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Showing 15 results for Molavi

Afrouz Mardi , Parviz Molavi , Zahra Tazakori , Mehrnaz Mashoufi , Nayereh Aminisani ,
Volume 3, Issue 4 (Winter 2003)

 Background & Objective: Postpartum depression is a problematic and important disease and if not recognized and treated on time, it can be aggravated or chronic. Exercise is strongly recommended in this regard to prevent any family disorders and improve the health of mother, child and family. The aim of this study was to determine the effect of exercise on mild postpartum depression among women referring to Ardabil health centers.

  Methods : This study was a double blind clinical trial. About 50 subjects with normal vaginal delivery were selected. The subjects had referred to health canters in the second week after delivery and were diagnosed to have mild depression using Beck depression test. They were randomly divided into two groups (exercise and non-exercise). Then Beck test was done 6 weeks after delivery again and the results were compared in two groups.

  Results : The findings indicated that between mildly depressed mothers, 36% were 26-30 years old, 82% were housekeeper, 44% had under diploma education, 60% had two previous deliveries. 56% of exercise group and 32% of non-exercise group were treated. 8% of experimental subjects and 18% of control ones needed psychological consultation 6 weeks after delivery. T-test showed significant differences between two groups (p<0.05).

  Conclusion : Results showed that exercise had a positive effect on the treatment of mild postpartum depression. As a result it is recommended strongly in postpartum care.

Parviz Molavi, Hosein Mohammadnia, Roohollah Arab , Akbar Atadokht ,
Volume 7, Issue 1 (spring 2007)

  Background & Objectives: Tension headache is one of the most common types of headaches that millions of people suffer from it. So far different treatments have been used to confront with tension headaches. According to the studies, tension headaches usually respond well to nonpharamacological treatment. The objective of this survey is the comparison between efficacy and effectiveness rate of SIT and medical treatment for tension headache treatment.

  Methods: In this study, 30 patients who had referred to neurology clinic of Alavi Hospital and private clinics, during the months of June and July in 2003, with chronic tension headache complaint, were selected randomly. These 30 patients were entered to two study groups and the third control groups. The patients in the first and second group received SIT and medical treatment respectively. The third group was considered as the control group and received no intervention. Indices of headache (frequency, severity and duration) were evaluated in 3 stages (Before treatment, after treatment and within one-month follow up period) by using a headache record device for all of patients. The collected data were analyzed by inferential statistical SIT methods, variance analysis and LSD pair comparison.

  Results: The data found from ANOVA methods (Analysis of variance) showed that both methods (Stress inoculation training and medical treatment) are effective in the treatment of chronic tension headache, but comparison between two groups showed that the group who received SIT had a significant difference compared to the group who received medical treatment in terms of efficacy rate on duration and consistency of headache symptom (p<0.05). In other indices of headache (freauency and severity), there was no significant difference between these two groups.

  Conclusion: This study showed that effiectiveness rate of stress inoculation training is more effective than medical treatment of tension headache (in terms of headache symptoms duration and consistency).

Parviz Molavi, Hosein Ghamari, Masoumeh Saeidloo, Roohollah Arab, Hosein Mohammadnia, Parvaneh Deilami,
Volume 8, Issue 3 (Autumn 2008)


Background & Objectives: Schizophrenia is a chronic disease with frequent periods of exacerbation & remission which influences all aspects of the patient's life, in a way that the patient never returns to his premorbid life. The goal of this survey is Study of main signs in Schizophrenia patients in Ardabil City.

Methods:This study was a descriptive-analytic one which was done on all of the patients with schizophrenia admitted in Fatemi & Issar hospitals in 2006. A sample of 100 was selected. To study the main signs of schizophrenia in these patients, a questionnaire was used. To screen the patients with schizophrenia, MMPI test was used. The findings were analyzed by descriptive statistics & through the computer software SPSS. Also a PCA method of factor analysis was used for the hypotheses.

