Naser Safdarian, Shadi Yousefian Dezfoulinejad,
Volume 23, Issue 2 (5-2020)
Abstract
Background and Aim: Breast cancer is the abnormal cell growth in the breast. In both benign and malignant masses, there is rapid and high cell growth. Nowadays, due to the development of technologies, the diagnosis of diseases has become non-invasive and physicians attempts to diagnose the disease without surgery and based on internal organ images.
Methods & Materials: In this study, by using images prepared from the Digital Database for Screening Mammography (DDSM), a new method is proposed for detecting cancerous masses in the mammographic images using geometric features extraction and optimization of Support Vector Machine (SVM) parameters to classify breast cancer masses automatically. First, images were pre-processed and then boundaries were determined using threshold method. Next, morphological operators were used to improve these boundaries and the segmentation of images was carried out to classify cancerous masses. Finally, by using the SVM parameter optimization method, Grasshopper Optimization Algorithm (GOA), and 4-fold crossvalidation method, data were classified into two groups of benign and malignant (cancer) masses.
Ethical Considerations Images from DDSM database were used in this research, all images are open access in this database.
Results: The accuracy, sensitivity and specificity values for applying the Radial Basis Function (RBF) kernel in SVM classifier (before optimization process) were obtained 97%, 100% and 96, respectively. After optimization of SVM parameters by the GOA, it was reported 100% for all accuracy, sensitivity and specificity indices for applying linear kernel function, indicating the high accuracy of the proposed method. The average values of accuracy, sensitivity and specificity indices for applying all three SVM kernel functions after optimization were 95.83, 100 and 94.81%, respectively.
Conclusion: The extracted geometrical features from breast cancer masses are highly efficient for model training and the diagnosis of breast cancer. The GOA could improve the overall accuracy of the proposed method by optimizing the SVM parameters. The results showed the higher performance of the proposed method compared to other methods.
Fatemeh Amiri, Rasoul Najafi,
Volume 23, Issue 3 (8-2020)
Abstract
Background and Aim: Fertility pattern is one of the most important determinants of population fluctuations. Various individual and social factors affect this pattern. This study aimed to determine the factors affecting the fertility pattern using the structural equation model.
Methods & Materials: In this cross-sectional study, 384 women were randomly selected from married women of childbearing age who referred to Taleghani, Valiasr, and Amir Al-Momenin hospitals in Arak as patients. After obtaining verbal consent to participate in the study, a researcher-made and valid questionnaire was completed for them. Structural equation modeling was used to measure the effect of important individual and social variables on fertility patterns. Data analysis and analysis were performed with AMOUS software version 11 and SPSS V. 22.
Ethical Considerations: This study was registered with the ethics code IR.ARAKMU.REC.1396.4 by the Research Ethics Committee of Arak University of Medical Sciences.
Results: The Mean±SD age of the participants in the study was 40.03±11.19. The variables affecting the fertility pattern using the structural equation model included, respectively, the type of individual exercise, the method of contraception, the type of infertility treatment, and the duration of use of the contraceptive method.
Conclusion: The results showed that physical activity, contraceptive method, and duration of use of this method and the type of infertility treatment were related to fertility pattern. By recognizing the factors affecting the fertility pattern and increasing the awareness of young couples, it is possible to help improve the fertility pattern.
Leila Naserpoor, Katayoun Berjis, Rahil Jannatifar,
Volume 23, Issue 6 (11-2020)
Abstract
Background and Aim: Applying Assisted Reproductive Technologies (ARTs) is increasing. A critical step in ART is the frozen embryo transfer, in which the endometrium thickness has great significance in the outcome. In this case, the frozen embryo will be transferred during the next cycle. There are several ways to prepare an endometrium for transmitting embryos; however, choosing the best method remains debated. The present study aimed to evaluate the pregnancy rate of frozen embryo transfer in the presence or absence of GnRH agonists.
