effect of couple's dialogue technique on marital conflicts and child behavior in Iranian couples

Marital conflicts have great impact on social, economic and cultural aspects of the couples and their children. New Psychological interventions like [Imago Relationship Therapy] [IRT] have been widely used for resolving these conflicts. This study examined the efficacy of couple dialogue technique on marital relationship and children's behavior in Iranian society. In a Clinical Trial study eighty consecutive couples refered to general pediatric clinics due to their children's diseases, randomly allocated to intervention group [couple dialogue technique] and control group [consult usual treatment method] in consultation center. They filled [Distance and Isolation Questionnaire] and [Gottmann Love and Respect Scale] at baseline, post treatment and three months after intervention as follow up all of them. General linear Model with Repeated Measurements was used to analyze the data. In this study, scores of mutual love and respect in marital relationship [Gottmann scale] and scores in Flooding, Loneliness and Retreatment subscales of Distance and Isolation Questionnaire had a better condition in IRT group just after the trial [P < 0.05]; but after three months, the differences between two groups were only marginal significant [P < 0.1]. In Parallel lives subscale, scores were decreased in two groups, but right after trial there was not significant scores of the groups did not difference between scores. Scores after three months in IRT group was significantly lower in compare to control group. Scores of CBCL have not statistically significant differences in both groups at any time [P > 0.05]. This study revealed couple dialogue technique was an effective intervention in solving marital conflicts in Iranian population but had not a significant effect on children's behavioral profile. This may be due to other factors or insufficient duration of intervention and needs more investigation and needs more investigation

[Evaluation of family training effect on salivary cortisol and behavioral symptoms in children and adolescents with disruptive behavior disorder]

Association between biological factors and disruptive behaviors in children and adolescents is important to investigate. Antisocial, aggressive and delinquent behaviors in adults often begin early in life. Basal cortisol is a valuable biological characteristic of children with disruptive behavior disorder [DBD]. In this study the effect of family training on basal salivary cortisol in children with DBD was investigated. This is a clinical trial study. Basal salivary cortisol levels were studied in 19 children between 8-13 years old with DBD, before and 2 months after treatment [family training]. The disruptive behavior of the child was assessed with child behavior checklist [CBCL]. Before and after treatment cortisol levels and score of behavior were compared. Data was analyzed using descriptive statistics, paired T test and pearson correlation. Salivary cortisol before family training was 7.9 +/- 4.6 nmol/L and after that was 10.46 +/- 3.84 nmol/L which was significantly different [p<0.001]. Behavior score before treatment was 72.05 +/- 10.10 and after that was 49.361 +/- 1.89 that was also significantly different [p<0.0001]. Children with lower basal salivary cortisol had a better response to intervention. Parent training is an effective method for behavioral modification in DBD. Salivary cortisol can be considered as a predictive factor for severity of disruptive behavior, also the response to parent training in children with DBD

[ obsessive - compulsive disorder: prevalence and therapy in psychiatric clinic clients at Nour hospital of Isfahan [1995-1997]]

Background: The obsessive-compulsive disorder [OCD], is a common psychiatric disease and in spite of long-term treatment, its failure to therapy, discontinuing, relapse and side effects are high

Objective: This study was done to assess the patterns of OCD, prevalence, therapies and comorbidity in Nour psychiatric clinic clients

Methods: Within 3515 psychiatric consultation during 4 years, 166 cases of OCD were recognized. The time of initial and complete drug effects considered 3 and 6 weeks respectively. The response to therapy [after 6 weeks] was: 1] Good: symptoms remove, 2] Medium: symptoms relief, 3] Poor: no symptoms control

Findings: The prevalence of OCD were 4.72%, mainly women, married and adult with 20-40 years old. The most pattern of OCD was washing, thinking and checking, respectively. The most used drug was clomipramine [66.87%] then fluoxetine [19.27%], with dosage 61-100 and 20 [mg/d] respectively. In group 1, the mean dose of clomipramine and fluoxetine was 69 and 60 [mg/d]. Only 30.1% of cases had been followed up, and 13.2% of them had good response to therapy. The comorbidity was in 68.08% of cases, and in 80.64% of them, the response to therapy was mild. The most psychiatric comorbidity was major depression disease [44.57%]

Conclusion: The prevalence of OCD is high. The most used drug [insufficient and not enough], was clomipramine then fluoxetine. The psychiatric comorbidity [specially major depression disease] had raised failure rate