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اثربخشی گروه‌درمانی پذیرش و تعهد بر تصویر بدن و شفقت به خود در زنان تحت دیالیز: یک کارآزمایی بالینی تصادفی Effect of Group Acceptance and Commitment Therapy on Body Image and Self-compassion of Women Undergoing Dialysis: A Randomized Clinical Trial 1 1 اهداف دیالیز برای درمان نارسایی مزمن کلیه اثرات قابل‌توجهی بر کیفیت زندگی می‌گذارد، فعالیت‌های روزمره را مختل می‌کند، همراه با تغییر سبک زندگی است و تأثیر مخربی بر سلامت جسمی، روانی و اجتماعی دارد. هدف پژوهش حاضر بررسی اثربخشی گروه‌درمانی مبتنی بر پذیرش و تعهد بر تصویر بدن و شفقت به خود در زنان تحت دیالیز بود. مواد و روش ها پژوهش حاضر از نوع نیمه‌آزمایشی (کارآزمایی بالینی تصادفی) با طرح پیش‌آزمون پس‌آزمون با گروه کنترل و پیگیری بود. جامعه آماری مشتمل بر کلیه زنان تحت دیالیز مراجعه‌کننده به انجمن حمایت از بیماران دیالیزی خراسان رضوی در سال 1401 تا 1400 بودند. نمونه‌ آماری شامل 30 زن از زنان تحت دیالیز شهر مشهد بودند که به‌صورت نمونه‌گیری در دسترس انتخاب و به‌صورت تصادفی در گروه‌های آزمایش و کنترل جای داده شدند. هر 2 گروه تحت درمان دیالیز قرار داشتند، گروه آزمایش، مداخله ‌درمانی مبتنی بر پذیرش و تعهد طی 10 جلسه و هر جلسه به‌مدت 120 دقیقه را دریافت کرد، گروه کنترل هیچ مداخله‌ای دریافت نکرد. هر 2 گروه پرسش‌نامه‌ها‌ی نگرانی از تصویر بدن و شفقت به خود را در پیش‌آزمون، پس‌آزمون و پیگیری 2 ماهه تکمیل کردند. داده‌ها با آزمون تحلیل واریانس اندازه‌گیری مکرر عاملی در نرم‌افزار SPSS نسخه 25 تحلیل شدند. یافته ها نتایج مطالعه حاضر نشان داد گروه‌درمانی مبتنی بر پذیرش و تعهد در مقایسه با گروه کنترل به بهبود معنادار تصویر بدن (0/001=P؛39/271=F) و شفقت به خود (0/001=P؛ 7/342=F) در زنان تحت دیالیز در پس‌آزمون منجر شد و نتایج در پیگیری 2 ماهه پایدار باقی ماندند. نتیجه گیری طبق نتایج این مطالعه، به‌کارگیری گروه‌درمانی مبتنی بر پذیرش و تعهد می‌تواند روشی مناسب برای افزایش رضایت از تصویر بدن و شفقت به خود در زنان تحت دیالیز باشد. 2 Objectives Dialysis for the treatment of chronic kidney failure has negative effects on the quality of life, daily activities, lifestyle, and physical, mental, and social health. The present study aims to assess the effect of group acceptance and commitment therapy (ACT) on the body image and self-compassion of women undergoing dialysis. Methods This is a quasi-experimental study (randomized clinical trial) with a pre-test/post-test/follow-up design. The study population consisted of all women receiving dialysis who were referred to the Dialysis Patients Support Association in Khorasan Razavi, Iran, in 2021-2022. Of these, 30 were selected by a convenience sampling method and were randomly assigned to two groups of intervention and control. The intervention group received group ACT at 10 sessions each for 120 minutes, while the control group received no intervention. Both groups completed the Body Image Concern Inventory and the Self-Compassion Scale in the pre-test, post-test, and two-month follow-up phases. The data were analyzed using the repeated measures analysis of variance in SPSS software, version 25. Results The intervention group showed a significant improvement in body image (F=39.271, P=0.001) and self-compassion (F=7.342, P=0.001) in the post-test phase compared to the control group, which remained stable in the two-month follow-up. Conclusion The group ACT can be a suitable method to increase body image satisfaction and self-compassion in women undergoing dialysis. 2 17 2023/02/11 1401/11/22 2023/03/28 1402/1/8 منیره پورفراهانی Monireh Pourfarahani گروه علوم تربیتی، دانشکده علوم تربیتی و روانشناسی، واحد مشهد، دانشگاه آزاد اسلامی، مشهد، ایران. Iran حسین شاره Hossein Shareh گروه علوم تربیتی، دانشکده ادبیات وعلوم انسانی، دانشگاه حکیم سبزواری، سبزوار، ایران. Iran h.shareh@hsu.ac.ir فاطمه حاجی اربابی Fatemeh Haji Arbabi گروه علوم تربیتی، دانشکده علوم تربیتی و روانشناسی، واحد مشهد، دانشگاه آزاد اسلامی، مشهد، ایران. 