Methods & Materials: A retrospective analysis was conducted on 146 consecutive patients attending Qom’s infertility treatment center from 2015 to 2017; these subjects were candidates for the transfer cycle of the frozen-thawed embryo and randomly assigned to receive either protocol with or without GnRH agonist. Clinical features, implantation rate, pregnancy rate (chemical & clinical), and abortion rate were assessed.
Ethical Considerations: This study was approved by the Research Ethics Committee of the Academic Center for Education, Culture, and Research of Mashhad University (Code: IR.ACECR.JDM.REC.1398.001).
Results: There was no significant difference in baseline and clinical characteristics, implantation rate, pregnancy rate (chemical & clinical), and abortion rate between the study groups of endometrial preparations with or without GnRH agonist (P<0.05).
Conclusion: In this study, pregnancy outcome was similar in both study groups; thus, this method is recommended as an endometrial preparation without GnRH agonist.
Maryam Moradi, Mahla Salarfard, Zahra Abedian, Seyed Reza Mazloum, Ehsan Mousa Farkhani,
Volume 23, Issue 6 (11-2020)
Abstract
Background and Aim: The adherence of diabetic patients to the recommended treatment regimens is among the major challenges in diabetes control. Dietary adherence is low in pregnant women with gestational diabetes. Non-compliance can reduce the beneficial effects of treatment, symptoms, and signs, increase complications, or even cause death. Therefore, further research on the determinants of follow-up behaviors is essential.
Methods & Materials: This was a descriptive-analytical study. In total, 260 women with gestational diabetes treated with diet referring to healthcare centers, and Imam Reza (AS), Ghaem, and Umm Al-Banin Hospitals in Mashhad City, Iran participated in this research. The study subjects were selected using convenience, multistage, class, and cluster sampling methods. The required data were collected using a demographic and pregnancy profile questionnaire and a researcher-made questionnaire of adherence to the treatment regimen. The obtained data were analyzed by inferential statists and regression tests in SPSS v. 16.
Ethical Considerations: This study was registered with ethics code of IR.MUMS.NURSE.REC.1397.091 in the ethics committee of Mashhad University of Medical Sciences.
Results: The regression analysis results indicated that dietary adherence, blood glucose monitoring, and exercise adherence scores presented a significant and positive effect on the total treatment adherence score (P<0.001). Furthermore, education (P=0.044), unwanted (P=0.006), or unplanned pregnancy (P=0.21) provided a positive and significant effect on the overall score of treatment adherence. Women with a history of diabetes in first-degree relatives (P=0.010) and those with a history of miscarriage (P=0.021) obtained higher scores of total treatment adherence.
Conclusion: According to the present study findings, some demographic and pregnancy characteristics can affect the rate of adherence to the treatment regimen in women with gestational diabetes. Healthcare providers need to pay attention to the impact of these factors in improving adherence to patients’ treatment regimens.
Faranak Moradi, Ali Akbarnejad,
Volume 24, Issue 3 (8-2021)
Abstract
Background and Aim: Polycystic Ovary Syndrome (PCOS) is an endocrine disorder in women of reproductive age. In cross-sectional and longitudinal studies, exercise training is an effective solution for treating and declining the symptoms. This study aims to compare the effects of the voluntary and the endurance exercise on some of the inflammatory and hormonal markers in rats with PCOS.
Methods & Materials: In this study, Which was experimental and applied in terms of purpose, 40 female Wistar rats with Mean±SD weight of 220±20 g were divided randomly into four groups of ten: 1) control, 2) PCOS, 3) PCOS + Running wheel and 4) PCOS + endurance training. The rats in the voluntary group experienced voluntary activity of wheel running for 8 weeks (5 times a week). Alternatively, the endurance training group underwent aerobic exercises for 8 weeks (5 sessions in a week) on a treadmill. The blood samples were taken from the heart to measure the concentration of interleukin-6 and testosterone level and were analyzed by one-way analysis of variance and LSD post hoc test.
Ethical Considerations: This study was approved by the Tehran University, Iran (Code: IR.UT.REC.1395016).
