Exit Criteria Research Articles

A THERAPEUTIC CONTRIBUTION FROM THE CENTER FOR MENTAL HEALTH: MULTIPUSSE PSYCHOTHERAPY FOR NEUROTIC DISORDERS

Introduction: With more than 52 years dedicated to psychotherapy, the National Center for Mental Health applies a technique, which has its origin in the Soviet school.Objectives: Establish a comprehensive relearning to produce profound changes in the personality and achieve the enrichment, growth, spiritual and human development of the subject.Methods: Designed to work in a group of 30 previously selected patients taking into account the inclusion, exclusion and exit criteria, with the use of methods, resources and strategies in psychotherapy that work on the unconscious groups in the face of the fear reaction and motivation. applying different modalities of psychotherapy and multiple therapeutic tools that, with an integrative approach.Results: Contribution of an autochthonous, Cuban psychotherapy technique, conceived intime, thanks to the work experience of prestigious professors; necessary for the combatants and applicable, furthermore, in the neurotic disorders of the rest of the population.Discussion: The mental health of the combatants needs to be protected against the demands of the environment, which, as a social being, is kept in constant dialectical interaction. Have a psychotherapy model where its results have been evaluated for years by cohort studies that demonstrated 80% effectiveness or cure; growth, enrichment, spiritual and human development with great satisfaction for patients and families, constitutes a contribution to science.Conclusions: Provided a new model of autochthonous psychotherapy, which avoids therapeutic and psychopharmacological dependence, favors personal development, manages to reinsert the patient early into the community, reduce the average stay and lower hospital costs

Prevalence of gastrointestinal complications in patients with type 2 diabetes mellitus in Iran: a systematic review and meta-analysis.

Type 2 diabetes is the most common diabetes in the world and constitutes a high percentage of diabetes cases. This study aims to determine the overall prevalence of gastrointestinal complaints in Iranian patients with type 2 diabetes. The articles were extracted based on entry and exit criteria by searching the Cochrane (Embase), ScienceDirect databases. Scopus PubMed; And Web of Science (WoS), based on PRISMA 2009. To evaluate the studies, a 22-item STROBE checklist was selected and related items were used. The probability of publication bias in reporting the results was examined by the Egger test (P = 0.891). The prevalence rate of gastrointestinal complaints in patients with type 2 diabetes in Iran in 10 studies was 52.3% (95% CI: 33.4-70.7%). The results of metargression showed a significant difference between the sample size and the prevalence of gastrointestinal complaints in patients with type 2 diabetes (P < 0.05). and the prevalence of gastrointestinal complaints in patients with type 2 diabetes. The results of this study report that, the prevalence of gastrointestinal complications in type 2 diabetes patients was high. As a result, appropriate measures should be taken to improve the condition of diabetic patients through appropriate policy-making and providing feedback to hospitals and patients.

Identifying the educational components of successful women: A sample of qualitative research

Aim: The purpose of this study is to explore the educational components of successful women. Methods: This study was performed by qualitative method and content analysis method (Clark and Brown, 2006). The purposive sampling method was heterogeneous 20 so that 11 successful women were selected based on entry and exit criteria and interviewed. The research tool was a semi-structured interview. Results: The collected data were analyzed using content analysis method (Clark and Brown, 2006). The five main categories were family lifestyle (with subcategories of residence, recreation, communication, nutrition, sleep patterns and clothing), experiences of siblings (with subcategories of happy experiences and unhappy experiences of siblings), characteristics of parents (with the subcategories of model features and model characteristics, parental educational axes (with subcategories educational emphases and educational methods) and peer style (with subcategories of peers' mental status, peers' material status and peers' social status). Conclusion: According to these results, it can be said that in the educational path of successful women, components have occurred that have helped them to move towards success.

