18 1735-4315 Iran University of Medical Sciences and Health Services 1669 Psychiatry and Psychology Studying the knowledge, attitude, and performance of Health workers Bolhari Jafar b Bina Mehdi c Ehssanmanesh Mojtaba d Karimi Kaisomi Isa e b tehran Psychiatric Institute c Shaheed Beheshti Medical Science, d tehran Psychiatric Institute e tehran Psychiatric Institute 1 9 1997 3 1 4 12 10 12 2012 The purpose of this research was to evaluate health workers knowledge about mental disorders and their performance in delivering mental health services as well as examining their attitude towards mental disorders. The study was part of a general and country wide evaluation of the integration of mental health in the PHC. In this study, the knowledge, attitude, and performance of 266 health workers (out of 4254) who were participated in the PHC mental health program toward mental disorders, epileps, and mental retardation were assessed. These workers were selected through the multiphasic random sampling method. The knowledge, attitude, and performance queationnaires specially devised for the study were used for gathering of data.The results indicated that subjects responded appropiately to more than 50% of the questions on the knowledge and attitude questionnaires. The results also showed that health workers were successful in learning mental health concepts and in identifying, reffering and following up the psychiatric patients. Cultural problems, despersed population-under care – and teaching mental health to public wre classified as problems faced by health workers.
1673 Psychiatry and Psychology Cost – Benefit Analysis of Epilepsy Treatment in the Health System of Kurdestan Province, Iran Raeissi pooran f Shahmohammadi davood g Ghazizadeh ahmad h f Iran University of Medical Sciences g Iran University of Medical Sciences h University of Medical Sciences 1 9 1997 3 1 13 19 10 12 2012 Although Mental Health Program has been adopted as one of the components of the primary Health care program in Iran since 1989 its cost effectiveness has not yet been evaluated in any form. The purpose of the present study was to evaluate the cost-effectiveness of mental health program regarding the treatment of epileptic patients in the Kurdestan province.In order to achieve the above goal in a case-contrl study, 92 epileptic patients who were under the coverage of mental health program in PHC (Case group) were compared in terms of sex, occupation, age, annual inpatient and outpatient contacts, days staying in hospital, as well as mean of annual cost and benefits per patients.The findings ndicated that differences in age, sex, occupation, mean of days staying in the hospital andmean of inpatient contacts between the two groups were not statistically significant, but means of outpatient contacts, annual cost and benefit per aptient contacts, and mean of annual cost per patient was smaller than that for the control group.The findings of the present study provides convincing evidence regarding the positive effects of theintegrated mental health program in Iran in increasing outpatient contacts and decreasing cost, as well as improving cost-benefit dimensions in the care of epileptic patients. 1677 Psychiatry and Psychology The study of psycho-socail factors and epidemiological characteristics of the people who attempted suicide in Hamadan Heidari Pahlavian ahmad i i Hamadan University of Medical sciences, 1 9 1997 3 1 19 32 10 12 2012 The main purpose of this study was to obtain accurate information about the psycho-social factors and epidemiological characteristics of the people who attempted suicide in Hamadan. During one year, 667 individuals who had benn brought to 4 emergency centers in Jamadan for attempting suicide, completed the personal data sheet, MMPI, and BDI.Results indicated that 63% of this group (423 persons) were female, and 37% (244 persons) were male. Those under the age of 30, attempted suicicde more than other age groups (%77.5). The majority of females who attempted suicide wre married (%63.46), whereas among males this percent was %42.22.%85.86 of subjects who completed BDI, were depressed. % 52.36 of subjects has an abnormal profile on MMPI.Family and marital discord, mental disorders (mostly depression), and unemployment wre the main reasons for suicide among this group. 1681 Psychiatry and Psychology The role of pathological and normal grief in the prevalence of mental disorders among adolescents Khosravi zohreh j Akbarzadeh nasrin k Hadjian fatemeh l j member of scientific board, Azzahra University k member of scientific board, Azzahra University l member of scientific board, Azzahra University 1 9 1997 3 1 32 40 10 12 2012 For the purpose of studying the effects of pathological and normal grief on the prevalence of mental disorders among adolescents. 164 intermediate and highschool students were administered a grief inventory and a questionnarire assessing mental disorders. Among the study group 83 students had experienced the death of one of their family members (mostly fathers), and 81 did not have such experience.Results indicated that : 1) The students who has experienced grief scored higher than other students, on measures of PTSD, obsessional thoughts, and motor tics. 2) The scores of students who has experienced pathological grief were higher than the scores of students who has experienced normal grief on PTSD, obsesional thoughts, motor tics, and general anxiety disorder. 