esfandiar azad - Academia.edu (original) (raw)
Papers by esfandiar azad
Journal of Mazandaran University of Medical Sciences, Dec 10, 2018
BMC Psychiatry, Oct 19, 2021
Introduction: Mental disorders are among the most prevalent health problems of the adult populati... more Introduction: Mental disorders are among the most prevalent health problems of the adult population in the world. This study aimed to identify the subgroups of staff based on mental disorders and assess the independent role of metabolic syndrome (MetS) on the membership of participants in each latent class. Methods: This cross-sectional study was conducted among 694 staff of a military unit in Tehran in 2017. All staff of this military unit was invited to participate in this study. The collected data included demographic characteristics, anthropometric measures, blood pressure, biochemical parameters, and mental disorders. We performed latent class analysis using a procedure for latent class analysis (PROC LCA) in SAS to identify class membership of mental disorders using Symptom Checklist-90. Results: Three latent classes were identified as healthy (92.7%), mild (4.9%), and severe (2.4%) mental disorders. Having higher age significantly decreased the odds of belonging to the mild class (adjusted OR (aOR = 0.21; 95% confidence interval (CI): 0.05-0.83) compared to the healthy class. Also, obesity decreased the odds of membership in mild class (aOR = 0.10, 95% CI: 0.01-0.92) compared to healthy class. On the other hand, being female increased the odds of being in severe class (aOR = 9.76; 95% CI: 1.35-70.65) class in comparison to healthy class. Conclusion: This study revealed that 7.3% of staff fell under mild and severe classes. Considering educational workshops in the workplace about mental disorders could be effective in enhancing staff's knowledge of these disorders. Also, treatment of comorbid mental disorders may help reduce their prevalence and comorbidity.
International Journal of Psychiatry in Medicine, Mar 27, 2020
Journal of Military Medicine, Sep 19, 2021
Background and Aim: In response to the increasing rate of suicides in the world's armies, which a... more Background and Aim: In response to the increasing rate of suicides in the world's armies, which also has significant statistics, attention and focus on the development and implementation of suicide prevention interventions have increased. Accordingly, the present study intends to evaluate the effectiveness of brief cognitive-behavioral therapy on reducing suicidal ideation of a group of soldiers. Methods: In a quasi-experimental study based on a pre-and post-test design and control group, 24 soldiers were first selected using purposive sampling and then randomly divided into two experimental and control groups of 12 people. Brief cognitive-behavioral therapy was performed in the form of 10 sessions on a weekly basis for the experimental group. Data collection tools were Beck Scale for Suicidal Ideation (BSSI). The collected data were analyzed using univariate analysis of covariance methods in SPSS (V21.0) software. Results: Data analysis showed that brief cognitive-behavioral therapy was significantly effective in reducing soldiers' suicidal ideation after the intervention (P <0.05). Conclusion: Based on the research findings, it can be concluded that brief cognitive-behavioral therapy is effective in reducing soldiers' suicidal ideation. Therefore, the intervention used in the present study can be used as an appropriate method to reduce suicidal ideation, especially in soldiers and militaries, in psychological centers.
Work
BACKGROUND: Workplace violence is an important event that affects the safety of healthcare employ... more BACKGROUND: Workplace violence is an important event that affects the safety of healthcare employees, and diagnosing it in hospitals is an immediate occupational concern. OBJECTIVE: The present study was conducted to investigate general health and the prevalence of occupational violence and to predict its consequences among nurses and paramedics as the main body in medical settings. METHODS: This cross-sectional study was performed in 2020 in a selected hospital in Tehran, Iran. A total of 208 healthcare workers participated in the study. To study general health, exposure to workplace violence, job burnout, and productivity, the general health questionnaire (GHQ), the workplace violence questionnaire, the Maslach burnout questionnaire, and the workforce productivity questionnaire were provided to healthcare workers, respectively. Then, a multiple linear regression model was used to predict violence and its consequences. RESULTS: The results revealed that 34.1% of the participants ha...
