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The Effect of Stress Inoculation Group Training on Hope and Quality of Life in Women with Breast Cancer
Dr Alireza Mohammadi Arya , Mahdiyeh Pakdaman, Dr Shahnam Abolghasemi, Dr Mansour Rezaee, Dr Tahereh Pashaee, Amaneh Ghareh Tapeh ,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: Breast cancer is the most common cancer among women worldwide. Thus, we aimed to determine the effect of stress inoculation group training on the hope and quality of life in women with breast cancer. 
Material and Methods: This experimental study was conducted on 60 randomly selected women in chemotherapy ward of Razi hospital in Rasht, 2011. The instruments were Schneider hope and quality of life (SF-36) questionnaires. Of 60, 30 eligible patients were randomly divided into control group with no training and experimental group with stress inoculation training. 
Results: Before intervention, the two groups were matched with demographic variables, hope and quality of life score. The results showed that the stress inoculation group training is effective both on hope and quality of life. Furthermore, the effect of this approach on quality of life was more than hope score (P=0.001). 
Conclusion: Stress inoculation group training is highly effective in improving the hope and quality of life in women with breast cancer. To be sure about its permanent effect, further research with follow-up period is needed.

Understanding fertility preferences: Insights from women and experts in North Khorasan, Iran
Sakineh Nazari, Zohreh Abbasi, Mohammad Jalal Abbasi- Shavazi, Abbas Ebadi, Seyedeh Mahboobeh Rezaeean, Zohreh Keshavarz,
Volume 23, Issue 1 (3-2026)
Abstract
Background: Assessing fertility levels is considered one of the most critical indicators in population forecasting and reproductive health research. Therefore, this qualitative study was conducted to explore women’s and experts’ perspectives on childbearing, including the views of healthcare professionals, university faculty members, and sociologists, regarding factors influencing childbearing.
Methods: This qualitative study was conducted in 2025 in North Khorasan Province, Iran. Participants were selected through purposive sampling and included three groups: women with two or fewer children (n = 35), women with more than two children (n = 16), and experts in the field of childbearing (n = 13). Data were collected through in-depth individual interviews and analyzed using MAXQDA 10 software according to conventional content analysis procedures.
Results: Analysis of the participants’ narratives identified four main themes influencing the decision to have more than two children: “gaining power, passive social acceptance, inefficiency of educational and health approaches, and a specific lifestyle pattern.” In contrast, rethinking the value of children and reconsidering fertility emerged as key factors influencing the decision to have fewer than two children.
Conclusion: The findings indicate that fertility preferences are shaped by a complex interplay of social and personal factors. While empowerment, passive social acceptance, ineffective educational and health strategies, and lifestyle considerations tend to promote larger family sizes, reassessment of the value of children and fertility considerations support smaller family choices. These results highlight the need for tailored reproductive health policies and context-sensitive educational interventions to support informed decision-making and balanced population strategies.

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