Ilam University of Medical Sciences
Journal of Ilam University of Medical Sciences
1563-4728
2588-3135
28
3
2020
7
1
The Role of Middle Septal Ghrelin Receptors in the
Effects of Morphine on Memory Consolidation
in Passive Avoidance Learning
1
10
FA
Soudabe
Dastjani-Farahani
Department of Biology, Faculty of Science, Arak University, Arak , 38156-8-8349, Iran
soudabe.farahanii@gmail.com
N
0000-0001-6888-8745
Niloufar
Darbandi
Dept of Biology, Faculty of Science, Arak University, Arak, Iran
N-Darbandi@araku.ac.ir
Y
0000-0001-8466-993X
Dept of Biology, Payame Noor University, Tehran, Iran
N
10.29252/sjimu.28.3.1
Introduction: Evidence indicates that morphine impairs memory process. Ghrelin hormone has been linked to learning and memory processes and modulates reward properties of addictive drugs. In this study we examined the role of middle septal ghrelin receptors in the effects of morphine on memory consolidation in passive avoidance learning.
Materials & Methods: In this experimental study, 91 male Wistar rats were randomly divided into 13 (n=7) groups: saline (1ml/kg), morphine (0.5- 7.5 mg/kg), ghrelin (0- 1 nmol/μl) plus morphine (7.5 mg/kg) or saline (1ml/kg). In ghrelin treated groups animals received intra- medial Septum injection of ghrelin immediately after training and 5 min later saline or morphine was injected subcutaneously. Testing phase was done 24 h after training. Data were analyzed using ANOVA analysis followed by Tukey multiple comparison test. Ethics code: IR.ARAKMU.REC.1397.215
Findings: Post-training administration of morphine reduced step-through latency and increased Total dark chamber compared with saline group (p< 0.001). Intra- medial Septum injection of ghrelin inhibited morphine-induced amnesia (p< 0.001). Administration of ghrelin alone had no significant effect on memory retrieval (P > 0.05).
Disscution & Conclusions: Ghrelin is able to prevent the deleterious effects of morphine on memory and learning in the inhibitory avoidance model and the medial septal region may be involved in this effect.
Ghrelin, Inhibitory avoidance learning, Medial septum, Morphine, Male rat
http://sjimu.medilam.ac.ir/article-1-6108-en.html
http://sjimu.medilam.ac.ir/article-1-6108-en.pdf
Ilam University of Medical Sciences
Journal of Ilam University of Medical Sciences
1563-4728
2588-3135
28
3
2020
7
1
Investigation of the Relationship of Pulmonary Indicators with Quality of Life and Mental Health of Workers and the Role of Physical Activity on These Indicators: A Case Study in Cement
and Tile Factory, Yazd, Iran, during 2020
11
20
FA
Mohammad hassan
Dashty
Dept of Educational Sciences and Psychology, Faculty of Humanities, Payame Noor University. Tehran, Iran.
dashty54@gmail.com
Y
0000-0002-5693-9442
Farideh
Sajadi poor
Dept of Educational Sciences and Psychology, Faculty of Humanities, Payame Noor University. Tehran, Iran.
N
Amir Abas
Minai far
Dept of Biology, Payame Noor University, Iran
aaminaeifar@gmail.com
N
Javad
Ramezani
Dept of Educational Sciences and Psychology, Faculty of Humanities, Payame Noor University. Tehran, Iran.
N
10.29252/sjimu.28.3.11
Introduction: The respiratory system is one of the most important parts of the body that can be affected by the adverse effects of inhaling suspended particles leading to mental and occupational disorders. Due to the positive effects of physical activity on physical and mental health, this study aimed to investigate the relationship of pulmonary indicators with the quality of life and mental health of workers. Moreover, it was attempted to evaluate the effect of physical activity on these indicators.
