نشریه اصول بهداشت روانی
سال نهم شماره 1 (پیاپی 34، بهار و تابستان 1386)

ntroduction: Human being’s mental health depends on the quality of personal communications. The first experience of this communication starts with mother infant interaction and increases mother’s attachment to their infants. Since mother infant skin to skin contact is one of the methods to increase attachment, This study was conducted to investigate mother – infant skin to skin contact on mother’s attachment.Methods and Materials: In this randomized control trial 79 cesarean-sectioned women were allocated. The first selection hospitals for groups assignment (40 women in case and 39 in control group) was random. The place of two groups changed during five days. Experimental group received skin to skin contact, 20-30 minutes daily. Mother’s attachment tool was used to define attachment and anxiety regarding children. Mother’s attachment was investigated on the first, third and tenth days post cesarean section. The data were analysed by t-student pairedt and regression tests. the findings showed a significant difference between mother’s attachment on the third and tenth days in both groups. The findings also showed that there was a significant difference between mother’s attachment in both groups on the first tenth and first-third days post cesarean-section. Regression test showed that only mother-infant skin to skin contact and mother’s attachment on the first day affected mother’s attachment on the third day. According to the findings, mother – infant skin to skin contact is an efficient method to increase mothers attachment and to lower their anxiety regarding children. Mother – infant skin to skin contact is suggested as a way to reach maternal health.

ntroduction: There are some doubts about therapeutic effects of olanzapine and risperidone two antipsychotic drugs on behavioral disturbances in patients with Alzheimer's disease and concerns about safety have emerged. We assessed the effectiveness of these two atypical antipsychotic drugs in outpatients with Alzheimer's disease. Methods and Materials: In this double-blind trial, 69 outpatients with Alzheimer's disease and psychosis, aggression, or agitation were randomly assigned to receive olanzapine (dose, 2.5- 7.5 mg per day) or risperidone (dose, 0.5-4.5 mg per day). Patients were followed for up to 10 weeks. The main outcomes were the scores of the Clinical Global Impression of Change (CGI) scale and Brief Psychiatric Rating Scale (BPRS). There were no significant differences among treatments with regard to improvement in risperidone and olanzapine group on the CGI (3.2±4.3 vs. 3.5±5.8 & P Value=0.564) and BPRS scale (8.2±9.2.vs. 8.8±9.2 & P Value = 0.522). Furthermore, although the number of patients who had left the study cause of side effects, was greater in risperidone group, sedation and headache are more common with olanzapine than risperidone. Both risperidone and olanzapine might be useful and reasonable treatment for patients who suffering from behavioral disturbances due to psychosis in Alzheimer disease.

ntroduction: Warfare makes addition to adverse and psychosomatic disorders on combatants also it puts their families exposed to dangerous and problems. This study performed on object for omparison the effect of training conflict resolution and relaxation on quality of life’s spouses of veterans affected post traumatic stress disorder with major depression.Methods and Materials: This is a quazi experimental study of clinical trial type that carried out on 42 veterans spouse in Baqiyatallah hospital (a.s) and Sadr psychiatric center. They were taken by randomization into two intervention groups (conflict resolution and relaxation training) and control group. The education program was developed for interventional groups at three sessions in two hours a week. However, control group didn’t any training. The quality of life in three groups determined by SF 36 questionnaire at before, and after training (first six weeks after intervention i.e. follow up and second six weeks after intervention i.e. final phase). The data were analyzed by using spss with descriptive and inferential statistics. The results showed that there wasn’t significant difference in total mean rank of quality of life before intervention between conflict resolution and relaxation groups (p>0/05, independent T test) but There was a significant difference between conflict resolution and control groups; also relaxation and control groups before intervention (p=0/001). Whereas There wasn’t significant difference between mean rank of quality of life in control group at three phases. Also the Friedman ANOVA test showed that there was significant difference in total mean rank of quality of life in intervention groups at before intervention, follow up and final phases(p=0/0001). In addition to, it didn’t show significant difference in total mean rank of quality between conflict resolution and relaxation groups (p>0/05, independent T test). Considering the results of this study which explanatory the influence two techniques of intervention on qulity of life. Therefore it is recommended that be used the conflict resolution skill program to promotion the health level and quality of life’s individuals society especially veterans families.

ntroduction: Warfare makes addition to adverse and psychosomatic disorders on combatants also it puts their families exposed to dangerous and problems. This study performed on object for omparison the effect of training conflict resolution and relaxation on quality of life’s spouses of veterans affected post traumatic stress disorder with major depression.Methods and Materials: This is a quazi experimental study of clinical trial type that carried out on 42 veterans spouse in Baqiyatallah hospital (a.s) and Sadr psychiatric center. They were taken by randomization into two intervention groups (conflict resolution and