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Introdution: Incidence of childhood asthma and diabetes type 1 is being increased in children. Considering evidences which indicate a probable correlation between maternal depression and childhood chronic physical illness, this study aimed to compare relative frequency of depression in mothers with asthmatic, diabetic and normal children and to assess the time priority between maternal depression and the onset of the child’s illness. Methods and  Materials: In a cross-sectional study, mothers of diabetic children, asthmatic children & normal children were enrolled in 3 groups of participants, each consisting of 100 mothers. Using the Beck Depression Inventory-Second Edition (BDI-II), depression was assessed in all participants & mothers of ill children who were detected to be depressed according to the inventory, were referred to a psychiatrist for a DSM.IV clinical interview for approving the diagnosis, assessing co morbidities & evaluating the onset-time of the first depression episode. Relative frequency of depression was compared in the three groups & the time priority between onset of maternal depression and onset of child illness were compared between the two groups of mothers with chronically ill children. Data were analysed using the analysis of variance (ANOVA), Chi-square and Kruskal-Wallis tests, running the SPSS-11 software. Findings: Relative frequency of depression in mothers of normal children, diabetic children & asthmatic children was reported to be 16%, 30% and 27% respectively. Mothers with ill children had a significantly higher rate of depression compared to mothers of normal children (P Discussion: The higher rate of depression among mothers with chronically ill children & the higher rate of time priority of maternal depression relative to the child’s disease onset in mothers of asthmatic children indicate the necessity of preventive mental health programming for mothers with chronically ill children. It also sets a probable causal link between maternal depression & childhood asthma forth for discussion & further investigation. 

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Introduction: As depression and anxiety can have profound negative effects on the functional status, quality of life, duration of hospitalization and even medical outcome of cancer patients, evaluation and treatment of these disorders are important.  Methods: This was a descriptive study to assess the prevalence of anxiety and depression in cancer patients hospitalized at Isfahan Sayyed-o-shohada hospital. A toal number of 173 hospitalized patients were enrolled. The Beck Depression Inventory (BDI) and Zung Self-rating Anxiety Scale (ZSAS) were applied to measure depression and anxiety respectively. Data were analyzed using chi-squar test running SPSS-ll soft-ware.  Findings: Prevalence of anxiety and depression was found to be 18.5% and 32.9% respectively. Anxiety had a higher prevalence among women (P Discussion: Considering the relatively high prevalence of anxiety and depression among cancer patients, careful attention must be paid toward diagnosis and treatment of these morbidities. 

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Normal 0 false false false MicrosoftInternetExplorer4 /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin:0in; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:10.0pt; font-family:"Times New Roman"; mso-ansi-language:#0400; mso-fareast-language:#0400; mso-bidi-language:#0400;} Abstract Introduction: Exercise test (ET) is the first line of ischemia assessment in patients with suspected Coronary Artery Disease (CAD). We conducted this study to evaluate whether Major Depressive Disorder (MDD) influences the parameters of ET performance and affects the interpretation of test results. Material and Methods: In an ex-post facto study, 265 patients (191 Men, 74 women; mean age 48 ± 10 years, 22-75 years old) referred for ET were enrolled through convenient sampling after completing and signing informed consent forms. After exercise testing, Beck Depression Inventory (BDI) was used to assess depression. Data was analyzed using t- paired, k 2 and correlation co-efficient tests under SPSS 10 software. Results: The prevalence of depression was 41.5%. The proportion of positive ET in depressed and non-depressed groups was 23.6% and 19.4% respectively (p > 0.05). After adjustment for age, sex, family history of CAD, and smoking habit, total exercise duration showed negative correlation with BDI scores (p Conclusion: Decreased psychomotor activity in depression may lead to inadequate exercise duration and affect the performance indices. However, if the performance indices of ET in a depressed patient are acceptable, the test result could be interpreted with confidence.

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A significant proportion of the patients referred to health services are people who have some psychosocial problems. Many of these patients can not explain their problem obviously and prefer to express them as nonspecific somatic and bodily symptoms; although there are no definite clinical and laboratory findings about any specific medical disease. This phenomenon named "somatization". Recurrent visits of these cases in outpatient clinics or hospitals and the vicious cycle of unnecessary investigations that reinforce "sick role" and somatic complaints, cause many problems for the patients, as well as the physicians and health services. 

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This review tried to describe the historical development of consultation-liaison (CL) psychiatry and psychosomatic medicine in the world and Iran. It also aimed to present a classification of different models of patient care and service delivery in CL psychiatry. It finally provided some explanation about the status of psychosomatic medicine and CL psychiatry in Germany as a different model in comparison with other parts of the world.