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Background and Aim : The mutual relations between Quality Of Life(QOL) and Marital Adjustment(MA) is well documented in general population and in patients with specific types of chronic illness. However, there is no evidence in this regard in patients with chronic viral hepatitis. This study was conducted to assess the correlation between Health-Related QOL (HR-QOL) and marital adjustment in patients with chronic viral hepatitis. Method & Materials : Seventy-six (76) patients with chronic viral hepatitis type B (N = 63) or C (N = 13) who were referred to Tehran Hepatitis Center(THC) at summer 2007 were consequtively enrolled in this cross-sectional study. Demographic data (age, sex, marital status and level of education) as well as illness- related data (the type of viral agent, illness duration, treatment history and history of cirrhosis co-morbidity) were collected. The 36-item short-form of HR-QOL questionnaire (HR-QOL-SF36) and Dyadic Adjustment Scale Revised form (DAS-R) were then administered to respectively assess QOL and MA. Findings : Mean scores of many HR-QOL-SF sub domains such as role limitation due to physical problems, body pain, social functioning, general mental health, vitality and physical health were correlated with mean DAS-R total score, as well as all its subscores but marital cohesion. Domain scores of role limitation due to emotional problems and general health perception were correlated with total DAS-R score and two of its subscores(marital satisfaction and affection expression). Total HR-QOL-SF36 mean score was correlated with mean DAS-R total score and two of its subscores (consensus with spouse and affection expression). The mean score of physical functioning domain of HR-QOL-SF36 was not correlated with any of the DAS-R subscores. Conclusion : Considering the correlation between HR-QOL and different aspects of MA, family seems to play an important role in the life of patients with chronic viral hepatitis. So, psychological and psychiatric consultations for improving marital adjustment should be focused as a part of approach to these patients. Keywords : Marital relationship, Health-Related Quality Of Life, Chronic Viral Hepatitis.

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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 : Youth and adolescence are important periods of human life. The time duration of using internet and virtual spaces is being increased among this age group. This study examined the identity status and mental health in three groups of Tehran University students using internet and virtual spaces. Methods and Materials : In a cross sectional study, 200 19-30 years old students selected via quota sampling from various faculties of Tehran University. Demographic questionnaire, Ego Identity scale, National Identity Scale, Religious Identity Scale and GHQ (General Health Questionnaire) were administered; then the participants were distributed in three group; namely: over users (spend 20-40 hours per week using internet and virtual spaces), moderate users (5-10 hours per week), and rare users (seldom use these media). Then they were compared regarding their mean scores of the administered scales. Data were analyzed by SPSS 10 using ANOVA and follow up Sheffe test. Results : No significant difference was considered in ego identity scores of the three groups (F = 3.2, p Conclusion: In this study, national and religious identity scores as well as mental health status scores were obviously lower in the over users group. Prolonged time usage of internet and virtual spaces may be associated with poorer mental health status as well as, defects in some identity aspects. Key word : Identity, Mental health, Students, Internet.

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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;} Aim and Background: The driver's Sleepiness is an important risk factor for road accidents leading to death or disability. Little is known about sleep quality in Iranian drivers. This study was aimed to assess the sleep quality in those Iranian drivers recognized as responsible for a recent road accident in which at least one of the car occupants had been severely injured or killed. Method and Materials: In a cross-sectional study, 453 Iranian drivers were assessed within the first 24 hours after severe road accidents. After getting completed the informed consent forms and demographic questionnaires, we used Symptom Check List-90-Revised (SCL-90-R) and Pittsburg Sleep Quality Index (PSQI) for screening psychiatric problems and sleep quality impairments, respectively. Data was analyzed using descriptive statistical methods and multivariate linear regression analysis through SPSS-10 software. Findings: Mean (±SD) nocturnal sleep duration of drivers was found to be 6.3±2.8 (median: 6). Based on PSQI, a total number of 263 drivers (73.5%) were poor sleepers. PSQI was correlated with a GSI more than 0.81 according to SCL-90-R, having used drugs which can affect the sleep, and a history of similar previous accident(s). Retired individuals had a better sleep quality. Conclusion: Our study showed that sleep problems, especially early morning awakening, frequent need to lavatory during night, early insomnia and feeling too warm or cold, are common among Iranian drivers with severe road accidents.

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Aim and Background: According to the self-transcendence model, interventions to promote the level of self-transcendence can in turn improve physical health status. Therefore, the aim of this study was to investigate the relationship between self-transcendence and perceived physical health in patients with multiple sclerosis (MS) attending peer support groups. Methods and Materials: This quasi-experimental study used pretest and posttest to investigate the relationship between self-transcendence and perceived physical health in 33 patients with confirmed MS. Patients participated in three peer support groups (10 males in the male group, 11 females in female group and 12 males and females in the mixed group). Participants were required to attend 8 weekly sessions comprising 2 hours each. Data was collected by the Self-Transcendence Scale (STS) and physical health section of the Multiple Sclerosis Quality of Life Inventory (MSQLI). Wilcoxon, Kruskal-Wallis and Mann-Whitney U tests and Spearman and Pearson coefficients were used for data analysis. Findings: Comparing mean scores of self-transcendence (pretest: 44.57 (8.2); posttest: 53.21 (6.2); P = 0.001) and physical health status (pretest: 151.84 (33.3); posttest 171.58 (37.5); P = 0.009) showed significant differences after attending peer support groups. There was a positive relationship between self-transcendence and physical health status (P = 0.01). Conclusions: The results showed that promoting self-transcendence would lead to enhanced physical health status and the quality of life in general.

