جستجوی مقالات مرتبط با کلیدواژه « آموزش روانی » در نشریات گروه « پزشکی »

Pre-hospital emergencies are one of the most stressful medical professions. Stressful jobs affect employees’ resilience and their ability to control anger. The aim of this study is to determine the effect of psycho-education on the level of anger and resilience among pre-hospital emergency staff.

In this quasi-experimental study, 120 people employed in urban and road centers in Zahedan were included through the convenience sampling method. To determine the intervention and control group, out of 24 available centers, 12 centers were randomly assigned to the intervention group and 12 centers to the control group. First, a demographic information form and the self-reported anger and resilience questionnaires were completed by both groups. Then, the intervention group participated in five sessions of psycho-education in groups of 8-12 people. The questionnaires were completed again by both groups two months after the intervention. Data was analyzed by the SPSS software version 16 using descriptive (mean and standard deviation) and inferential statistics (Chi-square test, independent t-test and paired t-test).

The results of independent t-test showed no significant difference in the mean and standard deviation of resilience score among pre-hospital emergency staff between the intervention and control groups before the intervention (P=0.492), but after the intervention the difference was significant (P=0.009). Also, the results of independent t-test showed no significant difference in the mean and standard deviation of anger control score among pre-hospital emergency staff between the intervention and control groups before the intervention (P=0.672), but after the intervention, mean and standard deviation of anger control score in the intervention group were significantly higher than those of in the control group (P<0.001).

The present study showed that psycho-education improved the resilience of emergency workers, and the employees were able to control their anger by enhancing resilience. It is suggested that in-service training programs for pre-hospital emergency staff include a psycho-education program to enhance resilience and control anger in those who face many stressful situations.

Family caregivers of patients with severe mental disorders experience a great deal of psychological burden. Various interventions have been performed to reduce the psychological problems and psychological burden of caregivers. The aim of this study was to compare the effect of a psychoeducational intervention and quality of life therapy on the psychological burden of family caregivers of patients with severe mental illness.

This quasi-experimental study was performed on 150 family caregivers of severely mentally ill patients admitted to a psychiatric hospital in Zahedan, Iran, in 2020. Caregivers randomly were allocated in three groups: quality of life therapy intervention (50 people), psycho-education intervention (50 people) and control group (50 people). The quality of life therapy intervention group received 8 sessions and psycho-education group received four sessions training during two weeks each lasting for 90 minutes. The psychological burden of caregivers was assessed before and 4 weeks after the training through using the Zarit burden questionnaire. Data were analyzed by SPSS software version 22 using paired t-test, independent t-test, chi-square and ANOVA.

The mean score of psychological burden of caregivers was significantly different between the three groups after the intervention (P = 0.002). Post hoc analysis showed that the mean score of psychological burden of caregivers in quality of life therapy group and psychological education was significantly different from the control group (P = 0.001). Also, the mean score of psychological burden of caregivers in quality of life therapy was significantly less than the score in psychological educational intervention group (P = 0.001).

Quality of life therapy was more effective in reducing the psychological burden of family caregivers of patients with severe mental disorders compared to psychological educational intervention.

The purpose of this study was to evaluate the effectiveness of psychoeducation on increasing insight and reducing mania symptoms in patients with bipolar I disorder in mania phase.
This was a quasi-experimental study with pretest-posttest design and control group. The statistical population included patients with bipolar I disorder in Shafa hospital in Rasht City, Iran, from April 2016 to September 2017. First, the subjects were screened using inclusion and exclusion criteria; then, 24 patients were selected based on convenience sampling and randomly assigned to equal intervention and control groups. In addition to medication, the intervention group received psychoeducation for 8 sessions per week, and the control group received only medication. The present study was a semi-experimental design with pre-test, post-test and control group. Mania and introspection symptoms were assessed before and after intervention using Young's Mania Rating Scale (YMRS) and Scale to Assess Unawareness in Mental Disorder (SUMD). The data were analyzed using multivariate analysis of variance.
Findings: The intervention group showed statistically significant increase in insight, but no significant difference was found between the mania symptoms among the intervention and control groups.
Psychoeducation as well as pharmacotherapy was effective in increasing insight, but had no effect on the mania symptoms among the patients with bipolar I disorder.

Aim and Family members of patients with bipolar I disorder (BID) endure a considerable burden as a result of their care giving role. Thus, assessment of their psycho-educational needs is an essential prerequisite to their mental health. Thus, the present study was designed to assess the educational needs of family members of individuals with BID.
Methods and Materials: This research was a phenomenological qualitative study. Findings of qualitative assessment were gathered through focus group discussions (FGDs) with the caregivers of patients with BID. Purposive sampling was implemented until saturation, as a result of which 20 subjects were selected. Colaizzi’s method was used for analyzing the data.
Findings: A total of 7 main concepts were extracted from 20 interviews. These concepts consisted of recognition of the disorder, coping with the patients’ behavioral problems, therapeutic compliance, acceptance of the patients within their families, the need for consultation, therapeutic education, and social roles.
This study provides relevant data concerning the needs of caregivers of patients with BID for psychosocial education in specific areas. Thus, it is suggested that future clinical trials focus on psychosocial interventions for these individuals.

