scholarly journals Effect of Problem Solving Based Group Counseling on Marital Satisfaction of Mothers with Intellectually Disabled Children: Gorgan, Iran (2016)

2018 ◽  
Vol 10 (1.SP) ◽  
pp. 110
Author(s):  
Yoosefi SOMAYEH ◽  
Ziaei TAYEBE ◽  
Jalaliaria KATAYOUN ◽  
Naghinasab Ardehaee FATEMEH ◽  
Danesh AHMAD ◽  
...  

Introduction: Diagnosis of intellectual disability in children poses mental pressure and emotional crisis with respect to keeping, raising, and training to family members and mothers, in particular. This issue can also negatively affect marital satisfaction of the parents. The present research was conducted to assess the effect of problem-solving based group counseling on marital satisfaction in mothers with intellectually disabled children.Material and Methods: The Statistical population of the present intervention-control study is comprised of mothers with intellectually disabled children referring to two health centers in Gorgan City, Iran, in 2016. Research samples consisted of 30 subjects randomly assigned to two control and intervention groups. The intervention group was subjected to 6 sessions (once in a week) of problem-solving based group counseling while the control group received no intervention. At the end of these sessions, the Persian version of Evaluation and Nurturing Relationship Issues Communication and Happiness (ENRICH), which consists of 47 items with 11 subscales, was completed in two steps: one week and one month after the intervention. The gathered data were analyzed using repeated measures of analysis of variance (ANOVA) and a follow-up test in the SPSS16 software.Results: The results showed that mean and standard deviation of marital satisfaction scores in three steps of intervention including before, one week after, and one month after the intervention was 140.7 ± 15.08, 143.13 ± 14.43, and 150.73 ± 11.65, respectively. As can be seen, there is a statistically significant difference between marital satisfaction scores before and one month after the intervention (P = 0.016) while this score is almost constant in the control group during the study period.Conclusion: The results show that by the passage of time mothers learn and apply better the problem-solving skill in their life, leading to their enhanced marital satisfaction. Thus, it is suggested training these skills to the mothers with intellectually disabled children referring to the health and rehabilitation centers by midwives and midwifery consultants.

2021 ◽  
Vol 17 ◽  
Author(s):  
Seyedeh Zahra Masoumi ◽  
Khodayar Oshvandi ◽  
Masoumeh Rostami-Moez ◽  
Arezoo Shayan ◽  
Farideh Kazemi

Background: Infertility can cause low marital satisfaction. Marital satisfaction has an important effect on infertile couples’ health. Objective: This study aimed to assess the effect of relationship enrichment training on improving the marital satisfaction of infertile couples. Methods: This randomized clinical trial was conducted on 50 infertile couples in the infertility center of Fatemieh Hospital in Hamadan, Iran in 2018. Participants were matched for demographic characteristics and randomly assigned to intervention and control groups (each group had 25 couples). Informed consent was obtained from all participants. The Enrich Marital Satisfaction questionnaire and demographic information were used to collect data before the study and two months after the intervention. Two trained midwifery students taught only the intervention group the relationship enrichment topics in seven sessions (each session = 90 minutes). The data were analyzed by SPSS Statistics version 21 using analysis of covariance, independent t-test, chi-square, and Mann–Whitney. The significance level was set at p ≤ 0.05. Results: There was no significant difference in demographic and obstetric information between the two groups (p >0.05). The mean of marital satisfaction in the intervention group significantly increased among women and men from 151.00 ±28.61 to 154.88 ±22.62 and from 152.56 ±27.33 to 159.24 ±22.14, respectively, (p <0.001). Conversely, the mean of marital satisfaction decreased among women and men from 158.13 ±13.86 to 146.25 ±19.53 and from 164.25 ±17.00 to 153.17 ±27.50 in the control group (p=0.02). Conclusion: Relationship enrichment training can be effective in promoting the marital satisfaction of infertile couples. Registration number: The National Center for Strategic Research in medical education, No. 960185.


