bahman salehi

Functional constipation as a common disorder in children, may be induce by psychiatric disorders. The present study aimed to evaluate and compared anxiety disorders in children with and without functional constipation.

This case-control study was conducted on 200 children (100 cases with functional constipation and 100 children without functional constipation) aged 15 - 8 years. The participants’ age and gender were evaluated and compared in two groups. Moreover, the Spence Children Anxiety Scale (SCAS) (parent form) for children was completed. Finally, the collected data were analyzed using SPSS software version 24.

Of 200 evaluated cases in the case and control groups, there were 46 (46.0%) and 59 (59.0%) males, respectively (P = 0.113). The mean ± SD of age in total, the case, and the control groups were 7.51 ± 1.91, 7.61 ± 0.91, and 7.41 ± 2.49 years, respectively (P = 0.585). Furthermore, SCAS in the case group was significantly higher (33.06 ± 14.4 vs. 24.8 ± 14.9, P = 0.001). Furthermore, the mean of separation anxiety disorder (P = 0.001), generalized anxiety (P = 0.003), and obsessive-compulsive disorder (OCD) were significantly higher in the functional constipation group (P = 0.001).

Anxiety was higher in children with functional constipation than in children without functional constipation (ie, control group), among which separation anxiety, generalised anxiety, and OCD were significantly different in the two groups

Nocturnal enuresis is a symptom defined as enuresis in children with higher than 5 years of age that might have mutual connection to sleep disturbances. This condition might be a stressful factor for children and their families.

This study aimed to find the correlation between primary monosymptomatic nocturnal enuresis (PMNE), as a stressful factor and sleep disorders.

This case-control study was conducted on 132 children, including 66 children with nocturnal enuresis as the case group and 66 healthy children as the control group. The two groups were homogenous in age, gender, and other demographic characteristics. The organized sleep disorder questionnaire based on sleep disorder diagnostic criteria (using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision) was used in this study. The correlation between PMNE and sleep disorders was investigated based on the Chi-square test on SPSS software (version 23).

The mean scores of the subjects with sleep disorders in the control and case groups were 0.38 ± 0.78 and 2.24 ± 1.73, respectively. Therefore, there were significant differences between the two groups in sleep disorders (P = 0.001). In addition, primary insomnia, hypersomnia, circadian sleep rhythm, and sleep terror disorders in the case group were higher than the control group (P = 0.001).

The PMNE has been defined as a risk factor for sleep disorders.

The aim of this study is to evaluate the effect of zinc and omega‑3 supplements as adjunctive drugs in the treatment of attention‑deficit/hyperactivity disorder (ADHD) of children.

This study is a randomized, double‑blind clinical trial conducted on 150 children aged 6–15 years old that diagnosed as new cases of ADHD. Study subjects were evaluated for 8 weeks. Besides of drug of choice (methylphenidate) for the ADHD, patients received placebo in the control group (n = 50), zinc sulfate in second group (n = 50), and omega‑3 (n = 50) in third group. Clinical improvement was checking by Conners’ Parent and Teacher Rating Scales before and in 2nd, 4th, and 8th week of treatment. Results were analyzed with SPSS version 16 software.

In this study, mean scores of Conners’ scale showed significant improvement during treatment in the zinc group compared to control group in children that affected to attention‑deficit disorder subtype of ADHD (P = 0.02). Moreover, in omega‑3 group, better clinical response was seen than other groups (P < 0.05). However, there was no significant difference between omega‑3 group compared to placebo group in the mean scores of Conners’ scale (P = 0.89).

Zinc supplementation accompanied by the main treatment significantly improves symptom of attention‑deficit disorder subtype of ADHD. However, omega‑3 supplementation was superior to zinc and placebo in the clinical improvement of ADHD.

