---

Enuresis is one of the most common and complex problems of childhood and it affects the relationships between children, parents and coevals. It negatively affects these relationships. Studies have shown that in comparison with normal children, Enuresis children have behavioral problems and suffer them. This survey was done with this aim to determined and compare enuresis and non-enuresis children’s behavioral adjustment in Hamadan primary schools. This study was conducted by case-control method and a total of 320 pupils were studied. These subjects were selected randomly by multi-phase sampling. The interview forms were the data collecting means. It was based on children’s behavioral checklist for the school-aged children which had been reported by Russel and Cassel. The survey results showed that there was a difference in scores obtained by enuresis and non-enuresis children from the view point of self, social, physical, home and school and general personality adjustment and high percentage enuresis children had behavioral problems and there was statistical meaningful difference between the scores obtained by two groups.

---

Solvent exposure can affect human health. It can cause different effects in different part of the body. One of the most important side effects is neurobehavioral symptom including mood disorders, short memory, and tiredness. To determine the frequency of neurobehavioral effects in patients of a car producing plant in Tehran and comparing them with other workers in the same plant whom was not being exposed to such solvents. All of car painters (78 persons) as our case group and 83 non-painters as our control group were selected by simple random sampling and neurobehavioral abnormality was assessed by Q16 questionnaire. Neurobehavioral disorders based on above questionnaire was observed in 46% of car painters vs. 36% of non-painters (P=0.10). The significant differences were observed in perspiration without any particular reason (Q8) and feeling irritated without any particular reason (Q4). There was not a significant difference in observed frequency of neurobehavioral abnormalities in patients vs. non-painters, however both of these frequencies were higher than expected frequency reported in other reports.

---

Background and Objective: Identification of disorders frequency in adolescence stage has implications for child and adolescence psychiatry. This study was carried out to determine the prevalence of DSM-IV behavioral disorders among 12-17 years pupiles of Golestan province during 2010-11.

Materials and Methods: In a cross-sectional descriptive study, 1500 pupiles (715 boys and 785 girls) from schools of Golestan State were selected through stratified random sampling method. Demographical questionnaire and DSM-IV based behavioral disorders of Achenbach youth self-report scale (YSR) were recorded. Data were analyzed through descriptive statistic and nonparametric test of Chi-Square and calculation of Odd Ratio and 95%CI with PASW software.

Results: Prevalence of behavioral disorders among the sample population 12-14 years, 15-17 years and as total were 5.47%, 5.05% and 5.27%, respectively. Prevalence of somatic disorders and anxiety were 5.8% and 4.7%, respectively. Moreover, the difference between prevalence of conduct and ADHD disorders in males and females were significant (P<0.05). Odd ratio for both genders in prediction of conduct disorder and ADHD and for the scholastic grade in prediction of affective and anxious disorders was significant (P<0.05).

Conclusion: Total prevalence of behavioral disorders among the pupiles of Golestan province in Iran was 5.27%, which is approximately similar to the other studies in Iran.

---

Background and Objective: The prevalence of behavioral disorders in children with mentally ill parents are higher compared with children of healthy parents. This study was carried out to assess the behavioral disorders in children with major depressive mothers. Materials and Methods: This case – control study was done on 50 children (6-11 years) of mothers with major depressive as case group and 50 children of healthy mothers as controls in Bandar Abbas, Iran drung 2009. With psycological interview, DSM-4-R and Beck tests, deprsion in mother were confirmed. The psycological health of control mothers were confirmed using Minnesota multiphasic personality inventory (MMPI) and questionnaire health general (QHG). The behavior disorders of children in two groups were compared using Achenbach child behavior questionnaire. Data were analyzed using SPSS-17, Chi-Square and student’s t tests. Results: Somatic complains, anxiety and depression, social problems, thought problems, externalization, internalization and antisocial behavior scores, were significantly higher in cases compared to controls (P<0.05). No significant differences in isolation and attention behavior were noticed between cases and controls. Conclusion: Behavior disorders in children with depressive mothers are common.

