Most studies on the treatment of sexual problems in women with breast cancer have been conducted based on a quantitative approach. Adding a post-intervention qualitative study can help to clarify the impact of the therapy on sexual function. The present mixed-method study was performed to determine the impact of mindfulness based stress reduction on sexual function in women with breast cancer. This study consisted of two quantitative and qualitative phases. The quantitative phase was a randomized clinical trial, where 52 subjects were randomly assigned to intervention and control groups that completed female sexual function index (FSFI) in pretest, posttest (after the intervention), and follow-up (1 month after the intervention) stages. Intervention was an eight-session group mindfulness-based stress reduction. After analyzing data from 46 subjects, qualitative data were collected using the conventional content analysis method. At the follow-up stage, statistically significant improvements were noted in the intervention group for the sexual desire (P = 0.021) and arousal (P = 0.021), but decreases were observed in orgasm scores (P = 0.042). In the control group, overall FSFI score decreased at follow-up compared to those of the pretest and posttest (P < 0.001. (There were no differences between the two groups in the three stages. Two main categories of qualitative analysis, i.e. "mindfulness, an attempt for love continuation" and "Sexual Responsiveness scope", confirmed the results of quantitative phase. Based on the results, mindfulness intervention can impact the aspects of sexual performance that rely on women, which are mostly of psychological origin and may not affect all aspects.

Background The lifestyle of the mother during pregnancy can affectthe health of their baby. Since lifestyle change is a sociocultural act and the motivations associated with lifestyle patterns during pregnancy cannot be explained in quantitative studies, a comprehensive study of the lifestyle during pregnancy and factors influencing its patterns was needed to investigate it from different aspects. Thus, the present study aimed to explore ‘mothers’ perceptions and experiences about lifestyle patterns during and after pregnancy and the reasons for adopting these lifestyles. Methods The present study, conducted on 20 pregnant or postpartum women living in Bushehr, Iran, has used a conventional content analysis approach. The purposeful sampling method was used with maximum diversity and continued until data saturation. data were collected through face-to-face, in-depth, semi-structured interviews. Informed consent was obtained from all participants, and assuringthe confidentiality of their information. MAXQDA 10 software was used to analyze the data. Results Four main themes were defined after data analysis; "Being a mother as motivation for adopting a new healthy lifestyle"; "Access to information from media and supports from physicians as facilitators of adopting healthy lifestyle"; "Aspects of lifestyle modifications" and "Durability of healthy lifestyles". When women become pregnant, they feel a responsibility tohave a healthy pregnancy. They care about their fetuses more than themselves, which motivated them to look for the best lifestyle. In this way, access information from mass media and recommendations from professionals (physicians, midwives, and other health care providers) were helpful factors to have a healthy lifestyle, leading to modifying physical, mental, and religious aspects of lifestyle. However, despite reminding the advantages of a healthy lifestyle, these changesshift to a pre-pregnancy lifestyle due to the cessation of support and care provided during pregnancy. Conclusion The study results showed that pregnant women should be motivated to modify their lifestyle andadopt healthy lifestyles. Pregnant women seek to modify their lifestyle because of motherhood responsibility and and having a healthy baby. Access to information and supports from various sources promote a mother’s inner decision to change, leading to modifying different aspects of life. However, these modifications often shift to the pre-pregnancy lifestyle due to cessation of supports and care, despite reminding the benefits of the lifestyle change. Health care providers should consider supportive measures during pregnancy and postpartum.

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Female sexual dysfunctions are common in the general population and remain a multifaceted problem that continues to be under recognized and under treated. This article reports a descriptive analytic study to assess prevalence of female sexual dysfunction and related factors for under treatment. In this cross sectional study, 1054 married women age 18-59 years were randomly selected from rural and urban health centers of Bushehr province. Data was collected by a questionnaire for demographic characteristic and Female Sexual Function Index for assessment of sexual dysfunction. For data analysis descriptive analytic tests were used. A total of 71.1% of subjects reported desire disorder. Prevalence of arousal, lubricating, orgasmic and pain disorders were 66.4, 38, 34.8 and 38.4%, respectively. Desire and arousal disorder were significantly interrelated with age, educational level, economic and marital status, smoking behavior of subjects and age, educational level, occupation and marital status of their husbands. Lubricating disorder was interrelated with age, educational level, occupation, smoking behavior and economic status of subjects and age, educational level and occupation of their husbands. Orgasmic disorder was significantly interrelated with age, educational level, occupation, economic status and smoking behavior of subjects and age, educational level and occupation of their husbands. There was a significant relationship between pain disorder with age, smoking, economic status of subjects and age, educational level, occupation of their husbands. 47.1 percent of subjects agreed that they had a problem. Only 9.2% of them reported going for treatment. Most of participants reported that they were ashamed of talking about these problems. Female sexual dysfunction is prevalent in Bushehr province but treatment rate is

Objective This study was an attempt to shed light on the predictive role of intimate partner violence in adhering to treatment regimens in women with chronic illnesses. Method In a descriptive-analytical study, 400women with chronic illnesses in Bushehr were selected through convenience sampling. The data were collected by distributing a demographic information form and two questionnaires, including the intimate partner violence (IPV) questionnaire and the treatment adherence scale. Results According to the results, the 40 to 59 years age group ( P = 0.046, β = 0.104), the 60 to 79 years age group ( P = 0.019, β = 0.122), and the group receiving education about chronic illness ( P = 0.031, β = 0.106) showed a direct relationship with treatment adherence, while IPV ( P < 0.001, β = 0.284) had a significant inverse relationship with treatment adherence. Conclusion The results of the study showed that predictors of treatment adherence are IPV in women aged 40 and older with chronic illnesses, and receiving education about chronic illnesses. It is necessary for healthcare providers to consider barriers such as intimate partner violence when providing education in order to increase treatment adherence. To avoid nonadherence, managers and health planners should implement policies to increase the level of awareness of healthcare staff on how to manage care of women with chronic illnesses who are abused by an intimate partner and refer them to counselors and family helpers.

Background: Cancers cause not only physical and social impairments but also psychological stress responses such as rumination, which require more attention from researchers as well as clinicians.Aim: This study aimed to investigate the effect of mindfulness training on rumination in women with breast cancer.Method: This randomized controlled trial was performed on 46 women with breast cancer in Bushehr city (2018). Subjects were randomly assigned to two intervention and control groups. The intervention was 8 sessions of group mindfulness training. A rumination questionnaire was administered before the intervention, immediately, and one month after the intervention. The data were analyzed by analytical tests at the 0.05 significance level.Results: There was no significant difference between the rumination scores of the intervention group at the three stages of measurement. For the control group, the mean rumination scores at the posttest and follow-up stages were both significantly higher than the pretest score (P <0.001). Also, the follow-up mean rumination score of the control group was significantly higher than that posttest (P=0.02). Comparison of the two groups where adjusted for baseline, showed a significant difference between the two groups in terms of mean rumination score at the posttest stage (P=0.01) and at the follow-up stage (P<0.001).Conclusion: Subjects in the intervention group were more successful in avoiding increasing rumination than those in the control group, an ability that must be attributed to the effect of mindfulness training. Still, further research is needed to determine whether longer interventions will be able to reduce rumination.Trial registrationTrial registration number: IRCT20090522001930N2 Date: 2018-08-08

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