Background:Breast cancer associates with severs severe distress and stress. Since Because of that, the stress management program can train necessary skills to cope with stress; therefore, the current study investigates the effectiveness of stress management on enhancement of quality of life.Objectives:The aim of the current study is to examine the effectiveness of stress management model in quality of life for breast cancer patients.Patients and Methods:This research is a quasi-experimental study with pre and post-tests. The 21 subjects were selected from cancer institute of Imam Khomeini in Tehran in 2014. The participants were allocated to two matched groups based on their pre-test scores. They were assigned randomly to the control and experimental groups. Stress management was conducted with the experimental group during 10 sessions. Then the questionnaire was administered at post-test. Statistical analysis was conducted by using the independent t-test and analysis of variance. The research instrument was the core quality of life questionnaire QLQ-C30.Results:The results of the independent t-test showed that there is a significant difference between the pretest and post-test scores in the experimental group (P < 0.05). Also, there is no significant difference between means of quality of life subscales and socio demographic of the patients such as; age, education and disease stage (P < 0.05).Conclusions:The results indicate that stress management can change the irrational and distortion thoughts. So, it enhances the quality of life in breast cancer patients.

Background: Long-term marital satisfaction depends on various factors in couples’ lives. Shared interests, beliefs, and goals can guarantee couples’ long and satisfying relationships. However, mate selection is one of the primary requirements for establishing a marital relationship in both modern and traditional societies. Based on the narratives of couples, the present study aimed to explore the role of mate selection in marital satisfaction. Methods: This study employed a qualitative narrative research design. The participants were couples who lived together at least for 10 years, were satisfied with their married life, and had children. They were selected through the purposive sampling method from the family entertainment centers of health houses affiliated with Qom Municipality, in 2019. The data were generated using in-depth in-person interviews. After interviewing 13 couples, theoretical saturation was obtained. The data were recorded, transcribed, and analyzed manually using the textual analytic approach. Results: The analysis of the participants’ narratives showed that the couples believed that four main themes, including spouse personality traits, shared religious beliefs, shared socioeconomic positions, and mutual respect and understanding affected their marital satisfaction. Conclusion: The couples who were satisfied with their marriage believed that realistic and correct mate selection played a vital role in the survival and stability of their marital life. It is very important to pay attention to the role and conditions of mate selection and its impact on the stability of marriage. Results from this study help counselors, couples’ therapists, mental health professionals, psychiatric nurses, and midwifery consultants prepare couples for premarital programs.

Job s tress is a psychological s tate that results from a feeling of inconsis tency between capacities and situations and a kind of non-specific response to all factors that can affect the immune sys tem and functional memory. This s tudy was aimed to inves tigate the relationship between job s tress with the immune sys tem and functional memory of women working in diagnos tic laboratories. Materials and Methods: Correlation method was used to evaluate the hypotheses. The s tudy population includes all women employed in medical diagnos tic laboratories affiliated to Tehran University of Medical Sciences in 2016. The sample group consis ted of women range of 35-55 years old, who was working in the laboratory. They were selected randomly from the population. For this purpose, job s tress ques tionnaire of the UK executive Health and Safety, blood serum cortisol tes t and Wechsler Memory Scale were used to collect information. Results: Statis tical analysis showed that job s tress and the immune sys tem of women working in clinical laboratories had the positive and meaningful correlation (r=0.66). The mos t important factors of the minor scale of job s tress were colleagues support and communication, which represnt 29.6% and 23% of the variation of immune sys tem. Functional memory with job s tress also had a positive and meaningful correlation (r=0.57). The communication and control had the mos t share in es tablishing functional memory variation (18.6%). Using the communication as a single tes t, 9.2% of workers had es tablished the variation of functional memory. Conclusion: In general, the job s tress and its sub-scale supporting by friends and control can be predicted the immunological sys tem and functional memory of employed women. It seems that clinicians and professionals could be applying these psychological and physical factors for improving the productivity of employees in clinical laboratory services.

Background Major depressive disorder (MDD) is one of the growing human mental health challenges facing the global health care system. In this study, the structural connectivity between symptoms of MDD is explored using two different network modeling approaches. Methods Data are from ‘the Virginia Adult Twin Study of Psychiatric and Substance Use Disorders (VATSPSUD)’. A cohort of N = 2163 American Caucasian female-female twins was assessed as part of the VATSPSUD study. MDD symptoms were assessed using personal structured clinical interviews. Two network analyses were conducted. First, an undirected network model was estimated to explore the connectivity between the MDD symptoms. Then, using a Bayesian network, we computed a directed acyclic graph (DAG) to investigate possible directional relationships between symptoms. Results Based on the results of the undirected network, the depressed mood symptom had the highest centrality value, indicating its importance in the overall network of MDD symptoms. Bayesian network analysis indicated that depressed mood emerged as a plausible driving symptom for activating other symptoms. These results are consistent with DSM-5 guidelines for MDD. Also, somatic weight and appetite symptoms appeared as the strongest connections in both networks. Conclusions We discuss how the findings of our study might help future research to detect clinically relevant symptoms and possible directional relationships between MDD symptoms defining major depression episodes, which would help identify potential tailored interventions. This is the first study to investigate the network structure of VATSPSUD data using both undirected and directed network models.

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