جستجوی مقالات مرتبط با کلیدواژه « related disorders » در نشریات گروه « پزشکی »
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BackgroundDrug dependency is one of the most important issues in any society and it is among the most widespread health risk factors.ObjectivesThis study was conducted to determine quality of life in drug- dependent individuals, who were under methadone treatment, and non-drug dependent persons in Shahroud (northeast of Iran).MethodsIn this comparative study, 266 drug dependent participants and 541 non-drug dependent participants were studied in 2014. The Persian version of SF-36 Quality of Life Questionnaire was used to collect data. The data were analyzed using chi square test, t test, and ANOVA.ResultsThe majority of the participants (77.1%) in both groups were male. The mean age of drug-dependent participants was 37.6 ± 10.7, the mean duration of drug dependency was 12.0 ± 9.3 years, and the mean duration of treatment in methadone maintenance treatment centers (MMT) was 24.6 ± 22.6 months. No significant difference (P > 0.05) was observed between the 2 groups in any aspects of quality of life other than the vitality (P = 0.001).ConclusionsIn this study, quality of life scores were not significantly different between drug dependent and non-dependent participants. It seems that treatment with the use of methadone and buprenorphine can play a good role in improving quality of life of addicts.Keywords: Substance, Related Disorders, Drug, Dependent, Methadone, Quality of Life, Iran}
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IntroductionThe phenethylamine derivative 25b-NBOMe is a potent hallucinogen and a serotoninergic agonist. Other forms of NBOMe also exist, including 25c-NBOMe and the more powerful 25i-NBOMe. 25b-NBOMe has been incriminated with cases of intoxication among teenagers and adults worldwide.Case PresentationThis manuscript is an analytic storytelling of a tragic case of death induced by the 25b-NBOMe substance abuse by a 17-year-old male who was completely healthy and a charismatic high school student. Recreationally, the patient had ingested three sublingual tablets of 25b-NBOMe. Unfortunately, this psychedelic trip has put an end to his life. The reason for death was reported to be cardiac arrest, because of the cardiac arrhythmia. The concentration of 25b-NBOMe detected in postmortem heart blood was 3.14 ng/mL.ConclusionsThis case represents one of the very few documented cases in the literature, which ended in death from the 25b variant. It is to be concluded that these death incidents can be attributed either to an idiosyncratic reaction or to the presence of an unknown mixture of different ingredients and contaminants in these designer drugs. This case report is the first in published literature to be also correlated with data from Google trends databases.Keywords: Agonists, Cardiac Arrest, Designer Drugs, Hallucinogens, Phenethylamines, NBOMe, Serotonin, Substance, Related Disorders, 5, HT2 Receptor}
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مقدمهوابستگی به مواد یکی از نگرانی های همه جوامع است و پیامدهای مختلفی مانند ایجاد نشانه های روانپزشکی دارد که جداسازی آن را از اختلال های شایع روانپزشکی دشوار می سازد. وجود علائم روانپزشکی یکی از عوامل موثر در پی گرفتن کاربرد مواد به شمار می آید. با مطالعه بررسی تغییر نوع ماده مصرفی و اختلال همراه بود.هدفتعیین الگوی مصرف مواد در بیماران بستری در بیمارستان روانپزشکی شفای رشت.مواد و روش هااین مطالعه به روش توصیفی مقایسه ای و گذشته نگر بر همه بیماران روانپزشکی که در شش ماهه نخست سال1387و1393 در بیمارستان شفا بستری شده بودند (روی هم رفته 2012 نفر) با بررسی پرونده بستری آنها انجام شد. برای بررسی متغیرهای مورد مطالعه (متغیرهای دموگرافی، تشخیص روانپزشکی، نوع ماده مصرفی، شیوه مصرف و...) از یک پرسشنامه دموگرافی و چک لیست استفاده شد. داده ها پس از گرد آوری، توسط نرم افزار آماری SPSS ویرایش 17 واکاوی شد.نتایجاز 2012 بیمار که در شش ماهه اول سال1387و1393 در بیمارستان شفا بستری شده بودند(792 نفر درسال1387و1220 نفر در سال 1393) میانگین سن نمونه در سال 87، 7/11±2/34 ساله و در سال 93، 06/12 ± 38 سال بود. بیشتر نمونه ها شهری 62% غیر متاهل، مرد، بیکار و با تحصیلات زیر دیپلم بودند. درصد مصرف مواد اعتیاد آور در نمونه ها در سال 87، 1/11% و در 93، 7/17% بود. بیشترین ماده مورد مصرف در هر دو سال تریاک و پس از آن درسال 87 حشیش و در سال 93 شیشه بود. مصرف مواد در بیماران خلقی و سایکوتیک در سال 93 نسبت به 87 افزایش معنی دار داشت(0001/0 ≥p).نتیجه گیریالگوی کاربرد مواد درسال های پسین تغییر کرده و افزایش مصرف مواد محرک سبب بروز و تشدید بیماری های جدی روانپزشکی شده و تاثیر سوء در سیر و پیش آگهی آنها دارد.