Showing 9 results for Depression
Einollah Molaie, Zahra Royani, Dr Mohammad Moujerloo, Dr Naser Behnampour, Javad Golage, Maryam Khari,
Volume 11, Issue 1 (5-2014)
Abstract
Background and Objective: Fatigue is one of the most common side effect in hemodialysis patients. This study aimed to assess the factors associated with fatigue in hemodialysis patients, such as demographic variables, anxiety, depression and quality of sleep.
Material and Methods: This descriptive-analytic study was conducted on 58 eligible, randomly selected patients of 165 hemodialysis patients referred to Panje Azar Hospital in Gorgan. The instruments were a demographic checklist, Fatigue Severity Scale, Beck Anxiety Inventory, and the Beck Depression Inventory. The data was analyzed by SPSS 17 software using Mann-Whitney, Kruskal-Wallis, Spearman's correlation coefficient and linear regression.
Results: The mean average of fatigue in all patients was 1.66±4.76. Twenty-six of the participants (44.8%) expressed that they suffer from moderate anxiety, 17 (29.3%) from severe depression and 43 (74.1%) from poor quality of sleep. The relationship between fatigue and anxiety (P = 0.006, r = 0.353) and depression (P≤.001, r=0.525) was directly significant whereas the relationship is not significant for sleep quality.
Conclusion: Given the high prevalence of fatigue in hemodialysis patients and the impact of multiple factors, we strongly recommend that care providers should consider these factors to improve patients’ quality of life.
Mahshid Moeinimehr, Azam Foroghipour, Sabihe Shokrani, Shadi Goli, Dr Bahram Soleymani,
Volume 12, Issue 1 (4-2015)
Abstract
Background and Objective: Depression and preeclampsia have an effect on both mother and fetus. Hence, we aimed to assess depression during pregnancy and preeclampsia in third trimester of pregnancy.
Material and Methods: This cohort Study was conducted on 966 pregnant women, who were multigravida and 18-35 years, referring to three prenatal care centers. Using convenience sampling, the data was collected by Patient Health Questionaire-9 and analyzed by chi square, Mann-Whitney, Logistic Regression.
Results: Of 966, 70.1% were depressed and 29.9% were not depressed. The relationship between depression and preeclampsia was significant (P=0.017, adgusted OR=2.99). In 9.32 percent of preeclamptic patients, 91.68 suffered from mild depression in 8.33 percent of them, 91.67% from moderate depression and in 33.33 percent of the preeclamptic patients, 66.67 % suffered from moderate-severe depression.
Conclusion: Given that dpression may lead to preeclampsia and the intensity of depression is related to preeclampsia, early recognition and treatment of depressed women can be helpful in the management of preeclampsia.
Zahra Royani , Ghanbar Roohi , Zahra Sabzi , Hamideh Mancheri , Einollah Mollaei,
Volume 14, Issue 2 (9-2017)
Abstract
Background: Fatigue is among the most common complications for hemodialysis patients. The theory of unpleasant symptoms is associated with fatigue in hemodialysis patients. According to this theory, fatigue has three physical, mental and situational factors. Considering this theory, we aimed to determine some factors related to fatigue in hemodialysis patients.
Methods: In this descriptive-analytical study, of 165 hemodialysis patients admitted to Panje Azar Medical and Educational Center in Gorgan, Iran, 58 eligible ones were randomly selected. Data was collected using demographic information questionnaire, Fatigue Severity Scale, Beck Anxiety Inventory and Beck Depression Inventory. Data analysis was conducted in SPSS 17, using Mann-Whitney, Kruskal-Wallis and Spearman's rank correlation coefficient tests.
Results: The mean fatigue in all patients was 4.76 ± 1.66 out of 7. Fifty-two patients (89.7%) suffered from some degree (mild to severe) of anxiety and 43 patients (74.1%) suffered from some degrees (mild to severe) of depression. Fatigue only had a direct relationship with psychological factor [anxiety (P = 0.006, r = 0.353, and depression (P <0.001, r = 0.525)].
Conclusion: Considering the high prevalence of fatigue among hemodialysis patients and associated factors, care providers are advised to identify high-risk individuals through conducting periodic psychiatric examinations and to promote their knowledge on available strategies to reduce adverse effects in these patients.
Seyed Javad Hosseini, Parvin Aziznejadroshan, Mahmoud Hajiahmadi , Soghra Goliroshan , Monireh Sadat Mousavi,
Volume 15, Issue 1 (2-2018)
Abstract
Background: Depression is the most common psychological problem in patients with chronic renal failure, which has a negative effect on the outcome of treatment and life quality. The aim of this study was to compare the symptoms of depression in patients referring to the Kidney Transplant Unit of Babol Shahid Beheshti Hospital before transplantation, at discharge and three months after transplantation.
