[Prevalence of hallucinations in patients with Schizophrenia at Golestan Hospital during 2006-7]

Background: among various diagnostic criteria for schizophrenia Hallucination is a main part of clinical features and presentation forms of disease. The present study is the first complete investigation that was designed to assess the frequency of Hallucinations in Schizophrenia

Materials and Methods: this cross-sectional investigation was done on fifty Schizophrenic patients admitted in Golestan Hospital. Schizophrenia was diagnosed on DSM_IV_TR criteria by psychiatrist and obtained data analyzed using MC_N

Results: the results of this research demonstrated that 82% of patients suffered from auditory, 36% [visual], 24% [tactile], 12% [olfactory], 10% [pain and deep sensation], 6% [gustatory and the sense of presence], 4% [vestibular sensation] and 2% [functional and reflex] hallucination

Conclusions: compared to previous studies, the results of our investigation provide additional information and have differences at some findings

[Prevalence of hallucinations in patients with schizophrenia at Golestan hospital during 2006-7]

Among various diagnostic criteria for schizophrenia Hallucination is a main part of clinical features and presentation forms of disease. The present study is the first complete investigation that was designed to assess the frequency of Hallucinations in Schizophrenia. This cross-sectional investigation was done on fifty Schizophrenic patients admitted in Golestan Hospital. Schizophrenia was diagnosed on DSM_IV_TR criteria by psychiatrist and obtained data analyzed using MC_N. The results of this research demonstrated that 82% of patients suffered from auditory, 36% [visual], 24% [tactile], 12% [olfactory], 10% [pain and deep sensation], 6% [gustatory and the sense of presence], 4% [vestibular sensation] and 2% [functional and reflex] hallucination. Compared to previous studies, the results of our investigation provide additional information and have differences at some findings

[ rate of one and 6 months relapse after withdrawal in opioid dependent patients that have been detoxified]

Opioid Detoxification with Relieving Sign and Symptoms is the first step in Management of Opioid Dependents. However, many studies show that 6 month relapse after Detoxification is nearly 50%.The aim of this study was the Evaluation of the rate of 1 and 6 month relapse staying in Detoxified opioid dependent Patients. 200 Completed files from consecutive referrals were used in this Study. Completion of Detoxification was been Confirmed by Naloxone Challenge Test or Consuming Orally 50 mg daily Naltrexone Capsules. At first Identifying data of all Patients extracted. Then in follow ups 1 and 6 month relapse of patients Assessed. In our study 88% were male, 7.5% were less than 20 years old, 42% was between 20-30 years old, 26% were above 40 years old. Mean age of Patients was 33 years old. 57% were married. 52% have Unsteady Job. 16% were Organizational Employee and 22.5% have no work. The Educational grades of 28 patients were under 8, 40% had Diploma Degree. 2.5% had degrees higher than Bachelor. 70% patients had 2 or More times history of Relapse after Detoxification. 1 month relapse was 18.5% and 6 moth relapse was 54.5%. The relapse was significantly higher among Women, employers [more than non employers], Singles and those with the history of relapse in the past

[Frequency of Major Depressive Disorders in schizophrenic patients]

Background: a debilitating disorder such as Schizophrenia would have a bad prognosis if it would be mixed with Major Depressive disorder. It is obvious that treating this latter manageable problem accompanied with better prognosis for the former disorder

Materials and Methods: 243 schizophrenic patient in the different phases of treatment [Acute, partial remission, under control] Beck depression Inventory was done. Cut of point for assuming Major depressive disorder was 30

Results: 80% of patients were in the ages between 17-38.17% in acute phase of disorder, 30%in partial remission and 52% were under control. The rate of major depressive disorder in Acute phase 88%; in partial remission group 45%and in under control group 25%

Conclusion: the frequency of major depressive disorder in Schizophrenic patients [in different phases of treatment] were nearly 40%.This rate was higher in women, singles, divorced, unemployed and in lower levels of education. Major depressive disorders were lower in patients who were in under control phase till in partial remission or acute phase

[Evaluation of frequencies of the Personality disorders [Axis II] in soldiers who evade the draft]

Mental disorders represent an important source of morbidity among military personnel and are a commen reason for early separation from the military, and the most frequency of premature elimination from the army was personality disorder. The goal of this study is evaluation of prevalence of personality disorder in soldiers separated from military service. In this study 102 awoles and 105 soldiers referred to the clinic of 506 Army hospital, evaluated by clinical interviews on the basis of DSM-4 criteria.The results were then analyzed by statistical software of SPSS 13. In this study, the frequencies of personality disorders in awols 73 percent and in the soldiers referred to clinic22 percent [p value 0/00].The frequencies of the most personality disorders [hysterionice, borderline, and antisocial] in awols are respectively 29, 18, and 23 percent and in soldiers referred to clinic are 16/2, 3/8, and 1 percent which there was a significant difference between two groups [p value in borderline 0/02, hysterionic 0/00, and antisocial 0/00]. The frequencies of personality disorders in awols were more common than community and soldiers which referred to clinic of hospital. Other trails are neede to determine relationship between the Personality disorders [Axis II] and separation from military service

[Evaluation of mental health of Nonmilitary medical students at clinical training grade]

Background: the purpose of this research is to evaluate mental health of medical students to estimate prevalence pf psychiatric disorder [including: Somatic symptoms, anxiety-insomnia, social dysfunction and depression] in this population: Nonmilitary medical students at clinical training grade refered to army university of I.R.O.I for instruction in 2nd half year of 1383

Materials and Methods: in this research 205 students [60% female,40% male] were evaluated by GHQ-28 instrument and also an enclosure containing demographic data

Results: the results of this research demonstrated that 47/8% of individuals were suspicious to mental disorder in which more frequencies were among women, interns, single marital status and those who had positive history of mental disease in their families

Conclusions: there was statistically significant relation between 1-Mental disorder and single marital status and also positive family history 2-Somatic symptoms [38.5%] and gender [female] 3-Anxiety-insomnia [47.8%] and gender [female] and also FH[+] 4-Social dysfunction [69%] and training grade [interns] 5-Depression [25.4%] and single marital status and also FH[+] There was no significant relation between two groups of age [>25 Years] and non of considered disorders

Rapid detoxification of opium dependent patients via opioid antagonist

This project was conducted to assess the feasibility and outcome of rapid detoxification method. 41 opium dependent patients [37 males, 4 females] with mean age of 29.1 years [17-44] who had been consecutive admitted to Iran Psychiatric Center during one year period were detoxified with subcutaneous naloxone [11 patients] or oral naltrexone [30 patients]. Finally the detoxification was completed with the consumption of 50 mg of oral naltrexone. The required time for this method of detoxification was less than 72 hours. Except for two cases, all patients completed the treatment [95%].Among all serious side effects, delirium was seen in two subjects [5%]. The advantageous of this method of detoxification included little side effects, short period of treatment, significant efficacy, lower cost, and feasibility to provide the treatment to larger group of patients. Therefore, controlled study to replicate these findings is suggested