کلید واژگان: اختلالات روانی, اختلالات ناشی از مواد, مواد مخدر}IntroductionDrug abuse and dependence are the main concerns of societies. Their consequences are of various kinds including psychiatric symptoms. Differentiation of these symptoms from common psychiatric symptoms is difficult. Presence of psychiatric symptoms is considered one of contributing factors in continual drug abuse and dependence. Because of alteration in consumption of drug in recent years and associated psychiatric disorders, the present study aimed to investigate the alterations in type of consumed drug and associated psychiatric disorders.ObjectiveDetermination of drug use pattern in patients admitted to Rasht Psychiatric Hospital.Materials And MethodsThis descriptive comparative retrospective study was performed on all psychiatric patients(2012 patients), admitted to Shafa hospital during the first six months of the year 2008 and the first six months of 2014 using their psychiatric reports. To investigate the variables (demographic variables, type of consumed drug, method of consumption, psychiatric disorders, ) a demographic questionnaire and A checklist were used. The collected data were analyzed using statistical software SPSS version 17.ResultsIn total, 2012 patients were studied (792 patients in 2008 and 1220 patients in 2014) with the mean age in 2008 and 2014, 34.2 + 11.7 and 37+ 12.6 years, respectively. Most of participants were urban, unmarried, male, unemployed and low graduated. Percentage of drug addiction in samples of years 2008 and 2015 were 11.1% and 17.7%, respectively. The most consumed drug in these two time points were opium and methamphetamine. The method of consumption was smoking. Rate of drug abuse showed a significant increase in psychotic and mood disorders in 2014, compared to those of 2008 (p≤ 0.0001).ConclusionThe present study showed that the consumption method has altered in recent years and increase in consumption of stimulant drugs has led to the increased prevalence of serious psychiatric disorders which in turn indicates poor prognosis.
Conflict of interest: non declared.Keywords: Mental Disorders Narcotics Substance, Related Disorders} -
Context: A high prevalence of suicide and attempted suicide in relation to gambling disorder is in increasing evidence in current scientific data. The objective of this review was to explore if there was a primary correlation between psychiatric co-morbidities and gambling and/or a secondary correlation with suicide acts.
Evidence Acquisition: We performed a critical analysis of the most recent papers in the scientific literature in this regard and report on the most significant findings.ResultsA direct relationship between gambling and suicidality was highlighted in a number of European, American, and Asian countries. However, it was not clear whether or not gambling increased the risk of suicidal behavior. Two general trends were noted. The first was that gamblers with extreme gambling behavior incurred economic losses and debts to such an extent that suicidal acts appeared to be the only solution. The second was that suicidal acts by gamblers were precipitated by interpersonal and/or working challenges, in conjunction with personality traits of impulsivity and psychiatric co-morbidities.ConclusionsA combination of impulsivity, certain psychiatric disorders, and social factors may explain the frequent occurrence of suicidal behavior in gamblers.Keywords: Comorbidity, Impulsive Behavior, Pathological, Gambling, Substance, Related Disorders, Suicide} -
BackgroundDrug abuse is a general health problem that threatens all groups in human societies. While youths are vulnerable to drug interests, the amplification of their powers along with creating all protective factors in their living environment is helpful in confronting this problem. This study has been performed with the aim of determining the factors related to the tendency towards drug abuse based on positive youth development model among high school students of Isfahan.ObjectiveThis study has been performed with the aim of determining the factors related to the tendency towards drug abuse based on positive youth development model among high school students of Isfahan.MethodsThis sectional study has been performed with the participation of 252 male and female high school second graders in Isfahan. The sampling method was a multi-stage cluster. The data-gathering tool was a researcher-made questionnaire in three parts whose validity and reliability were confirmed. The gathered data were analyzed by SPSS 18 software, Pearson correlation tests, and Regression analysis.ResultsThe mean and the standard deviation of the age of the participants were 15.82 ± 0.66. Among the structures of the model of positive youth development, those of social competence, emotional competence, social norms, and self-efficacy were predicted 30.8% of changing the tendency towards drug abuse, and the structure of the attitude toward drugs could predict 35% of behavior changes (R2 = 0.308, PKeywords: Adolescent Health, Iran, Students, Substance, Related Disorders}
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Joubert syndrome and related disorders (JSRDs) are a group of anomalies characterized by hypotonia, ataxia, developmental delay, intellectual disability, abnormal eye movements, and apnea and hyperpnea in infancy with multiorgan involvement in which the pathognomonic the molar tooth sign is present on the brain magnetic resonance imaging. In this paper, we reported on a patient with JSRD who presented with congenital hepatic fibrosis, autosomal recessive polycystic kidney disease, and pigmentary retinopathy.Keywords: Joubert syndrome, related disorders, Congenital hepatic fibrosis, Midbrain malformation}
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BackgroundOpium addiction is a major issue amongst burn-patients in Iran. A few studies have addressed interactions between burn and addiction..ObjectivesThe aim of the present study was to compare mortality and morbidity between addicted and non-addicted patients with burn injuries..
