Spiritual Well-Being, Social Support, and Financial Distress in Determining Depression: The Mediating Role of Impact of Event During COVID-19 Pandemic in Iran

We would like to thank all of our participants in this study.This study investigates the relationship between spiritual well-being, social support, and financial distress with depressive symptoms due to the COVID-19 pandemic. A path analysis was used to analyze data collected from 1,156 Iranian participants via an online survey. The results showed that spiritual well-being and social support were negatively related to depressive symptoms and financial distress. The impact of COVID-19 events showed negative associations with depressive symptoms. In addition, the link between spiritual well-being and financial distress with depressive symptoms was partially mediated by the impact of events

Psychometric properties of the Baruth Protective Factors Inventory among nursing students

This is the final version. Available from the publisher via the DOI in this record.The Baruth Protective Factors Inventory is an instrument which assesses the risk and protective factors behind resilience. However, there is no valid or reliable Persian instrument for measuring resilience amongst nursing students in Iran. This study aimed to evaluate the psychometric properties of the Persian version of The Baruth Protective Factors Inventory among nursing students. This methodological study was done in 2017. The participants were 200 nursing students who were randomly recruited from Neyshabur city. Construct validity was assessed using exploratory and confirmatory factor analysis. Reliability was also assessed through the internal consistency assessment method. Exploratory factor analysis indicated a three-factor structure for the Inventory which accounted for 48.21% of its total variance. Confirmatory factor analysis confirmed the first-order model. The internal consistency values of the Inventory and its domains were good, confirming its great internal consistency and reliability. The Persian version of the Baruth Protective Factors Inventory was found to have acceptable validity and reliability to assess resilience amongst nursing students. Therefore, the Persian version of The Baruth Protective Factors Inventory can help nursing authorities identify non-resilient students, promote their resilience, and thereby improve their academic and clinical performance. Nursing students’ improved performance can positively affect both the quality of care and patient outcomes

The role of the Coronavirus pandemic on childbearing intentions in Iranian women based on path analysis: A cross-sectional study

Background: The Coronavirus disease (COVID-19) may lead to couples not being physically and mentally ready to assume a parenting role. Objective: Given the changes in reproductive behaviors and the lack of accurate information about childbearing factors during the Coronavirus pandemic, this study was conducted to investigate the role of the COVID-19 pandemic in Iranian couples’ childbearing intentions based on the theory of planned behavior model. Materials and Methods: This cross-sectional study was conducted on 400 married Iranian women from July to October 2020 using official online popular social networks. Data were collected using a demographic checklist and the researchermade questionnaire, which was designed based on the main constructs of the planned behavior model. Results: Testing the indirect relationships of the mediation model effect showed a positive relationship between knowledge (β = 0.226, p < 0.001) and subjective norms (β = 0.155, p = 0.001) about COVID-19. Anxiety about COVID-19 mediated the relationship of knowledge (β = 0.105, p = 0.009), attitude (β = -0.125, p = 0.002), subjective norms (β = 0.238, p < 0.001), and perceived behavioral control (β = 0.513, p < 0.001) about COVID-19 with childbearing intentions. Conclusion: The results showed that COVID-19-induced anxiety can affect the relationship between the components of the theory of planned behavior model and childbearing intentions. Therefore, it is suggested that by designing appropriate interventions through anxiety-reducing and relaxation techniques, a fundamental step can be taken in increasing childbearing desires. Key words: Iran, Delayed childbearing, Reproductive behavior, COVID-19, Attitude

Spiritual Well-Being, Social Support, and Financial Distress in Determining Depression: The Mediating Role of Impact of Event During COVID-19 Pandemic in Iran

This study investigates the relationship between spiritual well-being, social support, and financial distress with depressive symptoms due to the COVID-19 pandemic. A path analysis was used to analyze data collected from 1,156 Iranian participants via an online survey. The results showed that spiritual well-being and social support were negatively related to depressive symptoms and financial distress. The impact of COVID-19 events showed negative associations with depressive symptoms. In addition, the link between spiritual well-being and financial distress with depressive symptoms was partially mediated by the impact of events. Copyright © 2021 Sharif Nia, Gorgulu, Naghavi, Robles-Bello, Sánchez-Teruel, Khoshnavay Fomani, She, Rahmatpour, Allen, Arslan and Pahlevan Sharif

