جستجوی مقالات مرتبط با کلیدواژه "personality disorders" در نشریات گروه "پزشکی"
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Background
Drug addiction represents a global crisis with increasing rates, particularly in regions like Iran. The widespread impact of addiction on individuals and societies underscores the need for comprehensive research. Providing further context on the global and national scope of the addiction crisis would strengthen the introduction.
ObjectivesThis study aimed to examine the structural relationship between dark personality traits, morbid curiosity, and cognitive abilities, and their influence on vulnerability to addiction among Zanjan University students during the 2020 - 2021 academic year.
Materials and MethodsA total of 479 students from Zanjan University were selected through a cluster random sampling method during the 2020 - 2021 academic year. The study utilized the Addiction Vulnerability Scale (Zinali), the Dark Personality Traits Scale (Webster and Johnson), the Morbid Curiosity Scale (Scrivener), and a Cognitive Abilities Scale (Nejati). Descriptive statistics and structural equation modeling were employed, using tools such as Pearson correlation and structural equations through SPSS 25 and AMOS 24 software.
ResultsThe findings indicated that the model proposed by the researchers demonstrated an acceptable fit. Furthermore, a significant structural relationship was observed between dark personality traits and vulnerability to addiction (P < 0.05) with a path coefficient of 0.37. Additionally, the structural relationship between morbid curiosity and addiction vulnerability was significant (P < 0.05) with a path coefficient of 0.31. Cognitive abilities also had a significant structural relationship with vulnerability to addiction (P < 0.05) with a path coefficient of 0.46.
ConclusionsThe results of this study provide important insights for the prevention and early identification of addiction in vulnerable populations. These findings have practical applications for educational institutions, addiction treatment centers, and correctional facilities.
Keywords: Personality Disorders, Curiosity, Cognition, Addiction Vulnerability -
Prevalence of Personality Disorders among Males and Females between the Ages of 15 and 65 in Yazd in 2017Background
Personality disorder is a type of mental disorder in which a rigid and unhealthy pattern of thinking, functioning, and behaving may be seen. A person with a personality disorder has trouble perceiving and relating to situations and people. Limited research has been done on the prevalence of personality disorders in Iran. This study aims at investigating the prevalence of personality disorders among males and females between the ages 15 and 65 in Yazd, Iran.
MethodsThe dataset for this cross-sectional study was extracted from a dataset of a national survey conducted on personality disorders of Iranians. The contents relevant to Yazd City were included here with a sample of 1827 people. Among the participants, 852 males and 975 females answered the personality disorders questionnaire (MILON).
ResultsFindings indicated that except histrionic and narcissistic patterns, the high rate of the rest of patterns was greater among females, which indicated that in most cases females significantly suffered higher clinical-related personality disorders. Moreover, personality disorders were more prevalent among females (29.8) compared to males (24.3).
ConclusionThis area requires extensive investigation. More evidence is needed regarding the differential impact of personality disorders regarding men and women in other areas of Iran.
Keywords: Prevalence, Personality Disorders, Personality Tests, Iran -
Background and Aim
Personality disorders (PDs) are widespread, rigid, and maladaptive with collections of traits that impair individuals and limit their capacity to function effectively. Recent studiesindicate that PDs are consistently associated with several demographic characteristics. The present study was conducted toinvestigate the differences between the demographic characteristics of DSM-5 Sections II and III PDs in an Iranian clinical sample.
Materials and MethodsData on the demographic distribution of DSM-5 Sections II and III PDs were derived from a total of 430 Iranian patients with PDs presenting to four clinical centers in Tehran using well-established measures. Different statistical analysis methods were used to compare demographic differences between DSM-5 Sections II and III PDs. These analyzes were performed using SPSS software V. 22.
ResultsData analysis indicated that educational level, gender, age, marital status, average monthly household costs, and ethnicity had an impact on most PDs. In return, birth order accounted for the changes in only DSM-5 Section II histrionic PD.
ConclusionCurrent research reveals that certain demographic subgroups have an impact on PDs. Accordingly, the need for psychiatric services for these individuals needs to be explored.
Keywords: Personality disorders, Demographic characteristics, DSM-5 Section II, DSM-5 Section III -
مقدمه
شناسایی عوامل موثر بر گرایش به رفتارهای پرخطر امری مهم و ضروری است که می تواند در کاهش اقدام به این رفتارها مفید باشد. بنابراین، پژوهش حاضر با هدف بررسی پیش بینی کننده های اقدام به رفتار خودکشی با تاکید بر عوامل محافظت کننده و عوامل خطر در بین زندانیان انجام شد.
روش کارروش این پژوهش از نوع توصیفی- همبستگی می باشد. جامعه آماری در این پژوهش شامل زندانیان زندان مرکزی کرمانشاه (دیزل آباد) در 6 ماه نخست سال 1401 بود که به روش نمونه گیری در دسترس 250 نفر که ملاک های ورود به پژوهش حاضر را احراز و جهت پرکردن ابزارهای پژوهش اعلام آمادگی کردند انتخاب شدند و به پرسشنامه چند محوری بالینی میلون (MCMI)، مقیاس چندبعدی حمایت اجتماعی ادراک شده (MSPSS)، مقیاس تاب آوری (CD-RIS)، پرسشنامه رفتارهای خودکشی- تجدید نظر شده (SBQ-R) و مقیاس شخصیت مرزی (STB) پاسخ دادند. پس از گردآوری پرسشنامه ها، دادههای جمع آوری شده با استفاده از آزمون رگرسیون چندگانه به روش همزمان تحلیل شد.
یافته هانتایج نشان داد علایم شخصیت مرزی (21/0P= ،496/0= β)، علایم اختلال ضداجتماعی (001/0P= ،144/0= β) و تاب آوری (005/0P= ،217/0- = β) تبیین معناداری از رفتارهای خودکشی زندانیان ارایه می کنند. افزون بر این، هیچ یک از مولفه های حمایت اجتماعی تبیین معناداری از رفتارهای خودکشی زندانیان ارایه نمی کنند.
