Showing 10 results for Zenoozian
Sanaz Fayazi, Fatemeh Ghasemi, Maedeh Ghobadian, Saeideh Zenoozian, Roghieh Kharaghani,
Volume 7, Issue 2 (10-2017)
Abstract
Background: Pregnancy is associated with many emotional, physical, and social changes in women’s lives which may have an effect on the outcomes of pregnancy, so identifying moderating factors such as social support may have a preventing role on unintended outcomes of pregnancy.
Objectives: The purpose of this study was to determine the relationships between social support with anxiety, depression, and stress in pregnant women
.
Methods: In this correlational study 249 pregnant women attending to health care centers in Zanjan-Iran, during 2015-2016 were selected using a multi-stage sampling method. Data was collected using three questionnaires including demographic characteristics, Wax social support (social support ftom family, friends, and others) and DASS-2
1 scale. The data were analyzed using descriptive and inferential statistics with SPSS software version 16.
Results: The average age of the participants were 27.57±5.56 years. The average of total perceived social support of pregnant women was 77.42±10.66, among which the most perceived social support was from the family (29.04%). Data analyses revealed weak negative and significant relationship between total social support and depression (r=-0.17) and stress (-0.13), as well as between social support from others and depression (r=-0.14) in pregnant women (P<0.05).
Conclusion: Although, in this study pregnant women received the most social support from the family, only a weak relationship was found between the total score of social support and social support by others with depression and stress. Therefore, it is recommended that more research be done on the type of social support of Azari pregnant women.
Azadeh Araste, Elham Jafari, Saeideh Zenoozian, Rhoghieh Kharaghani,
Volume 8, Issue 1 (6-2018)
Abstract
Background: Despite the progress of family planning programs, a significant proportion of pregnancies are still unplanned which threatens the different dimensions of community health. Unplanned pregnancy affects parent's-child association. Maternal-fetal attachment provides a model for the child's mental-social function at present and in the future.
Objectives: This study was conducted to determine the prevalence of unplanned pregnancy and related factors of maternal-fetal attachment in pregnant women referring to Zanjan health centers in 2017.
Methods: This descriptive correlational study was part of a clinical trial that was performed on 184 pregnant women who referred to health centers for routine prenatal care from October to February 2017 in Zanjan, Iran. Using multi-stage sampling method, health centers of Zanjan were divided into three categories based on social and economic situation. Then, from each category, three centers were selected, randomly. The inclusion criteria comprised being pregnant, satisfaction to participate in the study, have at least reading and writing skills, lack of the history of obstetric complications, psychological disease and medicine use, lack of known psychological disease, lack of narcotic substances abuse, and living in Zanjan City. Data collection tool included demographic checklists and maternal-fetal attachment questionnaire, which completed in self-report method. The data of this study were analyzed by appropriate statistical tests by SPSS v.16 software.
Results: Among the participants 58.2% of women had planned pregnancy, 36.4% had unplanned pregnancy, and 5.4% had unwanted pregnancy. Maternal-fetal attachment scores were significantly higher in the planned pregnancy group 84(75-93) than the unplanned pregnancy group 57(54-60) and unwanted pregnancy group 56(48-64) (P˂0.001). The highest sub-scale in the planned pregnancy group was related to the attributing characteristics and intentions. Also, the most subscale in unplanned and unwanted pregnancies related to giving of self. There was a significant relationship between age, education, socioeconomic level, number of pregnancies, number of children and contraceptive method with type of pregnancy (P˂0.001).
Conclusion: Based on the results of the study, it seems that reduction in unplanned pregnancy will enhance the maternal-fetal attachment and will improve the mother role and social-psychological health of the child.
Roghieh Kharaghani, Azadeh Arasteh, Saeedeh Zenoozian,
Volume 8, Issue 4 (3-2019)
Abstract
Background: Physical and psychological problems and stressors sometimes impair the human adaptation and lead to maladaptive behaviors that may interfere with pregnancy acceptance and fetal communication. On the other hand, a parent's attachment style plays a role in the creation of child insecure attachment style and an irreplaceable context for emotional and social development. It continues until the adulthood and affects the individual ability in various contexts as a defective cycle.
