2026-08-08T13:57:51+03:30 http://jccs.yums.ac.ir/browse.php?mag_id=29&slc_lang=en&sid=1

29-426 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2026 7 1 A. Rahimi M. Ghadermazi Z. Khalili Aims: Nursing students frequently encounter significant occupational and academic stressors, increasing their susceptibility to suicidal ideation. This study investigated the prevalence and associated factors of suicidal ideation among nursing students in Ardabil, Iran, a region facing socioeconomic challenges. Instrument & Methods: This cross-sectional survey was conducted among 256 nursing students at Ardabil University of Medical Sciences between November and December 2024. Data were collected using the Beck Scale for Suicidal Ideation and a sociodemographic questionnaire. Independent t-tests and analysis of variance were employed to analyze associations. Findings: The prevalence of low-risk suicidal ideation was 84.8%, high-risk suicidal ideation was 12.1%, and very high-risk suicidal ideation was 3.1%. Mean suicidal ideation scores were significantly higher among females (p=0.007), single students (p=0.03), those with a history of mental illness (p=0.03), and psychiatric medication users (p<0.0001). Academic year, grade point average, and residential status were not significantly associated with suicidal ideation. Conclusion: Nursing students in Ardabil exhibit a high prevalence of suicidal ideation, with gender, marital status, mental health history, and psychiatric medication use identified as significant predictors. Suicidal Ideation Nursing Students Mental Health Occupational Stress 2026 1 01 1 7 http://jccs.yums.ac.ir/article-1-426-en.pdf 10.58209/jccs.7.1.1

29-458 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2026 7 1 Kh. Hatamipour H. Salehi R. Bahmanpour Aims: Nurses, as the largest group of healthcare personnel, are constantly exposed to chronic stressors arising from the complexities of the work environment, heavy role-related workloads and tensions, significant professional commitments, challenges, and both internal and external organizational factors. These stressors lead to significant physical and psychological fatigue, and inadequate management may result in disruptions in patient care and treatment. Therefore, the present study aimed to determine the role of positive and negative meta-emotions and self-belief in nurses’ job burnout. Instrument & Methods: This descriptive-correlational research was conducted on 234 nurses working in hospitals in Bojnord in 2024 selected through random sampling. The research tools included the Self-Belief Scale, the Anticipatory Emotions Questionnaire, and the Maslach Burnout Inventory. Data were analyzed using Pearson correlation coefficients and multiple regression analysis in SPSS version 25. Findings: There was a significant correlation between positive and negative meta-emotions, self-belief, and nurses’ job burnout (p<0.05). Furthermore, positive and negative meta-emotions, as well as self-belief, significantly predicted nurses’ job burnout (p<0.05). Conclusion: There is a strong relationship between positive and negative meta-emotions and self-belief and nurses’ job burnout. Positive and Negative Anticipatory Emotions Self-Belief Career Burnout Nurses 2026 1 01 9 13 http://jccs.yums.ac.ir/article-1-458-en.pdf 10.58209/jccs.7.1.9

29-464 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2026 7 1 A. Mohammadhoseini E. Momtahan A. Mansourian Aims: Propofol and dexmedetomidine are used for general anesthesia. This study aimed to compare the effects of propofol and dexmedetomidine infusion on sedation in the recovery room for patients undergoing cholecystectomy. Materials & Methods: This randomized clinical trial was conducted on 70 patients scheduled for laparoscopic cholecystectomy in Yasuj between 2023 and 2024. Patients were randomly assigned to two groups, including 35 cases who received propofol and 35 cases who received dexmedetomidine. The level of agitation was assessed using the Richmond Agitation-Sedation Scale at 0 and 40 minutes after surgery by the researcher. Data analysis was performed using SPSS 27 software utilizing the Chi-square test, independent t-test, and paired t-test. A significance level of p<0.05 was considered. Findings: At 40 minutes after the intervention, the mean agitation level in patients receiving dexmedetomidine (0.22±0.72) was significantly lower than that of the propofol group (0.63±0.81), indicating better sedation (p=0.028). Conclusion: Dexmedetomidine is a preferable option than propofol for anesthesia management in patients undergoing laparoscopic cholecystectomy. Propofol Dexmedetomidine Anesthesia Laparoscopic Cholecystectomy 2026 1 01 15 20 http://jccs.yums.ac.ir/article-1-464-en.pdf 10.58209/jccs.7.1.15