Materials & Methods: This case-control study was conducted on 153 workers who were selected based on the inclusion criteria from those who referred to Teb-e-Kar Laboratory, Mehriz, Iran, using the available sampling method. According to the Beck questionnaire, the participants were divided into two groups of inactive (n=93) and active (n=60). To determine workers' lung capacity, a lung function test was performed using Spirometry along with administering the General Health Questionnaire (1989) and Weir and Sherborne quality of life scale (1992). The data were analyzed in SPSS software (version 23) through Pearson correlation coefficients. A p-value of ≤0.05 was considered statistically significant. Ethics code: IR.PNU.REC.1398.116
Findings: There was a direct and significant relationship between lung indicators and workers' quality of life (P=0.000). Moreover, an inverse relationship was observed between these indicators and mental health (P=0.000). The results of the inactive group also showed that lung indicators correlated directly with the quality of life (P=0.007, 0.000, 0.000, and 0.005, respectively); however, it had a significant and inverse relationship with mental health, except for vital capacity VC (P= 0.019, 0.037, and 0.003, respectively).
Discussions & Conclusions: It seems that an increase in the volume of the lungs improves the quality of life and mental health. It is worth noting that this relationship is more significant among active workers, compared to the inactive group.
Active, Inactive, Mental health, Quality of life, Pulmonary index
http://sjimu.medilam.ac.ir/article-1-6458-en.html
http://sjimu.medilam.ac.ir/article-1-6458-en.pdf
Ilam University of Medical Sciences
Journal of Ilam University of Medical Sciences
1563-4728
2588-3135
28
3
2020
7
1
Prevalence of Microsporidia in HIV-infected Patients
in Iran: A Meta-Analysis and Systematic Review
21
28
FA
Jahangir
Abdi
Zoonotic Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran
jahangirabdi@yahoo.com
N
0000-0002-3615-5106
Morteza
Shams
Zoonotic Diseases Research Center, Ilam University of Medical Sciences, Ilam, Iran
N
Yousef
Visani
Psychosocial Trauma Research Center, Ilam University of Medical Sciences, Ilam, Iran
N
Mohammad
Karimiyan
Dept of General Surgery, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran
N
Azra
Kenarkoohi
Dept of Microbiology, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran
a_kenarkoohi@yahoo.com
Y
0000-0003-4077-9824
10.29252/sjimu.28.3.21
Introduction: Microsporidiosis is an increasing opportunistic infection in patients with HIV/AIDS. There are five species of Microsporidia, including Enterocytozoon bieneusi, Encephalitozoon hellem, Encephalitozoon cuniculi, Septata intestinalis, and Pleistophora species that have been reported in HIV-infected individuals each causes a wide range of symptoms. This meta-analysis and systematic review aimed at determining the prevalence of Microsporidia in HIV-infected patients in Iran.
Materials & Methods: Databases of Magiran, Scopus, Web of Sciences, Iran Medex, SID, Pubmed, Google scholar, and Irandoc were searched to investigate the studies on "Prevalence of Microsporidia in patients with HIV/AIDS in Iran". Moreover, the meta-analysis was performed using a random-effect model, and the heterogeneity among the studies was determined using the I2 test.
Findings: Based on the data obtained from the studies, out of 8 studies, 1794 patients with HIV/AIDS were investigated in Iran between 2012 and 2016. According to the results, the prevalence of Microsporidia in patients with HIV/AIDS was evaluated using the PCR technique (0.8-0.18: %95 CI, 13%). The amount of heterogeneity among the studies (P<0.001) was obtained at I2=93.3. The most common Microsporidia were Enterocytozoon bieneusi, D, M, and WL-11 genotypes. However, Encephalitozoon intestinalis, Encephalitozoon cuniculi (genotypes 1 and 2), and Encephalitozoon hellem (genotype 1A) were also isolated.
Discussion & Conclusions: The present study showed that the mean prevalence of Microsporidia in patients with HIV/AIDS in Iran (13%) is close to its global mean (15%). The most common Microsporidia in HIV-infected patients is Enterocytozoon bieneusi (genotype D) which is a common genotype between humans and animals; therefore, the patients should avoid contact with animals.
