Abstract
During the postpartum period, anxiety emerges as a significant health concern for women, particularly among mothers whose infants are born prematurely. According to Persian Medicine, also known as Traditional Iranian Medicine (PM), anxiety disorders are caused by an imbalance in the brain’s temperament. Recent studies have found a strong connection between one's temperament and overall happiness. Our research aims to explore the link between brain temperament and anxiety levels in mothers of premature infants receiving care in NICUs, drawing upon the principles of PM. In this particular study, 105 mothers with premature infants admitted to NICUs were enrolled based on meeting specific inclusion criteria. The assessment utilized both the “State-Trait Anxiety Inventory” and the “Brain Mizaj Temperament Questionnaire.” The results showed that there was a significant difference in the mean scores of state (overt) anxiety (P = 0.009) and trait (hidden) anxiety (P = 0.006) based on the mothers’ brain temperament, and mothers with a hotter brain temperament had higher levels of overt and hidden anxiety. Consequently, the study’s outcomes suggest a correlation between brain temperament and anxiety levels among mothers with preterm infants hospitalized in NICUs.
Similar content being viewed by others
Notes
Fattahi Brain Temperament Questionnaire.
Abbreviations
- NICU:
-
The neonatal intensive care unit
- PM:
-
Persian medicine
- STAI:
-
State-trait anxiety inventory
References
Abbasian R, Mojahedi M, Alizadeh M, Khafri S, Ansaripour M, Moosavyzadeh A, Kamali M, Babaeian M, Sourtiji H, Shaygannejad V, Kerdarian H, Rezaeizadeh H (2022) Mizaj assessment in multiple sclerosis (MS) patients based on Persian medicine. J Complement Integr Med 19:407–414
Afzali A, Sahraei H, Hatef B, Meftahi GH, Shayad S, Jahromi PG (2022) The relationship between the severity of the COVID-19 disease, temperament and psychological factors. Iran J Psychiatry 17:462–468
Ahmadi M, Shirafkan H, Mozaffarpur SA (2023) Assessment of the diagnostic methods of Mizaj in Persian medicine: a systematic review. Diagnostics (basel) 13:818
Akhtari M, Moeini R, Mojahedi M, Gorji N (2020) Assessment the studies on the concept of Mizaj (temperament) in Persian medicine. J Complement Integr Med 17:20180122
Alam MA, Quamri MA, Sofi G, Tarique BM (2019) Understanding hypothyroidism in Unani medicine. J Integr Med 17:387–391
Bernstein N, Akram M, Yaniv-Bachrach Z, Daniyal M (2021) Is it safe to consume traditional medicinal plants during pregnancy? Phytother Res 35:1908–1924
Çakmak E, Karacam Z (2018) The correlation between mothers’ participation in infant care in the NICU and their anxiety and problem-solving skill levels in caregiving. J Matern Fetal Neonatal Med 31:21–31
Dragan M, Dragan W (2014) Temperament and anxiety: the mediating role of metacognition. J Psychopathol Behav Assess 36:246–254
Elsagh M, Behbahani F, Fartookzadeh M, Adibi P, Kamalinejad M, Anushiravani M (2016) Categorization of functional constipation in traditional Persian medicine: a descriptive study. J Evid Based Complementary Altern Med 21:48–52
Erenoğlu R, Sözbir ŞY (2020) Are premenstrual syndrome and dysmenorrhea related to the personality structure of women? A descriptive relation-seeker type study. Perspect Psychiatr Care 56:979–984
Farooqui SP, Quamri MA, Basheer R, Baig S, Ahmed K, Ahad M, Ansari F (2020) COVID-19 pandemic-perspective through Unani medicine. J Res Tradit Med 6:37–37
Garg D, Chaudhury S, Saldanha D, Kumar S (2023) Stress, postpartum depression, and anxiety in mothers of neonates admitted in the NICU: a cross-sectional hospital-based study. Ind Psychiatry J 32:48–58
Gerstein ED, Njoroge WFM, Paul RA, Smyser CD, Rogers CE (2019) Maternal depression and stress in the neonatal intensive care unit: associations with mother-child interactions at age 5 years. J Am Acad Child Adolesc Psychiatry 58:350-358.e2
Guerin DW, Gottfried AW, Preston KS, Gottfried AE, Ramos MC, Oliver PH, Cheng CHE, Riggio RE (2023) Latent profile analysis of adolescent temperament: relations to happiness and health in adulthood. J Adolesc 95:933–946
Hakimi F, Movahhed M, Yaghmaei F, Alipour A (2020) Explanation of dry liver dystemperament (sue-mizaj) concept in iranian traditional medicine (Persian medicine): a qualitative study. Curr Tradit Med 6:242–249
Hantsoo L, Epperson CN (2017) Anxiety disorders among women: a female lifespan approach. Focus (am Psychiatr Publ) 15:162–172
Ho TC, Pham HT, Miller JG, Kircanski K, Gotlib IH (2020) Sympathetic nervous system dominance during stress recovery mediates associations between stress sensitivity and social anxiety symptoms in female adolescents. Dev Psychopathol 32:1914–1925
Hobeika E, Malaeb D, Obeid S, Salameh P, Hobeika E, Outayek M, Akel M, Kheir N, Sleiman Z, Barakat H, Hallit S (2023) Postpartum depression and anxiety among lebanese women: correlates and scales psychometric properties. Healthcare (basel) 11:201