The International Journal of Psychiatry in Medicine, 2020
Background Low back pain is a common disorder that has many consequences. This study is an attemp... more Background Low back pain is a common disorder that has many consequences. This study is an attempt to meta-analyze the risk of depression symptoms in back pain. Method Four databases were selected for review, and this search was conducted using key words. Eleven eligible articles were selected for review and meta-analysis was conducted. Subgroup analyses were continued with study design and the method of measuring depression. Also, the heterogeneity and publication bias were examined. Results Eleven cohort and cross-sectional articles are used in the meta-analysis between back pain and depressive symptoms. The odds ratio 2.07 was calculated for this relationship. In prospective-cohort studies, 1.71 (95% confidence interval = 1.24–2.36) results indicated that back pain is a risk factor for depression symptoms and in cross-sectional studies, pooled odds ratio (2.33; 95% confidence interval = 1.29–4.21) showed that back pain is associated with depression symptoms. Some degree of public...
Journal of Military Medicine, 2021
Background and Aim: In response to the increasing rate of suicides in the world's armies, whi... more Background and Aim: In response to the increasing rate of suicides in the world's armies, which also has significant statistics, attention and focus on the development and implementation of suicide prevention interventions have increased. Accordingly, the present study intends to evaluate the effectiveness of brief cognitive-behavioral therapy on reducing suicidal ideation of a group of soldiers. Methods: In a quasi-experimental study based on a pre-and post-test design and control group, 24 soldiers were first selected using purposive sampling and then randomly divided into two experimental and control groups of 12 people. Brief cognitive-behavioral therapy was performed in the form of 10 sessions on a weekly basis for the experimental group. Data collection tools were Beck Scale for Suicidal Ideation (BSSI). The collected data were analyzed using univariate analysis of covariance methods in SPSS (V21.0) software. Results: Data analysis showed that brief cognitive-behavioral th...
Safety and Health at Work, 2022
Journal of Mazandaran University of Medical Sciences, 2018
Background and purpose: The Fifth Edition of the Diagnostic and Statistical Manual of Mental Diso... more Background and purpose: The Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) offers an alternative model of personality disorders (PD) in section III alongside the categorical model in section II. In the alternative model of PD the presence of impairment in personality functioning (criterion A) and maladaptive personality traits (criterion B) are essential for diagnosis. There are no official tools for evaluating personality functioning and some current tools developed in Western cultures are taking considerable time. Therefore, this study aimed to develop a Brief Semi-Structured Interview for DSM-5 Personality Functioning (BSSIDPF) according to Iranian culture and evaluating its psychometric propertis. Materials and methods: This cross-sectional research was conducted in preliminary and final stages in 34 and 346 individuals, respectively. Participants were selected by convenience sampling in Tehran, Iran 2015-2016. Data were collected using Semi-S...
Journal of Military Medicine, 2019
Background and Aim: Military staff are exposed to high levels of stress, and as such, and their m... more Background and Aim: Military staff are exposed to high levels of stress, and as such, and their mental health has long been an area of focus. The purpose of this study was to investigate and compare mental health promotion programs and strategies used in American, British and Russian military organizations, to those used in Iranian military organizations. Methods: This study was a systematic review that included all studies published in journal articles and books, in English and Persian, that were related to mental health programs in military organizations of the USA, Britain, Russia and Iran, from 1980 (1359 AH) to 2015 (1394 AH). A total of 154 articles were identified from 13 websites, and 137 were included in the study. After the data collection, programs and strategies of mental health promotion used in US, UK, Russia and Iran's Military Organizations were reviewed. Results were also classified on the basis of pre-determined framework. Results: The most important mental hea...
Journal of Military Medicine, 2021
Background and Aim: In the health care system of any country, nurses play a pivotal role in impro... more Background and Aim: In the health care system of any country, nurses play a pivotal role in improving and advancing matters related to community health. Therefore, it becomes very important to pay attention to this group’s job motivation. The aim of this study was to qualitatively analyze the factors that facilitate and inhibit job motivation in nurses working in the armed forces. Methods: The present study was qualitative and phenomenological. Eighteen participants were purposefully selected from nurses working in one of the hospitals affiliated by the Armed Forces in Tehran in 2020 until they reached data saturation. Data collection was carried out using semi-structured interviews and for analyzing the data, ATLAS-ti software thematic analysis was used. Next, the main and sub-topics were identified. Results: In this study, 2 main categories including “intrapersonal contexts” and “Job-organizational contexts” were identified as facilitators, 2 main categories including “individual ...
