Pub Date : 2023-12-05DOI: 10.1186/s43045-023-00384-4
Aml Al Marzouki Al Agroudi, Ibrahem Hamdey Rashed, Sohier Yahia, Salwa Tobar
Feeding and eating disorders are major factors in nutrition problems. Mothers have a big role in shaping feeding and eating behaviors. This study aimed at estimating the prevalence of feeding and eating disorders among children in pediatric outpatient clinics (6–12 years old) and comparing personality factors among mothers of children with feeding and eating disorders versus those without feeding and eating disorders. This study included 528 children who were screened for feeding and eating disorders using the DSM-5. For the detected children, their mothers’ personalities were assessed using Cattell’s 16 personality factor test after history was taken using a child psychiatric sheet. The resulting prevalence of feeding and eating disorders is 13%, and the major mother’s personality factor that contributed is the control factor. Certain personality factors of the studied mothers (controlled, tender-minded, imaginative, forthright, and apprehensive) correlate with the prevalence of feeding and eating disorders among their children, compared with those without feeding and eating disorders. Mothers’ personalities should be assessed in children with feeding and eating disorders, especially when these factors seem likely.
{"title":"Mothers’ personality and children with feeding and eating disorders: a nested case–control study","authors":"Aml Al Marzouki Al Agroudi, Ibrahem Hamdey Rashed, Sohier Yahia, Salwa Tobar","doi":"10.1186/s43045-023-00384-4","DOIUrl":"https://doi.org/10.1186/s43045-023-00384-4","url":null,"abstract":"Feeding and eating disorders are major factors in nutrition problems. Mothers have a big role in shaping feeding and eating behaviors. This study aimed at estimating the prevalence of feeding and eating disorders among children in pediatric outpatient clinics (6–12 years old) and comparing personality factors among mothers of children with feeding and eating disorders versus those without feeding and eating disorders. This study included 528 children who were screened for feeding and eating disorders using the DSM-5. For the detected children, their mothers’ personalities were assessed using Cattell’s 16 personality factor test after history was taken using a child psychiatric sheet. The resulting prevalence of feeding and eating disorders is 13%, and the major mother’s personality factor that contributed is the control factor. Certain personality factors of the studied mothers (controlled, tender-minded, imaginative, forthright, and apprehensive) correlate with the prevalence of feeding and eating disorders among their children, compared with those without feeding and eating disorders. Mothers’ personalities should be assessed in children with feeding and eating disorders, especially when these factors seem likely.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":"114 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138538376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-05DOI: 10.1186/s43045-023-00370-w
Ahmed Reda El Adgham, Ibtihal M. A. Ibrahim, Ibrahem Hamdey Rashed Elkalla, Mohamed A. El Hadidy
Selfie addiction has become one of the most noticed phenomena in our modern life that is affecting people of all ages. Many researchers reported that students’ addictive selfie-taking behavior resulted in the loss of function and the development of psychological problems. In this study, we mainly targeted to calculate the prevalence of addiction of selfie at Mansoura Faculty of Medicine students and find its relationship with OCD, personality traits or disorders, and self-esteem. The study is a cross-sectional study which recruited 476 medical students through all grades. All of them are assigned to the questionnaires in the study, which included sociodemographic data, selfie addiction, Yale-Brown, Rosenberg, SCID II, and NEO scales. SCID-I scale was used to exclude students with psychotic disorder. Four-hundred seventy-six students were included in our study. Two-hundred seventy-eight (58.4%) of them showed selfie addictive behavior; most of them showed the mild degree (208 students of them) according to the used selfie scale. NPD showed strong relation with statistically significant result with selfie addiction (P-value = 0.034). Also, high self-esteem and OCD were numerically associated with selfie addiction despite lack of statistically significance (P-value = 0.366, 0.148, respectively). The prevalence of selfie addiction was 58.4% at Faculty of Medicine Mansoura University students. There was a direct proportional relationship between selfie-taking behavior with high self-esteem, OCD, and narcissistic personality disorder.