Child abuse is a serious global problem and can be in the form of physical, sexual, emotional or neglect by not providing for the child's needs. Functional constipation (FC) is a common functional gastrointestinal (GI) disorder in children. This study was aimed to assess the relationship between child abuse and functional constipation in children. Materials and Methods In this age frequency-matched case-control study, 100 children with FC were compared with 100 healthy children as control. The diagnosis of FC was based on history and physical examination. Child abuse in three sub-groups (physical, emotional and neglect) were assessed by ISPCAN Child Abuse Screening Tool Children's Version (ICAST-C). The data were analyzed by Stata software (version 13.0). The results of this study revealed that the frequency of any kind of child abuse in case (children with functional constipation), and control group (children without functional constipation) is 93% and 84%, respectively, OR: 2.53 (95% CI: 1.00-6.45), P=0.052. The most frequent abuse in both groups was emotional abuse (91% vs. 81%) followed by physical (61% vs. 47%), and neglect (19% vs. 8%). There was a significant association between frequency of emotional (OR: 2.37, P=0.046), physical (OR: 1.76, P=0.048) and neglect abuse (OR: 2.70, P=0.027) among case and control groups. However, after controlling the confounding variables, the association between child abuse and FC remained clinically important but was not statistically significant (P>0.05). Conclusion Notwithstanding emotional abuse, physical abuse and child neglect rate were more frequent among children with FC, this study demonstrates that child abuse is not associated with FC occurrence.

Aggression is a mental disorder that can occur following rape. Diagnosis and treatment of this disorder will help the victims. The purpose of this study was to determine the frequency of aggression among victims of rape refer to Legal Medicine Organization in Isfahan province in 2015.
This descriptive study consisted of 93 subjects, which referred to Isfahan Forensic Medical Center were selected randomly. Study tools included demographic information sheet and SCL-90 questionnaire. For data analysis, descriptive statistics and Spearman correlation test, in depended t and one way ANOVA were used in SPSS v.17.
12.9%(12 people) of patients had mild (0-1), 57% (53 people) moderate (1-3), 30.1% (28 people) severe (3-4) aggression. Regarding 6 sub-indices of aggression index, 45.2% (42 people) of the subjects had too much experience in a get out of the furnace. 34.4% (32 people) anger, 34.4% (32 people) desire to beating, 32.2% (30 people) desire to throw things, 31.2% (30 people) discussion and engagement, 35.5% (33 people) shout and shout had too much experience.
The results showed a significant positive association between rape experience and aggression (p

The aim of this study was to determine the effectiveness of cognitive-behavioral group therapy on quality of life of patients with cardiovascalar diseases.
This semi-experimental study was done based on a pretest -posttest design with control group. Statistical population included all of the patients with cardiovascular diseases referred to Amir-Kabir educational and medical center of Arak, and sample included 30 persons who selected by screening and simple random sampling and assigned into two control and experimental groups. Research instrument included Mcnew quality of life scales which participants answered it during two pre-test and post-test steps; also, experimental group participated in 9 cognitive-behavioral therapy meetings.
There was a significant difference between mean quality of life and its components in both experimental and control groups.
Results analysis showed that group-based cognition- behavior theray has an influence on life quality (emotional, physical and social domains)(p>0.05).

Vesicoureteral reflux is the backward flow of the urine from the bladder into the ureters or kidneys that may result in urinary tract infection. This paper aimed at evaluating this problem and its relationship with the children's mood, growth, and physical conditions as well as its influence on the family and school.
The study population consisted of 122 children aged 4-14 years old: 61 with and 61 without VUR. The Child Behavior Checklist (CBCL) and Global Assessment of Functioning (GAF) were used to assess the parent's behavior. The data were analyzed using descriptive statistics, Chi-square test, and t test.
In this study, 23% of the children with and 4.9% of the children without VUR suffered depression (P value= 0.007). Moreover, 10.7% of the children with VUR showed offensive behaviors but there found no case among the children in the other group (P value=0.012). In addition, 16.4% of the children with and 1.7% of the children without VUR had intellectual problems (P value=0.008). Furthermore, 27.9% of the children with and 3.3% of the children without VUR had emotional problems (P value=0.001), and 4.9% of the parents of the children with VUR needed serious clinical measures but there were no such cases among children without VUR (P value=0.021).
Increased behavioral problems in children with VUR and declined parental functioning require prompt treatment to prevent future behavioral problems in children.

