18 1735-4315 Iran University of Medical Sciences and Health Services 1695 Psychiatry and Psychology Independent National Evaluation of Mental Health (Iran – 1995) Mohit ahmad b Shahmohammad davood Bolhari jafar b WHO mental health advisor for East mediterranean Region. 1 2 1998 3 3 4 17 11 12 2012 The purpose of this project was to conduct a thorough evaluation of mental health services delivery system as an important part of helath services delivery system. As an important part of health services delivery system. For this purpose, 266 health workers (Behavarses) and health houses, 91 GPs and rural health centers, 923 persons who refered to private and other psychiatric centers, and 737 families who lived in the neighborhood of the rural areas where mental health programmes were in operation were selected for participation in this study. Data were gathered through administration of several questionnaires to participants and evaluation of the centers' functions.Data were analyzed using the descriptive statistic. Resutls indicated that implementation of National Mental Health Programmed and its integration into the PHC system has led to a major and deep change in the health workers attitude toward the basic principles of mental health and mental health services delivery in the rural areas as well as in people's knowledge of and their tendency to use mental health sercives instead of seeking traditional methods of treatment. 
1696 Psychiatry and Psychology Rating of Stressor Events and Their Relationship with Mental Disorders in Zahedan General population Malakoti kazem e Bakhshani noor mohamad f Bohaei gholamreza g Motaghipour yasaman h e South Jamalzadeh St., Tehran, Iran, I. R. f Clinical Psychologist g . Statitician h Clinical Psychologist 1 2 1998 3 3 17 29 11 12 2012 Psychosocial stresses, as one of the causative factors of mental and physical disorders, are considered to be important health issues. Thus, for identifying vulnerable groups, it is necessary to identify and evaluate these stressors. The purpose of this study is to review the relationship between stress and incidence of mental disorders and to quqntify this relationship and to compare psychiatric signs in different groups by using the Life Events Inventory and SCl-90-R questionnaires. 410 subjects (211 females, 199 males with a mean age of 31.3 years) participated in this study Subjects were selected from Zahedan general population through cluster random sampling. Data were analyzed using the Z test. Analysis of variance and the Turkey method were done using the SPSS package. Resylts showed that there was little difference between the sample mean (57.2) and the cut of point (58.3). It was also found that psychiatric problems were more severe and occurred more frequently among single, low educated individuals and women. Men, young people, and Balooches are confronted with more stressful events. The most common life stressors were hospitalization of a family member, birth of a new member in the family, unwxpected mortality, financial problems, inflation, unemployement and family discordes.   1697 Psychiatry and Psychology Investigating Stressors in an Industrial Setting Nasr Esfahani mehdi i Bagheri abas i 1 Jahan Alley, Taleghani Ave, Tehran, Iran, I.R. 1 2 1998 3 3 29 38 11 12 2012 This study was to investigate the most important stressors and causes of job dissatisfaction in employees if an industrial setting. 230 full-time workers and employees were selelcted through random sampling. A questionnaire that included five categories of stressors (permanent and transient factors related to the type of job and the work environme nt, accident producing factors, relationship problems at work and welfare and nutritional facilities). Was used for evaluating them. Findings indicated that the most important stressors for all empoyees were heumanisitic problems and relationship problem at work. Accident produced factors, permanent factors, dissatisfaction with welfare and nutritional facilities, and the factors that related to the nature of work were other important stressors at lower level. The totla mean of the stress level for different groups was 2.02 (SD=0.88). Employees reported higher level of stress than workers.  1698 Psychiatry and Psychology Comparison of Clomipramine, Hydroxyzine, and Behavior Therapy in the Treatment of Trichotillomania Attari abas k Khosravizadegan fatemeh k Isfahan University of Medical Sciences 1 2 1998 3 3 38 43 11 12 2012 Trichotillomania refferes compulsive hair pulling that results in considerable hair loss.Many medical and nonedical therapies have been applied for treatment of this disorder. The purpose of this study was to compare the efectiveness of Clomipramine, Hydroxyzine, and behavior therapy (habit reversal) in the treatment of trichottillomania. To achieve this 15 patients with trichotillomania were randoly assigned to 3 experimental groups. One group received clomipramine for 6 weeks. The second group received Hydroyzine for 6 weeks, and the third group attended 6 sessions of habit reversal therapy.The findings indicated that Clomipraine and hydroxyzine had no significant effects. Habit reversal had considerable effect on th eintensity of the disorder, but not on th enumber of hairs pulled off.Comparison between three groups indicated the superiority of habit reversal in the treatment of tichotillomania. 