Stigma is the most chal­lenging care responsibility in families of individuals with psychological disorders. Considering the evident impacts of cultural and social circumstances on stigma، less attention has been paid to this issue and the conducted interventions are limited. todetermine the effects of psychoeducation on stigma in family caregivers of patients with schizophrenia. In this randomized controlled trial، 60 family caregivers of patients with schizophrenia، hospitalized at Ibn Sina Hospital of Mashhad in 2014-2015، were assigned to intervention (n=30) and control (n=30) groups. The experimental group received psychoeducation according to the model by Falloon et al. (1985) during two 4-hour sessions، while the control group received usual care. The Modified Version of the Internalized Stigma of Mental Illness scale was completed immediately before and one month after the intervention. For data analysis، Fisher’s exact test، Mann-Whitney، independent t-test and paired t-test were performed، using SPSS version 11. 5. In total، 71. 7% of family caregivers were female and 28. 3% were male. Before the intervention، there was no significant difference between the intervention (44. 3±9. 2) and control (43. 8±9. 7) groups regarding the mean score of stigma (P=0. 84). However، the mean change in the total stigma score before and after the intervention was significantly different between the intervention (5. 0±8. 1) and control (0. 03±5. 8) groups (P=0. 01). Considering the influence of psychoeducation on individual aspects of stigma، this method can be applied to reduce stigma at psychiatric hospitals.

Diabetes mellitus type 2 is an endocrine disease. Recently, it has been found that the risk of depression is nearly two fold in diabetic patients. The aim of the present study was to evaluate the effect of cognitive-behavioral therapy and psychoeducational interventions on the levels of depression and blood sugar in patients with type 2 diabetes mellitus.

Of 180 diabetic patients referred to Imam Khomeini Hospital in Tehran, 60 patients were selected for clinical trial study, and assigned to three groups, including cognitive-behavioral therapy, psychoeducational therapy, and control. The levels of depression and blood sugar were respectively, assessed using Beck depression inventory-II (BDI-II) test and HbA1C measurement. Data analysis was performed using one-way ANOVA and Tukey's tests.

The post-test levels of depression and HbA1C were significantly different among cognitive behavioral therapy, psychoeducational therapy, and control groups (p=0.0001). The Tukey’s test revealed a statistically significant difference in post-test depression between cognitive-behavioral therapy and psycho-educational therapy groups (p=0.0001), and also between cognitive-behavioral therapy and control groups (p=0.0001). There was no significant difference in post-test HbA1C between cognitive-behavioral therapy and psychoeducational therapy groups; however, there were significant differences between the control group and each of the cognitive-behavioral therapy and psycho-educational therapy groups (p=0.0001).

The result of the present study showed that the cognitive-behavioral therapy was successful in the treatment of depression in patients with diabetes type 2.

Addiction is a community problem, which has a negative effect on mental health and huge burden on society. Previous studies clarify the role of substance abuser attitude on addiction.This study aimed to evaluate the effect of psycho education on attitude to drug addiction in patients with opioid dependency. Total 40 patients (age18-45 years old), who have been referred to the addiction outpatient clinic from October 2008 to January. 2008 of study included in this study. Those patients who satisfied the DSM-IV TR criteria of opium dependency and were being detoxified with methadone were selected. The selected patients were exposed to psycho education for 4 weeks, 2-hour each. Then, their attitude toward addiction before and after intervention and the demographic data have been evaluated. The differences in the mean score of attitude before and after intervention (272.9 ±32.71scor vs. 274.338 ±27.87 scor, respectively), was not significant (P=0.7). The result of this study showed that 8-hour psycho education (in four weeks), was not significantly effective on the attitude. Therefore, it is recommended to add psycho education to other type of psychotherapy.

This study was directed to compare the effect of mental illness stigmatization and its related features on the families of the patients with the schizophrenia and major depressive disorder (MDD) without psychotic features, based on the criterion of DSM-IV-TR conducted on 2005.

This research was a cross – sectional and comparative study which performed on 40 family members in each group of above mentioned disorders, who had such medical record at Razi psychiatric center or clinic. The interviews were performed using a self–administered 34 items questionnaire which has shown its validation in previous studies.

The findings indicated that forty - five percent of the schizophrenia group and thirty – two point five percent of the MDD without psychotic features, have been under discrimination and humiliation. The results have also shown that there is only in the schizophrenia group, a significant correlation between the stigma in the family and the duration of patient’s mental disorder and the frequency of their hospitalization (P<0.05). There has also been a significant correlation between the diagnosis of the illness and it’s denying and hiding by the family members (P<0.05).

One half of the families of psychiatric patients experiences the humiliation and discrimination and suffering from the stigmatization which in turn makes them feel uncomfortable and ashamed. The type of the psychiatric disorder play a major role in the stigmatization. The psycho – education of the family along with the general education of the community can have a significant effect on the reduction and hopefully elimination of such stigma.