Immune deficiency, Microsporidiosis, Opportunistic infections
http://sjimu.medilam.ac.ir/article-1-6306-en.html
http://sjimu.medilam.ac.ir/article-1-6306-en.pdf
Ilam University of Medical Sciences
Journal of Ilam University of Medical Sciences
1563-4728
2588-3135
28
3
2020
7
1
Study of Microbial Decolorization of Indigo
Carmine Dye by Bacillus albus
29
39
FA
Somayeh
Noori
Dept of Microbiology, University of Mazandaran, Iran, Babolsar, Iran
somayehnoori1060@yahoo.com
N
Salman
Ahmady-asbchin
Dept of Microbiology, University of Mazandaran, Iran, Babolsar, Iran
sahmadyas@yahoo.fr
Y
0000-0001-6079-1842
10.29252/sjimu.28.3.29
Introduction: The synthetic dyes pollution has turned out to be one of the most important environmental problems. Approximately 10000 different dyes and pigments are used industrially and over 0.7 million tons of synthetic dyes are produced annually, worldwide. Synthetic dyes are extensively in the textile dyeing, leather tanning, paper, food and medicine industries. The majority of these dyes are either toxic to flora and fauna or mutagenic and carcinogenic. The disposal of these wastes into receiving waters cause damage to the environment. Therefore, removing them from environment is imperative various methods for physical and chemical decolorization of dyes in wastewater but these methods are rather costly and sometimes product hazardous by-products. In recent years, biodegradation approach of its cost-effectiveness and safe method. In this method, microorganisms, particularly bacteria are used for removing dyes. The goal of microbial treatment is to decolorize and detoxify the dye-contaminated effluents.
Materials and Methods: In this study, bacillus albus bacteria were isolated Mazandaran industrial wastewater used as an example of gram-positive bacteria. Decolorization by these bacteria was investigated by a system which contained both medium and dye. The effects of operational parameters of indigo carmine including time, initial dye concentration, temperature, pH, shaking/non shaking, aerobic/anaerobic were tested. Ethics code: IR.UMZ.REC.1397.106
Findings: The results demonstrated that over a period of 54 h, at 50° C, 100 mg/l of concentration and pH=10, maximum decolorization of 95 percent was performed.
Discussion and conclusions: The present study confirms high effectiveness of bacillus strains in dye removal. The main experiment was focused on decolorization of indigo carmine in aeration conditions.
Bacillus albus, Indigo carmine, Wastewater, Decolorization, Biodegradation dye
http://sjimu.medilam.ac.ir/article-1-6242-en.html
http://sjimu.medilam.ac.ir/article-1-6242-en.pdf
Ilam University of Medical Sciences
Journal of Ilam University of Medical Sciences
1563-4728
2588-3135
28
3
2020
7
1
Effect of Low-level Laser Therapy on Bone Defect Repair
in Diabetic and Osteoporotic Rats using the
Real-Time PCR Technique
40
52
FA
Atarod sadat
Mostafavinia
Dept of Anatomy, Faculty of Medicine, Islamic Azad University of Medical Sciences, Tehran, Iran
a.mostafavinia@gmail.com
Y
0000-0003-2270-5637
Mohammd
Bayat
Dept of Biology and Anatomical Sciences, Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran
mohbayat@sbmu.ac.ir
N
0000-0001-5214-4223
Mehdi
Ghatresamani
Dept of Immunology, Faculty of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran
mahdi.samani.2020@gmail.com
N
0000-0003-4074-8825
kamran
Ghoreishi
Dept of Statistics, Faculty of Basic Sciences, University of Qom, Qom, Iran
atty_ghoreishi@yahoo.com
N
0000-0003-4998-6707
10.29252/sjimu.28.3.40
Introduction: Bone formation is disturbed in type 1 diabetes followed by changes in the bone microstructure. The most important metabolic disorder in diabetes is osteoporosis, which is characterized by bone loss and bone structure degradation. This study aimed to determine the effect of low-power laser on bone defect repair in the experimental model of diabetes and osteoporosis.
