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Background: Chronic Low back pain (CLBP) is one of the most prevalent health problems which is affected by psychological disorders. The aim of this study was to evaluate the role of psychological intervention on chronic low back pain among a sample of Iranian nurses.
Material and Methods: This is a randomized clinical trial. The participants of this study consisted of 84 nurses suffering from chronic back pain and working in Valiasr hospital, Tehran-Iran. The recruited nurses were randomly assigned to intervention and control groups (42 nurses in each group). The demographic questionnaire and Visual Analog Assessment scales (VAS) and a Depression Anxiety Stress Scale (DASS) were used to collect data at the beginning of the study and 3 months following completion of the intervention. Data were analyzed using Chi-square, T-test and paired T-test.
Results: Forty-two nurses, with a mean age of 32 ± 8.2 and 31.5 ± 7.4 years in the intervention group and control group respectively, took part in this study. The two groups were not significantly different at the beginning of the study in terms of demographic data (P > 0.05). At the 3-month follow up, the pain rate in the intervention group was significantly decreased from 4.47 to 4.09 (P < 0.0001). Furthermore in intervention group, the mean scores of anxiety intervention group were decreased from 17.73 to 9.76 (P < 0.0001). Decreased Stress scores decreased from 15.52 to 9.52 (P < 0.0001), and the depression score from 17.66 to 10.45 (P < 0.0001).
Conclusions: The findings of this study showed that psychological interventions reduced stress anxiety, depression as well as low back pain among Iranian nurses. It is recommended that further research with larger sample and longer follow up be conducted to confirm the findings of this study.

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Background: Although Chronic Low Back Pain (CLBP) rarely threatens the humans’ lives, those individuals suffering from such pain experience a variety of health-related problems and difficulties such as physical disability. This study aimed to determine the relationship between low back pain and physical disability among nurses working in Pastor Hospital of Bam, Kerman, Iran.
Material and Methods: This cross sectional study was conducted among nurses and paramedics who suffering from chronic low back pain and working in Pastor Hospital in Agu, 2015. Through randomly sampling, 120 eligible individuals were recruited of which 104 individuals were satisfied to enter to the study. The standard tools of Owsestry Disability Index (ODI) and Visual Analog Scale (Vas) as well as demographic questionnaire were used to collect data. The SPSS software, version 18 was used to analyze the data.
Results: In all, 104 participants with mean age of 34.7 ± 8.9 were assessed. The majority of the participants (N = 90, 86.5%) were female. There were significant association between functional disability and low back pain intensity (P < 0.001). Furthermore, Pearson correlation showed that there were significant positive relationship between duration of back pain and disability (P < 0.001).
Conclusion: The results of this study showed that the chronic low back pains among nurses were related to their disability. Therefore, it seems to improving low back pain among this target group can be an effective step to improve their physical function in their workplaces.

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Background: Chronic pain depends on many physical and psychological factors. The aim of this study was to determine the relationship between anxiety and chronic pain in adult referring to health centers in Yazd, Iran.
Methods and Materials: This descriptive study conducted on 397 adults aged between 31 and 87years. The Depression, Anxiety, Stress Scale-21 (DASS-21) was used to measure depression, anxiety and stress. The Visual Analogue Scale (VAS) was used to measure pain severity. Six psychologists were employed to collect data. The data were analyzed using SPSS version 21.
Results: Totally 397 individuals with mean age of 61.52 ± 11.52completed the study. The results showed 74% of participants (N = 295) were suffering from chronic pain. The majority of participants (N = 164, 41.3%) complained from knee pain. This study showed 68.8% of studied adult (N = 277) suffered from mild to severe anxiety. There were positive significant relationship between chronic pain and anxiety.
Conclusion: This study concluded that chronic pain may cause psychological disorders as anxiety. This study recommended that individuals suffering from chronic pain should be assessed in terms of psychological problems. 

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Background: Back injury in nurses is one of the most common health problems. The chronic low back pain leads to several problems including disability, daily activities, physical and emotional problems and decreasing quality of life. The purpose of this study was to assess the quality of life of nursing staff with chronic nonspecific low back pain in Yazd, Iran. Materials and Methods: This study was a descriptive-analytic study. A total of 119 nurses were selected with nonrandom purposive sampling method. Health-related quality of life of the participants was assessed using the 36-item short-form health survey questionnaire (SF-36) and analyzed through SPSS software version 20 by appropriate statistical tests. Results: This study showed that there were significant differences between the quality of life of nursing staff with chronic low back pain and Iranian normal population in all aspects (P < .0001). It was revealed that only in the area of physical function there was a significant relationship between age and the quality of life (P < .0001). Conclusion: The results confirmed the effect of income on dimensions such as physical role, bodily pain, mental health, and social function.