نتیجه گیریبراساس نتایج این پژوهش، اختلالات شخصیت مرزی و ضد اجتماعی و تاب آوری می توانند نقش محوری در اقدام به خودکشی ایفا کنند. از آنجایی که انجام مداخله های آموزشی و توان بخشی به موقع می تواند باعث صرفه جویی در وقت و هزینه های درمانی شود پیشنهاد می شود پس از شناسایی زندانیان در معرض خطر اقدام به خودکشی این زندانیان از سایر زندانیان جدا شده و در کلاس ها و جلسات آموزشی و پرورشی با تاکید بر روان درمانی مبتنی بر رفتاردرمانی دیالکتیکی و روان درمانی مبتنی بر ذهنی سازی و آموزش های مبتنی بر تاب آوری که دارای شواهد تجربی برای این اختلالات می باشد با هدف پیشگیری از اقدام به خودکشی شرکت کنند.
کلید واژگان: اختلالات شخصیت, تاب آوری, حمایت اجتماعی, خودکشیPredictors of suicidal behavior with emphasis on protective factors and risk factors among prisonersIntroductionIdentifying factors affecting the tendency to risky behaviors is important and necessary, which can be useful in reducing these behaviors. Therefore, the present study was conducted with the aim of investigating the predictors of suicidal behavior with an emphasis on protective factors and risk factors among prisoners.
MethodThe method of this research is descriptive-correlation. The statistical population in this research includes the prisoners of Kermanshah Central Prison (Dizil Abad) in the first 6 months of 1401, 250 people who met the criteria for entering the present study and declared their readiness to fill out the research instruments were selected by convenience sampling method. and answered to Millon Clinical Multiaxial Inventory (MCMI), Multidimensional Scale of Perceived Social Support (MSPSS), Conner-Davidson Resilience Scale (CD-RIS), The Suicide Behaviors Questionnaire-Revised (SBQ-R), Schizotypal Trait questionnaire-B form (STB). After collecting the questionnaires, the collected data were analyzed using multiple regression analysis. After collecting the questionnaires, the collected data were analyzed using the multiple regression test simultaneously.
ResultsThe results showed that the results showed that Borderline personality symptoms (β=0.496, P=0.21), Symptoms of antisocial disorder (β=0.144, P=0.001) and Resilience (β = -0.217, P=0.005) provides a meaningful explanation of the suicidal behavior of prisoners. Also, none of the components of social support provide a meaningful explanation of the suicidal behavior of prisoners.
ConclusionBased on the results of this research, borderline and antisocial personality disorders and resilience can play a central role in suicide attempts. Since timely educational and rehabilitation interventions can save time and treatment costs, it is suggested that after identifying prisoners at risk of committing suicide, these prisoners are separated from other prisoners and in classes and training sessions with Emphasis on psychotherapy based on dialectical behavior therapy and psychotherapy based on mentalization and training based on resilience, which has empirical evidence for these disorders, with the aim of preventing suicide attempts.
Keywords: Personality disorders, Resilience, social support, Suicide -
Objective
The Personality Inventory for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (PID-5), is a trait-based measure of pathological personality designed to assess Criterion B of an alternative diagnostic system for personality disorders (PDs). In this study, we aimed to evaluate the relations among the PID-5 and the Minnesota Multiphasic Personality Inventory-2-Restructured Form (MMPI-2-RF); a commonly used self-report instrument with a hierarchical structure.
MethodWe examined the joint structure of the PID-5 scales along with levels of the MMPI-2-RF hierarchy to understand whether conceptually expected structures tend to be loaded with each other. Data were collected from 536 participants from the general population of Iran.
ResultsFindings of Pearson’s correlation analyses exhibited the generally expected patterns between the two mentioned measures on most scales, with some divergences. Similarly, although applying a set of joint exploratory structural equation modeling (ESEM) exhibited some factor loadings for PID-5 facets within the hierarchical framework of MMPI-2-RF scales that were different to what was theoretically expected, both measures were generally loaded in a conceptually expected way, indicating that they have a similar dimensional structure.
ConclusionOur findings provide support for adequate convergence of maladaptive personality traits and psychopathology structures, as well as for utilizing MMPI-2-RF to measure personality psychopathology from a dimensional perspective. The implications of these results are discussed by the authors.
Keywords: Equation Modeling, MMPI, Psychometrics, Personality Disorders, Personality Inventory -
Effectiveness of Neurofeedback Training for Patients with Personality Disorders: A Systematic ReviewObjective
Personality disorders are serious psychiatric conditions, and some studies have examined neurofeedback training as a potential alternative treatment to improve cognitive and clinical symptoms in patients with such disorders. Here, we aimed to provide a first systematic review of such trials and present existing evidence regarding this treatment for individuals with personality disorders.
MethodA systematic search of peer-reviewed English journal articles was conducted for this study to identify original studies on fMRI and EEG neurofeedback treatment protocols in patients with personality disorders up to January 2023. PubMed, Web of Science, ProQuest, Cochrane Library, and Google Scholar databases were queried through the keywords "neurofeedback," "biofeedback," and "personality disorder," as well as their related Mesh synonyms.
ResultsTotally, five studies were included in our systematic review. Two studies utilized EEG neurofeedback protocols, while three articles used real-time fMRI neurofeedback protocols. The types of studies were non-randomized, not-blinded case reports, case series, and single-arm trials with a high risk of bias. EEG neurofeedback protocols applied more training sessions and reported improvements in patients' neuropsychological and behavioral functions after treatment. Furthermore, fMRI-based neurofeedback studies reported neurophysiological changes, such as a shift in vmPFC-amygdala connectivity, towards healthy states following treatment. Moreover, behavioral symptoms of patients were reported to be improved after fMRI neurofeedback.
ConclusionNeurofeedback studies investigating this therapeutic technique for personality disorders are still very preliminary, and no strict conclusions can be drawn at this time. Therefore, further basic and clinical investigations are required to address several open methodological and technical questions and establish consensus and standardization, which will eventually lead to translational works.
Keywords: Neurofeedback, Personality Disorders, Self-Regulation, Systematic Review -
مقدمه
هم سو با معرفی مدل جایگزین اختلالات شخصیت در نظام طبقه بندی بین المللی بیماری های روانی (ICD-11)، پرسشنامه شخصیت برای ICD-11 (PiCD-11) نیز توسعه پیدا کرد. این مطالعه با هدف انطباق سازی، بررسی اعتبار، روایی و ساختار عاملی پرسشنامه PiCD-11 در نمونه ایرانی انجام شد.
