---

Aim and Background: Rumination can cause various kinds of damage to which women are more vulnerable. Therefore, the aim of this study was to determine the factors affecting rumination among women having marital conflicts. Methods and Materials: This was a qualitative study in which a thematic analysis was carried out. The nonrandom purposive sampling method was used, and the research sample saturated upon selecting 15 women having marital conflicts. The semi-structured interviews were conducted to collect the data. Findings: After the content analysis, the resultant data included three themes and 14 subthemes. The themes were stressors (sexual problems, financial and occupational issues, unfulfilled expectations, frustration, personality differences, value differences, and familial differences), personal characteristics (neuroticism, lack of communication skills, and low self-confidence), and spousal characteristics (dominance, unaccountability, harsh characteristics, and imperviousness). Conclusions: According to the findings, stressors trigger rumination. However, when they interfere with spousal characteristics and personal rumination characteristics, marital conflicts will lose solvability and result in rumination. On the one hand, it increases stress. Besides, it increases marital conflicts, and forms this self-sustaining cycle.

---

Aim and Background: This study aimed to investigate the difference between mental health and personality characteristics among normal- and high-risk drivers. Methods and Materials: In the causal-comparative study, to select the sample, normal- and high-risk drivers were selected from the Traffic Police database in the west of Tehran City, Iran. The sample consisted of 70 individuals randomly selected; 35 persons were placed in the normal-risk drivers group, and 35 persons in the high-risk drivers group. Three questioners were used to gather the data, demographic questionnaire, NEO-Five Factor Personality Inventory (NEO-FFI), and Symptom Checklist-90-Revised (SCL90) questionnaire. The data were analyzed using t test via SPSS software. Findings: There were significant differences between mental health and personality characteristics among high- and normal-risk drivers (P < 0.050 for all). In addition, regarding the components of neuroticism and extraversion, there were significant differences between high- and normal-risk drivers, too (P < 0.050 for both). Conclusions: In general, the findings show that these variables are different in normal- and high-risk drivers so that high-risk drivers have lower mental health than normal-risk individuals. These low scales can be strengthened for normal-risk drivers. As a result, appropriate strategies for improving mental health can help in improving the driving of high-risk drivers.

---

Aim and Background: The purpose of this study was to compare positive and negative psychological states between the two groups of patients with coronary heart disease with and without metabolic syndrome, and to investigate the relationship between these psychological factors and the risk of metabolic syndrome. Methods and Materials: In this comparative study, the study population consisted of all patients with middle-aged coronary artery disease (35-60 years old) who were enrolled at the Rehabilitation Center of the Cardiology Research Institute, Isfahan University of Medical Sciences, Iran, from 2012 to 2016. Totally, 61 patients were selected through purposive sampling in September, 2016. They participated in the research by completing some questionnaires including Hospital Anxiety and Depression Scale (HADS), Life Orientation Test-Revised (LOT-R), Oxford Happiness Questionnaire (OHQ), Adult Hope Scale (AHS), the Satisfaction with Life Scale (SWLS), and Positive and Negative Affect Scale (PANAS), and performing physiological assessments related to metabolic syndrome. Data were analyzed using analysis of variance (ANOVA), Mann-Whitney, and Pearson correlation tests. Findings: There were significant differences between the two groups of patients with coronary heart disease with and without metabolic syndrome in terms of depression, optimism, hope, and happiness. Moreover, depression, optimism, hope, and happiness had significant relationship with the risk of metabolic syndrome. Conclusions: The research findings support the link between psychological variables and metabolic syndrome.