3) The subjects whose parents had died in an accident, scored higher than those whose parents ahd died as a result of an illness, on oppositional disorder and disobediance. 4) the scores of subjects who has lost their parents between the ages 2-7, were higher than the scores of subjects who has lost their parents when they wre older, on ADHD, 5) the girsl who had experienced grief has higher scores on specific phobias, and social anxiety where as boys with similar experiences showed higher scores on ADHD, conduct disorder, and vocal tics. 1683 Psychiatry and Psychology Epidemiology of attention deficit and disruptive behaviour disorders in elementary school children of Gonabad town, north east iran (1996-1997) Tavakkolizadeh jahanshir m Bolhari jafar n Mehryar amir hoshang o Dezhkam mahmood p m Tehran Psychiatric Institute, 1 Jahan Alley, Taleghani Ave. Tehran Iran, I.R n Jahan Alley, taleghani Ave. Tehran, Iran, I.R. o Shaheed Mokhtar Askari St., Institute for Research on Planning and development, tehran, Iran, I.R. p Shaheed Beheshti University of Medical Science 1 9 1997 3 1 40 52 10 12 2012 Using the persian version of Gadow's child syptom Inventory (SCI-4), an attempt was made to determine the prevalence of attention deficit and disruptive behaviours among elementary school children of Gonabad town in the north eastern khorasan province of Iran. Subjects consisted of 400 children (202 boys and 198 girls) ages 7 to 12 years attending grades 1-5 of public primary schools. They had been randomly chosen to represent the population of primary school pupils of the town. During the first phase of the study, 100 of the children selected for study were rated by their mothers and teachers using the CSI-4. the same children were then interviewed by a trained psychiatrist who also filled the CSI-4 for each of them.Using the latter ratings as a criterion, the sensitivity andspecificity of ratings made by mothers and teachers were deetermined and a cut-off point was established for diagnosis of hyperactivit and disruptive behaviour disorder. Applying this cut-off point to the total sample of children rated by their teacers and mothers (N=400) it was found that %21.8 of boys as compared with %12.1 of girls meet the DSM-IV criteria for attention deficit and disruptive behaviour disorders. The majority of children (%9.9 of boys and %8.1 of girls) identified as behaviourally disturbed manifested symptoms of hyperactivity / attention deficit disorder. The second most prevalent category of behaviorla disturbance was conduct disorder (manifested by %8.99 of boys and %4.0 of girls). Defiant oppositional disorder was shown only by %5.9 of boys and %3.0 of girls.Among boys, the highest rates of disorder were shown by the six children aged 12 plus (%100). All of whom were below their age level in terms of academic progress and has been rated as, academically very werak, by their teachers. Rates of behaviour disorder tended to be higher among children from lower socioeconomic backgrounds. 1684 Psychiatry and Psychology Application of Cognitive-Behavior Therapy in the Treatmentof Refractory Patients with Obsessive Compulsive Disorder Fataa ladan Tehran Psychiatric Institute, 1 Jahan Alley, Taleghani Ave., Tehran, Iran, I.R. 1 9 1997 3 1 52 60 10 12 2012 During the past three decades, there have been several studies concerning the efficacy of drugs and behavior therapy for treating obsessivecompulsive disorder. The high rates of relapse, and number of patients withour any improvement has turned clinicians attention toward the cognitive-behavior therapy (CBT) for the treatment of this disorder.This article has examined the efficacy of cognitive behavior therapy for three refractory obsessive-compulsive patients. Since the content of obsessive thoughts are culturally related, useful techniques are suggested for the treatment of Iranian clients.The results revealed that CBT was effective in treating obsessive-compulsive disorder. 1685 Psychiatry and Psychology The methods of Intervention in the social relationship of chronic psychiatric patients Nouri robabeh Bayanzadeh sayd akbar Tehran Psychiatric Institute Tehran Psychiatric Institute, 1 Jahan Alley, Taleghani Ave., Tehran, Iran, I.R. 1 9 1997 3 1 60 67 10 12 2012 In this article, methods of intervention for increasing the social relationship of chronic psychiatric patients are discussed. The three interventionprocedures are: 1) development of new social relationships 2) maintaining and reinforcing the existing social relationships and 3) improving family relationships.In addition, theproblems of implementing these procedures and the role of mental health professionals in the delivery of these services are exmined. Finally, with emphasis on Iranian socio-cultural characteristics, some recommendations are proposed 1688 Psychiatry and Psychology The study of stress and coping strategies in the caregivers of patients with chronic schizophernia and chronic dialysis Shahmohammadi