Javad Mahmoudi-gharaei - Academia.edu (original) (raw)
Papers by Javad Mahmoudi-gharaei
ACTA MEDICA IRANICA
Personality disorders (PDs) would be associated with an unhealthy lifestyle. To date, however, th... more Personality disorders (PDs) would be associated with an unhealthy lifestyle. To date, however, there have not been sufficient studies on the relationship between them. This study aimed to investigate the association between personality disorders and an unhealthy lifestyle by using an analytical cross-sectional study. We selected 1538 married women based on the multistage cluster sampling method. We used the Millon Clinical Multiaxial Inventory (MCMI) and Lifestyle Questionnaire (LSQ). Apart from descriptive statistics, a one-sample t-test, multivariate analysis, and structural equation modeling were used. Analysis of the data suggested that negativistic (β= -0.321), schizotypal (β= -0.285), schizoid (β= -0.159), borderline (β= -0.136), melancholic (β= -0.079) PDs had a significant association with an unhealthy lifestyle, respectively. Cluster A personality disorders were prone to an unhealthy lifestyle more than the other two clusters.
Objective: The main objective of this study is to evaluate the effect of psychological therapies ... more Objective: The main objective of this study is to evaluate the effect of psychological therapies and art/sport supportive interventions separately, and in combination on post traumatic stress symptoms in children and compare them with a control group. Methods: In a field trial, we evaluated the efficacy of group behavioral therapy, art and sport supportive interventions in Bam earthquake children survivors with PTSD symptoms and compared it with a control group. Before and after interventions we evaluated the PTSD symptoms using K-SADS-PL semi-structural interview for each group and compared them using appropriate statistical methods. Results: The participants were 200 individuals who were randomized in four groups according to an intervention program including: Group behavioral therapy; Group behavioral therapy plus art and sport interventions; Art and sport interventions; and control group. During the interventions, 39 individuals were excluded. None of the participants had severe...
Objective: The purpose of this study is to examine the factor structure, internal consistency, an... more Objective: The purpose of this study is to examine the factor structure, internal consistency, and construct validity of preschool, first and second grade versions of Berkeley Parenting self-efficacy scale. Method: The subjects were 317 mothers: (102 mothers of preschool children, 111 mothers of first grade children and 104 mothers of second grade children) who were randomly selected from schools in Tehran. They completed Berkeley parenting self-efficacy and Rotter`sRotter`s locus of control scales. Factor analysis using the principle component method was used to identify the factor structure of parenting self-efficacy scale. Cronbach`s alpha coefficient was used to identify the reliability of parenting self efficacy scale. Results: Results of this study indicated that the cronbach`s alpha coefficient was 0.84, 0.87, 0.64 for preschool, first grade and second grade versions respectively. Based on the scree test ,,factor analysis produced two factors of maternal strategy and child ou...
Objective: Many studies have shown that the level of postoperative distress and anxiety in childr... more Objective: Many studies have shown that the level of postoperative distress and anxiety in children is associated with the amount of anxiety during the pre operative period. In this study, we compared the effect of pre-operational attending in a playroom and using play activities on the level of anxiety increment after surgery in an intervention and a control group of Iranian children. Method: In a clinical trial, 75 children aged 5 to 12 enrolled in the intervention and the control group. The anxiety symptoms were assessed using State-Trait Anxiety Inventory for Children, Revised Children's Manifest Anxiety Scale, and Yale modified Pre operative Anxiety Scale. The mean differences of pre and post operative anxiety scores were calculated and compared using the ANCOVA statistical method. Results: The two groups had similar demographic characteristics except for age which was higher in the control group. The baseline anxiety score was lower in the intervention compare to the contr...
Objective: The main objective of this study is to compare the efficacy of social skill training a... more Objective: The main objective of this study is to compare the efficacy of social skill training as a classroom program in schoolgirl students of a primary school with a control group. Method: The 4th grade school girls of two classes in a primary school and at least one of their parents or caregivers participated in this study and they were allocated in the case and control groups. The student's age range was 9-11 years. The social skill education program was designed for primary school children by child and adolescent psychiatry department of Shahid Beheshti University of Medical Sciences. Demographic characteristics were recorded in a designed questionnaire , and included name, age, prior history of psychiatric and medical condition, and prior history of participation in a social skill education program. Achenbach Child Behavior Check List parent's report form (CBCL) was used before and after the study in the case group to evaluate the efficacy of the program interventions...