Author(s):  
Mahdiyeh Azizi ◽  
Mohsen Saeidmanesh ◽  
Fateme Kazemi ◽  
Vahide Radaie

Background and Aim: One of the common behavioral disorders of hearing-impaired child­ren is aggressive behavior, which can affect soc­ial adjustment in their adolescence. This study was designed to investigate the effectiveness of group counseling based on problem-solving on aggression and social adjustment of hearing-impaired students. Methods: This study is quasi-experimental with pretest posttest design and a control group. The study population was all adolescents with hear­ing impairment referred to Yazd Speech The­rapy Centers, Yazd City, Iran. A total of 30 stu­dents were selected from the referred hearing-impaired students with high aggression and low social adjustment. Then they were randomly assigned into control (n = 15) and experimental (n = 15) groups. The study instruments were the California social behavior and Buss and Perry aggression inventory. The group couns­eling based on problem-solving intervention consisted of 7 one-hour sessions, presented for the experimental group. We analyzed the obtai­ned data by repeated measures analysis of cova­riance. Results: Group therapy based on problem-solving can reduce aggression (p < 0.001) and increase social adjustment (p = 0.04). Conclusion: The professionals in this field are recommended to use group therapy based on problem-solving.


2020 ◽  
Vol 19 ◽  
pp. 153473542094681
Author(s):  
Motahareh Mirmahmoodi ◽  
Parvin Mangalian ◽  
Atefeh Ahmadi ◽  
Mahlagha Dehghan

Introduction: Breast cancer is common among women and reduces their quality of life. The current study aimed to investigate the effectiveness of mindfulness-based stress reduction group counseling in alleviating psychological responses such as anxiety, depression, stress, and regulating laboratory tests including cortisol and C-reactive protein (CRP) in women with breast cancer. Methods: This randomized clinical trial was conducted based on convenience sampling. Participants were divided into 2 groups (control and intervention groups) with block randomization. The intervention group received mindfulness-based stress reduction group counseling during 8 weeks. The participants completed the Beck anxiety inventory, Beck-II depression inventory, and perceived stress scale before and after the intervention and their blood samples were taken to check their cortisol and CRP. Results: After the intervention, the MBSR group had significantly lower anxiety compared with the control group ( P < .001). No significant difference was found between the 2 groups in the reduction of perceived stress and depression ( P < .05). In addition, no significant difference was found between the 2 groups in CRP and cortisol levels after the intervention ( P > .05). Conclusion: The present study showed the effectiveness of mindfulness-based cognitive therapy in improving anxiety rather than the stress, depression, and inflammatory laboratory factors such as cortisol and CRP in women with breast cancer. Therefore, the psychological symptoms of these patients can be improved at different stages of treatment by providing this type of training.


Author(s):  
Nezhat Javid ◽  
Atefeh Ahmadi ◽  
Moghadameh Mirzaei ◽  
Monavvareh Atghaei

Objective The present study was conducted with the objective of investigating the effectiveness of solution-focused group counseling (SFGC) on promoting the mental health of midwifery students. Methods The present study is an intervention-based study with a pretest, a post-test, and a control group. The statistical population included all of the midwifery students studying in the midwifery department of the Bam University of Medical Sciences, Kerman, Iran, who filled out the General Health Questionnaire (GHQ) in the screening phase. In the second phase, 40 individuals, having a low level of mental health based on the cutoff score of 23, were selected and randomly divided into 2 groups (intervention and control), each group with 20 participants. The intervention group participated in 5 sessions of 75 minutes for SFGC. Then, the post-test was held in both groups and the data analysis was conducted using the Mann-Whitney and the Kruskal-Wallis test with IBM SPSS Statistics for Windows, Version 21.0 (IBM Corp, Armonk, NY, USA). The significance level was considered as p < 0.05. Results The findings showed that the mean of the post-test mental health scores of the intervention group (14.5 ± 50.35) and of the control group (23.6 ± 35.83) showed a statistically significant difference (p < 0.0001). Moreover, the comparison between the mean scores of the mental health subscales (physical symptoms, stress, social performance, and depression) showed a statistically significant difference in these groups, and SFGC improved physical symptoms, stress, social performance, and depression in the members of the intervention group. Conclusion Solution-focused group counseling may improve all levels of mental health. This type of counseling is recommended to be used to solve the psychological problems and to improve the mental health of students, as well as of the staff of the health system.


