Pub Date : 2025-12-01Epub Date: 2025-12-30DOI: 10.4103/jfmpc.jfmpc_376_25
Bing Xie, Xue-Rui Sun, Xin Wang, Ya-Nan Xu
Objective: Severe nocturnal enuresis in children is not only a medical condition but also a significant psychological burden, often leading to emotional distress and social stigma. Many affected children struggle with self-disclosure of their psychological struggles, which can exacerbate mental health challenges. The objective is to explore the barriers and facilitators of self-disclosure regarding psychological crises in children with severe enuresis, with the aim of providing a foundation for alleviating psychological distress and improving mental health outcomes.
Methods: Purposive sampling was employed to select 13 pairs of children with severe enuresis and their parents from a specialized hospital's urology department. Data were collected through in-depth interviews, and the Colaizzi 7-step method was used to analyze, summarize, and refine the themes.
Results: Factors influencing psychological crisis disclosure in children with severe enuresis included four barriers and ten subthemes. Barriers included emotional disorders (e.g. shame, low self-esteem), psychological burdens (e.g. impact on class participation, fear of sleeping, recurrent anxiety), moral constraints (e.g. limited expressive ability, avoidance of social interaction), and a lack of a safe disclosure environment (e.g. parents' high expectations, excessive anxiety and punishment, social prejudice). Facilitators included perceived benefits of disclosure and mastery of disclosure-related skills.
Conclusions: The self-disclosure of psychological crises in children with severe enuresis is influenced by multiple factors. Clinical nursing and health services should address these factors at various levels to foster positive self-cognition and create a supportive environment for self-disclosure, thereby alleviating psychological distress and promoting mental health.
{"title":"Self-disclosure dynamics in psychological crisis among Chinese pediatric patients with severe nocturnal enuresis: A qualitative inquiry.","authors":"Bing Xie, Xue-Rui Sun, Xin Wang, Ya-Nan Xu","doi":"10.4103/jfmpc.jfmpc_376_25","DOIUrl":"10.4103/jfmpc.jfmpc_376_25","url":null,"abstract":"<p><strong>Objective: </strong>Severe nocturnal enuresis in children is not only a medical condition but also a significant psychological burden, often leading to emotional distress and social stigma. Many affected children struggle with self-disclosure of their psychological struggles, which can exacerbate mental health challenges. The objective is to explore the barriers and facilitators of self-disclosure regarding psychological crises in children with severe enuresis, with the aim of providing a foundation for alleviating psychological distress and improving mental health outcomes.</p><p><strong>Methods: </strong>Purposive sampling was employed to select 13 pairs of children with severe enuresis and their parents from a specialized hospital's urology department. Data were collected through in-depth interviews, and the Colaizzi 7-step method was used to analyze, summarize, and refine the themes.</p><p><strong>Results: </strong>Factors influencing psychological crisis disclosure in children with severe enuresis included four barriers and ten subthemes. Barriers included emotional disorders (e.g. shame, low self-esteem), psychological burdens (e.g. impact on class participation, fear of sleeping, recurrent anxiety), moral constraints (e.g. limited expressive ability, avoidance of social interaction), and a lack of a safe disclosure environment (e.g. parents' high expectations, excessive anxiety and punishment, social prejudice). Facilitators included perceived benefits of disclosure and mastery of disclosure-related skills.</p><p><strong>Conclusions: </strong>The self-disclosure of psychological crises in children with severe enuresis is influenced by multiple factors. Clinical nursing and health services should address these factors at various levels to foster positive self-cognition and create a supportive environment for self-disclosure, thereby alleviating psychological distress and promoting mental health.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 12","pages":"5066-5071"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-12-30DOI: 10.4103/jfmpc.jfmpc_136_25
Sameena Khan, Rajashri Patil, Shahzad Mirza, Nageswari Gandham, Parag Ratnakar, Chanda Vyawahare, Niknja Kumar Das
Background: The ongoing infection and transmission of the severe acute respiratory syndrome coronavirus 2019 (SARS-CoV2) has challenged the global health system in the recent past. However, currently, the infection rate has been substantially reduced, but the pandemic showed an inevitability to study the human response to the SARS-CoV2 infection. The core objective of this study is to determine the frequency of individuals in the healthcare workforce, who possess IgG antibodies specific to SARS-CoV-2.
