The Effect of Resiliency Training on Mental Health and Resilience of Pregnant Women with Unwanted Pregnancy: A Randomized Clinical Trial.

Background: Unwanted pregnancy has many negative consequences in terms of women's physical and mental health. Resilience is a process of utilizing important resources to maintain mental health in the face of stress. In addition, resilience can be promoted through. This study was performed to evaluate the effect of resiliency training on the mental health and resilience of pregnant women with an unwanted pregnancy. Materials and Methods: This randomized clinical trial was conducted on 66 women in Sabzevar, Iran, in 2020 with unwanted pregnancies, mild or moderate mental health problems, and low resilience. The participants were randomly divided into two groups through a simple lottery. In the intervention group, resilience training was performed once a week in groups of 10-15 people in six training sessions, each lasting 60 to 90 minutes. Mental health and tolerability were measured using the 28-item General Health Questionnaire and the Connor-Davidson Resilience scale before the intervention, and immediately after and 1 month after the intervention. Results: The mean (SD) of mental health immediately 35.46 (5.59) and 1 month after the intervention 33.73 (3.85) in the intervention group (F = 91.23; p < 0.001) was reduced significantly compared to the control group (F = 94.02; p < 0.001). The results of the mean (SD) showed that the resilience training intervention significantly increased the resilience score in the intervention group 84.36 (8.49)(compared to the control group (49.13) 6.67)((p < 0.001). Conclusions: Resilience training was effective in promoting the mental health and resilience of pregnant women with unwanted pregnancies.

Cognitive Group Therapy Based on Schema-Focused Approach for Reducing Depression in Prisoners Living With HIV.

Depression is one the most common mental disorders in prisons. People living with HIV are more likely to develop psychological difficulties when compared with the general population. This study aims to determine the efficacy of cognitive group therapy based on schema-focused approach in reducing depression in prisoners living with HIV. The design of this study was between-groups (or "independent measures"). It was conducted with pretest, posttest, and waiting list control group. The research population comprised all prisoners living with HIV in a men's prison in Iran. Based on voluntary desire, screening, and inclusion criteria, 42 prisoners living with HIV participated in this study. They were randomly assigned to an experimental group (21 prisoners) and waiting list control group (21 prisoners). The experimental group received 11 sessions of schema-focused cognitive group therapy, while the waiting list control group received the treatment after the completion of the study. The various groups were evaluated in terms of depression. ANCOVA models were employed to test the study hypotheses. Collated results indicated that depression was reduced among prisoners in the experimental group. Schema therapy (ST) could reduce depression among prisoners living with HIV/AIDS.

The effect of individual counseling program by a midwife on fear of childbirth in primiparous women.

INTRODUCTION: Fear of childbirth is a common problem in pregnant women, which in many cases leads to maternal requested cesarean. A midwife, as a responsible person, plays an important role in providing advice and giving care to mothers during pregnancy, delivery, and the postpartum period. The present study was conducted with the aim of determining the effect of individual counseling program by a midwife on fear of childbirth in primiparous women. MATERIALS AND METHODS: This clinical trial was conducted in 2015-16, on ninety primiparous women with gestational ages of 28-30 weeks, who presented themselves at health-care centers in Mashhad. The individuals were randomly divided into two groups: intervention and control. The intervention group received the counseling program individually during three sessions, and the routine care was given to the control group. Data collection tools the Wijma Delivery Expectancy/Experience Questionnaire. The data were collected at recruitment during 34-36 weeks of pregnancy and were analyzed using SPSS 16 software and the statistical tests: Chi-square and t-test, and P < 0.05 was considered to be significant. RESULTS: During weeks 34-36 of pregnancy, the mean scores for fear of childbirth in the intervention group and control group were 39.733 ± 17.085 and 65.666 ± 15.019, respectively, and there was a significant difference between the two groups (P < 0.001). CONCLUSION: The individual counseling program provided by the midwife to the primiparous women during pregnancy resulted in reduced fear of childbirth.

Women's perceptions and experiences of the challenges in the process of male infertility treatment: A qualitative study.