Patients andMethodsThis research was a prospective paired matched-cohort study that was conducted from October 2012 to July 2013 at the Burn Unit of Mashhad University of Medical Sciences. One hundred and fifty-two burn patients (64% of 237) were matched in pairs based on age, gender, total body surface area and burn thickness. Mortality and morbidity was compared between the two groups using the McNemar test, the conditional logistic regression model and the Kaplan-Meier method..ResultsFourteen (9.2%) patients died at the Burn unit. McNemar test found statistically significant differences in mortality between the two groups. Survival analysis using the Kaplan-Meier method revealed that the estimated mean survival time was 59.02 (CI 95%: 41.83 - 76.21) for non-addicted patients and 118.78 (CI 95%: 106.52 - 131.04) for addicted patients. The odds ratio for mortality was 0.524 (CI 95%: 0.167 - 1.64) times greater for addicted patients compared with non-addicted patients..ConclusionsAddiction in burn patients could be considered as a factor against mortality that deserves further studies. Besides, addicted patients didn`t show significantly higher morbidity than non-addicted patients..Keywords: Burns, Substance, Related Disorders, Survival, Mortality} -
مقدمهسوء مصرف مواد مخدر یکی از معضلات عمده عصر حاضر است که سلامت جسمی و روانی افراد جامعه را در معرض خطرات جدی قرار می دهد و از آنجایی که فشار روانی در گرایش به سمت اعتیاد و ناتوانی در فرآیند ترک آن نقشی اساسی دارد، شناخت روش های مقاوم سازی افراد در برابر استرس ضروری به نظر می رسد.هدفپژوهش حاضر به منظور تعیین اثربخشی آموزش سرسختی روانشناختی بر عزت نفس و سازگاری معتادین مرد انجام شد.روش کارپژوهش حاضر، یک طرح آزمایشی از نوع پیش آزمون پس آزمون با گروه کنترل است. جامعه آماری مطالعه تمامی معتادین مرد (200 نفر ) مراجعه کننده به یکی از مراکز درمان سوء مصرف مواد در شهرستان رودسر در سال 1391 بود. اعتیاد به مصرف مواد و ابراز رضایت از شرکت در تحقیق، معیارهای تعیین شده برای ورود نمونه ها به پژوهش در نظر گرفته شد. پس از کسب مجوز لازم از مسئول فنی درمانگاه و همچنین ارائه توضیحات لازم به مراجعه کنندگان درباره روند پژوهش و اهداف آن، نمونه ها به پرسشنامه های 3 بخشی اطلاعات فردی (سن، وضعیت تاهل و تحصیلات)، عزت نفس Cooper Smith و سازگاری Bell پاسخ دادند.
مقیاس Cooper Smith دارای 58 ماده است و آزمودنی ها باید از میان دو گزینه «بلی و خیر» یکی را مشخص کنند. شیوه نمره گذاری این آزمون به صورت «صفر و یک» است پاسخ بلی، یک نمره و پاسخ خیر، صفر می گیرد. حداقل نمره این ابزار صفر و حداکثر 50 است و چنانچه پاسخ دهنده از 8 ماده دروغ سنج ابزار بیش از 4 نمره بیاورد به این معنی است که اعتبار آزمون، پایین و آزمودنی سعی کرده خود را بهتر از آنچه هست جلوه دهد. افرادی که نمره ای بیش از میانگین دریافت کنند، دارای عزت نفس بالا می باشند . پرسشنامه سنجش سازگاری (BAI)Adjustment Inventory Bell شامل160 سوال و 5 خرده مقیاس 32 سوالی است که آزمودنی به صورت «بلی، خیر و نمی دانم» به سوال ها پاسخ می دهد. پنج خرده مقیاس آن عبارت اند از: سازگاری در خانه، سلامتی، عاطفی، شغلی و اجتماعی. هنجارهای این پرسشنامه عبارت است از: دامنه نمرات 9 تا 21 (سازگاری خوب)، دامنه نمرات 22 تا 47 (سازگاری متوسط) و در نهایت دامنه نمرات 48 تا 60 (سازگاری ضعیف). جهت انجام پژوهش، در جلسه توجیهی برای 200 نفر، از آنها درخواست گردید در صورت تمایل به پرسشنامه پاسخ دهند. پس از پاسخ دهی به پرسشنامه ها، 57 نفر از آنان که نمرات پایین تری در عزت نفس و سازگاری کسب کرده بودند مشخص شده که از میان آنان، 30 نفر به طور تصادفی انتخاب و به دو گروه 15 نفری کنترل و آزمایش تقسیم شدند. پس از آن جلسات آموزش سرسختی با استفاده از روش سخنرانی و بحث گروهی طی10جلسه 90 دقیقه ای برای گروه آموزش اجرا شد، درحالی که گروه کنترل هیچ گونه آموزشی دریافت نکرد. در نهایت پس از انجام جلسات، در آخرین جلسه آموزشی، مجددا دو گروه آزمایش و کنترل، ابزارهای تحقیق را تکمیل نمودند. برای توصیف ویژگی های جمعیت شناختی شرکت کنندگان و داده های مرحله پیش آزمون و پس آزمون، از شاخص های آمار توصیفی استفاده شد. تحلیل کوواریانس برای پی بردن به معناداری اثر متغیر مستقل بر متغیر وابسته به کار رفت.