zohreh parsa; shokouh-Alsadat banijamali; Gholamreza Saramiforushani
Abstract
Introduction: Although compliance is widespread across all medical disciplines, psychiatric disorders face the greatest challenge of increasing their risk. The purpose of this study was to investigate the effectiveness of community reentry program on compliance to treatment in patients with schizophrenia. ...
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Introduction: Although compliance is widespread across all medical disciplines, psychiatric disorders face the greatest challenge of increasing their risk. The purpose of this study was to investigate the effectiveness of community reentry program on compliance to treatment in patients with schizophrenia. Methods: The statistical population of this study was all of schizophrenia patients admitted to rehabilitation centers in Tehran. Using random sampling method and random appointment with taking and exit criteria from the sample, a sample of 40 patients was selected and in the experimental group (20 persons) and control group (20 persons) were selected. In the beginning of the study, two groups of The views of age and education variables were identical. The experimental group was trained for 16 sessions, under the two-weekly community re-entry program. Subjects in the experimental and control groups responded to the Morisky treatment adherence questionnaires in the pre-test and post-test and follow up stages. Results: To analyze the data, the u Mann whitney test was used and the findings showed that the patients in the group the community re-entry program showed a significant difference) U:10.500), compared to the control group after the implementation of the program, but after two months of follow up, there was no significant difference (U:70.500), in follow up score between the two groups. Conclusion: Despite the current limitations, according to the results obtained on effectiveness of the community Re-entry program on improving compliance to treatment for people with schizophrenia, implementation of this program is suggested to empower patients to manage disease and reduce relapse. the implementation of community re-entry programs is recommended for patient empowerment and reduce of relapse.
ali mohammadzadeh; vahid khosravani; nadereh mahdavi heris
Abstract
Background and objective: Evidence has suggested that risk for schizophrenia is likely to occur in non-psychotic first-degree relatives of patients with schizophrenia. On the other hand, schizotypal personality disorder is genetically related to schizophrenia. The aim of this study was to compare schizotypal ...
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Background and objective: Evidence has suggested that risk for schizophrenia is likely to occur in non-psychotic first-degree relatives of patients with schizophrenia. On the other hand, schizotypal personality disorder is genetically related to schizophrenia. The aim of this study was to compare schizotypal traits (i.e., positive schizotypy, negative schizotypy, cognitive disorganization, and impulsive nonconformity) among patients with schizophrenia and their non-psychotic first-degree relatives as well as normal controls. Methods: Thirty-four patients with schizophrenia and 50 of their non-psychotic first-degree relatives as well as 34 normal controls were included in this study. The data were collected by the Oxford-Liverpool Inventory of Feelings and Experiences, short version (sO-LIFE). Results: The results showed that the three groups were significantly different from each other regarding mean scores of schizotypal traits. Patients with schizophrenia and their non-psychotic first-degree relatives exceeded normal controls on schizotypal traits. Patients with schizophrenia had higher scores on total schizotypal traits, positive schizotypy, cognitive disorganization, and impulsive nonconformity than their non-psychotic first-degree relatives. Conclusion: The findings revealed that hereditary factors had an important role in the development of schizophrenia spectrum disorders and it is explainable by the stress-vulnerability model.
Masumeh Aminikhoo; Hossein Eskandari; Mohamad Reza Falsafinejad; Ahmad Borjali; Shahla Pezeshk
Abstract
Because of the dominance of positivistic approaches in psychology, exploring the subjective experiences of patients neglected, it is more prominent in patients with schizophrenia. The present researchers understand the meaning of their lived experience and their perception of themselves. Recently, researchers ...
