به جمع مشترکان مگیران بپیوندید!

تنها با پرداخت 70 هزارتومان حق اشتراک سالانه به متن مقالات دسترسی داشته باشید و 100 مقاله را بدون هزینه دیگری دریافت کنید.

برای پرداخت حق اشتراک اگر عضو هستید وارد شوید در غیر این صورت حساب کاربری جدید ایجاد کنید

عضویت

جستجوی مقالات مرتبط با کلیدواژه "depression" در نشریات گروه "پزشکی"

  • Seyyedeh Mahboobeh Mirtabar, Shahnaz Barat, Farzan Kheirkhah, Amrolah Mostafazadeh, Hoda Shirafkan, Zeinab Pahlavan, Mahbobeh Faramarzi*
    Background

    Anemia in pregnancy is associated with psychiatric symptoms and poor psychiatric symptoms, this study investigates the 6-month trends of anxiety and birth outcomes. Considering the controversies surrounding the impact of anemia on psychiatric symptoms, this study investigates the 6-month trends of anxiety and depression in anemic pregnant women with threatened abortion (TA).

    Methods

    A case-control retrospective cohort study conducted among 282 participants who enrolled in a registry of pregnant women with TA in Babol city from December 2022 to October 2023. Fifty individuals with anemia (hemoglobin < 11 g/dL) who were matched with 50 without anemia based on age, pregnancies, education, and gestational age, were included. The BSI-18 (Brief Symptom Inventory) was used to assess depression, anxiety, and psychological distress at the beginning, three and six-month follow-ups.

    Results

    The prevalence of anemia among women diagnosed with TA was found to be 17.7%. At the beginning, compared to normal individuals, anemic women had higher rates of depression (32% vs. 14%), anxiety (34% vs. 22%), and psychological distress (66% vs. 48%). Moreover, at 3- and 6-month follow-ups, the frequency of psychiatric symptoms in anemic women was significantly higher. The Generalized Estimating Equations model showed that although both groups had a decreasing trend of frequency anemic women experience a slower rate of decrease in psychiatric symptoms compared to non-anemic women.

    Conclusion

    Anemia in women with TA is associated with high rates of depression, anxiety, and psychological distress, as well as a slow recovery rate.

    Keywords: Anemia, Threatened Abortion, Depression, Anxiety, Psychological Distress
  • سمیرا رشتیانی، محمد رستم پور، بهروز خاکپور طالقانی، کامبیز رهام پور*
    زمینه و هدف

    یکی از فرضیه های پاتوفیزیولوژی افسردگی بروز تغییرات عملکردی در شبکه های عصبی مغز از جمله شبکه حالت پیش فرض است. هدف این مطالعه بررسی تغییرات الکتروفیزولوژیک قشر پره فرونتال میانی و ناحیه اینسولا از این شبکه-های عصبی در مدل حیوانی افسردگی است.

    روش ها

    28 سر موش صحرایی به 4 گروه کنترل، مدل استرس ملایم مزمن (CMS)، مدل تحت درمان با فلوکستین (CMS + FLX)  و موش های سالم دریافت کننده فلوکستین (FLX) تقسیم شدند. با استفاده از جراحی استرئوتاکسی در نواحی پره فرونتال و اینسولا آنها الکترودگذاری شدند. سپس موش های مدل افسردگی به مدت سه هفته، در معرض عوامل استرس زا قرار گرفتند. گروه فلوکستین به مدت دو هفته روزانه یک تزریق داخل صفاقی فلوکستین دریافت کردند. سپس موش ها با آزمون های شنای اجباری، فضای باز و ترجیح سوکروز ارزیابی شدند. نهایتا پتانسیل های میدانی در شرایط استراحت و استرس شنیداری ثبت شد.

    یافته ها

    موش های CMS در مقایسه به گروه شاهد تمایل کمتری به مصرف سوکروز داشتند  (0/001 ≥p). گروه CMS زمان بی حرکتی طولانی تری در مقایسه با موش های سالم و تیمار شده با FLX داشتند (0/05 ≥p).  پتانسیل های میدانی در وضعیت استرس یا در معرض استرس شنیداری تفاوت معنی داری نداشت. در هر دو ناحیه اینسولا و قشر پیش پیشانی توان باند تتا در گروه CMS نسبت به گروه کنترل و گروه  CMS + FLX بطور معنی داری کمتر بود (0/05 ≥p).

    نتیجه گیری

    استرس ملایم مزمن توانست باند فرکانسی تتا را در نواحی اینسولا و قشر پره فرونتال کاهش دهد و فلوکستین از بروز این تغییرات جلوگیری کرد.

    کلید واژگان: استرس ملایم مزمن, افسردگی, اینسولا, پتانسیل های میدانی, قشر پیش پیشانی
    Samira Rshtiani, Mohamad Rostampour, Behrooz Khakpour-Taleghani, Kambiz Rohampour*
    Background and Aim

    One of the hypotheses of the pathophysiology of depression is the occurrence of functional alterations in the neural networks, including the default mode network and the salient network. This study aims to investigate the electrophysiological changes of the medial prefrontal cortex (mPFC) and the insula region of these neural networks in an animal model of depression.

    Methods

    Twenty-eight male rats were divided into 4 control groups; chronic mild stress model (CMS), fluoxetine treated model (CMS + FLX), and fluoxetine recipient (FLX). Electrodes were placed in the mPFC and insula regions. Then, model rats were exposed to stressors every day for three weeks. The FLX group received one intraperitoneal injection of fluoxetine daily for two weeks. Finally, rats were evaluated with forced swimming, open field, and sucrose preference tests. Then the field potentials of the mentioned areas were recorded.

    Results

    CMS rats had a lower tendency to consume sucrose (p ≤ 0.001). The CMS group had longer immobility time compared to healthy and FLX-treated mice (p ≤ 0.05). There was no significant difference in the field potentials in the stress condition or under auditory stress. In both insula and mPFC regions, theta band power in the CMS group was significantly lower than the control and CMS + FLX group (p ≤ 0.05).

    Conclusion

    Chronic mild stress was able to reduce the theta frequency band in the insula and mPFC regions, and fluoxetine reversed these changes. This study confirms the occurrence of plastic changes in brain neural networks during depression.

