{"title":"The Structural Model of Self-acceptance, Thematic Relationships and Hope for Employment through Mediating Sense of Agency and Its Effect on Life Quality of Blind and Low-vision Graduates","authors":"Fatemeh Asvadzadeh, S. Safarzadeh, R. Homaei","doi":"10.18502/jchr.v12i9.13152","DOIUrl":"https://doi.org/10.18502/jchr.v12i9.13152","url":null,"abstract":"Background: The present study aims to use structural model in explaining the effect of unconditional self-acceptance, the quality of thematic relationships, and the hope for employment regarding the life quality of blind and visually impaired students based on the mediating role of the sense of agency. \u0000Methods: This study used descriptive research method of correlation type, which was carried out by structural equations. Moreover, this project was practical in terms of purpose. The statistical population of the current research included all the 12 to 35 blind and partially sighted people who were members of the Blind Association of Khuzestan province in 2022 with, university education (associate to doctorate). Targeted face sampling was used, and research tools included the following questionnaires: Life Quality of the Blind and Visually Impaired (2000), Unconditional Self-Acceptance (2001), the Quality of Subjective Relationships (1985), the Employment Hope (2007) and the Sense of Agency for People with Visual Impairments (2007). Data were analyzed using descriptive statistics and structural equation modeling (SEM). \u0000Results: The sum of squared multiple correlations (R2) for quality of life was equal to 0.58 (P = 0.001, β = 0.358). Accordingly, it can be said that the sense of agency mediates the effect of quality of the subject relationships regarding life quality of the blind graduates in a negative way, and the effect of hope for employment (β = 0.303, P = 0.001) and unconditional acceptance (β = 0.254, P = 0.001) on their life quality in a positive and meaningful way. \u0000Conclusion: Hope for employment and self-acceptance and the quality of local relationships as well as the sense of agency affect the life quality of blind and visually impaired people, and psychologists and people who are in contact with them.","PeriodicalId":15521,"journal":{"name":"Journal of Community Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44259807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk Perception, Behavior Change and Perceived Impact due to COVID-19 Pandemic among General Population in Tamil Nadu, India: A Cross-Sectional Study","authors":"Hemalatha Kumarasamy, P. Thangaraj","doi":"10.18502/jchr.v12i5.12811","DOIUrl":"https://doi.org/10.18502/jchr.v12i5.12811","url":null,"abstract":"Background: Coronavirus disease 2019 (COVID-19) has affected countries all over the world. Assessment of risk perception and scaling up appropriate behavioral practices are of utmost importance for its prevention and control. The objectives of this study were identifying risk perception, behavioral changes and perceived impact as a result of COVID-19 and its associated factors among general population. \u0000Methods: A cross-sectional study was done during the first wave of COVID-19 among general population in Tamil Nadu, India. A semi-structured questionnaire was prepared in Google forms and circulated using whatsapp during April and June 2020. The sample size was calculated at 384. Data were analyzed using SPSS software version 21.0. Association between the variables was analyzed using Chi-square test. P-value <0.05 was considered significant. \u0000Results: Mean age was 38.4 ±13.8, and 52.1% of the participants were females. Almost 2/3rdhad perceived risk of catching COVID-19, which was more among respondents aged 20-39 and residing in urban area. Among the behavior change measures, wearing mask in public places was practiced by 95%, followed by hand washing (90.4%) and social distancing (80%). More than 50% had some form of psychological stress that included inability to perform their daily routines, anxiously browsing media for information about COVID-19, not going to work .etc. \u0000Conclusion: General public staying in rural areas have not completed secondary school education, and the elderly have to be targeted to provide appropriate information about COVID-19 and its preventive measures. ","PeriodicalId":15521,"journal":{"name":"Journal of Community Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43285689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Kalantari, H. Zareei Mahmood Abadi, N. Sedrpoushan
