per
Iran University of Medical Sciences and Health Services
Iranian Journal of Psychiatry and Clinical Psychology
1735-4315
2228-7515
2013-08
19
2
79
96
article
Which of Community-Based Services are Effective for People with Psychiatric Disorders? A Review of Evidence
Vandad Sharifi
1
Farid Abolhasani
2
Ali Farhoudian
3
Masoumeh Amin-Esmaeili
dr.m.a.esmaeeli@gmail.com
4
Roozbeh Hospital, Tehran University of Medical Sciences
National Institute of Health Research, Tehran University of Medical Sciences
University of Social Welfare and Rehabilitation Sciences
Iranian Research Center for HIV/AIDS
Objectives : The study aimed at reviewing evidence of effectiveness and cost-effectiveness of community-based services for psychiatric disorders. Method: Cochrane and PubMed bibliographic databases and reference lists of relevant studies were investigated. Systematic reviews and controlled randomized clinical trials were analyzed. The inclusion criteria were having effectiveness and cost-effectiveness scales for community-based services models . These scales were compared for services delivered to patients with mild severe and mild psychiatric disorders. Results: Provided services were assertive community treatment, case management, home visit, crisis intervention services , prompting, patient and family education and supported employment. The effectiveness and cost-effectiveness of assertive community treatment and family education had the strongest evidence and were effective on hospital admission rate, duration of hospital stay and maintaining contact with treatment system. The evidence for other services were insufficient or contradictory. For the mild psychiatric disorders, the service models included screening of disorders and feedback alone, continuous medical education, using practice guidelines, telephone-based intervention/care, referral system and consultation- liaison service, internet-based prevention and treatment programs, school-based prevention program and collaborative care. The most effective and cost-effective models were collaborative and internet-based care programs. Some of the positive outcomes of interventions were symptom reduction, patient’s satisfaction and decrease in economic burden of disease on family. Conclusion: The evidence for the models of delivering services to patients with mild psychiatric disorders mainly support collaborative models for delivering services and for more severe disorders support active follow-up and family education. These models are effective and feasible to clinical outcomes with a desirable cost - effectiveness .
http://ijpcp.iums.ac.ir/article-1-2050-en.pdf
psychiatric disorders; collaborative care; community mental health services; effectiveness; cost-effectiveness
per
Iran University of Medical Sciences and Health Services
Iranian Journal of Psychiatry and Clinical Psychology
1735-4315
2228-7515
2013-08
19
2
97
101
article
World Scientific Output with Emphasis on Iran in the Field of Psychology in MEDLINE (2000-2010)
Mohammad Hossein Biglu
bmohammad73@yahoo.com
1
Negin Chakhmachi Dovom
2
Soosan Shahkhodabandeh
3
Tabriz University of Medical Sciences
a Tabriz University of Medical Sciences, Tabriz, Iran
Tehran University of Medical Sciences, Tehran, Iran
Objectives: The current research objective was to study the growth and improvement of scientific productions of Iranians authors in psychology field during 2000-2010. Methods: Psychology journals listed in the JCR database subjective category were identified and then the MEDLINE database was used to retrieve and analyze the data. Data collection was restricted to 2000-2010 years. The population was determined based on the Bradford Law of Scattering, number of citations, core journals, and journals with impact factor greater than 3. Therefore, among 71 JCR psychological journals, 19 had required criteria to be included in the study. Results: All selected journals were appeared in English. Eighty four percent were from origins of USA and UK and 16% from Holland and Switzerland. Nineteen papers were by Iranian authors and thereby Iran ranking among 58 countries was 32 just before Singapore and after Argentina. Fifty six authors from 12 academic centers were corresponding authors and 11% of papers were produced with international collaborations. Conclusion: The Iranians had limited scientific productions during 2000-2010 with a relatively increasing growth.
http://ijpcp.iums.ac.ir/article-1-2035-en.pdf
Scientometrics; Psychology; MEDLINE; Iran
per
Iran University of Medical Sciences and Health Services
Iranian Journal of Psychiatry and Clinical Psychology
1735-4315
2228-7515
2013-08
19
2
102
108
article
The Effectiveness of Group Cognitive-Behavior Therapy on Decreasing Severity of Pain and Psychological Distressamong Women with Chronic Back Pain
Masuod Jonbozorgi
janbozorgi@sbmu.ac.ir
1
Neda Golchin
2
Ahmad Alipour
3
Mojgan Agah Heris
4
: Behavioral Sciences Research Center , Shahid Beheshti University of Medical Sciences
Payame Noor University
Payame Noor University
Payame Noor University
Objectives : The aim of this study was to investigate the effectiveness of group cognitive-behavior therapy on decreasing severity of pain and psychological distress among women with chronic back pain. Method: This research is a semi-experimental study with pretest-posttest design and control group. Among females with chronic back pain referred to Imam Khomeini Hospital and a clinic in Tehran in 2010, 30 participants with mean age of 33 years and 7 months were selected and randomly assigned to two equal experimental and control groups. Experimental group during twelve 90-min sessions received Turk and Free cognitive-behavior therapy, and control group were just followed. All participants completed the items of Depression, Anxiety, and Stress Scale (DASS), and Quebec Back Pain Disability Scale (QBPDS) prior to and after the intervention. The data were analyzed using independent t-test. Results: The findings revealed a significant decrease of back pain (p<0.05), and depression, anxiety and stress symptoms (p<0.05) in experimental group who participated in therapeutic sessions. Conclusion: Cognitive-behavior therapy could minimize adverse effects of pain and decrease psychological distress by changing dysfunctional behaviors, correcting counterproductive cognitions and deteriorating sensations related to pain.
