014; 19(7 Suppl 1):S28-36. [PMID] [PMCID]##Abbaspoor Z, Moghaddam-Banaem L, Ahmadi F, Kazemnejad Lili A. Postnatal sexual concerns regarding the selection of delivery mode among Iranian women: A qualitative content analysis. Journal of Midwifery and Reproductive Health. 2016; 4(2):613-21. [DOI:10.22038/jmrh.2016.6892]##Shams-Ghahfarokhi Z, Khalajabadi-Farahani F. Intention for cesarean section versus vaginal delivery among pregnant women in Isfahan: Correlates and determinants. Journal of Reproduction & Infertility. 2016 ; 17(4):230-9. [PMID] [PMCID]##Shameli L, Davodi M. [Disordered eating patterns and sexual self-esteem in married women: The mediating role of body image concern (Persian)]. Toloo-e-Behdasht. 2020; 18(6):70-89. [DOI:10.18502/tbj.v18i6.2600]##Szymańska-Pytlińska M. [Adaptation of the body image self-consciousness scale (BISC-PL) in Polish females (Polish)]. Psychiatria Polska. 2019; 53(5):1087-101. [DOI:10.12740/pp/95085] [PMID]##Hannier S, Baltus A, De Sutter P. The role of physical satisfaction in women’s sexual self-esteem. Sexologies. 2018; 27(4):e85-95. [DOI:10.1016/j.sexol.2017.09.010]##Peixoto MM, Amarelo-Pires I, Pimentel Biscaia MS, Machado PP. Sexual self-esteem, sexual functioning and sexual satisfaction in Portuguese heterosexual university students. Psychology & Sexuality. 2018; 9(4):305-16. [DOI:10.1080/19419899.2018.1491413]##Amanelahi A, Refahi N, Rajabi G. [Predicting sexual dysfunction based on sexual self-esteem and intimacy with spouse among female college students with and without sexual dysfunction disorder (Persian)]. Iranian Journal of Psychiatric Nursing. 2017; 5(5):18-25. [DOI:10.21859/ijpn-05053]##Hensel DJ, Fortenberry JD, O'Sullivan LF, Orr DP. The developmental association of sexual self-concept with sexual behavior among adolescent women. Journal of Adolescence. 2011; 34(4):675-84. [DOI:10.1016/j.adolescence.2010.09.005] [PMID] [PMCID]##Tabachnick BG. Experimental designs using ANOVA. Belmont CA: Brooks/Cole Publishing; 2007. [Link]##Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The female sexual function index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy. 2000; 26(2):191-208. [DOI:10.1080/009262300278597] [PMID]##Mohammadi K, Heydari M, Faghihzadeh S. [The female sexual function index (FSFI): Validation of the Iranian version (Persian)]. Payesh. 2008; 7(3):269-78. [Link]##Farokhi S, Shareh H. [Psychometric properties of the persian version of the sexual self-esteem index for woman-short form (Persian)]. Iranian Journal of Psychiatry & Clinical Psychology. 2014; 20(3):252-63. [Link]##Doyle Zeanah P, Schwarz JC. Reliability and validity of the sexual self-esteem inventory for women. Assessment. 1996; 3(1):1-15. [DOI:10.1177/107319119600300101]##Littleton HL, Axsom D, Pury CL. Development of the body image concern inventory. Behaviour Research and Therapy. 2005; 43(2):229-41. [DOI:10.1016/j.brat.2003.12.006] [PMID]##Bassak Nejad S, Ghafari M. [The relationship between body dysphoric concern and psychological problems among University Students (Persian)]. Journal of Behavioral Sciences. 2007; 1(2):179-87. [Link]##Eid MA, Sayed A, Abdel-Rehim R, Mostafa T. Impact of the mode of delivery on female sexual function after childbirth. International Journal of Impotence Research. 2015; 27(3):118-20. [DOI:10.1038/ijir.2015.2] [PMID]##Doğan B, Gün İ, Özdamar Ö, Yılmaz A, Muhçu M. Long-term impacts of vaginal birth with mediolateral episiotomy on sexual and pelvic dysfunction and perineal pain. The Journal of Maternal-Fetal & Neonatal Medicine. 2017; 30(4):457-60. [DOI:10.1080/14767058.2016.1174998] [PMID]##Hadizadeh-Talasaz Z, Sadeghi R, Khadivzadeh T. Effect of pelvic floor muscle training on postpartum sexual function and quality of life: A systematic review and meta-analysis of clinical trials. Taiwanese Journal of Obstetrics & Gynecology. 2019; 58(6):737-47. [DOI:10.1016/j.tjog.2019.09.003] [PMID]##Juliato CRT. Impact of vaginal delivery on pelvic floor. Revista Brasileira de Ginecologia e Obstetricia. 2020; 42(2):65-6. [DOI:10.1055/s-0040-1709184] [PMID]##Pourkhiz Z, Mohammad-Alizadeh-Charandabi S, Mirghafourvand M, Haj-Ebrahimi S, Ghaderi F. Effect of pelvic floor muscle training on female sexual function during pregnancy and postpartum: A randomized controlled trial. Iranian Red Crescent Medical Journal. 2017; 19(10):e63218. [DOI:10.5812/ircmj.63218]##Darski C, Barbosa LJ, Paiva LL, Vieira A. Association between the functionality of pelvic floor muscles and sexual satisfaction in young women. Revista Brasileira de Ginecologia e Obstetricia. 2016; 38(4):164-9. [DOI:10.1055/s-0036-1580708] [PMID]##Lovering ME, Rodgers RF, George JE, Franko DL. Exploring the tripartite influence model of body dissatisfaction in postpartum women. Body Image. 2018; 24:44-54. [DOI:10.1016/j.bodyim.2017.12.001] [PMID]##Williams K. The relationship between body image and mother to infant attachment in the postpartum period [PhD. Thesis]. Leeds: University of Leeds; 2019. [Link]##Firoozi M, Azmoude E, Asgharipoor N. The relationship between personality traits and sexual self-esteem and its components. Iranian Journal of Nursing and Midwifery Research. 2016; 21(3):225-31. [DOI:10.4103/1735-9066.180375] [PMID] [PMCID]##Grower P, Ward LM. Examining the unique contribution of body appreciation to heterosexual women's sexual agency. Body Image. 2018; 27:138-47. [DOI:10.1016/j.bodyim.2018.09.003] [PMID]##Wu T, Zheng Y. Effect of sexual esteem and sexual communication on the relationship between body image and sexual function in Chinese heterosexual women. The Journal of Sexual Medicine. 2021; 18(3):474-86. [DOI:10.1016/j.jsxm.2020.12.006] [PMID]## ##

پیشگویی‌کننده‌های غم و اندوه مادری در دوره پس از زایمان بر‌اساس تعیین‌کننده‌های اجتماعی سلامت مدل سازمان بهداشت جهانی: تحلیل مسیر Predictors of Maternal Blouse in the Postpartum Period Based on Social Determinants of Health of the World Health Organization Model: A Path Analysis 1 1 اهداف اختلالات روانی پس از زایمان طیف وسیعی دارند و یکی از شایع‌ترین آن‌ها، غم واندوه مادری است. مطالعه حاضر با هدف تعیین پیشگویی‌کننده‌های غم و اندوه مادری در دوره پس از زایمان بر‌اساس تعیین‌کننده‌های اجتماعی سلامت مدل سازمان بهداشت جهانی با استفاده از تحلیل مسیر انجام شد.  مواد و روش ها مطالعه کمی آینده ‌نگر بر روی 449 زن زایمان‌کرده مراجعه‌کننده به مراکز بهداشتی‌درمانی دانشگاه علوم‌پزشکی شهید بهشتی به‌منظور تعیین عوامل پیشگویی‌کننده مرتبط با غم و اندوه مادری با استفاده از تحلیل مسیر در تهران در بازه زمانی از اواخر آبان سال 1399 تا اوایل اردیبهشت 1401 انجام شد. روش نمونه‌گیری تصادفی چند‌مرحله‌ای بود. ابزار مورد‌استفاده در این پژوهش، پرسش‌نامه مشخصات جمعیت‌شناختی و زنان و زایمان، پرسش‌نامه وضعیت اجتماعی‌اقتصادی، پرسش‌نامه عوامل روانی‌اجتماعی، شامل استرس، اضطراب و افسردگی، حمایت اجتماعی درک‌شده، حوادث و تجارب ناگوار زندگی و پرسش‌نامه عوامل رفتاری، از‌جمله پرسش‌نامه خشونت خانگی و رفتارهای ناسالم، بود. غم و اندوه مادر پس از زایمان هم بر‌اساس پرسش‌نامه استین سنجیده شد. برای تحلیل آماری برای سنجش فروانی، میانگین وضریب همبستگی از نرم‌افزار SPSS نسخه 24  و برای آزمون مدل و نیکویی برازش مدل از نرم‌افزار لیزرل نسخه 8/8 استفاده شد یافته ها از 449 زن مورد‌بررسی در دوره پس از زایمان 4/66 درصد از مادران دارای غم و اندوه مادری بودند. میانگین سن زنان 4/46±26/96 و همسرانشان 5/6±32/17 بود . اکثریت افراد (81/5 درصد) از وضعیت اقتصادی‌اجتماعی متوسط و مطلوب برخوردار بودند و 62/1 درصد مورد خشونت خانگی قرار گرفته بودند. در تحلیل مسیر، وضعیت اقتصادی‌اجتماعی بیشترین اثر منفی غیر مستقیم (-0/088) را با غم مادری داشت. استرس، افسردگی و اضطراب بیشترین اثر منفی مستقیم (B=-0/19) و حوادث ناگوار بیشترین اثر مثبت (B=0/18) را با غم مادری داشتند. خشونت خانگی بیشترین اثر مثبت مستقیم و غیر‌مستقیم (B=0/36) را با غم مادری نشان داد. مدل پیشنهادی در تحقیق از برازش مناسب و مطلوبی برخوردار بود (شاخص نیکویی برازش=1، ریشه میانگین مربعات خطای برآورد=0/09). نتیجه گیری با‌توجه‌به اهمیت نقش و شیوع بالای غم مادری در سلامت روان زنان پس از زایمان، توجه به این عوامل تأثیر‌گذار جهت پیشگیری و غربالگری از‌نظر تشخیص بهنگام و اقدامات لازم ضروری به نظر می‌رسد.  2 Objectives The aim of this study was to determine the predictors of maternal blouse in the postpartum period based on social determinants of health of the World Health Organization (WHO) model. Methods This cohort study was conducted on 449 postpartum women who were referred to healthcare centers of Shahid Beheshti University of Medical Sciences. The sampling method was a multi-stage random method. The tools used in this research were demographic and gynecological characteristics questionnaire, socio-economic status questionnaire, depression anxiety and stress scale-21 (DASS-21), multidimensional scale of perceived social support (MSPSS) (multidimensional scale of perceived social support [MSPSS]), domestic violence questionnaire (DVQ), unhealthy behavior questionnaire. Postpartum blouse was also measured based on the Stein’s questionnaire. The data were analyzed using SPSS software, version 24. Results The information of 449 pregnant women participating in the study was examined. The mean age of women was 26.96±4.46 years and their husbands’ mean age was 32.17±5.6 years. The path analysis results demonstrated that among the variables related to maternal blouse (one-path test), in the indirect path analysis, socio-economic status had the most negative effect on the maternal blouse and also in the direct path analysis, DASS21 showed the most negative effect on the maternal blouse (B=-0.19) and the unfortunate event had the most positive effect (B=0.18). Violence had the most positive effect on the maternal blouse (two-path test) (B=0). Conclusion Considering the importance of the role and the high prevalence of maternal blouse in the mental health of women after childbirth, it seems necessary to pay attention to these factors for prevention and screening in terms of timely diagnosis and necessary measures. 