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Background: This study is an extended follow up of the original trial study (NCT00600197) that has been published in the clinical journal of pain. This trial aimed to explore if the proposed multidisciplinary program could improve quality of life and disability of the patients suffering from chronic low back up to 36 months. Methods and Material: In this Clinical Randomized trial seventy percent (139 of 197) of the participants who had taken part in the original study including 66 patients in intervention group and 73 patients in control group were followed up to 36 months after intervention. The intervention group continued receiving monthly motivational consultation and booster classes plus oral medication but the other group received just medication. Data on measures of Short Form 36 (SF-36) Quebec Disability Scale (QDS) and Ronald Morris Disability (RDQ) were collected at 3-6-12-18-24-30- and 36-month follow ups and analyzed through RMANOVA. Results: The 2 groups were comparable regarding all baseline characteristics (P > 0.05) except for education level that was better in intervention group (P = 0.01). Two groups were improved regarding all studied variables over time up to 36 month (P < 0.001) Moreover the intervention group in comparison with the control group had consistently better outcomes regarding all variables. There were no significant differences within each group by time in terms of all variables (P < 0.05). Conclusions: The proposed multidisciplinary program could reduce low back pain and improve quality of life and disability up to 36 months in chronic low back pain patients.

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Background: Today, chronic low back pain is one of the growing worldwide problems, which caused in the reduction of individuals’ physical, mental, and social functions. This study aimed to evaluate the impact of training programs on functional disability in female patients with low back pain after 6month follow-up of the training intervention strategies.
Methods and Materials: This quasi-experimental study was carried out in rheumatology research center of Tehran University of Medical Science. A total of 27 female patients suffering from low back pain participated in this study. All the participants were divided into groups of 6 to 8 members and provided with a 4-hour training session of physiotherapy and psychology, followed by telephone counseling after one and two months. In order to collect required data and evaluate females’ functional disability, two questionnaires were employed: Roland-Morris Disability Assessment Questionnaire (RDQ) and Quebec Back Pain Disability Questionnaire (QDS). The questionnaires were completed at the beginning of the study-as the pretest, and 6-month follow up as the posttest. Data were analyzed through paired samples t-test using SPSS software version 16. A significant level of P< .05 was considered to compare the information.
Results: The results of the current study show that during the 6 months intervention program, the physical disability was significantly improved in terms of two aforementioned scales.
Conclusion: It seems that training intervention program along with the follow-up and phone counseling have significant effects on improving physical function of patients with chronic low back pain.

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Background: Socio demographic characteristics of nurses who work in hospitals may impact on their quality of life. This study aimed to assess the relationship between quality of life of nursing staff with chronic nonspecific low back and their socio demographic characteristics. Materials and Methods: This study was a cross section study. A total of 119 nurses were participated in this study. The 36-item short-form health survey questionnaire (SF-36) was used to assess Health Related Quality of Life (HRQOL) of the participants. SPSS software version18 was applied to analyze data by appropriate statistical tests. Results: Totally 119 nurses including 93 female (78.1%) were participated in the study. The study showed that there was a significant relationship between age and physical function (P < 0.0001). Also there was significant relationship between income and physical role (P < 0.0001) as well as bodily pain (P = 0.015), mental health (P = 0.015), and social function (P = 0.03. ( Conclusions: The socio demographic characteristics of nurses could be considered while their QOL are assessed.

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Chronic pain is a major public health problem worldwide (Croft, Blyth, & van der Windt, 2011). Globally, it has been estimated that 1 in 5 adults suffer from pain and that another 1 in 10 adults are diagnosed with chronic pain each year (Goldberg & McGee, 2011). As such Goldberg and McGee correctly suggested that the high prevalence and incidence of global chronic pain, its substantial and growing comorbidities, and its linkage with many social and economic determinants collectively provide ample justification for regarding pain as a public health priority (Goldberg & McGee, 2011).
A chapter by Foell ‘in Oxford Textbook of Musculoskletal Medicine points out that ‘social’ factors deserve much greater attention in the therapeutic encounter than is usually assumed. Sociosomatic medicine (that is the relationship between the body and the society in which the body is living) is the topic of this chapter; and it is believed that this is distinct from psychosomatic medicine (Hutson & Ward, 2015). In addition several previous studies found that there are a strong relationship between chronic pain and a number of psychosocial determinants such as socioeconomic status, education and race (Roth, Punch, & Bachman 2001, Fuentes, Hart-Johnson & Green, 2007, Green & Hart-Johnson, 2010).
Recently Newman et al reported interesting results from a study among low-income population. Using multiple regression analyses they evaluated the relationships among sociodemographic (sex, age, race, poverty status, literacy, and education level) and psychological (depressive symptoms and pain catastrophizing) variables and pain interference, pain severity, and disability. They found that the experience of chronic pain within this low-income sample is better accounted for by psychological factors than sex, age, race, poverty status, literacy, and education level. Depressive symptoms and pain catastrophizing mediated the relationships between age and pain variables, while pain catastrophizing mediated the effects of primary literacy and poverty status(Newman et al., 2017).
All these prove that medicalization of chronic pain could not help to overcome the problem unless we understand the psychosocial route of the pain. It seems that poverty, suffering from poor living condition, unfair job, and unequal opportunities all contribute to the ever-increasing condition of chronic pain in the globe. We should eliminate and tackle these social factors to be able to lessen suffering. However, this does not mean that we do not need treatment for chronic pain but to acknowledge that social inequalities are major cause for chronic pain.

