research
Psychological aspects in health and diseases
Fatemeh Nemati Sogolitappeh; Mostafa Zarean; Sara Azadi
Abstract
Objective: This study compared health-related quality of life (HRQoL) and stress appraisal among overweight, obese, and post-bariatric surgery women.
Method: We used a descriptive, causal-comparative design with 90 women. Each group—overweight, obese, and post-bariatric surgery—contained ...
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Objective: This study compared health-related quality of life (HRQoL) and stress appraisal among overweight, obese, and post-bariatric surgery women.
Method: We used a descriptive, causal-comparative design with 90 women. Each group—overweight, obese, and post-bariatric surgery—contained 30 participants. Participants were purposively sampled from Imam Reza Hospital. The Short Form Health Survey (SF-36) assessed physical (PCS) and mental (MCS) HRQoL. The Stress Appraisal Measure (SAM) evaluated perceived stress. We analyzed data using MANOVA and Tukey’s post hoc tests in SPSS 26.
Results: MANOVA showed significant group differences (F = 8.65, p < 0.001, η² = 0.23). Tukey’s post hoc tests found that overweight women had higher PCS and MCS scores and lower stress appraisal than both obese and post-bariatric groups. The post-bariatric group had higher PCS and MCS than the obese group. Stress appraisal did not differ significantly between these two groups.
Conclusion: Bariatric surgery improves HRQoL compared with obesity, but not to levels seen in the overweight. High stress remains after surgery. These findings highlight the need for psychological support and early interventions to maintain HRQoL and manage stress.
research
Chronic diseases such as cancer, diabetes, AIDS, cardiovascular, MS, etc.
Manijeh Mohebbi Rad; Amin Rafiepoor; Mojgan Sepahmansour; Sadegh Taghiloo
Abstract
Objective: The present study was conducted to investigate the potential role of food craving and emotional processing in explaining and predicting the relationship between impulsivity and food addiction.
Method: This study was descriptive and correlational research. The statistical population included ...
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Objective: The present study was conducted to investigate the potential role of food craving and emotional processing in explaining and predicting the relationship between impulsivity and food addiction.
Method: This study was descriptive and correlational research. The statistical population included all people with obesity who were referred to the health centers and nutrition clinics in Tehran in the spring and summer of 2023. In this research, 357 participants were selected through the convenience sampling method. Body mass index, the Barratt Impulsiveness Scale (Fossati et al., 2001), the Yale food addiction scale (Gerhard et al., 2009), the food craving questionnaire - trait (Sepda Benito et al., 2000), and the Emotional processing scale (Baker et al., 2007) were used to collect data. Data were analyzed using structural equation modeling through Amos24 software.
Results: The results showed that the model fits appropriately with the observed data. The coefficient of the direct path of impulsivity and food addiction was positive and significant. The indirect relationship between impulsivity and food addiction through food craving and emotional processing was also positive and significant. This finding indicates that both emotional processing and food craving mediate the relationship between impulsivity and food addiction positively and meaningfully.
Conclusion: It seems that emotional processing problems and impulsivity play a significant role in the etiology and continuation of pathological eating, and focusing on the interaction of these factors can be beneficial in the prevention and treatment of eating problems in overweight and obese people.
research
Psychological interventions in health and diseases
Monirosadat Hosseini; Hengameh Boloorsaz Mashhadi
Abstract
Objective: Hypertension is one of the most prevalent chronic diseases, which, if not properly managed, can lead to numerous psychological and social consequences in addition to physical health issues, ultimately reducing quality of life. The present study aimed to investigate the effectiveness of emotion ...
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Objective: Hypertension is one of the most prevalent chronic diseases, which, if not properly managed, can lead to numerous psychological and social consequences in addition to physical health issues, ultimately reducing quality of life. The present study aimed to investigate the effectiveness of emotion regulation-based therapy on anger rumination and health-related quality of life (HRQoL) in patients with primary hypertension.
Method: This semi-experimental study employed a pretest-posttest control group design with a two-month follow-up. The statistical population consisted of all women diagnosed with primary hypertension who were referred to Moheb Hospital in Tehran in 2025. Using convenience sampling, 30 participants were selected and randomly assigned to two equal groups (15 participants each). Data were collected using a demographic information checklist, the Anger Rumination Scale, the Health-Related Quality of Life Questionnaire, and a digital upper arm blood pressure monitor. The intervention group received emotion regulation-based therapy based on Gross’s protocol, delivered in 8 sessions (twice weekly, each session lasting one hour). Data analysis was conducted using repeated measures ANOVA and Bonferroni post hoc tests. All ethical issues were addressed in this study, and the authors declare that they have no conflicts of interest.
Results: Emotion regulation-based therapy had a significant effect on reducing anger rumination (F = 89.365, p < 0.015), Reduction in systolic blood pressure (F=22.621 and p<0.011), Reduction in diastolic blood pressure (F=40.076 and p<0.006), and improving health-related quality of life (F = 97.943, p < 0.002) in patients with primary hypertension. The effect sizes for anger rumination and HRQoL were 0.36, Systolic blood pressure 0.40, diastolic blood pressure 0.38, and 0.47, respectively. These effects persisted at the two-month follow-up.
Conclusion: The findings indicate that emotion regulation-based therapy can effectively enhance behavioral outcomes, blood pressure, and improve quality of life in individuals with hypertension. It is recommended that such psychological interventions be integrated with pharmacological treatments in rehabilitation and care programs to enhance the psychological and behavioral functioning of these patients.
research
Psychological and social aspects of disease prevention
Mahdi Rahmani; mohsen jalali; elnaz pourahmadi; Abdolsamad Nikan
Abstract
Objective: Patients with Ménière's often experience multiple psychological problems and are not satisfied with the results of medication therapy. This study aimed to evaluate the effectiveness of cognitive-behavioral therapy (CBT) on anxiety, lifestyle, and experiential avoidance in patients ...
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Objective: Patients with Ménière's often experience multiple psychological problems and are not satisfied with the results of medication therapy. This study aimed to evaluate the effectiveness of cognitive-behavioral therapy (CBT) on anxiety, lifestyle, and experiential avoidance in patients with Ménière's disease.
Method: The study employed a quasi-experimental design with a pre-test, post-test, and one-month follow-up approach. The statistical population comprised all patients diagnosed with Ménière's disease who sought treatment at the specialized ear clinic affiliated with Mashhad Medical Sciences Hospital between January and March 2023. From this population, 30 patients meeting the inclusion criteria were selected using an oriented sampling method. Participants were randomly assigned to a CBT intervention group (n = 15) and a control group (n = 15). Data collected at three time points—pre-intervention, post-intervention, and 30 days after the intervention—using the Smith Lifestyle Questionnaire, Bond Experiential Avoidance Questionnaire, and the Anxiety subscale of the DASS-21. The data were analyzed using repeated measures analysis of variance.
Results: The results indicated a significant reduction in anxiety levels in the CBT group compared to the control group in both the post-test and follow-up assessments (P < 0.05). Additionally, a significant improvement was observed in lifestyle scores in the CBT group relative to the control group (P < 0.05). The difference in experiential avoidance between the two groups was also statistically significant (P < 0.05).
Conclusion: The findings suggest that cognitive-behavioral therapy is effective in reducing anxiety and experiential avoidance while improving lifestyle in patients with Ménière's disease. These results underscore the potential of CBT as an adjunctive treatment in managing the psychological and lifestyle-related challenges associated with Ménière's disease.
