Iranian Journal of Psychiatry最新文献

{"title":"Investigation of Relationship with God among Adolescents with Conduct Disorder: A Qualitative Content Analysis.","authors":"Maryam Salmanian, Mohammad Reza Mohammadi, Seyyed Muhammad Mahdi Mahdavinoor","doi":"10.18502/ijps.v20i4.19683","DOIUrl":"10.18502/ijps.v20i4.19683","url":null,"abstract":"<p><p><b>Objective:</b> Conduct disorder is characterized by aggressive behavior, cheating or theft, destruction of property, and serious violation of laws before the age of 18. Relationship with God is probably one of the factors that can play a role in preventing delinquent behaviors in individuals with conduct disorder through internal self-control. In this research, we intended to explore the relationship with God among adolescents with conduct disorder. <b>Method</b> <b>:</b> In this study, we used a directed qualitative content analysis research method. We interviewed 9 boys aged 12-17 years who had conduct disorder with or without substance use disorder at a correctional facility in Tehran. We collected the data using a purposive sampling method and continued until data saturation. All interviews were recorded and then transcribed verbatim. The interviews were analyzed using a content analysis method. <b>Results:</b> The boys' relationship with God was analyzed. Three themes were extracted from the interviews: 1) Perception of God, 2) Image of God, and 3) Worship. <b>Conclusion:</b> This study highlighted three main themes: Perception of God, Image of God, and Worship, which shape how adolescents with conduct disorder relate to spirituality. These findings can contribute to the development of culturally appropriate, faith-based therapeutic interventions.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"20 4","pages":"463-473"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712394/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Two Decades of Childhood Emotional Abuse Research: A Global Bibliometric Analysis (2005-2024).","authors":"Hossein Alizadeh, Mohammad Ali Mazaheri, Masoumeh Mousavi","doi":"10.18502/ijps.v20i4.19690","DOIUrl":"10.18502/ijps.v20i4.19690","url":null,"abstract":"<p><p><b>Objective:</b> Child emotional abuse (CEA) is associated with a wide range of detrimental consequences, both in childhood and adulthood. Despite its widespread prevalence and long-term impact, it has historically received less scholarly attention compared to physical and sexual abuse. To address this gap, his study presents the first global bibliometric analysis of CEA research from 2005-2024, mapping its evolution, thematic trends, and geographical distribution. <b>Method</b> <b>:</b> Using Scopus and PubMed, 1,040 articles and reviews in English were analyzed via the R-based Bibliometrix package. Descriptive, network, and thematic analyses identified publication patterns, collaboration networks, and conceptual trends. <b>Results:</b> Publications on CEA have risen sharply since 2018, with psychology, medicine, and psychiatry dominating the field. The United States, China, and Canada are the most productive countries, while many Low- and Middle-Income Countries (LMICs) remain underrepresented (e.g., Iran 0.96%). Trend analyses reveal a thematic shift from immediate psychological distress toward developmental mechanisms, transdiagnostic constructs (e.g., early maladaptive schemas), and culturally contextual factors. Thematic mapping shows underdeveloped core areas (e.g., depression, child trauma), well-developed motor themes (e.g., early maladaptive schemas, meta-analysis), and niche/emerging topics (e.g., fMRI, gene-environment interaction). <b>Conclusion:</b> CEA research is expanding toward integrative, culturally informed, and mechanism-focused frameworks, but definitional, methodological, and geographical gaps persist. Targeted investment in LMIC research, validated and culturally adapted tools, interdisciplinary collaboration, and prevention-oriented strategies are urgently needed.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"20 4","pages":"545-559"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Emergence of Suicidal Ideation: Testing the Three-Step Theory in Iranian Adolescents.","authors":"Reyhaneh Khishe, Reyhaneh Sardarzehi, Hoda Doosalivand, Hossein Fayazmanesh, Malek Bastami","doi":"10.18502/ijps.v20i4.19684","DOIUrl":"10.18502/ijps.v20i4.19684","url":null,"abstract":"<p><p><b>Objective:</b> Suicide is a global public health problem with significant adverse effects on individuals and society, especially among adolescents. Klonsky's three-step theory (3ST) of suicide explains suicidal ideation through three factors, namely hopelessness, psychological pain, and connectedness in two steps. No study has investigated connectedness (step 2) in combination with psychological pain and hopelessness (step 1) in prediction of suicidal ideation among adolescents. Thus, we empirically tested the first two steps of the 3ST in a sample of Iranian adolescents. <b>Method</b> <b>:</b> A total of 466 adolescents aged 12 to 20 years (356 females and 110 males) were recruited using convenience sampling. This cross-sectional study was conducted between September to November 2024. The participants completed self-report questionnaires on suicidal ideation, hopelessness, psychological pain, and connectedness. Hierarchical linear regression analysis was conducted to explore the impact of the interaction of hopelessness and psychological pain on suicidal ideation. In addition, we explored whether connectedness reduced the escalation of suicidal ideation in adolescents experiencing high psychological pain and hopelessness levels. <b>Results:</b> The findings showed that the interaction of hopelessness and psychological pain accounted for 59% of the variance in suicidal ideation (P < 0.001). Connectedness was found as a protective factor for suicidal ideation in adolescents who experience high levels of both psychological pain and hopelessness (r = 0.24, P < 0.001). <b>Conclusion:</b> These findings support the applicability of the first two steps of the 3ST for Iranian adolescents. Future research should examine all three steps of this theory in a clinical sample of adolescents.