Author(s):  
Tayebe Ziaei ◽  
Maryam Ghanbari Gorji ◽  
Naser Behnampour ◽  
Masumeh Rezaei Aval

AbstractBackgroundSex dialogue is one of the most critical and challenging topics between mothers and adolescents. The knowledge and skills of mothers in sex dialogue with their daughters are essential. The purpose of this study is to determine the effect of group counseling based on communication skills on mothers through their sex dialogue with their daughters.MethodsA randomized controlled field trial was conducted on 168 couples of mothers and their daughters selected by the stratified matching method and randomly divided into two control and intervention groups. The mothers in the intervention group participated in a communication-based consultation in groups consisting of 6–12 people for 6–7 weekly sessions, each one lasting 60 min. The data collection tool was a Persian-translated questionnaire by Jaccard for sex dialogue between mother and daughter. The data were analyzed using Chi-square (χ2), ANOVA with repeated measures and modified post hoc Bonferroni tests.ResultsThere was a significant difference in the mean score of mother-daughter sex dialogue 1 week after intervention between the intervention (34.48 ± 8.74) and control (40.44 ± 9.49) groups (p = 0.001) and 1 month after the intervention between the intervention (30.41 ± 10.07) and control (42.47 ± 9.62) groups (p < 0.001).ConclusionThrough applying communication skills, an increase in mother-daughter sex dialogue frequency was observed after group counseling. Therefore, it is suggested to promote mother-daughter communication skills by accessing the mothers via schools, health centers and with the aid of midwifery counselors, midwives and other trained caretakers.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Muthukali Shanmugam ◽  
Vetrivel Shivakumar ◽  
Vijayarangan Anitha ◽  
Bagavathi Perumal Meenapriya ◽  
Srinivasan Aishwarya ◽  
...  

Aim. Children with developmental disabilities generally experience more pain than the normal children. Description of pain is generally difficult in children and more so in children with intellectual disabilities. The study aimed at evaluating dental pain in children with intellectual disabilities. Methods. The survey was carried out in an institution caring for intellectually disabled children to determine the oral health status and the treatment needs of the special kids. 236 children were surveyed out of which the test group is comprised of 111 intellectually disabled children and the control group had 125 normal children with age ranging between five to eighteen years. A questionnaire was presented to the caregivers to elaborate about dental pain in their wards using the dental discomfort questionnaire (DDQ+). The children were examined for dental caries and periodontal status based on the WHO indices for oral hygiene status. Result. Results revealed a statistically significant difference between intellectual disability and brushing, chewing, and earache. The frequency of reporting dental pain was lesser in the intellectually disabled group. Conclusion. Children with intellectual disability tended to report dental pain of any nature with lesser frequency than typically developing peers. They also faced greater difficulty in brushing and chewing.


2021 ◽  
Vol 6 (3) ◽  
pp. 81-90
Author(s):  
Sara Moradi ◽  
◽  
Asghar Aghaei ◽  
Mohsen Golparvar ◽  
◽  
...  

Background: Psychological factors affect marital conflict and happiness; in other words, they strengthen and shape marital relations. The present study aimed to investigate the effectiveness of training based on Healthy Human Theory (HHT) and Emotion-Focused Therapy (EFT) in marital happiness of couples living in Isfahan City, Iran. Materials & Methods: This research has a pretest-posttest control group design. The statistical population included all couples referring to mental health centers in Isfahan in 2020. The study sample consisted of 39 couples selected by the convenience sampling method. The participants were randomly divided into two experimental groups (training based on HHT and EFT) and control group (n=13 couples per group). The research instrument included the marital satisfaction scale. Follow-up was performed after 90 days. Repeated-measures ANOVA in SPSS software was used to analyze the data. Results: The results showed that training based on HHT significantly affected marital happiness compared to EFT and control group (P=0.001). The Mean±SD of the posttest scores of marital happiness in the HHT-based training, EFT, and control groups were 97.92±1.54, 87.50±5.56, and 75.38±8.71, respectively. There was no significant difference between the effects of HHT-based training and EFT on happiness in couples. Conclusion: Based on the results, the HHT-based training and EFT are appropriate methods for improving marital happiness.


2020 ◽  
Vol 9 (4) ◽  
pp. 309-318
Author(s):  
Azaitun Akma Shahrin ◽  
◽  
Sarah Haniza Abdul Ghani ◽  
Noraina Hafizan Norman ◽  
◽  
...  