نتایجمیانگین سنی واحدهای پژوهش 1/26 درصد بود و اکثریت آنها (6/46 درصد) دارای سطح تحصیلات متوسطه بودند. نتایج نشان داد که در پیش آزمون، میانگین نمره عزت نفس گروه آموزش 50/3±87/21 و در گروه کنترل 15/2±93/21 بود. همچنین میانگین نمره سازگاری گروه آزمون 59/8±73/59 و در گروه کنترل 62/7±67/60 بود. در پس آزمون، میانگین نمره عزت نفس گروه آموزش 43/3±07/33 و گروه کنترل 26/2±13/23 بوده است. از طرفی در پس آزمون میانگین نمره سازگاری گروه آموزش و 17/6±27/37 گروه کنترل 20/7±57 بوده است. استفاده از شاخص آماری کوواریانس نشان داد که آموزش سرسختی روانشناختی میزان عزت نفس و سازگاری را به طور معناداری افزایش داده است(001/0=P).بحث و نتیجه گیرینتایج پژوهش حاضر حاکی از آن است که شرکت در جلسات آموزش سرسختی می تواند در افزایش میزان عزت نفس و سازگاری مردان دچار سوء مصرف مواد تاثیرگذار باشد، لذا می توان با ارتقاء ویژگی سرسختی، توان مقابله افراد در برابر فشارهای روانی را افزایش داده و از این طریق زمینه سلامت بیشتر آنان را فراهم نمودکلید واژگان: خود پندار, سازگاری اجتماعی, اختلالات ناشی از مواد}IntroductionDrug abuse is among the main problems at present time which seriously puts people's physical and mental health at risk. And since mental stress plays an important role in the trend to addiction and disability, it is necessary to recognize people's methods of resistance to stress.ObjectiveThis study was performed to determine the effect of hardiness training on self-esteem and adjustment among addicted male.MethodThis research is a pre-post test and control group. Study sample included 200 addicted men referring to Payam addiction center in Rudsar in 2012 who agreed to participate in the study. Upon getting permission from the technical in-charge of the clinic and presenting the required description to the referred persons about the study process and its objectives, the samples responded to a three-part questionnaire consisting of personal data (age, marital status and education), Cooper Smith Self-Esteem Scale and Bell Adjustment Inventory.
Cooper Smith Self-Esteem Scale includes 58 items and the subjects chose between "Yes and No" options. The grading method of this test was as 0 and 1; positive response was 1 and negative was zero. The minimum grade a subject may take was zero and maximum was 50. In case the subject took more than 4 from eight items of the Polygraph; it means that the test validity was low and the subject attempted to show himself better than what he is.So, the subjects get the grade more than mean score, have high self-esteem and the ones get lower have less self-esteem.
Bell Adjustment Inventory (BAI) included 160 questions and 5 subscales of 32 questions that the subject responded the questions with Yes, No or I dont know; the five subscales included: adjustment at home, health, emotional, job and social. In order to obtain the grades of each adjustment field, based on the determined key 9 21: good adjustment; 22 47: average adjustment; and finally 48 60: weak adjustment.
In order to do the study, the justifying meeting was held for 200 qualified subjects about the study and they were requested to respond the inventory if agree. After responding to the inventory, 57 subjects got lower scores on self-esteem and adjustment. Then it was known that 30 subjects had been selected randomly; they divided into two groups of 15 subjects; control group and test group. Everybody was told they may leave the study anytime they want, and it was emphasized that during the whole training sessions, all names and study results would be kept secret. Moreover, it was reminded that upon completion of the training programs for test group, and in order to take the advantages of training programs, the control group will be under hardiness training, as well. After these processes, hardiness Training sessions were performed as lecture and group discussion for ten 90-minute sessions for test group while control group received none.