Results: The results showed no significant difference in IL-6 and testosterone indices between endurance and voluntary training groups (P=0.565), (P=0.496). Both training groups (endurance and voluntary) separately resulted in a significant reduction in il6 and testosterone compared to rats with PCOS (P=0.002), (P=0.000), (P=0.038), (P=0.007).
Conclusion: Altogether, the present study’s findings suggest that voluntary and endurance training in rats have similar effects on IL-6, Testosterone, and weight.
Zahra Hoseini, Naeimeh Akbari Torkestani, Abed Majidi, Azam Moslemi,
Volume 24, Issue 4 (9-2021)
Abstract
Background and Aim: Among the different periods of human life, adolescence is one of the most important and valuable periods of each personchrs life and anxiety is very common in this period of development and can continue into adulthood. One of the concerns is health concern so it is the best time to target the efforts of preventive behavior during adolescence. Therefore, this study was conducted to investigate the effect of group-based puberty counseling on problem-solving health concerns of adolescent girls.
Methods & Materials: This study is an educational trial with a pre-test and post-test design that is performed on 60 female students aged 15-18 years in Tehran (30 in the experimental group and 30 in the control group) who meet the inclusion criteria and by sampling method. Two-stage cluster random sampling was performed. Data were collected using a questionnaire containing demographic information and a standard health concern questionnaire. The intervention was designed by group discussion during 6 sessions for the experimental group and after 2 months, information was collected from both groups and analyzed by chi-square, independent t-test and paired t-test.
Ethical Considerations: This study was approved by the Research Ethics Committee of Arak University of Medical Sciences (Code: IR.ARAKMU.REC.1397.262), and all participants have read and signed the informed consent.
Results: According to the results of the study, before the educational intervention in the experimental group, the mean scores of anxiety in: personal health were 3.90, sexual health was 3.77, communication was 3.83, emotional health was 5.43 and the total score of anxiety was 16.10. The intervention had changed to 2.53, 2.03, 2.97, 3.30 and 10.90, respectively. This change was significant in the areas of sexual health, emotional health and total anxiety score (P<0.005). Also, the experimental and control groups, after the educational intervention, had significant differences in the areas of personal health, emotional health and total anxiety score (P<0.005).
Conclusion The results of the intervention showed that group discussion can reduce the health concerns of adolescent girls.
Tayebeh Mokhtari Sorkhani, Katayoun Alidousti, Atefeh Ahmadi, Moghaddameh Mirzaee, Victoria Habibzadeh,
Volume 24, Issue 6 (1-2022)
Abstract
Background & Aim: Infertility is defined as inability to become pregnant with regular sexual intercourse for more than one year without using preventive methods. Infertility has negative effects on the quality of life of infertile couples. this thesis was done with the purpose of investigating the effecte of infertility counseling to improve the quality of life among infertile couples
Materials and Methods: This randomized clinical trial was carried out on sixty infertile couples with primary infertility in2017. Samples were allocated to an intervention (30 couples) and a control group (30 couples) by simple randomization. Even days of the first week, the intervention group and in the odd days, control group samples were selected, and the opposite was done in the following week. The intervention group received infertility counseling for six forty-five-minute sessions twice a week. However, control group received routine care. FertiQoL questionnaire was completed before and after intervention. For data analysis SPSS 19 software and Paired T-Test statistical tests , Mann-Whitney and Chi-Square Test, were used.
Ethical Considerations: Ethical code is IR.KMU.REC.1395.678 in Kerman University of Medical Sciences
Findings: Comparison of the differences between the mean of quality of life in the intervention and control groups before counseling and after counseling indicated that infertility counseling increased Meaningful quality of life in the intervention group (p <0.0001)
Conclusion: The results indicated infertility counseling can improve the quality of life among infertile couples. Therefore, it can lead to more satisfaction and cooperation in infertility treatment.
Azin Niazi, Maryam Moradi, Ehsan Mazloumi,
Volume 25, Issue 3 (8-2022)
Abstract
Background and Aim Preeclampsia is a common complication of the second half of pregnancy. Sleep disorders can cause high blood pressure by causing oxidative stress and endothelial dysfunction. Therefore, the present study was performed to determine the relationship between sleep disorders and preeclampsia.