Discovering the causes of mental weakness among conscript soldiers: a sample of qualitative research

Background and Aim: Military service is one of the important steps before entering the working life for many young men in Iran, who usually have many worries about it. Some of the concerns are related to the complaints that other soldiers have about this period. Therefore, this study was to discover the causes of mental weakness of service soldiers. Method: This study was conducted with a qualitative method and thematic analysis method (Clark and Bravan, 2006) in the year 1400-1401 in Isfahan city and in order to answer the question that the causes of mental weakness of conscript soldiers are. The statistical population was all conscript soldiers of Isfahan city, from whom 13 soldiers were selected based on the entry and exit criteria and were interviewed by targeted sampling method. The research tool was semi-structured interview. Results: The collected data were analyzed with the help of thematic analysis. The results showed four main categories: intrapersonal weaknesses (external sources of happiness, high expectations, negative motivation, low self-esteem), family component (causes related to one of the parents and causes related to family conditions), interpersonal causes (weakness communication skills, weakness in managing communication problems) 3) environmental causes (perception of military personnel's weakness in establishing authoritative communication, perception of the environment's indifference to the current needs of soldiers). Conclusion: According to the results, it can be said that a large part of the causes of mental weakness is related to their life history, which can be managed well in the beginning days of military service with the help of increasing skills and awareness. and helped their mental enrichment.

The effectiveness of intimacy training with Islamic approach on cognitive flexibility and meaning of couples' lives in the marriage stage referred to Bushehr counseling centers

Aim: The purpose of this study was the effectiveness of intimacy training with an Islamic approach on cognitive flexibility and the meaning of couples' lives at the stage of marriage referred to counseling centers in Bushehr in 2020. Methods: The method of the present study was quasi-experimental with pre-test and post-test design with control group and the statistical population of the present study was 1225 couples in the contracting stage referring to Bushehr counseling centers. Entry and exit criteria were randomly assigned between the experimental and control groups. The experimental group received training for 8 sessions of 90 minutes (one session per week) after performing the pre-test; but the control group did not receive any training after the pre-test. The instruments of the present study were the meaning of life questionnaires of Steger et al. (2006) and the cognitive flexibility of Dennis and Vanderwall (2010). Data were analyzed using analysis of covariance and SPSS 24 software. Results: The results showed that intimacy training with an Islamic approach increased each of the components of the meaning of life, ie the existence of meaning in life and the search for meaning in the subjects in the experimental group compared to the control group. Also, intimacy training with Islamic approach increased each of the components of cognitive flexibility, ie perception, perception of controllability and perception of behavior justification in the subjects of the experimental group compared to the control group. Conclusion: The general results of this study indicate the effectiveness of intimacy training with Islamic approach on couples in the marriage stage, which ultimately leads to increased cognitive flexibility and meaning of the couple's life. By attending meetings, they can increase intimacy by planning objective and behavioral goals.

External limiting membrane disruption predicts long‐term outcome in strict Treat‐and‐Extend Regimen in neovascular age‐related macular degeneration

AbstractPurposeTo determine long‐term outcomes and outcome predicting factors in patients with neovascular age‐related macular degeneration (nAMD) applying a strict treat‐and‐extend regimen (TER).MethodsUp to 8‐year retrospective follow‐up of treatment‐naïve subjects with nAMD starting treatment with either ranibizumab or aflibercept in a TER without loading dose but with predefined exit criteria. Spectral‐domain Optical Coherence Tomography scans were acquired in a follow‐up mode and evaluated following a standardized protocol.ResultsTwo hundred‐eleven (211) eyes of 187 patients with a mean follow‐up of 60.3 ± 20.9 months were included. Real‐life follow‐up adherence was high (e.g. 88% at 3 years, 64% at 5 years) with the major part of discontinuations of TER being due to success. During follow‐up, 30.3% of eyes reached the predefined exit criteria, whereof 79.7% in the first five years. Mean BCVA increased from initially 63.9 ± 15.5 ETDRS letters (20/55) to 70.0 ± 14.7 (20/40) after one year (+6.1 letters, p &lt; 0.001) and to 68.5 ± 18.1 (20/43) (+4.6 letters, p = 0.028) at 5 years. A worse BCVA (p = 0.001) and a better external limiting membrane (ELM) disruption score at baseline predicted (p = 0.019) BCVA gain at 5 years. The probability of reaching the exit criteria was significantly associated with a low central retinal thickness (CRT) (p = 0.025), a better ELM disruption score (p = 0.044) and the absence of a central pigment epithelial detachment (PED) (p = 0.05) at baseline.ConclusionsSignificant visual gains were sustained in a long‐term TER in a real‐world setting. Integrity of ELM at baseline predicted BCVA gain at 5 years and the potential for TER exit due to success.

