The Effectiveness of Group Acceptance and Commitment Therapy and Cognitive Therapy on Alexithymia and Marital Boredom, Case study: Women Affected by Marital Infidelity in Mashhad, Iran

Introduction: The aim of current paper was to compare the effectiveness of acceptance and commitment group therapy (ACT) and group cognitive therapy (GCT) on Alexithymia and marital boredom (MB) among women affected by marital infidelity in Mashhad. Method: This clinical trial was a double- blind study with a pretest-posttest design in which two intervention groups and one control group were investigated. The study performed on women who realized their spouse infidelity and referred to Azad University Counseling Center in Mashhad in 2018. The sample consisted of 30 women who were selected by purposive sampling and were randomly assigned to two intervention groups and a control group (n=10 per group). The intervention groups were put under ACT training (twelve 90-minute sessions) and GCT training (twelve 90-minute sessions), but the control group did not receive any intervention. Data was obtained by the Toronto Alexithymia Scale-20 and Pines Marital Boredom Scale and was analyzed by multivariate analysis of covariance with SPSS (version 22) software. Results: The results showed a significant reduction in the mean score of MB in the ACT group, also there was a significant reduction in the mean score of Alexithymia in the GCT group (P <0.05). So comparing both therapies, ACT was more influential on reducing marital boredom whereas GCT was more effective on reducing alexithymia. Conclusion: Although both intervention methods were effective on Alexithymia and Marital Boredom in women affected by marital infidelity, it was demonstrated that ACT and GCT have more effect on Marital Boredom and Alexithymia, respectively.

Internet Addiction and the Pattern of Internet Use among Under Graduate Medical Students: A Cross- Sectional Study from North India

Introduction: Excessive use of the Internet affects the academic achievements of students. This study aimed to investigate the prevalence of Internet addiction and the pattern of Internet use among undergraduate medical students. Method: This analytical cross-sectional study conducted on 177 undergraduate medical students in batch 2016, 2017 and 2018, who were included in this study by convenience sampling method. The study tool was Young’s Internet Addiction Test containing questions regarding the pattern of Internet use. Data entry and analysis was done by using Microsoft excel and SPSS version 21. Qualitative data were described in terms of frequency and percentage while quantitative data were expressed as mean and standard deviation. Chi square test and multiple linear regression were used to find out the relationship between various factors and Internet Addiction (IA). The significance level was considered 0.05. Results: The mean age of the participants was 20.3 years (± 1.19), and 62 % of the subjects were males. The prevalence rate of Internet Addiction (IA) was found to be 56.5% and 42.9% of them were in mild and 13.6% were in moderate addiction category. Being male (β= -0.143, p=0.038), staying at a hostel (β= 0.167, p=0.018), not having a time preference for using the Internet (β= -0.174, p=0.012), spending more time on the Internet everyday (β= 0.201, p=0.000), being always online (β= 0.276, p=0.000) and more years of using the Internet (β= 0.175, p=0.015) were significantly related with IA in students. Conclusion: A large proportion of medical students were found to be addicted to the Internet. Therefore, this issue should be addressed immediately.

House of People Participation in Health: A Place to Attend People's Representatives to Plan, Implement, and Monitor Health Programs

The article's abstract is not available.

Effectiveness of Psychodrama on the Body Image of Senior High Female Students in Tehran, District 15

Introduction: In this study the effect of psychodrama on body image of female students at secondary school has been examined. Method: In this quasi experimental study, all the female students at secondary school who were studying at high school in academic year 2016-2017 in Tehran were selected as a statistical society. Among the high schools in Tehran's 15th district, one school was selected by Purposive sampling method. They were examined by the Multidimensional Body-Self Relationships Questionnaire (MBSRQ). 24 female students were randomly selected and assigned to experimental and control groups. Then, 8 sessions of 1.5 hours of psychodrama were performed for the experimental group, but the control group did not receive any intervention. In addition to descriptive statistics, Multivariate analysis of covariance were performed to evaluate the effectiveness of the psychodrama on the body image of students and the SPSS-25 software was used for all the analyses (p>0.05. ( Results: In this analysis, the second-year high school student participants were adolescent girls with an average age of 14.34 years. The results the study showed The Mean ±SD of physical satisfaction component had more change from pre-test (25.08± 3.65) to post-test (32.50 ±4.85). Moreover, The Mean ±SD of the body image increased from pre-test (144.50 ±12.33) to post-test (16.165 ± 12.96). Conclusion: Psychodrama had remarkable improvement on body image of female students who were selected in this research

Recommendation for How to Improve Taking Care of the Elderly with Covid-19

The article's abstract is not available.