http://ijpcp.iums.ac.ir/article-1-2043-en.pdf
cognitive-behavior therapy; psychological distress; back pain
per
Iran University of Medical Sciences and Health Services
Iranian Journal of Psychiatry and Clinical Psychology
1735-4315
2228-7515
2013-08
19
2
109
120
article
Effects of Group Acceptance and Commitment Therapy (ACT)-Based Training on Job Stress and Burnout
Ali Hosseinaei
hosseinaiyf@yahoo.com
1
Hassan Ahadi
2
Ladan Fata
3
, Alireza Heidarei
4
Mohamad Mehdi Mazaheri
5
Khouzestan Science and Research branch, Islamic Azad University
Allame Tabatabaei University, Tehran, Iran;
Medical Education & Development Center, Iran University of Medical Sciences, Tehran, Iran
c Islamic Azad University- Ahwaz branch, Ahwaz, Iran
Central Organization, Islamic Azad University, Tehran, Iran.
Objectives: The aim of this study was to investigate the effects of group acceptance and commitment therapy (ACT) on job stress and burnout among personnel of Islamic Azad University, Azadshahr branch. Method: Ninety-six personnel of Islamic Azad University, Azadshahr branch were selected by volunteer available sampling method and assigned randomly to three experimental, let’s talk and control groups. During four 1.5-hour sessions, the experimental group received acceptance and commitment therapy (ACT) based on the Bond and Hayes model. Let’s talk group received nutrition and sports instructions (irrelevant to ACT) during four sessions of 1.5 hours. Control group received no training. Three months after the main training and in the follow-up stage, experimental and let’s talk groups had two sessions of 1.5 hours. During these sessions previous contents were reviewed again. Before and after interventions and during follow-up stage, the examinees completed Osipow’s Occupational Stress Inventory and Maslach and Jackson Job Burnout Inventory. Data analysis was done using repeated measures analysis of variance. Results: Group training based on the ACT not only decreased total job stress (p<0.001) but also diminished job stress factors, including role overload (p<0.05), role ambiguity (p<0.001), role boundary (p<0.01), and responsibility (p<0.001). Besides, ACT-based training decreased personal achievement (p<0.05). Conclusion: Group ACT-based training decreases job stress but has no considerable effect on job burnout.
http://ijpcp.iums.ac.ir/article-1-2038-en.pdf
group acceptance and commitment therapy (ACT); job stress; job burnout
per
Iran University of Medical Sciences and Health Services
Iranian Journal of Psychiatry and Clinical Psychology
1735-4315
2228-7515
2013-08
19
2
121
133
article
Modeling of Emotional Disorders of Fear and Distress Spectrum
Mahmood Dejkam
1
Mina Elhami Asl
minaelhamiasl@yahoo.com
2
Abbas Bakhshipour Roodsari
3
Hadi Ghazanfari
4
Shahid Beheshti University of Medical Sciences, Tehran, Iran
student research committee of Shahid Beheshti University of Medical Science
Tabriz University, Tabriz, Iran
Tehran Institute of Psychiatry- Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran.
Objectives: The goal of this study was modeling emotional disorders based on fear and distress factors in non-clinical Iranian population. Method: In this study which was based on structural equation modeling plan, 800 undergraduate students from Shahid Beheshti University of Medical Sciences were selected by a multi-level clustering method, and were asked to complete Albany Panic and Phobia Questionnaire (APPQ), Phobic Stimuli Response Scale (PSRS), Social Phobia Inventory (SPI)، 4th edition of GAD Questionnaire (GADQ-IV), General Behavior Inventory (GBI), and second edition of Beck Depression Inventory (BDI-II). Data were analyzed using structural equation modeling. Results: The results showed that symptoms of panic, agoraphobia, social and specific phobia disorders loaded on fear factor and distress consisted of depression, dysthymia and generalized anxiety. This finding proved stability and repetition of internalization spectrum disorder modeling based on both fear and distress factors. Conclusion: Although, these findings were congruent with previous research performed in western societies, making conclusion about reliability and universality of two-factor structure of internalization spectrum disorders, in general, and specifically its reliability in Iranian society, require further studies.
http://ijpcp.iums.ac.ir/article-1-2040-en.pdf
dimensional classification; emotional disorders; depression; fear; comorbidity
per
Iran University of Medical Sciences and Health Services
Iranian Journal of Psychiatry and Clinical Psychology
1735-4315
2228-7515
2013-08
19
2
134
138
article
Patients Satisfaction of the Role of Case Manager in Community Mental Health Center (CMHC)
Zahra Noee
zahranoee@gmail.com
1
Farid Abolhassani
2
Vandad Sharifi
3
Masoumeh Amine-Esmaeili
4
Seyed Jafar Mosavineia
5
Community Mental Health Center, Tehran University of Medical Sciences, Tehran, Iran, IR
National Institute Health Research, Tehran University of Medical Sciences, Tehran, Iran
Roozbeh Hospital, Tehran University of Medical Sciences, Tehran, Iran
Iranian Research Center for HIV/AIDS (IRCHA), Iranian Institute for Reduction of High-Risk Behaviors, Tehran University of Medical Sciences, Tehran, Iran
Tehran University of Medical Sciences, Tehran, Iran.
