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Introduction: Fear of progression (FOP) is a significant psychological concern among cancer patients. The Fear of Progression Questionnaire-Short Form (FOPQ-SF) is one of the significant and reliable tools to evaluate FOP. This study aims to validate the psychometric features of the Persian version of FOPQ-SF in Iranian cancer patients. Methods: The translation of the FOPQ-SF was developed using a "forward–backward" approach. This cross-sectional study included 120 cancer patients who completed the questionnaires. The validity and reliability of the FOPQ-SF were evaluated, and the factor structure was examined using both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). Results: The FOPQ-SF demonstrated high test–retest and internal reliability, with a Cronbach's alpha coefficient of 0.84. EFA revealed a one-factor structure consisting of 12 items. The FOPQ-SF exhibited high convergent validity, as indicated by significant correlations with anxiety, depression, the total score of HADS, and symptoms. It also demonstrated moderate divergent validity, with negative correlations observed between function and global health. Furthermore, FOP significantly differed among pre-defined groups based on cancer stages. Discussion: The results indicate that the Persian version of the FOPQ-SF is a reliable and valid questionnaire for assessing FOP in 20–60 Iranian cancer patients ages. [ABSTRACT FROM AUTHOR]

Background: Mental health literacy (MHL) is an important determinant of mental health and influences individuals' decisions to seek mental health services. This study aimed to investigate the level of MHL in women referring to health centers in Khodabandeh, Zanjan, Iran. Methods: This cross-sectional study was conducted in 2022, involving 599 women of reproductive age in Khodabande, Zanjan. The data were collected using the Persian version of the Mental Health Literacy Scale (MHLS) and analyzed using SPSS 23 software. A significance level of less than 0.05 was considered. Results: The participants' mean age was 30.47 (± 7.8). The MHL mean score was 81.53 (± 12.47). There was a statistically significant difference in MHL scores based on marital status, education level, income status, and employment status (P < 0.05), but no significant difference was found based on age (P > 0.05). The main sources of information about mental health were the Internet and social networks, radio and TV programs, and mental health professionals. Conclusion: The results of this study showed that the MHL level among the women participating in the study was at a medium level. Therefore, implementing educational intervention programs can effectively improve women's MHL and ultimately improve their access to mental health services. [ABSTRACT FROM AUTHOR]

Background: Fear of progression (FOP) is a common and significant concern among cancer patients, encompassing worries about cancer progression during active treatment. Elevated levels of FOP can be dysfunctional. This study aims to assess the efficacy of an Acceptance and Commitment Therapy (ACT)-based intervention on FOP, anxiety sensitivity (AS), and quality of life (QOL) in breast cancer patients. Methods: A clinical trial was conducted involving 80 stage I-III active-treatment breast cancer patients with a score greater than 34 on the Fear of Progression Questionnaire-Short Form scale. These patients were randomly assigned in a 1:1 ratio to either an intervention group, which received weekly 70-min sessions of 5-ACT-bsed group-therapy, or a control group that received usual treatment. Variables including FOP, AS, QOL, and ACT-related factors were assessed using ASQ, QLQ-C30, Cognitive Fusion Questionnaire, and Acceptance and Action Questionnaire-II at three time points: baseline, post-intervention, and 3-month follow-up. The efficacy of the intervention was evaluated using mixed model analysis across all time-points. Results: The fidelity and acceptability of the ACT-based manual were confirmed using significant methods. A significant reduction in FOP was observed only in the ACT group at post-intervention (P-valueACT < 0.001; Cohen dACT = 1.099). Furthermore, the ACT group demonstrated a more significant reduction in FOP at follow-up. Furthermore, all secondary and ACT-related variables, except for the physical symptoms subscale, showed significant improvement in the ACT group compared to the control group. Conclusions: Our ACT-based manual showed promise for reducing FOP, AS, and improving QOL, and ACT-related variables in breast cancer patients 3 months following the intervention. [ABSTRACT FROM AUTHOR]

Background: Women with a history of preeclampsia frequently have a lower level of physical well-being and emotional problems. Objective: This study aimed to determine the effect of integrating religiosity and spirituality into postpartum care can improve the quality of life in women with preeclampsia. Methods: This study was a randomized controlled clinical trial conducted on 40 women with preeclampsia. All eligible participants were allocated to two control and intervention groups using a random blocking method. Data were collected using Mother-Generated Index (MGI) in pre-intervention and 6 weeks later and analyzed using descriptive statistics, Chi-square test, and independent t-tests. The significance level was p < 0.05. Results: The mean, Standard deviation (SD) of the total score of MGI before intervention in the intervention group was 5.35 (1.09) which increased to 8.00 (0.50) 6 weeks after intervention. In the control group, the pre-test score of MGI was 5.81 (0.97) which increased to 6.69 (1.37) after 6 weeks of follow-up. The difference between the two groups was statistically significant after the intervention based on an independent t-test (p = 0.001). The mean (SD) of five subscales included Feelings toward herself, Feelings toward the child, Feelings toward her husband and others, Feelings toward sex, and Physical health status after intervention in the intervention group statistically significantly increased compared to the control group (p < 0.011). Conclusion: The integration of spiritual counseling with the educational content of postpartum care had a positive impact on improving the postpartum QoL of women with preeclampsia. For better conclusions, a study with a large sample size needed to be conducted in the future. [ABSTRACT FROM AUTHOR]