Methods: A cross-sectional study was conducted at tertiary care hospital of Maharashtra region. Total 300 Health care workers were including in the study. Their blood samples were tested for SARS-CoV-2 IgG antibody using Chemiluminescence methods.
Results: The study was poised between male and female participants, with 47% and 53% of participants, respectively. The result showed 27% of seroprevalence, among the total participants, where 88% of seropositive participants were diagnosed with COVID-19 using RT-PCR techniques. The current study also illustrated the seroprevalence of the different classes of healthcare workers. Here, technicians and nurses showed a higher rate of seropositivity, 39.02% and 36.36%, respectively. Daily and close contacts with the COVID-19 patients were examined in relation to seropositivity. This study collected the RT-PCR results of the participants and used statistical tests to establish the association of RT-PCR results with seropositivity and symptoms (early and late). RT-PCR showed a significant relationship with early and late symptoms with a P value < 0.05. However, seropositivity failed to show a direct significant relationship with the RT-PCR positive results.
Conclusion: This study provides a framework that can be replicated in other communities. Overall, this study examined the seropositivity rate among the HCWs that could assist the hospital management in designing more effective COVID-19 appropriate guidelines.
{"title":"Seroprevalence of SARS CoV 2 IgG in pandemic frontline healthcare workers.","authors":"Sameena Khan, Rajashri Patil, Shahzad Mirza, Nageswari Gandham, Parag Ratnakar, Chanda Vyawahare, Niknja Kumar Das","doi":"10.4103/jfmpc.jfmpc_136_25","DOIUrl":"10.4103/jfmpc.jfmpc_136_25","url":null,"abstract":"<p><strong>Background: </strong>The ongoing infection and transmission of the severe acute respiratory syndrome coronavirus 2019 (SARS-CoV2) has challenged the global health system in the recent past. However, currently, the infection rate has been substantially reduced, but the pandemic showed an inevitability to study the human response to the SARS-CoV2 infection. The core objective of this study is to determine the frequency of individuals in the healthcare workforce, who possess IgG antibodies specific to SARS-CoV-2.</p><p><strong>Methods: </strong>A cross-sectional study was conducted at tertiary care hospital of Maharashtra region. Total 300 Health care workers were including in the study. Their blood samples were tested for SARS-CoV-2 IgG antibody using Chemiluminescence methods.</p><p><strong>Results: </strong>The study was poised between male and female participants, with 47% and 53% of participants, respectively. The result showed 27% of seroprevalence, among the total participants, where 88% of seropositive participants were diagnosed with COVID-19 using RT-PCR techniques. The current study also illustrated the seroprevalence of the different classes of healthcare workers. Here, technicians and nurses showed a higher rate of seropositivity, 39.02% and 36.36%, respectively. Daily and close contacts with the COVID-19 patients were examined in relation to seropositivity. This study collected the RT-PCR results of the participants and used statistical tests to establish the association of RT-PCR results with seropositivity and symptoms (early and late). RT-PCR showed a significant relationship with early and late symptoms with a <i>P</i> value < 0.05. However, seropositivity failed to show a direct significant relationship with the RT-PCR positive results.</p><p><strong>Conclusion: </strong>This study provides a framework that can be replicated in other communities. Overall, this study examined the seropositivity rate among the HCWs that could assist the hospital management in designing more effective COVID-19 appropriate guidelines.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 12","pages":"5078-5085"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104945","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-12-30DOI: 10.4103/jfmpc.jfmpc_2111_24
Khalid B Abdulrahman, Layan Y Alharbi, Abeer M Alanazi, Haifa H Allahem, Sadeem K Alquraini
<p><strong>Background: </strong>Numerous ocular disorders, such as glaucoma, cataracts, and diabetic retinopathy, are among the leading causes of blindness worldwide. There needs to be more healthcare understanding about these conditions and their consequences to ensure the potential for early management and prevention by delaying medical treatment seeking. As a result, boosting public awareness of eye diseases is critical for early detection and management, helping to lessen the burden of vision disability upon the community. Misunderstandings regarding distinct blinding eye disorders have been examined in Arab nations, particularly Saudi Arabia; individuals should be informed of them and encouraged to seek available eye care facilities and increase awareness of the condition. The usage of healthcare services in the country considerably helps eliminate blindness induced by ocular disorders. Therefore, this study sought to assess public awareness of common ocular diseases such as glaucoma cataracts, diabetic retinopathy, and dry eye among university students at a public university in Riyadh City, Saudi Arabia.