Background: Substance use disorders are often accompanied by irrational beliefs and unfavorable attitudes that contribute to their development and persistence. Metaphor therapy, utilizing stories and imagery, has emerged as a potential intervention to reshape thoughts. This study aimed to investigate the impact of metaphor therapy on irrational beliefs and attitudes among individuals with substance use disorders. A quasi-experimental study was conducted at Assiut University Hospital’s substance use inpatient unit. A non-probability purposive sample of 100 were recruited and randomly assigned to study and control groups. Irrational beliefs and attitudes toward substance use were assessed using the Irrational Beliefs Scale and Attitude toward Substance Abuse Questionnaire at pre-treatment, post-treatment, and follow-up. Results The metaphor therapy group demonstrated significant decreases in mean irrational belief subscale and total scores at post-treatment and follow-up compared to pre-treatment. Additionally, this group exhibited higher mean attitude scores, indicating more negative attitudes (rejection of substance use) during post-treatment and follow-up assessments. Conclusions Metaphor therapy was effective in reducing irrational beliefs and fostering more favorable attitudes toward substance use. The finding suggests metaphor therapy could be a valuable intervention for addressing cognitive and attitudinal factors contributing to substance use.           

Background: Chemotherapy frequently causes pain, fear, and anxiety. Children typically practice this sense during invasive chemotherapy-related procedures, of which cannulation is one. The most frequent medical operations for children are cannulation insertions, which are frequently distressing and uncomfortable for both children and their parents. Objective: This study aimed to evaluate the impact of Virtual Reality (VR) on children’s fear, pain, and physiological parameters during cannula insertion for receiving chemotherapy in pediatric patients. Methods: A randomized controlled trial of a two-group design, with a convenient sample of 60 children admitted to the oncology department at the Cancer Institute in Assiut governorate. Eligible children were randomly divided into an experimental and a control group. Children in the experimental group were shown a VR (eyeglasses specialized for that goal) video during cannulation. While subjects in the control group received cannulation without any distraction method. The outcome variables were assessed by the investigator before, during, and after cannulation. Three tools were used to collect data for this study: Personal and clinical data sheet, Children’s Fear Scale, and The Objective Pain Scale. Statistical analysis of the data was carried out. Results: The children's ages ranged from 5 – 20 years. Respiration and pulse rates were significantly less in children who used VR especially during and after cannulation time points. Significantly less pain was felt by children using the VR eyewear. Also, fear and pain significantly decreased in the study group during and after cannulation. Conclusion: VR can be successfully used to distract children decrease the amount of fear, and pain, and enhance physiological stability among chemotherapy. Implications for Practice: VR can be a great way to distract children from their fear and pain, which can be a nightmare for kids and their parents during any invasive procedure.

Keywords: Chemotherapy, Cannulation, Distraction, Pain, Fear, Virtual reality.

The effects of climate change pose significant threats to ecosystems, biodiversity, and the well-being of human populations. Aim: The study aimed to explore the relation between climate changes, quality of life and psychological status among Assiut city population. Setting: The study was conducted at Assiut city by utilizing web-based online survey. The study sample was 1300 as a convenience sample. Five tools were used; the socio-demographic data, Climate Change Anxiety Scale, Climate Change Worry Scale, Self- Efficacy Scale and the WHOQOL-BREF questionnaire. Results: There was strong positive correlation between climate change worry and climate change anxiety Scales (r value .838). Moreover, there was also positive correlation between self-efficacy, climate change worry and climate change anxiety scales (r value, .088, .174) respectively. Conclusions & Recommendation: The research outcomes revealed a substantial association between anxiety and worry levels and socio-demographic factors. Furthermore, the study demonstrated a noteworthy correlation between socio-demographic characteristics and overall quality of life which significantly impact individuals' well-being in relation to climate change-induced anxiety and worry. Implementing an educational program on climate change among the population through mass media as a strategy to address the challenges posed by climate change.

Background: Self-objectification whether high or low is a cognitive process and could affect one’s way of behaving and thinking either positively or negatively. Rational emotive therapy brings to the spotlight and deals with those irrational beliefs or self-defeating thoughts as acquired by the self-objectification. Aim The aim of this study was to examine the effectiveness of rational emotive behavior therapy on self-objectification among psychotic females. Desgien: The research was utilized the quasi-experimental design. Sampling: Non-probability purposive sample was utilized in this study. Sample included 70 psychotic females. Tool: 1-Demographic and clinical data sheet, 2- Self-Objectification Questionnaire, 3- Body Shame scale &4- Body-esteem scale were the instruments utilized for the study. Result: indicated shows that there were statistically significant differences between experimental group and control group in relation to the two subscales of self-objectification. Moreover, it was noticed that, there was significant reduction in the mean score of self-objectifications in experimental group than control group   scale. Conclusion: based on the results, the REBT approach to somewhat successfully reduce S. O and body shame among psychotic females. Recommendation: It is advised that researchers employ this novel approach to treating a range of psychotic illnesses in their upcoming study.

