mr ebrahimi
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Aims
Due to the prevalence of COVID-19 and its adverse effects on the mental health of healthcare workers, the present study aimed to investigate the prevalence of post-traumatic stress disorder among healthcare workers involved with COVID-19 treatment and its factors in military hospitals of Iran, Tehran within the first two months of 2021 (fourth peak).
Instruments &MethodsThis study is a descriptive cross-sectional study, which was performed within the first two months of 2021 (fourth peak). A total of 356 samples were selected among the healthcare workers in three hospitals in Iran, including Imam Reza (501), Family, and Hajar (503) hospitals, using cluster random sampling method. All samples were interviewed in person. To collect data, a researcher-made demographic information questionnaire, and PTSD Symptom Scale – Interview for DSM-5 (PSS-I-5) were used. Data analysis was performed using SPSS 26 software.
Findings85.4% of the healthcare workers had no PTSD, and 14.6% had PTSD. 12.4% of the healthcare workers had intrusion, 14% had avoidance, 21.6% had negative changes in cognition and mood, and 13.2% had arousal.
ConclusionCOVID-19 disease can lead to psychological problems in the frontline HCWs. Therefore, it is necessary that planners and community mental health professionals pay special attention to planning and providing mental health interventions, especially in the field of resilience, to the HCWs of military hospitals and centers that are involved with COVID-19 treatment.
Keywords: Post -Traumatic Stress Disorder, Professional Burnout, COVID-19, Healthcare Workers -
مقدمهاختلالات روانی علت مهمی از بیماری ها در میان سربازان می باشد و دلیل شایعی برای معافیت از خدمت سربازی بوده است. این مطالعه با هدف تعیین رابطه خودزنی و اختلال شخصیت در سربازان انجام گرفت.روش بررسیدر این مطالعه موردی - شاهدی 30 سرباز مراجعه کننده به درمانگاه یک بیمارستان روانپزشکی (گروه مورد) و 30 سرباز مراجعه کننده به درمانگاه یک مرکز نظامی غیرروانپزشکی (گروه شاهد) به صورت تصادفی انتخاب شدند. افراد تحت مصاحبه بالینی و معاینه روانی قرار گرفتند و اختلالات شخصیت در این بیماران براساس معیارهای DSM-IV-TR تشخیص داده شد. فراوانی خودزنی و اختلال شخصیت در میان این افراد مورد تجزیه و تحلیل قرار گرفت.یافته هادر این بررسی 63/3% از سربازان مورد و 6/7% از گروه شاهد سابقه خودزنی داشتند. 56/7% بیماران روانپزشکی و 20% سربازان شاهد مشخصه های اختلالات شخصیت داشتند. بطور کلی در گروه مورد 78/9% از افرادی که خودزنی داشتند در مقابل 18/2% افراد بدون سابقه خودزنی دارای اختلال یا صفات شخصیت کلاستر B بودند که از نظر آماری اختلاف معنی داری وجود داشت (0/002=p). این اختلاف در گروه شاهد نیز معنی دار باقی ماند (0/003=p).بحث و نتیجه گیریبا توجه به ارتباط خودزنی با شخصیت کلاستر B و همچنین تکانشگری بودن این شخصیت ها، با بررسی قبل از ورود به خدمت سربازی و شناسایی و درمان پیشگیرانه یا معاف کردن موارد شدید می توان از بروز خودزنی و خودکشی جلوگیری کرد.
کلید واژگان: سربازان, اختلال شخصیت, خود زنیEBNESINA, Volume:15 Issue: 4, 2014, PP 24 -29BackgroundMental disorders are one of most common reason for early separation of soldiers from the military service. The purpose of this study was to evaluate the relation of self-mutilation and personality disorder among soldiers.Materials And MethodsIn this case-control study, 30 soldiers referred to an army psychiatric hospital (cases) and 30 soldiers referred to another military health center (controls) were evaluated for personality disorders by clinical interviews on the basis of DSM-IV criteria. The frequency of self-mutilation and personality disorders were then analyzed by SPSS statistical software.ResultsTotally, 63.3% of case group and 6.7% of control group had history of self-mutilation. The frequency of personality disorders was 56.7% and 20% in cases and controls, respectively. In case group, 78.9% and 18.2% of patients, respectively, with and without a history of self-mutilation, had cluster B personality disorder (P=0.002). This difference remain significant among control group (P=0.003).ConclusionRegarding the relationship between self-mutilation with cluster B personality and impulsivity of these personalities, detection and preventive treatment of patients or exempt in severe cases prior to entering military service may be useful for reducing the incidence of self-mutilation and suicide.Keywords: Soldiers, Personality Disorder, Self, Mutilation -
BackgroundSmokeless tobacco use is growing among youth in many countries especially developing countries. Paan is one of these products that its use in many cultures is of interest. This study evaluates the use of paan among males school-age and assess the attributed factors.MethodsA cross-sectional study was done on 504 high school pupils of Zahedan city, Capital of Sistan va Baluchistan Province, southeastern Iran in June 2007. Samples were selected by multistage sampling method from high school students in different geographic areas. A questionnaire including 43 questions was completed through interviews.ResultsThe mean age of participants was 16.2±1.1 years. While 10.4% of the students were current users of paan, 17.9% were ex-users. Mean duration of using paan was 2.5±1.6 years. Number of daily paan consumption was 4.2±3.6/day. Cigar was the most common substance used at least once by pupils (18.6%) followed by paan (17.9%), naas (11.5%) and other illicit drugs. Only 64.7% of our pupils did not use any illicit drug at the time of study. Risk of paan use among students who had a history of taking any other substance was 18-fold more than others. In the case of each attitude, score accretion and risk of paan consumption declined up to 16%.ConclusionAmong multiple personal, familial and environmental factors, positive history of using any kind of illicit drugs by students and their attitude had strong association with paan use.
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