مواد و روش هامشارکت کنندگان در این پژوهش 417 نفر (6/67 درصد زن، 8/32 درصد نمونه بالینی). از دانشجویان دانشگاه های دولتی شهر تهران بودند. شرکت کنندگان فرم مداد-کاغذی پرسشنامه شخصیت براساس نظام طبقه بندی بین المللی بیماری های روانی (PiCD-11)، نسخه مختصر پرسشنامه شخصیت بر مبنای DSM-5 (PID-5-BF) و همچنین مقیاس پنج عامل بزرگ- نسخه کوتاه (BFI-10) را تکمیل کردند.
یافته هاضریب آلفای کرونباخ برای پنج عامل/حوزه پرسشنامه در دامنه ای از 73/0 (غیراجتماعی) تا 82/0 (عاطفه مندی منفی) به دست آمد. حوزه های پرسشنامه نیز همبستگی معنی داری (P=0.001) با پرسشنامه هایPID-5-BF و BFI-10 داشتند. تحلیل عاملی اکتشافی و تاییدی نیز ساختار پنج عاملی و برازش مطلوب مدل مربوط به پرسشنامه PiCD را تایید کرد.
بحث و نتیجه گیری :
به طور کلی، پرسشنامه 60 گویه ای شخصیت براساس نظام طبقه بندی بیماری های روانی (PiCD-11)، دارای قابلیت اطمینان و روایی مطلوبی بود و از آن می توان برای اهداف مختلف بالینی و پژوهشی در ایران استفاده کرد.
کلید واژگان: ICD-11, DSM-5, اختلالات شخصیت, خصیصه های شخصیت, پرسشنامه شخصیتIntroductionThe personality inventory for ICD-11 (PiCD-11) was developed in line with the introduction of the International Classification of Diseases (ICD-11). This study aimed to investigate adaptation, validity, reliability, and factor structure of the PiCD-11 in an Iranian sample.
Material & MethodsParticipants in this study were (67.6% female, 32.8% clinical sample) 417 students from state universities in Tehran. They were requested to complete the paper-based forms of the Personality Inventory for ICD-11 (PiCD-11), the Short form of Personality inventory fo DSM-5 (PID- 5-BF), as well as the Big Five Inventory (very brief for, BFI-10).
FindingsCronbach's alpha coefficient for five factors of the PiCD ranged from 0.73 (dissocial) to 0.82 (negative affectivity). The inventory domains also had a significant correlation (P=0.001) with PID-5-BF and BFI-10 scales. Exploratory and confirmatory factor analysis also confirmed the five-factor structure and optimal fit of the model related to the PiCD.
Discussion & ConclusionThe 60-item inventory based on the International Classification of Diseases (PiCD-11) has good reliability and validity, and can be used for various clinical and research purposes in Iran for the Persian speaking population.
Keywords: ICD-11, DSM-5, Personality Disorders, Personality Inventory, Personality Traits -
زمینه و هدف
یکی از مشکلات عمده شناخته شده در دوران نوجوانی بروز هیجانات شدید است. لذا هدف این مطالعه بررسی رابطه تجربه خشم میان فردی بر اساس صفات و اختلالات شخصیت در نوجوانان بود.
روش کارروش پژوهش حاضر توصیفی از نوع همبستگی بود. جامعه آماری شامل کلیه نوجوانان 16 تا 29 ساله شهر یاسوج بود که در این پژوهش 380 نوجوان به شیوه نمونه گیری خوشه ای انتخاب و مورد بررسی قرار گرفتند. به این صورت که شهر یاسوج را به 5 منطقه شمال، جنوب، شرق، غرب و مرکز تقسیم کردیم و از این مناطق مکان هایی را به صورت تصادفی انتخاب و نوجوانان آن منطقه را مورد بررسی قرار دادیم ابزار پژوهش عبارتند از پرسشنامه ویژگی های شخصیت نئو کاستا و مک کری (1992)، پرسشنامه خشم چند بعدی سیگل (1986) و پرسشنامه بالینی چند محوری میلون مورد بررسی قرار گرفتند.
یافته هانتایج همبستگی پیرسون بین تجربه خشم با صفات شخصیتی نشان داد خشم با ویژگی های روان رنجورخویی رابطه مثبت و با ویژگی های شخصیتی برون گرایی، تجربه جویی، توافق جویی و وظیفه شناسی رابطه منفی معنادار دارد. همچنین یافته ها نشان داد اختلالات شخصیتی اجتنابی، افسرده، ضداجتماعی، نمایشی، وابسته، خودشیفته، دیگرآزار، وسواسی، مرزی، مضطرب، افسرده خویی، وابسته به الکل و اختلال شخصیت منفی گرا به صورت مثبت معناداری با برون ریزی خشم رابطه دارند.
نتیجه گیریبه طور کلی می توان نتیجه گرفت که بین خشم میان فردی و صفات و اختلالات شخصیت در نوجوانان رابطه معناداری وجود دارد و توجه به شخصیت و صفات امری مهم در روانشناسی نوجوانان شناخته می شود.
کلید واژگان: صفات شخصیت, اختلالات شخصیت, خشم میان فردی, نوجوانانBackground &
AimsAdolescence is considered a transition period from childhood to adulthood. According to the results of research related to adolescence, contrary to humanistic approaches that consider this period without tension and conflict, they consider this period as a stormy period full of chaos, tension, and stress. One of the major problems identified during adolescence is the occurrence of intense emotions. Excitement is a psychological structure that affects all aspects of human life and is affected by it. Emotions are psycho-biological, purposeful, and social phenomena, instinctive phenomena that appear in different people under appropriate conditions, are not affected by social conditions and learning, and call for appropriate physiological responses. Anger is one of the psychological-biological emotions that play an important and effective role in the lives of all human beings. Anger is an emotion that usually appears as a result of a person's reaction to the unacceptable behavior of others. In other words, anger is one of the most important and comprehensive emotions in a person's existence, and it plays a key role in providing self-esteem, physical and mental health, and protecting him during threats. Anger directs a person's energy and strength to overcome unjustified obstacles, and correct and manage them. Although anger is one of the physiological and sometimes useful emotions and is also necessary for the protection of the individual, it has a significant relationship with aggression, mental disorders, and complex physical diseases, Incorrect expression causes problems in Family, interpersonal and occupational spheres and it also leads to a negative evaluation of the individual by others, negative self-concept, and low self-confidence. Personality is the aspect of human life that allows us to predict how a person will behave in certain situations. Each person behaves specially and has unique expectations, capabilities, needs, and behavioral skills based on his personality model. Personality includes five factors neuroticism, extroversion, experience-seeking, agreement-seeking, and conscientiousness, and each of these factors consists of a set of traits and characteristics. Personality disorders are also underlying factors of anger and aggression in teenagers. Inefficient behaviors are very different from the individual's cultural expectations and can cause major concern for the individual and others and disrupt the individual's social and professional functions. Personality disorders are disorders related to inconsistent and stable characteristics and ways of perceiving, communicating, and thinking about oneself and the world. Considering the importance of adolescence and individual, family, social, cultural, law enforcement, and psychological efforts for the protection of adolescents, as well as the importance of proper management of interpersonal anger emotions and the destructive effects of personality disorders in pushing adolescents to break norms, delinquency, law Breaking, criminality, suicide, and suicide, so the researchers investigated the relationship between the experience of interpersonal anger based on personality traits and disorders in teenagers.