Objectives: Therefore, the present study was designed and conducted to determine the rate of pregnancy adaptation and its association with maternal attachment styles in both wanted and unwanted pregnancies.
Methods: The study was a descriptive and comparative research on 178 pregnant women who visited health centers of Zanjan, Iran in 2017. The data collection tool included the demographic data checklist, Adult Attachment Scale (AAS) by Hazen & Shaver, and the prenatal self-evaluation questionnaire (PESQ) by Lederman for measuring the pregnancy adaptation, and it was completed by the self-report. Data were analyzed using chi-square, Mann-Whitney, independent t, Spearman, and linear regression tests via SPSS 16.
Results: The median (interquartile range (IQR)) of the total score of pregnancy adaptation in the wanted pregnancy group 118 (13.5) was lower than the unwanted pregnancy group 244 (33.5), indicating better adaptation in the wanted pregnancy group. Secure attachment style was significantly higher in the wanted pregnancy groups than the unwanted pregnancy group (p˂0.001). In the unwanted pregnancy group, there was an inverse relationship between secure attachment style and pregnancy self-assessment score (r=-0.335 and p=0.001) (A more secure attachment style and lower self-evaluation score indicate higher pregnancy adaptation); and a positive relationship between avoidant attachment style and prenatal self-evaluation score (r=0.248 and p=0.019).
Conclusion: Since the increase in secure attachment style was associated with a decrease in prenatal self-evaluation score, or in other words, was associated with an increase in adaptation with pregnancy, education and counseling for improving secure attachment styles is suggested to reduce adverse consequences of unwanted pregnancy and improve the children's psychological health.
Nahid Moradi, Azam Maleki, Saeedeh Zenoozian,
Volume 10, Issue 2 (8-2020)
Abstract
Background: Spiritual experience helps individuals to cope with stressful life situations.
Objectives: The present study was to determine the effect of integrating midwifery counseling with a spiritual approach on pregnant women’s spiritual experience.
Methods: A randomized controlled trial study was conducted on 40 pregnant women who referred to Abhar health centers in 2019. For the experimental group, eight counseling sessions were held using a spirituality-oriented approach, and the control group received routine health care services. Data were collected using a spiritual experience questionnaire in three stages (namely before intervention, 28 weeks of pregnancy, and 36 weeks of pregnancy). The data were analyzed using descriptive statistics, the Chi-square test, the independent t-test, and ANCOVA at 95 % confidence level.
Results: The comparison of the mean scores of spiritual experience in the experimental and control groups revealed that the scores were higher in the second and third trimesters. In this regard, the mean score of spiritual experience in the pre-intervention stage in the control group was 73.31, which decreased to 69.47 in the third trimesters. Meanwhile, the mean score of spiritual experience in the experimental group in the pre-intervention phase was 71.65, which increased by 84.15 in the third trimesters. The mean difference of spiritual experience scores was statistically significant between the two groups (p=0.001).
Conclusion: Counseling along with a spiritual approach was effective in improving pregnant women’s spiritual experience. , and it can be integrated with prenatal care package.
Roya Ahmadizadeh, Saeedeh Zenoozian, Mazaher Rezaei, Jahangir Mohammadi, Zahra Motahhari,
Volume 12, Issue 1 (3-2022)
Abstract
Background: Separation anxiety disorder (SAD) is one of the most common mental disorders in childhood. Inattention to treat this disorder can be a risk factor for other childhood and adolescence mental disorders.
Objectives: We aimed at investigating the effectiveness of child-parent relationship therapy (CPRT) in children with SAD.
Methods: This quasi-experimental study was conducted in a pre-test and post-test design with a control group. The research population consisted of preschool and first-grade students in primary schools in Zanjan, Iran. Twenty-four mothers whose children were diagnosed with anxiety disorder were selected nonrandomly (volunteers to participate in the research), but they were randomly assigned to the control and intervention groups. The Children's Symptoms Inventory questionnaire (CSI-4) was used to diagnose separation anxiety. Also, the parent-child relationship assessment questionnaire (MCRE), Sherer General Adult Inventory Questionnaire, and Parent Stress Index Questionnaire (PSI) were completed before and after the treatment. The intervention group received ten sessions of 2 hours of group training on CPRT, while the control group did not receive any intervention. One-way analysis of covariance (ANCOVA) and multivariate analysis of covariance (MANCOVA) were used to analyze the data.
