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  1. Article ; Online: Sandwich Generation Issues and Challenges

    Hakime Pashazade / Masoomeh Maarefvand / Yadollah Abolfathi Momtaz / Kianoush Abdi

    Iranian Rehabilitation Journal, Vol 21, Iss 3, Pp 379-

    2023  Volume 380

    Abstract: Today, with the increase in the elderly population and life expectancy, the need to use care services for this significant part of the population is increasing [1]. Beliefs, cultures, and social norms among different ethnicities and races are vital in ... ...

    Abstract Today, with the increase in the elderly population and life expectancy, the need to use care services for this significant part of the population is increasing [1]. Beliefs, cultures, and social norms among different ethnicities and races are vital in the extent and nature of care. Two types of care exist, informal and formal. According to statistics by the Secretariat of the National Council on Aging, almost 0.2% of the elderly receive formal care. Therefore, a significant percentage of the elderly live with their families. Coresponding author: Kianoush Abdi, E-mail: k55abdi@yahoo.com You can also search for this author in: PubMed, Google Scholar
    Keywords elder ; sandwich generation ; difinition ; Medicine ; R ; Vocational rehabilitation. Employment of people with disabilities ; HD7255-7256
    Language English
    Publishing date 2023-09-01T00:00:00Z
    Publisher Negah Institute for Scientific Communication
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Mental Health System Responsiveness during COVID-19 in People with Pre-Existing Psychiatric Disorders

    Maryam Zabihi Poursaadati / Samaneh Hosseinzadeh / Masoomeh Maarefvand / Jafar Bolhari / Jagdish Khubchandani

    Epidemiologia, Vol 4, Iss 8, Pp 74-

    Experiences from Iran

    2023  Volume 84

    Abstract: Mental health system responsiveness (MHSR) is one of the important indicators in measuring the performance of mental health systems. Recognizing this function can be effective in responding appropriately to the needs of People with Pre-Existing ... ...

    Abstract Mental health system responsiveness (MHSR) is one of the important indicators in measuring the performance of mental health systems. Recognizing this function can be effective in responding appropriately to the needs of People with Pre-Existing Psychiatric Disorders (PPEPD). This study aimed to investigate MHSR during the COVID-19 period in PPEPD in Iran. Using stratified random sampling, 142 PPEPD who were admitted to a Psychiatric Hospital in Iran one year before the onset of the COVID-19 pandemic were recruited for this cross-sectional study. Participants completed a demographic and clinical characteristics questionnaire as well as a Mental Health System Responsiveness Questionnaire through telephone interviews. The results show that the indicators of prompt attention, autonomy, and access to care were reported as the worst-performing and the confidentiality indicator as the best-performing. The type of insurance affected the access to care and the quality of basic amenities. MHSR has been reported to be poor in Iran in general and this problem worsened during the COVID-19 pandemic. Considering the prevalence of psychiatric disorders in Iran and the degree of disability of these disorders, structural and functional changes are needed for adequate MHSR.
    Keywords mental health system ; responsiveness ; COVID-19 ; psychiatric disorder ; Internal medicine ; RC31-1245
    Subject code 360
    Language English
    Publishing date 2023-02-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Sexual Satisfaction Studies in Iran, A Systematic Review

    Sara Noruzi / Masoomeh Maarefvand / Hamidreza Khankeh / Mostafa Eghlima

    Women’s Health Bulletin, Vol 6, Iss 4, Pp 1-

    2019  Volume 7

    Abstract: Objective: The purpose of this study was to review the sources and studies on couple’s sexual satisfaction and the related factors. Evidence Acquisition: A systematic review was used in this study. The literature was searched in the following Iranian ... ...

