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Smartphone Addiction and its Impacts on Loneliness, Happiness, and Satisfaction with Life in Medical Students with Different Personalities During COVID-19 Pandemic. 在 COVID-19 大流行期间,智能手机成瘾及其对不同性格医学生的孤独感、幸福感和生活满意度的影响。
Pub Date : 2023-10-01 Epub Date: 2023-10-29 DOI: 10.34172/ahj.2023.1446
Jeneth Berlin Raj, Krishnan Srinivasan, Vishnupriya Veeraraghavan

Background: In this digital era, around the globe, smartphones have become ubiquitous and an indispensable part of everyday life. Despite being a highly productive tool, smartphone is often overused or misused leading to addiction. Studies have been carried out to assess factors influencing smartphone addiction, but very little focus has been placed on psychosocial changes in adults with different personalities, especially among medical students. Hence, this study aimed to investigate the influence of smartphone addiction on personality among medical students in South India.

Methods: A validated extrovert and Introvert Personality Inventory (IPEI) was administered to assess the personality after obtaining the necessary permissions. Using a validated questionnaire, the satisfaction with life, subjective happiness, and loneliness scales were administered via Google Forms.

Findings: The results showed there was a statistically significant increase in life satisfaction and loneliness scores among the extroverts in the mobile phone addiction group compared with the non-addiction group (P<0.0001).

Conclusion: Considering the impact of cell phones on various factors in adults in different areas can complement the nationwide statistics so as to formulate a health policy to address the vulnerable population and thus prevent the deterioration of the psychosocial behavior of the young generation.

背景:在这个数字时代,智能手机已在全球范围内无处不在,成为人们日常生活中不可或缺的一部分。尽管智能手机是一种高效的工具,但人们往往过度使用或滥用智能手机,从而导致上瘾。已有研究对影响智能手机成瘾的因素进行了评估,但很少有人关注不同性格的成年人,尤其是医学生的社会心理变化。因此,本研究旨在调查智能手机成瘾对南印度医学生人格的影响:在获得必要的许可后,采用经过验证的外向型和内向型人格量表(IPEI)对人格进行评估。使用经过验证的问卷,通过谷歌表单对生活满意度、主观幸福感和孤独感量表进行评估:结果表明,与非手机成瘾组相比,手机成瘾组中外向型人格者的生活满意度和孤独感得分在统计学上有显著提高(PC结论:考虑到手机对各种生活方式的影响,手机成瘾组中外向型人格者的生活满意度和孤独感得分在统计学上有显著提高:考虑手机对不同地区成年人各种因素的影响,可以补充全国范围的统计数据,从而制定针对弱势群体的健康政策,防止年轻一代的社会心理行为恶化。
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引用次数: 0
Validation of Gambling Related Cognitions Scale-Iranian Version (GRCS-IR). 赌博相关认知量表伊朗版(GRCS-IR)的验证。
Pub Date : 2023-10-01 Epub Date: 2023-10-29 DOI: 10.34172/ahj.2023.1431
Mohsen Jadidi, Farid Ahmadrad, Samaneh Sadat Sarkeshikian, Mahsa Seyed Moradpoor

Background: The change in gambling forms, a wide variety of advertising methods, the access to gambling, as well as the increase in participation in online gambling have made it important to know and investigate gambling, particularly as pathological gambling leads to psychological and physical damage.

Methods: The present study investigated the factor structure of the Gambling Related Cognitions Scale (GRCS) proposed by Raylu and Oei in addiction. The study sample included 574 participants (40.2% male, 59.8% female) between 18 and 56 years of age. The instruments used in the present study included the GRCS, the South Oaks Gambling Screen Questionnaire (SOGS), the Victorian Gambling Screen (VGS), and the Problem Gambling Severity Index (PGSI).

Findings: A 5-factor GRCS model provided the best fit to the data, and gambling-related cognitions were a strong predictor of disordered gambling among adults. All subscales presented good internal consistency and scalability. The findings showed that the total score of the GRCS-IR was significantly different among men and women.