{"title":"Assessing the prevalence and psychological correlates of selfie addiction in Mansoura Medical School students: a cross-sectional study","authors":"Ahmed Reda El Adgham, Ibtihal M. A. Ibrahim, Ibrahem Hamdey Rashed Elkalla, Mohamed A. El Hadidy","doi":"10.1186/s43045-023-00370-w","DOIUrl":"https://doi.org/10.1186/s43045-023-00370-w","url":null,"abstract":"Selfie addiction has become one of the most noticed phenomena in our modern life that is affecting people of all ages. Many researchers reported that students’ addictive selfie-taking behavior resulted in the loss of function and the development of psychological problems. In this study, we mainly targeted to calculate the prevalence of addiction of selfie at Mansoura Faculty of Medicine students and find its relationship with OCD, personality traits or disorders, and self-esteem. The study is a cross-sectional study which recruited 476 medical students through all grades. All of them are assigned to the questionnaires in the study, which included sociodemographic data, selfie addiction, Yale-Brown, Rosenberg, SCID II, and NEO scales. SCID-I scale was used to exclude students with psychotic disorder. Four-hundred seventy-six students were included in our study. Two-hundred seventy-eight (58.4%) of them showed selfie addictive behavior; most of them showed the mild degree (208 students of them) according to the used selfie scale. NPD showed strong relation with statistically significant result with selfie addiction (P-value = 0.034). Also, high self-esteem and OCD were numerically associated with selfie addiction despite lack of statistically significance (P-value = 0.366, 0.148, respectively). The prevalence of selfie addiction was 58.4% at Faculty of Medicine Mansoura University students. There was a direct proportional relationship between selfie-taking behavior with high self-esteem, OCD, and narcissistic personality disorder.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138538440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-04DOI: 10.1186/s43045-023-00367-5
Savitha Soman, Rajesh Nair
Olfactory Reference Disorder (ORD) is a known clinical entity for several decades; however, it is only in ICD 11 that it has found its niche. Long considered a delusional disorder, it is currently classified as an obsessive–compulsive (OC) spectrum disorder. ORD is characterised by an erroneous conviction that the body is emitting an unpleasant smell. Patients harbour referential thinking, practise rituals to eliminate or mask the perceived odour, and avoid social interactions. While the conviction can be at a delusional level in some patients, the preoccupation has an obsessive quality in others. The level of insight can be varied. Patients present to mental health settings after traversing a long pathway of care comprising of various specialists. Medical and psychiatric conditions which can present with ORD-like symptoms need to be ruled out. Establishing a therapeutic alliance is the first step in management. There are no randomised controlled trials comparing treatment options in ORD. Antidepressants, antipsychotics, and their combinations have been used with varying degrees of success, in addition to psychotherapy and electroconvulsive therapy. Data on prognosis is limited.