1699 Psychiatry and Psychology Coping Strategies, Perceived Self-efficacy, and attitude toward Life events in the Normal and Neurotic Iranian Groups Zolfaghari fazliyeh m Mohammadkhani parvaneh Poorshahbaz abas m Jahan Alley taleghani St. Tehran, Iran, I.R. 1 2 1998 3 3 43 54 11 12 2012 In this study, coping strategies, perceived self efficacy , and attitude of two groups of normal and neurotic persons toward stressful lfe events were investigated, The normal group included 104 individuals and the neurotic group consisted of 40 patients. Copuyning streategies, perceived self-efficacy, and attitude toward life events questionnaired were used inthis study.The findings indicated significant differences between two groups on the using of coping streategies and perceived self-efficacy. Also, there were significant correlations between the problem focused copings, dysfunctional copings, emotional reducing focused copings and self-efficacy and attitude toward life events. 1700 Psychiatry and Psychology The effecacy of Parent training in Reduction of Tahmassian karineh p Mehryar amir hoshang Bolhari JAFAR . Birashk behroz p Jahan Alley, Taleghani Ave, Tehran, Iran, I.R Niavaran Ave, Shaheed Mokhtar Askari St, Institute for research on planning and development, tehran, Iran, I.R. , tehran Psychiatric Institute , Tehran Psychiatric Institute 1 2 1998 3 3 54 61 11 12 2012 This experimental study was designed to show the effects of parent training program on Iranian children with behavioral disorders. 27 students (7-11 years olf) with behavioral disorders were selected from Amerian elementary shools's girls. These students were assessed by Rutter's behavioral, asssessment test, completed by parents and teachers. Then their mothers were randomly assigned to one of three groups i.e. experimental group 0n=9), placebo (n=8), and control group (n=10). These groups were matched for age, education and socioeconomical status. The mothers in the parent-training group received 8 sessions of professional contact twice a week.Treatment consisted of teaching parents to reward compliance and appropriate behavior and to use ignorance and time out for noncompliance and inappropriate behavioirs. The mothers in the placebo group participated in 5 sessions without training and therapeutic intervention. Control group participated only in pre-test and post-test.Two months after starting the parent training sessions, subjects were re-evaluated. Results indicated significant improvement in the target behaviors for experimental group. It may be concluded that mother training program was effective.  1701 Psychiatry and Psychology Obsessive-Compulsive Disorder: Integration between Applied and Theoretical Aspects Askari karim , Esfahan University, Hezar-Jarib St. Esfahan, Iran, I.R. 1 2 1998 3 3 61 73 11 12 2012 The obsessive-compulsive disorder (OCD) is a chronic and disabling neurotic disorder. Unit recently the information about the incidence, etiology and treatment of this disorder was based on researches done on relatively small samples. In the past few years, owing to a number of studies done on different populations, public knowledge about this disorder has been increased and patients have been persuaded to seek treamtnet by going to psychiatric centers.In this article the most up to data studies on various aspects of OCD are reviewd. These include:1- Epidemiology and differential diagnosis of OCD.2- OCD in childhood.3- Serotonin hypotheisi in the etiology of OCD.4- Pharmacological studies in OCD.5- Integrative approach to the treatment of OCD. 1702 Psychiatry and Psychology Tourette's Disorder : A Single Case Study Esmaili, taghi Khooshabi katauon 1 2 1998 3 3 73 100 11 12 2012 Tics are involuntary, sudden rapid, recurrent, non-rhytmic, and stereotyped motor movements or vocalizations. Tics may be transient or persistent. They often cause impairment in social, inter personal, educational, and vocational functions of people. Tic disorders may be accompanied by distractibiliy, impulsivity, restlessness, and obsessive – compulsive symptoms. Tourette's disorder is one of the four tic disorders and consists of multiple motor and one or more vocal tic(s). For the diagnosis of Tourette's disorder, the onset must be before the age of 18 the symptoms must persist for a period of more than one year and during this period there must never be a symptom-free period of more than 3 consective months. This article, discusses the tic disorders, specifically Tourett's disorder and descibes a female adolescent who had tourette's disorder and treated with Pimozide.