The relationship between family resilience and the psychological well-being and life satisfaction of pregnant women: the mediating role of individual resilience.

BACKGROUND: Pregnancy period is an important experience in the life process of married women, which leads them to growth and development and is considered as a part of the puberty process. The aim of this research is to determine the mediating role of individual resilience in relation to family resilience, psychological well-being and life satisfaction of the pregnant women. The current study is correlational according to the practical purpose and based on data collection. METHODES: The study population of the current research is all pregnant women in 2021, and 361 of them responded to the self-report questionnaires of family resilience, psychological well-being, life satisfaction, and individual resilience. To analysis the model, the path analysis method was used utilization spss-26 and Lisrel 10.2 software. RESULTS: The results show a good fit of the model with the data. The results also showed a direct and significant effect between life satisfaction with obligation (ß = 0.22 and t = 3.42), with challenge (ß = 0.28 and t = 3.98), with control (ß = 0.11 and t = 2.13), psychological well-being with obligation (ß = 0.20 and t = 3.11), with challenge (ß = 0.20 and t = 2.73) and with control (ß = 0.45 and t = 10.34). CONCLUSION: The upshot of this research can be considered in interventions related to pregnant women. Strengthening resilience in this group can be useful for increasing life satisfaction and psychological well-being of pregnant women.

Psychometric properties of the mental health continuum-short form in Iranian adolescents.

Introduction: Psychological tests are necessary to assess the mental state of individuals. Mental health is one of the important psychological indicators and is increasingly considered as having various aspects of well-being. The Mental Health Continuum-Short Form (MHC-SF) is a 14-item instrument that assesses mental health, focusing on emotional, psychological, and social well-being. The present study, the psychometric properties of the Persian version of the MHC-SF were examined in relation to its factor structure, internal consistency, construct validity, and gender measurement invariance among adolescents. Methods: The population of this study was Iranian adolescents between 11-and 18-year-old who were enrolled in the seventh to twelfth grades. A convenience sample of 822 Adolescents from four large cities in the Iran (Tehran, Zanjan, Hamedan and Ghazvin) participated in the present study. Questionnaires were completed online. Statistical analyses to evaluate the factor structure, internal consistency, construct validity, gender and age factorial invariance were performed in SPSS and LISREL. Results: According to the results of confirmatory factor analysis, the MHC-SF is composed of three factors: emotional, psychological, and social well-being. Reliability was confirmed by Cronbach's alpha method and composite reliability (>0.7). Measurement invariance were confirmed among girls and boys. Convergent and divergent validity were also evaluated and confirmed by correlating the test score with similar and different tests. Conclusion: This study confirmed the psychometric properties of MHC-SF in the Iranian adolescent community. This instrument can be used in psychological research and diagnostic evaluations.

The relationship between meaning of life, perceived social support, spiritual well-being and pain catastrophizing with quality of life in migraine patients: the mediating role of pain self-efficacy.

BACKGROUND: Migraine is a neurological disease that has several physical and psychological complications, which is characterized by disability and impaired quality of life. AIMS: The aim of this study was to explore the mediating role of pain self-efficacy in the relationship between meaning of life, perceived social support, spiritual well-being and pain catastrophizing with quality of life in migraine sufferers. The relationship between these factors with quality of life (QOL) was not fully explored in migraine patients. METHOD: This study was a correlational study of structural equations. Therefore, 300 patients with migraine who referred to one of the specialized neurological treatment centers in Zanjan in 2021 were recruited based on the inclusion criteria. Patients also completed the World Health Organization Quality of Life Scale (WHOQOL-BREF), Meaning in Life Questionnaire, Multidimensional Scale of Perceived Social Support, Spiritual Well-Being Scale, Pain Catastrophizing Scale, Pain Self-Efficacy Questionnaire. Finally, the hypotheses were then analyzed with correlation coefficient and path analysis method by using SPSS-26 and LISREL-10.2 programs. RESULTS: The results of the present study showed that pain self-efficacy has a mediating role in the relationship between meaning of life and quality of life (B = 0.015), perceived social support with quality of life (B = 0.022), spiritual well-being with quality of life (B = 0.021), as well as pain catastrophizing with quality of life (B = - 0.015). CONCLUSION: According to the results of this study, by considering the role of self-efficacy of pain, it is possible to develop the programs to strengthen and improve the meaning of life, perceived social support, spiritual well-being and also reduce pain catastrophizing, in order to improve the quality of life of patients with migraine.

