The Journal of Tolooebehdasht

Correlation between Social Support, Pregnancy Distress, and Anxiety with Quality of Life of Primiparous Women in Rafsanjan City in 2024

Mitra Abbasifard — 2025-06-27

Introduction: Social support during pregnancy can play a very important role in the physical and mental health of mothers. The present study was designed to investigate the correlation between social support, pregnancy distress, and anxiety with health-related quality of life in primiparous women.

Methods: This descriptive-correlational study was conducted on 100 primiparous women referring to Ali Ibn Abitaleb and Nik Nafs Hospital in Rafsanjan in 2024 using a convenience sampling method. The data collection tools were a demographic information checklist, questionnaires of social support, pregnancy distress, anxiety, and health-related quality of life. After collection, the data were analyzed with SPSS version 24 software and using statistical tests at a significance level of less than 0/05.

Rusults: The mean age of pregnant women was 30/16±5/65 years. The results showed that distress during pregnancy was inversely and significantly correlated with age (P=0/024) and number of children (P<0/001), and social support was inversely and significantly correlated with number of children (P<0/001). In general, there was a positive and significant correlation between social support and health-related quality of life (P=0/022), and there was an inverse and significant correlation between social support and distress during pregnancy (P<0/001).

Conclusion: Based on the results, social support can act as a key factor in improving health-related quality of life and reducing pregnancy distress in primiparous women. Therefore, it is essential to create strong support networks for pregnant mothers, so that they can spend this sensitive period more calmly.

The Effectiveness of Group Couples Therapy Based on Cognitive Behavioral Therapy (CBT) on Couples' Marital Satisfaction and Adjustment

Mohaddeseh Abbasi — 2025-06-27

Introduction: Considering the importance of marital adjustment in the stability and sustainability of the family, and at the same time, the mental health of spouses and children, researchers have not focused on identifying the factors affecting couples' satisfaction and adjustment. While improving the level of marital satisfaction and adjustment leads to the strengthening of the family and the continuation of cohabitation. Cognitive behavioral strategies are effective in reducing conflicts and improving marital satisfaction and adjustment; therefore, the present study was conducted with the aim of determining the effectiveness of group couple therapy based on the cognitive behavioral therapy (CBT) approach on marital satisfaction and adjustment of couples.

Methods: The present study was an experimental pre-test and post-test study with a control group. The research population consisted of married individuals with marital problems and conflicts who referred to Farhan Counseling Center in Qom in2023, who were selected through purposive sampling and then randomly assigned to the control and experimental groups based on the entry and exit criteria. The measurement tools were the Spiner Marital Adjustment Questionnaire and the Enrich Marital Satisfaction Questionnaire. 60people were randomly divided into two groups of 30 people, and the experimental group received10 therapy sessions in a group setting once a week. The duration of the sessions was 90 minutes.

Rusults: Analysis of variance test was used to examine the effectiveness of group couple therapy based on CBT approach on marital satisfaction and adjustment. The results showed that group couple therapy based on CBT approach had an effect on marital satisfaction and adjustment. The effect of treatment implementation on each of the dependent variables was also examined. The results showed that in the post-test phase, group couple therapy based on CBT approach had an effect on marital satisfaction and adjustment compared to the control group(P<0/05).Thus, group couple therapy based on CBT approach increased marital satisfaction and adjustment.

Conclusion: According to the results obtained, it is suggested that group couple therapy based on the CBT approach be used to increase marital satisfaction and adjustment of married individuals.

The Effectiveness of Dialectical Behavior Therapy on Life Expectancy, Self-Care and Depression of Breast Cancer Patients

Nilofar Saeedi — 2025-06-27

Introduction: People with breast cancer face psychological challenges such as depression, reduced life expectancy and deficiencies self-care. The present study was conducted with the aim of investigating the effectiveness of dialectical behavior therapy on life expectancy, self-care and depression of cancer patients in Isfahan city.

Methods: The current research method was quantitative and of the type of semi-experimental studies with a pre-test-post-test design and a control group. The statistical population of the current study included people with breast cancer in Isfahan city who had referred to health centers in Isfahan city in 2024. In this study, 30 women with breast cancer who were diagnosed with this disease by a doctor were selected by convenience sampling method and were randomly assigned to two experimental and control groups. The people in the control and experimental groups completed life expectancy, self-care and depression questionnaires in two stages of pre-test and post-test. Multivariate covariance test and spss-24 software were used for data analysis.

Results: The results showed that dialectical behavior therapy significantly increased the mean life expectancy and self-care scores of participants in the experimental group in the post-test phase compared to the pre-test phase of the control group. On the other hand, in the experimental group, the mean depression score in the post-test phase was significantly lower than the pre-test phase compared to the control group (p<0/05).