---

Aim and Background: The deficits of executive functions, as higher cognitive functions, are of the main criteria of attention deficit hyperactivity disorder (ADHD). The disorder tends to disrupt in behavior learning and academic performance. This study aimed to investigate the effectiveness of the curriculum of executive functions based on the Anderson’s executive control model on learning behaviors and academic performance among the students with attention deficit hyperactivity disorder. Methods and Materials: This was a semi-experimental study with pre-posttest design with two experimental and control groups. The target population of this research was the total of students with attention deficit hyperactivity disorder among all sixth grade elementary schools in district 15 of Tehran City, Iran. 30 students were selected using random sampling, and divided into two groups of experimental and control. The experimental group received ten working sessions of curriculum of executive functions based on the Anderson’s model. The used tools were Conners Teacher Questionnaire, Dortaj Academic Performance Questionnaire, and McDermott Learning Behaviors Scale (LBS). Data were analyzed using multivariate analysis of covariance method. Findings: The curriculum of executive functions based on the Anderson’s model effectively increased self-efficacy, emotional effects, planning, and lack of control of the outcomes of educational performance (P < 0.001 for all). In addition, it significantly increased motivation of competency, attitude toward learning, persistence/attention, and the flexibility strategy of learning behaviors (P < 0.001 for all). Conclusions: The curriculum of executive functions based on the Anderson’s executive control model has an impact on improving the learning behaviors and academic performance among the students with attention deficit hyperactivity disorder.

---

Aim and Background: The present research aimed to compare family functioning and parent's marital satisfaction among the adolescents with and without suicide attempt. Methods and Materials: The study sample consisted of 100 adolescents, 50 with and 50 without suicide attempt, who were selected via accessible sampling and clustered-randomized sampling methods, respectively. The without attempt group was matched with attempt group from the view of demographic characteristics. The Persian version of McMaster Family Assessment Device (FAD) and ENRICH Marital Satisfaction Questionnaire with the reliability of 0.93 and 0.92, respectively, were completed by mothers. The data were using independent t, Pearson correlation coefficient, logistic regression tests, as well as descriptive statistics. Findings: There were significant differences in terms of family functioning and parents' marital satisfaction, and also their dimensions, between the two groups (P < 0.05). Moreover, there was a positive and significant correlation between these variables (P < 0.05). Family functioning and marital satisfaction could be the predictors of suicidal behavior in adolescents. The dimensions of roles in family functioning, the domain of personal affairs, financial management, marital satisfaction, and offspring's matrimony (child-nourishing) were the best predictor dimensions of suicidal behavior among the adolescents. Conclusions: Parents' marital satisfaction and family functioning impact the adolescents' suicidal behavior. This addresses the importance of systematic therapies, and presenting family and couple therapy in therapeutic sketches of adolescents with suicide attempts.

---

Aim and Background: Behavioral problems can affect sexual behavior. Therefore, this study aimed to predict sexual function and female sexual self-efficacy based on the components of behavioral problems. Methods and Materials: In this descriptive-analytical design study, 210 married women students aged 18 to 50 years in Roudehen Branch, Islamic Azad University, Tarbiat Modares University, and University of Tehran, Iran, were selected using availability sampling method. The data were collected using the Female Sexual Function Index (FSFI), Vaziri-Lotfi Sexual Self Efficacy Questionnaire, (SSEQ) and Symptoms Checklist-90 revised (SCL-90-R), and were analyzed using Pearson correlation statistical method and Stepwise regression analysis. Findings: There was a negative and significant relationship between the general index of symptoms and the components of physical complaints, obsession, individual sensitivity, depression, anxiety, aggression, phobia, paranoia, and psychosis with sexual function and sexual self-efficacy (P < 0.05 for all). Among the studied components, depression, physical complaints, and psychosis were able to predict sexual function and sexual self-efficacy in women. In total, physical complaints explained 9.25% of the variance and sexual variability in women, and depression and psychosis predicted 17.4% of variance and variability in female sexual self-efficacy. Conclusions: Signs of behavioral problems have a significant role in predicting sexual function and sexual self-efficacy in women. Considering signs of behavioral problems in diagnosing and treating sexual problems, can provide effective diagnosis and treatment.