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Aim and Background: Appropriate and comprehensive response to problems and needs of mental health services requires to employ participatory approaches. Therefore, this literature review study aimed to assess interprofessional collaboration as one of the beneficial methods of delivering mental health services. Methods and Materials: In this review study, data was collected by searching electronic resources including Google search engine and scientific databases as well as searching printed library resources. Findings: The results showed that various studies have depicted many benefits for the complex concept of interprofessional collaboration. The beneficial effects of the approach were found to be related to receiving more sophisticated services by the clients and also to improved health professionals' satisfaction and facilitated services. Conclusions: considering the importance of interprofessional collaboration in mental health services, it is necessary for health sciences students and health professionals to get ready to employ the approach.

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Aim and Background: Psychiatric disorders are gaining top rank in the burden of disease. Undoubtedly, knowing their prevalence in children and adolescents can help prevent and control these problems and save money. Therefore, the purpose of this study was to investigate the prevalence of psychiatric disorders in children and adolescents in Isfahan. Methods and Materials: According to the nature of the research, the research method is a fundamental type that was performed on 1010 children and adolescents in Isfahan province in 2017 that were randomly selected using multistage cluster sampling. Clinical psychologists are trained to conduct research refer to the selected children's homes and using the Persian version of the semi-structured diagnostic interview for Mental Disorders and Schizophrenia for children and adolescents, Current Detection and Lifespan (K-SADS-PL). In addition, demographic data (gender, age, education, parental education, and economic status) were also collected. After collecting the data, the data were analyzed by SPSS software using frequency indices and frequency. Findings: According to the findings, the prevalence of psychiatric disorders in children and adolescents in Isfahan province is 14.8% and the prevalence of these disorders in boys is higher than in girls. Also, according to the results, the prevalence of these disorders in the age range of 10-14 years was more than other ages. Psychiatric disorders in children and adolescents in the city were more than children and adolescents in the village. Conclusions: According to the results, the prevalence of psychiatric disorders in Isfahan province is in the middle range compared to other studies carried out in other researches carried out inside and outside the country. However, the need for mental health policies in childhood and adolescence is suggested to reduce the burden of damage in the future and provide solutions to the proble m.

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Aim and Background: Given that the family is the most important social institution, many variables may affect marital relationships and its quality. Recognition of these factors can be effective in improving and improving the quality of this institution.
Methods and Materials: The present study is a correlational study of path analysis. The statistical population of the study includes all married women with diploma degree and higher degree Ahvaz in 2022. From this statistical population, 340 people were selected as a sample by available sampling method. In this study, to collect data from Norton Marital Relationship Quality Scale (MRQS), Beck Short Depression Inventory (BDI-13), Hovestedt et al.'s Family Scale (FOS), Alder et al.'s Perception of Parents' Marriage Questionnaire (PPMQ) and Singh and Bahargawa Emotional Maturity Scale (EMS) were used. In the present study, the proposed model was evaluated using the path analysis method and the bootstrap method software (AMOS-24) was used to test indirect relationships.
Findings: The findings of this study showed that both indirect pathways of the function of the family of Origen on depression and marital quality were confirmed through emotional maturity at a significance level of less than 0.05. But the two indirect paths of the effect of perception of parents' marriage on depression and marital quality through emotional maturity were significantly greater than 0.05, so they are not confirmed.
Conclusions: The results showed that the direct pathways of the family of origin to emotional maturity, the function of the family of origin and depression, the function of the family of origin to marital quality, emotional maturity and depression, emotional maturity to marital quality and perception of parents' Marriage to marital quality were statistically significant. Therefore, it is necessary for family therapy and couple therapy specialists to pay attention to predictor variables and their effect on improving marital relations and family institution.

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Aim and Background: The aim of the current study was to investigate the effectiveness of Emotion Focused Therapy on Alexithymia and Internalized Self-Criticism in Neurotic Perfectionist girls.
Methods and Materials: The statistical population consisted of all Neurotic Perfectionist girls in Ahvaz. The research sample consisted of 5 girls that were selected according to the results of the neurotic perfectionism questionnaires (NPQ), using purposeful sampling method. In this research, a single-case experimental design, type of concurrent multiple baseline designs was used. Instruments were Toronto ʼs Alexithymia Scale (1994), Thompson and Zuroff ʼs The Levels of Self-Criticism Scale (LSCS) (2004). The data was collected in three phases of baseline, during intervention, and three month follow-up.
Findings: The findings indicate that the subjects in the treatment phase experienced improvement in Alexithymia (10.58) and Internalized Self-Criticism (21.32), and in the follow-up in regards to Alexithymia (19.41) and Internalized Self-Criticism (51.76). The change index was indicative of meaningful changes (z=1.96 α=0.05).
Conclusions: Therefore, the research findings illustrated that Emotion Focused Therapy reduces Alexithymia and Internalized Self-Criticism in Neurotic Perfectionist girls.