---

Introduction: Many women in fertile period of their lives experience some bothering mental and physical symptoms that begin around 7-10 days before menses (lutheal phase) and cease in the first days of menstrual bleeding. After presentation of the Text Revision of the Fourth version of Diagnostic and Statistical Manual of psychiatric disorders (DSM-IV), these symptoms already known as Pre-menstrual syndrome (PMS) were called Pre-menstrual dysphoric disorder (PMDD). This process was associated with addition of some criteria about duration and intensity. The prevalence of PMS has been estimated to be about 40% to 70% but severe signs (PMDD) have lower prevalence. This study has evaluated the frequency of PMS and PMDD and some related factors in students of girls’ high schools in Kermanshah. Methods and Materials: In this descriptive-analytic study, 800 students of girls’ high schools were chosen by randomized cluster sampling. A researcher made questionnaire assessing PMS and PMDD according to DSM.IV.TR criteria as well as a demographic questionnaire were administered to participants. Data were analyzed running SPSS software -version 11.5. Findings: Frequencies of PMS and PMDD were 41.5% and 9.4% respectively. The disorder was more frequent in students older than 16 years old. Mood symptoms were the most frequent presentation, followed by physical and behavioral symptoms. There was a lower frequency of the disorder despite a higher frequency of the syndrome in students with highly educated mothers. The frequency of PMS was higher in students with positive family history.  Discussion: Because of the potential adverse effects of PMS and PMDD on academic achievement and mental health of students, the high frequency of these problems need urgent attention. Planning mental health evaluations and interventions is necessary for these age group students. Diagnosis of severe cases and referring them should be considered in such programs. 

---

Introduction : Anxiety and depression are two common psychiatric disorders which put heavy burdens on the societies. This study is aimed to assess anxiety, depression and some of their demographic correlates in Isfahan medical university students.  Methods : This was a descriptive-analytic correlation study.The sample consisted of 200 students who had been randomly selected among all Isfahan medical university students in the 2006-2007 academic year. Kettles' anxiety questionnaire and Beck's depression inventory were used to assess anxiety and depression. Data were analysed using multiple regression analysis method.  Findings : Academic achievement was found to be the only demographic variable which had a significant correlation with depression. The mean of academic average score, the medical course of study and the female gender were found to be positively and significantly correlated with the rate of anxiety, while the socio-economic status was shown to be negatively so.  Discussion : Studying medicine inevitably requires a constant engagement with the people’s pain and suffering, as well as a hard work, along term duration of study in the university and taking part in several hard standard examinations. Medial students are potentially vulnerable to anxiety as a result of their apprehension about their academic achievement and also to depression as a result of the potential academic failures. Attention should be paid toward the mental health in this talented and vulnerable student group.  Key Words : Anxiety, Depression, Medical, Student, Demographic

---

Normal 0 false false false MicrosoftInternetExplorer4 st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Abstract Introduction: Stress has wall- known effects in the pathogenesis of many physical and mental disorders and training of stress management skills may help individuals to reduce the adverse psychological consequences of it in such conditions. This study was aimed to assess the effects of stress management skills training on the academic achievement of girl students. Method and Materials: A semi-experimental study carried out in the girls' high schools of Tiran and Karvan city in the 2006-2007 academic year. A total number of 198 students were selected through randomized cluster sampling and randomly assigned to the case and the control groups. Their coping styles were assessed using the Checklist of Stress-Revised (CS-R).After performing Stress Management Skills Training for the case group, in an active mutual participation model, the final average academic scores of the first (pre-intervention) and the second (post-intervention) academic half-year examinations were compared between the two group using t-student and t-paired tests running SPSS-10 software. Results: No significant difference was found between two groups regarding their use of problem-focused, emotion-focused, less effective and non-effective styles. Comparing the 18 coping strategy subscales, both groups showed a significant difference only in the impulsivity subscale (p Conclusion: Training stress management skills exerts positive effects in the students' academic achievement.