{"title":"A Qualitative Study on Prolonged Grief for the Loss of Spouse in the COVID-19 Pandemic: Exploring Lived Experience","authors":"M. Kalantari, H. Zareei Mahmood Abadi, N. Sedrpoushan","doi":"10.18502/jchr.v12i6.12812","DOIUrl":"https://doi.org/10.18502/jchr.v12i6.12812","url":null,"abstract":"Background: Millions of people's lives, as well as their physical and mental health, were put in jeopardy when COVID-19 emerged. The pandemic resulted in a high death rate. Health protocols prevented the bereaved from attending the funeral. As a result, many people faced unfinished mourning. This study was conducted with the aim of identifying the meaning of mourning and the strategies used by bereaved spouses \u0000Methods: The research method was qualitative and based on descriptive phenomenological strategy. Among the bereaved people who met the criteria to enter the research, 15 people were selected using the purposeful sampling method and using semi-structured interviews until saturation was reached. The data were coded using the Colaizi method and finally the results were analyzed using the Max Quda software. \u0000Results: After extracting the research findings in the form of 460 concepts, 27subcategories, and 9 main categories, they were represented as an educational package. Major themes were the obligation to hold mourning, social feedback from others, gradual healing, the experience of widowhood, existential emptiness, psychological collapse, the progressive repercussions of widowhood, and comprehensive self-talk about complicated pathological effects of death and mourning \u0000Conclusion: Considering Coronavirus disease (COVID-19) and the lack of mourning for the loss of a spouse, health care practitioners must address these women's psychological and social needs. Thus, knowing these problems can assist health care workers and bereaved women's families in minimizing the psychological challenges of acute sorrow.","PeriodicalId":15521,"journal":{"name":"Journal of Community Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43011858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ravish S Haradanhalli, N. Kumari, Ramya Mandya, Jithin Surendran
{"title":"A Cross-sectional Study on Factors Influencing Health Services Utilisation for under-Five Morbidities in South Bengaluru","authors":"Ravish S Haradanhalli, N. Kumari, Ramya Mandya, Jithin Surendran","doi":"10.18502/jchr.v12i7.12813","DOIUrl":"https://doi.org/10.18502/jchr.v12i7.12813","url":null,"abstract":"Background: World Health Organization (WHO) estimates that seeking prompt and appropriate healthcare could reduce child deaths by nearly 30%. In this background, the present study was conducted to 1. assess the health services utilization for diarrhoea and ARI (acute respiratory infections) among under-5 children in South Bengaluru, 2. determine the factors influencing mothers for utilization of health services. \u0000Methods: Authors conducted a cross-sectional study in 10 randomly selected wards of South Bengaluru from July, 2019 to January, 2020 using multistage sampling. 432 mothers with under-5 children were interviewed regarding morbidities of their children in the previous one month and the health services they utilised, using a semi-structured questionnaire derived from multiple indicator cluster survey (MICS) by UNICEF. Data were analysed using SPSS 21.0 for descriptive statistics and logistic regression. \u0000Results: 95 of the participants had illnesses in the past one month; but, only 41 had used health facilities for treatment, mainly in the private sector (68.3%). The reasons for non-utilization of healthcare services were negligence (36.9%), long waiting time at the center (22.4%), financial constraints (20.4%) and mothers’ jobs (9.6%). The most significant factors influencing the health services utilisation were: literacy status of the mother (predisposing factor), low socio-economic status/ BPL (below poverty line) families (enabling factor), and severity of symptoms (need factor). \u0000Conclusion: Utilisation of healthcare services for under-five morbidities in the studied population was inadequate. The influencing factors have to be addressed on a priority basis to fulfil the goal of universal health coverage.","PeriodicalId":15521,"journal":{"name":"Journal of Community Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49494834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Tutorial on Evaluation Indices of Statistical Performance: A Review Study","authors":"F. Madadizadeh, Hooman Yekrang Safakar, Bita Forootani, Malihe Bolukyazdi, Zohreh Khosravani Shooli, Sajjad Bahariniya","doi":"10.18502/jchr.v12i4.12659","DOIUrl":"https://doi.org/10.18502/jchr.v12i4.12659","url":null,"abstract":"Statistical indicators are essential parts of research in many scientific fields such as health and treatment. These indicators play a major role in the evaluation of many health indicators in the general population and can help