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

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).

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.

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.

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

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.

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.

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.

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.

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.

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.

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

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.

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.

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.

Due to the chronic nature of type 2 diabetes (T2D) and its potential to induce stress and depression, exploring interventions like cognitive self-compassion training to improve mental well-being in this population is crucial. This study aimed to determine the effectiveness of cognitive self-compassion training on perceived stress and depression in patients with T2D.

The present study was quasi-experimental with a pretest-posttest design and a control group. The statistical population of this study included all patients with T2D employed in the education sector of Mashhad in 2023. Thus, a sample of 24 (12 per group) was selected using the convenience sampling method and considering the study's inclusion criteria, and were randomly assigned to two experimental and control groups. The participants completed the Perceived Stress and Depression Beck questionnaires in the pretest and posttest stages, and the experimental group underwent cognitive self-compassion training for ten 90-minute sessions. Data analysis was performed using analysis of covariance (ANCOVA).

The findings revealed a significant reduction in both perceived stress and depression scores in the posttest stage for the group receiving cognitive self-compassion training compared to the control group (P<0.001).

This study provides evidence that cognitive self-compassion training can be an effective intervention for managing mental health in patients with T2D. These results suggest that cognitive self-compassion training may be a valuable tool for improving psychological well-being and potentially enhancing this population's overall quality of life.

The COVID-19 pandemic is a traumatic event with a global impact, predicted to increase depression, anxiety, substance use, sadness, and loneliness. This study was conducted to evaluate the scale of depression, anxiety, and stress among patients infected with the COVID-19 virus.

This cross-sectional study was conducted between April 2019 and April 2022. According to the conditions of the study space, available sampling was selected. In addition to demographic characteristics, a questionnaire related to stress, anxiety, and depression (DASS-21) was used to collect data. Then, the collected data were entered into SPSS software for analysis, and Pearson's correlation was used to check the relationship between the variables, with the significance level (P-value) reported.|

Out of a total of 714 participants, 26.1% had higher scores in depression, 37.5% in anxiety, and 15.7% in stress. In this way, two-thirds of the studied population on the depression and anxiety scale and almost half of the studied population on the stress scale experienced degrees of these disorders from mild to very severe during the period of COVID-19 infection. The scores of each subcategory of depression, anxiety, and stress are significantly correlated with each other, which shows that people who have a higher score in one subcategory also have a higher score in two subcategories.

It seems that COVID-19 has an obvious effect on the mental health of people. Thus, more policies and attention are needed in this field to manage the disease.

Depression, a prevalent psychological disorder, significantly impacts emotional regulation and cognitive avoidance in the academic and professional performance of students. This study compares two interventions, behavioral activation and mindfulness-based, to improve emotional balance and reduce cognitive avoidance in college students experiencing depression. A quasi-experimental pre-test-post-test design with a 60-day follow-up period was used in this study. The target population comprised female students at Isfahan State University, Isfahan, Iran who exhibited depressive symptoms during the 2022-2023 academic year, and were referred to the university’s Counseling Center. A convenience sample of 45 participants was selected and randomly assigned to three groups of 15: behavioral activation, mindfulness-based intervention, and a control group. The Scale of Positive and Negative Experience (SPANE) and the Cognitive Avoidance Questionnaire (CAQ) were administered to all participants at three time points. Data were analyzed using repeated-measures ANOVA and Bonferroni post-hoc tests in SPSS version 16. The study found that both mindfulness-based interventions and behavioral activation significantly improved positive emotions and reduced cognitive avoidance in college students with depressive symptoms. For the mindfulness group, positive emotions increased from 15.20±5.59 to 21.00±5.75 at the post-test and then to 18.00±2.85 at follow-up. Cognitive avoidance decreased from 84.66±8.33 to 67.60±7.93 at post-test and then remained stable at 66.93±6.28 at follow-up. The behavioral activation group showed similar trends, with positive emotions increasing from 16.00±6.49 to 19.20±7.07 at post-test and then decreasing to 18.53±5.05 at follow-up. Cognitive avoidance decreased from 80.26±11.78 to 60.93±7.07 at post-test and then increased slightly to 61.60±7.44 at follow-up (P=0.027). While both interventions were effective, behavioral activation had a more lasting impact on positive emotions (P=0.027). The findings of this study suggested that both behavioral activation and mindfulness-based interventions are effective in improving emotional balance and reducing cognitive avoidance in college students with depressive symptoms.