Methods & Materials This is a case-control study that was performed on 240 women referred to the affiliated university hospitals in Mashhad. Sampling was performed in the case group of hospitalized women with a definite diagnosis of preeclampsia (n=90) and in the control group (n=150) among pregnant women without preeclampsia referred to the obstetrics clinic. Data collection tools included demographic information questionnaire and gynecological/obstetric records, Pittsburgh Sleep Quality Questionnaire and clinical evaluation form to determine the symptoms and severity of preeclampsia. Data analysis was performed using SPSS statistical software (version 22) and Mann-Whitney, Chi-square and Fisher tests. A P value of less than 0.05 was considered significant.
Ethical Considerations The present paper is the result of a research project approved by the Vice-Chancellor for Research of Mashhad University of Medical Sciences (Code: IR.MUMS.NURSE.REC.1397.042).
Results The mean amount of real sleep at night in the group of healthy individuals (8.4±2.3) was significantly higher than patients (8.0±2.2) (P=0.028). In terms of loud snoring, waking up in the middle of the night was most frequent in the affected group (P<0.001). There was a statistically significant difference between the two groups in terms of sleep quality score level (P<0.001) based on logistic regression test in women with severe sleep problems at risk of preeclampsia (P<0.001, 95% CI 2.9-42.2, OR: 11/11) (11/11) was equal compared to healthy women.
Conclusion The present study showed that sleep disorders in pregnancy are associated with an increased risk of preeclampsia.
Fatemeh Rostamkhani, Mohammad Ghamari, Vahideh Babakhani, Effat Sadat Merghati Khoei,
Volume 25, Issue 3 (8-2022)
Abstract
Background and Aim Sexual function is an important part of menopausal women's lives, and changes in it, especially during menopause, can affect their health. The aim of this study was to compare the effectiveness of cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT) on the sexual function of postmenopausal women.
Methods & Materials This research was a quasi-experimental with pre-test, post-test and follow-up design with control group. The statistical population of the study included postmenopausal women who referred to Zanjan Health Center in 2020 to receive services. Among them, 45 were selected using the available sampling method and were randomly assigned to three groups of 15, and control group using randomly assigned block allocation method. Therapeutic sessions were held in 8 sessions and each session was held for 2 hours. Data were collected by FSFI (Female Sexual Function Index) and were analyzed using ANOVA with repeated measures analysis via SPSS software, version 24.
Ethical Considerations This study was approved by the ethics committee of the Zanjan University of Medical Sciences (Code: IR.ZUMS.REC.1398.328).
Results In the post-test and follow-up phase, there was a significant difference between both CBT and ACT methods compared to the control group in sexual function respectively (P<0.05, F=17.857), (P<0.05, F=12.115). That is, treatment with CBT and ACT improved the sexual function of postmenopausal women, which had a lasting effect for three months, and there was no significant difference between the groups involved in sexual function (P>0.05, F=0.494).
Conclusion Cognitive-behavioral therapy and acceptance-based therapy have improved sexual function in postmenopausal women, so it is recommended that these therapies be used to improve the sexual function of postmenopausal women in health centers.
Dr Azam Abdullahpour, Dr Reyhane Zarbaf, Ms Masoumeh Ahmadi,
Volume 25, Issue 5 (12-2022)
Abstract
Introduction: Performing aerobic exercise programs during pregnancy will have positive effects on various characteristics related to the health of mother and children. Therefore, the aim of this study is to investigate the effect of aerobic activity of the mother during pregnancy on the levels of leptin hormone in the blood serum of adult rats.
Methods: This research is of an experimental type with a post-test design with a control group, including 20 female rats with an average age of 8 weeks, randomly divided into two training (T) (221 ± 8.9 grams) and control (C). (223±12.8 grams) groups. Pregnancy sports activity was performed immediately after the observation of vaginal plaque for 21 days and for 5 sessions per week with moderate intensity on the treadmill, and it was terminated 2 days before delivery. The comparison of leptin hormone level in two control and exercise groups was analyzed using independent t-test in 8-week-old mice at a significant level of P≥0.05.