</p><p><strong>Method: </strong>Cross-sectional research was performed from 20-12-2022 to 19-2-2023. The survey was distributed to participants from a public university in Riyadh, Saudi Arabia. This research used an electronic self-administered survey distributed randomly to evaluate people's knowledge of major ocular disorders. Seven hundred twenty-six respondents completed the study survey. All participants should meet the following criteria: adults 18 years or older. Individuals who did not consent to participate in this study would be excluded.</p><p><strong>Result: </strong>A total of 585 women and 141 men were surveyed. Knowledge and awareness of ocular illnesses were below acceptable; according to the responses, one-third of them did not know if there are signs and symptoms associated with glaucoma patients, and 56% were unsure of whether having huge eyeballs is normal or not; in addition, medical students showed a higher level of knowledge comparing with other students, similarly, 82.6%, as opposed to 59.3%, were aware that uncontrolled diabetes could result in vision loss due to disorder in the retina. Compared with two-thirds (67.7%) of students from other schools, medical school students correctly identified that various ocular diseases can develop with aging 80.5% (<i>P</i> = 0.001). Education and nationality were not significantly associated with knowledge (<i>P</i> = 0.43 and 0.337, respectively). On the other hand, women had a better understanding than men (12.1 vs. 9.98, <i>P</i> < 0.001). Respondents with eye or systemic disease that could impair eye health had a considerably higher average knowledge score (13.03 3.72 vs. 11.71 3.61, <i>P</i> = 0.04).</p><p><strong>Conclusion: </strong>Universities should give healthcare education and promote knowledge regarding ocular diseases among students to increase knowledge and compre
{"title":"Awareness regarding common eye diseases among university students at a public university in Riyadh City, Saudi Arabia.","authors":"Khalid B Abdulrahman, Layan Y Alharbi, Abeer M Alanazi, Haifa H Allahem, Sadeem K Alquraini","doi":"10.4103/jfmpc.jfmpc_2111_24","DOIUrl":"10.4103/jfmpc.jfmpc_2111_24","url":null,"abstract":"<p><strong>Background: </strong>Numerous ocular disorders, such as glaucoma, cataracts, and diabetic retinopathy, are among the leading causes of blindness worldwide. There needs to be more healthcare understanding about these conditions and their consequences to ensure the potential for early management and prevention by delaying medical treatment seeking. As a result, boosting public awareness of eye diseases is critical for early detection and management, helping to lessen the burden of vision disability upon the community. Misunderstandings regarding distinct blinding eye disorders have been examined in Arab nations, particularly Saudi Arabia; individuals should be informed of them and encouraged to seek available eye care facilities and increase awareness of the condition. The usage of healthcare services in the country considerably helps eliminate blindness induced by ocular disorders. Therefore, this study sought to assess public awareness of common ocular diseases such as glaucoma cataracts, diabetic retinopathy, and dry eye among university students at a public university in Riyadh City, Saudi Arabia.</p><p><strong>Method: </strong>Cross-sectional research was performed from 20-12-2022 to 19-2-2023. The survey was distributed to participants from a public university in Riyadh, Saudi Arabia. This research used an electronic self-administered survey distributed randomly to evaluate people's knowledge of major ocular disorders. Seven hundred twenty-six respondents completed the study survey. All participants should meet the following criteria: adults 18 years or older. Individuals who did not consent to participate in this study would be excluded.</p><p><strong>Result: </strong>A total of 585 women and 141 men were surveyed. Knowledge and awareness of ocular illnesses were below acceptable; according to the responses, one-third of them did not know if there are signs and symptoms associated with glaucoma patients, and 56% were unsure of whether having huge eyeballs is normal or not; in addition, medical students showed a higher level of knowledge comparing with other students, similarly, 82.6%, as opposed to 59.3%, were aware that uncontrolled diabetes could result in vision loss due to disorder in the retina. Compared with two-thirds (67.7%) of students from other schools, medical school students correctly identified that various ocular diseases can develop with aging 80.5% (<i>P</i> = 0.001). Education and nationality were not significantly associated with knowledge (<i>P</i> = 0.43 and 0.337, respectively). On the other hand, women had a better understanding than men (12.1 vs. 9.98, <i>P</i> < 0.001). Respondents with eye or systemic disease that could impair eye health had a considerably higher average knowledge score (13.03 3.72 vs. 11.71 3.61, <i>P</i> = 0.04).