Vol 6 No 1 (2011)

Articles

  • XML | PDF | downloads: 164 | views: 332 | pages: 1-6

    Objective: The methylenetetrahydrofolate reductase (MTHFR) gene polymorphism C677T is suspected to be a risk factor for psychiatric disorders, but it remains inconclusive whether the MTHFR polymorphism C677T is imputed to vulnerability to schizophrenia and bipolar disorder.
    Method:
    We prompted impetus to appraise this polymorphism in an Iranian population. Therefore, 90 patients with bipolar disorder type I (BID), 66 patients with schizophrenia diagnosed according to DSM-IV criteria, and 94 unrelated controls with no history of psychiatric disorders were recruited for this study. Genotype distribution and allelic frequencies of C677T polymorphism were investigated.
    Results:
    We found no robust differences between patients with BID and schizophrenia with control participants either for allele frequencies or genotype distribution of MTHFR C677T polymorphism. However, a trend toward an increased risk for T allele was observed in the BID patients [with odds ratio (OR) of 1.28(CI 95%: 0.8-1.31), p>0.05].
    Conclusion:
    However, the present and some previous studies failed to elucidate possible interaction between MTHFR C677T polymorphism and vulnerability to schizophrenia and bipolar disorder; still some associations have been revealed in performed meta-analyses that warrant further studies.

  • XML | PDF | downloads: 164 | views: 291 | pages: 7-11

    Objective: To compare the clinical profile and pattern of catatonic symptoms of patients with schizophrenia and mood disorder.
    Method:
    Records of 13,968 patients seen between 1983-1985 and 2003-2005 were reviewed for symptoms of catatonia by resident doctors in psychiatry. Cases in which the diagnosis were schizophrenia or mood disorder were then noted. Socio-demographic and clinical features were described for each diagnosis.
    Results:
    There were a total of 98 cases with catatonia out of the 13,968 case notes reviewed. Schizophrenia accounted for 82.5% and 53.4% in the two periods, while the proportion associated with mood disorders increased from 10% to 20.7%. Male to female ratio was 1.2:1 in schizophrenia and 1:3 in mood disorder. Those with schizophrenia were younger and with an earlier age of onset of symptoms than those with mood disorders.
    Conclusion: Catatonia associated with mood disorder was found to be increasing over the years when compared with schizophrenia. Differences were observed in socio-demographic characteristics and number of predominant catatonic symptoms. Having a separate category for catatonia due to the mood disorders in the current diagnostic guidelines (10(th) edition of the International Classification of Diseases and the 4(th) edition of the Diagnostic and Statistical Manual) will help in better diagnosis of catatonia.

  • XML | PDF | downloads: 238 | views: 414 | pages: 12-18

    Objective: The psychometric properties and factor structure of the Persian Padua Inventory Washington State University Revision (PI-WSUR), a measure of obsessive- compulsive phenomena, was examined in a non-clinical sample of 348 Iranian university students.
    Method:
    The PI-WSUR was translated into Persian, and its back translation was controlled by the author inventory. A pilot study based on cultural differences was carried out on twenty students. The study subjects consisted of 348 university students, and they completed PPI, OCI-R, MOCI, BAI, STAI, BDI-II and the demographic inventory.
    Results:
    The factor analysis of the PI-WSUR, exhibited eight factors similar but not identical with factor structure in previous studies. as the eight factors are as follows: contamination obsessions; washing compulsions; ordering compulsions; checking compulsions; obsessional thoughts to harm self/others; obsessional thoughts about violence; obsessional impulses to harm self/others; and obsessional impulses to steal. The result also indicated excellent internal consistency (Cronbach alpha= 0.92), Spearman split test (0.95) and test- retest (r= 0.77). We assessed the concurrent validity of the PPI in relation to the Obsessive Compulsive Inventory-Revised (OCI-R), and the Maudsley Obsessive- Compulsive Inventory (MOCI).
    Conclusion:
    The Iranian version of the PI to some extend remains the sound psychometric properties of the original version.

  • XML | PDF | downloads: 197 | views: 458 | pages: 19-24

    Objective: The present study examined the psychometric properties of the Persian version of the Revised Cheek and Buss Shyness Scale (RCBS) using confirmatory factor analysis among (n = 300) college students.
    Method: A total of 300 undergraduate students participated in this study And completed the Revised Cheek and Buss Shyness Scale (RCBS). A confirmatory factor analysis was performed to test diagnosis as a unitary construct and to test an earlier-reported two-factor model.
    Results:
    Results indicated that unidimensional measurement model of the RCBS did not provide the best fit for the data. Then three measurement models were tested, and the results showed that a two-factor model taking into account differences in the direction of item wording provided a satisfactory and parsimonious fit to the data. Multi-group confirmatory factor analysis was used to better understand the factorial invariance of the scale across genders, and indicated that two-factor structure of the RCBS was equivalent across genders. Supplementary t-tests revealed no other gender differences on shyness.
    Conclusions:
    The results provide initial support for the construct validity of the self- report version of the RCBS in college students.

