Sample Of Iranian Adolescents Research Articles

The relationships between parental attachment, peer attachment, automatic thoughts, and mindfulness skills among Iranian adolescents.

This study aimed to examine the relationship between parental attachment, peer attachments, and automatic thoughts with adolescent mindfulness skills in Iranian adolescents, drawing on internal working models and social cognitive theory. The data was collected from a sample of Iranian adolescents in Tehran using standardized measurement instruments previously developed by researchers. The collected data was analyzed using both simple and multiple regression analyses. The results revealed a positive and significant association between parental attachment and peer attachments with adolescent mindfulness skills. Conversely, automatic thoughts were found to have a negative impact on adolescent mindfulness skills. These findings suggest that strengthening attachments can contribute to the enhancement of mindfulness skills in adolescents, while addressing automatic thoughts is crucial in preventing the erosion of mindfulness skills. Consequently, experts can design interventions that focus on improving attachments and addressing automatic thoughts to promote adolescent mindfulness skills.

The association of dietary carbohydrate quality and quantity with obesity among Iranian adolescents: a case-control study

BackgroundAdolescent obesity is considered as a major health concern worldwide which is closely linked to the quality of diet. The purpose of the present study was to assess the carbohydrate quality and quantity in relation to odds of overweight and obesity in adolescents.MethodsThis case-control study with a 1:1 ratio was conducted on 406 adolescents (14 to 18 years old) matched for age and gender. Participants were selected by multistage cluster random sampling method from March to October 2019 in Shiraz, Iran. Dietary intakes of the study population were assessed by a validated semi-quantitative food frequency questionnaire. Also anthropometric indices were measured using standard methods and demographic information was recorded via face to face interview. The relation between low carbohydrate diet score (LCDS) and carbohydrate quality index (CQI), and odds of obesity was evaluated by multiple Logistic regression.ResultsAfter adjusting the role of potential confounders, the participants in the third tertiles of LCDS (OR = 0.443, 95% CI = (0.260 to 0.755)) and CQI (OR = 0.005, 95% CI = (0.001 to 0.025)) had less odds of being overweight and obese compared to the first tertile.ConclusionThe present study found an inverse relationship between dietary quantity and quality of carbohydrate intake and the odds of overweight and obesity in a sample of Iranian adolescents.

Symptoms of anxiety disorders in Iranian adolescents with hearing loss during the COVID-19 pandemic

BackgroundAnxiety symptoms have been reported in many populations during the COVID-19 pandemic, but not in adolescents with a hearing loss. This study aimed to investigate the presence of symptoms of anxiety disorders (ADs) in adolescents with hearing loss (HL) during the COVID-19 pandemic, 2020.MethodsIn this cross sectional study, 56 adolescents with HL (aged 12 to 18 years) including 23 deaf, and 33 hard of hearing (HH) were selected from four counties located in western Iran using a census method. Adolescents with HL filled out the self-report of the Screen for Child Anxiety Related Emotional Disorders (SCARED).ResultsThe results showed that the presence of symptoms of ADs in adolescents with HL was 37.5%, and higher in deaf than in HH adolescents (60.9% in deaf vs. 21.2% in HH, p = 0.003). Among the subscales, only the Social Anxiety Disorder (39.1% in deaf vs. 9.1% in HH, p = 0.009) and the School Avoidance (52.2% in deaf vs. 24.2% in HH, p = 0.031) significantly differed. The mean score of Panic Disorder, Social Anxiety Disorder, and Anxiety Disorders in the deaf adolescents were higher than in HH ones.ConclusionsOur study showed the presence of significant symptoms of ADs in a sample of Iranian adolescents with HL, especially in deaf adolescents, during the COVID-19 pandemic.