Materials & Methods: A total of 30 four-month-old female Wistar rats weighing 190-220 g were selected and randomly divided into six groups, including 1: non-diabetic control (Co.), 2: non-diabetic laser (L.), 3: diabetic control (Co.D.), 4: diabetic laser (L.D.), 5: diabetic alendronate (A.D.), and 6: diabetic laser + alendronate (L.A.D.). Diabetes was induced in groups 3, 4, 5, and 6. All groups underwent ovariectomy and partial bone defect. In the laser group, a low-level laser (890nm, 80 Hz, 1/5J / cm 2) was radiated to 3 points at the defect location. Tibia bones were collected, and Real-time PCR was performed after a month. The data were analyzed using ANOVA. A p-value less than P<0.05 was considered statistically significant. Ethics code: 13237-91-1-1393-10397
Findings: The t-test showed a significant decrease in tibia bone density in diabetic and osteoporotic rats, compared to the non-diabetic control group. Moreover, analysis of gene expression data (ANOVA, P<0.05) revealed a significant difference between the group of diabetic laser + alendronate and other groups in terms of Runx2 gene expression and Osteocalcin.
Discussions & Conclusions: According to the findings, laser therapy combined with alendronate can accelerate the repair of partial bone defect in the experimental model of diabetes and osteoporosis.
Low-level laser, Osteoporosis, Partial bone defect, Real-time PCR, Type 1 diabetes
http://sjimu.medilam.ac.ir/article-1-5837-en.html
http://sjimu.medilam.ac.ir/article-1-5837-en.pdf
Ilam University of Medical Sciences
Journal of Ilam University of Medical Sciences
1563-4728
2588-3135
28
3
2020
7
1
Anticancer Effect of Heracleum persicum Alcoholic Extract and Leishmania Major Promastigute in Comparison with
Doxorubicin in MCF7 Breast Cancer Cell
Line and Natural HU02 Fibroblast
53
62
FA
Zahra
Bagheri-Hosseinabadi
Dept of Clinical Biochemistry, Faculty of Medicine, Rafsanjan University of Medical Sciences, Rafsanjan, Iran
baghery.zahra@YAHOO.COM
N
0000-0001-7161-4972
Fatemeh
Javani Jouni
Dept of Biomedical Engineering, Faculty of Health, Tehran Medical Sciences Branch, Islamic Azad University, Tehran, Iran
javani_f@yahoo.com
N
0000000000000000
Seyedeh Nahid
Sajjadi
Dept of Biology, Islamic Azad University, Ayatollah Amoli Branch, Amol, Iran
hosseinvazini@gmail.com
N
Hossein
Vazini
Dept of Nursing, Faculty of Basic Sciences, Hamadan Branch, Islamic Azad University, Hamadan, Iran
hossein_vazini@yahoo.com
Y
0000-0001-6319-2191
Ameneh
Elikaei
Dept of Microbiology, Faculty of Biological Sciences, Alzahra University, Tehran, Iran
arezoo_elikaei774@yahoo.com
N
10.29252/sjimu.28.3.53
Introduction: Breast cancer is the most common cancer among women. Doxorubicin is one of the most important chemotherapy drugs in the treatment of tumors with many side effects. Today, herbal compounds make up about one-third of the total available drugs. Heracleum persicum has anti-cancer effects. Moreover, in recent years, there has been an interest in the study of new drug targets, such as the use of parasitic compounds in cancer treatment. Therefore, this study aimed to investigate the anticancer effects of Heracleum persicum alcoholic extract and Leishmania major promastigute in comparison with doxorubicin in MCF7 breast cancer cell line and HU02 fibroblast.
Materials & Methods: Breast and fibroblast cell lines were exposed to logarithmic concentrations of doxorubicin, Heracleum persicum extract, and Leishmania promastigute separately and in combination. The MTT was used to determine the inhibitory concentration of this herb extract, medicine, and the parasite. The data were analyzed in SPSS software. Ethics code: IR.SKUMS.0063-99
Findings: The results showed that an increase in the concentration of doxorubicin, Heracleum persicum extract, and Leishmania promastigute individually and in combination led to a decrease in the percentage of live fibroblast cells and MCF7. The highest percentage of the decreased live cells is observed in the combined application of Heracleum persicum extract, Leishmania promastigute, and doxorubicin.