---

Normal 0 false false false EN-US X-NONE FA MicrosoftInternetExplorer4 st1:*{behavior:url(#ieooui) } /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:Arial; mso-bidi-theme-font:minor-bidi;} Aim & Background: There is little information regarding the psychological experiences of patient with surgical stoma in Iran. Since preventing adverse psychological effects of surgical stomas is important in planning nursing care programs, exploring the experiences of these patients seems necessary. Method and Materials: This was a phenomenological qualitative study. A purposeful sample of seventeen hospitalized patients was selected through convenient sampling. They had undergone colostomy surgery in hospitals affiliated to Isfahan Medical University. Data was gathered by means of in-depth semi-structured face-to-face interviews. Data analysis was conducted using the phenomenological analytic method defined by Colaizzi. Findings: Seven main themes were obtained related to psychological experiences including depression, feelings of being a burden on family, feelings of worthlessness, distrust, dishonor, non-acceptance and dependency. Conclusion: Based on our findings, psychosocial problems were of the most important experiences mentioned by patients. This finding is congruent with previous similar studies. In a holistic approach, nurses as essential members of health care system should consider patient's psychosocial needs in their care planning.

---

Aim and Background: Complex nature of children`s affectionate problems requires assessment and usage of modern treatments. The present study aimed to investigate the effects of attachment-based therapy on depression symptoms in girl students of primary school who had attachment problems. Methods and Materials: This study was an empirical plan with pretest-posttest, follow up and control group. The target samples were 34 individuals of 388 second and fourth grade students of Isfahan primary school that had highest scores on attachment problems and depression symptoms. Evaluation implemented using Randolph attachment disorder questionnaire (RADQ) and Ontario mental health test. Mothers were presented in 10 group sessions of attachment-based intervention and its effects investigated in posttest and 3 months follow up on&nbsp; their girl`s depression symptoms. The results have been analyzed by SPSS-16 software and through descriptive and inferential statistics. Findings: Since obtaining a higher score in depression disorder represents severity of the symptoms, it can be seen that the mean post-test and follow up scores of depression in the experimental group is significantly lower than that of the control group (P < 0/05). Reduction rate of reported depression symptoms was 0/38 in posttest and 0/50 in three months follow up. Conclusions: The attachment-based therapy was effective to reduction depression symptoms in their girls with attachment problems and the mother`s continues attention to interventional methods showed more improvement in follow up evaluation.

---

Aim and Background: This study seeks the effect of teaching problem solving on self-efficacy and perceived self-efficacy in adolescents. &nbsp; Methods and Materials: In this quasi-experimental study using three group with pre-test and post-test, on hundred sixty students were randomly selected via multi-stage sampling, and were divided into 64 students of experimental group and 62 students of placebo group and 34 students in the control group. Problem solving was taught to the experimental group in 15 sessions and the placebo group was trained irrelatively in 15 sessions and control group was kept in waiting list. Data were collected through Jeruselem and Schwarzer&rsquo;s General Self-efficacy Inventory (1995), Self-efficacy in Relationship Inventory of Wheeler and Ladd, (1982) and Perceived Self-efficacy Inventory of Ollendick, (1986). Data was analyzed by SPSS software using descriptive statistics indices (mean and standard deviation) and inferential statistics (Covariance analysis). Results: the mean score of self-efficacy and perceived self-efficacy in the experimental group, demonstrated the increase in post-test compared to that of pre-test. &nbsp; Conclusion: Teaching problem solving was effective on general self-efficacy and perceived self-efficacy and self-efficacy in relation with peers.

---

Aim and Background: Considering to adverse consequences of infidelity on couples well-being and longevity of marital relationships, this study was conducted to investigate the relationship between love schemas and Justifications for extramarital involvement and affairs in married women. Method and Materials: This was a descriptive-correlation study and the samples included 250 married women who were randomly selected among clients of counseling and cultural centers in Isfahan. The participants completed the Love Schema Scale (LS) and Justifications for Extramarital Involvement Questionnaire (JEIQ). Data were analyzed by multivariate analysis of variance (MANOVA) and Scheff&eacute;&#039;s post-hoc analysis. Findings: There was a relationship between love schemas and justifications for extramarital involvement, and significant differences were found in justification for extramarital involvement between love schemas (P < 0.001). In general, women with the secure type reported the least endorsement for all the aspects of justification for extramarital involvement (P <0.001). Conclusions: The results of this study provided exprimental support for utility of model of love schemas in intimate relationships, and indicated the importance of considering the role of love schemas on possibility of extramarital involvement that may have useful implications for determining the couple therapy interventions in this area.