Methods: This descriptive analytical study was conducted on 51 patients receiving renal transplant from November 2014 to February 2015 in Babol Shahid Beheshti Hospital. The non-random sampling method was used. Data were collected using demographic questionnaire and Beck Depression Inventory distributed in three stages. Descriptive and inferential statistics and SPSS18 were used to analyze the data. P=0.05 was considered significant level.
Results: Before, at and three months after renal transplantation, 70.6%, 56.9% and 52.9% of the patients had mild to very severe depression, respectively. Mean scores of depression were 19.25 ± 11.99, 14.78 ± 11.45 and 12.82 ± 9.96 before transplantation, at discharge and three months after transplantation, respectively. Paired t-test showed a significant difference between the mean scores of depression before transplantation and at discharge after transplantation (P=0.006), before and three months after kidney transplantation (P = 0.000). There was no significant difference between the time of discharge and three months after transplantation (P=0.135). In addition, no significant difference was found between the scores of depression with gender, marital status, education, occupation and income (p = 0.391).
Conclusion: The results indicated a lower incidence of depression in kidney transplanted patients. It is recommended that the patients awaiting transplantation and subsequently their depression status should be intermittently examined and drug or non-drug treatment should be designated for these patients based on the results.
Mohammad-Zaman Kamkar, Ali Balajalini, Fatemeh Zargarani, Naser Behnampour,
Volume 16, Issue 1 (1-2019)
Abstract
Background and objectives: During the postpartum period, mothers may experience physical and emotional changes. Postpartum Depression (PPD) may affect 10-15% of all women after delivery. In some studies, the type of delivery has been considered as a risk factor for postpartum depression. The present study was designed to investigate and compare the frequency of postpartum depression in women with normal and cesarean delivery.
Methods: This descriptive-analytic study was conducted on 300 women referring to the Sayad Shirazi Hospital. First the Women who had Beck depression inventory score>12 were excluded and then the participants were divided into two equal groups of normal (150) and cesarean (150) delivery. Two weeks after delivery, Beck depression inventory was filled out and data analysis was performed by SPSS software V.16 using, chi-square and Mann-Whitney test.
Results: Results showed that 13% of all participants 12.7% of the cases in normal and 13.3% in cesarean groups had postpartum depression. The severity of depression was higher in women with cesarean delivery compared to normal delivery and this difference was significant (mean rank 172.29 vs. 128.71, p<0.0001). There was no significant difference in the level of depression between two groups according to their age, job, parity, baby’s sex, marital satisfaction and wanted/unwanted pregnancy.
Conclusion: The prevalence of postpartum depression was higher in women with caesarian delivery compared to women with normal delivery
Hedieh Azizi , Hamideh Mancheri , Najmeh Shahini , Akram Sanagoo , Mahin Tatari ,
Volume 20, Issue 1 (4-2023)
Abstract
Background: The prevalence of the coronavirus has had various psychological effects on families with patients suffering from COVID-19, including depression. Depression can also affect the physical health of family members. This study was conducted with the aim of comparing the level of depression and its relationship with physical health among families with and without COVID-19 patients in comprehensive health centers.
Methods: This case-control study was conducted in 2022 in comprehensive health centers in Gorgan (Iran) among 98 families with and without COVID-19 patients, using simple random sampling. The data collection tools included the Beck Depression Inventory and the PHQ physical health questionnaire. The data were analyzed using descriptive statistics and tests such as the Mann-Whitney U test, Chi-square test, and Spearman's correlation test at a significance level of 0.05.
Results: The study revealed that the mean scores of depression and physical health in family members with COVID-19 patients were 11.56±7.50 and 7.60±4.32, respectively, while in families without COVID-19 patients, they were 8.01±4.67 and 3.98±3.43, respectively. The odds of depression (OR=5.11, p=0.001) and physical symptoms (OR=4.68, p=0.002) were higher in families with COVID-19 patients compared to those without. The findings also showed a direct and significant linear correlation between depression and physical health in both groups (p<0.001, r=0.44).
Conclusion: These findings increase the awareness of health managers about the prevalence of depression and physical health disorders among families with COVID-19 patients and can help provide economic, social, and psychological support programs for these families.
Ahmad Delbari , Mariye Jenabi Ghods, Mohammad Saatchi, Mohammad Bidkhori, Fatemeh-Sadat Tabatabaei, Mahshid Foroughan, Elham Hooshmand,
Volume 21, Issue 2 (6-2024)
Abstract
Background: Depression and anxiety are the most frequent and devastating mental diseases among older adults. Several variables are identified as contributing to the development of these illnesses. The present study was conducted to investigate the prevalence of depression, anxiety, and their related factors in older individuals residing in Ardakan.
Methods: The current cross-sectional study was based on the data obtained from the first phase of the Ardakan aging cohort of 5176 older adults. Depression and anxiety were evaluated using CESD-10 and HADS-A scales, respectively. Moreover, the relationships between these outcomes and the related factors were evaluated using the logistic and linear regression.
