Résumé
Different psychological aspects of infertility have been studied so far. The objecttive of this study was to determine the most common dimensions of attitude towards infertility in infertile couples and also to determine the relation between attitude towards infertility and age of couples, the time-span after marriage, educational achievements and infertility variables. Another objective of the study was to determine the relation between attitude towards infertility and degrees of depression and anxiety. Among people who referred to Fertility and Infertility Center in Isfahan in autumn 2004, 55 cases [25 men and 30 women], who had neither children nor any adoption child but had been diagnosed infertile, were randomly selected and were asked to answer attitude towards infertility questionnaire and Beck s depression and anxiety inventories. The data were analyzed by SPSS software. Statistical methods such as correlation, descriptive analysis, variance and multiple regression analyses were employed. Based on the findings of the study, attitude towards having offspring and parental role with 69.1%, and attitude towards social acceptance with 54.5%, were the most prevalent dimensions of attitude towards infertility. In addition, attitude had a significant [p<0.05] reverse relation to age but had no significant relation to time-span after marriage or the participants' educational levels. Results did not show significant differences in attitude towards infertility, when the participant, his/her spouse or both of them were infertile. Noting the regression analysis results, attitude towards life control and social acceptance are the most important factors determining depression severity [p<0.0001], where life control, social acceptance, having offspring and parental role had greater effects on anxiety [p<0.0001]. Many infertile couples put the highest emphasis on offspring and parental role and most of them had negative attitude towards social acceptance. Older people had less negative attitudes towards the variables. The participants' attitude towards infertility had no relation to timespan after marriage, educational levels or whether the participant, his/her spouse or both were infertile. Depression and anxiety in these couples were due to their attitude towards life control and social acceptance
Sujets)
Humains , Mâle , Femelle , Infertilité féminine/psychologie , Infertilité masculine/psychologie , Attitude , Dépression , AnxiétéRésumé
There are many various hypotheses about pathophysiology of migraine headaches. One of them is autonomic nervous system disturbance, but the exact location of the disturbance is not well known. Since most of migraine attacks are accompanied with a retro-orbital pain, we assessed the efficacy and safety of topical Timolol on blockage of beta = adrenergic receptors for preventing migraine headaches. In a clinical trial study, 43 migraine patients [7 male and 36 female] were studied in two neurology clinics in Isfahan. Timolol maleate [5% eye drop] prescribed twice a day. The patients visited weekly for the first 4 weeks; then 8 th and 12 th week after the beginning of treatment, and the duration and frequency of attacks were evaluated. The severity of headache measured subjectively. The patients were aged 14 to 54 years, with mean age of 34.2 years and mean disease duration of 9.5 years before the study. They had 13.1 headache days per month. After treatment, the frequency of attacks reached to 3.4 attacks per month. The mean duration of each attack were 16.4 hours before treatment and 2.1 hours after treatment by using Timolol eye drop which were significantly different [P<0.001]. The severity and duration of attacks also decreased after 12 weeks. None of them have reported adverse events after using it. Timolol maleate eye drop is an effictive, well-tolerated, safe, and easy-to-use prophylactic antimigraine medication