A Study of Performance Indicators of Technology Business Incubators (TBIs) in India

A business incubator is characterised as a point of contact between the market and the entrepreneurs’ proposed business concepts. It includes provision of differential facilities like infrastructure, mentorship, capital and expertise so that there is effective utilization of creativity and ability. This research work assess the performance of technological business incubators (TBIs) based on no. of patent granted, support services offered by TBI, services offered in TBI, selection criteria for incubate, exit criteria for incubatee, academia linkage, corporate linkage, nature of functioning as a performance indicator. Partial least squares structural equation modelling (PLS-SEM) was employed for testing the significance of hypotheses. Findings show that no. of patent granted, selection criteria for incubatee, corporate linkage, and nature of functioning of TBI have a significant influence on TBI success.

Use of homeopathic formula in malnourished children

The present intervention study sought to assess the results of homeopathic treatment in malnourished children aged 1-19 years old below the 3th percentile in the weight-height ratio at San Juan Policlinic, Ranchuelo County, Cuba, between November 2004 and December 2005. A total of 99 children were randomly allocated by Mathcad in two groups, one (n=50) was given homeopathic treatment, and the control group (n=49) that did not. Administration of medication was defined by clinical criteria. Inclusion, exclusion and exit criteria were defined. Variables were identified and operationalized, and the information collected from both groups was interpreted. After one-year follow-up, 42 out of 50 children (84%) treated with homeopathy attained normal weight, whereas only 15 out of 49 (30%) of the children in the control group attained normal weight.

Prevalence of Positive Cervical Cancer Screening Tests Past the Age of 65 Years With Prior Adequate Negative Screening.

Cervical cancer screening recommendations suggest that cessation can be offered above the age of 65 years if specific prior negative screening criteria are met. We investigated the prevalence of abnormal results in individuals who continue screening despite satisfying the American Society for Colposcopy and Cervical Pathology guidelines for cessation. In this retrospective study, medical records 2008-2019 from a single urban hospital-based clinic were queried. Charts were manually reviewed to determine which patients met the American Society for Colposcopy and Cervical Pathology exit criteria but continued screening. Findings detected during the extended surveillance period beyond the age of 65 years were analyzed. Two hundred ninety-six patients met the criteria of additional screening despite meeting guidelines for cessation. Length of the continued additional surveillance period ranged from 1 to 15 years with a mean of 3.98 years and median of 3 years. Thirty-nine individuals had abnormalities during additional surveillance: 25 high-risk human papillomavirus (HR-HPV) positive only with negative cytology, 8 atypical squamous cells of undetermined significance, 3 low-grade squamous intraepithelial lesions, 2 atypical glandular cells of undetermined significance, and 1 high-grade squamous intraepithelial lesion. No cases of cervical cancer were detected. Total rate of abnormalities including HR-HPV positive only was 332.20 per 10,000 person-years, and cytologic abnormalities alone at 119.25 per 10,000 person-years. Most findings were HR-HPV positive with negative cytology, which studies suggest may confer low risk of progression in older individuals. In addition, no patient was found to develop cervical malignancy. Despite controversy regarding this recommendation, our data suggest screening cessation may be appropriate with adequate negative screening history.

External Limiting Membrane Disruption Predicts Long-Term Outcome in Strict Treat-And-Extend Regimen in Neovascular Age-Related Macular Degeneration.

The use of anti-vascular-endothelial growth factor agents for neovascular age-related macular degeneration (nAMD) in different treatment schemes is widely common in clinical practice. However, there is currently limited data on the long-term outcomes of a strict treat-and-extend regimen (TER) and imaging biomarkers to predict both functional outcome and the potential for a TER exit due to success. In this retrospective study we followed treatment-naïve subjects with nAMD starting treatment with either ranibizumab or aflibercept in a TER without loading dose but with predefined exit criteria for up to 8 years. We evaluated both the functional outcome and several spectral-domain optical coherence tomography parameters in a follow-up mode using a standardized protocol. Within the 211 eyes followed for a mean of 60.3 ± 20.9 months, follow-up adherence was high with major part of discontinuations of TER being due to success. Mean best-corrected visual acuity (BCVA) increased from initially 63.9 ± 15.5 ETDRS letters to 70.0 ± 14.7 after 1 year (+6.1 letters, p < 0.001) and to 68.5 ± 18.1 (+4.6 letters, p = 0.028) at 5 years. A worse BCVA (p = 0.001) and a better external limiting membrane (ELM) disruption score at baseline predicted (p = 0.019) BCVA gain at 5 years. The probability of reaching the exit criteria was significantly associated with a better ELM disruption score (p = 0.044) and the absence of a central pigment epithelial detachment (PED) (p = 0.05) at baseline. Significant visual gains were sustained in a long-term TER in a real-world setting. Integrity of ELM at baseline predicted BCVA gain at 5 years and the potential for TER exit due to success.