Results:79 patients were male and the rest female.The most frequent main sign in these patients was attention deficit, & social withdrawal was at the second place. Also, the most frequent type of schizophrenia was paranoid schizophrenia (44%=44 patients). The most widely used was clozapine.

Conclusion: The findings of this study have a concordance with the results of the last studies about the main signs of schizophrenia & also with DSM-IV & Bluerian & Kreaplian symptoms (except from the perception disorders).

Pooran Akhvan Akbari , Parviz Molavi, Ghodrat Akhvan Akbari , Mohammad Reza Ghodrati,
Volume 9, Issue 3 (autumn 2009)

  Background & Objectives: ECT is one of the most common methods in treatment of different types of psychological disorder. The effectiveness of this therapy has direct relation to the duration of convulsion. Knowing the rate of efficacy of anesthetic drugs over convulsion by ECT and preventing of hemodynamic complications are important. This study was conducted to compare effect of Propofol with Sodium Thiopental in the induction of anesthesia during ECT.

  Methods : The subjects of this randomized, controlled and trial study were 16 patents with psychotic disorders. These patients received Sodium Thiopental and Succinylcholine or Propofol and Succinylcholine during 72 sessions of ECT. Duration of subjective and objective convulsion and hemodynamic changes (HR and MAP) as well as side effects of anesthesia and ECT was recorded. The collected data were analyzed by SPSS.

  Results: Duration of subjective and objective convulsion was lower in Propofol taken group than Sodium Thiopental taken patients, but this difference was not statistically significant (p=0.32). The variation of hemodynamic parameter was lower among Propofol taken patients.We observed significant difference between two groups regarding to increase of arterial BP’ mean after taking drugs and immediately after ECT (p=0.04). There was not significant difference from view points of prevalence of respiratory, Hemodynamic complications, nausea, vomiting and restlessness between two groups.

  Conclusion: Duration of convulsion in induction of anesthesia in ECT with Propofol and Sodium Thiopental was not different.

Parviz Molavi , Fariba Sadeghi Movahhed , Moslem Aboulhasanzadeh, Mehrnaz Mashoofi, Hosein Mohammadnia , Parvaneh Dailami , Rohollah Arab,
Volume 9, Issue 4 (winter 2009)

  Background and objectives: Co-morbidity of psychiatric disorders and substance abuse disorder have extensive effects and is accompanied by poorer prognosis. Treatment of this population should be proportionate to their needs. Current study aims to survey personality disorders among referrers to the addiction treatment center, thereby may contributes in achieving a more comprehensive view on encountering them and their treatment.

  Methods: In this cross-sectional descriptive study, number of 100 persons with substance abuse disorder were selected by convenient sampling method from referrers to the Reference Center of Addiction Treatment of Ardabil province in 2008. Necessary information was gathered by researcher designed questionnaire (including demographic information) and Million's questionnaire of Personality Disorder. And gathered data were extracted and analyzed by SPSS Software.

  Results: Results analysis showed that the most observed associated disorders in the studied subjects was the Antisocial Personality disorder (0.54%) and Borderline, Histrionic and Narcissistic Personality disorders were located at next ranks, respectively. There was no significant relationship between used drug type and duration of usage to specific personality (p > 0.05). There was significant statistical difference between multi-drug and one-drug abusers addicts, from view point of having or not having personality disorder (p < 0.05).

  Conclusion: Results analysis showed high co-morbidity of personality disorders and drug abuse among addicts (84 %) and lower rate of personality disorders among persons with one drug compared with multi-drug abuse.

Behnam Molaie , Mohammadali Mohamadi , Aghil Habibi , Vahid Zamanzadeh , Behrouz Dadkhah , Parviz Molavi, Naser Mozaffari ,
Volume 11, Issue 1 (spring 2011)

  Background and Objectives: The importance of considering to job stress among women is not related to loss of economics alone, but it makes an unsafe condition in health of body and soul of person, family and society, too. This study was aimed to determine the rate of job stress among employed women in Ardebil during 2010.

