Razi Journal of Medical Sciences
مجله علوم پزشکی رازی
RJMS
Medical Sciences
http://rjms.iums.ac.ir
39
journal39
2228-7043
2228-7051
en
jalali
1392
11
1
gregorian
2014
2
1
20
116
online
1
fulltext
fa
تعیین اثر عوامل خطر بر شدت علائم بیماری سایکوز دورهی اول با استفاده از مدل انتقالی
Determining the effects of the risk factors on severity of symptoms in the first-episode psychosis patients using transitional model
آمار زیستی
Biostatistics
پژوهشي
Research
<font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">زمینه و هدف</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">:
اختلالات سایکوتیک در میان اختلالات مختلف روانپزشکی، چه به لحاظ مشکلات فردی و
خانوادگی و چه از نظر عواقب اقتصادی- اجتماعی دارای اهمیت ویژهای هستند. شایعترین
آنها اسکیزوفرنی و اختلالات خلقی سایکوتیک هستند که اغلب از دوران جوانی آغاز میگردند
و معمولاً با صرف هزینههای زیاد درمانی و پیش آگهی نه چندان خوب همراه هستند. هدف
این مطالعه، بررسی تعیین اثر عوامل خطر بر</span><span dir="ltr"></span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"><span dir="ltr"></span>
</span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">شدت علائم بیماری سایکوز دورهی اول مراجعه کننده به بیمارستان
روزبه در یک پیگیری دو ساله است.<o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">روش کار</span></b><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">:
این مطالعه، یک مطالعهی طولی بود که در آن دادههای بیماران دچار سایکوز دورهی
اول که در سالهای 1387-85 به بیمارستان روزبه مراجعه داشتند مورد بررسی قرار
گرفت. اثر متغیرهای نوع درمان، سن، جنس، وضعیت تأهل، سطح تحصیلات، شغل، سابقهی
بیماری در خانواده و تشخیص بالینی اصلی بر شدت علائم بیماری در نرم افزار </span><span style="line-height: 115% font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr">R</span><span dir="rtl"></span><span lang="AR-SA" style="line-height: 115% font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt"><span dir="rtl"></span> نسخه 2.15.0 و با
استفاده از مدل انتقالی مورد بررسی قرار گرفت.</span><span lang="FA" style="font-family: "B Mitra" mso-bidi-language: FA mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">یافتهها:</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 13pt mso-bidi-language: FA"> </span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">متغیرهای
نوع درمان، شغل و تشخیص بالینی اصلی بر پاسخ بیمار معنی</span><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-family: "B Mitra" mso-bidi-font-size: 10.0pt" dir="ltr"></span><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">دار بوده است.</span><span lang="FA" style="font-family: "B Mitra" font-size: 12pt mso-bidi-language: FA mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal unicode-bidi: embed direction: rtl text-justify: kashida text-kashida: 0%" dir="rtl"><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">نتیجه</span></b><b><span style="font-family: "Times New Roman","serif" font-size: 9pt mso-bidi-font-size: 10.0pt" dir="ltr"></span></b><b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">گیری</span></b><span lang="AR-SA" style="font-family: "B Mitra" font-size: 10pt mso-ascii-font-family: "Times New Roman" mso-hansi-font-family: "Times New Roman" mso-ansi-font-size: 9.0pt">:
تأکید بر متغیرهای معنیدار بر پاسخ بیماران در طول درمان میتواند در شناخت بهتر
وضعیت درمانی این بیماران و ارائهی برنامههای مداخلهای مناسبتر راهگشا باشد.<o:p /></span></p><font face="Times New Roman" size="3"> </font>
<font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA">Background: </span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Psychotic
disorders have special importance within different psychiatry disorders, for
both the individual and familial problems as well as economical and social
consequences. The most widespread of them is Schizophrenia and Affective
Psychotic Disorders, which often start in early ages and usually need expensive
treatments while lacking sufficient prognosis. The aim of this study is
determining the effects of risk factors on the severity of symptoms of illness
in the first-episode psychosis patients who were admitted to Roozbeh Hospital
in a 2-year follow up study.</span><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-font-family: Baskerville"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Methods</span></b><span style="font-family: "Times New Roman","serif" font-size: 12pt">: In this
longitudinal study, first-episode psychosis patient’s data who were admitted to
Roozbeh Hospital between 2006– 2008, were analyzed. The effect of variables
such as type of treatment, age, gender, marital status, educational status,
profession, family history of illness and the main diagnosis, on the severity
of symptoms of illness was studied using transitional model in “R” software
V2.15.0.<span lang="AR-SA" dir="rtl"><o:p /></span></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Results:</span></b><span style="font-size: 12pt mso-bidi-font-family: "B Mitra" mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri"><font face="Calibri"> </font></span><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">Type of treatment, profession and the main
diagnosis has significant effect on patient’s response.</span><span style="font-family: "Times New Roman","serif" font-size: 12pt"><o:p /></span></p><font face="Times New Roman" size="3"> </font><p class="MsoNormal" style="margin: 0in 0in 0pt text-align: justify line-height: normal text-justify: inter-ideograph tab-stops: right 7.3pt center 265.9pt"><b><span style="font-family: "Times New Roman","serif" font-size: 12pt">Conclusions: </span></b><span style="color: black font-family: "Times New Roman","serif" font-size: 12pt mso-bidi-language: FA mso-bidi-font-family: "B Nazanin"">Underscoring the meaningful
variables on patient’s response in care duration could be useful for better
recognition of the treatment status of these patients’ and could help in
presenting more suitable interventional programs.</span><span lang="AR-SA" style="font-family: "Times New Roman","serif" font-size: 12pt" dir="rtl"><o:p /></span></p><font face="Times New Roman" size="3"> </font>
مدل انتقالی، سایکوز دورهی اول، شدت علائم بیماری
Transitional model, First-episode psychosis, Severity of symptoms of illness
1
8
http://rjms.iums.ac.ir/browse.php?a_code=A-10-1-1493&slc_lang=fa&sid=1
Parisa
Sabooni Aghdam
پریسا
صابونی اقدم
3900319475328460025096
3900319475328460025096
No
University of Social Welfare and Rehabilitation Sciences
دانشگاه علوم بهزیستی و توانبخشی
Samaneh
Eftekhary
سمانه
افتخاری
3900319475328460025097
3900319475328460025097
No
University of Tehran
دانشگاه تهران
Masoud
Karimloo
مسعود
کریملو
3900319475328460025098
3900319475328460025098
No
University of Social Welfare and Rehabilitation Sciences
دانشگاه علوم بهزیستی و توانبخشی
Akbar
Biglarian
اکبر
بیگلریان
3900319475328460025099
3900319475328460025099
Yes
University of Social Welfare and Rehabilitation Sciences
دانشگاه علوم بهزیستی و توانبخشی