| 1. |
- Alimoradi, Z., et al.
(author)
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Prevalence of household food insecurity and its predictive role on the health of mothers with children aged under 60 months
- 2022
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In: Clinical Nutrition ESPEN. - : Elsevier. - 2405-4577. ; 51, s. 246-252
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Journal article (peer-reviewed)abstract
- Background: Food insecurity can have poor physical and mental health consequences for all family members. The present study investigated the prevalence of household food insecurity and its predictive role on the health of mothers of children aged under 60 months in Qazvin (Iran). Methods: A cross-sectional study was carried out between January 2019 and December 2020. Participants included all mothers with children aged under 60 months who referred themselves to comprehensive health centers in Qazvin (N = 1750; mean age 30.61 years). Convenience sampling was performed. Data were collected using a demographic information checklist, the General Health Questionnaire (GHQ) and the Household Food Insecurity Access Scale (HFIAS). Data analysis was performed using independent t-tests, one-way analyses of variance, uni-variable and multivariable linear regression with a significance level of p < 0.05. Results: Two-thirds of the participants had a secure food status (68.4%). Household food security status showed a significant, and inverse relationship with general health subscales. General health subscales of depression (standardized mean difference or SMD: −1.24 [95% CI: −1.36; −1.13]), somatic symptoms (SMD: −0.92 [95% CI: −1.03; −0.81]) and anxiety and insomnia (SMD: −0.72 [95% CI: −0.83; −0.61]) were significantly lower among food secure participants vs. food insecure participants. Social dysfunction was not significantly associated with household food security. The regression models demonstrated that household food security was a significant predictor for the health of mothers with children aged under 60 months: uni-variable (β = −0.38) and multivariable (β = −0.41). Conclusion: Household food security is associated with various aspects of mothers’ health. Since the growth and development of a healthy child depends on having a healthy mother, the food security situation of the family and the general health of mother can be assessed as part of providing health service regarding monitoring growth and development of children. This will help in targeting appropriate interventions if needed.
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| 2. |
- Alijanzadeh, M., et al.
(author)
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Fear of covid-19 and trust in the healthcare system mediates the association between individual’s risk perception and preventive covid-19 behaviours among iranians
- 2021
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In: International Journal of Environmental Research and Public Health. - : MDPI. - 1661-7827 .- 1660-4601. ; 18:22
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Journal article (peer-reviewed)abstract
- Problems caused by the novel coronavirus disease-2019 (COVID-19) and its mutations have brought challenges in pandemic control for all countries worldwide. The present study examines the mediating roles of fear of COVID-19 and trust in the healthcare system in the association between individual’s risk perception and performing preventive COVID-19 behaviours among Iranians. A cross-sectional study design was used to collect data from 3652 residents of Qazvin province in Iran from 3 February to 15 April 2021 using a multistage stratified cluster sampling method. Participants responded to an online questionnaire concerning their fear of COVID-19, risk perception, trust in the healthcare system, and preventive COVID-19 behaviours. Small to medium positive interrelationships were observed between the variables of the study. Fear of COVID-19, trust in the healthcare system or both (fear of COVID-19 and trust in the healthcare system) mediated the association between an individual’s risk perception and performing preventive COVID-19 behaviours. The study demonstrated there are at least four ways through which an individual’s risk perception can influence preventive COVID-19 behaviours. Therefore, clinicians, health communicators, and researchers may capitalize on these findings to enhance preventive COVID-19 behaviours to help mitigate the spread of COVID-19 infection.
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| 3. |
- Alimoradi, Z., et al.
(author)
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Application of online cognitive-behavioral therapy for insomnia among individuals with epilepsy
- 2023
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In: Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults. - : Elsevier. - 9780323857260 ; , s. 409-415
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Book chapter (other academic/artistic)abstract
- Approximately 50 million individuals worldwide suffer from epilepsy, which has various neurological, cognitive, psychological, and social consequences including insomnia. Several factors may explain insomnia among individuals with epilepsy including new diagnoses of epilepsy, changes at work, school, and social role changes. Moreover, anxiety, stress, and insecurity about seizure control can contribute to insomnia. Nonpharmacological methods including cognitive-behavioral therapy can be used to alleviate insomnia. Cognitive-behavioral therapy is a type of psychotherapy that focuses on the effect of an individual’s beliefs, thoughts, and attitudes on their feelings and behaviors. Cognitive-behavioral therapy for insomnia (CBT-I) is one of the therapies in sleep science and uses the general principles of cognitive-behavioral therapy and is designed to eliminate the symptoms of insomnia. The internet is an emerging platform for mental health services worldwide. Internet-based CBT or CBT-I has been used for insomnia with promising results. If the content of CBT-I-based technology (which is disseminated via the internet, e-mail, or mobile phone) is of good quality and has credible evidence-based experiences, it will have positive therapeutic effects and initial patient acceptance. This chapter introduces the application of a six-session online CBT-I for three individuals with epilepsy. The content can also be used as a guide for treating insomnia among individuals with epilepsy.