{"title":"Olfactory reference disorder—a review","authors":"Savitha Soman, Rajesh Nair","doi":"10.1186/s43045-023-00367-5","DOIUrl":"https://doi.org/10.1186/s43045-023-00367-5","url":null,"abstract":"Olfactory Reference Disorder (ORD) is a known clinical entity for several decades; however, it is only in ICD 11 that it has found its niche. Long considered a delusional disorder, it is currently classified as an obsessive–compulsive (OC) spectrum disorder. ORD is characterised by an erroneous conviction that the body is emitting an unpleasant smell. Patients harbour referential thinking, practise rituals to eliminate or mask the perceived odour, and avoid social interactions. While the conviction can be at a delusional level in some patients, the preoccupation has an obsessive quality in others. The level of insight can be varied. Patients present to mental health settings after traversing a long pathway of care comprising of various specialists. Medical and psychiatric conditions which can present with ORD-like symptoms need to be ruled out. Establishing a therapeutic alliance is the first step in management. There are no randomised controlled trials comparing treatment options in ORD. Antidepressants, antipsychotics, and their combinations have been used with varying degrees of success, in addition to psychotherapy and electroconvulsive therapy. Data on prognosis is limited.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138538377","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-01DOI: 10.1186/s43045-023-00363-9
Ayberk Akat, Erdal Karaöz
Autism spectrum disorder (ASD) is a neurodevelopmental condition that affects patients’ ability to communicate, engage with others, and behave in certain ways. Despite the existence of several therapy possibilities, an effective treatment for ASD has not yet been identified. Cell therapies have been becoming increasingly recognized in recent years as a potential therapeutic approach for the management of ASD. Different types of cellular products are transplanted using different delivery methods as part of cell therapy, which has the ability to regulate the immune system, demonstrate paracrine, neuro-regenerative, anti-inflammatory, and anti-oxidative stress effects, as well as transfer healthy mitochondria. We have compared the results and findings of completed cell therapy clinical trials for the treatment of ASD in this systematic review. A total of 547 studies were identified, in which 11 studies were found to be eligible to be included in this review as they were completed cell therapy clinical trials or clinical applications with quantitative results for the treatment of ASD patients. This systematic review provides an overview of clinical trials conducted with different types of cell therapy strategies for the treatment of ASD and their potential mechanisms of action. The limitations and future possibilities for this field of study, as well as the safety and efficacy of cell treatments in ASD, were reviewed. Overall, the evidence suggests that various cell therapy methods may offer a novel and effective treatment option for individuals with ASD, although further research is needed to fully understand the optimal treatment strategy and therapeutic potential.
{"title":"Cell therapies for autism spectrum disorder: a systematic review of clinical applications","authors":"Ayberk Akat, Erdal Karaöz","doi":"10.1186/s43045-023-00363-9","DOIUrl":"https://doi.org/10.1186/s43045-023-00363-9","url":null,"abstract":"Autism spectrum disorder (ASD) is a neurodevelopmental condition that affects patients’ ability to communicate, engage with others, and behave in certain ways. Despite the existence of several therapy possibilities, an effective treatment for ASD has not yet been identified. Cell therapies have been becoming increasingly recognized in recent years as a potential therapeutic approach for the management of ASD. Different types of cellular products are transplanted using different delivery methods as part of cell therapy, which has the ability to regulate the immune system, demonstrate paracrine, neuro-regenerative, anti-inflammatory, and anti-oxidative stress effects, as well as transfer healthy mitochondria. We have compared the results and findings of completed cell therapy clinical trials for the treatment of ASD in this systematic review. A total of 547 studies were identified, in which 11 studies were found to be eligible to be included in this review as they were completed cell therapy clinical trials or clinical applications with quantitative results for the treatment of ASD patients. This systematic review provides an overview of clinical trials conducted with different types of cell therapy strategies for the treatment of ASD and their potential mechanisms of action. The limitations and future possibilities for this field of study, as well as the safety and efficacy of cell treatments in ASD, were reviewed. Overall, the evidence suggests that various cell therapy methods may offer a novel and effective treatment option for individuals with ASD, although further research is needed to fully understand the optimal treatment strategy and therapeutic potential.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":"75 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138538396","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Secondary traumatization is a common occupational hazard for professionals working with distressed and traumatized people, especially children. If not properly managed, secondary traumatization can lead to symptoms similar to posttraumatic stress disorder. This condition is known as secondary traumatic stress (STS) and is linked to adverse mental health outcomes, such as burnout. Nevertheless, exposure to a traumatic event or its disturbing details can contribute to personal transformation, allowing an individual to move beyond pre-traumatic functioning and awareness. This process is called posttraumatic growth and is associated with positive mental health outcomes. The current study examined the relationship between STS and burnout and whether posttraumatic growth moderates this relationship in a sample of child psychiatrists. An online questionnaire was designed and distributed to participants. A total of 59 child psychiatrists working in Turkey completed measures including the Copenhagen Burnout Inventory-work burnout subscale, the Posttraumatic Growth Inventory, and the Secondary Traumatic Stress Scale. While STS was positively related to burnout (r = 0.661, p < .001), posttraumatic growth moderated this relationship. In other words, the relationship between STS and burnout was weaker for child psychiatrists with higher posttraumatic growth. Promoting posttraumatic growth may be a good way to reduce burnout among child psychiatrists. Individual or group supervision can promote posttraumatic growth by providing a supportive environment for child psychiatrists. Balancing workloads and creating time for self-care can also contribute to their growth.