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اثربخشی شناخت‌درمانی مبتنی بر ذهن‌آگاهی بر تنظیم شناختی هیجان، شدت علائم روان‌تنی میگرن و سبک‌های مقابله با استرس در زنان مبتلا به میگرن Effect of Mindfulness-based Cognitive Therapy on Cognitive Emotion Regulation, Psychosomatic Symptom Severity of Migraine, and Stress Coping Styles of Women with Migraine 1 1 اهداف پژوهش حاضربا هدف تعیین اثربخشی شناخت‌درمانی مبتنی بر ذهن‌آگاهی بر تنظیم شناختی هیجان، شدت علائم روان‌تنی میگرن و سبک‌های مقابله با استرس در بین زنان مبتلا به بیماری میگرن انجام شد. مواد و روش ها این پژوهش در قالب یک طرح پژوهشی نیمه‌آزمایشی و از نوع پیش‌آزمون و پس‌آزمون با گروه کنترل اجرا شد. جامعه آماری این پژوهش متشکل از کلیه مراجعان زن مبتلا به میگرن مراجعه‌کننده به متخصصان مغز و اعصاب شهر خرم‌آباد در سال 1401 بود. حجم نمونه 32 بیمار زن مبتلا به میگرن بود که به روش نمونه‌گیری دردسترس انتخاب شدند. سپس به‌صورت تصادفی در 2 گروه آزمایش (16 نفر) و کنترل (16نفر) جایگزین شدند‌. جهت گردآوری اطلاعات از پرسش‌نامه ‌های تنظیم شناختی هیجان گارنفسکی، علائم روان‌تنی میگرن نجاریان و سبک‌های مقابله با استرس بیلینگز و موس استفاده شد. مداخله شناخت‌درمانی مبتنی بر ذهن‌آگاهی به‌ صورت یک جلسه درهفته و طی 8 هفته متوالی در گروه آزمایش انجام شد. داده‌ها بااستفاده از تحلیل کوواریانس(آنکووا) تجزیه‌وتحلیل شدند. یافته ها نتایج تحلیل کوواریانس نشان دادند مداخله شناخت‌درمانی مبتنی بر ذهن‌آگاهی در سطحP<0/01 ،F=14/406  بر تنظیم شناختی هیجان‌، شدت علائم روان‌تنی میگرن و سبک‌های مقابله با استرس مراجعان زن مبتلا به میگرن حداقل در یکی از متغیرها اثرمعناداری داشته است. همچنین نتایج تحلیل کوواریانس تک‌متغیری نشان دادند شناخت‌درمانی مبتنی بر ذهن‌آگاهی در سطح  P<0/01 ،F=7/60بر تنظیم شناختی هیجان و در سطح P<0/01 ،‌F=46/53 بر شدت علائم روان‌تنی میگرن و در سطح P<0/03 ،‌F=5/18 بر سبک‌های مقابله با استرس در مرحله پس‌آزمون اثرمعناداری داشته است. نتیجه گیری مداخله شناخت‌درمانی مبتنی بر ذهن‌آگاهی بر افزایش تنظیم شناختی هیجان، کاهش شدت علائم روان‌تنی میگرن و سبک‌های مقابله با استرس بیماران زن مبتلا به میگرن اثربخش است. بر‌این‌اساس در فرایند اثربخشی برنامه شناخت‌درمانی مبتنی بر ذهن‌آگاهی بر کاهش اجتناب از فرار از تجارب ناخوشایند ناشی از میگرن می‌توان گفت در این روش، افراد یاد می‌گیرند چگونه از روش‌های شناختی و تعمق‌های ذهن‌آگاهانه برای متوقف کردن فرایندهای خودکاری که اغلب باعث کاستی در تنظیم هیجان مثبت، شدت گرفتن علائم روان‌تنی میگرن و سبک‌های مقابله با استرس سازگارانه می‌شود، استفاده کنند. 2 Objectives The present study aims to examine the effect of mindfulness-based cognitive therapy (MBCT) on cognitive emotion regulation, psychosomatic symptom severity of migraine, and stress coping styles of women with migraine. Methods This is a quasi-experimental study with a pre-test and post-test design. The study population consisted of all women suffering from migraine referred to neurologists in Khorramabad city, Iran in 2022.  Of these, 32 were selected by a convenience sampling method and randomly divided into two groups of intervention (n=16) and control (n=16). Garnefski’s cognitive emotion regulation questionnaire, Najarian’s psychosomatic symptoms of migraine questionnaire, and Billings and Moss’s stress coping styles questionnaire were used to collect data. The MBCT was provided to the intervention group for 8 consecutive weeks, one session per week. The data were analyzed using analysis of covariance (ANCOVA). Results The results of multivariate ANCOVA showed that MBCT significantly affected at least one of the variables (F=14.406, P<0.01). The results of univariate ANCOVA showed that MBCT had a significant effect on cognitive emotion regulation strategies (F=60.7, P<0.01), the severity of migraine (F=53.46, P<0.01),  and stress coping styles (F=18.5, P=0.03) in the post-test phase. Conclusion MBCT is effective in improving cognitive emotion regulation strategies, reducing the psychosomatic symptom severity of migraine, and improving stress coping styles of women with migraine. By this method, women learn how to use cognitive methods and mindfulness techniques to stop the automatic processes that cause a deficiency in positive emotion regulation, intensify migraine, and avoid the use of adaptive stress coping styles. 18 31 2023/02/112022/11/22 1401/9/1 2023/03/282023/03/26 1402/1/6 آمنه شاهوردی Ameneh Shahverdi مؤسسه آموزش عالی ناصرخسرو، ساوه، ایران. Iran shahverdi.a@hnkh.ac.ir معبود امیدی Maboud Omidi مؤسسه آموزش عالی ناصرخسرو، ساوه، ایران. 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اثرات تحریک مکرر مغناطیسی مغز بر کارکردهای شناختی پرسنل پلیس مبتلا به استرس پس از سانحه Effects of Repeated Trans Cranial Magnetic Stimulation on Cognitive Functions of Policemen With Post-traumatic Stress Disorder 1 1 اهداف پژوهش حاضر با هدف بررسی اثرات تحریک مکرر مغناطیسی مغز بر کارکردهای شناختی پرسنل پلیس مبتلا به استرس پس از سانحه انجام شد. این پژوهش از نوع کاربردی و نیمه‌آزمایشی با طرح تحقیقی پیش‌آزمون-پس‌آزمون با گروه کنترل است.  