Comparison of predisposing and effective factors on divorce application between men and women

With regard to his human and social nature, sympathy is required that men and women live together in peace and rest. Since that family is manifestation and expression of life and love, divorce is a critical that consequences and undesirable effects on individuals, families and society. The present study based on gender People requesting a divorce in the family courts in Tehran has paid during the years 2006-2007. The sample included 300 people referred from the courts, and cross-sectional study approach, with structured interview was conducted. Causes and reasons for divorce after the interview and identified as economic factors, psychological, cultural - social, sexual problems, physical, addiction, violence and marriage with this classification and statistical methods chi-square, Fisher and Mann - Whitney two groups were compared. Results showed that although most divorce because both gender [84.4% of women and 90% of men] lack of understanding and compromise has been divorce for women, but more influenced by socioeconomic status [P< 0.001], violence [P< 0.001] sexual problems [P= 0.048] and addiction [P= 0.001], while men were more due to cultural problems - social [P= 0.023] had been demanded divorce. The results also suggested the counseling of premarital and to aware in the field of professional advice at the time of the divorce that it can prevent the occurrence divorce

Psychological signs in patients with polycystic ovary syndrome

PCOS is a multifaceted disorder with multiple potential risk factors [e.g. infertility, diabetes, cardiovascular disease and metabolic syndrome]. PCOS affects quality of life and can worsen anxiety and depression either due to the features of PCOS or due to the diagnosis of a chronic disease. This study aimed to determine the risk factors of PCOS in a group of patients. In this descriptive-analytic study, 81 patients with PCOS were studied in Vali-e-Asr Reproductive Health Research Center, Tehran, Iran. A questionnaire with items related to stress information was used for data collection. Stress symptoms were assessed using the Understanding Yourself standard questionnaire. Statistical analyses were performed using SPSS 13.0 [SPSS Inc., Chicago, ILL, USA]. Data are presented as mean +/- SD or as frequency with percentages. P-value less than 0.05 were considered as statistically significant. The evaluation of psychological signs in 81 PCO patients and descriptive results showed that 8 [9.9%] had not any stress problem, 32 [39.5%] had neurotic stress, 29 [35.8%] had high level and 12 [14.8%] had extremely high level of stress. The age range of 26 years and more [P=0.023], touchy personality [P = 0.028] and acne [P = 0.015] related with high stress level. The odds of high level of anxiety in women with hirsutism was 3.1 [95%CI 1.00 to 9.59]. The odds of high level of obsession in overweight patients was 3.2 [95%CI 1.12 to 9.234]. The odds of high level of worrisome in patients with touchy personality was 3.4 [95%CI 1.10 to 11.19]. Obsession score had a correlation with illness duration [r = -0.268, P = 0.038]. These data showed that clinical signs of PCOS are the most closely associated with psychological distress and this has important implications for the diagnosis and treatment of disorders

[Health-Related Quality of life in Iranian Couples Receiving IVF/ICSI Treatment]

Obejective [s]: infertile couples receiving IVF / ICSI treatment may be at higher risk of developing psychological or health-related problems. Identification of these groups at risk may enable better allocation for appropriate counseling

Methods: a total of 1028 [516 women and 512 men] were invited to complete health survey short form [SF-36] questionnaire prior to initiating IVF / ICSI treatment in Vali.e.Asr hospital and Rooyan infertility center.The patient's demographic and clinical characteristics were also recorded

Results: male SF-36 scores were higher than those reported by women. Quality of life increased with advancing age, level of education, economic status, in working women and infertality due to male factor

Conclusion: Infertile couples are at risk of a sub- optimal quality of life. Psychological counselling, especially support psychotherapy, must be regarded for patients in order to increase their quality of life

Psychiatric Intervention Improved Pregnancy Rates in Infertile Couples

Background: Infertility has mental, social, and reproductive consequences. The aim of this study is to evaluate the effect of psychiatric intervention on the pregnancy rate of infertile couples. Methods: In an experimental and intervention-control study, 638 infertile patients who were referred to a university infertility clinic were evaluated; 140 couples (280 patients) with depression (from mild to severe) in at least one of the spouses were followed. All couples provided informed consent and were randomly numbered from 1 to 140. Those with even numbers were assigned to the psychological intervention before infertility treatment, and those with odd numbers were assigned to the psychological intervention during infertility treatment. Patients in the experimental group received 6–8 sessions of psychotherapy (individually) before beginning infertility treatment and were given Fluoxetine (antidepressant) at 20–60 mg per day during the psychotherapy period. The control group did not receive any intervention. Three questionnaires, the Beck Depression Inventory (BDI), the Stress Scale (Holmes-Rahe), and a sociodemographic questionnaire, were administered to all patients before and after treatment. The clinical pregnancy rate was compared between the two groups based on sonographic detection of gestational sac 6 weeks after the last menstrual period. The data were analysed by t test, X2 and logistic regression methods. Results: Pregnancy occurred in 33 (47.1%) couples in the treatment group and in only 5 (7.1%) couples in the control group. There was a significant difference in pregnancy rate between the treatment and control groups (X2= 28.318, P < 0.001). To determine the effectiveness of psychiatric interventions on pregnancy, a logistic regression analysis was used. In this analysis, all demographic and infertility variables were entered in a stepwise manner. The results showed that in the treatment group, Pregnancy in the treatment group was 14 times higher than the control group (95% CI 4.8 to 41.7). Furthermore, cause of infertility was an effective factor of pregnancy. The adjusted odds ratio in male factor infertility was 0.115 (95% CI 0.02 to 0.55) and in both factors (male and female) infertility was 0.142 (95% CI 0.03 to 0.76) compared with the unexplained group. In this study, no other variables had any significant effect on pregnancy. Conclusion: Based on the effectiveness of psychiatric interventions in increasing pregnancy rate, it is crucial to mandate psychiatric counselling in all fertility centres in order to diagnose and treat infertile patients with psychiatric disorders.