Depression is a serious medical condition that affects a person’s feelings, thought, and how to behaves. It causes sadness, hopelessness, and helplessness, interfering with daily activities (1). Anxiety is a normal emotion that anyone experiences from time to time that range from mild to severe of worry or fear. The study's objective was to assess anxiety and depression in a sample of worker in an emergency Department worker in middle and south of Iraq. The workers in an emergency department in hospitals of middle and south of Iraq who deal with a lot of stress and under pressure most of day are sample of this study which designs to assess anxiety and depression in these workers, surely who accepted to participate in this study between Jan to May 2023 by using Hospital anxiety and depression scale (HADs) in Arabic was employed. The workers in an emergency department were more than half of them associated with significant anxiety and depression due to their works under pressure in hospitals. In conclusion, this study showed elevated risk of depression and anxiety among the emergency Department staff, and this elevated directly proportional to nature of work, Economic status, age and Level of education for worker.

Resettlement has been proposed as a stressor that leads to psychological distress due to disruption of social support. This study aimed to evaluate gender differences in perceived social support and depression of the community doweling older adults with nomadic and urban backgrounds. In this cross-sectional study, 460 elderly people living in Khorramabad, Iran, were selected using stratified random sampling. Standard questionnaires were completed through face-to-face interviews to assess perceived social support and depression. The data were analyzed using the SPSS software, which used descriptive and analytical statistics, including frequency, mean, standard deviation, chi-square, and independent t-test. The findings showed a significant difference in perceived family support, significant others, and the overall social support score between the elderly with a nomadic background and those with an urban background (p<0.05). However, there was no significant difference in depression scores between the two groups. Further analysis showed that the differences were mainly among the females of the two groups and that older women in the nomadic group had less perceived social support and were more depressed (p<0.05).Older women are in a more disadvantaged position in terms of social support and depression compared to older men, and several reasons, including sociocultural factors, may be involved. Therefore, depression and social support of this group require further investigation and appropriate intervention.

To identify the effect of Iron as a preventive and therapeutic agent on depression and other hematological indices by a systematic review and meta-analysis.

International databases like Web of Science, PubMed, Cochrane,  International Clinical Trials Registry Platform, Clinicaltrials.gov, and Scopus were searched until 27 July 2024 to identify eligible articles with the appropriate Medical Subject Headings (MeSH).  The risk of bias tool for randomized trials (RoB 2) was used for precise assessment.  Heterogeneity was determined using Cochran’s Q-test and the I2 index. To assess source of heterogeneity, meta-regression was used. The pooled standardized mean difference (PSMD) was calculated by considering the random effects model.

of 2154 studies,14 studies were included in systematic review and 6 studies were excluded from analysis due to lack of data for calculating PSMD and finally, 8 studies were included in meta-analysis. Based on the results, iron therapy led to improvement in depression symptoms (PSMD = -0.18; 95% CI: -0.32 to -0.03). The iron therapy led to increasing the blood level of Iron (PSMD = 0.57; 95% CI: 0.19 to 0.95), Ferritin (PSMD = 0.55; 95% CI: 0.25 to 0.85), HCT (PSMD = 0.40; 95% CI: 0.18 to 0.61), MCV (SMD = 0.67; 95% CI: 0.18 to 1.15) and Transferrin saturation (PSMD:0.26; 95% CI: 0.02 to 0.50). Based on the meta-regression result, the sample size, participant age, and publication year had no significant role in heterogeneity between studies.

The use of iron supplements in patients with depression can be considered. However, there is a need to conduct further studies involving various kinds of depression.

The incidence of depression has increased significantly during the COVID-19 pandemic. Some individuals infected with COVID-19 develop persistent neurological and neuropsychiatric symptoms approximately 12 weeks after the acute infection, a condition known as long COVID-19 syndrome. However, the underlying pathogenesis remains unclear. Glial fibrillary acidic protein (GFAP), creatine kinase (CK), and lactate dehydrogenase (LDH) are proteins abundant in the central nervous system (CNS), playing important roles in neuronal energy homeostasis.

This study aimed to investigate the correlation between serum GFAP, CK, and LDH levels and depression in patients with long COVID-19 syndrome.

This cross-sectional study involved 150 patients (75 males and 75 females). The Beck Depression Inventory-II (BDI-II) was used, along with standardized peripheral serum assessments. Serum GFAP, CK, and LDH levels were measured using customized direct ELISA. Data were matched by age and sex, and analyzed using Spearman non-parametric tests to assess the correlation between variables.