  Methods: In a descriptive cross-sectional study, 1250 governmental-employed women were selected in different offices of Ardabil city. Data were collected by job-contained Karasek questionnaire and results were analyzed by chi-square test.

  Results: The results showed that 62.8% of women experienced medium level of stress and 36.5% revealed to have severe stress. Our findings significantly showed that there are relationship between stress rate of individuals with number of children, level of education, place of living, job experience, rate of work hours per day and night work shift, employment status, physical and mental diseases (p <0.05 ( .

  Conclusion: With respect to severe stress found in employed women in study setting, it seems to need to increase mental health indices in individuals, families and community, and the authorities should develop a comprehensive plan to enhance productivity and satisfaction among employees.

Parviz Molavi , Zahra Shahrivar , Javad Mahmodi Garaee, Sajjad Bashirpor , Afshan Sharghi, Fatemeh Nikparvar ,
Volume 11, Issue 3 (autumn 2011)

  Background & Objectives: Bipolar disorder in children and adolescents is a childhood critical disorder with negative course and outcome consequences. The aim of this study was determination of six-month outcome predictor factors (recurrence rate, the rate of hospitalization, severity of illness and recovery rates) in manic and mixed bipolar disorders of children and adolescents admitted in Tehran Rozbeh hospital.

  Methods: In this prospective Cohort study, 80 patients with bipolar disorder (10-18 year's old) admitted in Tehran Roozbeh Hospital from January 2009 to July 2010 were selected. The available sampling method was used for selection. Participants at admission, discharge, and follow-up at 3 and 6 months, were evaluated by using researcher made questionnaires, K-SADS (to confirm the diagnosis), CDI ( Children Depression Inventory) or BDI ( Beck Depression Inventory) , YMRS ( Young Mania Rating Scale) , CGI- S ( Clinical Global Impression Scale) , CGAS ( Children's Global Assessment Scale), CGI-S ( Clinical Global Impression Scale) and PAS ( Premorbid Adjustment Scale) . The data were analyzed by Pearson correlation coefficient and Multivariate regressions .

  Results: The results showed that disease outcome was not associated with age. Gender (male) had correlation with mania severity in 6-month follow-up. Disease duration predicted recurrence rate and severity of disease. Manic type disorder was related with mania severity, and mixed mania predicted mania severity negatively in 6-month follow-up. Therapeutic compliance was correlated with mania severity (negative correlation) and improvement rate (positive correlation). Presence of psychosis was correlated with recurrence rate positively in 6-month follow-up. Co-morbidity with ADHD ( Attention Deficient /Hyperactivity Disorder) predicted clinical global improvement (CGI-G) negatively and mania severity positively in 6-month follow-up. Pre-morbid coping showed negative relationship with mania severity and positive relation with global improvement rate in 6-month follow-up.

  Conclusion: Our results showed that gender of patients, duration and manic type of disease, presence of psychosis at admission have a direct relation with inappropriate outcome of manic and mixed bipolar disorders of children and adolescents. These findings emphasize necessity of special curing during treatment.

Fariba Sadeghi Movahhed , Parviz Molavi , Farid Gossili , Touraj Rahmani , Firouz Amani , Amir Masoud Rostami ,
Volume 12, Issue 1 (spring 2012)

  Background & Objectives: Insomnia is one of the most common sleep disorders in the world. It causes disruption in daily activities and increases the risk of major depression. Hence, clinically the appropriate and persistent treatment of insomnia is very important. Using of hypnotic drugs such as benzodiazepines is the common treatment for insomnia but they show several side effects and it seems that new medications should be used for treatment of sleep disorders. The aim of this study was comparison between the effects of electromagnetic therapy and conventional drug usage in the treatment of insomnia.