    Keywords: Chronic Mild Stress, Depression, Insula, Field Potentials, Prefrontal Cortex
  • Aslı Bedel, Coskun Usta *
    Objective (s)

    The aim of this study is to investigate the possible role of the hippocampal BDNF-PI3K-AKT signaling pathway in the antidepressant-like activity of ellagic acid (EA) in mice.

    Materials and Methods

    Male BALB/C mice were divided into 5 groups; vehicle (0.1 ml/day), sertraline (5mg/kg), EA (1 mg/kg), EA+BKM120 (PI3K inhibitor), EA+MK2206 (AKT inhibitor). EA, sertraline and vehicle were injected intraperitoneally for 14 days. Locomotor activity was determined by open field test. The tail suspension test was used to detect the antidepressant-like effect. After behavioral tests, hippocampal tissue was obtained and Western blot analyzes were performed for BDNF and pAKT1. 

    Results

    Sertraline and EA provided a reduction in immobility time in the tail suspension test when compared with the control group. BKM120 and MK2206 administration reversed this effect of EA. No statistical difference was found between groups in terms of locomotor activity. EA treatment caused an increase in hippocampal BDNF and pAKT1 levels in mice. While inhibitory agent administrations did not affect the increase of BDNF induced by EA, MK2206 administration reversed the increase in pAKT1 observed with EA.

    Conclusion

    It has shown that EA has an antidepressant-like effect in mice without changing locomotor activity, and this effect may be mediated by the BDNF-PI3K-AKT signaling pathway.

    Keywords: Akt, BDNF, Depression, Ellagic Acid, PI3K
  • Hadi Anjomshoaa *, Gholamreza Snagui Moharer, Mahmoud Shirazi
    Background

    One of today's social problems is behavioral abnormalities and aggression and ways to deal with it. The purpose of this research was to examine the effect of neuro-linguistic programming (NLP) and cognitive behavioral therapy on the attention and aggression of high school students in Kerman.

    Methods

    With a control group, this semi-experimental study administered tests before and after the intervention. All 45 male and female students enrolled at Kerman's second-year secondary school were included in the statistical population. Fifteen of them were allocated at random to one of three groups: control, experimental group 1, or group 2. The first group had 18 45-minute NLP sessions, whereas the second group received 6 60-minute CBT sessions. None of the interventions were given to the control group. The data was collected using the DASS-21 scale.

    Results

    Compared to the control group, the educational groups that focused on cognitivebehavioral approaches and natural language processing had lower average indices of mental health evaluation. Students' anxiety and stress levels were significantly reduced after receiving instruction in both techniques, according to multivariate variance analysis. Comparing the three groups' matched results from the follow-up test, there was no difference in statistical significance in anxiety reduction between the two methods; however, there was a significant difference in lowering stress and depression, with the NLP method showing greater efficacy.

    Conclusion

    cognitive-behavioral training is an effective method in increasing the mental health of students and this intervention can be used to improve academic performance in clinics and school health.

    Keywords: Mentoring, Cognitive Behavioral Therapy, Depression, Neurolinguisticprogramming, Stress, Psychological, Students
  • Negar Sadat Mirshafiei, Maryam Mohammadi *
    Background

    The goal of this study was to examine how self-criticism and cognitive flexibility relate to depression, taking into account the moderating effect of emotion control in depressed undergraduate females.

    Methods

    The present study's statistical population consisted of all female students at Isfahan Azad University in 1402 who exhibited signs of depression. 384 people were chosen using cluster random selection from the study's target population as a sample, using Cochran's formula. The research variables were measured using the Beck Depression Inventory, the Gross & John Emotion Regulation Questionnaire, the Gilbert et al. Self-Criticism Scale, the Dennis & Vander Wal Cognitive Flexibility Inventory, and the questionnaire on demographic characteristics. The acquired data were examined using the regression analysis technique and the statistical program SPSS version 27.

    Results

    Findings showed that there is a significant relationship between cognitive flexibility and self-criticism with depression, cognitive flexibility and self-criticism with emotion regulation, and also between emotion regulation and depression (p<0.01). Also, the findings indicated that emotion regulation has a moderating role in the relationship between cognitive flexibility and self-criticism with depression (p<0.01).

    Conclusion

    Based on the findings of this research, it can be concluded that the relationship between cognitive flexibility and self-criticism with depression is not a simple linear relationship and emotion regulation can affect this relationship.

    Keywords: Cognitive Psychology, Depression, Emotional Regulation, Self-Assessment
  • Yujie Gao, Zhengfa Han, Bo Dai
    Background

    Depression is a prevalent mental health disorder with adverse effects on both physical and psychological health. Taekwondo is posited to exert a positive influence on depression, yet its efficacy warrants further verification.

    Methods

    This study employed meta-analysis to quantify the intervention effect of Taekwondo on depression. Concurrently, based on subgroup analysis results, an optimal intervention program was suggested. Multiple databases were searched, including English (Web of Science, PubMed), Chinese (CNKI, WANFANG DATA), and Korean (RISS, KISS, DBPIA), to retrieve randomized controlled trials (RCTs) studying Taekwondo's impact on depression, published up to Jan 2024. The Cochrane bias risk tool version 2 (RoB 2.0) was utilized for literature bias risk assessment. Comprehensive Meta-Analysis software facilitated the meta-analysis, subgroup analysis, and publication bias evaluation.

    Results

    Fifteen articles, encompassing 1945 participants, were included in the study. The primary findings indicated a significant reduction in depression risk due to Taekwondo intervention (Effect Size [ES]=-0.635, P<0.001). Subgroup analysis revealed the most substantial intervention effects in elderly individuals (ES=-1.025, P=0.004) and women (ES=-1.114, P=0.009). Taekwondo exercises, when conducted over 12 wk (ES=-0.922, P<0.001), three times per week (ES=-0.729, P<0.001), for 60 min per session (ES=-0.980, P=0.003), and at low intensity (ES= -1.777, P=0.024), yielded the greatest depression mitigation effects.