  • XML | PDF | downloads: 234 | views: 363 | pages: 25-30

    Objective: This study investigates the effect of social and token economy reinforcements on academic achievement of 9th grade boy students with intellectual disabilities in an experimental science class in Tehran Province.
    Method:
    The method used for this study was experimental by pre-test, post- test with a control group. The boy students with intellectual disabilities from three junior high schools participated in this study. The sample consisted of thirty, 9th grade boy students with intellectual disabilities in the selected schools; the schools were chosen by the multi-stage cluster method. To measure the progress of students in the science class, a teacher made test and the Wechsler intelligence test for matching the groups for IQ were used. To ensure validity, the content validity criteria depended tests calculated by the Lashe method and teachers' perspective were used. The reliability coefficient was obtained by the reliability coefficient of related tests; the percent agreement method and the obtained data were analyzed using one-way variance analysis and Shefe prosecution test.
    Results: The results showed that there was a significant increase in academic achievement of students with intellectual disabilities when using token economy than using social reinforcements compared with the control group. Also, when using social reinforcements, the academic achievement of students was more than the control group.
    Conclusion: Token economy and social reinforcements increased the academic achievement of students with intellectual disabilities in the science class; and also the effect of token economy reinforcements was more than social reinforcements on the subjects.

  • XML | PDF | downloads: 317 | views: 776 | pages: 31-36

    Objective: Abortion either medical or criminal has distinctive physical, social, and psychological side effects. Detecting types and frequent psychological side effects of abortion among post abortion care seeking women in Tehran was the main objective of the present study.
    Method:
    278 women of reproductive age (15-49) interviewed as study population. Response rate was 93/8. Data collected through a questionnaire with 2 parts meeting broad socio-economic characteristics of the respondents and health- related abortion consequences. Tehran hospitals were the site of study.
    Results:
    The results revealed that at least one-third of the respondents have experienced psychological side effects. Depression, worrying about not being able to conceive again and abnormal eating behaviors were reported as dominant psychological consequences of abortion among the respondents. Decreased self-esteem, nightmare, guilt, and regret with 43.7%, 39.5%, 37.5%, and 33.3% prevalence rates have been placed in the lower status, respectively.
    Conclusion
    : Psychological consequences of abortion have considerably been neglected. Several barriers made findings limited. Different types of psychological side effects, however, experienced by the study population require more intensive attention because of chronic characteristic of psychological disorders, and women's health impact on family and population health.

  • XML | PDF | downloads: 248 | views: 605 | pages: 37-42

    Objective: The present research was conducted to study the effect of play therapy on reducing behavioral problems of children with oppositional defiant disorder.
    Method:
    Using multistage cluster sampling, regions 6, 7, and 8 in Tehran were selected. Among kindergartens of these areas, 3 kindergartens which were supported by the welfare organization were randomly selected. Of all the pre-school children of these 3 kindergartens, 40 children who could have behavioral disorder, according to their teachers and parents, were carefully tested. Of them, 16 children who showed severe symptoms of oppositional defiant disorder, were selected via the results obtained from the child symptom inventory questionnaire (CSI-4), teacher's form, and a researcher-made self-control checklist, Then, the subjects were randomly divided into one control and one experimental group. This research is quasi-experimental, and is conducted using pre-test, post-test, and control group.
    Results:
    Values of the calculated F for oppositional defiant disorder in control group and experimental group was meaningful after fixing the effect of pre-test (P<0/001). Therefore, a meaningful difference existed between the means of post-test scores of disobedience disorder in the experimental and control groups through the fixed effect of the pre-test effect. Comparison of adjusted means of the 2 groups showed that the mean of attention-deficit hyperactivity disorder (ADHD) in experimental group was lower than control group. Therefore, applying play therapy reduced severity of ADHD in those children in experimental group compared to those in control group who did not receive such instructions.
    Conclusion:
    Results of this research demonstrates that children's disobedience can be reduced by play therapy.

  • XML | PDF | downloads: 126 | views: 209 | pages: 43-46

    Objective: In Order to find how rating the WHOQOL-BREF and DASS scales are combined to produce an overall measure of quality of life and satisfaction with health rating, a QOL-DASS model was designed; and the strength of this hypothesized model was examined using the structural equation modeling.
    Method:
    Participants included a sample of 103 voluntary males who were divided into two groups of unhealthy (N=55) and healthy (N=48). To assess satisfaction and negative emotions of depression, anxiety and stress among the participants, they were asked to fill out the WHOQOL-BREF and The Depression Anxiety Stress Scale (DASS-42).
    Results:
    Our findings on running the hypothesized model of QOL-DASS indicated that the proposed model of QOL-DASS fitted the data well for the both healthy and unhealthy groups.
    Conclusion: Our findings with CFA to evaluate the hypothesized model of QOL-DASS indicated that the different satisfaction domain ratings and the negative emotions of depression, anxiety and stress as the observed variables can represent the underlying constructs of general health and quality of life on both healthy and unhealthy groups.