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Because of the dominance of positivistic approaches in psychology, exploring the subjective experiences of patients neglected, it is more prominent in patients with schizophrenia. The present researchers understand the meaning of their lived experience and their perception of themselves. Recently, researchers have emphasized the importance of first-person’s information of patients. This study was conducted to understand the self-experience in schizophrenia. This was a qualitative case study (phenomenological design). Since the purpose of the research was the study of lived experience of participant, the phenomenological method used in this study. Participant was selected using purpose-oriented sampling. He is male, 36 years and with chronic schizophrenia. In-depth semi-structured interviews were recorded. External resources and participation records were also analyzed. Texts were analyzed by interpretative phenomenological analysis (IPA) method. The main themes include: the timing and location of self -experience, decreased agency, self -metaphor and mirror and physical aversion. The findings were approved theories of psychoanalysis, narrative and dialogical self.
Maryam Derakhshan-Nejad; Imanollah Bigdeli; Sa’eed A’zami; Shahrokh Makvand Hosseini
Volume 4, Issue 16 , December 2014, , Pages 36-48
Abstract
Deficiency in facial emotion recognition is among the mainproblems schizophrenia patients are facing. However, there is littleinformation about this deficit in subtypes ...
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Deficiency in facial emotion recognition is among the mainproblems schizophrenia patients are facing. However, there is littleinformation about this deficit in subtypes of schizophrenia. Thepresent study aims to compare the facial emotion recognition in thethree subgroups of schizophrenia (i.e. paranoid, disorganized, andresidual), and to study its relationship with positive and negativesymptoms. The research was descriptive with a causal-comparativedesign. Using convenience sampling and based on psychiatricdiagnosis, clinical interview, and inclusion- exclusion criteria, 60subjects were selected from among schizophrenia patients at Razihospital in Tehran (including 19 paranoid patients, 21 disorganizedpatients, 20 residual patients). The research instruments were facialemotion recognition test and clinical symptom scale (PANSS). Thedata was analyzed by one-way ANOVA, post hoc tests, and non-linearcorrelation test. The results showed that disorganized patients hadmore impairment in the facial emotion recognition compared to othersubtypes of schizophrenia. Subsequently, paranoid and residualpatients showed major impairment, respectively. Moreover, there wasa significant relationship between deficit in emotion recognition andnegative symptoms in the patients. Altogether, the intensity of deficitin facial emotion recognition is different among different subtypes ofschizophrenia.
Marzeih Sobhani (M.A); Ali Reza Moradi (Ph.D; Neda Alibaigi (Ph.D); Behrooz Dolatshahi (Ph.D)
Volume 1, Issue 1 , December 2011, , Pages 101-128
Abstract
Abstract
Based on empirically supported treatments for schizophrenia, various independent researchers have shown efficacy of psychological treatment in reducing symptoms and improving functions but these therapies include only some parts of signs of symptoms. The main aim of the CBT is treating more ...
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Abstract
Based on empirically supported treatments for schizophrenia, various independent researchers have shown efficacy of psychological treatment in reducing symptoms and improving functions but these therapies include only some parts of signs of symptoms. The main aim of the CBT is treating more symptoms and also rehabilitation. The aim of the current research is to investigate the efficacy of CBT in improving of functions and reducing positive and negative symptoms among patient who suffer from schizophrenia.
A Randomized Clinical Trial was used to compare the efficacy of CBT that of patients who receive treatment as usual (TAU). From Razi hospital in Tehran, 40 inpatient people with schizophrenia and persistent negative and positive symptoms were assigned. Patients were included if they were aged 25 to 55 years; had diagnosis of schizophrenia and persistent to medication for at least 2 years. 20 of these patients received a 16 session’s treatment over 2 months and the rest were located in control group. Patients in 2 group received Treatment as usual. The positive and negative symptoms scales, NOSIE & NCSE completed for all patients before, in the middle and after treatment.
SPSS 11.5 and multivariate repeated measure was used. Significant improvement were found in the severity and number of positive (P= 0/05) and negative (P= 0/001) symptoms in patients received CBT. CBT leaded to improvement in cognitive & behavioral functions (p=0/001).
CBT is a useful adjunct therapy in the management of patients with schizophrenia in treating negative &positive symptoms as well as cognitive and behavioral deficits.
