Maryam Ranjbar - Academia.edu (original) (raw)

Papers by Maryam Ranjbar

Iranian Rehabilitation Journal, Apr 10, 2013

Objectives: Psychotropic drug use in the elderly with chronic schizophrenia is an important issue... more Objectives: Psychotropic drug use in the elderly with chronic schizophrenia is an important issue in the field of psychiatry. The main goal of this study was to clarify the pattern of such drug use in these patients, in order to consider such therapy plan and focus on its cost attributing measures, for a more reasonable quality of care program. Methods: In this descriptive study, participants included 52 elderly patients at Tehran's Razi Mental Hospital who had chronic schizophrenia in the residual phase. Selected patients were taking at least two psychotropic drugs equivalent to 500mg Chlorpromazine. We prepared the list of the drugs used by completing the pre-designed questionnaire charts. Data were analyzed with SPSS 17. Results: In one case (1.92%) the entries were Risperidone, Chlorpromazine, Fluphenazine Decanoate, & Thiothixene). In 11 cases (21.2%) there were three entries and in 40 cases (76.8%) there were two. The Chlorpromazine equivalent dose in each group ranged from the lowest dose (750. mg) to the highest (5600. mg). The highest Chlorpromazine dose (5600. mg) equivalent per milligram belonged to the four entries of (Risperidone, Chlorpromazine, Fluphenazine Decanoate & Thiothixene). The lowest Chlorpromazine dose (750. mg) was seen in 3 entries of Risperidone, Chlorpromazine & Fluphenazine Decanoate. Conclusion: There was a high prevalence of using more than two psychotropic medications from the first atypical antipsychotic category. Less frequently, the second and the third typical antipsychotics were used. We recommend further research into more feasible patterns of psychotropic prescriptions, lowering the amount of medication use and considering their cost-benefits in the elderly with chronic schizophrenia .

Quarterly Scientific Journal of Rescue and Relief, Oct 15, 2012

Frontiers in Public Health

IntroductionAlong with the challenges of COVID-19 vaccine supply in low-income countries, vaccine... more IntroductionAlong with the challenges of COVID-19 vaccine supply in low-income countries, vaccine hesitancy was another problem for the health system. The aim of this study was to deeply understand the challenges of vaccine acceptance, the vaccination process, and to compare the affecting vaccine acceptance in the high and low points of the epidemic in Iran.MethodsIn the qualitative part of this mixed-methods study, content analysis was used to investigate experiences and perceptions about COVID-19 vaccination in four groups. In the quantitative study, in March 2021 (low point), and on August 1, 2021 (high point), two population-based cross-sectional studies were performed in Tehran and its rural, with sample sizes of 1,200 and 1,872 people aged over 18 years, respectively. Multinomial (polytomous) logistic regression was used to determine the factors affecting hesitation and unwillingness to receive the vaccine.ResultsDisbelief in vaccine safety, vaccine distrust, ignorance and con...

Health in Emergencies & Disasters Quarterly

Background: Women are at higher risk of death during disasters due to physical, biological, psych... more Background: Women are at higher risk of death during disasters due to physical, biological, psychological, and cultural differences. After a disaster, they experience more miscarriages, premature births, inadequate fetal growth, low birth weight, sexual violence, and unwanted pregnancies. This study aims to investigate the reproductive health status of women affected by the 2017 earthquake in Kermanshah, Iran. Materials and Methods: This descriptive cross-sectional study was conducted in 2018. The study population consists of women aged 15-49 years (Mean age=31.7 years) living in Sarpol-e Zahab, Javanrood, and Thalas Babajani towns in Kermanshah city affected by the earthquake in 2017. The questionnaire used for assessing the status of reproductive health in women was the Reproductive Health Assessment Questionnaire for Women of Reproductive Age, which has already been localized in Iran and its reliability and validity have been confirmed. Native Kurdish language experts completed t...

