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Objective(s): Convulsions caused by fever in children and parents not knowing about the nature of this disease cause severe anxiety and inappropriate performance in parents. Due to the cost-effectiveness of the telenursing method, nurses can use it to provide a large amount of information in a short period with distance education. Therefore, the present study was conducted with the aim of determining the effect of telenursing training on the anxiety of mothers with children suffering from febrile convulsions. Methods: This quasi-experimental intervention study was conducted in 2020-2021 among 60 mothers with children suffering from febrile seizures in the hospitals of Birjand, Iran. The sampling method was accessible and then people were randomly divided into two intervention and control groups. After being discharged from the hospital, the intervention group received telenursing (for 2 weeks and 3 sessions each week for 15 minutes via mobile phone and by calling the mothers and sending an educational video). The control group received routine training at discharge. The data collection questionnaire included the demographic and background information and the Spielberger anxiety questionnaire. The Spielberger questionnaire was completed at the beginning and after the end of the intervention. SPSS software version 16 and paired t, independent t and chi-square statistical tests were used for data analysis. Results: Stait and trait anxiety before the intervention was not significant between the control and intervention groups (P=0.865 and P=0.153, respectively). There was a statistically significant difference between the two intervention and control groups in Stait and trait anxiety after the intervention, and it was reduced in the intervention group (P

Background: Children's emotional-behavioral problems are problems that make them helpless and can make them helpless against issues and problems, and in addition to creating many problems for the child, they also create problems for the people around them, teachers and family. Despite conducting numerous studies to reduce children's emotional-behavioral problems, So far, the effectiveness of educational packages Researcher made on the life narratives of mothers on reducing the emotional-behavioral problems of their 6-8 year old children has not been investigated. Aims: The present study was conducted with the aim of investigating the effecacy of the life skills training package for mothers in reducing the emotional-behavioral problems of 6-8 year old children. Methods: The current research design was a semi-experimental pre-test-post-test type with a control group and a one-month follow-up. The statistical population of the present study included all mothers of children aged 6-8 in preschool centers and primary schools (first and second grades) in Khorram Abad and Borujerd cities in the academic year of 2020-2021. In order to select the statistical sample of the research (mothers of children with emotional-behavioral problems), first the parent form of the Achenbach questionnaire was implemented on 100 children aged 6 to 8 years, and a total of 26 mothers were selected by purposeful sampling and randomly assigned to two experimental and control groups. To measure children's emotional-behavioral disorders in the present study, the parent form of the Achenbach Questionnaire (Achenbach & Rescorla, 2001) was used. In this research, the experimental group underwent 8 sessions of 60 minutes of life skills training. Also, to analyze the data in this study, the method of analysis of variance with repeated measurements and SPSS-26 software was used. Results: The findings of this research indicated that the implementation of the life skills training package for mothers has significantly reduced the emotional-behavioral problems of children (p< 0.01) and the results were sustained after one month of follow-up. Conclusion: According to the results obtained regarding the effectiveness of the life skills training package in the present study, it is suggested, Counselors and child psychologists should use the contents of this educational package and its assignments to reduce the emotional-behavioral problems of children aged 6-8 to educate the mothers of this group of children. [ABSTRACT FROM AUTHOR]

Baloch folk literature has a great diversity, the major part of which is poetry. Various types of poetry could be found in all aspects of people's lives which indicates their public taste for poetry and literature. Nāzēŋk is one of the oldest aspects of the oral literature of the Baloch people, which is still prevalent throughout Balochistan and is sung by Baloch people, especially mothers, describing their children. According to the available evidence, Nāzēŋk's structure is similar to a Balochi lullaby. Its content is diverse and mostly a description of the characteristics that have been considered for worthy girls and boys in the past. These poems show the pride of mothers and fathers towards their children, expressing their wishes. These poems are rhythmic, fluent and eloquent in terms of language which is significant for literature. There is a rhyme in most of the verses. Accordingly, the purpose of this research is to introduce a type of Baloch folk poetry that has not been studied so far. This research has been done in a fundamental way, based on field research and descriptive-analytical method. [ABSTRACT FROM AUTHOR]

Objective(s): Convulsions caused by fever in children and parents not knowing about the nature of this disease cause severe anxiety and inappropriate performance in parents. Due to the cost-effectiveness of the telenursing method, nurses can use it to provide a large amount of information in a short period with distance education. Therefore, the present study was conducted with the aim of determining the effect of telenursing training on the anxiety of mothers with children suffering from febrile convulsions. Methods: This quasi-experimental intervention study was conducted in 2020-2021 among 60 mothers with children suffering from febrile seizures in the hospitals of Birjand, Iran. The sampling method was accessible and then people were randomly divided into two intervention and control groups. After being discharged from the hospital, the intervention group received telenursing (for 2 weeks and 3 sessions each week for 15 minutes via mobile phone and by calling the mothers and sending an educational video). The control group received routine training at discharge. The data collection questionnaire included the demographic and background information and the Spielberger anxiety questionnaire. The Spielberger questionnaire was completed at the beginning and after the end of the intervention. SPSS software version 16 and paired t, independent t and chisquare statistical tests were used for data analysis. Results: Stait and trait anxiety before the intervention was not significant between the control and intervention groups (P=0.865 and P=0.153, respectively). There was a statistically significant difference between the two intervention and control groups in Stait and trait anxiety after the intervention, and it was reduced in the intervention group (P<0.001). Conclusion: Telenursing training was an effective method in reducing the anxiety of mothers with children suffering from febrile convulsions. Therefore, it is suggested to use the telenursing method in order to reduce anxiety among mothers with children suffering from febrile convulsions. [ABSTRACT FROM AUTHOR]

Khāqāni's poetry stands out in Persian poetry for its abundance of images, interpretations and concepts which makes his poems difficult to understand and explain. Though, there have been valuable researches explaining the much more complicated aspects of the poems of this renowned Persian poet, there are still a great number of expressions and interpretations in his poems which have not been understood accurately. The hypothesis behind the present study is that part of the difficulty in understanding Khāqāni's poetry is the phenomenon of linguistic interference. As one of the consequences of bilingualism, linguistic interferences refers to the (unconscious) influence of the speaker's mother tongue on her/his second language. It also includes the presence of regional beliefs and cultural characteristics in the speaker's speech and writing in second language. Based on the aforementioned hypothesis, the present study focuses on words, sentences, interpretations and idioms in Khāqāni's poetry which could be understood only by considering their Turkish counterpart. Considering that Khāqāni is from Azerbaijan, and his poetry is written in Persian; there have been many historical discussions about the language of Azerbaijan in his time (12 AD). Away from such considerations, this study solely focuses on his own text to investigate the complications and problems in Khāqāni's poetry, some of which are due to the poet's linguistic interference. [ABSTRACT FROM AUTHOR]

Introduction: Oral and dental hygiene refers to all aspects of oral health and function and health literacy is the skill of obtaining, understanding and using health-related information. The present study was conducted in order to investigate the relationship between oral and dental health literacy of mothers and the oral and dental health status of their children. Materials and Methods: This analytical study was conducted in 2023. The sample size was 167 mothers with 6-12-year-old children who referred to comprehensive health service centers of Shahrekord. Sampling was done in a simple random way. Data collection was done by using the standard oral and dental health literacy questionnaire of adults and oral and dental examination of children. The data collected after coding was analyzed with ANOVA and Pearson correlation tests. Results: The mean age of mothers participating in this study was 37.23 ± 4.99 years. The distribution of the mean score and SD of oral and dental health literacy of mothers was 66.65±15.19 and the distribution of the mean score of the number of decayed, filled and missing teeth was 2.38±1.58. There was an inverse and significant relationship between the total oral and dental health literacy score of mothers and the average number of decayed, filled and missing teeth (p=0.026 r=-0.025).. Also, there was an inverse and significant relationship between oral and dental health literacy of mothers with the number of decayed teeth (p=0.025 r=-0.032) and missing teeth (p=0.045 r=-0.045), but it did not show a significant relationship with filled teeth (p=0.229). Conclusion: It is necessary in order to improve the oral health literacy of mothers and take care of their children's teeth, training should be planned according to the education level of people. [ABSTRACT FROM AUTHOR]

