Showing 5 results for Acceptance
Akram Dehghani, Ameneh Dashtestannejad, Zahra Botshekan, Shiva Akhavan,
Volume 18, Issue 1 (5-2020)
Abstract
Background and Aim: A common problem among married women is related to sexual function. A large percentage of complaints by women referring to consultation centers are about sexual problems. Determination of factors influencing sexual function can help us to find suitable strategies to solve the problem. The purpose of this study was to investigate the effect of acceptance and practice variables and rumination on women's sexual function mediated by stress tolerance.
Methods and Materials: The statistical population included all women referring to clinics in Isfahan, Iran in 2018. A sample of 120 were selected using the availability sampling method and completed the Arizona Sexual Experience (ASex), Simons and Gahr (2005) Distress Tolerance, Bond et al. (2011), Acceptance and Action, and Watson and Harris (2008) Rumination Victim questionnaires. The data were analyzed based on the structural equation method, the software being the smart PLS software.
Results: The stress tolerance variable could play a role as a mediating variable among sexual performance, commitment, acceptance and ruminant variables (P<0.05). Further analysis of the data showed that commitment, acceptance and rumination were associated with sexual function and distress tolerance (p <0.01) and that distress tolerance could affect women's sexual functioning (p <0.01).
Conclusion: Based on the findings, it can be said that women’s sexual function is influenced by a variety of factors, including acceptance and action, rumination and distress tolerance.
Masoud Sadeghi, Zahra Moradi,
Volume 18, Issue 2 (9-2020)
Abstract
Background and Aim: Rheumatoid arthritis is the most common and most important type of arthritis caused by interaction of genetic, immunologic, psychological and social factors and is accompanied by chronic pains. The aim of this study was to investigate the effectiveness of treatment based on acceptance and commitment to the perception of pain and functional disability of women with rheumatoid arthritis in Khorramabad, Iran.
Materials and Method: This was a semi-experimental study with a pre- and post-test design with experimental and control groups, the statistical population being all the women with rheumatoid arthritis in Khorramabad, Iran. A sample of 40 women were selected using the available sampling method and randomly assigned to either an experimental (n = 20) or a control (n= 20) group. Under similar circumstances a pre-test was conducted using the pain perception and functional disability questionnaires in both groups. Admission- and commitment-based treatment interventions were then performed in the experimental group in eight 90-minute sessions, but the control group did not receive any intervention. At the end, post-tests were done in both groups.
Results: The multivariate and univariate analysis of covariance showed that the intervention based on acceptance and commitment had a significant effect on reducing the patients' perception of pain and functional disability (P <0.001).
Conclusion: Based on the results of this study, it can be said that treatment based on acceptance and commitment can reduce the perception of pain and functional disability in women with rheumatoid arthritis. Therefore, along with medical treatment, this type of treatment can be used to reduce the perception of pain and functional disability of such patients.
Maryam Jafarimanesh, Kianoosh Zahrakar, Davood Taghvaei, Zabih Pirani,
Volume 18, Issue 4 (3-2021)
Abstract
Background and Aim: Burnout in couples is a gradual and rarely sudden process in which intimacy and love gradually fade and general fatigue becomes apparent. On the other hand, most marital therapy interventions seek to reduce marital conflict. Therefore, the aim of this study was to investigate the effect of acceptance and commitment therapy on marital burnout in couples with marital conflicts.
Materials and Methods: This experimental study was conducted with a pretest-posttest design and a control group with a 45-day follow-up. The statistical population included all the couple with marital conflicts referring to the counseling centers in Karaj city, Iran in 2019. The sample was a group of 14 couples who had got a score of over 111 in the marital-conflicts questionnaire, assigned randomly to an experimental (n = 7) or a control (n = 7) group. The experimental groups received an acceptance and commitment therapy (twelve 90-minutes sessions), but the control group received no intervention and remained in the waiting list. Data were collected using the marital-conflicts questionnaire of Barati and Sanaee (1994) and analyzed using analysis of variance with repeated measures and the Bonferroni post-hoc test.
Results: Analysis of the data showed that the acceptance and commitment therapy significantly decreased marital burnout in the couples, and the results were found to be consistent enough in the follow-up period (P<0.05).
Conclusion: Based on the results of this study, it can be said that acceptance and commitment therapy can be used as an intervention option in decreasing marital problems.
Safoora Mavaeeyan, Fazlolah Mirderikvand, Masoud Sadeghi,
Volume 19, Issue 2 (9-2021)
Abstract
Background and Aim: Breast cancer is one of the most common cancers in Iran. The aim of this study was to assess the effectiveness of existential-humanistic therapy in self-acceptance and marital satisfaction in women with breast cancer.
Materials and Methods: This was a quasi-experimental study with a pre-test, post-test and follow-up design with a control group. The statistical population was the women with breast cancer referring to Shahid-Rahimi Hospital in Khorramabad, Iran in 2020, from among whom two groups (experimental and control) of 15 women each were randomly selected and asked to complete the self-acceptance (USAQ) and marital satisfaction (ENRICH) questionnaires. Then the experimental group attended eight 90-minute intervention sessions. After the intervention, both groups took a post-test and followed up further after two more months. The data were analyzed using
the repeated measures ANOVA test.
Results: The repeated measures ANOVA test showed that the interaction between group and time was statistically significant. Therefore, the self-acceptance and marital satisfaction variables increased significantly (F=5/77, P<0/01 and F=13/97, P<0/01, respectively).
Conclusion: According to the results of this study, existential-humanistic therapy has a significant effect on self-acceptance and marital satisfaction in breast cancer patients. It is, therefore, recommended to pay attention, in addition to the physical problems of such patients, also to their psychological problems and, along with pharmacotherapy consider psychotherapy, including existential-humanistic therapy as well.
Ali Akbari-Sari, Batoul Ahmadi, Mohammad Moradi-Joo, Alireza Arabi, Maryam Seyed-Nezhad,
Volume 19, Issue 4 (3-2022)
Abstract
Background and Aim: Referral system is one of the principles and foundations of primary health care services. One of the most important challenges and problems of the referral system is the lack of knowledge of people and patients of its nature, services and benefits. The purpose of this study was to identify the factors affecting the acceptance of the referral system by patients.
Materials and Methods: This was a qualitative study conducted in 2021 using the framework (structural) analysis method. The participants were 18 experts in the field of referral system and 14 patients referred to the outpatient and inpatient wards of Imam Khomeini Hospital Complex in Tehran selected by purposive sampling. Data were collected by Semi-structured interviews and analyzed using the MAXQDA.
Results: Based on the findings in this study, Factors influencing the acceptance of the referral system by patients were found to be the following: (1). Factors related to the stewardship and governance of the health system (responsibility and accountability, appropriate levels of health services, patient-centered care, and rules and regulations); (2). Factors related to the health services access (financial, physical and cultural); (3). Factors related to service providers (trusting healthcare staff, professional skills of service providers, and their behavioral and communication skills); (4). Factors related to the service delivery process (quality of service delivery, attention to patients' wants and needs, use of technology in service delivery, monitoring service delivery, and service coverage); (5). factors related to the recipients of the services (satisfaction, education, awareness and communication).
Conclusion: Considering the importance and key role of patients in the success of the referral system, health planners and policy makers should pay special attention to the factors identified in this study.