Iranian Journal of Child Neurology, 2015
Objective ADHD children have anomalous and negative behavior especially in emotionally related fi... more Objective ADHD children have anomalous and negative behavior especially in emotionally related fields when compared to other. Evidence indicates that attention has an impact on emotional processing. The present study evaluates the effect of emotional processing on the sustained attention of children with ADHD type C. Materials & Methods Sixty participants form two equal groups (each with 30 children) of normal and ADHD children) and each subject met the required selected criterion as either a normal or an ADHD child. Both groups were aged from 6–11-years-old. All pictures were chosen from the International Affective Picture System (IAPS) and presented paired emotional and neutral scenes in the following categories: pleasant-neutral; pleasant-unpleasant; unpleasant-neutral; and neutral–neutral. Sustained attention was evaluated based on the number and duration of total fixation and was compared between the groups with MANOVA analysis. Results The duration of sustained attention on pl...
Background: Social capital is described on the basis of the quality of social relations between i... more Background: Social capital is described on the basis of the quality of social relations between individuals and it includes the capacity of quantifying or solving the problems that are usually experienced. It is a means to improve the quality of life and facilitate community progress through the provision of social communication resources. By considering the importance of monitoring the process of social capital and informing about its functions, and the changes related to its components and paying attention to the results in terms of mental health programs, we examined the status of social capital among the residents of Tehran province who were over the age of 18. Methods: This cross-sectional analytical study is part of The Iranian Children and Adolescents’ Psychiatric Disorders Research (IRCAP) which is being carried out in various urban and rural areas of Iran. IRCAP includes different background features such as social capital, culture, ethnicity and economic status from differ...
Brazilian Journal of Psychiatry, 2019
Objective: This was the first national epidemiological study on oppositional defiant disorder (OD... more Objective: This was the first national epidemiological study on oppositional defiant disorder (ODD) in Iran, which provided new information about the prevalence, comorbidities, and sociodemographic predictors of ODD. Methods: Data from a face-to-face household survey of 30,532 children and adolescents aged 6-18 years were collected from across all 31 provinces of Iran using a multistage cluster sampling design. The Persian version of the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL) was used in this study. Results: The lifetime prevalence of ODD was found to be 3.9%. ODD was significantly more common in boys than girls and appeared in late adolescence more frequently than in childhood. A lower prevalence of ODD was found among participants who lived in rural areas. ODD is highly likely to cooccur with attention deficit hyperactivity disorder, separation anxiety disorder, generalized anxiety disorder, and depressive disorders. Conclusions: The findings of this national population-based study confirm and extend previous findings on the prevalence, comorbidities, and sociodemographic predictors of ODD.
Asian journal of psychiatry, Jan 13, 2018
This survey was conducted to investigate the prevalence of various psychiatric disorders among ch... more This survey was conducted to investigate the prevalence of various psychiatric disorders among children and adolescents aged 6-18 years in urban areas of Tehran. In the study, which was done with random sampling method, 2095 children and adolescents in the range seniors aged 6-18 years, have been studied and based on Persian version of K-SADS-PL, we reviewed the psychiatric disorders related to them. The overall prevalence of psychiatric disorders in children and adolescents was 28.2%. The most commonly diagnosed disorders were anxiety disorders (21.9%), followed by behavioral disorders (9.6%). According to the results, 28.2% of the children and adolescents in Tehran province had psychiatric disorders, that is with increasing rate, compared with similar studies. Therefore, as a public health policy, the necessary tools for identifying, preventing and treating psychiatric disorders in children and adolescents should be considered in Tehran.
Iranian Journal of Pediatrics
Iranian journal of pediatrics, 2011
One of the most significant problems in pediatric dentistry is behavioral resistance of preschool... more One of the most significant problems in pediatric dentistry is behavioral resistance of preschool children in the first visit. There is a debate on parental presence in operation room. The purpose of this study was to evaluate the Iranian 5-year-old children's behavior including anxiety and cooperation relative to parental presence in the first and second dental appointments. The study was conducted on sixty seven 5-year-old children selected according to inclusion criteria and randomly divided into two subgroups. Children in group I were visited in parent's presence and in group II in parent's absence. Before the child's first dental visit, parents were interviewed. Forty eight of the children receiving the initial examination were recalled for a second visit. The children's responses during the Holst procedure of the first visit and restorative second visit were assessed using a combination of two measures including heart rate and clinical behavior. The dentist...
