Iranian Journal of Psychiatry最新文献

{"title":"The Effectiveness of Topiramate in the Treatment of Amphetamine and Methamphetamine Use Disorder: A Randomized Controlled Trial.","authors":"Amirali Moghaddam Sadegh,&nbsp;Masoumeh Nazarinasab,&nbsp;Forouzan Behrouzian,&nbsp;Hamzeh Rostami,&nbsp;Masoumeh Mehrabi","doi":"10.18502/ijps.v18i4.13624","DOIUrl":"10.18502/ijps.v18i4.13624","url":null,"abstract":"<p><p><b>Objective:</b> Limited studies have yet evaluated the effectiveness of topiramate in the treatment of amphetamine and methamphetamine addiction. Therefore, the aim of this study was to investigate the effectiveness of topiramate in the treatment of patients with this disorder. <b>Methods:</b> In this randomized, double-blind, placebo-controlled clinical trial, 52 patients with amphetamine and methamphetamine use disorder, within the age range of 16-60 years, were randomly divided into an intervention group (n = 26) and a placebo group (n = 26). The intervention group was treated with topiramate tablets with a starting dose of 50 mg, which was gradually increased to the target dose of 200 mg. The control group was treated with placebo. The duration of drug intervention in this clinical trial was 12 weeks, and all participants were evaluated before the intervention and 2, 4, 6, 8, 10, and 12 weeks after beginning the intervention. The Beck Depression Inventory, drug use temptation questionnaire, urine test, and side effects questionnaire were used as outcome measures to assess the patients. The data were analyzed using chi-square, independent t-test, and analysis of variance with repeated measurements. <b>Results:</b> There was no significant difference between the intervention and placebo groups in depression at the beginning of the treatment and at the 4^th, 8^th, and 12^th weeks after the intervention (P > 0.05). The urine test also showed no significant difference between the two groups at any of the evaluation stages (P > 0.05). Although there was no significant difference between the two groups in the drug use temptation results at the beginning and the 2^nd, 4^th and 6^th weeks (P > 0.05), the level of drug temptation in the intervention group was significantly lower than the placebo group in the 8^th, 10^th, and 12^th weeks (P < 0.05). <b>Conclusion:</b> Topiramate can be effective in reducing the desire to use amphetamine and methamphetamine. However, further studies are needed to confirm these results.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"18 4","pages":"371-379"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/0f/63/IJPS-18-371.PMC10594000.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163146","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of Vitamin D with Suicide Behaviors: A Systematic Review and Meta-Analysis.","authors":"Younes Mohammadi, Nasim Ansari, Milad Daneshi Maskooni, Mohammad Reza Amiri","doi":"10.18502/ijps.v18i4.13635","DOIUrl":"10.18502/ijps.v18i4.13635","url":null,"abstract":"<p><p><b>Objective:</b> Research findings on the relationship between vitamin D and suicide are not consistent; therefore, the objective of the present paper is to assess the relationship between vitamin D and suicide behaviors using a systematic review and meta-analysis. <b>Method</b> <b>:</b> A search strategy was developed using keywords including \"Vitamin D\", \"Vitamin D deficiency\", \"suicide\" \"attempted suicide\", \"completed suicide\", \"Suicide, Attempted\", \"Suicidal Ideation.\" We searched databases including Scopus, Medline, Web of Science, and Google Scholar by July 7, 2022. We examined the titles, abstracts, and full texts of the articles to select eligible ones. To pool the results of the selected studies, we used the random-effect method and mean difference as the effect size. The quality of the articles was evaluated by the Newcastle-Ottawa Scale (NOS). Moreover, heterogeneity and bias of reporting were evaluated by the I² statistic and Egger's and Begg's tests, respectively. <b>Results:</b> Out of 149 studies retrieved in the databases, 11 studies were included in the final phase. Among these, the pooled findings of seven studies included in the meta-analysis phase showed that low levels of vitamin D are related to increased probability for suicide behaviors (P < 0.05). Moreover, subgroup analysis showed a significant relationship between vitamin D and suicide ideation and suicide attempt (P < 0.05). In addition, the I² statistic indicated moderate heterogeneity (58%) and Egger's and Begg's tests did not show any evidence of publication bias (P > 0.05). <b>Conclusion:</b> This study provides evidence in favor of the relationship between vitamin D and suicide behaviors. It suggests that insufficient levels of vitamin D play a role in suicidal behaviors. However, it should be noted that further and stronger evidence is needed to establish this role. Finally, incorporating vitamin D-rich foods into the diet or taking vitamin D supplements is recommended to reduce the risk of suicide.