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Yekaninejad, M. S., Hajiheidari, A., Alijanzadeh, M., Yahaghi, R., Karimi, Z., Rahmani, J., . . . Pakpour, A. H. (2024). Exploring health literacy categories among an Iranian adult sample: a latent class analysis. Scientific Reports, 14(1), Article ID 776.
Open this publication in new window or tab >>Exploring health literacy categories among an Iranian adult sample: a latent class analysis
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2024 (English)In: Scientific Reports, E-ISSN 2045-2322, Vol. 14, no 1, article id 776Article in journal (Refereed) Published
Abstract [en]

General and electronic health literacy are important factors engaging in healthy behaviors and maintaining good health. The present study explored demographic factors associated with general and electronic health literacy in the Iranian adult population. Via stratified cluster sampling, trained interviewers visited adult residents in Qazvin Province, Iran between January, and April 2022. The participants (N = 9775; mean age = 36.44 years; 6576 [67.3%] females) completed the Health Literacy Instrument for Adults (HELIA) assessing health literacy and the eHealth Literacy Scale (eHEALS) assessing electronic health literacy. Demographic data, including age, gender, educational level, marital status, and living location (city or rural), were collected. Latent class analysis (LCA) was used to classify the participants into different health literacy/electronic health literacy levels. The relationships between health literacy/electronic health literacy levels and demographic factors were examined using χ2 or analysis of variance. The LCA used HELIA scores to suggest five classes of health literacy and eHEALS scores to suggest three classes of electronic health literacy. For general and electronic health literacy, similar relationships were with demographic factors: females as compared with males had better general/electronic health literacy; younger people as compared with older people had better general/electronic health literacy; higher educational level was associated with better general/electronic health literacy; and city residents as compared with rural residents had better general/electronic health literacy. In conclusion, Iranian governmental agencies may wish to target on males, older adults, people with low educational level, and rural residents to improve their health literacy.

Place, publisher, year, edition, pages
Nature Research, 2024
Keywords
adult, age, aged, article, ehealth literacy, epidemiology, etiology, female, gender, health literacy, human, Iran, latent class analysis, major clinical study, male, marriage, rural population, urban population
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-63356 (URN)10.1038/s41598-023-49850-3 (DOI)2-s2.0-85181682927 (Scopus ID)HOA;intsam;928219 (Local ID)HOA;intsam;928219 (Archive number)HOA;intsam;928219 (OAI)
Available from: 2024-01-16 Created: 2024-01-16 Last updated: 2024-01-16Bibliographically approved
Pakpour, A. H., Jafari, E., Zanjanchi, F., Potenza, M. N. & Lin, C.-Y. (2024). The YouTube Addiction Scale: Psychometric Evidence for a New Instrument Developed Based on the Component Model of Addiction. International Journal of Mental Health and Addiction
Open this publication in new window or tab >>The YouTube Addiction Scale: Psychometric Evidence for a New Instrument Developed Based on the Component Model of Addiction
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2024 (English)In: International Journal of Mental Health and Addiction, ISSN 1557-1874, E-ISSN 1557-1882Article in journal (Refereed) Epub ahead of print
Abstract [en]

