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Background and Objective: General anxiety disorder is one of the chronic disorders in the general population and population with clinical symptoms. This study was conducted to evaluate the efficacy of combined treatment based on acceptance and commitment in the treatment of women with generalized anxiety.
Methods: This multi-faceted, single-subject interventional study was performed on four women with generalized anxiety disorder whom were refered to psychiatric center in Iran. The subjects were selected through targeted clinical sampling by structured diagnostic and clinical interviews based on DSM-V mental disorder diagnostic and diagnostic guidelines. The efficacy of the treatment protocol in three stages (baseline, 12 sessions and 6 week follow up) was assessed using the GAD-7 questionnaire, the Penn State worry questionnaire (PSWQ), and the general scale of anxiety severity and pain (OASIS).
Results: Reduction of symptoms of general anxiety disorder, anxiety, anxiety and performance impairment in patients with generalized anxiety disorder were significant (P<0.05).
Conclusion: Combination therapy based on admission and commitment and coping techniques is effective in the treatment of generalized anxiety disorder in women.

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Background and Objective: Anxiety disorder (AD) is one of the most common children disorders. In last two decades, several studies conducted to determine the mechanisms of child anxiety disorder specifically in base of neural mechanisms. However, studies about the electrophysiology of child anxiety disorder particularly in the quantitative electroencephalography (QEEG) are less than imaging studies. This study was performed to compare the quantitative EEG between children with anxiety disorder and normal subjects.
Methods: This case- control study was done on 30 children with anxiety disorder and 30 normal healthy children with 6-7 years old. Electroencephalography was recorded for each subject. Power of 19 channel and 5 frequency bands delta, theta, alpha, beta and high beta (25-30 Hz) in the frontal, central and occipital area were recorded, respectively.
Results: There was significant  difference in delta absolute power in frontal lobe, theta and beta2 absolute power in central and high beta wave in occipital area between AD and normal children (P<0.05). In other words, the delta absolute power in frontal lobe and theta and beta2 absolute power in central area of brain was less in AD children in compared to normals. Also, the high beta absolute power in occipital lobe was more in AD children in compared to normals.
Conclusion: Recorded QEEG in relax time is a proper index of brain cortex metabolic activity. Therefore, low metabolic activity in particular parts of brain is determined by increasing slow waves power (delta and theta) or decreasing fast waves power (alpha and beta).

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Background and Objective: Childhood behavioral and emotional problems may be continus to puberty, even extend to elderly. This study was carried out to determine the role of family accommodation of child symptoms, parenting style and parental stress in prediction of anxiety disorder in children with 6 - 10 years old in Golestan province, north of Iran.

Methods: In this descriptive-analytic study 300 children with 6-10 years old and their mothers were selected by randomized cluster sampling method during 2017. The questionnaires of family accommodation scale-anxiety (FAS-A, 2013), parent stress index-sort form (PSI-SF, 2000), Bamerind parenting styles questionnaire 1973 and Spence child anxiety scale-parent form (SCAS-P, 1998) were completed by the mothers.

Results: Increasing family accommodation and parenting stress significantly correlated with increasing children anxiety (P<0.05). The authenticated childbearing style by parents significantly correlated with reducing the anxiety in children (P<0.05), but authoritarian parenting and permissive parenting by parents significantly correlated with increasing the anxiety in children (P<0.05). Authenticated childbearing style along with authoritative parenting style, parental stress and family support could predict 49% of children's anxiety (F=97.91, P<0.0001).

Conclusion: Authoritative and authoritarian parenting, parenting stress, family accommodation has an effective role in predicting children's anxiety.

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Background and Objective: Generalized anxiety disorder is a prevalent, chronic and disabling mental disorder. This study was done to compare the effectiveness of mindfulness based on stress reduction therapy and neurofeedback training on the clinical symptoms of individual with generalized anxiety disorder.