Conclusion: From the findings of the present study, it can be concluded that psychologists and psychiatrists can use dialectical behavior therapy and its techniques to increase life expectancy, self-care and reduce depression in women with breast cancer.

Investigating the Relationship between Social Participation and Organizational Citizenship Behavior and the Mediating Role of Organizational Fatigue in Employees of the Healthcare Network in Lanjan City

Hojatollah Khalili Nogurani — 2025-06-27

Introduction: Social participation expands social and public capital of society, and organizational citizenship behavior contributes significantly to organizational management. However, job burnout can have negative effects on individual, family, and social relationships. The aim of the present study was to investigate the relationship between social participation and organizational citizenship behavior and the mediating role of organizational fatigue in employees of the healthcare network in Lenjan city.

Method: This cross-sectional study was descriptive-analytical conducted in 2024. A total of 205 people (79 men and 126 women) were selected as study samples. The study subjects were selected from the healthcare network personnel of Lenjan County, Isfahan Province by simple random sampling (Professional, expert and doctor). To collect data, standard questionnaires were used: Employee Social Engagement (Dorsetkar et al. 2010) with a Cronbach's alpha above 0/8, Oregon and Kanoxi Organizational Citizenship Behavior (OCB ) with a Cronbach's alpha of 0/76, and Swedish Job Fatigue (SOFI-20) with a Cronbach's alpha of 0/95. The analysis of the obtained data was performed using SPSS statistical software version 26 at a significance level of 0/05 with a correlation test.

Results: The results showed that the mean of the social participation variable in the studied samples was 77/83±11/47. The mean (standard deviation) of the social citizenship behavior variable in the studied samples was 53/95±3/06. The mean (standard deviation) of the job fatigue variable in the studied sample was 89/30±4/01. In the final model, the job fatigue variable is a partial mediator variable in the relationship between social participation and organizational citizenship behavior.

Conclusion: The findings suggest that increasing employee social participation can lead to improved organizational citizenship behaviors. On the other hand, organizational citizenship behavior and social participation are also inversely related to job burnout, meaning that strengthening such behaviors may help reduce job fatigue.

Effectiveness of Schema Therapy on Turmoil and Marital Boredom of Incompatible Married People

Neda Jamali Galeh — 2025-06-27

Introduction: Marital distress and dissatisfaction are common issues in couples' relationships that reduce the quality of married life. The aim of this research was to investigate the effectiveness of schema therapy in reducing marital distress and dissatisfaction in incompatible married individuals.

Method: This research was an intervention study of a semi-experimental type with a pre-test-post-test design and a control group. The statistical population of this study consisted of married individuals with marital incompatibility from the city of Ardakan, Ahmadabad district, in the year 2024. The sample included 30 volunteers, selected through convenience sampling from men and women aged 21 to 45. After assessment with Berr-Sternberg questionnaire, participants were recruited via calls on social media, the Basij, and mosques, and were randomly assigned to either the experimental group (15 participants) or the control group (15 participants). The intervention sessions were held at the Jame’ Mosque in Ahmadabad. Data collection tools included the Pines Marital Dissatisfaction Questionnaire, the Weiss Marital and Relational Distress Scale, and the Berr-Sternberg Marital Incompatibility Scale, whose validity and reliability have been confirmed in previous studies. The therapeutic intervention consisted of 8 sessions, each lasting 90 minutes, conducted twice a week for the intervention group, while the control group received no intervention. Data were analyzed using repeated measures analysis of variance with SPSS-23 software.

Rusults: Schema therapy was significantly effective in reducing marital distress and dissatisfaction among incompatible married individuals in the intervention group, and its effectiveness was significantly maintained after two months of follow-up. The results of the study showed that there was a significant difference between the experimental and control groups at all three stages: pre-test, post-test, and follow-up (p< 0/05).

Conclusion: Based on the findings of this study, schema therapy has significantly reduced marital distress and dissatisfaction while improving relationships and compatibility among incompatible married individuals. Therefore, it can be considered an effective approach for enhancing the quality of marital life.

Investigating the Effectiveness of Compassion-Focused Cognitive Therapy on Marital Conflict and Attachment Styles in Women Seeking Divorce

zahra yosefzadeh khanghah — 2025-06-27

Introduction: Marital conflicts and insecure attachment styles are among the effective factors in increasing divorce rate. This study aimed to investigate the effectiveness of compassion-focused cognitive therapy in reducing marital conflict and improving attachment styles in women seeking divorce.