Technological advances have created the environment for Internet addiction (IA). A specific form of IA is social media addiction. Moreover, social media addiction may be further classified into general or specific social media addiction, with YouTube addiction among the latter because YouTube is viewed as a video streaming application. The present study aimed to design an instrument assessing YouTube addiction (named as the YouTube Addiction Scale, YAS) for psychometric testing. Guided by the component model of addiction, the YAS included six items corresponding to salience, mood modification, tolerance, withdrawal, conflict, and relapse. Through an online survey, the first sample (N = 530; 50.6% female) completed the YAS together with other measures assessing general social media addiction, psychological distress, and demographic information. Afterward, a second sample (N = 512; 45.5% female) completed the YAS in another period of time. The YAS was found to be unidimensional with strong factor loadings in both exploratory factor analysis (the first sample) and confirmatory factor analysis (the second sample). Internal consistency of the YAS was acceptable for both samples. Using the first sample's data, Rasch models suggested that the six items in the YAS all fit well in the embedded construct of YouTube addiction. No differential item functioning was displayed for all YAS items across age, gender, and weekly time spent using YouTube. Network analysis results showed that the YAS items grouped together and had a clear distance from all items assessing general social media addiction. In addition, participants with higher levels of YouTube addiction had significantly greater general social media addiction, psychological distress, and time spent on YouTube. The YAS has promising psychometric properties for healthcare providers and researchers to assess individuals' YouTube addiction levels. Future studies should examine the extent to which with the use of YAS, healthcare providers may monitor the severity of individuals' YouTube addiction and provide early intervention, if needed.

Place, publisher, year, edition, pages
Springer, 2024
Keywords
Internet addiction, Addictive behaviors, Networking analysis, Psychometrics, Rasch, Social media, YouTube
National Category
Substance Abuse
Identifiers
urn:nbn:se:hj:diva-63336 (URN)10.1007/s11469-023-01216-6 (DOI)001129332900001 ()2-s2.0-85180441852 (Scopus ID)HOA;intsam;926931 (Local ID)HOA;intsam;926931 (Archive number)HOA;intsam;926931 (OAI)
Available from: 2024-01-12 Created: 2024-01-12 Last updated: 2024-01-15
Li, L., Mamun, M. A., Al-Mamun, F., Ullah, I., Hosen, I., Zia, S. A., . . . Pakpour, A. H. (2023). A network analysis of the Internet Disorder Scale-Short Form (IDS9-SF): A large-scale cross-cultural study in Iran, Pakistan, and Bangladesh. Current Psychology, 42, 21994-22003
Open this publication in new window or tab >>A network analysis of the Internet Disorder Scale-Short Form (IDS9-SF): A large-scale cross-cultural study in Iran, Pakistan, and Bangladesh
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2023 (English)In: Current Psychology, ISSN 1046-1310, E-ISSN 1936-4733, Vol. 42, p. 21994-22003Article in journal (Refereed) Published
Abstract [en]

The Internet Disorder Scale-Short Form (IDS9-SF) is a validated instrument assessing internet disorder which modified the internet gaming disorder criteria proposed in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). However, the relationships between the nine items in the IDS9-SF are rarely investigated. The present study used network analysis to investigate the features of the IDS9-SF among three populations in Bangladesh, Iran, and Pakistan. Data were collected (N = 1901; 957 [50.3%] females; 666 [35.0%] Pakistani, 533 [28.1%] Bangladesh, and 702 [36.9%] Iranians) using an online survey platform (e.g., Google Forms). All the participants completed the IDS9-SF. The central-stability-coefficients of the nine IDS9-SF items were 0.71, 0.89, 0.96, 0.98, 0.98, 1.00, 0.67, 0.79, and 0.91, respectively. The node centrality was stable and interpretable in the network. The Network Comparison Test (NCT) showed that the network structure had no significant differences among Pakistani, Bangladeshi, and Iranian participants (p-values = 0.172 to 0.371). Researchers may also use the IDS9-SF to estimate underlying internet addiction for their target participants and further explore and investigate the phenomenon related to internet addiction.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Addictive behavior, Addiction, Cross-country, Internet, Network analysis
National Category
Psychiatry
Identifiers
urn:nbn:se:hj:diva-57493 (URN)10.1007/s12144-022-03284-8 (DOI)000807924100001 ()35698487 (PubMedID)2-s2.0-85131587872 (Scopus ID)HOA;intsam;819066 (Local ID)HOA;intsam;819066 (Archive number)HOA;intsam;819066 (OAI)
Available from: 2022-06-21 Created: 2022-06-21 Last updated: 2023-09-14Bibliographically approved
Lin, C.-Y. -., Mamun, M. A., Al Mamun, F., Ullah, I., Hosen, I., Malik, N. I., . . . Pakpour, A. H. (2023). A phubbing scale tested in Bangladesh, Iran, and Pakistan: confirmatory factor, network, and Rasch analyses. BMC Psychiatry, 23(1), Article ID 763.
Open this publication in new window or tab >>A phubbing scale tested in Bangladesh, Iran, and Pakistan: confirmatory factor, network, and Rasch analyses
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2023 (English)In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 23, no 1, article id 763Article in journal (Refereed) Published
Abstract [en]

