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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: International Journal of Behavioral Sciences
- نوع مقاله: Journal Article
- کلمات کلیدی: anxiety,depression,Emotional Schema Therapy,Post Traumatic Stress Disorder Depression
- چکیده:
- چکیده انگلیسی: Background: Comprehensive studies in Iran showed that Post-Traumatic Stress Disorder is highly common among the survivors of the imposed war and most of them are in a vicious therapeutic cycle, frequently under long therapies which mostly have low effects.Objectives: This study aims to examine the efficiency of Emotional Schema Therapy on The Emotional Schema & Cognitive Emotion Regulation Strategies of patients suffering from Post-Traumatic Stress Disorder (PTSD). Materials & Methods: 6 patients from the clients of psychiatric clinic of Baqiyatallah hospital in Tehran Iran (2015), were selected through available sampling, matched together and then divided into 3 groups (Emotional Schema Therapy (EST) combined with Medications, Cognitive Behavioral Therapy combined with Medications & Medications) Patients were examined 5 & 3 times by Beck anxiety Inventory (BAI), Beck depression Inventory (BDI) and The Persian versions of the Impact of Event Scale-Revise (IES-R). To analyze the data, indexes of effect size, cohen’s d, process changes, slope and interpretation of ups & downs in charts were employed. Results: EST and CBT (in post-treatment and follow-up phases) significantly decreased the anxiety and depression in the patients received EST and CBT and also could help to control the patients' signs and symptoms of PTSD. Moreover, pharmacotherapy had only effect on the control of anxiety and depressive signs and symptoms in post-treatment, but after the termination of pharmacotherapy, the patients to some degrees experienced a recurrence of the signs and symptoms.Conclusions: Emotional Schema Therapy via targeting directly mechanisms of pathological Emotional Schemas & Maladaptive Cognitive Emotion Regulation strategies can be appropriate choice for treatment of PTSD.
- انتشار مقاله: 04-07-1396
- نویسندگان: Yazdan Naderi Rajeh,Mehran Zarghami2,Maedeh Bagheri
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Iran,Substance-related disorders,Death
- چکیده:
- چکیده انگلیسی: Background: The Ministry of Health and Medical Education (MOHME) and the Legal Medicine Organization
(LMO) are the 2 death registration systems in Iran for registering drug-related deaths. The aim of the present
study was to assess the number of undercount and the overlap between the deaths registered by the 2 sources.
Methods: In this descriptive study, according to the 10th revision of the International Classification of
Diseases (ICD-10), the registered data on drug-related deaths in the years 2014-2016, as recorded by the
MOHME and the LMO, were collected and the number of deaths was estimated using 2-source capturerecapture method and Excel and SPSS software.
Findings: The total number of drug-related deaths, as registered by the 2 sources, was 8639 during the
3 years. A major part of the drug-related deaths (75% of the data) had been registered by the LMO and only
25% of deaths had been registered by the MOHME. There was also a small overlap (7.7% of deaths) between
the data from the 2 sources. The final estimation from the capture-recapture model and analysis of sensitivity
showed that, during the 3 years, the total number of drug-related deaths was 14517 [95% confidence interval
(CI):14498-14558]. Based on the complete overlap assumption and 50% of unidentified individuals in the
2 sources, the number of deaths was estimated at 11341 and 12418, respectively. The largest number of
drug-related deaths had occurred within the age range of 25-39 years and in men. Kermanshah, Hamedan,
and Zanjan Provinces (Iran) had the largest number of cumulative incidences of drug-related deaths. Based
on the data provided by the MOHME, the most common cause of death was Methadone poisoning.
Conclusion: There was a small overlap between the MOHME and the LMO in the registration of drug-related
deaths. Failure to enter accurate and correct information has led to miscalculations of these deaths in Iran
- انتشار مقاله: 16-02-1399
- نویسندگان: Masoudeh Babakhanian,Mehran Zarghami,Abbas Alipour,Ardeshir Khosravi,Seyed Saeed Hashemi-Nazari,Mehdi Saberi,Mohammad Reza Ghadirzadeh
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: drugs,Iran,Harm reduction,treatment,Human Immunodeficiency Virus,Women
- چکیده:
- چکیده انگلیسی: Background: Iranian female methadone patients are at risk of human immunodeficiency virus (HIV) due to involvement in high-risk sexual behaviours and/or needle sharing. The present study aimed to explore the perceived educational needs related to HIV among a group of Iranian female methadone patients. Methods:The research design was qualitative and the participants were sampled purposively.