At the end after performing the sessions, during the last training sessions, the two control and test groups will complete the research tools again. In order to describe the demographic specifications of the participants and data of pre-test and post-test, the descriptive statistics were applied. ANCOVA was used to distinguish the significant effect of the independent variable on dependant variable.ResultsThe subjects were with mean age of 26.1 and majority of them (% 46.6) had secondary education. Analysis of data showed that the mean score of self-esteem in the experimental group in pretest was 21.87.42± 3.502 and 21.93±2.154 in the control group. The mean score of the Adjustment was 59.73±8.59 in the experiment and 60.67±7.62 in the control group. In the posttest, the mean score of self-esteem equaled 33.07±3.43 and the control group 23.13±2.26. Moreover, in the post test the mean of adjustment of the experimental group and the control group were 37.27±6.17 and 57±7.20, respectively. The using of covariance analysis showed that hardiness training increased self-esteem and adjustment significantly (P=0.001)ConclusionThe results of this study show that participating in hardiness training meeting can affect promotion of self-esteem and adjustment in addicted men. Therefore resistance to mental stress can be increased by promoting hardiness and doing so promote healthKeywords: Self Concept, Social Adjustment, Substance, Related Disorders} -
BackgroundOpium is one of the most commonly abused opiates in developing countries including Iran. Considering the importance of maternal health on the newborn, we aimed to assess the effect of opium abuse on fetal heart rate (FHR) characteristics in a sample of pregnant women in Zahedan, Southeast Iran.MethodsThis cross-sectional study was done on 100 pregnant women referring to Ali-Ibn-Abi Talib Hospital in Zahedan, during 2011-2013. The participants were divided into two groups comprising of opium abusers and healthy individuals. The participants received 500cc intravenous fluid containing dextrose and then non-stress test results were recorded for 20 minutes.ResultsWe found no significant difference between the two groups with respect to their demographic characteristics. Fetal movements, variability, acceleration, and reactivity were significantly higher among addicted women (PConclusionConsidering significant abnormal patterns in FHR characteristics among the opium abuser group, mothers addicted to opium need specific prenatal care.Keywords: Opium, Opioid, related disorders, Fetal distress}
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مقدمهمطالعه حاضر با هدف مقایسه میزان مخدر مصرفی حین القاء و نگهداری بیهوشی در افراد دچار اختلال خواب با افراد نرمال طراحی و انجام گرفته است.مواد و روش هادر این مطالعه کوهورت برای بیماران کاندید انجام جراحی کاتاراکت پرسشنامه کیفیت خواب پترزبورگ تکمیل گردید و بر اساس آن، بیماران به 2 گروه نرمال و مبتلاء به اختلال خواب تقسیم شدند. روش القاء و حفظ بیهوشی در تمام بیماران با یک پروتکل واحد انجام گرفت. میزان کلی مصرف فنتانیل در طول انجام جراحی محاسبه و ثبت شد.یافته هاتعداد 70 بیمار با میانگین سنی 7/10±8/63 وارد مطالعه شدند (1/67 درصد زن). متغیرهای دموگرافیک و پایه بیماران در دو گروه تفاوت معنی داری با هم نداشتند. میزان فنتانیل مصرفی برای القاء و حفظ بیهوشی در گروه دچار اختلال خواب در مقایسه با گروه نرمال کمتر بود ولی از نظر آماری تفاوت معنی داری نداشت (070/0> P).نتیجه گیریبر اساس یافته های حاصل از مطالعه حاضر به نظر می رسد با اینکه میزان نیاز به داروهای مخدر جهت القاء و حفظ بیهوشی در بیماران دچار اختلال خواب در مقایسه با بیمارانی که دچار این عارضه نیستند کمتر است، ولی این تفاوت از نظر آماری معنی دار نیست.کلید واژگان: اختلال خواب, بیهوشی, فنتانیل, سوء مصرف مواد}IntroductionThis study was performed with the aim of comparing the dosage of opioid consumption for induction and maintenance of anesthesia in people with and without sleep disorder.Materials And MethodsIn this cohort study for patients who candidate for cataract surgery, Pittsburgh sleep quality questionnaire was completed and based on the results, patients were divided into 2 groups of normal, and sleep disorder. The same protocol was used for induction and maintenance of anesthesia in all patients. Total dose of fentanyl consumption was calculated and recorded.Results70 patients with the mean age of 63.8 ± 10.7 years were entered (67.1% female). Demographic and baseline characteristics of the patients were not significantly different between normal and sleep disorder groups. Fentanyl consumption for induction and maintenance of anesthesia were lower in the sleep disorder group compared to the normal group, but the difference was not statistically significant (pConclusionBased on the findings of this study, it seems that although patients with sleep disorders need a lower dose of opioids for induction and maintenance of anesthesia during surgery, compared to those who are normal in this regard, the difference is not statistically significant.Keywords: Sleep wake disorders, anesthesia, fentanyl, substance, related disorders}