Methods: This clinical trial study, was done on 20 individual with generalized anxiety disorder referring to counseling centers in the city of Neyshabur in north-east of Iran during 2017. The subjects were randomly divided into mindfulness based on stress reduction therapy and neurofeedback training. The first group participated in 8 sessions of mindfulness based on stress reduction, while second group participated in sessions of neurofeedback training. The participants completed generalized anxiety disorder 7-item scale, Penn state worry questionnaire, intolerance of uncertainty scale and metacognition questionnaire.

Results: Both the two methods were effective the reducing the generalized anxiety disorder symptoms, worry, negative belief about worry and intolerance of uncertainty (P<0.05). There was no significant difference between mindfulness based on stress reduction therapy and neurofeedback training in reducing the generalized anxiety disorder symptoms, worry, negative belief about worry and intolerance of uncertainty.

Conclusion: Both of the two methods including the mindfulness based on stress reduction therapy and neurofeedback training are effective in reduction of the symptoms of generalized anxiety disorder.

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Background and Objective: Anxiety disorders are one of the most common psychiatric disorders in childhood. Some studies have identified the household dimension as an important factor in causing these disorders. However, no convincing results have been achieved. The aim of this study was done to determine the frequency of anxiety disorders among of 8-12 years old children in families with single and multiple children.
Methods: This descriptive-analytical study was performed on 732 children (343 boys and 389 girl) referred to Taleghani hospital (except than psychiatric clinic) and offices of pediatricians in Gorgan, north of Iran during 2017. Subjects were recruited using available sampling method. Demographic questionnaire and Spence Anxiety Scale (SCAS) were completed. Variables including separation anxiety, social anxiety, general anxiety, panic attack, agoraphobia, obsession and compulsion, fear of physical damage were evaluated.
Results: In all anxiety subgroups except general anxiety, mean scores were significantly higher in children with multiple children than single children (P<0.05).
Conclusion: This study showed a high prevalence of anxiety disorders in multi-child families compared to single-child families.

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Background and Objective: Inflammatory bowel disease (IBD) is a common gastrointestinal disease which is associated with psychosocial factors. IBD is a gastrointestinal disease with chronic recurrence and with an uncontrolled immune response. There is no definitive treatment for IBD and treatment is based on management of inflammatory response during relapse and maintain of recovery. This study was conducted for evaluation of anxiety and depression disorders in patients with IBD in Golestan province, north of Iran during 2017.
Methods: In this descriptive-analytical study, 117 patients (67 women and 50 men) aged 17-75 years with IBD registered in IBD bank in Golestan Research Center of Gastroenterology& Hepatology (GRCGH), north of Iran during 2017. Diagnosis was made by conventional endoscopy, radiology and histological criteria. Demographic information including age, sex, race and marital status, time of diagnosis until now and duration of treatment are recorded. Hospital anxiety and depression scale (HADS) were used for determine depression and anxiety in these patients.
Results: 80.3% ulcerative colitis and 19.7% Crohn's disease was observed in patients. The mean of total anxiety score in the group with Crohn's disease was higher than ulcerative colitis but there was no significant difference. Total score of depression was similar and not significant in both groups. There was a significant statistical relationship between marital status and anxiety in patients with ulcerative colitis only (P<0.05). As borderline and suspicious status of the patient in married patients is 42.4% and in single patients is 33.3%. Abnormal anxiety state was 31.8% in married patients and not seen in single patients. A positive and significant correlation was seen between total anxiety scale and total depression scale in patients with ulcerative colitis (correlation index: 0.657, P<0.0001) and in patients with Crohn's disease (correlation index: 0.644, P<0.001). Therefore in these patients, if depression increases, anxiety was also increasd. Anxiety observed in 29.8% and 26.1% of ulcerative colitis and Crohn's disease, respectively. Depression disorders observed in 18.1% and 8.7% of ulcerative colitis and Crohn's disease, respectively.
Conclusion: This study showed that the level of anxiety and depression in patients with inflammatory disease is very high.