</p><p><strong>Conclusion: </strong>Universities should give healthcare education and promote knowledge regarding ocular diseases among students to increase knowledge and compre","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 12","pages":"5031-5039"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858160/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105736","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-12-30DOI: 10.4103/jfmpc.jfmpc_843_25
Alotaibi M Wael, Abdullah Aedh Alotaibi
Background: Hospital safety is very important, particularly in preparing for internal disasters such as fires, power outages, and chemical exposures, which can significantly disrupt hospital functions and endanger patients and staff.
Study objective: This study aimed to assess the readiness of the Security Forces Hospital in Riyadh to effectively manage internal disasters.
Materials and methods: A cross-sectional study was conducted to evaluate hospital staff awareness, perception, knowledge, and preparedness regarding internal disasters. Data were collected through a structured survey. The study analyzed associations between awareness levels, work experience, and participation in disaster training programs.
Results: Results showed that there is a generally high level of awareness, but gaps remained in disaster response training and knowledge of emergency protocols. Arabic-speaking respondents showed lower awareness compared to English speakers, while employees with less than five years of experience were more aware of internal disasters but lacked knowledge of the hospital's emergency plan, with limited planning courses and evacuation drills.
Conclusion: To enhance disaster preparedness, regular evacuation drills, structured training programs, and multilingual educational materials should be implemented. Standardizing emergency information on staff ID cards, improving accessibility to disaster protocols, and increasing awareness campaigns will strengthen overall readiness.
{"title":"Assessing internal disaster preparedness at Security Forces Hospital, Riyadh.","authors":"Alotaibi M Wael, Abdullah Aedh Alotaibi","doi":"10.4103/jfmpc.jfmpc_843_25","DOIUrl":"10.4103/jfmpc.jfmpc_843_25","url":null,"abstract":"<p><strong>Background: </strong>Hospital safety is very important, particularly in preparing for internal disasters such as fires, power outages, and chemical exposures, which can significantly disrupt hospital functions and endanger patients and staff.</p><p><strong>Study objective: </strong>This study aimed to assess the readiness of the Security Forces Hospital in Riyadh to effectively manage internal disasters.</p><p><strong>Materials and methods: </strong>A cross-sectional study was conducted to evaluate hospital staff awareness, perception, knowledge, and preparedness regarding internal disasters. Data were collected through a structured survey. The study analyzed associations between awareness levels, work experience, and participation in disaster training programs.</p><p><strong>Results: </strong>Results showed that there is a generally high level of awareness, but gaps remained in disaster response training and knowledge of emergency protocols. Arabic-speaking respondents showed lower awareness compared to English speakers, while employees with less than five years of experience were more aware of internal disasters but lacked knowledge of the hospital's emergency plan, with limited planning courses and evacuation drills.</p><p><strong>Conclusion: </strong>To enhance disaster preparedness, regular evacuation drills, structured training programs, and multilingual educational materials should be implemented. Standardizing emergency information on staff ID cards, improving accessibility to disaster protocols, and increasing awareness campaigns will strengthen overall readiness.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 12","pages":"5122-5131"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-12-30DOI: 10.4103/jfmpc.jfmpc_549_25
Himel Mondal, Raman Kumar, Lopamudra Mandal, Shaikat Mondal, Jay V Shingala, Juhu K K Karri, Avijit Naskar, Sairavi K Biri, Shrikanth Muralidharan, Asitava Deb Roy
Background: Violence against healthcare professionals is the serious global issue. This study aimed to explore strategies to prevent such incidents using a qualitative crowdsourcing approach, gathering perspectives from both the public and healthcare professionals (HCPs).