Ethical considerations: This study was an experimental and interventional type, and the ethical standards in maintaining and conducting experiments are in accordance with the ethics code of this study (IR.QUMS.REC.1396.288) which has been approved by the Ethics Committee of the Faculty of Basic Sciences of Qazvin University of Medical Sciences.
Results: The amount of leptin hormone (p=0.002) in adult rats whose mothers had exercised during pregnancy was significantly lower than the control group, the weight of food consumed by the mother in the last weeks of pregnancy in the group training was less than the control group and the weight of the adult rats in the training group was less than the control group.
Conclusions: It seems that sports activity during pregnancy can have positive effects on weight control and prevention of obesity in adult children.
Msr Farzaneh Maryami, Msr Soraya Soheili, Msr Zohreh Maryami,
Volume 26, Issue 0 (8-2023)
Abstract
Introduction: Postpartum depression is one of the most common mood disorders after childbirth, which not only has negative effects on the child's growth and marital life, but also affects the quality of life and health of mothers. Therefore, this research was conducted with the aim of determining the relationship between women's quality of life and postpartum depression.
Methodology: This descriptive and analytical study was conducted on 200 mothers who referred to health centers in Torbat Heydarieh city in 2016 as available sampling in the 6th week after delivery. Mothers were divided into depressed and non-depressed groups based on the Edinburgh scale. Then sf36 questionnaire was completed for two groups. Data were analyzed using personal information questionnaire, Edinburgh depression questionnaire and sf36 quality of life questionnaire using descriptive indices and independent t-test using version 22 software.
Findings: Statistically significant differences were found in all aspects of the quality of life of non-depressed and depressed women after childbirth. P<0.05
Conclusion: Postpartum depression is associated with a decrease in women's quality of life. Therefore, it is essential that with early identification of mental and psychological disorders of mothers and their prevention, the mental health of mothers and the quality of their life after childbirth can be improved
Dr Tayebeh Rashidian, Mr , Akbar Mohammadi, Dr Nasibeh Sharifi, Dr Anahita Jalilian, Dr Ali Khorshidi,
Volume 26, Issue 4 (11-2023)
Abstract
Introduction: Despite the adverse consequences of cesarean delivery, its incidence rate is increasing in many provinces of the country, especially Ilam city. For this reason, it is important to identify the causes of the increase in cesarean delivery in order to reduce it. Therefore, the present study was conducted with the aim of determining the frequency of cesarean section and its causes in primiparous women in Ilam city in 2016.
.
Methodology: The present study was conducted cross-sectionally in the second half of 2016 in Ilam city, and the study population was all primiparous women referred to a single specialty maternity hospital (Ayatollah Taleghani Hospital). The sampling method was census and all cesarean deliveries were recorded in Ayatollah Taleghani Hospital. The inclusion criteria included all primiparous women. The data of the study was collected using a researcher-made questionnaire that included demographic and midwifery information. After collecting the data, the data was entered into the SPSS version 16 software Central indices were used to describe data in quantitative variables, and absolute and cumulative frequency and percentage of dispersion frequency were used for qualitative variables.
Findings: According to the findings of this study, out of 1738 births, 867 (49.88%) were natural births and 871 (50.12%) were cesarean. Among the natural births, 427 (49.25%) and among the cesarean births, 296 (33.98%) were primiparous. Among the maternal factors, lack of progress and among the fetal factors, fetal distress and among the maternal-fetal factors, head-to-pelvis disproportion was one of the most important causes of cesarean delivery in primiparous women. In general, fetal factors with more than 67% were the most important causes of caesarean section in primiparous women.
Conclusion: According to the findings of the study, 33.98% of cesarean births were primiparous. Considering the high statistics of caesarean section, especially cesarean section for first births , It is necessary to reduce the number of elective cesarean sections by increasing the number of physiological births and painless births, as well as increasing the awareness of families about birthing methods and the advantages and disadvantages of each of them.