Journal of Rehabilitation, 2008

Disasters should never be considered as routine. Disasters of any kind—natural or manmade—clearly... more Disasters should never be considered as routine. Disasters of any kind—natural or manmade—clearly disrupt the normal functioning of any community and frequently overwhelm both personal and community resources. In the post-disaster context, following the initial shock of the disaster, returning lives and livelihoods to normalcy becomes a primary concern of the affected communities and nations. Traditionally, this has been known as the recovery and rehabilitation phase, where "normalcy" refers to the return of the community to the state it was in prior to the disaster event. Rehabilitation is this process of returning the community to "normal" that may extend for many years and involves the physical, social and economic components of the community. Disasters can take on a life of their own, therefore being prepared is the single most effective way to improve outcomes. Proper pre-event planning and providing mechanisms for resource coordination are critical which wi...

Health in Emergencies and Disasters Quarterly, 2018

Local preparedness against earthquakes has been recently highlighted in research and policies on ... more Local preparedness against earthquakes has been recently highlighted in research and policies on disaster management and risk reduction promotion in Iran. To advance the understanding of public preparedness and how it can be applied in diverse localities, further information is required about the predictors of people's adoption of mitigation activities and earthquake preparedness. A synthesis of the available published research results on earthquake preparedness and the influencing factors in Iran are presented in this literature review. It emphasizes the complexity of both the concept of preparedness and the contextual factors that mediate its adoption. The predominant roles of public awareness, trusted information resources, social capital and community collaboration as predictors are discussed.

Modern Care Journal, 2019

Asian Journal of Social Health and Behavior

1. Department of Psychology and Social Sciences, Institute for Humanities and Social Studies, Teh... more 1. Department of Psychology and Social Sciences, Institute for Humanities and Social Studies, Tehran, Iran 2. Social Determinants of Health Research Center, University of Social Welfare and Rehabilitation, Tehran, Iran 3. Department of Psychology, University of Science and Culture, ACECR, Institute for Humanities and Social Studies, Tehran, Iran 4. Faculty of Educational Sciences, Shahid Rajaee Teacher Training University, Tehran, Iran 5. School of Psychological and Clinical Sciences, Charles Darwin University, Darwin, Northern Territory, Australia

Electronic Physician, 2018

Background: The high risk of an earthquake happening and the harmful consequences that it leaves,... more Background: The high risk of an earthquake happening and the harmful consequences that it leaves, besides the unsuccessful policies for preparing the community for mitigation, suggested that social factors should be considered more in this regard. Social trust is an influencing factor that can have significant impact on people's behavior. Objective: To determine the relationship of the influencing factors on the preparedness of Tehran households against earthquake. Methods: This was a cross-sectional study with 369 participants (February to April 2017) involved through stratified random sampling from selected urban districts of Tehran. The Persian version of an 'Intention to be prepared' measurement tool and a standard checklist of earthquake preparedness behaviors were used. The tool was evaluated for internal consistency and test-retest reliability in a pilot study (Cronbach's α =0.94 and Intra Class Correlation Coefficient =0.92). Results: Multivariate linear regression analysis showed that social trust is the most important predictor for the preparedness mean of changes in Tehran (R 2 =0.109, p<0.001, β: 0.187 for the Preparedness behavior; R 2 =0.117, β: 0.298, p<0.001 for Intention to be prepared; and R 2 =0.142, β: 0.345, p<0.001 for the Perceived preparedness). Conclusion: The relationship between social trust and preparedness dimensions suggested that changing a social behavior is not possible through considering only individual characteristics of community members and not their social networks relations. The programs and policies which try to enhance the social trust in general, may be able to increase public preparedness against earthquakes in the future.

Iranian journal of nursing and midwifery research, 2014

Understanding how novice nurses perceive their career in the psychiatric ward can be helpful for ... more Understanding how novice nurses perceive their career in the psychiatric ward can be helpful for nurse educators and managers to gain insight into psychiatric nursing care and adding applicable knowledge to the development of support strategies for this group. The aim of this study was to describe and illuminate experiences of new graduated nurses working at a psychiatric ward in an Iranian context. A descriptive phenomenology has been chosen. Participants with baccalaureate degrees in nursing were selected purposefully and they all had less than 6 months of work experience in psychiatric wards beforehand. The study was conducted at the Razi Hospital in Iran. Data were collected through unstructured individual in-depth interviews and analyzed according to the Colaizzi method by means of Husserlian phenomenology. Three main themes were found in this study, of which six sub-themes were constructed as follows: Being in the world of fear and complaint, which has been abstracted by havin...