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BackgroundMental disorders have become a topic of increasing interest in research due to their serious consequences for quality of life and functioning.ObjectivesThe objective of this study was to explore the relationship of level of education, employment status and working hours with symptoms of common mental disorders (distress, anxiety/depression, sleep disturbance, adverse alcohol behaviour, smoking, adverse nutritional behaviour) among current and retired professional footballers.Materials And MethodsCross-sectional analyses were conducted on baseline questionnaires from an ongoing prospective cohort study among current and retired professional footballers. Based on validated scales, an electronic questionnaire was set up and distributed by players unions in 11 countries across three continents.ResultsA total of 607 current professional footballers (mean age of 27 years) and 219 retired professional footballers (mean age of 35 years) were involved in the study. Among retired professional footballers, statistically significant negative correlations were found between employment status and symptoms of distress and anxiety/depression (PConclusionsAmong retired professional footballers, employment status as well as a higher number of working hours was weakly correlated to symptoms of distress and anxiety/depression. Combining a football career with sustainable attention for educational and career planning might be important and of high priority.Keywords: Soccer, Elite Athletes, Mental Disorders, Substance, Related Disorders}
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BackgroundChildren that livingwith addicted parents are at risk for intentionally and unintentionally poisoning. Present study aimed to evaluate the effect of parental addiction on unintentional childhood poisoning.Materials And MethodsTotally, 140 admitted children with poisoning in Loghman hospital, Tehran-Iran, as referral center were recruited from March 2013 to July 2014. Cases were matched with 280 controls by age (within a caliper of six months), gender, and date of hospital attendance in Tehran, Iran. Parents were interviewed using an objective checklist about the risk factors of childhood poisoning. Conditional logistic regression with within-group varying weights was used to adjust for measured confounders. Vary weights within the matched set was defined by inverse probability weighting (IPW).ResultsSixty-two of cases (74.7%) were poisoned with Methadone. The odds ratio [OR] 95% confidence interval [CI] of having addicted parents in poisoned children compared to the controls in three scenarios of ordinary, un-stabilized weighted and stabilized weighted conditional regression logistic ORs (95% CI) were 17.3 (8.7, 34.6), 2.6 (1.9, 3.3) and 3.6 (2.9, 4.3) respectively.ConclusionThe results indicate that child abuse and neglect have been linked to parental substance abuse. Education on preventive interventions such as safe storage of methadone and store poisoning product out of reach and sight of children are necessary in substance abusing families.Keywords: Child, Iran, Poisoning, Parents, Substance, Related Disorders}
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زمینه و هدفنوجوانان به عنوان گروهی پرخطر، در معرض ابتلا به اعتیاد قرار دارند. این پژوهش با هدف بررسی نقش افسردگی، روابط خانواده و خودکارآمدی در پیش بینی آمادگی به اعتیاد در میان نوجوانان انجام شد.روش بررسیپژوهش حاضر به روش توصیفی - همبستگی بر روی 546 نوجوان دبیرستان های استان لرستان در سال تحصیلی 1394-1393 انجام گرفت. نمونه ها با روش نمونه گیری خوشه ایچندمرحله ای انتخاب شدند. شرکت کنندگان به پرسشنامه های خصوصیات جمعیت شناختی، آمادگی به اعتیاد، افسردگی، روابط خانواده و خودکارآمدی پاسخ دادند. داده ها با استفاده از ضریب همبستگی پیرسون و رگرسیون خطی چندمتغیره گام به گام تجزیه و تحلیل شدند.یافته هادر این مطالعه بین افسردگی، روابط خانواده و خودکارآمدی با آمادگی به اعتیاد، رابط معنی داری وجود داشت (01/0p<). تحلیل رگرسیون چندمتغیره نشان داد افسردگی، روابط خانواده و خودکارآمدی به ترتیب 2/37، 2 و 1/2 درصد از واریانس آمادگی به اعتیاد را به طور معنی داری پیش بینی می کنند (0001/0p<).نتیجه گیرینتایج این پژوهش حاکی از اهمیت افسردگی، روابط خانواده و خودکارآمدی در پیش بینی آمادگی به اعتیاد است که این عوامل می توانند مقدار زیادی از تغییرپذیری آمادگی به اعتیاد در میان نوجوانان را تبیین کنند.کلید واژگان: نوجوانان, اختلال افسردگی, روابط خانوادگی, کارآمدی, اختلال های مرتبط با مواد}Background And ObjectivesAdolescents as a high-risk group are prone to addiction. This research aimed to investigate the role of depression, family relationships, and self-efficacy in the prediction of susceptibility to addiction among adolescents.MethodsThe present research was a descriptive-correlational study carried out on 546 adolescents of Lorestan provinces high school in school year 2014-2015. The samples were selected through multiple cluster sampling method. Participants responded to demographic characteristics, addiction potential, depression, family relationships, and self-efficacy questionnaires. Data were analyzed using Pearsons correlation coefficient and stepwise multiple linear regression.ResultsIn this study, depression, family relationships, and self-efficacy was significantly correlated with addiction potential (pConclusionThe results of this study indicated that depression, family relationships, and self-efficacy are important in the prediction of addiction potential, so that these factors can explain the high degree of variability of addiction potential among adolescents.Keywords: Adolescent, Depressive disorder, Family relations, Self efficacy, Substance, related disorders}
