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Showing 5 results for Trauma

Azam Hashemian Moghadam, Hamid Reza Aghamohammadian, Mohammad Saeid Abdekhodaei, Hossein Kareshki, Mona Joudi,
Volume 13, Issue 4 (3-2022)
Abstract

Introduction: The large body of research, from theorizing to empirical findings, suggests that positive cognitive Re-evaluation of trauma may further support positive post-traumatic outcomes by enhancing post-traumatic growth. The aim of this study was to investigate the direct and indirect role coping strategies, core beliefs disruption, social support, spirituality, religious cope and intrusive rumination with PTG and also examining the mediating role of positive re-evaluation and rumination were within the framework of a causal model.
Methods: The present study was a cross-sectional study that was done using causal modeling methods that included path analysis and structural equation modeling. The statistical population included all cancer patients who referred to Omid Oncology Hospital and Imam Reza Oncology Ward in Mashhad in 1398. Sampling method was available. 420 patients with cancer answered the questionnaires used in this study. Data were analyzed using SPSS-16 version and PLS software (version2).
Results: The findings generally showed that positive Re-evaluation mediated between post-traumatic growth and social support variables, presence and search for meaning, positive religious cope, negative religious cope, deliberate rumination, and core beliefs disruption. Deliberate rumination was also a mediator between growth and core beliefs disruption and automatic rumination. On the other hand, social support, presence and search for meaning, core beliefs disruption and deliberate rumination, problem-based and emotion-based coping methods had a direct and positive effect, and intrusive rumination and self-distraction coping had a direct and negative effect on growth.
Conclusions: The results of the present study showed that in addition to confirming the direct paths of coping, social support, spirituality, deliberate rumination, core beliefs disruption in growth, positive re-evaluation of one of the explanatory passages of social support paths, religious cope, spirituality, intrusive rumination, core beliefs disruption It was about post-traumatic growth.

Mahdis Torkaman, Azam Davoodi, Ghasem Naziri, Najmeh Fath,
Volume 15, Issue 1 (5-2023)
Abstract

Introduction: Considering the possibility of recurrence of post-traumatic stress disorder symptoms, accurate identification of the factors involved in the initiation and maintenance of this disorder is of great importance. In this regard, the present study aimed to investigate the relationship between childhood trauma and symptoms of post-traumatic stress disorder, considering the mediating role of cognitive flexibility and rumination.
Method: The current cross-sectional correlation study was conducted using structural equation modeling. The statistical population of the present study was all the people who referred to the medical centers of Hamadan, Iran, in 2021 of whom 280 people were selected by available sampling. To collect data, Kian et al.'s Post-Traumatic Stress Disorder Questionnaire, Bernstein et al.'s Childhood Trauma Scale, Dennis and Vanderwaal's Psychological Flexibility Questionnaire, and Nolen-Hoeksma's and Mauer's Rumination Questionnaire were used. Data analysis was done by structural equation modeling method in SPSS.21 and AMOS software.
Results: The results of the research showed that childhood trauma had a positive and significant relationship with post-traumatic stress disorder symptoms and rumination and a negative and significant relationship with psychological flexibility. There was a positive and significant relationship between psychological flexibility and symptoms of post-traumatic stress disorder. On the other hand, the results of the path analysis showed that rumination and cognitive flexibility played a mediating role between childhood trauma and post-traumatic stress (P<0.05).
Conclusion: Paying attention to cognitive flexibility and rumination plays an important role in the relationship between childhood trauma and post-traumatic stress disorder

Afsoon Motallebi, Yasaman Bozorgnia, Sajedeh Salari,
Volume 15, Issue 2 (8-2023)
Abstract