    Conclusion

    Taekwondo is an effective means to alleviate depression, particularly in older women. The study recommends a low-intensity Taekwondo exercise regimen, consisting of 60-minute sessions, three times weekly for 12 wk, as an optimal exercise prescription for best outcomes.

    Keywords: Taekwondo, Depression, Meta-Analysis, Intervention Protocol
  • Mitra Naseri, Leila Kazeminan, Elham Bakhtiari*, Paria Hebrani
    Background & Objective

    Few studies have compared the concentration of trace elements and antioxidants in the serum of depressed and non-depressed as well as children on dialysis with and without anxiety.

     Materials & Methods

     A prospective cross-sectional research was conducted. Forty children undergoing dialysis were assessed to define the correlation between mean serum levels of Selenium, Zinc, Copper, Manganese, vitamin C, and vitamin E and their deficient levels with mood disorders. The Child Depression Inventory (CDI) and Depression Anxiety Stress Scale (DASS) scorings were applied. According to Scorings, patients were divided into no depression and depression and no anxiety and anxiety disorders groups.

    Results

    Eighteen hemodialysis and 22 peritoneal dialysis patients were enrolled. The median of age was 11 years. Twenty-two patients (55%) were males. Selenium, copper, and vitamin C deficiencies were found in 32.5%, 15%, and 2.5% of patients, respectively. Anxiety and depression disorders were diagnosed in 82.5% and 67.5% of patients, respectively. No relationship between gender, modality of dialysis, duration from onset of dialysis, serum levels of hemoglobin, blood urea nitrogen, albumin, Zinc, Copper, Selenium, manganese, and vitamin C with anxiety and depression disorders (p > 0.05 for all). The severity of depression was higher in hemodialysis versus peritoneal dialysis patients (P < 0.001). The Serum level of Vitamin E significantly was higher in depressed in comparison with non-depressed cases (P=0.02).

    Conclusion

    There was no relationship between trace elements and vitamin C serum level and depression or anxiety disorders. An unreported finding was significantly higher level of vitamin E in depressed patients in comparison to those without it.

    Keywords: Dialysis, Child, Trace Elements, Depression, Anxiety
  • Ali Talaei, Fahimeh Farzanegan, Zohreh Fasihi Harandi, Zahra Ghaseminejad, Homa Azarian, Kimia Molooghy, Saba Askari Noghani, Sahar Omidvar Tehrani *
    Background

    The demand for orthodontic treatment to correct malocclusion has increased worldwide. A main cause of applying for orthodontics treatment may arise from mental disorders, such as Body Dysmorphic Disorder (BDD). This study aimed to investigate the relationship between BDD, the real need for orthodontic treatment based on the ICON index, and inquiry about orthodontics treatment in women. 

    Methods

    In a case-control study, 414 women from the public outpatient dental clinic of Mashhad University of Medical Sciences, completed a demographic questionnaire, Beck Depression Inventory (BDI II), Beck Anxiety Inventory (BAI), and Yale-Brown Obsessive-Compulsive Scale Modified for BDD (BDD-YBOCS). A specialist also determined the ICON index for each participant. 

    Results

    Among 414 subjects, 52 patients (31 in the orthodontics and 21 in the control group) (p=0.182) had a BDD-YBOCS score of 20 or above. The frequency of BDD, based on a definite diagnosis by an interview with a psychiatric specialist, was 6.28% among the orthodontic patients, which was significantly more than that of other dental patients (p<0.05). The mean ICON index score was found to have a significant difference between the orthodontic patients and the controls (p<0.001). No correlation was found between the severity of ICON and BDD-YBOCS scores in all the participants (p=0.804), in the cases (p=0.655), or the controls (p=0.403). 

    Conclusion

    The current study found no correlation between ICON and BDD score. However, a significantly higher rate of BDD subjects receiving orthodontic procedures suggests using the BDD-YBOCS survey in dental clinics to screen patients suspected of having BDD for further psychological management.

    Keywords: Anxiety, Body Dysmorphic Disorder, Control Groups, Depression, Malocclusion, Outpatients
  • مهسا سادات حکمی*، مهشاد مسیبی، افنان جعفری، فاطمه عارفی
    مقدمه

    هدف پژوهش حاضر، بررسی اثربخشی روان درمانی پویشی فشرده کوتاه مدت بر سرکوب هیجانی و شدت علائم روده ای بیماران تایپ D سندروم روده تحریک پذیر دارای افسردگی کاموربید بود.

    روش کار

    پژوهش حاضر یک طرح آزمایشی کنترل شده تصادفی است که در آن از تمامی بیماران تایپ D سندروم تحریک پذیر دارای اختلال افسردگی اساسی کاموربید مراجعه کرده به کلینیک های اعصاب و روان شهر قم در تابستان 1402، 30 آزمودنی با روش نمونه گیری تصادفی خوشه ای و بر اساس معیارهای ورودی انتخاب شدند. آنها به طور تصادفی در یکی از گروه های مداخله (ISTDP) یا کنترل قرار گرفتند. از پرسشنامه کنترل هیجانی (ECQ) و مقیاس فراوانی و شدت علائم روده ای (BSS-FS) به منظور اندازه گیری پیش آزمون و پس آزمون سرکوب هیجانی و شدت علائم سرکوب هیجانی استفاده شد. داده ها با استفاده از نرم افزار SPSS-26 و از طریق آزمون تحلیل کوواریانس یک راهه مورد تحلیل قرار گرفت.

    یافته ها

    آزمون تحلیل کوواریانس برای تغییرات بین گروهی هر دو متغیر سرکوب هیجانی (02/0=P  و 24/84=F) و شدت علائم سندروم روده تحریک پذیر (03/0=P  و 75/66=F) معنادار بود.

    نتیجه گیری

    می توان روان درمانی پویشی فشرده کوتاه مدت را درمانی مناسب برای کاهش سرکوب هیجانی و شدت علائم روده ای بیماران تایپ D سندروم روده تحریک پذیر دارای افسردگی کاموربید در نظر گرفت.

    کلید واژگان: روان درمانی پویشی, سندروم روده تحریک پذیر, سرکوب هیجانی, افسردگی.
    Mahsa Sadat Hakami *, Mahshad Mosayebi, Afnan Jafari, Fatemeh Arefi
    Introduction

    The aim of this study was to examine the effectiveness of Intensive Short-term Dynamic Psychotherapy (ISTDP) on emotion suppression and severity of intestinal symptoms of IBS-D patients with comorbid Depression.