Results: The results of covariance analysis showed that the severity of anxiety symptoms were significantly decreased in the experimental group (p>0.05). It also reduced mothers' stress (83%), increased mothers’ self-efficacy (77%), and improved mother-child relationships.
Conclusion: Child-parent relationship therapy can be an effective intervention in reducing the symptoms of child separation anxiety, and it can be employed as an educational protocol for reducing tension, increasing mothers' self-efficacy, and improving mother-child relationships. Due to the limited sample size of the present study, it is suggested that a study with a larger sample size be conducted to confirm the findings of this study.
Negin Babaei Vahed, Mahin Roohani, Saeedeh Zenoozian, Elham Faghihzadeh, Kourosh Amini,
Volume 12, Issue 1 (3-2022)
Abstract
Background: Exposure to death and the resulting anxiety is a significant dimension of the mental health of patients suffering from chronic diseases, including heart failure.
Objectives: Illness perception affects adherence to health-promoting behaviors and health outcomes. Hence, the purpose of this study was to investigate the effect of a perception-based intervention on death anxiety in patients with heart failure.
Methods: Following a randomized clinical trial design, 120 patients suffering from heart failure, recruited using convenient sampling, were categorized into two groups of control and intervention using the randomized minimization method. The intervention group received three 30-minute sessions of training, while the control group only received routine interventions. Data were collected using a demographic information checklist, brief illness perception questionnaire (BIPQ), and Templer Death Anxiety Scale. Data analysis was administered by independent t-test, paired t-test, chi-square, and Wilcoxon tests using SPSS version 22.
Results: There was a significant difference between the study groups concerning anxiety scores before and after the intervention (P<0.001). Death anxiety scores before the intervention were not significantly different between the two groups (P=0.640), but there was a statistically significant difference in death anxiety scores after the intervention (P<0.001).
Conclusion: Regarding the importance of death anxiety in patients with heart failure, this study demonstrated the importance of using perception-based interventions.
Seyedeh Fatemeh Mousavi, Elham Jafari, Roghayeh Kharaghani, Saeedeh Zenoozian,
Volume 12, Issue 2 (3-2022)
Abstract
Background: Fear of childbirth is one of the major problems during pregnancy and the post-partum period that affects women’s health and preference for cesarean birth.
Objectives: The present study aimed to investigate the effect of midwife-oriented education and counseling on the type and consequences of childbirth in first-time pregnant women with fear of childbirth.
Methods: The present study is a single-blind randomized controlled trial performed on 122 first-time pregnant women with fear of childbirth. The samples were selected by the convenient sampling method and divided into two intervention and control groups by the four-blocked randomization method. Data collection tools were a demographic questionnaire and the Wijma Delivery Expectancy/Experience Questionnaire (WDEQ; version A before childbirth and version B after childbirth). The intervention was performed in the form of six counseling sessions based on the Gamble approach. The data were analyzed at a significance level of 0.05 using SPSS 21 statistical software.
Results: Regarding the effect of midwife-oriented counseling on pre-partum and post-partum fear, no statistically significant difference was observed between the two groups. The rate of choosing vaginal birth in the intervention group significantly increased after receiving counseling (p = 0.001). The frequency of vaginal birth, childbirth satisfaction, and childbirth consequences was not statistically significant between the two groups.
Conclusion: The present counseling method can be effective in increasing choosing vaginal birth in first-time pregnant women with fear of childbirth, but further research is required to evaluate its effectiveness on the maternal and neonatal consequences.
Nahid Safabakhsh, Taraneh Emamgholi Khooshehchin, Leila Rastegari, Saeedeh Zenoozian,
Volume 13, Issue 2 (3-2023)
Abstract
Background: Adolescence is considered one of the most important periods in the life of any human being. In most cases, adolescents suffer from fear, anxiety, and stress during this period, and how to pass through this period considerably affects their mental and physical health.