460 477 2022/08/52022/10/52022/08/212022/12/132022/12/20 1401/9/29 2023/03/12022/10/162023/02/272023/03/192023/03/6 1401/12/15 سحر روزبهانی Sahar Roozbahani کمیته تحقیقات دانشجویی، دانشکده پرستاری و مامایی، دانشگاه علوم‌پزشکی شهید بهشتی، تهران، ایران. Iran ماهرخ دولتیان Mahrokh Dolatian گروه مامایی و بهداشت باروری، مرکز تحقیقات مامایی و بهداشت باروری، دانشکده پرستاری و مامایی، دانشگاه علوم‌پزشکی شهید بهشتی، تهران، ایران. Iran mhdolatian@gmail.com زهره محمودی Zohreh Mahmoodi مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم‌پزشکی البرز، کرج، ایران. Iran عاطفه زندی فر Atefeh Zandifar مرکز تحقیقات عوامل اجتماعی مؤثر بر سلامت، دانشگاه علوم‌پزشکی البرز، کرج، ایران. Iran حمید علوی مجد Hamid Alavi Majd گروه آمار زیستی، دانشکده پیراپزشکی، دانشگاه علوم‌پزشکی شهید بهشتی، تهران، ایران. Iran سعیده نصیری Saeideh Nasiri گروه مامایی، دانشکده پرستاری و مامایی کاشان، دانشگاه علوم‌پزشکی کاشان، کاشان، ایران. Iran Depression Postpartum Grief Social Determinants of Health افسردگی پس از زایمان غم و اندوه عوامل اجتماعی تعیین‌کننده سلامت Mahmoodi Z, Karimlou M, Sajjadi H, Dejman M, Vameghi M. Development of mother's lifestyle scale during pregnancy with an approach to social determinants of health. Global Journal of Health Science. 2013; 5(3):208-19. [DOI:10.5539/gjhs.v5n3p208] [PMID] [PMCID]##Sobhani E, Babakhani N, Alebouyeh MR. [The effectiveness of mindfulness-based stress reduction on the depression, anxiety, stress, and pain perception in females with obstructed labour-induced chronic low back pain (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2019; 25(3):266-77. [DOI:10.32598/ijpcp.25.3.266]##Lotfi M, Amin M, Shiasy Y. [Comparing interpersonal and intrapersonal emotion regulation models in explaining depression and anxiety symptoms in college students (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2021; 27(3):288-301. [DOI:10.32598/ijpcp.27.2.2359.2]##Chandra PS, Herrman H, Fisher J, Kastrup M, Niaz U, Rondon MB, et al. Contemporary topics in women mental health. Hoboken: John Wiley &sons; 2009. [Link]##Ntaouti E, Gonidakis F, Nikaina E, Varelas D, Creatas G, Chrousos G, et al. Maternity blues: Risk factors in greek population and validity of Greek version of Kennerly and Gath blues questionnaire. The Journal of Maternal-Fetal & Neonatal Medicine. 2018; 28:1-10. [DOI:10.1080/14767058.2018.1548594] [PMID]##Rezaie-Keikhaie K, Arbabshastan ME, Rafiemanesh H, Amirshahi M, Ostadkelayeh SM, Arbabisarjou A. Systematic review and meta-analysis of the prevalence of the maternity blues in the postpartum period. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2020; 49(2):127-36. [DOI:10.1016/j.jogn.2020.01.001] [PMID]##Bagherzadeh R, Zahmatkeshan N, Moatamed N, Khorramroudi R, Ganjoo M. [Prevalence of maternal blues, postpartum depression and their correlation with premenstrual syndrome in women refferred to health centers affiliated to Bushehr University of Medical Sciences (Persian)]. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2009; 12(3):9-15. [DOI:10.22038/IJOGI.2009.5883]##Moslemi L. Prevalence and several effective factors on maternity blues. Healthmed. 2012; 6(7): 2299-303. [Link]##Leveno KJ, Bloom SL, Spong CY, Dashe JS, Hoffman BL, Casey BM, et al. Williams obstetrics. New York: McGraw-Hill Medical; 2014. [Link]##Alvarado-Esquivel C, Sifuentes-Alvarez A, Salas-Martinez C. Validation of the edinburgh postpartum depression scale in a population of adult pregnant women in Mexico. Journal of Clinical Medicine Research. 2014; 6(5):374-8. [DOI:10.14740/jocmr1883w] [PMID] [PMCID]##Dolatian M, Maziar P, Alavimajd H, Yazdjerdi M. The relationship between mode of delivery and postpartum depression. Journal of Reproduction & Infertility. 2006; 7(3):260-8. [Link]##Smith MV, Shao L, Howell H, Lin H, Yonkers KA. Perinatal depression and birth outcomes in a healthy start project. Maternal and Child Health Journal. 2011; 15(3):401-9. [DOI:10.1007/s10995-010-0595-6] [PMID] [PMCID]##Fellmeth G, Fazel M, Plugge E. Migration and perinatal mental health in women from low- and middle-income countries: A systematic review and meta-analysis. BJOG. 2017; 124(5):742-52. [DOI:10.1111/1471-0528.14184] [PMID]##Allen J, Balfour R, Bell R, Marmot M. Social determinants of mental health. International Review of Psychiatry. 2014; 26(4):392-407. [DOI:10.3109/09540261.2014.928270] [PMID]##Streiner DL. Finding our way: An introduction to path analysis. Revue Canadienne de Psychiatrie. 2005; 50(2):115-22. [DOI:10.1177/070674370505000207] [PMID]##Munro BH. Statistical methods for health care research. Philadelphia: Lippincott williams & wilkins; 2005. [Link]##Loehlin JC, Beaujean AA. Latent variable models: An introduction to factor, path, and structural equation analysis. Milton Park: Taylor & Francis; 2016. [Link]##Ghodratnama A, Heidarinejad S, Davoodi I. [The relationship between socio-economic status and the rate of physical activity in Shahid Chamran University Students of Ahwaz (Persian)]. Sport Management Journal. 2013; 5(16):5-20. [DOI:10.22059/jsm.2013.30410]##Eslami A, Mahmoudi A, Khabiri M, Najafiyan Razavi SM. [The role of socioeconomic conditions in the citizens’ motivation for participating in public sports (Persian)]. Applied Research in Sport Management. 2014; 2(3):89-104. [Link]##Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the depression anxiety stress scales (DASS) with the beck depression and anxiety inventories. Behaviour Research and Therapy. 1995; 33(3):335-43.[DOI:10.1016/0005-7967(94)00075-U] [PMID]##Sahebi A, Asghari MJ, Salari RS. [Validation of depression anxiety and stress scale (DASS-21) for an Iranian population (Persian)]. Journal of Developmental Psychology. 2005; 1(4):36-54. [Link]##Zimet GD, Dahlem NW, Zimet SG, Farley GK. The multidimensional scale of perceived social support. Journal of Personality Assessment. 1988; 52(1):30-41. [DOI:10.1207/s15327752jpa5201_2]##Bagherian-Sararoudi R, Hajian A, Ehsan HB, Sarafraz MR, Zimet GD. Psychometric properties of the persian version of the multidimensional scale of perceived social support in iran. International Journal of Preventive Medicine. 2013; 4(11):1277-81. [PMID] [PMCID]##Noone PA. The holmes-rahe stress inventory. Occupational Medicine. 2017; 67(7):581-2. [DOI:10.1093/occmed/kqx099] [PMID]##Heydari A, Namjoosangari Z. [Comparison of emotional disability, attachment and stress between married male and female employees of Ahvaz National Drilling Company (Persian)]. New Findings in Psychology. 2011; 6(20):21-40. [Link]##Hajian S, Vakilian K, Mirzaii Najm-abadi K, Hajian P, Jalalian M. Violence against women by their intimate partners in Shahroud in northeastern region of Iran. Global Journal of Health Science. 2014; 6(3):117-30. [DOI:10.5539/gjhs.v6n3p117] [PMID] [PMCID]##Stein GS. The pattern of mental change and body weight change in the first post-partum week. Journal of Psychosomatic Research. 1980; 24(3-4):165-71. [DOI:10.1016/0022-3999(80)90038-0] [PMID]##Plichta SB, Kelvin E. Munro’s statistical methods for health care research. Amsterdam: Wolters Kluwer Health; 2013. [Link]##Miller ML, Kroska EB, Grekin R. Immediate postpartum mood assessment and postpartum depressive symptoms. Journal of Affective Disorders. 2017; 207:69-75. [DOI:10.1016/j.jad.2016.09.023] [PMID] [PMCID]##Okunola TO, Awoleke JO, Olofinbiyi B, Rosiji B, Omoya S, Olubiyi AO. Postnatal blues: A mirage or reality. Journal of Affective Disorders Reports. 2021; 6:100237. [DOI:10.1016/j.jadr.2021.100237]##Gerli S, Fraternale F, Lucarini E, Chiaraluce S, Tortorella A, Bini V, et al. Obstetric and psychosocial risk factors associated with maternity blues. The Journal of Maternal-Fetal & Neonatal Medicine. 2021; 34(8):1227-32. [DOI:10.1080/14767058.2019.1630818] [PMID]##Bałkowiec-Iskra E, Niewada M. [Postpartum depression - diagnosis and treatment (Polish)]. Przewodnik Lekarza/Guide for GPs. 2002; 5(11):104-10. [Link]##Baston H, Hall, J. Midwifery essentials: Labour. London: Elsevier; 2017. [Link]##Manjunath NG, Venkatesh G, Rajanna. Postpartum blue is common in socially and economically insecure mothers. Indian Journal of Community Medicine. 2011; 36(3):231-3 [DOI:10.4103/0970-0218.86527] [PMID] [PMCID]##Reichman NE, Corman H, Noonan K, Schwartz-Soicher O. Effects of prenatal care on maternal postpartum behaviors. Review of Economics of the Household. 2010; 8(2):171-97. [DOI:10.1007/s11150-009-9074-5] [PMID] [PMCID]##Wang D, Li YL, Qiu D, Xiao SY. Factors influencing paternal postpartum depression: A systematic review and meta-analysis. Journal of Affective Disorders. 2021; 293:51-63. [DOI:10.1016/j.jad.2021.05.088] [PMID]##van der Zee-van den Berg AI, Boere-Boonekamp MM, Groothuis-Oudshoorn CGM, Reijneveld SA. Postpartum depression and anxiety: A community-based study on risk factors before, during and after pregnancy. Journal of Affective Disorders. 2021; 286:158-65. [DOI:10.1016/j.jad.2021.02.062] [PMID]##Wei DM, Au Yeung SL, He JR, Xiao WQ, Lu JH, Tu S, et al. The role of social support in family socio-economic disparities in depressive symptoms during early pregnancy: Evidence from a Chinese birth cohort. Journal of Affective Disorders. 2018; 238:418-23. [DOI:10.1016/j.jad.2018.06.014] [PMID]##Wszołek K, Żak E, Żurawska J, Olszewska J, Pięta B, Bojar I. Influence of socio-economic factors on emotional changes during the postnatal period. Annals of Agricultural and Environmental Medicine. 2018; 25(1):41-5. [DOI:10.26444/aaem/74486] [PMID]##Cheng B, Roberts N, Zhou Y, Wang X, Li Y, Chen Y, et al. Social support mediates the influence of cerebellum functional connectivity strength on postpartum depression and postpartum depression with anxiety. Translational Psychiatry. 2022; 12(1):54. [PMID]##Reck C, Stehle E, Reinig K, Mundt C. Maternity blues as a predictor of DSM-IV depression and anxiety disorders in the first three months postpartum. Journal of Affective Disorders. 2009; 113(1-2):77-87. [DOI:10.1016/j.jad.2008.05.003] [PMID]##Murata A, Nadaoka T, Morioka Y, Oiji A, Saito H. Prevalence and background factors of maternity blues. Gynecologic and Obstetric Investigation. 1998; 46(2):99-104. [DOI:10.1159/000010011] [PMID]##Hergüner S. [Association of delivery type with postpartum depression, perceived social support and maternal attachment (Turkish)]. Düşünen Adam The Journal of Psychiatry and Neurological Sciences. 2014; 27:15-20. [DOI:10.5350/DAJPN2014270102]##Badr LK, Abdallah B, Mahmoud A. Precursors of preterm birth: Comparison of three ethnic groups in the middle East and the United States. Journal of Obstetric, Gynecologic, and Neonatal Nursing. 2005; 34(4):444-52. [DOI:10.1177/0884217505276303] [PMID]##Aytac SH, Yazici S. The effect of social support on pregnancy and postpartum depression. International Journal of Caring Sciences. 2020; 13(1):746. [Link]##Mermer G, Bilge A, Yücel U, Çeber E. Evaluation of perceived social support levels in pregnancy and postpartum periods. Journal of Psychiatric Nursing. 