The serum level of GFAP was significantly higher in both males and females with severe depression compared to those with mild depression (282 ± 3 pg/mL, 280 ± 2.9 pg/mL, P = 0.001). The mean serum CK level was 239 ± 24.05 U/L in males and 142 ± 18.08 U/L in females (P < 0.0001). Furthermore, a significant positive correlation was found between CK serum levels and Beck scores (r = 0.33, 95% CI = 0.176 to 0.469), with a similar pattern observed for LDH (r = 0.22, 95% CI = 0.042 to 0.358). GFAP, CK, and LDH levels were higher in male patients.

This study identified potential neurobiological mechanisms in CNS-related long COVID syndrome, suggesting that elevated astrocyte activity, along with increased serum CK and LDH levels, may contribute to the neurobiological issues seen in depressed long COVID survivors. Men appeared to be more susceptible to these changes than women. Further research is essential.

The prognosis of thyroid cancer treatment is unsatisfactory in the presence of different independent parameters, such as older age, which may worsen the quality of life and mental health of patients. It is necessary to improve the quality of life and mental health of patients with thyroid cancer.

This study evaluated the nurse-led care impact as psycho-oncological support on anxiety and quality of life of patients with a history of thyroid cancer, comparing it to a consultant-led usual care and a non-care.

Patients received half an hour of nurse-led care (NC cohort, n = 105), or consultant-led usual care (UC cohort, n = 125), or did not receive healthcare professional-led care (PO cohort, n = 135) at the institute during treatment and a follow-up period of 12 months. The EORTC QLQ-C30 Chinese version was used to assess the quality of life. Anxiety and depression were evaluated, using the Hospital Anxiety and Depression Scale.

Before the healthcare professional-led care, the quality of life scale score was 35 (36 - 33) and all patients had definitive anxiety and depression (scale score ≥ 11). After 12 months of the healthcare professional-led care, patients in the NC cohort showed improved quality of life and decreased anxiety and depression as compared to them before the healthcare professional-led care conditions and those of patients in the UC and PO cohorts after 12 months of the healthcare professional-led care (P < 0.001 for all). A higher number of patients survived in the NC cohort than in the UC (P = 0.0327) and PO (P = 0.0014) cohorts. Personal satisfaction of patients was higher in the NC cohort than in the UC and PO cohorts (P < 0.001 for both). Patient satisfaction was higher in the UC cohort than in the PO cohort (P < 0.001).

Supportive cancer care after surgery or during follow-up is necessary in patients with thyroid cancer. Nurse-led care had beneficial effects on the quality of life, psychological conditions, survival, and personal satisfaction of patients with thyroid cancer during the follow-up period.

Research indicates that certain demographic groups, including girls, often experience lower-than-average levels of mental well-being. Therefore, it appears that one approach to enhancing mental health is by teaching resilience skills.

This study aimed to investigate the effects of resilience training on the mental health dimensions of sixth-grade female students in Qaynat city during the academic year 2021 - 2022.

The study employed an experimental design with a control group, conducting pre- and post-tests. The statistical population comprised female sixth-grade students from an elementary school in Qaynat City. Thirty female students exhibiting high scores on measures of depression, anxiety, and stress were selected and randomly divided into two experimental groups, with 15 participants in each group. The experimental group underwent resilience training consisting of 8 sessions. The desired variables were measured using Lovibond and Lovibond's Depression, Anxiety, and Stress Scale (DASS). The data were analyzed using SPSS 25 software through independent samples t-tests and paired t-tests.

The findings revealed that the resilience training intervention significantly reduced symptoms of depression (F = 11.542), anxiety (F = 13.67), and stress (F = 6.01) in the experimental group (P = 0.001).

The results suggest that participation in a resilience training program can improve students' mental health. Therefore, implementing such intervention programs in the form of workshops and establishing counseling and support groups may be beneficial for enhancing students' mental well-being.

Rheumatoid arthritis is a disease that due to pain in the patient's joints, the patient cannot make strong movements due to the muscles around the joints are weakened and the patient's movement capability is reduced. Thus, this disease is associated with pain, depression, and also movement disability.