Objectives: This study was conducted to investigate the effect of life skills-based group counseling on stress in female adolescents in the city of Zanjan.
Methods: The present study is a randomized controlled trial with parallel groups. Sixty four female adolescents under the coverage of health centers in the city of Zanjan in 2019 were initially divided into two intervention (n=32) and control groups (n=32) by blocked random sampling method. In the intervention group, eight sessions of life skills-based group counseling were conducted once a week for 90 minutes. Data were collected using Cohen’s Perceived Stress Scale (PSS) and were analyzed using the Mann-Whitney U and repeated measurements tests in SPSS 18 software.
Results: The results indicated no significant difference between the two intervention (35.06 ± 9.56) and control (29.94±9.16) groups before the intervention (p=0.253). The mean stress score two months after the intervention was significantly lower in the intervention group (29.94 ± 7.59) than in the control group (37.17±9.16) (p<0.043).
Conclusion: Based on the study results, life skills-based group counseling can reduce stress in female adolescents. Therefore, it is recommended to use this method as a part of health system care for female adolescents in schools and comprehensive health centers.
Roghieh Kharaghani, Azadeh Hosseinkhani, Saeedeh Zenoozian,
Volume 13, Issue 4 (10-2023)
Abstract
Background: Marital conflicts are a common phenomenon. Schema therapy is one effective approach to reducing these conflicts by assessing the impacts of individuals' past attitudes and experiences on their current relationships.
Objectives: The current research was conducted to systematically investigate the effectiveness of schema therapy on marital conflicts.
Methods: Based on the PRISMA guidelines, a comprehensive search was performed in national and international databases, including the Scientific Information Database (SID), Magiran, Psych-info, Cochrane Central, Scopus, PubMed, Web of Science, and the Google Scholar search engine, and using advanced search strategies up to November 18th, 2021. The selected articles were precisely and comprehensively reviewed. After quality assessment using the Cochrane Collaboration tool, the required information was extracted from them and conducted a meta-analysis using Review Manager (Rev Man) version 5.2 software.
Results: Out of 2921 articles, only 8 articles were entered into the study according to the inclusion criteria, consisting of 239 people in the intervention group and 162 people in the control group. The meta-analysis findings using the random-effects model showed that schema therapy significantly decreased marital conflicts in the participants by SMD=-46.01 (CI: -66.91, -25.11) points (P-value: 0.00001).
Conclusion: The use of schema therapy, whether integrated with other methods or individually, is effective in reducing marital conflicts. Thus, it is suggested that in case of a lack of efficient cognitive-behavioral therapy, schema therapy be taken into account as a complementary treatment method.
Shifteh Hashemzadeh, Taraneh Emamgholi Khoshechin, Leila Rastegari, Saeedeh Zenoozian,
Volume 14, Issue 4 (11-2024)
Abstract
Background: Positive psychology can improve the quality of life of postmenopausal women.
Objectives: This study was conducted to determine the effect of telephone counseling with a positive psychological approach on the quality-of-life of postmenopausal women.
Methods: This randomized controlled trial was conducted on 70 eligible postmenopausal women (each group=35). The experimental group received eight telephone counseling sessions with a positive psychology approach. Data were collected using questionnaires (demographic characteristics, menopausal women's quality-of-life (MENQOL), and depression anxiety stress scale (DASS-21) on social media platforms (WhatsApp), before, immediately, and 2 months after the intervention. Data were analyzed using chi-square, independent t-test, Friedman, and Mann-Whitney tests in SPSS 16 software.
Results: The mean (SD) of quality-of-life score two months after the intervention in the experimental group was 15.50 (7.62) and in the control group was 25.19 (12.19). The mean quality-of-life scores in the experimental group were lower than the scores of the control group. This significant difference remained in the experimental group until follow-up, two months after the intervention (P <0.001). Friedman's test also showed that the quality-of-life variable in the experimental group had a statistically significant change in different phases (P<0.001). According to the median scores, the quality-of-life has improved over time.
Conclusion: Telephone counseling with a positive psychology approach can improve quality-of-life in postmenopausal women. Given this, it is recommended that positive interventions be used to promote mental health during menopause, among other methods to improve health.