Methods: A Google Form with an open-ended question - "How to prevent violence against healthcare workers" was distributed via social media platforms (Twitter [now X], LinkedIn, Facebook, and WhatsApp) from August 15 to December 14, 2024. Two independent authors analyzed responses thematically and a consensus was reached to finalize the themes.
Results: A total of 224 responses were received (181 HCPs, 43 public). Thematic analysis identified several key strategies. The public emphasized security measures, strict legal frameworks (non-bailable offenses, fast-track courts), education and awareness campaigns, institutional responsibility, and de-escalation strategies. HCPs also emphasized enhanced security (police booths, strict visitor controls), institutional policies (zero-tolerance measures, structured reporting systems), better working conditions, communication strategies, public awareness campaigns, and technological solutions.
Conclusion: Preventing violence against doctors requires a multifaceted approach, including legal reforms, security enhancements, institutional policies, public awareness, and technology-based safety measures. Collaborative efforts from governments, healthcare institutions, and society are essential to ensuring the safety and well-being of HCPs.
{"title":"Public and healthcare professionals' perspectives on preventing violence against healthcare workers: A social media crowdsourcing.","authors":"Himel Mondal, Raman Kumar, Lopamudra Mandal, Shaikat Mondal, Jay V Shingala, Juhu K K Karri, Avijit Naskar, Sairavi K Biri, Shrikanth Muralidharan, Asitava Deb Roy","doi":"10.4103/jfmpc.jfmpc_549_25","DOIUrl":"10.4103/jfmpc.jfmpc_549_25","url":null,"abstract":"<p><strong>Background: </strong>Violence against healthcare professionals is the serious global issue. This study aimed to explore strategies to prevent such incidents using a qualitative crowdsourcing approach, gathering perspectives from both the public and healthcare professionals (HCPs).</p><p><strong>Methods: </strong>A Google Form with an open-ended question - \"How to prevent violence against healthcare workers\" was distributed via social media platforms (Twitter [now X], LinkedIn, Facebook, and WhatsApp) from August 15 to December 14, 2024. Two independent authors analyzed responses thematically and a consensus was reached to finalize the themes.</p><p><strong>Results: </strong>A total of 224 responses were received (181 HCPs, 43 public). Thematic analysis identified several key strategies. The public emphasized security measures, strict legal frameworks (non-bailable offenses, fast-track courts), education and awareness campaigns, institutional responsibility, and de-escalation strategies. HCPs also emphasized enhanced security (police booths, strict visitor controls), institutional policies (zero-tolerance measures, structured reporting systems), better working conditions, communication strategies, public awareness campaigns, and technological solutions.</p><p><strong>Conclusion: </strong>Preventing violence against doctors requires a multifaceted approach, including legal reforms, security enhancements, institutional policies, public awareness, and technology-based safety measures. Collaborative efforts from governments, healthcare institutions, and society are essential to ensuring the safety and well-being of HCPs.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 12","pages":"5168-5174"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-12-30DOI: 10.4103/jfmpc.jfmpc_281_25
Ayush Pandey, Rajat Sharma, Sonali Dixit, Shashank Tripathi
Introduction: Obsessive-compulsive disorder (OCD) is a neuropsychiatric condition characterized by the presence of intrusive thoughts, referred to as obsessions, and repetitive behaviors, known as compulsions. Globally, OCD affects approximately 2-3% of the population.
