فهرست مطالب

Chronic Diseases Journal
Volume:8 Issue: 1, Winter 2020

  • تاریخ انتشار: 1398/12/08
  • تعداد عناوین: 8
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  • Akbar Atadokht, Seyed Javad Daryadel*, HamidReza Samadifard, Sara Moradi Kelarde, Hadees Heidarirad Pages 1-7
    BACKGROUND

    Anxiety and depression in women during pregnancy could be associated with unfavorable consequences of pregnancy, such as premature and low-weight newborn birth. Current study was conducted aiming to compare brain-behavioral systems, early maladaptive schemas (EMSs), and preservative thinking in women with and without pregnancy anxiety.

    METHODS

    The method of this research was causal-comparative. The population included of the whole pregnant women who had been referred to Urban Health Service Centers of Ardabil Province, Iran, in order to receive pregnancy period cares at first quarter of 2017. 30 pregnant women whose pregnancy anxiety had been diagnosed by mental health experts and the physicians of the center trough screening and administering Pregnancy-related Anxiety Scale (PrAS) were selected using cluster random sampling. 30 women without anxiety were matched with the women having pregnancy anxiety in terms of age, times of pregnancy, number of children, education level, and economic status. For data collecting, Huizink et al.’s PrAS, Young Schema Questionnaire (YSQ) of Welburn et al., the behavioral inhibition system/behavioral activation system (BIS/BAS) scale of Carver and White, and Ehring et al.’s Preservative Thinking Questionnaire (PTQ) were used. The obtained data were analyzed by multivariate analysis of variance (MANOVA) using SPSS software.

    RESULTS

     The results of MANOVA showed that there was a significant difference between brain-behavioral systems, EMSs, and preservative thinking in women with and without pregnancy anxiety (P < 0.010).

    CONCLUSION

    Since maladaptive schemas, brain-behavioral systems, and preservative thinking are higher in pregnant women with anxiety than pregnant women without anxiety, so counselling, supportive, and training programs are essential for vulnerable mothers.

    Keywords: Early Maladaptive Schemas, Behavior, Thinking, Anxiety
  • Sedigheh Lotfi, Zahra Aminipozveh* Pages 8-13
    BACKGROUND

     Hypertension is a common chronic disease that is affected by several factors. The aim of this study is to evaluate the effectiveness of emotion regulation skills training on blood pressure control and quality of life (QOL) in patients with hypertension.

    METHODS

    The present study was a quasi-experimental design with pre-test and post-test evaluations to compare the experimental group with a control group. 60 patients with high blood pressure who received medical treatment and referred to the health centers and clinics affiliated to Isfahan University of Medical Sciences, Isfahan, Iran were randomly selected and assigned to either the experimental group (30 patients) or the control group (30 patients). The experimental group received eight training sessions (two 2-hour sessions weekly) on emotional regulation. In each group, the blood pressure was measured before and after the intervention. Data for the QOL were collected using the 36-Item Short Form Health Survey (SF-36).

    RESULTS

     The findings showed that in the post-test evaluation, systolic blood pressure (SBP) of the patients in the experimental group was reduced in comparison to the control group (P ≤ 0.050). In addition, in the experimental group compared to the control group, the QOL in the patients increased after the intervention. However, the diastolic blood pressure (DBP) did not show a significant difference.

    CONCLUSION

     Emotion regulation skills training was effective in patients with hypertension. It is suggested that the emotion regulation skills training be considered along with medical treatments.

    Keywords: Emotion Regulation, Hypertension, Quality of Life
  • Khaled Samiee Roudi, Maryam Soltani*, Mahmoud Azami Pages 14-20
    BACKGROUND

    Human brucellosis is an infectious disease and a global issue. Animal sources of brucellosis can contribute to the occurrence of disease in human population. Regarding high incidence of brucellosis in Khaf, Khorasan Razavi Province, Iran, this study aimed to investigate the epidemiological and clinical features of this disease.

    METHODS

     This was a cross-sectional study. We reviewed all reports in Health Network of Khaf related to patients diagnosed with brucellosis in the period of 2014-2016. We analyzed data using SPSS software and descriptive statistics (frequency and percentages)

    RESULTS

     Patients’ mean age was 32.00 + 17.23 years, 51.5% of patients were male, 89.5% of them had animal contact, and more than 90.0% of patients had consumed dairy products. According to serological reports, the Wright test showed that the titer of antibody was 1:160 in 35.4% of patients and 1:320 in 27.7% of them. The 2-mercaptoethanol (2ME) test showed that the titer of antibody was 1:80 in 30.0% of patients and 1:160 in 23.8% of them.

    CONCLUSION

     This study revealed a high incidence of brucellosis among young adults and consumers of unpasteurized dairy products. Therefore, it seems to be necessary to develop preventive strategies and educational programs to reduce the incidence of brucellosis.

    Keywords: Brucellosis, Human, Epidemiology
  • Alisaleh Ebrahimi, Shahrbanoo Ghahari* Pages 21-25
    BACKGROUND

    Multiple sclerosis (MS) is a stressful event in life and anxiety and depression are common in these patients. Mindfulness-based stress reduction (MBSR) may help and reduce mood disorders in patients with MS. In this regard, the present study is carried out aiming to evaluate the effect of MBSR on anxiety and depression in women with MS.

    METHODS

    This was a quasi-experimental study with a control group with the statistical population including all women with MS in Iran MS Society. 30 patients were selected and classified in two groups randomly. The test group participated in MBSR training program for 8 sessions and the control group did not receive this treatment. All patients in the two groups completed depression and anxiety scales before and after the intervention and the data were analyzed by the SPSS software.

    RESULTS

    The results showed that the two groups were different in the scores of anxiety and depression scales after the intervention (P < 0.001).

