4 research outputs found
The relationship between marital satisfaction with demographics characteristics in the population of Tehran 2016
No full textAbstractBackground and Aim:The family has important and multiple effects on various aspects of individual and social life.Marital satisfaction influences on the family. The aim of current study was to determine the effectsof demographic factors on marital satisfaction in selected population of Tehran.Materials and Methods:This was a descriptive cross-sectional study. The sample was of 90 couples (180 individuals) whichwere selected by convenience sampling from the people who were working in centers affiliated tothe Ministry of Health. They had spent at least two years of marriage, and they didn’t haveaddiction and severe psychiatric disorders. After removing the falsified questionnaires, the 80couples (160 individuals) were investigated. Enrich marital satisfaction questionnaire and aresearcher- made demographic characteristics questionnaire were completed for each couple. Datawere analyzed by Pearson's correlation and paired t-test.Results:The relationships between age (p=0.07 for women & p=0.85 for men), family size (p=0.07 forwomen & p=0.8 for men), income (p=0.09 for women & p=0.6 for men), difference age of couple(p=0.92 for women & p=0.55 for men) and length of marriage (p=0.36 for women & p=0.36 formen) and marital satisfaction were not significant.Conclusion:Marital satisfaction scores were higher than expected in women and men. Also no significantrelationship with determinant variables was not consistent with some studies. This issue shows needfurther examination to generalize the results to other couples.Keywords:Satisfaction, Marital Relationship, Demographic Factor
Effectiveness and cost-effectiveness of community-based mental health services for individuals with severe mental illness in Iran: a systematic review and meta-analysis
No full textAbstract Background Severe mental illness (SMI) imposes a substantial worldwide burden of disability, highlighting the need for comprehensive and adaptable mental health services. This study aims to assess the efficacy and cost-effectiveness of community-based mental health services (CBMHS) in reducing relapse and rehospitalization rates among individuals with SMI in Iran. Method A systematic review and meta-analysis were conducted. Medline, EMBASE, ISI, SCOPUS, and ProQuest were searched until December 2022. We focused on randomized controlled trials, quasi-experimental studies, or economic studies related to individuals with SMI. Out of 127 articles, 17 were selected for a full-text review. The primary outcomes were the severity of psychopathology, rehospitalization rates, and the mental health of caregivers. We also examined community-based interventions and their impact on various outcomes. Data extraction and risk of bias assessment were performed, and critical appraisal was conducted using JBI checklists. Meta-analysis was carried out using STATA software. (PROSPERO registration. CRD42022332660). Result Rehospitalization rates among patients who received CBMHS were significantly lower, with an odds ratio of 2.14 (95% CI: 1.44 to 3.19), indicating a 2.14 times lower likelihood than those who received treatment as usual. A reduction in psychopathology accompanied this, SMD: -0.31, 95% CI: -0.49 to -0.13, I2 = 40.23%). Moreover, there was a notable improvement in social skills (SMD: -0.7, 95% CI: -0.98 to -0.44, I2 = 0.00%). The burden on caregivers also decreased (SMD: -0.55, 95% CI: -0.99 to -0.1, I2 = 63.2). The Incremental Cost-Effectiveness Ratio (ICER) for QUALY was acceptable, albeit with a wide range of 613 to 8400 Dollars. Conclusion CBMHS has demonstrated effectiveness and efficiency in Iran as a developing country. Additionally, it shows promise in mitigating the shortage of acute psychiatry beds. Using multiple data collection tools poses a limitation regarding data consolidation and conducting a meta-analysis