Materials and methods: Three databases (PubMed, Web of Science, and MEDLINE) were explored for the present study, from January 1, 2000 to December 31, 2024. The analysis was conducted using R version 4.3.2 to estimate the overall treatment effect of memantine and risperidone for OCD, relative to placebo, via meta-analysis. The Pooled Standardized Mean Differences (SMDs) were computed using both fixed-effect and random-effects models.
Results: Only 10 studies were included in current investigation, after identification of 2362 articles. Meta-analysis of memantine suggested statistically insignificant (P value = 0.06) reduction in Y-BOCS score [SMD: -1.02 (-2.12, 0.08)], whereas meta-analysis of risperidone suggested statistically significant (P value = 0.03) reduction in Y-BOCS score [SMD: -0.38 (-0.74, -0.02)].
Conclusion: Risperidone plays a significant role in reduction of Y-BOCS score in OCD patients, whereas memantine does not show a significant effect in reducing the Y-BOCS score in OCD patients.
简介：强迫症（OCD）是一种神经精神疾病，其特征是存在侵入性思想，称为强迫，和重复性行为，称为强迫。在全球范围内，强迫症影响了大约2-3%的人口。材料和方法：本研究检索了PubMed、Web of Science和MEDLINE三个数据库，检索时间为2000年1月1日至2024年12月31日。采用R 4.3.2版本进行分析，通过meta分析估计美金刚和利培酮相对于安慰剂治疗强迫症的总体效果。采用固定效应和随机效应模型计算标准平均差异（SMDs）。结果：在2362篇文献中，仅纳入10篇研究。meta分析显示，美金刚组Y-BOCS评分降低具有统计学意义（P值= 0.06）[SMD: -1.02(-2.12, 0.08)]，而利培酮组Y-BOCS评分降低具有统计学意义（P值= 0.03）[SMD: -0.38(-0.74, -0.02)]。结论：利培酮对降低强迫症患者Y-BOCS评分有显著作用，而美金刚对降低强迫症患者Y-BOCS评分无显著作用。
{"title":"The effect of adjuvant treatment in obsessive compulsive disorder patients: A systematic review and meta-analysis.","authors":"Ayush Pandey, Rajat Sharma, Sonali Dixit, Shashank Tripathi","doi":"10.4103/jfmpc.jfmpc_281_25","DOIUrl":"10.4103/jfmpc.jfmpc_281_25","url":null,"abstract":"<p><strong>Introduction: </strong>Obsessive-compulsive disorder (OCD) is a neuropsychiatric condition characterized by the presence of intrusive thoughts, referred to as obsessions, and repetitive behaviors, known as compulsions. Globally, OCD affects approximately 2-3% of the population.</p><p><strong>Materials and methods: </strong>Three databases (PubMed, Web of Science, and MEDLINE) were explored for the present study, from January 1, 2000 to December 31, 2024. The analysis was conducted using R version 4.3.2 to estimate the overall treatment effect of memantine and risperidone for OCD, relative to placebo, via meta-analysis. The Pooled Standardized Mean Differences (SMDs) were computed using both fixed-effect and random-effects models.</p><p><strong>Results: </strong>Only 10 studies were included in current investigation, after identification of 2362 articles. Meta-analysis of memantine suggested statistically insignificant (<i>P</i> value = 0.06) reduction in Y-BOCS score [SMD: -1.02 (-2.12, 0.08)], whereas meta-analysis of risperidone suggested statistically significant (<i>P</i> value = 0.03) reduction in Y-BOCS score [SMD: -0.38 (-0.74, -0.02)].</p><p><strong>Conclusion: </strong>Risperidone plays a significant role in reduction of Y-BOCS score in OCD patients, whereas memantine does not show a significant effect in reducing the Y-BOCS score in OCD patients.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 12","pages":"4976-4983"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105684","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Strengthening the evidence and implementation framework for family medicine in MBBS curriculum.","authors":"Sheeza Shaikh, Soveli Suvechha Khuntia, Kajal Srivastava","doi":"10.4103/jfmpc.jfmpc_1819_25","DOIUrl":"10.4103/jfmpc.jfmpc_1819_25","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 12","pages":"5239-5240"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-12-30DOI: 10.4103/jfmpc.jfmpc_1267_25
Manas Pustake, Purushottam A Giri
{"title":"Addressing the burden of breast cancer: Challenges and opportunities for improvement.","authors":"Manas Pustake, Purushottam A Giri","doi":"10.4103/jfmpc.jfmpc_1267_25","DOIUrl":"10.4103/jfmpc.jfmpc_1267_25","url":null,"abstract":"","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 12","pages":"5235-5236"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-12-30DOI: 10.4103/jfmpc.jfmpc_2081_24
Mohammed Almajhadi, Mohammed Alsubhi, Saleh Husam Aldeligan, Salem Alrasheed, Mohammed Alshehri, Mohammed Alqifari, Khalid Ali Alsultan, Fahad Dakheel Alosaimi