2010; 1(2):71-6. [Link]##Okanli A, Tortumluoglu G, Kirpinar İ. [The relationship between pregnant women perceived social support from family and problem solving skill (Turkish)]. Anadolu Psikiyatri Dergisi. 2003; 4(2):98. [Link]##Zlotnick C, Johnson DM, Kohn R. Intimate partner violence and long-term psychosocial functioning in a national sample of American women. Journal of Interpersonal Violence. 2006 Feb;21(2):262-75.[DOI:10.1177/0886260505282564] [PMID]##Nisar A, Yin J, Waqas A, Bai X, Wang D, Rahman A, et al. Prevalence of perinatal depression and its determinants in Mainland China: A systematic review and meta-analysis. Journal of Affective Disorders. 2020; 277:1022-37. [PMID]##Bahati C, Izabayo J, Niyonsenga J, Sezibera V, Mutesa L. Intimate partner violence as a predictor of antenatal care services utilization in Rwanda. BMC Pregnancy and Childbirth. 2021 Nov 8;21(1):754. [DOI:10.1186/s12884-021-04230-5] [PMID] [PMCID]##Abbaszadeh A, Pouryazdanpanah F, Safizadeh H, Nakhea N. Violence during pregnancy and postpartum depression. Pakistan Journal of Medical Sciences. 2011;27 (1):177-81. [Link]##Baba Pour J, Sattar Zadeh N, Khodaei R. [Physical violence against pregnant women: risk factors and its relation to some pregnancy outcomes in women referring to Tabriz educational hospitals in 1386 (Persian)]. Nursing and Midwifery Journal. 2007; 5(4):29-44. [Link]##Baheri B, Ziaie M, Mohammadi SZ. [Frequency of domestic violence in women with adverse pregnancy outcomes (Karaj 2007-2008) (Persian)]. Avicenna Journal of Nursing and Midwifery Care. 201; 20(1):31-41. [Link]## ##

بررسی نقش میانجی بدتنظیمی هیجانی، اجتناب تجربی و نشخوار فکری در ارتباط بین طرح‌واره‌های هیجانی و نشانه‌های وسواس فکری‌عملی Mediating role of Emotion Dysregulation, Experiential Avoidance, and Rumination in the Relationship of Emotional Schemas with Obsessive-Compulsive Disorder Symptoms 1 1 اهداف علائم وسواس فکری‌عملی معمولاً در یک پیوستار رخ می‌دهند که ازنظر شدت شناخت و علائم متفاوت هستند، اما ازنظر کیفی ماهیت یکسانی دارند. می‌توان گفت باتوجه‌به شیوع بالای علائم وسواس فکری‌عملی، بررسی سبب‌شناسی آن‌ها از اهمیت بالایی برخوردار است. بباتوجه‌به اینکه تاکنون مطالعه‌ا‌ی مشابهی که مدلی جامع از متغیرهای دخیل در شکل‌گیری و تداوم نشانه‌های وسواس فکری‌عملی باشد، انجام نشده است، هدف از پژوهش حاضر بررسی نقش میانجی بدتنظیمی هیجانی، نشخوار فکری و اجتناب تجربی در ارتباط بین طرح‌واره‌های هیجانی و علائم وسواس فکری‌عملی است. مواد و روش ها در مطالعه‌ حاضر که یک مطالعه توصیفی‌همبستگی است، جامعه‌ آماری متشکل از دانشجویانی بود که در نیم‌سال تحصیلی 1400-1401 در دانشگاه‌های مستقر در شهر تهران مشغول به تحصیل بودند. یک نمونه‌ 344 نفری با استفاده از روش نمونه‌گیری دردسترس انتخاب شدند و داده‌های حاصل با استفاده از روش مدل‌سازی معادلات ساختاری و با نرم‌افزارهای lisrel و SPSS به‌ترتیب با نسخه21 و 8/8 تحلیل شدند.  یافته ها باتوجه‌به مقادیر برازندگی می‌توان گفت که مدل پیشنهادی از برازش خوبی برخوردار است (شاخص برازش=0/91، ریشه میانگین مربعات خطای تقریب=0/57، شاخص برازش افزایشی=0/97). باتوجه‌به اینکه در سطح خطای 0/05، مقدار سطح معناداری برای هر 3 متغیر بدتنظیمی هیجانی، اجتناب تجربی و نشخوار فکری کمتر از 05/0 است، می‌توان گفت که نقش میانجی آن‌ها ازنظر آماری معنادار است. نتیجه گیری براساس یافته‌های پژوهش حاضر می‌توان چنین نتیجه‌گیری کرد مداخلاتی که هدف آن‌ها افزایش پذیرش در برابر تجربیات خصوصی، کاهش بدتنظیمی هیجانی، نشخوار فکری و اصلاح طرح‌واره‌های هیجانی است، پیامدهای درمانی بهتری برای افراد دارای علائم وسواس فکری‌عملی خواهند داشت. 2 Objectives Obsessive-compulsive disorder (OCD) symptoms differ in severity, but are the same in nature. Due to the high prevalence of OCD symptoms, their ethological study is important. Given that no study has been conducted on finding the factors involved in development and continuation of these symptoms, this study aims to examine the mediating role of emotion dysregulation, experiential avoidance, and rumination in the relationship of emotional schemas with OCD symptoms. Methods This is a descriptive-correlational study. Participants were 349 college students in Tehran, Iran in the academic year of 2021-2022, who were selected by a convenience sampling method. Data analysis including structural education modeling (SEM) were conducted in SPSS software, verion 22 and LISREL v. 8.8 applications. Results The SEM model had a good fit (GFI=0.91, RMSEA=0.57). The three variables of emotion dysregulation, rumination, and experiential avoidance had a significant role in mediating the relationship between emotional schemas and OCD symptoms (P<0.05). Conclusion The interventions focusing on increasing acceptance of private experiences, reducing emotional dysregulation and rumination, and modifying emotional schemas can have better therapeutic outcomes for people with OCD. 478 491 2022/08/52022/10/52022/08/212022/12/132022/12/202023/02/23 1401/12/4 2023/03/12022/10/162023/02/272023/03/192023/03/62023/04/17 1402/1/28 فاطمه نظری Fatemeh Nazari گروه روانشناسی بالینی، دانشکده علوم رفتاری و سلامت روان (انستیتو روانپزشکی تهران)، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran fatemehnaazaripsy@gmail.com بنفشه غرائی Banafshe Gharraee گروه روانشناسی بالینی، دانشکده علوم رفتاری و سلامت روان (انستیتو روانپزشکی تهران)، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran gharaee.b@iums.ac.ir کمیل زاهدی تجریشی Komeil Zahedi Tajrishi گروه روانشناسی بالینی، دانشکده علوم رفتاری و سلامت روان (انستیتو روانپزشکی تهران)، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran Zahedi.k@iums.ac.ir Emotion dysregulation Emotional schemas Rumination Experiential avoidance Obsessive-compulsive disorder علائم وسواس فکری عملی طرح‌واره هیجانی نشخوار فکری اجتناب تجربی اختلال در تنظیم هیجان Nissen JB, Højgaard DRMA, Thomsen PH. The immediate effect of COVID-19 pandemic on children and adolescents with obsessive compulsive disorder. BMC Psychiatry. 2020; 20(1):511. [DOI:10.1186/s12888-020-02905-5] [PMID] [PMCID]##Adams TG, Kelmendi B, Brake CA, Gruner P, Badour CL, Pittenger C. The role of stress in the pathogenesis and maintenance of obsessive-compulsive disorder. Chronic Stress. 2018; 2:2470547018758043. [DOI:10.1177/2470547018758043] [PMID] [PMCID]##Ahowan M, Jajarmi M, Bakhshipoor A. [Comparing the effectiveness of schema therapy (ST) and emotional schema therapy (EST) on clinical syndromes of individuals with obsessive-compulsive symptoms (OCS) (Persian)]. Avicenna Journal of Nursing and Midwifery Care. 2020; 28(3):239-50. [DOI:10.30699/ajnmc.28.3.239]##Angelakis I, Pseftogianni F. Association between obsessive-compulsive and related disorders and experiential avoidance: A systematic review and meta-analysis. Journal of Psychiatric Research. 2021; 138:228-39. [DOI:10.1016/j.jpsychires.2021.03.062] [PMID]##Shams G, Foroughi E, Esmaili Y, Amini H, Ebrahimkhani N. Prevalence rates of obsessive-compulsive symptoms and psychiatric comorbidity among adolescents in Iran. Acta Medica Iranica. 2011; 49(10):680-7. [PMID]##Zare MM, Bagooli H, Kazemi SA, Javidi HA. [Comparison of emotional schemes in war veterans suffering post traumatic stress disorder with depression symptoms, anxiety symptoms and without signs of depression and anxiety (Persian)]. Iranian Journal of War and Public Health. 2020; 12(1):53-61. [DOI:10.29252/ijwph.12.1.53]##Khosravani V, Samimi Ardestani SM, Mohammadzadeh A, Sharifi Bastan F, Amirinezhad A. The emotional schemas and obsessive-compulsive symptom dimensions in people with obsessive-compulsive disorder. International Journal of Cognitive Therapy. 2020; 13:341-57. [DOI:10.1007/s41811-020-00075-6]##Leahy RL. A model of emotional schemas. Cognitive and Behavioral Practice. 2002; 9(3):177-90. [DOI:10.1016/S1077-7229(02)80048-7]##Leahy RL. Emotional schema therapy: A meta-experiential model. Australian Psychologist. 2016; 51(2):82-8. [DOI:10.1111/ap.12142]##Leahy RL. Introduction: Emotional schemas, emotion regulation, and psychopathology. International Journal of Cognitive Therapy. 2012; 5(4):359-61. [DOI:10.1521/ijct.2012.5.4.359]##Cisler JM, Olatunji BO. Emotion regulation and anxiety disorders. Current Psychiatry Reports. 2012; 14(3):182-7. [DOI:10.1007/s11920-012-0262-2] [PMID] [PMCID]##Gross JJ. The emerging field of emotion regulation: An integrative review. Review of General Psychology. 1998; 2(3):271-99. [DOI:10.1037/1089-2680.2.3.271]##Stern MR, Nota JA, Heimberg RG, Holaway RM, Coles ME. An initial examination of emotion regulation and obsessive compulsive symptoms. Journal of Obsessive-Compulsive and Related Disorders. 2014; 3(2):109-14. [DOI:10.1016/j.jocrd.2014.02.005]##Angelakis I, Gooding P. Obsessive-compulsive disorder and suicidal experiences: The role of experiential avoidance. Suicide & Life-Threatening Behavior. 2020; 50(2):359-71. [DOI:10.1111/sltb.12593] [PMID]##Abramowitz JS, Lackey GR, Wheaton MG. Obsessive-compulsive symptoms: The contribution of obsessional beliefs and experiential avoidance. Journal of Anxiety Disorders. 2009; 23(2):160-6.[DOI:10.1016/j.janxdis.2008.06.003] [PMID]##Mardani A, Alimohammadi A, Mahmoudi Tabar M. [The structural relationship between emotional schemas and experiential avoidance with self-harm behaviors: The mediating role of smartphone addiction (Persian)]. Rooyesh-e-Ravanshenasi Journal. 2022; 11(7):145-54. [Link]##Raines A, Vidaurri DN, Portero AK, Schmidt NB. Associations between rumination and obsessive-compulsive symptom dimensions. Personality and Individual Differences. 2017; 113:63-7. [DOI:10.1016/j.paid.2017.03.001]##Watkins E, Brown RG. Rumination and executive function in depression: an experimental study. Journal of Neurology, Neurosurgery, and Psychiatry. 2002; 72(3):400-2. [DOI:10.1136/jnnp.72.3.400] [PMID] [PMCID]##Lyubomirsky S, Kasri F, Chang O, Chung I. Ruminative response styles and delay of seeking diagnosis for breast cancer symptoms. Journal of Social and Clinical Psychology. 2006; 25(3):276-304. [DOI:10.1521/jscp.2006.25.3.276]##Rezaei M, Ghazanfari F, Rezaee F. The role of childhood trauma, early maladaptive schemas, emotional schemas and experimental avoidance on depression: A structural equation modeling. Psychiatry Research. 2016; 246:407-14. [DOI:10.1016/j.psychres.2016.10.037] [PMID]##Huz I, Nyer M, Dickson C, Farabaugh A, Alpert J, Fava M, et al. Obsessive-compulsive symptoms as a risk factor for suicidality in U.S. college students. The Journal of Adolescent Health. 2016; 58(4):481-4. [DOI:10.1016/j.jadohealth.2015.11.011] [PMID]##Assareh M, Rakhshani T, Kashfi M, Ayazi M. Status of obsessive compulsive disorder among Iranian college students in Kermanshah, Iran. Journal of Human, Environment and Health Promotion. 