Febrile seizure is one of the most prevalent childhood convulsions with the most common age of onset at 14-18 mo old. Fever decreases the brain threshold for seizure. Attention Deficit Hyperactivity Disorder (ADHD) is also a neurologic-behavioral problem defined by attention deficit and hyperactivity according to DSM-IV criteria in which the child must have these signs in two different environments. There is controversy on the possible relation between febrile seizure and ADHD; while some studies approve a strong relation, some exclude any relation and some attribute ADHD to the side effects of other reasons.
This descriptive-analytic study enrolled all children of 3-12 yr old with febrile seizure (according to Nelson Pediatrics Textbook diagnosed by the pediatrician in charge) referring to Amir Kabir Hospital, Arak, central Iran in 2010-2011.
Overall, 103 of them with no corporeal or psychological disorder (like depression, anxiety, schizophrenia and other CNS maternal disease) were compared to 103 children of the same age and gender admitted due to disease other than febrile seizure utilizing DSM IV criteria for ADHD. Data were analyzed using SPSS version 18.
The hyperactivity disorder in the control and case group was 34.3% and 16.7%, respectively, denoted a significant relation between simple febrile seizure and hyperactivity.
Hyperactivity has a significant relation with febrile seizure in male gender, making further investigation in these children prudent for early diagnosis and management.

Febrile seizure is one of the most prevalent childhood convulsions. There are controversy about possible relation between febrile seizure and Attention Deficit Hyperactivity Disorder (ADHD). The aim of this study was to find the effect of simple febrile seizure on ADHD in children.
In a case-control study all children of 3-12 years old with febrile seizure referring Amir-Kabir hospital, Arak-Iran. Among these children, 103 of them with no corporeal or psychiatric disorders were compared to 103 children of the same age and gender admitted due to disease other than febrile seizure utilizing DSM-IV criteria for ADHD. Data were analyzed using SPSS 16.
This study shows that the hyperactivity disorder in the same order were 34.3% and 16.7%, respectively, which also denotes a significant relation between simple febrile seizure and hyperactivity(P A significant relationship observed between FS with HI and CT of ADHD among children. In addition, hyperactivity has a significant relation with febrile seizure in male gender, making further investigation in these children prudent for early diagnosis and management.

Boredom is a psychological phenomenon that was defined as an aversive state or incompatibility with every repetitive experience while the release of stability is not allowed. Boredom has several complications. So, the goal of this study is to compare the predictors of boredom in students of Arak University of medical sciences and Islamic Azad University.
The current descriptive-comparative study has been done on966 students (from Arak University of medical sciences and Islamic Azad University). The scale of current study was a checklist list of demographic information, predictors of boredom assess questionnaire, Farmer and Sundberg’boredom proneness scale. Data were analyzed by using chi-square, Pearson correlation, multivariate regression, and Fishersz.
The greatest number of students from both universities have normal boredom without a statistically significant difference between male and female students (p=0.06). University factor had the highest average between students. Totally, boredom had a significant correlation with each of the home (p=0.000) and society (p=0.001) factors. All three factors including home (p=0.033), university (p=0.033) and society (p=0.031) can explain and predict boredom in male and female students.
The results showed that university factor was the most important factor for predicting boredom between college students. Thus, in order to avoid adverse effects of boredom on students educational activities, this phenomenon and its causes should be considered.

Chronic kidney disease (CKD) is a common medical condition among children and obsessive-compulsive disorder (OCD) is a frequent, chronic, costly, and disabling disorder among them. The aim of this study was to investigate obsessive-compulsive disorder (OCD) in children with early stages of CKD, and to compare it with the occurrence of OCD in healthy children.Patients and In this case-control study, we evaluated 160 children aged 7 to 17 years old who were visited in the pediatric clinics of Amir-Kabir hospital, Arak, Iran. The control group consisted of 80 healthy children and the case group included 80 children with Stage 1 to 3 CKD. The ages and sex of the children in the two groups were matched. OCD in children was evaluated using the obsessive compulsive inventory-child version (OCI-CV). The mean scores of doubting/checking (case: 3.52 ± 2.54, control: 2.5 ± 2.32, P = 0.007) and ordering (case: 2.59 ± 1.81, control: 1.5 ± 2.56, P = 0.005) in the children with CKD was significantly higher than in the healthy ones. Moreover, the mean total scores for the OCI-CV of the children with CKD at 15.32 ± 7.69 was significantly higher than the scores of the healthy ones at 11.12 ± 2.54 (P = 0.021). There was a significant correlation between the CKD duration and doubting/checking (P = 0.004, correlation coefficient (CC): 0.4), obsessing (P = 0.06, CC: 0.02), washing (P = 0.031, CC: 0.8), ordering (P = 0.001, CC: 0.2), and the total scores of the OCI-CV questionnaire (P = 0.04, CC: 0.4). The risk of OCD in children with CKD is significantly higher than that in healthy children. Although the results seem to suggest that psychiatric intervention can be helpful in treating OCD in children with CKD, further investigation into the medical condition is required so as to obtain more definitive conclusions.