Background & Objective: Borderline personality disorder (BPD) is a mental health disorder that affects the way people think and feel about themselves and others, causing problems in everyday life functions and attributes. BPD has a high comorbidity with mood disorders such as bipolar disorder (BD). The people with borderline personality traits (BPT) are not diagnosed as personality disorder but they have the traits of this personality disorder that can affect their mental health and function. The goal of this study was to investigate the role of BPT as a predictor of suicidal ideation in patients with BD. Materials & Methods: This cross-sectional study was carried out on 50 individuals (25 women and 25 men) who were hospitalized in Shahid Beheshti psychiatric hospital, Zanjan, Iran. The patients were selected by structural clinical interview and then examined by borderline personality inventory (BPI) and Beck scale for suicide ideation (BSSI). The diagnosis of bipolar disorder was made by psychiatrists and clinical psychologists. The collected data were analyzed by descriptive statistical methods and inferential statistics including independent t-test, Pearson correlation coefficient and Multivariate regression analysis with stepwise methods. Results: The results indicate that there is a significant relationship between BPT and suicidal ideation in patients with BD. Pearson correlation coefficient results revealed that there is a positive and significant relationship between the component of primary defense mechanisms as one of the BPT components and suicidal ideation in patients with BD. The results also showed that the type of mood disorder along with BPT and gender are not determinants of suicidal ideation in patients but, there is a relationship between BPT and suicidal ideation in bipolar patients. Conclusion: We showed a relationship between BPT and suicidal ideation in BD patients. Our study also showed that a high level of BPT which could lead to the diagnosis of BPD may be a risk factor for suicidal ideation. Thus, it seems that one of the central modifiable risk factors for suicidal ideation severity is BPD features. [ABSTRACT FROM AUTHOR]

Objective. The study is aimed at determining the efficacy of spiritual content counselling on improving the sleep quality and insomnia severity of pregnant women. Methods. This randomized controlled trial was carried out on 40 pregnant women recruited at five health centres of Abhar, Iran, 2020. The eligible women were allocated into two intervention and control groups according to the randomized blocking method. Group counselling with spiritual content was carried out in eight sessions at 16 to 20 weeks of gestation. The control group only received routine care. Data were collected using the Pittsburgh Sleep Quality Index (PSQI) and the Insomnia Severity Index (ISI) questionnaires in three stages, before the intervention, at 28, and 36 weeks of gestation. Statistical analysis was performed using repeated measure ANOVA test, chi-square, and independent t -tests. P < 0.05 was considered significant statistical level. Results. In the counselling group, the mean (SD) of a total score of sleep quality before the intervention was 9.45 (2.30) which decreased to 5.40 (1.56) in 36 weeks of gestational age, while in the control group was increased from 9.26 (2.15) to 11.47 (1.54). After the intervention based on the repeated measure ANOVA test, the mean total score of the insomnia severity, sleep quality, and its components decreased statistically in the second and third trimesters compared to the first trimester in the intervention group compared to the control group (P = 0.001). Conclusion. The results showed that counselling with spiritual content could effectively ameliorate sleep quality and reduce insomnia severity in pregnant women. It seems that the approach is an acceptable basis to design intervention programs in this field that can be considered by midwives. Clinical Trial Registry and Registration Number. The study was registered at the Iranian Registry of Clinical Trials under the IRCT20150731023423N15. [ABSTRACT FROM AUTHOR]

Background: Studies show that childbirth fear is a common problem among Iranian women. Therefore, most Iranian women prefer caesarean section for giving birth. This study investigated the effectiveness of a psychoeducational intervention by midwives (birth emotions - looking to improve expectant fear (BELIEF)) on decreasing childbirth fear and self-efficacy among first-time pregnant women who were afraid of giving birth.Methods: A number of 80 pregnant women participated in the study. They had received a score of ≥66 on the Wijma delivery expectancy/experience questionnaire. They were randomly assigned into two groups: intervention (n = 40) and control groups (n = 40). The intervention group received two face-to-face counseling sessions based on the BELEF protocol in the 24th and 34th weeks of pregnancy. Between these two sessions, it also received eight telephone-counseling sessions once a week. The control group only received the prenatal routine care. The outcome measures were childbirth fear, childbirth self-efficacy, and childbirth preference.Results: The intervention group showed significantly more reduction in childbirth fear and more increase in childbirth self-efficacy compared to the control group. In addition, more women in the intervention group reported that they preferred to give normal vaginal birth than women in the control group.Conclusion: The BELIEF protocol could be an effective approach in reducing childbirth fear and increasing childbirth self-efficacy among first-time pregnant women who are afraid of giving birth.Trial Registration Number: IRCT20101219005417N3, Date of Registration: 19-12-2018. [ABSTRACT FROM AUTHOR]