Ali Javadpour - Academia.edu (original) (raw)

Papers by Ali Javadpour

International Journal of Community Based Nursing and Midwifery, 2013

Background Managing and coping with occupational stress as a recognized problem in the modern era... more Background Managing and coping with occupational stress as a recognized problem in the modern era, is vital and important. Nursing is by nature a stressful occupation. Continuous and long-term stress can result in physical, psychological, and behavioral problems in nurses. We aimed to assess occupational stress in nurses working in surgical, internal and psychiatric wards in teaching hospitals of Shiraz, southern Iran. Methods In this cross-sectional study, 180 nurses were selected among nurses working in surgical, internal and psychiatric wards of 4 teaching hospitals affiliated to Shiraz University of Medical Sciences. Data were collected using questionnaires containing Health and Safety Executive (HSE) and demographic information. Statistical analysis was done using SPSS software. t test and analysis of variance (ANOVA) were used as appropriated. Results The results of the study indicated that nurses of surgical and internal wards showed significantly higher level of occupational...

The Egyptian Rheumatologist, 2015

Background: The pathophysiology and diagnosis of Neuropsychiatric Systemic lupus erythematosus (N... more Background: The pathophysiology and diagnosis of Neuropsychiatric Systemic lupus erythematosus (NPSLE) are diverse and complicated. Cognitive dysfunction has an important impact on patients' quality of life. Aim of the work: To compare the memory process and components between SLE patients and the normal subjects. Patients and methods: This cross-sectional case control study included 40 SLE patients and 40 age and sex matched controls. Patients were recruited from Hafez Hospital Lupus clinic, Shiraz, Iran. Early dementia, psychosis and other major psychiatric disorders were ruled out. The patients' memory was evaluated by California Verbal Learning Test (CVLT) and verbal and visual paired of Wechsler Memory test-Revised (WMS-R). Results: The age of the patients was 33.3 ± 9.7 years. Memory components (visual and verbal memory) (p = 0.001 and p = 0.05) and memory processes were significantly impaired in SLE patients compared to the control (Immediate memory p = 0.001, short delay free recall p = 0.003, cued recall p = 0.001, long delay free recall p = 0.001, cued recall p = 0.02 and recognition correct p = 0.012). Patients with SLE showed poor memory function but the learning slope in the two groups was comparable (p = 0.45). The CVLT evaluated classification of memory processes (70.5%) better than memory component (67.5%). Conclusion: Although patients with SLE had normal learning slope, their function in memory, components and processes were impaired compared to the normal ones. These findings suggest that

Shiraz E Medical Journal

Introduction: Substance abuse is a serious problem .Incidence of substance abuse in Iranian stude... more Introduction: Substance abuse is a serious problem .Incidence of substance abuse in Iranian students is high. The current study surveys of substance abuse in medical students in southern Iran. Patients and Methods: From April 2008 to June 2009 in Iran, prevalence of substance use among 1000 Shiraz University medical students were assessed by a questionnaire based on DSM-IV. Results: Overall 971 medical students completed the questionnaire. (54.8 %were males).. 22% of the male and 8% of the female students had a history of at least one episode substance abuse. The rate of substance abuse among the male students was significantly higher than females. (P value<0.05) The most important substance which was used was cigarette followed by water pipe. Discussion: Overall prevalence of substance use among the medical students in Iran is lower than west. In this study prevalence of substance use was significantly higher among the males and such as the other studies in Iran cigarette, water...

Background: Medical students are a population who are at great risk to develop sleep disrup- tion... more Background: Medical students are a population who are at great risk to develop sleep disrup- tion due to demanding clinical and academic duties. Knowing how much change in sleep - wake pattern is associated with subsequent psychological distress could be useful to establish a systematic mental health program in medical schools. Methods: We performed a cross-sectional study to identify the sleep quality and its correla- tion to psychological distress among 159 medical students. The instruments employed for data collection were a self report sleep- wake questionnaire, Pittsburg sleep quality index (PSQI), the general health questionnaire (GHQ) and a general questionnaire regarding demographic characteristics, use of drugs and history of psychopa- thology. Result: In descriptive analysis 57.2% of subjects were defined as poor sleeper. Moreover, there was a significant correlation between sleep quality and general health status of stu- dents (r=.6, p=. 000, n= 159). Further Regression a...