    Methods

    this was a randomized controlled trial and from IBS-D patients with comorbid Depression of neuropsychiatric clinics in Qom during summer 2023, 30 eligible individuals were selected using randomized clustered sampling and were randomly assigned into intervention (ISTDP) and control group. The data from Emotional Control Questionary (ECQ) and Bowel Symptoms Severity and Frequency Scale (BSS-FS) in pretest and posttest were analyzed via SPSS-26 through analyze of covariance (ANCOVA).

    Results

     the ANCOVA results showed that the differences between groups in emotional suppression (F=84/24, p=0/02) and severity of intestinal symptoms (F=66/75, p=0/03) were significant.

    Conclusion

    ISTDP can be considered as an effective intervention for reducing emotional suppression and intestinal symptoms in depressed IBS-D patients.

    Keywords: Intensive Short-Term Dynamic Psychotherapy, Irritable Bowel Syndrome, Emotional Suppression, Depression
  • شبنم توفیقی، سیده آرزو حسینی*، پریناز حامد نسیمی، مهسا کیانی
    مقدمه

    هیسترکتومی از شایع ترین جراحی ها در زنان است که ممکن است با عوارضی مانند افسردگی و اختلال عملکرد جنسی پس از جراحی همراه باشد. بااین حال، نتایج مطالعات انجام شده بحث برانگیز است. هدف از انجام این مطالعه بررسی میزان افسردگی و عملکرد جنسی پس از جراحی هیسترکتومی در زنان مراجعه کننده به بیمارستان آیت الله موسوی زنجان از سال 1397 تا 1399 است.

    مواد و روش ها

    این مطالعه کوهورت گذشته نگر روی 63 نفر از زنان متاهل انجام شد که عمل جراحی هیسترکتومی داشتند. میزان افسردگی با آزمون افسردگی بک، عملکرد جنسی با پرسش نامه شاخص عملکرد جنسی زنان و رضایت از بدن خود بررسی گردید. نتایج با نرم افزار SPSS vol.24 تجزیه وتحلیل آماری شدند.

    یافته های پژوهش: 

    میانگین نمره افسردگی بیماران 91/8±58/10 و عملکرد جنسی آنان 29/9±18/22 بود. 8/85 درصد افراد با تشخیص افسردگی خفیف و 1/65 درصد اختلال عملکرد جنسی داشتند. در بررسی زیرمقیاس های عملکرد جنسی، درد هنگام نزدیکی 3/60 درصد و خشکی واژن با 8/50 درصد بیشترین شکایت بیماران بود. 52 نفر (81 درصد) از بدن خود رضایت و 12 نفر (19 درصد) از بدن خود و نبود رحم نارضایتی داشتند.

    بحث و نتیجه گیری

    شدت افسردگی پس از گذشت دست کم یک سال از جراحی هیسترکتومی، در محدوده کم یا خفیف قرار دارد و تصور بدنی در تعداد فراوانی از نمونه ها مطلوب است، هرچند نتایج بررسی وضعیت عملکرد جنسی نشان دهنده اختلال در آن بود که شایع-ترین شکایات مربوط به درد در حین نزدیکی و خشکی واژن گزارش شد. با توجه به شکایات ذکرشده توسط بیماران در زمینه اختلال عملکرد جنسی می توان با آموزش، پیگیری و درمان این شکایات، وضعیت عملکرد جنسی بیماران را پس از جراحی بهبود بخشید.

    کلید واژگان: افسردگی, عملکرد جنسی, هیسترکتومی
    Shabnam Tofighi, Seyedeh Arezoo Hosseini*, Parinaz Hamed Nasimi, Mahsa Kiani
    Introduction

     Hysterectomy is one of the most common surgeries among women, and it may be associated with complications such as depression and sexual dysfunction post-surgery. However, the results of existing studies are controversial. This study aimed to investigate the levels of depression and sexual function following hysterectomy in women who visited Ayatollah Mousavi Hospital in Zanjan (Iran) from 2018 to 2020.

    Materials & Methods

    This retrospective cohort study was conducted on 63 married women who underwent hysterectomy surgery. Depression levels were assessed using the Beck Depression Inventory (BDI), and sexual function was evaluated with the Female Sexual Function Index (FSFI). The data were statistically analyzed using SPSS V.24.

    Results

    The average depression score of patients was 8.91±10.58, and their sexual function score was 22.18±18.29. 85.8% of individuals had mild depression, and 65.1% experienced sexual dysfunction. Among the sexual function subscales, pain during intercourse was reported by 60.3% and vaginal dryness by 50.8% of patients. 81% expressed satisfaction with their bodies, while 19% were dissatisfied due to the absence of the uterus.

    Conclusion

    Depression severity after at least one-year post-hysterectomy falls within the mild to moderate range, and body image is generally positive in many cases. However, the results regarding sexual function indicate dysfunction, with pain during intercourse and vaginal dryness being the most common complaints. Addressing these sexual function issues through education, follow-up, and treatment can improve patients’ sexual well-being after surgery.

    Keywords: Depression, Sexual Function, Hysterectomy
  • مریم قاجار، علی اسدبیگی*
    مقدمه

    مواجهه دانشجویان با عوامل تنش زای متعدد می تواند اثرات نامطلوبی بر آینده ی آن ها و بالطبع جامعه گذاشته و منجر به کاهش مقاومت روانی و جسمی و بروز آثار ناخوشایند گردد. عوامل استرس زای محیطی و روانی اجتماعی می تواند عوامل خطر مشترکی برای روان به حساب آمده و به طور وسیعی در تعامل دو سویه با اضطراب و افسردگی به عنوان شایعترین اختلالات روان شناختی از دسته ی خلقی قرار گیرند و دانشجویان به جهت ویژگی های شخصیتی و محیطی آسیب پذیر تر بوده یا در معرض آسیب های بیشتری قرار دارند. بر همین اساس به نظر می رسد که بررسی و پرداختن به مشکلات دانشجویان، به جهت ایجاد شرایط بهتر و سالم تر فردی، خانوادگی و اجتماعی موثر می باشد.