Prevalence and determinants of substance use among a sample of Iranian adolescents with ease of access to drugs: an application of Social Development Model

ABSTRACT The aim of this study was to investigate the prevalence rate and determinants of SU in adolescents based on the social development model (SDM). In 2018, applying a cross-sectional design, cluster multistage random sampling was employed to recruit 600 adolescents in Bam County, Iran, to participate in the study. A valid and reliable SDM-based instrument was used to collect data. The prevalence rate of using at least one substance was 42% (in girls 33.6% and in boys 50.3%). Adjusted for covariates, having close friends with SU was found as the factor with the highest risk. Higher scores in involvement in prosocial activities and interactions (OR: 0.47; 95% Confidence interval (CI): 0.33–0.66, p < 0.001), attachment and commitment to prosocial others (family and school) (OR: 0.73; 95% CI: 0.58–0.93, p < 0.05), and skills for interaction/involvement (OR: 0.51; 95%CI: 0.39–0.67, p < 0.001) reduced the odds of ever use of SU among adolescents. Also, higher levels of perceived rewards for antisocial interaction/involvement (OR: 2.22; 95% Confidence interval (CI): 1.53–3.22, p < 0.001) and belief in antisocial values (OR: 2.24; 95% CI: 1.67–2.94, p < 0.001) increased the odds of ever use SU among the respondents. In community-based interventions to prevent SU among adolescents, a great focus should be firstly on identifying the probability of SU in close friends. Moreover, the involvement of adolescents in prosocial activities and interactions, attachment and commitment to prosocial others (family and school), and skills for interaction/involvement should be core categories while designing community-based interventional studies.

Measuring the Emotional and Behavioral Problems among Iranian Students: A Psychometric Study

The present study investigated the initial psychometric properties of the Youth Internalizing (YIBS) and Externalizing Behavior Screener (YEBS) in a sample of Iranian adolescents. The participants of the present study included two independent samples of 676 adolescents attending public elementary and high schools in Arak city, Iran. Findings from confirmatory factor analysis indicated that both measures yielded good data-model fit statistics with strong factor loadings for each first-order factor, and all scales had adequate to strong internal and latent construct reliability coefficients. Concurrent validity analyses demonstrated the moderate-to-large and significant associations between the measures and criterion validity outcomes (e.g., emotional problems, peer problems, and conduct problems), and the scales were moderate–to-largely correlated with well-being indicators (i.e., prosocial behavior and school belonging). Furthermore, the results showed substantial differences between youths classified as externalizing and internalizing cases and non-cases, which were characterized by moderate–to–large effect sizes for each of the concurrent variables. Overall, these outcomes provide initial validity and reliability evidence in favor of the Persian version of the YEBS and YIBS as multidimensional measures of students' emotional and behavioral problems at school.

Testing attitudes, social desirability and behavioral regulations as moderators of implicit-explicit exercise discrepancies: A replication study in Iranian students

IntroductionThere is mixed evidence regarding moderators of the relationship between implicitly and explicitly measured constructs. This study examined this issue with evaluations of exercise relative to health or appearance in a sample of Iranian adolescents. Investigaing automatic associations and reflective constructs might provide important implications for developing interventions targeting exercise behavior in a population with different cultural, social, and economic barriers to exercise than European or North American adolescents. MethodsParticipants were 471 students enrolled in grades 9 to 12, of whom 269 (54.9%) were female. Behavioral regulations, explicit attitudes, and social desirability were investigated as possible moderators. All students completed questionnaire measures of physical activity behavior, attitudes, social desieality and behavioral regulation. They also completed two Go/No Go Association tasks to measure automatic associations of exercise with health and apperarance. ResultsAttitude was a significant moderator of discrepancies between automatic associations of exercise with health and health motives. Interjected regulation moderated implicit-explicit appearance discrepancies. Participants with low social desirability and negative automatic appearance associations had the highest appearance motivation. ConclusionsParticipants focused on the potential of achieving positive health outcomes of exercise rather than physical appearance outcomes, which differs from research from other countries. It is possible that, health was strongly linked with exercise by the pervasive societal pressures in Iran to have a healthy body.

