فهرست مطالب

Psychiatry and Behavioral Sciences - Volume:10 Issue: 1, Mar 2016

Iranian Journal of Psychiatry and Behavioral Sciences
Volume:10 Issue: 1, Mar 2016

  • تاریخ انتشار: 1395/02/02
  • تعداد عناوین: 10
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  • Mitra Hakim Shooshtari, Seyyed Kazem Malakouti, Leili Panaghi, Shohreh Mohseni, Naghmeh Mansouri, Afarin Rahimi Movaghar Page 1
    Context: Suicide prevention is a health service priority. Some surveys have assessed suicidal behaviors and potential risk factors.
    Objectives
    The current paper aimed to gather information about etiology of suicide attempts in Iran.
    Data Sources: Pubmed, ISI web of science, PsychInfo, IranPsych, IranMedex, IranDoc as well as gray literature were searched.
    Study Selection: By electronic and gray literature search, 128 articles were enrolled in this paper. Pubmed, ISI web of science, PsychInfo, IranPsych, IranMedex, IranDoc were searched for electronic search. After reading the abstracts, 84 studies were excluded and full texts of 44 articles were reviewed critically.
    Data Extraction: Pubmed, ISI web of science, PsychInfo, IranPsych, IranMedex, IranDoc as well as gray literature were searched to find any study about etiologic factors of suicide attempt in Iran.
    Results
    Depressive disorder was the most common diagnosis in suicide attempters that is 45% of the evaluated cases had depression. One study that had used Minnesota multiphasic personality inventory (MMPI) found that Histrionics in females and Schizophrenia and Paranoia in males were significantly influential. Family conflicts with 50.7% and conflict with parents with 44% were two effective psychosocial factors in suicidal attempts. In around one fourth (28.7%) of the cases, conflict with spouse was the main etiologic factor.
    Conclusions
    According to the methodological limitations, outcomes should be generalized cautiously. Further studies will help to plan preventive strategies for suicidal attempts; therefore, continued researches should be conducted to fill the data gaps.
    Keywords: Etiology, Iran Suicidal Attempt, Suicidal Behavior, Suicidal Idea, Suicide
  • Ruohollah Seddigh, Amir-Abbas Keshavarz-Akhlaghi, Somayeh Azarnik* Page 2
    Context: The objective of the present review was to collect published spiritual needs questionnaires and to present a clear image of the research condition of this domain.
    Evidence Acquisition: First, an electronic search was conducted with no limits on time span (until June 2015) or language in the following databases: PubMed, Scopus, Ovid, ProQuest and Google Scholar. All derivations of the keywords religion and spiritual alongside need and its synonyms were included in the search. Researches that introduced new tools was then selected and included in the study. Due to the limited quantity of questionnaires in this domain and with no consideration given to the existence or lack of exact standardization information, all of the questionnaires were included in the final report.
    Results
    Eight questionnaires were found: patients spiritual needs assessment scale (PSNAS), spiritual needs inventory (SNI), spiritual interests related to illness tool (SpIRIT), spiritual needs questionnaire (SpNQ), spiritual needs assessment for patients (SNAP), spiritual needs scale (SNS), spiritual care needs inventory (SCNI), and spiritual needs questionnaire for palliative care.
    Conclusions
    These questionnaires have been designed from a limited medical perspective and often involve cultural concepts which complicate their cross-cultural applicability.
    Keywords: Needs Assessment, Pastoral Care, Questionnaires, Religion, Spiritual Needs, Spirituality
  • Maryam Izadi-Mazidi *, Iran Davoudi, Mahnaz Mehrabizadeh Page 3
    Background
    The premenstrual syndrome (PMS) is characterized by intense physical and psychological changes. The most common symptoms include anxiety, depression, fatigue, anger, irritability, sense of being out of control, confusion, change in appetite and sleep, bloating and breast tenderness. The symptoms affect the quality of life of women, and cause impairment in many aspects of life.
    Objectives
    The purpose of this study was to examine the effects of cognitive-behavioral therapy (CBT) on improvement of health-related quality of life in female students with premenstrual syndrome (PMS).
    Materials And Methods
    In this study, 40 students with PMS were selected from Shahid Chamran university in Tehran, Iran, and were randomly assigned to the intervention and control groups. Participants in the intervention group received 10 sessions of CBT. Women in the control group did not receive any treatment.
    Results
    The results of ANCOVA were statistically significant (P
    Conclusions
    Cognitive-behavioral therapy can be effective in improvement of health-related quality of life of female students with PMS.