MethodsThe method of the current research is a correlational description. The statistical population included all teenagers aged 16 to 29 in Yasooj city, and in this research, 380 teenagers were selected and examined by cluster sampling. In this way, we divided the city of Yasooj into 5 regions, North, South, East, West, and Center, and randomly selected places from these regions and investigated the teenagers of that region and McCree (1992), Siegel's Multidimensional Anger Questionnaire (1986) and Millon's Multiaxial Clinical Questionnaire were examined.
ResultsThe Pearson correlation results between the experience of anger and personality traits showed that anger has a positive relationship with neuroticism traits and a significant negative relationship with the personality traits of extroversion, experience-seeking, agreement-seeking, and conscientiousness. Also, the findings showed that avoidant personality disorders, depressed, antisocial, dramatic, dependent, narcissistic, other annoying, obsessive, borderline, anxious, depressive, alcohol dependent, and negative personality disorders are positively and significantly related to anger projection. The results of the regression analysis showed that the personality traits of neuroticism directly and the personality traits of experience-seeking, agreement-seeking, and conscientiousness can inversely predict adolescent interpersonal anger, as well as antisocial, narcissistic, anxious, and negative personality disorders. They directly predict adolescent interpersonal anger.
ConclusionIn general, it can be concluded that there is a significant relationship between interpersonal anger and personality traits and disorders in adolescents, and paying attention to personality and traits is known to be an important issue in adolescent psychology. Among the limitations that the researchers faced in this research, it is possible to point out that this research is limited to teenagers aged 16 to 29 in Yasooj city, and the possibility of generalizing the results to teenagers of other cities and other cultures should be cautious. Another limitation of this research was the cross-sectional nature of data collection, which was collected in a limited period of time. It is suggested that in future research, longitudinal studies should be conducted in which the role of personality traits and disorders in the projection of interpersonal anger is more tangible. Also, the present study was only a field study with a questionnaire method, and despite the advantages of this method, it is possible that deviation from this method may have occurred. Therefore, it is suggested to be investigated using other evaluation methods in future research. It is also suggested that future researchers examine this research more closely with regard to the role of control variables such as education level, work experience or employment, and economic, social, and family status.
Keywords: Personality Traits, Personality Disorders, Interpersonal Anger, Teenagers -
زمینه و هدف
بیماری های پوستی از مهمترین بیماری هایی می باشد که بر خلق و خوی و حالات روحی و روانی بیماران اثرگذار است. از این جهت در این مطالعه مروری، بر تاثیر اختلالات شخصیتی بر توسعه بیماری های حاد پوستی پرداخته شد.
روش کارمطالعه حاضر یک مطالعه مروری می باشد که از مقاله های چاپ شده در مجلات داخلی و خارجی موجود در بانک های اطلاعاتی SID، PubMed، Google Scholar، Magiran، Springer، Wiley، Web of Science(ISI)، Scopus، Science direct، ProQuest در محدوده سال های 2020 تا 2022 استفاده شد. جست وجوی مقاله ها با استفاده از کلمات کلیدی "بیماری های حاد پوستی، بیماری های پوستی، اختلالات شخصیتی، اختلالات روانی" و معادل انگلیسی آن ها انجام شد. در نتیجه جستجو ابتدایی مقالات 156 مقاله بوده است که در مرحله غربالگری 74 مقاله باقی مانده است و در انتها 12 مقاله مورد تجزیه و تحلیل محتوایی قرار گرفت.
یافته هااین مطالعه مروری نشان داد که اختلالات شخصیتی و روانی بر توسعه بیماری های پوستی اثرگذار هستند و کنترل این اختلالات راهکار کاهش عوارض سطح بیماری های پوستی محسوب می شود.
نتیجه گیریبه طور کلی می توان نتیجه گیری کرد که در راستای کاهش عوارض بیماری های پوستی، توجه به اختلالات شخصیتی و روانی افراد می تواند درک بیمار نسبت به بیماری را افزایش داده و از سطح عوارض این بیماری بکاهد.