Maryam Mohammadi, Naimeh Akbari Torkestani, Fatemeh Mehrabi Rezveh,
Volume 27, Issue 2 (5-2024)
Abstract
Introduction: Sexual problems are prevalent problems among women that affect different aspects of their lives. Counseling in the early stages can solve many of their problems. Therefore, this study aimed to investigate the effect of group counseling based on reality therapy on female sexual function.
Methods: The present clinical trial study with a control group was conducted in Arak City in 2016. A total of 40 women were selected from five healthcare centers according to the inclusion and exclusion criteria and were randomly divided into two groups experimental and control. The experimental group received counseling sessions of reality therapy (8 sessions, each 90 minutes, twice a week), and the control group received no intervention. Data collected included demographics and the Female Sexual Function Index (FSFI) questionnaire, completed before and four weeks after the intervention.
Results: The mean scores for sexual function in intervention and control groups were
28.63 ± 2.21 and 27.14 ± 2.58 before the counseling, showing no significant differences between the two groups (P = 0.5). But after reality therapy, the values significantly changed in the intervention group (30.29 ± 2.92 vs. 27.64 ± 2.58) (P < 0.05).
Conclusions: Counseling based on reality therapy was found effective in improving sexual function in women. Therefore, it is recommended that this method be used in healthcare centers.
Soraya Soheili, Razieh Peyghambardoost,
Volume 27, Issue 2 (5-2024)
Abstract
Introduction: The postpartum period is a dangerous potential time for postpartum depression. Postpartum depression is the reducer instrument for postpartum support. The purpose of the current study is to determine the effectiveness of postpartum supports on the postnatal women depression after childbirth.
Methods: This study a semi experimental study was conducted in Marand hospital. Two hundred sixty mothers agreed to take part and were randomly allocated to an intervention group
(n = 130) or control group (n = 130). The intervention group received telephone counseling for 20- minute at the first week twice, second week till 6th weeks once at week plus routine care. The control group received only the routine care. Also for evaluation of the unanticipated mother’s needs, 24-hour telephone access to researcher was provided. The main outcome measure was recording demographics data sheet, postpartum problem’s checklist and the Edinburgh Postnatal Depression Scale (EPDS) administered by presence interview questionnaire at six weeks after delivery. Control group received general postpartum education. The data were analyzed by χ², Fisher test and T test.
Results: At 6 week postpartum, mean of depression was obtained in the intervention group (15/80 ± 5/12) and in the control group (18/43 ± 5/90). On the EPDS scale, in the intervention group was significantly decrease to control group (P < 0.0001).
Conclusions: The result of this research showed that Postpartum Fallow Up by midwife could effective to decrease women’s postpartum depression in the pureperium.
Mahla Jaefari, Habibollah Kord, Abbas Tavan,
Volume 27, Issue 2 (5-2024)
Abstract
Introduction: The process of the first pregnancy causes a decrease in resilience and fear of pain, which requires interventions to solve these problems. This study aimed to determine the effectiveness of group therapy spirituality on endurance and pain control in primiparous pregnant women.
Methods: The research method was semi-experimental, pre-test, and post-test with a control group. The statistical population of this study included all pregnant women who gave birth in 2022 in the city of Kerman, 30 people (15 people in the experimental group and 15 people in the control group) were selected by the available sampling method. The data collection tools were the pain disability questionnaires of Mold and the resilience questionnaires of Connor and Davidson. A group spiritual therapy intervention was performed on the experimental group, and the control group did not receive any intervention. Data analysis was done with descriptive tests (mean and standard deviation) and covariance analysis. A P value less than 0.05 was considered significant.
Results: In the resilience variable, the mean and standard deviation of the experimental group in the pre-test was 41.27 ± 7.22 and the post-test 63.18 ± 8.69. In the pain control variable, the mean and standard deviation of the group in the pre-test was 35.73 ± 6.28, and the post-test was 21.40 ± 5.44. The results showed that group therapy spirituality had an effect on endurance and pain control in primiparous pregnant women (P < 0.01).