Introduction: One of the issues that have always occupied the minds of dentists is the fate of teeth that are subjected to traumatic injuries. Parents are the primary source of timely management. Therefore, the final prognosis of an affected tooth mainly depends on the knowledge of parents, especially mothers. The present study aimed to investigate awareness of dental injuries among mothers referring to Bojnourd Dental School and private pediatric dental offices and compare the effect of two educational interventions, pamphlet and application, on dental injury management.
Method: A total of 150 mothers were randomly assigned to two groups: pamphlet intervention and application intervention (n=75 in each group). After completing the informed consent forms, the questionnaires were provided to mothers. After collecting the questionnaires, pamphlets and applications with similar content regarding the management of dental injuries were provided to the two groups. One month after the interventions, the same questionnaire was completed by mothers. Therefore, pre-test and post-test results were compared.
Results: A total of 146 mothers participated in this study. The mean awareness score in both the pamphlet and application groups increased significantly after the intervention (P<0.05), while there was no significant difference in the mean awareness score between the two intervention groups (P>0.05).
Conclusion: As evidenced by the obtained results, parents have insufficient information about dental trauma; therefore, practical steps should be taken to raise this awareness. In our study, both pamphlets and applications were equally effective in increasing mothers' awareness of dental injuries. Of note, finding a more efficient method needs further studies.

Fatemeh Shahamat Dehsorkh Dehsorkh, Yeganeh Heidarhosein,
Volume 16, Issue 4 (1-2025)
Abstract

Introduction: Understanding the factors involved in suicidal ideation can help prevent suicide attempts; thus, investigating these factors is crucial. The present study was conducted to investigate the mediating role of cognitive fusion in the relationship between childhood trauma and suicidal ideation.
Method: This research employed a descriptive and correlational design. The study population was comprised of adults aged 18 years old and above residing in Mashhad in the year 2023, of whom 358 people (77.40% women) were selected as a sample using the convenience sampling method. The Beck Scale for Suicide Ideation, Childhood Trauma Questionnaire, and Cognitive Fusion Questionnaire were used to collect data. Statistical analysis was done using the Pearson correlation test and path analysis method in SPSS 20 and LISREL 8.80 software.
Results: The results of Pearson's correlation test, in examining the relationship between variables, showed that there was a significant positive relationship between childhood trauma and suicidal ideation, the total score of cognitive fusion and the component of cognitive fusion, as well as the total score of cognitive fusion and the component of cognitive fusion with suicidal ideation (P<0.001). In addition, there was a significant negative relationship between childhood trauma and cognitive defusion and between cognitive defusion and suicidal ideation. The results of the path analysis model indicated that among childhood trauma components, emotional abuse had only an indirect effect, physical abuse had both a direct and indirect effect, and emotional neglect had only a direct effect on suicidal ideation. Moreover, cognitive fusion could play a significant mediating role in the relationship between emotional abuse and physical abuse with suicidal ideation.
Conclusion: According to the current research, suicidal ideation can be influenced by childhood trauma through the influence of characteristics, such as cognitive fusion.

Mahdi Bagheri, Sima Hejazi, Sedigheh Rastaghi, Mostafa Rad,
Volume 17, Issue 1 (3-2025)
Abstract

Introduction: Transferring a patient from one care team to another is called handoff, which has a crucial role in care quality and patient safety. This study aimed to audit compliance with handoff standards of trauma patients admitted to the hospital by emergency medical service personnel.
Method: This descriptive cross-sectional study, which focused on trauma patients, was carried out in a northeastern city during the first half of 2023. The sampling process was observational and event-based. The instrument of research was a researcher-designed checklist covering various dimensions of patient handoff standards. The validity was assessed by using qualitative face and content validity methods, while reliability was evaluated through inter-rater agreement. The data were analyzed through SPSS software version 24.
Results: A total of 361 trauma patients were analyzed. The findings showed that the average score achieved by emergency medical personnel was 13.48, which was lower than the maximum achievable score of the tool. Among the nine key dimensions, the highest average score belonged to the explanation of the process (4.73), while the lowest was related to the mechanism of injury (0.27).
Conclusion: The findings revealed that the score for compliance with handoff standards of patients was significantly lower than the average achievable score in most areas. Therefore, developing standard protocols and auditing compliance with handoff standards and their effect on the quality of patient care can be a crucial step toward enhancing patient safety.


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