  Methods: In a blind randomized clinical trial study, 60 people referred to the private office of the psychiatrist and experienced more than 3 months extended primary insomnia were selected. They were diagnosed by DSM-IV criteria and had no other underlying problems. The subjects were divided in two groups: 30 people in each and treated electromagnetically or with Alprazolam for 3 weeks. Before treatment, immediately and one month after treatment, quality of sleep and severity of the insomnia were evaluated by using the standard questionnaires and finally, the results were analyzed statistically.

  Results : In this study, 60 individuals participated from whom 28 were male (46.7%) and 32 patients were female (53.3%).The mean age was 37.3 years old in a range of 17- 65. The mean point of each questionnaire, before and immediately after treatment significantly didn't show any difference but one month after treatment, there was a significant difference in both groups.

  Conclusion : To treat insomnia, electromagnetic therapy appears to be used as a replacement for sedative medicines. It also has more stability in comparison with other sedative medicines and no side effects have been reported yet.

Fariba Sadeghi Movahed, Parviz Molavi , Mehdi Samadzadeh, Bita Shahbazzadegan , Raheleh Askari Moghadam ,
Volume 12, Issue 5 (suppl 2012)

  Background & Objective: Attention Deficit-Hyperactivity Disorder (ADHD) is a heredity and psychological disorder that often continues to adulthood and causes great number of emotional, social, educational and occupational problem for college students. The aim of this study is to determine the prevalence of ADHD among students residing in the dormitory of Ardabil University of Medical Sciences.

  Methods: In this cross sectional study, all students in the dormitory of Ardabil University of Medical Sciences were included. They filled the Self reporting Conner’s ADHD questionnaires. Data were extracted and analyzed with SPSS.

  Results: During this study, the prevalence of ADHD was 8.6 percent. The males show more involvement rate than females. The students with ADHD showed more incidences of smoking and psychotropic drug consumption.

  Conclusion: Due to the high prevalence of ADHD among the college students, early diagnosis and treatment of ADHD seems to be necessary.

Sajjad Basharpoor, Parviz Molavi, Syiamak Sheykhi, Sajjad Khanjani, Moslem Rajabi, Seyied Amin Mosavi,
Volume 13, Issue 3 (autumn 2013)

  Background & objectives: Students bullying, especially in the adolescence period, is a prevalent problem in the schools, that emotional dysregulation is posed as a one cause of it. Considering this issue, the aim of this study was to investigate the relationships between emotion regulation and emotion expression styles with bullying behaviors in adolescent students.

  Methods: The method of this study was correlation. Whole male students of secondary and high schools in Ardabil at 90-91 educational year comprised statistical population of this research. Two hundred thirty students, were selected by multistage cluster sampling method, responded to the questionnaires of bullying/victimization, emotion regulation and emotion expression. Gathered data were analyzed by Pearson correlation and multiple regression tests.

  Results: The results showed that victimization by bullying has positive relationship with cognitive reappraisal (r= 0.15, p<0.02), emotion suppression (r= 0.47, p<0.001), and positive expression (r= 0.25, p<0.02), but has negative relationship with impulse severity (r= -0.35, p<0.001), and negative emotion expression (r= -0.43, p<0.001). Furthermore bullying has a positive relationship with cognitive reappraisal (r= 0.14, p<0.03), impulse severity (r= 0.31, p<0.003), and negative expression (r= 0.29, p<0.001), but has negative relationship with emotion suppression (r= 0.28, p<0.001), and positive expression (r= 0.24, p<0.001). In sum emotion regulation and emotion expression styles explained 36 percent of the variance of the victimization by bullying and 19 percent of the variance of the bullying. 

  Conclusion: This research demonstrated that emotion dysregulation at the adolescent period plays important role in bullying and victimization, thus the training of emotion regulation abilities is suggested as the one of interventions methods for this behavioral problems.