Attention Deficit Hyperactivity Disorder (ADHD) is the most common childhood neurological disorder. This disorder is more prevalent in some chronic diseases. The aim of this study was to investigate ADHD in children with early stages of chronic kidney disease (CKD) and to compare it with healthy children. Seventy five 5-16-year-old children with early stages of CKD (stage 1, 2 and 3) and 75 healthy children without CKD were included in this case – control study as case and control groups, respectively. The participants were selected from those children who were referred to the pediatric clinic of Amir Kabir Hospital of Arak (Iran) in the form of simple probability and based on inclusion and exclusion criteria. ADHD was diagnosed using Conner's Parent Rating Scale – 48 (CPRS-48) and DSM-IV criteria and was confirmed by a psychologist consultant. Data were analyzed by Binomial test in SPSS18. ADHD inattentive type was observed in 8 cases (10.6%) with CKD and 2 controls (2.6%) (p= 0.109). Moreover, in the case and control groups, 7 (9.3%) and 6 (8%) children were affected by ADHD hyperactive-impulsive type (p= 0.997), and 9 (12%) and 12 (16%) children were affected by ADHD mixed type (p= 0.664), respectively. No differences were found between the prevalence of ADHD in the children with early stages of CKD and the control group. However, due to the importance of the relationships between different types of psychiatric disorders and CKD and lack of enough evidence concerning the relationship between ADHD and different stages of CKD in children, conducting further studies in this field is recommended.

Attention-deficit/hyperactivity disorder (ADHD) is the most common childhood psychiatric disorder. This disorder is more prevalent in some chronic disease. The aim of this study was to investigate ADHD in children with end-stage renal disease (ESRD) undergoing continuous ambulatory peritoneal dialysis (CAPD) and to compare the results with those of healthy children.Patients and This case-control study was conducted for six months (December 22, 2013 to June 21, 2014) on five to 16-year-old children, visiting the Pediatric Dialysis Unit of Amirkabir Hospital, Arak, Iran, and Taleghani Hospital, Kermanshah, Iran. A total of 100 children with ESRD who had undergone CAPD for at least six months and 100 healthy children were included in this study as case and control groups, respectively. ADHD was diagnosed by Conner's Parent Rating Scale-48 (CPRS-48) and DSM-IV-TR criteria, and was confirmed through consultation by psychologist. Data were analyzed by Binomial test in SPSS 18. The ADHD inattentive type was observed in 16 cases (16%) with CAPD and five controls (5%) (P = 0.01). Moreover, ADHD hyperactive-impulsive type was observed in 27 cases (27%) with CAPD and seven controls (9%) (P = 0.002). Despite these significant differences, no children were diagnosed with ADHD combined type among all subjects. Inattentive type and hyperactive-impulsive type of ADHD are more prevalent in children with ESRD undergoing CAPD. Therefore screening methods for ADHD is necessary in these patients.

All children sometimes misbehave and some may have temporary behavioral problems due to stress. For example, the birth of a sibling, a divorce, or a death in the family may cause a child to act out. Behavior disorders are more serious. They involve a pattern of hostile, aggressive, or disruptive behaviors for more than 6 months. The behavior is also not appropriate for the child''s age. Nocturnal enuresis (NE) is one of the most frequent pediatric pathologies. The prevalence of primary nocturnal enuresis (PNE) is around 9% in children aged 5-10 years and about 40% of them have one or more episodes per week. in this study, we recruited 146 children with MPNE and 146 healthy children without MPNE aged 6-18 years old. The children behavioral checklist for children behavioral assessment was completed by the parents. Data was analyzed using ANOVA and chi- square tests. Among 292 children in both groups, somatic complaints, thought problems, delinquent problems, social problems, and ADHD were not significantly different between cases and controls while internalization, externalization, anxiety-depression, aggressive behaviors, isolation-depression, and affective-behavioral problems were significantly different. Considering the results of this study, the higher prevalence of behavioral problems in children with MPNE highlights the importance of early intervention for better treatment and prevention of behavioral problem in children.