Conclusion: The findings of this study confirmed that the Iranian version of the GRCS-IR is an effective multidimensional instrument that accurately measures cognitive distortions related to gambling. Consequently, it can be utilized as a valuable tool for assessing GRC (Gambling Related Cognitions) to understand the severity of pathological gambling and has the potential capacity to measure treatment outcomes.

背景:赌博形式的变化、多种多样的广告方式、赌博的可及性以及参与网络赌博人数的增加,使人们对赌博的认识和研究变得十分重要,尤其是病态赌博会导致心理和生理损害:本研究对 Raylu 和 Oei 提出的赌博成瘾相关认知量表(GRCS)的因子结构进行了调查。研究样本包括 574 名 18 至 56 岁的参与者(男性占 40.2%,女性占 59.8%)。本研究使用的工具包括 GRCS、南橡树赌博筛查问卷(South Oaks Gambling Screen Questionnaire,SOGS)、维多利亚赌博筛查问卷(Victorian Gambling Screen,VGS)和问题赌博严重程度指数(Problem Gambling Severity Index,PGSI):五因素GRCS模型与数据的拟合度最高,与赌博相关的认知对成年人的赌博障碍有很强的预测作用。所有分量表都具有良好的内部一致性和可扩展性。研究结果表明,GRCS-IR的总分在男性和女性之间存在显著差异:本研究结果证实,伊朗版 GRCS-IR 是一种有效的多维工具,能准确测量与赌博有关的认知扭曲。因此,它可作为评估 GRC(赌博相关认知)的重要工具,用于了解病态赌博的严重程度,并具有衡量治疗效果的潜在能力。
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引用次数: 0
Investigating the Effectiveness of Modifying the Parent-Child Interaction Pattern Based on Filial Play Therapy on Internet Addiction, Sleep Quality, and Self-efficacy in 9-12-Year-Old Children. 基于孝道游戏疗法的亲子互动模式改变对9-12岁儿童网络成瘾、睡眠质量和自我效能的影响研究
Pub Date : 2023-10-01 Epub Date: 2023-10-29 DOI: 10.34172/ahj.2023.1398
Fereshteh Danesh, Masoud Mohammadi, Ghasem Naziri, Najmeh Fath

Background: Despite all the positive features of the internet, the risk of addiction threatens users. Sleep disorders and the negative effects on self-efficacy are important risks of this technology. Accordingly, the present study aimed to investigate the effectiveness of modifying the parent-child interaction pattern based on play therapy (filial therapy) on internet addiction, sleep quality, and self-efficacy in 9-12-year-old children.

Methods: This quasi-experimental study was conducted using a pre-test-post-test design with a control group. The statistical population of the study consisted of all 3617 boys and girls aged 9-12 years studying in selected schools in Kerman, Iran (12 elementary schools) in the academic year 2020-2021. A total of 72 students were randomly selected from among the children who met the benchmark score of internet addiction and were not under medical and psychological treatment. The participants were divided into two experimental and control groups (36 students each). A demographic information questionnaire, the Internet Addiction Scale (YIAS), the Self-Efficacy Questionnaire for Children (SEQ-C), and the Pittsburgh Sleep Quality Index (PSQI) were used to collect data. Data were analyzed using SPSS software.

Findings: The mean scores of internet addiction in the pre-test and post-test were 86.67 and 86.23 in the control group and 88.14 and 75.14 in the experimental group, respectively, which showed a decrease in internet addiction. The scores of sleep quality in the pre-test and post-test were 1.81 and 1.78 in the control group and 1.75 and 0.5 in the experimental group, respectively. Moreover, the overall scores of self-efficacy in the pre-test and post-test were 63.64 and 63.94 in the control group and 62.08 and 81.75 in the experimental group, respectively. The results indicated an improvement in the overall quality of sleep and selfefficacy.

Conclusion: The results showed that the severity of internet addiction in children decreased after the treatment based on modifying the parent-child interaction, and this treatment was also effective on self-efficacy and sleep disorders.