    CONCLUSION

     MBSR </strong>could reduce anxiety and depression in patients with MS.

    Keywords: Mindfulness, Multiple Sclerosis, Mood, Anxiety, Stress, Depression
  • Hamidreza Aghamohammadian Sharbaf, Seyed Iman Seyedzadeh Dalooyi*, Hossein Farrokhi, Faezeh Bahri, Vahid Mostafapour Pages 26-34
    BACKGROUND

    Chronic illness is a long-term disease that causes a body structure damage and body functions, and it necessitates changes in the patient's normal life. Resiliency is one of the factors contributing to the development of chronic physical and psychological disorders, which affect marital satisfaction and boredom. Therefore, the aim of this study was to investigate the effectiveness of the Penn Resiliency Program (PRP) on marital boredom, religious commitment, and individual resilience.

    METHODS

    This quasi-experimental research was conducted with a pretest-posttest design and control group. The study population consisted of all married female students of Ferdowsi University of Mashhad, Iran, who had referred to the university clinic in the first 6 months of 2017. The sample consisted of 40 women selected using convenience sampling. They were randomly assigned to experimental and control groups. To collect the required data, the Couple Burnout Measure (CBM) (Pines), Religious Commitment Inventory (RCI) (Worthington et al.), and Connor-Davidson Resilience Scale (CD-RISC) were used. The collected data were analyzed using analysis of covariance (ANCOVA).

    RESULTS

     The results of ANCOVA showed that PRP reduced marital boredom and increased religious commitment and individual resilience in the participants (P < 0.010).

    CONCLUSION

    It can be concluded that the PRP is effective on marital boredom, religious commitment, and individual resilience.

    Keywords: Marital Status, Boredom, Religion, Resilience, Psychological
  • Rezvan Sadrmohammadi, Simin Gholamrezai*, Ezatollah Ghadampour Pages 35-40
    BACKGROUND

    Treatment-resistant depression (TRD) is a severe and chronic form of major depression. It poses significant clinical, personal, and economic burden and does not respond to antidepressants. Psychotherapy can be a suggested option. The aim of this study was to survey the effectiveness of cognitive behavioral therapy (CBT) on patients with TRD.

    METHODS

    The present study was a quasi-experimental study with pretest, posttest, and follow-up. The statistical population included patients with TRD in Rafsanjan City, Iran, in 2018. 30 subjects were randomly selected and placed into experimental and control groups. Data were collected by Beck Depression Inventory (BDI), Rumination Questionnaire, and Brunel Mood Scale (BRUMS). To analyze data, multivariate analysis of covariance (MANCOVA) was used with SPSS software.

    RESULTS

    CBT led to reducing depression and rumination and improving mood and this outcome was better than control group (P < 0.05).

    CONCLUSION

    TRD is a chronic and disabling disorder that little research has been done about its treatment. CBT can be a good treatment offer for TRD.

    Keywords: Depressive Disorder: Treatment-Resistant, Cognitive Behavioral Therapy
  • Shahrbanoo Ghahari, Maryam Yeka Fallah, Raoofeh Ghayoomi, Fatemeh Viesy, Bahram Gheitarani, Mahdi Kheradmand, Shima Tamannaeifar* Pages 41-44
    BACKGROUND

     Elder abuse has been extensively recognized as one of the complicated general health issues and the abused elders experience mental health problems. In this regard, this study is carried out with the aim to investigate the elderly as victims of chronic domestic violence and their mental health profile in Naziabad City, Iran.

    METHODS

     The current study is a cross-sectional study with the statistical population consisting of all elders living in Nazarabad. The individuals older than 60 years participated in this study were selected using the convenience sampling method and filled the Elder Abuse Questionnaire (EAQ). The subjects who were not willing to cooperate were removed from the study and the ones who were diagnosed as domestic violence victims filled out the General Health Questionnaire-28 (GHQ-28). The data were analyzed using descriptive statistics and correlation method in SPSS software.

    RESULTS

     In total, 243 elders with a mean age of 67 ± 7 years old participated in this study. Of them, 144 (59.3%) and 99 (40.7%) were women and men, respectively. The most common abuse reported was about neglect and inattention of children, emotional abuse, and physical abuse as 104 (41.6%), 69 (28.4%), and 16 (6.6%), respectively.

    CONCLUSION

     Elders as domestic violence victims had lower general health and higher anxiety and depression; hence, it is essential for the health system professionals and experts to provide violence

    Keywords: Elder Abuse, Mental Health, Domestic Violence, Iran
  • Younes Ramazan Younes* Pages 45-48
    BACKGROUND

    Diabetes mellitus (DM) is a major health problem globally. There are many studies, which show high prevalence of thyroid disorders in patients with type 2 DM. The aim of this study was to investigate the prevalence of thyroid dysfunction in patients with type 2 DM.

    METHODS

    90 patients with type 2 DM aged between 40-70 years were studied. Following a detailed history, all patients were evaluated for thyroid dysfunction by testing thyroid-stimulating hormone (TSH), free triiodothyronine (FT3), free thyroxine (FT4). The prevalence of thyroid dysfunction and its correlation with age, gender, hemoglobin A1c (HbA1c), and duration of DM were studied.

    RESULTS

    Out of 90 patients studied, 16 were found to have thyroid dysfunction. The most common thyroid abnormality was subclinical hypothyroidism followed by hypothyroidism; furthermore, thyroid abnormality was seen mostly in patients aged more than 60 and in those with uncontrolled DM.

    CONCLUSION

    Patients with type 2 DM should be screened for thyroid dysfunction, especially those with poor diabetic control.

    Keywords: Type 2 Diabetes_Thyroid_Dysfunction