Introduction Polycystic ovary syndrome is one of the women’s most common endocrine disorders that can cause anxiety, psychological distress, and reduced quality of life. Therefore, the present study aimed to determine the effect of mindfulness-based stress reduction counseling on the worries of women with polycystic ovary syndrome. Materials and methods This quasi-experimental was implemented on 60 women with polycystic ovary syndrome, referring to health centers in Kerman, Iran, from April to September 2021. In the intervention group, MBSR was conducted in eight 90-minute sessions twice a week. A researcher-made questionnaire with 34 questions (with six domains including worries related to mental complications, interpersonal problems, non-pregnancy physical complications, pregnancy complications, sexual complications, and religious issues) on the worries of women with polycystic ovary syndrome was completed by the participants in two intervention and control groups as pre-and post-test and one month later. 22 SPSS statistical software was used for analysis. Results The mean score of worries in the intervention group (48.18 ± 5.18) compared to the control group (75.73 ± 8.08) was significantly reduced in total and all six domains immediately after the intervention (P < 0.0001). One month later also, the total mean score of worries and subtitles decreased significantly (P < 0.0001) in the intervention group (38.27 ± 3.58) in comparison with the control group (76.13 ± 7.52). Conclusion Results showed that the method of reducing stress based on mindfulness had caused a significant reduction in worries in the intervention group. Therefore, this method can be used to improve the mental health of this group of patients in health centers.
Objectives: The existence of a valid scale of fear of childbirth (FOC) has an effective role in identifying women at risk, so this study was conducted to determine the validation of the Slade FOC scale for pregnancy in a sample of Iranian women. Materials and Methods: In this cross-sectional study, initially, the Slade scale was translated based on a forward-backward approach. For sampling among pregnant women in Anbarabad city, 820 pregnant women were selected by multistage cluster sampling method. The research questionnaire included (a) demographic information, (b) Slade FOC scale (new scale), (c) childbirth attitude questionnaire (validated scale), and (d) Wijma scale (validated scale). Face validity, content validity, construct validity (using factor analysis), convergent validity, and concurrent validity (by calculating the present scale correlation with childbirth attitude questionnaire and Wijma scale were used to determine the validity of the scale. Internal consistency (Cronbach’s alpha), split-half, and stability (test-retest) methods were used for scale reliability. SPSS software version 22 and LISREL version 8.8 were used for data analysis. Results: Target population comments were applied in face validity, the impact score of face validity was in the range of 1.6-4.5. Content validity ratio (CVR) values (81%-100%) and content validity index (CVI) value (83%) were acceptable. The exploratory factor analysis (EFA) showed that the scale had four factors which include uncertainty and injury with 18.39%, the unprofessional behavior of maternity staff with 14.51%, the unpredictable with 14.44%, and negative emotions with 10.54% of the variance. The scale had acceptable convergent validity and the correlation between items and the total score was between 0.41-0.63. The correlation coefficient between the present scale with the childbirth attitude questionnaire and Wijma scale was 0.81 and 0.79, respectively. The reliability result showed an acceptable internal consistency (Cronbach’s alpha = 0.84), acceptable split-half (0.71 for the first half of scale and 0.78 for the second half of scale) and acceptable stability (r = 0.78). Conclusions: The results showed that the Slade scale has acceptable validity and reliability. Therefore, this scale can be used in scientific research and screening for FOC.
Background The loss of the fetus may cause mental health problems in women. The present study aimed to determine the effect of mindfulness-based stress reduction (MBSR) on anxiety, depression, and stress in women with early pregnancy loss. Methods This study was performed on 106 women with early pregnancy loss in Shiraz, Iran. The intervention group underwent eight counselling sessions. Pre-test and post-test were performed in both groups with the Depression, Anxiety, and Stress Scale (DASS) 21 questionnaire. Data were analyzed by SPSS 23. Results There was a statistically significant difference between the mean scores in the intervention group vs. the control group in terms of anxiety (7.9 ± 1.07 vs. 13.79 ± 5.36, respectively), stress (9.26 ± 1.25 vs.18.13 ± 7.66, respectively), and depression (7.83 ± 1.05 vs.16.26 ± 11.06, respectively) (P < 0.0001). Conclusions MBSR can be suggested to promote women's mental health.
Introduction: Infertility has biological and psychological effects on various aspects of the infertile couple's life. Objective: This study aimed to investigate the effectiveness of integrated psychological counseling with a couple therapy approach on the quality of life of infertile women. Materials and Methods: This clinical trial was conducted on 60 couples (30 couples in the intervention and 30 in the control group) referred to Infertility Center in Kerman City, Iran, from October to December 2018. They were assigned to intervention and control groups with available sampling and block allocation method. The intervention group received six group counseling sessions. The subjects completed the FertiQoL questionnaire before and after the intervention. It has 24 items specific to infertility that cover four subscales of the QoL )emotional, mind-body, relational, and social(. Data analysis was conducted by paired t test, Chi-square test, and Mann-Whitney test. P values less than 0.05 were considered significant. Results: The mean ± SD ages of the participants were 33.25 ± 5.89 and 33.53 ± 5.46 in the intervention and control groups, respectively. Results showed significant differences between the mean ± SD of the mind-body subscale of the intervention group (88.5 ± 6.39) and that of the control group (69 ±12.24), between the social subscale of the intervention group (78± 6.34) compared to that of the control group (60.5 ± 12.27), and between emotional subscale of the intervention group (73.75 ±6.71) compared to that of the control group (54.5 ± 12.29) at the post-test (P =0.001). However, no significant change was seen in the relational subscale of intervention (52.25 ± 6.25) compared to the control group (57.25 ± 12.25) (P= 0.060). Results showed a significantly higher FertiQoL total score for the intervention group (70.56±6.49) compared to the control group (57.76±12.26) at the post-test (P=0.001). Conclusion: The results indicated that integrated psychological counseling could improve the quality of life among infertile women. Therefore, it can lead to more satisfaction and cooperation in infertility treatment.
Introduction Polycystic ovary syndrome is one of the most common endocrine disorders in women that can cause anxiety, psychological distress and reduced quality of life. Therefore, the present study aimed to determine the effect of mindfulness-based stress reduction counseling on the worries of women with polycystic ovary syndrome. Materials and methods This quasi experimental was implemented on 60 women with polycystic ovary syndrome, referring to health centers in Kerman, Iran, from April to September 2021. In the intervention group, MBSR was conducted in eight 90-minute sessions twice a week. A researcher-made questionnaire with 34 questions (with six domains includes worries related to mental complications, interpersonal problems, non-pregnancy physical complications, pregnancy complications, sexual complications, and religion issues) on the worries of women with polycystic ovary syndrome were completed by the participants in two intervention and control groups as pre and posttest and one month later. 22 SPSS statistical software was used for analysis. Results The mean score of worries in the intervention group(48.18 ± 5.18) compared to the control group(75.73 ± 8.08) was significantly reduced in total and in all six domains immediately after the intervention (P < 0.0001). One month later also the total mean score of worries and subtitles decreased significantly(P < 0.0001), in intervention group (38.27 ± 3.58) in comparision with control group(76.13 ± 7.52). Conclusion Results showed that, the method of reducing stress based on mindfulness has caused a significant reduction in worries in the intervention group. Therefore, this method can be used to improve the mental health of this group of patients in health centers.
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