    Abstract Objective: The purpose of this study was to review the sources and studies on couple’s sexual satisfaction and the related factors. Evidence Acquisition: A systematic review was used in this study. The literature was searched in the following Iranian electronic databases: Google scholar, Iran Medex, Magiran, Scientific Information Database (SID), Iranian Research Institute for Information Science (IRANDOC), Novin Pajouh, and Islamic World Science Citation Center (ISC). After analysis of 117 papers and exclusion of irrelevant articles, 35 full texts were assessed and finally 22 articles were selected for analysis. Results: The related factors of sexual satisfaction were classified into five groups: physiological, physical, psychological, personal and demographic, communication, and social factors. Most studies are focused on examining the impact of different therapeutic and counseling approaches and few studies are concentrated on the role of macro-structural, social, religious, and cultural factors. Conclusions: Identifying factors related to sexual satisfaction from different social, religious, cultural, personal, and communicative dimensions help to better understand the subject and guide people for a more sustainable life.
    Keywords sexual satisfaction ; association factors ; iran ; Medicine (General) ; R5-920
    Subject code 001
    Language English
    Publishing date 2019-10-01T00:00:00Z
    Publisher Shiraz University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Coronavirus Outbreak and Stress in Iranians

    Masoomeh Maarefvand / Samaneh Hosseinzadeh / Ozra Farmani / Atefeh Safarabadi Farahani / Jagdish Khubchandani

    International Journal of Environmental Research and Public Health, Vol 17, Iss 4441, p

    2020  Volume 4441

    Abstract: Iran has faced one of the worst COVID-19 outbreaks in the world, and no studies to date have examined COVID-19-related stress in the general Iranian population. In this first population-based study, a web-based survey was conducted during the peak of the ...

    Abstract Iran has faced one of the worst COVID-19 outbreaks in the world, and no studies to date have examined COVID-19-related stress in the general Iranian population. In this first population-based study, a web-based survey was conducted during the peak of the outbreak to assess stress and its correlates in the Iranian population. A 54-item, valid, and reliable questionnaire, including items on demographic characteristics and past medical history, stress levels, awareness about signs and symptoms of COVID-19, knowledge about at-risk groups and prevention methods, knowledge about transmission methods, trust in sources of information, and availability of facemasks and sanitizers, was deployed via social and mass media networks. A total of 3787 Iranians participated in the study where the majority of the participants were females (67.4%), employed (56.1%), from developed provinces (81.6%), without chronic diseases (66.6%), and with ≥13 years of formal education (87.9%). The mean age of study participants was 34.9 years (range = 12–73), and the average stress score was 3.33 (SD = ±1.02). Stress score was significantly higher for females, those who were 30–39 years old, housewives, those with chronic diseases, individuals who were aware that there is no vaccine to prevent COVID-19, those who could not get facemasks or sanitizers, and individuals with higher knowledge about at-risk groups ( p < 0.05). There was a significant correlation of stress scores with knowledge about prevention methods for COVID-19 (r = 0.21, p = 0.01) and trust in sources of information about COVID-19 (r = −0.18, p = 0.01). All of the predictors, except knowledge of two important at-risk groups and education, had a significant effect on stress scores based on a multivariate regression model. The COVID-19 outbreak could increase stress among all population groups, with certain groups at higher risk. In the high-risk groups and based on experience with previous pandemics, interventions are needed to prevent long-term psychological effects. Professional support and family-centered programs should be a part of pandemic mitigation-related policymaking and public health practices.
    Keywords coronavirus ; pandemic ; stress ; Iran ; outbreak ; Medicine ; R ; covid19
    Subject code 150
    Language English
    Publishing date 2020-06-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Drug Craving Terminology among Opiate Dependents

    Masoomeh Maarefvand / Hamid Reza Ghiasvand / Hamed Ekhtiari

    Iranian Journal of Psychiatry, Vol 8, Iss 2, Pp 97-

    2013  Volume 103

    Abstract: Objective:Drug craving is defined as an urge to continue substance abuse. Drug dependents use different terms to express their subjective feeling of craving. This study was an attempt to generate an understanding of craving terminology among different ... ...

