Comparing the Efficacy of Mindfulness-Based Group Training and Emotion Regulation Skills in Externalizing Syndromes in Adolescents with a Tendency for Risky Behaviors

Background: Mindfulness-based interventions can focus on the present to free people from unpleasant events of the past and worries about the future, thereby reducing their involvement in high-risk behaviors. Objectives: The present study aimed to assess the effectiveness of mindfulness and emotion regulation training in the reduction of emotion dysregulation in externalization symptoms in adolescents with a tendency for high-risk Behaviors. Materials and Methods: This experimental study was conducted on 74 at-risk high school adolescents in the 15th district of Tehran in 2019. They were randomly assigned to three groups of mindfulness, emotion regulation, and control groups. With a pre-test and post-test control group design, subjects in the intervention groups underwent sessions of mindfulness and emotion regulation training, while the control group did not receive any intervention. All groups were evaluated in pre-test and post-test using Child Behavior Checklist (CBCL). The data were analyzed in SPSS software (version 18) using multivariate analysis of covariance (MANCOVA) test. Results: Based on the results, there were no significant mean differences among groups in the pretest. Nonetheless, the scores of externalization syndrome in the subscale of lawless behavior (2η=0.19; P<0.01; F=6.31 (53.2)) and aggressive behavior (18/18 0=2nd; P<0.01; F=5.68 (53.2) significantly reduced in two groups of mindfulness and emotion regulation, compared to those obtained in the control group. Conclusion: Mindfulness-based group training and emotion regulation could be regarded as useful interventions for at-risk adolescents by emotion regulation and reduction of the possibility of risky behaviors.

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Farhad Shekari ◽  
Peyman Habibi ◽  
Haidar Nadrian ◽  
Asghar Mohammadpoorasl

Abstract Background High-risk behaviors are among the most serious threats for the physical and mental health of adolescents and young adults. Our aims in this study were to investigate the subgroups of students based on risky behaviors and to identify the prevalence rate of these subgroups. Methods This cross-sectional web-based survey was conducted from July to August 2019 in Tabriz, Iran. We performed proportional sampling in all nine universities of the city, according to the number of students in each university. Applying an online survey questionnaire, the data were collected from 3649 students and analyzed using Latent Class Analysis. Results For total sample, standardized prevalence rates of cigarette smoking, hookah use, alcohol consumption, substance abuse and unsafe sex were 18.5 (Confidence Interval (CI) 95%: 17.3–19.8), 9.1 (CI 95%: 8.2–10.1), 9.2 (CI 95%: 8.3–10.2), 8.3 (CI 95%: 7.4–9.3) and 14.5 (CI 95%: 13.3–15.7), respectively. Three latent classes of risky behaviors were determined among students: a) low risk b) smoking and c) high risk. About 18% of boys and 1.5% of girls were in the high risk class. Cigarette smoking (18.5%, CI 95%: 17.3–19.8) and substance abuse (8.3%, CI 95%: 7.4–9.3) were the most and the least common risky behaviors among the students. Conclusion In this we-based survey, a considerable number of students, particularly boys (18%), was at high-risk class, stressing the need for preventive interventions for this group of youth. Our findings are beneficial for planning and development of risky-behavior preventive strategies to prevent high-risk behaviors among college students.


Author(s):  
Asma Ghonchepour ◽  
Mostafa Sohrabi ◽  
Zakiyeh Golestani ◽  
Fereshteh Biabanaki ◽  
Mahlagha Dehghan

Abstract Background The most common high-risk behaviors that have profound and adverse effects on the health of the community take place in the university environment. Nowadays, the necessity of exploring ways to correct and reduce the high-risk behaviors requires identification of its determinant factors. Therefore, the present study aimed to investigate the correlation between spiritual health and high-risk behaviors among university students in the southeast of Iran in 2017–2018. Method This survey was a cross-sectional study. The population was all students studying at three central Universities in Kerman. Eight hundred and four students participated in the survey using a quota sampling method. The research instrument was a demographic questionnaire and the 20-item spiritual well-being Palutzian and Ellison scale and the Iranian Adolescent Riskiness Scale (IARS), which includes 39 items for high-risk behaviors. Results The mean total score of high-risk behaviors was 79.16 ± 24.6 which was lower than the median (117). The spiritual health of the majority of subjects (66.7%) was moderate with an average of 90.65 ± 16.64. There was a significant negative correlation between the students’ spiritual health and their high-risk behaviors. Conclusion It is necessary and essential to plan and implement spiritual-based interventions to reduce the incidence of high-risk behaviors.


2015 ◽  
Vol 24 (5) ◽  
pp. e78-e85 ◽  
Author(s):  
Renee Samples Twibell ◽  
Debra Siela ◽  
Terrie Sproat ◽  
Gena Coers

Background Prevention of falls during hospitalization depends in part on the behaviors of alert patients to prevent falls. Research on acutely ill patients’ intentions to behave in ways that help prevent falls and on the patients’ perceptions related to falls is limited. Objective To explore hospitalized adults’ perceptions related to risk for falling, fear of falling, expectations of outcomes of falling, and intention to engage in behaviors to prevent falls. Methods Adult, alert, acutely ill inpatients (N = 158) at risk for falling completed a survey consisting of 4 scales and 3 single items. Nurses’ assessments and patients’ perceptions of the risk for falling were compared. Results Decreased intentions to engage in behaviors to prevent falls were correlated with patients’ increased confidence in their ability to perform high-risk behaviors without help and without falling (P &lt; .001), decreased fear of falling (P &lt; .001), and decreased perceived likelihood of adverse outcomes if they did fall (P &lt; .001). Although nurses’ assessments indicated a risk for falls, 55.1% of the patients did not perceive a high likelihood of falling while hospitalized. Whereas 75% of patients intended to ask for help before getting out of bed, 48% were confident that they could get out of bed without help and without falling. Conclusions Although assessments may indicate a risk for falling, acutely ill inpatients may not perceive they are likely to fall. Patients’ intentions to engage in behaviors to prevent falls vary with the patients’ fall-related perceptions of confidence, outcomes, and fear related to falling.


