The effect of social support on marital adjustment in hospital staff: The mediating role of self-control and resilience

Background: Marital adjustment is one of the most important factors in determining the stability and permanence of the marital relationship and can leads to feelings of happiness, satisfaction and satisfaction of needs that are mutually met. The aim of this study was to investigate the role of social support on marital adjustment in hospital staff with the mediating role of self-control and resilience. Methods: The present study was a descriptive correlational study. The statistical population included the staff of Samen Al-Aimeh Hospital in Mashhad with a total of 380 people in 2020, from which a sample of 257 married male and female staff were purposefully selected. Data were collected using questionnaires of social support, marital adjustment, resistance, and self-control. Data analysis was performed using SPSS software version 21 and Pearson correlation (structural equation type). Results: There was a significant relationship between self-control as a mediating variable and marital adjustment with value (B = 0.700, P <0.001). Also, there was a significant relationship between resilience as a mediating variable and marital adjustment with the amount (B = -0.643, P <0.001). A total of 0.93 variance related to marital adjustment was explained by the variables of social support, resilience and self-control. Conclusion: The results showed that social support has a positive effect on marital adjustment. It is recommended that in order to improve the marital adjustment of couples, workshops should be held on how to perform and receive social support and promote psychological flexibility in social organizations and institutions

Comparison of the effecacy of compassion-based therapy and behavioral activation therapy on adherence to treatment and quality of life in women with breast cancer

Background: Today, the survival of women with breast cancer after diagnosis has increased, but for this category of patients, not only survival is important, but adherence to treatment after the occurrence and diagnosis of the disease and increased concern about the quality of life are also important. The effectiveness of various psychological treatments on adherence to treatment and quality of life of these patients has been investigated, but there is a gap in research regarding the comparison of the effectiveness of compassion-based therapy and behavioral activation therapy on the studied variables. Aims: The purpose of this research was to compare of the effecacy of compassion-based therapy and behavioral activation therapy on adherence to treatment and quality of life in women with breast cancer. Method: The design of the current research was semi-experimental, of pre-test-post-test type with a control group and a two-month follow-up. 45 women with breast cancer in Gorgan during the years 2021 and 2022 were placed in three groups of compassion-based therapy, behavioral activation therapy and control group by simple random sampling method. To collect data, were used for Medication Adherence Scale (Morisky et al., 2008) and Quality of Life Questionnaire for cancer patients (European Organization for Research and Treatment of Cancer). participants in the experimental groups underwent the interventions of compassion-based therapy (Gilbert, 2006) and behavioral activation therapy (Dimidchian et al. et al., 2008) were included in 8 sessions of 90 minutes. Also, the data were analyzed by repeated measurement variance analysis and LSD follow-up test with the help of SPSS19 software. Results: The findings of the research showed that both compassion-based therapy and behavioral activation therapy were effective on the adherence to treatment and quality of life of women with breast cancer (p<0.05). Also, the results showed that behavioral activation therapy was more effective than compassion-based therapy, and this significant level was stable in the follow-up phase (p<0.05). Conclusion: According to the obtained results, it seems that interventions based on compassion and behavioral activation can improve the quality of life of this group of patients, while increasing adherence to treatment in women with breast cancer. The findings of this study can help doctors, psychologists and policy makers in the field of health and mental health

The relationship between social responsibility and marital conflicts in couples with the mediating role of optimistic and self-regulatory

Background: Marital conflicts are a precursor to the separation of couples and can range from obvious differences in the views of man and woman to serious differences in goals, values ​​and aspirations. The aim of this study was to investigate the relationship between social responsibility and marital conflicts in couples with the mediating role of optimism and self- regulatory. Methods: The present study was a descriptive-survey and correlational study. The statistical population included couples who referred to Bahar Andisheh Clinic in Mashhad in 2020-2021 and 300 people were selected by convenience sampling. Responsibility, marital conflicts, self-regulation and optimism questionnaires were used to collect data. Data were analyzed using SPSS 23 software and Pearson correlation test (structural equation). Results: The results revealed that 68% of the variance related to marital conflicts was explained by the social responsibility, optimism, and self-regulation. Responsibility showed a direct and significant relationship with optimism and self-regulation (r= 0.597 and 0.736, respectively and P &lt; 0.001), and had a negative and significant relationship with marital conflicts (P-value &lt; 0.001). Conclusion: Based on the results, the sense of social responsibility reduces marital conflicts and with increasing optimism and self-regulation, couple's conflicts decrease. It is suggested that educational interventions be held to strengthen and improve the level of responsibility, optimism and self-regulation in order to reduce marital conflicts

