Myocardial infarction (MI) is a world wide life threatening condition. Psycho- social factors contribute significantly to the pathogenesis and expression of myocardial infarction, which includes: Depression, anxiety, personality factors, social isolation and chronic life stress. The aim of the study: Psychological assessment of patients with myocardial infarction. Patients and methods: The study included 119 patients (78 (65.6%) males and 41(34.4%) females). The study was recruited at cardiac outpatient clinic of Assiut University Hospital during one year duration from 1st December 2009 until 30th November 2010. Methods: Each patient was assessed through Symptoms Check list-90-Revised (SCL- 90- R), Beck depression inventory (BDI) and Norbeck social supportive scale. Results: The highest percentage of subjects were males (65.6%), above 50 years old, resided in urban areas, illiterate, with low socio economic state, not working, had acute onset of ischemia, ( had hypertension, diabetes, smoking, obesity, not practice exercise and with family history of MI) as risk factors, also 25.2% had complication of MI, 59.7% with bad social supportive network, according to SCL- 90 –revised symptoms, revealed that high percentage of patients had psychiatric symptoms, 88.2% had symptoms of depression, 90.8% anxiety, 67.2% stress, 65.5% Somatization, 37.8% sensitivity, 37.8% hostility, 42.9% paranoia, 44.5% phobia, 54.6%obsession, 36.1% psychosis. Conclusion and Recommendation: Psychiatric symptoms are very frequent findings in patients with myocardial infarction and have to be detected and managed accordingly.

Drug abuses remains a critical problem in most countries and are associated with several social and economic consequences. Addiction has grown to such proportions that it has become a priority health problem and a serious threat to the stability of social, political and legal instructions in many countries. The aim of the study: The study aimed to identify the psychosocial profile and social support among substance abused patients. The study was carried out in the psychiatric mental Hospital at Assiut governorate, Egypt. Subjects and method: The study sample comprised 50 addict patients and 50 persons as a control group. Five tools were used for data collection, namely: Sociodemographic Data sheet, socioeconomic scale, Pattern of substance abuse questionnaire, Symptom check list- 90 (SCl – 90) and Norbek Social Support Questionnaire (NSSQ). Results: The main results yielded by the study proved that, a higher percentage of divorced was found among the addict patients than those in control group , the percentage of the manual work (workman) among the addict patients was higher than the control group, the level of secondary education was higher among the addict patients than in the control group, The high social class is observed more frequent by among the addict patients, the oral administration was observed more frequently than the other routes, Tranquility was the first desired effect for drug abuse, depression was the highest mean symptom among the addict patients, and the addict patients were have bad social support compared to control group. Recommendation: healthy productive activities should be provided for youth in the community to keep them away from harmful stimuli.

Drug abuses remains a critical problem in most countries and are associated with several social and economic consequences. Addiction has grown to such proportions that it has become a priority health problem and a serious threat to the stability of social, political and legal instructions in many countries. The aim of the study: The study aimed to identify the psychosocial profile and social support among substance abused patients. The study was carried out in the psychiatric mental Hospital at Assiut governorate, Egypt. Subjects and method: The study sample comprised 50 addict patients and 50 persons as a control group. Five tools were used for data collection, namely: Sociodemographic Data sheet, socioeconomic scale, Pattern of substance abuse questionnaire, Symptom check list- 90 (SCl – 90) and Norbek Social Support Questionnaire (NSSQ). Results: The main results yielded by the study proved that, a higher percentage of divorced was found among the addict patients than those in control group , the percentage of the manual work (workman) among the addict patients was higher than the control group, the level of secondary education was higher among the addict patients than in the control group, The high social class is observed more frequent by among the addict patients, the oral administration was observed more frequently than the other routes, Tranquility was the first desired effect for drug abuse, depression was the highest mean symptom among the addict patients, and the addict patients were have bad social support compared to control group. Recommendation: healthy productive activities should be provided for youth in the community to keep them away from harmful stimuli.

Psychiatric patients may experience many stressors and these can predispose to infection. Aim of the study: This study aimed to assess acute infections and life events stressors among hospitalized psychiatric patients. Patients and methods: The study subject included 204 patients admitted at the inpatients psychiatric unit of Assiut university hospital during the period from December 2009 to November 2010. Methods: Each patient was assessed through Psychiatric diagnosis was made according to DSM-IV-TR, and clinically screened for acute infection and evaluated for stress through Social Readjustment Rating Scale, . Results: The study results revealed that the majority of sample (68%) aged from (20-40) years old with mean age (30.28), 79.4% of them were in the middle socioeconomic class. 49.5% of studied sample had respiratory tract infection, 12.7% has skin infection, 10.8% has gastrointestinal infection 9.8% urinary tract infection and 14.7% two system affection, 74% of patients had major stress, significantly higher in female (P0.001). Conclusion and Recommendation: The study recommended that establishing training course for psychiatric nurses to improve their performance in early detection, helping in management and prevent spreading of infectious diseases in psychiatric unit.

Psychiatric patients may experience many stressors and these can predispose to infection. Aim of the study: This study aimed to assess acute infections and life events stressors among hospitalized psychiatric patients. Patients and methods: The study subject included 204 patients admitted at the inpatients psychiatric unit of Assiut university hospital during the period from December 2009 to November 2010. Methods: Each patient was assessed through Psychiatric diagnosis was made according to DSM-IV-TR, and clinically screened for acute infection and evaluated for stress through Social Readjustment Rating Scale, . Results: The study results revealed that the majority of sample (68%) aged from (20-40) years old with mean age (30.28), 79.4% of them were in the middle socioeconomic class. 49.5% of studied sample had respiratory tract infection, 12.7% has skin infection, 10.8% has gastrointestinal infection 9.8% urinary tract infection and 14.7% two system affection, 74% of patients had major stress, significantly higher in female (P0.001). Conclusion and Recommendation: The study recommended that establishing training course for psychiatric nurses to improve their performance in early detection, helping in management and prevent spreading of infectious diseases in psychiatric unit.