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| 4. |
- Alimoradi, Z., et al.
(author)
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Associations Between Behavioral Addictions and Mental Health Concerns During the COVID-19 Pandemic : A Systematic Review and Meta-analysis
- 2024
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In: Current Addiction Reports. - : Springer. - 2196-2952.
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Research review (peer-reviewed)abstract
- Purpose of Review: The COVID-19 pandemic has promoted behavioral changes and elevated mental distress. Addictive behaviors often increased, generating mental health problems. The present study’s primary aim was to investigate associations between different types of behavioral addictions (including behavioral addictions, related conditions, and phenomena) and different types of mental health problems. The secondary aims were: (i) to identify possible sources of heterogeneity and (ii) to explore potential moderators in associations between different types of behavioral addictions (including behavioral addictions, related conditions, and phenomena) and different types of mental health problems. Recent Findings: Using Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA), studies from the period between December 2019 and May 2023 were sought from PubMed, Scopus, ISI Web of Knowledge, and Google Scholar in its first ten pages. The articles’ relevance was screened and evaluated. The included papers’ quality was assessed according to the Newcastle Ottawa Scale. Fisher’s Z scores were computed to present magnitudes of associations and I2 indices were used to estimate levels of heterogeneity in the meta-analysis. Among the 85 included studies (N = 104,425 from 23 countries; mean age = 24.22 years; 60.77% female), most were internet-related behavioral addictions, related conditions, and phenomena (28 studies on social media, 25 on internet, 23 on smartphone, and 12 on gaming). The pooled estimation of the associations showed that higher levels of behavioral addictions, related conditions, and phenomena related to internet use (regardless of type) were associated with more mental health problems (regardless of which type). Moderator analyses showed that almost no variables affected heterogeneity for the founded associations. Summary: Most studies of behavioral addictions, related conditions, and phenomena focused on internet-related behaviors, with studies suggesting relationships with specific types of mental health problems during the COVID-19 pandemic. Moreover, associations between behavioral addictions (including behavioral addictions, related conditions, and phenomena) and mental health problems found in the present systematic review and meta-analysis were comparable to the associations identified in studies conducted before the COVID-19 pandemic. How to help people reduce internet-related behavioral addictions, related conditions, and phenomena and address associated mental health concerns are important topics for healthcare providers.
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| 5. |
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| 6. |
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| 7. |
- Alimoradi, Z., et al.
(author)
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Epilepsy, sexual function, and mindfulness-based cognitive therapy
- 2023
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In: Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults. - : Elsevier. - 9780323857260 ; , s. 135-146
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Book chapter (other academic/artistic)abstract
- Epilepsy, like many common medical disorders, can cause sexual dysfunction. However, the prevalence and nature of sexual dysfunction among people with epilepsy, its causes, and optimal management strategies are unclear. Sexual dysfunction in epilepsy is caused by several factors including disease-related factors and drug treatment, psychiatric factors, and social factors. Due to the significant prevalence of sexual dysfunction among patients with epilepsy, the synergistic effect of sexual dysfunction, and mental disorders, design and implementation of psychological interventions including mindfulness-based cognitive therapy (MBCT) for sexual disorders among patients with epilepsy have been proposed. MBCT is an approach to psychotherapy that uses cognitive-behavioral therapy (CBT) techniques alongside mindfulness meditation techniques. MBCT protocol has been adapted to treat female sexual dysfunction of different groups including epilepsy showing promising effects. Consequently, issues concerning sexual activity should be raised by healthcare professionals as a routine part of the management of patients with epilepsy, and MBCT can be considered as a promising effective treatment strategy.
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| 8. |
- Alimoradi, Z., et al.
