IntroductionAttention deficit hyperactivity disorder (ADHD) is a common neurodevelopmental disorder in children whose symptoms were first described by Heinrich Hoffmann in 1863. 1 It is characterized by disruption of inattention, conduct disorder, poor social communication, and hyperactivity/impulsivity. Inattention causes an inability to remain focused on schoolwork, seeming not to listen, and losing things at school more frequently than what is consistent with the child's developmental level. Hyperactivity and impulsivity, on the other hand, result in excess activity, fidgeting, trouble remaining seated, disturbing others' activities, and trouble waiting for one's turn. 2,3 ADHD tends to overlap with other common externalizing disorders in children, such as oppositional disorder and conduct disorder. 4,5 If the condition persists until adulthood, it often leads to social performance deficit as well as educational and professional dysfunctions. 6 Although hyperactivity subsides with age, attention deficit increases in most patients. 7 In most cultures, demographic surveys report a prevalence of nearly 5% and 2.5% in children and adults, respectively. 8 Overall, the disorder affects boys more than girls, with 1.2% and 1.6% higher occurrence during childhood and adulthood, respectively. However, girls are more prone to displaying inattention symptoms. 9 Evidence from various studies in neuropsychology, 10 pathophysiology, 11 genetics, 12 and phenotypes, 13 suggest that several factors with varying levels of intensity manifest clinically as attention deficit and hyperactivity. Since the 1970s, numerous studies have identified impairments in executive functioning as the core cause of ADHD in adolescents. 14 These impairments lead to deficits in essential cognitive abilities for complex goaloriented behaviors and adjusting to a range of changes and environmental demands. 9 several authors 15,16 believed that some, but not all, children with ADHD suffer from significant impairments in several areas of executive functioning; however, other authors such as Brown 17 discussed that ADHD is fundamentally a developmental disorder that affects executive functions (EFs) in all cases. Thus, this paper focuses exclusively on this issue. The aim of this study is to review existing research on cognitive impairments in children with ADHD with a focus on EFs.
Introduction: Defective metacognitive beliefs and dysfunctional attitude are some of the problems that have been observed in aging. The importance of spiritual therapy training to the elderly has also been considered in recent years; Therefore, the present study aimed to determine the effectiveness of spiritual therapy on metacognitive beliefs and dysfunctional attitude of elderly people in Khorramabad city in 2017. Method: The present study is a quasi-experimental (pre-test-post-test with control group). The statistical population of this research includes all elderly care centers of Khorramabad old people in 2017. The statistical sample was selected by a sampling method in 30 people and randomly assigned to test and control groups (15 individuals for each group). Both groups completed the Wales and Carthage-Haughton metacognitive beliefs (2004) and the dysfunctional attitude scale (1978) questionnaire during the evaluation stages. Eight sessions (one hour a week). Spiritual therapy training was conducted in the experimental group and the control group received customary nursing home programs. The collected data were analyzed using multivariate and univariable covariance analysis using SPSS version 23 software. Results: After spiritual therapy, the mean scores of subscales of metacognitive beliefs and dysfunctional attitudes decreased from pretest to post-test. Also, according to the findings of covariance analysis, spirituality therapy was effective in reducing the defective metacognitive beliefs and dysfunctional attitudes of elderly people (P = 0.001). Conclusion: The application of this therapeutic approach as an effective intervention in reducing defective metacognitive beliefs and dysfunctional attitudes in aging centers is recommended.
Introduction: In recent years, the issues of decreased sleep quality and lower mental toughness among older individuals have received significant attention. Spirituality therapy has emerged as a possible intervention to overcome these problems, with researchers showing increased interest in the topic. Therefore, this paper aims to examine how group spirituality therapy affects sleep quality and mental toughness in older individuals in the City of Khorramabad. Method: This study follows a quasi-experimental pretest-posttest design with a control group. The statistical population includes all senior citizens residing in retirement homes in the City of Khorramabad in 2017. A convenience sample of 30 individuals was drawn and randomly assigned to two groups of experiment and control (15 people in either group). The Pittsburgh Sleep Quality Index (1989) and the MTQ48 (2002) were administered to both groups as pre-test and post-test. The experiment group received eight hour-long group spirituality therapy training sessions. The collected data were then analyzed using MANCOVA and ANCOVA in SPSS 23.0. Results: Analysis of covariance revealed that spirituality therapy has a significant positive impact on both the quality of sleep and mental toughness among older individuals (P = 0.001). Conclusions: Given the fact that group spirituality therapy was found to improve sleep quality and mental toughness, this approach is recommended as an effective intervention to resolve psychological issues among the elderly, especially those pertaining to quality of sleep and mental toughness.
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