2021 ◽  
Vol 4 (1) ◽  
pp. 86-94
Author(s):  
Nasrin Jangezahi Shastan ◽  
Bahman Kord Tamini ◽  
Fatemeh Soghara Karbalaei Hrafteh ◽  
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Author(s):  
Emily Macgillivray

Women who experience violence and are at risk for HIV/AIDS are a multiply marginalized population which the majority of service providers ignore or feel they do not have the resources to deal with. Furthermore, while the Canadian government issues reports on violence against women, it does not provide an analysis of the intersection between violence HIV/AIDS. Women who are at risk for HIV due to injection drug use are particularly vulnerable when in a violent relationship; most women’s shelters have zero tolerance policies for substance use leaving these women isolated. By examining how substance use increases HIV risk for women who experience violence, the high risk behaviors associated with violence, and the high risk behaviors associated with substance use, multiply marginalized women’s needs become clearer. Service providers for multiply marginalized women must always consider the ramifications of their policies, as well as the ideologies that their policies are based on so that they can effectively help their target population. To address the needs of multiply marginalized women, drastic changes need to be made to the current shelter system: shelters need to examine their ideological foundation and analyze what stigmas their current policies support. Coordinated efforts are needed between multiple service providers to address the challenges that these often forgotten women face.


2021 ◽  
Author(s):  
Jian Tang ◽  
Xingli Yu ◽  
Jianlan Ren ◽  
Mei Li ◽  
Yue Luo

BACKGROUND The AIDS epidemic among young students is serious, and effective preventive interventions are urgently needed. Game-based intervention has become an innovative way to change healthy behaviors, and we have developed an AIDS educational game called AIDS Fighter · Health Defense. In this study we pilot-tested the effect of an AIDS Fighter · Health Defense for young students to improve AIDS-related knowledge, stigma and attitude of high-risk behaviors in Southwest China. OBJECTIVE To pilot-test the effect of an AIDS educational game (AIDS Fighter · Health Defense) for young students to improve AIDS-related knowledge, stigma and attitude of high-risk behaviors in Southwest China. METHODS A pilot randomized controlled trial was conducted from September 14 to September 27, 2020. Ninety-six students from two classes in a middle school were selected by stratified cluster sampling in Luzhou City, China. The two classes were randomly divided into the intervention group (n=50) and the control group (n=46) . The intervention group received AIDS educational game (AIDS Fighter · Health Defense); the control group learned AIDS-related knowledge through independent learning on the QQ chat group. The AIDS-related knowledge questionnaire, the stigma scale, the attitude questionnaire on AIDS-related high-risk behaviors were used to measure the effect of an AIDS educational game. The user's experience of the game was assessed by the Educational Game User Experience Evaluation Scale. SPSS 21.0 was used to analyze the data, and the difference was statistically significant with P≤0.05. RESULTS After the intervention, the AIDS knowledge awareness rate (X ̅±S, %) of the intervention group and the control group were 70.09±11.58 and 57.49±16.58(t=4.282, P<0.001). The stigma scores of the two groups were 2.44±0.57 and 2.48±0.47(t=0.354, P =0.724), The positive rate (X ̅±S, %) of attitudes of high-risk AIDS behaviors of the two groups were 82.00±23.44 and 79.62±17.94(t=0.555, P =0.580. A total of 54.73% of users rated the game as excellent, 31.45% of good, 13.09% of medium, and 0.73% of poor. CONCLUSIONS AIDS Fighter · Health Defense could increase the AIDS-related knowledge among young students, but the effect in reducing AIDS-related stigma and improving the attitudes of high-risk AIDS behaviors has not appeared. Long-term effects and large-scale studies are needed to assess the efficacy of game-based intervention. CLINICALTRIAL Chinese Clinical Trial Registry (ChiCTR2000038230)


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Aisan Karimi ◽  
Reza Ghanei Gheshlagh ◽  
Abdorrahim Afkhamzadeh ◽  
Obeidollah Faraji ◽  
Khaled Rahmani

Abstract Background Truck, bus, transit drivers, and men with mobile jobs are at high risk for HIV/AIDS. The purpose of this study was to investigate the prevalence of HIV and risky behaviors among truck and bus drivers in Kurdistan province. Methods This cross-sectional study was conducted on 601 bus and truck drivers in Kurdistan province during 2018–2019. Data on high-risk behaviors were collected using a standard questionnaire. ELISA test was used to detect HIV in the study participants. Data were analyzed using Chi-square, Mann–Whitney U tests, and logistic regression modeling in Stata-14 software. Results The mean and standard deviation of the age of study participants was 44.04 ± 11.44 years. HIV rapid test was positive in two subjects; in other words, the prevalence of HIV in the study population was 0.33%. Ninety-two (15.3%) individuals reported a history of drug use, with one (1.1%) having a history of injecting drugs. One hundred and thirty-one (21.8%) of them had a history of high-risk sexual behavior outside of marriage. Conclusion According to the results of the present study, the prevalence of high-risk behaviors in bus and truck drivers is high. It seems necessary to direct the drivers’ attention to self-care while considering disciplinary intervention programs to prevent the use of drugs, cigarettes, alcohol along with high-risk sexual behaviors to maintain the health of drivers and passengers.


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