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Background Considering the increasing incidence of ectopic pregnancy and the negative effects of pregnancy loss on mental health, this study aimed to determine the status of mental health in women with ectopic pregnancy and examine its relationship with their self-esteem. Methods This was a cross-sectional study on 150 women (with a 100% response rate) hospitalized for ectopic pregnancy et al.-Zahra hospital in Tabriz, Iran, during 2018–2019, and recruited via convenience sampling. Data were collected using the General Health Questionnaire-28, which has four subscales (overall score range: 0 to 84; subscale score range: 0 to 21 with a lower score indicating a better mental state), and Rosenberg Self-Esteem Scale (score range: − 10 to + 10 with a higher score indicating higher self-esteem). To determine the association between self-esteem and mental health, independent t-tests, and multivariable logistic regression were used. Results The response rate was 100%. The mean score (SD) of participants’ mental health was 31.4 (8.5), and that of self-esteem was 4.5 (3.80). The percentage of participants who were considered as having mental distress (i.e., overall GHQ-28 score ≥ 24) was 76%. Among the subscales of mental health, social dysfunction was the most prevalent (observed in 100% of the participants), followed by somatic symptoms (79.3%). Lower self-esteem was significantly associated with overall mental distress (odds ratio (OR): 0.74; 95% confidence interval (95% CI): 0.64–0.87; P < 0.001), depression (OR: 0.70; 95% CI: 0.60–0.80; P < 0.001) and anxiety/insomnia (OR: 0.76; 95% CI: 0.66–0.87; P < 0.001). Discussion Mental distress was common among women with ectopic pregnancy. This study is the first to examine the relationship between self-esteem and mental health among women with ectopic pregnancy and highlights the important role of self-esteem in mental wellbeing among those women.

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Abstract.Purpose: This study examined that effect of two types of tapering on interleukin-6(IL-6), cortisol and performance in elite male wrestler. Material: After 4 weeks of progressive training, wrestlers were randomly divided into three equal groups, 1-control group (N=10) continued performing progressive training for one week, 2-taper group 1 (N=10) continued with a 50% reduction in training volume for one week, 3-taper group 2 (N=10) continued with a 75% reduction in volume of training for one week .plasma blood IL-6 and cortisol levels were assayed from analysis obtained via standard ELISA. Also general strength of muscles was recorded as a performance test. All data were collected before and after progressive training and also after one week of tapering period. Results: There were significant reduction of IL-6 and cortisol levels in both tapering group comparing with control group (P≤0.05).There was significant reduction of IL-6 and cortisol levels among tapering 50% and tapering 75% after tapering period (P≤0.05). Also there was significant increase of general strength of muscles between tapering 75% and control group (P≤0.05). Conclusion: hence, one week tapering with 75% reduction in training volume after progressive training while the intensity kept high is effective strategy for reduction of IL-6, and cortisol levels and also increase performance. It seems that higher reduction of training volume when the intensity kept high is a good strategy for wrestler before main competition.

The aim of this study was to determine the psychometric properties of the Persian version of pregnancy symptoms inventory. A methodological study. This study was conducted on 220 pregnant women. Construct validity was measured by exploratory factor analysis and confirmatory factor analysis. Reliability was measured by intra-class correlation coefficient and internal consistency. Since the items 12 (snoring) and 16 (thrush) failed to obtain the minimum principal axis factoring in exploratory factor analysis, they were removed from the Persian version. Confirmatory factor analysis showed a good fit for the extracted model. Cronbach’s alpha was .94 for the frequency items and .95 for the limitation items. Intra-class correlation coefficient was between .58 and 1 for frequency items and between .73 and 1 for limitation items. The Persian version of pregnancy symptoms inventory was a valid and reliable scale to be used for Iranian pregnant women.