Conclusions: Based on the findings of the research, group therapy spirituality can be used to increase endurance and control pain in primiparous pregnant women.
Umm Kulsum Tabarte Farahani, Naimeh Akbari Torkestani, Leila Khazaei, Dr Mehdi Ranjbaran, Masoomeh Davoodabadi Farahani,
Volume 27, Issue 3 (7-2024)
Abstract
Introduction: Sexual self-efficacy is a fundamental concept in behavior, health, and sexual performance that changes over time due to events such as pregnancy and childbirth. The present study was conducted to investigate factors affecting sexual self-efficacy in pregnant women in Arak City.
Methods: The current research is a cross-sectional, descriptive, and analytical study conducted with 234 pregnant women aged 18 to 40 who had minimal reading and writing literacy and lived with their husbands. Ten comprehensive urban health centers were selected using cluster sampling. Data were collected through a demographic information checklist and a sexual self-efficacy questionnaire. Data analysis was done using Mann-Whitney U and Kruskal-Wallis and (LSD) tests.
Results: The mean score of sexual self-efficacy of pregnant women was 28.51 ± 6.45 and was at a high level. Kruskal-Wallis test showed that the sexual self-efficacy of pregnant women is unrelated to their education (P = 0.2). There is a significant relationship between education and the education of their spouses (P = 0.04). (LSD) test showed a significant difference between different levels of education of husbands and the sexual self-efficacy of pregnant women. Also, no significant relationship was observed between the mean score of sexual self-efficacy and other variables.
Conclusions: The sexual self-efficacy of pregnant women is related to the education of their husbands, so it is suggested to provide a suitable platform for increasing the knowledge and awareness of men.
Samaneh Ghobadi, Mr Keivan Kakabraee, Mahmoud Goudarzi,
Volume 27, Issue 4 (10-2024)
Abstract
Introduction: For many people, infertility is a prominent crisis and cause of mental stress that causes many unfavorable psychological reactions. The purpose of the research is to design a cognitive-behavioral coping training package with the stress of infertility and its effectiveness on the hope of infertile women.
Methods: The present study was conducted using a mixed method using the qualitative part, content analysis type, and the quantitative part, semi-experimental, in the pre-test-post-test-two-month follow-up design with the control group. The statistical population of this research was infertile women referring to infertility centers and gynecology and infertility specialists in Kermanshah in 2022. A sample of forty women was selected as a sample using the purposeful sampling method and replaced in two groups (experimental and control) in a simple random manner. Data were collected from Newton et al.'s infertility stress questionnaire (1999) and Schneider's Hope (1991). The data was analyzed using a content validity test and repeated measurement variance analysis tests.
Results: The designed educational package was valid and adequate. The findings showed a significant difference between pre-test, post-test, and follow-up in the component of hope, and this difference continued until the follow-up stage.
Conclusions: The educational package on cognitive-behavioral coping with the stress of infertility of infertile women can be used to reduce the stress and increase the hope of infertile women.
Parvin Roosta, Dr Sayed Abdollah Sadat Bahreinian, Ghasem Ahi, Mohammad Hassan Ghanifar,
Volume 27, Issue 5 (12-2024)
Abstract
Introduction: One of the problems during adolescence is the existence of conflict with parents, which creates object relationships and feelings of shame and guilt in them. This research was conducted to determine the effectiveness of treatment based on the mentalization of object relations and feelings of shame and guilt in conflicting mother-child relationships.
Methods: This research method was semi-experimental and pre-test-post-test with a control group. The statistical population of this research included all mothers and adolescents with conflicting relationships who were referred to counseling centers in Shiraz in 2022. By using the available sampling method, 30 people from the mentioned community were selected as a sample and were randomly divided into two experimental (15 people) and control (15 people) groups. Asadi et al.'s parent-child conflict questionnaires (2010), Bell's object relations (1995), and Cohen et al.'s (2011) feelings of shame and guilt were used to collect information. The experimental group underwent executive function training for 13 sessions twice a week for 60 minutes, and the control group did not receive any training. The research data was analyzed using correlation.