Background: Phubbing, a phenomenon of ignoring others in face-to-face conversations due to mobile phone use, can be assessed using a Phubbing Scale (PS). Recently, the PS has been shortened into an eight-item version, the PS-8. However, psychometric properties of the PS-8 among Iranian, Bangladeshi and Pakistani individuals remain understudied, especially using advanced psychometric testing, such as Rasch and network analyses.

Methods: Participants residing in Iran, Bangladesh, and Pakistan (n = 1902; 50.4% females; mean age = 26.3 years) completed the PS-8 and the Internet Disorder Scale-Short Form (IDS9-SF) via an online survey. Network analysis was used to examine if PS-8 items were differentiated from IDS9-SF items; confirmatory factor analysis (CFA) was used to examine the factor structure and measurement invariance of the PS-8; Rasch modeling was used to examine the dimensionality of the PS-8 and differential item functioning (DIF).

Results: Network analysis showed that PS-8 items were clustered together with a distance to the IDS9-SF items. The CFA results supported a two-factor structure of the PS-8, and the two-factor structure was found to be invariant across countries and women and men. Rasch model results indicated that the two PS-8 subscales were both unidimensional and did not display DIF across countries and gender/sex.

Conclusion: The PS-8 is a feasible and robust instrument for healthcare providers, especially mental health professionals, to quickly assess and evaluate individuals’ phubbing behaviors.

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
Keywords
Confirmatory factor analysis, Differential item functioning, Measurement invariance, Network analysis, Rasch model, Smartphone behaviors
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-62800 (URN)10.1186/s12888-023-05251-4 (DOI)001095842000002 ()37853354 (PubMedID)2-s2.0-85174464100 (Scopus ID)GOA;intsam;912768 (Local ID)GOA;intsam;912768 (Archive number)GOA;intsam;912768 (OAI)
Available from: 2023-10-30 Created: 2023-10-30 Last updated: 2024-01-17Bibliographically approved
Alimoradi, Z., Griffiths, M. D. & Pakpour, A. H. (2023). Application of online cognitive-behavioral therapy for insomnia among individuals with epilepsy. In: C. R. Martin,V. B. Patel & V. R. Preedy (Ed.), Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults: (pp. 409-415). Elsevier
Open this publication in new window or tab >>Application of online cognitive-behavioral therapy for insomnia among individuals with epilepsy
2023 (English)In: Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults / [ed] C. R. Martin,V. B. Patel & V. R. Preedy, Elsevier , 2023, p. 409-415Chapter in book (Other academic)
Abstract [en]