Self-Compassion: The Factor That Explains a Relationship between Perceived Social Support and Emotional Self-Regulation in Psychological Well-Being of Breast Cancer Survivors.

Objective: Perceived social support (PSS) and emotional self-regulation have customarily been related to greater psychological well-being, but the pathways via which perceived social support and emotional self-regulation increase psychological well-being have not been revealed. We investigated how much self-compassion mediated the association between perceived social support and emotional self-regulation in psychological well-being of breast cancer sufferers. Method : A cross-sectional study design was used. Participants were recruited from three oncology departments in Zanjan, Iran. Data was collected from breast cancer patients (n = 300). Participants completed self-report measures, the short Ryff scale Psychological Well-being (RSPWB), Emotion Regulation Questionnaire (ERQ), Multidimensional Scale of Perceived Social Support (MSPSS) and Self-Compassion Scale (SCS). Pearson correlation coefficient was used to assess association among the study variables and multivariable regression analysis was used to assess linear relationships among predictor variables (emotional self-regulation, perceived social support and self-compassion) and criterion variable (psychological well-being). Bootstrapping analyses were used to test the significance on indirect effects. Results: Bootstrapping analyses revealed significant indirect effects of perceived social support (ß = 0.055, SE = 0.45, P = 0.049, 0.95 CI: LL = 0.0092, UL = 0.1345) and emotional self-regulation (ß = 0.079, SE = 0.079, P = 0.004, 0.95 CI: LL = -0.0331, UL = -0.1358) on psychological well-being through self-compassion. Conclusion: These findings present new evidence that self-compassion may be a target for psychological interventions attempted at enhancing psychological well-being in cancer populations, particularly breast cancer survivors.

Mindfulness and psychological well-being in adolescents: the mediating role of self-compassion, emotional dysregulation and cognitive flexibility.

INTRODUCTION: Adolescence is a critical period of growth. Mental health during adolescence is one of the most important determinants of mental health in adulthood. The aim of this study was to analyze the relationship between mindfulness and psychological well-being of adolescents considering the mediating role of self-compassion, emotional dysregulation and cognitive flexibility. METHODS: The method of this research is cross-sectional. The research population was adolescents (elementary, first and second high school) in Zanjan, Iran in 2021, whose approximate number was 14,000. Data through adolescent mindfulness questionnaires (Brown, West, Loverich, and Biegel, 2011), short form of psychological well-being questionnaire (Ryff and Keyes, 1995), short form of self-compassion scale (Raes et al., 2011), difficulty in Emotion regulation (Gratz and Roemer, 2004) and cognitive flexibility (Dennis and Vander Wal, 2010) were collected. Data analysis was performed using Pearson correlation coefficient and path analysis with SPSS-26 and lisrel-10.2 software. RESULTS: According the results, in addition to the fact that mindfulness is directly and positively related to psychological well-being (p < 0.05), it is also indirectly through self-compassion and Cognitive flexibility has a positive and significant relationship with psychological well-being and also mindfulness has an indirect, negative and significant relationship with psychological well-being through emotional dysregulation (p < 0.05). The results supported the goodness of model fit and confirmation of hypotheses. CONCLUSION: Therefore, it is recommended that practitioners provide the basis for promoting psychological well-being through mindfulness, emotional dysregulation, self-compassion and cognitive flexibility.

The mediating role of motivated strategies in the relationship between formative classroom assessment and academic well-being in medical students: a path analysis.