Psychiatric patients may experience many stressors and these can predispose to infection. Aim of the study: This study aimed to assess acute infections and life events stressors among hospitalized psychiatric patients. Patients and methods: The study subject included 204 patients admitted at the inpatients psychiatric unit of Assiut university hospital during the period from December 2009 to November 2010. Methods: Each patient was assessed through Psychiatric diagnosis was made according to DSM-IV-TR, and clinically screened for acute infection and evaluated for stress through Social Readjustment Rating Scale, . Results: The study results revealed that the majority of sample (68%) aged from (20-40) years old with mean age (30.28), 79.4% of them were in the middle socioeconomic class. 49.5% of studied sample had respiratory tract infection, 12.7% has skin infection, 10.8% has gastrointestinal infection 9.8% urinary tract infection and 14.7% two system affection, 74% of patients had major stress, significantly higher in female (P0.001). Conclusion and Recommendation: The study recommended that establishing training course for psychiatric nurses to improve their performance in early detection, helping in management and prevent spreading of infectious diseases in psychiatric unit.

A social skills training method, is one of the effective treatment for many behavioral problems and mental disorders, aggression, shame, anger and sense of self toward others. It is focused that the first attempts to cure shyness and social phobia on the idea that these people but lack the necessary skills to deal with others are acceptable in social situations. The purpose of this study was to identify the effect of social skills training program in the improvement of shame and self- esteem among secondary school students. The study was carried out in the University and Ministry secondary nursing schools. The study sample comprised 100 participants between the age of 18 and 21 years participated in the study. Three tools were used for data collection: Sociodemographic data structured interview schedules, feeling of shyness scale and self-esteem scale. The main results yielded by the study proved that, the majority of the studied group was aged less than 20 years old in university nursing school students (84%), a statistical significant difference was found between student's feeling of shame and self-esteem before and after implementation of social skills training program. The study recommended that applied social skills training program in different schools helps students to gain self- acceptance, confidence and be able to express their own feelings in a creative way.

A social skills training method, is one of the effective treatment for many behavioral problems and mental disorders, aggression, shame, anger and sense of self toward others. It is focused that the first attempts to cure shyness and social phobia on the idea that these people but lack the necessary skills to deal with others are acceptable in social situations. The purpose of this study was to identify the effect of social skills training program in the improvement of shame and self- esteem among secondary school students. The study was carried out in the University and Ministry secondary nursing schools. The study sample comprised 100 participants between the age of 18 and 21 years participated in the study. Three tools were used for data collection: Sociodemographic data structured interview schedules, feeling of shyness scale and self-esteem scale. The main results yielded by the study proved that, the majority of the studied group was aged less than 20 years old in university nursing school students (84%), a statistical significant difference was found between student's feeling of shame and self-esteem before and after implementation of social skills training program. The study recommended that applied social skills training program in different schools helps students to gain self- acceptance, confidence and be able to express their own feelings in a creative way.

Cognitive–behavioral therapy for psychotic patients refers to a structured and time–limited approach to treat a variety of psychiatric disorders. The main goals are: to treat symptoms, to increase insight level and to reduce distress. Aims of the study: This study aimed to assess insight among psychotic patients, to determine the relationship between insight and nonadhering to medications and to study the effects of cognitive– behavioral therapy on the insight of psychotic patients. The study was carried out in the Psychiatric Mental Health Hospital, Ministry of Health at Assiut Governorate. The study sample comprised 20 schizophrenic patients attending to psychiatric unit within a period of three months from October to December 2011, both sexes and agrees to participate in the study, aged from 18- 55 years for three months. Three tools were used for data collection, namely: Structured Questionnaire data sheet, Schedule for the Assessment of Insight (SAI- E) and Drug Attitude Inventory Scale (DAL- 30). Results: The main results yielded by the study proved that, 50% (10) of the studied group were single and 40 %(8) were married, the majority of studied group were illiterate, the highest percentage of insight was improved after application of cognitive – behavioral program (60%), and the highest percentage of adherence to medication were improved after application of program. Conclusion: cognitive – behavior therapy were effective in improvement level of insight and adherence to medication among psychotic patients. Recommendation: the study recommended to continually follow- up on the results of the study repeatedly reviewed the things of patients.

Communication is an essential component of palliative care; communication difficulties are recognized stress factor among health professionals especially nurses. Aims of the study: This study aimed to investigate the relationship between burnout and self –esteem and evaluate the effectiveness of communication skills training among nurses working in psychiatric hospital at Assiut. The study was carried out at Assiut psychiatric mental health Hospital, Ministry of health. The study sample comprised of 30 nurses (14 males and 16 females), tools of the study: five tools were used for data collection, namely: Sociodemographic Data Structured Interview schedules, Burnout rating scale, Self – esteem inventory, Communication skills checklist (Cs – list), and Educational program evaluation sheet. Results: The main results yielded by the study proved that, the highest percentage among nurses aged from 30 or more than 30 years, females than males, and single, more than ⅔ (73.3%) of the studied group lived in rural area. Recommendation: the study recommended continuous education provided for all working nursing personnel and make nurses updated of new knowledge and technology.