ABSTRACT
The patient - physician relationship [rapport] is one of the most important cues in daily medial practice .How a physician dresses and how she or he addresses the patients are important factors in developing rapport. This study was done to determine psychiatrists preference dressing style and their addressing. This descriptive - analytic study was done on psychiatrists and psychiatric residents. The psychiatrists who were intended to enrol in this study were selected and their demographic data, medical practice duration, dressing preference for male and female psychiatrist, patient aspect for psychiatrist gender preference, patients and psychiatrists addressing. Eight Photos demonstrating different styles of dressing [four, for female physicians and four for male, based on Iranian culture] were shown to everyone to .select the preferred one. 77 psychiatrists [58.4% male and 41.6% female] were participated in this study. Formal attire [72.7%] was selected as a preferred dress for male psychiatrists and colored gown and scarf [32.5%] and veil [28.6%] for female. The majority of attenders [81.8%] didn't believe in psychiatric patients don't select their psychiatrist based on his/her gender [92.2%] of psychiatrists preferred to be addressed as Dr and Family name and [77.95%] believed that patients should be addressed ad Mr or Mrs in Front of their name and [81.8%] of them stated that using plural pronouns is better and [87%] preferred that their patients use plural verbs to address them. Psychiatrist's dressing and addressing based on physicians attitudes help improving patient -physician rapport
Subject(s)
Humans , Male , Female , Physician-Patient Relations , Physicians , Attitude , Health Knowledge, Attitudes, PracticeABSTRACT
Borderline personality disorder [BPD] has been the most studied personality disorder. Some researches have examined the relationship between BPD and most axis I diagnostic classes such as mood disorders, substance related disorders and anxiety disorders. The present study was conducted to determine the differences between BPD with and without OCD, BPD with and without self-mutilation. This study is a descriptive - analytic study. A clinical interview was carried out with all patients referred to Imam Hossain hospital with BPD diagnosis and those in whom BPD diagnosis was established on the basis of DSM-IV criteria. Data about sex, education, marital status, job, self-mutilation, suicidal attempt and substance ate we gathered by a form. Totally 205 BPD patients were evaluated [62.4% female Vs 37.6% male]. This study showd that the frequency of OCD in BPD is more than that in general population [45.29% Vs 2-3%]. There was statistically significant difference between BPD with and without OCD in terms of sex, age, history of self-mutilation and suicidal attempts and also no significant difference between BPD with and without self-mutilation in relation with substance abuse and suicidal attempts. OCD comorbidity with BPD especially in self-mutilated patients can help clinicians to better understand the psychopathology of BPD and prescribe appropriate medications [e.g. SSRI]
ABSTRACT
In this study the Structured Diagnostic Interview for DSM-IV axis I disorders [SCIDI] was translated into Persian using a cross-cultural methodology, and its reliability and feasibility was tested in a multi-center study. The study had two phases: a] translation of the instrument and assessing the cross-cultural equivalence, including forward and backward translation, and face validity of the translated version in regard with cross-cultural characteristics; b] reliability and feasibility assessment of the Persian translation on an Iranian clinical population. This is part of a larger study on validation of the SCID on 299 subjects admitted to outpatient and inpatient services of thee psychiatric centers [Roozbeh Hospital, Imam Hossein Hospital and Iran Hospital] in Tehran, Iran. For test-retest reliability assessment, two SCID interviews [3 to 7 days apart] were administered to 104 subjects and the level of diagnostic agreement was assessd. Feasibility for interviewees [n=299] and interviewers was tested by questionnaires considering the length of interview, its being boring/tiring, comprehensibility and acceptance of the questions, and difficulty of administration. Diagnostic agreement of SCID test and retest were fair to good for most diagnostic categories [kappas over 0.6]. Overall weighted kappa equaled 0.52 for current diagnoses and 0.55 for lifetime diagnoses. Most interviewees and interviewers reported the administration of the Persian SCID as feasible. Acceptable reliability of diagnoses made by the Persian translation of SCID, and its feasibility suggest it as a useful diagnostic instrument in clinical, research, and educational settings