Assessment of the theory of planned behaviour in predicting potential intention and behaviour of positive thinking among a school-based sample of Iranian adolescents: a path analysis

AbstractThis study aimed to determine the predictive power of the theory of planned behaviour in predicting the intention and behaviour of positive thinking in school students. A cross-sectional study was performed on 367 high school male students in Iran. Data were gathered using a researcher-made questionnaire whose validity and reliability had been confirmed before. Descriptive and inferential analysis (univariate and multiple logistic regression models, Pearson correlation) was performed using SPSS software V.20. AMOS version 22 was used to perform the path analysis. According to the results, the construct of attitude was the most important construct in predicting positive thinking intention. Finally, the theory of planned behaviour constructs could predict 36% of intention variance and 20% of behaviour variance of positive thinking. Since the construct of attitude is one of the most powerful constructs in predicting student positive thinking intention in male teens, it is recommended that more attention be paid to this construct in educational programs to improve the mental health of male high school students. The results of this study can help psychologists and counsellors, families, and teachers improve students’ mental health.

School belonging in adolescents: Psychometric properties of the School Belongingness Scale in Iranian students

AbstractThe purpose of the present study is to investigate the initial psychometric properties and cultural adaptation of the School Belongingness Scale (SBS) in a sample of Iranian adolescents. Participants included 324 students, ranging in age between 12 and 18 years (M= 14.68,SD= 1.39). Confirmatory factor analysis indicated that responses to the Farsi version of the SBS were characterised by a two-factor measurement model, and latent variable path analysis results revealed this measurement model was predictive of adolescents’ responses to measures of social, emotional, and behavioural problems (e.g., emotional problems, conduct problems), academic achievement, and prosocial behaviour. These results provide initial evidence suggesting that the scale is psychometrically adequate to measure Iranian students’ sense of belonging at school.

Risky Behaviors and Sensation-Seeking in Adolescence: A Descriptive Correlational Study

ABSTRACT Risky behaviors are common in developing countries, especially in adolescence. Moreover, sensation seeking is an important factor in personality. This study was conducted to evaluate the relationship between risky behaviors and sensation-seeking in a sample of Iranian adolescents. This study used a cross-sectional method with 400 high school adolescents (age between 15 and 21 years old) in Kashan city from multistage random sampling. The research instrument consisted of three parts: a socio-demographic questionnaire, the Youth Risk Behavior Surveillance System (YRBSS) and the Zuckerman Sensation-Seeking Scale-V (SSS-V). Data analysis was performed using the t-test, ANOVA, chi-square, regression and Spearman correlation coefficient in SPSS v 11.5. Risky behaviors were found in 51.2% of students, and a significant difference was found between the male and female students in this regard (p < .021). The overall sensation-seeking score and the scores in the dimensions of experience seeking, disinhibition, and boredom susceptibility were higher in males than females (p < .0001). All dimensions of sensation-seeking other than disinhibition dimension could significantly predict risky behavior. Sensation seeking can be used as an indicator for screening risky behaviors. Detailed planning on the part of the health care system and public authorities is recommended for appropriate screening and counseling adolescents with risky behaviors.

Dinner consumption and cardiovascular disease risk factors among a nationally representative sample of Iranian adolescents: the CASPIAN-III Study

Introduction: This cross-sectional study aimed to assess the association between cardiovascular disease (CVD) risk factors and dinner consumption in a nationally representative sample of Iranian adolescents. Methods: The present study was conducted on 5642 adolescents aged 10-18 years old in 27 provinces in Iran. The subjects were included applying by multistage random cluster sampling. Participants who ate ≥5 dinners during a week were considered as a dinner consumer. Results: Among 5642 subjects, 1412 (25%) did not consume dinner. Dinner consumers were less likely to be overweight or obese (P < 0.001) and abdominally obese (P < 0.001) as well as to have an abnormal level of HDL-C (P = 0.02). Dinner skipper youths had a higher risk for overweight or obesity (odds ratio [OR]: 1.62; 95% CI: 1.39-1.89) and abdominal obesity (OR: 1.59; 95% CI: 1.36-1.85) which remained significant after adjusting confounding factors (P <0001). No relationship was observed between dinner consumption and the rest of the CVD risk factors, neither in crude nor in adjusted models. A higher proportion of dinner-consumer adolescents had no CVD risk factors in comparison to dinner-skipper subjects (31.1% vs. 28%). Conclusion: Eating dinner might be inversely associated with some CVD risk factors among Iranian adolescents. Further prospective studies will need to prove this theory.