کلید واژگان: اختلالات شخصیتی, اختلالات روانی, استرس, بیماری پوستیBackground & AimsPersonality disorder is a type of mental disorder in which a rigid and unhealthy pattern of thought, performance, and behavior is observed in a person. A person with a personality disorder has difficulty in understanding and communicating with situations and people. This causes significant problems and limitations in relationships, social activities, and understanding of diseases. The presence of personality disorders in sick people leads to the development of the disease and increases the level of stress and depression in patients. Among the diseases observed in patients suffering from personality disorders such as dual personality, the presence of stress, depression, harming themselves, scratching the skin, and causing self-inflicted wounds are mentioned. Personality disorders usually start in adolescence or early adulthood. There are different types of personality disorders. Some types may become less apparent during middle age. Types of personality disorders are classified into three clusters based on similar characteristics and symptoms. Many people with one personality disorder also have signs and symptoms of at least one other personality disorder. To diagnose a disorder, showing all signs and symptoms is unnecessary. Cluster A personality disorders are characterized by abnormal and unusual thinking or behavior. They include paranoid personality disorder, schizoid personality disorder, and schizotypal personality disorder. Cluster B personality disorders are characterized by dramatic, overly emotional, or unpredictable thinking or behavior. They include antisocial personality disorder, borderline personality disorder, histrionic personality disorder, and narcissistic personality disorder. Cluster C personality disorders are characterized by anxious, fearful thinking or behavior. They include avoidant personality disorder, dependent personality disorder, and obsessive-compulsive personality disorder. There is increasing evidence about the negative impact of personality disorders on various physical, mental, and emotional aspects of healthy and sick people. Psychotherapy can help a person understand the effects of their behavior on others, learn to manage or cope with symptoms and reduce behaviors that cause problems in functioning and relationships. The type of treatment depends on the specific personality disorder, its severity, and the individual's condition. If personality disorders are not treated in people, the level of many diseases such as depression, cardiovascular diseases, and skin diseases will increase. Skin diseases are conditions that affect the skin. These diseases may cause rashes, inflammation, itching, or other skin changes. Some skin diseases may be genetic, while lifestyle and psychological factors such as severe obsessions and personality disorders may cause others. Both the skin and the central nervous system are derived from the ectoderm during embryogenesis. Their anatomical-functional relationship has been known for a long time. However, many aspects of this relationship are not fully understood. There are several studies that confirm the link between Dermatosis and mental illness. The findings of studies conducted in the field of psychiatry show that infectious-parasitic Dermatoses are the most common skin diseases in more than 70% of patients with mental disorders. The general explanation for this complication is that the physical condition of many mental patients decreases, which is associated with a decrease in immune defense and, as a result, an increase in sensitivity to skin infections. Considering the importance of skin diseases and the effect of personality disorders on this type of disease and the explanations provided, the question raised here is the relationship between personality disorders and skin diseases in various studies in the field of psychiatry. What results have been obtained and what requirements have been recommended regarding the reduction of this disease through psychotherapy?
MethodsThe current study is a review study that includes papers published in domestic and foreign journals available in SID, PubMed, Google Scholar, Magiran, Springer, Wiley, Web of Science (ISI), Scopus, Science direct, and ProQuest databases. The range of years 2020 to 2022 was used. Papers were searched using the keywords "acute skin diseases, skin diseases, personality disorders, mental disorders" and their English equivalents. As a result of the initial search of papers, there were 156 articles, of which 74 apapers remained in the screening stage, and at the end, 12 papers were subjected to content analysis.
ResultsThis review study showed that personality and mental disorders have an effect on the development of skin diseases and controlling these disorders is considered as a solution to reduce the complications of skin diseases.
ConclusionIn general, it can be concluded that in order to reduce the complications of skin diseases, paying attention to the personality and mental disorders of people can increase the patient's understanding of the disease and reduce the level of complications of this disease. Psychotherapy of the last century uses biological, psychological, and social factors at different levels significantly in the pathogenesis of each disease, through complex interactions in the treatment of diseases. There are many ontogenetic, anatomical, and functional connections between the skin, the psyche, and the immune system. These connections are the reason that Neuro-immunological mechanisms are often involved in the pathogenesis of Dermatoses. This is why skin diseases are classified as "paradigm" psychosomatic diseases. The skin is the only organ that is completely visible, and therefore the patient can always observe it closely. Patients are free to act on their ideas about pathogenic mechanisms. This means that, as mentioned above, clinicians, especially in the field of dermatology, must examine (and respect) patient disease models. However, skin lesions are visible not only to the patients themselves but often to other people as well. For example, patients with Dermatosis are often exposed to stigma: skin diseases may cause hatred or fear of contagion. Therefore, feelings such as embarrassment about one's illness, or disgust expressed by other people, may affect the patient's outlook on life. Some patients actually anticipate and experience imaginary stigma even in the case of minimal skin lesions. The fact that skin is very visible has also contributed to psychoanalytic theories and interpretations of psychoanalysts interested in psychosomatic medicine for skin diseases.
Keywords: Personality Disorders, Mental Disorders, Stress, Skin Disease -
Background
Although a surge of interest in examining the co‐occurrence of problematic use of different technology means has recently emerged, findings are still inconclusive. This web-based survey aimed at examining whether (a) personality traits, coping strategies, and sociodemographics are associated with problematic use of the internet, smartphone, and SMS among Greek users and (b) personality traits mediate the relationship between maladaptive coping strategies and problematic use of the three media. Study design: A cross-sectional study.
MethodA convenience and snowball sample of 1,016 participants (84.4% female, mean age 30.3 years) completed the Problematic Internet Use Questionnaire-9 (PIUQ-9), the Mobile Phone Problem Use Scale (MPPUS), the Self-Perception of Text Message Dependency Scale (STDS), the Personality Diagnostic Questionnaire 4+ (PDQ-4+), and the Brief Coping Orientation to Problems Experienced Inventory (COPE).
ResultsShared predictors between the three problematic uses were younger age and low educational level, the coping strategy of substance use, and the narcissistic, avoidant, and dependent personality disorders. The coping strategies of self‒distraction and behavioral disengagement were common between the problematic users of the internet and smartphone. Schizoid traits predicted problematic smartphone users, paranoid traits predicted problematic internet users, and histrionic traits predicted problematic SMS users. Cluster C personality disorders fully mediated the relationship between maladaptive coping strategies and problematic use of technology-based tools, thus suggesting their amplifying role in this relationship.
ConclusionsAddressing shared factors between the three groups of problematic users, such as teaching adaptive coping strategies, should be the aim of effective and cost-saving treatment and preventive efforts.
Keywords: overuse, addiction, excessive use, dependence, personality disorders -
Objective
The COVID-19 pandemic has created many problems. This paper aims to predict moral reasoning through spiritual health and personality via the mediating role of empathy in physicians and nurses.
MethodsThe current research is a cross-sectional analysis conducted on 320 physicians and nurses working in hospitals’ COVID-19 wards. We used the available sampling method, and the research tools included the brief form of personality inventory for The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (Krueger et al. 2012), the spiritual well-being scale (Dehshiri 2009), the defining issue test-2 (Rest et al. 1986), and the interpersonal reactivity index (Davis 1983).
ResultsThe results of the current investigation indicated that spiritual well-being has a positive and significant effect on empathy (P<0.0001, β=0.236). Empathy has a positive and significant correlation with moral reasoning (P=0.032, β=0.117). And finally, the moral reasoning variable in the current model was calculated at 0.019.
ConclusionThe current study shows that empathy can predict moral reasoning. Meanwhile, understanding the feelings of others can be more useful in judgment and decision-making. In addition, spiritual health can play an important role in empathy.