Psychiatric patients are at higher risk of dying from COVID-19, making the concern of vaccination willingness crucial. Aim: This research aimed to assess the relationship between psychiatric patients' awareness of COVID-19 and their attitude toward its vaccine. Design: A descriptive-correlational design was used. Setting: The research was done at an outpatient clinic and inpatient psychiatric department of the neuropsychiatric and neurosurgery hospital at Assiut University Hospital. Sample: Included 186 psychiatric inpatients and 278 psychiatric outpatients. Tools: three tools were used; Tool (1): Structured interviewing questionnaire, Tool (2): Coronavirus (COVID-19) Awareness Scale, and Tool (3): Attitudes toward COVID-19 vaccines. Results: The research subjects have the highest mean score and SD of coronavirus concern (12.2±3.3), followed by exaggerated perception (5.2±2.1) and the lowest mean score is related to immunity perception (2.7±1.2). The mean rank of coronavirus concern is higher among outpatients than inpatients and there is a significant relation between outpatient and coronavirus concern (p-value= 0.000). Conclusion: Psychiatric patients who have coronavirus concerns and have information about the virus have the wiliness to be vaccinated more those patients who have not aware of the pandemic of coronavirus. Also, it can be concluded that outpatients are more aware of COVID-19 as they are in more contact with mass media than inpatients. Recommendations: Implementation of educational programs about the effects and importance of vaccines against COVID-19.

Keywords: Attitude, Awareness, COVID-19, Vaccine& Psychiatric patients.

Use of hormonal contraceptives in clinical settings and in the general public, may exacerbate pre-existing anxiety and depressive symptoms. The PLISSIT model is a sex therapy counseling model which can aid any persuasive practitioner to tackle women's sexual health. Aim: Evaluating the Effectiveness of PLISSIT Model on Sexual Dysfunction and Psychological Distress among Women Using Hormonal Contraception. Research design: A quasi experimental research design was used in this study. Research setting: Family Planning and Gynecological Clinics at Woman's Health Hospital, Assiut University. Sample: In this study a purposive sample of 100 women. Tools: three tools were used in this study, (1) women assessment sheet, (2) Female Sexual Function Index tool (FSFI), (3) Depression Anxiety Stress Scales tool (DASS-21). Results: There were highly statistically significant differences between pre and post implementation mean scores of female sexual function among women (p=0.000**) with a significant increase of the total mean score of female sexual function from pre-test (15.09±6.24) to (28.49±5.08) in post-test among women. Conclusion: PLISSIT model had positive effect on sexual dysfunction and psychological distress among Women using hormonal contraception. Recommendations: Nurses should provide counseling through PLISSIT model for women using hormonal contraception to optimize the sexual health and sexual quality for life.

 Keywords: Hormonal Contraception, Psychological Distress, PLISSIT Model, Sexual Dysfunction, Women.

Background: Fear of missing out is a pervasive apprehension that others might be having rewarding experiences from which one is absent. Aim: assess the relationship between personality traits, fear of missing out (FOMO), and depression among social media users. Design: A descriptive - correlational design. Setting: The study was conducted at Assiut and Qena city in Egypt utilizing web-based online. Sample: Included 385 social media users. Tools of the study included socio-demographic data, Ten-Item Personality Inventory-(TIPI), Fear of Missing out Scale (FOMO), and the Depression scale (DEPS). Results: (13.20±9.041) of the studied persons who have depression were more than 11 hours using the net but (11.60±7.435) of them were more than 20 times using the net. Persons who have openness to experiences were positively and significantly correlated with times of using the net (r=.125*& p=.029). The FOMO is positively and significantly correlated with the depression scale, the FOMO is positively and non-significantly correlated with Extraversion and Openness to Experiences. Conclusion: extraverted individuals and persons who are open to experiences have positive relations with FOMO because they searching for new and they are afraid of missing any events via social media. Also, the person who spends much time using the internet and checks the internet more than one time per day is complaining of depression. Recommendations: Implementation of psycho-educational programs for social media users to teach them how they can manage their leisure time rather than checking social media.

Keywords: Depression, Fear of missing out, Personality traits & Social media users.