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Introduction:  Atypical  antipsychotic  drugs  in  comparison  with  typical  antipsychotics  produce  fewer  extra  pyramidal  symptoms  at  clinically  effective  doses.  However  there  has  also  been  a  growing  number  of  reports  of  new  onset  diabetes  mellitus  in  patients  receiving  these  drugs. The  aim  of  this  study  was  the  comparison  of  diabetes  mellitus  incidence  in  mentally  janbazan  (Iran-Iraq  war  veterans) undertaken  typical  with  atypical  antipsychotics.
Materials  and  Methods: In  this  study  the  incidence  of  new  onset  Dm  was  assessed in 200  subjects  referred  to  Amiralmomenin  clinic, Isfahan, Iran. Every  patient  was  included  in  this  study  if  he  was  receiving  atypical  or  typical  antipsychotic  drugs  or  combination  of  both  types, at  least  for  one  year.  Sampling  was  convenient. Fasting  blood  sugar, triglyceride  and  cholesterol  before  taking  the  drugs  was  documented  in  their  records. New  onset  DM  was  defined  based  on  126  mg/dl  or  more  for  FBS  which  was  confirmed  with  GTT.  For  comparison  of  FBS  mean  pre  and  post  interventions, NIDDM  incidence, the  relation of  background  variables  with NIDDM  and  the  relation  of  NIDDM  incidence  with  dosages  and  duration  of  drug  therapy, paired t-test, chi-square, logistic  regression  and  ANOVA  were  used.
Results: Subjects  were  divided  into  three  groups  based  on  the  type  of  drugs  used  135 patients  using  typical  antipsychotics  (chlorpromazine, perphenazine, haloperidol, …), 39 patients  using  atypical  antipsychotics  (clozaoine  &  riaperidon)  and  26  patients  receiving  combination  of  drugs. It  was  found  that  DM  developed  following  treatment  in  three  groups  were  12.8%, 6.7%  and  3.8% respectively.  There  was  no  significant  differences  between  three  groups  regarding  the  incidence  of  new  onset  DM.
Conclusion:  Findings  showed  that  patients  treated  with  antipsychotic  drugs  had  a  moderately  increased  risk  of  DM especially  with  atypical  antipsychotics.  It  is  suggested  to  evaluate  every  patients  before  treatment  for  risk  factors  of  DM.
 

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Background: Marital conflicts have great impact on social, economic and cultural aspects of the couples and their children. New Psychological interventions like “Imago Relationship Therapy” (IRT) have been widely used for resolving these conflicts. This study examined the efficacy of couple dialogue technique on marital relationship and children`s behavior in Iranian society. Methods and Materials: In a Clinical Trial study eighty consecutive couples refered to general pediatric clinics due to their children’s diseases, randomly allocated to intervention group(couple dialogue technique) and control group (consult usual treatment method) in consultation center. They filled "Distance and Isolation Questionnaire" and "Gottmann Love and Respect Scale" at baseline, post treatment and three months after intervention as follow up all of them. General linear Model with Repeated Measurements was used to analyze the data. Results: In this study, scores of mutual love and respect in marital relationship (Gottmann scale) and scores in Flooding, Loneliness and Retreatment subscales of Distance and Isolation Questionnaire had a better condition in IRT group just after the trial (P<0.05) but after three months, the differences between two groups were only marginal significant (P<0.1). In Parallel lives` subscale, scores were decreased in two groups, but right after trial there was not significant scores of the groups did not difference between scores. Scores after three months in IRT group was significantly lower in compare to control group. Scores of CBCL have not statistically significant differences in both groups at any time (P>0.05). Conclusion: This study revealed couple dialogue technique was an effective intervention in solving marital conflicts in Iranian population but had not a significant effect on children’s behavioral profile. This may be due to other factors or insufficient duration of intervention and needs more investigation and needs more investigation.

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Background: Diabetic patients face many challenges related to their illness and treatment in their life. So they need to use coping strategies for adjustment. The purpose of this study was determined the coping styles among diabetic Iranian patients. Methods and Materials: In a case-control study, 100 consecutive diabetic patients admitted to Amin and Sedigheh Taherah Medical Centers, Isfahan, were selected based on the inclusive and exclusive criteria and compared with one hundred normal people who selected from general population. Data collected by using demographic questionnaire, the Jalowiec Coping Scale, then MANCOVA and co-variance were used to analyze the data. Results: Difference between two groups in coping styles were significant (F=2.835, p=0.005). Significant differences was in supportant coping style (F=11.204, p=0.001). There was no significant difference in other coping styles between two groups. Conclusion: It seems that the diabetic patients likely differ from normal people only in supportant coping style when deal with daily stress. But they are similar to normal people in other coping styles. In addition, both groups use problem solving styles when deal with daily stress. The findings emphasis the role of illness representation to determine coping styles.