Introduction: Today, many psychologists have confirmed the effective role of religion and its imp... more Introduction: Today, many psychologists have confirmed the effective role of religion and its impact on mental health. Therefore, the present study has been performed to develop a religious model of stress management according to Quran and Hadith. Method: The methodology of the study, due to usual framework, is the qualitative method used the conventional content analysis of the verses of Quran and Hadith. In the content analysis method, the term “the selection of analysis resources” has been used instead of the research population. The analysis resources in this study include the Holy Quran, Mizan al-Hekmah, Usul –alKafi and Thematic Interpretation of the Holy Quran by Javadi Amoli. First of all, according to the experts of Quranic sciences, the analysis resources are merely used to extract the statements and their types. Then, the key words of the word “stress” have been determined in Arabic in the religious resources (including warn, painful, dire, liver, alboads, adversity, fear...
International Journal of Medical Reviews, 2015
Introduction: One of the major advances in medical practice and healthcare is to incorporate deci... more Introduction: One of the major advances in medical practice and healthcare is to incorporate decision support systems (DSS) in such practices to assist healthcare staff. The present study aimed to make a general understanding framework about state of the art clinical decision support systems (CDSS). Methods: The design was systematic review. According to Research keywords (decision, decision-making, clinical decision, clinical decision-making, decision support, decision support system, clinical decision support system), Persian and English papers and scientific literature in scientific data bases include Simorgh, MagIran, and SID for Persian, as well as Science Direct, Google Scholar, Google Patent, Wikipedia, PubMed, Sage, and Springer for English resources were searched, so that from a basic sample of 1247 papers, 27 papers were selected regarding inclusion criteria. Delphi method was implemented to construct the final format of results report. The method of data analysis were lib...
International Journal of Medical Reviews, 2015
Introduction: Human everyday life is full of stress and strain, so that the present century is c... more Introduction: Human everyday life is full of stress and strain, so that the present century is called stress era. Unfortunately, here is no literature integration about stress. The aim of the present paper is to make a theoretical integrative consensus in stress modalities . Methods: The design of the present study was systematic review. Inclusion criteria were subjective relevance to study keywords (include stress, stress control, stress reduction, social stress, community stress, group stress, stress increase, stress side effects, stress resources, stress stages, stress types), being published by academic and/or scientific resource, and publication period (between January, 1, 1990 and March, 20, 2015). Using Jadad scale, those clinical trial papers with 2 and upper were selected. Delphi method used to form the structure of final results. Results were collected by content analysis. Results: Eleven major definitions, three main classifications, three fundamental explanatory persp...
Health Education and Health Promotion, 2021
ACTA MEDICA IRANICA, 2021
Life satisfaction can both affect and be affected by occupational factors in military personnel. ... more Life satisfaction can both affect and be affected by occupational factors in military personnel. Perceived stress is considered an important predictor of life satisfaction. The objective of this study is to evaluate the direct and indirect effects of perceived stress on life satisfaction and the mediating role of depression, anxiety, and sleep quality among Iranian military personnel. In this cross-sectional study, a total of 301 military personnel were investigated by using standard self-report questionnaires, consisting of the Revised Symptom Checklist-90 (SCL-90-R), Pittsburgh Sleep Quality Index (PSQI), Perceived Stress Scale (PSS), and Satisfaction with Life Scale (SWLS) in our study. Data analysis was conducted using descriptive statistics, the Pearson correlation coefficient, ordinary least square regression, and the bootstrap method. The direct effect of perceived stress on life satisfaction was significant. Perceived stress also affects life satisfaction indirectly through ...
BMC Psychiatry, 2021
Introduction Mental disorders are among the most prevalent health problems of the adult populatio... more Introduction Mental disorders are among the most prevalent health problems of the adult population in the world. This study aimed to identify the subgroups of staff based on mental disorders and assess the independent role of metabolic syndrome (MetS) on the membership of participants in each latent class. Methods This cross-sectional study was conducted among 694 staff of a military unit in Tehran in 2017. All staff of this military unit was invited to participate in this study. The collected data included demographic characteristics, anthropometric measures, blood pressure, biochemical parameters, and mental disorders. We performed latent class analysis using a procedure for latent class analysis (PROC LCA) in SAS to identify class membership of mental disorders using Symptom Checklist-90. Results Three latent classes were identified as healthy (92.7%), mild (4.9%), and severe (2.4%) mental disorders. Having higher age significantly decreased the odds of belonging to the mild clas...