The Effectiveness of Training Bowen's Family Therapy Approach on Marital Satisfaction of Married Women in the Aligodarz of City (In the West of Iran), in 2019

Introduction: Marital satisfaction is one of the most important signs of a favorable relationship between couples. This research aimed to survey the effectiveness of training using Bowen's family therapy approach on marital satisfaction of married women in the city of Aligodarz (In the west of Iran). Method: This study was a quasiexperi mental study using a pretest-posttest design with a control group. The statistical population consisted of counseling applicant married women in the city of Aligodarz in 2019. By convenience sampling, 30 married women were selected and participated in this study. After recording the subjects' scores in the pre-test stage, the experimental group was exposed to the intervention (training course), but no operations were performed on the control group. Data gathering was carried out using a demographic questionnaire and ENRICH marital satisfaction scale. Frequency, percentage, mean and standard deviation indices were used to describe and Chi-square test was used to examine the homogeneity of the two groups in terms of study variables and multivariate analysis of covariance were performed in SPSS 24 software with a significancel level of 5%. Results: Descriptive findings showed that the mean (standard deviation) of the total score of the marital satisfaction variable in the pre-test and post-test stages was 131.60 (26.89) and 142.81 (25.24) in the experimental group and 132.66 (24.09) and 132.26 (21.92) in the control group, respectively. The inferential findings showed that Bowen's family therapy approach has a significant effect on some of the dimensions of marital satisfaction (religious orientation, equality of women and men, children and parenting, sexual relation, financial management, conflict resolution, and marital satisfaction) (p< 0.05). On the other hand, this approach was not practical in improving other aspects of marital satisfaction (relationship with family and friends, leisure time, marital relationship, personality issues, and contractual responses) (p> 0.05). Conclusion: The present study results showed an increase in marital satisfaction of married women using the Bowen family therapy approach. Therefore, it is recommended to use Bowen's family therapy approach to improve women's marital satisfaction with family problems.

Epidemiological Characteristics and the Trend of Animal Bites during the years 2014-2018

Background: Animal bite is a serious and dangerous threat to human health. The highest prevalence rate of animal bite in Iran is in Golestan, Ardabil and, then Khorasan. The present study examined the epidemiological characteristics and the trend of animal bites during 2014-2018. Results: In this study, out of 3784 cases bitten by animals, 2821 happened by a sudden attack. Most reports of the animal bite were from dogs. Also, the trend of animal bite during 2014-2018 was increasing and the charts showed that the trend will continue to increase the next year. Conclusion: Due to the increasing trend of animal bites, it is necessary to take basic measures such as training endangered groups, forming a committee to eliminate stray dogs, and strengthening the care system and immunization program.

The Effect of Acceptance and Commitment and Problem-Solving Skills Training on Reducing Emotional Divorce