predict future issues. Statistical indicators are needed to evaluate performance of the tests. Two of the primary indicators are sensitivity and specificity, and other indices are obtained from them. In this tutorial study, evaluation indicators of statistical performance such as false negative rate (FNR), false positive rate (FPR), false discovery rate (FDR), false omission rate (FOR), bookmaker informedness (BM), markedness (MK), diagnostic odds ratio (DOR), positive likelihood ratio (PLR), negative likelihood ratio (NLR), prevalence threshold (PT), threat score (TS), prevalence (P), Fowlkes-mallows (FM), Phi-coefficient or Matthews correlation coefficient (MCC) and F1 score have been reviewed. \u0000 ","PeriodicalId":15521,"journal":{"name":"Journal of Community Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43626089","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Investigating the Relationship between Job Fit and Job Stress and Organizational Performance of Yasuj Health Center Personnel in the West of Iran","authors":"Farnaz Shojaei, Z. Karimiankakolaki","doi":"10.18502/jchr.v12i3.12658","DOIUrl":"https://doi.org/10.18502/jchr.v12i3.12658","url":null,"abstract":"Background: Stress of managers and employees of the organization reflected in the efficiency of the organization. The aim of this study is to investigate the relationship between job fit and stress, and organizational performance of Yasuj Health Center Personnel in the west of Iran. \u0000Methods: This was an analytical cross-sectional study conducted in Yasuj in the west of Iran in 2020. The statistical population included all managers, experts and staff in health centers of Yasuj. The sample consisted of 196 people who were selected using the convenience sampling method. The instruments used in this study was job Fit suitability, health, safety, environment (HSE) job stress, and organizational performance questionnaires. Descriptive indicators of mean score and standard deviation were also evaluated. Pearson correlation coefficient test and multiple linear regression analysis were used to analyze data by SPSS 20 and a significance level of less than 0.05. \u0000Results: There was a direct and significant relationship between job fit, personality and job stress and organizational performance (R = 0.633 and P-value = 0.001) (R = 0.612 and P-value = 0.001); there was a significant relationship between job fit and job stress(R = 0.881 and P-value = 0.001). Moreover, all components of job fit and job stress were able to predict organizational performance (p < 0.05). The variables of job stress and job fit had an effect on the organizational performance of the employees. \u0000Conclusion: Considering the strong and positive relationship between job fit and stress and organizational performance, it can be concluded that job fit, organizational performance, and job stress have a significant relationship.","PeriodicalId":15521,"journal":{"name":"Journal of Community Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44695300","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohammad Ziaadini, Mohammad SadeghAbolhasani, Homa Khazaee, M. Zarezadeh, S. Asadi, farzane ghorbani, E. Salarikhah
{"title":"Explaining the Factors Involved in Psychological Effects of Covid-19 on Healthcare Workers by Interpretive Structural Modeling","authors":"Mohammad Ziaadini, Mohammad SadeghAbolhasani, Homa Khazaee, M. Zarezadeh, S. Asadi, farzane ghorbani, E. Salarikhah","doi":"10.18502/jchr.v12i2.12328","DOIUrl":"https://doi.org/10.18502/jchr.v12i2.12328","url":null,"abstract":"Introduction: Spread of COVID-19 worldwide created anxiety, fear, and stress. In the meantime, healthcare workers have been suffering from significant psychological distress due to providing direct care to the patient, side injuries and quarantine. Examining the effects of this disease based on structural models can help develop a more appropriate program. Therefore, the present research aims to investigate and identify the factors involved in reduction of psychological effects of COVID-19 by interpretive structural modeling. \u0000Methods:This study was a mixed study (quantitative and qualitative). The study population included doctors, supervisors and nurses of the clinical departments of Khatam-ul-AnbiyaAbarkoh Hospital in Yazd. The participants were selected using the snowball sampling method. Semi-structured interviews were used to collect data. In the quantitative part of the research, the structural self-interaction matrix was used based on our pairwise comparisons between the research components in the form of a square matrix to receive experts' votes and opinions. . The final analysis was performed by MATLAB2018. \u0000Result:The results show that the greatest