    Abstract Objective:Drug craving is defined as an urge to continue substance abuse. Drug dependents use different terms to express their subjective feeling of craving. This study was an attempt to generate an understanding of craving terminology among different groups of Persian speaking Iranian opiate dependents.Method:Terms used for the meaning of drug craving were listed by 36 ex-opiate dependents in focus group discussion meetings in the first phase of the study. These terms were composed from Craving Terms Questionnaire. In the second phase, 120 subjects in 3 groups of opiate dependents and a group of Current Opiate Abusers rated usage frequency of each term in the questionnaire under a Twelve-Step Program, Methadone Maintenance, and Other Abstinence-based Programs.Results:Eighty nine terms were categorized in stimulation and triggering, attention bias and obsession, decision making difficulty, information processing impairment, withdrawal induction, drug euphoric experience, mental urge, motor control problem, negative valancing and stigmatizing. Terms for the three categories of mental urge, attention bias and obsession and motor control problem were used more than others. Patients in Methadone Maintenance Treatment (MMT) group used different categories of craving terms in comparison to other groups. Abstinent cases reported higher total score for craving terms in comparison to other groups in Twelve-Step Program and other abstinence-based programs.Conclusion:Each craving-related term is associated with some aspects of the multidimensional concept of craving. A drug-craving thesaurus could provide a better understanding of craving nature from a drug dependent point of view. There are differences among abstinence vs. maintenance based treated opiate dependents in using craving terms. Addiction therapists will benefit from accessing drug dependents’ lexicon to assess and create therapeutic alliance with their clients.
    Keywords Addiction ; Craving ; Opiates ; Persian and Terminology ; Psychiatry ; RC435-571 ; Neurology. Diseases of the nervous system ; RC346-429 ; Neurosciences. Biological psychiatry. Neuropsychiatry ; RC321-571 ; Internal medicine ; RC31-1245 ; Medicine ; R ; DOAJ:Psychiatry ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 150
    Language English
    Publishing date 2013-06-01T00:00:00Z
    Publisher Tehran University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article ; Online: Measurement of Drug Craving in Persian Speaking Subjects; a Review on Current Experiences and Future Perspectives

    Masoomeh Maarefvand / Peyman Hasani-Abharian / Hamed Ekhtiari

    Zahedan Journal of Research in Medical Sciences, Vol 14, Iss 9, Pp 1-

    2012  Volume 7

    Abstract: Background: Drug craving is considered as one of the main cores of drug dependency and addiction. Multidimensionality of drug craving, its cultural-bounded features and its intra individual rapidly changing nature makes it difficult to be measured. ... ...

    Abstract Background: Drug craving is considered as one of the main cores of drug dependency and addiction. Multidimensionality of drug craving, its cultural-bounded features and its intra individual rapidly changing nature makes it difficult to be measured. Nowadays, regarding different psychometric approaches, there are various instruments available for measurement of different aspects of drug craving but mainly for Latin-based languages in North America and European countries. High prevalence and special conditions, and unique subcultures in substance abuse and addiction in many countries, like Iran, make the design of culturally validated instruments for drug craving assessment priority. Materials and Methods: Comprehensive review on drug craving measurement instruments for Persian speaking subjects have been performed by searching in databases (ELSEVIER, Science Direct and Scientific Information Database (SID)) and investigating of related documents on regional experiences. Results: In this article seven main categories of drug craving instruments have been reviewed focusing on validated versions in Persian language including: self-reports, reinforcement “proxies”, drug self administration, psycho physiological responding, neurobiological responding, cognitive processing and expressive methods. Conclusion: Reviewing on weak and strength points of each instrument group and national and regional experiences shows that designing and validating a new series of ecologically-validated instruments for multidimensional measurement of drug craving in different addiction subcultures should be prioritized to cover current methodological gaps in substance abuse studies in Iran.
    Keywords Craving ; Measuring Instrument ; Persian Speaking ; Cultural Validation ; Medicine (General) ; R5-920 ; Medicine ; R ; DOAJ:Medicine (General) ; DOAJ:Health Sciences
    Subject code 360
    Language Persian
    Publishing date 2012-09-01T00:00:00Z
    Publisher Zahedan University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  7. Article ; Online: Sexual and Drug Use Risk Behaviors of Internal Long Distance Truck Drivers in Iran

    Masoomeh MAAREFVAND / Besat KASSAIE / Hamidreza GHIASVAND / Robabeh ABOLFATHI GHARIBDOOSTI / Jagdish KHUBCHANDANI

    Iranian Journal of Public Health, Vol 45, Iss

    2016  Volume 5

    Abstract: Background: Long Distance Truck Drivers (LDTDs) and their sexual health risk behaviors have been associated with greater prevalence of sexually transmitted Infections (STIs), HIV and hepatitis virus transmission. However, there is no information about ... ...