2016; 1(4):213-9. [DOI:10.29252/jhehp.1.4.213]##Foa EB, Huppert JD, Leiberg S, Langner R, Kichic R, Hajcak G, et al. The obsessive-compulsive inventory: Development and validation of a short version. Psychological Assessment. 2002; 14(4):485-96. [DOI:10.1037/1040-3590.14.4.485] [PMID]##Mohammadi AAF, Zamani R, Fata L. [Validation of the persian version of the obsessive-compulsive inventory-revised in a student sample (Persian)]. Psychological Research. 2008;11(1-2):66-78. [Link]##Fergus TA, Bardeen JR. Emotion regulation and obsessive-compulsive symptoms: A further examination of associations. Journal of Obsessive-Compulsive and Related Disorders. 2014; 3(3):243-8. [DOI:10.1016/j.jocrd.2014.06.001]##Gratz KL, Roemer L. Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment. 2004; 26:41-54. [DOI:10.1023/B:JOBA.0000007455.08539.94]##Khanzadeh M, Saeediyan M, Hosseinchari M, Edrissi F. Factor structure and psychometric properties of difficulties in emotional regulation scale. International Journal of Behavioral Sciences. 2012; 6(1):87-96. [Link]##Mousavi E, Gharraee B, Ramazani Farani A, Taremian F. [Comparison of cognitive errors and rumination in obsessive-compulsive and social phobia disorders (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2017; 23(1):10-21. [DOI:10.18869/nirp.ijpcp.23.1.10]##Roelofs J, Muris P, Huibers M, Peeters F, Arntz A. On the measurement of rumination: A psychometric evaluation of the ruminative response scale and the rumination on sadness scale in undergraduates. Journal of Behavior Therapy and Experimental Psychiatry. 2006; 37(4):299-313. [DOI:10.1016/j.jbtep.2006.03.002] [PMID]##Farnam A , Bakhshipour Roodsari A, Mansouri A, Mahmood Aliloo M. [The comparison of rumination in patients with major depression disorder, obsessive-compulsive disorder, generalized anxiety disorder and normal individuals (Persian)]. Journal of Sabzevar University of Medical Sciences, 1970; 17(3):189-95. [Link]##Asadi S, Abedini M, Poursharifi H, Nikokar M. [The relationship between intolerance of uncertainty and rumination with worry on student population (Persian)]. Journal of Clinical Psychology. 2012; 4(4):83-92. [DOI:10.22075/JCP.2017.2110##Jenadeleh K, Bassak Nejad S, Yunesi A, Sadatmand K. [The relationship between anxiety sensitivity and experiential avoidance and resiliency with test anxiety in male students (Persian)]. Journal of Clinical Psychology. 2018; 10(1):71-8. [DOI:10.22075/JCP.2018.13974.1361]##Moradi Kelardeh S, Aghajani S, Ghasemi Jobaneh R, Baharvand I. [Role of integrative self-knowledge, experiential avoidance and self-compassion in test anxiety of female students (Persian)]. Education Strategies Medical Sciences. 2019; 12(1):110-5. [DOI:10.29252/edcbmj.12.01.15]##Reuman L, Buchholz J, Abramowitz JS. Obsessive beliefs, experiential avoidance, and cognitive fusion as predictors of obsessive-compulsive disorder symptom dimensions. Journal of Contextual Behavioral Science. 2018; 9:15-20. [DOI:10.1016/j.jcbs.2018.06.001]##Abasi E, Fti L, Molodi R, Zarabi H. [Psychometric properties of Persian version of acceptance and action questionnaire -II (Persian)]. Psychological Methods and Models. 2013; 3-2(10):65-80. [Link]##Habibi M, Alahdadi S, Salari M, Ghanbari N. [Psychometric properties of drug use disorders identification test (DUDIT) among drug abusers (Persian)]. Iranian Journal of Epidemiology. 2017; 13(3):210-21. [Link]##Berman AH, Bergman H, Palmstierna T, Schlyter F. Evaluation of the drug use disorders identification test (DUDIT) in criminal justice and detoxification settings and in a Swedish population sample. European Addiction Research. 2005; 11(1):22-31.[DOI:10.1159/000081413] [PMID]##Faustino B, Vasco AB. Emotional schemas mediate the relationship between emotion regulation and symptomatology. Current Psychology. 2021; 42:2733-9. [DOI:10.1007/s12144-021-01560-7]##Alikhani Z, Amirimajd M. [The relationship components of meta-worry, rumination and psychological flexibility with obsessive-compulsive spectrum disorders (Persian)]. Journal of Thought & Behavior in Clinical Psychology. 2019; 14(52):47-56. [Link]##Rezaee M, Ghazanfari F, Rezaee F. [Effectiveness of emotional schema therapy on severity of depression and rumination in people with major depressive disorder (Persian)]. Journal of Shahid Sadoughi University of Medical Sciences. 2016; 24(1):41-56. [Link]##Mohammadi H, Sepehri Shamlou Z, Asghari Ebrahim Abad MJ. [The effectiveness of group emotional schema therapy on decreasing loneliness and rumination in divorced women (Persian)]. Journal of Woman and Family Studies. 2019; 7(2):115-36. [DOI:10.22051/JWFS.2020.19718.1708]##Wahl K, Ertle A, Bohne A, Zurowski B, Kordon A. Relations between a ruminative thinking style and obsessive-compulsive symptoms in non-clinical samples. Anxiety, Stress, and Coping. 2011; 24(2):217-25. [DOI:10.1080/10615806.2010.482985] [PMID]##Abramowitz JS, Taylor S, McKay D. Obsessive-compulsive disorder. Lancet. 2009; 374(9688):491-9. [DOI:10.1016/S0140-6736(09)60240-3] [PMID]##Freeston MH, Ladouceur R. What do patients do with their obsessive thoughts? Behaviour Research and Therapy. 1997; 35(4):335-48. [DOI:10.1016/S0005-7967(96)00094-0] [PMID]##Briggs ES, Price IR. The relationship between adverse childhood experience and obsessive-compulsive symptoms and beliefs: The role of anxiety, depression, and experiential avoidance. Journal of Anxiety Disorders. 2009; 23(8):1037-46. [DOI:10.1016/j.janxdis.2009.07.004] [PMID]##Leahy RL, Tirch DD, Melwani PS. Processes underlying depression: Risk aversion, emotional schemas, and psychological flexibility. International Journal of Cognitive Therapy. 2012; 5(4):362-79. [DOI:10.1521/ijct.2012.5.4.362]##Oguz G, Celikbas Z, Batmaz S, Cagli S, Sungur MZ. Comparison between obsessive compulsive disorder and panic disorder on metacognitive beliefs, emotional schemas, and cognitive flexibility. International Journal of Cognitive Therapy. 2019; 12(3):157-78. [DOI:10.1007/s41811-019-00047-5]##Edwards ER, Liu Y, Ruiz D, Brosowsky NP, Wupperman P. Maladaptive emotional schemas and emotional functioning: Evaluation of an integrated model across two independent samples. Journal of Rational-Emotive and Cognitive-Behavior Therapy. 2020; 39:428-55. [DOI:10.1007/s10942-020-00379-8]##Heinzel CV, Kollárik M, Miché M, Clamor A, Ertle A, Lieb R, et al. Is a ruminative thinking style related to obsessive-compulsive symptom severity beyond its associations with depressive and anxiety symptom severity? International Journal of Cognitive Therapy. 2021; 14:575-91. [DOI:10.1007/s41811-021-00112-y]## ##

نقش واسطه‌ای شرم و خودانتقادگری در رابطه میان سبک‌های دلبستگی با شدت علائم افسردگی The Mediating Role of Shame and Self-criticism in the Relationship Between Attachment Styles and Severity of Depressive Symptoms 1 1 اهداف افسردگی، چهارمین عامل عمده بار بیماری‌ها در جهان است کـه به تنهایی بزرگترین سهم بـار بیمـاری‌هـای غیرکشـنده را بـه خـود اختصاص می‌دهد. پژوهش حاضر با هدف بررسی نقش واسطه‌ای شرم و خودانتقادگری در رابطه میان سبک‌های دلبستگی با شدت علائم افسردگی انجام شد. مواد و روش ها طرح پژوهش حاضر، توصیفی و از نوع مدل‌یابی معادلات ساختاری بود. جامعه آماری پژوهش حاضر، کل افراد با دامنه سنی 18تا 47 سال شهر تهران در سال 1401 بودند. نمونه پژوهش شامل 212 نفر بود که با بهره‌گیری از روش نمونه‌گیری دردسترس انتخاب شد. به منظور جمع‌آوری داده از پرسش‌نامه افسردگی بک، پرسش‌نامه سبک‌های دلبستگی هازن و شیور، پرسش‌نامه احساس شرم تانگنی و همکاران و پرسش‌نامه سطوح انتقادی تامپسون و زاروف استفاده شد. برای تحلیل آماری داده‌ها از مدل‌یابی معادلات ساختاری با استفاده نرم افزار لیزرل 8/80 استفاده شد. یافته ها نتایج حاصل از تجزیه‌وتحلیل داده‌ها نشان داد بین سبک‌های دلبستگی مضطرب اجتنابی (62/r=0؛ 01/P<0) و مضطرب-دوسوگرا (0/51=r؛ 01/P<0) و شدت علائم افسردگی، بین احساس شرم و شدت علائم افسردگی (0/75=r؛ 01/P<0) و بین خودانتقادگری و شدت علائم افسردگی (45/r=0؛ 01/P<0) رابطه مثبت و معناداری وجود دارد. همچنین مسیر دلبستگی ناایمن مضطرب-اجتنابی و مسیر دلبستگی ناایمن مضطرب-دوسوگرا به‌شدت علائم افسردگی با میانجی‌گری شرم به‌ترتیب با ضریب استاندارد 0/30 و 0/33 در سطح 05/P<0 معنادار است. علاوه‌براین مسیر دلبستگی ناایمن مضطرب-اجتنابی و مسیر دلبستگی ناایمن مضطرب-دوسوگرا به شدت علائم افسردگی با میانجی‌گری خودانتقادی به‌ترتیب با ضریب استاندارد 0/22 و 0/33 در سطح 05/P<0 معنادار است. نتیجه گیری باتوجه‌به نتایج پژوهش حاضر دلبستگی ناایمن مضطرب-اجتنابی و دوسوگرا، شرم و خودانتقادی عوامل زمینه ساز افسردگی می‌باشند و توجه به متغیرهای مطرح‌شده در پیشگیری و طراحی درمان‌های مناسب‌تر به پژوهشگران و درمانگران یاری می‌رساند. 2 Objectives Depression is the fourth major cause of disease burden in the world, which alone accounts for the largest share of non-fatal disease burden. The present study was done to investigate the mediating role of shame and self-criticism in the relationship between attachment styles and the severity of depression symptoms. Methods The current research design was descriptive and structural equation modeling. The statistical population of the current study was all people in the age range of 18 to 47 years in Tehran in 2022. The research sample consisted of 212 people who were selected using the available sampling method. In order to collect data, Beck’s Depression Questionnaire, Hazen and Shaver’s Attachment Styles Questionnaire, Tangeni et al.’s Shame Questionnaire, and Thompson, and Zaroff’s Critical Levels Questionnaire were used. For the statistical analysis of the data, structural equation modeling using Lisrel 8/8 software was used. Results The results of data analysis showed a positive and significant relationship between anxious-avoidant attachment styles (r=0.62; p<0.01) and anxious-ambivalent (r=0.51; p<0.01) and the severity of depression symptoms, shame and the severity of depression (r=0.75; p<0.01), and self-criticism and the severity of depression (r=0.45; p<0.01). Also, the anxious-avoidant insecure attachment path and the anxious-ambivalent insecure attachment path showed a significant relationship with the severity of depression symptoms with the mediating role of shame, with standard coefficients of 0.30 and 0.33, respectively, at the p<0.05 level. In addition, the anxious-avoidant insecure attachment path and the anxious-ambivalent insecure attachment path showed a significant relationship with the severity of depression symptoms with the mediating role of self-criticism, with standard coefficients of 0.22 and 0.33, respectively, at the p<0.05 level. Conclusion According to the results of the present study, anxious-avoidant and ambivalent insecure attachment, shame, and self-criticism are the underlying factors of depression, and paying attention to the mentioned variables helps researchers and therapists in the prevention and designing of more appropriate treatments. 