effects are related to \"appropriate measures to reduce the disease such as environmental ventilation\" and \"financial support of personnel\" and \"sufficient provision of personal protective equipment\" and \"dedicated sufficient manpower to the involved departments\" (with a power of 8). And the lowest influence is related to \"continuous training of stress management and constant presence of a psychologist\" (with an influence of influence 5) \u0000Conclusion:In a situation where the medical staff have a serious responsibility, it is necessary to maintain their mental health, because the main role in fighting this virus is definitely the responsibility of these people. The basic factors in the research model include continuous stress management training, the presence of a psychologist, and inspection of infected areas. by the management team and providing adequate personal protective equipment. As a result, the factors involved in reducing the psychological burden and the prevailing conditions should originate from the mentioned variables and be extended to other variables.","PeriodicalId":15521,"journal":{"name":"Journal of Community Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47055039","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Patel Bhoomika D., Dave Jigna D., Mehta Jilan R, Engti Raktim, Gohel Kalpeshkumar K, Agrawal Siddhant V., Pujari Shivkumar, Kalkotar Sandeep
{"title":"Clinical Profile and Pulmonary Function Tests among Females Exposed to Household Fuel Smoke in Bhavnagar, Gujarat: A Cross-Sectional Study","authors":"Patel Bhoomika D., Dave Jigna D., Mehta Jilan R, Engti Raktim, Gohel Kalpeshkumar K, Agrawal Siddhant V., Pujari Shivkumar, Kalkotar Sandeep","doi":"10.18502/jchr.v12i1.12327","DOIUrl":"https://doi.org/10.18502/jchr.v12i1.12327","url":null,"abstract":"Background: Studies from developing countries, suggest that exposure to smoke from household fuels like wood, animal dung, and kerosene used for domestic cooking, may be a risk factor for airway diseases among women. This study aims to find the effect of household fuel smoke among them through clinical profile and pulmonary function test. \u0000Methods: A cross-sectional study was conducted in respiratory medicine outpatient department of Sir T Hospital in Government Medical College, Bhavnagar. Female participants were interviewed with pretested semi-structured questionnaires. They included respiratory symptoms, housing condition, kitchen environment, type of household fuels, habits and history of passive smoking, the number of hours per day and the number of years spent for cooking (biomass exposure index). Chest x-ray and pulmonary function tests like spirometry and diffusion capacity of lungs were performed. Through purposive sampling, 100 female participants were included in the study, and data were analyzed using SPSS version 17.0 versions and Chi-square test. \u0000Results: The total number of participants was 100 with a mean age of 46.89±12. Three out of 10 had a history of passive smoking. Most of the patients suffered from dyspnea (84%) and cough (76%) as the main symptoms. Nearly half (43%) of them had a runny nose. 30% were passive smokers and 70% were nonsmokers. The patients’ cough and expectoration had a significant association with forced expiratory volume (FEV1)/ Forced Vital Capacity (FVC) > 70 (P=0.02). The study suggested that with aging, the odds for Fev1/FVC becoming <70 (OR: 4.24; 95% CI: 1.14-15.72, p=0.03) goes higher. The patients who had a history of exposure to smoking had higher odds of having FEV1/FVC<70 (OR: 4.000; CI: 1.4851 to 10.7739, p=0.006). \u0000Conclusion: The findings suggest that clinical symptoms like dyspnea and cough are significant when there is exposure to household fuels like kerosene, animal dung and wood usage. Smoke emitted from such fuels play an important role in deterioration of lung functions. Efforts should be made to create awareness regarding household fuel smoke effect on health and reduction of their use.","PeriodicalId":15521,"journal":{"name":"Journal of Community Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46331162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
C. Kouta, Venetia-Sofia Velonaki, R. Lazzarino, E. Rousou, P. Apostolara, A. Doru, V. Dudau, Athena Kalokairinou, O. Licciardello, Manuela Mauceri, Elena Nikolaidou, A. Pezzella, Christina Samartzi, A. Kuckert-Wöstheinrich, I. Papadopoulos
