Anxiety and depression in substance dependence young women in Mashhad city, ‎ Northeast of Iran

Document Type : Research Paper

Authors

1 Associate professor of community ‎medicine, Mashhad University of ‎Medical Sciences

2 Community Medicine specialist, ‎Mashhad University of Medical ‎Sciences ‎

3 Associate professor of infectious ‎diseases, Mashhad University of ‎Medical Sciences ‎

4 Resident of community medicine, ‎Mashhad University of Medical ‎Sciences ‎

5 Head of Educational Organization of 6th ‎zone prisons of Mashhad

Abstract

Introduction: About 10 percent of country addicts are women. Important issue in the investigating of women dependency to substance is mental disorders including anxiety and depression which is an effective agent in tendency of women toward substance and also, It can be a consequence of dependence. The aim of this study was to investigate anxiety and depression in substance dependence young women in Mashhad city.
Materials and Methods: This case-control study was done on 236 girls and young women aged 16-25 years, including three groups: vulnerable women of substance dependence, invulnerable women of substance dependece and control groups which were selected with Classified random sampling method in 2012. The entire subjects signed an informed consent to participate in the study. Gathered data included demographic characteristics, socioeconomic status and anxiety and depression based on the Beck anxiety and depression inventories which were analyzed by SPSS software. Descriptive statistics were used to describe the population study, and the most appropriate parametric (t-test, ANOVA) and non-parametric tests (Mann-Whitney, Kruskal-Wallis) were used for comparisons.
Results: Anxiety and its severity in substance dependence person (vulnerable and not vulnerable groups) was significantly higher than that of the control group (P<0.001), but it was not significant between the two substance dependence groups (P=0.05). Depression and its severity in substance dependence person (vulnerable and not vulnerable groups) was significantly higher than that of the control group (P<0.001), but was not significant between the two substance dependence groups  (P=0.07).
Conclusion: It was a significant relationship between substance dependence and the level of depression and anxiety, severity of them and vulnerability of women.

Keywords


1. Wallace R. Public health and preventive medicine.15th ed. USA: McGraw Hill; 2008: 1013-23.
2. Hojjati S. [Investigati of drug abuse in women]. Tehran: Iran Expediency Council; 2011: 1-41. (Persian)
3. Norouzi M, Naderi SH, Binazadeh M. [Addiction treatment comprehensive tutorial]. 1st ed. Tehran: Kholos; 2006: 12-17. (Persian)
4. Sadock BJ, Sadock VA. [Synopsis of psychiatry]. Poorafkari N. (translator). 2nd ed. Tehran: Shahre Ab and Ayandehsazan; 2005: 527-60. (Persian)
5. Kazemi H, Ghamrani A, Khajeh M, Barati F, Zarei A. [A predictive model of nicotine dependence in students based on indicators of mental health and self-concept. (abstract 131)]. The 1st International Student Congress on Addiction; 2012; Urmia, Iran. (Persian)
6. Ansarhossein S, Farshbafmanisefat F. [The relationship between perfectionism, anxiety and depression in a drug abuse (abstract 143)]. The 1st  International Student Congress on Addiction; 2012; Urmia, Iran. (Persian)
7. Green KM, Zebrak KA, Fothergill KE, Robertson JA, Ensminger ME. Childhood and adolescent risk factors for comorbid depression and substance use disorders in adulthood. Addict Behav 2012; 37(11): 1240-7.
8. Khajehdaluee M, Zavar A, Alidoust M, Pourandi Iranian R. The relation of self-esteem and illegal drug usage in high school students. Iran Red Cres Med J 2013; 15(11): e7682.
9. Azkhosh M. [Use of psychological tests and clinical diagnosis].3rd ed. Tehran: Ravan; 2008: 224-6. (Persian)
10. Beck AT, Steer RA, Garbin MG. Psychometric properties of the Beck depression inventory: Twenty-five years of evaluation. Clin Psychol Rev 1988; 8(1): 77-100.
11. Kaviani H, Mousavi AS. [Psychometric properties of the Persian version of Beck Anxiety Inventory (BAI)].Tehran University medical journal 2008; 66(2): 136-140. (Persian)
12. Ghassemi GR, Sadeghi S, Asadollahi GA, Yousefy AR, Mallik S. Early experiences of abuse and current depressive disorders in Iranian women. East Mediterr Health J 2010; 16(5): 498-504.
13. Ghaednia M, Ghaednia A, Farmani SH, Naimi GH. [Diagnosis among smoking and non smoking students based on communication skills and social support (abstract 355)]. The 1st International Student Congress on Addiction; 2012; Urmia, Iran. (Persian)
14. Sattari M, Islambalchilar M, Toluyi M, Mashayekhi S. Sociodemographic characteristics of the addicted inmates of Qom and Tabriz prisinors in Iran. Advanced pharmeceutical bulletin 2012; 2(1): 61-9.
15. Meysamie M, Sedaghat M. Opium use in a rural area of the Islamic Republic of Iran. East Mediterr Health J 2009;15(2): 425-31.
16. Rafiey H, Narenjiha H. Needle and syringe sharing among Iranian drug injectors. Harm Reduct J 2009; 6: 21.
17. Goodarzi F, Karrari P, Eizadi-Mood N, Mehrpour O, Misagh R, Setude S, et al. Epidemiology of drug abuse (chronic intoxication) and its related factors in a MMT clinic in Shiraz, Southern Iran. Iranian journal of toxicology 2011; 4(4): 377-80.
18. Izutsu T, Tsutsumi A, Matsumoto T. [Association between sexual risk behaviors and drug and alcohol use among young people with delinquent behaviors]. Nihon Arukoru Yakubutsu Igakkai Zasshi 2009; 44(5): 547-53. (Japanese)
19. Mojahed A, Bakhshanee M.          [Smoking and drug abuse among high school students in Zahedan]. Tabib-e-Shargh 2004; 6(1): 59-65. (Persian)
20. Ahmadi J, Hasani M. Prevalance of substance use among Iranian high school students. Addict Behav 2003; 28: 375-9.