492 507 2022/08/52022/10/52022/08/212022/12/132022/12/202023/02/232023/02/7 1401/11/18 2023/03/12022/10/162023/02/272023/03/192023/03/62023/04/172023/04/10 1402/1/21 حسین مهدوی راد Hosein Mahdavi Rad گروه روانشناسی بالینی، دانشکده علوم رفتاری و سلامت روان (انستیتو روانپزشکی تهران)، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran hmahdavirad2@gmail.com کمیل زاهدی تجریشی Komeil Zahedi Tajrishi گروه روانشناسی بالینی، دانشکده علوم رفتاری و سلامت روان (انستیتو روانپزشکی تهران)، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran zahedi.k@iums.ac.ir عباس رمضانی فرانی Abbas Ramezanifarani گروه روانشناسی بالینی، دانشکده علوم رفتاری و سلامت روان (انستیتو روانپزشکی تهران)، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran ramezanifarani.aiums.ac.ir علی اصغر اصغرنژاد فرید Aliasghar Asgharnejad Farid گروه روانشناسی بالینی، دانشکده علوم رفتاری و سلامت روان (انستیتو روانپزشکی تهران)، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran asgharnejadfarid.asiums.ac.ir Mediating Depression Shame واسطه‌گری افسردگی شرم Sadok BJ, Sadok VA. Comprehensive textbook of psychiatry. Philadelphia: Williams &Wilkins; 2005. [Link]##Ganji M. Psychopathology based on DSM-5. Tehran: Savalan; 2020. [Link]##Bonnemort L. Exploring the impact of insecure attachment styles in couple adjustment through the lens of cluster b pathology [PhD. Thesis]. Florida: Florida School of Professional Psychology; 2020. [Link]##Beck AT, Alford BA. Depression: Causes and treatment. Philadelphia: University of Pennsylvania Press; 2009. [Link]##Ainsworth MD, Marvin RS. On the shaping of attachment theory and research: An interview with Mary DS Ainsworth (Fall 1994). Monographs of the society for research in child development. 1995; 60(2-3):3-21. [DOI:10.1111/j.1540-5834.1995.tb00200.x]##Marchand-Reilly JF. Attachment anxiety, conflict behaviors, and depressive symptoms in emerging adults’ romantic relationships. Journal of Adult Development. 2012; 19(3):170-6. [DOI:10.1007/s10804-012-9144-4]##Saedi F, Aghdasi AN. [The relationship between attachment styles and depression and anxiety inseventh and eighth female students in Tabriz (Persian)]. Women and Family Studies. 2018; 11(40):165-89. [Link]##Sadri Damirchi E, Aghazadehasl M. [The effectiveness of cognitive-behavioral group therapy on coping and self-control styles in multiple sclerosis patients (Persian)]. Armaghan-e-danesh. 2018; 22(6):792-803. [Link]##Nikolić M, Hannigan LJ, Krebs G, Sterne A, Gregory AM, Eley TC. Aetiology of shame and its association with adolescent depression and anxiety: Results from a prospective twin and sibling study. Journal of Child Psychology and Psychiatry, and Allied Disciplines. 2022; 63(1):99-108. [DOI:10.1111/jcpp.13465] [PMID] [PMCID]##Santos S, do Céu Salvador M. Depression in institutionalized adolescents: The role of memories of warmth and safeness, shame and self-criticism. The Spanish Journal of Psychology. 2021; 24:e29. [DOI:10.1017/SJP.2021.27] [PMID]##Gilbert P, Procter S. Compassionate mind training for people with high shame and self-criticism: Overview and pilot study of a group therapy approach. Clinical Psychology & Psychotherapy. 2006; 13(6):353-79. [DOI:10.1002/cpp.507]##Buckholdt KE, Parra GR, Jobe-Shields L. Emotion regulation as a mediator of the relation between emotion socialization and deliberate self-harm. The American Journal of Orthopsychiatry. 2009; 79(4):482-90. [DOI:10.1037/a0016735] [PMID]##Ghasemi N, Goudarzi M, Ghazanfari F. [The effectiveness of compassion-based therapy on cognitive emotion regulation, Shame and Guilt-Proneness and mindfulness components in patients with mixed anxiety-depression disorder (Persian)]. Clinical Psychology Studies. 2019; 9(34):145-66. [DOI:10.22054/jcps.2019.41020.2108]##Kashanaki H, Keshmiri M. [The role of shame and guilt in mental health: Review Study (Persian)]. Rooyesh-e-Ravanshenasi Journal. 2019; 8(5):205-16. [Link]##Zuroff DC, Igreja I, Mongrain M. Dysfunctional attitudes, dependency, and self-criticism as predictors of depressive mood states: A 12-month longitudinal study. Cognitive Therapy and Research. 1990; 14(3):315-26. [DOI:10.1007/BF01183999]##Abdi R, Chalabianloo G, Kazemi SA. [The role of regret, self-doubt and depression in predicting self-criticism (Persian)]. Rooyesh-e-Ravanshenasi Journal. 2020; 8(12):57-64. [Link]##Rajabi G, Maghami E. Self-compassion as mediator between attachment dimensions with mental well-being: A path analysis model. Health Psychology. 2015; 4(16):79-96. [Link]##Dinger U, Barrett MS, Zimmermann J, Schauenburg H, Wright AG, Renner F, et al. Interpersonal problems, dependency, and self-criticism in major depressive disorder. Journal of Clinical Psychology. 2015; 71(1):93-104. [DOI:10.1002/jclp.22120] [PMID]##Gao W, Ping S, Liu X. Gender differences in depression, anxiety, and stress among college students: A longitudinal study from China. Journal of Affective Disorders. 2020; 263:292-300.[DOI:10.1016/j.jad.2019.11.121] [PMID]##Kline RB. Principles and practice of structural equation modeling. New York: Guilford publications; 2023. [Link]##Rajabi G, Karju Kasmai S. [Psychometric properties of a Persian-language version of the beck depression inventory second edition (Persian)]. Quarterly of Educational Measurement, 2012; 3(10):139-58. [Link]##VanVoorhis CRW, Blumentritt TL. Psychometric properties of the Beck depression inventory-II in a clinically-identified sample of Mexican American adolescents. Journal of Child and Family Studies. 2007;16(6):789-98. [DOI:10.1007/s10826-006-9125-y]##Kapci EG, Uslu R, Turkcapar H, Karaoglan A. Beck depression inventory II: Evaluation of the psychometric properties and cut-off points in a Turkish adult population. Depression and Anxiety. 2008; 25(10):E104-10. [DOI:10.1002/da.20371] [PMID]##Rajabi Gh, Harizavi M, Taghipour M. [Evaluating the model of the relationship between self-compassion, marital empathy, and depression with mediating marital forgiveness in Female (Persian)]. Biannual Journal of Applied Counseling. 2017; 6(2):1-22. [Link]##Zukauskiene R. Romantic love conceptualized as an attachment process. In: Hazan C, Shaver P, editors. Interpersonal development. London: Routledge; 2017. [DOI:10.4324/9781351153683-17]##Mohammadkhani S, Bahari A, Akbarian Firoozabadi M. [Attachment styles and depression symptoms: The mediating role of rumination (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2017; 23(3):320-35. [DOI:10.29252/nirp.ijpcp.23.3.320]##Besharat MA, Golinejad M, Ahmadi AA. [An investigation of the relationship between attachment styles and interpersonal problems (Persian)]. Iranian Journal of Psychiatry and Clinical Psychology. 2003; 8(4):74-81. [Link]##Fergus TA, Valentiner DP, McGrath PB, Jencius S. Shame- and guilt-proneness: Relationships with anxiety disorder symptoms in a clinical sample. Journal of Anxiety Disorders. 2010; 24(8):811-5.[DOI:10.1016/j.janxdis.2010.06.002] [PMID]##Abdollahi N, Jazini S, Amanollahi A, Aslani K. [The relationship between sexual dysfunction and self-conscious emotions (Persian)]. Thoughts and Behavior in Clinical Psychology. 2017; 12(43):37-46. [Link]##Thompson R, Zuroff DC. The levels of self-criticism scale: Comparative self-criticism and internalized self-criticism. Personality and Individual Differences. 2004; 36(2):419-30. [DOI:10.1016/S0191-8869(03)00106-5]##Yamaguchi A, Kim MS. Effects of self-criticism and its relationship with depression across cultures. International Journal of Psychological Studies. 2013; 5(1):1-10. [DOI:10.5539/ijps.v5n1p1]##Malekpour F, Mehrabizadeh M, Rahimi M. [The causal relationship of types of self-absorption and maladaptive perfectionism with depression through the mediating role of self-criticism in university students (Persian)]. Journal of Psychological Studies. 2017; 13(3):25-42. [DOI:10.22051/PSY.2017.16342.1456]##Ghobary Bonab B, Mahmoudi M, Amrai K, Dousti M. [The relationship between attachment styles and depression, anxiety, and stress mediated by guilt feelings of family caregivers who are affected by alzheimer’s: A structural model (Persian)]. Applied Psychological Research. 2015; 6(1):89-104. [DOI:10.22059/JAPR.2015.61421]##Sekowski M, Gambin M, Cudo A, Wozniak-Prus M, Penner F, Fonagy P, et al. The relations between childhood maltreatment, shame, guilt, depression and suicidal ideation in inpatient adolescents. Journal of Affective Disorders. 2020; 276:667.[DOI:10.1016/j.jad.2020.07.056] [PMID]##Kadir NBA, Sulaiman WSW, Desa A, Omar F, Halim FW, Yusooff F. Relationship of adult attachment styles and external shame on depression symptoms among married couples: A preliminary study. Journal of Muslim Mental Health. 2017; 11(1):3-18. [DOI:10.3998/jmmh.10381607.0011.101]##Ghaderi M, Ahi Q, Vaziri S, Mansoori A, Shahabizadeh F. [The mediating role of self-criticism and distress tolerance in relationship between attachment styles and non-suicidal self-injury behaviors in adolescents (Persian)]. Journal of Research in Behavioural Sciences. 2020; 17(4):552-37. [DOI:10.52547/rbs.17.4.552]##Rezaei A, Jahan F. [Predicting depression based on the components of perfectionism: The mediating role of self-criticism (Persian)]. Clinical Psychology Studies. 2015; 5(19):1-18. [Link]##Zhang H, Watson-Singleton NN, Pollard SE, Pittman DM, Lamis DA, Fischer NL, et al. Self-criticism and depressive symptoms: Mediating role of self-compassion. Omega. 2019; 80(2):202-23. [DOI:10.1177/0030222817729609] [PMID]##Falgares G, Marchetti D, De Santis S, Carrozzino D, Kopala-Sibley DC, Fulcheri M, et al. Attachment styles and suicide-related behaviors in adolescence: The mediating role of self-criticism and dependency. Frontiers in Psychiatry. 2017; 8:36. [DOI:10.3389/fpsyt.2017.00036] [PMID] [PMCID]##Gilbert P, Irons C. Shame, self-criticism, and self-compassion in adolescence. In: Allen NB, Sheeber LB, editors. Adolescent emotional development and the emergence of depressive disorders. Cambridge: Cambridge University Press; 2008. [DOI:10.1017/CBO9780511551963.011]## ##