背景:尽管互联网具有各种积极的功能,但其上瘾的风险也威胁着用户。睡眠障碍和对自我效能感的负面影响是这一技术的重要风险。因此,本研究旨在探讨基于游戏疗法(孝道疗法)改变亲子互动模式对 9-12 岁儿童网络成瘾、睡眠质量和自我效能感的影响:这项准实验研究采用前测-后测设计,并设对照组。研究的统计人群包括 2020-2021 学年在伊朗克尔曼市选定学校(12 所小学)就读的所有 3617 名 9-12 岁男孩和女孩。研究人员从符合网络成瘾基准分数且未接受医疗和心理治疗的儿童中随机抽取了 72 名学生。参与者被分为实验组和对照组(各 36 人)。实验组采用人口统计学信息问卷、网络成瘾量表(YIAS)、儿童自我效能感问卷(SEQ-C)和匹兹堡睡眠质量指数(PSQI)收集数据。数据使用 SPSS 软件进行分析:对照组网络成瘾的前测和后测平均得分分别为 86.67 分和 86.23 分,实验组分别为 88.14 分和 75.14 分,这表明网络成瘾有所减少。对照组和实验组在前测和后测的睡眠质量得分分别为 1.81 和 1.78,实验组为 1.75 和 0.5。此外,对照组在测试前和测试后的自我效能感总分分别为 63.64 分和 63.94 分,实验组分别为 62.08 分和 81.75 分。结果表明,实验组的整体睡眠质量和自我效能感都有所提高:结果表明,在改变亲子互动的基础上进行治疗后,儿童网络成瘾的严重程度有所下降,而且这种治疗方法对自我效能感和睡眠障碍也有效果。
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引用次数: 0
A Review on the Disruption of Novel Object Recognition Induced by Methamphetamine. 综述甲基苯丙胺对新物体识别的干扰
Pub Date : 2023-10-01 Epub Date: 2023-10-29 DOI: 10.34172/ahj.2023.1307
Seyedeh Masoumeh Seyedhosseini Tamijani, Elmira Beirami, Hamed Ghazvini, Raheleh Rafaiee, Masoud Nazeri, Moazamehosadat Razavinasab

Background: Methamphetamine (MA), is a widely abused synthetic psychostimulant that leads to irreversible brain damage manifested as cognitive impairments in humans and animals. The novel object recognition (NOR) task is a commonly used behavioral assay for the investigation of non-spatial memory in rodents. This test is based on the natural tendency of rodents to spend more time exploring a novel object than a familiar one. NOR test has been used in many studies investigating cognitive deficits caused by MA in rodents. The objective of the present study was to review neurobiological mechanisms that might be responsible for MA-induced NOR alterations.

Methods: A PubMed search showed 83 publications using novel object recognition and methamphetamine as keywords in the past 10 years.

Findings: The present study revealed different MA regimens cause recognition memory impairment in rodents. In addition, it was found that the main neurobiological mechanism involved in MA-induced recognition deficits is the dysfunction of monoaminergic systems.

Conclusion: NOR is a useful test to assess the cognitive functions following MA administration and evaluate the efficacy of new therapeutic agents in MA-addicted individuals.

