Background: The high comorbidity of psychiatric disorders and substance dependence has been reported in children clinical and epidemiological as a study. Objectives: The aim of this study was to determine the prevalence of childhood attention-deficit/hyperactivity disorder (ADHD) among methamphetamine dependence. Methods: This study was a descriptive cross -sectional study that has been done in 2015 -2016. The study population consisted of individuals referred with methamphetamine dependence to Kermanshah Farabi hospital. Among them, 960 patients were chosen through access selection to collect data the epidemiological characteristics questionnaire and the Wender Utah rating scale for ADHD children were used. Data were analyzed through SPSS 18 software descriptive statistical methods and chi-square test. Results: The prevalence of childhood ADHD was 29.9%. In the study population 155 patients (16.17) had hyperactivity disorder, 402 patients (41.9%) had attention deficit disorder, and 141 patients (14.7%) had hyperactivity and attention deficit disorders simultaneously. In addition, data analysis reveals the meaningful relationship between childhood ADHD and gender marital status education as well as age range (P < 0.001). For participants, job and age of first methamphetamine use, which P = 0.484 and P = 0.453, respectively, no meaningful relationship was found to ADHD. Conclusions: Behavioral disorders, especially ADHD, can make a background for methamphetamine dependence tendency. ADHD treatments may prevent this disposition towards methamphetamine dependence.
Purpose: In Iran, psychotherapy is regarded as an effective treatment for psychiatric disorders. However, no previous research has identified the key elements of psychotherapy that may be specific to Iranian society. The current study was conducted in an attempt to identify these elements. Methods: A mixed-method modified Delphi approach was used, taking place over several stages during 2017-2018. The first stage involved interviewing 12 experts in psychotherapy to identify key elements of psychotherapy in Iran by thematic analysis. Then, successive Delphi rounds were conducted to obtain consensus (75% agreement) from 70 psychotherapy experts on these key elements. Results: Key elements of psychotherapy were grouped into the following themes: (1) systematic education/training; (2) psychotherapist competency; (3) psychotherapy reflective of Iranian societal needs; and (4) the substrate (scientific/ethical principles) of psychotherapy. Consensus was reached during two Delphi rounds. In Delphi round 1, 52.8% of the statements reached consensus, and all remaining statements reached consensus in round 2. Conclusions: The key elements of psychotherapy in Iran are a set of conditions for the education and training of competent psychotherapists who can perform psychiatric interventions appropriate to Iranian society under supervised rules. These should serve as a framework for improving the current delivery of psychotherapy in Iran.
Introduction: For childrens mental health, different levels of family environment dysfunction are considered as risk factors. Aim: The aim of the study was to comparatively interpret the family drawings test for normal and divorced children as well as orphans and abandoned (9 to 14 years old) with an emphasis on the study of anxiety, depression, and aggression. Method: The present study was causal-comparative research. The statistical population included children aged 9 to 14 years from normal families, children of divorce, orphans, and abandoned in Tehran. The sample size consisted of 50 normal and 50 children from the other three groups who were determined based on the purposive assignment method and available sampling. For collecting the data, the Buss and Perry's Aggression Questionnaire, Revised Children's Manifest Anxiety Scale, Child Depression Inventory, and also the Corman family Drawing test were used. The collected data were analyzed using SPSS software version 22 through analysis of variance and multiple comparisons (Scheffe). Results: Findings showed that there is a high correlation between the scores of the anxiety index, depression, and aggression of children with the scores of these variables in the children's drawing test (P=0.000) on the other hand, the results of analysis of variance and Scheffe test showed that there was a significant difference between normal children and divorced children as well as orphans and abandoned (P=0.000, F=581.870) and the level of anxiety, depression, and aggression of abandoned children (196.15), orphaned children (186.69) and divorced children (174.55) was more than normal children (111.94). Conclusion: According to the interpretation of the tests, it can be concluded that children from divorced as well as orphans and abandoned children are more depressed, anxious, and aggressive than normal children and regarding these components, abandoned children were worse off than orphans and divorced children.
Introduction: There is a scarcity reports on the situation of psychotherapy as an effective treatment for mental illness and interpersonal problems in Iran. Aim: The study aimed to explore the situation of psychotherapy in Iran. Method: The present qualitative study was performed using conventional content analysis in 2017. The current sample included 13 experts in psychotherapy. A semi-structured interview was used for data collection. All interviews were audio recorded and subsequently transcribed. Qualitative analysis using constant comparisons was performed for transcribed interviews. Results: Two main categories were emerged to describe situation of psychotherapy in Iran: challenges and opportunities. Additionally, specific subcategories within each main category were documented. The challenges category described the problems in psychotherapy education and services delivery including lack of coordination in training and lack of insurance coverage. The opportunities category also described the improvement in psychotherapy status including the psychiatrists tendency towards psychotherapy, the varity in psychotherapy approaches and increasing awareness to psychotherapy in community. Conclusion: The results showed that psychotherapy in Iran is facing challenges and opportunities that can affect the provision of psychotherapy services. These results can be used in policies related to psychotherapy in Iran.
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