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Depression, Anxiety and Suicidal Ideation Among Patients With Chronic Kidney Disease Undergoing Hemodialysis in Qazvin, Iran
Get PDFBackground Patients undergoing hemodialysis are prone to psychiatric symptoms due to considerable
changes in their individual, social and occupational life which can influence the course and prognosis of
renal diseases.
Objective The aim of the present study is to evaluate the prevalence of depression, anxiety, and suicidal
ideation among patients with chronic kidney disease undergoing hemodialysis in Qazvin, Iran.
Methods This descriptive cross- sectional study was performed on 120 patients with chronic kidney disease
undergoing hemodialysis in Qazvin, Iran. Prior to study, their demographic and laboratory data
were recorded. Dialysis adequacy was assessed using urea reduction ratio (URR) and KT/V formula. Data
collection tools were Beck’s Depression Inventory, Beck’s Anxiety Inventory and Beck Scale for Suicidal
Ideation. Collected data were analyzed using Pearson correlation test and t-test.
Findings The mean level of depression in patients was 13.72 where 79 (65.8%) had depressive symptoms.
The severity of symptoms was mild in 47 (39.2%), moderate in 21 (17.5%), and severe in 11 (9.2%).
Moreover, the mean level of anxiety was 9.73 where 16 (13.3%) had anxiety symptoms. Of 120 patients,
only 8 (6.7%) had suicidal ideation. There was a significant negative association between dialysis adequacy
and the severity of depression, anxiety and suicidal ideation. Anxiety symptoms were more frequent
among unemployed patients, and the increase in age was associated with the increase in suicidal
ideations (P<0.05).
Conclusion Regarding the high prevalence of depressive symptoms and existence of anxiety symptoms in
patients undergoing hemodialysis in Qazvin, assessment of these psychiatric disorders along with effective
therapeutic interventions should be considered
Relationships between Severity of Internet Gaming Disorder, Severity of Problematic Social Media Use, Sleep Quality and Psychological Distress
Get PDFInternet gaming and social media use are prevalent and integral to many people’s lives. However, excessive engagement in either could lead to negative health impacts. This study aimed to investigate relationships between severities of internet gaming disorder (IGD) and problematic social media use (operationalized as social media addiction; SMA) with sleep quality and psychological distressamongyoungadults. Across-sectionalstudywithsnowballsamplingwasconductedamong Hong Kong university students in 2019. All participants (n = 300; mean (SD) age = 20.89 (1.48); 122 males(40.67%))respondedtoanonlinesurveythatincludedChineseversionsoftheInternetGaming Disorder Scale-Short Form (IGDS9-SF), Bergen Social Media Addiction Scale (BSMAS), Pittsburgh Sleep Quality Index (PSQI), and Depression Anxiety Stress Scales (DASS-21). Multiple linear regressionsdemonstratedthatIGDS-SF9scoresdemonstratedassociationswithpsychologicaldistress measures (standardized coefficient (β) = 0.295 for depression, 0.325 for anxiety, 0.339 for stress, all p < 0.001). BSMAS scores showed similar albeit numerically less robust associations (β = 0.235 for depression, p < 0.001; 0.219 for anxiety, p = 0.001; 0.262 for stress, p < 0.001). BSMAS scores demonstrated associations with poorer sleep quality (β = 0.292; p < 0.001) and IGDS9-SF scores (β = 0.157; p = 0.024) showed a significantly less robust association (p = 0.01 for comparing the two βs). These findings suggest that both severities of IGD and SMA associate with more psychological distress and poorer sleep quality, although the strengths of associations may differ
The effect of Ellagic acid on sleep quality in patients with type 2 diabetes: a randomized double blind clinical trial
Get PDFBackground Oxidative stress can reduce the quality of sleep in patients with type 2 diabetes. Antioxidants such as polyphenols
may increase sleep quality by improving oxidative stress conditions.
Objective Considering the antioxidant properties of Ellagic acid (EA), this study was designed to evaluate the effect of EA on
sleep quality in diabetic patients.
Methods In this study, 44 diabetic patients were recruited. Patients who met the inclusion criteria that were randomly allocated
consumed a capsule containing 180 mg of EA per day (n = 22) or placebo (n = 22) for 8 weeks. Anthropometric factors, physical
activity, food intake, and Petersburg’s Sleep Quality (PSQI) questionnaire were assessed at the beginning and end of the study.
Kolmogorov-Smirnov test, paired sample t test and independent sample t test were used to analyze the data.
Results At the end of the study, the mean scores of PSQI and sleep subgroups in the intervention group were significantly lower than in
the placebo group (p < 0.05). According to intragroup comparisons, these changes were significant in the intervention group at the end
of the study compared to the beginning of the study (p 0.05).
Conclusion According to these findings, intake of EA may help to improve the sleep quality in patients with type 2 diabetes.
These effects may be due to the antioxidant effects of this polyphenol
Effect of Acupressure on Dynamic Balance in Elderly Women: A Randomized Controlled Trial
Get PDFBackground: Balance disorders are common in the elderly and are
a major cause of falls. This study aimed to determine the effect of
acupressure on dynamic balance in elderly women.