مواد و روش ها مطالعه حاضر در زمره مطالعات نیمه‌آزمایشی پیش‌آزمون پس‌آزمون با گروه کنترل است. جامعه آماری مطالعه شامل افسران پلیس ناجا و مراجعه‌کننده به بخش اعصاب و روان بیمارستان امام سجاد ناجا تهران در یک بازه زمانی 6 ماهه بود که در این مطالعه 30 نفر به شیوه نمونه‌گیری دردسترس انتخاب و به‌صورت تصادفی در گروه‌های کنترل و آزمایش جایگزین شدند. جهت تشخیص اختلال استرس پس از سانحه از مصاحبه تشخیصی توسط روانپزشک و روان‌شناس بالینی متخصص استفاده شد. کارکردهای شناختی از‌طریق آزمون حافظه دیداری ری به‌منظور سنجش نوع فعالیت ادراکی حافظه دیداری، آزمون حافظه شنیداری‌کلامی رِی جهت ارزیابی حافظه و یادگیری شنوایی‌کلامی، آزمون عملکرد اجرایی برج لندن به‌منظور ارزیابی عملکرد اجرایی و آزمون کارتی استروپ برای اندازه‌گیری توانایی بازداری پاسخ، توجه انتخابی و تغییر‌پذیری شناختی و انعطاف‌پذیری شناختی مورد استفاده قرار گرفتند که به‌صورت پیش‌آزمون و پس‌آزمون برای هر 2 گروه آزمایش و کنترل اجرا شدند. گروه آزمایش 10 جلسه در معرض تحریک مکرر مغناطیسی مغز با فرکانس 20 هرتز، هر فرکانس با مدت زمان تحریک 5 ثانیه و فاصله زمانی 20 ثانیه بین تحریک‌ها و هر جلسه هم 1000 موج قرار گرفت. داده‌ها به‌وسیله آزمون آماری تحلیل کوواریانس چند‌متغیره و با استفاده از نرم‌افزار آماری SPSS نسخه 22 مورد تجزیه‌و‌تحلیل قرار گرفت.  یافته ها نتایج نشان می‌دهد گروه آزمایش در مؤلفه‌های کارکرد شناختی حافظه دیداری، حافظه شنیداری‌کلامی، برج لندن، خطای درجاماندگی، تعداد طبقات، نمره تداخل، زمان تداخل، خطای هم‌خوان و خطای ناهم‌خوان نسبت به گروه کنترل نمرات بهتری نشان دادند.  نتیجه گیری نتایج حاکی از اثربخشی مثبت تحریک مکرر مغناطیسی فرا‌قشری مغز با فرکانس بالا بر کارکرد‌های شناختی افراد مبتلا به اختلال استرس پس از سانحه است. 2 Objectives The present study aims to investigate the effects of repeated transcranial magnetic stimulation (rTMS) on the cognitive functioning of policemen with post-traumatic stress disorder (PTSD).  Methods This is a quasi-experimental study with a pre-test/post-test design. The study population included all male police officers referred to the neuropsychiatric department of Imam Sajjad Hospital in Tehran, Iran, in 2022. Of these, 30 policemen diagnosed with PTSD were selected using a convenience sampling method and randomly divided into two groups of control and intervention. Their PTSD was diagnosed using a diagnostic interview by a psychiatrist and an expert clinical psychologist. Cognitive functions were evaluated using Rey’s visual memory test (VMT), Rey’s auditory-verbal learning test (AVLT), Tower of London test (TLT), Stroop test, and Wisconsin card sorting test, which were performed at the pre-test and post-test phases for both groups. The intervention group received 20-Hz rTMS at 10 sessions, including 5 seconds of stimulation and 20 seconds of rest interval between each stimulation (1000 pulses per session). The data were analyzed by multivariate analysis of covariance in SPSS software, version 22. Results The intervention group showed better scores in the VMT, AVLT, TLT, residual error, number of card designs, interference score, interference time, congruent error, and incongruent  error compared to the control group Conclusion The high-frequency rTMS has a positive effect on the cognitive functions of policemen suffering from PTSD. 32 47 2023/02/112022/11/222023/02/7 1401/11/18 2023/03/282023/03/262023/03/11 1401/12/20 صابر حیدرپور Saber Heydarpour گروه علوم اعصاب شناختی، دانشکده علوم تربیتی و روان شناسی، دانشگاه تبریز، تبریز، ایران. Iran saber.heydarpoor@yahoo.com لیلا مهدیزاده فانید Leila Mehdizadeh Fanid گروه علوم اعصاب شناختی، دانشکده علوم تربیتی و روان شناسی، دانشگاه تبریز، تبریز، ایران. Iran lfanid@yahoo.co.uk زهرا میرزا عسگری Zahra Mirza Asgari گروه نورولوژی، دانشکده پزشکی، دانشگاه علوم پزشکی ایران، تهران، ایران. Iran heysieattalab@gmail.com سمیه حیثیت طلب Soomaayeh Heysieattalab گروه علوم اعصاب شناختی، دانشکده علوم تربیتی و روان شناسی، دانشگاه تبریز، تبریز، ایران. 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ارزشیابی برنامه ارتقای سلامت روان مدارس در مدارس ایران: یک مطالعه کیفی Evaluating the Efficacy of School Mental Health Promotion Program in Iranian Schools: A Qualitative Study 1 1 اهداف باتوجه‌به اهمیت شناسایی مشکلات سلامت روان دانش‌آموزان و مدیریت صحیح آن‌ها با ارائه خدمات تخصصی به آنان، پژوهش حاضر با هدف بررسی اثربخشی برنامه بهداشت روان مدارس در مدارس ایران، شناسایی کاستی‌های آن و ارائه توصیه‌هایی برای بهبود آن انجام شده است..  مواد و روش ها پژوهش حاضر یک مطالعه کیفی با روش تحلیل محتوای قراردادی است که برای به دست آوردن داده‌ها از دیدگاه گروهی از ذی‌نفعان از مصاحبه نیمه‌ساختار‌یافته عمیق استفاده کرد. 35 نفر از مربیان منتخب، معلمان، مدیران و طراحان برنامه ارتقای سلامت روان مدارس، جامعه این پژوهش بودند.  