بررسی کیفیت زندگی حرفه‌ای روان‌درمانگران مشهد Investigating the Quality of Professional life of Mashhad Psychotherapists in 2022 1 1 اهداف کیفیت زندگی حرفه‌ای یکی از عوامل مهم تعیین‌کننده رضایت شغلی و بیمار در میان روان‌درمانگران است. کیفیت پایین زندگی حرفه‌ای می‌تواند به فرسودگی شغلی و خستگی شفقت منجر شود. با‌این‌حال، عوامل مرتبط با کیفیت زندگی حرفه‌ای در روان‌درمانگران هنوز به وضوح ارزیابی نشده است. هدف این پژوهش بررسی کیفیت زندگی حرفه‌ای روان‌درمانگران شاغل در مشهد بود. هدف از این مطالعه بررسی کیفیت زندگی حرفه‌ای در روان‌درمانگران شاغل در شهر مشهد بود. مواد و روش ها این مطالعه مقطعی و توصیفی بر روی 184 نفر از روان‌درمانگران شاغل در شهر مشهد انجام شد که به‌روش نمونه‌گیری دردسترس انتخاب شدند. ابزار گردآوری داده‌ها در این پژوهش، پرسش‌نامه اطلاعات جمعیت‌شناختی و شغلی و مقیاس کیفیت زندگی حرفه‌ای بود که شامل رضایت از زندگی حرفه‌ای، آسیب استرس تروماتیک ثانویه و خستگی از شفقت بود. ارتباط بین متغیرهای مورد‌مطالعه با استفاده از ضریب همبستگی اسپیرمن ارزیابی شد. یافته ها در این مطالعه 184 روان‌درمانگر شاغل در شهر مشهد (49/5 درصد مرد و 50/5 درصد زن) با میانگین سنی 7/6±‌37/4 سال و سابقه کاری ۶/۶‌±‌6/5 سال مورد مطالعه قرار گرفتند. بیش از نیمی از شرکت‌کنندگان رضایت از شفقت متوسط داشتند. میزان فرسودگی شغلی و استرس ثانویه حادثه و خستگی از شفقت در اکثر شرکت‌کنندگان پایین بود. ارتباط معنادار و مستقیم بین فرسودگی شغلی، استرس ثانویه حادثه و خستگی از شفقت و ارتباط معکوس بین رضایت از شفقت و فرسودگی شغلی، استرس ثانویه حادثه و خستگی از شفقت وجود داشت. ارتباط سن، جنسیت، رویکرد درمانی و سابقه کار با عوامل کیفیت زندگی حرفه‌ای معنادار نبود. نتیجه گیری یافته‌های مطالعه حاضر نشان داد استرس ثانویه حادثه و خستگی از شفقت از عوامل مؤثر بر افزایش فرسودگی شغلی بودند و می‌توانند در اقدامات پیشگیرانه استفاده شوند. 2 Objectives The quality of professional life is an important determinant of job and patient satisfaction among psychotherapists. Low quality of professional life can lead to job burnout and compassion fatigue. However, factors related to the quality of professional life in psychotherapists have not yet been clearly evaluated. The purpose of this study was to investigate the quality of professional life of psychotherapists working in Mashhad. Methods This cross-sectional and descriptive study was conducted on psychotherapists working in Mashhad based on a convenience sampling method. The data collection tool in this study was the Demographic and occupational information questionnaire and the professional quality of life scale (ProQoL), which includes professional life satisfaction, secondary traumatic stress, and compassion fatigue components. The relationship between study variables was evaluated using Pearson’s correlation coefficient. Results In this study, 184 psychotherapists working in Mashhad (49.5% males and 50.5% females) with mean age of 37.4±7.6 years and a work experience of 6.5±6.6 years were studied. More than half of the participants had a moderate level of compassion satisfaction. The level of job burnout and secondary stress and compassion fatigue were low in most of the participants. There was a significant and direct relationship between job burnout, secondary traumatic stress, and compassion fatigue. There was an inverse relationship between compassion satisfaction and job burnout, secondary traumatic stress, and compassion fatigue. The relationship between age, gender, treatment approach, and work experience with quality of life factors was not statistically significant. Conclusion The findings of the present study showed that secondary traumatic stress and compassion fatigue were effective factors in increasing job burnout and can be used in preventive measures. 508 519 2022/08/52022/10/52022/08/212022/12/132022/12/202023/02/232023/02/72022/10/28 1401/8/6 2023/03/12022/10/162023/02/272023/03/192023/03/62023/04/172023/04/102023/03/14 1401/12/23 نگار اصغری پور Negar Asgharipour مرکز تحقیقات روان‌پزشکی و علوم رفتاری، دانشکده پزشکی، بیمارستان ابن سینا، دانشگاه علوم‌پزشکی مشهد، مشهد، ایران. Iran asgharipourn@mums.ac.ir نفیسه نوری سیاهدشت Nafise Nouri Siahdasht گروه روان‌شناسی بالینی، دانشکده پزشکی، دانشگاه علوم‌پزشکی مشهد، مشهد، ایران. Iran nafisenouri192@gmail.com علیرضا جاودانی اصل Alireza Javdani Asl گروه روانشناسی عمومی، دانشکده پزشکی، دانشگاه علوم‌پزشکی مشهد ، مشهد، ایران. Iran Javdania1@mums.ac.ir سعیده حاجبی خانیکی Saeede Hajebi Khaniki گروه آمار زیستی، کمیته تحقیقات دانشجویی، دانشکده بهداشت، دانشگاه علوم‌پزشکی مشهد، مشهد، ایران. Iran Saeedeh.hajebi@gmai.com Psychotherapist Quality of life Health occupation روان‌درمانگر کیفیت زندگی حرفه سلامت Houck D. Helping nurses cope with grief and compassion fatigue: An educational intervention. Clinical Journal of Oncology Nursing. 2014; 18(4):454-8. [DOI:10.1188/14.CJON.454-458] [PMID]##Sansó N, Galiana L, Oliver A, Tomás-Salvá M, Vidal-Blanco G. Predicting professional quality of life and life satisfaction in Spanish nurses: A cross-sectional study. International Journal of Environmental Research and Public Health. 2020; 17(12):4366. [DOI:10.3390/ijerph17124366] [PMID] [PMCID]##Farber DJE, Payton DC, Dorney DP. Life balance and professional quality of life among baccalaureate nurse faculty. Journal of Professional Nursing. 2020; 36(6):587-94. [DOI:10.1016/j.profnurs.2020.08.010] [PMID]##Joinson C. Coping with compassion fatigue. Nursing. 1992; 22(4):116-20. [DOI:10.1097/00152193-199204000-00035] [PMID]##Xie W, Chen L, Feng F, Okoli CTC, Tang P, Zeng L, et al. The prevalence of compassion satisfaction and compassion fatigue among nurses: A systematic review and meta-analysis. International Journal of Nursing Studies. 2021; 120:103973.[DOI:10.1016/j.ijnurstu.2021.103973] [PMID]##Mottaghi S, Poursheikhali H, Shameli L. Empathy, compassion fatigue, guilt and secondary traumatic stress in nurses. Nursing Ethics. 2020; 27(2):494-504.[DOI:10.1177/0969733019851548] [PMID]##Singer J, Cummings C, Boekankamp D, Hisaka R, Benuto LT. Compassion satisfaction, compassion fatigue, and burnout: A replication study with victim advocates. Journal of Social Service Research. 2020; 46(3):313-9. [DOI:10.1080/01488376.2018.1561595]##Jimenez RR, Andersen S, Song H, Townsend C. Vicarious trauma in mental health care providers. Journal of Interprofessional Education & Practice. 2021; 24:100451. [DOI:10.1016/j.xjep.2021.100451]##Lee J, Daffern M, Ogloff JR, Martin T. Towards a model for understanding the development of post-traumatic stress and general distress in mental health nurses. International Journal of Mental Health Nursing. 2015; 24(1):49-58. [DOI:10.1111/inm.12097] [PMID]##Tununu AF, Martin P. Prevalence of burnout among nurses working at a psychiatric hospital in the Western Cape. Curationis. 2020; 43(1):e1-7. [DOI:10.4102/curationis.v43i1.2117] [PMID] [PMCID]##Lim S, Song Y, Nam Y, Lee Y, Kim D. Moderating effect of burnout on the relationship between self-efficacy and job performance among psychiatric nurses for COVID-19 in national hospitals. Medicina. 2022; 58(2):171. [DOI:10.3390/medicina58020171] [PMID] [PMCID]##Jin R. Job satisfaction and burnout of psychiatric nurses during the COVID-19 pandemic in China-the moderation of family support. Frontiers in Psychology. 2022; 13:1006518. [DOI:10.3389/fpsyg.2022.1006518] [PMID] [PMCID]##Yang Y, Hayes JA. Causes and consequences of burnout among mental health professionals: A practice-oriented review of recent empirical literature. Psychotherapy. 2020; 57(3):426-36. [DOI:10.1037/pst0000317] [PMID]##Manning-Jones SF. Vicarious traumatic exposure among New Zealand health professionals: An exploration of coping strategies and vicarious posttraumatic growth [PhD Thesis]. Wellington: Massey University; 2016. [Link]##Figley CR. Compassion fatigue: Psychotherapists' chronic lack of self care. Journal of Clinical Psychology. 2002; 58(11):1433-41. [DOI:10.1002/jclp.10090] [PMID]##Figley CR. Treating compassion fatigue. New York: Routledge; 2002. [Link]##Khamisa N, Peltzer K, Ilic D, Oldenburg B. Work related stress, burnout, job satisfaction and general health of nurses: A follow-up study. International Journal of Nursing Practice. 2016; 22(6):538-45. [DOI:10.1111/ijn.12455] [PMID]##Măirean C. Emotion regulation strategies, secondary traumatic stress, and compassion satisfaction in healthcare providers.The Journal of Psychology. 2016; 150(8):961-75. [DOI:10.1080/00223980.2016.1225659] [PMID]##Sales JM, Piper K, Riddick C, Getachew B, Colasanti J, Kalokhe A. Low provider and staff self-care in a large safety-net HIV clinic in the Southern United States: Implications for the adoption of trauma-informed care. Sage Open Medicine. 2019; 7:2050312119871417. [DOI:10.1177/2050312119871417] [PMID] [PMCID]##Mohammadi S, Borhani F, Roshanzadeh M. [Investigating the level of compassion for patients in special care nurses (Persian)]. Iranian Journal of Medical Ethics and History of Medicine. 2015; 7(3):26-35. [Link]##Stamm BH. The ProQOL manual: The professional quality of life scale: Compassion satisfaction, burnout & compassion fatigue/secondary trauma scales. Baltimore: Sidran Press; 2005. [Link]##Beaumont E, Durkin M, Hollins Martin CJ, Carson J. Measuring relationships between self-compassion, compassion fatigue, burnout and well-being in student counsellors and student cognitive behavioural psychotherapists: A quantitative survey. Counselling and Psychotherapy Research. 2016; 16(1):15-23. [DOI:10.1002/capr.12054]##Davies SM, Sriskandarajah S, Staneva AS, Boulton HCM, Roberts C, Shaw SH, et al. Factors influencing ‘burn-out’in newly qualified counsellors and psychotherapists: A cross-cultural, critical review of the literature. Counselling and Psychotherapy Research. 2022; 22(1):64-73. [DOI:10.1002/capr.12485]##Spännargård Å, Fagernäs S, Alfonsson S. Self-perceived clinical competence, gender and workplace setting predict burnout among psychotherapists. Counselling and Psychotherapy Research. 2022; 23(2):469-77. [DOI:10.1002/capr.12532]##Laverdière O, Kealy D, Ogrodniczuk JS, Chamberland S, Descôteaux J. Psychotherapists’ professional quality of life. Traumatology. 2019; 25(3):208-15. [DOI:10.1037/trm0000177]##Demisch AM, Kuchinke L. Do the relationships between age and the personality of psychotherapists differ from expected trajectories? A cross-sectional study. Counselling and Psychotherapy Research. 2022; 22(4):970-81. [DOI:10.1002/capr.12529]## ##