继发性创伤是与痛苦和受创伤的人，特别是儿童打交道的专业人员常见的职业危害。如果处理不当，继发性创伤会导致类似创伤后应激障碍的症状。这种情况被称为继发性创伤应激(STS)，与不良的心理健康结果有关，如倦怠。然而，暴露于创伤性事件或其令人不安的细节可以促进个人转变，使个人超越创伤前的功能和意识。这个过程被称为创伤后成长，与积极的心理健康结果有关。目前的研究在儿童精神病学家的样本中检验了STS和倦怠之间的关系，以及创伤后成长是否调节了这种关系。设计并分发了一份在线问卷给参与者。共有59名在土耳其工作的儿童精神病学家完成了测量，包括哥本哈根倦怠量表-工作倦怠子量表，创伤后成长量表和二次创伤压力量表。虽然STS与倦怠正相关(r = 0.661, p < 0.001)，但创伤后成长调节了这一关系。换句话说，在创伤后成长较高的儿童精神病学家中，STS与倦怠之间的关系较弱。促进创伤后成长可能是减少儿童精神科医生倦怠的好方法。个人或团体监督可以通过为儿童精神科医生提供一个支持性的环境来促进创伤后的成长。平衡工作负荷和为自我照顾创造时间也有助于他们的成长。
{"title":"The moderating role of posttraumatic growth in secondary traumatic stress–burnout relationship: a sample of child psychiatrists from Turkey","authors":"Berhan Akdağ, Seda Bozduman Çelebi, Funda İpekten, Feyruz Usluoğlu, Serhat Nasıroğlu","doi":"10.1186/s43045-023-00364-8","DOIUrl":"https://doi.org/10.1186/s43045-023-00364-8","url":null,"abstract":"Secondary traumatization is a common occupational hazard for professionals working with distressed and traumatized people, especially children. If not properly managed, secondary traumatization can lead to symptoms similar to posttraumatic stress disorder. This condition is known as secondary traumatic stress (STS) and is linked to adverse mental health outcomes, such as burnout. Nevertheless, exposure to a traumatic event or its disturbing details can contribute to personal transformation, allowing an individual to move beyond pre-traumatic functioning and awareness. This process is called posttraumatic growth and is associated with positive mental health outcomes. The current study examined the relationship between STS and burnout and whether posttraumatic growth moderates this relationship in a sample of child psychiatrists. An online questionnaire was designed and distributed to participants. A total of 59 child psychiatrists working in Turkey completed measures including the Copenhagen Burnout Inventory-work burnout subscale, the Posttraumatic Growth Inventory, and the Secondary Traumatic Stress Scale. While STS was positively related to burnout (r = 0.661, p < .001), posttraumatic growth moderated this relationship. In other words, the relationship between STS and burnout was weaker for child psychiatrists with higher posttraumatic growth. Promoting posttraumatic growth may be a good way to reduce burnout among child psychiatrists. Individual or group supervision can promote posttraumatic growth by providing a supportive environment for child psychiatrists. Balancing workloads and creating time for self-care can also contribute to their growth.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138538381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-24DOI: 10.1186/s43045-023-00365-7
Marwa Y. Badr, Elsayed A. E. Gad, Ahmed A. E. Mubarak, Yasser A. A. El-Heneedy, Ahmed M. Ibrahim, Asmaa A. E. Belal, Fatma A. El Deep
Opioids, defined as medicines that stimulate opioid receptors, are primarily used in the treatment of moderate to severe pain. They induce central nervous system (CNS) adverse effects. This study aimed to assess the effect of opioids on brain electrical activity, the effect of opioids on cognitive functions, and corroborate whether there was any correlation between changes in brain electrical activity and cognitive functions that may do in opioid addicts. This cross-sectional case–control study was performed on 80 cases (divided into two groups 40 cases with tramadol use disorders and 40 cases with heroin use disorders) and 40 age-/sex-matched healthy control. All subjects were subordinated to neuropsychiatric evaluation, assessment of opioid use complaint through history from the case and his relatives, substance monitoring in urine, medicine abuse screening test (DAST), electroencephalography (EEG), and cognitive assessment by Montreal Cognitive Assessment (MOCA). Opioid dependence convinced global cognitive function impairment, specific cognitive disciplines impairment that included visual-conceptual, visual-motor tracking, visual-constructional skills, language function, attention, memory, and orientation. Additionally, affection of the brain’s electrical activities with significant changes compared with control. Comparison of cognitive impairment substantiated by lower cognitive scores in relation to abnormal EEG changes among studied case groups revealed significant differences. Opioid abusers had a significant impairment of cognitive functions and EEG changes with a significant correlation between changes in brain electrical activity and impairment of cognitive functions.