{"title":"Empowering the Migrant and Refugee Family's Parenting Skills: A Literature Review","authors":"C. Kouta, Venetia-Sofia Velonaki, R. Lazzarino, E. Rousou, P. Apostolara, A. Doru, V. Dudau, Athena Kalokairinou, O. Licciardello, Manuela Mauceri, Elena Nikolaidou, A. Pezzella, Christina Samartzi, A. Kuckert-Wöstheinrich, I. Papadopoulos","doi":"10.18502/jchr.v11i4.11735","DOIUrl":"https://doi.org/10.18502/jchr.v11i4.11735","url":null,"abstract":"Bachground: Worldwide, more than 79.5 million people are forcibly displaced, including a significant number of migrant and refugee families with children. Migration and refugeedom affect these families in different dimensions, such as mental, physical and spiritual health. Identifying family needs and enhancing parenting skills can improve family cohesion and health, as well as smooth integration into the host country. This review is part of the Erasmus+ funded project- IENE 8 (Intercultural Education for Nurses in Europe) aiming at empowering migrant and refugee families regarding parenting skills. \u0000Methods: This was a scoping review of literature. The IENE 8 partner countries (Cyprus, Germany, Greece, Italy, Romania, and United Kingdom) searched for peer reviewed papers, grey literature and mass media reports at international, European and national level. The time period for the search of scientific and grey literature was between2013-2018, and for mass media, it was between 2016 and 2018. \u0000Results: 124 relevant sources were identified. They included 33 Peer reviewed papers, 47 Grey literature documents and 44 mass media reports. This revealed the importance of understanding the needs of migrant families with children. \u0000Conclusion: It is evident from the literature that there is a need to support refugee parents to adjust their existing skill and to empower them to develop new ones. Healthcare and social services professionals have an essential role in improving the refugees' parenting skills. This can be done by developing and implementing family-centered and culturally-sensitive intervention programs.","PeriodicalId":15521,"journal":{"name":"Journal of Community Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48487139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elahe Afshari, Mohammad Ismail Ebrahimi, A. Haddadi
{"title":"The Effect of Acceptance and Commitment Group Therapy on Emotional Divorce and Self-efficacy of Working Couples","authors":"Elahe Afshari, Mohammad Ismail Ebrahimi, A. Haddadi","doi":"10.18502/jchr.v11i4.11734","DOIUrl":"https://doi.org/10.18502/jchr.v11i4.11734","url":null,"abstract":"Introduction: Emotional divorce happens when a man and a woman live coldly together but do not request a legal divorce. So the aim of this study is to investigate the impact of acceptance and commitment group therapy (ACT) on emotional divorce and self-efficacy of couples. \u0000Methods: This was a experimental study with a control group. The statistical population consisted of 338 married people working in an industrial factory in Bu Ali town of Hamedan province in 2020. After distributing an emotional divorce questionnaire, authors selected 60 people with emotional divorce problems. Then, 40 people who had obtained average scores in the self-efficacy questionnaire were selected as the sample and were randomly divided into experimental and control groups. The experimental group received acceptance and commitment-based treatment for 8 weeks, but the control group did not receive any intervention. Research instruments were Gottman's Emotional Divorce Questionnaire (1994) as well as self-efficacy questionnaire of Scherer et al., (1982) used as a pre-test-post-test. SPSS version 23 software was used for data analysis Shapiro-Wilk test was used to evaluate the normality of the distribution of the variables. According to the level of significance (P <0.05) of the variables of emotional divorce and self-efficacy, the normality of the distribution of scores in the experimental and control groups is confirmed. Leven's test was used to examine the presumption of variances' equality of the two groups in the population. \u0000Results: The results of analysis of covariance showed that acceptance and commitment group treatment reduced the scores of emotional divorce (p <0.05) and increased self-efficacy (p <0.05) in the experimental group compared to the control group in the post-test phase. The results of Leven test for the emotional divorce variable (P = 0.414, F = 0.682) and self-efficacy variable (P = 0.601, F = 0.278) confirmed variances' equality \u0000Conclusions: Acceptance and commitment group therapy was able to significantly reduce emotional divorce and increase self-efficacy compared to the control group. Therefore, it is possible to prevent acceptance and commitment therapy to reduce emotional divorce and prevent psychological and social damage.","PeriodicalId":15521,"journal":{"name":"Journal of Community Health Research","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46278605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}