---

Abstract Aim and Background: Conflict theory is one of the most use approaches in the field of marital discords that is widely has been used for the investigating of methods to cope with conflicts in relationships. The purpose of this study was comparing of women applying for divorce and normal women in conflict resolve tactics. Methods and Materials: In an ex post facto study 60 women who referred to the Vanak family court during the first six months in 2012 were selected by convenience sampling method and were compared with 60 normal women. Demographic information questionnaire and conflicts tactics scale were used for data collection. MANOVA test was used to compare differences between two groups. findings: Results showed that the difference between the two groups is statistically significant, except for the subscale of physical attack so that the women applying divorce group obtained higher score in physical attack subscale of aggressor form and psychological violence subscale of both aggressor and victim form. In negotiation subscale (in both aggressor and victim form) normal group obtained higher score. &nbsp; Conclusions: Based on findings of this study successful couple use the peaceful tactics in resolution of their conflicts, whereas the unsuccessful couples resolve their conflicts adopting harsh tactics and psychological and physical violence. The results of this study highlighted the importance of resolve conflict tactics in field of marital conflict and draw the policymaker and expertise to develop interventional strategies for improve this ability in prevent of divorce.

---

Abstract &nbsp; Aim and Background: The purpose of the present study was to examination of the religious orientation and burden of family as predictors of treatment permanence of addiction. Methods and Materials: This descriptive, analytic cross sectional study was conducted on one hundred Self-introduced Addicts who reoffered to Isfahan centers of addiction treatment during 2012-2013 were selected using simple sampling. The clinical and demographic characteristics information, George&acute;s religious orientation of addict questionnaire and Zarit Burden questionnaire. All analyses were performed with descriptive and analytic statistical (multiples regression and Pearson coefficients correlation) methods in SPSS for Windows 18.0 (SPSS Inc., Chicago, IL, USA). Findings: Based on study findings there was a statistically significant relationship between the religious orientation and burden of family with treatment permanence of addiction (p<0.001). Hence, burden of family is a negative predictor of permanence of addiction and predicts 10 percent of permanence of addiction variance. Also religious orientation is a positive predictor of permanence of addiction and predicts 20 percent of permanence of addiction variance. Conclusion: Since religious orientation and spirituality being surrounded on all affairs of life, has an important role in inhibition of the tendency of the drug, it&rsquo;s suggested to focus on religious history and spiritual aspect thought medical cure process.

---

Aim and Background: Physical environmental factors are important and effective factors in human behavior. These factors are more important in places such as hospitals. In this study we aimed to evaluate the effect of light, color and other details of interior design on hospitalized patients function in psychiatric hospitals. Methods and Materials: We evaluated the effect of physical environmental factors associated with hospital&rsquo;s interior design on patients&rsquo; function. Those patients who were hospitalized during the study who were mentally capable of answering questionnaire, and psychiatrists and psychiatry residents were enrolled in the study. A questionnaire was developed and its validity was assessed using SPSS. Findings: Natural light had better effect on treatment process in comparison with artificial lights. Combination of architecture and nature such as flowers and plants in and outside the ward can lead to beneficial effects on patients&rsquo; function. Another effective factor in this process was patient privacy, which could be achieved by using rooms with single beds, intangible monitoring of rooms by nurses, no installation of fences and lace against the windows and providing opportunity for patients to move freely in ward. Also, provision of a living room for watching TV and dining room in ward are other factors which could improve patients&rsquo; function. Conclusions: Factors such as natural light, using light and cold colors, interior decorations, presents of nature elements such as flowers and plants, and respecting patient privacy while ensuring patients safety are important factors in designing the interior spaces of psychiatric departments.

---

Aim and Background: An individual pathology observed in families is morbid jealousy. Thus, the aim of the present study was to examine the views of family therapy specialists about interactional damages in spouses of men with morbid jealousy. Methods and Materials: The present research was a qualitative (phenomenological) study. The search population consisted of all specialists in the field of psychological family therapy. The participants consisted of 8 specialists with experiences in psychological family therapy. Data were collected through semi-structural interviews. The gathered data were analyzed through systematic method in the three steps of description, reduction, and interpretation. Findings: The results showed that from among 489 sentences related to interactional damages, 122 concepts were extracted in open coding that were disaggregated into 23 subthemes in axial coding. Finally, data were summarized into 9 categories of pathologies related to solving conflicts, communication styles, sexual relationship, communication with children, and communication with the spouse regarding familial and household issues, and cognitive, behavioral, and emotional damages which were problematic to the relationship. Conclusions: It can be concluded that, from the viewpoint of family specialists, men with morbid jealousy cause damages in their families that increase the probability of family disintegration.