---

Aim and Background: Today, using social networks has become a natural modern behavior, but the harmful forms of using them have become very noticeable in the last two decades. The aim of this study was to examine the role of temperamental and characteristics shades, basic psychological needs, and early maladaptive schemas in prediction of vulnerability to addiction in the form of structural relations. Methods and Materials: This research was a cross-sectional descriptive study. The study population included all undergraduate students who were studying at the Farhangian University of Tabriz, Iran, in 2016-2017 academic year. Regarding the fact that the population included both genders with different fields of study, stratified sampling method with optimum allocation was considered and 280 students were selected. Data were collected using Cloninger et al.’s Temperamental and Characteristics Inventory (TCI), Basic Psychological Needs Questionnaire, Young Schema Questionnaire (75-item) (YSQ-75), and Addiction Susceptibility Questionnaire (ASQ). For data analysis, descriptive and referential statistics were used through SPSS and LISREL softwares. Findings:  Structural model analysis showed that temperamental and characteristics shades, basic psychological needs, and early maladaptive schemas can predict and explain different paths of vulnerability to addiction in the form of structural relations. Conclusions: In order to improve the mental status in students, attention to these variables during clinical trials with the goal of designing appropriate intervention models or modifying the present ones will be beneficial.

---

Aim and Background: The growing population of the elderly and their specific problems and needs make further studies necessary. The purpose of this study was to examine the mediating role of life satisfaction in the relationship between personality factors and death anxiety in the elderly. Methods and Materials: This descriptive-correlational study was carried out using path analysis method. The statistical population included all the elderly (over the age of 60) living in cities of West Azerbaijan province, Iran, of which 234 (150 men and 84 women) were randomly selected. Data were collected using Templer Death Anxiety Scale (TDAS), Satisfaction with Life Scale (SWLS), and NEO Five-Factor Inventory (NEO-FFI). To analyze data, SPSS and SmartPLS softwares were used. Findings:  Each of the variables of life satisfaction and agreement had a direct and negative relationship with death anxiety. Also, the results showed that each of the variables of neuroticism and conscientiousness had a direct and positive relationship with death anxiety. Other findings of the study suggested that neuroticism, extraversion, flexibility, and agreement were indirectly related to death anxiety through life satisfaction. Conclusions: Life satisfaction plays the role of mediation in the relationships between each of the factors of neuroticism, extraversion, flexibility, and agreement with the death anxiety in the elderly. Therefore, increasing life satisfaction is associated with a reduction in the death anxiety in the elderly. Moreover, the results confirm the assumptions of Erikson theory based on the relationship between life satisfaction and accepting the reality of death in the elderly.

---

Aim and Background: Somatic symptom is one of the prevalent complaints in patients with psychiatric disorders and in Diagnostic and Statistical Manual of Mental Disorders -5 th Edition (DSM-5) is mentioned as somatic symptom disorder (SSD). In order to assess somatic complaints, validated scales are required. The aim of the present study was preparation of Persian version and determination of factor structure (as one of the psychometric properties) of Screening for Somatoform Symptoms-7 (SOMS-7) scale in Iranian samples. Methods and Materials: This psychometric study was conducted in Psychosomatic Research Center of Isfahan University of Medical Sciences, Isfahan, Iran, and included 100 patients with anxiety/mood disorders. All participants were asked to complete SOMS-7 and Patient Health Questionnaire (PHQ). Validity was confirmed by correlational method, and factor analysis and external and internal reliability were confirmed by Cronbach's alpha coefficient and re-test method. Factor analysis was performed by exploratory and confirmatory method. Data were analysed via SPSS software. Findings: Internal consistency of SOMS-7 was obtained 0.92 using Cronbach's alpha and reliability was obtained 0.70 via re-test method in two weeks interval. Factor analysis showed an appropriate two-factor structure in patients. The correlation of these two factors with somatic scale of PHQ was obtained 0.51 and 0.59, respectively, and revealed the construction validity as well as convergent validity. Conclusions: Findings indicate that Persian version of SOMS-7 has suitable reliability and validity for assessment of SSD and also evaluation of treatment effects in these patients.