Archives of Suicide Research, 2021
OBJECTIVE In response to the increasing rates of suicide in military personnel throughout the wor... more OBJECTIVE In response to the increasing rates of suicide in military personnel throughout the world, there is an increasing focus on the development and implement of interventions aimed at preventing suicide among this group. Therefore, the goal of the present systematic review was to examine the effectiveness of interventions focused on preventing suicidal ideation and behavior in military personnel. METHOD Search for articles was conducted in PsycINFO, PubMed, Web of Science, EMBASE, Google Scholar, Cochrane Central Register of Controlled Trials (CENTRAL), IranMedex, Scientific Information Database (SID), and MagIran. International databases were searched from June 2008 to May 2019, and Iranian databases were searched from their inception to May 2019. RCT and non-RCT studies focused on the effectiveness of preventive interventions for suicide in military personnel were included in the analysis. Narrative synthesis of results was the main strategy for data analysis. RESULTS According to the inclusion and exclusion criteria, 18 articles were selected. Interventions were divided into four categories according to their nature: interventions based on psychotherapy, interventions based on crisis management, interventions based on pharmacotherapy, and community-based interventions. In addition, most studies had moderate methodological quality. CONCLUSION Most of the preventive interventions were effective in reducing suicidal ideation and behavior in military personnel; however, in some cases, there were serious challenges in terms of effectiveness. Interventions based on cognitive-behavioral approaches constitute a significant portion of the interventions. Overall, RCTs and non-RCTs, especially community-based studies, need to use more rigorous examinations in order to gain research and clinical support. HIGHLIGHTS Interventions based on psychotherapy and community-based interventions were the most commonly used interventions, respectively. The majority of interventions based on psychotherapy came from cognitive-behavioral approaches. There are few evidence-based studies on prevention of suicide in military personnel.
Neuropsychiatria i Neuropsychologia, 2019
Journal of Mazandaran University of Medical Sciences, Dec 10, 2018
BMC Psychiatry, Oct 19, 2021
Introduction: Mental disorders are among the most prevalent health problems of the adult populati... more Introduction: Mental disorders are among the most prevalent health problems of the adult population in the world. This study aimed to identify the subgroups of staff based on mental disorders and assess the independent role of metabolic syndrome (MetS) on the membership of participants in each latent class. Methods: This cross-sectional study was conducted among 694 staff of a military unit in Tehran in 2017. All staff of this military unit was invited to participate in this study. The collected data included demographic characteristics, anthropometric measures, blood pressure, biochemical parameters, and mental disorders. We performed latent class analysis using a procedure for latent class analysis (PROC LCA) in SAS to identify class membership of mental disorders using Symptom Checklist-90. Results: Three latent classes were identified as healthy (92.7%), mild (4.9%), and severe (2.4%) mental disorders. Having higher age significantly decreased the odds of belonging to the mild class (adjusted OR (aOR = 0.21; 95% confidence interval (CI): 0.05-0.83) compared to the healthy class. Also, obesity decreased the odds of membership in mild class (aOR = 0.10, 95% CI: 0.01-0.92) compared to healthy class. On the other hand, being female increased the odds of being in severe class (aOR = 9.76; 95% CI: 1.35-70.65) class in comparison to healthy class. Conclusion: This study revealed that 7.3% of staff fell under mild and severe classes. Considering educational workshops in the workplace about mental disorders could be effective in enhancing staff's knowledge of these disorders. Also, treatment of comorbid mental disorders may help reduce their prevalence and comorbidity.