Background and objectives: Early childhood caries in childhood has a high prevalence. In the pre-school period, parents are the main providers of children's oral and dental health, so their participation can lead to the success of dental caries prevention programs. The present study was conducted to investigate the effect of a health promotion program using the PRECEDE-PROCEED model to promote the participation of mothers of preschool children in the fluoride varnish program. Materials and Methods: This research was an intervention study that was conducted based on the PRECEDE-PROCEED model from 2021 to 2023 in the city of Kermanshah. First, a qualitative study was conducted by selecting 20 mothers with a purposeful sampling method and using a semi-structured interview. Then, according to the results, an educational intervention was designed and the number of 88 mothers was selected as available. The data collection tool was a valid and reliable researcher-made questionnaire and checklist, which was completed in two stages before and 2 months after the intervention. Data were analyzed using SPSS 20 software and analysis of covariance, generalized estimating equations, paired t, and McNemar tests and the significance level was considered equal to 0.05 in all tests. Results: The average age of mothers in the intervention group (31.84 ± 4.25) and in the control group (33.11 ± 4.26) years. The findings show the significant effect of educational intervention on improving the average score of predisposing factors from (75.31 ± 6.46) to (90.18 ± 3.50), reinforcement from (5.95 ± 0.98) to (7.88 ± 1.01), enabling from (19.11 ± 3.69) to (26.63 ± 1.94) And the frequency of participation of mothers from (13.63%) to (81.81%) in the said program 2 months after the intervention was compared to before And the intervention group had a significant difference in the average score of these factors compared to the control group (p<0.05). Conclusion: The results obtained from this study show the positive effect of an educational program using the PRECEDE-PROCEED model on the promotion of mothers' participation in the Fluoride Varnish Therapy program. Considering the comprehensiveness, flexibility, ability to evaluate and the commitment of this model to the principle of participation, it is recommended that the PRECEDE-PROCEED model be considered as a suitable solution for empowering and promoting people's participation in health programs. [ABSTRACT FROM AUTHOR]

The Qur'an, serving as the primary source of guidance for Muslims, offers a comprehensive framework that safeguards the rights of mothers and provides counsel on a multitude of facets pertaining to the lives of mothers. The 21st principle underscores the government's responsibility to ensure women's rights in accordance with Islamic principles. This includes providing assistance to mothers, particularly during pregnancy and child custody matters, and appointing guardianship of children to deserving mothers as compensation for their envy in the event of Although it was not, it is nonetheless regarded as Shari'i.Consequently, the right to custody is governed by Article 1169 BC, Article 946 BC governs the right to the mother's inheritance, and Article 1107 BC governs the right to the mother's alimony. This article employs a descriptive-analytical approach to examine the Quranic underpinnings of maternal rights from a social perspective, in accordance with clause 2 of Article 21 of the Constitution. Consequently, the objective of this article is to analyze the Quranic underpinnings of certain societal rights pertaining to mothers, as explicated in the Quran and the Iranian legal system in a thoroughly documented and argued fashion. Through an analysis of the Qur'anic verses in conjunction with Clause 2, Article 21 of the Constitution concerning the social rights of the mother, it was determined that these rights are consistent with the principles outlined in the Quran. [ABSTRACT FROM AUTHOR]

Background and Objective: The present study aimed to determine the effect of mindfulness group training on anxiety, stress, and depression in mothers with children with learning disabilities. Materials and Methods: A clinical trial was performed with the participation of 60 mothers with children suffering from learning disabilities in 2021 in Qazvin City, Iran. The participants were divided into control and intervention groups. The data was collected using a demographic data checklist and the 21-item Depression Anxiety Stress Scale (DASS-21) questionnaire three times (before the intervention, immediately after the sessions, and two months after the intervention). The intervention group received eight sessions of 90 minutes of mindfulness group training. The gathered data was imported into R software (version 4.1.0) and subjected to repeated measures of analysis of variance (ANOVA) and the paired t-test or Wilcoxon test. Results: The results indicated that the average scores of stress, anxiety, and depression before the interventions in the mothers in both groups had no meaningful differences. This intervention could significantly increase the stress, anxiety, and depression in mothers with children with learning disabilities in two months of follow-up after the intervention in the test group, in comparison with the control group, and shows a meaningful statistical difference (P˂0.05). Conclusion: It can be concluded that mindfulness group training is influential on the amount of stress, anxiety, and depression in mothers with children suffering from learning disabilities. Therefore, it is recommended to use the conclusions of the current investigation in designing therapeutic and educational programs to reduce the psychological distress of parents with children suffering from learning disabilities.

Objective The escalating challenges of drug and alcohol abuse underscore the critical need to prioritize Addiction-Affected Family members (AAFs), who face diverse health consequences and complex challenges. This study focuses on Addiction-Affected Mothers (AAMs) and their coping strategies during their child’s substance abuse, aiming to explore their experiences during both the addiction and recovery periods. Materials & Methods Using interpretative phenomenological analysis (IPA), nine AAMs, whose children had completed recovery, participated in semi-structured interviews. Purposive sampling ensured firsthand insights, with data analysis following IPA principles, including coding, categorization, and interpretation. Trustworthiness was maintained through member checking, peer debriefing, and ethical considerations. Results The data analysis and the codes extracted from the interviews revealed four main themes and 14 subthemes. The four main themes extracted from the data included 1. Social Isolation, 2. The Swamp Trails, 3. The Continuum of Injuries, and 4. The Pursuit of Freedom. The first three main themes contained 11 sub-themes reflecting the mothers’ experiences caused by their child’s addiction, and the fourth theme, containing 3 sub-themes, comprised of countermeasures and effective mechanisms employed to overcome addiction-caused problems. Conclusion The study provides evidence-based insights for enhanced services and policies targeting Addiction-Affected Mothers, who often initiate responses within families. Specialized interventions are crucial to address their unique needs and those of their families, minimizing the direct and indirect effects of addiction. Encouraging AAMs’ participation in support sessions is vital for ongoing coping. Effective resources and strategies can facilitate long-term recovery for both individuals with substance abuse and their families, contributing to a deeper understanding of familial dynamics affected by addiction.

This study aimed to investigate and to deeply understand challenges of mothers with autism children in the encountering of Covid-19 epidemic. The current study applies qualitative method. Purposive sampling and information saturating criteria is utilized in this study. Data were gathered on semi-structured depth interviews in 2022 year with fourteen mothers who had had an autism child in Tehran. The trustworthiness of this study was evaluated by peer reviews and group member checks. Thematic analysis was used for data analysis. Challenges of mothers were categorized in five main themes and Seventeen sub themes. Main themes include: The cycle of failure, increased symptoms of the disorder, increased roles and more resentment of the mother, lacks of support and pressure of Corona etiquette were the causes of stress and aggravation of maternal problems. This research showed that a family with child autism involves severely financial costs and they have to spend a lot of time and energy. family members suffer from annoying child behaviors and society reactions and they even have had difficulty in doing routine. In addition, Challenges related with covid-19 pandemic including Hygienic protocols and quarantine restrictions have made the situation worse than before. Therefore, seeing the special needs of families with autism children in social policy, providing services of psycho-social support for this group of families in the face of crises, raising public awareness about autism and developing social services to reduce problem is essential for promoting family resilience.

Purpose: Evaluation of the effectiveness of Imago Therapy Training on cognitive flexibility and parenting stress of couples with deaf children aged 7-12 years in Khorramabad. Method: This semi-experimental study was conducted with a pre-test and post-test. The statistical population of the present study consisted of all couples with deaf children aged 7 to 12 years who had a file in the welfare center of Khorramabad in 2021. From the statistical population, 30 people were randomly selected and then this number of subjects were randomly assigned to the experimental and control groups (15 people in each group). Research data were collected using the Cognitive Flexibility Questionnaire of Dena and Van der Waals (2010) and the Barry and Jones Parent Stress Questionnaire (1995). The experimental group underwent immatotherapy training for 10 sessions of 2 hours. Data were analyzed by multivariate and univariate analysis of covariance. Results: The results of the analysis of research data showed that imagotherapy therapy has been effective in increasing cognitive flexibility and reducing the stress of parenting couples (P

Background and Objective: Type 1 diabetes is considered one of the most common chronic diseases during childhood. Diagnosis and presence of chronic disease in the child create tension, worry, and problems for parents, particularly for the mother who is responsible for taking care of the child. The present study was conducted to determine the effectiveness of resilience training on the self-esteem of mothers of children with type 1 diabetes. Methods: This clinical trial was carried out on 60 mothers of children with type 1 diabetes referring to diabetes clinics in the cities of Gonbad-e-Kavus and Gorgan, Golestan province, during 2022-23. Mothers were selected by the convenience sampling method and using a random number table and were assigned to two 30-people control and intervention groups. The resilience training program was implemented for the intervention group in 5-people groups for nine 90-minute sessions during 2 months. The data collection tool consisted of a demographic questionnaire and the Coopersmith Self-Esteem Inventory (SEI) filled out in two pre-test and post-test phases. Scoring of poor, moderate, and strong self-esteem was carried out by obtaining scores of 26 and below, 27-43, and over 44. Results: The mean and standard deviation of the overall self-esteem (22.73±3.26), social (7.32±0.79), occupational/social (7±1.46), and general self-esteem (44.73±5.03) dimensions had a statistically significant increase in the post-test in mothers of the intervention group compared to those in the control group (P