    مواد و روش کار

    جامعه ی آماری این پژوهش شامل کلیه ی دانشجویان مشغول به تحصیل در مجتمع آموزشی ولیعصر دانشگاه آزاد اسلامی واحد تهران جنوب در سال 1402 می باشد. برای تعیین حجم نمونه پژوهش با توجه به استفاده از روش حداقل مربعات جزئی از قاعده بارکلای و از پرسشنامه اضطراب و افسردگی DASS_21 برای سنجش استرس، اضطراب و افسردگی استفاده شده است.

    یافته ها

    نتایج حاصل از تحلیل رگرسیون لجستیک بر مبنای ویژگی های جمعیت شناختی نشان داد: نسبت شانس ابتلا به اضطراب در مقطع تحصیلی کارشناسی ارشد در مقایسه با دانشجویان کارشناسی برابر با 0/6 نسبت شانس ابتلا به افسردگی 0/51 نسبت شانس ابتلا به استرس برابر با 0/48 و این نسبت برای افراد متاهل 0/58 کمتر بود (فقط در مورد استرس).

    نتیجه گیری

    دانشجویان مقطع کارشناسی در مقایسه با دانشجویان مقاطع تحصیلی بالاتر احتمال بیشتری برای ابتلا به اضطراب، افسردگی و استرس دارند و احتمال استرس در دانشجویان مجرد در مقایسه با دانشجویان متاهل بیشتر می باشد.

    کلید واژگان: اضطراب, افسردگی, استرس, مشخصات دموگرافیک
    Maryam Ghajar, Ali Asabeygi*

    Objentive (s): 

    Students' exposure to multiple stressors can have adverse effects on their future and lead to a decrease in their mental and physical health. Environmental and psychosocial stressors can be considered as common risk factors for the psyche and widely in two-way interaction with anxiety and depression as the most common psychological disorders of the mood distress. Students are more vulnerable or exposed to harms due to their personality and environmental characteristics. Thus this study aimed to risk factors for anxiety, depression and stress among students.

    Methods

    The statistical population of this research included all students studying in an Educational Complex affiliated with Islamic Azad University, South Tehran Branch in 2023. To determine the sample size of the research, according to the partial least squares method, Barclay's rule. The DASS-21 was used to measure anxiety, depression and measure stress.

    Results

    In all 211 students were entered into the study. The results obtained from logistic regression analysis based on demographic characteristics showed that the odds ratio for anxiety, depression and stress among postgraduate students was 0.4; 0.49; and 0.52, respectively indicating worse conditions for undergraduate students.

    Conclusion

    Undergraduate students are more likely to suffer from anxiety, depression and stress compared to postgraduate students, and single students might experience more stress compared to married students.

    Keywords: Anxiety, Depression, Stress, Demographic Characteristics
  • Mahdi Khani, Fazlollah Ahmadi, Aliakbar Rasekhi, Yousef Mohammadpour
    Background

    Nurses are exposed to higher stress, anxiety, and depression due to the nature of their work. Considering the differences between specialized and general hospital units, this article focuses on comparing the levels of stress, anxiety, and depression among nurses in these two types of units.

    Materials and Methods

    This descriptive‑analytical study was conducted in 2023 on 135 nurses in specialized units and 219 nurses in general units selected through stratified random sampling out of 1681 nurses. For this study, 6 public hospitals in the West Azerbaijan province of Iran were selected. Data were collected through a demographic questionnaire and the Depression, Anxiety, Stress Scales‑21 (DASS‑21) and analyzed using SPSS software. A significance level of 0.05 was considered for this study.

    Results

    This study reported that stress, anxiety, and depression affected 72.04%, 46.33%, and 53.68% of nurses, respectively, with mild to extremely-severe intensity levels. No significant differences were observed in stress, anxiety, and depression between specialized and general units (p > 0.05). Among specialized units (ICU, CCU, and dialysis ward), dialysis unit nurses had significantly lower depression scores (p < 0.05). Additionally, a significant correlation existed between demographic variables and DASS‑21 constructs (p > 0.05).

    Conclusions

    The similarities among nurses in specialized and general units outweigh the observed differences. Given the high prevalence of stress, anxiety, and depression among nurses and the negative correlation with job satisfaction, managers should improve job satisfaction to support nurses’ mental health.

    Keywords: Anxiety, Depression, Hospital Units, Nurses, Occupational Stress
  • فاطمه ساربان نژاد، عبدالله امیدی، زهرا زنجانی*، الهه قاسم زاده حسینی، نرگس قلی زاده
    سابقه و هدف

    لیکن پلان دهان یک بیماری خودایمنی التهابی و مزمن است که اغلب تهدید کننده حیات نیست، اما به دلیل ماهیت مزمن و فقدان درمانی که از پیشروی بیماری جلوگیری کند، پیامدهای روانی- اجتماعی متعددی به همراه دارد. پژوهش حاضر با هدف بررسی اثربخشی درمان کاهش استرس مبتنی بر ذهن آگاهی بر علایم و نشانه های بیماری، استرس، اضطراب و افسردگی مبتلایان به بیماری لیکن پلان دهان، انجام پذیرفت.

    مواد و روش ها

    در این پژوهش کارآزمایی بالینی کنترل شده، از طرح تحقیق دوگروهی همراه با پیش آزمون و پس آزمون استفاده شد. نمونه پژوهش شامل 36 زن مبتلا به لیکن پلان دهان بودند که با روش نمونه گیری هدفمند بر اساس ملاک های ورود انتخاب شدند و به صورت تصادفی در دو گروه کنترل و آزمایش قرار گرفتند. داده ها به وسیله پرسش نامه DASS-21، مقیاس درجه بندی دیداری (VAS) و معیار تانگ پراسوم جمع آوری شدند. گروه آزمایش 8 جلسه درمان MBSR دریافت کردند و گروه کنترل مداخله روان شناختی دریافت نکردند. در نهایت داده ها به وسیله نرم افزار SPSS-22 تجزیه و تحلیل شدند.

