Objectives The present study investigated the effectiveness of Acceptance and Commitment Therapy (ACT) on Chronic Fatigue Syndrome (CFS) and Pain Perception (PP) in people with Multiple Sclerosis (MS). Methods This was a quasi-experimental study with a pre-test, post-test and a control group design. The statistical population was all individuals with MS referring to the MS Society of Ahvaz, Iran, in 2018. Thirty patients with SFS were selected and randomly assigned into two groups of test and control (15 per group). Moreover, Multidimensional Fatigue Inventory (MFI) (was used to measure chronic fatigue symptoms) and Fatigue Severity Scale (FSS) and McGill Pain Questionnaire (MGPQ) were used for data collection. The achieved data were analyzed by Multivariate Analysis of Covariance (MANCOVA) in SPSS. Results The MANCOVA results revealed a significant difference between two groups in the following variables: perception of sensory pain (F=14.70, P≤ 0.001), perception of pain assessment (F=70.50, P≤0.01), perception of various pain (F=8.13, P≤0.001), PP (F=14.68, P≤0.001,) and CFS (F=4, P≤0.05). Conclusion The study finding suggested that ACT was effective in reducing the severity of CFS and PP in the experimental group; this reduction has led to a relative improvement in MS condition. Therefore, clinicians working in health centers can use this treatment along with pharmacotherapy.
Background: The Coronavirus disease 2019 (COVID-19) has had unsolvable psychosocial effects on human beings. The marginalized community, especially drug users, probably suffer from greater psychosocial burden. Objectives: The current study aimed to predict COVID-19-induced anxiety based on attachment styles, resilience, and life expectancy in drug users. Methods: The present study is correlational descriptive-analytical research. The statistical population of this study included all drug users in 2021 who were in the process of abstaining from substance use and attended narcotics anonymous (NA) sessions in Bojnurd. In total, 134 addicts were selected based on the available sampling method. For data collection, the Corona Disease Anxiety Scale (CDAS) by Alipour et al., Attachment Styles Questionnaire (AAQ) by Hazen and Shaver, Resilience Scale by Davidson, and Miller Hope Scale (MHS) were used. Data were analyzed by descriptive statistics, Pearson correlation coefficient, and stepwise regression using SPSS 18. Results: As hypothesized, COVID-19-induced anxiety was predicted based on attachment styles, resilience, and life expectancy. Multiple correlation coefficient (0.87) was found between independent variables (attachment styles, resilience, and life expectancy) and COVID-19-induced variable, and attachment styles, resilience, and life expectancy could predict 76% (R2) of COVID-19-induced anxiety changes. Conclusions: COVID-19 and addiction are two epidemic and overlapping diseases and cause a serious threat to public health. According to the findings of this study, in order to prevent COVID-19-induced anxiety in drug users, it is necessary to consider their attachment styles, resilience, and life expectancy.
Objective: The parent-child relationship and the daily blood sugar control by adolescents can affect family functioning. This study aimed to evaluate the effectiveness of unified trans-diagnostic treatment protocols on parent-child interaction and blood sugar levels in adolescents with type 1 diabetes.
Materials and Methods: The present study was quasi-experimental with a pretest and posttest design and a control group. The statistical population of the study included all adolescents aged 12-15 years with type 1 diabetes referred to the Iranian Diabetes Society and their parents in 2020. Out of this population, 44 were selected using the convenience judgmental sampling method and randomly divided into two groups (n= 22). The Child-Parent Relationship Scale (CPRS) was used to investigate the parent-child interaction, and hemoglobin pre-and post-program tests were used to assess blood sugar. Adolescents and parents in the experimental group received the program during 17 sessions. Data were analyzed using the analysis of covariance. Statistical analyses were performed by SPSS software version 22.
Results: The means of corrected post-test scores of the Child-Parent Relationship Scale and hemoglobin A1c tests were significantly different in the experimental and control groups (P= 0.001).
Conclusion: The unified trans-diagnostic treatment protocols affect parent-child interaction and blood sugar levels in adolescents with type 1 diabetes. It is possible to use this program to educate adolescents with diabetes and their families and preventive interventions.
Pre-clinical testing methods of total knee replacement (TKR) implants use different simulator platforms for characterizing the anticipated biomechanics of a reconstructed joint. Each system manipulates the joint using a different type of control. Musclecontrolled simulators apply forces to the quadriceps to generate motion, whereas force-and displacement-controlled simulators directly manipulate bone. Simulator costs limit testing to a single platform at a time. Limitations of each system prevents a full understanding of factors contributing to joint instability after TKR surgery. The aim of this study is to develop a joint motion simulator capable of muscle, force, and displacement-controlled loading.
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