Results: The mean ± standard deviation of the experimental group in the post-test in the variable of object relations from 1.5 ± 1.37 to 28.6 ± 4.3 and in the variable of shame and guilt from 5 ± 1.60 to 5.60 ± 3. 51.2 ± 9.1 decreased. The results showed that in the post-test stage, the mean scores of object relations and feelings of shame and guilt in the experimental group decreased significantly compared to the control group (P < 0.01).
Conclusions: Treatment based on mentalization was effective in improving object relationships and reducing feelings of shame and guilt. Therefore, this treatment can be suggested to reduce the conflict between adolescents and mothers.
Masoumeh Fathi, Masoumeh Davoodabadi , Fereshteh Farzan Azar, Efat Noroozi, Dr Azam Moslemi,
Volume 27, Issue 6 (1-2025)
Abstract
Introduction: Deep physical and psychological changes in pregnancy can affect women's sexual relations. This study aims to investigate the effect of psychological counseling on problem-solving skills on sexual dysfunction and satisfaction of pregnant women.
Methods: In a pre-test-post-test intervention study, 70 pregnant volunteers meeting the inclusion criteria, referring to health centers in Arak City, and with sexual function and sexual satisfaction questionnaire scores of less than 28 and 42, respectively, were randomly assigned to two intervention groups of 35 and a control group. The intervention group received six counseling sessions based on problem-solving, and both groups received routine care. Rosen's sexual performance questionnaire and Larson's sexual satisfaction questionnaire were answered by both groups before, immediately, and one month after the intervention. Data analysis was done using Chi-square, Fisher's exact test, and Repeated measure tests.
Results: The repeated measure design test showed that immediately and one month after the intervention, the average sexual performance (26.82 ± 1.61 and 28.88 ± 1.1) and sexual satisfaction (39.22 ± 2.27 and 15.15) (43.19 ± 2) compared to the control group (23.69±1.97, 22.63±2.08) (36.23±2.44, 35.06±2.46) compared to the control group (P < 0.05).
Conclusions: This study showed that counseling based on problem-solving improves the performance and sexual satisfaction of pregnant women effectively and can be included in educational protocols during pregnancy to improve the quality of sexual life.
Zahra Zohre Vandi, Narges Babakhani, Afsaneh Taheri,
Volume 28, Issue 1 (3-2025)
Abstract
Introduction: The present study was conducted to investigate the effectiveness of acceptance and commitment-based therapy on the lifestyle of improving the health and emotional distress of women undergoing infertility treatment with the in vitro fertilization (IVF) method.
Methods: The method of this study was semi-experimental with a pre-test-post-test design with a control group and a follow-up stage. The statistical population of the study included women undergoing infertility treatment with the IVF method referring to the infertility center of Imam Khomeini Hospital in Tehran in the first six months of 2012. In this research, 27 women undergoing infertility treatment with IVF method were selected by voluntary sampling method and replaced by random method in test and control groups. The experimental group underwent acceptance and commitment therapy (10 sessions) for two and a half months. A health-promoting lifestyle questionnaire (HPLP) and an emotional distress questionnaire (Lavibond and Lavibond, 1995) were used as research tools. The data were analyzed using a mixed analysis of variance and Bonferroni post hoc test.
Results: It showed that the treatment based on acceptance and commitment to the lifestyle level improves health (Eta = 0.56, F = 19.74) and has a significant effect on the dimensions of emotional disorders such as depression (P < 0.0001, Eta = 0.58, F = 0.58). F = 34), anxiety (P > 0001; Eta = 0.59; F = 35.69), and stress (P > 0.0001; Eta = 0.61; F = 40.12) of women undergoing infertility treatment with the IVF, and has been able to lead to increase a healthy lifestyle, reduce depression, anxiety, and stress in these individuals.
Conclusions: Acceptance and commitment therapy, utilizing six psychological acceptance processes, cognitive breakdown, self under context, interaction with the present, specified values, and committed behavior, can be used as an effective treatment to reduce emotional distress in women undergoing IVF infertility treatment.