---

Background and Objective: The incidence rate of elderly misbehavior increased in the past two decades. This study was conducted to determine the prevalence of elderly misbehavior in northern Iran. Method: This descriptive - analytic study was done on 247 more than 60 years old (137 males, 110 females) in north of Iran during 2012. In order to determine misbehavior, an elderly questionnaire was filled for each subject. Results: The mean age of subjects was 68.8±7.08 years. The prevalence of lack of attention, care, financial, authentic was 34.8%, 33.6%, 29.1% and 22.3%, respectively. The prevalence of psychological, physical, isolation and financial misbehavior were 26.7%, 26.7%, 2.6% and 21.9%, respectively. There was a significant relationship between income and marital status with misbehavior maner (P<0.05). Conclusion: Elderly misbehavior particularly lack of attention and care are more perevlant in northern Iran.

---

Background and Objective: Hyperactivity / attention deficit disorder (ADHD) with 3-5% is the most common disorder in children. This study was done to compare the efficacy of behavioral, medicinal and combination of behavioral and medicinal therapy on reduction of ADHD symptoms in children. Methods: This quasi-experimental study was carried out on 40 male elementary students with ADHD in Gorgan, Northern Iran during 2011-12. Subjects were divided into the four groups including control, behavioral, medicinal (Ritalin 10 mg three times per day) and combination of behavioral and medicinal therapy. Conner's Rating Scale for parents (home) and teachers (school) were used in pretest-posttest spot after 8 weeks therapy. Results: After intervention ADHD symptoms significantly reduced in behavioral, medicinal and combination of behavioral and medicinal therapy in compared to controls (P<0.05), but this reduction was more in medicinal and combination of behavioral and medicinal therapy groups than behavioral group. Conclusion: Medicinal and combination of behavioral and medicinal therapy has the same efficacy in reducing ADHD symptoms in children.

---

Background and Objective: Cognitive behavioral therapy based on religion can increase the religious mind. This study was done to evaluate the effectiveness of cognitive behavioral therapy based on religion on depression and quality of life in patient with HIV/AIDS.

Methods: In this quasi -experimental study with pretest, post test and follow up with control group, 30 patients with HIV were non-randomly divided into intervention and control groups. Patients in intervention group were received 12 sessions of cognitive behavioral therapy based on religion, but patients in control group did not receive any intervention. Beck depression test (BDI-II) and quality of life questionnaire (WHOQOL-Brief) were used.

Results: The rate of depression in intervention group significantly reduced in compared to controls (P<0.05). The rate of quality of life significantly increased in intervention group in comparision with controls group (P<0.05). These results significantly persisted after follow- up period (P<0.05).

Conclusion: The cognitive behavioral therapy based on religion is effective on decrease of depression and increase of quality of life in patients with HIV/AIDS.

---

Background and Objective: Individuals habit has been changed due to technology improvement as a result fast food consumption has dramatically increased in Iran. This study was done to determine the effective factors on Fast food consumption among high-school students based on planned behavior theory.

Methods: This descriptive-analytic, cross-sectional study was conducted on 500 high-school students in Aliabad city in Golestan province in north of Iran in one year study from October 2014-2015. A valid and reliable researcher-made and self-administered questionnaire based on TPB constructs (including attitude, subjective norms, perceived behavioral control and behavior intention) was utilized to collect the data.

Results: The frequency of fast food consumption was 4.01 per month and hamburger and pizza were the most prevalent fast foods. TPB explained fast food consumption behaviors with relatively high R2 around 0.65, effectively. Frequency of fast food consumption was significantly associated with behavioral intention and subjective norms (P<0.05).

Conclusion: As friends are the effective subjective norm for student fast food consumption therefore, they must specifically be considered in developing beneficial educational interventions.

---

Background and Objective: Irrational beliefs underlie a wide range of cognitive impairments. This study was performed to compare the effect of cognitive-behavioral therapy and acceptance and commitment therapy on irrational beliefs of medical students.
Methods: In this quasi-experimental study, 45 medical students of Golestan University of Medical Sciences in north of Iran were non-randomly divided into control, cognitive-behavioral therapy (first intervention) and acceptance, commitment therapy (second intervention) groups. All three groups completed the pre-test, but the control group did not receive any therapy. The intervention groups were received 8 sessions of therapy. The data were collected through Jones's 1969 (IBQ-40) irrational beliefs questionnaire.
Results: The total score of irrational beliefs in the both intervention groups were reduced in comparison with control group (P<0.05). The mean score of the problem-based avoidance subscale (35.26±6.32) was significantly reduced in the second intervention group compared to the first intervention group (30.53±9.47) (P<0.05). Also, the mean scores of emotional impulsivity in the first intervention group (22.73±9.49) were significantly increased compared to the second intervention group (29.93±1.75) (P<0.05).
Conclusion: Two methods of cognitive-behavioral therapy and acceptance and commitment therapy reduce the irrational beliefs of medical students.

