فهرست مطالب

International Journal of High Risk Behaviors and Addiction
Volume:1 Issue: 4, Des 2013

  • تاریخ انتشار: 1392/01/17
  • تعداد عناوین: 11
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  • Gholamreza Asadikaram, Majid Sirati, Sabet, Majid Asiabanha, Nader Shahrokhi, Abdollah Jafarzadeh, Mohammad Khaksari Page 141
    Background
    Chronic opioid treatment in animal models has shown to alter hematological parameters.
    Objective
    The aim of this study was to evaluate the biological effects of opium on the number of peripheral blood cells and red blood cells (RBCs) indices in diabetic rats.
    Materials And Methods
    Peripheral blood samples were collected from diabetic, opium-addicted, diabetic opium-addicted and normal male and female rats and hematological parameters were measured.
    Results
    The mean number of white blood cells (WBCs) was significantly higher in diabetic opium-addict females compared to diabetic non-addict female group. In both male and female, the mean number of neutrophils was significantly higher and the mean number of lymphocytes was lower in diabetic opium-addicted rats than those observed in diabetic non-addicted group. In diabetic opium-addicted male group the mean counts of RBC significantly increased as compared with diabetic male group. However, in diabetic addicted female, the mean number of RBCs was significantly lower than diabetic non-addicted female group. In both males and females, the mean number of platelets was significantly lower in diabetic addict rats compared to diabetic non-addict group.
    Conclusions
    Generally, the results indicated that opium addiction has different effects on male and female rats according to the number of WBC, RBC and RBC indices. It could also be concluded that in the opium-addicts the risk of infection is enhanced due to the weakness of immune system as a result of the imbalance effect of opium on the immune cells.
    Keywords: Drug Addiction, Diabetes Mellitus, Opium, Blood Cell Count, Hematological
  • Mahdiyeh Mojibyan, Mehran Karimi, Reza Bidaki, Parivash Rafiee, Asghar Zare Page 149
    Background
    Prematurity is an issue related to increasing the neonatal morbidity and mortality and smoking pregnant women cause the risk of low birth weight and prematurity increase, compared to non-smoking ones.
    Objectives
    This study investigates secondhand smoke (SHS) exposure’s effects over pregnant women on gestational age and birth weight.Patients and
    Methods
    In this descriptive-analytic study, 205 women referred to both public and private hospitals in the third trimester were questioned about secondhand smoke (SHS) exposure during pregnancy. In addition to birth weight and gestational age, other variables including mother’s education and job and sex of the newborns were also assessed.
    Results
    Of all 205 women, 43 (20.97%) women exposed to SHS during pregnancy and 162 (79.02%) women did not. In SHS exposure group, 11 infant (25.6%) and in non- SHS exposure group, 17 infant (10.5%) were born prematurely (< 37 weeks) (P = 0.01). Also birth weight of newborn in non-SHS exposure group was 118 gram more than other group but the differences were not significant (P = 0.09).
    Conclusions
    Our findings showed that the secondhand smoke (SHS) exposure of pregnant women may be significantly associated with early preterm delivery.
    Keywords: Smoke, Pregnancy, Preterm Delivery, low birth weight
  • Iraj Sahramian, Noor Mohammad Noori, Abdolvahab Moradi, Forugh Forghani, Elham Sharafi Page 154
    Background
    Opium abuse is one of the widespread social problems, and one of the most worrying aspects of it is the effect of parents’ drug abuse on the fetus.
    Objectives
    The present study has investigated the correlation between opium abuse during pregnancy in mothers with congenital heart defects in their children.Patients and
    Methods
    From early 2009 to late 2011, for two consecutive years in specialized pediatric center of Zahedan Medical University, 225 of children suffering from congenital heart defects were examined and compared with 480 healthy ones for mother opium dependency. The final data were analyzed by student t-test and x2 in SPSS software and the two groups were compared in terms of their parents’ addiction to opium.
    Results
    From 225 children under study 23.5% had addicted parents based on the variables of the study but the rate was only 2.3 for the control group. The difference between these two groups was significant and the most common form of heart disease was congenital ventricular septal defect.
    Conclusions
    Opium has teratogenic effect on cardiovascular system.