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"18 4","pages":"484-492"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/92/IJPS-18-484.PMC10594001.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Overview on Electrophysiological and Neuroimaging Findings in Dyslexia.","authors":"Ronald Hernández-Vásquez,&nbsp;Ulises Córdova García,&nbsp;Ana Maritza Boy Barreto,&nbsp;Milagritos Leonor Rodriguez Rojas,&nbsp;Jacqueline Ponce-Meza,&nbsp;Miguel Saavedra-López","doi":"10.18502/ijps.v18i4.13638","DOIUrl":"10.18502/ijps.v18i4.13638","url":null,"abstract":"<p><p><b>Objective:</b> Dyslexia is a prevalent neurodevelopmental condition that is characterized by inaccurate and slow word recognition. This article reviews neural correlates of dyslexia from both electrophysiological and neuroimaging studies. <b>Method</b> <b>:</b> In this brief review, we provide electrophysiological and neuroimaging evidence from electroencephalogram (EEG) and magnetic resonance imaging (MRI) studies in dyslexia to understand functional and structural brain changes in this condition. <b>Results:</b> In both electrophysiological and neuroimaging studies, the most frequently reported functional impairments in dyslexia include aberrant activation of the left hemisphere occipito-temporal cortex (OTC), temporo-parietal cortex (TPC), inferior frontal gyrus (IFG), and cerebellar areas. EEG studies have mostly highlighted the important role of lower frequency bands in dyslexia, especially theta waves. Furthermore, neuroimaging studies have suggested that dyslexia is related to functional and structural impairments in the left hemisphere regions associated with reading and language, including reduced grey matter volume in the left TPC, decreased white matter connectivity between reading networks, and hypo-activation of the left OTC and TPC. In addition, neural evidence from pre-reading children and infants at risk for dyslexia show that there are abnormalities in the dyslexic brain before learning to read begins. <b>Conclusion:</b> Advances in comprehending the neural correlates of dyslexia could bring closer translation from basic to clinical neuroscience and effective rehabilitation for individuals who struggle to read. However, neuroscience still has great potential for clinical translation that requires further research.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"18 4","pages":"503-509"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/08/IJPS-18-503.PMC10593994.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Two Years after the Beginning of COVID-19: Comparing Families Who Had or Did not Have Patients with COVID-19 on Health Beliefs and Obsessive-Compulsive Symptoms.","authors":"Behzad Salmani,&nbsp;Jafar Hasani,&nbsp;Zahra Zanjani,&nbsp;Mohammad Gholami-Fesharaki","doi":"10.18502/ijps.v18i4.13630","DOIUrl":"10.18502/ijps.v18i4.13630","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to compare health beliefs and obsessive-compulsive symptoms (OCS) in families with (FIM+) or without an infected member (FIM-) two years after the beginning of COVID-19. Additionally, this research intended to predict a decrease in OCS from baseline (T1) to 40 days later (T2) based on health beliefs. <b>Method</b> <b>:</b> In a longitudinal survey, 227 participants in two groups, including FIM+ (n = 98; M = 30.44; SD = 5.39) and FIM- (n = 129; M = 29.24; SD = 4.93), were selected through purposive sampling. They responded to measurements consisting of demographic characteristics, the Obsessive-Compulsive Inventory-Revised (OCI-R), Patient Health Questionnaire (PHQ-9), Impact of Event Scale-Revised (IES-R), and COVID-19 Health Belief Questionnaire (COVID-19-HBQ) at the final assessment phase (T2). To investigate differences between the two groups and predict OCS changes from T1 to T2, data were analyzed using Chi-squared, t-tests, U-Mann-Whitney, Kruskal-Wallis, Pearson correlations, and linear regression analyses. <b>Results:</b> At T1, FIM+ demonstrated significantly greater OCS, health beliefs, posttraumatic stress symptoms (PTS), and depressive symptoms than FIM-. Furthermore, FIM+ showed a decrease in OCS from T1 to T2 after its infected member recovered from COVID-19 (P < 0.001). A decrease in OCS was correlated with a decrease in perceived susceptibility, severity, and barriers. Lack of a vulnerable family member, lower educational attainment, and being a primary caregiver were associated with a greater decrease in OCS. Changes in perceived severity and self-efficacy accounted for 17% of variation in OCS. <b>Conclusion:</b> Even two years after the onset of the pandemic, COVID-19 not only impacts the life of patients with COVID-19 but family members who care for such patients respond to the disease by engaging in excessive health behaviors in the form of OCS.