BACKGROUND:Childbirth self-efficacy is one of the most important factors causing a shift in mothers do vaginal delivery. If the mother feels that she can cope well with stress, will be protected from the harmful effects of stress on your health. Self-efficacy contained individual's assessment of her ability to deal with stressful situations. Strengthen the spiritual beliefs of the patient causes her to be a good result every situation even incurable condition. This study aimed to determine the effect of religious-spiritual support on childbirth self-efficacy in primiparous women.METHODS:This is a quasi-experimental study carried on seventy primiparous women; participants were randomly divided into two intervention and control groups. The intervention group received the e-learning package based on religious-spiritual content. Self-efficacy questionnaire by both groups before and 4 weeks after it was completed. Collected data were entered into SPSS version 11 descriptive statistics, independent t-test, and paired t-test which were used for analysis of data. The significant level was considered <0.05.RESULTS:The results showed that the mean self-efficacy score before and after intervention in case group was 105.2 (27.01) and 110.12 (21.2), respectively, and in control group; 111.2 (23.12) and 116.9 (24.43). Paired t-test in two groups was significant (P = 0.042, P = 0.045) but independent t-test showed no significant difference in scores of childbirth self-efficacy before and after intervention in two groups (P = 0.061).CONCLUSION:In prenatal periods, religious-spiritual support through electronic package method can increase childbirth self-efficacy, so the planning and establishment of this training are recommended as an effective training.

BACKGROUND:Cancer and its treatments have been shown to have a negative psychological effect on many cancer patients. One of these effects is often described as body image disturbance. Due to the limited number of studies in this area, this study was performed to assess body image in cancer patients and its association with clinical variables.MATERIALS AND METHODS:This was a descriptive and correlational research that was designed in Sayyed-Al-Shohda Hospital affiliated to Isfahan University of Medical Sciences, Iran in 2013. Two hundred and ten adult patients who had been suffering from cancer were selected and completed the personal/demographic/illness questionnaire and the multi-dimensional body-self relations questionnaire that contained 64-items with appearance orientation, appearance evaluation, fitness evaluation, fitness orientation, health evaluation, health orientation, illness orientation, body areas satisfaction, self-classified weight and overweight preoccupation sub-scales. Data were analyzed by ANOVA and Pearson correlation with a significance level of P < 0.05.RESULTS:The mean (standard deviation (scores of body image in cancer patients was 184.40 (43.68) indicating that 58.3% of them had negative body image. In addition, most of patients had negative health evaluation (60.2%), negative appearance evaluation (63%), negative illness orientation (61%), and negative fitness orientation (56%). Furthermore, there were no significant correlations between type of cancer (P = 0.5, f = 0.3), kind of treatment (P = 0.8, f = 5.2) and duration of illness with body image (P = 0.6, r = −0.2).CONCLUSION:In this study most of the cancer patients had body image disturbances. Also, body image in this group wasn’t associated with the type of cancer, kind of treatment and duration of illness. Totally, these results underscore the importance of assessing and treating body image disturbance in cancer patients.

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Context: Social anxiety and eating disorders have demonstrated high comorbidity in a Multiple Sclerosis Clinic Population. However, social anxiety has not been directly studied with respect to eating disorders. This study, therefore, was designed to determine the relationship between social anxiety and eating disorders in a multiple sclerosis clinic population. Methods and materials:This was a cross-sectional study which was conducted in Kashani Hospital affiliated with Isfahan University of Medical Sciences, Iran, in 2013. 210 adult patients who suffered from multiple sclerosis were selected and completed the Demographic Characteristics Questionnaire, Eating Disorder Examination Questionnaire (EDE-Q) and Anxiety Disorder Inventory. SPSS Version 16 software was used to conduct statistical tests including t-test, ANOVA and Pearson correlation. Results:The results showed that mean and standard deviation of the eating disorder and social anxiety scores were 1.2 ± 0.15 and 17.9 ± 8.5, respectively. Also, 7.2% of multiple sclerosis patients had eating disorder and 39.1% social anxiety disorder. There was a significant positive correlation between the social anxiety score and eating disorder score (r=0.4, p ≤ 0.05).Conclusion: Our study indicated a significant level of social anxiety and eating disorders in people with multiple sclerosis. Eating disorders in multiple sclerosis patients was strongly related with social anxiety. The findings from this study can assist health care team to pay more attention to social anxiety and eating disorders in people with multiple sclerosis, and also consider their relationship in their evaluations.

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