یافته ها یافته‌های پژوهش حاضر در 4 طبقه نقاط قوت برنامه، نقاط ضعف برنامه، عوامل تأثیرگذار در محقق نشدن اهداف برنامه و پیشنهادات برای ارتقای طرح قرار گرفت. 50 کد استخراج شد و 14 زیرطبقه به دست آمد. نتایج کلی ارزشیابی که از مصاحبه‌های عمیق و بحث گروهی متمرکز به دست آمد، نشان از اثربخشی برنامه سلامت روان مدارس دارد. نتیجه گیری نتایج کلی ارزشیابی طرح سلامت روان مدارس نشان از اثربخشی این طرح دارد. مدل جدید و کاربردی طرح سلامت روان مدارس چشم‌انداز جدیدی به مداخلات مدرسه محور گشوده است. با وجود این انتظار استقرار کامل و تداوم این طرح در کوتاه‌مدت و با منابع محدود چندان واقع‌بینانه به نظر نمی‌رسد. بنابراین پیشنهاد می‌شود ابتدا زیرساخت‌های مورد‌نیاز برای اجرای این برنامه ازجمله نیروی آموزش‌دیده، ارتقای هسته مشاوره مدارس، محدودیت زمانی معلمان و محدویت‌های قانونی و غیره برطرف شود و سپس این طرح در سطح ملی برای تمامی مدارس کشور اجرا شود.  2 Objectives Considering the importance of identifying the mental health problems among school students and their proper management by offering specialized services to them, the present study aims to evaluate the efficacy of school mental health (SMH) program in Iranian schools, identify its shortcomings and provide recommendations for it improvement.  Methods This is a qualitative study using conventional content analysis method. A semi-structured in-depth interview was used to collect information from 35 participants who included teachers, principals, and developers of the SHM Program in Iran.  Results Based on the results, four themes (strengths, weaknesses, barriers, and recommendations) and 14 subthemes were extracted. Overall, 50 codes were obtained. The results showed the effectiveness of the SMH program. Conclusion The SMH program is effective and has opened a new perspective to school-based interventions. However, expecting the full implementation and continuation of this program in the short term and with limited resources does not seem logical. Therefore, it is first recommended to improve the infrastructure for implementing this program, use trained personnel, upgrade the counseling departments of schools, and remove the time limit of teachers and legal limitations. Then, this project should be implemented at the national level for all schools in Iran. 48 65 2023/02/112022/11/222023/02/72023/01/3 1401/10/13 2023/03/282023/03/262023/03/112023/03/11 1401/12/20 میترا برجی Mitra Borji گروه روانشناسی بالینی، دانشکده علوم رفتاری و سلامت روان، دانشگاه علوم‌پزشکی ایران، تهران، ایران. Iran Mitra.borji@yahoo.com امیرعلی حاجبی Amirali Hajebi مرکز تحقیقات بیماری های غیرواگیر، پژوهشگاه علوم غدد و متابولیسم، دانشگاه علوم پزشکی تهران، تهران، ایران. Iran Hajebi.a.a@gmail.com مرتضی ناصربخت Morteza Naserbakht مرکز تحقیقات بهداشت روان، پژوهشکده آسیب های اجتماعی، دانشگاه علوم پزشکی ایران، تهران، ایران. Iran mnaserbakht@gmail.com هلیا رنجبر Helia Ranjbar گروه مدیریت، دانشکده مدیریت، دانشگاه تهران، تهران، ایران. Iran Heliaranjbar1379@gmail.com عسل فاضلی Asal Fazeli گروه روانشناسی، دانشکده روانشناسی و علوم تربیتی، دانشگاه علامه طباطبایی، تهران، ایران. 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عوامل مؤثر بر احساس کرامت در بیماران مبتلا به اختلالات روانپزشکی در طول بستری در یک بیمارستان روانپزشکی در تهران Factors Affecting the Sense of Dignity in Patients With Psychiatric Disorders During Hospitalization in a Psychiatric Hospital in Tehran, Iran 1 1 اهداف هدف این مطالعه تعیین عوامل مؤثر بر احساس کرامت بیماران دارای بیماری‌های روان‌پزشکی در طول بستری در بیمارستان بود. مواد و روش ها پژوهش حاضر یک مطالعه مقطعی بود. جامعه مورد‌مطالعه بیمارانی بودند که در بخش‌های روان‌پزشکی بیمارستان روان‌پزشکی ایران بستری شده بودند. روش نمونه‌گیری در دسترس به کار گرفته شد و 253 بیمار پرسش‌نامه را تکمیل کردند. داده‌ها با استفاده از پرسش‌نامه‌ای که توسط تیم تحقیقاتی تهیه شده بود، جمع‌آوری شد که احساس کرامت بیمار را ارزیابی کرد. برای تجزیه‌و‌تحلیل داده‌ها از نرم‌افزار SPSS نسخه 16، آزمون تی، همبستگی پیرسون، آنووا، و رگرسیون خطی استفاده شد. یافته ها در پایان ۲۵۳ بیمار دارای اختلالات روان‌پزشکی در مطالعه شرکت کردند. بین سن و احساس کرامت، همبستگی معنی‌داری وجود داشت (r=0/266 ،‌P<‌0/001). بیمارانی با سطح تحصیلات بالاتر از دیپلم، احساس کرامت کمتری نسبت به آن‌هایی که دیپلم یا کمتر داشتند (امتیاز میانگین 3/01 در مقابل 3/15، 0/023‌>P) داشتند. در‌نهایت، بیمارانی که آگاهی از تشخیصشان داشتند، احساس کرامت کمتری نسبت به کسانی که آگاهی نداشتند (امتیاز میانگین 3/06 در مقابل 3/17، 0/001‌>P) داشتند. رگرسیون خطی نشان داد بین سن، آگاهی از تشخیص و سطح تحصیلات با احساس کرامت رابطه‌ای پیش‌بینی‌شده وجود دارد. نتیجه گیری این مطالعه عواملی را نشان داد که بر احساس بیماران دارای مشکلات روان‌پزشکی از حفظ کرامتشان در زمان بستری تأثیر منفی، از‌جمله سن، سطح تحصیلات و آگاهی از تشخیص، می‌گذارند. یافته‌ها نشان می‌دهند ارائه مداخلاتی که به این عوامل می‌پردازند برای بهبود حس کرامت بین بیماران دارای مشکلات روان‌پزشکی بسیار حائز اهمیت است. 2 Objectives This study aims to determine the factors affecting the sense of dignity in patients with psychiatric disorders during hospitalization in a psychiatric hospital in Tehran, Iran.  