---

Aim and Background: The purpose of this research was to investigate the effectiveness of executive functions training on the enhancement of attention, working memory, and inhibition in third-grade pupils with borderline intellectual functioning. Methods and Materials: The present research was a quasi-experimental study with pretest, posttest, follow-up, and control group. The educational package included 10 educational computer games and 10 pencil-paper games. In order to investigate the effectiveness of the training package, 34 third-grade pupils with borderline intellectual functioning were selected from elementary schools through combined sampling method and were randomly divided into two experimental (n = 18) and control (n = 16) groups. The experimental group received 20 sessions (70 minutes each) of training. The data collected through Raven's Progressive Matrices (RPM), d2, Stroop test, Cornoldy Working Memory Test, and Digit Span test were analyzed using repeated measures ANOVA. Findings: The results showed that executive function training significantly improved attention and working memory of students with borderline intellectual functioning. This training had the greatest impact on verbal and visual working memory, reduced errors, and increased concentration performance in the d2 test. It only had a significant effect on reaction time in the Stroop test. In addition, it was not effective on increasing total efficiency in the d2 test that is indicative of subjects’ speed. Conclusions: The results of this study confirmed the overall effectiveness of executive functions training on enhancement of attention, working memory, and inhibition in students with borderline intellectual functioning.

---

Aim and Background: Obesity has been increasing significantly during the past decade in Iran due to changes in lifestyle and nutrition patterns. Many people turn to obesity surgery after failing in all other methods of weight reduction; however, they face failure again as they do not consider psychological factors. This study was conducted to assess the psychological profile of patients with obesity attended for obesity surgery. Methods and Materials: The current research was a descriptive study and had been completed periodically over the course of 2012-2013. The studied population included individuals with obesity that has the body mass index (BMI) of above 30 kg/m 2 . The sample population of 115 people was chosen via convenience sampling method and their psychological data were gathered through various standard questionnaires including hospital anxiety and depression scale (HADS), neuroticism-extraversion-openness five-factor inventory (NEO-FFI), quality of life survey [short form 36 (SF-36)] and coping operations preference enquiry (COPE) survey. In the next step, raw data were processed and analyzed using the software SPSS in order to compare men and women mean scores. Findings: The studied population had an average level of anxiety and depression. Among the personality characteristics, amiability has the most and responsibility has the least mean. Problem-solving method has the most and acceptance has the least mean among coping styles. Mean of quality of life score had an average level. There was a significant difference between the anxiety score among men and women; and avoidance and quality of life coping styles were the most used ones among women and men, respectively. Conclusions: The patients who volunteer for obesity surgical treatment methods suffer from some degrees of anxiety and depression, and use problem-solving coping style to manage their stress. In addition, they have incompatible personality dimensions and average quality of life. These characteristics can alter treatment, and reversibility of surgery outcomes.

---

Aim and Background: The present study aimed to examine the psychometric properties of Multiple Sclerosis Intimacy and Sexuality Questionnaire (MSISQ-15) in a sample population of Iranian patients. Methods and Materials: This was a descriptive-correlational study with a population of patients afflicted with multiple sclerosis from North Khorasan provinces, Iran. A number of 92 patients (46 women and 36 men) were chosen as the sample population. Patients with multiple sclerosis referred to the Multiple Sclerosis Society of North Khorasan during two months were selected using convenience sampling method, and completed the Multiple Sclerosis Intimacy and Sexuality Questionnaire-15 (MSISQ-15), Multiple Sclerosis Intimacy and Sexuality Questionnaire-19 (MSISQ-19), and Sexual Partner Intimacy Scale. The collected data were analyzed through exploratory factor analysis, Cronbach’s alpha, split-half method, Pearson correlation, and multivariate analysis of variance (MANOVA). Findings: The analysis of the main factors with a promax rotation and a variance of 70.55 supported 3 factors of the main ones. The positive correlation between sub-scales of MSISQ-15 and MSISQ-19 was indicative of convergent validity. Of the other hands, the negative correlation pattern in the MSISQ-15 dimensions with the Sexual Partner Intimacy Scale was indicative of divergence validity. Finally, the Cronbach’s Alpha with a range of 0.88-0.89 for the MSISQ-15 dimensions, and the 0.92 quotient for the entire scale indicated the positive reliability of the questionnaire. Conclusions: The Multiple Sclerosis Intimacy and Sexuality Questionnaire (MSISQ-15) enjoyed an appropriate reliability and validity in with multiple sclerosis from North Khorasan provinces in Iran.

