Fatemeh Zarei

The PedsQL™ Oral Health Scale in Iranian children: reliability and validity

OBJECTIVE The primary objective of the study was to translate and evaluate the psychometric properties of the Pediatric Quality of Life Inventory™ (PedsQL™) Oral Health Scale in over 1000 Iranian children. METHODS A standard forward and backward translation procedure was used to convert the US English dialect version of the PedsQL™ Oral Health Scale into the Iranian language (Persian). The Iranian version of the PedsQL™ Oral Health Scale, in combination with the PedsQL™ 4.0 Generic Core Scales, was then subsequently administered to 1053 Iranian children and 1026 parents. The reliability of the PedsQL™ Oral Health Scale was evaluated using internal consistency and test-retest methods. Known-groups discriminant validity, exploratory factor analysis (EFA) of the Oral Health and the four Generic Core Scales combined, and confirmatory factor analysis (CFA) of the Oral Health Scale alone were conducted. The Benjamini-Hochberg procedure was used to correct P-values for multiple comparisons. RESULTS Good to excellent internal consistency and test-retest reliabilities were demonstrated. The PedsQL™ Oral Health Scale demonstrated discriminant validity for subgroups of children across different decayed, missing and filled teeth (DMFT) index categories and gender. The EFA supported the a priori factor model of the combined five scales. The CFA analysis confirmed the unidimensional factor structure of the Oral Health Scale. CONCLUSIONS The PedsQL™ Oral Health Scale demonstrated excellent psychometric properties in combination with the PedsQL™ 4.0 Generic Core Scales. These five scales combined can be utilized to assess the multidimensional oral-health-related quality of life of Iranian children.

How Does Divorce Affect Iranian Women's Sexual Well-Being?

Sexuality and divorce are two interwoven subjects with complex effects on womens sexual well-being in Iranian culture. Results of this exploratory study using focus group discussions and individual interviews revealed how the sexual well-being of women was influenced by the divorce experience through common patterns and recurring themes. A total of 26 women participated voluntarily in the study. They were approached through a selected social support group in a center in West Tehran in 2011, and all had been divorced for less than 10 years. For the majority, sexuality-related matters became complicated and jeopardized their overall well-being in postdivorce life. This finding, along with the fact that the majority were seeking financial and emotional support, implies that counseling women and providing economic support for postdivorce life might improve womens sexual well-being.

How a Divorcee's Sexual Life Is Socially Constructed and Understood in the Iranian Culture

Sexual well-being is an important factor in postdivorce adjustment and presents various challenges for divorced women in Iran. With an alarming number of marriages ending in divorce in Iran, the postdivorce sexuality adjustment process has become a major concern. Meanings attached to the sexuality of a divorcee necessitate different adjustment and coping strategies among women. How these meanings are generated, negotiated, and modified in Iranian contexts has yet to be explored. We used a grounded theory approach to analyze the extensive, rich data obtained through sustained interaction with the informants as well as through in-depth individual interviews and focus group discussions. “Sociosexual problems” was found to be one of the main domains in our study. Participants experienced a negative impact from divorce on their sexual lives, including sexual interactions. Social isolation and social exclusion resulted from the avoidance of stereotypic interactions and were often a consequence of difficulties with concealment of sexual needs due to stigma. Women discussed a range of negative experiences arising in response to their sexual needs in postdivorce life. The analysis revealed the complexities of gendered postdivorce sexual trajectories. Based on the findings, articulating a sexual health model specific for divorced women seems important.

Personal, family and societal educational needs assessment of individuals with spinal cord injury in Iran

OBJECTIVE To explore individuals` perception of the personal, family and societal educational needs following a spinal cord injury (SCI). METHODS Sixty-one patients who sustained a traumatic SCI between March 2015 and June 2016 referred to Brain and Spinal Cord Injury Research Center (BASIR) were included in a cross sectional study and completed an online survey containing open-and closed-ended questions, in Iran. Participants` responses were analyzed using a qualitative approach with a thematic analysis. RESULTS Following a thematic analysis of the patient`s perceived educational needs, 3 themes and 14 subthemes were identified. The 3 themes included personal, family, and societal educational perceived needs. Within personal educational needs, there were 7 subthemes which included personal independence and transportation, financial independence, life skills modification, knowledge about SCI, prevention of SCI complications, relationships and sexual function, and psychological adjustments. Among family educational needs, the 3 subthemes were caregiver skills and communication, first aid and emergency skills, and emotional and psychological support. For societal educational needs, the 4 subthemes described were social integration, interpersonal communication skills, SCI awareness and injury prevention, sympathize while avoiding pity. CONCLUSION According to our findings, people with SCI have various needs that need to be addressed. Educational support should be a part of a comprehensive rehabilitation program and geared towards addressing the patients` personal and family needs, while educating the community about SCI in order to allow for reintegration into society.