The Malaysian Journal of Psychiatry最新文献

{"title":"Validation of the Malay Version of Zarit Burden Interview (MZBI)","authors":"Shim Vk, C. G. Ng, I. Drahman","doi":"10.13140/RG.2.2.18021.65760","DOIUrl":"https://doi.org/10.13140/RG.2.2.18021.65760","url":null,"abstract":"Background: Caregiver burden is an important outcome commonly investigated in both observational and interventional literatures associated with caregiving of patients. Zarit Burden Interview (ZBI) is the oldest and most widely used measure for assessment of caregiver burden. Since the publication of the original version in 1980, various translated and shorter revised versions of the ZBI in multiple languages have been produced. Objectives: This study aimed to evaluate the validity and reliability of the Malay version of Zarit Burden Interview (MZBI) for assessment of the caregiver burden among the local family caregivers of cancer patients. Methods: In total, 50 family caregivers of cancer patients in a government tertiary hospital in Sarawak were recruited in this cross-sectional study using non-random sampling method. The caregivers were given the MZBI scale, followed by the Malay version of Center for Epidemiologic Studies – Depression (MCES-D) scale and English version of Zarit Burden Interview (EZBI) scale. Statistical analyses were performed to assess the reliability and validity of the MZBI. Results: The MZBI demonstrated good reliability with high internal consistency (α = 0.898) and split-half correlation of 0.912, and significant positive correlation with MCES-D (rs = 0.58, p < 0.01) and EZBI (rs = 0.84, p < 0.01). A score of 22 was selected as the suitable cut-off score for MZBI scale in the local population based on ROC curve with the area under the curve of 0.786 (CI 0.658 – 0.914, p = 0.001). At the score of 22, the sensitivity and specificity of the MZBI were 70.8% and 69.2% respectively. Conclusion: The MZBI demonstrated fairly good psychometric properties in assessing the caregiver burden in local Malaysian population. Further study on the factorial structure of the MZBI would be useful to enhance the overall validity of the scale in the context of caregiver burden assessment. Please click PDF below to download the full paper...","PeriodicalId":224982,"journal":{"name":"The Malaysian Journal of Psychiatry","volume":" 13","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120834364","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}

{"title":"Antiepileptic drugs to treat psychiatric disorders","authors":"S. McElroy, P. Keck, R. Post","doi":"10.3109/9780849382666","DOIUrl":"https://doi.org/10.3109/9780849382666","url":null,"abstract":"This book delves into the role of antiepileptics in psychiatric and neuro-psychiatric disorders which happen to be their most common area of “off label” use. We often associate antiepileptics with mood stabilization but we seemed not to realize that there are various other therapeutic benefits of this class of drugs as highlighted by the editors in the preface. This book has 3 parts to it and there are numerous contributors to each chapter in each part and the contributors are all preeminent experts in psychiatry. The first part provides an overview of antiepileptics and its various uses in neuropsychiatric conditions. It contains one chapter that describes briefly the mechanism of action of these drugs as well as a summary about the first and second generation antiepileptics such as Felbamate, Topiramate, Gabapentin, Zonisamide, Pregabalin just to name a few. The author had also provided some information about the latest antiepileptics in the pipeline as well. The second part consists of chapters describing antiepileptics in psychiatric disorders. It is made up of 10 chapters. The first chapter in described the treatment of acute manic and mixed episodes. This chapter highlights all the commonly prescribed antiepileptics in manic and mixed episodes with tabulated supporting evidence from randomized controlled trials which provides an excellent guide to those looking for evidence based literature with regards to this. This will be an important chapter especially for postgraduates as it provides useful information about drugs such as Oxcarbazepine, Phenytoin, Topiramate, Gabapentin as well as Lamotrigine as these are not commonly used in our clinical practice for manic or mixed episodes. The second chapter in part 2 talks about the role of antiepileptics in long-term treatment of bipolar disorder. This is also an important aspect of bipolar disorder as we know that long-term management involves a complex and arduous process that can be very challenging even to the most experienced psychiatrist. Adequate evidence for safety, maintenance efficacy and practical guidelines for long-term use in bipolar disorder is presented in this chapter for all approved antiepileptics as well as those for which clear evidence indicates that they have secondary roles in bipolar disorder.","PeriodicalId":224982,"journal":{"name":"The Malaysian Journal of Psychiatry","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126981434","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}

{"title":"Is there a need for a hospital based smoking cessation programme in Malaysia","authors":"N. Robson., H. MohammadHussain","doi":"10.2139/ssrn.2051444","DOIUrl":"https://doi.org/10.2139/ssrn.2051444","url":null,"abstract":"Smoking cessation programmes have been available for almost 2 decades in Malaysia. However the programmes have mainly focussed on outpatient primary care settings. More attention is needed to address and treat smokers presenting to hospitals with acute and chronic medical illness as hospitals provide good settings to implement smoking cessation intervention. For instance, a tobacco related medical illness may boosts a smoker's motivation to stop, especially when the smoker perceives smoking as the cause of his illness and understands the gains achieved by smoking cessation. Besides bringing a smoker in contact with health personnel who may offer assistance to a smoker to help him stop smoking, a hospital stay also provide an opportunity for the health carer to initiate and practice the government policy of no smoking in the hospitals. This article addresses the importance of having a hospital-based smoking cessation programme for the Malaysian hospitals.","PeriodicalId":224982,"journal":{"name":"The Malaysian Journal of Psychiatry","volume":"72 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2008-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126262756","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}