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Background: One approach to face with Chronic Low Back Pain (CLBP) is to perform Relaxation Behavior (RB). The aim of this study was to assess the factors predicting the behaviors of relaxation among the patients with CLBP in Yazd, Iran.
Methods: This descriptive study conducted on 182 patients with CLBP, referring to the pain clinic in Yazd, Iran from October to December 2016. A socio-demographic questionnaire and a 14-item questionnaire regarding RB based on the Theory of Reasoned Action (TRA) were used to collect the required data. Data were fed into SPSS software v.23 and AMOS software v. 23 and analyzed using linear regression analysis procedures.
Results: A total of 182 individuals with mean age of 42/18 ± 13/12 years participated in this study. The results showed that attitude towards the behavior was a good predictor of intension to do RB (p < .001). However, subjective norm was not a good predictor of intention to do relaxation behavior (p = .058). This study showed that intention was a good predictor for doing relaxation behavior (p = .042).
Conclusion: Based on the results of this study, the health care providers are recommended to change RB beliefs of the patients suffering from chronic low back pain in order to persuade them to do regular relaxation behaviors to improve their pain.

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Background: Low level Physical Activity (PA) among Chronic Low Back Pain for (CLBP) has been reported in many studies. The aim of this study was to predicting factors for physical activity behavior among CLBP patients referred to pain clinic in Yazd, Iran.
Methods and Materials: This cross sectional study was conducted on 182 eligible patients with CLBP who referred to pain clinic in Yazd, Iran from October to December 2016. A socio-demographic questionnaire as well as a 14-item researcher-made questionnaire regarding physical activity predictors based on Theory of Reasoned Action (TRA) were used to collect data. Data were inserted into SPSS v.23 and AMOS v. 23 and analyzed using descriptive/analytical tests including linear regression analysis.
Results: Totally 182 individuals with mean age of 42.18 ± 13.12 completed the study. The results showed behavioral beliefs and evaluation of behavioral outcome of PA were predictors of patients' attitudes towards PA (P < 0.001). Normative beliefs and motivation to comply were also predictors of subjective norm (P < 0.001). Subjective norm was predictor for intention to perform the PA behavior (P < 0.001) that in turn was predictor for PA behavior (P < 0.001). However, attitudes towards PA was not predictor for intention to do PA (P = 0.085).
Conclusion: This study showed the individuals who had positive beliefs and evaluation regarding outcomes of PA were more likely to do this behavior.

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Aim: This is a cross- sectional study to assess low back pain preventive behaviors among Iranians nursing aides who provide direct patient care in hospitals. Musculoskeletal disorders (MSDs) comprise significant occupational injuries and disabilities within the nursing profession. Studies show that implementing a safe patient handling can prevent low back pain among nursing aides. Methods: This study was conducted in Qom (Iran) in 2015 with a sample of 452 eligible nursing aides working in six educational hospitals affiliated with Qom University of Medical Sciences. Data were collected by a researcher-developed questionnaire with 29 questions in two sections of demographic questions (17 items), and low back pain preventive behaviors were adopted from the Occupational Safety and Health Administration (OSHA) guidelines for nurses (12 items). Findings: Totally, 452 nursing aides suffering from chronic low back pain participated in the study, which included 289 males (63.9%) and 163 females (36.6%) with mean age of 37.71 (SD = 8.3) years. The mean score of applying low back pain preventive behaviors was 32.9 ± 7.7. Fifty nine participants (13.1%) had poor behavior scores, 251 participants (55.5 %) obtained average scores, and 142 participants (31.4 %) achieved acceptable scores due to their preventive behaviors. The majority of the studied nursing aides (68.6%) did not consistently perform safe patient handling. Conclusion: This study showed that most nursing aides had low preventive behaviors regarding maintaining their body mechanics. Thus, evaluating the causes of failing to do safe behaviors /safe patient handling  is strongly recommended in Iran.