Background: Breast cancer (BC) is the leading cause of cancer-related deaths among women worldwide. Mastectomy, the surgical removal of the breast is a common treatment option. Evaluating the Quality of Life (QoL) after such a procedure is crucial.
Methods: This cross-sectional study was conducted at King Khalid University Hospital (KKUH) in Riyadh, Saudi Arabia. The study population included females aged 18 years and above who had undergone mastectomy between 2015 and 2024. The culturally adapted BREAST-Q scale, and the Hospital Anxiety and Depression Scale (HADS) were used in the study.
Results: Out of 329 patients, the survey was filled out by only 93 patients, of whom only 52 were included after applying the exclusion criteria. The study found an overall high satisfaction rate and low levels of anxiety and depression among the participants, with median and interquartile range (IQR) scores of 45.0 ± 11.3 for BREAST-Q, 4.5 ± 5.3 for HADS-D, and 4.0 ± 6.0 for HADS-A. Moreover, younger females reported lower levels of satisfaction compared to older females. Additionally, there was a trend of higher satisfaction as the time since surgery increased. However, these observations were not statistically significant.
Conclusions: This study provides insights into the psychosocial well-being of mastectomy patients in Saudi Arabia. A valuable tool, the culturally adapted BREAST-Q, can aid in the assessment of psychosocial well-being among Saudi mastectomy patients. Age and time since surgery affect psychosocial well-being, with younger women reporting lower satisfaction. This emphasizes the need for tailored care for younger mastectomy patients.
{"title":"Cultural adaptation of BREAST-Q: Assessing psychosocial well-being in mastectomy patients in association with anxiety and depression in Saudi Arabia.","authors":"Mohammed Almajhadi, Mohammed Alsubhi, Saleh Husam Aldeligan, Salem Alrasheed, Mohammed Alshehri, Mohammed Alqifari, Khalid Ali Alsultan, Fahad Dakheel Alosaimi","doi":"10.4103/jfmpc.jfmpc_2081_24","DOIUrl":"10.4103/jfmpc.jfmpc_2081_24","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer (BC) is the leading cause of cancer-related deaths among women worldwide. Mastectomy, the surgical removal of the breast is a common treatment option. Evaluating the Quality of Life (QoL) after such a procedure is crucial.</p><p><strong>Methods: </strong>This cross-sectional study was conducted at King Khalid University Hospital (KKUH) in Riyadh, Saudi Arabia. The study population included females aged 18 years and above who had undergone mastectomy between 2015 and 2024. The culturally adapted BREAST-Q scale, and the Hospital Anxiety and Depression Scale (HADS) were used in the study.</p><p><strong>Results: </strong>Out of 329 patients, the survey was filled out by only 93 patients, of whom only 52 were included after applying the exclusion criteria. The study found an overall high satisfaction rate and low levels of anxiety and depression among the participants, with median and interquartile range (IQR) scores of 45.0 ± 11.3 for BREAST-Q, 4.5 ± 5.3 for HADS-D, and 4.0 ± 6.0 for HADS-A. Moreover, younger females reported lower levels of satisfaction compared to older females. Additionally, there was a trend of higher satisfaction as the time since surgery increased. However, these observations were not statistically significant.</p><p><strong>Conclusions: </strong>This study provides insights into the psychosocial well-being of mastectomy patients in Saudi Arabia. A valuable tool, the culturally adapted BREAST-Q, can aid in the assessment of psychosocial well-being among Saudi mastectomy patients. Age and time since surgery affect psychosocial well-being, with younger women reporting lower satisfaction. This emphasizes the need for tailored care for younger mastectomy patients.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 12","pages":"5162-5167"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-12-01Epub Date: 2025-12-30DOI: 10.4103/jfmpc.jfmpc_1931_24
D Hemavathi, Mohan Kubendra, Resmi S Kaimal, Namiya Jose, Vandana Boobna, S Ramya
Introduction: In India, there has been no or inadequate studies assessing practice factors and their effect on job satisfaction among the practicing family physicians.