    Keywords: Cognitive, Behavioral Therapy, Health, Related Quality of Life, Premenstrual Syndrome
  • Farzane Yazdani, Mojtaba Naghshvarian, Alireza Salehi, Maryam Marzban* Page 4
    Background
    Reversal learning has proven to be a valuable task in assessing the inhibitory process that is central to executive control. Psycho-stimulants and music are prevalent factors that influence cognition.
    Objectives
    The present study aimed at investigating the influences of dexamphetamine and music on inhibitory control.
    Materials And Methods
    This experimental study was conducted between May and June 2014 in the laboratory animal center of Shiraz University of Medical Sciences, Shiraz, Iran. Thirty mice were divided to five groups including a control group, a witness group, and three experimental groups. Food availability was restricted in order to maintain the subjects at 85% of their free-feeding body weight for behavioral testing. After discrimination learning, animals received four injections of 2 mg/kg dexamphetamine at two-hour intervals. The music group was exposed to music half an hour before reversal learning.
    Results
    According to the results of the repeated measure analysis of variance (ANOVA), music increased errors (mean difference: -2.40, 95% CI: -3.59 to -1.22), yet dexamphetamine had no significant effect on reversal learning. Due to various advantages, we transited to the mixed model that showed increasing (Beta: 2.2 95% CI: 0.26 to 4.13) and borderline (Beta: 1.8 95% CI: -0.13 to 3.73) effects on the number of errors for dexamphetamine and music group, respectively.
    Conclusions
    Drug-treated subjects were impaired in their ability to modulate behavior, based upon changing information about stimulus-reward associations, possibly due to the inability to inhibit their response. These effects may have relevance to some mental disorders such as drug-abuse, schizophrenia, and obsessive-compulsive disorder.
    Keywords: Dexamphetamine, Inhibitory Control, Mixed Model, Music, Repeated Measure, Reversal Learning
  • Fatemeh Abdollahi, Mouloud Agajani-Delavar, Mehran Zarghami, Munn-Sann Lye* Page 5
    Background
    Post-partum depression (PPD) can produce adverse symptoms that make motherhood one of the most tumultuous events in a female’s life. First-time mothers who have problems adapting themselves to the mother’s role are more vulnerable to PPD.
    Objectives
    The current study aimed to explore the extent of social support and parental self-efficacy on PPD, this study was conducted among the first-time pregnant women.
    Patients and
    Methods
    A prospective cohort study assessed the depressive symptoms and related factors among 838 first-time not depressed pregnant women from third trimester of pregnancy to 12 weeks postpartum who attended primary health centers (Jan to July 2009). The study employed Edinburgh postnatal depression scale, social support appraisals scale, network orientation scale, marital inventory, parental expectation survey and socio-demographic questionnaires. Logistic regression was used for data analysis.
    Results
    The incidence of depression was 10.7% at three months post-partum. The adjusted odds ratio showed the PPD was associated with perceived social isolation (OR = 1.06; 95% CI = 1.01 - 1.12), lack of marital satisfaction (OR = 0.91; 95% CI = 0.86 - 0.97) and low parental self-efficacy (OR = 0.74; 95% CI = 0.65 - 0.85).
    Conclusions
    A high incidence of PPD was identified among the first-time mothers which makes PPD one of the major health problems in females. The important effects of perceived social isolation, maternal parental self-efficacy, and marital satisfaction on reducing the risk of PPD should be considered.
    Keywords: Cohort Study, Marital Satisfaction, Maternal Parental Self, Efficacy, Post, Partum Depression, Social Support
  • Seyyed Nasrollah Hosseini, Shohreh Emdadi, Farzad Jalilian, Behzad Karami Matin, Mari Ataee, Mehdi Mirzaei Alavijeh* Page 6
    Background
    Fitness is a very important goal among young adults that may lead to eating disorders.
    Objectives
    The aim of this study was to identify the factors influencing fitness intention based on the theory of planned behavior (TPB) and its relationship to eating attitudes.
    Materials And Methods
    A cross-sectional study was conducted among 231 female college students during the winter of 2012. Participants were randomly selected in proportion to their distribution among the different faculties at Hamadan University of Medical Sciences. A structured questionnaire was applied for collecting data and data was analyzed by SPSS version 21 using a T-test, ANOVA, bivariate correlations, and linear regression at a 95% significant level.