背景:甲基苯丙胺(MA)是一种广泛滥用的合成精神兴奋剂,可导致不可逆的脑损伤,表现为人类和动物的认知障碍。新物体识别(NOR)任务是研究啮齿类动物非空间记忆的常用行为试验。该测试基于啮齿类动物花更多时间探索新物体而非熟悉物体的自然倾向。NOR测试已被用于许多调查啮齿动物MA导致的认知缺陷的研究中。本研究的目的是回顾可能导致 MA 引起的 NOR 改变的神经生物学机制:方法:在PubMed上搜索发现,过去10年中有83篇论文使用了新物体识别和甲基苯丙胺作为关键词:本研究发现,不同的甲基苯丙胺治疗方案会导致啮齿动物识别记忆受损。此外,研究还发现,甲基苯丙胺诱发识别障碍的主要神经生物学机制是单胺能系统功能障碍:结论:NOR是一项有用的测试,可用于评估服用MA后的认知功能,以及评估新治疗药物对MA成瘾者的疗效。
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引用次数: 0
Biopsychosocial Determinants of Problematic Pornography Use: A Systematic Review 问题色情使用的生物心理社会决定因素:系统回顾
Pub Date : 2023-07-29 DOI: 10.34172/ahj.2023.1395
Seyed Iman Seyedzadeh Dalooyi, Hamidreza Aghamohammadian Sharbaaf, Mohammad Saeed Abdekhodaei, Ali Ghanaei Chamanabad
Background: Although some studies have examined the determinants of problematic pornography use (PPU), few systematic comparisons of risk profiles have been conducted so far. Research on risk profiles can shed a bright light on our knowledge of both the early diagnosis and etiology of such highly prevalent disorders. Accordingly, the present study aimed to provide a comprehensive overview of the determinants of PPU. Methods: Scopus, Web of Science, PubMed, and PsycINFO databases were systematically searched, and relevant English articles, including longitudinal and cross-sectional studies on risk factors published from January 2000 to February 2022 were reviewed. Findings: The determinants of PPU extracted from the investigated studies (n=66) were summarized and clustered into biological, psychological, and social categories. The findings indicated that ventral striatum activity is a consistent biological factor which plays a key role in the development of PPU, while there were other psychological factors influencing PPU as mentioned in several studies, including craving, low self-esteem, sexual arousal, coping styles, stress, frequent pornography watching, avoidance, negative beliefs, and emotional deficiency. In addition, the social factors affecting PPU have been reported to be male gender, age, religion, moral incompatibility, and loneliness. According to these results, the identified factors could be considered in preventive treatment. Conclusion: This systematic review provided a comprehensive overview of the biopsychosocial determinants of PPU by analyzing 66 articles mostly from Europe and North America. Most studies showed that ventral striatum activity, craving, self-esteem, stress, frequent pornography watching, gender, age, and religion are related to PPU.
背景:虽然一些研究已经调查了有问题的色情使用(PPU)的决定因素,但迄今为止还没有进行过风险概况的系统比较。对风险概况的研究可以为我们对这种高度流行疾病的早期诊断和病因学的了解提供光明。因此,本研究旨在全面概述PPU的决定因素。方法:系统检索Scopus、Web of Science、PubMed、PsycINFO等数据库,检索2000年1月至2022年2月发表的相关英文文献,包括纵向和横断面研究的危险因素。结果:从调查研究中提取的PPU的决定因素(n=66)被总结并聚集为生物、心理和社会类别。研究结果表明,腹侧纹状体活动是影响PPU发生的一个重要生物学因素,同时也存在一些研究中提到的影响PPU的心理因素,包括渴望、自卑、性唤起、应对方式、压力、频繁观看色情、回避、消极信念和情绪缺乏。此外,据报道,影响PPU的社会因素包括男性性别、年龄、宗教信仰、道德不相容和孤独。根据这些结果,确定的因素可以在预防治疗中考虑。结论:本系统综述通过分析主要来自欧洲和北美的66篇文章,对PPU的生物心理社会决定因素进行了全面概述。大多数研究表明腹侧纹状体活动、渴望、自尊、压力、频繁观看色情作品、性别、年龄和宗教与PPU有关。
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引用次数: 0
Determining the Burden of Suicidal Behaviors Using the DALY Approach: A Case Study in Iran (2018-2021) 使用DALY方法确定自杀行为负担:伊朗案例研究(2018-2021)
Pub Date : 2023-07-29 DOI: 10.34172/ahj.2023.1421
Ali Bahram Nejad, Anahita Behzadi, Zakeih Ostad Ahmadi, Mohsen Barouni