International Journal of Psychiatry in Medicine, Mar 27, 2020
Journal of Military Medicine, Sep 19, 2021
Background and Aim: In response to the increasing rate of suicides in the world's armies, which a... more Background and Aim: In response to the increasing rate of suicides in the world's armies, which also has significant statistics, attention and focus on the development and implementation of suicide prevention interventions have increased. Accordingly, the present study intends to evaluate the effectiveness of brief cognitive-behavioral therapy on reducing suicidal ideation of a group of soldiers. Methods: In a quasi-experimental study based on a pre-and post-test design and control group, 24 soldiers were first selected using purposive sampling and then randomly divided into two experimental and control groups of 12 people. Brief cognitive-behavioral therapy was performed in the form of 10 sessions on a weekly basis for the experimental group. Data collection tools were Beck Scale for Suicidal Ideation (BSSI). The collected data were analyzed using univariate analysis of covariance methods in SPSS (V21.0) software. Results: Data analysis showed that brief cognitive-behavioral therapy was significantly effective in reducing soldiers' suicidal ideation after the intervention (P <0.05). Conclusion: Based on the research findings, it can be concluded that brief cognitive-behavioral therapy is effective in reducing soldiers' suicidal ideation. Therefore, the intervention used in the present study can be used as an appropriate method to reduce suicidal ideation, especially in soldiers and militaries, in psychological centers.
Work
BACKGROUND: Workplace violence is an important event that affects the safety of healthcare employ... more BACKGROUND: Workplace violence is an important event that affects the safety of healthcare employees, and diagnosing it in hospitals is an immediate occupational concern. OBJECTIVE: The present study was conducted to investigate general health and the prevalence of occupational violence and to predict its consequences among nurses and paramedics as the main body in medical settings. METHODS: This cross-sectional study was performed in 2020 in a selected hospital in Tehran, Iran. A total of 208 healthcare workers participated in the study. To study general health, exposure to workplace violence, job burnout, and productivity, the general health questionnaire (GHQ), the workplace violence questionnaire, the Maslach burnout questionnaire, and the workforce productivity questionnaire were provided to healthcare workers, respectively. Then, a multiple linear regression model was used to predict violence and its consequences. RESULTS: The results revealed that 34.1% of the participants ha...
The International Journal of Psychiatry in Medicine, 2020
Background Low back pain is a common disorder that has many consequences. This study is an attemp... more Background Low back pain is a common disorder that has many consequences. This study is an attempt to meta-analyze the risk of depression symptoms in back pain. Method Four databases were selected for review, and this search was conducted using key words. Eleven eligible articles were selected for review and meta-analysis was conducted. Subgroup analyses were continued with study design and the method of measuring depression. Also, the heterogeneity and publication bias were examined. Results Eleven cohort and cross-sectional articles are used in the meta-analysis between back pain and depressive symptoms. The odds ratio 2.07 was calculated for this relationship. In prospective-cohort studies, 1.71 (95% confidence interval = 1.24–2.36) results indicated that back pain is a risk factor for depression symptoms and in cross-sectional studies, pooled odds ratio (2.33; 95% confidence interval = 1.29–4.21) showed that back pain is associated with depression symptoms. Some degree of public...
Journal of Military Medicine, 2021
Background and Aim: In response to the increasing rate of suicides in the world's armies, whi... more Background and Aim: In response to the increasing rate of suicides in the world's armies, which also has significant statistics, attention and focus on the development and implementation of suicide prevention interventions have increased. Accordingly, the present study intends to evaluate the effectiveness of brief cognitive-behavioral therapy on reducing suicidal ideation of a group of soldiers. Methods: In a quasi-experimental study based on a pre-and post-test design and control group, 24 soldiers were first selected using purposive sampling and then randomly divided into two experimental and control groups of 12 people. Brief cognitive-behavioral therapy was performed in the form of 10 sessions on a weekly basis for the experimental group. Data collection tools were Beck Scale for Suicidal Ideation (BSSI). The collected data were analyzed using univariate analysis of covariance methods in SPSS (V21.0) software. Results: Data analysis showed that brief cognitive-behavioral th...
Safety and Health at Work, 2022
Journal of Mazandaran University of Medical Sciences, 2018
Background and purpose: The Fifth Edition of the Diagnostic and Statistical Manual of Mental Diso... more Background and purpose: The Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) offers an alternative model of personality disorders (PD) in section III alongside the categorical model in section II. In the alternative model of PD the presence of impairment in personality functioning (criterion A) and maladaptive personality traits (criterion B) are essential for diagnosis. There are no official tools for evaluating personality functioning and some current tools developed in Western cultures are taking considerable time. Therefore, this study aimed to develop a Brief Semi-Structured Interview for DSM-5 Personality Functioning (BSSIDPF) according to Iranian culture and evaluating its psychometric propertis. Materials and methods: This cross-sectional research was conducted in preliminary and final stages in 34 and 346 individuals, respectively. Participants were selected by convenience sampling in Tehran, Iran 2015-2016. Data were collected using Semi-S...
