Background Although many studies have been conducted on the efficacy of behavioral activation in depression, there are few sources that have evaluated the efficacy of this treatment in depressed patients with anxiety through telecare. The study is designed aiming to determining the Effects of a telenursing scheduled intervention of brief behavioral activation therapy on depression and anxiety symptoms of patients with mixed anxiety and depression Disorder (MADD). Methods The study was a randomized clinical trial in which 30 subjects with MADD were randomly assigned to an intervention and a control group based on inclusion criteria. The 8-session person-centered behavioral activation was delivered twice weekly via tele-nursing. Depression and anxiety symptoms severity were assessed using the Hamilton Anxiety Rating Scale and the Hamilton Depression Rating Scale at baseline, end, and 1 month after the intervention. Data were analyzed by independent t-tests, chi-square tests, and repeated-measures tests using SPSS version 24. Results The results showed that after the implementation of the intervention, the depression score in the intervention group had decreased from 19.86 (± 8.56) to 17.21 (± 6.71). In contrast, it increased from 18.67 (± 9.72) to 19.47 (± 7.33) in the control group. For anxiety symptoms, there was a clinically significant decrease after the intervention only in the intervention group (p = 0.01). Conclusion The results showed the effects of brief behavioral activating tele-nursing on a non-significant reduction in depression symptoms and a significant clinical reduction in anxiety symptoms after the intervention in MADD patients. It seems that brief BA tele-therapy could be a good alternative for discharged patients and a good complementary method for long-term treatment in primary care nursing. Trial registration: IRCT20151003024312N6 Date of first registration: 13/09/2021
Background Sexual assertiveness is one of the main issues in sexual relationship between couples. Since substance dependence might disrupt this relationship the present study was designed and conducted to assess and compare sexual assertiveness in women with and without substance-dependent husbands Methods This was a cross-sectional study. The Hurlbert Index of Sexual Assertiveness (HISA) was used. The data then were compared between women with and without substance-dependent husbands. Results In all 300 women with and without substance-dependent husbands entered into the study. The mean age of the women was 37.31±8.79 and 32.70±7.24 years, and the mean duration of their marriage was 15.92±9.40 and 12.08±8.92 years, respectively. The majority of women with substance-dependent husbands had primary education (40.3%) and the majority of those with non-substance-dependent husbands had higher (37.3%). The mean score of sexual assertiveness was 50.66±14.31 in the women with substance-dependent husbands and 58.42±13.86 in those with non-substance-dependent husbands (P<0.001). Conclusions The risk of lower assertiveness for women with substance-dependent husbands was 2.2 times more than women with non-substance-dependent husbands. The husband’s substance dependency is therefore an issue that is worthy of attention in sexual and marital counseling. Sexual assertiveness can be improved in women with substance-dependent husbands through the implementation of appropriate interventions, such as educational and counseling programs.
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