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"20 4","pages":"474-481"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712407/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Can Replacing Screen Time with Social-Media and Mobile Apps Enhance Social Skills in Autistic Children?","authors":"Azam Sadeghian, Nasim Javidypour, Mohammad Ali Mohammadi-Far, Mohaddeseh Mahmoudi Siahmazgi","doi":"10.18502/ijps.v20i4.19680","DOIUrl":"10.18502/ijps.v20i4.19680","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to assess the impact of reducing screen time and replacing it with social media platforms and assistive technologies on the development of social and communication skills in children with autism spectrum disorder (ASD). <b>Method</b> <b>:</b> A total of 30 children aged 4 to 8 years with a confirmed diagnosis of ASD were selected and randomly assigned to either an experimental group (n = 15) or a control group (n = 15). Over the course of eight weeks, the experimental group engaged in activities using social media apps and assistive technologies designed to enhance communication and social skills, while the control group continued with their regular screen time activities. Pre-test, post-test, and follow-up (four-week after post-test) assessments were conducted to measure the children's progress in social and communication skills. <b>Results:</b> The experimental group showed significant improvements in communication and social skills, with communication scores increasing from a pre-test mean of 21.2 (SD = 3.1) to a post-test mean of 14.1 (SD = 2.4), and maintaining at 13.9 (SD = 2.5) during follow-up. Social skills improved from a pre-test mean of 31.2 (SD = 4.0) to a post-test mean of 14.1 (SD = 3.0), remaining stable at 14.0 (SD = 3.2) at follow-up. In contrast, the control group showed minimal changes in both communication (pre-test: 20.9, post-test: 20.5, follow-up: 20.3) and social skills (pre-test: 30.9, post-test: 30.7, follow-up: 30.6). Analysis of covariance (ANCOVA) results indicated significant differences between the groups in communication (F (1, 28) = 8.47, P = 0.006, η² = 0.32) and social skills (F (1, 28) = 7.21, P = 0.010, η² = 0.28). Paired samples t-tests in the experimental group also revealed significant improvements from pre-test to post-test for both communication (mean difference = 10.21, t = 5.67, P < 0.001) and social skills (mean difference = 9.89, t = 5.43, P = 0.002), with effects maintained during follow-up. <b>Conclusion:</b> These findings emphasize the potential of using social media and assistive technologies as effective tools in fostering social and communication skill development in children with ASD.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"20 4","pages":"431-440"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712414/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Climate Change Awareness, Eco-Anxiety, and Anger among Yemeni Medical Students.","authors":"Asmaa Taha Ali Al-Taheri, Hebah Yassin Abduljabar Alsbiea, Tharwa Ghaleb Hassan Al-Barkani, Manal Ali Ahmed Mohammed, Futoun Mohsen Alkhulagi","doi":"10.18502/ijps.v20i4.19688","DOIUrl":"10.18502/ijps.v20i4.19688","url":null,"abstract":"<p><p><b>Objective:</b> Climate change is increasingly recognized as a global health threat. However, awareness and psychological responses to climate risks may vary across populations, particularly in conflict-affected regions. This study aimed to assess the levels of climate change awareness, climate anxiety, and aggression among Yemeni medical students. <b>Method</b> <b>:</b> A descriptive cross-sectional design was utilized for this study. The sample included 212 final-year students from all departments within the Faculty of Medicine and Health Sciences at Taiz University. Data were collected using validated scales for climate change awareness, the Climate Anxiety Scale, and the Buss-Perry Aggression Questionnaire. Descriptive statistics, group comparisons (t-tests and ANOVA), correlation analysis, and multiple linear regression were applied to identify significant relationships and predictors. <b>Results:</b> More than 60% of the participants demonstrated poor awareness of climate change, and over 50% reported low levels of climate anxiety. Moderate aggression scores were observed in more than half of the respondents. While aggression showed significant associations with sex and climate anxiety, no statistically significant relationship was found between climate change awareness and anxiety. <b>Conclusion:</b> Despite the environmental vulnerability of Yemen, medical students show limited awareness and low psychological response to climate change. This may reflect a focus on immediate survival needs in conflict-affected settings. Integrating climate-health education and psychological preparedness into medical curricula is essential to empower future healthcare providers in addressing climate-related health challenges.