Objetive: The objective of this clinical trial was to investigate the perception of pain during initial maxillary alignment with an adjunctive procedure of micro-osteoperforations (MOPs) compared to conventional orthodontics. Material and methods: This study design was a single-centre, two-arm parallel prospective randomised clinical trial. Thirty consecutive adult subjects (25 females and 5 males; mean age ± SD, 22.66 ± 3.27 years) with 5-8mm moderate upper labial segment crowding were randomly allocated using block randomisation into intervention and control group. All subjects had first premolar extractions, bonded conventional fixed appliances and 0.014-inch nickel-titanium archwire was placed for initial alignment. The intervention group received a 3-mm deep MOPs procedure under local anaesthesia using a Propel device (PROPEL Ortho Singapore) on the labiogingival aspect between the maxillary incisors. Both groups received a set of 100 mm visual analogue scale to complete over the first week, recording pain at 24 hours, 3 days and 1 week. Data were analysed using repeated-measures analysis of variance (ANOVA). Results: There was a statistically significant difference observed in perceived pain levels between MOPs and the control group on day 1, day 3 and day 7 postoperatively. Pain perception was significantly lower in the intervention group at all time points. Conclusion: Accelerating orthodontic tooth movement with MOPs did not accentuate pain perceived during initial maxillary alignment with fixed appliances.


Author(s):  
Mariyam Momeni ◽  
Mansoureh Jamshidimanesh ◽  
Hadi Ranjbar

Background: Pregnancy and childbirth are natural phenomena in a women’s life, associated with stress and anxiety, leading to adverse effects in the mother and fetus. Using complementary medicine, such as aromatherapy, music, light radiation, and aquariums in an environment that engage a person’s multiple senses can make mothers relax through mental deviations. Objectives: The aim of this study was to evaluate the effects of a Snoezelen room on fear, anxiety, and satisfaction of childbirth’s nulliparous women. Methods: This randomized clinical trial was carried out on 130 eligible women in a selected hospital affiliated to the Iran University of Medical Sciences in Tehran. One hundred thirty women were randomly assigned to the intervention (n = 65) and control (n = 65) groups using six modes blocks using the convenient sampling method. The delivery room was designed to distract women’s minds in the intervention group. Data were collected using a demographic characteristics form, Harman’s Childbirth Attitude questionnaire (CAQ), Visual Analogue scale (VAS) to measure childbirth anxiety, and the Mackey Childbirth Satisfaction Rating scale. Data were analyzed by SPSS version 16 using independent t-test, repeated measures analysis of variance, and Bonferroni and chi-square tests. Results: The results showed a significant reduction in fear in the active phase and postpartum in the intervention group compared with the control group (P < 0.001 and P < 0.001, respectively). Anxiety showed a significant difference and was lower at dilatation of 6 to 7 and 7 to 8 cm, and after childbirth in the interventional group. The satisfaction of childbirth significantly increased in the interventional group (P < 0.001). Conclusions: These results confirmed the importance of a Snoezelen room in the childbirth of nulliparous women, which can promote vaginal childbirth.


2019 ◽  
pp. 29-36

Background: Marital conflict is a type of lack of ongoing meaningful agreement between spouses. The present study aimed to investigate the effectiveness of mindfulness-based cognitive therapy on sexual self-efficacy and marital satisfaction in couples with marital conflicts. Materials and Methods: This quasi-experimental study was carried out on the intervention and control groups with a pretest/posttest design and follow-up. The study population consisted of 30 females who referred to counseling centers in district 1 of Tehran, Iran, in 2018 through simple random sampling. The participants were randomly divided into two groups, each with 15 members. The intervention group received mindfulness-based cognitive therapy, and the control group received no intervention. Data collection tools were the questionnaires of sexual self-efficacy, marital satisfaction, and marital conflicts. The questionnaires were filled out by the participants before and after the intervention and 3 months later. The collected data were analyzed using repeated measurement analysis and analysis of covariance by SPSS software (version 22). Results: The results of the study showed that mindfulness-based cognitive therapy led to increased sexual self-efficacy (P<0.033) and marital satisfaction (P<0.003) in the intervention group; however, in the control group, there was no significant difference in pretest, posttest and follow-up scores. Conclusion: Based on the results, it can be concluded that mindfulness-based cognitive therapy can improve sexual self-efficacy and marital satisfaction in couples with marital conflicts.


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