---

Background and Objective: Environmental hazards are one of the most important threats to human health. The dramatic increase in population and new lifestyles has led to a variety of environmental problems and outbreaks of illness. This study was conducted to determine the attitude and knowledge in environmental behavior of citizens of Gorgan city, north of Iran.
Methods: This descriptive-analytic study was carried out on 400 people (209 men and 191 women) in Gorgan citizens in northern Iran during 2017. A multi-stage sampling method was used to select the samples. The city of Gorgan was divided into 3 categories according to urban divisions, and the neighborhoods within the classes were considered as clusters. 40% of the neighborhoods were randomly assigned to each study. The instruments used for collecting data were demographic questionnaire and knowledge, attitude and environmental behavior questionnaires.
Results: The level of environmental attitudes and environmental knowledge of the citizens was poor and their Pro-environment behavior was highly valued. Persons with higher age, higher education and level of employment had better environmental behaviors (P<0.05). There was a significant and inverse relationship between environmental attitude and environmental behavior (P<0.05). Increasing
bio-environmental knowledge led to an increase in bio-environmental behavior (P<0.05).
Conclusion: The level of knowledge and environmental attitude of Gorgan citizens was weak and their pro-environmental behaviors were strong.

---

Background and Objective: Children with ADHD suffer from motor impairment in addition to behavioral problems (hyperactivity/impulsivity, attention deficit).The cerebellum receives data from visual, vestibular and somato- sensory systems.This study was done to determine the correlation between kinetic parameters of balance performance and behavioral symptoms in children with attention-deficit/hyperactivity disorder.
Methods: This case - control study was performed on 15 children with ADHD (9.21±0.69 year) and 15 healthy children (9.27±0.75 year). Kinetic parameter of balance evaluated using sensory organization test (SOT) in different sensory conditions including visual, somatosensory and vestibular by Neurocom. Conner’s questionnaire used to assess hyperactivity and attention deficit in addition to a psychologist.
Results: Dynamic balance score in ADHD children was significantly lower in compare to controls (p<0.05). Children with ADHD had kinetic parameters of balance performance abnormality in compare to controls. There was a significant correlation between sensory contribution and hyperactivity in children with ADHD (P<0.05).
Conclusion: Children with ADHD suffer from balance dysfunction which is a result of sensory integration and attention deficit. The sensory systems analysis showed that vestibular system, partially somatosensory dysfunction is the most important factor in balance disorder in children with ADHD.

---

Background and Objective: Obesity considered to be one of the major health problems and risk factors of a wide range of diseases including diabetes, cardiovascular diseases, blood pressure and various types of cancer. This study was performed to compare the effectiveness of integrated group psychotherapy and cognitive-behavioral stress management on body image and mindful eating of obese women.
Methods: In this clinical trial study, 45 obese women were randomly divided into three groups including integrated group therapy (first intervention), behavioral-cognitive stress management (second intervention) and control groups. All of the three groups fulfilled a pretest but the control group did not receive any intervention. Intervention groups received nine sessions of therapy. Data were collected through questionnaires of body image and mindful eating.
Results: Reduction in worry in body image and mindful eating were observed in integrated group therapy and behavioral-cognitive stress management (P<0.05). However, the difference between mean values of body image and mindful eating scores in behavioral-cognitive stress management and integrated groups were 0.852 and 22.93, respectively which was not significant.
Conclusion: Integrated group therapy and cognitive-behavioral stress management was shown to have an effect on the body image and mindful eating in obese women.