Advances in Aging Research, 2013

Objective: While the most common causes of late life psychosis are factors other than primary psy... more Objective: While the most common causes of late life psychosis are factors other than primary psychosis, but the nosology and clinical features of late life, primary psychotic is a matter of controversy. The goal of this study was to define some correlates and symptoms profile of very late-onset schizophrenia-like psychosis among an Iranian elderly population presenting with psychosis. Method: From 201 psychotic elderly patients, 39 (19.4%) subjects with the most possible diagnosis of very late-onset schizophrenia-like psychosis were selected. Socio demographic characteristics, past psychiatric history, family history of psychiatric problems, personality traits, cognitive status, history of stressful life events, and burden of medical problems assessed and compared between patients and 39 age and sex mathed controls. Results: The mean age of study sample was 76.9 years. Of 39 patients with VLOSLP, 13 (33.3%) were male and 26 (66.6%) were female. In 32 patients (82.05%) some sorts of hallucinatory experiences were detected. Visual hallucinations were the most common types of hallucinations (69.2%) followed by auditory hallucinations (51.35%) and tactile hallucinations (4%). Persecutory delusions (59%); delusions of references (20.5%); and partition delusions (15.4%) were the most common types of delusions. Significant proportion suffered from some sort of sensory deficit like visual or auditory deficits. There was no significant difference in terms of history of traumatic life events, cognitive function; cumulative burden of medical conditions and personality traits between patients and healthy controls (P > 0.05). Conclusions: Female involved two times more than male. The most common types of psychotic symptoms were visual hallucinations and persecutory delusions. Except sex, exploring other demographics, psychological and physical correlates for VLSOLP patients was not conclusive. More controlled studies using neuroimaging and biomarkers are needed in this issue.

World Applied Sciences Journal

Background: religious attitudes and behaviors have significant effects on life meaning. Behaviors... more Background: religious attitudes and behaviors have significant effects on life meaning. Behaviors such as praying may relax the person via hope. Secure relation to GOD and having goals and meanings in life may be a supportive way in problematic life events, so religious people can handle life stress more effective than others. The aim of current study was to explore the association between religious attitude and depressive symptoms among undergraduate medical students. Methods: This descriptive-analytical, cross-sectional research was carried out to evaluate the relation between religious attitudes and depression among 750 students of Shiraz University of Medical Science who were selected by stratified sampling method and completed Ghubari religious attitude scale and Beck depression index. Results: descriptive analyses showed that the mean of depression and religious attitude were 9.03 and 107.59 respectively. Female participants had significant higher religious attitude than male....

Objective: In geriatric practice, the impact of psychological distress on health status has been ... more Objective: In geriatric practice, the impact of psychological distress on health status has been undermined due to ageism, atypical presentation and less tendency to report negative affect among elderly people. Few studies have examined the impact of psychological stressors on medical burden in older adults. The current study has investigated the correlation of psychological distress and burden of medical conditions in a sample of older people . Method: A convenient study sample of 120 elderly subjects was recruited from the places where there was greater chance for the elderly people to attend. Data were collected by a trained research assistant using perceived stress scale, cumulative illness rating scale, geriatric depressive scale and a demographic questionnaire. Results: Our participants perceived more level of stress than the average for their age. In the current study, the burden of medical condition was significantly correlated with the level of perceived stress(r = .197, p ...