{"title":"Impact of tramadol and heroin abuse on electroencephalography structure and cognitive functions","authors":"Marwa Y. Badr, Elsayed A. E. Gad, Ahmed A. E. Mubarak, Yasser A. A. El-Heneedy, Ahmed M. Ibrahim, Asmaa A. E. Belal, Fatma A. El Deep","doi":"10.1186/s43045-023-00365-7","DOIUrl":"https://doi.org/10.1186/s43045-023-00365-7","url":null,"abstract":"Opioids, defined as medicines that stimulate opioid receptors, are primarily used in the treatment of moderate to severe pain. They induce central nervous system (CNS) adverse effects. This study aimed to assess the effect of opioids on brain electrical activity, the effect of opioids on cognitive functions, and corroborate whether there was any correlation between changes in brain electrical activity and cognitive functions that may do in opioid addicts. This cross-sectional case–control study was performed on 80 cases (divided into two groups 40 cases with tramadol use disorders and 40 cases with heroin use disorders) and 40 age-/sex-matched healthy control. All subjects were subordinated to neuropsychiatric evaluation, assessment of opioid use complaint through history from the case and his relatives, substance monitoring in urine, medicine abuse screening test (DAST), electroencephalography (EEG), and cognitive assessment by Montreal Cognitive Assessment (MOCA). Opioid dependence convinced global cognitive function impairment, specific cognitive disciplines impairment that included visual-conceptual, visual-motor tracking, visual-constructional skills, language function, attention, memory, and orientation. Additionally, affection of the brain’s electrical activities with significant changes compared with control. Comparison of cognitive impairment substantiated by lower cognitive scores in relation to abnormal EEG changes among studied case groups revealed significant differences. Opioid abusers had a significant impairment of cognitive functions and EEG changes with a significant correlation between changes in brain electrical activity and impairment of cognitive functions.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":"62 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138538398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-20DOI: 10.1186/s43045-023-00362-w
Jaafar Omer Ahmed
Social networks have become a part of individual lives nowadays, and most of the world’s population participates and has accounts on different social networks. This is a new phenomenon specific to the twenty-first century, as a subject entirely related to the human mind in terms of psychology and psychiatry is at the beginning of research. This study aims to provide a psychological interpretation of social networking issues. The motives for using social networks are summarized within five main motivations: affinity, human needs, self-expression, information acquisition, and personal utility. Individuals use these networks as a source to hide their true personalities and show imaginary and desirable personalities. Despite the enjoyment of networks, individuals face two major risks: revenge porn and online bullying. Online social networks have many effects and dangers on individual mental health, so excessive use causes depression, anxiety, violence, addiction, and body image distortions in individuals. Although researchers focus on the negative effects of social networks, they still have several benefits for individual health.
