state (5), pregnancy rates and the treatment outcome for assisted conception (6).Researchers have identified six strategies commonly used by woman to cope with infertility. Those include: a-increasing the space or distancing oneself from reminders of infertility; b-instituting measures for regaining control; c-acting to develop self-esteem; d-looking for hidden meaning, e-giving in to feelings (expressing emotions); and f-sharing the burden with others (7).Coping choices may be essential in making Abstract Background: Infertility is described nearly universally as an extremely stressful condition with enduring effects on the marriage as well as each partner's well-being. The present study was done to compare stress reactions, coping styles, subjective wellbeing and its sub-scales in fertile and infertile women. Materials and Methods: This analytic cross-sectional study enrolled 120 women (60 fertile and 60 infertile). The stress symptoms questionnaire, coping inventory of stressful situations-short form and subjective well-being questionnaire were administered as assessment tools. Results: Our results demonstrated significant difference among infertile and fertile women in stress reactions, coping strategies and subjective well-being. Infertile women reacted more than fertile women emotionally, cognitively and behaviorally. Infertile women used more emotion-oriented coping methods. Infertile and normal subjects differed significantly in terms of emotional, psychological and social well-being. Conclusion: Given the psychological consequences of infertility which may exaggerate the course and cause delayed treatment responses, psychological interventions seem to be clinically warranted.
Objective: Sexual dysfunction is frequently reported as a side effect of many antidepressant medications. As a result, for those depressed patients to whom sexual desire is important, psychological treatment may be a better intervention. Thus, the present study aimed to determine the possible changes in sexual desire following psychological treatments in depression, when focus of therapy is not on sexual function.Methods: This is a quasi-experimental study, which was conducted in Tehran, Iran. A total of 281 depressed patients in the remission phase underwent psychological treatments, either cognitive behavioral therapy (CBT, n=131) or mindfulness-based cognitive therapy (MBCT, n=150). The therapy did not focus on any aspect of sexual function. Using a single item measure before and after treatment, sexual desire of the patients was categorized into intact, mild, moderate, or severe decline. A total of 255 participants completed the study questionnaires and were randomly assigned to CBT (122) and MBCT groups (133). Before therapy, 128(50.2%) participants were categorized in intact sexual desire group, 73(28.6%) in mild sexual desire dysfunction group, 40(15.7%) in moderate sexual desire dysfunction group, and 14(5.5%) in severe sexual desire dysfunction group. Logistic regression was used for analyzing the data by SPSS-16. Results Conclusion:CBT might be superior to MBCT in improving sexual desire in patients with depression. Further studies using validated sexual function questionnaires are necessary.
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