Holder MD, Coleman B, Singh K (2012) Temperament and happiness in children in India. J Happiness Stud 13:261–274
Hu RF, Jiang XY, Chen J, Zeng Z, Chen XY, Li Y, Huining X, Evans DJ, Wang S (2015) Non-pharmacological interventions for sleep promotion in the intensive care unit. Cochrane Database Syst Rev. https://doi.org/10.1002/14651858.CD008808.pub2
Ilkhani R, Aghanouri Z, Mojahedi M, Montazeri A, Siavash M, Tabatabaei F (2019) Comparing Mizaj (temperament) in type 1 diabetes mellitus and healthy controls: a case-control study. J Res Med Sci 24:58
Kamali M, Khodadoost M, Tavakoli H, Kamalinejad M, Gachkar L, Adibi P, Heydari M (2016) The role of syndrome differentiation in the clinical efficacy of Punica granatum on patients with ulcerative colitis. Iran J Med Sci 41:S15
Maleki M, Mardani A, Harding C, Basirinezhad MH, Vaismoradi M (2022) Nurses’ strategies to provide emotional and practical support to the mothers of preterm infants in the neonatal intensive care unit: a systematic review and meta-analysis. Womens Health (lond) 18:17455057221104674
Marteau TM, Bekker H (1992) The development of a six-item short-form of the state scale of the spielberger state-trait anxiety inventory (STAI). Br J Clin Psychol 31:301–306
Miraj S, Kiani S (2016) A scientific correlation between dystemprament in Unani medicine and diseases: a systematic review. Electron Phys 8:3240–3247
Miraj S, Alesaeidi S, Kiani S (2016) A systematic review of the relationship between dystemprament (sue Mizaj) and treatments and management of diseases (Ilaj and Eslah-e-Mizaj). Electron Phys 8:3378–3384
Mojahedi M, Saghebi R, Gorji N, Moeini R, Hosseini SR, Bijani A, Ghadimi R, Mozaffarpur SA, Shirafkan H (2022) Mizaj assessment and data analysis methods in Amirkola health and aging project (AHAP cohort). Casp J Intern Med 13:795–799
Norouzi F, Keshavarz M, Seyedfatemi N, Montazeri A (2013) The impact of kangaroo care and music on maternal state anxiety. Complement Ther Med 21:468–472
Salmannezhad H, Mojahedi M, Ebadi A, Montazeri A, Mozaffarpur SA, Saghebi R, Gheisari D, Goudarzi S (2017) An assessment of the correlation between happiness and Mizaj (temperament) of university students in Persian medicine. Iran Red Crescent Med J 19:e55627
Shahabi S, Hassan ZM, Mahdavi M, Dezfouli M, Rahvar MT, Naseri M, Jazani NH, Khalkhali HR (2008) Hot and cold natures and some parameters of neuroendocrine and immune systems in traditional Iranian medicine: a preliminary study. J Altern Complement Med 14:147–156
Tajadini H, Bazrafshani MS, Kamali M (2023) The warm temperament (mizaj) as a predictors of anxiety disorder among participants in the Kerman coronary artery disease risk factors study (KERCADRS). Tradit Integr Med 27:137–143
Vecsey-Nagy M, Szilveszter B, Kolossvary M, Boussoussou M, Vattay B, Gonda X, Rihmer Z, Merkely B, Maurovich-Horvat P, Nemcsik J (2021) Association between affective temperaments and severe coronary artery disease. J Affect Disord 295:914–919
Acknowledgements
We would like to thank all participants who participated in the study, the authorities of the study setting which provided permission for conducting the study, and all people who helped us throughout the study.
Funding
No funding was received for conducting this study.
Author information
Authors and Affiliations
Contributions
All authors have accepted responsibility for the entire content of this manuscript and approved its submission.
Corresponding author
Ethics declarations
Ethical statement
The participants of the study were informed about the aims and procedure of the study, and their informed consents, both verbal and written were received. The study's ethical approval request was submitted to the ethics committee. Given that this study was conducted concurrently with two other studies by the same authors, the ethics committee recognized that obtaining a new code for this study was unnecessary. Instead, the committee approved the use of the existing codes IRSBMURETECHREC1400115 and IR.SBMU.RETECH.REC.1399.697, both issued by the Ethics Committee of the Department of Nursing and Midwifery, as well as the Faculty of Traditional Medicine of Shahid Beheshti University of Medical Sciences.
Conflict of interest
Fatemeh Hashemi has no conflict of interest. Ghazaleh HeydariRad has no conflict of interest Fatemeh Asadollah has no conflict of interest. Lida Nikfarid has no conflict of interest.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Hashemi, F., Heydarirad, G., Asadollah, F. et al. The association between brain temperament and anxiety in mothers with premature infants hospitalized in the neonatal intensive care unit (NICU) based on Persian medicine. ADV TRADIT MED (ADTM) (2024). https://doi.org/10.1007/s13596-024-00757-y
Received:
Accepted:
Published:
DOI: https://doi.org/10.1007/s13596-024-00757-y