Journal of Mood Disorders, 2011

Obsesif kompülsif bozukluğu olan ve olmayan iki uçlu bozukluk hastalarının klinik ve sosyodemogra... more Obsesif kompülsif bozukluğu olan ve olmayan iki uçlu bozukluk hastalarının klinik ve sosyodemograifk özelliklerinin karşılaştırılması Amaç: Epidemiyolojik çalışmalar iki uçlu bozukluğu olan hastalarda obsesif kompülsif bozukluğun hayat boyu yaygınlığının %3.2 ile %35 arasında olduğunu göstermektedir. Bu arada iki uçlu bozukluğun obsesif kompülsif bozukluk ile birlikte olduğu (İUB-OKB) ve olmadığı (saf İUB) hastalarla yapılan ve hastaların demografik ve klinik özelliklerini değerlendiren birkaç çalışmanın yayınlanan sonuçları tartışmalıdır. Bu çalışmanın amacı iki uçlu bozukluk hastalarından OKB ekhastalığı olan ve olmayanların sosyodemografik ve klinik özelliklerini karşılaştırmaktır. Yöntem: DSM-IV Eksen I Bozuklukları için Yapılandırılmış Psikiyatrik Görüşme Formu (SCID-I) ile tanı konmuş 204 yatan hastanın katıldığı kesitsel, basit yapılı hastane kaynaklı bir çalışmadır. Demografik ve klinik değişkenler Yale-Brown obsesyon kompulsiyon ölçeği, Bech-Rafaelsen mania ölçeği ve Hamilton depresyon ölçeğinden elde edildi. Bulgular: İki uçlu bozukluğu (İUB) olan 204 hastadan saf İUB'si olan 123 (%60.3) ve İUB-OKB'si olanlar ise 81 (%39.7) idi. İUB-OKB ve saf İUB grupları arasında eğitim (p=0.036) ve medeni durumlarında (p=0.022) önemli farklılıklar vardı. Gruplar karşılaştırıldığında klinik özelliklerden: intihar düşüncesi, yatkınlığı ve girişimleri (p=0.000); başvuru sıklığı (p=0.044); madde kötüye kullanım öyküsü (p=0.001), ailede OKB öyküsü (p=0.000); ailede duygudurum bozukluğu öyküsü (p=0.036) önemli farklılıklar göstermekteydi. Sonuç: İUB ve OKB ekhastalığının belirgin demografik ve klinik özelliklerinin olması tanısal ve tedavi açısından farklı yaklaşımlara ihtiyacı olabilecek özel bir iki uçlu bozukluk tipi olabileceği izlenimini uyandırmaktadır. İlerideki çalışmalar bu alandaki bilgilerimizi artırmamıza yardımcı olabilir.

