Women’s Health Bulletin
Volume:10 Issue: 2, Apr 2023

Each year, twice as many women than men are diagnosed with Alzheimer’s Disease (AD). As there is no known cure for AD, preventing it has become a vital public health issue. One lifestyle intervention that may reduce the risk of AD is physical activity (PA). This scoping review aimed to examine the existing literature on PA and AD risk to identify whether PA has a sex-specific effect on AD risk in women.

A scoping review was conducted based on PRISMA-ScR guidelines. Cochrane recommended databases, MEDLINE, Embase, and PsycINFO were searched via Ovid between May and June 2022. Articles were screened at the title, abstract, and full-text level for inclusion criteria (female participants, results reported by sex, PA, or exercise reported separately from other variables, and participants with no known cognitive impairment). For each study, sample characteristics, PA and AD measures, follow-up times, and results were summarized.

Ten studies met the inclusion criteria, and their results were assessed for quality using the Cochrane GRADE tool. Most studies (80%) reported significant results for females. When broken down by sex, six studies reported differences in result significance with some studies finding that PA can reduce AD risk in women but not in men. Increased weekly PA sessions, duration, and intensity all significantly reduced AD risk for women.

While there are some limitations, including reliance on self-report, short follow-up times, and variations in AD and PA measures, the results have important implications. Findings may facilitate the development of tailored interventions that target women with unique lifestyle recommendations and inspire future research on the specifics of PA type, timing, and duration.

Mastectomy damages self-concept and sexual identity and also increases the risk of depression due to changes in the physical appearance of patients. The present study aimed to investigate the effectiveness of cognitive rehabilitation therapy (CRT) on psychological distress and self-compassion in mastectomized women with depression. The research was a quasi-experimental study based on a pretest-posttest design with control and experimental groups. The study population consisted of mastectomized women with depression who visited counseling and psychological services centers and clinics in 2021, of whom 40 patients were selected through purposive sampling. The participants were randomly assigned into two groups of 20 members using a table of random numbers. Participants in the experimental group attended ten 90-minute sessions of CRT (two sessions per week). The research instruments included the Kessler Psychological Distress Scale (K10) and Self-Compassion Scale (SCS). The data were statistically analyzed using analysis of covariance in SPSS version 19. The findings indicated that there was no significant difference between the two groups in the pretest in terms of psychological distress and self-compassion. The mean±SD of psychological distress in the posttest of the CRT group was 15.26±3.43, which was significantly different from the control group (19.26±3.65) (P<0.001). The mean±SD of self-compassion in the experimental and control groups were 79.13±7.38 and 71.67±8.39, respectively, which was statistically significant (P=0.005). In other words, CRT significantly reduced psychological distress and increased self-compassion in mastectomized women with depression (P<0.001). The study findings suggested the effectiveness of CRT in reducing psychological distress and increasing the selfcompassion of mastectomized women with depression. Therapists and health professionals are hence recommended to apply CRT, along with other interventions and therapies, to reduce psychological distress and increase the self-compassion of such patients.

The effects of participation in sports and physical activities on mental health in menopausal women have been less examined. Therefore, the goal of the current research was to further investigate the effects of participation in sports and physical activities using a Pilates training intervention on mental health and happiness among menopausal women. The current research used an experimental method with pre-test and post-test using a control group. Thirty-two menopausal women from Tehran (district 5), Iran, in 2022, who were chosen using a convenience sampling method, participated in the study. The intervention group (n=16) was exposed to three months of Pilates exercises, while those in the control group (n=16) performed their regular daily activities. Mental health and happiness were measured using The Depression Anxiety Stress Scale-21 and The Oxford-Happiness Inventory, respectively, prior to and following the intervention. Independent t-test and analysis of covariance using SPSS version 26 were utilized to analyze the data. The results showed similar mental health and happiness within both groups at baseline. Moreover, the results revealed that our sample had medium to high symptoms of depression, anxiety, and stress at pretest. Furthermore, the participants in the intervention group reported lower depression (P<0.001), anxiety (P<0.001), and stress (P<0.001) as well as higher happiness (P<0.001) following the intervention than the control group. Based on our findings, it is recommended that menopausal women participate in various sports training courses such as Pilates to improve their mental health status.

The diagnosis of cervical cancer significantly affects the health-related quality of life (HRQOL) of women. This study aimed to investigate the relationships between chronic fatigue syndrome (CFS) and experiential avoidance (EA) with HRQOL, mediated by depression in women with cervical cancer. This descriptive-correlational study selected 261 cervical cancer cases in Mashhad, Iran in 2021, using purposive sampling from October 10, 2021 to December 24, 2021. The research tools include the SF-36 Questionnaire, the Chalder Fatigue Scale, the Brief Experiential Avoidance Questionnaire, and Beck Depression Inventory. Data analysis was done using Pearson correlation coefficient and structural equation modeling in SPSS version 27 and AMOS version 24. The results indicated that all direct paths, with the exception of CFS, significantly correlated with HRQOL (P<0.001). Depression mediated the significant indirect paths of CFS to HRQOL and the significant relationship between EA and HRQOL (P<0.001). The findings of this study revealed that CFS and EA were negatively related to HRQOL in women with cervical cancer. Moreover, depression mediated the relationship of CFS and EA with HRQOL.