---

Aim and Backgrounds: Communication patterns of couples are meant the dynamics of the couples’ relationships. The communication patterns determine that couples how to communicate together and what happen in their marital relationships. It seems that disruptive patterns to have a devastating effect on marital relationship. The aim of the research was to study of the role of communication patterns, aggression, and sexual satisfaction in predicting dyadic adjustment. Methods and Material: To gain of this aim a sample with 300 of employees of government departments of Isfahan through accessible method. The research method was descriptive from type of correlation. Data gathering was conduct in field method and using Communication Patterns Questionnaire (CPQ), Buss and Perry’s Aggression Questionnaire (AQ), Sexual Satisfaction Scale (SSQ), and Revised Dyadic Adjustment Questionnaire (RDAS). Analyzing the data was carrying out by multiple Regression. Results: Findings showed that aggression, communication patterns, and sexual satisfaction have significant role in predicting the dyadic adjustment. Discussion & Conclusion: Therefore, it can be concluded that good relationships and high sexual satisfaction among couples can lead to dyadic adjustment.

---

Aim and Background: Traumatic events have several negative consequences, but in a number of cases, positive psychological changes occur following these events. However, little is known about how this positive psychological changes. Therefore, the aim of present study was to investigate the mediating role of cognitive emotion regulation in the relationship between brain behavioral systems and posttraumatic growth in betrayed men. Methods and Materials: In a descriptive-correlational study, 100 betrayed men in the city of Neyshabur were in 2017-2018 years selected by available sampling method. The participants completed Inhibition System/Behavioral Activation System (BIS/BAS) scales, Cognitive Emotion Regulation Questionnaire (CERQ) and Posttraumatic Growth Inventory (PTGI). Data were analyzed by Pearson correlation and regression analysis. Findings: The result showed that behavioral activation system predicted cognitive emotion regulation, which, in turn, predicted more posttraumatic growth in betrayed men (p<0.05). Also, adaptive cognitive emotion regulations mediated the relationship between behavioral activation system and posttraumatic growth in betrayed men. Conclusions: The results of this study emphasize the importance of behavioral activation system and cognitive emotion regulation in posttraumatic growth.

---

Aim and Background: Today different doses of drugs are used in the treatment of Attention Deficit Hyperactivity Disorder (ADHD). Non-medical treatments such as physical activity have recently been considered. The purpose of this study was to investigate the effects of endurance training along with methylphenidate consumption on Behavioral symptoms in male rats with ADHD.

Methods and Materials: A laboratory research method was used. The subjects were 40 Wistar rats (mean and standard deviation of 181.78 ± 8.39 g) and aged 8-12 weeks. A 5-member group (mean and standard deviation of 182.6 ± 51.6 g) were randomly selected for sampling and blood sampling, and 35 rats (mean and standard deviation of 181.66 ± 8.09 g) to 5 Group 7 (control group and 4 groups of attention deficit hyperactivity disorder: methylphenidate use, endurance training, methylphenidate use and endurance training, without methylphenidate and no endurance training). 10 mg L-NAME for 8 weeks and 6 days per week for each rat was injected sub peritoneally for the attention deficit-hyperactivity disorder in rats. Angiotensin converting enzyme (ACE) and nitrite oxide (NO) were used to detect hypertension in rats after L-NAME injection. The open field test for over-active detection, and 5-band treadmill for endurance training of rats were used. The balance test was taken before and after 4 weeks of training. The drug group received 2 mg of methylphenidate daily per kg of body weight orally. The rats ran for 28 days each day (5 days a week) for 28 days. The practice load for training groups included running at speeds of 2 to 8 m / min for 30 minutes. Descriptive statistics were used to determine mean, mean, standard deviation, drawing tables and charts. For normalization of the distribution of dependent variables from the Kolmogorov-Smirnov and one-way variance for intra-group variation.