    یافته ها

    در گروه آزمایش، میانگین نمرات استرس، اضطراب وافسردگی درمرحله پس آزمون به ترتیب 4/22±9/29، 3/29±5/94 و 5/55±7/00 و در گروه کنترل به ترتیب 4/84±10/94، 4/70±7/71و 5/44±9/65 بود که پس از تعدیل نمرات پیش آزمون، نتایج تحلیل کوواریانس نشان داد که میانگین دو گروه آزمایش و کنترل در این متغیرها در مرحله پس آزمون تفاوت معنی داری دارد (0/05>P). میانگین شدت درد یا سوزش در گروه آزمایش در مرحله پس آزمون 1/85±2/94 و در گروه کنترل1/69±3/65 بود؛ اما بین این نمرات تفاوت معنی داری وجود نداشت، برای متغیر نشانه های بیماری نیز تفاوت فراوانی نوع ضایعات در دو گروه آزمایش و کنترل تفاوت معنی داری نداشت (0/05<P).

    استنتاج

    نتیجه این پژوهش نشان داد که می توان از درمان MBSR در جهت کاهش آشفتگی های روان شناختی مبتلایان به بیماری لیکن پلان دهان بهره برد.

    کلید واژگان: بیماری لیکن پلان دهان, استرس, اضطراب, افسردگی, درد یا سوزش, ضایعات مخاطی, کاهش استرس مبتنی بر ذهن آگاهی
    Fatemeh Sarebannezhad, Abdollah Omidi, Zahra Zanjani*, Elaheh Ghasemzadeh Hoseini, Narges Gholizadeh
    Background and purpose

    Oral lichen planus (OLP) is a chronic inflammatory autoimmune disease that, although not typically life-threatening, can lead to significant psychosocial consequences. Due to its persistent nature and the lack of effective treatments to prevent its progression, OLP can severely impact quality of life. The aim of the present study is to investigate the effectiveness of mindfulness-based stress reduction therapy in alleviating symptoms and signs of the disease, as well as reducing stress, anxiety, and depression in women with oral lichen planus.

    Materials and methods

    This study is a controlled clinical trial with a pre-test/post-test design. The sample comprised 36 women diagnosed with oral lichen planus, who were selected using purposive sampling and were then randomly assigned to either the control or experimental group. Data were collected using the DASS-21 questionnaire, Visual Analog Scale (VAS), and Thongprasom Scale. The experimental group received 8 sessions of Mindfulness-Based Stress Reduction (MBSR) therapy, while the control group received no interventions. Data were analyzed using SPSS software (version 22).

    Results

    In the experimental group, the mean scores for stress, anxiety, and depression in the post-test phase were 9.29±4.22, 5.94±3.92, and 7.00±5.55, respectively. In the control group, these scores were 10.94±4.84, 7.71±4.70, and 9.65±5.44, respectively. After adjusting for pre-test scores, the results of covariance analysis showed that the mean scores of the experimental and control groups differed significantly for these variables in the post-test phase (P<0.05). The mean intensity of pain or burning sensation in the experimental group during the post-test phase was 2.94±1.85, compared to 3.65±1.69 in the control group; however, this difference was not statistically significant. Similarly, there was no statistically significant difference in the frequency of lesions between the experimental and control groups (P>0.05).

    Conclusion

    The results of this study indicate that MBSR can be an effective approach to reducing psychological distress in patients with oral lichen planus.

    Keywords: Oral Lichen Planus, Stress, Anxiety, Depression, Pain, Burning, Mucosal Lesions, Mindfulness-Based Stress Reduction
  • Iraj Ahmadi, Amir Adibi, Amin Bakhtiyari, Meysam Mohebi, Maryam Kheiry, Aliashraf Mozafari
    Background

    Any deviation from the normal trajectory of gender identity formation creates a basis for incompatibilities, a specific and severe form of which is gender identity disorder (GID). Gender identity disorder affects an individual’s development, growth, and overall performance.

    Objectives

    This study aimed to investigate the prevalence of depression, anxiety, and aggression among individuals with GID, based on their personality type (type A or type B), referred to the Forensic Medicine Department of Ilam city in 2020.

    Methods

    In this cross-sectional study, all patients diagnosed with GID and referred to the Forensic Medicine Department for gender reassignment were included. All participants received psychological counseling from a psychiatrist. To determine levels of depression, anxiety, personality type, and aggression, Beck’s Depression and Anxiety Inventory, the Aggression Questionnaire (AGQ), and Spencer’s Type A or B Personality Type Questionnaire were used, respectively. Data were analyzed using t -tests, Fisher’s exact test, and linear regression through STATA 12 software.

    Results

    The findings revealed that the mean ± SD total scores for depression and anxiety were 15.2 ± 9.2 and 21.4 ± 13.2, respectively. Among the patients, 21 (52%) exhibited no or very low depressive symptoms, three (8%) had mild symptoms, 12 (30%) had moderate symptoms, and four (10%) had severe depressive symptoms. Regarding anxiety, seven (17.5%) had no or very low symptoms, seven (17.5%) had mild symptoms, 12 (30%) had moderate symptoms, and 14 (35%) had severe symptoms. Among patients with personality types B and A, 11 (64.1%) and 10 (45.5%) individuals, respectively, had no depressive symptoms, while six (33.3%) and one (4.6%), respectively, exhibited no anxiety symptoms. The linear regression model indicated that aggression levels in type A personalities were approximately 6.23 points higher than those in type B personalities (P = 0.03).

    Conclusions

    Individuals with GID who have a type A personality are more susceptible to mental health disorders compared to those with a type B personality. Additionally, aggression levels in individuals with GID can be partially predicted based on personality type.

    Keywords: Depression, Anxiety, Aggression, Gender Identity
  • Hossein Alibakhshi, Zahra Davoudi, Narges Damirchi, Maryam Kavian, Mona Siminghalam
    Background

    Cerebral palsy (CP) describes a group of permanent movement and posture disorders resulting from injury to the developing brain, affecting muscle movement and coordination. It causes lifelong physical and cognitive impairments.

    Objectives

    This study examined the effects of a group psychoeducational intervention on anxiety, depression, and quality of life in mothers of children with CP.

