Masoumeh Haghighat; Mojgan Mirghafourvand; Sakineh Mohammad-Alizadeh-Charandabi; Jamileh Malakouti; Mirmohsen Erfani
Volume 20, Issue 4 , 2018, Pages 1-9
Abstract
Background: Considering the undesirable consequences of stress and anxiety in pregnancy and the role of midwives in providing emotional support for pregnant women, it is essential to utilize non-medical therapies, such as spiritual counseling. Objectives: The present study aimed to determine the effect ...
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Background: Considering the undesirable consequences of stress and anxiety in pregnancy and the role of midwives in providing emotional support for pregnant women, it is essential to utilize non-medical therapies, such as spiritual counseling. Objectives: The present study aimed to determine the effect of spiritual counseling on stress and anxiety in pregnant women. Methods: This randomized controlled clinical trial recruited 112 pregnant women presenting to the health centers in Maragheh, Iran, in 2016 - 17. The participants were assigned to two 56-member groups of control and intervention with a randomized block design. A socio-demographic questionnaire, the perceived stress scale, and the Spielberger state-trait anxiety inventory (STAI) were completed before and four weeks after the intervention through interviews with participants. Results: 55 participants in the counseling group and 56 in the control group were followed up and analyzed until the end of the study. The mean (± SD) scores of stress, state anxiety, and trait anxiety were 35.4 (± 4.5), 48.5 (± 4.8), and 47.4 (± 4.6) in the coun- seling group and 34.8 (± 3.6), 47.8 (± 4.1), and 49.0 (± 4.1) in the control group before the intervention, respectively. The mean (± SD) scores of stress, state anxiety, and trait anxiety were 34.8 (± 3.5), 48.0 (± 4.5), and 44.7 (± 4.0) in the counseling group and 37.8 (± 3.7), 49.7 (± 4.2), and 46.0 (± 3.8) in the control group four weeks after the intervention, respectively. According to ANCOVA for controlling the baseline scores after the intervention, the mean scores of perceived stress (adjusted mean difference = -3.4; 95% con- fidence interval = -2.3 to -4.4; P < 0.001) and state anxiety (-2.1; -3.6 to -5.5; P < 0.001) were significantly lower in the counseling group, while the two groups had no significant difference in terms of the mean scores of trait anxiety after the intervention. Conclusions: Spiritual counseling can control perceived stress and state anxiety of pregnant women. Therefore, spiritual counsel- ing is recommended as a complementary and effective intervention in managing the psychological problems of pregnant mothers.
Mina Sabbaghan; Jamileh Malakouti; Mojgan Mirghafourvand; Sevil Hakimi; Fatemeh Ranjbar
Volume 19, Issue 9 , September 2017, , Pages 1-8
Abstract
Background: More than half of sexual problems, which cause destruction of life and marital relations is due to insufficient knowledge and wrong health beliefs regarding sexuality. Genital self-image plays an important role in sexual health, genital appearance, and sexual function.Objectives: This study ...
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Background: More than half of sexual problems, which cause destruction of life and marital relations is due to insufficient knowledge and wrong health beliefs regarding sexuality. Genital self-image plays an important role in sexual health, genital appearance, and sexual function.Objectives: This study aimed to determine the effect of training package on genital self-image and sexual function in health centers of Qazvin, Iran.Methods: In this randomized clinical control trial, 124 Iranian women, between the ages of 18 - 40 years, from Qazvin, were randomized into 2 groups, training and control. The intervention group received 3 training sessions weekly for 1 hour daily. Female Sexual Function Index (FSFI) and the genital self-image scale were completed before and 4 weeks after the end of intervention in both groups. P < 0.05 was considered as significant.Results: Between 2 groups, in terms of socio-demographic characteristics, there was no significant difference (P > 0.05). The mean (SD) score of genital self-image in the intervention group before and after intervention was 72.0 (11.4) and 75.7 (11.7), respectively. The mean (SD) score of genital self-image in the control group before and after intervention was 72.9 (12.3) and 75.7 (10.9), respectively. According to the ANCOVA test, there was no significant difference between groups at 4 weeks after intervention in terms of sexual function (mean differences: 0.8; confidence interval 95%: -0.6 to 2.3; P = 0.257) and genital self-image (mean differences: 0.5; confidence interval 95%: -3.3 to 4.4; P = 0.808).Conclusions: The results showed that training has no effect on the genital self-image and sexual function in women. The systematic planned training could be designed for those suffering from body image disorders and sexual dysfunction in order to promote their sexual function and body image.
Jamileh Malakouti; Azizeh Farshbaf Khalili; Atefeh Kamrani
Volume 19, Issue 6 , June 2017, , Pages 1-10
Abstract
Background: Striae Gravidarum is a physiological skin change that many females experience during pregnancy and causes stress and concerns about their beauty, self-esteem and other psychological problems, by irritation and even ulcers in the affected areas.Objectives: This study was performed to evaluate ...
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Background: Striae Gravidarum is a physiological skin change that many females experience during pregnancy and causes stress and concerns about their beauty, self-esteem and other psychological problems, by irritation and even ulcers in the affected areas.Objectives: This study was performed to evaluate the effect of sesame, sweet almond, and sesame and sweet almond oil on prevention of striae (primary outcome) in primiparous females.Methods: This triple-blind randomized controlled clinical trial was done on 200 18 to 35-year-old primiparous females at five governmental health clinics affiliated to Arak University of Medical Sciences, Iran. The subjects were allocated to three intervention groups and one control group by four and eight block randomization and allocation ratio of 1:1:1:1. The strategy used for analyzing data was intention to treat analysis. The intervention groups and control group received 1cc sesame, 1cc sweet almond and sesame oil, 1cc sweet almond oil, and 1cc Placebo, respectively, two times (1 mL twice daily without massaging the abdomen) for 20 weeks. One-way analysis of variance (ANOVA), chi-square, Kruskal-Wallis and binary logistic regression were used to analyze data.Results: Striae at 35 to 38 weeks of pregnancy were observed in 59.2%, 16.7%, 14% and 82% of participants in sweet almond, sesame, sesame & sweet almond oil and control groups, respectively (P < 0.001). The occurrence risk of striae was significantly decreased in the sesame (adjusted OR = 0.04, CI = 0.01 to 0.13), sweet almond (0.27, 0.10 to 0.72), and sesame & sweet almond oil (adjusted OR= 0.03, CI = 0.01 to 0.10) groups, compared with the control group. Abdominal itching was significantly different (P < 0.001) among consumers of sweet almond (65.3%), sesame (10.5%), sesame & sweet almond oil (44%), and control group (78%).Conclusions: The sesame oil, sweet almond oil and their combination was effective in reducing the occurrence of abdominal steriae and its itching.