Methods This is a cross-sectional study. Participants were 253 adult patients with psychiatric disorders admitted to Iran Psychiatry Hospital, who were selected by a convenience sampling method. A researcher-made questionnaire was used to assess the patients’ sense of dignity. To analyze the collected data, independent t-test, Pearson’s correlation test, ANOVA, and linear regression analysis were used.  Results There was a significant correlation between age and a sense of dignity (r=0.266, P<0.001). Patients with an educational level above a diploma had a lower sense of dignity than those with a diploma or lower (3.01 vs. 3.15, P=0.023). Patients who were aware of their own disease diagnosis had a lower sense of dignity than those who were not aware (3.06 vs. 3.17, P<0.001). The linear regression model showed the significant ability of age, knowledge of own disease diagnosis, and educational level to predict the sense of dignity.  Conclusion Psychiatric patients’ age, educational level, and knowledge of own disease diagnosis can predict their sense of dignity during hospitalization. Healthcare providers and policy makers should consider these factors during interventions to improve the sense of dignity in these patients 66 77 2023/02/112022/11/222023/02/72023/01/32023/01/6 1401/10/16 2023/03/282023/03/262023/03/112023/03/112023/03/12 1401/12/21 لاله لقمانی Laleh Loghmani گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی بم، بم، ایران. Iran mlloghmani1384@yahoo.com محمدعلی مردم Mohammad Ali Mardom گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی اراک، اراک، ایران. Iran m.ali.mardom@gmail.com مسعود فاطمی Massod Fatemi گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه تربیت مدرس، تهران، ایران. Iran masoodfatemi97@gmail.com سهیلا کلانتری Soheyla Kalantari گروه اتاق عمل، دانشکده پیراپزشکی، دانشگاه علوم پزشکی گلستان، گرگان، ایران. Iran kalantari@goums.ac.ir زهرا شفیعی کیسمی Zahra Shafiei Kisomi گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی قزوین، قزوین، ایران. Iran Zahrashafiei431@yahoo.com سیده مدینه قاسم نژاد Seideh Madineh Ghasemnegad گروه پرستاری، واحد لاهیجان، دانشگاه آزاد اسلامی، لاهیجان، ایران. Iran mghasemnegad@yahoo.com هادی رنجبر Hadi Ranjbar مرکز تحقیقات بهداشت روان، پژوهشکده پیشگیری از آسی بهای اجتماعی، دانشگاه علوم پزشکی ایران، تهران، ایران. Iran ranjbar.h@iums.ac.ir Dignity Psychiatric Disorders Hospitalization کرامت اختلالات روان‌پزشکی بستری شدن طرح مقطعی Ricciardelli R, Mitchell M, Taillieu T, Angehrn A, Afifi T, Carleton RN. Pervasive uncertainty under threat: mental health disorders and experiences of uncertainty for correctional workers. Criminal Justice and Behavior. 2022; 49(7):991-1009. 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Family members’ expressions of dignity in palliative care: A qualitative study. Scandinavian Journal of Caring Sciences. 2021; 35(3):937-44. [DOI:10.1111/scs.12913] [PMID] [PMCID] ##Brożek B, Fopka-Kowalczyk M, Łabuś-Centek M, Damps-Konstańska I, Ratajska A, Jassem E, et al. Dignity therapy as an aid to coping for COPD patients at their end-of-life stage. Advances in Respiratory Medicine. 2019; 87(3):135-45. [DOI:10.5603/ARM.a2019.0021] ##Ota K, Maeda J, Gallagher A, Yahiro M, Niimi Y, Chan MF, et al. Development of the inpatient dignity scale through studies in Japan, Singapore, and the United Kingdom. Asian Nursing Research. 2019; 13(1):76-85. [DOI:10.1016/j.anr.2019.01.008] [PMID] ##Dakessian Sailian S, Salifu Y, Saad R, Preston N. Dignity of patients with palliative needs in the Middle East: An integrative review. BMC Palliative Care. 2021; 20(1):112. [DOI:10.1186/s12904-021-00791-6] [PMID] [PMCID] ##Bylund-Grenklo T, Werkander-Harstäde C, Sandgren A, Benzein E, Östlund U. Dignity in life and care: The perspectives of Swedish patients in a palliative care context. International Journal of Palliative Nursing. 