Background and Objective: The quality of life of mothers of children with autism spectrum disorder (ASD) is influenced by the problems of this disorder. Numerous interventions have been recommended for mothers with such children, including supportive interventions, cognitive-behavioral therapy (CBT), negative mood management training, parent-child interaction, and family-oriented interventions. One of these interventions is quality of life therapy. The present study was conducted aiming to determine the impact of training quality of life therapy on mothers with ASD children. Methods: This clinical trial was conducted on 60 mothers of 6-13-year-old ASD children referring to the Ofogh Clinic in the city of Gonbad-e-Kavus, Golestan Province, during 2022-23. Mothers were selected by the convenience sampling method and were assigned to two 30-people control and intervention groups using the random number table. The psychotherapy training based on Frisch’s (2006) theory on the quality of life was implemented on mothers in the intervention group as a group in eight 90-minute sessions for two months. The World Health Organization Quality of Life Scale (WHOQOL-BREF) was used to measure the mothers’ quality of life. Results: The mean and standard deviation of the total quality of life score of mothers in the intervention group (76.15±8.85) had a statistically significant increase in the post-test compared to the control group (64.82±10.15) (P

Background and Objective: The quality of life of mothers of children with autism spectrum disorder (ASD) is influenced by the problems of this disorder. Numerous interventions have been recommended for mothers with such children, including supportive interventions, cognitive-behavioral therapy (CBT), negative mood management training, parent-child interaction, and family-oriented interventions. One of these interventions is quality of life therapy. The present study was conducted aiming to determine the impact of training quality of life therapy on mothers with ASD children. Methods: This clinical trial was conducted on 60 mothers of 6-13-year-old ASD children referring to the Ofogh Clinic in the city of Gonbad-e-Kavus, Golestan Province, during 2022-23. Mothers were selected by the convenience sampling method and were assigned to two 30-people control and intervention groups using the random number table. The psychotherapy training based on Frisch’s (2006) theory on the quality of life was implemented on mothers in the intervention group as a group in eight 90-minute sessions for two months. The World Health Organization Quality of Life Scale (WHOQOL-BREF) was used to measure the mothers’ quality of life. Results: The mean and standard deviation of the total quality of life score of mothers in the intervention group (76.15±8.85) had a statistically significant increase in the post-test compared to the control group (64.82±10.15) (P<0.05). Also, the mean and standard deviation of the quality of life of mothers in the intervention group showed a statistically significant increase in the post-test in the dimensions of physical health (65.12±6.24), psychological health (69.55±7.52), environmental health (60.66±16.8), and general health (78.33±10.9) compared to the control group (P<0.05). Conclusion: The quality of life of mothers with autistic children was improved by receiving quality of life-based therapy. [ABSTRACT FROM AUTHOR]

Background and Objective: Type 1 diabetes is considered one of the most common chronic diseases during childhood. Diagnosis and presence of chronic disease in the child create tension, worry, and problems for parents, particularly for the mother who is responsible for taking care of the child. The present study was conducted to determine the effectiveness of resilience training on the self-esteem of mothers of children with type 1 diabetes. Methods: This clinical trial was carried out on 60 mothers of children with type 1 diabetes referring to diabetes clinics in the cities of Gonbad-e-Kavus and Gorgan, Golestan province, during 2022-23. Mothers were selected by the convenience sampling method and using a random number table and were assigned to two 30-people control and intervention groups. The resilience training program was implemented for the intervention group in 5-people groups for nine 90-minute sessions during 2 months. The data collection tool consisted of a demographic questionnaire and the Coopersmith Self-Esteem Inventory (SEI) filled out in two pre-test and post-test phases. Scoring of poor, moderate, and strong self-esteem was carried out by obtaining scores of 26 and below, 27-43, and over 44. Results: The mean and standard deviation of the overall self-esteem (22.73±3.26), social (7.32±0.79), occupational/social (7±1.46), and general self-esteem (44.73±5.03) dimensions had a statistically significant increase in the post-test in mothers of the intervention group compared to those in the control group (P<0.05). The mean and standard deviation of the selfesteem scores of mothers in the intervention group were evaluated as moderate at the onset of the study and strong at the post-test (P<0.05). Conclusion: Resilience training culminated in increasing the self-esteem of mothers of children with type 1 diabetes. [ABSTRACT FROM AUTHOR]

Background & Aim: One crucial step in implementing the child-friendly protocol in hospitals is to monitor the current situation regarding skin-to-skin contact between mother and baby and initiating breastfeeding within the first hour of birth. The present study was conducted with the aim of investigating the level of skinto-skin contact and breastfeeding within the initial hour postnatal and its associated factors Materials & Methods: The present study was a cross-sectional study which was done in the winter of 2022 in Ayatollah Mousavi Hospital of Zanjan city. The sample size included 385 mothers who gave birth admitted to the Postpartum care unit of the Hospital, who were selected by simple random method. The data were collected by using the registering form of the demographic characteristics of the mother, the characteristics of the baby, the mother's pregnancy and delivery, and data related to the state of skin contact between the mother and the baby and the start of feeding in the first hour after the childbirth, through interviews with the mother, and with using SPSS software version 21 and descriptive statistics indicators, chi-square test and conditional logistic regression model were analyzed with a confidence level of 95%. Results: The study's findings revealed that approximately 53% of infants experienced skin-to-skin contact with their mothers. Within the initial hour post-delivery, 89% of infants were breastfed. According to the results of the logistic regression model, the variable of delivery method had a significant relationship with the state of mother-baby skin contact and the variable of residence with breastfeeding in the first hour after childbirth. So that in mothers living in the city, the chance of breastfeeding in the first hour after birth was 2.5 times higher (p=0.016) and the chance of skin-to-skin contact between mother and baby in cesarean section was 8% lower than natural delivery (p=0.001). Conclusion: The results of the present study show that the skin contact between mother and baby was relatively good and breastfeeding was good. Considering the relationship between skin contact between mother and baby and delivery method, it is suggested to plan suitable interventions to increase skin contact coverage and breastfeeding in the first hour after childbirth, especially in cesarean deliveries. [ABSTRACT FROM AUTHOR]

Background & Aim: Childhood cancer is a prevalent and debilitating disease that serves as a major cause of mortality among children. Awareness of a child's cancer diagnosis generates substantial psychological distress in parents, impairing their quality of life (QoL) across physical, psychological, social, and environmental domains. Consequently, parents require adequate resilience and coping skills to navigate this challenging situation. This study aimed to determine the level of resilience and its association with QoL in parents of children with cancer in Urmia, Iran. Materials & Methods: This cross-sectional descriptive-analytical study was conducted in 2022 with a convenience sample of 345 parents of children with cancer in Urmia. Data were collected using the Connor-Davidson Resilience Scale and the SF-12 QoL questionnaire. The collected data were analyzed using SPSS software and descriptive and analytical statistics at a significance level of P < 0.05. Results: The mean resilience score of the parents was 65.84, with fathers exhibiting higher resilience than mothers. A significant positive correlation was observed between resilience and QoL (P < 0.001). Additionally, significant associations were found between parental resilience and characteristics such as age and duration of the child's illness, parental age, family economic status, occupation, and educational level (P < 0.005). Conclusion: Parents of children with cancer can improve their QoL by strengthening their resilience. In this regard, utilizing religious, social, educational, and psychological resources can be highly effective. [ABSTRACT FROM AUTHOR]

Background. Since prenatal care may have been affected during the COVID-19 pandemic, this study aimed to compare the content of prenatal care during the COVID19 pandemic with one year before the pandemic in Qazvin, Iran. Methods. This cross-sectional-analytical study included 722 pregnant mothers (361 before and 361 during the COVID-19 pandemic) referring to Qazvin health centers in 2018 and 2019. The "Evaluation of Care during Pregnancy" checklist was used to collect information. The information was extracted from the Integrated Health System (known as SIB), reporting offices of health centers. SPSS version 25 software was used to analyze the data. Results. The results showed a decrease in the number of prenatal care in all care times during the COVID-19 pandemic compared to the pre-pandemic period (P<0.001). The rate of preterm pregnancies increased during the pandemic period (P<0.001). Performing the first round of screening, the first and second rounds of ultrasound and the second round of laboratory tests, respectively decreased by 23.8%, 11.1%, 13.3% (P<0.001), and 7% (P=0.004) in the pandemic period (P<0.001). The follow-up rate of referrals also decreased during the pandemic period (P<0.001). Conclusion. The results showed a decrease in the number and content of prenatal care during the COVID-19 pandemic. Practical Implications. The number and content of prenatal care during the COVID-19 crisis decreased in this study. Therefore, effective measures should be planned for this reduction. There is also a need to provide necessary training and preparations to the providers of prenatal care in critical times. [ABSTRACT FROM AUTHOR]