    Methods

    This quasi-experimental study involved 50 mothers (25 in the intervention group and 25 in the control group) of children with CP aged 2 - 11 years. Mothers in both groups completed the Beck Depression Inventory, Beck Anxiety Inventory, and Short Form-36 health survey before and after the interventions. The intervention group received a 5-session (1 hour per session), weekly psychoeducational program that provided information about CP, stress management techniques, problem-solving skills, and social support. The control group received no intervention during this period. Follow-up assessments were conducted at 2 months post-intervention to evaluate outcomes.

    Results

    Psychoeducation significantly reduced anxiety and depression and improved quality of life compared to the control group (P < 0.001). Also, group × time interactions were significant for all dependent variables (P < 0.001).

    Conclusions

    A brief group psychoeducational intervention effectively decreased anxiety and depression and enhanced the quality of life in mothers of children with cerebral palsy.

    Keywords: Psychoeducation, Cerebral Palsy, Mothers, Anxiety, Depression, Quality Of Life
  • Pedram Ramezani, Majid Amiri, Amin Bagheri, Fatemeh Naderi

    Hypertension is the most significant modifiable risk factor for cardiovascular disease (CVD) and is associated with substantial negative effects on both individual and societal levels. Renal denervation (RDN) has been established as a safe and effective medical intervention for treating resistant hypertension, with approval from the Food and Drug Administration and endorsement by guidelines such as those of the European Society of Cardiology (2023) and the American Heart Association. However, with the advent of various types of RDN methods, including radiofrequency-, ultrasound-, and alcohol-based techniques, debates have intensified regarding their comparative efficacy and safety. Additionally, researchers have expanded their focus to consider outcomes beyond hypertension management. Most studies have demonstrated that this non-pharmacologic treatment significantly improves systolic and diastolic 24-hour ambulatory and office blood pressure in both the short- and long-term. Despite these findings, the social and psychological impacts of RDN on a broader scale have been less frequently discussed. Given the high burden of hypertension and its complications, such as cardiovascular and cerebrovascular events, this intervention could substantially enhance the quality of life and mental health of affected populations. Non-adherence to antihypertensive medications remains a critical challenge, driven by factors such as side effects, pregnancy, financial constraints, psychiatric disorders, and polypharmacy with its associated consequences. Renal denervation, by improving blood pressure control, offers the potential to enhance quality of life and reduce the incidence of severe physical and mental health conditions. This study provides a comprehensive perspective on this advanced treatment, emphasizing its impact on individual and societal well-being, physical health, and mental health.

    Keywords: Hypertension, Blood Pressure, Renal Denervation, Psychology, Quality Of Life, Depression
  • مقدمه

    به دلیل افزایش شیوع ناباروری و همچنین استرس و اضطراب و افسردگی، بررسی ارتباط بین آنها و شناخت فاکتور های دموگرافیک موثر بر استرس، اضطراب و افسردگی در این افراد حائز اهمیت خواهد بود.

    هدف

    هدف از انجام مطالعه مقایسه استرس، اضطراب و افسردگی در بین مردان نابارور و گروه کنترل بود.

    مواد و روش ها

    این مطالعه از دی تا بهمن 1401 در مرکز تحقیقات ناباروری میلاد مشهد انجام شد. در این مطالعه مورد شاهدی، تعداد60 نفر از مردان نابارور و 60 نفر مرد بارور از بستگان ایشان وارد مطالعه شدند و اطلاعات دموگرافیک شامل سن، تحصیلات، شغل، مدت زمان ازدواج و مدت زمان ناباروری از ایشان گردآوری شد و به پرسش نامه -21DASS نیز پاسخ دادند و در انتها یافته ها مورد تحلیل آماری قرار گرفتند.

    نتایج

    افسردگی، اضطراب و استرس شدید و بسیار شدید به ترتیب 65%، 60% و 4/43% در مردان نابارور و 7/16%، 3/23% و 7/11% در مردان بارور مشاهده شد که به طور قابل توجهی بیشتر از گروه بارور بوده و بین افسردگی (001/0 ≥ p)، اضطراب (001/0 = p)، استرس (001/0 ≥ p) و ناباروری رابطه معنی داری وجود داشت. همچنین بین طول مدت ناباروری و افسردگی رابطه معناداری مشاهده شد (031/0 = p).

    نتیجه گیری

    مطالعه ما نشان داد که مردان نابارور نسبت به گروه کنترل استرس، اضطراب و افسردگی بیشتری داشتند. محدودیت های ما شامل جمع آوری  داده ها بصورت تلفنی و ماهیت غربالگری پرسشنامه DASS-21 بود. همچنین مطالعات آتی بهتر است شامل جمعیت های بزرگ تری باشد و وضعیت اقتصادی را به عنوان متغیر مرتبط با سلامت روان در نظر بگیرد.

    کلید واژگان: ناباروری مردان, استرس, اضطراب, افسردگی
    Seyedeh Narjes Roubaraki, Maryam Ramezani, Bita Saifi, Mostafa Salimi, Massood Issapour*
    Background

    With the increasing prevalence of infertility and its links to depression, anxiety, and stress, it is essential to compare these mental health levels between infertile men and a control group.

    Objective

    This study aimed to compare depression, anxiety, and stress among infertile and fertile men. Also, assessing demographic factors affecting these challenges among both groups.

    Materials and Methods

    This case-control study was conducted on 120 men at Milad Infertility Research Center, Mashhad, Iran from January 2023 to February 2023. Participants were divided into 2 groups: 60 infertile men and 60 healthy men who did not have fertility problems. Demographic information such as age, education, occupation, duration of the marriage, and duration of infertility was collected from their medical records, and they also completed the depression, anxiety, and stress scale 21 questionnaire through a telephonic interview. Finally, the findings were statistically analyzed.

    Results

    Severe and very severe depression, anxiety, and stress were observed in 65%, 60%, and 43.4% of infertile men and 16.7%, 23.3%, and 11.7% of fertile men, respectively. Which was significantly more than the fertile group, and there was a significant relationship between depression (p ≤ 0.001), anxiety (p = 0.001), stress (p ≤ 0.001), and infertility. Also, a significant relationship was observed between the duration of infertility and depression (p = 0.031).