{"title":"Social media psychology and mental health","authors":"Jaafar Omer Ahmed","doi":"10.1186/s43045-023-00362-w","DOIUrl":"https://doi.org/10.1186/s43045-023-00362-w","url":null,"abstract":"Social networks have become a part of individual lives nowadays, and most of the world’s population participates and has accounts on different social networks. This is a new phenomenon specific to the twenty-first century, as a subject entirely related to the human mind in terms of psychology and psychiatry is at the beginning of research. This study aims to provide a psychological interpretation of social networking issues. The motives for using social networks are summarized within five main motivations: affinity, human needs, self-expression, information acquisition, and personal utility. Individuals use these networks as a source to hide their true personalities and show imaginary and desirable personalities. Despite the enjoyment of networks, individuals face two major risks: revenge porn and online bullying. Online social networks have many effects and dangers on individual mental health, so excessive use causes depression, anxiety, violence, addiction, and body image distortions in individuals. Although researchers focus on the negative effects of social networks, they still have several benefits for individual health.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138538372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-15DOI: 10.1186/s43045-023-00361-x
Khadija Benallel, Meryem Sara Zineb Sabah, Yassine Otheman, Mohamed Kadiri
Abstract Background There have been few studies conducted in Africa about the burden on families of patients with schizophrenia. This study had two main objectives: assessing the burden of those families and identifying the socio-demographic factors associated with this one. Methods We included 300 participants: 150 were primary family caregivers of 150 patients with schizophrenia. A questionnaire was used to collect their sociodemographic and clinical characteristics, and their objective burden using the FBIS (Family Burden Interview Schedule). Results Patients were mostly men ( n = 122, 81%), the mean age was 32.4 years ± 10.1, and more than half of the patients were psychoactive substance users. Participants (caregivers) were mostly women ( n = 90, 60%). Their mean age was 51.9 ± 12.8 years, with a percentage of 62 (41%) illiteracy, while 98 (65%) were parents. The mean score of the family burden was 21.82 (0–48). The most affected categories were family routine, family interaction, and finances. The burden of families was associated with five sociodemographic variables: the female gender of the caregiver ( p = 0.01), the male gender of the patient ( p = 0.02), his young age ( p = 0,004), his education level ( p < 0.0001), and his psychoactive substance use (PAS) ( p < 0.000 1). Conclusion The three main constraints encountered by families caring for a patient with schizophrenia were disruption of daily activities, deterioration in the quality of family interactions with those around them, and lastly financial difficulties. These results highlighted the need to set up intermediary socio-medical structures, which would act as a link between conventional hospital services and families.
{"title":"Schizophrenia and family burden in Morocco: assessment in a sample of 150 caregivers","authors":"Khadija Benallel, Meryem Sara Zineb Sabah, Yassine Otheman, Mohamed Kadiri","doi":"10.1186/s43045-023-00361-x","DOIUrl":"https://doi.org/10.1186/s43045-023-00361-x","url":null,"abstract":"Abstract Background There have been few studies conducted in Africa about the burden on families of patients with schizophrenia. This study had two main objectives: assessing the burden of those families and identifying the socio-demographic factors associated with this one. Methods We included 300 participants: 150 were primary family caregivers of 150 patients with schizophrenia. A questionnaire was used to collect their sociodemographic and clinical characteristics, and their objective burden using the FBIS (Family Burden Interview Schedule). Results Patients were mostly men ( n = 122, 81%), the mean age was 32.4 years ± 10.1, and more than half of the patients were psychoactive substance users. Participants (caregivers) were mostly women ( n = 90, 60%). Their mean age was 51.9 ± 12.8 years, with a percentage of 62 (41%) illiteracy, while 98 (65%) were parents. The mean score of the family burden was 21.82 (0–48). The most affected categories were family routine, family interaction, and finances. The burden of families was associated with five sociodemographic variables: the female gender of the caregiver ( p = 0.01), the male gender of the patient ( p = 0.02), his young age ( p = 0,004), his education level ( p < 0.0001), and his psychoactive substance use (PAS) ( p < 0.000 1). Conclusion The three main constraints encountered by families caring for a patient with schizophrenia were disruption of daily activities, deterioration in the quality of family interactions with those around them, and lastly financial difficulties. These results highlighted the need to set up intermediary socio-medical structures, which would act as a link between conventional hospital services and families.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":"1 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136229538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-13DOI: 10.1186/s43045-023-00359-5