    Keywords: Opium, Pregnancy, Heart
  • Hossein Eghbali, Mahdi Zare, Arva Bakhtiari, Nader Monirpoor, Alireza Ganjali Page 159
    Background
    The treatment of opioid dependence disorder is one of the major problems in medical centers around the world. Although MMT has been the major treatment in last few years in Iran, the existence of relapse before and after detoxification is still high. Methadone treatment has had a very low percentage of complete success.
    Objectives
    To evaluate the effectiveness of matrix group interventions in improving methadone treatment in the addicted was the main goal of this research.Patients and
    Methods
    In a semi - experimental design, 24 male patients on the qualification cutoff score for the questionnaire survey (score less than 19 in depression test, and less than 21 in anxiety test) and the diagnosis of opioid dependence according to (DSM – IV) were substituted in two experimental and control groups randomly. At the beginning of the study, after the treatment period and in the follow-up phase (three months after the end of treatment), participants were evaluated by Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI) and the Anger Questionnaire (AQ), Control group with no psychological treatment only took methadone. Data were analyzed using covariance analysis, chi square and Repeated Measures Analysis of Variance.
    Results
    Results showed that the effect of matrix group interventions on reducing relapse (P < 0.05), increasing the maintenance of treatment (P < 0.01), increasing the treatment compliance, reducing anger, anxiety and depression and methadone dose is more effective than methadone treatment (P < 0.05).
    Conclusions
    It seems matrix group interventions increase the effectiveness of methadone treatment by reducing the relapse prevention, the dose of methadone and remaining in treatment.
    Keywords: Matrix, Anxiety, Depression, Aggression
  • Gholam Reza Samadzadeh, Tahereh Rigi, Ali Reza Ganjali Page 162
    Background
    Surveying valuable and most recent information from internet, has become vital for researchers and scholars, because every day, thousands and perhaps millions of scientific works are brought out as digital resources which represented by internet and researchers can’t ignore this great resource to find related documents for their literature search, which may not be found in any library. With regard to variety of documents presented on the internet, search engines are one of the most effective search tools for finding information.
    Objectives
    The aim of this study is to evaluate the three criteria, recall, preciseness and importance of the four search engines which are PubMed, Science Direct, Google Scholar and federated search of Iranian National Medical Digital Library in addiction (prevention and treatment) to select the most effective search engine for offering the best literature research.
    Materials And Methods
    This research was a cross-sectional study by which four popular search engines in medical sciences were evaluated. To select keywords, medical subject heading (Mesh) was used.We entered given keywords in the search engines and after searching, 10 first entries were evaluated. Direct observation was used as a mean for data collection and they were analyzed by descriptive statistics (number, percent number and mean) and inferential statistics, One way analysis of variance (ANOVA) and post hoc Tukey in Spss. 15 statistical software. P Value < 0/05 was considered statistically significant.
    Results
    Results have shown that the search engines had different operations with regard to the evaluated criteria. Since P Value was 0.004 < 0.05 for preciseness and was 0.002 < 0.05 for importance, it shows significant difference among search engines. PubMed, Science Direct and Google Scholar were the best in recall, preciseness and importance respectively.
    Conclusions
    As literature research is one of the most important stages of research, it's better for researchers, especially Substance-Related Disorders scholars to use different search engines with the best recall, preciseness and importance in that subject field to reach desirable results while searching and they don’t depend on just one search engine
    Keywords: Research, Search Engine, Substance, Related Disorders
  • Kolthoum Tayyebi, Abbas Abolghasemi, Majid Mahmood Alilu, Nader Monirpoor Page 172
    Background
    Increased prevalence and widespread use of methamphetamine is the public challenge and worry in the world. It seems that low levels of self-regulation and affective control to carry up probability of psychoactive drugs abuse.
    Objectives
    The purpose of the present study is the comparison of self-regulation and affective control in methamphetamine and narcotics addicts and non-addicts.Patients and
    Methods
    In this causative-comparative study, 80 addicts (40 methamphetamine addicts and 40 narcotic addicts) who referred to self-reference quitting addictive centers in Miyaneh, Iran, participated in convenience sampling. Then, they matched up with 40 non-addicts according to age, sex, educational level, and marital status. To collect data, we used self-regulation questionnaire and affective control scale. The data was analyzed by multivariate analysis of variance (MANOVA) and LSD test.