Iranian journal of psychiatry, 2010
Metabolic side effects of the second generation (atypical) antipsychotics have been a forefront o... more Metabolic side effects of the second generation (atypical) antipsychotics have been a forefront of attention since their availability. One common concern is the development of hyperglycemia and insulin resistance. The aim of this study was to evaluate the effect of early initiation of omega-3 fatty acids supplementation on glucose-insulin homeostasis in a group of psychiatric patients under treatment with olanzapine and sodium valproate or lithium combination. In a double-blind design, eligible participants with schizophrenia, bipolar I, and schizoaffective disorders who were initiated on olanzapine combination with sodium valproate or lithium were randomly assigned to receive omega-3 or identical placebo capsules for 6 weeks. Fasting blood sugar (FBS), insulin and HbA(1c) were measured at the baseline and at the end of the 6(th) week. Homeostatic model assessment of insulin resistance (HOMA-IR), as a measure of insulin resistance, was also determined at the same times. At the end o...
Abstract— The main purpose of this research is to explanation of the effects of parent psycho edu... more Abstract— The main purpose of this research is to explanation of the effects of parent psycho educational program along medication compared to medication alone on the treatment beliefs of the mothers of adolescents suffering from bipolar disorder. Method: The participants in this study were 30 mothers of children with bipolar disorder from two hospitals in Tehran, who were selected through Convenience Sampling method. The participants were randomly divided into two groups: combined treatment (parent psychoeducation program and medication) and medication alone. Each group included 15 subjects. They were evaluated by parent Treatment Beliefs' Questionnaire. For data analysis, independent t-test was used.
DARU Journal of Pharmaceutical Sciences, 2012
Background Metabolic and cardiovascular side effects have been noted with the use of second gener... more Background Metabolic and cardiovascular side effects have been noted with the use of second generation antipsychotics (SGAs) and mood stabilizers. Since Omega-3 fatty acids have been known to prevent some cardiovascular risks, this preliminary study was designed to evaluate the cardiovascular benefits of omega-3 when added to the combinations of olanzapine with mood stabilizers. Methods This study was a randomized, double-blind, placebo-controlled, within-subject trial in adult psychiatric patients who were receiving olanzapine combined with lithium (Li) or valproate sodium (VPA). Omega-3 as fish oil with less than 1 g/day of EPA/DHA or its placebo was added to patients’ olanzapine and mood stabilizer regimens for 6 weeks. Metabolic parameters including anthropometric variables, lipid profile, metabolic syndrome indices, C-reactive protein, fibrinogen and lipoprotein (a) [(Lp) (a)] were assessed for participants. Results Forty one participants completed this study; 20 patients recei...
European Psychiatry, 2014
ABSTRACT
European Psychiatry, 2007
Epilepsy & Behavior, 2014
Psychosocial problems seem to be common in epilepsy, and they could negatively affect the social ... more Psychosocial problems seem to be common in epilepsy, and they could negatively affect the social affairs and networking of adolescents with epilepsy. They could cause decreased self-esteem and social performance, leading to isolation and civil discrimination. This study was performed to assess the quality of life (QOL) of a group of adolescents with epilepsy in Iran. An analytic cross-sectional study was performed in 197 young Iranian adolescents with epilepsy. To measure the QOL of these cases, the Persian version of the QOL in Epilepsy Inventory for Adolescents 48 (QOLIE-AD-48) scale was used. The mean total score of the scale was 61.5±10.4. The highest mean was in the school behavior domain (83.85±12.27), while the lowest mean was in the domain of attitudes toward epilepsy (22.45±15.78). There was a significant correlation between QOL and age, number of drugs taken, and frequency of seizures per year. Sixty-six percent of the adolescents with epilepsy had never talked to their friends or teachers about their disease. This study revealed an unsatisfactory state of the QOL of adolescents with epilepsy in our population in comparison with other studies. This indicates the need for greater concern about the psychological status and risk factors for the QOL of adolescents with epilepsy in Iran.
