فهرست مطالب
International Journal of High Risk Behaviors and Addiction
Volume:3 Issue: 2, Jun 2014
- تاریخ انتشار: 1393/03/19
- تعداد عناوین: 10
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Page 2BackgroundSleep apnea (SA) is a common sleep disorder among US adults. Associations of SA with alcohol consumption and some chronic diseases have been inconsistent..ObjectivesThis study aimed to estimate prevalence of SA and examine its associations with potential factors including alcohol consumption, asthma, diabetes, and hypertension..Patients andMethodsThis was a cross-sectional study on 823 adults with SA and 38,638 controls from the 2011 National Survey on Drug Use and Health Data. Weighted univariate and multiple logistic regression analyses were used to examine the associations of SA with the potential factors..ResultsThe prevalence of SA was higher in males (4.01%) than in females (2.61%), while the prevalence increased with age (0.86%, 3.50%, and 4.47% for age groups of 18-25, 26-64, and ≥ 65, respectively). Univariate analysis revealed that all factors except for income and education were associated with SA (P < 0.05). In multivariable analyses, participants who were current and past alcohol consumers had significantly higher odds of having SA (OR = 1.52, 95% CI = 1.03-2.23; OR = 1.65, 95% CI = 1.09-2.49, respectively) than non-alcohol drinker. Furthermore, asthma (OR = 2.77, 95% CI = 2.04-3.75), diabetes (OR = 2.89, 95% CI = 2.19-3.83), and hypertension (OR = 2.42, 95% CI = 1.91-3.07) were significantly associated with SA..ConclusionsAge, alcohol consumption, asthma, diabetes, and hypertension, were positively associated with SA. More efforts should be directed to promoting screening for SA and finding possible treatments for SA among these vulnerable groups..Keywords: Sleep Apnea Syndromes, Alcohol Drinking, Diabetes, Hypertension, Asthma, Ageing
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Page 3BackgroundFew studies indicate that most behavioral problems are due to family dysfunction and inappropriate family environment. It seems that the family of the delinquent adolescent is unbalanced in the power structure and parenting style..ObjectivesThe present study compares the family power structure and parent-child relationship quality in delinquent and non-delinquent young subjects in Tehran..Patients andMethodsEighty students of secondary schools aged between 15 and 18 in Tehran were enrolled with cluster sampling method and 80 delinquent adolescents of the Correction and Rehabilitation Centers aged between 15 and 18 were chosen with a convenience sampling method. They responded to an instrument of family power structure (Child–parents relationship inventory). Data was compared between these two groups by utilizing the independent and dependent t-test and Levene’s test..ResultsThe findings indicated there is a significant difference between delinquent and non-delinquent adolescents in family power structure and its subscales (P < 0.001) and father-child relationship quality (P < 0.005). Also, there is no statistically significant difference between these two groups in mother-child relationship quality (P < 0.005). Besides, the results revealed that delinquent adolescents were significantly different regarding the quality of parent-child relationship (P < 0.001)..ConclusionsThese results emphasize that an inappropriate decision making process pattern in a family has a significant effect on deviant behavior in adolescents. The fathers’ parenting is more strongly linked to their sons’ delinquency. So, family power structure and parent-child relationship can be considered in therapeutic interventions (prevention and treatment) for adolescents’ delinquency..Keywords: Parenting, Parent, Child Relations, Delinquency
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Page 4BackgroundThere are many factors which affect nutritional status of addicted such as lack o f knowledge, incorrect attitude toward modification of food pattern, and careless to food intake..ObjectivesThe aim of this study was to determine the effectiveness of educational program on nutritional behavior in addicts referring to Baharan hospital in Zahedan..Patients andMethodsThirty-six addict patients were selected randomly. After recording general demographic data of patients, nutritional behaviors were determined. To determine the effectiveness of nutritional educational program, pre and post-tests were performed. Evaluation of nutritional behavior was determined as poor, fair and satisfactory levels. Statically analysis was performed by SPSS software..ResultsMost addict patients had a medium level of education. Improvement in knowledge, attitude and practice (KAP) of patients after intervention was observed as follows; decreasing KAP in poor level (2.8% vs. 30.6%), (3% vs. 50%), (25% vs. 80.6%), respectively; also, increasing KAP in fair level (7% vs. 55.6 %), (15% vs. 15%), (19% vs. 7%), respectively and increasing KAP in satisfactory levels (77.8% vs. 13.8%), (50% vs. 8.3%), and (22.2% vs. 0%), respectively (P < 0.0001). There was a significant difference regarding the grade of KAP in patients based on gender, marital status, and education level after education (P < 0.0001)..ConclusionsThis study showed that nutritional KAP was improved in addicts. After intervention, there was a significant difference in the score of knowledge, attitude, and practice scores in patients in the current study. KAP was improved in patients after intervention including; decreased KAP in poor level and increased KAP in fair and satisfactory levels. This finding indicates that addict patients would like to modify their life style..Keywords: Nutritional Status, Education, Drug Users, Iran