shagh Bayanzadeh sayd akbar Ahmadi jamshid Rahnamoon Clinic, Habibi St. Shiraz, Iran, I.R. Tehran Psychiatric Institute Shiraz University of Medical Science 1 9 1997 3 1 67 75 10 12 2012 The purpose of this research was to study the sress level and coping strategies in among the caregivers of the two groups of chronic schizophernic patients and chronic dialysis patients. The sample consisted of 20 caregiveres who were mothers, wives, husbands, and children of the patients. They were selected from patients records in the clinics of the city of Shiraz. The subjects were matched for age, family income, number of family members, and educational level and requested to complete QRS-SF, CS-R checklist, and MMPI.The findings indicated no significant differences in the stress level and coping strategies of either group. Nor it revealed any significant difference in the level of mental disorders. In the study groups.Patients' sex also had no efect on the level of stress expressed the study did not find any relationship between the level of stress and the gender of the subjects.However, when caregivers of schizophernic patients were examined by MMPI females, scores of D, Hy, Pt higher than males scores for these scales. Moreover stress level of those who cared for schizophernic patients with negative symptoms were higher than the caregivers of those with positive symptoms.  1689 Psychiatry and Psychology Study of the effect of a designed physical exercise program on elderly's self-esteem Ansari Jaberi ali . Mohammadi esa Fathi Ashtiani ali Rafsanjan University of Medical science, Rafsanjan, Iran, I.R tarbiat Modares University. Jalale-Al-Ahmad Ave., tehran, Iran, I.R tarbiat Modares University. Jalale-Al-Ahmad Ave., tehran, Iran, I.R 1 9 1997 3 1 75 79 10 12 2012 To ealuate the effect of a physical exercise program on elderly's self-esteem, the smith questionnaire was administreed to 34 elderly males aged 60-75 years old. The group participated in a specially desined physical exercise program every morning for 30 days. Each session lasted 30-45 minutes.Results indicated the efficacy of the program in improving subjects' self-esteem. This was concluded by the analysis of the obtained scores, i.e. the mean scores of their self-esteem increased from 53.3 (before using the program) to 70.8 (after using the program).   1690 Psychiatry and Psychology Comparison of drug-therapy and conditioning in the Hoseinzadeh ebrahem Jalili behroz Alhanie fatemeh tarbiat Modarres University, Jalal-Al-Ahmad Ave., Tehran, Iran, I.R University of Medical sciencesm Shaheed Esmaili Psychiatric Center, Jamalzade St., Tehran, Iran, I.R. Modarres University, Jalal-Al-Ahmad Ave. , Tehran Iran, I.R. 1 9 1997 3 1 79 85 10 12 2012 This research is a quasi-experimental study that was carried out in the shaheed esmaili psychiatric hospital. The purpose of this study was to compare two procedures in the treatment of enuresis i.e. conditioning therapy (using of the bed alarm) and drug therapy (imipramine). In this study 44 children, diagnosed as enuretic, were randomly assigned to two groups. Subjects were matched for variabled such as age, sex educational level of parents and the family income. All particianets completed questionnaires containing personal information andmonthly monitoring of enuresis.Findings indicated that in the first 45 days of therapy, drug therapy was more effective than conditioning. However, the second 45 days of therapy, showed no significant differences between the two groups. Follow up data 45 days after the termination of therapy did not indicated any significant differences between the two groups.  1691 Psychiatry and Psychology Comparison of Iranisn, American and Chinese students attitude toward mental illness Shokuhi Yekta mohsen bargardan tehran University, faculty of Educational Sciences, Jalal-Al-Ahmad Expressway, tehran, Iran, I.R. 1 9 1997 3 1 85 95 10 12 2012 Attitudes toward mental illness were measured by the OMI questionnaire, opinion about mentall illness scale, for 90 ale graduate college students from Iranian. American, and Chinese cultural backgrounds. The questionnaire consisted of five different factors: A-Authoritarianism, B-Benevolence, C-Mental Hygiene ideology, D-Social restrictiveness, E-Interpersonal etiology. To assure sufficient comprehension of the questionnaire in its original language by all of the participants, a few proficiency language criteria had to be met. 42 (our of a total of 132) questionnaires were excluded from the study because of failure to meet certain criteria.Questionnaires were scored indivdually by using the scoring system of the OMI. Significant differences were found among the three groups of participants on the factors A, B, C, and E of the OMI. Comparing the means of subscale scores, both Iranian and Chinese subjects performed higher on "Authoritarianism" (Factor A) on social restrictiveness (Factor D), and on interpersonal etiology (Factor E), and lower on benevolence (Factor B) than american subjects. No significant differences were found between the iranian and chinese subjects on any of the OMI subscales. 1694 Psychiatry and Psychology translate Irani Ali 1 9 1997 3 1 95 100 10 12 2012 translate