2019; 25(4):193-201. [DOI:10.12968/ijpn.2019.25.4.193] [PMID] ##Avestan Z, Pakpour V, Rahmani A, Mohammadian R, Soheili A. The correlation between respecting the dignity of cancer patients and the quality of nurse-patient communication. Indian Journal of Palliative Care. 2019; 25(2):190-6. [DOI:10.4103/IJPC.IJPC_46_18] [PMID] [PMCID] ##Banerjee D, Rabheru K, de Mendonca Lima CA, Ivbijaro G. Role of Dignity in mental healthcare: Impact on ageism and human rights of older persons. American Journal of Geriatric Psychiatry. 2021; 29(10):1000-8. [DOI:10.1016/j.jagp.2021.05.011] [PMID] ##Khosropanah AH, Hoseini AS, Dehghan Nayeri N. Comparison of the concept of patient dignity in Islamic and nursing texts. Medical Research Archives. 2020; 8(6):1-12. [Link] ##Manookian A, Cheraghi MA, Nikbakht Nasrabadi A, Peiravi H, Shali M. Nurses’ lived experiences of preservation of patients’ dignity. Journal of Medical Ethics & History of Medicine. 2014; 7(1):22-33. [Link]##Sadeghi T, Dehghan Nayyeri N. [Patients’ dignity: Patients’ and nurses’ perspectives (Persian)]. Iranian Journal of Medical Ethics and History of Medicine. 2009; 3(1):9-20. [Link]##Plunkett R, Kelly BD. Dignity: The elephant in the room in psychiatric inpatient care? A systematic review and thematic synthesis. International Journal of Law and Psychiatry. 2021; 75:101672. [DOI:10.1016/j.ijlp.2021.101672] [PMID] ##Shojaei A, Raziani Y, Bernstein C, Asgari A, Alazmani-Noodeh F, Arab M, et al. The experiences of psychiatric patients, their caregivers and companions in upholding patient dignity during hospitalization: A qualitative study. Health Expectations. 2023. [PMID] ##Weber CA, Juruena MF. Day hospital and psychosocial care center: Expanding the discussion of partial hospitalization in mental health. 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ویژگی‌های روان‌سنجی نسخه فارسی فرم کوتاه پرسش‌نامه ذهنی‌سازی عاطفه‌محور Assessing the Psychometric Properties of the Persian Version of Brief-mentalized Affectivity Scale 1 1 اهداف باوجود اهمیت فراوان تنظیم هیجان، مقیاس‌های محدودی برای سنجش آن وجود دارند و هر‌کدام از ابزارها نیز غالباً بر جنبه خاصی از آن متمرکز است و نگاه تحولی ندارند. نظریه ذهنی‌سازی عاطفه‌محور با در نظر گرفتن نقش ذهنی‌سازی در تنظیم هیجان، نگاهی نوین را در اختیار پژوهشگران قرار می‌دهد. برخورداری از مقیاسی روا و معتبر برای سنجش این سازه در پژوهش، ضرورتی اجتناب‌ناپذیر است. بنابراین هدف این پژوهش ارزیابی ویژگی‌های روان‌سنجی نسخه فارسی  فرم کوتاه پرسش‌نامه ذهنی‌سازی عاطفه‌محور است. مواد و روش ها این پژوهش یک طرح توصیفی‌ارزشیابی بود. جامعه آماری پژوهش حاضر، کلیه دانشجویان دانشگاه‌های تربیت مدرس، شهید بهشتی و تهران بودند. از دانشجویانی که در بهار و تابستان 1401 مشغول به تحصیل بودند، ۴14 نفر با روش نمونه‌گیری در‌دسترس ارزیابی شدند نسخه فارسی وکوتاه پرسش‌نامه ذهنی‌سازی عاطفه‌محور پس از طی مراحل ترجمه و بازترجمه، تنظیم و همراه با پرسش‌نامه 10 سؤالی شخصیت، دشواری تنظیم هیجان، رضایت از زندگی و اضطراب بک اجرا  شد. برای بررسی روایی سازه از تحلیل عاملی تأییدی، روایی هم‌گرا و روایی واگرا از همبستگی پیرسون و برای بررسی اعتبار آن از ضریب آلفای کرونباخ، ضریب بازآزمایی و اعتبار مرکب استفاده شد. تحلیل داده‌ها با استفاده از نرم‌افزارهای SPSS نسخه 23 و R نسخه 43/1 انجام شد. یافته ها نتایج تحلیل عاملی تأییدی حاکی از برازش مدل 3 عاملی شناسایی،پردازش و ابراز هیجان بود. همبستگی‌های معنادار بین عوامل به‌دست‌آمده با پرسش‌نامه 10 سؤالی شخصیت، رضایت از زندگی‌، دشواری تنظیم هیجان و اضطراب بک نیز روایی هم‌گرا و واگرای مقیاس را تأیید کردند. اعتبار مقیاس با استفاده از ضریب آلفای کرونباخ برای عوامل از 0/86 تا 0/88، ضریب بازآزمایی از 0/75 تا 0/80 و همچنین میزان اعتبار مرکب از 0/79 تا 0/82بود. نتیجه گیری به‌طور‌کلی می‌توان گفت نسخه فارسی فرم کوتاه پرسش‌نامه  ذهنی‌سازی عاطفه‌محور ساختاری 3 عاملی (شناسایی، پردازش و ابراز هیجان) دارد و روایی( سازه، واگرا و هم‌گرا) و اعتبار لازم برای کاربرد در پژوهش‌های روان‌شناختی در جمعیت ایرانی را دارد. 2 Objectives Despite the increasing importance of emotion regulation, there are limited scales for its assessment. Mentalized affectivity theory proposes a novel perspective on emotion regulation. This study aims to investigate the psychometric properties of the Persian version of briefmentalized affectivity scale (B-MAS).   