ABSTRACT
Background: Addiction leads to numerous physical and mental problems for the addicted person and consequently major problems for the relatives
Objectives: The current study aimed at investigating the psychodynamic characteristics of females with addicted husbands in Kerman, Iran
Methods: In the current cross sectional study, 60 volunteer females with addicted husbands were compared with 60 wives of non-addict males. The thematic apperception [TAT] projective test along with the Ruben scoring system was used to evaluate the sample units. Data were collected from September 2015 to February 2016 and analyzed using t test and the Pearson chi-square test with SPSS software version 20
Results: The mean age of the case group was 32.6 +/- 2.4 years with more children, compared with the control group [P < 0.05]. The current study results showed a significant relationship between the groups regarding main conflict [P < 0.001], defence mechanism [immature defence P < 0.003 and neurotic defence P < 0.001], adequacy of superego [P < 0.001], feelings such as anger [P < 0.001] and guilt-frustration [P < 0.048], and unfavorable outcomes [P < 0.001]
Conclusions: Understanding and perception of the nature of addiction, how to deal with it, and cope with the addict bring a deep challenge to the personality characteristics of the addict's spouse. In consequence, such scenarios lead to conflicting communications among them and they turn to the frequent use of immature and neurotic defence mechanisms such as identification and cope with the problem in the interpersonal relationships. Identification of the characteristics of such females helps to employ better strategies to improve their quality of life
ABSTRACT
Drug non adherence is one of the major problems in treatment of psychiatric patients which could increase the risk of relapse and re-hospitalization. The aim of this study is to determine factors associated with drug non adherence by patients with mood disorders after their discharge from hospital and assessment of relation between drug attitude and drug adherence. In this cohort, prospective, and descriptive study, 150 patients with mood disorders [major depressive disorder, bipolar mood disorder] at the time of discharge were assessed. For each patient, demographic information form and Drug Attitude Inventory [DAI-10] [persian translation] was completed at the time of discharge. Then all of the patients were monitored monthly until 6 months through telephone. In every follow up DAI-10 and drug use inventory [which consists of causes of drug non adherence] were completed. Finally relation between different variables and patient drug attitude with drug adherence were assessed. From all studied variables such as demographic factors, diagnosis, treatment factors, and drug attitude, only drug attitude had a significant relation with drug adherence. Patients' attitude toward drugs has a major role in drug adherence
ABSTRACT
Delusion of parasitosis is a rare condition in which the patient has a strong conviction that he or she is infested by small organisms. The condition may exist as an isolated phenomenon, or may occur in association with other psychiatric syndromes. We report a single case of a rare form of this phenomenon. A middle-aged woman who met forth edition of diagnostic and statistical manual of mental disorders criteria for major depressive disorder with psychotic features is described. She had delusions of oral parasitosis. She felt lizards and small organisms in her mouth. To the best of our knowledge, there has been only one previous report of delusions of oral parasitosis to date. We discuss the interesting aspects of this case