ABSTRACT
The present study was planned to evaluate the level of expressed emotion [EE], depression and caregiver burden in wives of veterans admitted in Ibn-e-Sina psychiatric hospital and determine the relationship with number of readmissions in 6-month follow up. This cross-sectional study was performed on 50 veterans hospitalized in Ibn-e-Sina psychiatric hospital and their wives in 2008. Psychiatric disorders had been diagnosed based on semi structural clinical interview and DSM-IV-TR diagnostic criteria and the severity of illnesses was assessed with clinical global impression scale [CGI-S]. Beck depression inventory [BDI], family burden interview scale [FBIS] and the level of expressed emotion [LEE] tests were performed for wives. The number of readmission of veterans was assessed 6 months later. Data were analyzed by Pearson correlation, Mann-Whitney and ANOVA tests. It was shown that 42% of wives had mild depression, 26% had moderate depression and 8% had severe depression. Also 52% of them were suffering from severe caregiver burden and 14% had high EE. Veterans' average number of readmission in 6 months follow up was 1.6 +/- 1.28. The average of FBIS scores in wives was 31 +/- 10.49. There was no significant relationship between average of LEE [P=0.67], BDI [P=0.19] and FBIS [P=0.92] scores and LEE subsets in wives with the number of veterans' readmissions. The level of expressed emotion, depression and caregiver burden in wives are not related with the number of readmission in veterans admitted in psychiatric hospital in Iran
ABSTRACT
Recurrent aphthous ulcers [RAS] are one of the most common painful diseases affecting the oral mucosa. The psychological-emotional factors should be considered as predisposing factors. However, the association between psychiatric disorders and RAS has not been fully investigated in Iranian population. The purpose of this study was to determine the type and frequency of psychological disorders in patients with aphthous ulceration. Thirty five subjects of 50 patients suffering from RAS referred to oral medicine department of Mashhad dental school, were enrolled for this study. Demographic data and medical history as well as the number and type of the recurrent ulcers were obtained. The records of SCL9O questionnaire and interviews were analyzed by psychiatrist. Data obtained by personality evaluation and also the frequency of psychopathologic disease according to age, sex and duration of ulcers were described in tables and charts. 65.7% of 35 subjects were female; the average age range was 21-30 years. 74.3% of patients had psychiatric disorders and the others were normal. The most common psychiatric disorder was concurrent minor depression and anxiety. Psychiatric disorders were most common among women. The current study revealed that majority of patients with aphthous ulcers have some kinds of psychiatric disorders especially anxiety, depression and obsession compulsion. The results of this study proposed that all the medical staff should consider psychological disorders as etiologic factors for aphthous ulcers during their work up and treatment