Kidney transplantation is recognized as the optimal therapy for children with ESRD. We performed this study to compare the children’s behavioral problems and their parents’ function in pediatric patients with Kidney transplantation in Arak Amir Kabir Hospital. To perform this case-control study, we recruited 29 children with renal transplantation and compared them with 29 healthy children aged 5-14 years old. The Child Behavior Checklist (CBCL4/18) was used for the assessment of the children’s behavioral problems and Global Assessment of functioning (GAF) was employed for the evaluation of their parents’ behaviors. Among 29 patients with RTR, anxiety/depression, somatic complaints, social problems, and attention problem were demonstrated in 65.5%, 55.1%, 51.7%, and 76%, respectively. We found a significant difference between cases and controls. Delinquent and aggressive behavior was not seen in two groups. As a significant difference, the parents’ mean stress and behavior score in case and control groups was 22.4% and 63.1%, respectively. The higher prevalence of behavioral problems in the renal transplant recipients and their parent’s functional impairment highlights the importance of early parental intervention for early prevention of future behavioral problems in their siblings.

Some children have abrupt onset of severe urinary frequency, voiding as often as every 10-15 min during the day, without dysuria, UTI, daytime incontinence, or nocturia. The most common age for these symptoms to occur is 4-6 yr, after the child is toilet trained, and the vast majority are boys. This condition is termed the daytime frequency syndrome of childhood or Pollakiuria. The condition is functional; no anatomic problem is detected. The symptoms occur often just before a child starts kindergarten or if the child is having emotional family stress-related problems. OCD is a chronically disabling illness characterized by repetitive, ritualistic behaviors over which the patient has little or no control. OCD has a lifetime prevalence of 1-3% worldwide, and as many as 80% of all cases have their onset in childhood and adolescence. The purpose of this study was to investigate the relationship between OCD and Pollakiuria. In this case-control study, we evaluated (152) children aged 6-18 years old who were visited in the pediatric clinics of Amir-Kabir Hospital, Arak, Iran. The control group considered of (76) healthy children and the case group included (76) age and sex matched children with Pollakiuria. Then, the children’s behavioral status was evaluated using the children’s Yale-Brown Obsessive-Compulsive Scale (C-YBOCS). The C-YBOCS is helpful in identifying children with OCD. The data was analyzed using descriptive and analytical statistics in SPSS-16. OCD was detected in (5) case (6.6%) with Pollakiuria and (8) controls (10.5%). The difference in OCD was not significant (p-value 0.282) between the two groups. OCD isn’t more common in Pollakiuria versus non-Pollakiuria children. It is recommended to conduct a study with higher sample volume in order to detect the relationship between OCD and Pollakiuria.

Chronic Kidney Disease (CKD) is defined as renal injury and/or a glomerular filtration rate below 60mL/min/1.73m2 for more than 3 months. Neurologic symptoms in CKD include fatigue, poor concentration, headache, drowsiness, memory loss, seizures, and peripheral neuropathy. Obsessive-Compulsive Disorder (OCD) is a chronic disabling illness characterized by repetitive, ritualistic behaviors over which the patients have little or no control. Common obsessions include contamination and thoughts of harming loved ones or oneself. Washing and cleaning compulsions are common in children, as is checking. The purpose of this study was to investigate the relationship between OCD and CKD. In this case-control study, we evaluated 186 children aged 6-17 years old who were visited in the pediatric clinics of Amir-Kabir Hospital, Arak, Iran. The control group consisted of 93 healthy children and the case group included 93 age and sex matched children with stage 1 to 3 CKD. Then, the children’s behavioral status was evaluated using the Children’s Yale-Brown Obsessive-Compulsive Scale (C-YBOCS). The C-YBOCS is helpful in identifying children with OCD. The data was analyzed using descriptive and analytical statistics in SPSS-16. Compulsion was detected in 31 cases (33.3%) with CKD and 7 controls (7.5%), and obsession was found in 3 cases (3.2%) with CKD and 4 controls (4.3%). The difference in compulsion was significant (P-value=0.021) while the difference in obsession was not significant between the 2 groups (p-value=0.3). The most common symptom in CKD children with compulsion was silent repetition of words. Compulsion is more common in CKD versus non-CKD children. The observed correlation between compulsion and CKD makes psychological counseling mandatory in children with CKD.