The association of sleep and late‐night cell phone use among adolescents

ObjectiveThis study aims to assess the relationship of late‐night cell phone use with sleep duration and quality in a sample of Iranian adolescents. MethodsThe study population consisted of 2400 adolescents, aged 12–18 years, living in Isfahan, Iran. Age, body mass index, sleep duration, cell phone use after 9p.m., and physical activity were documented. For sleep assessment, the Pittsburgh Sleep Quality Index questionnaire was used. ResultsThe participation rate was 90.4% (n=2257 adolescents). The mean (SD) age of participants was 15.44 (1.55) years; 1270 participants reported to use cell phone after 9p.m. Overall, 56.1% of girls and 38.9% of boys reported poor quality sleep, respectively. Wake‐up time was 8:17 a.m. (2.33), among late‐night cell phone users and 8:03a.m. (2.11) among non‐users. Most (52%) late‐night cell phone users had poor sleep quality. Sedentary participants had higher sleep latency than their peers. Adjusted binary and multinomial logistic regression models showed that late‐night cell users were 1.39 times more likely to have a poor sleep quality than non‐users (p‐value<0.001). ConclusionLate‐night cell phone use by adolescents was associated with poorer sleep quality. Participants who were physically active had better sleep quality and quantity. As part of healthy lifestyle recommendations, avoidance of late‐night cell phone use should be encouraged in adolescents.

Perceived Parenting Style of Fathers and Iranian Adolescents' Self-efficacy: The Moderating Role of Gender and Education

ABSTRACTThe authors examined the moderating role of adolescent's gender and father's education on the associations between perceived paternal parenting styles and self-efficacy in a socioeconomical diverse sample of Iranian ado-lescents (n = 382). Results revealed that paternal authoritative parenting was significantly and positively related to self-efficacy. Interestingly, a significant and positive relation was also found between paternal authoritarian parenting and self-efficacy. This finding might have been the result of the fact that this study was conducted as part of a collectivist culture. In addition, the results indicated that boys who perceived their fathers as highly authoritative indicated higher self-efficacy than girls did. Furthermore, the findings demonstrated that higher educational levels attenuate the negative impact of the permissive parenting style on self-efficacy. The present findings underscore the need to focus on the role of gender and father's education when assessing the link between parenting style and adolescents' self-efficacy.

The Role of Online Social Networking on Emotional Functioning in a Sample of Iranian Adolescents and Young Adults

ABSTRACTThe role of online social messaging applications on perceived stress, anxiety, and depression in relation to the moderating influence of age and gender in an Iranian sample was investigated in this study. A demographic questionnaire, the Perceived Stress Scale (PSS), the Beck Anxiety Inventory (BAI), and the Beck Depression Inventory II (BDI-II) were utilized in the present research. The resulting data indicated that social networking nonusers had significantly lower levels of anxiety and depression than users of Viber, WhatsApp, Line, Telegram, Tango, Instagram, Facebook, and other social networking applications. Users of WhatsApp, Viber, and other social networking applications had significantly lower levels of anxiety in comparison to users of the Line, Telegram, Tango, Instagram, and Facebook social networking applications. Young adults and females had a significantly higher anxiety level than adolescents and males in this sample.

Family Dinner Frequency is Inversely Related to Mental Disorders and Obesity in Adolescents: the CASPIAN-III Study.

Family dinner is a proxy of family connectedness that may affect mental health. The present study aimed to examine the associations of frequency of family dinner with mental disorders and obesity in a nationally-representative sample of Iranian adolescents. A total of 5528 Iranians adolescents aged 10-18 years were enrolled in 2009-2010 in the third survey of a national surveillance program, entitled Childhood and Adolescence Surveillance and Prevention of Adult Non-communicable disease (CASPIAN-III) study. The frequency of family dinner meal was assessed. Mental health assessments were done as part of the World Health Organization-Global School-based Student Health Survey. The odds of having mental disorders and obesity were assessed by logistic regression. No significant difference was found in dietary intake between family dinner consumers (≥5 times (night)/wk) and skippers (<5 times/wk); however, they were more likely to consume breakfast and had higher meal frequency. After controlling for some confounders, dinner consumers had lower odds for all types of mental disorders (OR = 0.55; 95% CI = 0.47-0.64), anxiety (OR = 0.47; 95% CI = 0.4-0.54), insomnia (OR = 0.6; 95% CI = 0.53-0.7), and confusion (OR = 0.7; 95% CI = 0.6-0.86), as well as the body mass index- z score (OR = 0.78; 95% CI = 0.73-0.84). The current study showed an inverse relationship between the frequency of family dinner consuming and mental disorders and obesity in a nationally-representative sample of Iranian adolescents. Such simple recommendations for consuming family dinner for families may be feasible, sustainable, and effective for health promotion and disease prevention.