---

Aim and Background: The effect of Eye Movement Desensitization and Reprocessing (EMDR) on anxiety has been investigated in the subject area, but the effect of EMDR on exercise anxiety and performance is very low. The purpose of this study was to investigate the Effect of Eye Movement Desensitization and Reprocessing (EMDR) on Anxiety and Physical Performance in Athletes. Methods and Materials: The research was a quasi-experimental design with pre-test post-test design and experimental and control groups. The statistical population of the study was Karate and Taekwondo martial arts athletes. The sample was selected based on entry and exit criteria of 30 people. The tools used in this study include the CSAI-2 Competitive Anxiety Inventory and the Digital-Pinch / Grip Analyzer MIE electronic dynamometer. Inferential analyzes of Kolmogorov-Smirnov test were used to measure the normal distribution of data. In the inferential statistics, independent t-test and dependent t-test were used. The significance level of 0.05 Data was analyzed using SPSS version 24 software. Findings: The results of this study showed that Eye Movement Desensitization and Reprocessing on anxiety has a significant effect on athletes (P<0.001). Also, Eye Movement Desensitization and Reprocessing has a significant effect on physical performance in athletes (P<0.001). Conclusions: It seems that Eye Movement Desensitization and Reprocessing affects the reduction of anxiety and increase the performance of athletes. Therefore, it is recommended that more research is done to further generalize the results.

---

Aim and Background: The incidence of aggression against nursing staff in psychiatry is a major challenge and the destructive dimension of this phenomenon affects the nurses and management of these hospitals. The present study was conducted to determine the status of aggression against nursing staff in psychiatry and related factors in Isfahan.
Methods and Materials: This was a retrospective descriptive-analytic study. The study population consisted of nursing staff working in psychiatric wards of Isfahan teaching hospitals. Data gathering tool was the violence at the workplace questionnaire. The results were analyzed using chi-square test and in SPSS.22.
Findings: Results showed that aggression towards nursing staff was verbal (95.5%), physical (79.7%) and bullying (34.7%). There was a significant relationship between shift work, staffing and physical violence (p<0.05). Also, there was a significant relationship between night work and physical violence (p<0.05). People with schizophrenia had the highest rate of physical violence. Regarding the area of activity, the highest incidence of physical violence was in the acute psychiatric ward, which was statistically significant (p<0.05).
Conclusions: The results showed that verbal, physical and bullying violence against male nurses was more than female nurses. Therefore, in order to minimize the violence in the hospital environment, planning, organizing, preventive strategies, proper management, appropriate protective measures and training should be considered.

---

Aim and Background: The End Stage Renal Disease (ESRD) is a progressive, chronic and untreated Kidney Dysfunction that has numerous Physical and Psychological complications. The purpose of the present study was to investigate the effectiveness of Mindfulness-based Cognitive Therapy on improving Anxiety and Depression in Hemodialysis Patients.

Methods and Materials: This study was a non-randomized, semi-experimental, pre-test, post-test design with two months follow-up. The statistical population of the study was hemodialysis patients referring to Tehran Hemodialysis Centers in 2017. From the statistical population, 24 people were selected by purposive sampling method and were randomly assigned into two experimental (n=12) and control (n=12) groups. Beck Depression Inventory and Beck Anxiety Inventory were used for data collection. Data were analyzed using SPSS-22 software and analysis of variance with repeated measures.

Findings: The results of analysis of variance with repeated measures showed that the variables of anxiety and depression changed during the post-test and follow-up stages, which is significant compared to the pre-test (p<.05). The results also showed that mindfulness variable had a significant effect on the components of anxiety and depression in hemodialysis patients (p<.05).

Conclusions: According to the results, it can be deduced that mindfulness training is effective in improving depression, anxiety compared to control group and that this treatment is in the follow-up phase in stable depression. But in the anxiety component, there was no such consistency. Reasons for this consistency include the ease of treatment and rapid patient education as well as the short duration of intervention sessions.