This research is in the qualitative part of a semi-experimental design with a pre-test and post-test with a control group. The statistical population included people suffering from rheumatoid arthritis. In the quantitative part, based on the size of the population, 30 women with rheumatoid arthritis were and randomly replaced in the experimental and control groups. The experimental group in this study underwent cognitive behavioral therapy. The required information was collected by Beck’s Depression Questionnaire, McGill Pain Intensity Questionnaire (SF-MPQ-2), Osostria ODI Questionnaire, Physical Disability Assessment Questionnaire (Rowland & Morris, 1983), and Quebec Pain Disability Scale (QPDS). Also, for the measurement level of the desired variables and hypotheses, descriptive statistics such as mean, standard deviation, frequency distribution tables, and graphs were used in the descriptive section. In the inferential part, the assumptions of univariate and multivariate covariance analysis, Levine's test, and Sphericity were used.

The results of univariate and multivariate analysis of covariance showed that CBT reduces depression, pain, and their components; Motor disability, components of functional disability, physical disability, and back pain disability were effective in patients with rheumatoid arthritis. It was also stated that CBT has a higher effectiveness in reducing pain and its components (except emotional perception of pain) in patients with rheumatoid arthritis.

CBT has been effective in all four variables.

This study aimed to assess postoperative pain, depression, and anxiety levels in infertile men who underwent microsurgical testicular sperm extraction (micro-TESE) for non-obstructive azoospermia (NOA) and compare results between patients with successful and unsuccessful sperm retrieval.

A total of 105 NOA patients participated, completing preoperative Beck Depression Inventory (BDI) and Situational and Transient Anxiety Inventory (SAI and TAI) questionnaires. Postoperatively, Visual Analog Scale (VAS) scores were recorded. Patients were categorized into primary and repeated micro- TESE groups, and scale scores, operation duration, and collected tubule count were compared. The relationship between micro-TESE outcomes, VAS scores, and additional analgesia needs was also examined.

Successful sperm retrieval was achieved in 55.9% of patients. While BDI, SAI, and TAI scores showed no significant intergroup differences, micro-TESE (-) patients exhibited significantly higher mean VAS scores (p < 0.001). VAS scores positively correlated with BDI score, operation duration, and tubule count, while patient age inversely correlated with micro-TESE results.

Infertility, azoospermia, and unsuccessful sperm retrieval impact psychogenic status and pain levels in male patients. Additionally, a history of micro-TESE procedures and their outcomes elevate depression levels.

 Understanding the relationship between intimate partner violence (IPV) and depression/depressive symptoms is important in developing strategies to reduce the burden of depression and prevent IPV and its effects.

 This study examined the relationship between IPV against women and depressive symptoms.

 This cross-sectional study conducted on 485 women from January to June 2023 in Turkey. Data were collected using a questionnaire assessing sociodemographic characteristics, Beck Depression Inventory (BDI), and Intimate Partner Violence against Women Scale (IPVAWS). Data were analysed using Student's t-test, ANOVA, Pearson correlation and multiple linear regression analysis in SPSS 24 software.

 IPV and depression were found in 45.6% and 24.9% of the women, respectively. According to the multiple linear regression analysis, in which sociodemographic variables were controlled, one-unit increase in violence exposure scores increased the BDI scores by 0.49 times (p<0.001).

 Regardless of sociodemographic characteristics, beliefs about violence, and perceived social support, depressive symptomatology increased with increasing IPV exposure in women. Healthcare professionals should keep in mind the possible underlying exposure to intimate partner violence in women with depressive symptoms.

This study was designed and conducted to compare the neurological and neuropsychological functions of depressed patients with and without suicidal thoughts.

This research is a case-comparative study. A group of depressed patients visited NAJA Imam Sajjad Hospital between early August and late October 2016. According to the Morgan table, 66 individuals (33 with suicidal thoughts and 33 without) were selected for comparison with controlled variables in this examination. The Beck Depression Inventory (BDI), Neurological Evaluation Scale, and Wechsler Memory Scale (for neuropsychological function) were administered to all the participants. Data were analyzed using one-way analysis of variance (ANOVA), Scheffe follow-up test, and SPSS version 22 software.

The findings indicated that the group of depressed patients with suicidal thoughts showed poorer scores in neurological functions compared to the control group (P = 0.01). Furthermore, the control group scored higher than the depressed group with suicidal thoughts on the Wechsler Memory Scale (P = 0.05).

The results suggest that depressed patients with suicidal thoughts exhibit worse performance in both neurological and neuropsychological functions compared to the non-suicidal group.