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"20 4","pages":"512-522"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Designing and Compiling a Special Parenting Package to Use Digital Technology in Iranian Children and Adolescents.","authors":"Javad Alaghband Rad, Anahita Karamooz, Vandad Sharifi, Farzaneh Raaii","doi":"10.18502/ijps.v20i4.19681","DOIUrl":"10.18502/ijps.v20i4.19681","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to design and validate a culturally tailored educational package for Iranian parents of children and adolescents aged 0 to 18. The package addresses the safe and effective use of a range of digital technologies, including social media, online games, and educational applications. It focuses on enhancing parents' knowledge, monitoring capabilities, and strategies to mitigate digital risks, with consideration of Iranian cultural values and family dynamics. <b>Method</b> <b>:</b> The content was developed through a review of literature across multiple English and Persian databases, including PubMed, Scopus, Web of Science, Iran Medex, Magiran, and SID. Relevant keywords and MeSH terms related to parenting, digital technology, and cultural adaptation were used. Cultural appropriateness was ensured through consultations with a panel of experts in psychiatry, child development, and digital education, along with qualitative input from Iranian parents via focus groups and interviews. <b>Results:</b> The finalized educational package comprises 12 well-structured chapters covering topics such as digital literacy, online safety, parental supervision, balancing screen time, effective family communication, and related legal and ethical issues contextualized for Iranian society. The package achieved high content validity, with all chapters scoring above 0.79 on the Content Validity Index (CVI) and Content Validity Ratio (CVR). <b>Conclusion:</b> This culturally adapted package offers an evidence-based resource that empowers Iranian parents by increasing their awareness, sharpening their supervisory and communication skills, and supporting the healthy and responsible use of digital technologies among their children. Future steps include pilot testing and evaluating the package's effectiveness and scalability in real-world settings.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"20 4","pages":"441-451"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712400/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental Risk Factors of Conduct Disorder: An Overview of Meta-Analyses.","authors":"Maryam Salmanian, Amir-Hassan Bordbari, Nazanin Mousavi, Shima Tamannaeifar, Mohammad Hasan Golzar, Melika Amiri, Saeed Kargar-Soleimanabad, Aghil Mollaei, Seyyed Muhammad Mahdi Mahdavinoor","doi":"10.18502/ijps.v20i4.19691","DOIUrl":"10.18502/ijps.v20i4.19691","url":null,"abstract":"<p><p><b>Objective:</b> Conduct disorder is one of the most common disorders of childhood and adolescence. This disorder imposes high costs on the individual, family and community. Understanding the risk factors associated with conduct disorder can provide a comprehensive picture of the disorder. Therefore, the aim of this study is to investigate the risk factors related with conduct disorder. <b>Method</b> <b>:</b> We included meta-analyses that reported one or more risk factors of conduct disorder. We searched PubMed and Scopus until July 19, 2025. One author assessed the quality of the included studies using the ROBIS, and two authors extracted relevant data independently. <b>Results:</b> We found 12 articles that met the inclusion criteria, from which data pertaining to 17 meta-analyses were extracted. The risk factors identified by the meta-analyses were as follows: severe psychiatric disorders in parents, postnatal exposure to second-hand smoke, atopic dermatitis, being children of alcoholics, prenatal alcohol exposure, maternal smoking during pregnancy, maternal alcohol use during pregnancy, overweight/obesity, maternal perinatal depression, preconception overweight, and preconception obesity. <b>Conclusion:</b> Drawing on 17 meta-analyses, this study provides a comprehensive synthesis of the risk factors associated with conduct disorder. The findings can inform policymakers and healthcare professionals to develop targeted interventions, such as public health campaigns and support programs for at-risk families, to mitigate these risks. Furthermore, this study highlights the gaps in the existing literature, including the reliance on older studies and methodological limitations, paving the way for future research to address these shortcomings and strengthen the evidence base.