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"18 4","pages":"429-442"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/62/b2/IJPS-18-429.PMC10593991.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relations of Childhood Trauma and Emotional Dysregulation with Suicide Ideation and Suicidal Behaviour Severity in a Clinical Sample of Depressive Female Adolescents.","authors":"Binay Kayan Ocakoğlu,&nbsp;Helin Yılmaz Kafalı,&nbsp;Fevzi Tuna Ocakoğlu,&nbsp;Burcu Kardaş,&nbsp;Ömer Kardaş,&nbsp;Adem Işık,&nbsp;Gizem Müjdecioğlu,&nbsp;Serap Akpınar,&nbsp;Sümeyra Elif Kaplan Karakaya,&nbsp;Yeliz Balca,&nbsp;Çiğdem Yektaş","doi":"10.18502/ijps.v18i4.13631","DOIUrl":"10.18502/ijps.v18i4.13631","url":null,"abstract":"<p><p><b>Objective:</b> This study aimed to explore the aspects of emotional dysregulation (ED) and childhood trauma (CT) which are associated with suicide ideation (SI) and suicidal behaviour (SB) severity in depressive female adolescents who previously attempted suicide. <b>Method</b> <b>:</b> In this cross-sectional study, we evaluated SI and SB severity. The Columbia-Suicide Severity Rating Scale (C-SSRS) was administered to 80 depressive female patients who had suicide attempts within the last month. Current suicide ideation (C-SI) and total score (C-TS), lifetime- suicide ideation (L-SI), and total score (L-TS) were obtained with the C-SSRS. Patients were recruited from five different provinces in Turkey. Additionally, the patients completed the Difficulties in Emotion Regulation Scale (DERS), Childhood Trauma Questionnaire (CTQ), and Beck Depression Inventory (BDI). The Pearson correlation test and a multiple linear regression analysis were used to determine variables predictive of suicide scores. <b>Results:</b> The results of multiple linear regression analysis indicated that the BDI and DERS - total scores explained 35% (adjusted R) of the variance in C-SI ((F (2;67) = 19.61, P < 0.001). C-TS was explained by 'BDI,' 'emotional neglect' and 'DERS impulse' (38% (adjusted R) (F (3;66) = 15.15, P < 0.001). L-SI was only associated with DERS strategies (explains 13% (adjusted R) of the variance in L-SI (F (1;68) = 10.411, P = 0.02). Concerning the C-SSRS L-TS, the DERS impulse and CTQ total accounted for 24% (adjusted R) of the variance (F (2;67) = 10.620, P < 0.001). <b>Conclusion:</b> The results of our study suggest that adolescents who have experienced emotional neglect and depressive symptoms are more at risk for suicidal ideation and behaviour. In addition, depressed adolescents who show impulsive behaviours and restricted emotional strategies are also at risk. Identifying neglected depressed adolescents and teaching impulse control and effective emotional strategies is important for the prevention of suicidal behaviours and thoughts.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"18 4","pages":"443-454"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/77/18/IJPS-18-443.PMC10593995.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Brain Complexity and Psychiatric Disorders.","authors":"Ronald Miguel Hernández,&nbsp;Jacqueline Cynthia Ponce-Meza,&nbsp;Miguel Ángel Saavedra-López,&nbsp;Walter Antonio Campos Ugaz,&nbsp;Roxana Monteza Chanduvi,&nbsp;Walter Campos Monteza","doi":"10.18502/ijps.v18i4.13637","DOIUrl":"10.18502/ijps.v18i4.13637","url":null,"abstract":"<p><p><b>Objective:</b> In recent years, researchers and neuroscientists have begun to use a variety of nonlinear techniques for analyzing neurophysiologic signals derived from fMRI, MEG, and EEG in order to describe the complex dynamical aspects of neural mechanisms. In this work, we first attempted to describe different algorithms to estimate neural complexity in a simple manner understandable for psychiatrists, psychologists, and neuroscientists. Then, we reviewed the findings of the brain complexity analysis in psychiatric disorders and their clinical implications. <b>Method</b> <b>:</b> A non-systematic comprehensive literature search was conducted for original studies on the complexity analysis of neurophysiological signals such as electroencephalogram, magnetoencephalogram, and blood-oxygen-level-dependent obtained from functional magnetic resonance imaging or functional near infrared spectroscopy. The search encompassed online scientific databases such as PubMed and Google Scholar. <b>Results:</b> Complexity measures mainly include entropy-based methods, the correlation dimension, fractal dimension, Lempel-Ziv complexity, and the Lyapunov exponent. There are important differences in the physical notions between these measures. Our