Communication Patterns and Related Factors among Iranian Couples: A Cross-sectional Study

Background: Given the effect of various factors on the use of communication patterns by couples, this study aimed to determine the most common communication pattern among couples and related factors in Sari, northern Iran. Methods: This cross-sectional study was performed on 520 people (260 couples) in Sari. Data were collected using a demographic–fertility factors questionnaire, Enrich couple scale, communication patterns questionnaire, general health questionnaire (GHQ-28), and NEO personality inventory. Data analysis was performed in SPSS version 25 using descriptive and inferential statistics (multiple regression model). Results: While the mean (standard deviation) age of women included in the study was 34.08 (7.71) years, the mean age of men was 39.13 (9.18) years. The most common communication patterns in both women and men was the mutual constructive communication, whereas the lowest frequent communication pattern was the demand/withdraw communication in both men and women. Marital satisfaction had a significant positive correlation with mutual constructive communication pattern in women and men (P = 0.001). In addition, a significant inverse correlation was observed between the number of marriage to date, women’s age, and spouses' demand/withdraw communication pattern with mutual constructive communication pattern in women. Also, a significant inverse correlation was observed between flexibility (P = 0.047), number of marriages (P = 0.013), and the wives' age (P = 0.005) with mutual constructive communication pattern in men. Conclusion: According to the results of the study, it is necessary to recognize the factors related to couples’ communication patterns in order to improve the communication patterns so that marital conflicts could be avoided while a more effective communication is established.  Keywords: communication patterns, couples, personality characteristics, marital satisfaction, public healt

The Workplace Bullying in Nurses: A Psychometric Propertises of Iranian Version of Negative Acts Questionnaire-Revised

AbstractIntroduction: Workplace bullying is a persistent amount of negative conduct which one individual is subjected to by another, and it is emotionally and psychologically aggravating. Nurses are exposed to a greater risk of bullying, due to their direct contact with patients and their associates. The present study aims to investigate the factor structure of Iranian version of Negative Acts Questionnaire-Revised.Methods: The present methodological study was conducted amongst 400 nurses working in various hospitals affiliated to the Gorgan University of Medical Sciences, over a three month period in 2017. Construct validity of the questionnaire was assessed, and its reliability was also verified for internal consistency, and construct reliability.Results: Exploratory factor analysis led to the extraction of the following three factors: Physically intimidating bullying, person-related bullying, and work-related bullying. The model's good fit indices confirmed the workplace bullying in nursing tool as follows: PCFI= 0.767, PNFI= 0.721, CMIN/DF= 2.325, RMSEA= 0.081, AGFI= 0.815, IFI= 0.912, and CFI= 0.918. The convergent validity and discriminant validity of the construct of workplace bullying in nursing as well as its internal consistency and construct reliability (>0.7) were confirmed.Conclusions: The present study results showed that the three-factor construct of workplace bullying in nursing has good validity and reliability. Given its favorable psychometric properties, this questionnaire can be effective in assessing the incidence rate of workplace bullying in the nursing profession

Self-blame Attributions of Patients: a Systematic Review Study

Introduction: Psychological aspects are important issues in patients that will have significant effects on disease progression. A new and important psychological concern is self-blame. This review was performed with the aim of systematic review on studies around patient’s self-blame.Methods: This is a systematic review using international databases including PubMed (since 1950), Scopus (since 2004), Web of Sciences (since 1900), and ProQuest (since 1938) and Iranian databases including SID (since 2004) and Magiran (since 2001). Mesh terms including “patient,” “regret,” and “guilt” and non-Mesh terms including “self-blame attribution,” “characterological self-blame,” “behavioral self-blame,” and “blame” were used in Iranian and international databases with OR and AND operators.Results: The review yielded 59 articles; 15 articles were included in the present study. The ages of patients ranged from 29-68.4 years. Most of studies (86.6%) had cross-sectional design and use characterological self-blame and behavioral self-blame variables for assessing self-blame attributions. The results showed that in most studies, a significant relationship among self-blame and psychological distress, anxiety, and depression were reported.Conclusion: A significant relation was reported between self-blaming and the degree of distress, anxiety, and depression in patients in most of the studies