    Results
    Result shows that there is a significant difference between methamphetamine addicts and narcotics addicts and non-addicts in self-regulation and affective control (P = 0/001).
    Conclusions
    This finding indicates that low self-regulation and affective control is a risky factor in psychoactive drugs abuse.
  • Mohsen Foroughipour, Naghmeh Mokhber, Mahmoud Reza Azarpajooh, Mina Taghavi, Morteza Modarres Gharavi, Farzad Akbarzadeh, Alireza Ebrahimi, Mehri Baghban Haghighi Page 178
    Background
    Depression disorder is the most prevalent neuropsychiatric disorder associated with epilepsy, and a correlation has been detected between depression and suicide. There is a relationship between suicidal behavior and coping mechanisms; therefore, it is important to undertake psychoanalytic psychotherapy to reduce depressive symptoms.
    Objectives
    To evaluate the Coping Mechanisms, Depression and Suicidal Risk among Patients Suffering from Idiopathic Epilepsy.
    Materials And Methods
    The present study is a cross-sectional pilot study in which 93 Iranian patients with idiopathic epilepsy were selected from Qaem hospital and neurological clinics. They answered three questionnaires: BDI, SSI, and a questionnaire of coping mechanisms. Patients were then interviewed and divided into two groups: patients with depression and suicidal ideation, and patients without depression and suicidal ideation. The two groups were compared in terms of coping mechanisms.
    Results
    Among the patients who filled the questionnaires, only 74 were selected for the interview. 58.9% of the patients did not have depression or suicidal ideation and 23.3% of them had either depression or suicidal ideation. Findings of the study showed that the two groups had a significant difference in terms of repressive coping method efficiency (P = 0.022). However, there was no significant difference between the two groups in terms of problem-focused coping method (P = 0.25) and the emotion-focused coping method efficacy (P = 0.31).
    Conclusions
    Iranian patients with idiopathic epilepsy and with either depression or suicidal ideation, make significant improvement using repressive coping method in comparison to patients with idiopathic epilepsy who did not suffer from depression or suicidal ideation. The effect of other coping mechanisms was not significantly different between the two groups.
    Keywords: Suicide, Epilepsy, Depression, Coping Skills
  • Jafar Anisi, Mohammad Hossein Bahadori, Marziyeh Jahanbakhsh Page 183
    Background
    Drug addiction is considered as a problem of the new century which has destructive consequences for both family and society. This ominous phenomenon resulted from many factors. Present research aimed at recognition of inter-personal factors related to addiction and were conducted through a questionnaire to identify the youths at risk of addiction
    Objectives
    Present research aimed at recognition of inter-personal factors related to addiction and were conducted through a questionnaire to identify the youths at risk of addiction.Patients and
    Methods
    The design of the present research is correlational analytic. The population consists of all young addicted or non-addicted people between the ages 18 to 35 and the sample consists of 82 addicted and 223 non-addicted young people in Tehran who were selected randomly and simply. The initial form included 120 questions which were administered on the sample in three stages. The data was analyzed through descriptive statistic and factor analysis.
    Results
    In this questionnaire four factors of depression and miserableness, having a positive attitude to drug, stress and anxiety and finally seeking high levels of excitement were respectively the strongest factors in predicting the risk of drug-abuse and addiction. The validity of the questionnaire which consists of 75 questions in the final form was calculated through internal consistency. Cronbach alpha of the whole questionnaire was 0.97, which that of the factor of depression and miserableness was 0.96, the factor of a positive attitude to drug was 0.93, the factor of stress and anxiety was 0.90 and the factor of high excitement-seeking was 0.80.
    Conclusions
    The evaluation of the questionnaire for identifying the individuals in the risk of addiction showed that the questionnaire benefits from appropriate validity and reliability. Therefore, it can be used in preventive fields and research. Moreover, by illuminating interpersonal factors that are effective in drug abuse, proper strategies can be used to prevent drug addiction.
    Keywords: Drug Addiction, Questionnaires, Validation Studies