The association of sleep and late-night cell phone use among adolescents

ObjectiveThis study aims to assess the relationship of late-night cell phone use with sleep duration and quality in a sample of Iranian adolescents. MethodsThe study population consisted of 2400 adolescents, aged 12–18 years, living in Isfahan, Iran. Age, body mass index, sleep duration, cell phone use after 9p.m., and physical activity were documented. For sleep assessment, the Pittsburgh Sleep Quality Index questionnaire was used. ResultsThe participation rate was 90.4% (n=2257 adolescents). The mean (SD) age of participants was 15.44 (1.55) years; 1270 participants reported to use cell phone after 9p.m. Overall, 56.1% of girls and 38.9% of boys reported poor quality sleep, respectively. Wake-up time was 8:17 a.m. (2.33), among late-night cell phone users and 8:03a.m. (2.11) among non-users. Most (52%) late-night cell phone users had poor sleep quality. Sedentary participants had higher sleep latency than their peers. Adjusted binary and multinomial logistic regression models showed that late-night cell users were 1.39 times more likely to have a poor sleep quality than non-users (p-value<0.001). ConclusionLate-night cell phone use by adolescents was associated with poorer sleep quality. Participants who were physically active had better sleep quality and quantity. As part of healthy lifestyle recommendations, avoidance of late-night cell phone use should be encouraged in adolescents.

A Western dietary pattern is associated with higher blood pressure in Iranian adolescents.

The dietary determinants of adolescent blood pressure (BP) are not well understood. We determined the association between major dietary patterns and BP in a sample of Iranian adolescents. This cross-sectional study was conducted among a representative sample (n=557) of Shirazi adolescents aged 12-19years. Participants' systolic and diastolic BP was measured using a validated oscillometric BP monitor. Usual dietary intakes during the past 12months were assessed using a valid and reproducible 168-item semiquantitative food frequency questionnaire through face-to-face interviews. Principal component factor analysis was used to identify major dietary patterns based on a set of 25 predefined food groups. Overall, three major dietary patterns were identified, among which only the Western pattern (abundant in soft drinks, sweets and desserts, salt, mayonnaise, tea and coffee, salty snacks, high-fat dairy products, French fries, and red or processed meats) had a significant association with BP. After adjusting for potential confounders in the analysis of covariance models, multivariable adjusted means of the systolic and mean BP of subjects in the highest tertile of the Western pattern score were significantly higher than those in the lowest tertile (for systolic BP: mean difference 6.9mmHg, P=0.001; and for mean BP: mean difference 4.2mmHg, P=0.003). A similar but statistically insignificant difference was observed in terms of diastolic BP. The findings suggest that a Western dietary pattern is associated with higher BP in Iranian adolescents. However, additional large-scale prospective studies with adequate methodological quality are required to confirm these findings.

The association of vitamin D deficiency with psychiatric distress and violence behaviors in Iranian adolescents: the CASPIAN-III study.