Exit strategies for social venture entrepreneurs in sub-Sahara Africa: A literature review

ABSTRACT This paper reviews exit strategies for social venturing entrepreneurs. Exit is important for social venture entrepreneurs because they do not intend to stay in perpetuity in businesses they establish in the countries and communities where such businesses are set up. The paper, factoring in the two motives of social impact and financial returns, argues that social venture entrepreneurs who follow traditional business and entrepreneurship exit strategies may miss the very mission under which they establish such a business. A conclusion drawn from a literature and practitioners’ model is that a “hybrid” of business entrepreneurship and project-based exit criteria could be a best fit exit approach for such entrepreneurs, especially those who invest in sub-Sahara Africa. Data for this paper were collected by means of a normative case study approach.

Comparison of the effectiveness of cognitive-behavioral therapy and mindfulness training based on stress reduction on resilience and life expectancy of AIDS patients

Introduction: The aim of this study was to compare the effectiveness of cognitive-behavioral therapy and mindfulness training based on stress reduction on resilience and life expectancy of AIDS patients. Methods: The method of the present study was quasi-experimental with pretest, posttest and control group. The statistical population of the study was among the patients with HIV / AIDS in 1398 who referred to Shariati Government Hospital in Isfahan. Using available sampling, 61 people were studied as a sample. اند. Then, based on the entry and exit criteria, 45 people were selected and randomly divided into two experimental groups and one control group. The instruments used to collect data were the Connor and Davidson Resilience Scale and the Hertz Life expectancy Questionnaire. After the implementation of the research data, the subjects studied, scored and interpreted and in order to compare the mean scores of the two experimental and control groups and the effect of pre-test scores and other intervening variables on post-test, analysis of covariance was used. Results: The results showed that there was a difference between the mean scores of resilience in the three groups of cognitive-behavioral therapy and mindfulness training based on stress reduction and control. There is also a significant difference between the mean scores of life expectancy in the three groups of cognitive-behavioral therapy and mindfulness training based on stress reduction and control. Discussion and Conclusion: In general, the results indicate the effect of cognitive-behavioral therapy and mindfulness training based on stress reduction on resilience and life expectancy of AIDS patients

Predictors of recovery rate among undernourished HIV-positive adults treated with ready-to-use therapeutic food at Debre Markos Comprehensive Specialized Hospital: A retrospective cohort study.

Nutritional support is becoming more widely acknowledged as a crucial component of the key package of care for HIV/AIDS patients. This nutritional support is exceptionally important for patients in sub-Saharan Africa, including Ethiopia, where HIV/AIDS is very prevalent. However, there is a lack of evidence on the recovery rate and predictors at the study site and at large in Ethiopia. Therefore, this study will give some insight into the recovery rate and its predictors among under-nourished HIV-positive adults treated with Ready to Use Therapeutic Food (RUTF) attending at Debre Markos referral hospital. Moreover, the findings of this study will be used by both governmental and non-governmental organizations to allocate more resources to mitigate the nutritional problems for people living with HIV. An institution-based retrospective cohort study was conducted among 453 under-nourished HIV positive adults treated with RUTF at Debre Markos referral Hospital from the 1st of July, 2015 to the 31st of December, 2017. The study participants were selected using a simple random sampling technique. Data were extracted from patient charts using a standardized data extraction checklist. Data were entered into Epi-Data Version 4.2 and analyzed using Stata Version 14. The Kaplan-Meier survival curve was used to estimate the time to recovery. Log-rank test was used to compare the recovery time between different baseline categorical variables. The bivariable and multivariable Cox-proportional hazard regression models were fitted for potential predictors of recovery time. Adjusted hazard Ratios (AHRs) with 95% CIs were used to measure the strength of association and test statistical significance. A total of 453 undernourished HIV-positive adults were included in the final analysis. About 201, 44.4% (95%CI: 38.9, 49.0%) patients participating in the RUTF program were recovered based on predetermined exit criteria with incidence of 10.65 (95% CI: 9.28, 12.23) per 100 person-month observations. Being moderately undernourished (AHR: 11.0, 95% CI: 5.3, 23.1), WHO clinical stage (I or II) (AHR:1.8, 95% CI: 1.2, 2.6), and working functional status at baseline (AHR = 2.34, 95%CI: 1.01,5.45) were predictors of recovery time. This study concluded that the overall nutritional recovery rate was below the acceptable minimum requirement which at least 75% of patients should recovered. Mild to moderate undernutrition at baseline, WHO clinical stage I or II at enrolment, and working functional status were found to be predictors of recovery time in HIV/AIDS patients treated with the RUTF. As a result, special attention should be paid to severely malnourished patients, WHO clinical stages III or higher, and patients who are bedridden or ambulatory during treatment.