Diurnal voiding dysfunction is one of the most common causes of pediatric urology clinic admissions. It can cause behavioral problems for children and their parents. We lunch this study to compare the parents’ function and children’s behavior problem in pediatric patients suffering from diurnal voiding dysfunction referring Arak Amir Kabir hospital. To perform this case-control study, we recruit 116 children with diurnal voiding dysfunction and compared them with other 116 children non-affected children aged between 5 to 16 years old. The child behavior checklist (CBCL4/18) for children behavior assessment and Global Assessment of Functioning (GAF) for the evaluation of their parent’s behavior were completed by the parents. Data was analyzed using ANOVA, qualitative variables and X2 formula. Among 116 patient with voiding dysfunction, 10 case (8.6%) showed behavioral problem while this figure was 3 case (2.6%) in the control group, denoting a significant difference (p=0.04). Moreover 20 children (17.2%) in the case group and 9 children (7.8%) in the control group had internalizing problem (p=0.02). Twenty two children (19%) with voiding dysfunction and 8 children (6.9%) in the healthy group had externalizing problem which was also a significant difference (p=0.01).As a significant difference (0.01), the parent’s average stress and behavior scores in case and control group were 3.65 and 3.76, respectively. The higher prevalence of behavioral problem in the children suffering from diurnal voiding dysfunction and their parent’s functional impairment highlights the importance of early parent’s intervention for early treatment and subsequently prevention of future behavioral problem in their sibling.

Withdrawal syndrome may influence patient''s motivation for participation in addiction treatment programs. Management of the symptoms can improve the success rate of addiction treatment programs. In the present study, we have evaluated the efficiency of an herbal product as adjunct therapy for alleviation of withdrawal syndrome in opium abuse. In the present clinical trial, 81 patients were assigned into case and control groups. The control group was treated with methadone and placebo for 4 weeks. The case group was treated with methadone and powdered dried leaves of Rosmarinus officinalis for the same interval. Occurrence of withdrawal syndrome was compared between groups on days 3, 7, and 14 after beginning of the treatment, and the possible signs and symptoms of withdrawal syndrome were checked. The clinical opioid withdrawal scale (COWS) was used for evaluation of withdrawal syndrome in the patients. Patients in the case group experienced less severe withdrawal syndrome compared to those in the control group; chiefly bone pain, perspiration, and insomnia. The present study showed that rosemary can be used as an optional extra drug for treatment of withdrawal syndrome during treatment programs for opium addiction and possibly addiction to other opioids.

Smokinghas affected the interactions of biological، social، psychological and cultural factors and high rates of its comorbidity are emphasized by some components of personality and coping strategies in etiology. The aim of this study was evaluation of relationship between smoking، personality components and coping strategies in smokers and non-smokers students of engineering faculty of Islamic Azad University-branch of Arak and Arak University of Medical Sciences. This study was a descriptive- analytical study as cross-sectional، with using stratified random sampling 716 male and female students (medical sciences students=323 and the engineering students=393) in academic year of 2010-2011. Measurements tools were used were consist of demographic check list، coping strategies and Neo personality test (short form) and test hypotheses questionnaire. data were analyzed by the multivariate ANOVA، correlational analysis and SPSS 18 software. The component of neurotic (P=0. 0001 and r=-0. 146) and agreement (P=0. 0001 and r=0. 159) and component of against problem oriented with coping style (P =0. 001and r= -0. 127) and agreement (P=0. 0001 and r= -0. 137) with the emotion-oriented coping style، there are significant differences but between smoking and personality components of two groups were not significant. In addition، there was a significant difference between the average of smoking and using emotional-oriented coping strategies (P<0. 01). Cigarette smokers have suffered from lack of coping skills for problem solving and also suffering from that. Also high rates of cigarette smoking in men have any effects on the anxiety and nervousness.

Addiction is undoubtedly one of the biggest problems of human societies that every year governments spend enormous amounts of money on fighting it. Most addicts, besides their addiction, cause many psychological problems in their families; therefore, the aim of this study was to compare the presence of these disorders between the families of addicts and non-addicts. This case-control study was done on a sample of 650 persons of opium addict's and non-addict's families using random sampling method. Data were collected through SCL-90-R questionnaire and were analyzed by Chi-square and t-test using SPSS software version 18. There was a significant difference in psychiatric disorders in addict's and non-addict's families (p=0.005). Among the 9 psychiatric disorders under assessment, only anxiety, aggression, paranoia, and depression disorders in three types, including pathologic, borderline, and combined (pathologic-borderline), were significantly higher in addict's families compared with non-addict's families (p=0.005). Drug dependence disorder in one member of a family has a very important effect on the mental hygiene of the other family members and requires prevention and treatment in both.