Journal of Military Medicine, 2019
Background and Aim: Military staff are exposed to high levels of stress, and as such, and their m... more Background and Aim: Military staff are exposed to high levels of stress, and as such, and their mental health has long been an area of focus. The purpose of this study was to investigate and compare mental health promotion programs and strategies used in American, British and Russian military organizations, to those used in Iranian military organizations. Methods: This study was a systematic review that included all studies published in journal articles and books, in English and Persian, that were related to mental health programs in military organizations of the USA, Britain, Russia and Iran, from 1980 (1359 AH) to 2015 (1394 AH). A total of 154 articles were identified from 13 websites, and 137 were included in the study. After the data collection, programs and strategies of mental health promotion used in US, UK, Russia and Iran's Military Organizations were reviewed. Results were also classified on the basis of pre-determined framework. Results: The most important mental hea...
Journal of Military Medicine, 2021
Background and Aim: In the health care system of any country, nurses play a pivotal role in impro... more Background and Aim: In the health care system of any country, nurses play a pivotal role in improving and advancing matters related to community health. Therefore, it becomes very important to pay attention to this group’s job motivation. The aim of this study was to qualitatively analyze the factors that facilitate and inhibit job motivation in nurses working in the armed forces. Methods: The present study was qualitative and phenomenological. Eighteen participants were purposefully selected from nurses working in one of the hospitals affiliated by the Armed Forces in Tehran in 2020 until they reached data saturation. Data collection was carried out using semi-structured interviews and for analyzing the data, ATLAS-ti software thematic analysis was used. Next, the main and sub-topics were identified. Results: In this study, 2 main categories including “intrapersonal contexts” and “Job-organizational contexts” were identified as facilitators, 2 main categories including “individual ...
Introduction: Today, many psychologists have confirmed the effective role of religion and its imp... more Introduction: Today, many psychologists have confirmed the effective role of religion and its impact on mental health. Therefore, the present study has been performed to develop a religious model of stress management according to Quran and Hadith. Method: The methodology of the study, due to usual framework, is the qualitative method used the conventional content analysis of the verses of Quran and Hadith. In the content analysis method, the term “the selection of analysis resources” has been used instead of the research population. The analysis resources in this study include the Holy Quran, Mizan al-Hekmah, Usul –alKafi and Thematic Interpretation of the Holy Quran by Javadi Amoli. First of all, according to the experts of Quranic sciences, the analysis resources are merely used to extract the statements and their types. Then, the key words of the word “stress” have been determined in Arabic in the religious resources (including warn, painful, dire, liver, alboads, adversity, fear...
International Journal of Medical Reviews, 2015
Introduction: One of the major advances in medical practice and healthcare is to incorporate deci... more Introduction: One of the major advances in medical practice and healthcare is to incorporate decision support systems (DSS) in such practices to assist healthcare staff. The present study aimed to make a general understanding framework about state of the art clinical decision support systems (CDSS). Methods: The design was systematic review. According to Research keywords (decision, decision-making, clinical decision, clinical decision-making, decision support, decision support system, clinical decision support system), Persian and English papers and scientific literature in scientific data bases include Simorgh, MagIran, and SID for Persian, as well as Science Direct, Google Scholar, Google Patent, Wikipedia, PubMed, Sage, and Springer for English resources were searched, so that from a basic sample of 1247 papers, 27 papers were selected regarding inclusion criteria. Delphi method was implemented to construct the final format of results report. The method of data analysis were lib...
