Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 21 2 2026 01 05 151 153 Amir Hossein Goudarzian Nasibeh Faculty Nursing and Midwifery, Mazandaran University of Medical Sciences, Sari, Iran. Tahereh Yaghoubi Psychosomatic Research Center, Mazandaran University of Medical Sciences, Sari, Iran. 2025 09 14 2025 12 08 No Abstract Abstract Abstract https://ijps.tums.ac.ir/index.php/ijps/article/view/4392 https://ijps.tums.ac.ir/index.php/ijps/article/download/4392/1322

Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 21 2 2026 03 17 154 155 Zahra Nazari Taloki Cellular and Molecular Biology Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran AND Department of Clinical Pharmacy, School of Pharmacy, Babol University of Medical Sciences, Babol, Iran. 2025 12 08 2026 02 07 No Abstract Abstract Abstract   https://ijps.tums.ac.ir/index.php/ijps/article/view/4503 https://ijps.tums.ac.ir/index.php/ijps/article/download/4503/1333

Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 21 2 2026 02 24 156 163 EN Taner Adıgüzel Department of Child Health and Diseases, Faculty of Medicine, Yalova University, Yalova, Türkiye. Mehmet Bahçekapılı Department of Religious Education, Faculty of Theology, Yalova University, Yalova, Türkiye. 2025 12 10 2026 02 03 Objective: To determine levels of positive/negative religious coping and psychological resilience among mothers of children admitted to a pediatric intensive care unit (PICU) and to examine their associations with sociodemographic characteristics and perceived psychosocial support needs. Method: This descriptive, cross-sectional study was conducted between June and December 2025 in a pediatric intensive care unit; 100 mothers were recruited via face-to-face interviews. Data were collected using a sociodemographic form, the Brief RCOPE (positive/negative subscales), and the Brief Resilience Scale. Results: Scores for Positive religious coping were high (mean = 3.20 ± 0.60), negative religious coping was low (mean = 1.55 ± 0.50), and resilience scores were moderate (mean = 19.35 ± 5.18). Mothers who reported needing psychosocial support had higher positive and negative religious coping scores but lower resilience. Negative religious coping was negatively associated with resilience (r = −0.246, P = 0.014), whereas positive religious coping was not. Conclusion: The findings suggest that, in addition to psychosocial support, targeted spiritual care may be particularly important for mothers showing elevated negative religious coping during their child’s PICU hospitalization. https://ijps.tums.ac.ir/index.php/ijps/article/view/4509 https://ijps.tums.ac.ir/index.php/ijps/article/download/4509/1327

Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 21 2 2026 02 18 164 178 Rezvan Salehi Department of Counseling, Faculty of Literature and Humanities, Shahrekord University, Shahrekord, Iran. Zahra Ardeshiri Department of Counseling, Faculty of Literature and Humanities, Shahrekord University, Shahrekord, Iran. Mohammad Reza Mohammadi Psychiatry and Psychology Research Center, Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran. 2025 09 07 2025 12 08 Objective: The aim of this study was to investigate the occupational hazards faced by psychiatrists and their protective strategies against these challenges. Method: The research adopted a qualitative approach with a thematic analysis strategy. The study included 15 psychiatrists selected through purposive sampling until theoretical saturation was achieved. Data were collected using semi-structured interviews and analyzed with MAXQDA 2024 software. The analysis was conducted based on Attride-Stirling’s thematic network framework and involved systematic coding of meaning units and progressive abstraction into basic, organizing, and global themes. Results: Based on the analysis of interview transcripts, 73 basic themes, 11 organizing themes, and 3 global themes were identified for occupational hazards, along with 8 organizing themes for protective strategies. The global and organizing themes for hazards included: intrapersonal hazards (psychological stress, burnout, and clients’ social and cultural issues), interpersonal hazards (distress from patient interactions, domestic erosion, and lack of collegial cooperation), and Transpersonal hazards (organizational constraints, lost professional status, repetitive exhaustion under outdated infrastructure, and financial discrimination). The organizing themes for protective strategies encompassed psychological flexibility, passion for service, spiritual coping, professional growth, professional collaboration, restorative activities, therapeutic communication, and optimization of the treatment environment. Conclusion: This qualitative study identified psychiatrists’ occupational hazards across three dimensions -intrapersonal, interpersonal, and supra-personalwhile also highlighting critical protective strategies such as psychological flexibility and professional growth. The findings underscore the necessity for comprehensive support for psychiatrists’ mental health and the development of supportive resources. These results can serve as a foundation for future policy-making in the field of mental health. However, the findings should be interpreted in light of the study’s limited sample size and regional scope. https://ijps.tums.ac.ir/index.php/ijps/article/view/4384 https://ijps.tums.ac.ir/index.php/ijps/article/download/4384/1324

Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 21 2 2026 02 21 179 191 EN Fatemeh Serjouie Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Amir Sam Kianimoghadam Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Hoda Doosalivand Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Zeinab Farjampanah Department of Clinical Psychology, School of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran. Abbas Masjedi-Arani Department of Clinical Psychology, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. 2025 06 12 2025 11 26 Objective: Childhood trauma and attachment styles are critical factors influencing prolonged grief symptoms in bereaved adults. This study investigates the relationship between childhood trauma, attachment styles, and prolonged grief symptoms considering the mediating role of mentalization, shame, and guilt in bereaved adults. Method: The present research is a cross-sectional descriptive study with a correlational design utilizing path analysis. The statistical population of this study includes bereaved individuals, selected by the convenience sampling method. A total of 311 participants completed to the PG-13-R, CTQ, RAAS, RFQ, and SSGS questionnaires. SPSS 24 and PLS 3 were employed for data analysis using path analysis modeling. PLS-SEM, a variance-based approach suitable for non-normal and complex models with multiple mediators, was used for path analysis modeling. Results: The study results demonstrated a significant direct relationship of childhood trauma (β = 0.29, P = 0.006) and attachment styles (β = 0.23, P = 0.020) with prolonged grief symptoms. The critical finding in this research concerns the mediating variables. According to the results, shame significantly mediated the overall model (β = 0.10, P = 0.042), specifically between between attachment styles and prolonged grief symptoms (β = 0.10, P = 0.044), while mentalization and guilt were not significant mediators. In total, 60% of the variance in prolonged grief symptoms can be explained by predictive variables (R² = 0.609), including childhood trauma, attachment style, mentalization, shame, and guilt. Conclusion: These findings emphasize the role of shame in the prolonged grief symptoms among adults with childhood trauma histories and insecure attachments. Therefore, the findings suggest that interventions targeting shame could be effective in reducing prolonged grief symptoms. https://ijps.tums.ac.ir/index.php/ijps/article/view/4153 https://ijps.tums.ac.ir/index.php/ijps/article/download/4153/1325

Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 21 2 2026 03 18 192 201 Zahra Heidari Archandani Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. Isaac Rahimian-Boogar Department of Clinical Psychology, Faculty of Psychology and Educational Sciences, Semnan University, Semnan, Iran. 2025 10 25 2026 02 18 Objective: Psychological and behavioral factors play a critical role in diabetes management. This study investigates the structural relationships among the informational-motivational-behavioral skills (IMB) and acceptance and commitment processes with self-management, treatment adherence, and Glycated hemoglobin (HbA1c) levels in diabetic patients, with distress as a mediator. Method: A cross-sectional study was conducted with 321 patients with type 2 diabetes patients referred to health centers in Jiroft, Iran. Data were collected using the Diabetes Self-Management Questionnaire-Revised (DSMQ-R), the IMB-based Diabetic Self-Management Scale (IMB-DSMS), the Diabetes Distress Scale (DDS-17), the Diabetes Acceptance and Action Scale-Revised (DAAS-R), and the Diabetes Mellitus Treatment Adherence Scale (DMTAS). Structural equation modeling (SEM) was employed using LISREL-8.8 for analysis. Results: Acceptance and commitment were positively associated with IMB skills (β = 0.34, P < 0.001), self-management (β = 0.51, P < 0.001), and treatment adherence (t = 8.19, β = 0.55), while negatively associated with distress (β = -0.24, P < 0.001). IMB skills were associated with increased self-management (β = 0.43, P < 0.001) and adherence (β = 0.46, P < 0.001), and also negatively associated with distress (β = -0.40, P < 0.001). Distress was also negatively associated with self-management (β = -0.22, P < 0.001) and adherence (β = -0.29, P < 0.001), and positively associated with HbA1c levels (β = 0.19, P < 0.001). Bootstrap results confirmed distress as a mediator between IMB skills, acceptance, and commitment, and self-management/adherence (P < 0.05). The model showed excellent fit (RMSEA = 0.046, χ²/df = 2.51). Conclusion: This cross-sectional study tested a structural model integrating acceptance-commitment and IMB frameworks. Findings highlight associations among psychological flexibility, IMB skills, reduced distress, and improved self-management. These relationships inform potential intervention targets. Longitudinal and experimental studies are required to evaluate causal effects and clinical implementation. https://ijps.tums.ac.ir/index.php/ijps/article/view/4447 https://ijps.tums.ac.ir/index.php/ijps/article/download/4447/1334

Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 21 2 2026 03 10 202 211 Farzin Malakooti Department of Psychology, University of Birjand, Birjand, Iran. Ahmad Khamesan Department of psychology, University of Birjand, Birjand, Iran Hadi Samadieh Department of Psychology, University of Birjand, Birjand, Iran. Mohammad Hossein Sorbi Department of Psychology, University of Birjand, Birjand, Iran. 2025 08 01 2025 10 18 Objective: Given the importance of mental health during adolescence and the considerable prevalence of psychological problems among this age group, along with the limited epidemiological data available in South Khorasan province, Iran, the present research focused on determining the prevalence of internalizing and externalizing problems in regional school-aged adolescents and analyzing related demographic characteristics. Method: This descriptive cross-sectional study included 1,152 adolescents aged 12 to 19 years (mean age = 15.42, SD = 1.65) from Birjand City. A multistage random sampling method was employed to select the participants. Data were collected using the self-report version of the Strengths and Difficulties Questionnaire (SDQ), which measures internalizing and externalizing problems. To analyze the data, descriptive statistics were computed and comparative analyses were performed. Demographic variables such as age, gender, academic performance, school grade, and school type were also included in the analysis. Results: The prevalence of internalizing problems among the participants was 36.8% (95% confidence interval: 34.0 to 39.6), whereas externalizing problems were identified in 15.2% (95% CI: 13.0 to 17.4). Internalizing problems were significantly more prevalent among girls (40.1%) than boys (32%). However, no significant gender difference was found in externalizing problems (girls: 14.5%, boys: 15.8%). Emotional problems (28.6%) and hyperactivity (10.4%) were significantly more common in girls, while peer problems (61.7%) and conduct problems (17.5%) were higher in boys (P < 0.01). Adolescents with poor academic performance and those attending public schools reported higher levels of psychological problems (P < 0.01). Conclusion: Internalizing problems are more common than externalizing problems among adolescents. The main risk factors include being female, poor academic performance, and attending public schools. Mental health programs and interventions should prioritize these high-risk subgroups to enhance preventive and therapeutic outcomes. https://ijps.tums.ac.ir/index.php/ijps/article/view/4339 https://ijps.tums.ac.ir/index.php/ijps/article/download/4339/1328

Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 21 2 2026 02 14 212 221 Tania Dehesh Department of Biostatistics and Epidemiology, School of Public Health, Kerman University of Medical Sciences, Kerman, Iran. Saradokht Pournamdari Pharmaceutics Research Center, Institute of Pharmaceutical Sciences, Kerman University of Medical Sciences, Kerman, Iran AND Department of Clinical Pharmacy, Faculty of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran.eutics Research Center, Institute of Neuropharmacology, Kerman University of Medical Sciences, Kerman, Iran https://ijps.tums.ac.ir/index.php/ijps/article/view/3518

Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 19 2 2024 03 16 226 234 Mohammad Reza Mohammadi Psychiatry and Psychology Research Center, Roozbeh Hospital, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Ameneh Ahmadi psychiatry and psychology research center Reza Karimi Department of Clinical Psychology, Roozbeh Hospital, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. Zahra Hooshyari Psychiatry and Psychology Research Center, Roozbeh Hospital, Faculty of Medicine, Tehran University of Medical Sciences, Tehran, Iran. 2023 08 02 2024 01 13 Objective: Psychosis is one of the most vital disorders in children and youths. The definite pathophysiology of schizophrenia and other psychotic disorders in the growth period has remained ambiguous. Therefore, the purpose of the current study was to investigate the predictive value of parental psychiatric disorders and the mediator role of comorbid disorders of children and youths. Method: The sample, consisting of 29884 individuals aged between 6 to 18 years old from the Iranian population, were selected by multistage cluster sampling during September 22, 2016 to January 3, 2018. Parents were requested to complete a survey around their potential psychiatric disorders, based on their Millon’s Clinical Multiaxial Inventory-III (MCMI-III). The Semi-Structured Interview (Kiddie-SADS-Present, Lifetime Form (K-SADS-PL)) was utilized to analyze psychiatric disorders concurring to the DSM. Results: The fit indices of the model show that the research model has a good fit and the psychiatric disorders of parents directly and indirectly through comorbid disorders are effective on the psychosis symptoms of children and adolescents (RMSEA=0.06, CFI=0.89, PGFI=0.75, PNFI=0.75).The incidence of Schizotypal Personality Disorder, Anxiety, Bipolar Spectrum Disorder, PTSD, Schizophrenia Spectrum and Delusional Disorder were statistically higher in parents of psychotic children and adolescents. However, Borderline Personality Disorder was more frequent among their mothers while Alcohol Dependency and Drug Dependency were significantly more prevalent among their fathers. Conclusion: The outcomes of our study showed that there were statistically significant differences between the mean scores of each scale assessed by Millon’s inventory between parents of psychotic versus non-psychotic pediatric cases. In addition, psychiatric disorders were more common among children and youths with psychosis spectrum in comparison with the general population. https://ijps.tums.ac.ir/index.php/ijps/article/view/3660

Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 19 2 2024 03 16 235 243 Gila Pirzad Jahromi Neuroscience Research Centre, Baqiyatallah University of Medical Sciences, Tehran, Iran. Hossein Gharaati Sotoudeh Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran. Romina Mostafaie Department of Psychology, Faculty of Psychology, Central Tehran Branch, Islamic Azad University, Tehran, Iran. Ali Khaleghi Psychiatry and Psychology Research Center, Tehran University of Medical Sciences, Tehran, Iran. 2022 09 18 2023 12 09 Objective: The lack of steady-state evoked potential (SSEP) studies on post-traumatic stress disorder (PTSD) has led to undiscovered useful information about the pathophysiology of the disorder. Thus, we explored SSEP patterns in PTSD patients during a stop-signal task to disclose possible impairments in these informative brain potentials. Method: 25 adult patients with PTSD and 25 healthy adults participated in this research. Subjects were assessed with electroencephalography while the tone signal stimuli at 40 Hz were used to evoke SSEPs and subjects performed a stop-signal task. The amplitude and phase of SSEPs were then computed in different brain regions. The subjects were also evaluated using the Mississippi PTSD questionnaire. Appropriate statistical methods such as repeated measure ANOVA were used to compare the two groups, and the correlation between SSEPs and clinical symptoms was assessed using Pearson correlation analysis. Results: Patients showed considerably poorer performance in the cognitive task (P < 0.01), accompanied by raised SSEP phase and amplitude in the anterior and midline regions compared to healthy controls (P < 0.05). The Mississippi total score was positively correlated with the SSEP amplitude in the midline region (r = 0.62, P < 0.05). Furthermore, based on ROC analysis, the SSEP amplitude in the midline region provided an excellent AUC value (AUC = 0.850) for distinguishing patients with PTSD from normal subjects. Conclusion: Current findings suggest that abnormalities in the anterior and midline cortical neural networks are involved in the pathophysiology of PTSD. Importantly, midline abnormalities may provide a clinically-relevant measure for researchers wishing to assess the use of biomarkers for early diagnosis of PTSD as well as to evaluate new therapeutic and management approaches in the treatment of PTSD. https://ijps.tums.ac.ir/index.php/ijps/article/view/3389

Tehran University of Medical Sciences Iranian Journal of Psychiatry 1735-4587 19 2 2024 03 16 244 251 EN Edgar Froilan Damián Núñez Universidad Nacional Mayor de San Marcos, Lima, Peru. Lucia Mireya Soria Villanueva Universidad Nacional Mayor de San Marcos, Lima, Peru. Marco Antonio Tejada Mendoza Universidad Nacional Mayor de San Marcos, Lima, Peru. Sandy Dorian Isla Alcoser Universidad Nacional Mayor de San Marcos, Lima, Peru. Jessica Paola Palacios Garay Universidad Nacional Mayor de San Marcos, Lima, Peru. Ronald Miguel Hernández Universidad Privada Norbert Wiener, Lima, Peru. 2023 11 30 2024 01 24 Objective: Traditionally, perfectionism has been regarded as a commendable trait in the realm o