Findings: The results showed that the number of stands in the control group was higher than in all other groups and the number of traveled squares was less (p<0.001). The number of stands in the ADHD group was lower than in all other groups and the number of traveled squares was higher (p<0.001). There was no significant difference between the number of stands and the number of traveled squares in the ADHD group + Endurance exercises with ADHD + methylphenidate and also the ADHD group + methylphenidate + endurance training (p<0.001).

Conclusions: It seems that endurance training and methylphenidate consumption affect the behavioral patterns of the animal model of ADHD and it can be recommended that physical activity be used as an effective method to replace the use of methylphenidate.

---

Aim and Background: Attention Deficit/Hyperactivity Disorder (ADHD) is one of the most common psychiatric disorder that causes educational, social and family problems. The main aim of present study was to compare the efficacy of neurofeedback and neurofeedback along with Barkly parental training on visual attention dimensions and comprehension of children with ADHD.

Methods and Materials: This study was an experimental study with two experiment and one sham control groups in three stages of pre- post and ten weeks follow up tests. The population included all elementary ADHD boys in Isfahan city in academic year 2017-2018. Among those who attended in education and training clinic, forty-two were selected along with their mothers by purposive sampling. There were assigned in two experiment and one control groups randomly. All the participants were assessed in three stages by continues visual and auditory performance test (IVA). Data were analyzed by repeated measure ANOVA analysis.

Findings: The results showed that there were no significant difference between two experiment groups in visual vigilance (p≤0.96), focus (p≤0.76), speed (p≤0.87) and visual comprehension (p≤0.42) in post-test and follow up stages; but in compare to control group visual attention dimensions and comprehension increased significantly in both experiment groups.

Conclusions: Neurofeedback training and neurofeedback along with Barkly parental training equally increase visual attention dimension and comprehension in ADHD children.

---

Aim and Background: Diabetes mellitus is one of the most common chronic diseases and is one of the biggest health problems in all countries. The most important strategy for controlling chronic patients is self-care behaviors. The purpose of this study was to compare the effect of Interactive Diabetes Management Training (IDMT) and Stress Inoculation Training (SIT) on self-care in type II diabetic patients.

Methods and Materials: This was a semi-experimental research and the population of this study included 2450 diabetic patients in Isfahan's Um Al-Benin Clinic, 39 of whom were selected through a convenient sampling method and randomly assigned to two groups of control and one control group. Groups Summary of Diabetes Self-Care Activities (SDSCA) for diabetic patients completed before and after education. Experimental group one, (SIT), and two groups of (IDMT) training received a weekly and group-based 90-minute training session. But the control group did not receive these training. The research findings were analyzed using Multivariate Analysis of Covariance (MANCOVA) and SPSS-19 software.

Findings: IDMT and SIT were effective in diabetic patient’s self-care and both training increased self-care for participants. But there was no significant difference between the two methods of intervention (p ≤.319).

Conclusions: SIT and IDMT can be used as an effective interventional method for increasing self-care in diabetic patients.

---

Aim and Background: Attention deficit hyperactivity disorder (ADHD) is one of the problems that afflict a large number of students and may lead to various educational, social, and behavioral impairments. The purpose of this study was to compare the effectiveness of neurofeedback, Ritalin and their combination in academic achievement and symptoms of ADHD children in Mashhad. Methods and Materials: This study was a quasi-experimental study with pre-test, post-test and follow-up designs. The statistical population of this study was all patients with attention deficit hyperactivity disorder in Mashhad in 2016 who referred to psychological and counseling services in Mashhad. Forty-five individuals were selected through convenience sampling and were divided into three groups: combination neurofeedback treatment with Ritalin (15 patients), neurofeedback treatment (15 patients) and Ritalin treatment (15 patients). All three groups were assessed in the pre-test phase by Conners test (parent form) and academic record. Next, the first group received neurofeedback treatment with Ritalin for fifteen weeks. The second group received neurofeedback for forty-five 45-minute therapeutic sessions and the third group was treated with Ritalin alone for fifteen weeks. Data were analyzed using covariance analysis by SPSS-20 software. Findings: The results of the analysis of covariance showed that the combined neurofeedback treatment with Ritalin is more effective than either of these alone. The effectiveness of neurofeedback alone was more than that of Ritalin alone and its stability was also significant (p <0.05). Conclusions: Neurofeedback combined treatment with Ritalin can be more effective in improving behavioral and educational problems in children with attention deficit hyperactivity disorder than any of the other methods independently.