International Journal of Medical Reviews, 2015
Introduction: Human everyday life is full of stress and strain, so that the present century is c... more Introduction: Human everyday life is full of stress and strain, so that the present century is called stress era. Unfortunately, here is no literature integration about stress. The aim of the present paper is to make a theoretical integrative consensus in stress modalities . Methods: The design of the present study was systematic review. Inclusion criteria were subjective relevance to study keywords (include stress, stress control, stress reduction, social stress, community stress, group stress, stress increase, stress side effects, stress resources, stress stages, stress types), being published by academic and/or scientific resource, and publication period (between January, 1, 1990 and March, 20, 2015). Using Jadad scale, those clinical trial papers with 2 and upper were selected. Delphi method used to form the structure of final results. Results were collected by content analysis. Results: Eleven major definitions, three main classifications, three fundamental explanatory persp...
Health Education and Health Promotion, 2021
ACTA MEDICA IRANICA, 2021
Life satisfaction can both affect and be affected by occupational factors in military personnel. ... more Life satisfaction can both affect and be affected by occupational factors in military personnel. Perceived stress is considered an important predictor of life satisfaction. The objective of this study is to evaluate the direct and indirect effects of perceived stress on life satisfaction and the mediating role of depression, anxiety, and sleep quality among Iranian military personnel. In this cross-sectional study, a total of 301 military personnel were investigated by using standard self-report questionnaires, consisting of the Revised Symptom Checklist-90 (SCL-90-R), Pittsburgh Sleep Quality Index (PSQI), Perceived Stress Scale (PSS), and Satisfaction with Life Scale (SWLS) in our study. Data analysis was conducted using descriptive statistics, the Pearson correlation coefficient, ordinary least square regression, and the bootstrap method. The direct effect of perceived stress on life satisfaction was significant. Perceived stress also affects life satisfaction indirectly through ...
BMC Psychiatry, 2021
Introduction Mental disorders are among the most prevalent health problems of the adult populatio... more Introduction Mental disorders are among the most prevalent health problems of the adult population in the world. This study aimed to identify the subgroups of staff based on mental disorders and assess the independent role of metabolic syndrome (MetS) on the membership of participants in each latent class. Methods This cross-sectional study was conducted among 694 staff of a military unit in Tehran in 2017. All staff of this military unit was invited to participate in this study. The collected data included demographic characteristics, anthropometric measures, blood pressure, biochemical parameters, and mental disorders. We performed latent class analysis using a procedure for latent class analysis (PROC LCA) in SAS to identify class membership of mental disorders using Symptom Checklist-90. Results Three latent classes were identified as healthy (92.7%), mild (4.9%), and severe (2.4%) mental disorders. Having higher age significantly decreased the odds of belonging to the mild clas...
Archives of Suicide Research, 2021
OBJECTIVE In response to the increasing rates of suicide in military personnel throughout the wor... more OBJECTIVE In response to the increasing rates of suicide in military personnel throughout the world, there is an increasing focus on the development and implement of interventions aimed at preventing suicide among this group. Therefore, the goal of the present systematic review was to examine the effectiveness of interventions focused on preventing suicidal ideation and behavior in military personnel. METHOD Search for articles was conducted in PsycINFO, PubMed, Web of Science, EMBASE, Google Scholar, Cochrane Central Register of Controlled Trials (CENTRAL), IranMedex, Scientific Information Database (SID), and MagIran. International databases were searched from June 2008 to May 2019, and Iranian databases were searched from their inception to May 2019. RCT and non-RCT studies focused on the effectiveness of preventive interventions for suicide in military personnel were included in the analysis. Narrative synthesis of results was the main strategy for data analysis. RESULTS According to the inclusion and exclusion criteria, 18 articles were selected. Interventions were divided into four categories according to their nature: interventions based on psychotherapy, interventions based on crisis management, interventions based on pharmacotherapy, and community-based interventions. In addition, most studies had moderate methodological quality. CONCLUSION Most of the preventive interventions were effective in reducing suicidal ideation and behavior in military personnel; however, in some cases, there were serious challenges in terms of effectiveness. Interventions based on cognitive-behavioral approaches constitute a significant portion of the interventions. Overall, RCTs and non-RCTs, especially community-based studies, need to use more rigorous examinations in order to gain research and clinical support. HIGHLIGHTS Interventions based on psychotherapy and community-based interventions were the most commonly used interventions, respectively. The majority of interventions based on psychotherapy came from cognitive-behavioral approaches. There are few evidence-based studies on prevention of suicide in military personnel.
Neuropsychiatria i Neuropsychologia, 2019