Background: Suicide is a significant and growing concern in health systems worldwide. It is considered a crucial part of the comprehensive mental health action plan in every country. Kerman, one of the largest provinces of Iran with a relatively high population, has witnessed an increasing trend in this phenomenon, especially during the COVID-19 pandemic. Methods: This was a cross-sectional study conducted in urban and rural areas of Kerman. Suicide data for 2018–2021 were acquired from the Psychosocial Health and Addiction Prevention Group of the Deputy for Health at Kerman University of Medical Sciences. The burden resulting from suicide during these years was measured using the disability-adjusted life years (DALY) index. Findings: During these four years, 23701 suicide attempts were recorded in Kerman, with 59% and 41% of the suicide attempts made by men and women, respectively, and 668 (2.82%) attempts leading to death. The highest rate (68%) was observed in the 15–29 age range and the lowest rate (1.1%) was seen in people older than 60. Poisoning (89.3% of the attempts) was the most common suicide method. The suicide burden in Kerman in 2021 was 4417 according to the DALY index, which is 162.6 per 100000 people; men and women endure 38% and 62% of this burden, respectively. The highest DALY rates were seen in the 15–29 and 30–44 age groups. Conclusion: The burden resulting from suicide highlights the necessity of taking immediate measures to prevent this behavior, especially among vulnerable groups.
背景:自杀是世界各地卫生系统日益关注的一个重大问题。它被认为是每个国家全面精神卫生行动计划的重要组成部分。克尔曼是伊朗人口相对较多的最大省份之一,这种现象呈上升趋势,特别是在2019冠状病毒病大流行期间。方法:采用横断面研究方法,在克尔曼市城市和农村地区进行。2018-2021年的自杀数据来自克尔曼医科大学卫生部副主任的心理社会健康和成瘾预防小组。这些年间自杀造成的负担用伤残调整生命年(DALY)指数来衡量。调查结果:在这四年中,克尔曼记录了23701例自杀企图,分别有59%和41%的男性和女性自杀企图,668例(2.82%)自杀企图导致死亡。15-29岁年龄组的发病率最高(68%),60岁以上人群发病率最低(1.1%)。中毒(89.3%)是最常见的自杀方式。根据DALY指数,2021年克尔曼的自杀负担为4417人,即每10万人中有162.6人;男性和女性分别承担38%和62%的负担。最高的DALY率见于15-29岁和30-44岁年龄组。结论:自杀带来的负担凸显了立即采取措施预防自杀行为的必要性,尤其是在弱势群体中。
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引用次数: 0
Inappropriate Conclusions Regarding Neurotoxicity in Methadone and Methamphetamine Users 关于美沙酮和甲基苯丙胺使用者神经毒性的不恰当结论
Pub Date : 2023-07-29 DOI: 10.34172/ahj.2023.1376
Jacqueline A Erler, Carl Hart, Christopher Medina-Kirchner
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引用次数: 0
Classifying the Factors Affecting Information Therapy to Support Clinical Decisions on Addiction 分类影响信息治疗的因素以支持成瘾的临床决策
Pub Date : 2023-07-29 DOI: 10.34172/ahj.2023.1325
Sedigheh Mohammadesmaeil, Shiba Kianmehr
Background: The present study aimed to identify the dimensions and components of developing an information therapy approach for clinical decisions on addiction in addiction treatment centers based on the opinions of thematic specialists in Iran using the fuzzy Delphi technique. Methods: This study was a qualitative one conducted using Delphi method on 20 researchers of addiction treatment in the areas of psychiatry, psychology, medicine, etc. Findings: The analysis of the data revealed 92 indicators in two dimensions, namely information dimension (health literacy) and treatment dimension (health services), each containing 6 components. The information dimension included acquiring information, identifying information, sharing information, raising