Pia Maria Ghanimé, Zeinab Bazzi, Joseph Kazan, Ghassan Bou Saba, Samer El Hayek, Halim Saad, Farid Talih
Abstract Background Trends in cannabis use suggest a global increase in the past decade. Current evidence associates cannabis use with an increased risk of psychosis. This association has prompted a growing research interest in the association between cannabis use and psychiatric disorders, especially psychotic disorders. This study aims to gain a better understanding of the effect of cannabis on psychosis and its clinical progression. Results We conducted a retrospective chart review of cannabis use in patients hospitalized for a psychosis episode over five years at the American University of Beirut Medical Center (AUBMC). Cannabis users were more likely to be young single males using other substances compared to non-cannabis users. Frequent cannabis use was associated with a higher likelihood of paranoia and legal problems. Other psychotic symptoms did not significantly differ between frequent cannabis users and non-users. The length of hospital stay and the duration of the psychotic episode did not significantly differ between cannabis users and non-users. Family stressors and family history of a psychotic disorder were associated with a higher likelihood of personal history of violence. Conclusions This study is the first in Lebanon to reproduce findings supporting the association between cannabis and psychosis previously highlighted in other populations. Further prospective research is needed to better understand the effect of cannabis use on psychosis and to accordingly revise policies on cannabis legalization to reduce the global burden of psychotic disorders.
{"title":"Cannabis use and psychosis among patients hospitalized in psychiatric wards in Lebanon: a retrospective chart review","authors":"Pia Maria Ghanimé, Zeinab Bazzi, Joseph Kazan, Ghassan Bou Saba, Samer El Hayek, Halim Saad, Farid Talih","doi":"10.1186/s43045-023-00359-5","DOIUrl":"https://doi.org/10.1186/s43045-023-00359-5","url":null,"abstract":"Abstract Background Trends in cannabis use suggest a global increase in the past decade. Current evidence associates cannabis use with an increased risk of psychosis. This association has prompted a growing research interest in the association between cannabis use and psychiatric disorders, especially psychotic disorders. This study aims to gain a better understanding of the effect of cannabis on psychosis and its clinical progression. Results We conducted a retrospective chart review of cannabis use in patients hospitalized for a psychosis episode over five years at the American University of Beirut Medical Center (AUBMC). Cannabis users were more likely to be young single males using other substances compared to non-cannabis users. Frequent cannabis use was associated with a higher likelihood of paranoia and legal problems. Other psychotic symptoms did not significantly differ between frequent cannabis users and non-users. The length of hospital stay and the duration of the psychotic episode did not significantly differ between cannabis users and non-users. Family stressors and family history of a psychotic disorder were associated with a higher likelihood of personal history of violence. Conclusions This study is the first in Lebanon to reproduce findings supporting the association between cannabis and psychosis previously highlighted in other populations. Further prospective research is needed to better understand the effect of cannabis use on psychosis and to accordingly revise policies on cannabis legalization to reduce the global burden of psychotic disorders.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":"46 18","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136281602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-11-10DOI: 10.1186/s43045-023-00360-y
Samer El Hayek, Ghida Kassir, Hussein Zalzali, Karim Al Hasanieh, Michele Cherro, Nour Ibrahim, Maya Bizri
Abstract Background This study explores the characteristics and management of individuals with substance use disorders (SUDs) who were referred to the consultation-liaison psychiatry (CLP) service in a tertiary care center in Lebanon. As part of the Consultation-Liaison at the American University of Beirut (CLAUB) analysis, we conducted a retrospective record review of patients referred to our CLP service between February 2019 and May 2020. We assessed differences between SUD and non-SUD consults using chi-square analysis, Fisher’s exact test, or Mann–Whitney U test, as appropriate. Results Of 1475 patients, 278 (18.8%) received a diagnosis of SUD. They were mostly males (73.7%) with an average age of 38.8 years. The most used substances were alcohol (60%) and cannabis (28.4%). Compared to non-SUD consults, patients with SUDs were more likely to be males (odds ratio OR = 3.18, p < 0.001) and to get intubated during admission (OR = 1.81, p = 0.048). Predictors of intensive care unit admission in patients with alcohol use disorder included pulmonary or endocrinological disease, benzodiazepine use disorder, and days until CLP referral. Conclusions The results of this study highlight the high prevalence of alcohol use among individuals with SUD referred to the CLP service. Additionally, they underscore the limited treatment avenues available in this part of the world. The institution of a comprehensive CLP service is crucial to address the unmet needs of patients with SUDs who present to a general hospital setting.
