posttraumatic stress disorders
در نشریات گروه پزشکی-
Background
The infertility experience and its treatment are accompanied by the symptoms of posttraumatic stress disorder (PTSD). The aim of this study was determining the relationship between posttraumatic stress disorder and quality of life and the infertile women’s stress.
MethodsIn this descriptive-analytic study, 172 infertile women were divided in four groups. Convenience sampling was done and eligible infertile women referred to Qafqaz Infertility Center in Iran were included in the study. The data was collected between January and March 2019 through posttraumatic stress disorder checklist, The Fertility Quality of Life (FertiQoL) questionnaire, and Newton's infertility stress questionnaire. Pearson correlation, linear regression analysis, and two-way analysis of variance (ANOVA) were applied for data analysis with a significance level of 0.05.
ResultsThe results of two-way analysis of variance (ANOVA) revealed that there was no significant relationship between the type of treatment (p=0.548) and the reception of psychological intervention (p=0.450). In addition, the results of Pearson correlation showed that there was an inverse significant relationship between the total score of posttraumatic stress disorder and quality of life (r=-0.91, p<0.001) and a direct relationship between the total score of posttraumatic stress disorder and level of stress (r=0.56, p<0.001).
ConclusionThe results of this study showed that 41.3% of the infertile women had the symptoms of posttraumatic stress disorder. Due to the relationships of posttraumatic stress disorder with the quality of life and infertility stress, providing regular designed psychological interventions is recommended for infertile individuals.
Keywords: Female, Infertility, Posttraumatic stress disorders, Psychology, Quality of life -
مقدمهاختلال استرس پس از سانحه (PTSD)، نوعی اختلال اضطرابی است که بعد از حوادث استرس زای شدید همچون جنگ، زلزله، سیل، تجاوز، تصادف و همچنین درمشاغلی که در آن ها ارتباط انسانی، پزشکی و اموزشی مطرح است و تنیدگی بیشتری وجود دارد، دیده می شود. از آنجایی که پرسنل فوریت پزشکی در بیشتر موارد به عنوان اولین خط ارائه دهنده خدمات پزشکی به بیماران و حادثه دیدگان در معرض استرس و ترومای روحی می باشند، ما بر آن شدیم که پژوهشی را در زمینه بررسی شیوع PTSD و عوامل دخیل در آن در پرسنل فوریت های پزشکی شهرستان جهرم انجام دهیم.روش کاردریک مطالعه توصیفی مقطعی 100 نفرازپرسنل فوریت های پزشکی شهرستان جهرم که به عنوان تکنسین و راننده در این واحدها کارمی کنند، وارد تحقیق شدند و پرسشنامه پس از جلب رضایت افراد تحت مطالعه، به آنها ارایه شد. ابزار کار، پرسش نامه اختلال استرس پس از سانحه می سی سی پی و پرسشنامه اطلاعات دموگرافیک به ترتیب برای بررسی تشخیص PTSD و جمع اوری اطلاعات فردی استفاده شد. در پایان داده ها پس از جمع اوری با استفاده از نرم افزار اماری SPSS و امار توصیفی و تحلیلی مورد تجزیه و تحلیل قرار گرفت.یافته هامیانگین سنی افراد تحت مطالعه 8/4±1/32 سال و اکثرا لیسانس بودند. از بین افراد تحت مطالعه 4/2 % از افراد مبتلا به اختلال استرس پس از سانحه خفیف و مابقی یعنی 6/97 % مبتلا به اختلال متوسط استرس پس از سانحه بودند و هیچ کس به اختلال نوع شدید مبتلا نبود. در بین ابعاد چهارگانه پرسش نامه اختلال استرس پس از سانحه، بیشترین امتیاز کسب شده در بعد اختلال در کنترل عواطف مشاهده شد و پس از آن بیشترین امتیاز را بعد اختلال در روابط شخصی به خود اختصاص داد. هیچ ارتباط معنی داری بین اختلال استرس پس از سانحه با سن، سطح تحصیلات، ساعات کاری، وضعیت تاهل، محل ماموریت و سابقه کاری مشاهده نشد (P>0/05).نتیجه گیریبر اساس نتایج بدست امده از مطالعه بیشتر افراد شاغل در فوریت پزشکی شهرستان جهرم به اختلال استرس پس از سانحه متوسط مبتلا هستند که با توجه به اهمیت شغلی ایشان، توصیه می شود آموزش های لازم در زمینه خودکارآمدی هیجانی و مهارت های مقابله ای و سایر آمادگی های هیجانی به آنها ارایه گردد.کلید واژگان: اختلالات حاد استرس، اختلال استرس پس از سانحه، فوریت پزشکی، پرسنل فوریت پزشکیIntroductionPTSD is an anxiety disorder which after severe stressful events such as war, earthquake, flood, aggression, accident as well as in occupations where there is human, medical and educational communication and there is more stress, it can be seen. Since the medical emergency personnel in most cases are a first-line service provider to patients and victims are exposed to stress and psychological trauma we decided to research on the prevalence of PTSD and its contributing factors to the medical emergency personnel of Jahrom.Material and methodsIn a descriptive cross-sectional study, 100 medical emergency medical personnel in Jahrom, who work as technicians and drivers in these units, were investigated and after receiving satisfaction from the participants, they were given a questionnaire. Mississippi PTSD questionnaire and demographic questionnaire to diagnoses and collect personal information was used. The data were analyzed using SPSS software and descriptive and analytic statistics.ResultsThe mean age of subjects was 32.1 ± 4.8 years and most of them were bachelor's degrees. Among participants, 2.4% of people were with mild PTSD and the rest were 97.9% with moderate PTSD and no one had severe type of disorder. Among the four dimensions of the post-traumatic stress disorder questionnaire, the highest score was obtained in dimension of emotional control disorder and then the highest score was followed by disruptions in personal relationships. There was no significant correlation between post-traumatic stress disorder with age, level of education, working hours, marital status, place of mission and work experience (P> 0.05).ConclusionBased on the results of the study, most medical emergency personnel in Jahrom, suffer from moderate PTSD that given the importance of their job, it is recommended that training be provided on emotional self-efficacy and coping skills and other emotional readiness.Keywords: Stress Disorders, Posttraumatic Stress Disorders, Medical Emergency Service, Emergency Medical Technician
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BackgroundPregnancy and childbirth are among the most stressful experiences in women. This study was conducted to determine effects of cognitive-behavioral counseling on posttraumatic stress disorder in mothers with infants hospitalized in neonatal intensive care units.MethodsThe present randomized, controlled, clinical trial was conducted during year 2016. A total of 90 eligible females, attending Kowsar Hospital (Qazvin, Iran), were recruited through convenience sampling and allocated to the intervention and control groups, using random blocks of four. A total of eight counseling sessions were held for the two groups. The post traumatic stress disorder (PTSD) symptom scale was distributed among the participants before, immediately after, and three weeks after the intervention. The collected data were analyzed using the SPSS 19.0 software.ResultsThe two groups were not significantly different in terms of baseline PTSD scores. According to the generalized estimation equation model, the two groups had significant differences in terms of the mean PTSD scores immediately and three weeks after the intervention (P = 0.002) and the mean scores were significantly lower in the intervention group on both occasions. Friedman test results confirmed the reducing trend in the intervention group’s mean PTSD scores at all three occasions (P = 0.000).ConclusionsCounseling had a positive effect on reducing PTSD symptoms in mothers with special conditions. This method can, hence, be recommended for improving the health status of these mothersKeywords: Counseling, Cognitive Behavior Therapy, Infants, Neonatal Intensive Care Units, Posttraumatic Stress Disorders
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