Keywords: Moral reasoning, Spiritual well-being, Personality disorders, Empathy, Physicians, Nurses -
شرم هیجان خودآگاهی است که می توان آن را درد روانی نام نهاد. اجماع بر این است که شرم جنبه های انطباقی و غیر انطباقی دارد. به بیان دیگر، با وجود اینکه شرم به افراد درباره از دست دادن جایگاه اجتماعی شان هشدار می دهد، تجربه آن می تواند به انواع مختلفی از نابهنجاری های روانشناختی منجر شود، ازجمله آسیب شناسی شخصیت. هدف مطالعه فعلی، (1) کاوش دیدگاه های نظری درباره رابطه شرم با اختلالات شخصیت و (2) بررسی همخوانی یافته های تجربی با نظریات مذکور بود. با انجام یک مرور روایتی از اهم منابع موجود در پیشینه، دریافتیم که بیشترین نظریه پردازی ها و پژوهش ها درباره اختلالات شخصیت خوشه دوم (و به طور خاص، درباره اختلالات شخصیت مرزی، ضداجتماعی و خودشیفته) بودند. شرم نقشی متمایز در شکل گیری و ماندگاری هر یک از اختلالات شخصیت گفته شده ایفا می کند. برجسته ترین تفاوت در باب سطحی از هشیاری است که شرم در آن پردازش می شود. به علاوه، اختصاصا در رابطه شرم با خودشیفتگی بزرگ منشانه، سایکوپاتی و اختلال شخصیت ضداجتماعی، ناهمخوانی هایی میان نظریات و یافته های تجربی مشاهده شد. تجربه شرم می تواند اثرات دیرپایی بر سلامت روان افراد داشته باشد. وقتی شرم درونی سازی شود، ممکن است به طرق و الگوهای مختلفی به شکل گیری اختلالات شخصیت بیانجامد.
کلید واژگان: شرم, اختلالات شخصیت, اختلال شخصیت مرزی, اختلال شخصیت ضداجتماعی, خودشیفتگیShame is a self-conscious emotion that can be named psychological pain. The consensus is that shame has adaptive and maladaptive aspects. In other words, although shame warns individuals about the loss of their social position, its experience could lead to different types of psychopathology, namely personality pathology. The aim of the current study was (1) to explore the theoretical perspectives about the association between shame and personality disorders and (2) to investigate the congruency of empirical findings with the aforesaid theories. By conducting a narrative review of the most significant references existing in the literature, we found that most of the theories and studies were about cluster B personality disorders (and in particular, about borderline, antisocial, and narcissistic personality disorders). Shame plays a distinct role in the development and maintenance of the above-said personality disorders. The most notable difference is related to the level of consciousness in which shame is processed. Moreover, particularly in the relationship between shame, grandiose narcissism, psychopathy, and antisocial personality disorder, inconsistencies among theories and empirical findings were observed. Experiencing shame could have enduring impacts on individuals' mental health. When shame is internalized, it may lead to the development of personality disorders in different ways and patterns.
Keywords: Shame, Personality disorders, Borderline personality disorder, Antisocial personality disorder, Narcissism -
International Journal of Medical Toxicology and Forensic Medicine, Volume:12 Issue: 2, Spring 2022, P 3Background
Gender identity is an important part of human identity. It is a personal conception of oneself as male or female. One of the major goals of treatment for individuals with Gender Dysphoria (GD) is to treat comorbid psychological and psychiatric disorders such as personality disorders. The present study aims to investigate demographic characteristics and personality disorders in people with GD seeking gender reassignment therapy in East Azerbaijan Province, Iran.
MethodsIn this descriptive cross-sectional study, study population consists of all patients with GD referred to the forensic medicine centers in East Azerbaijan province during 2016-2020, of whom 61 (21 males and 40 females) were selected using a convenience sampling method. Their age, gender, educational level, and marital status were recorded and their personality profile was assessed by the Millon Clinical Multiaxial Inventory–III.
ResultsThe frequency (percentage) of Cluster A, B and C personality disorders in males were 0(0%), 9(50%) and 2(11.10%), while in females they were 1(5.56%), 4(22.40%), and 2(11.10%), respectively. The frequency (percentage) of antisocial, obsessive, borderline, avoidant, narcissistic, histrionic, and paranoid personality disorders in males were 4(22.2%), 2(11.10%), 3(16.67%), 0(0%), 0(0%), 2(11.10%), and 0(0%), while in females they were 4(22.20%), 1(5.56%), 3(16.67%), 1(5.56%), 1(5.56%), 2(11.10%), and 1(5.56%), respectively. The prevalence of different clusters (P=0.34) and types (P=0.18) of personality disorders was not significantly different between males and females.
ConclusionPersonality disorders are comorbid with GD. They exist in one-third of patients with GD in East Azerbaijan Province. Personality disorders are significantly more prevalent in male patients with GD than in females.
Keywords: Demographic characteristics, Personality disorders, Gender dysphoria -
مقدمه
ختلالات شخصیتی دسته ای از اختلالات روانی است که با الگوهای ناسازگار رفتاری ، شناختی و تجربه درونی پایدار شناخته می شود. پژوهش حاضر به منظور بررسی نقش واسطهای تحمل پریشانی و تنظیم شناختی هیجان در ارتباط با آسیبهای دوران کودکی و بروز نشانه های اختلال های شخصیت وابسته در پرستاران شاغل در بیمارستان های شهرستان شیراز در سال 1399 طراحی شده است.
روش هادر این پژوهش مقطعی از نوع توصیفی- همبستگی، 291 نفر از پرستاران دانشگاه علوم پزشکی شیراز در سال 1398 که به روش خوشه ای ساده انتخاب شده بودند، شرکت کردند. ابزارهای مورد استفاده در پژوهش حاضر شامل پرسشنامه آسیبهای دوران کودکی، پرسشنامه تنظیم شناختی هیجان (CERQ) و پرسشنامه چند محوری بالینیMillon و پرسشنامه تحمل پریشانی DTS بودند. به منظور تحلیل دادههای آماری از نرمافزار SPSS نسخه 16و نرمافزار AMOS-22 برای تحلیل مسیر متغیرهای مشاهده پذیر بهرهگیری به عمل آمد.
یافته هایافته ها نشان داد که آسیبهای عمومی، سوءاستفاده های جسمی و سوءاستفادههای جنسی دوران کودکی می توانند اختلال شخصیت وسواسی- جبری را به صورت غیرمستقیم (05/0>p) و متغیر سوءاستفاده های عاطفی دوران کودکی بر اختلال شخصیت وسواسی-جبری به صورت غیرمستقیم مثبت (05/0>p) تبیین کنند.