Discussion & Conclusions: Heracleum persicum extract and Leishmania promastigute can have significant inhibitory effects on the percentage of live fibroblast cells and MCF7, which is more pronounced in living cells of MCF7.
Breast cancer, Doxorubicin, Heracleum persicum alcoholic extract, Leishmania major promastigute
http://sjimu.medilam.ac.ir/article-1-5655-en.html
http://sjimu.medilam.ac.ir/article-1-5655-en.pdf
Ilam University of Medical Sciences
Journal of Ilam University of Medical Sciences
1563-4728
2588-3135
28
3
2020
7
1
Renal Transplantation and Hyperuricemia
63
69
FA
Sima
Golmohammadi
Dept of Internal Medicine, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
simag_2000@yahoo.com
Y
0000-0001-7988-9081
Hamidreza
Omrani
Dept of Internal Medicine, Faculty of Medicine, Kermanshah University of Medical Sciences, Kermanshah, Iran
hamidrezaomrani@ymail.com
N
Zahra
Ghorbani
Student Research Committee, Kermanshah University of Medical Sciences, Kermanshah, Iran
zahraghorbani1372@gmail.com
N
Mahin
Moradi
Clinical Research Development Center, Imam Reza Hospital, Kermanshah University of Medical Sciences, Kermanshah, Iran
underzero.1370@gmail.com
N
10.29252/sjimu.28.3.63
Introduction: The adverse effects of hyperuricemia on renal function are of interest. Patients with a history of kidney transplantation are at the risk of hyperuricemia and its associated complications. Therefore, the identification and management of the factors that cause hyperuricemia in these patients can be helpful and may eliminate the need for taking uric acid-lowering drugs. This study aimed to determine the prevalence of hyperuricemia and its related factors in patients who underwent renal transplantation.
Materials & Methods: This analytical cross-sectional study was conducted on patients over 18 years of age who underwent kidney transplantation and referred to Mahdieh Clinic in Kermanshah, Iran, during 2019. The sampling was performed using the available and purposeful method. Ethics code: KUMS.REC.1396.574
Findings: This study was performed on 165 patients with renal transplantation. The prevalence of hyperuricemia in this study was obtained at 58.8%. The hyperuricemic patients had a lower glomerular filtration rate and higher proteinuria (P<0.05). High levels of uric acid were significantly associated with male gender, and the consumption of diuretic medications as well as immunosuppressive drugs, especially cyclosporine (P<0.05).
Discussion & Conclusions: In this study, hyperuricemia was highly prevalent in patients with kidney transplantation and was associated with poorer kidney function. It seems that early diagnosis of hyperuricemia and the implementation of some actions, such as less diuretic usage and selection of immunosuppressive drugs with less hyperuricemic effects, can improve the function and survival of the transplanted kidney with fewer needs for the use of uric acid-lowering drugs.
Diuretic, Hyperuricemia, Immunosuppressive drugs, Renal transplantation, Uric acid lowering drugs
http://sjimu.medilam.ac.ir/article-1-6080-en.html
http://sjimu.medilam.ac.ir/article-1-6080-en.pdf
Ilam University of Medical Sciences
Journal of Ilam University of Medical Sciences
1563-4728
2588-3135
28
3
2020
7
1
Evaluation of the Severity of Rheumatoid Arthritis based on Blood Sedimentation Rate and Sensitive Joints using a Longitudinal Model
70
79
FA
Ayoub
Poursafar
Dept of Biostatistics, Tehran University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
a.poursafar@gmail.com
N
000000020003234X
Mehdi
Rahgozar
Dept of Biostatistics, Tehran University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
ma.rahgozar@uswr.ac.ir
Y
0000-0002-8907-1643
Akbar
Biglariyan
Dept of Biostatistics, Tehran University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
abiglarian@gmail.com
N
Masoumeh
Akhlaghi
Dept of Internal Medicine, Rheumatology Research Center, Tehran University of Medical Sciences, Tehran, Iran
akhlaghimd@yahoo.com
N
10.29252/sjimu.28.3.70
Introduction: Disease severity of Rheumatoid Arthritis is a latent concept which should be observed using a measurement tool. This variable plays a significant role in assessing disease status both cross-sectionally and longitudinally. The DAS28 scale is a valid instrument for assessing rheumatoid arthritis severity. This scale consists of two components, namely, the general system (blood sedimentation rate) and joint system (sensitive joints) as two correlated ordinal responses. The purpose of this study was to determine the process and affecting factors of the disease. This study aimed to present a marginalized random-effect model accompanied by the factors influencing these components. This method is used to assess the variables with associations simultaneously.