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Amphetamine abusers are shown to have significant cognitive impairments as well as delusional disorders. We present a 17-year-old man who was admitted to the toxicology emergency department with amphetamine overdose. Along with the classic signs and symptoms of overdose including mydriasis, tachycardia, hypertension, sweating and severe agitation, his urine toxicology screen test was found to be positive for 3,4-methylenedioxy-methamphetamine. In physical examination, widespread round-to-oval cutaneous lesions were observed all over his limbs and chest, notably the most easily reached sites of skin to be scratched. After regaining consciousness, the patient complained of pruritus and sensing the movement of insects under his skin. Further medical history showed that he had abused amphetamines for more than two years along with persistent pruritus, for which he had visited different physicians who mainly had made the diagnosis of allergy or dermatitis for him. He had been treated with antihistamines (hydroxyzine) for a long period. He also had been diagnosed with scabies and treated with topical permethrin and lindane lotion. Despite receiving these treatments, he continued to have pruritus particularly on his forearms and hands. He was finally diagnosed with Ekboms syndrome and referred to psychological rehabilitation and psychosomatic outpatient clinic.Keywords: Amphetamines, Delusional Parasitosis, Pruritus, Substance, Related Disorders}
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BackgroundOpiate abuse in males has significant effects on their sexual functions. In contrast, sexuality in females is a multidimensional issue that can strongly be affected by several factors in their partners. However, only a limited number of studies have assessed the role of males’ opioid dependency in their female partners’ sexual function..ObjectivesThe present study aimed to evaluate the effect of males’ opioid dependency on their wives’ sexual function compared to the sexual function of the females whose husbands were not opioid dependent..Materials And MethodsThis study included 340 women who were selected through convenience sampling and divided into a control (females whose husbands were not opioid dependent) and a case group (women whose husbands were opioid dependent). The data were collected through an interview according to the DSM-IV-R criteria for female sexual dysfunctions by a senior female medical student who was one of the researchers. Finally, the data were entered into the SPSS statistical software (v. 15) and analyzed using the t-test and chi-square test..ResultsAccording to the results, the frequency of hypoactive sexual desire disorder and sexual aversion disorder in the control group was significantly higher than that of the case group (P < 0.05)..ConclusionsThe results showed that having an addicted husband could strongly affect some sexual domains in women. It could change the pattern of desire and motivation for sexual contact in females and alter their attitude toward the sexual relationship, thereby causing disturbances in the females’ normal sexual function..Keywords: Sexual Dysfunctions, Psychological, Aversion Disorders, Sexual, Opioid, Related Disorders}
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PurposeTo examine the effectiveness of group cognitive-behavioral therapy (CBT) based on schema on impulsiveness of substance abusers in Karaj.Materials And MethodsThis study was quasi-experimental with pre-test, post test and control group. The statistical population of this study consisted of male substance abusers who referred to Addiction Treatment Clinics of Karaj in 2010. The sample of the study consisted of 3 substance abusers who were selected randomly and were assigned into experimental and control groups. To evaluate the participants in pre-test and post-test, Whiteside and Lynam impulsivity questionnaire was used. Participants of experimental group received group CBT for 12 sessions but participants of control group received no interventions. After implementing the post test, data were analyzed using covariance analysis and SPSS 16software.ResultsThere were significant differences in impulsivity variables between experimental and control groups after the implementation of CBT (P = 0.05).ConclusionThe findings of this study suggest the importance of group CBT herapy in reducing impulsivity. According to results, group CBT can be a complementary aspect of medical treatment in improving psychological problems associated with addiction.Keywords: implosive therapy, methods, psychotherapy, group, cognitive therapy, substance, related disorders, treatment outcome}
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هدفاعتیاد در کشور ما به عنوان مشکلی روانی، زیستی و اجتماعی به طور قابل ملاحظه ای افزایش یافته است. پیامدهای ناگوار اعتیاد به نوبه خود بر سلامت و تندرستی اعضای خانواده موثر خواهد بود. در این میان یکی از موانعی که معتادان در حال ترک با آن رو به رو هستند اضطراب شدید در حین ترک اعتیاد می باشد به همین منظور پژوهش حاضر به تعیین تاثیر آموزش گروه درمانی به شیوه حمایت میان فردی بر کاهش اضطراب معتادان در حال ترک پرداخته است.روشاز میان معتادان خود معرف مراکز ترک اعتیاد بهزیستی اصفهان در سال 1393تعداد 30 بیمار معتاد در حال ترک با روش نمونه گیری در دسترس انتخاب و به طور تصادفی به دو گروه نمونه 15 نفر آزمایش و 15 نفر کنترل تقسیم شدند. آزمون اضطراب بک به منظور پیش آزمون اجرا و طی هشت جلسه 90 دقیقه ای تحت روان در مانی حمایتی به شیوه میان فردی قرار گرفتند. سپس، پس آزمون بر روی هر دو گروه اجرا گردید.یافته هایافته ها نشان داد که بین گروه آزمایش و کنترل در پس آزمون تفاوت معنا داری وجود دارد. به گونه ای که میزان اضطراب گروه آزمایش در پس آزمون در مقایسه با گروه کنترل کاهش معناداری را نشان داد.نتایجبر اساس نتایج پژوهش حاضر می توان گفت که مداخلات گروه درمانی به شیوه حمایت میان فردی در کاهش اضطراب معتادان درحال ترک موثر می باشد.
