Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 Investigating Delusional Disorder Among Hospitalized Patients in Farahi Hospital in Kennanshah 4 9 FA fayzeh Tatari , Scientific Member of Kermanshah University of Medical Sciences suodabeh Soudi Objectives: The present study focused on the frequency of Delusional Disorder (DD) in the patients hospitalized in a psychiatric ward in the west part of Iran (Kermanshah), Method: In this retrospective and descriptive research, 601 hospitalized patients' files (1992 to 1996) at Farabi Hospital were inspected. The frequency of the patients with DD, their demographic information, co-morbid somatic complaints with DD, types of delusion, perceptual disturbances, mood state, state of insight and course of illness were studied. Results: Fifty-nine cases (8,9%) were found with the diagnosis of DD. The prevalence of DD was more common among men than women, while the available literature shows the reverse pattern. Conclusion: The results of the present study showed that the characteristics of the DD are somewhat similar to the earlier reports, but the gender and mood state showed noticeable differences.

Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 Soft Neurological Signs in Paranoid and Other Subtypes of Schizophrenia 9 16 FA nabi allah Darijani Razi Psychiatric Hospital, Aminabad gholam reza Mirsepasi mohamad Sanati maryam Novrouziav Objectives: The Present study was designed to investigate differences between paranoid and non-paranoid diagnosed patients in their soft neurological signs (SNS). The relationship between SNS and medication used for psychiatric treatment of the disorder was also noted. Method: Forty patients with diagnosis of schizophrenia (20 males and 20 females) and 15 subjects without any psychiatric disorder were asked to participate in the study. There were equal numbers of patients with diagnosis of paranoid and other subtypes of schizophrenia (non-paranoid). The patients were interviewed and examined for SNS individually. The dosage of medications used by the subjects were computed in terms of chlorpromazine equivalent and entered into the analysis. Results: patients in contrast to controls (P<O.05) and non paranoid in contrast to paranoid group (P<0,001) showed higher rate of SNS. The rate of SNS was significantly higher in patients with negative symptoms in contrast to those with positive symptoms (P<0,01). Only the total rate of SNS showed significant correlation with positive symptoms (P<O.05). There was no significant correlation between SNS and forms of thought disorder and dosage of psychiatric medication intake by the patients. Conclusion: SNSs are primary signs in schizophrenia and are more prevalent among non-paranoid patients than patients with diagnosis of paranoid disorder. The SNSs seem not to be affected by medication and are significantly correlated with negative symptoms of schizophrenia than thought disorder form.

Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 Epidemiological Study of Psychiatric Disorder in Kermanshah Urban Residents 16 26 FA khayrollah Sadeghi , Scientific Member of Kermanshah University of Medical Sciences sayd mehdi Saberi marziyh Assareh   Objectives: The present study was designed to investigate the prevalence of psychiatric disorder in over 15 years old residents of Kermanshah, capital of a western province of Iran. Method: Five hundred and one males and females (270 females and 231 males) throughout random-cluster sampling were investigated by using Self Rating Questionnaire (SRO) and Symptom Check List-90-Revised (SCL-90-R). Results: The findings revealed that 25.2% of the sample suffered from a psychiatric disorder, anxiety disorder (16.6%) and personality disorders (8.6%) were the most common. The prevalence of psychiatric disorders were more common among females (widows and divorced), the elderly, the jobless, illiterates, housewives, families with fewer members and those with family history of a psychiatric disorder. Conclusion: Beyond the above findings, SRO proved to have proper capacity for screening purpose. The test-retest analysis and internal consistency of the questionnaire were satisfactory in these respects .

Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 Body Image Disturbance Represented in Individuals Draw-a-Person Test in a Group of Schizophrenic Patients and Healthy Individuals 26 32 FA ahmad reza Sayyadi Member of scientific Committee, Rafsanjan Medical Sciences University mohamad Nazer ezatoiiah Khaleghi   Objectives : Body image is defined as image and feelings of an individual about size, form and parts of his or her body. The present study aimed to investigate the body image disturbance in a group of patients. Method: The present descriptive and cross-sectional study was conducted with a group of patients with diagnosis of schizophrenia (12 females and 15 males) and a group of subjects without any psychiatric disorder (15 females and 15 males). The two groups were matched for age, years of formal education, marital status, job and physical illness. Chi-Square analysis was used for statistical evaluation, Furthermore, Goodenough scoring system was utilized for estimating 10, and McHover method was used for psychological assessment. Results: The results showed that the patient group drew persons with a number of errors in contrast to the control group (omission of parts, placing the parts in inappropriate positions and size, deformation of shapes of parts, etc.), Furthermore. patients and the control group were different in their scores for 10 in the Goodenough scoring system. Conclusion: The findings suggested that schizophrenic patients my have impaired body concept .

Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 The Association Between Attention-Deficit Hyperactivity Disorder (ADHD) and Learning Disorder in Boys Aged 7-12 Years Old. 32 37 FA javad Alaghband-Rad head of the department of child and adolescents psychiatry farzad Moemeni   Objectives: Attention Deficit Hyperactivity Disorder (ADHD) along with Learning Disorder (LD) is one of the most important child and adolescent psychiatric disorder. They are most often seen comorbidly in patients. Our study seeks to examine the relationship between ADHD and LD in our sample. Method: Thirty boys suffering from ADHD, as diagnosed by certified child and adolescent psychiatrists using the DSM-IV criteria, were compared with a control group of 30 healthy subjects matched for age as well as socioeconomic characteristics. Relevant items from Canner's Rating Scale (Parent form) were used to assess learning disorders in the subjects. Research data were analyzed using statistical descriptive methods and t-test. Results: findings showed that 13 (43.3%) patients with ADHD and 3 (9.96%) of normal controls suffered from LD. The difference between these two groups were statistically significant .

Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 Quality of Life of the Parents' of Abused Children 37 48 FA parvaneh Mohammadkhani Scientific Member of the University of Welfare and Rehabilitation ali Delavar mohamad reza Muhammadi   Objectives : The present study was carried out to evaluate the predictive value of parental quality of life on abusive behavior with children. Method: This study investigated the life quality of the parents of 38 abused boys detected in the second grade of secondary schools of selected areas of Tehran. The results were compared with students matched for age and area of residency, without recent suffering of child abuse. Results: The findings revealed a lower quality of life of the parents of abused subjects at significant level in contrast to the control group. Comparison of the profiles of the two groups revealed lower physical health, individuation, marital discourse , parent-child relationship, job satisfaction, artistic-creative behavior and leisure time activity in the parents of abused children. Stepwise regression analysis revealed that the scores of marital discourse and artistic-creative behavior scales can successfully predict the variations of abusive scores. The mentioned scales showed significant effect on abusive scores in multivariate analysis. Conclusion: The quality of parents marital discourse and artistic-creative behavior have the greatest predictive value for parents' abusive behavior .

Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 Prevalence of Conduct Disorder in a Group of Secondary School Students of Kordestan Province 48 55 FA faygh Yousefi Kordestan Medical Sciences University nasrollah Erfani gholam reza Kheyrabadi hosayn Ghanei   Objectives : The present study was designed to investigate the prevalence of conduct disorder and disruptive behavior disorder in a group of secondary school students in 1999, Method: A group of 2760 secondary school students (924 males and 1836 females) were selected through stratified random sampling. A Persian Version of Children Symptoms Inventory-4th ed. (CSI-4) and a self made questionnaire for demographic variables were used. The data were analyzed through X2 and descriptive statistical methods. Results: The results showed that the rate of conduct disorder and disruptive behavior prevalence among the sample group were 6,3% and 6.9% respectively, Satisfactory sensitivity of the CSI-4 questions were also found for predicting conduct disorder (85%) and disruptive behavior disorder (80%). This study indicated that there is a significant correlation (P<O,01) between the students past year average school score and present canduct and disruptive behaviors disorders also significant correlation between the gender and conduct disorder (P<0/01), Parent's divorce and disruptive behaviors, family income and conduct disorder was found .

Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 The Relationship Between Job Stress and Mental Health in a Group of Hospital Employees in Shiraz 55 63 FA eraj Hashemzadeh Scientific Member of Shiraz University of Medical Sciences maryam Aurangi mohamad Bahrehdar   Objectives : The present study was designed to investigate the possible relationship between job stress and mental health in a group of hospital employees of Shiraz University of Medical Sciences. Method: Three hundred and ninety-seven employees (150 administrative and 247 medical staff) were selected randomly through stratified random sampling. They were requested to answer the General Health Questionnaire (GHQ) and Pickle Paykel Life Inventory. Results: The findings revealed significant correlation between job stress and mental health. The medical staff showed significantly lower level of mental health when compared with office workers. More desirable level of mental health in males was observed in contrast to the female participants. Conclusion: The findings of the present study signify the importance of organization care to the mental health of the employees particularly those directly involved with patients and female personnel in general .

Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 Pattern of Stress Management in Clients Attending Addiction Department in Esfahan 63 70 FA raheleh Samuei Amin Hospital, Behavioral Sciences in Islam, amroiiah Ebrahimi sayad ghafour Mousavi akbar Hasanzadeh saeed Rafiei   Objectives : The behavioral-cognitive framework offers methods for stress assessment and its relevant coping strategies. The present study was designed to investigate stress management pattern of substance abusers. The results may be used for effective cognitive-behavioral interventions for these patients. Method: One hundred substance abusers who sought treatment at addiction rehabilitation department were recruited in this study. A selective control group matched for demographic variables with the first group were also requested to take part in the study. Revised Carver Coping Strategy Scale and semistructured interview were carried out for assessment. Results: the results showed that patients in studied group represented a significantly different patterns of stress management in contrast to the control group, Coping strategies of the patients were almost ineffective in dealing with stress (i.e. negative thoughts, wishful thinking, magical thinking, and emotionally focused e.g., denial, disengagement, etc.). Conclusion: substance abusers may have unhealthy coping mechanisms in dealing with stress. It seems that lack of effective strategies in dealing with stress strengthens the addictive behavior. The addiction in turn brings psycho-social problems for these patients .

Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 Job Stress, Job Satisfaction and Mental Health: The Balancing Effects of Personal Hardiness and Social Support Network Factors 70 79 FA mokhrar Veissi Paveh District Health and Treatment Network Mental Health Officer mohamad kazem Atefvahid mansour Rezaee Objectives: The present study was designed to investigate the effects of job satisfaction and mental health on job stress and the balancing effects of hardiness and availability of social support network in a group of medical staff. Method: Two hundred of surgery room staff were studied by utilizing a low-high social support network index, Operating Room Stress Factor Index Questionnaire, Life Event Index, Job Description Index (JDI), General Health Questionnaire (GHQ), Personal View Survey (PV8) and Quality Relationship Inventory (QRI). Results: The findings revealed significant negative correlation between job stress and job satisfaction and GHQ's scores. A positive and significant correlation was found between job satisfaction and GHQ's scores. The results also suggested that higher level of Job satisfaction and mental health may reduce job stress in the staff who have higher levels of hardiness. Furthermore, the staff with higher social support network seemed to have higher job satisfaction, but they did not show better mental health compared with those with lower social support network. Conclusion: The results of the present study showed that social support network together with personal hardiness had a significant impact on perceived job stress, while the male staff showed higher level of hardiness when compared with the female staff.

Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 Convergent Validity of Clinical and Structural Interview Findings and MCMI-II Profiles in Diagnosis of Personality Disorder 79 87 FA azizeh Afkham Ebrahimi , Scientific Member of Iran University of Medical Sciences mansuor Salehi Objectives: Personality inventories and clinical interview are commonly used for diagnosis of personality disorders. The present study was designed to investigate the relationships between findings of clinical and structural interviews on one hand and Millon Clinical Multiaxial Inventory, 2nd edition (MCMI-II) findings on the other. Method: One hundred and forty clients out-patient clinic of Shahid Esmaeili Psychiatric Center were assessed by using clinical interview, structural interview and MCMI-II. The data were analyzed for finding convergent validity between the measures. Results: The results revealed mild satisfactory relationship between interview's findings and MCMI-II profiles. Conclusion: The possibilities relevant to the findings are discussed. It seems that heterogeneity of the symptoms in formation of the axis II of diagnosis of personality disorder (according to DSM-IV criteria) and complications relevant to the structure of MCMI-II particularly, conceptualization congruous to the questions presented in the instrument are involved.

Iran University of Medical Sciences and Health Services Iranian Journal of Psychiatry and Clinical Psychology 1735-4315 6 2 2000 12 1 Effect of Family Functioning on Mental Health of Family Members 87 100 FA ashrafalsadat Mosavi , Scientific Member of the University of Welfare and Rehabilitation Sciences  Objectives: This study attempted to search out effects of family functioning on mental health of family members. Method: The study was carried out with 45 Afghan and Iranian immigrant families (father, mother and an adolescent between 15-20 years old) who had been Jiving in England. Data obtained from Standardized Clinical Family Interview (SCFI), General Health Questionnaire (GHQ) , Beck Depression Inventory (BDI), Family Adaptability and Cohesion Evaluation Scales-III (FACE III) and Family Environment Scale (FES). Findings: No significant difference was found on sum of family functioning rating between "Healthy" and "Distressed' families."Depressed" families showed less cohesion, adaptability and communication. In "Depressed' families, one of the parents exercised more authority over her/his family and parent - child coalitions were more common. Parents in "Depressed" families, were less consistent in child rearing. They were less satisfied with marital and parent/adolescent relationships than 'Healthy" and "Distressed' families.