awareness, information needs, and health knowledge, and the treatment dimension included patient satisfaction, information-seeking behaviors and skills, treatment methods and costs, participatory care and use of information, educational interventions, and disease prevention. Conclusion: Developing an information therapy approach in addiction treatment, as a cost-effective and low-cost method, is one of the cognitive strategies that can be used by officials to pave the way for health in this regard. This technique aims to improve the quality of medical services and care for addicts and is a suitable solution to meet their needs.
背景:本研究旨在根据伊朗专题专家的意见,利用模糊德尔菲技术,确定在成瘾治疗中心开发成瘾临床决策信息治疗方法的维度和组成部分。方法:采用德尔菲法对20名来自精神病学、心理学、医学等领域的成瘾治疗研究者进行定性研究。结果:对数据的分析揭示了信息维度(卫生素养)和治疗维度(卫生服务)两个维度的92项指标,每个维度包含6个组成部分。信息维度包括获取信息、识别信息、共享信息、提高认识、信息需求和健康知识,治疗维度包括患者满意度、信息寻求行为和技能、治疗方法和成本、参与式护理和信息使用、教育干预和疾病预防。结论:在成瘾治疗中发展一种信息治疗方法,作为一种成本效益高、成本低的方法,是官员可以用来为这方面的健康铺平道路的认知策略之一。这项技术的目的是提高对吸毒者的医疗服务和护理的质量,是满足他们需要的适当解决办法。
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引用次数: 0
Willingness to Quit and Associated Factors Among Tobacco Users Attending Outpatient Departments of a Tertiary Care Hospital in Delhi, India 印度德里一家三级保健医院门诊的烟草使用者戒烟意愿及其相关因素
Pub Date : 2023-07-29 DOI: 10.34172/ahj.2023.1444
Mohit Goyal, Anita Khokhar, Shveta Lukhmana, Aninda Debnath, Namita Srivastava
Background: Tobacco use has become a modern-day epidemic which significantly impacts health, socioeconomic status, and environmental sustainability. The readiness to quit or stop using tobacco is a crucial first step in changing one’s behavior. Hence, the current study sought to assess the prevalence of willingness to quit and associated factors among tobacco users. Methods: This study was conducted on 425 tobacco users selected using multi-stage random sampling from the outpatient departments (OPDs) of a tertiary care hospital in Delhi, India. A pre-designed, interviewer-administered questionnaire was used to elicit information. Logistic regression was performed to assess the effect of independent factors on the willingness to quit. Findings: The mean age of the study participants was 39.37 years (S.D.=±12.99). The majority of the participants were male (400, 94.1%), and 25 (6.9%) were female. Overall, the prevalence of willingness to quit in the current study was 70% among the study participants. The results of the multivariable analysis showed that those belonging to urban areas, tobacco users with a duration of≤10 years, and those who received advice from a doctor to quit had a significantly higher willingness to quit than their counterparts. However, age, gender, marital status, education, religion, age of initiation of tobacco use, and nicotine dependence were not found to have a statistically significant relationship with the willingness to quit tobacco products. Conclusion: Willingness to quit was high among the study participants. The data in this study suggested that belonging to urban areas, duration of tobacco use, and doctor’s advice to quit are important factors which need to be considered when framing future tobacco cessation programs.