Introduction: Religiosity can help in adapting to difficult situations and provide better care. Therefore, this study was conducted to determine the relationship between religiosity and post -traumatic stress disorder in mothers of children with cancer. Methods: This was a cross -sectional and descriptive -correlational study conducted on 115 mothers of children with cancer who were admitted to Shahid Sadoughi Hospital, in Yazd, in 2019. Sampling was done through convenience sampling method. Data collection tools were the demographic information questionnaire, and Mississippi PTSD and Glock and Stark questionnaires. . Descriptive (mean and standard deviation) and analytical (Pearson's correlation, chi -square) statistical tests and indicators were used; data were investigated and statistically analyzed using SPSS 21 software with a confidence level of 95%. Results: The findings showed that in the post -traumatic stress disorder questionnaire, the average score was 97 /61±36 /78 and the average score of the religiosity questionnaire was 26 /77±61 /85. Pearson's correlation coefficient showed a negative relationship between religiosity and PTSD (p= 0 /160, r= - 0 /132). The average score of PTSD and religiosity among mothers was not significantly different according to various variables such as mother's occupation, child's gender, and education level. The difference in the average score of PTSD in mothers was different according to the characteristics such as education level and occupation. The average score of religiosity was more different when comparing working mothers with housewives. The average stress score after the accident showed a greater difference in mothers according to the type of child's illness. The average PTSD score was 83 /87±25 /79 for neuroblastoma and 92 /33±24 /98 for solid tumor disease. Conclusion: PTSD among mothers was close to the cut -off point for the disorder. Although there was no significant relationship between PTSD and mothers' religiosity, it can be said that the severity of mental situation of mothers with severe cancer was effective in the study. [ABSTRACT FROM AUTHOR]

This study aimed to compare social factors affecting the health-oriented lifestyle of mothers and female high school students in Sirjan city. The statistical population of the research includes female students of the second secondary level of Sirjan city along with their mothers. According to the statistics obtained from the education organization of Sirjan city, the number of female students was 3768. The sample size was calculated to be 350 people and sampling was done by cluster method. The tool used to collect information was a questionnaire. The data were analyzed using SPSS and Smart Pls software. The research findings showed that social support, social awareness, social capital and feeling of powerlessness have a significant and positive relationship with the health-oriented lifestyle of mothers and daughters. Comparing the statistical population of mothers and daughters, the effect of social support and social awareness on the healthoriented lifestyle of mothers was closer and stronger than girls. Also, the effect of the components of social capital and feeling of powerlessness on the health-oriented lifestyle of girls is closer and stronger than that of mothers. Considering that there was a significant relationship between social factors and the health-oriented lifestyle of mothers and daughters, it seems necessary that the relevant officials and policy makers should make more efforts to strengthen and promote these social factors. [ABSTRACT FROM AUTHOR]

Introduction: Mothers are more responsible for raising their children, and they are usually the main caregivers of disabled children. The present study aimed to determine the effectiveness of behavioral activation therapy on social avoidance in mothers of children with cerebral palsy. Material & Methods: This study with a quasi-experimental research design had a pre-test, post-test, and a control group. The research sample consisted of 40 mothers referred to Occupational Therapy Centers in Ilam, Iran, in 2021. Then, they were randomly assigned into an experimental group (n=20) and a control group (n=20). The experimental group received behavioral activation group therapy based on the protocol provided by Kanter, Bush, and Rush during eight 90-minute sessions in one group session per week[S1]. Information was collected using a social phobia questionnaire (SPI) by Connor et al. (2000) in two stages of pre- and post-interventions. Covariance analysis and SPSS software (version 27) were used for data analysis. Results: Based on the obtained results, at the end of the treatment, the social avoidance scores of the intervention group were significantly reduced compared to the control group (P

The purpose of this research was to compare the effectiveness of parenting education based on acceptance and commitment and parenting based on positive psychology on the mother-child relationship. The research design was semi-experimental with a pre-test-post-test design with two experimental groups and one control group. The statistical population was the mothers of children with attention deficit/hyperactivity disorder aged 8 to 12 years old in the 6th, 5th, and 2nd districts of Tehran city, in 2014-2016, and their number was 300. Using the available and targeted sampling method, 45 volunteer mothers were included in the study as the final sample size and were completely randomly divided into two experimental groups and a control group The tools of the current research are the mother-child relationship scale of Pianta (2011), the educational content of parenting based on acceptance and commitment by Kevin and Morrell (2009), the content of Seligman's positive psychology educational course. (2005). In order to analyze the data, descriptive indices (mean and standard deviation) and inferential statistics (univariate analysis of covariance) were used in SPSS software version 22. The findings indicated that, between the educational group of parenting based on On acceptance and commitment, there was a significant difference in the mean score of the mother-child relationship between the parenting training group based on positive psychology and the control group .parenting education based on positive psychology had a greater effect on mother-child relationship in mothers of children with attention deficit/hyperactivity disorder than parenting education based on paternalism and commitment

Background Cleft lip and cleft palate are the most common congenital anomalies in the head and neck region, which are affected by environmental and genetic factors. These anomalies can cause serious problems such as physical deformity, nutritional problems, respiratory problems, and problems in social interactions for affected people. Objective The current study aims to investigate the prevalence of lip and palate clefts and the related factors in infants born from 2014 to 2019 in Karaj, Iran. Methods This descriptive-analytical study was conducted on the data of 91,563 babes born from 2014 to 2019 in Kamali, Imam Ali, Maryam, and Ghaem hospitals in Karaj, Iran. The data were collected and analyzed in SPSS software, version 24. Results Of 91,563 cases, 46 were identified with various types of clefts. The overall prevalence was 0.5 per 1000 live births; 26.08 had cleft lip, 52.17% had cleft palate, and 21.73% had cleft lip and palate (P=0.024). Also, 56.52% of babies were male (P=0.37), 76.08% had mothers aged 20-30 years with a mean age of 24.4 years, 58.69% had first-time pregnancy mothers, 13.03% had parents with cousin marriage (P<0.001), and 37% had mothers with blood type A (P=0.11). Conclusion The prevalence of lip and palate clefts in babies born in Karaj is lower than the global prevalence and the prevalence in other cities of Iran. [ABSTRACT FROM AUTHOR]

Introduction: Mothers are more responsible for raising their children, and they are usually the main caregivers of disabled children. The present study aimed to determine the effectiveness of behavioral activation therapy on social avoidance in mothers of children with cerebral palsy. Material & Methods: This study with a quasi-experimental research design had a pretest, post-test, and a control group. The research sample consisted of 40 mothers referred to Occupational Therapy Centers in Ilam, Iran, in 2021. Then, they were randomly assigned into an experimental group (n=20) and a control group (n=20). The experimental group received behavioral activation group therapy based on the protocol provided by Kanter, Bush, and Rush during eight 90-minute sessions in one group session per week[S1]. Information was collected using a social phobia questionnaire (SPI) by Connor et al. (2000) in two stages of pre- and post-interventions. Covariance analysis and SPSS software (version 27) were used for data analysis. Results:Based on the obtained results, at the end of the treatment, the social avoidance scores of the intervention group were significantly reduced compared to the control group (P<0.05). Discussion & Conclusion: The study showed that behavioral activation therapy has a favorable effect on reducing the severity of symptoms of social avoidance disorder in mothers of children with cerebral palsy. Therefore, this treatment is suggested as a complementary treatment along with drug treatments to improve psychological symptoms in these people. [ABSTRACT FROM AUTHOR]

Introduction: Feeling alone and enduring distress are risk factors for suicidal thoughts, while parental bonds are protective factors. However, the complex mechanisms behind these factors have not been identified among people with a history of suicide attempts. Therefore, the present study aimed to predict suicide attempts through distress tolerance, feeling alone, and parental bonds in people with a history of suicide attempts. Material & Methods: The current research is a descriptive-correlational study, and the statistical population included all people with a history of suicide attempts in Isfahan, Iran, from among whom 120 people were selected through convenience sampling. The research tools included parental bond questionnaires by Parker et al. (1979), distress tolerance by Simmons and Gaher (2005), feelings of loneliness by Russell et al. (1980), and attempted suicide was made by the researcher. The collected data was analyzed using descriptive methods, including Mean and Standard deviation and inferential statistics (e.g., Pearson's correlation coefficient and stepwise regression analysis) using the SPSS software (version 27) and PLS3 statistical software. Results: The results showed that among the predictor variables, feeling alone had the highest predictive power (64.7%), and in the second step, with the addition of parental bond with the mother, it increased to 0.701%, and in the third step, with the addition of Parenting bond with father reached 0.729%, and in fourth step with the addition of distress tolerance, it reached 0.743%, all of which are statistically significant. Discussion & Conclusion: Based on the findings of the present research, we can point out the influential role of feeling alone in predicting suicide attempts, and the need for families and policy-makers to pay attention to this prominent factor can play a major role in reducing suicide rate. [ABSTRACT FROM AUTHOR]

Background: Mothers experience challenges when a premature infant is born and admitted to the neonatal intensive care unit (NICU).Aim: The present study was conducted with aim to investigate the effect of infant massage by the mother on maternal anxiety and self-esteem.Method: This randomized clinical trial study was performed on mothers of 63 premature infants admitted to the neonatal intensive care unit. Mothers were randomly assigned into the intervention and control groups. Mothers in both groups completed Rosenberg's Self-esteem and Beck Anxiety questionnaires. The mothers in the intervention group were trained to massage their infants. They applied a 15-minute massage 3 times a day for two weeks. The mother in the control group received routine education of hospital including pamphletes and self relaxation techniqes. After two weeks, the mothers in both groups again completed Rosenberg Self-esteem and Beck Anxiety questionnaires. Data were analyzed by SPSS (version 16) and Mann-Whitney U and Wilcoxon test. p