The TOEFL as Exit Criteria in English as a Foreign Language (EFL) Programs in Mexico: A Discourse Historical Analysis (DHA) Approach

The purpose of this article is to explore the TOEFL (Test of English as a Foreign Language) assessment under its Institutional Testing Program (ITP) modality as it acts as a curriculum artifact along Mexican undergraduate degree programs considered within the exit criteria. A discourse historical approach (DHA) (Wodak, 2008; Wodak &amp; Meyer, 2009) is taken in analyzing the TOEFL ITP assessment to further understand its implementation. The analysis helps reveal the many linguistic and metalinguistic skills and elements that extend beyond what may be traditionally taught in English courses or programs. The analysis also calls for further questioning of how suitable the TOEFL ITP may be in aiming to assess the proficiency level or development of English learners along undergraduate degrees in Mexico. Alternative types of assessment may better aid in providing a different perspective on the knowledge or progress of these students.

Death Anxiety in the Elderly in Iran: A Systematic Review and Meta-analysis

Objectives: Aging is one of the most critical stages of human development that has its own characteristics and conditions. One of the most common issues in old age is the mental health whose achievement requires special attention from both health system policymakers and service providers to the elderly. Death anxiety is one of the most common mental health issues in old age, because this period is full of feelings of shortcomings and disabilities. Since death anxiety is a multidimensional factor, it is expected to affect many aspects of the elderly. The present study aims to review and analyze published studies in the field of death anxiety in the elderly in Iran. Methods &amp; Materials: This is a systematic review and meta-analysis conducted on the studies related to the death anxiety of the elderly in Iran published in Persian from 2011 to 2019. A search was conducted in national databases, including SID, IranDoc, MagIran, IDML, and CIVILICA using the keywords: Death anxiety, elderly, and older adult. Initial search yielded 61 articles. After screening, 33 studies that met the entry and exit criteria were selected for the final review. We used Stata v. 14 and SPSS v. 22 applications to perform meta-analysis. Results: In the studies, 40.35% of the participants were older women and the rest were older men with a mean age of 67.80±6.44 years. The mean score of death anxiety was higher in men than in women, and the elderly living in nursing homes had the highest score (11.8). Studies were categorized into three sections: comparison (3 studies), intervention (11 studies), and factors affecting the death anxiety (18 studies). The results of meta-analysis showed no significant relationship between spiritual therapy and reduction of death anxiety in the elderly (P&gt;0.05). In studies with spiritual and behavioral therapies, the heterogeneity was significant and, thus, a significant positive relationship was observed between the reduction of death anxiety and these treatments methods. Conclusion: The death anxiety level of the elderly in Iran is low. Religious beliefs, hopes for the intercession of imams and religious leaders, and hopes for freedom from the hardships of worldly life seem to have contributed to low death anxiety in Iran. Different death anxiety scores have been reported for older men and women in Iran may be due to the effect of culture, religion, and traditions, the difference in the roles of men and women, and even the expression of fear and anxiety. Most of men have less tendency to express their emotions, including fear, while women are more likely to express their feelings. Behavioral and spiritual interventions lead to a decrease in the elderly’s death anxiety through affecting their finding meaning in life.

