Abstract

Objectives: The study was designed to determine the rate of prevalence of depression and anxiety among the patients in internal and surgical wards, and further to illustrate the correlates of these disorders with the population sample.�

Method: 250 in-patients of Internal and Surgical wards of General Hospital No.1, and Bahonar General Hospitals of Kerman University of Medical Sciences were selected through convenient sampling during a four month period. They were assessed through a questionnaire, which comprised 23 items related to depression and anxiety dimensions of SCL-90-R. The data were analysed through t-tests, analysis of variance, ANOVA, and Chi square.

Findings: Analysis of prevalence of depression indicated that the highest rate of affliction belonged to the female patients in Internal ward with 71% the male patients in Surgical Ward obtained the least rate of prevalence of depression with 39%. The average rate of prevalence of depression in various wards was 53.6%.  Prevalence of anxiety was highest among female patients in the Internal wards (65%). Male patients in Surgical ward obtained the lowest rate of prevalence of anxiety. The average rate of prevalence of anxiety in various wards was 50.4%.  Regardless of gender, depression and anxiety were found to be more prevalent in internal wards than the surgial wards. Moreover, the difference between prevalence of anxiety in the two wards was statistically significant, and the rate of  prevalence of anxiety was greater in internal ward than in surgical wards.

Results: Depression and anxiety are more prevalent amongst the inpatients than the general public and the inpatient woman indicated the higest rate of prevalence of depression and anxiety than the other groups.

Abstract

Objectives: The aim of this research was the comparative study of pregnancy anxiety in its different periods and its related demographic factors.

Method: In a descriptive cross-sectional study 286 pregnant women in the city of Rasht, Iran who were selected using convenience sampling, were evaluated using Pregnancy Related Anxiety Questionnaire (PRAQ), Golombok-Rust Inventory of Marital Status (GRIMS), and Demographic Information Questionnaire. Data were analyzed using descriptive statistics, univariate analysis of variance, Pearson correlation coefficient, t-test, and stepwise regression analysis.

Results: The rate of pregnancy anxiety was high in the first and third trimester and low in the second trimester. However, after entering stepwise regression analysis, the data lost their significance. Stepwise regression of analysis showed that pregnancy anxiety has significant association with sexual satisfaction (p<0.001), age (p<0.001), and education (p<0.001). Having a lower age during pregnancy and high education and sexual satisfaction have a more significant role in accounting for differences in pregnancy anxiety than being in a particular trimester.

Conclusion: Planning preventive and supportive programs for pregnant women is necessary.

Objectives: The aim of the present study was to assess the degree of efficiency of mental health education for non-psychiatrist medical specialists in attracting public cooperation and the provision of mental health in the form of an urban cooperative model. Method: The residents of districts 11, 16, and 18 in municipality area 6 of Tehran were considered as the covered community. 20 volunteers (as mental health contact), three individuals with master degree in clinical psychology or consultation, three psychiatrists, and 15 non-psychiatrist specialists (all from municipality area 6) comprised the subjects of the present study and voluntarily participated in this research. Data were gathered using quantitative (demographic questionnaires, specialists’ survey, and mental health contact survey) as well as qualitative (registering observations and experiences) methods. Data analysis was done via SPSS-15 and using dependent t-test. Results: The findings revealed that the scores of the volunteers and specialists changed from pretest to post-test (p≥0.002). Also, urban mental health contacts identified the districts’ patients subsequent to the training, and referred them to consultation centers, medical specialists, and district hospitals. Conclusion: Teaching mental health concepts to volunteers and medical professionals and involving them in a cooperative fashion in districts can be an efficient method of providing primary mental health services in large cities.