title: Predictors of anxiety and depression among women with vaginal bleeding referred to gynecology clinic during hajj 2011.
abstract: BACKGROUND
  One of the most important complications for women during hajj trip is menstruation and most commonly spotting, which is the second important problem. This complication would cause some problems in performing religious rites as the main purpose of the trip and on the other hand, it would lead to psychologic complications for women. Controlling psychologic complications of women during and after hajj is necessary.
  
  
  OBJECTIVE
  The purpose to this study was to investigate predictors of anxiety and depression among the women with vaginal bleeding who were referred to Iranian clinic in Mecca and Medina in hajj 2011.
  
  
  METHODS
  In this cross-sectional study, 110 women with vaginal bleeding who were referred to gynecology clinic were enrolled. The Samples were selected by easy way method from all referrals on Tuesdays during hajj (October and November 2011). To evaluate the anxiety and depression signs, Hospital Anxiety and Depression Scale (HADS) questionnaire was employed. The analyses were performed using SPSS 17.0 through parametric methods.
  
  
  RESULTS
  Predictors of anxiety were observed in 22 women (20%). Moreover, 34 women (30.9%) were diagnosed from normal to abnormal, 3 (2.72%) had depression signs, and 22 (20%) showed symptoms of borderline symptoms of depression.
  
  
  CONCLUSIONS
  Considering the high frequency of anxiety disorder among women with vaginal bleeding in hajj, gynecological consultation seems essential for women during Hajj.
authors.affiliation: Hajj and Pilgrimage Medical Center, Tehran, IR Iran.
authors.forename: Seyed Ali
authors.initials: SA
authors.lastname: Riaz
authors.affiliation: Hajj and Pilgrimage Medical Center, Tehran, IR Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Ahmadi
authors.affiliation: Hajj and Pilgrimage Medical Center, Tehran, IR Iran.
authors.forename: Seyyed Mostafa
authors.initials: SM
authors.lastname: Mortazavi
keywords: Anxiety; Depression; Vaginal Bleeding