29-490 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2026 7 1 Sh. Askari N. Zeini Aims: Common psychiatric disorders and stressors among dental students can predispose them to other psychological problems. This study aimed to determine the levels of depression, anxiety, stress, and stressors among dental students at Azad University of Shiraz. Instrument & Methods: This descriptive, cross-sectional study was conducted with 112 clinical-level dental students at the Islamic Azad University of Shiraz, selected through census sampling, of whom 83 completed the questionnaires. Data were collected using a demographic information questionnaire, the Depression, Anxiety and Stress Scale, and the Dental Environment Stressors Questionnaire. Data analysis was done using SPSS 23. Findings: The mean scores for depression, anxiety, and stress among the study participants were 84.48±9.02, 11.17±8.11, and 13.38±9.59, respectively. There were significant positive correlations among these psychological parameters (p<0.001); most notably, depression demonstrated a strong correlation with anxiety (r=0.9), as well as moderate correlations with both anxiety and stress (r=0.67 and r=0.66, respectively). Furthermore, regarding clinical environment stressors, the highest score was observed in the clinical education domain (22.01±7.00), while the lowest was observed in the academic factors domain (2.30±0.86). Conclusion: Dental students in the clinical phase at Islamic Azad University of Shiraz face varying degrees of stress, anxiety, and depression, largely influenced by stressors originating from their clinical education settings. Anxiety Depression Psychological Stressors Health Facility Environment Dental Students 2026 1 01 21 25 http://jccs.yums.ac.ir/article-1-490-en.pdf 10.58209/jccs.7.1.21

29-487 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2026 7 1 R. Roustaei S. Bavi Aims: Aggression in early adolescence is a critical psychological challenge that often arises from deficits in emotional processing and low distress tolerance. This study aimed to evaluate the efficacy of emotion-focused therapy on aggression and distress tolerance among middle school female students exhibiting clinical symptoms of aggression. Materials & Methods: This randomized clinical trial was conducted on 40 female middle school students in Tehran during the 2024-2025 academic year. Through multi-stage random sampling and clinical screening, eligible students were selected and randomly assigned to either the experimental group (n=20) or the control group (n=20). The experimental group received eight 90-minute sessions of emotion-focused therapy, while the control group remained on a waitlist. Data were collected using the Ahvaz Aggression Inventory and the Distress Tolerance Scale. Data analysis was conducted using SPSS 26. Findings: Emotion-focused therapy significantly improved aggression and distress tolerance in the experimental group compared to controls (p<0.001). Aggression decreased from 61.29±7.31 (pre-test) to 42.05±4.72 (follow-up) in the emotion-focused therapy group, whereas it remained stable in the control group (63.83±7.93). Distress tolerance increased from 27.85±8.02 (pre-test) to 50.09±5.39 (follow-up) in the emotion-focused therapy group, compared to stable scores in controls (25.74±8.94). These effects were sustained at the three-month follow-up, with significant group×time interactions observed for both outcomes. Conclusion: Emotion-focused therapy serves as an effective intervention for mitigating aggression and enhancing distress tolerance in adolescent girls.   Emotion-Focused Therapy Aggression Psychological Distress Adolescent Clinical Trial 2026 1 01 27 31 http://jccs.yums.ac.ir/article-1-487-en.pdf 10.58209/jccs.7.1.27

29-491 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2026 7 1 M. Yazdanipour K. Kazemian Moghadam M. Shahbazi Aims: Opioid use disorder severely impacts psychological well-being, particularly in women, highlighting the need for targeted psychological interventions. This study aimed to investigate the effect of compassion-focused therapy on self-control and cognitive flexibility in women with opioid use disorder. Materials & Methods: This clinical trial was conducted in 2025 among treatment-seeking women in Ahvaz, Iran. Using convenience sampling, 30 eligible women were selected and randomly assigned to experimental and control groups (n=15 per group). The experimental group received eight 90-minute compassion-focused therapy sessions, while the control group received no additional intervention during this period. Data were collected using the Brief Self-Control Scale and the Cognitive Flexibility Inventory. Data were analyzed using a mixed-design ANOVA with repeated measures and Bonferroni post-hoc tests. Findings: There was a significant difference between the two groups post-intervention. Specifically, compassion-focused therapy significantly enhanced self-control and cognitive flexibility in the experimental group compared with the control group (p<0.001). Conclusion: Compassion-focused therapy is effective for enhancing self-regulation and cognitive adaptability in women with opioid use disorder. Opioid-Related Disorders Compassion Self-Control Cognitive Flexibility Psychotherapy 2026 1 01 33 38 http://jccs.yums.ac.ir/article-1-491-en.pdf 10.58209/jccs.7.1.33