    Abstract Background: Long Distance Truck Drivers (LDTDs) and their sexual health risk behaviors have been associated with greater prevalence of sexually transmitted Infections (STIs), HIV and hepatitis virus transmission. However, there is no information about Iranian LDTDs' high-risk behaviors. The aim of this investigation was to estimate the prevalence of high-risk behaviors in Iranian LDTDs. Methods: This cross-sectional study was conducted in Jun 2014 with LDTDs from Tehran Province of Iran. LDTDs were recruited via convenience sampling and given a 43-item reliable and valid questionnaire to assess sexual health risk behaviors and demographic and background characteristics of study participants. Results: A total of 349 LDTDs with the mean age of 36.91 yr (range, 19–65 yr) participated in the study. The average duration of staying away from home for participants was 5 d (SD=±1). Majority of the LDTDs were married (82.2 %) and had more than 5 yr (inclusive) of formal education (95.7%). Younger LDTDs reported more condom use with their partners (r=-0.170, P≤0.001), more extramarital sexual contacts (r=-0.157, P≤0.001), more pay for sex (r=-0.110, P≤0.005) and condom use in their extramarital sex contacts (including with sex workers) (r=-0.176, P≤0.001). Conclusion: Iranian LDTDs have specific risk factors for unhealthy sexual behaviors. Prevention efforts must emphasize on specific high-risk groups.
    Keywords Long distance ; Truck driver ; High-risk behavior ; Public aspects of medicine ; RA1-1270
    Language English
    Publishing date 2016-05-01T00:00:00Z
    Publisher Tehran University of Medical Sciences
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Social Work Guidelines for Street Children with Substance Use disorders

    Masoomeh Maarefvand / Reza Daneshmand / Schwann Shariatirad / Omid Massah / Alireza Noroozi / Seyed Sepehr Hashemian / Raha Peyravi / Ali Farhoudian

    Iranian Rehabilitation Journal, Vol 13, Iss 4, Pp 120-

    2015  Volume 126

    Abstract: This study was designed with the purpose of providing organized instructions on how to improve the psychological, medical, and social circumstances of street children with concurrent substance use disorders. Due to the special vulnerabilities of these ... ...

    Abstract This study was designed with the purpose of providing organized instructions on how to improve the psychological, medical, and social circumstances of street children with concurrent substance use disorders. Due to the special vulnerabilities of these children, customized guidelines are required in order to maximize the treatment outcomes. Systemic review of literature was applied on a large number of national and international journal articles available on the phenomenon of substance use among street children. The literature review was followed by a qualitative study using in-depth interviews in order to record and analyze the experience of experts working in this field. The preliminary draft was reviewed by the experts and final modifications were applied. The ultimate guideline presents practical recommendations for different stages of providing service for the target population including case finding, motivational interventions, assessment, care and intervention planning, and follow-ups. Street children face various physical, psychological, and social complications. Substance use disorders can exacerbate their circumstances and add to the complexity of their problems. The current guideline is an initial step to better understanding and treating street children who use drugs. Further research is required to investigate the effectiveness and long term results of this guideline .considering the fact that Iran is one of the many countries dealing with this phenomenon, adjustments should be made for application in different cultures.
    Keywords Social work ; Guidelines ; Street children ; Substance use disorders ; Medicine ; R ; Vocational rehabilitation. Employment of people with disabilities ; HD7255-7256
    Subject code 360
    Language English
    Publishing date 2015-12-01T00:00:00Z
    Publisher Negah Institute for Scientific Communication
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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