Semi-structured interviews were conducted with 34 women and 19 clinicians in Sari, Mashhad, and Tehran, Iran. Then, qualitative content analysis was implemented. Findings: The emergence of three major themes and six minor themes was revealed. Women expressed a need to increase their knowledge including women-specific pathophysiology and disease progression and the modes of the virus transmission and prevention. Women also expressed a need to enhance their knowledge and skills related to the physical management of the virus including self-care and reproductive health. Other themes included perceived psychosocial needs including removing stigma and access to resources in the community. Conclusion: Women reported a wide range of educational needs from basic knowledge to advanced skills. The findings can be used in designing women-specific educational programs related to HIV in Iran. Larger studies are suggested with gender-mixed samples in the Persian context- انتشار مقاله: 23-02-1398
- نویسندگان: Mehran Zarghami,Maedeh Bagheri,Hamed Bahari,Khatereh Tufani,Alireza Mahjoub,Reza Daneshmand,Zahra Alammehrjerdi,Raheleh Mohammadian,Omid Massah
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Addiction,Loperamide,Cardiac arrhythmia
- چکیده:
- چکیده انگلیسی: Background: Loperamide is used as an antidiarrheal drug and is available over-the-counter. It cannot pass the blood-brain barrier and it does not have a considerable abuse potential. It can lead to dangerous cardiac arrhythmia.Case Report: Herein, we report a 35-year-old man with a 13-year history of abusing opioids who had undergone detoxification for four times during this period. He underwent detoxification for using 200 mg loperamide daily with anticholinergic agents, clonidine, non-steroidal analgesics, and diazepam. No evidence of arrhythmia was seen in the patient.Conclusion: Tolerating high doses of loperamide could be dangerous and increases the risk of fatal cardiac arrhythmias.
- انتشار مقاله: 04-06-1395
- نویسندگان: Mehran Zarghami,Maryam Rezapour
- مشاهده
- جایگاه : پژوهشی
- مجله: Addiction and Health
- نوع مقاله: Journal Article
- کلمات کلیدی: Hepatitis C Virus,Drug injection,Iran,Persian Gulf,Harm reduction
- چکیده:
- چکیده انگلیسی: Background: Hepatitis C virus (HCV) is common among people who inject drugs (PWID) on methadone program in Iran (Persia). However, a few PWID on methadone program report willingness to receive HCV treatment. This study aimed to assess the factors which were associated with willingness to receive HCV treatment in a group of PWID on methadone program in Iran.Methods: We surveyed 187 PWID at seven drops in centers in Tehran, Iran. Details of demographic characteristics, drug use, injection, HCV, and drug treatment history were collected a using 25-item questionnaire. Participants were serologically tested for the current status of HCV.Findings: The study found that 28.3% of the participants were HCV seropositive. In total, 49.1% of the participants reported unwillingness to receive HCV treatment. Awareness of current HCV status [odds ratio (OR) = 3.43; 95% confidence interval (CI): 1.33-7.26; P < 0.050]; adequate knowledge of HCV treatment centers in the community (OR = 3.9; 95% CI: 1.24-5.38; P < 0.050); participation in an educational program on HCV (OR = 2.9; 95% CI: 2.33-8.56; P < 0.001) and recent participation in the meetings of self-help groups (OR = 4.6; 95% CI: 3.43-9.33; P < 0.001) were significantly associated with current willingness to receive HCV treatment. Conclusion:The study results indicate that awareness of HCV status and the provision of adequate HCV education via different information centers can be associated with an increased willingness for HCV treatment among PWID on methadone program. Conducting more research is suggested to assess the efficacy of educational programs and self-help groups in facilitating HCV treatment among PWID on methadone program.
- انتشار مقاله: 09-03-1395
- نویسندگان: Zahra Alammehrjerdi,Afsaneh Moradi,Fenglian Xu,Mehran Zarghami,Javad Salehi-Fadardi,Kate Dolan
- مشاهده