{"title":"Attachment styles and psychosocial and emotional reactions to dating violence: mediating effects of active coping and self-criticism.","authors":"Sadaf Rehman, Sadia Saleem, Sayyeda Taskeen Zahra","doi":"10.47391/JPMA.21443","DOIUrl":"https://doi.org/10.47391/JPMA.21443","url":null,"abstract":"<p><strong>Objective: </strong>To examine the mediating effect of active coping and self-criticism in the relationship of attachment styles and psychosocial and emotional reactions in young adults with dating violence.</p><p><strong>Methods: </strong>The cross-sectional study was conducted from January 1 to April 30, 2024, in Lahore, Pakistan, after approval from the ethics review committee of the Institute of Clinical Psychology, University of Management and Technology, Lahore. The sample was raised from among students of either gender aged 18-26 years studying at various public and private universities in Lahore. Data was collected using the Attachment Styles Scale, Dating Violence Scale, Self-Criticism Scale and the Psychosocial and Emotional Reactions Scale. Data was analysed using SPSS 25.</p><p><strong>Results: </strong>Of the 284 participants, 105(37.4%) were males and 179(62.6%) were females. The overall mean age was 22.35±2.01 years. A significant negative association was found among attachment styles (p<0.01), active coping (p<0.01), self-criticism (p<0.01) and psychosocial and emotional reactions (p<0.01). Furthermore, active coping and self-criticism fully mediated (p<0.001) in the association of attachment styles and psychosocial and emotional reactions in young adults with dating violence.</p><p><strong>Conclusion: </strong>Counsellors offering individualised treatment strategies and preventive measures may help their clients avoid major outcomes from their psychological and emotional responses to dating violence.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1241-1246"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Compression garments optimising performance, recovery and well-being.","authors":"Varisha Latif, Reeha Amjad, Muhammad Mustafa","doi":"10.47391/JPMA.21519","DOIUrl":"https://doi.org/10.47391/JPMA.21519","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1338"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978772","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Is lower back pain a growing issue in Pakistani adult population?","authors":"Syed Muhammad Farzan Ali Warsi, Zainab Hasan","doi":"10.47391/JPMA.21427","DOIUrl":"https://doi.org/10.47391/JPMA.21427","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1334"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978785","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obesity And The Spleen.","authors":"Sanjay Kalra, Suneet Kumar Vermaz, Nitin Kapoor","doi":"10.47391/JPMA.25-63","DOIUrl":"https://doi.org/10.47391/JPMA.25-63","url":null,"abstract":"<p><p>This review describes the relationship of splenomegaly, or \"splenic obesity\", with metabolic syndrome, obesity and metabolic - associated steatohepatic disease (MAFLD), based on animal and human studies. The spleen is enlarged in obesity. It may play a protective role against obesity-associated inflammation and complications. This protection may be lost after splenomegaly. Persons with splenic disease must be evaluated for obesity, and vice versa and counselled to avoid injury to the organ.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1298-1300"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978787","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Rehabilitation of Adults with Fibromyalgia.","authors":"Su Yi Lee, Krystal Song, Farooq Azam Rathore","doi":"10.47391/JPMA.25-67","DOIUrl":"https://doi.org/10.47391/JPMA.25-67","url":null,"abstract":"<p><p>Fibromyalgia syndrome is an increasingly recognized chronic musculoskeletal disorder, involving widespread pain, soft tissue tenderness, other somatic complaints, physical deconditioning, cognitive impairment, psychological issues and disability. It adversely impacts mobility, activities of daily living, work productivity, societal participation and quality of life. Multidisciplinary rehabilitation approaches are often required for prompt recognition of impairments related to fibromyalgia and formulation of an individualized rehabilitation plan to assist patients in relieving symptoms, improve mobility, daily and psychosocial functioning, as well as quality of life. To date, there appears to be little scientific evidence for the effectiveness of rehabilitation interventions for fibromyalgia. However, rehabilitation strategies remain commonly used as an approach for this condition, which causes much personal and substantial economic loss to society. We aim to summarize the current evidence for the effectiveness of rehabilitation interventions used for fibromyalgia among working age adults, including pharmacological and non-pharmacological management approaches.