Objective(s): Injuries among children are one of the problems of childhood worldwide. The present study aimed to assess the factors related to the belief and performance of mothers in preventing injuries among children under five years of age using the health belief model (HBM). Methods: This was a descriptive study that conducted on 201 mothers with children under 5 years of age who were randomly selected from health centers in Arak, Iran in 2022-2023. Data was collected through a four-part questionnaire consisting of demographic information, items on knowledge, questions related to constructs of the HBM, and a questionnaire on previous injury records. Data were analyzed by using t-test, ANOVA, chi-square, Pearson correlation and linear regression. Results: The mean age of the mothers was 33.84±7.24 years and it was 48.23±16.48 months for children. The mean knowledge score of mothers was 40.06±14.74 (out of 100 marks). Also, the mean score for perceived benefits (80.08±12.24) and perceived barrier (64.41±17.13) had the highest and lowest scores respectively (out of 100 scores). There was a significant relationship between education and perceived sensitivity score (p=0.002) and perceived severity (p=0.012). Child's age, susceptibility, and perceived benefits predicted a total of 38% (R2=0.38) of mothers' preventive behavior. Conclusion: The health behavior of mothers in preventing childhood injuries was significantly influenced by the mother's understanding of the child's vulnerability and the benefits of taking timely and effective action to reduce possible risks.

Objective Having a child with speech and language disorders, while creating a sense of great therapeutic responsibility towards them, will significantly affect the psychological dimensions of parents, especially mothers as the primary caregiver. They are more exposed to the pressures and stress that result from the sense of responsibility towards their children. The aim of this study was to compare the level of stress, depression, and quality of life (QoL) among mothers of children with speech and language disorders whose children have received rehabilitation services for different periods of time. Materials & Methods The current descriptive-analytical cross-sectional study was conducted on 185 mothers of children with speech and language disorders who needed to receive rehabilitation services. Data collection was done using: a short form of parenting stress index (PSI-SF) to measure stress, the Beck depression inventory-2nd edition (BDI-II) to measure maternal depression rate, a health survey questionnaire (a 36-item short form) (SF-36) to measure the QoL. Based on the duration of receiving rehabilitation services, mothers participating in this study were divided into four groups: 1) For less than one month, 2) Between 1 to 6 months, 3) Between 7 to 11 months, and 4) For more than 12 months. The data were analyzed by one-way repeated measures analysis of variance and multivariate ANOVA. Results Comparing the mean scores of PSI, BDI-II, and SF-36 between four groups of mothers was significant (P

Autism spectrum disorders have adverse effects on family life. Based on this, this research was conducted with the aim of investigating the Effectiveness of Reality Therapy Based on Unconditional Positive Self-Acceptance on the Attitude towards Childbearing in Mothers of Children with Autism Spectrum Disorders. The present study was an experiment with a pretest-posttest design with a control group. The statistical population of the research was made up of all mothers of children with autism in Sari City in 2021-2022, from which a sample of 30 people was selected using the available sampling method and randomly divided into two groups (15 people in the experimental group and 15 people were placed in the control group. The people in the experimental group received reality therapy intervention based on unconditional positive acceptance for two months in 8 sessions of 60 minutes. The questionnaire used in this research included Soderberg et al.'s (2013) attitude scale towards fertility and childbearing. The results of the test showed that reality therapy based on unconditional positive self-acceptance has a significant effect on the attitude towards fertility and childbearing of mothers of children with autism spectrum disorders. Based on the findings of the present research, it can be concluded that reality therapy training based on unconditional positive self-acceptance, with the benefit of teaching appropriate methods for accepting reality and making moral and responsible choices, can be used as an efficient method to improve the attitude towards fertility and childbearing.

Background & Aims Admitting a child to a pediatric intensive care unit (PICU) brings various physical, psychological and social consequences for parents. Supporting parental self-efficacy is a step to ensure successful implementation of pediatric care. Therefore, it is necessary to provide appropriate interventions to reduce anxiety and stress and improve self-efficacy of parents. Although mobile-based education has been used for patients in many studies, its use for family caregivers of children admitted to PICU is limited. This study aims to assess the effect of a mobile-based educational program on the anxiety and self-efficacy of mothers with children admitted to PICUs in Iran. Materials & Methods In this quasi-experimental study, participants were 60 mothers of children admitted to the PICUs of hospitals in Shahrekord, Iran from April to August 2022. They were selected using a convenience sampling method and were divided into two intervention and control groups. The intervention group received a mobile-based educational program for four days, one session per day, each for 60 minutes. For the control group, routine education was given by the ward nurses. Data were collected by Spielberger’s state-trait anxiety inventory and Schwarzer & Jerusalem’s general self-efficacy scale. Data were analyzed using descriptive and inferential statistics. Results The mean self-efficacy score in the intervention group increased significantly compared to the pre-intervention score (from 19.60±4.01 to 21.87±5.13; P0.05). Conclusion Nurses can reduce anxiety and increase the self-efficacy of mothers of children admitted to PICUs by using other measures along with virtual education, which requires more research in this field.

Background & Aims Healthcare providers are responsible for providing services to mothers and infants during disasters. The purpose of this study is to determine their educational needs for maternal and newborn care during disasters in Iran. Materials & Methods This is a cross-sectional study that was conducted in 2017 on 208 healthcare providers (nurses, practical nurses, and midwives) from nine armed forces hospitals in Tehran, Iran who were selected by a census method. The data collection tool was a researcher-made questionnaire with acceptable face validity, content validity, and structure, with a Cronbach’s alpha of 0.94. The data were analyzed using descriptive and inferential statistics in SPSS software, version 16. Results The mean score on the educational needs assessment scale was higher in the fields of sexual violence management (4.30±0.01) and information management (4.28±0.01), indicating the high need for education in these areas. The lowest scores were in the fields of postpartum care in newborns (2.19±0.96) and responsiveness (2.98±0.89). In total, the educational needs of healthcare providers were high (3.3±0.43). Conclusion The readiness of healthcare providers in Iran to provide maternal and newborn care during disasters is low and needs more attention. Therefore, it is recommended to compile and revise university educational programs and implement continuous education programs based on the results of this study in the proposed areas (especially sexual violence management and information management) in a regular, periodic, and continuous manner.

Background. The birth of a premature baby needing to be hospitalized in the neonatal intensive care unit (NICU) endangers the initial mother-baby relationship, affecting mother-baby attachment. Therefore, it seems necessary to provide mothers of premature babies with appropriate nursing support. In the present study, we aimed to investigate the effects of spiritual self-care training on the mother-baby attachment of mothers giving birth to premature babies hospitalized in the NICU. Methods. This was a semi-experimental study with pre-test/post-test design conducted on 60 mothers with babies admitted to the NICU of Taleghani Hospital of Ilam (30 participants in each of the intervention and control groups).Two questionnaires were used for data collection, including a demographic information questionnaire and the Maternal Postnatal Attachment Scale (MPAS). Five self-care training sessions (45 minutes each) were held for mothers of the intervention group according to a self-care booklet prepared by the researcher. The attachment questionnaire was again completed after one week of the last training sessions by all participants, and the data were analyzed using SPSS version 22 software. Descriptive statistics were used to present quantitative (mean ±SD) and qualitative (frequency, %) variables. The normality of the data was checked using the Kolmogorov Smirnov test, and the MANOVA and univariate analysis of covariance (ANCOVA) tests were used to investigate the effects of the training on mother-baby attachment. The statistical significance level was considered P

Background and Objectives: Family functioning is an important factor in relationships and health of family, which can be improved by Child Parent Relationship Therapy (CPRT). This study was conducted with the aim of determining the effectiveness of CPRT on family functioning in mothers of preschool children. Materials and Methods: This quasi-experimental research had a pretest-posttest control group design. The statistical population was mothers of preschool children of Isfahan City in the academic year 2020-2021. Using the random cluster sampling, 60 people were selected and randomly assigned to experimental (n=30) and control (n=30) groups. First, the McMaster Family Assessment Device was performed as pretest across the two groups. Then, the experimental group participated in CPRT for ten sessions, but the control group remained on the waiting list. After completing treatment sessions, the posttest was also performed in two groups, and the collected data were analyzed using multivariate analysis of covariance (MANCOVA). Results: The results of MANCOVA showed that the linear combination of dimentions of family functioning was significantly different between two groups (Wilks' lambda=0.635, F45,7=3.423, p=0.005). The results of univariate analysis of covariance also showed significantly lower scores (better functioning) in dimentions of problem solving (p= 0.004), communication, and affective involvement (p<0.001) in the experimental group. Conclusion: The results of the current study suggested that Child Parent Relationship Therapy is an effective threatment for improving the family functioning. It is recommended that this treatment can have beneficial results for the whole family even if it is implemented with the participation of only one of the parents and their children. [ABSTRACT FROM AUTHOR]