Methods This is a descriptive psychometrics study. Participants were 414 students from Tarbiat Modares University, Tehran University, and Shahid Beheshti University in the academic year 2022-2023, who were selected by a convenience sampling method. They completed the Persian versions of B-MAS, ten-item personality inventory (TIPI), satisfaction with life scale (SWLS), Beck anxiety inventory (BAI), and difficulties in emotion regulation scale (DERS). Construct validity was evaluated using confirmatory factor analysis (CFA). Convergent and divergent validity were assessed by the Pearson correlation test. Internal consistency (using Cronbach’s α), test re-test reliability, and composite reliability were also evaluated. Results The CFA results confirmed the three-factor solution (identifying, processing, and expressing) and showed the good fit of the model. The significant correlation of the Persian B-MAS score with the BAI, TIPI, SWLS, and DER scores confirmed its convergent and divergent validity. Cronbach’s α for the three factors was from 0.86 to 0.88. Test re-test reliability for the three factors was from 0.75 to 0.80. Composite reliability was from 0.79 to 0.82. Conclusion The Persian version of B-MAS with three subscales has acceptable validity (construct, convergent, divergent) and reliability for psychological studies on the Iranian population. 78 93 2023/02/112022/11/222023/02/72023/01/32023/01/62023/03/20 1401/12/29 2023/03/282023/03/262023/03/112023/03/112023/03/122023/04/11 1402/1/22 سیده منصوره حکاک Seyede Mansoureh Hakak گروه روانشناسی، دانشکده علوم انسانی، دانشگاه تربیت مدرس، تهران، ایران. 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بررسی رابطه میان تأثیر ادراک‌شده حملات تروریستی، تاب‌آوری و باورهای مذهبی بر اضطرابِ مرگ در میان دانشجویان در اسلام آباد Investigating the Relationship Between Perceived Impact of Terrorist Attacks, Resilience, and Religious Beliefs on Death Anxiety in Students in Islamabad 1 1 اهداف این پژوهش با هدف بررسی تأثیر ادراک‌شده حملات تروریستی بر اضطراب مرگ، ازنظر احساس وحشت، فقدان کنترل و میزان درمعرض قرار گرفتن انجام شده است. همچنین این پژوهش با هدف بررسی اثر تعدیل‌کنندگی ویژگی‌های تاب‌آوری و باورهای مذهبی صورت گرفته است. مواد و روش ها در این مطالعه 359 نفر دانشجو (159 نفر که مستقیماً در معرض حملات تروریستی بودند و 200 نفر با تجربه‌ غیرمستقیم) به‌عنوان نمونه انتخاب شدند که در رده سنی 15 تا 22 سال قرار گرفتند. آن‌ها از دانشگاه شهر اسلام آباد و روالپندی پاکستان انتخاب شدند. 223 نفر از شرکت‌کنندگان مرد بودند با میانگین سنی 18/97 و انحراف معیار 2/48 وتعداد 136 نفر از مشارکت‌کنندگان زن بودند با میانگین سنی 18/53 و انحراف معیار 2/68. داده‌ها با استفاده از مقیاس تأثیرات ادراک‌شده حملات تروریستی، مقیاس اضطراب مرگ، مقیاس تاب‌آوری بزرگسالان و نیز پرسش‌نامه‌ دینداری گردآوری و از روش پژوهش کیفی استفاده شد. داده‌های گردآوری‌شده با نرم‌افزار SPSS نسخه 23 تحلیل شدند. در ضمن توصیف آماری، تحلیل همبستگی و تعدیل نیز انجام داده شد. یافته ها نتایج تحلیل همبستگی نشان داد تأثیر ادراک‌شده حملات تروریستی (ازنظر وحشت، عدم کنترل و میزان درمعرض قرار گرفتن) به‌طور مثبت و معناداری (0/001≥P) با اضطراب مرگ در بین هر دو گروه -با تجربه‌ مستقیم و غیرمستقیم- مربوط است. گرچه افرادی که مستقیماً در معرض قرار گرفته بودند، نسبت به گروه دوم ترس از مرگ کمتری داشتند. اعتقادات مذهبی و ویژگی‌های تاب‌آوری تأثیر تعدیل‌کننده‌ای بر ارتباط میان تأثیر ادراک‌شده حملات تروریستی و اضطراب مرگ داشتند. نتیجه گیری براساس یافته‌ها می‌توان نتیجه گرفت که اعتقاد به آخرت، حضور خداوند و مقاومت و مقابله می‌تواند اضطراب مرگ را در افرادی که مستقیماً در معرض قرار گرفته بودند، نسبت به آن‌هایی که تجربه مستقیم نداشتند، کاهش دهد. 2 Objectives The present research aims to explore the perceived impact of terrorist attacks on death anxiety in terms of dread, lack of control, and extent of exposure. In addition, this study is conducted to explore the moderating effect of resilience attributes and religious beliefs. Methods In this study, the samples include 359 students (directly perceived = 159, and indirectly perceived = 200). The students were in the age range of 15 to 22 years. The samples were collected from Islamabad City and Rawalpindi City, Pakistan. A total of 223 of the participants were male with a mean age of 18.97 years and a standard deviation of 2.48, and the remaining 136 participants were female with a mean age of 18.53 and a standard deviation of 2.68. The data were collected through the perceived impact of terrorist attack scale (Khan & Rafiq, 2016), the death anxiety scale (Templer, 1970), the resilience scale for adults (Friborg, 2003), and the religiosity questionnaire (Rafiq & Shehzadi, 2013). We used the quantitative research method in this study. After the data collection, they were analyzed using the SPSS software, version 23. Meanwhile,  descriptive statistics, correlational analysis, and moderation was done. Results The results of the correlational analysis indicated that the perceived impact of terrorist attacks (dread, lack of control, and extent of exposure) was significantly and positively (P ≥ 0.001) associated with death anxiety among directly and indirectly perceived individuals; however, directly perceived individuals were less fearful about death when compared to indirectly perceived individuals. Religious beliefs and resilience attributes had moderating effects on the relationship between the perceived impact of terrorist attacks and death anxiety. Conclusion According to the findings, we can conclude that the belief about the hereafter, the presence of God, and coping may reduce death anxiety more in directly exposed individuals compared to indirectly exposed people. 