literature review shows that dementia, autism, and adult ADHD exhibit less complexity in their neurophysiologic signals than healthy controls. However, children with ADHD, drug-naïve young schizophrenic patients with positive symptoms, and patients with mood disorders (i.e., depression and bipolar disorder) exhibit higher complexity in their neurophysiologic signals compared to healthy controls. In addition, contradictory findings still exist in some psychiatric disorders such as schizophrenia regarding brain complexity, which can be due to technical issues, large heterogeneity in psychiatric disorders, and interference of typical factors. <b>Conclusion:</b> In summary, complexity analysis may present a new dimension to understanding psychiatric disorders. While complexity analysis is still far from having practical applications in routine clinical settings, complexity science can play an important role in comprehending the system dynamics of psychiatric disorders.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"18 4","pages":"493-502"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/38/57/IJPS-18-493.PMC10593988.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effectiveness of Cognitive-Behavioral Approach in Alleviation of Depression, Anxiety and Stress Risks in Diabetic People.","authors":"Atefeh Heyrat,&nbsp;Bahare Nekoui","doi":"10.18502/ijps.v18i4.13626","DOIUrl":"10.18502/ijps.v18i4.13626","url":null,"abstract":"<p><p><b>Objective:</b> Stress, anxiety, and depression affect the diabetic patient by causing symptomatic changes. Considering the destructive effects of psychological symptoms on the health status of diabetic people, our aim was to investigate the effectiveness of cognitive-behavioral therapy (CBT) in improving the psychological outcomes of diabetic patients. <b>Method</b> <b>:</b> This trial is a quasi-experimental type that uses a pretest-posttest design with a control group. A total of 62 people were selected based on the inclusion criteria and randomly divided into two experimental and control groups. All subjects in the intervention group underwent CBT training twice a week for eight sessions, while those in the control group did not receive this intervention. Before and following the intervention, the depression, anxiety and stress scale (DASS-42) was utilized to evaluate the psychological symptoms of all participants. The data were analyzed through analysis of covariance (ANCOVA) and SPSS-23 software. <b>Results:</b> There were no significant differences between the two groups in terms of age, gender, marital status, parenthood, and education level (P > 0.05, n = 30 in each group). Additionally, there was no significant difference between the mean DASS-42 scores before the intervention (P > 0.05). However, after the intervention, the experimental group exhibited reduced levels of depression, anxiety, and stress compared to the control group (P < 0.001). The values of Eta for depression, anxiety, and stress subscales were equal to 0.809, 0.669 and 0.776, respectively, which means that 80.9%, 66.9%, and 77.6% of the changes in these symptoms in the experimental group are related to the training received through the CBT approach. <b>Conclusion:</b> It can be concluded that diabetic patients who suffer from psychological symptoms can benefit from the CBT approach to reduce their stress, anxiety, and depression levels.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"18 4","pages":"388-395"},"PeriodicalIF":0.0,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/7f/49/IJPS-18-388.PMC10593993.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50163145","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"COVID-19 PTSD Predicts Positive Effects among Healthcare Professionals in Iran: Investigating the Roles of Self-Efficacy and Resilience in a Follow-Up Study.","authors":"Remya Lathabhavan,&nbsp;Zohreh Hosseini Marznaki","doi":"10.18502/ijps.v18i3.13016","DOIUrl":"https://doi.org/10.18502/ijps.v18i3.13016","url":null,"abstract":"The Article Abstract is not available.","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"18 3","pages":"369-370"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f9/6f/IJPS-18-369.PMC10422945.