PurposeTo determine the effectiveness of group supportive psychotherapy by Interpersonal psychotherapy method in reducing anxiety of addicts who are quitting.Materials And MethodsAmong rehabilitation centers for drug abusers in Isfahan, a total of 30 addicted patients in the process of withdrawal were selected by convenience sampling, and randomly divided into two groups of 15 people as test and 15 people as control subjects. Beck Anxiety Inventory was set-up in order to do a pre-test. The subjects in experiment group participated in 8 sessions of Interpersonal psychotherapy.ResultsThe results showed that group supportive psychotherapy by Interpersonal psychotherapy method could significantly decrease anxiety in experiment group (P = 001).ConclusionBased on the results of the present study, it can be said that group supportive psychotherapy by Interpersonal psychotherapy method can decrease anxiety in addicts quitting the addiction.Keywords: patients, psychology, psychotherapy, group, treatment outcome, behavior therapy, methods, substance, related disorders} -
BackgroundA good proportion of poisoned patients treated at poisoning wards are elderly. This study was designed to evaluate the epidemiologic pattern of acute poisoning in elderly in Hamadan, western Iran.MethodsIn this retrospective cross-sectional study, poisoned patients aged 60 years and older treated at department of poisoning of Farshchian Hospital from March 2008 to March 2013 were included.ResultsIn this 5-year period, 7951 poisoned patients were treated at Farshchian Hospital in Hamadan, Iran. Among them, 418 (5.3%) patients were 60 years old or older, with mean age of 71.6 ± 5.1 years. Narcotics and recreational substances were the most common type of poisons responsible for poisoning (46.4%), which among them, methadone was the most commonly used drug (20.3%). Neurologic medicines were the most commonly used pharmaceutical products (16%), among which, benzodiazepines (8.9%) were responsible for the highest number of poisonings due to pharmaceuticals. Fifteen patients (3.6%) including 13 men and 2 women died. The toxic agents used by cases with fatal outcome were opioids (8 patients), organophosphates (5 patients) and aluminum phosphide (2 patients). Men were found to be significantly more affected with recreational substances (P < 0.001) and pesticides (P < 0.001), while poisoning with pharmaceutical products (P = 0.017) was significantly more common in women. Regarding the intention of poisoning, accidental poisoning (P = 0.025) and overdose (P < 0.001) were significantly more common in men while deliberate self-poisoning was significantly more frequent in women (P < 0.001).ConclusionDeliberate self-harm and poisoning with opioids especially methadone showed a high prevalence in elderly poisoned patients in Hamadan, Iran. It seems that drug trafficking control, addiction rehabilitation therapies and suicide prevention programs for elderly can be helpful in poisoning reduction in this age group in this part of the country.Keywords: Aged, Iran, Methadone, Opioid, Related Disorders, Poisoning}
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BackgroundWe aimed to evaluate the current status of scientific production in the field of substance use and addiction in Iran, to determine its trend and pattern during a 5 years period (2008-2012).MethodsUsing relevant keywords, we searched three international databases (Web of Science, Medline, and Scopus) and two local databases (SID and Iranmedex) to locate the papers published in the field of addiction by Iranian researchers during 2008-2012.FindingsThe results indicated a significant increase in the number of studies published in the field during the 5 years study period, with more than half of the papers published in the last 2 years. Results also indicated that over half (53.5%) of the papers were published in Persian-language Iranian Journals, but the rate of increase in the number of papers published in English was slightly higher than that of Persian ones. Opioid substances were found to be the topic of approximately 75% of the papers. Studies on key topics, including national surveys, evaluation of current programs, addiction in women and children, and so forth, were found to be highly lacking.ConclusionResults suggested a significant growth in the scientific production of Iran in the field of substance use and addiction. However, considering the significance of substance use and dependence in the country, and compared to the scientific production of developed countries, the amount of research conducted in the field of addiction in Iran is still limited.Keywords: Substance, related disorders, Abuse, Dependency, Bibliometric analysis, Iran}
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BackgroundMethadone maintenance has remained the main modality of treatment for opioid dependent subjects. Side effects of methadone treatment may be potential obstacles to its continuation. Sleep quality and sexual function are two culture-based concerns, directly related to patients’ compliance with methadone maintenance treatment (MMT) program..ObjectivesThis research was conducted to examine the frequency of sleep disparity and sexual dysfunction in patients under MMT referring to MMT clinics of Kerman, Iran..Patients andMethodsIn this cross-sectional study, 198 adult subjects under MMT for more than 6 months were enrolled. Measurement tool consisted of Pittsburgh sleep quality index (PSQI), Arizona sexual experience scale (ASEX), the 12-item general health questionnaire (GHQ-12), and a demographic questionnaire. The questionnaires were self-completed, except where individuals were illiterate..ResultsMean ± SD age of the subjects was 41.2 ± 7.9 years and 93.4% of them were male. More than half of them used heroin. Prevalence of poor sleeping and sexual dysfunction in patients under MMT were 67.7% and 18.2%, respectively. There was no association between sleep quality or sexual dysfunction and demographics or methadone dose. However, a significant correlation was observed between mental health and sleep quality (r =0.16, P = 0.033), and sexual function (r = 0.18, P = 0.011)..ConclusionsSleep quality showed a poorer profile than sexual function. Therefore, more emphasis should be laid on treatment of sleep disparity during follow up of MMT patients comparing to their sexual function. Patients should be reassured that probable sexual dysfunctions should not be regarded as a consequence of MMT.Keywords: Methadone, Sexual Dysfunction, Opiate Substitution Treatment, Substance, Related Disorders}
نکته
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