Introduction: This study aimed to investigate the effectiveness of the acceptance, commitment and problem-solving skills training on reducing the emotional divorce and the marital frustration. Method: The research method, with regard to the quasi-experimental nature of the subject, was selected with a pre-test post-test design with a control group. The statistical population was the couples attending the Family counseling centers in Kerman city in 2019. The study sample involved 30 participating couples who were selected using convenience sampling and were divided into two experimental and control groups. Training the acceptance, commitment and problem-solving was presented to the couples in the experimental group during eight two-hour sessions. The educational content was about couples' problems in marital relationships, choosing a common marital value and offering a solution based on it, and identifying internal and external barriers to action based on values. To assess the subjects in both groups, the Emotional divorce questionnaire, and the Marital Frustration questionnaire Completed before and after the intervention. In order to analyze the data, mean value, standard deviation (SD), and multivariate analysis of covariance (MANCOVA) were used. SPSS version 22 was further used. The significance level of the study was considered to be p=0.05. Results: The results of the covariance analysis for the participants who were 30-60 years old couples with at least five years of marital experience showed that training the acceptance, commitment and problem-solving was effective on reducing the emotional divorce and frustration. While the mean value of emotional divorce for the pre-test was (M=14.33), the results for the post-test changed to (M=11.80). Marital frustration was also changed from (M=48.93) in the pre-test to (M=44.60). Conclusions: According to the results, maybe we need to consider a more serious role for training the acceptance, commitment and problem-solving in the educational and therapeutic interventions related to reducing the emotional divorce and the marital frustration of the couples.

Most Frequently Affected Body parts in Road Traffic Accidents Reporting to the Accident and Emergency Department of the Largest Tertiary Care hospital of Karachi in 2019

Introduction Injuries sustained during Road Traffic Accidents (RTAs) amounts to a serious public health crisis. The aim of the study was to determine the body parts most likely affected in an RTA in patients brought to Accident and Emergency (A&E) department of Jinnah Postgraduate Medical Centre (JPMC), the largest tertiary care hospital of Karachi. Method A descriptive cross-sectional study was done in January-March 2019 among 371 respondents aged 15-65 years. Study participants were recruited through non-probability convenience sampling. A structured questionnaire was used to collect data on sociodemographic variables and type, severity and nature of injury. Chi Square test was used to determine the significant difference between using safety precautions with body parts affected. All analysis was performed on SPSS version 20. Results Out of 371 study participants, 64.4% (n=239) were between 15-35 years with 91.9% (n=338) males. In 77.1% (n=286) cases, emergency medical services responded in less than one hour and first aid was provided by doctor to 95.7% (n=355) at hospital. In 82.5% (n=306) cases, private vehicles were involved, with 46.1% (n=171) motorcycles. In 79.8% (n=296) cases, bone injury was prevalent, with 57.1% (n=212) leg injuries, which was the most frequently affected body part. Majority, 56.2% of the study participants who did not wear seat belts had chest area affected (p=0.006). Conclusion It is concluded that males of 15-35 years who were motorcyclists were more prone to RTAs with lower limbs more frequently being affected. Safety precautions like wearing seatbelts provide protection against RTAs.

Investigating the Effectiveness of Group Training Based on Reforming Schema on Improving Individual and Social Health of Mothers’ Problems

Introduction: Due to the important role of the mothers in the families, identifying their early maladaptive schema can help us identify the problems that lead to unhealthy life education and provide the necessary and appropriate training programs to improve them. This study uses group training to reform schema in improving mothers' individual and social mental health who consulted the social damage prevention center. The purpose of the study was to determine the effectiveness of reforming schema on a mothers' problems. Methods: In this study, the quasi-experimental method was used. The study population was all the mothers who had parenting problems in the last two years and have consulted the social damage prevention center. Nonrandom sampling was used for our statistical census. Therefore, 100 mothers at hand were selected nonrandomly, and the General Health Questionnaire (GHQ) was conducted on them as a pre-test. Then, 24 mothers who obtained the lowest scores were randomly divided into two groups: experimental and control, in each of which there were 12 participants. The experimental group received training in 10 sections for 90 minutes, while the control group did not receive any training. Afterward, a post-test was conducted for each group, and the results of the two groups were compared. Results: A covariance analysis test was used to test the hyper hypotheses. The results showed a significant difference between the experimental and control groups in the individual's mental health and social mental health variables (p < 0.001). Thus, hypotheses 1 and 2 were approved in our study. In other words, the comparison of the average in two variables after the post-test of experimental and control groups showed that mothers trained according to reforming schem, had better social and mental health. With approximately 90%, it can be said that the training based on reforming schema effectively increases the social and individual health of the mothers challenging with parenting problems.