Results: The prevalence of depression and anxiety was estimated to be about 17% and12%, respectively. Poor perception of health) OR=2.29, CI95% 1.79 to 2.93), Low perceived economic status (OR=2.11, CI95% 1.71 to 2.60), Receiving care (OR=1.66, CI95% 1.39 to 1.97), affecting by neurological disease (OR=1.37, CI95% 1.11 to 1.69), Gastrointestinal diseases (OR=1.48, CI95% 1.23 to 1.77) were significantly associated with the presence of depression. Female gender, Poor perception of health and economic status, receiving, and providing care, and suffering from neurological, cardiovascular, gastrointestinal, and respiratory diseases were related to higher anxiety scores.
Conclusion: The prevalence of depression and anxiety among the participants was relatively significant, and these variables were significantly correlated with several factors, including health and economic status and receiving/providing care. These findings highlight the significance of taking into account several socio-economic, health-related, and gender-specific aspects when dealing with mental health disorders including depression and anxiety in this particular age demographic. By identifying the risk factors, healthcare professionals can better target interventions and support systems to manage and mitigate the effect of these mental health disorders.
Bahareh Mohammadian, Saeed Bakhtiarpour , Farah Naderi , Zahra Dasht Bozorgi ,
Volume 22, Issue 1 (3-2025)
Abstract
Background: Postpartum depression (PPD) is a significant mental health concern affecting many women worldwide. While various factors contribute to PPD, the role of perceived stress and marital satisfaction remains underexplored. This research aimed to investigate the mediating role of marital satisfaction in the relationship between perceived stress and PPD among postpartum women in Ahvaz.
Methods: A cross-sectional study utilizing structural equation modeling examined the relationships among perceived stress, marital satisfaction, and PPD. A convenience sample of 319 postpartum women who visited healthcare centers in Ahvaz, southern Iran, in 2023 was recruited. Data were collected using the Edinburgh Postnatal Depression Scale, the Perceived Stress Scale, and the Marital Satisfaction Scale. Data analysis was performed using structural equation modeling with SPSS-26 and AMOS-26 software.
Results: The findings indicated a significant negative correlation between perceived stress and marital satisfaction (β = -0.45, P < 0.001). Both marital satisfaction (β = -0.31, P = 0.008) and perceived stress (β = 0.20, P = 0.028) were significantly related to PPD. Bootstrapping results also confirmed a significant indirect effect of perceived stress on PPD via marital satisfaction (β = 0.17, P = 0.027).
Conclusion: The interplay between perceived stress, marital satisfaction, and PPD is complex and multifaceted. This research highlights the potential importance of marital satisfaction as a critical factor in understanding the pathway between stress and PPD. Future interventions might consider incorporating strategies to enhance marital quality to reduce the risk of PPD.
Alireza Salar , Kourosh Zarea , Nahid Kashisaz , Farzaneh Ahmadi , Samaneh Alinejad ,
Volume 23, Issue 1 (5-2026)
Abstract
Background: Heart failure (HF) is a chronic condition requiring effective self-care to improve clinical outcomes and quality of life. Psychological factors such as anxiety and depression, as well as religious attitudes, may influence self-care behaviors, but evidence remains inconsistent. Thus, this study aimed to examine the relationships among self-care, religious attitudes, anxiety, and depression among patients with HF.
Methods: This cross-sectional study involved recruiting 114 HF patients through convenience sampling at two educational hospitals affiliated with Ahvaz Jundishapur University of Medical Sciences in Iran in 2023. Participants completed a demographic questionnaire, the European Self-Care Behavior Questionnaire (ESCBQ), the Hospital Anxiety and Depression Scale (HADS), and a Religious Attitude Questionnaire. Data were analyzed using SPSS v.22 running t-tests, one-way ANOVA, Chi-square tests, Pearson correlations, and multiple and simple regression analyses.
Results: Participants had a mean age of 55.47±13.90 years, and hypertension was the most common comorbidity (15.8%). The mean self-care score was 38.92 ± 7.86 (moderate level; higher scores indicate poorer self-care). Their anxiety (9.83±4.22) and depression (9.61±4.75) were at moderate levels, while their religious attitudes averaged 69.05 ± 10.08. Self-care behaviors were significantly negatively correlated with both anxiety and depression (p<0.05), but not with religious attitude. Multiple regression analysis revealed anxiety as the only independent predictor of self-care (β=0.50, p<0.001).
Conclusion: Anxiety is a key determinant of self-care in patients with HF, whereas depression has an indirect effect, and religious attitudes show no significant influence. Interventions focusing on anxiety reduction and psychological support may prove effective in enhancing self-care behaviors and improving clinical outcomes in this population.