Materials & Methods: This study utilized the information of 107 patients with rheumatoid arthritis who referred to Shariati Hospital, Tehran, Iran, during 2016-18. The response variables were the general system and joint system of patients that were classified by rank. A marginalized random-effects model and a joint marginalized random-effects model were used and the best model was selected based on the minimum amount of AIC. Data were analyzed using SAS software (version 9.4). A p-value less than 0.05 was considered statistically significant. Ethics code: IR.USWR.REC.1397.045
Findings: In the joint marginalized random-effects model, the effect of time was significant on the rate of blood sedimentation (OR=1.56, 95% CI: 1.27-1.93). Moreover, time (OR=1.85, 95% CI: 1.55-2.21), smoking (OR=0.31, 95% CI: 0.12-0.82), and level of vitamin D (OR=1.0, 95% CI: 1.00-1.02) had a significant effect on sensitive joints. Confidence intervals, standard error, and amount of the AIC in the joint marginalized random-effects model were less than the univariable model.
Discussions & Conclusions: The results showed that the joint marginalized random-effect model could implement the mean of the marginal in the population as well as the correlation between the observations. Moreover, it was shown that the factors influencing the severity of the disease among the patients under study using the joint marginalized random-effects model included time, smoking, and vitamin D levels.
Joint modeling, Longitudinal study, Marginalized framework, Random-effects, Severity of rheumatoid arthritis
http://sjimu.medilam.ac.ir/article-1-5993-en.html
http://sjimu.medilam.ac.ir/article-1-5993-en.pdf
Ilam University of Medical Sciences
Journal of Ilam University of Medical Sciences
1563-4728
2588-3135
28
3
2020
7
1
Identification of the Key Success Factors of Knowledge Management Maturity in Health and Medical Organizations
80
92
FA
Behzad
Momeni
Dept of Educational Management, Faculty of Management and Human Resources, North Tehran Branch, Islamic Azad University, Tehran, Iran
momeni.behzad@gmail.com
N
0000-0003-2537-698X
Gholamali
Ahmadi
Dept of Educational Sciences, Faculty of Humanities, Shahid Rajaee Teacher Training University, Tehran, Iran
Ahmadigholamali6@gmail.com
Y
0000-0002-4299-079X
Mohammad Hassan
pardakhtchi
Dept of Educational Management, Faculty of Management and Human Resources, North Tehran Branch, Islamic Azad University, Tehran, Iran
M_pardakhtchi@sbu.ac.ir
N
10.29252/sjimu.28.3.80
Introduction: It is essential to identify the key success factors for assessing and understanding the current situation and establish knowledge management and achieve organizational goals. Therefore, this study aimed to identify the key success factors of Knowledge Management Maturity in Health and Medical Organizations.
Materials & Methods: This applied study was conducted based on a mixed qualitative-quantitative method. Snowball sampling was used at the qualitative phase. Moreover, the data were collected using a semi-structured questionnaire and interview with 12 knowledge management experts in health organizations in Tehran, Iran. The interview contents were analyzed by qualitative content analysis method. Furthermore, the reliability of the interviews was evaluated using reviewing articles after implementation by experts and the agreement method between the two coders (intra-subject agreement). To analyze the data, close questionnaire was prepared and distributed among 34 experts who were selected by purposive sampling method. They were then requested to prioritize the choices according to the Likert scale. Exploratory factor analysis was used to analyze the data.