Introduction: In the early years of schooling, factors such as being far from parents for 5 hours, academic and social demands can be stressful for children and provide the conditions for creating or intensify some mental disorders. Therefore, it is important to investigate the prevalence of emotional-behavioral disorders and their related factors at this age. Aim: The purpose of the present study was to investigate the prevalence of emotional-behavioral disorders with and without comorbidity in children aged 6 to 8 years, and also to predict the severity of these disorders based on the mother's reaction to the child's negative emotions. Method: The research method was descriptive-analytical. The population included all the first and second grade primary school students of Malayer city in the academic year 2017-2018, and 454 people were selected by cluster sampling method. In order to collect data, the Child's Behavior Checklist (2002) and the Child's Reaction to Negative Emotions Questionnaire (1990) were used. Data were analyzed through SPSS version 22 software and stepwise linear regression model was employed. Results: The findings of the present study revealed that, the pure prevalence of emotional and behavioral disorders in these children was 8.6% and prevalence with comorbidity of these disorders was 7.3%. In addition, mother's reactions to children's negative emotions could predict the severity of children's emotional-behavioral problems (P=0.001). Conclusion: In the age range of 6 to 8, the comorbidity of emotional and behavioral disorders of these children is high and the mother's supportive or unsupportive reactions to the child's negative emotions play a significant role in it, so it is suggested that child psychologists and psychiatrists pay special attention to these findings in diagnostic interviews and treatment strategies. [ABSTRACT FROM AUTHOR]

Background & Aims Infant hospitalization in the neonatal intensive care unit (NICU) causes loss or delay in mother-infant attachment. On the other hand, quarantine and social distancing during the COVID-19 epidemic had psychological consequences, such as increased fear of infection. This study aims to determine the relationship between mother-infant attachment and fear of COVID-19 in mothers with neonates admitted to the NICUs of selected hospitals in Tehran, Iran, during the COVID-19 pandemic. Materials & Methods In this descriptive-correlational study, participants were 195 mothers with neonates admitted to the NICUs of selected teaching hospitals affiliated to Iran University of Medical Sciences in 2021. Data collection tools were a demographic form, the fear of COVID-19 scale (FCoV-19S), and Avant’s mother-infant attachment behaviors questionnaire, which were completed by the researcher. Data were analyzed in SPSS software using independent t-test, Kruskal-Wallis test, Mann-Whitney U test, and ANOVA. Results The mean score of FCoV-19S was 19.04±5.40, and the mean score of mother-infant attachment was 70.12±50.65. No significant relationship was observed between the fear of COVID-19 and mother-infant attachment (P>0.05). Fear of COVID-19 had a significant relationship with the interest in the baby’s gender (P=0.001) and the mother’s education level (P=0.041). Mother-infant attachment had a significant relationship with interest in the baby’s gender (P=0.01) and infant hospitalization due to jaundice (P=0.049). Conclusion Mother-infant attachment of the mothers in this study is low, and their fear of COVID-19 is almost high. There is no significant correlation between the fear of COVID-19 and mother-infant attachment. It is necessary to pay attention to effective factors in promoting emotional attachment between mothers and neonates hospitalized in the NICUs. It is also recommended that the medical staff and nurses pay attention to this group of mothers during pandemics such as COVID-19 and use some techniques to reduce their fear of infection.

Background and Objective: Vaginal delivery is a natural physiological process that can be a critical experience for women. One of the factors involved in avoiding vaginal delivery is childbirth self-efficacy. Self-efficacy affects all aspects of behavior and emotional activities, including attachment. This study aimed to determine the relationship between childbirth self-efficacy and maternal attachment to the fetus in nulliparous pregnant women. Methods: This descriptive-analytical study was conducted on 323 nulliparous pregnant women who attended health centers in Zahedan city from 2020-2021. Data were collected using participants’ demographic questionnaire, Lowe’s childbirth self-efficacy questionnaire, and Cranely’s maternal attachment to the fetus questionnaire. Results: Maternal attachment style to the fetus showed a significant direct correlation with childbirth self-efficacy. Maternal attachment style to the fetus predicted childbirth self-efficacy (P=0.003, r=0.16), explaining 2.7% of the variance of childbirth self-efficacy. Conclusion: The results suggest that helping mothers accept their motherly role and improving maternal attachment to the fetus can increase childbirth self-efficacy. Educational programs during pregnancy should include training related to strengthening maternal attachment to the fetus. As women with high childbirth self-efficacy have a greater ability to perform vaginal delivery, it may increase their desire for vaginal delivery.

This study set out to determine the impact of a family-centered problem-solving program on emotional regulation of mothers of students with autism spectrum disorder. The research had a pretest-posttest control group design with a follow-up session. The statistical population of the study was comprised of all mothers of students with autism spectrum disorder in Kermanshah in 2018-19 school year. Sixty-four students with autism spectrum disorder were studying in Besharat School which serves autistic students. Thirty mothers of the aforementioned students were selected using purposive sampling method and were randomly assigned to experimental (N=15) and control (N=15) groups. The experimental group was subjected to the family-centered problem-solving training for ten sessions, while the control group did not receive any intervention. The research instrument included the Emotion Regulation Questionnaire (Gross & John, 2003). The obtained data were analyzed via repeated measures analysis. The results indicated that the family-centered problem-solving program had a significant effect on the emotional regulation of the subjects and this effect was stable over time in the follow-up stage (p

Background and Objectives: Self-efficacy is an individual's belief in their capacity to reach specific goals and is an important basis for behavior. Mothers play a decisive role in children's Oral Health (OH). The aim of this study was to determine the maternal self-efficacy in OH care of preschool children. Materials and Methods: This descriptive-analytical research was conducted among 652 women with 3 to 6-year-old children in Kermanshah city in 2019. The participants were selected using simple random sampling from among the mothers who referred to health centers. The data was collected by a self-reporting written questionnaire. Results: Family economic status (ß = 0.179 and P < 0.001), and mother education (ß = 0.104 and P = 0.032) were predictors of maternal self-efficacy in OH care of children. Mothers received about half of the score of the self-efficacy questionnaire. Maternal self-efficacy in OH care was lower when they felt stress, depression, and anxiety. Conclusions: Mothers obtained about half of the score of the self-efficacy questionnaire. The necessity of developing and implementing interventions to improve maternal self-efficacy in OH care is felt, especially for mothers with lower education and Families with a weaker economic status.

Background and Objectives: Cyberbullying has increased every year among teenagers as the most internet users. The present study was conducted with the aim of predicting cyberbullying based on online disinhibition and perceived mother acceptance with the mediating role of emotional stability. Materials and Methods: This study is of a descriptive type, and its statistical population included all male students of the second period of high school studying in the state schools of Ardabil City in the academic year of 2023. From this population, a sample of 166 people were selected by convenience sampling method and answered the questionnaires of Cyberbullying, Emotional Stability, Online Disinhibition, and Perceived Mother Acceptance. In order to analyze the data, structural equation modeling was used. Results: The results showed that online disinhibition with a coefficient value of 0.52 and perceived mother acceptance with a coefficient value of -0.24 are directly related to cyberbullying (p<0.001). Also, online disinhibition with a coefficient value of 0.25 and perceived mother acceptance with a coefficient value of 0.08 have an indirect significant relationship with cyberbullying through the mediation of emotional stability (p<0.001). Conclusion: In general, the results of the present study showed that online disinhibition and perceived mother acceptance directly and indirectly through the mediation of emotional stability have a significant effect on cyberbullying. In terms of the application of interpersonal psychotherapy interventions, social network use management training and emotion and anger management are recommended for the development of parent-child communication, online disinhibition, emotional stability, and reduction of aggression, respectively. [ABSTRACT FROM AUTHOR]

Introduction Mental retardation is a disorder that manifests itself from childhood and is characterized by below average intellectual function (IQ 70 or less). The aim of this study was the effective effect of dialectical behavioral therapy on the tolerance of distress and tolerance of mothers with mentally retarded children in Zahedan. Material and Method In the present study, 30 mothers with students with mental disabilities, who were studying in exceptional schools in districts 1 and 2 of this city in 1399, were selected by non-random sampling and available randomly in two groups of control and behavior-based experiments. Dialectical therapy was divided. Then, all participants completed two distress questionnaires and a resilience questionnaire (Connor and Davidson) before and after the intervention, and the experimental group underwent dialectical behavioral therapy training for 8 two-hour sessions. During this period, the control group did not receive any intervention. Data were analyzed using statistical software (version 22) and descriptive indices, multivariate and univariate analysis of covariance. Results The results showed that the overall score of distress tolerance and resilience in the experimental group in the post-test phase increased compared to the control group. In general, the results showed that there was a significant difference between the mean scores of resilience dimensions and scores of distress tolerance dimensions in the therapeutic group of dialectical behavior therapy training and control in the post-test stageP<0/5. Conclusion Overall, the results of the present study showed that dialectical behavior therapy has been effective on anxiety tolerance and resilience of mothers with mentally retarded children. Therefore, according to the findings, this treatment can be used as an effective method to increase anxiety tolerance and Resilience suggested in mothers with mentally retarded children. [ABSTRACT FROM AUTHOR]