Breast cancer screening beliefs questionnaire : psychometric properties of the Persian version

Background: Valid and reliable instruments are needed to assess such beliefs, attitudes, and knowledge. This study aimed to translate Breast Cancer Screening Beliefs Questionnaire into Persian and evaluate its psychometric properties among Iranian women. Methods: In this methodological study, the twelve-item Breast Cancer Screening Beliefs Questionnaire was translated into Persian and filled out by 1256 Iranian women. Face, content, convergent, and discriminant validity were evaluated and exploratory and confirmatory factor analyses were performed for construct validity evaluation. Reliability was also evaluated through calculating Cronbach’s alpha, McDonald’s omega, Average inter-item correlation, and test-retest intraclass correlation coefficient and finally, composite reliability was estimated. Results: Three factors were extracted in factor analysis which included screening attitude, screening knowledge and perception, and screening practice. These factors explained 55.71% of the total variance of breast cancer screening beliefs. This three-factor model was confirmed in confirmatory factor analysis based on model fit indices (PCFI = 0.703, PNFI = 0.697, CMIN/DF = 2.127, RMSEA = 0.30, GFI = 0.980, AGFI = 0.998, and CFI = 0.991). Convergent and discriminant validity were also confirmed. Composite reliability and test-retest intraclass correlation coefficient were more than 0.7. Conclusion: With a three-factor structure, the Persian Breast Cancer Screening Beliefs Questionnaire has acceptable validity and reliability and hence, can be used to evaluate Iranian women’s breast cancer screening beliefs

Psychometric evaluation of the Connor-Davidson Resilience Scale among Iranian population

Background The resilience construct is considered a personal trait composed of multiple aspects. Connor–Davidson Resilience Scale is a standard tool composed of fve factors and 25 items. This study aimed to determine the psychometric properties of this scale. Methods In this cross-sectional study, after the scale translation, the factorial structural validity was assessed via the confrmatory factor analysis with 70 180 samples. Internal consistency, composite reliability, convergent validity were assessed by calculating Cronbach’s alpha, composite reliability, maximum reliability, and Average Variance Extracted. The discriminant validity was assessed using Heterotrait-monotrait ratio of correlations matrix and also, measure invariance was evaluated. Results The original fve-factor model had good model ft indices but due to low factor loading of item 2 and 20, the model was modifed. The Cronbach’s alpha and composite reliability for four factors were above 0.7 (except for factor 5). The convergent validity for all fve factors were achieved. Between factors 1 with 2 and 4, 2 with 3 and 4 discriminant validity was not established (correlations>0.9) and the results suggested that there might be a secondorder latent construct behind these factors. Therefore, a second-order assessment was performed. The results of the second-order latent construct assessment showed a good goodness-of ft and strong measurement invariance for both men and women. Conclusion The 23-item version of Connor-Davidson Resilience Scale is a reliable and valid scale to measure resilience as a complex construct in the Iran contextinfo:eu-repo/semantics/publishedVersio

Psychometric evaluation of the Persian version of the diabetic foot self-care questionnaire in Iranian patients with diabetes

Background: Diabetic foot self-care refers to a group of self-management behaviors that can reduce the incidence of foot ulcers and amputations. It is necessary to have a valid and reliable standard tool to measure foot self-care in diabetic patients. This study aimed to evaluate the psychometric properties of the Persian version of the Diabetic Foot Self-Care Questionnaire of the University of Malaga, Spain (DFSQ-UMA) in Iran. Methods: This cross-sectional study was conducted with 407 diabetic patients who were selected using a convenient sampling method. Construct validity was assessed by exploratory (with 207 patients) and confirmatory (with 200 patients) factor analyses. Internal consistency was calculated using Cronbach's alpha and McDonald's omega coefficients. Results: In the exploratory factor analysis, three factors with eigenvalues of 3.84, 2.41, and 2.26 were extracted that together explained 56.74% of the total variance of diabetic foot self-care. A Cronbach's alpha of 0.865 was found for the total instrument. Conclusions: The Persian version of the DFSQ-UMA has good validity and reliability, and given its good psychometric properties, it can be used in future studies