Approximately 50 million individuals worldwide suffer from epilepsy, which has various neurological, cognitive, psychological, and social consequences including insomnia. Several factors may explain insomnia among individuals with epilepsy including new diagnoses of epilepsy, changes at work, school, and social role changes. Moreover, anxiety, stress, and insecurity about seizure control can contribute to insomnia. Nonpharmacological methods including cognitive-behavioral therapy can be used to alleviate insomnia. Cognitive-behavioral therapy is a type of psychotherapy that focuses on the effect of an individual’s beliefs, thoughts, and attitudes on their feelings and behaviors. Cognitive-behavioral therapy for insomnia (CBT-I) is one of the therapies in sleep science and uses the general principles of cognitive-behavioral therapy and is designed to eliminate the symptoms of insomnia. The internet is an emerging platform for mental health services worldwide. Internet-based CBT or CBT-I has been used for insomnia with promising results. If the content of CBT-I-based technology (which is disseminated via the internet, e-mail, or mobile phone) is of good quality and has credible evidence-based experiences, it will have positive therapeutic effects and initial patient acceptance. This chapter introduces the application of a six-session online CBT-I for three individuals with epilepsy. The content can also be used as a guide for treating insomnia among individuals with epilepsy.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Cognitive-behavioral therapy, Epilepsy, Insomnia, Online CBT, Sleep disturbance
National Category
Psychiatry
Identifiers
urn:nbn:se:hj:diva-60032 (URN)10.1016/B978-0-323-85726-0.00027-2 (DOI)2-s2.0-85150141424 (Scopus ID)978-0-323-85726-0 (ISBN)
Available from: 2023-03-27 Created: 2023-03-27 Last updated: 2023-03-27Bibliographically approved
Lin, C.-Y., Ratan, Z. A. & Pakpour, A. H. (2023). Collection of smartphone and internet addiction. BMC Psychiatry, 23(1), Article ID 427.
Open this publication in new window or tab >>Collection of smartphone and internet addiction
2023 (English)In: BMC Psychiatry, E-ISSN 1471-244X, Vol. 23, no 1, article id 427Article in journal, Editorial material (Other academic) Published
Abstract [en]

The enigma of smartphone and internet addiction has plagued academics for the last decade, now scholars believe this behavior might have a substantial effect on human health and social issues. However, there are literature gaps. Thus, BMC Psychiatry works with us to launch the special collection "Smartphone and Internet Addiction".

Place, publisher, year, edition, pages
BioMed Central (BMC), 2023
National Category
Psychiatry
Identifiers
urn:nbn:se:hj:diva-61502 (URN)10.1186/s12888-023-04915-5 (DOI)001010588400002 ()37316810 (PubMedID)2-s2.0-85161881051 (Scopus ID)GOA;intsam;887400 (Local ID)GOA;intsam;887400 (Archive number)GOA;intsam;887400 (OAI)
Available from: 2023-06-22 Created: 2023-06-22 Last updated: 2024-01-17Bibliographically approved
Ullah, I., Tahir, M. J., Ali, S., Waseem, R., Griffiths, M. D., Mamun, M. A., . . . Pakpour, A. H. (2023). COVID-19 Fear Among Pakistanis: Psychometric Evaluation of the Fear of COVID-19 Scale Using Item Response Theory and Confirmatory Factor Analysis. International Journal of Mental Health and Addiction, 21, 1240-1255
Open this publication in new window or tab >>COVID-19 Fear Among Pakistanis: Psychometric Evaluation of the Fear of COVID-19 Scale Using Item Response Theory and Confirmatory Factor Analysis
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2023 (English)In: International Journal of Mental Health and Addiction, ISSN 1557-1874, E-ISSN 1557-1882, Vol. 21, p. 1240-1255Article in journal (Refereed) Published
Abstract [en]