Methods: This randomized controlled clinical trial was conducted on
72 elderly women in Qazvin, Iran. The intervention group received
rotary massage using the thumb at the pressure points for 4 weeks, 3
times a week for 20 minutes each session. Dynamic balance in both
groups was measured before, 2 and 4 weeks after the intervention
using timed up and go test and the step test. Data were analyzed using
two way repeated measures ANOVA.
Results: The mean age of participants was 67.34 ± 6.30 with a range of
60 to 80 years old. The results showed statistically significant improvement
in the dynamic balance quantified by timed up and go test (%
Δ = 26.53) and step test for the right (%Δ = 35.22) and left (Δ% = 32.62)
legs (p < .001). However, in the control group, no significant change
was observed in the dynamic balance after completion of the program.
Conclusion: The results support that acupressure therapy can be an
effective, safe, and inexpensive method to improve the dynamic balance
and maintain maximum autonomy of the elderly
Isolation and identification of Acanthamoeba genotypes and Naegleria spp. From the water samples of public swimming pools in Qazvin, Iran
Get PDFFree-living amoeba (FLA), including Acanthamoeba and Naegleria are facultative parasites in humans. The amoeba have widespread distribution in various water sources. The aim of this study was isolation and molecular identification of Acanthamoeba and Naegleria isolated from swimming pools and also hot and cold tub waters in Qazvin province. The samples (166 water samples) were cultured to isolate and identify positive specimens. PCR (polymerase chain reaction) amplification, sequencing and phylogenetic analysis were conducted to confirm the isolated species and genotypes of amoeba. According to morphological characterizations, 18.6% of specimens were identified as FLA, which in 71% were Acanthamoeba by PCR method. Molecular analysis revealed that 36.3%, 18.1% and 4.5% of Acanthamoeba specimens were identified as T3, T4 and T11 Acanthamoeba genotypes, respectively. Protacanthamoeba bohemica (27.2%) and Acanthamoeba sp. (4.5%) were found among the specimens. The results of osmo-tolerance and thermo-tolerance assays demonstrated that 50% of T3 and 25% of T4 genotypes of Acanthamoeba were highly pathogenic parasites. The molecular approach showed the presence of Naegleria lovaniensis (9%) in hot tub water of swimming pools. This study demonstrated that the swimming pools and hot tub water in Qazvin province were contaminated with Acanthamoeba and Naegleria species
بررسی تاثیر مکمل یاری خوراکی پروبیوتیک و آلفالیپوئیک اسید همراه با رژیم ایزوکالریک به صورت جداگانه و ترکیبی در کاهش و حفظ وزنکاهشیافته افراد دارای اضافهوزن(فایل دفاع نهایی)
Get PDFInvestigating the Factors Affecting Food Safety Behaviors of Youth in Qazvin City: Application of the extended Theory of Planned Behavior
Get PDFDietary patterns and depressive symptoms among Iranian women
Get PDFWe aimed to investigate the association between dietary patterns and depressive symptoms among 217
Iranian women aged 20–45years. In this study, dietary intake was assessed using a valid and reliable semiquantitative food frequency questionnaire. A principal component analysis was applied to detect the major
dietary patterns. The Beck Depression Inventory was used to assess the depressive symptoms. Two major
dietary patterns were identified: the “semi-Mediterranean” dietary pattern and the “western” dietary pattern.
Participants with the “western” dietary pattern had a higher rate of depressive symptoms (p<0.05). However,
the “semi-Mediterranean” dietary pattern had no significant association with the depressive symptoms
A prospective study on the link between weight-related self-stigma and binge eating: Role of food addiction and psychological distress
Get PDFObjectives: This prospective study investigated the link between weight-related self-stigma
and binge eating by (a) examining the temporal association between weight-related selfstigma and binge eating; (b) investigating the mediating role of food addiction in the
association between weight-related self-stigma and binge eating; and (c) examining the
mediating role of psychological distress in the association between weight-related self-stigma
and binge eating.
Method: Participants comprised 1,497 adolescents (mean = 15.1 years; SD = 6.0). Body mass
index and weight bias were assessed at baseline; psychological distress (i.e., depression,
anxiety, and stress) assessed and food addiction at 3 months; and binge eating at 6 months.
The mediation model was analyzed using Model 4 in the PROCESS macro for SPSS with
10,000 bootstrapping resamples.
Results: There was no significant direct association between weight-related self-stigma and
binge eating. However, food addiction and psychological distress significantly mediated the
association between weight-related self-stigma and binge eating.
Discussion: These findings highlight the indirect association between weight-related selfstigma and binge eating via food addiction and psychological distress. Consequently,
intervention programs targeting food addiction and psychological distress among adolescents
may have significant positive effects on outcomes for weight-related self-stigma and binge
eating. The findings will be beneficial to researchers and healthcare professionals working
with adolescents during this critical developmental period