(author)
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Is alexithymia associated with sleep problems? : A systematic review and meta-analysis
- 2022
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In: Neuroscience and Biobehavioral Reviews. - : Elsevier. - 0149-7634 .- 1873-7528. ; 133
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Journal article (peer-reviewed)abstract
- Alexithymia, a difficulty identifying and expressing emotions experienced by oneself or others, measurably harms quality of sleep. Research has observed the association between alexithymia and sleep problems; however, the cumulative effect of this association is still unknown. Therefore, this systematic review and meta-analysis was conducted to present scientific evidence regarding the relationship between alexithymia and sleep quality. Adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline, and using relevant keywords, we searched six databases: Scopus, PubMed Central, ProQuest, ISI Web of Knowledge, EMBASE, and Science Direct. We selected observational studies on the association between alexithymia and sleep. We conducted meta-analysis using a random-effect model to calculate the effect size (ES) with Fisher's z transformation. Eligible studies (N = 26) in 24 papers included 7546 participants from 12 countries. The entire ES for the association between alexithymia and sleep was 0.44 (95 % CI: 0.31, 0.56). Additionally, patient populations had a larger ES (ES = 0.55; 95 % CI: 0.30, 0.79) than healthy populations (ES = 0.30; 95 % CI: 0.20, 0.41). The results of the present systematic review and meta-analysis revealed a significant association between alexithymia and sleep problems, especially among people with any medical condition.
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| 9. |
- Alimoradi, Z., et al.
(author)
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Mediating role of psychological distress and domestic violence in the association of fear of COVID-19 with marital satisfaction and sexual quality of life among women of reproductive age : An Iranian cross-sectional study
- 2023
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In: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 13:2
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Journal article (peer-reviewed)abstract
- OBJECTIVES: This study aimed to determine the mediating role of psychological distress and domestic violence in the association of fear of COVID-19 with marital satisfaction and sexual quality of life (QoL) among Iranian women of reproductive age. METHODS: A cross-sectional study comprising 324 married women was conducted. Online convenience sampling was used to collect data. SPSS PROCESS macro was used for the mediation analysis. The direct and indirect effects of the fear of COVID-19 on sexual QoL and marital satisfaction were estimated comprising a 95% CI using 5000 bootstrap samples. Pairwise comparisons between the mediators were calculated by Hayes' macros. RESULTS: A positive/negative or suspected history of COVID-19 infection had marginally significant relationship with marital satisfaction (p=0.049). The total effect of fear of COVID-19 on sexual QoL was significant (b=-1.31, SE=0.20, p<0.001). Fear of COVID-19 had no significant direct effect on sexual QoL (b=-0.22, SE=0.19, p=0.24) but it had an indirect effect on sexual QoL via mediation of psychological distress (b=-0.34, SE=0.09, 95% CI: -0.53 to -0.19) and domestic violence (b=-0.75, SE=0.18, 95% CI: -1.12 to -0.40). The total effect of fear of COVID-19 on marital satisfaction was significant (b=-1.91, SE=0.32, p<0.001). Fear of COVID-19 had no significant direct effect (b=0.20, SE=0.25, p=0.42) on marital satisfaction but it had an indirect effect on marital satisfaction via mediation of psychological distress (b=-0.59, SE=0.13, 95% CI: -0.86 to -0.36) and domestic violence (b=-1.51, SE=0.29, 95% CI: -2.08 to -0.92). CONCLUSION: The fear of COVID-19 during the pandemic indirectly decreased women's marital satisfaction and sexual QoL via increased psychological distress and domestic violence. Consequently, in critical situations such as the COVID-19 pandemic, improving couples' psychological health and reducing domestic violence are likely to improve women's sexual QoL and marital satisfaction.
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| 10. |
- Alimoradi, Z., et al.
(author)
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Socio-demographic predictors of dyadic sexual communication among Iranian married women
- 2022
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In: Sexologies. - : Elsevier. - 1158-1360 .- 1878-1829. ; 31:4, s. 311-317
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Journal article (peer-reviewed)abstract
- Background and aim: Couples’ communication concerning sexual issues is influenced by various individual and social factors. The present study investigated the socio-demographic predictors of dyadic sexual communication among married women of reproductive age.Methods: A cross-sectional survey study was conducted from May to October 2019 in comprehensive health centers of Qazvin City, Iran. The participants comprised 400 married women with mean age of 35.66 years recruited via a two-stage sampling method. The Dyadic Sexual Communication Scale (DSCS) and a socio-demographic questionnaire were used for data collection. Univariable and multivariable linear regression models with a significance level of 0.05 were used for statistical analysis.Results: The mean score of sexual communication was 59.19 out of 78 (SD = 12.63). Based on multivariable linear regression model, life satisfaction (β = 0.34 high vs. moderate), frequency of sexual intercourse (β = 0.20), moderate vs. poor economic status (β = 0.12), and using contraception (β = −0.09) were predictors of good dyadic sexual communication. These variables explained 32% of the variance concerning dyadic sexual communication among married women of reproductive age.Conclusion: Life satisfaction, frequency of sexual intercourse, moderate economic status, and using contraception were predictors of good dyadic sexual communication.
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