    Conclusion

    Our study found infertile men had higher stress, anxiety, and depression than the control group. Limitations included phone-based data collection and the depression, anxiety, and stress scale 21 questionnaire's screening nature. Future studies should involve larger populations and consider economic status as a variable related to mental health.

    Keywords: Male Infertility, Stress, Anxiety, Depression
  • Tamara Dimovic, Nikoleta Janicijevic, Dalibor Stajic, Nela Djonovic, Dragan Vasiljevic, Jelena Vuckovic Filipovic, Radisa Vojinovic, Mladen Grujicic, Milos Potezica, Jovana Radovanovic, Viktor Selakovic, Katarina Janicijevic, Snezana Radovanovic, Olgica Mihaljevic, Marija Sekulic
    Background

    Students making the transition from high school to university find it difficult to maintain good eating routines/lifestyles and mental health, due to time constraints and stress. The goal of the study was to analyse the correlation between previously mentioned topics.

    Methods

    We included 948 students, aged 18-27, at the Faculty of Medical Sciences in Serbia and the research was conducted in 2020. Chi-square was used for statistical analysis. Modified WHO questionnaire for lifestyle and eating habits was used, as well as standardized questionnaires for anxiety and depression.

    Results

    Respondents who had more prominent symptoms of depression (moderate or severe) and anxiety had a significantly higher percentage of eating less than three meals a day (47.7%, 35.7%), skipped breakfast (38.6%, 33.5%), consumed alcohol (11.4%, 3.8%), used energy drinks (38.6%, 31.7%), were on some type of diet (36.6%, 30.2%), were not satisfied with their appearance (66.7%, 53%) and not engaging in physical activity (43.2%, 33.1%). Significant predictors for severe depressive and anxiety symptoms were the consumption of alcoholic beverages, energy drinks, satisfaction with personal appearance and physical activity during a day.

    Conclusion

    The results suggest that some of the eating and lifestyle habits were linked to higher risks of developing depressive or anxiety symptoms.

    Keywords: Eating Habits, Lifestyle, Physical Activity, Anxiety, Depression
  • Mozhgan Khalili, Pegah Farokhzad, Narges Babakhani
    Background

    Lifestyle and social health in fertility play a decisive role on mental health, and infertility is one of the unpleasant life experiences that can affect a person's mental health. In addition, marital satisfaction is also affected by infertility and plays an important role in the mental health of couples.

    Objectives

    In order to find the relationship between these factors mentioned in the "background" section, this study aimed to determine a predictive model of depression in infertile women based on lifestyle and social health components mediated by marital satisfaction.

    Methods

    The present study was a descriptive and correlational study in which 360 infertile women were selected based on the depression score obtained from the Beck questionnaire (score 8 and above). Then, social health, lifestyle, and marital satisfaction questionnaires were completed by the selected infertile women. Subsequently, the raw data obtained were analyzed using SPSS-Ver.22 and partial least squares (PLS)-Version 3 software. Finally, a predictive model was designed based on the relationship and correlation between the variables.

    Results

    The findings showed that there is a significant relationship between social health and depression (r = -0.55, P < 0.01), between social health and marital satisfaction (r = 0.48, P < 0.01), between social health and lifestyle (r = 0.52, P < 0.01), lifestyle and depression (r = -0.41, P < 0.01), between lifestyle and marital satisfaction (r = 0.59, P < 0.01), and between marital satisfaction and depression (r = -0.61, P < 0.01). Negative values of the above-mentioned correlations (r) indicate an indirect relationship and positive “r” values indicate a direct correlation.

    Conclusions

    Based on the results of the present research, the main hypothesis of this research was confirmed and it can be concluded that the model designed to predict the depression of infertile women based on lifestyle and social health components with the mediation of marital satisfaction is valid.

    Keywords: Infertile Women, Depression, Lifestyle, Social Health, Marital Satisfaction, Predictive Model
  • Talayeh Abbasi, Ahmad Akbari, Hamid Nejat, Mohammadreza Saffarian, Ali Akbar Samari
    Background

    Migration is a widespread phenomenon globally, often leading to adverse mental health impacts for migrants, particularly children. Such impacts highlight the importance of appropriate non-pharmacological interventions to mitigate these potential negative outcomes. Depression is one of the most prevalent psychological consequences among immigrant children and, therefore, requires focused intervention and treatment.

    Objectives

    This study aimed to evaluate the effectiveness of the modified complicated grief therapy (MCGT) intervention in reducing symptoms of depression in immigrant children.

    Methods

    For this study, 20 Canadian immigrant children were selected using simple random sampling, with ten assigned to the intervention group and 10 to the control group. Depression levels in participants were measured using the Children's Depression Inventory (CDI) self-report questionnaire, which has demonstrated validity and reliability in previous studies. The intervention method, MCGT, was delivered to the intervention group across 12 online sessions via Google Meet, while the control group received no intervention. Depression levels were assessed at three points: Pre-intervention, immediate post-intervention, and one-month post-intervention. Data were analyzed using SPSS version 22, applying relevant statistical tests to compare pre-and post-intervention scores across study groups.

    Results

    The results indicated that of the 20 children selected, 9 (45%) were boys and 11 (55%) were girls, with an average age of 11.7 ± 1.79 years. The mean ages of fathers and mothers were 41.35 ± 4.96 and 37.35 ± 5.04 years, respectively. Findings showed no statistically significant difference in the average depression scores between the control and intervention groups before the intervention (P = 0.561). However, a statistically significant difference was observed in the mean depression scores between the control and intervention groups immediately after the intervention (P = 0.003) and one-month post-intervention (P < 0.001). In the intervention group, the average depression score decreased by 6.5 points immediately after the intervention and by 10.6 points one month later, whereas an increasing trend in depression scores was noted in the control group.

    Conclusions

    Based on the results, the MCGT intervention method is effective and significant in reducing the depression level of immigrant children. Therefore, counselors and psychologists are suggested to use the MCGT intervention method (as a non-drug method) to reduce depression in children.

    Keywords: Immigration, Children, Mental Health, Complicated Grief Therapy, Depression
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
درخواست پشتیبانی - گزارش اشکال