摘要背景本研究探讨了黎巴嫩某三级保健中心咨询联络精神病学(CLP)服务的物质使用障碍(sud)患者的特点和管理。作为贝鲁特美国大学(club)咨询联络分析的一部分，我们对2019年2月至2020年5月期间转介到我们CLP服务的患者进行了回顾性记录审查。我们使用卡方分析、Fisher精确检验或Mann-Whitney U检验来评估SUD与非SUD患者之间的差异。结果1475例患者中，278例(18.8%)被诊断为SUD。以男性居多(73.7%)，平均年龄38.8岁。使用最多的物质是酒精(60%)和大麻(28.4%)。与非sud患者相比，患有sud的患者更有可能是男性(优势比OR = 3.18, p <0.001)和入院时插管(OR = 1.81, p = 0.048)。酒精使用障碍患者入住重症监护病房的预测因素包括肺部或内分泌疾病、苯二氮卓类药物使用障碍和CLP转诊前的天数。结论:本研究的结果强调了在CLP服务的SUD患者中酒精使用的高发率。此外，它们强调了世界这一地区可用的治疗途径有限。建立全面的CLP服务对于解决到综合医院就诊的sud患者的未满足需求至关重要。
{"title":"Characteristics and management of patients with substance use disorders referred to a consultation-liaison psychiatry service in Lebanon","authors":"Samer El Hayek, Ghida Kassir, Hussein Zalzali, Karim Al Hasanieh, Michele Cherro, Nour Ibrahim, Maya Bizri","doi":"10.1186/s43045-023-00360-y","DOIUrl":"https://doi.org/10.1186/s43045-023-00360-y","url":null,"abstract":"Abstract Background This study explores the characteristics and management of individuals with substance use disorders (SUDs) who were referred to the consultation-liaison psychiatry (CLP) service in a tertiary care center in Lebanon. As part of the Consultation-Liaison at the American University of Beirut (CLAUB) analysis, we conducted a retrospective record review of patients referred to our CLP service between February 2019 and May 2020. We assessed differences between SUD and non-SUD consults using chi-square analysis, Fisher’s exact test, or Mann–Whitney U test, as appropriate. Results Of 1475 patients, 278 (18.8%) received a diagnosis of SUD. They were mostly males (73.7%) with an average age of 38.8 years. The most used substances were alcohol (60%) and cannabis (28.4%). Compared to non-SUD consults, patients with SUDs were more likely to be males (odds ratio OR = 3.18, p < 0.001) and to get intubated during admission (OR = 1.81, p = 0.048). Predictors of intensive care unit admission in patients with alcohol use disorder included pulmonary or endocrinological disease, benzodiazepine use disorder, and days until CLP referral. Conclusions The results of this study highlight the high prevalence of alcohol use among individuals with SUD referred to the CLP service. Additionally, they underscore the limited treatment avenues available in this part of the world. The institution of a comprehensive CLP service is crucial to address the unmet needs of patients with SUDs who present to a general hospital setting.","PeriodicalId":38653,"journal":{"name":"Middle East Current Psychiatry","volume":"99 50","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135092030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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