Resilience as the predictor of quality of life in the infertile couples as the most neglected and silent minorities.

BACKGROUND: It has been demonstrated that infertility can affect quality of life (QoL) in infertile couples. Resilience is considered a protective factor against the distress caused by infertility and the quality of life status. There is a new definition for Fertility Quality of Life that evaluates particularly the impact of infertility on various aspects of life. MATERIAL AND METHODS: In this couple-based study, the main objective was investigating the quality of life based on the gender and resilience of infertile couples. Measurement tools were three questionnaires including a demographic one, a quality of life of infertile couples questionnaire and the Connor-Davidson Resilience Scale. Data analysis was done through paired t-test and linear multiple regressions test. RESULTS: Overall the difference of mean score for QoL is statistically significant (P > 0.001) between men and women (69.48% vs 58.87%), which means that QoL status was positive in men and neutral in women. In addition, the mean score of male resilience was more than female resilience (P = 0.009). The results showed there was a significant and positive correlation between the QoL status and resilience score (P = 0.008, r = 0.13) (P < 0.1), and resilience (ß = 0.04 and P = 0.04) had a significant protective effect on the quality of life. CONCLUSION: Low resilience status in infertile couples is better to be considered as a risk factor compromising the quality of life and infertility consolers should keep in mind this issue and provide a comprehensive and holistic approach for a better outcome of infertility treatment. ABBREVIATIONS: QoLICQ: Quality of Life in Infertile Couple Questionnaire; CD-RISC: Connor-Davidson Resilience Scale; IVF: in vitro fertilisation; ART: assisted reproductive technique; PTSD: posttraumatic stress disorder; IUI: intrauterine insemination; ICSI: intracytoplasmic sperm injection.

Prevalence of Depression, Anxiety and Stress among Adult Population: Results of Yazd Health Study.

Objective: The burden of mental disorders continues to grow with significant impacts on health. This study aimed to investigate the prevalence of stress, anxiety, and depression in Yazd adult population and to examine the associated socioeconomic factors. Method : In a 2-step cluster sampling process, 10 000 residents of Yazd Greater Area (200 clusters of 50) were selected during 2014-2015. The short version of Depression, Anxiety and Stress Scale (DASS) Questionnaire was used to assess relevant depression, anxiety, and stress. Data were analyzed by chi-square test. All statistical analyses were done using SPSS version 16.0. P-values less than 0.05 were considered statistically significant. Results: Depression, anxiety, and stress were seen in 29%, 32.2%, and 34.8% of adult residents of Yazd Greater Area, respectively. The symptoms of the disorders were moderate, severe, and very severe in 18.2%, 20.2%, and 23.4% of the population, respectively. Also, a significant difference was found between the symptoms of depression, anxiety, and stress and sex, age group, education, employment, marriage status, and country of birth. Of the total population under study, 3.7% were depressed, 7.7% were anxious, 9.5% had stress alone and 16.4% had symptoms of all the 3 disorders. Frequency of depression among Zoroastrians was more than muslims (42.1% vs 29.7%). Conclusion: Despite achievemments in higher education and economic development of Yazd population over the past 2 decades, the trend of these disorders has alarmingly been increased. Considering the findings, it is necessary to develop evidence-based and appropriate community-based primary and secondary mental health prevention programs.

Diagnosis and treatment of unconsummated marriage in an Iranian couple.

BACKGROUND: Unconsummated marriage is a problem among couples who would not be able to perform natural sexual intercourse and vaginal penetration. This disorder is more common in developing countries and sometimes couples would come up with non-technical and non-scientific methods to overcome their problem. Multi-dimensional approach and narrative exposure therapy used in this case. METHODS: This study would report a case of unconsummated marriage between a couple after 6 years. The main problem of this couple was vaginismus and post-traumatic stress. RESULTS: Treatment with multi-dimensional approach for this couple included methods like narrative exposure therapy, educating the anatomy of female and male reproductive system, correcting misconceptions, educating foreplay, educating body exploring and non-sexual and sexual massage and penetrating the vagina first by women finger and then men's after relaxation. The entire stages of the treatment lasted for four sessions and at the one-month follow-up couple's satisfaction was desirable. CONCLUSION: Unconsummated marriage is one of the main sexual problems; it is more common in developing countries than developed countries and cultural factors are effective on intensifying this disorder. The use of multi-dimensional approach in this study led to expedite diagnosis and treatment of vaginismus.

A Survey on Mental Health Status of Adult Population Aged 15 and above in the Province of Hormozgan, Iran.

INTRODUCTION: This research aims to determine the mental health status of population aged 15 and over in the province of Hormozgan in 2015. METHODS: This cross-sectional field study was conducted on the residents of both urban and rural areas of the Hormozgan province. Through systematic random cluster sampling, 1200 individuals were selected from the residents of urban and rural areas of Bandar Abbas, Bandar Lengeh and Minab. The 28-item version of the General Health Questionnaire was applied as the tool of screening. The data were analyzed using SPSS, version 18.0 for windows. RESULTS: This study indicates that using the traditional scoring method, 28.2% of study population are highly suspicious for psychiatric disorders (35.4% of females and 21.1% of males). The prevalence of probable psychiatric disorders in urban areas (28.9%) was higher than rural areas (26.5%). The prevalence of probable somatization and anxiety was higher than the prevalence of social dysfunction and depression, and also the prevalence of these disorders was higher in women. The findings of this study show that the prevalence of probable psychiatric disorders has a direct relationship with increasing age and the prevalence of such disorders is higher in women, urban residents, individuals aged more than 65 years, divorced and widowed individuals, illiterate, housewives and unemployed people. CONCLUSION: The results of this study show that 28.2% of study population (more than a fourth) are suspicious for psychiatric disorders, and the prevalence of these disorders increased from 22.9% in 1999 to 28.2% in 2015. So, health authorities in this province have to do their best for provision, maintenance and improvement of mental health.

A Survey on Mental Health Status of Adult Population Aged 15 and above in the Province of Yazd, Iran.

INTRODUCTION: This research aims to determine the mental health status of population aged 15 and over in the province of Yazd in 2015. METHOD: This cross-sectional field study was conducted on the residents of both urban and rural areas of the Yazd province. Through systematic random cluster sampling, 1200 individuals were selected from the residents of urban and rural areas of Yazd, Ardekan and Meybod. The 28-item version of the General Health Questionnaire was applied as the screening tool. The data were analyzed using SPSS, version 18.0 for windows. RESULTS: This study indicates that through traditional scoring method, 26.7% of study population were highly suspicious for psychiatric disorders (32.1% of females and 21.4% of males). The prevalence of probable psychiatric disorders in urban areas (28.7%) was higher than the prevalence in rural areas (21.3%). The prevalence of probable somatization and anxiety was higher than the prevalence of social dysfunction and depression, and also the prevalence of these disorders was higher in women. The findings of this study show that the prevalence of probable psychiatric disorders has a direct relationship with increasing age and the prevalence of such disorders is higher in women, urban residents, individuals aged more than 65, divorced and widowed individuals, illiterate and unemployed people. CONCLUSION: The results of this study show that more than one quarter of study population were suspicious for psychiatric disorders and the prevalence of these disorders increased from 11.8% to 26.7% since 1999. So, health authorities in this province have to do their best for provision, maintenance and improvement of mental health.