Aims and objectives: To assess professional satisfaction among family physicians in India. To study factors associated with professional satisfaction among Family physicians practicing in India.
Methodology: It is a cross-sectional, questionnaire-based study.
Inclusion criteria: Two groups of doctors were included. Group A: Doctors practicing as family physicians without NMC recognized residency training (those with MBBS or post- MBBS fellowships or diplomas in Family Medicine through distance education, non-residentially trained). Group B: Doctors practicing as Family Physicians with NMC recognized residency training in Family medicine (Residentially trained-MD, DNB or DFM-NBEMS).
Results and conclusions: Job satisfaction for work-life balance, income, professional growth is higher among hospital-based practitioners and residentially trained doctors compared to community practice doctors and non-residentially trained doctors among Indian family doctors. Monthly income of more than one lakh rupees is associated with satisfaction for work-life balance, monthly income, professional growth and overall satisfaction. long working hour, day care facility, home visits and focused practice are the common associated factors for lower satisfaction. Practising entire spectrum of general practice, minor surgeries and, established referral system are common associated factor for higher satisfaction.
{"title":"Assessing job satisfaction among family physicians: An Indian perspective across different practice settings.","authors":"D Hemavathi, Mohan Kubendra, Resmi S Kaimal, Namiya Jose, Vandana Boobna, S Ramya","doi":"10.4103/jfmpc.jfmpc_1931_24","DOIUrl":"10.4103/jfmpc.jfmpc_1931_24","url":null,"abstract":"<p><strong>Introduction: </strong>In India, there has been no or inadequate studies assessing practice factors and their effect on job satisfaction among the practicing family physicians.</p><p><strong>Aims and objectives: </strong>To assess professional satisfaction among family physicians in India. To study factors associated with professional satisfaction among Family physicians practicing in India.</p><p><strong>Methodology: </strong>It is a cross-sectional, questionnaire-based study.</p><p><strong>Inclusion criteria: </strong>Two groups of doctors were included. Group A: Doctors practicing as family physicians without NMC recognized residency training (those with MBBS or post- MBBS fellowships or diplomas in Family Medicine through distance education, non-residentially trained). Group B: Doctors practicing as Family Physicians with NMC recognized residency training in Family medicine (Residentially trained-MD, DNB or DFM-NBEMS).</p><p><strong>Results and conclusions: </strong>Job satisfaction for work-life balance, income, professional growth is higher among hospital-based practitioners and residentially trained doctors compared to community practice doctors and non-residentially trained doctors among Indian family doctors. Monthly income of more than one lakh rupees is associated with satisfaction for work-life balance, monthly income, professional growth and overall satisfaction. long working hour, day care facility, home visits and focused practice are the common associated factors for lower satisfaction. Practising entire spectrum of general practice, minor surgeries and, established referral system are common associated factor for higher satisfaction.</p>","PeriodicalId":15856,"journal":{"name":"Journal of Family Medicine and Primary Care","volume":"14 12","pages":"5002-5013"},"PeriodicalIF":1.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12858108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105816","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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