نتیجه گیرینتایج پژوهش حاضر نشان داد که پرستارانی که در دوران کودکی آزار دیده و مورد سوءاستفاده قرار گرفتهاند، در بزرگسالی با احتمال بیشتری نشانه های اختلالات شخصیت وسواسی-جبری را در رفتار خود بروز میدهند.
کلید واژگان: کودک آزاری, تحمل پریشانی, تنظیم هیجان, اختلال شخصیتIntroductionPersonality disorders are a group of mental disorders characterized by maladaptive patterns of behavior, cognition, and stable internal experience. The present study aimed to investigate the mediating role of anxiety tolerance and cognitive emotion regulation concerning childhood injuries and dependent personality disorders symptoms in nurses working in hospitals in Shiraz in 1399.
MethodsIn this descriptive-correlational cross-sectional study, 291 nurses selected by simple cluster sampling at Shiraz University of Medical Sciences participated in the survey in 1398. The instruments used in the present study included the Childhood Injury Questionnaire, the Cognitive Emotion Regulation Questionnaire (CERQ), the Millon-3 Clinical Multi-Axis Questionnaire (MCMI-III), and the DTS Distress Tolerance Questionnaire. To analyze the statistical data, the authors used the Pearson Product Moment correlation coefficient by SPSS software version 16. They also used the structural equation model in AMOS-22 software to determine the fit of the studied model to analyze the path of observable variables.
ResultsThe results showed that general injuries and childhood physical and sexual abuse could indirectly affect obsessive-compulsive personality disorder (p <0.05) and emotional abuse during childhood.
ConclusionThe present study results showed that abused nurses during childhood are more likely to show obsessive-compulsive personality disorder symptoms in adulthood.
Keywords: Child abuse, Distress Tolerance, Emotional regulation, Personality disorders -
BackgroundOne of the most common and profound experiences is due to the breakdown of emotional relationships. Losing the subject of love at a young age is one of the biggest blows that can happen to people.ObjectivesThis study aimed to determine the fitness of the structural equation model of relationships between personality organization and emotional breakdown based on the mediating role of defense mechanisms.MethodsThe present study was descriptive and correlational research was a structural equation model. The statistical population of this study included all adolescent girls with an emotional breakdown in the academic year of 2019-20 in Nurabad. The sample consisted of 250 people who were selected using the purposeful sampling method. Data were collected using the love trauma syndrome questionnaire (Ross, 1999), personality organization questionnaire (Kernberg, 2002), and defense mechanisms questionnaire (Andrews et al., 1993). Data analysis was performed using Pearson correlation coefficient, structural equation model, and SPSS.22 and AMOS.22 software. The significance level in this study was 0.05.ResultsThe results showed that personality organization had an indirect effect on the emotional breakdown, so the indirect relationship between the research variables with 95% confidence was confirmed (p <0.05).ConclusionIt can be concluded that personality organization has a mediating role in the relationship between defense mechanisms and emotional breakdown.Keywords: Personality Disorders, emotions, Defense mechanisms
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Background
This study investigated how the parents’ personality disorders may be related to substance use disorder in children and adolescents.
MethodsThe study was a cross-sectional study in which 28,540 children and adolescents (aged 6 to 18 years) and their parents participated between 2015 and 2016. The diagnosis of substance use was made using the Kiddie Schedule for Affective Disorders and Schizophrenia--Present and Lifetime Version (K-SADS-PL) interview and the personality disorders were assessed using Millon Clinical Multiaxial Inventory - Third Edition (MCMI-III). The parents were also surveyed for their personality assessed with MCMI.
ResultsThe results showed that the paranoid personality disorder in father (odds ratio [OR] = 8.34, 95% CI, P = 0.042) and borderline personality disorder in mother (OR = 4.6, 95% CI, P = 0.049) increase the chance of substance use in children.
ConclusionThe findings suggest that in designing preventive programs for substance use, the personality characteristics of the parents need to be taken into account.
Keywords: Adolescent, Child, Personality Disorders, Substance Use Disorder -
مقدمه
مسایل والدین ضمن آنکه می تواند به بروز یا تشدید اختلالات فرزندان منجر شوند از مشکلات روانی فرزندان نیز متاثر می شوند.
هدفهدف پژوهش حاضر مقایسه شدت علایم اختلالات شخصیت در والدین کودکان مبتلا به اختلال اوتیسم، والدین کودکان مبتلا به اختلال نقص توجه/ بیش فعالی و والدین کودکان سالم بود.
روشپژوهش حاضر مقطعی است. جامعه پژوهش شامل کلیه والدین کودکان مبتلا به اختلال اوتیسم و اختلال نقص توجه/ بیش فعالی در سال 1399 در شهر تبریز بود. تعداد 130 نفر از والدین کودکان اوتیسم، 170 نفر از والدین کودکان اختلال نقص توجه/ بیش فعال به صورت در دسترس انتخاب گردید و با 273 نفر از والدین کنترل بهنجار همتاسازی گردید. کلیه سنجش های بالینی اختلال اوتیسم، اختلال نقص توجه/ بیش فعال و هم ابتلایی اختلال روانی دیگر توسط روانپزشک کودک و نوجوان صورت گرفت. شدت علایم اختلالات شخصیت والدین با استفاده از پرسشنامه اختلال شخصیت میلون 3 سنجش گردید. برای تجزیه و تحلیل داده ها از آزمون کروسکال والیس با استفاده از نرم افزار SPSS نسخه 26 استفاده گردید.
یافته هابراساس نتایج آزمون کروسکال والیس، میانگین رتبه ای اختلالات شخصیت سه گروه به ترتیب والدین کودکان مبتلا به اختلال اوتیسم> والدین کودکان مبتلا به اختلال نقص توجه/ بیش فعال> والدین کنترل بودند (0/01>p).
نتیجه گیریوالدین کودکان اوتیسم در مقایسه با والدین کودکان اختلال نقص توجه/ بیش فعال از آسیب پذیری بیشتر شدت علایم اختلالات شخصیت رنج می برند. مطالعات تکمیلی نیاز است تا متناسب با شرایط گروه ها مداخلات بالینی صورت گیرد.