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Chronic MusculoSkeletal Disorders (MSD) affects about 20% of adults, yielding significant functional, professional and mood disabilities, resulting in surprising economic burden annually worldwide . Low Back Pain (LBP) and chronic cervical pain are the most common and catastrophic ones leading in disability and work absenteeism . Despite wide coverage of researches and literature regarding chronic MSD pain and developing evidence-based guidelines to help patients and physicians , the high proportion of such patients suggests shortage of present strategies. Studies showed neglected acute pains could cause neuroplasticity processes in Central Nerve System (CNS) which stimulate pain centers without stimulants leading to chronic pain that is difficult to manage . Therefore, prevention of pain chronicity might have large effects in terms of patients’ quality of life and costs for health care system. We need to know: factors influencing pain chronicity, recognizing tools to detect these factors and using strategies to target factors for further changes.

 

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Aims: CP (Chronic pain) is a common problem that substantially impairs physical and psychological health and economic well-being. The aim of the present study was to c determine the prevalence of chronic pain and its association with depression in over 30-years-old clients referring to health centers.
Instruments & Methods: This descriptive study was conducted among 397 people from April to August 2015. The participants were the adults who came to governmental health centers in the province. These health centers were selected based on random sampling. Two health centers were located in Yazd and 4 were in the provincial cities DASS-21 (Depression, Anxiety, and Stress Scale) was used to measure depression and VAS (Visual Analog Scale) was used to measure chronic pain. Six psychologists with a master's degree collected the data. The results were analyzed using Chi-square test by SPSS 23 software.
Findings: The prevalence of chronic pain was 66.8%. The highest prevalence of knee pain was 41.3%. The prevalence of depression was 67.5%. The relationship between chronic pain as an independent variable and dependent variable depression was significant (p=0.029).
Conclusion: The prevalence of patients with chronic pain is 66.8%, and the prevalence of depression is reported 67.5%. There is a relationship between chronic pain and depression.

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Background: Trichomonas vaginalis is, one of due to vaginitis, the most common non-viral sexually transmitted and treatable infection in the world. Co- infection of T. vaginalis along with other agents of vaginitis should always be considered in patients with chronic vulvovaginal symptoms.
Case: An Iranian woman with 32 years of age and signs of vaginitis infection referred to a midwifery clinic in Bandar Abbas. While she used antifungal and antibacterial medications many times during the past two years to treat her vaginitis infection, but since her husband did not do so, all the clinical signs of her infection reappeared again after a short time. A miscarriage, genital warts in the lower end of the uterus (cervix), yellowish-green foamy secretion, and vigorous redness of the lower end of the uterus were among the problems reported in her medical record. To diagnose the disease, sampling was done from the posterior fornix of vagina and using direct smear and Diamond culture medium, the specimen was examined for the presence of T. vaginalis by a specialist in parasitology. Based on the direct smear test results, the specimen was positive for yeast and bacteria and negative for T. vaginalis, while culture test result was positive for the presence of T. vaginalis. Therefore, the woman referred to a physician qualified in gynecology for her infection therapy, but this time with her husband. The duration of their treatment was three months, after which the culture test result (after 72 h) was negative for T. vaginalis, and the clinical signs of the infection ameliorated.
Conclusion: It is recommended that, in addition to careful examination of patients’ clinical symptoms, direct smear and culture methods be employed in midwifery centers to correctly diagnose vaginitis. In addition, the treatment of sexually transmitted diseases (STD) in people involved in a sexual relationship should be done simultaneously.

 

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The process of language change is an inseparable feature of the inherent nature of every language. This change is so slow and delicate that it will be tangible for the native speakers only after a long time and in comparison with the past. A diachronic outlook of the language is especially beneficial here. The present research seeks to examine the transition process of (negative or positive) semantic prosody of some presently neutral Persian verb compounds into connotation. To this end, different researches on semantic prosody, connotation and their transformation in different languages and especially in English are reviewed and the same trend is traced in some verb compounds in Persian. Two corpora from two different historical periods (12th century and modern Persian) of language data were compiled and the semantic prosody of seven verb compound was established in the two. The results show that the semantic prosody of some of these compounds have changed from positive to negative over time and this negative semantic prosody in some of the compounds especially mojeb shodan (cause) is changing to negative connotation.