Journal of Religion and Health, 2011

Association between religiosity and happiness in patients with chronic kidney disease on hemodial... more Association between religiosity and happiness in patients with chronic kidney disease on hemodialysis Associação entre religiosidade e felicidade em pacientes com doença renal crônica em hemodiálise Objetivos: Religiosidade/espiritualidade (R/E) parecem ser fatores relevantes na adaptação a doenças crônicas, mas faltam estudos nessa área envolvendo pacientes com doença renal crônica (DRC). O presente estudo teve como objetivo investigar a associação entre R/E e felicidade em pacientes com DRC em hemodiálise e se o senso de coerência (SC) faz a mediação dessa possível associação. Métodos: Estudo transversal realizado em dois centros de terapia renal substitutiva no Brasil com 161 adultos em hemodiálise. Regressões lineares foram utilizadas para avaliar a associação entre R/E (variável preditora medida pelo Índice de Religiosidade de Duke-DUREL) e felicidade (variável de desfecho), ajustadas para variáveis sociodemográficas, clínicas e algumas variáveis laboratoriais. Posteriormente, o SC foi acrescentado ao modelo para testar seu possível efeito mediador. Resultados: A maioria dos pacientes (91,20%) relatou alguma afiliação religiosa. Religiosidade Privada (RP) (β = 0,53; IC 95% = 0,01 a 1,06) e Religiosidade Intrínseca (RI) (β = 0,48; IC 95% = 0,18 a 0,79) e SC (β = 0,11; IC 95% =-0,09 a 0,15) foram correlacionadas a níveis mais elevados de felicidade após controle para variáveis clínicas e sociodemográficas. Quando SC foi incluído no modelo, IR (β = 0.34; 95% IC = 0.07 a 0.60) and SC (β = 0.11; 95% IC = 0.08 a 0.14) continuaram se correlacionando significativamente com felicidade. Nenhuma variável clínica ou sociodemográfica apresentou correlação com felicidade. Conclusões: Os pacientes em hemodiálise apresentaram altos níveis de R/E, que por sua vez foi correlacionada com elevados níveis de felicidade. As variáveis clínicas e sociodemográficas não exibiram correlação com a felicidade dos pacientes. Variáveis psicossociais como R/E e SC são possíveis alvos para intervenções destinadas a promover a melhora da qualidade de sobrevida dos pacientes com DRC. Resumo Objectives: Religiosity/spirituality (R/S) seems to be a relevant factor in chronic diseases adaptation, but there is a lack of studies involving chronic kidney disease (CKD). This study aimed to investigate the association between R/S and happiness among CKD patients on hemodialysis and whether Sense of Coherence (SC) mediates this possible association. Methods: This was a cross-sectional study in two renal replacement therapy centers in Brazil, involving 161 adults on hemodialysis. Linear regressions were performed to evaluate the association between R/S (predicting variable measured with Duke Religious Index-DU-REL) and happiness (outcome variable), adjusted for sociodemographic, clinical, and some laboratory variables. Later, SC was added to the model to test the possible mediating effect. Results: Most patients (91.20%) reported some religious affiliation. Private Religiosity (PR) (β = 0.53; 95% CI = 0.01 a 1.06), Intrinsic Religiosity (IR) (β = 0.48; 95% CI = 0.18 a 0.79), and SC (β = 0.11; 95% CI =-0.09 a 0.15) correlated with higher levels of happiness, controlling for clinical and sociodemographic variables. When SC was included in the model, IR (β = 0.34; 95% CI = 0.07 to 0.60) and SC (β = 0.11; 95% CI = 0.08 to 0.14) remained significantly. No clinical or sociodemographic variable correlated with happiness. Conclusions: Patients on hemodialysis showed high levels of R/S, which correlated with higher happiness levels. Clinical and sociodemographic variables were not correlated with patients' happiness. Psychosocial variables such as R/S and SC are potential key targets for interventions to promote better survival quality among CKD patients.

Journal of Plastic, Reconstructive & Aesthetic Surgery, 2011

BACKGROUND: Body dysmorphic disorder (BDD) is a psychiatric disorder characterised by the patient... more BACKGROUND: Body dysmorphic disorder (BDD) is a psychiatric disorder characterised by the patient's preoccupation with an imagined defect in his or her physical appearance. Subjects with BDD often seek cosmetic surgery; however, the outcome of surgery is usually not satisfactory. The aim of current study was to investigate the prevalence of BDD among the patients seeking cosmetic surgery.

International Psychogeriatrics, 2012

ABSTRACTBackground: Few studies have examined suicidal ideation and behavior in hospitalized phys... more ABSTRACTBackground: Few studies have examined suicidal ideation and behavior in hospitalized physically ill elderly patients, a group potentially at high risk. Our aim was to investigate the prevalence and risk factors for suicide ideation, and direct and indirect self-destructive behaviors among a sample of elderly inpatients.Methods: A cross-sectional study was conducted in 2009; 650 inpatients aged 60 years and over were screened from various medical services in teaching hospitals affiliated to Shiraz University of Medical Sciences in Iran. Suicidal ideation and behavior were measured with the Beck Scale for Suicidal Ideation (BSSI) and the Harmful Behavior Scale (HBS). Depression was measured with the Geriatric Depression Scale (GDS), medical burden with the geriatric version of the Cumulative Illness Rating Scale (CIRS-G), life events with the Paykel Life Event Scale, and social support with the Perceived Social Support Scale.Result: Of the 650 patients screened with a mean age...

GeroPsych, 2013

Background: There are many controversies with regard to the nosology and conditions causing psych... more Background: There are many controversies with regard to the nosology and conditions causing psychosis in old age people. This study defines a symptom profile and differential diagnosis of late-onset psychosis. Method: 201 elderly persons with psychotic symptoms were recruited. All patients were interviewed based on SCID-1 to confirm the possible diagnosis. Results: The most delusional symptom reported by the subjects was persecutory delusion, and visual hallucinations were the most common hallucination. The most repeated diagnosis was dementia, followed by psychosis due to mood disorders, primary psychotic disorders, delirium, and psychosis due to medical conditions. Conclusions: Results from the current study indicate that late-life psychoses form a heterogeneous group of disorders with varying symptom profiles and etiologies.