The Fear of COVID-19 Scale (FCV-19S) assesses the fear of the novel coronavirus disease 2019 (COVID-19) and has been translated and validated into over 20 languages. The present study conducted confirmatory factor analysis (CFA) and item response theory (IRT) analyses on the FCV-19S among a sample of 937 Pakistani adults (mean [SD] age of 25.83 [11.80] years; 537 [57.3%] females). The CFA and IRT confirmed the unidimensionality of the FCV-19S. The Likert-type scale used in the FCV-19S was supported by the proper threshold orderings. Additionally, no DIF contrast had an absolute value larger than 0.5 regarding the participants' characteristics of gender, age, living status, and education in the IRT findings. The FCV-19S was found to be valid and reliable with strong psychometric properties among the Pakistani adult population.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
COVID-19, Fear of COVID-19 Scale, Fear, FCV-19S Urdu validation, Pakistani population
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
urn:nbn:se:hj:diva-55263 (URN)10.1007/s11469-021-00656-2 (DOI)000723555000008 ()34867122 (PubMedID)2-s2.0-85120088990 (Scopus ID)HOA;intsam;781633 (Local ID)HOA;intsam;781633 (Archive number)HOA;intsam;781633 (OAI)
Available from: 2021-12-06 Created: 2021-12-06 Last updated: 2023-08-31Bibliographically approved
Kidayi, P. L., Pakpour, A. H., Saboonchi, F., Bray, F., Manhica, H., Mtuya, C. C., . . . Björling, G. (2023). Cross-Cultural Adaptation and Psychometric Properties of the Swahili Version of the European Organization for Research and Treatment of Cancer (EORTC) QLQ-BR45 among Breast Cancer Patients in Tanzania. Healthcare, 11(18), Article ID 2467.
Open this publication in new window or tab >>Cross-Cultural Adaptation and Psychometric Properties of the Swahili Version of the European Organization for Research and Treatment of Cancer (EORTC) QLQ-BR45 among Breast Cancer Patients in Tanzania
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2023 (English)In: Healthcare, E-ISSN 2227-9032, Vol. 11, no 18, article id 2467Article in journal (Refereed) Published
Abstract [en]

Breast cancer is the most frequent cancer in women in Africa and contributes to premature death and poor quality of life. This study aimed to determine the validity, reliability, and psychometric properties of the Swahili version of EORTC QLQ-BR45 among women with breast cancer in Tanzania. A cross-sectional study design with non-probability convenience sampling was employed. Data were collected in two tertiary hospitals and one national cancer institute; 414 participants completed the EORTC-QLQ-C-30 and EORTC-QLQ-BR45. The reliability of QLQ-BR45 was measured using Cronbach's alpha and McDonald's Omega coefficients. The factor structure of EORTC QLQ-BR45 was assessed using confirmatory factor analysis. The internal consistencies for the five dimensions were all above 0.7 indicating satisfaction, except for systemic therapy side effects with a marginal value of 0.594 and significant correlations between the dimensions of QLQ-C30 and BR45. The final model fit well to the data, with the comparative fit index = 0.953, Tucker-Lewis index = 0.947, root mean square error of approximation = 0.041 (90% CI: 0.035, 0.046), and standardized root mean square residual = 0.072. In conclusion, the QLQ BR45 Swahili version displayed good reliability, validity, and psychometric properties and can be used in Swahili-speaking Sub-Saharan countries.

Place, publisher, year, edition, pages
MDPI, 2023
Keywords
breast cancer, psychometric properties, quality of life, reliability, validation
National Category
Cancer and Oncology Nursing
Identifiers
urn:nbn:se:hj:diva-62660 (URN)10.3390/healthcare11182467 (DOI)001071760500001 ()37761665 (PubMedID)2-s2.0-85173487839 (Scopus ID)GOA;intsam;909129 (Local ID)GOA;intsam;909129 (Archive number)GOA;intsam;909129 (OAI)
Available from: 2023-10-12 Created: 2023-10-12 Last updated: 2023-10-23Bibliographically approved
Abbasi, A. Z., Azeem, S., Farooq, M. U., Hussain, K., Ting, D. H., Rehman, U., . . . Pakpour, A. H. (2023). Engagement in educational games and quality of life in early and middle childhood: evidence from a developing country. Current Psychology, 42, 19386-19400
Open this publication in new window or tab >>Engagement in educational games and quality of life in early and middle childhood: evidence from a developing country
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2023 (English)In: Current Psychology, ISSN 1046-1310, E-ISSN 1936-4733, Vol. 42, p. 19386-19400Article in journal (Refereed) Published
Abstract [en]