Methods: The present study was a quasi-experimental one with a pre-test-post-test design and a control group. A total of 30 women seeking divorce who referred to counseling centers in District 5 of Tehran in the year 2023 were selected using convenience sampling, and were randomly assigned to either the experimental or the control group(15 people in each group). The intervention group received eight 90-minute sessions of compassion-focused cognitive therapy training. The data collection tools were the Marital Conflict Questionnaire by Barati and Sanaei(1996) and the Adult Attachment Questionnaire by Collins and Reed(1990). Data were analyzed using analysis of covariance in SPSS version 26 software.

Results: The results of the analysis of covariance test showed that in the experimental group, after the intervention, the scores of marital conflict(p<0/001) , avoidant attachment style(p<0/001) and anxious attachment style(p<0/001) decreased significantly compared to the pre-test, and the scores of secure attachment style(p<0/001) showed a significant increase. However, in the control group, no significant difference was observed in any of the variables (p>0/001).

Conclusion: The results of this study show that compassion-focused cognitive therapy has a positive effect on marital conflict and attachment styles. This type of therapy can be used as an effective strategy for improving marital conflict and attachment styles among women who are seeking divorce.

The Effectiveness of Schema Therapy: The Family Resilience and Hardiness in Female-Headed Households

Elahe Fallah Tafti — 2025-06-27

Introduction: The number of Female-Headed Households increased, and due to the acceptance of multiple responsibilities, they are at risk of mental health issues. This study aimed to investigate the effectiveness of schema therapy, family resilience, and hardiness in Female-Headed Households supported by the Imam Khomeini Relief Committee (RH).

Methods: This study was a quasi-experimental study of pre-test-post-test type with control and follow-up groups. The statistical population of the study included Female-Headed Households aged 25 to 35 in 2023 until 2024 who were covered by Imam Khomeini Relief Committee of Yazd city. Using the available sampling method, 30 of them were selected and randomly placed in the experimental (15 participants) and control (15 participants) groups. The assessment tools included the Family Resilience Scale by Sixbey (2005) and the Family Hardiness Scale by McQueen et al. (1996). Schema therapy was implemented on the experimental group during 24 90-minute sessions over two months.

Results: Data analysis was performed using repeated measures ANOVA and Bonferroni post-hoc test with SPSS-16 software. The repeated measures ANOVA indicated that schema therapy significantly impacted increasing family resilience and hardiness in female-headed households. For resilience, the effects of phases (P=0/001,F=141/001), and the effect of the group (P=0/001,F=452/336) were significant. For family hardiness as well, the effects of phases (P=0/001,F=51/649) and the group (P=0/001,F=115/035) were significant. These results demonstrate that the intervention significantly improved family resilience and hardiness over time.

Conclusion: The results showed that schema therapy is effective on the resilience and hardiness of female-headed households. Therefore, schema therapy is suggested to be used to improve the mental health of female-headed households.

A Ten-Year Survey of Types of Bites، Clinical and Laboratory Results in Patients Referred to Shah Vali Hospital in Yazd and Shahid Beheshti Hospital in Taft during 2011-2021

Mojdeh Farhadi — 2025-06-27

Introduction: The present study aims to investigate the clinical and laboratory symptoms and prognosis of bites in patients referred to Shah Wali Hospital in Yazd and Shahid Beheshti Hospital in Taft between 2015 and 2020.

Methods: The current cross-sectional study was conducted on 103 patients hospitalized due to venomous animal bites in Shahvalili Hospital, Yazd and Shahid Beheshti Hospital. The bite, the bitten limb, symptoms caused by the bite, laboratory changes following the bite, and the treatment approach were recorded in the study checklist and were analyzed.

Results: Individuals aged 15–59 years accounted for the largest percentage of treatment-seeking cases (76/7%).The biting animals included snake (44/7%), scorpions (30/1%), bees (19/4%), spiders (1/9%) and unknown bites (3/9%), respectively. Summer (81/6%) was the most common season (81/6%) and the upper (56%) and lower (28%) extremities were the most common sites of bite. Most of the bites resulted in local (56/3%) symptoms followed by systemic symptoms (38/8%). Anaphylaxis was reported only after bee stings. Snakebite had the most complications, and 37% of patients represented disseminated intravascular coagulopathy (DIC). Snake bites were mainly treated with 1-5 antivenom vials (56/57%) and scorpion bites with 1-2 antivenom vials (79/03%).

Conclusion:According to the findings of the present study, snakebites account for the majority of envenomation cases, necessitating comprehensive disease management, including pharmacological interventions such as antivenom administration. Given the importance of controlling symptoms of disseminated intravascular coagulation in snakebite, laboratory monitoring and the use of pharmacological treatments seem essential.