ACTA MEDICA IRANICA
Personality disorders (PDs) would be associated with an unhealthy lifestyle. To date, however, th... more Personality disorders (PDs) would be associated with an unhealthy lifestyle. To date, however, there have not been sufficient studies on the relationship between them. This study aimed to investigate the association between personality disorders and an unhealthy lifestyle by using an analytical cross-sectional study. We selected 1538 married women based on the multistage cluster sampling method. We used the Millon Clinical Multiaxial Inventory (MCMI) and Lifestyle Questionnaire (LSQ). Apart from descriptive statistics, a one-sample t-test, multivariate analysis, and structural equation modeling were used. Analysis of the data suggested that negativistic (β= -0.321), schizotypal (β= -0.285), schizoid (β= -0.159), borderline (β= -0.136), melancholic (β= -0.079) PDs had a significant association with an unhealthy lifestyle, respectively. Cluster A personality disorders were prone to an unhealthy lifestyle more than the other two clusters.
Objective: The main objective of this study is to evaluate the effect of psychological therapies ... more Objective: The main objective of this study is to evaluate the effect of psychological therapies and art/sport supportive interventions separately, and in combination on post traumatic stress symptoms in children and compare them with a control group. Methods: In a field trial, we evaluated the efficacy of group behavioral therapy, art and sport supportive interventions in Bam earthquake children survivors with PTSD symptoms and compared it with a control group. Before and after interventions we evaluated the PTSD symptoms using K-SADS-PL semi-structural interview for each group and compared them using appropriate statistical methods. Results: The participants were 200 individuals who were randomized in four groups according to an intervention program including: Group behavioral therapy; Group behavioral therapy plus art and sport interventions; Art and sport interventions; and control group. During the interventions, 39 individuals were excluded. None of the participants had severe...
Objective: The purpose of this study is to examine the factor structure, internal consistency, an... more Objective: The purpose of this study is to examine the factor structure, internal consistency, and construct validity of preschool, first and second grade versions of Berkeley Parenting self-efficacy scale. Method: The subjects were 317 mothers: (102 mothers of preschool children, 111 mothers of first grade children and 104 mothers of second grade children) who were randomly selected from schools in Tehran. They completed Berkeley parenting self-efficacy and Rotter`sRotter`s locus of control scales. Factor analysis using the principle component method was used to identify the factor structure of parenting self-efficacy scale. Cronbach`s alpha coefficient was used to identify the reliability of parenting self efficacy scale. Results: Results of this study indicated that the cronbach`s alpha coefficient was 0.84, 0.87, 0.64 for preschool, first grade and second grade versions respectively. Based on the scree test ,,factor analysis produced two factors of maternal strategy and child ou...
Objective: Many studies have shown that the level of postoperative distress and anxiety in childr... more Objective: Many studies have shown that the level of postoperative distress and anxiety in children is associated with the amount of anxiety during the pre operative period. In this study, we compared the effect of pre-operational attending in a playroom and using play activities on the level of anxiety increment after surgery in an intervention and a control group of Iranian children. Method: In a clinical trial, 75 children aged 5 to 12 enrolled in the intervention and the control group. The anxiety symptoms were assessed using State-Trait Anxiety Inventory for Children, Revised Children's Manifest Anxiety Scale, and Yale modified Pre operative Anxiety Scale. The mean differences of pre and post operative anxiety scores were calculated and compared using the ANCOVA statistical method. Results: The two groups had similar demographic characteristics except for age which was higher in the control group. The baseline anxiety score was lower in the intervention compare to the contr...
Objective: The main objective of this study is to compare the efficacy of social skill training a... more Objective: The main objective of this study is to compare the efficacy of social skill training as a classroom program in schoolgirl students of a primary school with a control group. Method: The 4th grade school girls of two classes in a primary school and at least one of their parents or caregivers participated in this study and they were allocated in the case and control groups. The student's age range was 9-11 years. The social skill education program was designed for primary school children by child and adolescent psychiatry department of Shahid Beheshti University of Medical Sciences. Demographic characteristics were recorded in a designed questionnaire , and included name, age, prior history of psychiatric and medical condition, and prior history of participation in a social skill education program. Achenbach Child Behavior Check List parent's report form (CBCL) was used before and after the study in the case group to evaluate the efficacy of the program interventions...