94 117 2023/02/112022/11/222023/02/72023/01/32023/01/62023/03/202021/09/22 1400/6/31 2023/03/282023/03/262023/03/112023/03/112023/03/122023/04/112022/08/6 1401/5/15 آیشا خان Ayesha Khan گروه روانشناسی، دانشگاه وا، راولپندی، پاکستان. Pakistan ayeshainam946@gmail.com نسرین رفیق Rafig Nasreen کالج مدل اسلام آباد برای دختران، 3/8-i ، اسلام آباد، پاکستان. Pakistan Terrorist attacks Resilient attribute Religious beliefs Death anxiety Individuals حملات تروریستی ویژگی‌های تاب‌آوری اعتقادات مذهبی اضطراب مرگ افراد Borum R. Understanding terrorist psychology. In:Silke A, editor. The psychology of counter-terrorism. London: Routledge; 2010. [Link]##Depaola SJ, Griffin M, Young JR, Neimeyer RA. 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راه‌اندازی کلینیک تخصصی بزرگسالان مبتلا به اختلال طیف اوتیسم در بیمارستان روزبه تهران Launching A Specialized Clinic for Adults With Autism Spectrum Disorder in Roozbeh Hospital, Tehran, Iran 1 1 اهداف هدف از این مقاله معرفی کلینیک تخصصی اختلال طیف اُتیسم بزرگسالی است که با اهداف درمانی، آموزشی و پژوهشی از سال 1398 در بیمارستان روزبه راه‌اندازی شد. گروه هدف این کلینیک همه بزرگسالان زن و مرد بالای 18 سال هستند که در طیف این اختلال قرار دارند. هدف اصلی این کلینیک تشخیص، ارزیابی جامع و درمان مبتنی بر شواهد است که شامل دارودرمانی و همچنین روان‌درمانی است. علاوه‌بر مداخلات درمانی، بخش آکادمیک این کلینیک برنامه‌های پژوهشی و آموزشی را به‌طور هم‌زمان دنبال می‌کند. با‌توجه‌به فراوانی اختلال طیف اُتیسم در بزرگسالان پیش‌بینی می شود تعداد مراجعین درمانگاه اختلال طیف اُتیسم بزرگسالان قابل‌ملاحظه باشند، اما موارد ثبت‌شده تا به امروز در این درمانگاه بسیار پایین‌تر از حد انتظار بوده است که در بخش چالش‌ها به عوامل احتمالی این مسئله پرداخته شده است. راه‌اندازی درمانگاه اختلال طیف اتیسم بزرگسالی در بیمارستان روزبه می‌تواند نقطه آغازی جهت ایجاد یک سیستم منسجم غربالگری، تشخیص، آگاهی‌بخشی و ارائه خدمات در تمام طول عمر بیماران مبتلا به طیف اتیسم در ایران باشد. از‌آنجا‌که این مهم با همراهی سایر پژوهشگران و متخصصان این حوزه به دست خواهد آمد، اقداماتی پیشنهادی در پایان این مقاله ارائه شده‌اند. 2 This study aims to introduce a specialized clinic for adults with autism spectrum disorder (ASD) launched in Roozbeh Hospital, Tehran, Iran, in 2019. The target group is male and female adults (age>18) with ASD. The main goal of this clinic is the diagnosis, comprehensive evaluation, and evidence-based treatments, including medication therapy and psychotherapy. In addition, the academic department of this clinic pursues research and educational programs. Due to the prevalence of ASD in adults, we expected many clients to visit the clinic, but the number of cases recorded in this clinic so far has been much lower than expected. The reasons were discussed in this study. The launch of this clinic can be the starting point for creating a coherent ASD screening and diagnosis system and providing lifetime services to adults with ASD in Iran. We provide recommendations in this regard at the end of this paper. 118 123 2023/02/112022/11/222023/02/72023/01/32023/01/62023/03/202021/09/222022/07/13 1401/4/22 2023/03/282023/03/262023/03/112023/03/112023/03/122023/04/112022/08/62023/02/1 1401/11/12 سمیرا جمالو Samira Jamaloo گروه روانپزشکی، بیمارستان روزبه، دانشگاه علوم پزشکی تهران، تهران، ایران. Iran sjamaloo@ymail.com جواد علاقبند راد Javad Alaghband Rad گروه روانپزشکی، بیمارستان روزبه، دانشگاه علوم پزشکی تهران، تهران، ایران. Iran dralaghbandrad@gmail.com مهتاب معتمد Mahtab Motamed گروه روانپزشکی، بیمارستان روزبه، دانشگاه علوم پزشکی تهران، تهران، ایران. Iran motamed88@gmail.com Autism spectrum disorder Autism clinic Adults Developmental disorders اختلال طیف اتیسم اتیسم بزرگسال درمانگاه تخصصی اختلال طیف اتیسم بزرگسالان اختلالات تکاملی بزرگسالان بیمارستان روزبه American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, DC: American Psychiatric Association; 2013. 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