背景:烟草使用已成为一种现代流行病,对健康、社会经济地位和环境可持续性产生重大影响。准备戒烟或停止使用烟草是改变行为的关键的第一步。因此,本研究旨在评估烟草使用者中戒烟意愿的普遍程度及其相关因素。方法:采用多阶段随机抽样方法,从印度德里某三级医院门诊抽取425名吸烟者进行研究。一个预先设计的,由访谈者管理的问卷被用来引出信息。采用Logistic回归评估独立因素对戒烟意愿的影响。结果:研究参与者的平均年龄为39.37岁(sd =±12.99)。大多数参与者为男性(400人,占94.1%),女性25人(6.9%)。总的来说,在目前的研究中,戒烟意愿的患病率在研究参与者中为70%。多变量分析结果显示,城市人群、吸烟时间≤10年的人群、接受医生建议戒烟的人群的戒烟意愿明显高于其他人群。然而,年龄、性别、婚姻状况、教育程度、宗教信仰、开始使用烟草的年龄和尼古丁依赖与戒烟意愿没有统计学上的显著关系。结论:研究对象的戒烟意愿较高。本研究的数据表明,在制定未来的戒烟计划时,属于城市地区、吸烟的持续时间和医生的戒烟建议是需要考虑的重要因素。
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引用次数: 0
Time Series Modeling and Forecasting of Drug-Related Deaths in Iran (2014-2016) 2014-2016年伊朗毒品相关死亡的时间序列建模与预测
Pub Date : 2023-07-29 DOI: 10.34172/ahj.2023.1277
Mehran Zarghami, Omid Kharazmi, Abbas Alipour, Masoudeh Babakhanian, Ardeshr Khosravi, Seyyed Davood Mirtorabi
Background: Investigating the temporal variations and forecasting the trends in drug-related deaths can help prevent health problems and develop intervention programs. The recent policy in Iran is strongly focused on deterring drug use and replacing illicit drugs with legal ones. This study aimed to investigate drug-related deaths in Iran in 2014-2016 and forecast the death toll by 2019. Methods: In this longitudinal study, Box-Jenkins time series analysis was used to forecast drug-related deaths. To this end, monthly counts of drug-related deaths were obtained from March 2014 to March 2017. After data processing, to obtain stationary time series and examine the stability assumption with the Dickey-Fuller test, the parameters of the Autoregressive Integrated Moving Averages (ARIMA) model were determined using autocorrelation function (ACF) and partial autocorrelation function (PACF) graphs. Based on Akaike statistics, ARIMA (0, 1, 1) was selected as the best-fit model. Moreover, the Dickey-Fuller test was used to confirm the stationarity of the time series of transformed observations. The forecasts were made for the next 36 months using the ARIMA (0,1,2) model and the same confidence intervals were applied to all months. The final extracted data were analyzed using R software, Minitab, and SPSS-23. Findings: According to the Iranian Ministry of Health and the Legal Medicine Organization, there were 8883 drug-related deaths in Iran from March 2014 to March 2017. According to the time series findings, this count had an upward trend and did not show any seasonal pattern. It was forecasted that the mean drug-related mortality rate in Iran would be 245.8 cases per month until 2019. Conclusion: This study showed a rising trend in drug-related mortality rates during the study period, and the modeling process for forecasting suggested this trend would continue until 2019 if proper interventions were not instituted.
背景:研究药物相关死亡的时间变化和趋势预测有助于预防健康问题和制定干预方案。伊朗最近的政策非常侧重于阻止吸毒和用合法药物取代非法药物。本研究旨在调查2014-2016年伊朗与毒品有关的死亡人数,并预测到2019年的死亡人数。方法:在本纵向研究中,采用Box-Jenkins时间序列分析预测药物相关死亡。为此,从2014年3月至2017年3月,每月统计了与毒品有关的死亡人数。数据处理后,利用自相关函数(ACF)图和部分自相关函数(PACF)图确定自回归综合移动平均(ARIMA)模型的参数,以获得平稳时间序列,并用Dickey-Fuller检验检验稳定性假设。基于赤池统计,选择ARIMA(0,1,1)作为最优拟合模型。此外,还使用Dickey-Fuller检验来确认转换观测的时间序列的平稳性。使用ARIMA(0,1,2)模型对未来36个月进行预测,并对所有月份应用相同的置信区间。最终提取的数据使用R软件、Minitab和SPSS-23进行分析。调查结果:根据伊朗卫生部和法律医学组织的数据,从2014年3月到2017年3月,伊朗有8883例与毒品有关的死亡。根据时间序列发现,这一数字呈上升趋势,没有任何季节性模式。据预测,到2019年,伊朗与毒品有关的平均死亡率将为每月245.8例。结论:本研究显示,在研究期间,药物相关死亡率呈上升趋势,预测建模过程表明,如果不采取适当的干预措施,这一趋势将持续到2019年。
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Addiction and Health
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