ویژگی‌های روان‌سنجی نسخه فارسی سیاهه خودآسیبی اُتاواـ کارکردها برای نوجوانان Psychometric Properties for Persian Version of the Ottawa Self-injury Inventory-functions Among Adolescents 1 1 اهداف خودآسیب‌زنی غیرمنتهی به خودکشی در بین نوجوانان و بزرگسالان جوان، یک موضوعِ نگرانی اساسی تلقی می‌شود. سیاهه خودآسیب‌زنی اُتاوا، ابزاری خودگزارشی است که از طریق اندازه‌گیری هم‌زمان کارکردها و ویژگی‌های اعتیادی رفتارهای خودآسیبی، سنجش جامعی از رفتار خودآسیب‌زنی غیرمنتهی به خودکشی فراهم می‌کند. بنابراین، این پژوهش با هدف تحلیل روان‌سنجی سیاهه خودآسیب‌زنی اُتاواـ‌کارکردها برای نوجوانان انجام شد. مواد و روش ها در این پژوهش همبستگی، از جامعه آماری دانش‌آموزان تیزهوش دختر و پسر مقاطع متوسطه اول و دوم شهر ساوه، 350 نوجوان با استفاده از روش نمونه‌گیری دردسترس انتخاب شدند و به سیاهه خودآسیب‌زنی اُتاواـ‌کارکردها، نسخه کوتاه سیاهه غربالگری خودآسیب‌زنی برای نوجوانان، مقیاس افسردگی، اضطراب و تنیدگی و پرسش‌نامه سرمایه روان‌شناختی پاسخ دادند. در این پژوهش به‌ترتیب از نسخه 18 و 20 SPSS و AMOS برای تحلیل داده‌ها با روش آماری تحلیل عاملی تأییدی استفاده شد.  یافته ها نتایج تحلیل عاملی تأییدی همسو با نتایج مطالعات دیگر از ساختار عاملی مشتمل بر 4 عامل حمایت کرد. در این مدل، عامل‌ها با یکدیگر همبستگی معناداری داشتند (0/55 تا 0/75=r). نتایج تحلیل عاملی تأییدی، ساختار عاملی ویژگی‌های اعتیادی رفتارهای خودآسیب‌زنی را نیز تأیید کرد. همه مادّه‌ها، وزن‌های عاملی معناداری داشتند (0/42 تا 0/83). آلفای کرونباخ برای عامل‌های نظم‌بخشی عاطفی درونی، اثرگذاری اجتماعی، نظم‌بخشی عاطفی بیرونی و هیجان‌خواهی در مقیاس کارکردهای رفتار خودآسیب‌زنی به‌ترتیب برابر با 0/86، 0/87، 0/64 و 0/72 و برای مقیاس ویژگی‌های اعتیادی برابر با 0/87 بود. روایی همگرایِ مقیاس‌های کارکردها و ویژگی‌های اعتیادی رفتار خودآسیبی از طرق رابطه با نمرات در مقیاس‌های اضطراب، افسردگی، استرس و رفتارهای خودآسیبی تعمدی و همچنین عامل‌های سرمایه روان‌شناختی به دست آمد. نتیجه گیری تحلیل روان‌سنجی مقیاس‌های کارکردها و ویژگی‌های اعتیادی رفتار خودآسیبی نشان داد سیاهه خودآسیب‌زنی اُتاواـ‌کارکردها، ابزار سنجشی روا و پایا برای موقعیت‌های پژوهشی و بالینی محسوب می‌شود.  2 Objectives Nonsuicidal self-injury (NSSI) is an issue primarily of concern in adolescents and young adults. The Ottawa self-Injury inventory (OSI) is a self-report measure that offers a comprehensive assessment of NSSI, including the measurement of its functions and addictive features. Thus, this study evaluated the psychometric properties of the Ottawa self-Injury inventory-functions (OSI-F) for assessing NSSI for gifted adolescents. Methods In this correlational study, 350 gifted adolescents who were selected using the convenience sampling method, answered the OSI-F, the short version of the self-harm screening inventory for adolescents, the depression, anxiety and stress scale, and the psychological capital questionnaire. Results The results of confirmatory factor analysis in line with the results of other studies supported the factor structure consisting of four factors. The model showed significant correlations between factors (rs=0.55-0.75, p<0.001). The results of the confirmatory factor analysis also confirmed the factor structure of the addictive characteristics of self-injurious behaviors. All the items had significant path estimates (0.42 to 0.83). Cronbach’s alpha for factors of internal emotional regulation, social influence, external emotional regulation, and sensation seeking in the scale of self-injurious behavior functions was equal to 0.86, 0.87, 0.64, and 0.72, respectively, and for the scale of addictive characteristics was 0.87. Convergent validity of scales of functions and addictive characteristics of self-injurious behavior was obtained through the relationship with scores in scales of anxiety, depression, stress, and deliberate self-injurious behaviors, as well as psychological capital factors. Conclusion Results showed preliminary psychometric support for the OSI as a valid and reliable assessment tool to be used in both research and clinical contexts. 520 535 2022/08/52022/10/52022/08/212022/12/132022/12/202023/02/232023/02/72022/10/282022/12/25 1401/10/4 2023/03/12022/10/162023/02/272023/03/192023/03/62023/04/172023/04/102023/03/142023/04/11 1402/1/22 مریم ولی محمدی Maryam ValiMohammadi گروه روانشناسی تربیتی، دانشکده علوم انسانی، واحد تهران شمال، دانشگاه آزاد اسلامی، تهران، ایران. Iran ma.valimohamadi1@gmail.com مهرانگیز شعاع‌کاظمی Mehrangiz Shoaa Kazemi گروه آموزشی مطالعات زنان و خانواده، دانشکده علوم اجتماعی و اقتصاد، دانشگاه الزهرا (س)، تهران. ایران. Iran m.shkazemi@alzahra.ac.ir امید شکری Omid Shokri گروه روانشناسی کاربردی، دانشکده روانشناسی و علوم تربیتی، دانشگاه شهید بهشتی، تهران، ایران. Iran o_shokri@sbu.ac.ir محسن احمدی طهور سلطانی Mohsen Ahmadi Tahour Soltani گروه روانشناسی بالینی، دانشکده پزشکی، دانشگاه علوم پزشکی بقیه الله، تهران، ایران. Iran mahmadi_1362@yahoo.com Ottawa self-injury inventory-Functions Factor structure Adolescence Psychometric properties سیاهه خودآسیب‌زنی اُتاواـ‌کارکردها تحلیل ساختار نوجوانی ویژگی‌های روان‌سنجی Emery AA, Heath NL, Rogers M. Parents' role in early adolescent self-injury: An application of self-determination theory. School Psychology Quarterly. 2017; 32(2):199-211. [DOI:10.1037/spq0000204] [PMID]##Nixon MK, Heath NL. Introduction to nonsuicidal self-injury in adolescents. In: Nixon MK, Heath NL, editors. Self-injury in youth: The essential guide to assessment and intervention. New York: Routledge Press; 2009. [Link]##Preyde M, Vanderkooy J, Chevalier P, Heintzman J, Warne A, Barrick K. The psychosocial characteristics associated with NSSI and suicide attempt of youth admitted to an in-patient psychiatric unit. Journal of the Canadian Academy of Child and Adolescent Psychiatry. 2014; 23(2):100-10. [PMID] [PMCID]##Turner BJ, Helps CE, Ames ME. Stop self-injuring, then what? Psychosocial risk associated with initiation and cessation of nonsuicidal self-injury from adolescence to early adulthood. Journal of Psychopathology and Clinical Science. 2022; 131(1):45-57. [DOI:10.1037/abn0000718] [PMID]##Drzał-Fiałkiewcz E, Makarewicz A, Walczak M, Walczak A, Futyma-Jędrzejewska M, Kozak G, et al. Self-harm - an overview of the tools used to assess non-suicidal self-harming behaviors. Current Problems of Psychiatry. 2017; 18(4):342-59. [DOI:10.1515/cpp-2017-0027]##Matera E, Margari M, Serra M, Petruzzelli MG, Gabellone A, Piarulli FM, et al. Non-suicidal self-injury: An observational study in a sample of adolescents and young adults. Brain Sciences. 2021; 11(8):974. [DOI:10.3390/brainsci11080974] [PMID] [PMCID]##Groschwitz R, Munz L, Straub J, Bohnacker I, Plener PL. Strong schools against suicidality and self-injury: Evaluation of a workshop for school staff. School Psychology Quarterly. 2017; 32(2):188-98. [DOI:10.1037/spq0000185] [PMID]##Vega D, Sintes A, Fernández M, Puntí J, Soler J, Santamarina P, et al. Review and update on non-suicidal self-injury: Who, how and why? Actas Españolas de Psiquiatría. 2018; 46(4):146-55. [Link]##Chávez-Flores YV, Hidalgo-Rasmussen CA, Yanez-Peñúñuri LY. [Assessment tools of non-suicidal self-injury in adolescents 1990-2016: A systematic review (Spanish)]. Ciencia & Saude Coletiva. 2019; 24(8):2871-82. [DOI:10.1590/1413-81232018248.18502017] [PMID]##Nixon MK, Levesque C, Preyde M, Vanderkooy J, Cloutier PF. The Ottawa self-injury inventory: Evaluation of an assessment measure of nonsuicidal self-injury in an inpatient sample of adolescents. Child and Adolescent Psychiatry and Mental Health. 2015; 9:26. [DOI:10.1186/s13034-015-0056-5] [PMID] [PMCID]##Martin J, Cloutier PF, Levesque C, Bureau JF, Lafontaine MF, Nixon MK. Psychometric properties of the functions and addictive features scales of the Ottawa self-injury inventory: A preliminary investigation using a university sample. Psychological Assessment. 2013; 25(3):1013-8. [DOI:10.1037/a0032575] [PMID]##Brown JT, Volk F, Gearhart GL. A psychometric analysis of the Ottawa self-injury inventory-f. Journal of American College Health. 2018; 66(1):23-31. [DOI:10.1080/07448481.2017.1366496] [PMID]##Meyers LS, Gamst G, Guarino AJ. Applied multivariate research: Design and interpretation. London: Sage Publication; 2016. [Link]##Kim S, Seo DG, Park JC, Son Y, Lee JH, Yoon D, et al. Development and validation of the self-harm screening inventory (SHSI) for adolescents. Plos One. 2022; 17(2):e0262723. [DOI:10.1371/journal.pone.0262723] [PMID] [PMCID]##Vali Mohammadi M, ShoaaKazemi M, Shokri O, Ahmadi Tahor Soltani M. Psychometric properties for Persian version of the Ottawa self-injury inventory-functions among adolescents. Iranian Journal of Psychiatry & Clinical Psychology. 2023; 28(4). [DOI:10.32598/ijpcp.28.4.4434.1]##Luthans F, Avolio BJ, Avey JB, Norman SM. Positive psychological capital: Measurement and relationship with performance and satisfaction. Personnel Psychology. 2007; 60(3):541-72. [DOI:10.1111/j.1744-6570.2007.00083.x]##Luthans F, Avey JB, Clapp-Smith R, Li W. More evidence on the value of Chinese workers’ psychological capital: A potentially unlimited competitive resource? The International Journal of Human Resource Management. 2008; 19(5):818-27. [DOI:10.1080/09585190801991194]##Luthans F, Avolio B, Avey JB. Psychological capital questionnaire: Manual Includes details on reliability, validity, scoring, etc. Menlo Park, CA: Mind Garden Inc; 2014. [Link]##Shao C, Wang X, Ma Q, Zhao Y, Yun X. Analysis of risk factors of non-suicidal self-harm behavior in adolescents with depression. Annals of Palliative Medicine. 2021; 10(9):9607-13.[DOI:10.21037/apm-21-1951] [PMID]##Lovibond SH, Lovibond PF. Manual for the depression anxiety stress scales. Sydney: Psychology Foundation of Australia; 1995. [Link]##Shokri O, Shahidi S, Mazaheri M, Fathabadi J, Rahiminejad SP, Khanjani M. [Evaluating the effectiveness of an immunization intervention program for undergraduates against negative emotional experiences based on the pennsylvania preventive model (Persian)]. Educational Measurement and Evaluation Studies. 2014; 4(7):165-90. [Link]##Marsella AJ, Leong FTL. Cross-cultural issues in personality and career assessment. Journal of Career Assessment. 1995; 3(2):202-18. [DOI:10.1177/106907279500300207]##Case JAC, Burke TA, Siegel DM, Piccirillo ML, Alloy LB, Olino TM. Functions of non-suicidal self-injury in late adolescence: A latent class analysis. Archives of Suicide Research. 2020; 24(sup2):S165-86. [DOI:10.1080/13811118.2019.1586607] [PMID] [PMCID]##Kline RB. Principles and practices of structural equation modeling. New York: Guilford Press; 2005. [Link]##Hair JF, Black WC, Babin BJ, Anderson RE. Multivariate data analysis. Hoboken: Pearson Prentice Hall; 2010. [Link]##Taylor S, Todd PA. Understanding information technology usage: A test of competing models. Information Systems Research. 1995; 6(2):144-76. [DOI:10.1287/isre.6.2.144]##Zhang F, Cloutier PF, Yang H, Liu W, Cheng W, Xiao Z. Non-suicidal self-injury in Shanghai inner bound middle school students. General Psychiatry. 2019; 32(4):e100083.[DOI:10.1136/gpsych-2019-100083] [PMID] [PMCID]##Madjar N, Sarel-Mahlev E, Brunstein Klomek A. Depression symptoms as mediator between adolescents' sense of loneliness at school and nonsuicidal self-injury behaviors. Crisis. 2021; 42(2):144-51. [DOI:10.1027/0227-5910/a000702] [PMID]##Vergara GA, Stewart JG, Cosby EA, Lincoln SH, Auerbach RP. Non-suicidal self-injury and suicide in depressed Adolescents: Impact of peer victimization and bullying. Journal of Affective Disorders. 2019; 245:744-9. [DOI:10.1016/j.jad.2018.11.084] [PMID] [PMCID]##Jiang Y, You J, Zheng X, Lin MP. The qualities of attachment with significant others and self-compassion protect adolescents from non suicidal self-injury. School Psychology Quarterly. 2017; 32(2):143-55. [DOI:10.1037/spq0000187] [PMID]##Kelada L, Hasking P, Melvin GA. School response to self-injury: Concerns of mental health staff and parents. School Psychology Quarterly. 2017; 32(2):173-87. [DOI:10.1037/spq0000194] [PMID]## ##

