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Introduction and Objective: Definitive diagnosis, tedious treatment methods, and long treatment duration are possible factors contributing to psychiatric disorders in cancerous patients, including anxiety and depression. Accordingly, this study aimed to investigate the effective factors on the occurrence of psychiatric disorders in newly diagnosed cancer patients. Methods: This descriptive-analytical study was conducted in Semnan, Iran, in 2018, in which 122 patients with cancer were included. In this study, the Hospital Anxiety and Depression Scale questionnaire was used to collect the required data. Frequency comparisons between the sub-groups were performed using the Chi-square test and, if necessary, Fisher's exact test. Moreover, the T-test or Mann-Whitney U test was used to compare numerical variables. Results: In this study, the mean values of total depression and total anxiety among patients were 26.2% and 28.6%, respectively. According to the results, anxiety was observed in 74.3% of low-income people and 80% of females. Gender and income were significantly associated with anxiety in patients with cancer (p < 0/05). However, no significant association was found between depression and the variables of gender, age, level of education, and income (P > 0.05). Conclusion: The inclusion of psychiatric interventions in the treatment program of cancer patients can be effective in controlling psychiatric disorders, especially depression and anxiety.
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Introduction: Suicide is one of the public health challenges which affect the individual, family, and even society. Because of the fact that accurate data collection on suicide attempts in different population areas is necessary, this study was conducted to determine the epidemiological and demographic characteristics of suicidal patients in Semnan, Iran. Materials and Methods: The present descriptive-retrospective study was performed on the clinical files of 809 suicidal patients referred to Kowsar Hospital in Semnan during 2015-2018. Using a checklist, biographical information, and marital status, suicide methods, physical diseases, previous psychiatric diseases, causes of suicide, and outcomes of suicide were collected, and then, the data were analyzed using EXCEL software. Results: Out of 809 subjects, 27% had a history of chronic psychiatric diseases, 1% of the statistical population (12 people) died, and 99% of the people (797 people) survived. The prevalence of suicide attempts was higher among women, single people, housewives, and people in the age group of 18-24 years. Family issues have been cited as the cause of 495 cases (61%) of suicide attempts in our study. Conclusion: Since suicide attempts are more common among young single women because of family issues, this important issue should be given more attention by health policy makers in Semnan province.
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OBJECTIVE: The aim was to explore the relationship between mental health problems (MHPs) and health-promoting lifestyle (HPL) in the medical students. METHODS: This cross-sectional study was carried out on medical students in 2017 at Semnan University of Medical Sciences applying a stratified random sampling. The Symptom Checklist-25 and the HPL profile scales were used. Logistic regression models were used to analysis. RESULTS: Of the participants, 84 were male and 148 were female. The mean age was 22.69 years (±2.42). Most students (95.3%) were single and 40.1% were in the preclinical stage. The mean MHP score was 44.14 (±13.99), and 3% were in the severe category. The mean HPL score was 104.88 (±16.84); 95.7% and 4.3% of them had average and satisfactory lifestyles, respectively. The MHP score of the female (P < 0.001), younger (P < 0.001), single (P = 0.045), preclinical (P < 0.001), and who were away from home (P = 0.009) were significantly higher. The HPL score of female (P < 0.001), older (P = 0.041), and married students (P = 0.028) were significantly higher. The female gender (odds ratio [OR] = 4.45, P < 0.001) and studying in the clinical level (OR = 0.30, P < 0.001) were the most important associated factors with MHP. Adjusting for them, there was a significant relationship between an increase in the HPL score and a decrease in the likelihood of MHP (OR = 0.96, P < 0.001). CONCLUSIONS: The mental health of medical students was shown to be in association with lifestyle independent of other important determinants, including gender and academic level. It seems that modifying the lifestyle to a healthier way can improve students' mental health.