    Results
    Nearly 21.6% of the participants had abnormal eating attitudes. The TPB variables accounted for 40% of the variation in fitness intention. Bivariate correlations indicated a positive correlation between fitness intention and eating attitude (r = 0.417, P
    Conclusions
    Based on our results, it seems that designing and implementing educational programs to reduce positive attitudes and encourage subjective norms toward fitness may be useful for preventing abnormal eating attitudes.
    Keywords: Attitude, Fitness, Intention, Student
  • Mohanraj Bhuvaneswari *, Chinnadurai Immanuel Selvaraj, Balakrishnan Selvaraj, Thiruvengadam Srinivasan Page 7
    Background
    Visual impairment tends to evoke more discomfiture than any other disability. Primarily, the biggest issue may be that blindness is visible. Furthermore, visual impairment develops serious medical, psychological, social and economic problems.
    Objectives
    The focus of the current study was to investigate the psychological and psycho physiological problems of visually impaired adolescent students.
    Patients and
    Methods
    Purposive sampling was adopted to select 150 visually impaired students (71 males and 72 females) from five schools in Coimbatore city of the Tamil Nadu state, India. Anxiety, frustration, aggression and social and personal adjustment levels of the visually impaired students were measured in this study using Taylor’s manifest anxiety scale, frustration test, aggression scale and the adolescent adjustment inventory, respectively.
    Results
    Anxiety (χ2 = 185.66, P = 0 at P
    Conclusions
    Visually impaired students exhibited significant levels of psychological and psycho-physiological problems.
    Keywords: Adjustment, Adolescence, Aggression, Anxiety, Frustration, Psycho, Somatic Disorders
  • Mohammadreza Babakhanian, Soraya Sayar, Masaudeh Babakhanian, Gholamreza Mohammadi* Page 8
    Background
    Attention deficit/hyperactivity disorder (ADHD) is a psychiatric disorder that can result in stress for the mother, resulting in poor health.
    Objectives
    The current study, conducted in 2012, aims to assess stress among forty-six Iranian mothers of ADHD children (Group 1) who were admitted to a psychiatric center in Tehran with forty-six Iranian mothers of normal children (Group 2) in 2012.
    Materials And Methods
    The Child Symptom Inventory-4 (CSI-4), the child behavior checklist (CBCL) and the parental stress index-short form (PSI/SF) were completed. Data was analyzed using the Levene test and the independent t-test in SPSS Version 18.
    Results
    With the exception of mood, ADHD children had more problems in attention compared with normal children. As a result, mothers of ADHD children had more stress compared with the controls.
    Conclusions
    ADHD can impair a mother’s mental health by inducing stress. Specific diagnostic and treatment programs should be designed and tailored for the mothers of ADHD children in order to decrease stress.
    Keywords: ADHD, Attention, Hyperactivity, Iran, Stress, Treatment
  • Seyyed Nasrollah Hosseini, Mehdi Mirzaei Alavijeh, Behzad Karami Matin, Behrooz Hamzeh, Hossein Ashtarian, Farzad Jalilian* Page 9
    Background
    Self-esteem and behavioral consequences, which are due to external or internal locus of control, are effective on academic achievement of students.
    Objectives
    The aim of this study was to determine the prediction of locus of control and self-esteem in academic achievement among the students.
    Materials And Methods
    This cross-sectional study was conducted on 300 college students in Kermanshah University of Medical Sciences in 2014. Data collection tools were in three sections: demographic, Rotter internal-external locus of control scale and Coopersmith self-esteem inventory. Data were analyzed using the SPSS software version 21.
    Results
    Results showed that 29.8% and 76.2% of the participants had internal locus of control, and high self-esteem, respectively. There was a significant correlation between self-esteem, locus of control and academic achievement of the students. Self-esteem accounted for 39.5% of the variation in academic achievement.
    Conclusions
    It seems that interventions to increase self-esteem among student can help improve academic achievement among them.
    Keywords: Academic Achievement, Locus of Control, Self, Esteem, Student
  • Atefeh Ghanbari Jolfaei, Borzooyeh Naji, Mehdi Nasr Esfehani* Page 11
    A 29-year-old woman with schizophrenia introduced for application of repetitive transcranial magnetic stimulation for refractory visual hallucinations. Following inhibitory rTMS on visual cortex she reported significant reduction in severity and simplification of complexity of hallucinations, which lasted for three months. rTMS can be considered as a possibly potent treatment for visual hallucinations.
    Keywords: rTMS, Schizophrenia, Visual Hallucination