Akbar Atadokht, Sajjad Basharpoor, Neda Rahimi, Elmira Nouri, Parviz Molavi,
Volume 14, Issue 4 (winter 2014)

  Background & objectives: Chronic psychiatric patients not only become inactive members of community but also the heavy costs of their maintenance and rehabilitation burden on society and their family. According to importance of subject, this study aimed to investigate the role of percieved social support in predicting positive and negative syndrome in patients with schizophrenia.

  Methods: In this descriptive-correlational study, 124 patients have been selected among patients with schizophrenia hospitalized in Issar Psychiatric Hospital and Rehabilitation Centers in first 3 mounths of 2014 in Ardabil, Iran and completed Positive and Negative Syndrome Scale (PANSS), Multidimensional Scale of Perceived Social Support (MSPSS) and a researcher made demographic checklist. Data were analyzed by Pearson correlation coefficient and multivariate regression analysis on SPSS-16 software and P values less than 0.05 were considered statistically significant.

  Results: The mean age of participants was 36.34±9.09 and their education level was mostly (58%) primary or illiterate. Results showed that there is a negative relationship between patients positive symptoms index and their family, some others and total social support (p<0.01) and also between negative symptoms index and patients friends, some others and total social support (p<0.05). Results of multivariate regression analysis showed that 11% of positive and negative symptom syndrome are explained by percieved social support in patients with schizophrenia (p<0.01).

  Conclusion: Percieved social support has relationship with positive and negative syndrome of patients with schizophrenia and measures to increase resources of social support and promotion of patients percieved social support can be used as an effective intervention by clinicians, patients and their family.

Parviz Molavi , Niloufar Mikaeili , Neda Rahimi , Saeid Mehri ,
Volume 14, Issue 4 (winter 2014)

  Background & Objectives : Social phobia is one of the common anxiety disorders characterized by fear of social situations, shame and embarrassment in communicating with unfamiliar people. The aim of this study was to examine the effectiveness of acceptance and commitment therapy in reducing anxiety and depression in students with social phobia .

  Methods: An experimental pretest-posttest with control group design was used to conduct the study. The population consists of all female students in Ardabil city, 2013-2014 academic years. Using a multiple-stage cluster sampling method, a representative sample consists of 400 students was selected for the study. Then, among the students those with social phobia (based on the cut-off point), 34 participants were randomly selected and divided into two groups of 17 people (one experimental group and one control group) . The participants in experimental group received acceptance and commitment therapy for 10 sessions of 90 minutes. The control group did not receive any intervention. Anxiety, depression and social phobia questionnaires were administered to the two groups before and after the intervention. Descriptive statistics and multivariate ANOVA (MANOVA) were used for data analysis.

  Results: The results of data analysis showed that treatment based on acceptance and commitment therapy reduces anxiety, depression and social phobia of students in the experimental group compared with the control group (p<0.001) .

  Conclusion: The present study showed that acceptance and commitment therapy for students with social phobia can be used as a psychological intervention along with other intervention mechanisms.

Zarife Sohrabi, Hasan Yaghoubi, Behzad Shalchi, Amirsaleh Delara, Parviz Molavi,
Volume 17, Issue 2 (summer 2017)