BackgroundSubtle effects of vitamin D deficiency on behavior have been suggested. We investigated the association of vitamin D status with mental health and violence behaviors in a sample of Iranian adolescents.MethodsThis nationwide study was conducted in 2009–2010 in 1095 Iranian school students with mean age 14.7 ± 2.6 years. Items were adapted from the Global School-based Student Health Survey (GSHS). Psychiatric distress was considered as the self-reported anger, anxiety, poor quality sleep, confusion, sadness/depression, worry, and violence-related behaviors (physical fight, having bully, or getting bullied).ResultsForty percent had serum 25(OH)D values below 10 ng/mL (vitamin D deficient), and 39 % had levels 10-30 ng/mL (vitamin D insufficient). The prevalence of self-reported anger, anxiety, poor quality sleep, sadness/depression, and worry was significantly lower (P < 0.05) in vitamin D sufficient participants compared with their other counterparts. The odds of reporting anger, anxiety, poor quality sleep, and worry, increased approximately 1.5 to 1.8 times in vitamin D insufficient compared with normal children and adolescents (P < 0.05). Risk estimates indicated that vitamin D insufficient and deficient subjects had higher odds of reporting worry compared to normal vitamin D group [OR = 2.417 (95 % CI: 1.483-3.940) for vitamin D insufficient students, and OR = 2.209 (95 % CI: 1.351-3.611) for vitamin D deficient students] (P-trend = 0.001). Violence behaviors did not show any association with vitamin D status (P > 0.05).ConclusionSome psychiatric distress such as anger, anxiety, poor quality sleep, depression, and worry are associated with hypovitaminosis D in adolescents. The clinical significance of the current findings should be determined in future longitudinal studies.

Socioeconomic Determinants of Inequality in Smoking Stages: A Distributive Analysis on a Sample of Male High School Students.

The effect of socioeconomic status on adolescent smoking behaviors is unclear, and sparse studies are available about the potential association. The present study aimed to measure and explain socioeconomic inequality in smoking behavior among a sample of Iranian adolescents. In a cross-sectional survey, a multistage sample of adolescents ( n = 1,064) was recruited from high school students in Zanjan city, northwest of Iran. Principal component analysis was used to measure economic status of adolescents. Concentration index was used to measure socioeconomic inequality in smoking behavior, and then it was decomposed to reveal inequality contributors. Concentration index and its 95% confidence interval for never, experimental, and regular smoking behaviors were 0.004 [-0.03, 0.04], 0.05 [0.02, 0.11], and -0.10 [-0.04, -0.19], respectively. The contribution of economic status to measured inequality in experimental and regular smoking was 80.0% and 68.8%, respectively. Household economic status could be targeted as one of the relevant factors in the unequal distribution of smoking behavior among adolescents.

Psychometric properties of coping and self-efficacy scales related to substance use in a sample of Iranian adolescents

Aim: This study aimed to investigate the cultural adaptation and psychometric properties of the Persian version of self-efficacy and coping skill scales (CSE) which are relevant to substance use in Iranian adolescents. Method: The method included a forward–backward translation with face and content validity in the first step and the psychometric properties were evaluated in the second step. The study used reliability and construct validity in a cross-sectional survey, in three steps, including: item analysis, explanatory and confirmatory factor analyses in 720 adolescents, aged from 14 to 18 years old in Isfahan. Findings: In the first step, three items were excluded because of low CVI and one item was deleted due to low CITC. EFA in the cross-sectional study showed appropriate loading items and revealed an 18-item scale with four factors including: refusal self-efficacy, decision making, assertiveness and communication skills. Results of the confirmatory factor analysis represented an acceptable fitness (CMIN/DF = 3.6, NFI = 0.90, TLI = 0.92, CFI = 0.93, PNFI = 0.76, RMSEA = 0.06). Internal consistency was found from 0.68 to 0.89 for the four subscales. Conclusion: Overall, the results of these studies indicate that the Persian version of coping and self-efficacy appears to be a psychometrically robust instrument and could significantly predict substance use behaviour in Iranian adolescents.

Impulsivity, Aggression, and Psychopathic Deviation in a Sample of Iranian Adolescents and Young Adults: Gender Differences and Predictors

The purpose of this study was to examine the relationships of impulsivity, aggression, and psychopathic deviation and to investigate the roles of age and gender on these constructs in an Iranian sample. The sample consisted of 165 adolescents and 156 young adults who were randomly selected from Shiraz, Iran. A demographic questionnaire and three inventories were used in this study. Impulsivity and its subscales were significantly positively correlated to psychopathy deviation in this sample. There was no significant effect of gender on these variables among adolescents and young adults. Altogether, cognitive impulsivity and verbal aggression explained 5% of variation in psychopathy deviation among this sample.