Iranian Journal of Child Neurology, 2015
Objective ADHD children have anomalous and negative behavior especially in emotionally related fi... more Objective ADHD children have anomalous and negative behavior especially in emotionally related fields when compared to other. Evidence indicates that attention has an impact on emotional processing. The present study evaluates the effect of emotional processing on the sustained attention of children with ADHD type C. Materials & Methods Sixty participants form two equal groups (each with 30 children) of normal and ADHD children) and each subject met the required selected criterion as either a normal or an ADHD child. Both groups were aged from 6–11-years-old. All pictures were chosen from the International Affective Picture System (IAPS) and presented paired emotional and neutral scenes in the following categories: pleasant-neutral; pleasant-unpleasant; unpleasant-neutral; and neutral–neutral. Sustained attention was evaluated based on the number and duration of total fixation and was compared between the groups with MANOVA analysis. Results The duration of sustained attention on pl...
Background: Social capital is described on the basis of the quality of social relations between i... more Background: Social capital is described on the basis of the quality of social relations between individuals and it includes the capacity of quantifying or solving the problems that are usually experienced. It is a means to improve the quality of life and facilitate community progress through the provision of social communication resources. By considering the importance of monitoring the process of social capital and informing about its functions, and the changes related to its components and paying attention to the results in terms of mental health programs, we examined the status of social capital among the residents of Tehran province who were over the age of 18. Methods: This cross-sectional analytical study is part of The Iranian Children and Adolescents’ Psychiatric Disorders Research (IRCAP) which is being carried out in various urban and rural areas of Iran. IRCAP includes different background features such as social capital, culture, ethnicity and economic status from differ...
Brazilian Journal of Psychiatry, 2019
Objective: This was the first national epidemiological study on oppositional defiant disorder (OD... more Objective: This was the first national epidemiological study on oppositional defiant disorder (ODD) in Iran, which provided new information about the prevalence, comorbidities, and sociodemographic predictors of ODD. Methods: Data from a face-to-face household survey of 30,532 children and adolescents aged 6-18 years were collected from across all 31 provinces of Iran using a multistage cluster sampling design. The Persian version of the Kiddie Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime Version (K-SADS-PL) was used in this study. Results: The lifetime prevalence of ODD was found to be 3.9%. ODD was significantly more common in boys than girls and appeared in late adolescence more frequently than in childhood. A lower prevalence of ODD was found among participants who lived in rural areas. ODD is highly likely to cooccur with attention deficit hyperactivity disorder, separation anxiety disorder, generalized anxiety disorder, and depressive disorders. Conclusions: The findings of this national population-based study confirm and extend previous findings on the prevalence, comorbidities, and sociodemographic predictors of ODD.
Asian journal of psychiatry, Jan 13, 2018
This survey was conducted to investigate the prevalence of various psychiatric disorders among ch... more This survey was conducted to investigate the prevalence of various psychiatric disorders among children and adolescents aged 6-18 years in urban areas of Tehran. In the study, which was done with random sampling method, 2095 children and adolescents in the range seniors aged 6-18 years, have been studied and based on Persian version of K-SADS-PL, we reviewed the psychiatric disorders related to them. The overall prevalence of psychiatric disorders in children and adolescents was 28.2%. The most commonly diagnosed disorders were anxiety disorders (21.9%), followed by behavioral disorders (9.6%). According to the results, 28.2% of the children and adolescents in Tehran province had psychiatric disorders, that is with increasing rate, compared with similar studies. Therefore, as a public health policy, the necessary tools for identifying, preventing and treating psychiatric disorders in children and adolescents should be considered in Tehran.
Iranian Journal of Pediatrics
Iranian journal of pediatrics, 2011
One of the most significant problems in pediatric dentistry is behavioral resistance of preschool... more One of the most significant problems in pediatric dentistry is behavioral resistance of preschool children in the first visit. There is a debate on parental presence in operation room. The purpose of this study was to evaluate the Iranian 5-year-old children's behavior including anxiety and cooperation relative to parental presence in the first and second dental appointments. The study was conducted on sixty seven 5-year-old children selected according to inclusion criteria and randomly divided into two subgroups. Children in group I were visited in parent's presence and in group II in parent's absence. Before the child's first dental visit, parents were interviewed. Forty eight of the children receiving the initial examination were recalled for a second visit. The children's responses during the Holst procedure of the first visit and restorative second visit were assessed using a combination of two measures including heart rate and clinical behavior. The dentist...