European Psychiatry, 2011

IntroductionSleep-wake cycle is one of human biological rhythm highly correlated to well being an... more IntroductionSleep-wake cycle is one of human biological rhythm highly correlated to well being and general health status.Poor sleep quality, sleep disruption and changes in regular Sleep-wake pattern may cause physical and psychological burden such as impairment in job performance, decreased work efficiency and learning disability.ObjectiveHealth care students trained in medical, nursing and midwifery fields is a population who are at great risk to develop sleep disruption and its subsequent physical and mental morbidity.AimThe aim of this study was to describe how sleep quality correlated to general health status among 280 health care students.Methods280 health care students studying in health related fields participated in this cross section study. Pittsburg sleep quality index (PSQI), sleep- wake questionnaire and the general health questionnaire (GHQ) administered to gather data describing sleep quality, sleep wake disruption and the general health status.ResultsPreliminary resu...

Asian Journal of Psychiatry, 2013

Asian Journal of Psychiatry, 2011

vs 52.6%, OR = 1.71, p < 0.01). Habitual sleep efficiency score was significantly deteriorated wi... more vs 52.6%, OR = 1.71, p < 0.01). Habitual sleep efficiency score was significantly deteriorated with advancing age (F = 4.83, p = 0.028). Subjective sleep quality and sleep disturbance score were worse in women than in men (F = 12.5, p < 0.0001, F = 5.01, p = 0.03). The interaction of age and gender was significant in subjective sleep quality score (F = 6.63, p = 0.01); it deteriorated significantly with advancing age in men (F = 13.5, p < 0.0001; F = 0.26, p = 0.61). Conclusion: Although total PSQI scores did not decline with advancing age, habitual sleep efficiency in elders and subjective sleep quality in older men declined significantly with advancing age.

Iranian Journal of Psychiatry and Behavioral Sciences, 2022

Background: Dementia is a growing public health problem worldwide, and its early detection can he... more Background: Dementia is a growing public health problem worldwide, and its early detection can help to manage the disease more effectively. This study aimed to validate the Persian version of the Telephone Interview for Cognitive Status-modified (TICS-m) questionnaire in older adults in the northeast of Iran. Methods: This cross-sectional study was accomplished as part of the Neyshabur Longitudinal Study on Ageing (NeLSA) from January to May 2019. The translated Persian version of TICS-m was tested for content and face validity. The construct validity of the questionnaire was also assessed using exploratory factor analysis (EFA) with the extraction method of principal component analysis (PCA) and Oblimin rotation. Results: A total of 210 community-dwelling adults (aged ≥ 50; mean age: 59.6 ± 6.8 years) were registered in the NeLSA. The content validity ratio (CVR) of all items in the TICS-m questionnaire was higher than 0.62. The content validity index (CVI) of the three items was l...

Introduction:Ageing can cause major changes in the central nervous system of the body, resulting ... more Introduction:Ageing can cause major changes in the central nervous system of the body, resulting in cognitive decline and associated disorders. Therefore, there is a growing need for an effective cognitive screening method to enhance the diagnosis of mild cognitive impairments and to prevent occurring dementia and Alzheimer's Disease (AD). Our study aimed to compare the accuracy of MMSE (Mini-Mental State Examination) and MoCA (Montreal Cognitive Assessment) while evaluating the independent and interaction effects of age and educational level on these screening tools in a healthy sample.Method: The data for the current study was based on the registration phase of the study during 2016-2018 in Neyshabour Longitudinal Study on Ageing (NeLSA). Both the MoCA and MMSE tests were used to assess cognitive decline among 3326 participants aged 50-94 years of old. The ROC curve analysis and the predictive values were performed to evaluate the diagnostic accuracy of MMSE to discriminate Mi...