Time series analysis of the Caspian Sea shoreline in response to sea level fluctuation using remotely sensed data

International audienc

Investigation of Prognostic Factors and Survival without Recurrence in Patients with Breast Cancer

Background: One of the major consequences of breast cancer is the recurrence of the disease. The objective of present study was to estimate the 7-year survival without recurrence as well as the effective prognostic factors in recurrence. Materials and Methods: This historical cohort survival analysis was conducted on 1329 patients diagnosed with breast cancer in Motahari Breast Clinic, Shiraz, Iran between 2004 and 2011. We estimated the rate of survival without recurrence through the Kaplan–Meier method and the difference between the survival curves was investigated using the log-rank test. Furthermore, Cox regression model was used to model the effective factors in local recurrence as well as metastasis. Results: The mean age of the patients was 54.8 ± 11.4 years. Estrogen receptor positive, progesterone receptor positive, and human epidermal growth factor receptor-2 positive were observed in 70.6%, 66.6%, and 34.4% of the cases, respectively. The mean of the follow-up period was 3.7 ± 1.8 years in all patients. The results of the Kaplan–Meier method revealed 1-, 3-, 5-, and 7-year rate of survival without recurrence as 96.4%, 78.4%, 66.3%, and 54.8%, respectively. There was a significant relationship between survival without recurrence and histology grade (hazard ratio [HR] = 1.66, P = 0.009), neural invasion (HR = 1.74, P = 0.006), and progesterone receptors (HR = 0.69, P = 0.031). Conclusion: In this study, the rate of survival without recurrence in breast cancer was 54.8%. Among factors, histology grade and neural involvement at the time of diagnosis increased the chance of recurrence and progesterone receptors caused a longer interval between diagnosis and recurrence

Comparison of serum telomerase, CBC and insulin resistance and their relationship with physical fitness factors in active and sedentary elderly people under quarantine of coronavirus

The aim of this study was to compare serum telomerase, CBC and insulin resistance and their relationship with physical fitness factors in active and sedentary elderly people under quarantine of coronavirus. In this study, healthy men and women with a mean age of 61.43±6/07 in coronavirus pandemic conditions participated in this study voluntarily. Subjects were divided into three groups of physical activity: high, medium and low. The international Physical Activity Level Questionnaire (IPAQ) was used to assess the level of physical activity. Serum telomerase, CBC and insulin resistance were measured in different groups after measuring physical fitness factors. Results showed that BMI is higher in the sedentary group than the groups with moderate and high levels of physical activity; In addition, blood Hb and Hct levels were higher in the moderate physical activity group than in the sedentary group, but blood Plt levels were lower in the moderate physical activity group than in the sedentary group. Another result of the present study was the negative correlation of telomerase with BMI and the positive correlation of telomerase with Hb, Hct and RBC, although there was no correlation between telomerase and physical fitness factors. In addition, BMI was negatively correlated with fitness factors, glucose levels, insulin resistance and CBC. Physical fitness in the elderly people under quarantine of coronavirus has a positive relationship with some blood parameters but no correlation was observed between telomerase and insulin resistance with physical fitness.El objetivo de este estudio fue comparar la telomerasa sérica, el CBC y la resistencia a la insulina y su relación con factores de aptitud física en adultos mayores activos y sedentarios en cuarentena por coronavirus. En este estudio, participaron voluntariamente hombres y mujeres sanos con una edad media de 61,43 ± 6/07 en condiciones de pandemia de coronavirus. Los sujetos se dividieron en tres grupos de actividad física: alta, media y baja. Se utilizó el cuestionario internacional de nivel de actividad física (IPAQ) para evaluar el nivel de actividad física. La telomerasa sérica, el CBC y la resistencia a la insulina se midieron en diferentes grupos después de medir los factores de aptitud física. Los resultados mostraron que el IMC es mayor en el grupo sedentario que en los grupos con niveles moderados y altos de actividad física; Además, los niveles de Hb y Hct en sangre fueron más altos en el grupo de actividad física moderada que en el grupo sedentario, pero los niveles de Plt en sangre fueron más bajos en el grupo de actividad física moderada que en el grupo sedentario. Otro resultado del presente estudio fue la correlación negativa de la telomerasa con el IMC y la correlación positiva de la telomerasa con Hb, Hct y RBC, aunque no hubo correlación entre la telomerasa y los factores de aptitud física. Además, el IMC se correlacionó negativamente con factores de condición física, niveles de glucosa, resistencia a la insulina y CBC. La condición física en los adultos mayores en cuarentena por coronavirus tiene una relación positiva con algunos parámetros sanguíneos, pero no se observó correlación entre la telomerasa y la resistencia a la insulina con la condición física