Iranian journal of psychiatry, 2010
Metabolic side effects of the second generation (atypical) antipsychotics have been a forefront o... more Metabolic side effects of the second generation (atypical) antipsychotics have been a forefront of attention since their availability. One common concern is the development of hyperglycemia and insulin resistance. The aim of this study was to evaluate the effect of early initiation of omega-3 fatty acids supplementation on glucose-insulin homeostasis in a group of psychiatric patients under treatment with olanzapine and sodium valproate or lithium combination. In a double-blind design, eligible participants with schizophrenia, bipolar I, and schizoaffective disorders who were initiated on olanzapine combination with sodium valproate or lithium were randomly assigned to receive omega-3 or identical placebo capsules for 6 weeks. Fasting blood sugar (FBS), insulin and HbA(1c) were measured at the baseline and at the end of the 6(th) week. Homeostatic model assessment of insulin resistance (HOMA-IR), as a measure of insulin resistance, was also determined at the same times. At the end o...
Abstract— The main purpose of this research is to explanation of the effects of parent psycho edu... more Abstract— The main purpose of this research is to explanation of the effects of parent psycho educational program along medication compared to medication alone on the treatment beliefs of the mothers of adolescents suffering from bipolar disorder. Method: The participants in this study were 30 mothers of children with bipolar disorder from two hospitals in Tehran, who were selected through Convenience Sampling method. The participants were randomly divided into two groups: combined treatment (parent psychoeducation program and medication) and medication alone. Each group included 15 subjects. They were evaluated by parent Treatment Beliefs' Questionnaire. For data analysis, independent t-test was used.
DARU Journal of Pharmaceutical Sciences, 2012
Background Metabolic and cardiovascular side effects have been noted with the use of second gener... more Background Metabolic and cardiovascular side effects have been noted with the use of second generation antipsychotics (SGAs) and mood stabilizers. Since Omega-3 fatty acids have been known to prevent some cardiovascular risks, this preliminary study was designed to evaluate the cardiovascular benefits of omega-3 when added to the combinations of olanzapine with mood stabilizers. Methods This study was a randomized, double-blind, placebo-controlled, within-subject trial in adult psychiatric patients who were receiving olanzapine combined with lithium (Li) or valproate sodium (VPA). Omega-3 as fish oil with less than 1 g/day of EPA/DHA or its placebo was added to patients’ olanzapine and mood stabilizer regimens for 6 weeks. Metabolic parameters including anthropometric variables, lipid profile, metabolic syndrome indices, C-reactive protein, fibrinogen and lipoprotein (a) [(Lp) (a)] were assessed for participants. Results Forty one participants completed this study; 20 patients recei...
European Psychiatry, 2014
ABSTRACT
European Psychiatry, 2007
Epilepsy & Behavior, 2014
Psychosocial problems seem to be common in epilepsy, and they could negatively affect the social ... more Psychosocial problems seem to be common in epilepsy, and they could negatively affect the social affairs and networking of adolescents with epilepsy. They could cause decreased self-esteem and social performance, leading to isolation and civil discrimination. This study was performed to assess the quality of life (QOL) of a group of adolescents with epilepsy in Iran. An analytic cross-sectional study was performed in 197 young Iranian adolescents with epilepsy. To measure the QOL of these cases, the Persian version of the QOL in Epilepsy Inventory for Adolescents 48 (QOLIE-AD-48) scale was used. The mean total score of the scale was 61.5±10.4. The highest mean was in the school behavior domain (83.85±12.27), while the lowest mean was in the domain of attitudes toward epilepsy (22.45±15.78). There was a significant correlation between QOL and age, number of drugs taken, and frequency of seizures per year. Sixty-six percent of the adolescents with epilepsy had never talked to their friends or teachers about their disease. This study revealed an unsatisfactory state of the QOL of adolescents with epilepsy in our population in comparison with other studies. This indicates the need for greater concern about the psychological status and risk factors for the QOL of adolescents with epilepsy in Iran.