Findings: The result demonstrated that 15 variables were the effective factors of Knowledge Management Maturity in Health and Medical Organizations. Based on the factor analysis results, the factors influencing the Knowledge Management Maturity included leadership, people, culture, organization, and evaluation. The leadership obtained the maximum rate of load factors among others (0.889).
Discussions & Conclusions: Regarding the Knowledge Management Maturity, social dimension, or soft factors in health organizations were more important, compared to technical dimension or hard factors. The role of leadership and human resources was more significant since they deal with the health of the community. Furthermore, their replacement is impossible in the short term. Therefore, it is necessary to adopt a proper procedure for transferring and utilizing the knowledge of individuals in health care organizations.
Health Services Administration, Knowledge Management, Organization
http://sjimu.medilam.ac.ir/article-1-6236-en.html
http://sjimu.medilam.ac.ir/article-1-6236-en.pdf
Ilam University of Medical Sciences
Journal of Ilam University of Medical Sciences
1563-4728
2588-3135
28
3
2020
7
1
Comparison of the Effects of two Interventional Programs of Group Cognitive Therapy with Group Islamic-based spiritual
Intervention in Palliative care on Quality
of life, Anxiety, and Depression in
patients with Breast Cancer
93
102
FA
Ebadollah
Moradizallani
Dept of Behavioral Sciences, Research Institute of Hawzah and University, Qom, Iran
h5002ry@gmail.com
Y
0000-0002-0491-8762
Masood
Azarbayjani
Dept of Behavioral Sciences, Research Institute of Hawzah and University, Qom, Iran
azarma650@gmail.com
N
Hamidreza
Hassanabadi
Dept of Psychology, Kharazmi University, Tehran, Iran
hh3398967@gmail.com
N
Mahdi
Ahmaidifaraz
Ala Prevention and Cancer Control Center, Isfahan, Iran
ama001902@gmail.com
N
10.29252/sjimu.28.3.93
Introduction: Studies investigating effects of spiritual interventions on the quality of life, anxiety and depression in patients with breast cancer are insufficient and contradictory. Therefore, this study aimed to compare the impact of spiritual intervention based on Islam with group cognitive therapy in palliative care on the quality of life, anxiety and depression in women with breast cancer.
Materials & Methods: A total of 26 Muslim women with breast cancer aged 36-58 years participated in this study with a pre (Mid) and posttest design, as well as a follow up and a control group. They were selected from the patients referred to Ala cancer prevention and control center in Isfahan, Iran, and the oncology ward of Mustafa Khomeini Medical University Hospital in Ilam, Iran, during 2018. Subsequently, they were randomly assigned to experimental and control groups. The experimental group received eight weekly sessions of Islamic-based intervention. On the other hand, the control group received group cognitive therapy based on the Free model as standard therapy in the same sessions and at the same time.
Quality of Life Inventory and Hospital Anxiety and Depression Scale were utilized to collect data. The data were then analyzed using repeated measures ANCOVA. Ethics code: IR.IUMS.REC.1396.1031
Findings: According to the results of repeated measures ANCOVA, Islamic-based intervention showed no statistically significant differences in terms of quality of life, anxiety, and depression scores. However, regarding the clinical significance perspective, an improvement was observed in anxiety scores in both groups. In other words, 61.53% of participants in both groups obtained a significant reduction in anxiety level. Considering the improvement of depression levels, cognitive group therapy was more effective than Islamic-based intervention in the reduction of depression levels (76.42% vs 53.48%).
Discussions & Conclusions: According to the findings, regarding the clinical significance perspective, Islamic-based intervention decreased anxiety and depression levels significantly; however, the data showed no improvements in the quality of the life of the patients.
Anxiety, Breast cancer, Depression, Group cognitive therapy, Islamic based intervention, Palliative medicine, Quality of life
http://sjimu.medilam.ac.ir/article-1-6069-en.html
http://sjimu.medilam.ac.ir/article-1-6069-en.pdf