The stability and quality of emotional relationships can directly and indirectly affect the mental and physical health of women. This survey was designed to evaluate the effectiveness of Acceptance and Commitment Therapy (ACT) and Schema Therapy (ST) on psychological well-being and cognitive distortion in single women with Love Trauma Syndrome (LTS). This study was a quasi-experimental designed by pre-test-post-test with a control group. The statistical population included all single women with LTS visiting counseling centers in Ahvaz, Iran in 2022. The statistical sample consisted of 45 participants who were selected using purposive sampling and were assigned into two experimental groups and one control group via simple random allocation. The first and second experimental groups received ACT (eleven 90-minute sessions per week), and ST (ten 90-minute sessions per week), respectively, while the control group was on the waiting list. The research instruments included the Psychological Well-being (PWB) Scale and the Interpersonal Cognitive Distortion Scale (ICDS). Analysis of covariance in SPSS version 26 was used for data analysis. The results showed that ACT and ST significantly influenced the psychological well-being and cognitive distortion of single women with LTS (P<0.001). The mean and standard deviation (SD) of psychological well-being and cognitive distortion were 60.10±7.76 and 58.87±7.42 in the pretest in the ACT group, whereas it was 70.33±8.16 and 65.80±8.31 in the posttest. Moreover, the mean and SD of psychological well-being and cognitive distortion were 48.00±5.25 and 50.07±4.89 in the pretest in the ST group, whereas it was 39.33±5.16 and 44.00±4.48 in the posttest. ACT had a more significant effect on the psychological well-being and cognitive distortion of participants than ST (P<0.001). In conclusion, ACT was better suited for addressing the psychological well-being and cognitive distortion of single women with LTS. Based on these results and considering the role of ACT and ST, it is possible to help women with LTS enjoy psychological well-being by holding ACT and ST sessions.

The study focuses on the increasing rates of divorce and the need for effective therapeutic interventions to reduce marital conflict and emotional divorce. The current study aimed to evaluate the effectiveness of acceptance and commitment therapy (ACT) in reducing marital conflict and emotional divorce among women who are facing divorce and seeking services at Zanjan family counseling centers, Zanjan, Iran. This quasi-experimental study was conducted in the second half of 2021. A convenience sampling method was used to recruit 20 participants from Zanjan family counseling centers, who were randomly allocated into two groups. The treatment group received ten sessions of 60 minutes twice a week (5 weeks) of acceptance and commitment therapy. The Marital Conflict Questionnaire and Emotional Divorce Scale were used as research tools to measure pretest and posttest scores. Data were analyzed using analysis of covariance in SPSS version 24 to compare the mean scores for marital conflict and emotional divorce between the treatment and control groups. The findings of the study revealed that acceptance and commitment therapy was effective in reducing both marital conflict and emotional divorce scores in the treatment group compared to the control group. The mean score for marital conflict decreased significantly from 172.50±18.23 to 147.25±15.68 in the treatment group (P<0.001), while the control group showed no significant changes. The mean score for emotional divorce also decreased significantly from 2.35±16 to 1.93±12 in the treatment group (P<0.001), while the control group again showed no significant changes. This research demonstrated that acceptance and commitment therapy is an effective psychotherapy for reducing marital conflict and emotional divorce in women at risk of divorce who referred to family counseling centers. The findings of this study have practical implications for counseling settings.

Social anxiety is often associated with reduced social interaction and is considered a symptom of social anxiety disorder. This study aimed to compare the perception of social interaction among female para-medical students with social anxiety disorder using two therapies including gestalt therapy and psychodrama therapy. This quasi-experimental study used a pre- and post-test design with two experimental groups and a control group, along with a follow-up period. The study population consisted of female para-medical students from Iran University of Medical Sciences, Tehran, Iran during the second quarter of the academic year 2020-2021. A total of 61 female paramedic students were randomly assigned into two experimental groups (group 1: N=17; group 2: N=19) and one control group (N=25) using convenience sampling. The Liebowitz Social Anxiety Scale (LSAS) and Perceived Social Interaction Questionnaire (PSTQ) were administered. Gestalt therapy was administered to group 1 and psychodrama therapy to group 2, in eight sessions over 90 minutes per week, while the control group received no treatment. Data was analyzed using ANCOVA in SPSS version 24. The mean and standard deviation of the perception of positive thoughts for gestalt therapy, psychodrama therapy, and the control group in the post-test were 51.18±8.69, 48.42±10.57, and 40.08±7.58, respectively. The mean and standard deviation of negative thoughts were 37.06±9.65, 37.21±10.02, and 42.92±10.27, respectively. The results showed a significant difference between the overall mean scores in the psychodrama therapy group (P=0.0234) and gestalt therapy group (P=0.0345); the effect of gestalt therapy was higher. The mean scores of the social interaction component in the three phases of the pre-test, post-test, and follow-up showed a significant difference between the mean scores. This study showed that psychodrama therapy and gestalt group therapy can decrease social anxiety in para-medical students. Moreover, the finding indicated the positive effects of gestalt group therapy intervention on the perception of positive thoughts. Therefore, further research is needed to gain more insight into the effective elements of both therapies and their mechanisms of change.

Acutenon-puerperal inversion of the uterus is very rare and without a high index of suspicion, severe complications are possible.

This study reports the case of a woman with an asymptomatic fibroid who presented in shock with a vaginal mass and bleeding. The mass was a uterine leiomyoma complicated with uterine inversion. She recovered well from an emergency total hysterectomy and bilateral salpingectomy.

A high index of suspicion and immediate intervention are key points for all women presenting with a vaginal mass and vaginal bleeding.