This was an observational, longitudinal study investigated the association between anxiety and depression in trimesters of pregnancy and early postpartum with weight retention 1 year after childbirth. Sixty-two pregnant women aged 18-35 years with a BMI of 35 or higher and 245 pregnant women with normal BMI (BMI 18.5-24.9 kg/m) were recruited at their initial prenatal visit in the health centers. The Edinburgh Postnatal Depression Scale (EPDS) and Beck Anxiety Inventory (BAI-II) were completed in five time points, the first, second, third trimester of pregnancy, 6-8 weeks and 12 months after delivery. Pre-pregnancy weight and weight retention at 1 year postpartum was measured. A significant relationship was found between first trimester (adjusted mean difference: aMD 3.416; 95% CI 1.392-5.441) and postpartum (aMD 3.042; 95% CI 0.538-5.547) depression as well as first trimester's anxiety (aMD 3.050; 95% CI 0.631-5.470) with weight retention at 1 year after childbirth.
The authors retract this article. The authors have declared that the underlying data may not have been gathered and assessed correctly. The article also has significant statistical inconsistencies. The data reported in this article are therefore unreliable. Not all authors have responded to correspondence from the editor about this retraction. The online version of this article contains the full text of the retracted article as electronic supplementary material.
Background: Considering the increasing prevalence of psychological problems, complications, and consequences of depression in patients undergoing hemodialysis (HD), the application of complementary therapies such as meditation counseling is highly important. Objectives: Therefore, this study aimed to investigate the effect of meditation on depression in patients undergoing HD. Methods: This clinical trial was conducted on 57 patients who met the inclusion criteria by the convenience sampling method. The participants were randomly allocated to intervention and control groups. Those in the intervention group attended three 15-20 minute educational practice sessions weekly offered over an eight weeks while the control group received no intervention. A validated questionnaire assessed depressive symptoms at baseline and after 4 and 8 weeks. In addition, the CONSORT statement was adhered to where possible. Finally, t-test, repeated-measures ANOVA, Fisher's exact test, and Chi-square tests were used to analyze data using SPSS 16. Results: The mean depression score among the patients of the intervention group decreased from 85±1.56 at baseline to 70±1.27 at 8-week follow-up (P=0.003). Further, the mean score of depressive symptoms significantly decreased during eight weeks after the intervention (P<0.001). Conclusion: Simple and non-expensive meditation exercises could fruitfully decrease depression symptoms in patients undergoing HD. The prevalence of depressive symptoms is high among the patients, therefore, the implementation of meditation exercises should help minimize a major problem in these groups of patients.
Background: Pregnancy and delivery are considered as pleasant physiological phenomena. This period, however, sometimes leads to variable mood states in women and makes them more sensitive to psychological stimuli and problems. Objectives: The present study aimed to investigate the role of breastfeeding, type of delivery, contraceptive method, planned pregnancy, and history of infertility on the anxiety level of Iranian women who referred to health centers in Zanjan in the postpartum period. Methods: This cross-sectional study was conducted on 420 women who attended the health care centers in Zanjan city, Iran, during 2018-2019. A checklist including questions about demographic and reproductive information and Beck anxiety inventory were used as the data collection instruments. The data were analyzed using SPSS 21 software through regression analysis.Results: This study found that the history of infertility (β=0.26, t=9.38, p<0.001), unplanned pregnancies (β=0.23, t=-7.00, p<0.001), exclusive breastfeeding (β=-0.47, t=-17.40, p<0.001), mothers' education (β=-0.08, t=-2.89, p<0.001), DMPA (β=0.23, t=6.62, p<0.001), and withdrawal (β=0.17, t=4.59, p<0.001) contraception method were associated with anxiety level. Conclusion:The results of the present study indicate that factors such as breastfeeding, contraceptive methods, infertility history, unplanned pregnancy, and educational level influence women's anxiety level in postpartum period. Identifying and screening women with high levels of anxiety and providing proper counseling to these mothers can help improve their health, infants, families, and community.
Background: This study aimed to test a conceptual model considering the interrelated role of anxiety, body satisfaction, breastfeeding, SF, type of personality, income, education, history of infertility on women’s marital satisfaction (MS). Also test the mediating role of SF, anxiety, and breastfeeding.Methods: In a cross-sectional study, 447 women after childbirth meeting the inclusion criteria were enrolled from public health clinics. All mothers were selected in 6 month childbirth period. The female SF index (FSFI), Body Self-Relation Questionnaire (BSRQ), the Enrich Marital Satisfaction and the NEO Personality Inventory (NEO PI-R) were used. Data was analyzed using descriptive test, and Path analysis. Results: We found that SF, anxiety, the level of education, income, and extraversion personality have direct effects on MS. Anxious women have worse SF and MS. In our study, SF, breastfeeding, and anxiety were the three major mediators. Body satisfaction, extraversion personality, and lower level of anxiety through improvement in SF have an indirect effect on MS. A higher level of education has a positive direct effect and indirect effect pathway from breastfeeding on MS. Furthermore, breastfeeding is more observed among educated, and infertile women that cause reduce the women's anxiety level, and this way improves SF and also MS (P<0.05). Conclusion: This study revealed that the women who had higher levels of body dissatisfaction, sexual dysfunction, and anxiety have increased the possibility of MS problems 6-month postpartum. Given these relationships, it is recommended to health professionals to educate women about body changes during postpartum and to find ways to improve mothers' MS.
Background & Aims: Endometrial cancer is the most common cancer of the female reproductive organs. Although widespread advances in the treatment of cancer has led to an increase in patients' longevity, the cancer diagnosis and subsequently invasive procedures such as surgery, radiation therapy and chemotherapy often result in unpleasant complications in their life. The aim of this study is to determine the effect of a supportive educational program on stress in women with endometrial cancer. Material & Methods: In this interventional study which has been done in 2014, 140 women with endometrial cancer were randomly selected from Imam Khomeini Hospital Complex in Tehran. The intervention was a supportive educational program conducted in 3 sessions in the intervention group. The control group received routine care. Data were collected by the demographic form and the Hari's stress Inventory. The SPSS software version 16 and the t test, Chi-square and repeated measure analysis of variance were used to analyze the data. The level of significance was considered 0.05. Results: The stress mean score after the intervention, one month and two months later was significantly less than before the intervention(P<0.001). Conclusion: The study demonstrated that the supportive educational program was effective in reducing stress in women with endometrial cancer. It is suggested that the content of the program be provided to the patients in writing, such as pamphlets, bulletins, or via the Internet.
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