Comparison of psychological symptoms of patients with multiple sclerosis and healthy people

Psychological and psychiatric disorders have a high frequency in multiple sclerosis (MS). However, their relationship with MS is complex and the extent to which they might be reactive to countless psychosocial factors, or symptoms resultant of the pathological process itself remains unclear. The aim of this study was to compare psychological symptoms in a group of MS patients and compared to healthy controls. The study subjects were MS patients admitted to the Farshchian hospital in Hamadan, Iran. The diagnosis was based on McDonald (2011) criteria. There were 120 patient), aged 34.5 ± 10.8 (mean ± SD) years. It was a cross sectional study. The psychological symptoms were assessed using Symptom Checklist-90 (SCL-90). It was found that the MS patients exhibited significantly more psychological symptoms than the healthy controls. The SCL-90 scores of MS patients were significantly higher for somatization, obsession-compulsion, interpersonal sensitivity, hostility, depression and anxiety. The high rate of psychological symptoms in adult MS supports the need for routine psychological screening.

effect of family-centered care on management of blood glucose levels in adolescents with diabetes

Responsibility for diabetes management tasks must shift from caregivers to adolescents as adolescents grow older. Also, family-centered care is a way to provide efficient care for them at home. This study aimed to identify the effect of family-centered care on management of blood glucose levels in adolescents with type 1 diabetes mellitus [T1DM]. This is a Pre-experimental study with a pre- and post-test design. The participants consisted of forty adolescents with T1DM, aged between 10-14 years, with their caregivers who were selected through simple random sampling from Hamadan Diabetes Research Center in Iran in 2013. The sample was divided into four similar groups. Educational sessions were conducted for each group for 30 to 40 minutes. Data collection tools were [Supervisory Behaviors of Caregiver] [SBC], [Management Behaviors of adolescents] [MBA] questionnaires, and the [Blood Glucose Levels Record Sheet]. Data were analyzed using SPSS 19 and based on descriptive statistics, Kolmogorov-Smirnov, paired t-test and Pearson coefficient. There was a significant difference between the subjects' MBA and SBC mean scores before [110.17 +/- 26.6] and after [134.6+/-1.28] intervention in four domains: [blood glucose testing], [insulin therapy], [meal plan] and [physical activity] [P<0.001]. There were significant differences between the mean levels of recorded blood glucose during a week before and after intervention and between the mean levels of Glycated Hemoglobin level [HbA1c] before [8.4 +/- 1.12] and three months after [7.78 +/- 1.2] it [P<0.001]. Pearson coefficient showed a positive relationship between the supervisory behaviors of caregivers with management behaviors of adolescents before and after the intervention [P<0.001]. Empowering adolescents with T1DM and their caregivers in home-centered care could improve diabetic adolescents' management of blood glucose levels and reduce their HbAlC levels. Therefore, Family-centered care could provide for better regime adherence at home

Personality characteristics in patients with migraine headaches

To determine the personality characteristics in patients with migraine headaches. The sample group of this cross-sectional study included 96 adult patients suffering from migraine who were randomly selected to be tested by Minnesota Multiphasic Personality Inventory [MMPI], from which eight Personality scales [hypochondriasis depression, schizophrenia, psychopathy, paranoia, psychasthenia, hysteria and mania] were reviewed. Of all participants, 77 were female, 66 were married, 58 had a college degree or higher education and the patients' mean age was 32.8 years. As of personality characteristics, the symptoms of somatization, hysteria and obsessive-compulsive disorder were more prominent in women, whereas depression, anxiety and psychasthenia were the main features of MMPI test interpretation among men. Patients with migraine headaches have specific personality features that may affect the initiation and exacerbation of headaches and the symptoms of migraine disease. Considering the personality and psychologic aspects of these patients could be beneficial in their management