Mitigating SARS-CoV-2 in the Deployed Environment.

ABSTRACTIntroductionUnlike other communal living environments (universities, boarding schools, and camps) that have been suspended during the COVID-19 pandemic, the deployed military force must continue its mission. Early challenges in the 2020 deployed environment included limited availability of living and quarantine space and limited testing capacity. This is a brief report of stringent quarantine strategies employed to newly arriving cohorts at a NATO and U.S. military base to prevent release of SARS-CoV-2 into a larger base population.MethodsWith awareness of the worldwide pandemic, beginning in late February 2020, all personnel arriving to the Hamid Karzai International Airport NATO base were quarantined for 14 days to prevent interaction with the wider base population. Testing capacity was limited. Names, locations, and dates of those within quarantine were tracked to improve contact tracing. Between February and April 2020, the first cases of SARS-CoV-2 were diagnosed on a military base in Afghanistan within quarantine.ResultsWithin quarantine, 11 males became PCR positive for SARS-CoV-2 during April 2020. Five of the 11 were PCR tested for symptoms of fever, cough, or loss of taste. A sixth individual, who had been asymptomatic upon leaving the base after completion of quarantine, later developed symptoms and tested positive. Another five asymptomatic individuals were found with antibody testing just before planned release from 14 days of quarantine post-exposure and confirmed with PCR testing. All PCR-positive individuals were diagnosed before being released into the general population of the base because of strict screening, quarantine, and exit criteria.ConclusionQuarantine creates significant strain on resources in a deployed environment. Group quarantine facilities where social distancing is limited allow for the possibility for intra-quarantine transmission of SARS-CoV-2. Ideally, PCR testing is done upon entry into quarantine and upon exit. With the possibility of false-negative PCR or limited PCR testing, we recommend daily symptom screening, pulse oximetry, temperature checks, and small quarantine groups that must “graduate” together—all meeting exit criteria. Any introduction of new individual, even with negative testing, to a group increases risk of SARS-CoV-2 transmission.Upon exit of quarantine, testing should be performed, regardless of entry testing. If PCR is limited, serology testing should be done, followed by PCR, if positive. Serology testing can be combined with clinical judgment to conserve PCR testing for quarantine release of asymptomatic individuals.

Eligibility for cervical cancer screening exit: Comparison of a national and safety net cohort

ObjectiveTo determine eligibility for discontinuation of cervical cancer screening. MethodsWomen aged 64 with employer-sponsored insurance enrolled in a national database between 2016 and 2018, and those aged 64–66 receiving primary care at a safety net health center in 2019 were included. Patients were evaluated for screening exit eligibility by current guidelines: no evidence of cervical cancer or HIV-positive status and no evidence of cervical precancer in the past 25 years, and had evidence of either hysterectomy with removal of the cervix or evidence of fulfilling screening exit criteria, defined as two HPV screening tests or HPV plus Pap co-tests or three Pap tests within the past 10 years without evidence of an abnormal result. ResultsOf the 590,901 women in the national claims database, 131,059 (22.2%) were eligible to exit due to hysterectomy (1.6%) or negative screening (20.6%). Of the 1544 women from the safety net health center, 528 (34.2%) were eligible to exit due to hysterectomy (9.3%) or negative screening (24.9%). Most women did not have sufficient data available to fulfill exit criteria: 382,509 (64.7%) in the national database and 875 (56.7%) in the safety net hospital system. Even among women with 10 years of insurance claims data, only 41.5% qualified to discontinue screening. ConclusionsExamining insurance claims in a national database and electronic medical records at a safety net institution led to remarkably similar findings: two thirds of women fail to qualify for screening exit. Additional steps to ensure eligibility prior to screening exit may be necessary to decrease preventable cervical cancers among women aged >65.CLINICAL TRIAL REGISTRATION: N/A

Develop a yoga-based educational package and determine its effectiveness on behavioral and emotional disorders in children