حمایت از درمان شناختی-رفتاری در زمان همه‌گیری کووید-19: یک تحلیل کتاب‌سنجی Importance of Cognitive-Behavioral Therapy During the COVID-19 Pandemic: A Bibliometric Analysis 1 1 به نظر می‌رسد کووید-19 بر زندگی افراد تأثیر گسترده‌ای گذاشته باشد، زیرا تقریباً بر تمام زمینه‌های عملکرد انسان مؤثر بوده است. اختلالات خواب، اختلالات خوردن، استرس، اضطراب، و افسردگی به وجود آورده است. به‌دلیل افزایش سطح بیماری، خطر مرگ و محدودیت‌هایی چون محدودیت‌ شدن سفر، فاصله‌گذاری فیزیکی و انزوا، به سایر مسائل مربوط به سلامت روان نیز منجر شده است. این مسئله درمجموع، نیاز به حمایت از سلامت روان را در هم در میان مردم و هم شاغلین فعال و درگیر در همه‌گیری را افزایش داد. 2 The impact of coronavirus disease 2019 (COVID-19) on people’s life was high, influencing almost all aspects of human functioning, causing sleeping disorders, eating disorders, stress, anxiety, depression, and other mental health problems due to the increasing levels of sickness, fear of death, and imposing various restrictions such as travel ban, social distancing, and quarantine which increased the need for mental health support for people and health workers. Cognitive-behavioral therapy (CBT) is a promising method to treat patients with psychological disorders such depression, anxiety, etc. 536 541 2022/08/52022/10/52022/08/212022/12/132022/12/202023/02/232023/02/72022/10/282022/12/252022/12/8 1401/9/17 2023/03/12022/10/162023/02/272023/03/192023/03/62023/04/172023/04/102023/03/142023/04/112023/01/21 1401/11/1 ایوانا شوبینا Ivanna Shubina دانشیار روانشناسی، گروه هنرهای لیبرال، دانشگاه آمریکایی خاورمیانه، ایگایلا، کویت. Kuwait ivanna.shubina@aum.edu.kw COVID-19 pandemic Cognitive-Behavioral Therapy (CBT) Treatment Bibliometric Keyword analysis. Liu Z, Qiao D, Xu Y, Zhao W, Yang Y, Wen D, et al. The efficacy of computerized cognitive behavioral therapy for depressive and anxiety symptoms in patients with covid-19: Randomized controlled trial. Journal of Medical Internet Research. 2021; 23(5):e26883. [DOI:10.2196/26883] [PMID] [PMCID]##Weineland S, Ribbegårdh R, Kivi M, Bygdell A, Larsson A, Vernmark K, et al. Transitioning from face-to-face treatment to iCBT for youths in primary care - therapists’ attitudes and experiences. Internet Interventions. 2020; 22:100356. [DOI:10.1016/j.invent.2020.100356] [PMID] [PMCID]##Ziadni MS, Gonzalez-Castro L, Anderson S, Krishnamurthy P, Darnall BD. Efficacy of a single-session empowered relief zoom-delivered group intervention for chronic pain: Randomized controlled trial conducted during covid-19. Journal of Medical Internet Research. 2021; 23(9):e29672. [DOI:10.2196/preprints.29672]##Altena E, Baglioni C, Espie CA, Ellis J, Gavriloff D, Holzinger B, et al. Dealing with sleep problems during home confinement due to the COVID-19 outbreak: Practical recommendations from a task force of the European CBT-I Academy. Journal of Sleep Research. 2020; 29(4):e13052. [DOI:10.1111/jsr.13052]##Thorndike F, Saver K, Braun S, Williams K, Xiong X. 664 Characteristics of respondents to a virtual trial of a digital behavioral treatment for insomnia during the COVID-19 pandemic. Sleep. 2021; 44(Suppl 2):A259-60. [DOI:10.1093/sleep/zsab072.662] [PMCID]##Waller G, Pugh M, Mulkens S, Moore E, Mountford VA, Carter J, et al. Cognitive-behavioral therapy in the time of coronavirus: Clinician tips for working with eating disorders via telehealth when face-to-face meetings are not possible. The International Journal of Eating Disorders. 2020; 53(7):1132-41. [DOI:10.1002/eat.23289] [PMID] [PMCID]##Zheng Y, Wang L, Zhu Y, Zeng Y. Efficacy of cognitive behavioral therapy on mood and quality of life for patients with COVID-19: A protocol for systematic review and meta-analysis. Medicine (Baltimore). 2021; 100(15):e25512. [DOI:10.1097/MD.0000000000025512] [PMID] [PMCID]##Perri RL, Castelli P, La Rosa C, Zucchi T, Onofri A. COVID-19, isolation, quarantine: On the efficacy of internet-based eye movement desensitization and reprocessing (EMDR) and cognitive-behavioral therapy (CBT) for ongoing trauma. Brain Sciences. 2021; 11(5):579. [DOI:10.3390/brainsci11050579] [PMID] [PMCID]##Davis PA, Gustafsson H, Callow N, Woodman T. Written emotional disclosure can promote athletes’ mental health and performance readiness during the covid-19 pandemic. Frontiers in Psychology. 2020; 11:599925. [DOI:10.3389/fpsyg.2020.599925] [PMID] [PMCID]##Darmadi D, Ruslie RH. Coronavirus disease-2019 and mental health. Open Access Macedonian Journal of Medical Sciences. 2020; 8(T1):268-71. [DOI:10.3889/oamjms.2020.5304]##Schlarb AA, Schulte H, Selbmann A, Och I. Online cognitive behavioral group therapy (iCBT-I) for insomnia for school children and their parents: Adaptation of an established treatment (KiSS training). Somnologie (Berl). 202; 24(4):259-66. [PMID]##Morin CM. Profile of somryst prescription digital therapeutic for chronic insomnia: Overview of safety and efficacy. Expert Review of Medical Devices. 2020; 17(12):1239-48. [DOI:10.1080/17434440.2020.1852929] [PMID]##Zhao X, Zhang T, Li B, Yu X, Ma Z, Cao L, et al. Job-related factors associated with changes in sleep quality among healthcare workers screening for 2019 novel coronavirus infection: A longitudinal study. Sleep Medicine. 2020; 75:21-6. [DOI:10.1016/j.sleep.2020.07.027] [PMID] [PMCID]##Cheng P, Xia G, Pang P, Wu B, Jiang W, Li YT, et al. COVID-19 epidemic peer support and crisis intervention via social media. Community Mental Health Journal. 2020; 56(5):786-92. [DOI:10.1007/s10597-020-00624-5] [PMID] [PMCID]##Brown S, Opitz MC, Peebles AI, Sharpe H, Duffy F, Newman E. A qualitative exploration of the impact of COVID-19 on individuals with eating disorders in the UK. Appetite. 2021; 156:104977. [DOI:10.1016/j.appet.2020.104977] [PMID] [PMCID]##Couturier J, Pellegrini D, Miller C, Bhatnagar N, Boachie A, Bourret K, et al. The COVID-19 pandemic and eating disorders in children, adolescents, and emerging adults: Virtual care recommendations from the Canadian consensus panel during COVID-19 and beyond. Journal of Eating Disorders. 2021; 9(1):46. [DOI:10.1186/s40337-021-00394-9] [PMID] [PMCID]##Weiner L, Berna F, Nourry N, Severac F, Vidailhet P, Mengin AC. Efficacy of an online cognitive behavioral therapy program developed for healthcare workers during the COVID-19 pandemic: The REduction of STress (REST) study protocol for a randomized controlled trial. Trials. 2020; 21(1):870. [DOI:10.1186/s13063-020-04772-7] [PMID] [PMCID]##Irfan M, Naeem F, Afridi MI, Javed A. Prevention of occupational stress in health-care workers during COVID-19 pandemic. Indian Journal of Psychiatry. 2020; 62(Suppl 3):S495-7. [DOI:10.4103/psychiatry.IndianJPsychiatry_844_20] [PMID] [PMCID]##Doukani A, Free C, Michelson D, Araya R, Montero-Marin J, Smith S, et al. Towards a conceptual framework of the working alliance in a blended low-intensity cognitive behavioural therapy intervention for depression in primary mental health care: A qualitative study. BMJ Open. 2020; 10(9):e036299. [DOI:10.1136/bmjopen-2019-036299] [PMID] [PMCID]##Alavi N, Yang M, Stephenson C, Nikjoo N, Malakouti N, Layzell G, et al. Using the online psychotherapy tool to address mental health problems in the context of the covid-19 pandemic: Protocol for an electronically delivered cognitive behavioral therapy program. JMIR Research Protocols. 2020; 9(12):e24913. [DOI:10.2196/24913] [PMID] [PMCID]##Boelen PA, Eisma MC, Smid GE, Keijser JD, Lenferink LI. Remotely delivered cognitive behavior therapy for disturbed grief during the COVID-19 crisis: Challenges and opportunities. Journal of Loss & Trauma. 2021; 26(3):211-9. [DOI:10.1080/15325024.2020.1793547]##Song J, Jiang R, Chen N, Qu W, Liu D, Zhang M, et al. Self-help cognitive behavioral therapy application for COVID-19-related mental health problems: A longitudinal trial. Asian journal of Psychiatry. 2021; 60:102656. [DOI:10.1016/j.ajp.2021.102656] [PMID] [PMCID]##Klim-Conforti P, Zaheer R, Levitt AJ, Cheung AH, Schachar R, Schaffer A, et al. The impact of a harry potter-based cognitive-behavioral therapy skills curriculum on suicidality and well-being in middle schoolers: A randomized controlled trial. Journal of Affective Disorders. 2021; 286:134-41. [DOI:10.1016/j.jad.2021.02.028] [PMID]##Rajagopal A, Nirmala V, Andrew J, Arun M. Novel AI to avert the mental health crisis in COVID-19: Novel application of GPT2 in Cognitive Behaviour Therapy. Journal of Affective Disorders. 2021; 1-42. [Preprint]. [Link]##Craig SL, Iacono G, Pascoe R, Austin A. Adapting clinical skills to telehealth: Applications of affirmative cognitive-behavioral therapy with LGBTQ+ Youth. Clinical Social Work Journal. 2021; 49(4):471-83. [PMID]##Martinengo L, Stona AC, Griva K, Dazzan P, Pariante CM, von Wangenheim F, et al. Self-guided cognitive behavioral therapy apps for depression: Systematic assessment of features, functionality, and congruence with evidence. Journal of Medical Internet Research. 2021; 23(7):e27619. [DOI:10.2196/27619] [PMID] [PMCID]## ##