---

Aim and Background: One of the psychological factors that have complicated relationship with chronic diseases and physical problems is distress and frustration intolerance. The more a person tolerates stressful events, the less he has physical problems. Meanwhile, the mediating role of latent anger in the relationship between frustration intolerance and physical problems as a mechanism of this relationship has been neglected. The purpose of this study was to investigate the mediating role of latent anger in the relationship between frustration intolerance and physical problems.
Methods and Materials: The method of present study was non-experimental causal type. The statistical population included all men and women over 18 years of age in 1400. The sample size was 302 people who were selected from the statistical population by convenience sampling. Due to the outburst of Covid-19 disease, sampling was performed in cyberspace. The links to the online questionnaire containing the Failure Tolerance Questionnaire (Harrington, 2005), STAXI-2 State-Trait Anger Expression Inventory-2 (Spielberger, 1999) and the Physical Symptoms Scale (Hagiwara, 1992) were made available on Instagram, WhatsApp and Telegram virtual networks and the sample group was asked to answer the questions. Pearson correlation coefficient and path analysis method were used to investigate the research question. Data were analyzed using version 26 of Statistical Package for Social Sciences (SPSS-26) and Partial Least Squares-version 4 (Smart PLS 4).
Findings: The results showed that the indirect effects of frustration intolerance on muscular (β=-0.058, P<0.01), general (β=-0.076, P<0.01) and cardiovascular responses (β=-0.075, P<0.01) through latent anger were statistically significant.
Conclusions: The experience of failure beyond tolerance of individuals causes unpleasant emotions such as uncontrolled anger, which in turn causes physiological effects such as increased blood pressure and heart rate, which ultimately damage the cardiovascular system, muscles and general body responses.
Keywords: frustration intolerance, latent anger, physical problems.

---

Aim and Background: Poor designing of these hospitals, ignoring physical and emotional needs of children, could deteriorate the conditions and lead to added harm for these children. The main purpose of this research is to diagnose practical, important factors which can promote the environmental quality of hospitalization for children by incorporating their ideas and emotions.
Methods and Materials: The research plan is qualitative and the implemented qualitative research plan is Thematic Analysis by Braun & Clarke Approach. The statistical population of the study is children between 7 to12, hospitalized in Imam Hossein Hospital in Esfahan. Sample size was carefully selected according to the purpose of the study to achieve Theoretical saturation. In order to grasp their idea of a qualified hospital room, the 40 paintings made by targeted children were then analyzed by Thematic Analysis and ATLAS-ti 7.
Findings: According to the findings focusing on children’s perceptions and ideas, it was realized that the quality of hospital room is influenced by five factors including; items and features located in room, visual effects, practical attractions, personalized environment and rearranging the accepted order of the environment.
Conclusions: According to the outcomes of the research, it was concluded that by improving the details and items located in rooms and creating visual and practical attractions as well as reducing limitations for children with the purpose of allowing them personalize their environment, the quality of hospitalization environment could be enhanced to a great extent. Their ideas supported the interactive approach required in determining influential factors on the quality of architecture.

---

Aim and Background: COVID-19 is an international concern for public health. The emergence of the emerging and pervasive disease, in addition to threatening physical health, has also affected mental health. The aim of this study was to study the quality of sleep based on the prevalence of Quaid 19 disease in social network users in Iran.
Methods and Materials: The present study was descriptive and survey. The statistical population was all Telegram and WhatsApp users. 443 people were selected as available sampling method. To collect data from Online Questionnaire Pittsburgh Sleep Quality (PSQI) used.
Findings: The findings showed that the mean and standard deviation of sleep quality among the respondents was equal to (8.44±11.02), which was about 53.3% with poor sleep quality and 46.7% with proper sleep quality. Sleep delays (77.4%), sleep performance (85.6%), sleep disorders (67.7%) had the highest rate of inappropriate quality, while mental quality of sleep (32.1) and drug use (13.1) They were of good quality. Sleep delay and sleep disturbances were also higher in women than men. The mental quality of sleep, sleep efficiency, and daily dysfunction among married people are significantly higher than for single people.
Conclusions: The Covid-19 virus affects sleep quality components so that people who have experienced corona, with the exception of sleep efficiency, perform less well in other components of sleep quality. Sleep quality is significantly higher in people without chronic illness. Sleep quality is significantly lower among people with parents with chronic disease than people without parents with chronic disease.