Background & objectives: Epilepsy is a chronic neurological disorder that disrupts normal brain activity due to abnormal electrical discharge of brain cells. Mood swings, depression and anxiety are the common complications in epilepsy. The aim of the present study was to compare alexithymia in patients with Tonic-clonic epilepsy, Juvenile Myoclonic Epilepsy (JME), and healthy individuals.
Methods: In this casual-comparative study, sampling was performed by convenience sampling method. The study population consisted of all epileptic patients and the study sample included 134 participants (N= 74 Patients and N= 60 healthy people) individuals aged 18-35 years. Among the patients, 14 were excluded due to lack of selection criteria and 60 samples (N= 29 with myoclonic and N= 31 with Tonic-clonic epilepsy) remained.
Data regarding alexithymia was gathered by Toronto Alexithymia Scale, and analyzed by ANOVA, Scheffé post - hoc test and t-test were performed for independent groups.
Results: Findings showed that the mean of Alexithymia in those with JME,  tonic-clonic epilepsy and normal individuals were 64.44, 61.41, and 54.24, respectively. The difference between the two groups with myoclonic and tonic-clonic epilepsy was not statistically significant. However, there was a significant difference found between those with tonic-clonic epilepsy and normal individuals (T= 6.82; p<0.01). In addition, patients with  JME  and tonic-clonic epilepsy had more difficulty in identifying and describing emotions, and external thought direction compared to normal ones, while no such a difference was observed between the two groups with epilepsy.
Conclusion: Epilepsy is accompanied by reduced processing of emotional information such as alexithymia. Individuals with tonic-clonic and juvenile myoclonic epilepsy are less qualified for recognizing and describing emotional information, and their intellectual orientation is mostly external. Also, since the location of discharge in both types is widespread and similar, no significant difference in alexithymia was observed between the patients with tonic-clonic and myoclonic epilepsy
Parviz Molavi, Mohammad Reza Mohammadi, Ali Khaleghi, Mehryar , Nadr Mohammadi Moghadam ,
Volume 18, Issue 2 (summer 2018)

Background & objectives: Considering the importance of prevalence studies in disease management, this study was conducted to determine the prevalence of psychiatric disorders in children and adolescents in Ardabil province.
Methods: In this study, 1035 children and adolescents aged 6 to 18 were selected using cluster random sampling and examined with a digital version of the K-SADS in terms of psychiatric disorders. In the present work, 24 types of psychiatric disorders in children and adolescents were evaluated.  Sampling was done in the general population and interviews were conducted at the door of the house. Assessments were carried out by experienced psychologists. The point and interval prevalence (with 95% confidence interval) were calculated for disorders. Data were analyzed using SPSS ( v.22) software. 
Results: Hyperactivity, oppositional defiant, enuresis, and separation anxiety disorders had the highest prevalence in the studied sample. In contrast, psychosis, autism and panic disorders had the lowest prevalence. Depression had a moderate prevalence (1.7%) among other disorders. The overall prevalence of disturbances was 31.7%.
Conclusion: The prevalence of psychiatric disorders in Ardabil children and adolescents was high. According to this rate, etiologic studies are necessarily needed  for disorders  with  have high prevalence and health systems should design and manage  preventive plans for the general public.
Zeynab Atayi Kalan, Anahita Azarkolah , Somayyeh Taklavi, Parviz Molavi,
Volume 19, Issue 1 (spring 2019)

Background & objectives: This study was conducted to compare the basic psychological needs and different levels of Theory of mind between mothers of oppositional defiant disorder and hyperactivity / attention deficit disorder children
Methods: The statistical population of the study included all mothers of childern with oppositional defiant disorder and hyperactivity/attention deficit disorder in psychiatric clinics of Fatemi hospital of Ardabil in 1396-1397. These mothers were randomly assigned in to two groups (35 people in group ODD & 35 people in group ADHD). The instruments used in this study were: Theory of mind, basic psychological needs and Children's Symptoms Questionnaire (CSI-4 Parent Form). The collected data were entered into SPSS-21 software and analyzed by data analysis method. Multivariate variance (MANOVA) was used.
Results: The results of the analysis of variance finding show that is no significant difference between mental theory (p>0.407, F=0.697) of basic psychological needs such as competency (p>0.336, F=0.393) self-determination (p>0.597, F=0.283) and communication (p>03.387, F=0.760) between two groups of mothers of children with oppositional defiant disorder and hyperactivity disorder/attention deficit.
Conclusion: These results show that the importance of paying attention to the basic psychological needs and the theory of the minds of mothers of these children in improving the educational status of social communication and emotional assessments and cognitive development of the child.

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مجله دانشگاه علوم پزشکی اردبیل Journal of Ardabil University of Medical Sciences
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