BACKGROUND: The support of students' academic well-being is one of the main agendas of medical education. For medical students, well-being can help prevent burnout and provides students with grounds for their future healthcare setting. The aim of this study was to examine the mediating role of motivated strategies for learning in the relationship between formative assessment and academic well-being. METHOD: The present cross-sectional study was performed on 391 undergraduate students of medical sciences selected by a convenient sampling method. The measuring instruments used in this study included motivated strategies for learning questionnaire (Pintrich and De Groot), classroom assessment approaches questionnaire (Yousefi Afrashteh et al.) and Academic well-being Questionnaire (Pietarinen et al.). In order to analyze the data, SPSS-26 software was used for descriptive statistics and correlation matrix, and LISREL-10.20 software was used to do path analysis and determine the relationships between variables within the model. RESULTS: Findings showed that formative assessment is a significant resource in shaping subscale of motivated strategies for learning (self-efficacy, intrinsic value, test anxiety, cognitive strategies and self-regulation). Moreover, the results demonstrated that the self-regulated learning strategies is a crucial determinant of academic well-being and is a mediator between formative assessment and academic well-being. CONCLUSION: These findings suggest the important value and necessity of formative assessment in medical science classes which can indirectly lead to improve students' academic well-being.

Psychological well-being and death anxiety among breast cancer survivors during the Covid-19 pandemic: the mediating role of self-compassion.

BACKGROUND: Despite the abundance of clinical data available for Coronavirus Disease 2019 (COVID-19), little research on the psychological well-being of breast cancer survivors has been published. We investigate the extent to which self-compassion accounted for the association between psychological well-being (depression, anxiety) and death anxiety in breast cancer survivors. METHODS: A cross-sectional study design was applied. Participants were recruited from three departments of oncology in Zanjan, Iran. Data were collected from 210 breast cancer patients. Participants completed self-report measures. Pearson correlation coefficient was used to assess the relationship among the study variables. Bootstrapping analyses were used to test the significance of indirect effects. RESULTS: Correlational analyses revealed that depression and anxiety were significantly and positively related to death anxiety (r = 0.77, p < 0.01; r = 0.85, p < 0.01, respectively) and negatively to self-compassion (r = - 0.48, p < 0.01; r = - 0.53, p < 0.01, respectively). Bootstrapping analyses revealed significant indirect effects of depression (ß = 0.065, SE = 0.35, p < 0.03, 95% CI [LL = - 0.0083, UL: - 0.1654]) and anxiety (ß = 0.089, SE = 0.09, p < 0.04, 95% CI [LL = - 0.0247, UL: - 0.1987]) on death anxiety through self-compassion. CONCLUSIONS: Findings from this study indicate that self-compassion may be considered as one treatment strategy to improve psychological well-being of cancer patients in the new context of the COVID-19 pandemic.

Comparison of the validity of bookmark and Angoff standard setting methods in medical performance tests.

BACKGROUND: One of the main processes of determining the ability level at which a student should pass an assessment is standard setting. The current study aimed to compare the validity of Angoff and bookmark methods in standard-setting. METHOD: 190 individuals with an M.Sc. degree in laboratory science participated in the study. A test with 32 items, designed by a group of experts, was used to assess the laboratory skills of the participants. Moreover, two groups each containing 12 content specialists in laboratory sciences, voluntarily participated in the application of the Angoff and bookmark methods. To assess the process validity, a 5-item questionnaire was asked from two groups of panelists. To investigate the internal validity, the classification agreement was calculated using the kappa and Fleiss's Kappa coefficient. External validity was assessed by using five indices (correlation with criterion score, specificity, sensitivity, and positive and negative predictive values of correlation test with criterion score). RESULTS: The results showed that the obtained cut-scores was 17.67 for Angoff and 18.8 for bookmark. The average total of items related to the quality of the execution process was 4.25 for the Angoff group and 4.79 for the bookmark group. Pass rates pass rates percentages for the Angoff and bookmark group were 55.78 and 41.36, respectively. Correlations of passing/failing, between employer ratings and test scores were 0.69 and 0.88 for Angoff and bookmark methods, respectively. CONCLUSION: Based on the results, it can be concluded that the process and internal validities of the bookmark method were higher than the Angoff method. For evaluation of the external validity (concordance of the cut score with the criterion score), all five external validity indices supported the bookmark method.