Iranian journal of nursing and midwifery research, 2011

Schizophrenia is a debilitating psychotic disorder that affects patients' personality, career... more Schizophrenia is a debilitating psychotic disorder that affects patients' personality, career-related and social functioning. Patients stop medications after discharge or inpatient care, when they feel relatively recovered. Most patients do not know that they are sick and they need medication for recovery due to lack of information and cognitive impairment, which makes them incompetent for self-care. A well designed discharge plan with disease management, prevention cares and education along with follow-up can significantly improve patients and decrease the health care costs; because it helps them take care of themselves and maintain a certain level of health. This study aimed to determine the effect of discharge, education and follow-up program on self-care abilities of patients with chronic schizophrenia. This was a quasi-experimental study, using a hospital based accessible sampling method. Participants included 60 schizophrenic patients who were randomly divided into two gro...

The aim of this study was to investigate the prevalence and its determinants of Antipsychotic Use... more The aim of this study was to investigate the prevalence and its determinants of Antipsychotic Use in patients with psychiatric disorders. Materials and Methods: This study was on patients with psychiatric disorder that have discharged from the hospital. We have assessed all patients with psychiatric interview and evaluation of their psychiatric documentations. Results: 90.7% of all of patients had taken antipsychotic medications and antipsychotic polypharmacy was in 27.2% of these patients. The most prevalent component of antipsychotic polypharmacy was consisting of Chlorpromazine, Halopreidol and Chlorpromazine, Risperidone and then Chlorpromazine, Olanzapine respectively. There were significant relations between pattern of antipsychotic use and gender, occupation status, type of psychiatric ward, duration of hospitalization and cost of treatment but no relationship with age, educational status and duration of illness. Conclusion: This study suggests that prevalence of antipsychotic polypharmacy is high in in-patient psychiatric patients.

Vaccines, 2021

Acceptance and willingness to receive the vaccine are among the main factors in the success or fa... more Acceptance and willingness to receive the vaccine are among the main factors in the success or failure of a health system in implementing the vaccination program. The present study was conducted in Tehran, the political and economic capital of Iran, to determine the acceptance of the COVID-19 vaccine and identify its associated factors, and explain the most important barriers and acceptance strategies for vaccination. This research was a concurrent quantitative and qualitative mixed-method study. In the quantitative part, 1200 individuals aged more than 18 years were selected from the households in 22 districts of Tehran City, with a multistage stratified cluster sampling method. Two questionnaires were used to evaluate the acceptance of the COVID-19 vaccine and vaccine acceptance determinants. The qualitative content analysis method addressed the influencing factors, as well as challenges and strategies related to the acceptance of the COVID-19 vaccine in four groups of Tehran inha...

Iranian Rehabilitation Journal, Mar 1, 2018

This study aimed to develop a modulated program of parenting skills and to evaluate its effective... more This study aimed to develop a modulated program of parenting skills and to evaluate its effectiveness in reducing autistic symptoms and increasing parental adjustment. Methods: This quasi-experimental study utilized in two phases, a pretest-posttest design and a control group. First, a treatment program with both individual and group structure was constructed considering available treatments such as cognitive-behavior therapy, social stories, and play therapy catered to autistic children and the needs of their families. The program consisted of techniques such as acceptance, common cognitive errors challenge, control of thoughts, emotions and behavior, the principles of reward and punishment, and crisis management etc. The validity of the program was confirmed by four experts. Secondly, 26 volunteer qualified couples selected from the parents were referred to a rehabilitation center in Tehran, and were randomly assigned into experimental and control groups. The pretest was performed for all participants. Then, the control group was kept away from the program during the 10 sessions of group, four sessions of individual, and two sessions of family therapy for each couple in the experiment group. Results: Univariate analysis of Covariance showed that the program significantly improved marital adjustment in parents (F=22.018, P=0.001), and successfully reduced the symptoms of autistic disorder in social interaction (F=5.733, P=0.027) and relations (F=10.07, P=0.005). However, it did not significantly affect stereotyped behaviors (F=4.304, P=0.053) and development (F=0.448, P=0.511) of autistic children in the experimental group. Discussion: The compiled parenting program is recommended to improve parental empowerment for the families of autistic children, because it is capable of reducing autistic symptoms in social interaction and relationships as well as improving marital adjustment in such families.