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"20 4","pages":"560-568"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Digital Cognitive Behavioral Therapy for Insomnia: A Meta-Analysis of Randomized Controlled Trials.","authors":"Abouzar Nazari, Ali Mirzakhani, Gholamreza Garmaroudi, Mohsen Amani","doi":"10.18502/ijps.v20i4.19689","DOIUrl":"https://doi.org/10.18502/ijps.v20i4.19689","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to evaluate the effectiveness of fully automated Digital Cognitive Behavioral Therapy for Insomnia (dCBT-I) interventions in reducing insomnia severity through a systematic review and meta-analysis of randomized controlled trials (RCTs). <b>Method</b> <b>:</b> A systematic search was conducted across multiple databases, including PubMed, PsycINFO, Web of Science, Scopus, and Google Scholar, to identify RCTs evaluating fully automated dCBT-I. Eligible studies were included those assessing adults diagnosed with insomnia using validated criteria or scales, utilizing digital delivery platforms, and reporting quantitative insomnia severity outcomes. A meta-analysis was performed using a random-effects model, with standardized mean differences (SMDs) and 95% confidence intervals (CIs) as the primary effect measures. Subgroup and sensitivity analyses were conducted to explore sources of heterogeneity. <b>Results:</b> A total of 49 RCTs involving 20,118 participants were included. Fully automated dCBT-I significantly reduced insomnia severity compared to control conditions (WMD: -3.42; 95% CI: -4.35 to -2.48; P < 0.001). Subgroup analyses revealed greater effectiveness in studies using rigorous diagnostic criteria, as well as among U.S.-based populations. Despite substantial heterogeneity (I² > 98%), sensitivity analyses confirmed the robustness of findings. Funnel plot asymmetry suggested minor potential publication bias, though Egger's test did not confirm significant bias (P = 0.494). <b>Conclusion:</b> Fully automated dCBT-I programs effectively reduce insomnia severity, offering a scalable, accessible solution to overcome barriers in traditional CBT-I delivery. However, variability in study methodologies and the predominance of studies from high-income countries highlight the need for further research. Future directions include incorporating objective sleep measures, assessing long-term outcomes, and adapting interventions to diverse cultural and economic contexts. Fully automated dCBT-I holds transformative potential for addressing insomnia on a global scale.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"20 4","pages":"523-544"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12965280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147379078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Science Beyond Consensus: Defending Open Inquiry in Sensitive Scientific Debates.","authors":"Ali Khaleghi, Hadi Zarafshan","doi":"10.18502/ijps.v20i4.19679","DOIUrl":"10.18502/ijps.v20i4.19679","url":null,"abstract":"","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"20 4","pages":"429-430"},"PeriodicalIF":0.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12712406/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145805786","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Randomized Controlled Trial of a Healthy Lifestyle Intervention to Improve Mental Health among School-Going Adolescents.","authors":"Esra Tajik, Mohammad Reza Mohammadi, Hamid Rahmanian","doi":"10.18502/ijps.v20i3.19037","DOIUrl":"10.18502/ijps.v20i3.19037","url":null,"abstract":"<p><p><b>Objective:</b> Despite growing evidence on the influence of lifestyle on adolescent mental health, structured educational interventions addressing multiple health dimensions remain limited. The objective of this study was to assess the effectiveness of a healthy lifestyle educational intervention in improving mental health results among secondary school students. <b>Method</b> <b>:</b> A randomized controlled trial based on the Information, Motivation, and Behavioral Skills (IMB) model was carried out with 347 adolescents (182 in the intervention group and 165 in the control group) from twelve secondary schools in Tehran. Participants completed a set of questionnaires assessing knowledge and attitudes concerning diet, physical activity, and stress management. Additionally, assessments included measures of eating behavior, daily physical activity, and psychological state using the Beck Depression Inventory-Short Form (BDI-S, BDI-13), and the Depression, Anxiety, and Stress Scale [DASS-21]). The innovation is addressing multiple dimensions of adolescent health in a comprehensive way and targeting mental health outcomes. It consisted of eleven one-hour sessions delivered to the intervention group in their schools. Data were then analyzed using descriptive statistics, Chi-square (association between categorical variables) and two-way repeated measure ANOVA (difference in the means score at follow-up). <b>Results:</b> In the intervention group, significant improvements were observed in knowledge about lifestyle factors, including diet, stress management and physical activity and, from baseline to post-intervention (P < 0.05). Attitudes toward stress management also showed significant positive changes. Behaviorally, there was an increase in physical activity, participation in relaxation activities, and eating breakfast, while unhealthy practices such as eating out, drinking sweetened beverages, and consuming fast food decreased (P < 0.05). Additionally, depression symptoms decreased by 1.9 points (mean ± SD) at the 6-month follow-up (P < 0.05). <b>Conclusion:</b> This study demonstrates that a six-month healthy lifestyle educational intervention can effectively enhance adolescents' knowledge, attitudes, and behaviors related to healthy lifestyle factors, leading to improved mental health outcomes.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"20 3","pages":"289-303"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12579802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}