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Page 6BackgroundRelapse prevention is a medical intervention designed for educating cognitive and behavioral skills to avoid continued drug abuse and relapse..ObjectivesThis study examined high risk situations for relapse for self-referred addicts are related in Bushehr province substance abuse treatment centers..Patients andMethodsThe present study is descriptive cross-sectional. The sample size consisted of 609 self-referred addicts to Bushehr province substance abuse centers. IDTS Marlatt questionnaire was used. Analytical and descriptive statistics were used to analyze the data..ResultsThe findings showed that 73.1% of addicts have used substance during the past 12 months, and 72% have experienced a full relapse. Unpleasant emotions and physical discomfort was the most important reason for relapse and testing personal control and pleasure emotions the least important reason. Interpersonal factors have also a great role in this regard..ConclusionsConsidering the high rates of relapse, more attention should be paid to reasons for relapse. It seems necessary that both clinical and psychological approaches would be undertaken simultaneously..Keywords: Recurrence, Substance Abuse Treatment Centers, High risk situations
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Page 7BackgroundSubstance abuse prevalence and the number of suicides among university students is less than public population; however the sensitivity of society regarding the occurrence of such damages among students puts special emphasis on appraising these variables. More than 30% of Iranian students study in Islamic Azad University..ObjectivesThe current research aimed to appraise the vulnerability of substance abuse and the risk of suicide in students of region 12 of Islamic Azad University..Patients andMethodsIn the current study, 1053 students (606 boys and 447 girls) with the average age of 22.55 years were selected through stratified sampling from Karaj, Takestan, Qazvin and Qom branches of Islamic Azad University. In order to assess the variables, Mental Health Worksheet of Central Counseling Office of the Ministry Science, Research and Technology was utilized..ResultsAverage, standard deviation, minimum and maximum scores in substance abuse vulnerability of the students in region 12 were measured as 36.28, 14.68, 11.22 and 92.87; and the same for risk of suicide were 31.29, 15.61, 7.93 and 96.30, respectively. Students in Qom branch were significantly less vulnerable to substance abuse and less exposed to the risk of suicide than their peers in Karaj, Qazvin and Takestan branches..ConclusionsLess significant possibility of substance abuse and risk of suicide in students of Qom branch in comparison with other branches could be due to numerous variables particularly their religious attitudes. Nevertheless the average of these variables among the students of region 12 were higher than the reported scores of their peers in the state universities which reflects the serious need for precise assessments and providing preventive services and mental health interventions..Keywords: Vulnerability to Substance Abuse, Risk of Suicide, Students
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Page 8BackgroundOne of the threatening health issues is prevalence of high-risk behaviors in various groups. Because of rapid social changes, it has been considered as of the most important problems of society by health organizations, administrative laws, and social policymakers..ObjectivesThe aim of this study was to determine the role of cognitive failure and alexithymia in predicting high-risk behaviors of students with learning disabilities..Patients andMethodsThis was a correlational research including all 14-16 years old students during 2012-2013 school year in Arak, IR Iran. Eighty students with learning disabilities were sampled by simply random sampling. The data were collected by cognitive failures questionnaire, Toronto alexithymia scale, and high-risk behavior questionnaire..ResultsThe results showed that high-risk behaviors had significant positive correlations with difficulty identifying feelings (r = 0.321), difficulty describing feelings (r = 0.336), externally oriented thinking (r = 0.248), distractibility (0.292), memory distortion (r = 0.374), blunders (r = 0.335), and names amnesia (r = 0.275). Multiple regression analysis showed that cognitive failure and alexithymia predicted 32% of the total variance of high-risk behaviors..ConclusionsThese findings demonstrated that cognitive failure and alexithymia had important roles in strengthening and appearance of high-risk behaviors in students with learning disabilities. Therefore, considering those problems, precautionary actions might be necessary..Keywords: Cognition Disorders, Affective Symptoms, Learning Disorders
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Page 9IntroductionForeign body in the vagina is a common cause of vaginal discharge, which may be either purulent or hemorrhagic..Case PresentationThis problem may produce symptoms or be asymptomatic for long periods of time and may result from ignorance, accident, malice, psychotic tendencies, attempts at sexual stimulation or sexual abuse. The current report presents the case of a girl that had inserted a foreign body in her vagina probably due to childish prank..ConclusionsThe clinicians should always think of foreign bodies in the vagina in cases of chronic, antibiotic resistant vaginal discharge and lower abdominal pain especially in young girls..Keywords: Vaginal Discharge, Foreign Bodies, Sex Offenses