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1309-1311"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dequalinium chloride: a non-antibiotic alternative for the treatment of bacterial vaginosis.","authors":"Kashish Karara, Ahsan Shabbir","doi":"10.47391/JPMA.22919","DOIUrl":"https://doi.org/10.47391/JPMA.22919","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1331"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978803","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Feeding the mind: Nutritional strategies across different stages of Alzheimer's disease and their significance.","authors":"Eshan Ahmad, Asim Mehmood, Rida Inam","doi":"10.47391/JPMA.30195","DOIUrl":"https://doi.org/10.47391/JPMA.30195","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1345"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"That Fiduciary Relationship!","authors":"Nazli Hossain","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1312-1313"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kamal Huda Khan, Hania Zahid, Abbas Mustafa Gain, Naseha Mushtaq, Rabeea Mushtaq
{"title":"National registry of Haemoglobinopathies in Pakistan.","authors":"Kamal Huda Khan, Hania Zahid, Abbas Mustafa Gain, Naseha Mushtaq, Rabeea Mushtaq","doi":"10.47391/JPMA.22916","DOIUrl":"https://doi.org/10.47391/JPMA.22916","url":null,"abstract":"","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1343-1344"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Samia Aijaz, Urooj Kashif, Novera Chughtai, Summera Malik
{"title":"Does concurrent pelvic organ prolapse surgery affect outcomes of mid-urethral Sling? A tertiary care experience.","authors":"Samia Aijaz, Urooj Kashif, Novera Chughtai, Summera Malik","doi":"10.47391/JPMA.11394","DOIUrl":"https://doi.org/10.47391/JPMA.11394","url":null,"abstract":"<p><strong>Objective: </strong>To compare the efficacy of mid-urethral sling surgery with and without concurrent pelvic organ prolapse surgery.</p><p><strong>Methods: </strong>The retrospective chart review was conducted in May 2022 at the Aga Khan University Hospital, Karachi, and comprised data of female patients who underwent mid-urethral sling surgery either through tension-free vaginal tape or trans obturator tape for stress urinary incontinence between January 2010 and December 2020 and had a complete 12-month follow-up data available. Two groups were formed: Group A had mid-urethral sling surgery cases, while Group B, had cases with concurrent mid-urethral sling and pelvic organ prolapse surgery. Documented parameters, including preoperative data, postoperative complications and satisfaction levels using urogenital distress inventory-6 and incontinence impact questionnaire-7 tools, were compared between the groups. Negative cough stress test was defined as objective cure. Data was analysed using SPSS 19.</p><p><strong>Results: </strong>Of the 345 females, 122(35.4%) were in Group A, with 68(55.7%) aged <50 years. There were 223(64.6%) females in Group B, with 127(57%) aged >50 years(p>0.05). Parity >3 and menopause were significantly higher in Group B (p<0.05), but a positive preoperative cough stress test was high in Group A (p=0.001). At 12-month followup, objective and subjective cure rates were not significantly different between the groups (p>0.05). However, at 6 months, urogenital distress inventory-6 scores were significant between the groups (p<0.05). Body mass index was associated with objective failure at 6months. Mid-urethral sling type and the presence of concurrent prolapse surgery had no significant effect (p>0.05).</p><p><strong>Conclusions: </strong>Undergoing simultaneous prolapse surgery and mid-urethral sling surgery had similar risks and success rates as undergoing mid-urethral sling surgery alone.</p>","PeriodicalId":54369,"journal":{"name":"Journal of the Pakistan Medical Association","volume":"75 8","pages":"1188-1193"},"PeriodicalIF":0.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144978766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}