Objectives: This study was conducted to evaluate patients satisfaction of case managers’ performance and their telephone follow-up based on the collaborative care model in Community Mental Health Center (CMHC). Method: For conducting current descriptive study, out of 991 subjects, 131 were randomly selected and investigated for their satisfaction of case managers’ behavior and service. Investigations were carried out by psychologist using telephone contact method. The data were analyzed by descriptive method. Results: Of all follow-ups, %75.6 of examinees answered to the case managers telephones and from these people, 94.6% were satisfied of telephone contacts and case managers’ performance. Conclusion: Case manager could improve patients’ acceptance and satisfaction of treatment process.
http://ijpcp.iums.ac.ir/article-1-2033-en.pdf
case manager; patient satisfaction; CMHC; psychiatry
per
Iran University of Medical Sciences and Health Services
Iranian Journal of Psychiatry and Clinical Psychology
1735-4315
2228-7515
2013-08
19
2
139
148
article
Early Maladaptive Schemas in Sex and Non- Sex Offenders
Azam Noferesty
noferest88@yahoo.com
1
Asieh Anary
2
Kharazmi University, Tehran, Iran, IR.
Shahid Beheshti University, Tehran, Iran
Objectives: The aim of this study was to compare early maladaptive schemas in sex and non-sex offenders. Methods: In current descriptive post-hoc study, 45 sex offenders were selected by voluntary sampling method from Tehran Ghezel Hesar and Karaj Rajaei Shahr prisons. Forty five homogeneous non-sex offenders in terms of age, marital status, education and job were selected from Karaj detention camp. The short form of Young Schema Questionnaire was administered to both groups and the data was analyzed by one-way analysis of variance and stepwise discriminate analysis. Results: The mean score of non-sex offenders for subjugation schema was higher than that of sex offenders (p=0.006). The stepwise discriminate analysis showed no difference between sex and non-sex offenders (p=0.001), though the subjugation and mistrust/ abuse schemas were the best predictor schemas of being in sex or non-sex offender groups. However, the success rates of stepwise discriminant analysis in predicting involvement in offender groups were not satisfactory. Conclusion: Due to the limited number of different schemas between the two groups, it seems that the core psychopathology and fundamental schemas for two types of sex and non-sex offence are approximately identical and except for schemas other factors affect the kind of offence.
http://ijpcp.iums.ac.ir/article-1-2034-en.pdf
early maladaptive schema; sex offence; non-sex offence
per
Iran University of Medical Sciences and Health Services
Iranian Journal of Psychiatry and Clinical Psychology
1735-4315
2228-7515
2013-08
19
2
149
155
article
Sexual Function and Self-disclosure in Unconsummated Marriages
Hadi Bahrami
1
Mehrdad Eftekhar
2
Alireza Kiamanesh
3
Frioozeh Sokhandani
firoozeh.sokhandani@gmail.com
4
Islamic Azad University, Science and Research Branch, Tehran, Tehran, Iran
Mental Health Research Center , Tehran Institute of Psychiatry- Faculty of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
Islamic Azad University, Science and Research Branch, Tehran, Tehran, Iran
Islamic Azad University, Science and Research Branch, Tehran, Iran, IR
Objectives: The research goal was to study the relationship between the unconsummated marriage and couples’ sexual function and sexual self-disclosure. Method: A total of 18 couples selected via an accessible sampling method answered to Spouses Sexual Disclosure Scale (SSDS), International Index of Erectile Function (IIEF) and Female Sexual Function Index (FSFI). Data Analysis was by 2 test and Pearson correlation. Results: There was a positive significant relationship between unconsummated marriage and the couples’ low sexual performance and couples’ low sexual self-disclosure. The relationship between the couples’ sexual performance and their low sexual self-disclosure was not significant. Conclusion: In couples with unconsummated marriage sexual function and sexual self-disclosure are extremely low, and these variables have interactive effects over each other.
http://ijpcp.iums.ac.ir/article-1-2041-en.pdf
unconsummated marriage; sexual function; sexual self-disclosure
per
Iran University of Medical Sciences and Health Services
Iranian Journal of Psychiatry and Clinical Psychology
1735-4315
2228-7515
2013-08
19
2
156
157
article
Sending Short Message System (SMS) for Mental Health Patients
Shahrzad Mazhari
smazhari@kmu.ac.ir
1
Letter to the Editor
http://ijpcp.iums.ac.ir/article-1-2037-en.pdf
Short Message System (SMS)
Mental Health Patients