29-480 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2026 7 1 H. Ansari G.S. Pournesaei M. Sabze Arai Langaroudi Aims: Healthcare professionals are exposed to highly stressful work environments and face numerous occupational challenges, which may adversely affect their family life. Parental occupational stress can influence children’s psychological well-being; however, limited research has specifically examined anxiety disorders among children of healthcare workers. This study aimed to compare anxiety disorders in children with and without a parent employed in the healthcare sector. Materials & Methods: This causal-comparative study was performed on children and adolescents aged 10 to 18 years living in Rasht, Iran, in 2025, with and without a parent employed in the healthcare sector. Using purposive sampling, 60 participants were selected, including 30 children with a healthcare worker parent and 30 children whose parents were employed in non-healthcare occupations. Data were collected using the Screen for Child Anxiety Related Emotional Disorders. Data analysis was conducted using one-way analysis of variance with SPSS 27. Findings: Children with a parent employed in the healthcare sector showed significantly higher anxiety levels than children without such a parent. Specifically, total anxiety was higher (61.83±1.38 vs. 32.47±1.43; p<0.001), as were separation anxiety (13.08±0.45 vs. 8.49±1.06; p<0.05), generalized anxiety (15.73±0.71 vs. 10.01±0.67; p<0.001), and panic/somatic symptoms (19.71±1.37 vs. 11.24±0.87; p<0.001). In contrast, social anxiety and school phobia did not differ significantly between groups (both p>0.05). Overall, there was a between-group association between having a healthcare-employed parent and higher anxiety symptom severity. Conclusion: Children of healthcare workers experience higher levels of anxiety disorders compared to their peers. Anxiety Disorders Family Child 2026 1 01 39 44 http://jccs.yums.ac.ir/article-1-480-en.pdf 10.58209/jccs.7.1.39

29-471 2026-08-08 10.1002

Journal of Clinical Care and Skills J Clinic Care Skill 2645-7687 2645-7687 10.58209/jccs 2026 7 1 D.K. Hani R. Mohammadi A.J. Al-Narawi Sh. Haghani Aims: Diabetes is a common chronic disease in childhood. This study aimed to determine the quality of life of parents and adolescents with type 1 diabetes. Instrument & Methods: This descriptive study involved 376 participants (188 adolescents with type 1 diabetes and 188 of their parents) who were hospitalized or visited outpatient clinics in hospitals in Najaf City, Iraq. The researcher visited pediatric wards and clinics at various times, and a convenience sampling method was employed based on inclusion criteria. When available, parents and adolescents were asked to complete a demographic/disease information questionnaire and the Pediatric Quality of Life Inventory Diabetes Module. Data were analyzed using the Chi-square test and correlation coefficients with SPSS 22. Findings: Parents’ overall quality of life mean score was 67.48±5.10, with domain means of physical functioning 70.40±12.80, emotional functioning 62.40±14.30, social functioning 50.21±13.60, cognitive functioning 69.81±13.40, communication 71.01±16.40, worry 70.15±13.27, daily activities 68.70±16.70, and family relationships 62.47±15.30. Adolescent quality of life showed no significant correlation with sex, age, illness duration, residency, or educational level, but was negatively correlated with weight (r=-0.163, p=0.025). Parental socioeconomic level was not correlated with quality of life (F=0.43, p=0.43), whereas employment status was (unemployed 65.40±4.60 vs. employed 67.68±5.02; t=2.57, p=0.011) and parental educational level also correlated with quality of life (p=0.066). Conclusion: Parents of adolescents with diabetes have an acceptable level of quality of life, while adolescents have lower quality of life.   Diabetes Mellitus Quality of Life Parent Adolescents 2026 1 01 45 50 http://jccs.yums.ac.ir/article-1-471-en.pdf 10.58209/jccs.7.1.45