Attention deficit hyperactivity disorder (ADHD) is the most common childhood psychiatric disorder which affects 5-10% of children in school age. It seems that the disorder is more common among children with enuresis. The aim of this study was to investigate ADHD in children with enuresis and compare it with a control group in patients referring to Amir Kabir Hospital (Arak, Iran). This case-control study was performed on 100 children with enuresis and 100 children without enuresis in the age bracket of 5-16 years old. In all patients, Conners questionnaire [based on the diagnostic and statistical manual of mental disorders, fourth edition (DSM-IV)] and a demographic checklist about age, gender, history of maternal disease during pregnancy, birth weight, and head trauma were filled. The subjects were interviewed by a psychiatrist to confirm the diagnoses. The data was analyzed using descriptive and analytical statistics in SPSS15. Attention deficit was observed in 16 cases (16%) with enuresis and 5 controls (5%) (P = 0.01). Moreover, while 25 children with enuresis (25%) were affected by hyperactivity/impulsive behavior, only 16 controls (16%) were affected by this behavior. However, this important difference was not significant between the 2 groups (P = 0.08). ADHD in children with enuresis is significantly more common than non-enuretic children. The observed correlation between ADHD and enuresis makes psychological counseling mandatory in children with enuresis.

Noticing the sensitivity and restlessness of medical centers, aggression in the workplace as an agitating factor is one of the dangers of medical profession that is threatening to the health and hygiene of the society. The aim of this study was to determine the types and contributing factors of aggression toward physicians and students of medicine in hospitals of Arak in 2009.

This descriptive-cross-sectional study was conducted on 400 of accessible physicians and students of medicine working in hospitals of Arak in 2009. A self-made questionnaire, containing 14 questions which surveyed the status of aggressions, was used.

On the whole, 205 individuals returned the forms. Most of them (71.7%) had faced a form of oral, physical, or sexual aggression and had been violated by a male companion of patients. They also viewed the use of drugs or alcohol by patients or their companions, lack of security facilities, patients’ death, and lack of educational possibilities for the prevention, as influential factors in the occurrence of aggression. The majority of participants saw increasing the security personnel, presence of psychological counselors and psychologists of the ward, increasing the rest hours, decreasing the work hours of the physicians, and having a codified program for the prevention of aggression, as anti-aggression factors.

Oral and then physical aggression toward physicians are quite prevalent. Hence, taking immediate actions and providing useful instructions for prevention are of priority in designing effective programs.

: To evaluate the relation between major depressions and glucose control index in type 2 diabetes mellitus.
MATERIALS AND METHODS: One- hundred thirty four patients with type 2 diabetes were enrolled in this study. Hamilton Rating Scale for Depression (HAM-D) and HbA1c were measured in patients. Linear mixed-model analysis was applied to determine the relation between HbA1c levels and depressive symptoms.
Groups of patients with and without depression were similar in age and BMI. Correlation analysis revealed no significant relationship between HAM-D scores and HbA1c level. Depressive scores were significantly higher in diabetic patients with hypertension (P = 0.0001) and on insulin treatment (P = 0.005). There was a significant positive relationship between HAM-D scores and disease duration. (P < 0.01).
The findings of this study showed that there was no significant association between the level of depressive symptoms and HbA1c in patients with type 2 diabetes.

The University is a stressful place can cause depression symptoms and it's a critical context for studying of students’ psychological health. Because of moving away from family, living with other students, academic atmosphere pressures and uncertain future, students are often in risk of depression. This study was done to determine prevalence and related factors of depression in students of Arak, Iran. This analytical cross-sectional study was carried out on 304 undergraduate medical and basic students in Arak universities, from May to July 2008. General Health Questionnaire -28 question (GH-28) has been used for data gathering and analyzed by T-test, chi2 and logistic regression tests. Mean of student's general health was 26.18±11.02 and 52.3% of students were scored above the threshold of GHQ- 28, that indicating depression. Female sex, major uninteresting, uncertain future and positive family history were the most important risk factors of depression but significant relationship between age, education Course and year were not seen. The prevalence of depression was higher than society and in girls is more than boys students. But there wasn’t any difference between medical and non medical students. So attention to financial and occupational future of graduated and under graduated students is essential.