---

Background and Objective: Among short-term therapies, psychoanalytic approaches use the therapeutic relationship more than any other approach as a context for change. This study was conducted to evaluate the effectiveness of short-term object relation psychotherapy on interpersonal relationships, self-destruct behaviors and personality organization of patients with borderline personality disorder.
Methods: This clinical trial study was done on the 20 patients with borderline personality disorder who referred to medical clinics in Sari city in northern Iran during 2020. Patients were divided into two intervention and control groups by random sampling. Patients in interventional group were received short-term object relation psychotherapy in 16 individual sessions of 45 minutes once a week. The control group did not receive any intervention. Patients completed the structured clinical interview scales of First et al (SCID-II), the Bell’s object relations inventory (BORI), self-destruct questionnaire of Sharabaf et al and Kernberg’s inventory of personality organization (IPO).
Results: Scores of interpersonal relationships, self-destructive behaviors and personality organization were significantly reduced in interventional group in compared to control group (P<0.05).
Conclusion: Short-term object relation psychotherapy is an effective therapy to reduce the symptoms of patients with borderline personality disorder.

---

Background and Objective: In recent years, psychological therapies increasingly used as complementary treatment of group psychotherapy. This study was done to evaluate the effectiveness of logotheraphy and cognitive-behavioral therapy on life expectancy among students with depression disorder.
Methods: This clinical trial study was performed on 45 students with depression disorder whom refered to consulting center in Rasht city, north of Iran during 2018-19. Subjects were randomly divided into three groups including logotheraphy, cognitive-behavioral and control groups. At first, students who were willing to participate in this course completed Miller Hope Scale (MHS) Scale (pre-test). Then, the interventional groups were received logotheraphy and cognitive-behavioral group counseling for 10 weeks (90 minutes each session, once a week). After completing the course of treatment, all three groups were retested and one month after the post-test, a follow-up test was performed.
Results: The mean score of the life expectancy of students with depression in interventional groups (logotheraphy, cognitive-behavioral) were significantly increasd in compared to controls in post-test and one month after follow up (P<0.05). There was no difference between cognitive-behavioral therapy and logotheraphy in score of the life expectancy of students with depression in post-test and one month after follow up.
Conclusion: This study showed that the group counseling method of logotheraphy and cognitive-behavioral therapy can increase the life expectancy of students with depressive disorder by teaching concepts such as identifying negative spontaneous thoughts and cognitive distortions and techniques of their own techniques as a useful intervention method.

---

Background and Objective: Fibromyalgia syndrome is a chronic disease with extensive musculoskeletal pain that primarily involves women and also it has negatively effects on many aspects of psychological and social life. Cognitive-behavioral therapy examines dysfunctional emotions and maladaptive cognitive behaviors, processes, and themes, and cognitive-behavioral hypnotherapy combines hypnotherapy with the methods and concepts of cognitive-behavioral therapy. The aim of this study was to compare the effectiveness of cognitive-behavioral therapy with cognitive-behavioral hypnotherapy on sexual satisfaction of women with fibromyalgia syndrome.
Methods: This clinical trial study was done on 9 women with fibromyalgia syndrome who referred to rheumatology clinic in Gorgan, northern Iran in 2020. The patients were randomly divided into three groups including cognitive-behavioral therapy, combination cognitive-behavioral hypnotherapy and control group. The treatments used were performed for 8 sessions separately for 2 groups of 3 people in Pars Tavan Comprehensive Center. Control group did not receive any intervention. A multidimensional sexual satisfaction questionnaire of Roshan 2014 was used to evaluate patients.
Results: Sexual satisfaction in post-test on both interventional group showed a significant improvement compared to control group (P<0.05). Cognitive-behavioral hypnotherapy with 59.38% was more effective than cognitive-behavioral therapy with 43.01 and also it was the same 2 month after follow up (P<0.05).
Conclusion: Combined therapy of cognitive-behavioral hypnotherapy increased sexual satisfaction in women with fibromyalgia syndrome more than cognitive-behavioral therapy.

---

Background and Objective: Type 2 diabetes is a common disease that could be prevented or managed with a healthy lifestyle. This study was conducted to determine the effects of self-healing with mindfulness-integrated cognitive behavior therapy on the health-promoting lifestyle profile of patients with type 2 diabetes.
Methods: This clinical trial was done on 45 patients with type 2 diabetes who had been referred to the Sedigeh Tahereh Clinic in Isfahan (Iran) in 2021. The patients were randomly divided into 3 groups of 15 patients: a control group, a self-healing group (first intervention) and a mindfulness-integrated cognitive behavior therapy group (second intervention). Interventions for each treatment were held as a weekly 90-minute online session. Posttest was After 12 sessions and three months after the test was followed up. The research tool was a health-promoting lifestyle profile questionnaire with nutrition, exercise, health responsibility, stress management, interpersonal support and self-fulfillment components. The questionnaire was filled out by each group after the 12 sessions and three months after the last session.
Results: Both the self-healing methods and the mindfulness-integrated cognitive behavior therapy increased the lifestyle scores of patients with type 2 diabetes compared to the control group (P<0.05), and the effect was maintained in both intervention groups in the follow-up phase. No difference was observed between the two treatment methods compared with the control group.
Conclusion: Self-healing and mindfulness-integrated cognitive behavior therapy is both effective in improving the health-promoting lifestyle profile of patients with type 2 diabetes.
 