Background & Aims Admitting a child to a pediatric intensive care unit (PICU) brings various physical, psychological and social consequences for parents. Supporting parental self-efficacy is a step to ensure successful implementation of pediatric care. Therefore, it is necessary to provide appropriate interventions to reduce anxiety and stress and improve self-efficacy of parents. Although mobile-based education has been used for patients in many studies, its use for family caregivers of children admitted to PICU is limited. This study aims to assess the effect of a mobile-based educational program on the anxiety and self-efficacy of mothers with children admitted to PICUs in Iran. Materials & Methods In this quasi-experimental study, participants were 60 mothers of children admitted to the PICUs of hospitals in Shahrekord, Iran from April to August 2022. They were selected using a convenience sampling method and were divided into two intervention and control groups. The intervention group received a mobile-based educational program for four days, one session per day, each for 60 minutes. For the control group, routine education was given by the ward nurses. Data were collected by Spielberger’s state-trait anxiety inventory and Schwarzer & Jerusalem’s general self-efficacy scale. Data were analyzed using descriptive and inferential statistics. Results The mean self-efficacy score in the intervention group increased significantly compared to the pre-intervention score (from 19.60±4.01 to 21.87±5.13; P<0.001), but no significant difference was observed in the control group (from 18.53±4.23 to 19.30±5.40; P=0.393). In the intervention group, the mean anxiety score decreased significantly compared to the pre-intervention score (from 47.33±5.52 to 43.63±5.27; P=0.001) but no significant difference was observed in the control group (from 48.30±6.88 to 46.43±9.02; P=0.131). There was no significant difference between the two groups in anxiety and self-efficacy scores before and after the intervention (P>0.05). Conclusion Nurses can reduce anxiety and increase the self-efficacy of mothers of children admitted to PICUs by using other measures along with virtual education, which requires more research in this field. [ABSTRACT FROM AUTHOR]

Background & Aims The numerous problems of children with congenital heart disease (CHD) and their care burden can reduce the quality of life of parents, especially mothers. Compliance with treatment after discharge from the hospital is crucial. It is necessary to provide home care educational programs for them. Given the advance of technology and the popularity of mobile phone use, this study aims to design an educational mobile application for home care after surgery to improve the quality of life and adherence to treatment in mothers of children with CHD in Iran. Materials & Methods This is a study protocol on 72 mothers of children with CHD referred to the Children’s Medical Center of a hospital (affiliated to Tehran University of Medical Sciences) for surgery. The data collection tools will be a demographic form, the 36-Item Short Form Health Survey (SF-36), and Fatemi et al.’s Adherence to Treatment Questionnaire. Data collection will be done before and one month after the intervention. The collected data will be analyzed using mean and standard deviation, independent t-test, paired t-test, chi-square test, Fisher’s exact test, and Mann-Whitney U test. Results The results will be analyzed to assess the effectiveness of the mobile-based educational intervention in improving the quality of life and adherence to treatment of mothers of children with CHD. Conclusion This is the protocol of a study that examines the effect of a mobile-based post-surgery home care training application on the quality of life and adherence to treatment of mothers. The results of such studies can help identify the faster, easier and more effective methods of patient education. [ABSTRACT FROM AUTHOR]

Background & Aims Healthcare providers are responsible for providing services to mothers and infants during disasters. The purpose of this study is to determine their educational needs for maternal and newborn care during disasters in Iran. Materials & Methods This is a cross-sectional study that was conducted in 2017 on 208 healthcare providers (nurses, practical nurses, and midwives) from nine armed forces hospitals in Tehran, Iran who were selected by a census method. The data collection tool was a researcher-made questionnaire with acceptable face validity, content validity, and structure, with a Cronbach’s alpha of 0.94. The data were analyzed using descriptive and inferential statistics in SPSS software, version 16. Results The mean score on the educational needs assessment scale was higher in the fields of sexual violence management (4.30±0.01) and information management (4.28±0.01), indicating the high need for education in these areas. The lowest scores were in the fields of postpartum care in newborns (2.19±0.96) and responsiveness (2.98±0.89). In total, the educational needs of healthcare providers were high (3.3±0.43). Conclusion The readiness of healthcare providers in Iran to provide maternal and newborn care during disasters is low and needs more attention. Therefore, it is recommended to compile and revise university educational programs and implement continuous education programs based on the results of this study in the proposed areas (especially sexual violence management and information management) in a regular, periodic, and continuous manner. [ABSTRACT FROM AUTHOR]

Background & Aims: One of the most common chronic developmental disorders is attention deficit hyperactivity disorder, which affects about 7% of school children and 5% of adolescents and adults. Attention Deficit Hyperactivity Disorder is the most common Neuro-behavioral disorder that is seen in the clients of child and adolescent psychiatric clinics. Although in the past years, there was a false belief that this disorder improves from the years after adolescence, today the fact has become clear that this disorder will continue into adulthood in more than 50 to 75 percent of cases. The age of onset of this disorder has been determined before 5 or 7 years old. This disorder refers to people who show a level of inattention, hyperactivity, or impulsiveness and have problems at home, school, or in some social situations. Attention deficit/hyperactivity disorder is also related to learning disorder and low intelligence; many children with attention deficit hyperactivity disorder have other disorders. Emotional problems, anxiety, and depression are also seen in them. Attention-deficit/hyperactivity disorder is associated with reduced academic performance and academic progress, social exclusion, and in adults, with poorer performance, progress, and job attendance, higher probability of unemployment, and high interpersonal conflict. This disorder is noticeably disruptive in severe cases and affects social, family, and academic/occupational adaptation. Mindfulness means paying attention to specific and purposeful ways in the present and free from judgment. The conscious mind focuses on the process of continuous attention, to the content being paid attention to. Although the main goal of mindfulness is not relaxation, nonjudgmental observation of negative internal events or physiological arousal causes this state to occur. Therefore, considering the many behavioral aspects of attention deficit hyperactivity disorder can lead to mothers' depression, anxiety, and limited parental role, feelings of inadequacy and inadequacy in child rearing, weak emotional attachment between child and parent, negative relationships. These children's relationship with their brothers and sisters leads to an increase in tension in the family, a higher rate of divorce, and the breakdown of family relationships. Therefore, according to the stated content and the lack of research related to mindfulness interventions based on stress reduction in the community of parents with hyperactive-attention-deficit children, the purpose of this research is to answer the question of whether mindfulness interventions based on stress reduction is it effective on improving parent-child tension in parents of ADHD children? Methods: The current research method was quasi-experimental with a pre-test and post-test design with a control group. The statistical population of this study was made up of all mothers with children with attention-deficit/hyperactivity disorder who were referred to Mashhad psychotherapy clinics in 2016-2017. From this population, 30 mothers of children with attention-deficit/hyperactivity disorder were selected purposefully and voluntarily and were randomly replaced in the experimental group and the control group (15 people in each group). Baumrind (1972) and Barry and Jones (1995) parent stress scale questionnaire answered (pretest), then the experimental group underwent 9 sessions of mindfulness-based on Kabat and Zain (2004) stress reduction, and the control group did not receive any intervention. In the end, both groups responded to the research tools (post-test). The collected data were analyzed with spss-25 software and multivariate covariance analysis. Results: The results showed that mindfulness interventions based on stress reduction have a positive effect on parent-child tension in parents of ADHD children. Conclusion: Mindfulness techniques are effective in increasing muscle relaxation and reducing worry, stress, and anxiety. This program increases mental awareness, and well-being, and reduces stress and its physical and psychological symptoms. Time spent in formal meditative practices such as yoga is also associated with improved mindfulness and wellbeing. Therefore, mindfulness can be considered as a mediating factor for increasing psychological performance and reducing stress symptoms resulting from meditation exercises. Mindfulness based on stress reduction requires the use of special behavioral, cognitive, and metacognitive strategies to focus the attention process, which in turn prevents the downward spiral of negative mood, negative thinking, tendency to worrisome responses, and the development of perspective. It leads to new and the emergence of pleasant thoughts and emotions. Therefore, it can be concluded that mindfulness interventions based on stress reduction affect improving parenting styles and parent-child tension in parents of ADHD children. The limitations of this research include the lack of a follow-up period and the special and difficult conditions of children with attention deficit hyperactivity disorder, and it is suggested that the results of this research be used as a field for future studies in the field of knowledge of educational programs. Effective on the child's parental stress and parenting styles, parents with attention deficit hyperactivity disorder should be used. It is also suggested that the officials and those involved should plan a comprehensive treatment for these patients and their parents. [ABSTRACT FROM AUTHOR]