---

Aim and Background: The first years of marriage are the most enjoyable and, at the same time, the most difficult and most risky periods of Common life of couples. Therefore, the current research was done with the aim of examining the effectiveness of Group training based on choice theory on marital adjustment and sexual satisfaction of couples. Methods and Materials : This research is a semi-experimental with pretest-posttest design and control group. The statistical population of the research includes all couples in first year of their common life who suffered from marital problems and sexual dissatisfaction and in 2016 they went to the Basirat Clinic of counseling and assisting in Isfahan. From this population, 20 couples (20 women and 20 men) were selected by voluntary sampling method and after matching were randomly assigned to experimental (20 people) and control (20 people) groups. The subjects of experimental group received eight sessions of training based on the theory of choice, however, the control group did not receive any training. The questionnaires of Spanier's marital adjustment (1976) and Larsson's sexual satisfaction (1998) were distributed before and after educational interventions as pretest and posttest on all subjects. The findings of the research were analyzed with Multivariate Analysis of Covariance and SPSS-18 software. Findings: The findings indicated that there is a significant difference between the mean of posttest scores of the marital adjustment (F= 12/32, P<0/01) and sexual satisfaction (F= 8/66, P<0/01) for experiment and control groups after adjusting the covariate effect of the pretest. However, there was no significant difference between the mean scores of marital adjustment and sexual satisfaction of male and female participants (P>0/05). Conclusions: It seems that group training based on choice theory, can help improve marital adjustment and sexual satisfaction of couples by informing couples of basic needs, external control psychology, and the use of seven loving habits instead of destructive habits.

---

Aim and Background: Intolerance and hurry of couples in making decision of divorce and remarriage has been weakened foundation of family. Therefore, the aim of this research was to comparison of dyadic satisfaction, dyadic cohesion, affectional expression, dyadic consensus, and marital adjustment among spouses with first marriage and remarriage. Materials and Methods: The population of the research includes all families with first marriage and remarriage in Mazandaran province. The sample of this study was 1127 subjects of (251 subjects with remarriage and 313 subjects with first marriage) which were selected through convenience sampling. Participants completed Dyadic Adjustment Scale (DAS). The data were analyzed by descriptive statistics and U Man-Whitney Test. Findings: Results showed that mean score of dyadic satisfaction, dyadic cohesion, affectional expression, dyadic consensus, and totally marital adjustment are in families with remarriage are more than families with first marriage ( p <.05). Conclusion: Findings showed that couple should not avoid of problems and they do not make decision about divorce rapidly and they do not remarriage after divorce immediately. These issues should consider in divorce counseling and couple counseling before making decision for divorce by psychologist and family therapist. Also, couples should be prevented hurry in divorce decision and remarriage.

---

Aim and Background: Some studies have looked at the effects of drugs such as methylphenidate on sexual parameters, testicular development, sperm motility and spermatogenesis, and the negative effects of these drugs have been shown on this variable. Therefore, the purpose of this study was the comparison of two approach of exercise training and therapeutic on some structural changes in testicular tissue in rats with Attention Deficit-Hyperactivity Disorder (ADHD).