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9998492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cosmetic Breast Implants and the Risk of Suicide: A Systematic Review and Meta-Analysis.","authors":"Zahra Mousavi,&nbsp;Nasrin Abolhasanpour,&nbsp;Amirreza Naseri,&nbsp;Fatemeh Maghsoudi,&nbsp;Azizeh Farshbaf-Khalili,&nbsp;Kavous Shahsavarinia,&nbsp;Ali Mousavi,&nbsp;Rasa Beheshti,&nbsp;Ali Mostafaei,&nbsp;Hanieh Salehi-Pourmehr","doi":"10.18502/ijps.v18i3.13008","DOIUrl":"https://doi.org/10.18502/ijps.v18i3.13008","url":null,"abstract":"<p><p><b>Objective:</b> Having cosmetic breast implants increases a woman's chance of suicide, which is now a global challenge. This systematic review evaluated the possible risk of suicide among women who undergo cosmetic breast implants. <b>Method</b> <b>:</b> This meta-analysis was done based on Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA). In the current systematic review and meta-analysis, we systematically searched for all articles written in both English or Persian that estimated the prevalence of suicidal ideation in women who had cosmetic breast implants. We systematically searched different databases, including MEDLINE (PubMed), Web of Science, Embase, Cochrane, Library ProQuest, Scopus, and Google Scholar, from inception to March 2021. There was also a search for references. Suicidal ideation, a suicide plan, or suicide attempts were the outcomes. In order to determine the total pooled prevalence of suicidal ideation, we utilized a random-effects model. To examine the risks of bias in each study, we applied the Joanna Briggs Institute Critical Appraisal method. <b>Results:</b> We identified 218 citations in our initial search. After omitting duplicated citations and excluding irrelevant studies according to the title and abstract selection, 42 studies were chosen for the full text analysis. Finally, 11 research, examining a total of 324,332 women were incorporated into the systematic review and critical appraisal assessment. Eight of these studies were found to be eligible for meta-analysis. The frequency of suicide in women with cosmetic breast implant was 0.2% (95% CI: 0.1% to 0.4%; P < 0.001) (Q-value: 168.143, I2:95.83). Most of the included studies had moderate quality. <b>Conclusion:</b> There might be a correlation between cosmetic breast implants and suicide risk, which could be stronger in the presence of a history of mental illnesses. The evidence about the possible effects of breast implants on the risk of suicide is still inconclusive, and there is a need for future well-designed studies on this topic.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"18 3","pages":"319-331"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/55/52/IJPS-18-319.PMC10422944.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10351030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Group Psychosexual Training for Marital Adjustment and Sexual Self-Efficacy of Infertile Women: A Randomized Controlled Trial.","authors":"Sara Banaha,&nbsp;Hajar Pasha,&nbsp;Afsaneh Bakhtiari,&nbsp;Shabnam Omidvar,&nbsp;Fereshteh Behmanesh,&nbsp;Mahbobeh Faramarzi,&nbsp;Sedigheh Esmailzadeh","doi":"10.18502/ijps.v18i3.13004","DOIUrl":"https://doi.org/10.18502/ijps.v18i3.13004","url":null,"abstract":"<p><p><b>Objective:</b> Infertility can be associated with unfavorable psychological consequences such as a sense of marital incompatibility and sexual inadequacy. To address these issues, this study aimed to assess the effectiveness of group psycho-sexual training in improving marital adjustment and sexual self-efficacy of infertile women. <b>Method</b> <b>:</b> A randomized controlled clinical trial (RCT) study was conducted in Babol, Iran, with 72 infertile women, randomly assigned to either the intervention group (n = 36) or the control group (n = 36). The intervention group underwent psychosexual training, while the control group received routine care. The Dyadic Adjustment Scale (DAS) and Sexual Self-Efficacy Scale (SSES) were used to assess their marital adjustment and sexual self-efficacy. Data analysis was performed using various tests, including the independent t-test, Chi-squared test, paired t-test, ANCOVA, and MANCOVA. <b>Results:</b> Most infertile women had moderate sexual self-efficacy (80%). The intervention group had a significantly better response to group psycho-sexual training compared to the control group. This intervention improved sexual self-efficacy and marital adjustment and its subscales including marital consensus, satisfaction, cohesion (P < 0.0001), and affectional expression (P < 0.001). The mean pre-to-post treatment scores of sexual self- efficacy, marital adjustment, and its subscales increased significantly in the intervention group, while no significant difference was observed in the control group (P < 0.0001). <b>Conclusion:</b> Based on the findings, it is recommended to provide educational services alongside the infertility treatment process for enhancing the quality of marital adjustment and promoting sexual self-efficacy.</p>","PeriodicalId":38866,"journal":{"name":"Iranian Journal of Psychiatry","volume":"18 3","pages":"275-284"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/44/c9/IJPS-18-275.PMC10422948.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10052309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}