Autism spectrum disorders have adverse effects on family life. Based on this, this research was conducted with the aim of investigating the Effectiveness of Reality Therapy Based on Unconditional Positive SelfAcceptance on the Attitude towards Childbearing in Mothers of Children with Autism Spectrum Disorders. The present study was an experiment with a pretest-posttest design with a control group. The statistical population of the research was made up of all mothers of children with autism in Sari City in 2021-2022, from which a sample of 30 people was selected using the available sampling method and randomly divided into two groups (15 people in the experimental group and 15 people were placed in the control group. The people in the experimental group received reality therapy intervention based on unconditional positive acceptance for two months in 8 sessions of 60 minutes. The questionnaire used in this research included Soderberg et al.'s (2013) attitude scale towards fertility and childbearing. The results of the test showed that reality therapy based on unconditional positive selfacceptance has a significant effect on the attitude towards fertility and childbearing of mothers of children with autism spectrum disorders. Based on the findings of the present research, it can be concluded that reality therapy training based on unconditional positive self-acceptance, with the benefit of teaching appropriate methods for accepting reality and making moral and responsible choices, can be used as an efficient method to improve the attitude towards fertility and childbearing. [ABSTRACT FROM AUTHOR]

Background. The birth of a premature baby needing to be hospitalized in the neonatal intensive care unit (NICU) endangers the initial mother-baby relationship, affecting mother-baby attachment. Therefore, it seems necessary to provide mothers of premature babies with appropriate nursing support. In the present study, we aimed to investigate the effects of spiritual self-care training on the mother-baby attachment of mothers giving birth to premature babies hospitalized in the NICU. Methods. This was a semi-experimental study with pre-test/post-test design conducted on 60 mothers with babies admitted to the NICU of Taleghani Hospital of Ilam (30 participants in each of the intervention and control groups).Two questionnaires were used for data collection, including a demographic information questionnaire and the Maternal Postnatal Attachment Scale (MPAS). Five self-care training sessions (45 minutes each) were held for mothers of the intervention group according to a self-care booklet prepared by the researcher. The attachment questionnaire was again completed after one week of the last training sessions by all participants, and the data were analyzed using SPSS version 22 software. Descriptive statistics were used to present quantitative (mean ±SD) and qualitative (frequency, %) variables. The normality of the data was checked using the Kolmogorov Smirnov test, and the MANOVA and univariate analysis of covariance (ANCOVA) tests were used to investigate the effects of the training on mother-baby attachment. The statistical significance level was considered P<0.05. Results. The means of the total attachment score in the intervention and control groups were obtained as 51.73 and 56.43 at the pretest and 53.36 and 49.77 at the post-test, respectively, indicating that spiritual self-care training was effective in improving mother-baby attachment (P<0.05). Conclusion. Our results showed that spiritual self-care training augmented mothers’ attachment to their babies hospitalized at the NICU. According to the results of the present study, it is suggested to pave the ground in clinical environments by educating nurses and caregivers and supporting the mother and the baby through spiritual self-care interventions to promote maternal attachment and improve their conditions. Practical Implications. According to the results of the present study, it is suggested to pave the ground in clinical environments by educating nurses and caregivers and supporting the mother and the baby through spiritual self-care interventions to promote maternal attachment and improve their conditions. [ABSTRACT FROM AUTHOR]

The primary goal of this study is to observe conceptual changes in loyalty. The research questions are as follows: What is the difference between girls' and their mothers' understanding of loyalty? And what is their reaction to the disloyalty of their spouses? Through reviewing related studies, the most important innovative aspect of this study is that it attempts to analyze the experience of two generations of daughters and mothers in the field of loyalty understanding. Also, another innovative aspect of this study is that it intends to deal with their strategies for achieving loyalty and confronting disloyalty. Theoretical concepts such as Bowman's "Liquid Love," Giddens' "Pure Relationship Theory," Illouz's "Emotional Capitalism," Badiou's "In Praise of Love," and "Ideal Types of social actions" were used to raise theoretical sensitivities. The research method is thematic analysis. The data were collected using a semi-structured interview technique. The samples were Tehranin married daughters aged 23-33 and their mothers (13 mothers and 13 daughters). Based on the primary and the secondary objectives, we grouped 15 main categories into three demeans. The first dimension is the semantic conception of loyalty, including multiple elements of loyalty meaning, intergenerational interpretation of loyalty concept, liberating loyalty, loyalty as the commitment to housekeeping roles, and commodified love and loyalty; the second dimension contains strategies which include: the restorative insight of mothers, daughters' eliminative reaction, effective persuasion, legitimation strategy, a ternary mixture of "conversation, counseling, friendship-basis," and reconsideration in the relationship; We named the final dimension as intervenors, which includes: the shadow of the paternal family and mothers being as referent, religious-moral beliefs and guarantees of loyalty, fear of disputes escalation in case of family intervention, and the importance of the chosen strategies in crucial situations. The findings show a diversity of meanings related to loyalty among participants. A) The dominant concept of loyalty in both generations is sexual and emotional betrayal. b) Another common meaning is that loyalty is a kind of relationship based on adherence to commitment, roles, and responsibilities. c) Another meaning of generally emphasized loyalty, is loyalty as a kind of inner emotional bond, a high level of intimacy, love, and the expression of love. d) Loyalty is one of the most important moral and religious principles emphasized by mothers. e) Loyalty is meaningful as long as it does not hinder their freedom as seen in daughters. The results show that the meaning of loyalty largely depends on the age of participants, mothers commonly percept disloyalty as betrayal, and daughters who are closer to their mothers in terms of age have a similar definition, but in younger daughters, the definition of loyalty is more biased to concepts such as love, intimacy, and liberation. Religious beliefs influence the choice of strategies, especially in mothers; The academic capital of mothers and daughters affects the way they interpret loyalty, and those with higher academic capital, even in more socially prestigious areas, have newer and more modern perceptions of loyalty, which has been mentioned in the previous chapters; The cultural capital, primarily academic capital, in the family, especially in mother, play a very important role helping daughter in choosing strategies while facing challenges, when cultural capital is high, her experience and guidance, make solving daughter's marital issues easier, directing daughters to the efficient family consultations, sticking to conversations instead of spreading issues to the families, are some of such strategies. On the other hand, when the cultural capital is low, facing issues incorrectly by both parties, disloyalty, or even a sense of it, lead to divorce; age also has an impact on choosing strategies. The restorative strategies are more common to mothers, while eliminative one, commodified emotional relationships, and consultation are more common among daughters. Mothers rarely use consultation, sometimes with an incorrect imagination of it because of encouraging youth to divorce; Low economic capital affects chosen strategies in both daughters and mothers. Those from weaker economic backgrounds often opt for restorative and legitimation strategies over eliminative ones. An eliminative strategy is more common among economically independent people. [ABSTRACT FROM AUTHOR]

The mental pressure caused by having a deaf child has tremendous effects on mothers. This pressure leads to psychological distress and parenting stress for mothers. Therefore, the aim of this study was to investigate the effectiveness of the training protocol based on acceptance and commitment on the psychological distress and parenting stress of mothers with deaf children. The current research was a semi-experimental type with pre-test-post-test and control group. The statistical population was all mothers with deaf children in Tehran. Among these mothers, 30 mothers were selected by available sampling method and then randomly assigned to two experimental and control groups equally. The instrument of this study was the scale of psychological distress and stress of the overbearing child. The sessions of the experimental group consisted of 8 90-minute sessions of acceptance and commitmentbased therapy (Bond et al., 2011), which were implemented as a group. Data were analyzed using multivariate analysis of covariance. The results showed that the training protocol based on acceptance and commitment has led to the reduction of psychological distress and parenting stress of mothers (p<0.05). Based on the obtained results, the training protocol based on acceptance and commitment is effective in reducing psychological distress and reducing parenting stress. The results of this study can be effective in helping to reduce the psychological problems of families with deaf children and thus reducing the mental health costs of these families. [ABSTRACT FROM AUTHOR]

Background: Otitis media is the second most common pediatric disease in the world and family, especially mothers, play an important role in prevention of this disease in children. The present study aimed to determine the knowledge, attitude, and performance of mothers regarding preventive behaviors of otitis media in infants. Methods: This analytical cross-sectional study was conducted by random sampling method on 240 mothers of infants referring to health centers of Arak City, Iran, in 2021. Data were collected by a questionnaire whose reliability and validity were previously confirmed and were analyzed with SPSS software using descriptive and analytical statistical tests including Spearman correlation coefficient and independent t-test. P < 0.05 was considered as the significance level. Findings: The mean age of children was 11.40 ± 6.05 months and 194 (80.8%) mothers were housewives. 16.2% of mothers had desirable knowledge about otitis media and 67.1% had moderate knowledge. 92.5% of mothers had desirable attitude and 7.5% had moderate attitude. Besides, performance score was desirable in 58.3% of mothers, moderate in 39.2%, and weak in 2.5%. There was a significant relationship between knowledge score with attitude of mothers (r = 0.320, P < 0.001) and performance (P < 0.050). The demographic variables including mother’s education, number of children, family income, knowledge, and attitude predicted 0.118% of maternal performance variance in prevention of otitis media in infants. Conclusion: Most mothers had weak or moderate knowledge and performance about prevention of otitis media in infants. Mother's background factors including education and household income are effective in this field. Therefore, educational planning is necessary to improve the knowledge and performance of mothers.