---

Background and Objective: Previous studies have advanced our understanding of the impact of executive functions on eating behavior. Given the considerable evidence of executive dysfunction among obese individuals and the bidirectional relationship between cognition and obesity, it is crucial to include educational components in interventions aimed at enhancing executive functions among obese populations. This study aimed to evaluate the effectiveness of cognitive hypnotherapy in improving executive functions among women with obesity.
Methods: This clinical trial enrolled 30 obese women who were randomly assigned to either an intervention or control group (n=15). The mean ages of the experimental and control groups, respectively, were 40.80±6.02 and 38.47±7.50 years, while their BMIs (kg/m2) were 33.45±3.50 and 33.12±3.47, and hypnotizability scores were 39.67±5.98 and 37.40±7.09. The intervention group received 12 sessions of 2-hour cognitive hypnotherapy. Data collection instruments included the Stanford Hypnosis Susceptibility Scale (1962), Life Experiences, Interests and Values Checklist (1998), and Cognitive Ability Questionnaire (2013).
Results: The results demonstrated that cognitive hypnotherapy significantly improved executive functions (F=7.02, P≤0.01), including inhibitory control and selective attention (F=2.83, P≤0.05), decision making (F=4.13, P≤0.05), planning (F=3.32, P≤0.05), and sustained attention (F=2.83, P≤0.05) in the intervention group.
Conclusion: Given the relationship between cognitive abilities, eating behaviors, and obesity, and the effectiveness of cognitive hypnotherapy in enhancing executive functions, this approach can be used to enhance cognitive functions among individuals with obesity.
 

---

Background and Objective: A basic factor in the reduction of fertility levels is delayed fertility. This research was carried out in Khorramabad, Lorestan Province, Iran.
Methods: This descriptive-analytical study was conducted on 535 married women aged 15-49 years in Khorramabad. The data were collected face-to-face through a cross-sectional survey in 2020 using a researcher-made questionnaire between September and December 2019. This study used the Kaplan-Meier test to determine the childlessness survival time. A logistic parametric model with the gamma shared frailty distributions was employed to analyze its determinants.
Results: The mean of childlessness survival time was 31.76 months, with a median of 24 months. Women in the age group of 15 to 30 years, women with university education, women who married at the age of less than 25 years, and women with a higher sense of socioeconomic insecurity had a longer childlessness survival time (P<0.05).
Conclusion: Childlessness was evaluated as low in Khorramabad. Only 2% of the women remained childless after 10 years of marriage.

---

Background and Objective: Opium use is one of the most common problems that impose significant social, psychological, and economic burdens on societies. Understanding the factors involved in the treatment of opium use is essential. This study aimed to evaluate inhibitory response and impulsivity in opium users.
Methods: This descriptive-analytical study was conducted on 170 opium users (139 men and 31 women) who visited the Methadone Maintenance Treatment Center in Gorgan, Iran during 2022, selected through convenience sampling. The Stop Signal Task (SST) was used to assess participants' inhibitory response, and the Barratt Impulsiveness Scale (BIS) was used to measure impulsivity levels.
Results: The average overall impulsivity score was 67.8±11.85. The average correct responses were 45.09±5.67, incorrect responses were 4.51±3.95, and delays were 0.96±2.32. The mean response time to each stimulus was 1290±512.83 milliseconds. There was a statistically significant correlation between impulsivity dimensions and age, correct responses and education level, and response time for inhibitory control with age and education level (P<0.05). There was no statistically significant correlation between the various dimensions of inhibitory response and impulsivity (cognitive impulsivity, non-planning impulsivity, and motor impulsivity) and overall impulsivity.
Conclusion: Opium users are generally impulsive. Additionally, younger individuals and those with lower education levels are more impulsive compared to others.