Methods and Materials: A Laboratory research method was used. The research design was a post-test type with experimental and control group. 40 male Wistar rats (4-6 weeks) were divided into two control groups (7 heads for comparison with L-NAME injection group) and the L-NAME injection in the first stage. In the second stage, the L-NAME injection group at the age of 8 to 12 weeks (mean and standard deviation of 184.23± 7.83 g) was divided into 5 groups (for blood sampling and angiogenesis and nitrite oxide converting enzyme evaluation before Intervention group) and 4 groups of 7 ADHD groups without medication and no endurance training (compared with intervention groups), and intervention groups including ADHD+ endurance training, ADHD+ methylphenidate, ADHD+ endurance training+ methylphenidate intake. ADHD+ Methylphenidate and ADHD+ Endurance Exercise+ Methylphenidate 2 mg daily methylphenidate was given daily for 5 days per week orally. The open field test for overactive detection, and 5-band treadmill for endurance exercises in rats were used. The practice load for training groups after 5 days of introduction in the first week was 20 m/min, the second and third weeks were 25 m/min, the fifth was 30 m/min, and the sixth and seventh weeks were 35 m/min.

Findings: The results showed that there was no significant difference between the diameter of the seminiferous and spermatogenic tubules and the lidik cells in the control group compared to the ADHD+ endurance training group, but between the control group and the other groups (ADHD without exercise and without methylphenidate, ADHD+ methylphenidate consumption, ADHD+ methylphenidate consumption+ endurance training) had a significant difference (P≤.001). Also, there was a significant difference between the sertoli cells of the control group and ADHD without exercise and without methylphenidate (P ≤.001), but compared with other groups (ADHD+ endurance training, ADHD+ methylphenidate consumption+ endurance training, ADHD+ methylphenidate consumption), there was no significant difference (P≥.05).

Conclusions: It seems that Endurance exercises can to replace the use of methylphenidate in relation to structural changes in the testicular tissue in the animal model of ADHD.

---

Aim and Background: Cardiovascular disease (CVD) is a chronic medical condition that affects many aspects of patients' lives. Therefore, it is important to identify risk factors of CVD for the design of interventional and preventive programs. The purpose of this study was to review the psychological risk factors of CVD.
Methods and Materials: This systematic review study examines the psychological risk factors of CVD. For this purpose, articles from 1995 to 2019 were searched from the databases of Google Scholar, PubMed, Scopus and Elsevier. Out of 257 articles, 51 articles were finally used in this study.
Findings: The results of this study showed that various factors such as stress, depression, anger and hostility, lack of social support, anxiety, lack of spiritual health and personality traits such as type A personality in the development of CVD is involved.
Conclusions: According to the findings of the study, health professionals can prevent and control of CVD in different age groups by designing educational programs focused on risk factors of this disease such as stress, depression, anger, social isolation and anxiety.

---

Aim and Background: The attitude of parents to their children's sexual education has an effect on their sexual behavior and interaction with their children. No specific measurement tool has ever been developed to evaluate and measure this matter. The aim of present study was to develop a parental sexual education style questionnaire and determine its psychometric criteria.

Methods and Materials: The used research method was descriptive-correlation. The statistical population of present study included parents residing in Behshahr city with children ranging in age from 4 to 12 years old. Among them, 500 individuals were selected as sample. The required data were gathered through three questionnaires including Parenting Style Questionnaire (PSQ), Alabama Parenting Questionnaire (APQ) and Parental Sexual Education Style Questionnaire (PSEQ). The gathered data were analyzed using Cranach’s alpha coefficient, correlation coefficient, confirmatory factor analysis and exploratory factor analysis.

Findings: Three factors were extracted from the results of confirmatory factor analysis, including strict sexual education style, permissive sexual education style and authoritative education style. In general, all 3 factors were able to explain 50.32% of variance related to 33 items of the questionnaire. The value of Cranach’s alpha coefficient was obtained equal to 0.751 for whole of the questionnaire. Also, the value of Cranach’s alpha for the first three components was equal to 0.739, 0.765 and 0.751, respectively. The Varimax rotation matrix showed that all questions are applicable to the extracted styles.

Conclusions: Parental sexual education styles questionnaire has proper reliability and validity, and can be used as a useful tool for measuring parental sexual education styles.