Serious games (SGs), are gaining prominence as a tool for early education at home as well as in school settings. Given the mixed effects of gamification on various aspects of users' lives, it is pertinent to study its broader effects on a child's pre-school and school years. Given the lack of consensus on a comprehensive measure that encapsulates these effects on an individual's routine functioning, the present study examined whether various engagement states in SGs use influence a relatively broader measure of users' functioning across significant life domains such as Quality of Life (QoL). It is argued that it would serve scholars, teachers, and parents better to understand the broader implications of SGs on children's overall QoL rather than isolated physiological and behavioral effects. Consequently, utilizing structural equation modeling, results from 335 parents of 2-10-year-olds in a developing country showed that cognitive and behavioral engagement in gamified applications appear to influence the child's QoL, but not affective engagement. Results are discussed in terms of the consequences of using game-based technology for a child's development, with far-reaching academic, personal, physical, and social implications not only for the school-going ages, but also for early teenage years. The results are promising in relation to QoL. The findings indicate the role modern technology plays in improving individuals' lives. The findings provide scholars, parents, and creators of SGs important information for their plan of action regarding children's exposure to SGs and making SGs a frequent aspect of the learning experience early in life.

Place, publisher, year, edition, pages
Springer, 2023
Keywords
Children, Engagement states, Gamification, Serious games, Quality of life
National Category
Learning Human Computer Interaction
Identifiers
urn:nbn:se:hj:diva-58205 (URN)10.1007/s12144-022-03558-1 (DOI)000832871000001 ();intsam;1687623 (Local ID);intsam;1687623 (Archive number);intsam;1687623 (OAI)
Available from: 2022-08-16 Created: 2022-08-16 Last updated: 2023-09-04Bibliographically approved
Alimoradi, Z., Griffiths, M. D. & Pakpour, A. H. (2023). Epilepsy, sexual function, and mindfulness-based cognitive therapy. In: C. R. Martin,V. B. Patel & V. R. Preedy (Ed.), Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults: (pp. 135-146). Elsevier
Open this publication in new window or tab >>Epilepsy, sexual function, and mindfulness-based cognitive therapy
2023 (English)In: Handbook of Cognitive Behavioral Therapy by Disorder: Case Studies and Application for Adults / [ed] C. R. Martin,V. B. Patel & V. R. Preedy, Elsevier , 2023, p. 135-146Chapter in book (Other academic)
Abstract [en]

Epilepsy, like many common medical disorders, can cause sexual dysfunction. However, the prevalence and nature of sexual dysfunction among people with epilepsy, its causes, and optimal management strategies are unclear. Sexual dysfunction in epilepsy is caused by several factors including disease-related factors and drug treatment, psychiatric factors, and social factors. Due to the significant prevalence of sexual dysfunction among patients with epilepsy, the synergistic effect of sexual dysfunction, and mental disorders, design and implementation of psychological interventions including mindfulness-based cognitive therapy (MBCT) for sexual disorders among patients with epilepsy have been proposed. MBCT is an approach to psychotherapy that uses cognitive-behavioral therapy (CBT) techniques alongside mindfulness meditation techniques. MBCT protocol has been adapted to treat female sexual dysfunction of different groups including epilepsy showing promising effects. Consequently, issues concerning sexual activity should be raised by healthcare professionals as a routine part of the management of patients with epilepsy, and MBCT can be considered as a promising effective treatment strategy.

Place, publisher, year, edition, pages
Elsevier, 2023
Keywords
Cognitive-behavioral therapy, Epilepsy, Mindfulness-based cognitive therapy, Sexual dysfunction
National Category
Psychiatry
Identifiers
urn:nbn:se:hj:diva-60031 (URN)10.1016/B978-0-323-85726-0.00006-5 (DOI)2-s2.0-85150150092 (Scopus ID)978-0-323-85726-0 (ISBN)
Available from: 2023-03-27 Created: 2023-03-27 Last updated: 2023-03-27Bibliographically approved
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Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-8798-5345

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