کلید واژگان: اختلالات شخصیت, والدین, اختلال اوتیسم, اختلال نقص توجه, بیش فعالیIntroductionParents problems can not only lead to the occurrence or aggravation of their childrens disorders, but also affect their childrens psychological problems.
AimThe purpose of this study was to compare personality disorder symptom in parents of children with autism disorders, attention deficit hyperactivity disorder (ADHD) and normal control.
MethodThis is a cross-sectional study. The population of this study included all parents of children with autism and ADHD from Tabriz City in year 2020. 130 parents of children with autism, 170 parents of children with ADHD were selected available sampling method and were mached with 273 parents of normal control. All the clinical assessment of autism, ADHD and comorbidities were conducted by child and adolescent psychiatrists. The severity of personality disorder symptom were assessed by Millon Clinical Multiaxial Inventory (MCMI-III). Kruskal-Wallis test using SPSS version 26 software was used for data analysis.
ResultsAccording to results of Kruskal-Wallis test, the mean ranking of personality disorders in the three groups respectively were parents of children with autism> parents of children with ADHD> control parents were (p<0.01).
ConclusionParents of children with autism suffer from higher vulnerability than symptoms of personality disorders compared to parents of children with ADHD. Additional studies are needed to make clinical interventions in parents appropriate to childrenchr('39')s mental disorders.
Keywords: Personality disorders, Parents, Autistic disorder, Attention deficit hyperactivity disorder, ADHD -
بررسی رابطه گرایش به زنانگی- مردانگی با اختلالات شخصیت ضداجتماعی، نمایشی و پارانویا در نوجوانان دخترمقدمه
نوجوانان از مهم ترین و تاثیرگذارترین اقشار جامعه محسوب می شوند و پژوهش درباره مسایل روانشناختی آنان حایز اهمیت است.
هدفمطالعه حاضر با هدف بررسی رابطه گرایش به زنانگی-مردانگی با اختلالات شخصیت ضداجتماعی، نمایش و پارانویا در نوجوانان دختر انجام گرفت.
روشپژوهش حاضر از نوع همبستگی بود. جامعه پژوهش شامل دانش آموزان دختر مقطع متوسطه شهرستان کامیاران در سال تحصیلی 98-1397 بود که از بین آن ها 302 نفر به روش نمونه گیری خوشه ای انتخاب شدند و به پرسشنامه های گرایش به زنانگی-مردانگی میشل گوگلن (1996) و مقیاس میلون 3 (1977) پاسخ دادند. تجزیه و تحلیل داده ها با استفاده از نرم افزار spss نسخه 23 و روش های آماری همبستگی پیرسون و رگرسیون انجام شد.
یافته هایافته ها نشان داد که بین گرایش به زنانگی و اختلال شخصیت نمایشی با 0/26 (0/05>P) و اختلال شخصیت پارانویا با 0/20 (0/05>P) همبستگی وجود داشت. همچنین گرایش به زنانگی؛ اختلالات شخصیت ضداجتماعی، نمایشی و پارانویا را به صورت مثبت و معنادار پیش بینی می کند (0/05>P، 3/965>F). طبق یافته ها بین گرایش به مردانگی و اختلال شخصیت ضداجتماعی با 0/22 (0/05>P) و با اختلال شخصیت نمایشی با 0/19 (0/01>P) همبستگی وجود داشت. همچنین گرایش به مردانگی؛ اختلالات شخصیت ضداجتماعی، نمایشی و پارانویا را به صورت مثبت و معناداری پیش بینی می کند (0/05>P، 3/910 >F).
نتیجه گیریبا توجه به نتایج حاصل از این پژوهش می توان نتیجه گرفت که گرایش به زنانگی- مردانگی می تواند پیش بینی کننده اختلالات شخصیت در نوجوانان باشد؛ بنابراین یکی از عوامل روانشناختی مهم در زمینه اختلالات شخصیت محسوب می شود.
کلید واژگان: زنانگی, مردانگی, اختلالات شخصیتIntroductionAdolescents are one of the most important and influential people in society and research on their psychological issues is important.
AimThe aim of this study was to investigate the relationship between femininity-masculinity tendency with antisocial, histrionic and paranoia personality disorders in adolescents girl.
MethodThe method of this research is correlational. The study population included girl high school students in Kamyaran in the academic year of 2018-2019, 302 of them were selected as the research sample and answered the Michel Googlen Scales (1996) and the Millon-III scale (1977). Data analysis was performed using spss software version 23 and Pearson correlation and regression statistical methods.
ResultsThe finding showed that there was a correlation between feminity and histrionic personality disorder with 0.26 (P<0.05) and paranoia personality disorder with 0.20 (P<0.05). Also, the tendency to feminity predicts antisocial, histrionic and paranoia personality disorders in a positive and meaningful way (F<3.965, P<0.05). According to the finding, there was a correlation between tendency to masculinity and social personality disorder with 0.22 (P<0.05) and histrionic personality disorder 0.19 (P<0.01). Also, the tendency to masculinity predicts antisocial, histrionic and paranoia personality disorders in a positive and meaningful way (F<3.910, P<0.05).
ConclusionAccording to the results of this study, it can be concluded that the tendency to femininity-masculinity predicts personality disorders in adolescent. Therefore, it is one of the important psychological factors in the field of personality disorders.
Keywords: Femininity, Masculinity, Personality disorders -
Background
Adaptive narcissism is the presence of narcissistic personality traits in otherwise normal individuals. Considering the potential effects of narcissism on the medical profession.
ObjectivesThe aim of the present study was to investigate the prevalence of adaptive narcissism and its demographic correlations among a medical student population using self-assessment tools.
MethodsParticipants were selected through cluster sampling among students spending their internship in the Medical School of Guilan University of Medical Sciences in 2019 (N = 138). The 40-item Narcissistic Personality Inventory (NPI-40) was used to assess the prevalence of adaptive narcissism. Next, the demographic correlations of narcissism were studied.
ResultsThe prevalence of adaptive narcissism was 18.1%, with the NPI-40 mean score of 14.43. The self-sufficiency subscale of NPI-40 was correlated with the male gender (P = 0.01).
ConclusionsAmong medical interns, the whole constructs of adaptive narcissism are as high as found in a normal population and are not correlated with demographic characteristics of the given sample. The self-sufficiency subscale is positively correlated with the male gender.
Keywords: Medical Students, Personality Disorders, Narcissism
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