Background: Behavioral disorders in children and adolescents are common and debilitating problems and are usually seen for the first time in the early years of elementary school. Therefore, the present study aimed to develop a yoga-based educational package and determine its effectiveness on behavioral and emotional disorders in children. has taken.Methods: The first step was to develop a training package with a qualitative method and the second step was a quasi-experimental method (pre-test-post-test with a control group). The statistical population of the study was in the first step of all professors and experts in the field of child psychology and mindfulness, physical education, and yoga in 1398-1397 that 7 of these experts were selected by judgment and the content validity of the educational package were confirmed. The statistical population of the research in the second step is the 10-7-year-old female children of the Welfare Organization of Tehran in 1398-1397. Welfare girl children aged 7-10 years were selected by available sampling method based on entry and exit criteria. Ackenbach (1991) questionnaire was used to collect information and a yoga-based mindfulness training package (researcher-made) was used for teaching. Data were analyzed by multivariate analysis of covariance.Results: The mindfulness training package had a significant effect on three dependent variables of anxiety, depression, and aggression (p <0.001). The coefficient of effectiveness in reducing anxiety was 83%, depression was 42.3%, and aggression was 82.7%.Conclusion: The results of the present study support the hypothesis that a yoga-based mindfulness training package is effective in reducing the symptoms of emotional behavioral disorders in children.

Comparative effectiveness of psychotherapy approaches on Death Anxiety in Multiple Sclerosis Patients. A pilot randomized controlled trial

BackgroundDeath anxiety (DA) in chronic diseases has occupied the human mind more than other diseases. Therefore, multiple sclerosis (MS) patients are more prone to DA due to recurrence periods. ObjectiveAmong the psychological interventions the two approaches of logotherapy (LT) and acceptance and commitment therapy (ACT), They pay more attention and concentration on the subject of suffering. Therefore, the present study aimed to compare the effectiveness of these two approaches on DA in MS patients. MethodsThe statistical population included 48 women who were diagnosed as MS patients and had medical records at Iran MS Society in Tehran, in terms of entry and exit criteria, which were selected by convenience sampling. Then they were randomly divided into two experimental groups and one control group. This plan has an independent variable at three levels including: LT, ACT and the control group. The dependent variables are the subjects' scores on the Death Attitude Profile-Revised (DAP-R) (Wong., Reker & Gesser, 1994). Therapeutic interventions included 12 sessions of 2 h per week. A 3-hour workshop was held for the control group. in which patients were provided with basic information about the psychological problems of MS, but no strategy was presented. In order to obtain the results, the analysis of covariance was used and in the follow-up study, repeated measures analysis of variance with an intergroup variable (mixed model) was used. ResultsIt showed that both LT and ACT groups were able to be effective and reduce DA in comparison with the control group and such a positive effect on the improvement of DA was evident both in the post-test and follow-up stages. However, no significant differences were observed in comparing the effectiveness of the two intervention methods, so both methods were effective in reducing DA due to the nature of suffering. ConclusionConsidering the effectiveness of LT and ACT in reducing DA in MS patients, the results of this study can be used in order to achieve therapeutic goals and reduce psychological problems in chronic diseases.

Comparison of the Cognitive-behavioral Therapy and Acceptance and Commitment Therapy on Resilience and Diagnostic Factors in Patients with Chronic Pain

Introduction: The need for research was felt that chronic pain is one of the most common pains in patients with psychological problems and the use of psychological therapies. This study aimed to compare the performance of CBT and ACT on resilience and diagnostic factors (CBC-ESR-CRP) in patients with chronic pain in Tehran.Method:This study was applied in terms of purpose and quasi-experimental in terms of research design method and was pre-test and post-test with thecontrol group. The statistical population in this study consisted of all people with chronic pain disorders who referred to private orthopedic clinics in Tehran and sampling was done with a purposive approach. 36 people were selected by purposive samplingmethod. After selection was based on entry and exit criteria, 24 people were selected and randomly assigned to two experimental groups (cognitive therapy group and act therapy group) and control (a group of 12 people). Participants completed Resilience Questionnaire (Conner-Davidson Resilience) before and after the interventions. Results: The findings of this study showed that both ACT and CBT approaches have the necessary effect on resilience, and diagnostic factors (of course, on two of them, ESR-CRP). The findings show that there is no significant difference between the ACT and CBT approachesConclusion: Therefore, CBT and ACT were effect on resilience and diagnostic factors (CBC-ESR-CRP) in patients with chronic pain.Declaration of Interest: None