Iranian Journal of Rehabilitation Research in Nursing

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Introduction: Mindfulness In psychotherapy has been conceptualized as an enhanced state of self-awareness thought to alleviate worry and anxiety. In this research the effectiveness of group cognitive therapy based on mindfulness in reducing pathological worry and anxiety symptoms in students with generalized anxiety disorder. Methods: This study was an experimental study which was used pretest-post with control group design. The subjects included 40 male high schoolers in kermanshah city. At first, the test of pathological worry was administrated on 850 students. Students who had abnormally high scores in this test were selected and a structured clinical interview administered to them based on the result of these interviews and confirmation of GAD the sample consisted of 40 students randomly assigned to equal experimental and control groups. The experimental group received 8 sessions of group mindfulness cognitive therapy (one 90 minutes session per week). post-test to both groups was administrated upon the completion of the training and 2 months later as follow- up. The instruments were state anxiety scale and Penn State Patological Worry Questionnaire. Data were analyzed using SPSS version 19. Results: There were significant differences in post test and follow up scores between experimental and control groups. The experimental group had a significantly lower pathologic worry score in comparison to control group (p<0/01) and also their anxiety symptom scores showed a significant difference comparing with control group (p<0/01). Conclusion: cognitive therapy based on mindfulness decreases worry and anxiety. So It can be used as an therapeutic intervention in students with anxiety problems.

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Introduction: Stroke is the most common nervous disorder in the world. For successful implementation of physical rehabilitation programs for these patients it is crucial that any important relevant factors on this process to be explored. This study using a systematic review of relevant literature was done to comprehensively investigate these factors.

Methods: Our study was a systematic review. We conducted a search on international  scientific digital data bases including: Science Direct, pub Med, ProQuest, Google Scholar, Elsevier and Ovid databases spanning 1991-2014 using CVA, Stroke, Rehabilitation, physical Rehabilitation key words and national databases including: Iron doc, Iran Medex, SID spanning 1380-1393 using Persian equivalent keywords. We found 648 relevant articles from which only 7 original articles and 8 review articles were qualified for inclusion in our systematic review.

Results: Based on the resulting data the most important contributing factors in physical rehabilitation of stroke patients determined as follows: Age of stroke survivor, Early scheduling of rehabilitation programs, mental status, Self-care capabilities and extension and severity of hemiplegia.

Conclusion: It is very important that the members of rehabilitation team have a clear understanding about relevant effective factors contributing to successful implementation of rehabilitation programs in stroke patients. This good understanding can safeguard smooth transition of these clients toward recovery.   

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Introduction: Based on the Baker’s balanced reading model, dyslexia is a result of any abnormalities in brain hemispheres’ structures and functions. The objective of this study was to evaluate the effectiveness of neuropsychological rehabilitation on reading speed, accuracy of reading and reading comprehension in students with Dyslexia.
Method: In this quasi experimental study, a total of 30 students who had received a diagnosis of dyslexia, in the city of Julfa in the 2014-15 school year, randomly assigned to experimental and control groups. Instruments for data collection included Wechsler Intelligence Scale for Children, reading and dyslexia tests. Neuropsychological rehabilitation program consisting of 24 sessions developed and implemented for two months. Collected data were analyzed with SPSS software version 19.
Results: The results indicate that neuropsychological rehabilitation causes a significant difference in the reading speed, accuracy of reading and reading comprehension between intervention and control groups, and the mean scores of reading speed, accuracy of reading and reading comprehension in intervention group were higher than control group (P<0/05).   
Conclusion: Neuropsychological intervention Can increase reading and writing efficiency of linguistic dyslexic students. It is recommended that learning disability professionals and psychologists administer Baker's neuropsychological treatment methods for the improvement of reading and writing efficiency in students suffering from developmental dyslexia.

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Abstract
Introduction: Breast cancer is one of the most common malignant tumors in women which their most common treatment is mastectomy. Mastectomized women have a many psychological problems. Regarded to effectiveness of psycho-social rehabilitation, present research aimed to determine the effect of psycho-social rehabilitation on psychological well-being, mental health and body image concern in mastectomized women.
Methods: The method of present study was quasi-experimental with pretest and posttest design with control group. The research population was mastectomized women in Pastorno hospital of Mashhad city in 2018 year. From the members of population, 50 people after reviewing the inclusion criteria were selected by available sampling method and randomly replaced into two equal groups. The experimental group trained 8 sessions of 90-minutes as a group psycho-social rehabilitation program and the control group didn’t receive any training. Data collected by form of demographic information and the questionnaires of psychological well-being, mental health and body image concern and analyzed with using statistical tests of Chi-square, t-test and multivariate analysis of covariance.
Results: The findings showed that there was no significant difference between the experimental and control groups in terms of age, education and duration of mastectomy in mastectomized women (P>0.05). Also, in the pretest stage there was no significant difference between the experimental and control groups in terms of psychological well-being, mental health and body image concern (P>0.05), but in the posttest stage there was significant difference in terms of all three variables (P<0.05). In the other words, psycho-social rehabilitation program led to significant improve of psychological well-being and mental health and significant decrease of body image concern in mastectomized women (P<0.05).
Conclusions: Based on the results, use from psycho-social rehabilitation approach along with other educational and therapeutic approaches by therapists and health professionals can be effective to improve different psychological characteristics especially improve psychological well-being and mental health and decrease of body image concern of vulnerable groups including mastectomized women.