BACKGROUND: Despite the fact that both men and women are equally subject to infertility, it is usually women who bear the burden of treatment and its consequences, even in cases of male infertility. Therefore, it is more necessary to recognize their health problems in order to help them. AIM: To explore women's perceptions and experiences of the challenges they face in the process of male infertility treatment. METHODS: This qualitative study was conducted during 2014-2015 using content analysis. Thirty semi-structured interviews were conducted with women whose husbands suffered from male infertility. Purposive sampling was conducted until data saturation was achieved. All interviews were recorded, transcribed and analyzed using conventional content analysis adopted by Graneheim and Lundman. RESULTS: From data analysis, the major category of "treatment-related stresses" and four subcategories of "high treatment expenses", "inefficiency of healthcare system", "being captive in the infertility treatment" and "treatment failure" emerged. CONCLUSION: Experiences of women who face male infertility indicate their various concerns in the process of treatment. Therefore, it is required to develop emotional and financial support for the clients and to promote their quality of healthcare services. In addition, awareness of treatment challenges of these women can assist proper planning to promote the quality of services they need.

Contribution of marital conflict to marital quality in short and long-term marriages: An actor-partner interdependence model.

AIMS: In the field of family research, previous studies have made great strides toward understanding the relationship between marital conflict and quality. However, they have only studied couples in short-term marriages. Therefore, much remains to be unraveled with regard to long-term marriages. We aimed investigate the comparative contribution of aspects of marital conflict to marital quality in short-and long-term marriages in Iranian families. MATERIALS AND METHODS: Using random clustered sampling, 400 dyads in intact first marriages were surveyed across eight provinces of Iran. Complete surveys for both husbands and wives were returned for 162 households (couple's response rate: 40.5%). Survey measures included demographics questionnaire, Barati and Sanai's Marital Conflict Questionnaire and Blum and Mehrabian's Comprehensive Marital Satisfaction Scale. Structural equation modeling was used to test the actor-partner interdependence model of marital conflict-marital quality. RESULTS: Generalized additive models were incorporated to define what constitutes short-and long-term marriages. Based on the models regressed, duration ≤ 10 years was defined as short-term, whereas duration ≥ 25 years was labeled long-term. In short-term marriages (n = 44), decreased sexual relations, increased daily hassles and sidedness in relations with parents were negatively associated with marital quality in both actor and actor-to-partner paths. In long-term married couples (n = 46), only increased daily hassles (P < 0.001) and disagreement over financial affairs (P = 0.005) contributed to actor paths and only sidedness in relationships with parents showed significant negative association to marital quality in actor-to-partner paths. CONCLUSIONS: Different themes of conflict contribute to the diminished level of marital quality in early and late stages of the marriage. Conflicts over sex, relationship with extended family and daily hassles are emphasized in the early years of marriage, while in later years; dispute over money and daily hassles dominate.

Cognitive emotional consequences of male infertility in their female partners: a qualitative content analysis.

INTRODUCTION: Infertility, as a global phenomenon and one of the most important issues of reproductive health, affects women more often than men, even when the infertility is due to a male factor. The purpose of this study was to explore the cognitive emotional experiences of women faced with male infertility. METHODS: This qualitative study was conducted in 2014-2015 in Mashhad, Iran. The perceptions and experiences of healthy women whose husbands were diagnosed with primary male factor infertility were investigated using a qualitative content analysis approach. Participants were selected through purposeful sampling, and data collection was conducted using in-depth semistructured interviews. Data were analyzed using conventional content analysis with MAXqda software. Study rigor was verified via criteria proposed by Lincoln and Guba. RESULTS: One main theme emerged through analysis entitled "cognitive emotional reactions confronting infertility diagnosis" with sub-themes of cognitive emotional reactions when confronted with male infertility diagnosis with subthemes of disbelief and denial, fear and apprehension, suffering and emotional distress, disappointment, frustration, confusion, and joy. CONCLUSION: The diagnosis of male infertility was associated with important emotional cognitive consequences for their female partners. Emotional support, providing new insights into how to treat the issue, and trying to shorten the process of diagnosis are necessary for these women. This kind of support could reduce the psychological effects of confrontation with the diagnosis of male infertility, including social insecurity for women.