Background Thalassemia is a genetic and chronic congenital disorder composed of physical problems that severely impair patients’ cognitive, psychological and social processes. The rehabilitation of patients is particularly important because they have a high rejection sensitivity and low resilience. The present study aimed to determine the effects of mindfulness-based stress reduction counseling on rejection sensitivity and resilience in patients with thalassemia referring to a dedicated disease center in southeastern Iran. Materials and methods We conducted this randomized controlled trial study on 66 patients with thalassemia referring to the Kerman Thalassemia Center in southeastern Iran in 2022. Using convenience sampling and the stratified block randomization method, we divided the samples into two intervention (N = 33) and control (N = 33) groups. Patients in the intervention group received eight 60-minute online mindfulness-based stress reduction counseling sessions (one session per week) and completed the Rejection Sensitivity Questionnaire, Adult Version (A-RSQ) and the Conner-Davidson Resilience Scale before and after the intervention. We collected data using the SPSS 25 trial and descriptive statistics (frequency, percentage, mean and standard deviation), Chi-Square test, Independent-samples t-test, Fisher's exact test, Paired t-test, the Wilcoxon U test and Mann Whitney. A significance level of 0.05 was considered. Results We found no significant difference in the mean scores of rejection sensitivity and resilience between the intervention (8.75 ± 4.86) and control (9.87 ± 5.16) groups before the intervention. Mean scores for rejection sensitivity and resilience were 10.23 ± 4.94 in the control group and 7.11 ± 4.13 in the intervention group after the intervention, showing a 1.56-point reduction in the rejection sensitivity score of the intervention group and a 0.37-point increase in the rejection sensitivity score of the control group, but the scores were not significantly different (p = 0.08). The mean resilience score in the control group was 63.69 ± 19.43, while it was 67.72 ± 17.98 in the intervention group before the intervention, but the mean resilience scores in the control and intervention groups were 58.06 ± 22.81 and 74.18 ± 17.46 after the intervention, respectively. The resilience score had a 6.64-point increase in the intervention group, while it had a 5.48-point reduction in the control group, so a significant difference was available between the two groups (p = 0.01). Conclusion Our results showed that in addition to other physical treatments, mindfulness-based stress reduction counseling was effective in increasing the resilience of patients with thalassemia.
BackgroundPostmenopausal women are interested in using complementary and alternative medicine because of their menopausal symptoms and the side effects of chemical medications and hormone therapy. Therefore, this study aimed to investigate the relationship between the use of complementary medicine (CAM) and menopausal symptoms among postmenopausal women.MethodsThis cross-sectional study was conducted among 288 postmenopausal women who were referred to health centers in Kerman, southeastern Iran, from 2020 to 2021. Data were collected using a demographic questionnaire, the CAM questionnaire, and the Menopause Rating Scale (MRS).ResultsThe mean score for the menopausal symptoms of the participants was 8.73 ± 6.11. Only 28.8% of the participants had no/little symptoms. About 65.3% of the participants used at least one type of CAM in the previous year. The most commonly used types of CAM were nutritional supplements, prayer, and medicinal herbs. A significant association was found between the use of medicinal herbs, dry cupping, relaxation and meditation, prayer, and menopausal symptoms. Women experiencing menopausal symptoms used more CAM methods than those without menopausal symptoms (Odds ratio = 2.25, 95% confidence interval = 1.33–3.80).ConclusionThe study results indicated that the severity of menopausal symptoms and scores in somatic-vegetative and urogenital domains were higher in CAM users compared to non-CAM users. But there was no significant difference in the psychological domain between CAM and non-CAM users. Based on the results, it is suggested that more research be done in different communities with different healthcare systems to find out how complementary and alternative medicine affects menopausal symptoms in women.
Background The study aimed to investigate the relationship between existential anxiety, post-traumatic growth, and resilience in nurses working in COVID-19 units of hospitals affiliated to Kerman University of Medical Sciences. Methods This was a Descriptive-analytical study. The researchers conducted this study on 224 nurses working in the COVID-19 units of four hospitals affiliated to Kerman University of Medical Sciences in Southeast Iran from 2020 to 2021. They collected data using demographic questionnaire, Masoudi Sani et al.'s existential anxiety questionnaire, Conner-Davidson resilience scale, post-traumatic growth inventory. They also used SPSS V 25 to analyze data. Results The results suggested that the mean score of existential anxiety was 80.92 ± 9.18, the mean resilience score was 63.51 ± 15.00, and the mean post-traumatic growth score was 87.69 ± 16.55. The results showed no statistically significant relationship between existential anxiety, resilience, and post-traumatic growth (P > 0.005) but a negative and significant relationship between post-traumatic growth and resilience (P < 0.001, r=-0.38). there were no statistical relationship between the mean existential anxiety score, age, sex, and education level, but the mean existential anxiety score in the emergency personnel was significantly higher than that in those of other departments. Conclusion The results demonstrated that the mean scores of existential anxiety and resilience were moderate, while post-traumatic growth score was high. The researchers suggest educational and interventional measures to improve resilience and reduce existential anxiety among nurses.
Background Thalassemia is a genetic and chronic congenital disorder composed of physical problems that severely impair patients’ cognitive, psychological and social processes. The rehabilitation of patients is particularly important because they have a high rejection sensitivity and low resilience. The present study aimed to determine the effects of mindfulness-based stress reduction counseling on rejection sensitivity and resilience in patients with thalassemia referring to a dedicated disease center in Kerman, Iran. Materials and methods We conducted this randomized controlled trial study on 66 patients with thalassemia referring to the Kerman Thalassemia Center in Kerman, Iran in 2022. Using convenience sampling and the stratified block randomization method, we divided the samples into two intervention (N = 33) and control (N = 33) groups. Patients in the intervention group received eight 60-min online mindfulness-based stress reduction counseling sessions (one session per week) and completed the Rejection Sensitivity Questionnaire, Adult Version (A-RSQ) and the Conner-Davidson Resilience Scale before and after the intervention. We collected data using the SPSS 25 trial and descriptive statistics (frequency, percentage, mean and standard deviation), Chi-Square test, Independent-samples t-test, Fisher's exact test, and Analysis of covariance. A significance level of 0.05 was considered. Results We found no significant difference in the mean scores of rejection sensitivity between the intervention (8.75 ± 4.86) and control groups (9.87 ± 5.16) before the intervention. Mean scores for rejection sensitivity were 10.23 ± 4.94 in the control group and 7.11 ± 4.13 in the intervention group after the intervention, the results of analysis of covariance showed that, there was a significant difference between two groups after the intervention (F = 7.52, p = 0.008). The mean resilience score in the control group was 63.69 ± 19.43, while it was 67.72 ± 17.98 in the intervention group before the intervention and there is no significant difference between them, but the mean resilience scores in the control and intervention groups were 58.06 ± 22.81 and 74.18 ± 17.46 after the intervention, respectively. the results of analysis of covariance showed that, there was a significant difference between two groups after the intervention (F = 9.28, p = 0.004). Conclusion Our results showed that in addition to other physical treatments, mindfulness-based stress reduction counseling was effective in reducing the patient’s rejection sensitivity and increasing the resilience of patients with thalassemia.
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