M. Abol, Rania Mamdouh, Sherine El Mekawy, Sally El Sheikh
{"title":"Psychiatric and social profile of recovering substance-dependent women","authors":"M. Abol, Rania Mamdouh, Sherine El Mekawy, Sally El Sheikh","doi":"10.4103/ejpsy.ejpsy_17_18","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_17_18","url":null,"abstract":"Objectives The objective of this article is to estimate the presence of psychiatric disorders among a group of recovering substance-dependents female patients and to assess the degree of social competence and support of the recovering substance-dependent women throughout the process of recovery. Patients and methods A total of 30 recovering substance-dependent women were selected as consecutive samples from private hospitals, private clinics, and private rehabilitation centers in Greater Cairo. Moreover, 30 controls were included who were nonsubstance-dependent volunteer women. All participants gave written consent and were subjected to the following interviews, assessments, and investigations: informed consent, Structured Clinical Interview for DSM axis I, Addiction Severity Index for cases, Social Support Questionnaire, Social Competence Scale, and urine sampling for cases. Results Most recovering substance-dependent women were single, mostly divorced, and unemployed. Benzodiazepines were the most common substance of abuse followed by opiates and alcohol. The period of sobriety was 6 months to 1 year in half of the cases. The addiction severity index revealed most cases had severe drug and alcohol use, severe psychiatric problems, and severe problems in their social relationships owing to drug dependence, and approximately half of the cases had severe medical and legal problems owing to drug dependence. Most of the recovering substance-dependent women showed low social competence and had limited to fair level of social support in their recovery. All recovering substance-dependent women had a psychiatric diagnosis. Major depressive disorder and posttraumatic stress disorder are the two most common psychiatric disorders found in recovering substance-dependent women. Conclusion There is a high prevalence of psychiatric disorders among recovering substance-dependent female patients. Their social competence is low, and they tend to have limited to fair social support throughout the process of recovery.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"64 - 73"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47136988","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}
V. Mikhael, M. El-Hamady, S. El-Bakry, R. Abdelhalem
{"title":"A preliminary study of stress and infertility among Egyptian female sample in Benha city","authors":"V. Mikhael, M. El-Hamady, S. El-Bakry, R. Abdelhalem","doi":"10.4103/ejpsy.ejpsy_8_19","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_8_19","url":null,"abstract":"Background To study infertility-related stress among women, as the experience of infertility can be extremely stressful and associated with a range of psychiatric problems in infertile women, to examine its relationship with their coping capability to stress and marital satisfaction, and to study some of the risk factors that may lead to psychiatric disorders. Objective In this study, we have analyzed the psychiatric problems of infertile women, their coping capability to stressful life events, and marital satisfaction among them. Patients and methods In a cross-sectional study, 30 infertile women (15 explained and 15 unexplained infertility) were randomly selected and advised to a clinical psychiatric assessment and to fill up Stressful Life Events Coping questionnaire and Marital Satisfaction Inventory. After obtaining their consents, psychiatric problems such as depressive disorders, anxiety disorders, panic, somatoform disorders, and personality profile were assessed. Moreover, their coping capability to stressful life events and marital satisfaction was studied. Results were analyzed and compared with the results from 10 fertile women. Results According to a clinical psychiatric assessment, Stressful Life Events Coping questionnaire, and Marital Satisfaction Inventory, major depression, anxiety disorders, comorbid anxiety and depression, and premenstrual dysphoric disorder were significantly more frequent in infertile women. Considering somatization and personality disorders, there was no significant difference between infertile and fertile women. Pathological coping capability to stress and marital dissatisfaction, on the contrary, was significantly higher among infertile women. Conclusion Infertility may be considered as one of the major casual factor in depression and anxiety disorders, has negative coping capability to stress, and shows marital dissatisfaction.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"74 - 85"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49078559","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}
Azza El-Bakry, A. El Safty, A. Abdou, O. Amin, D. Ayoub, Dina Afifi
{"title":"Zinc deficiency in children with attention-deficit hyperactivity disorder","authors":"Azza El-Bakry, A. El Safty, A. Abdou, O. Amin, D. Ayoub, Dina Afifi","doi":"10.4103/ejpsy.ejpsy_11_19","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_11_19","url":null,"abstract":"Background Attention-deficit hyperactivity disorder (ADHD) is a common behavioral disorder in children that may persist into adulthood. Insufficient nutritional supply and deficiency of trace elements and other components including various minerals have been suggested to play a role in the development of ADHD symptoms. Zinc in particular was found to be significantly deficient in patients with ADHD compared with healthy controls, so it was concluded that zinc deficiency might play a role in the etiopathogenesis of ADHD. Objectives The aim of the work is to investigate the association of serum zinc levels with ADHD diagnosis, its symptom domains, and severity. Patients and methods A total of 75 children aged from 6 to 14 years with Diagnostic and Statistical Manual of Mental Disorders, 4th ed. (DSM-IV) diagnosis of ADHD were enrolled in this study. All children were assessed using Colored Progressive Matrices IQ test, Kiddie Schedule for Affective Disorders and Schizophrenia for School Age Children Present and Lifetime version (K-SADS-PL), the Working Memory Index (WMI) of Wechsler Intelligence Scale for Children (WISC-III), and Conner’s Parent Rating Scale − Revised − Long version (CPRS-R-L). Serum zinc level was measured in all children using atomic absorption spectroscopy. Results Overall, 52% of children with ADHD (n=39) had forthright zinc deficiency with serum zinc levels less than 60 μg/dl. Five children only had marginal zinc levels, with serum zinc level ranging between 60 and 80 μg/dl. Serum zinc levels were lower in children living in rural areas. Zinc-deficient children showed lower IQ scores than non-zinc-deficient group.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"95 - 103"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47477973","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}
S. Rashad, E. Abda, R. Gabra, M. Razek, T. Desoky, E. Talaat
{"title":"Cognitive and psychological evaluation of a sample of egyptian patients with behcet’s disease without neurological manifestations: a case–control study","authors":"S. Rashad, E. Abda, R. Gabra, M. Razek, T. Desoky, E. Talaat","doi":"10.4103/ejpsy.ejpsy_32_18","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_32_18","url":null,"abstract":"Objective Behcet’s disease (BD) is a chronic autoimmune multisystemic vasculitis of unknown cause that affects one case per 170 000 persons in the USA. There are few studies in the literature that targeted BD patient group for cognitive and psychological evaluation and scarce studies that evaluated the patients with BD without neurological manifestations. In this study, we aimed to assess those who have BD without neurological manifestations for cognitive and psychological impairments. Patients and methods A case–control study was conducted. A total of 45 consecutive adult patients, aged 18–60 years, diagnosed with BD without neurological manifestations were evaluated for cognitive and psychological impairments and compared with 30 age-matched and sex-matched healthy control participants. Detailed clinical evaluation was done including disease activity measurement using Behçet’s Disease Current Activity Form. Participants completed a group of neuropsychological assessment including Memory Assessment Scale, Hamilton Depression Rating Scale, Hamilton Anxiety Rating Scale, Short Form 36 Quality-Of-Life questionnaire, and Global Assessment of Functioning scale. Results Compared with the control group, patients with BD scored lower in Memory Assessment Scale (total and subscores), Short Form 36 Quality-Of-Life questionnaire, and Global Assessment of Functioning scores. BD group showed significantly higher prevalence of depression and anxiety. Conclusion BD without neurological manifestations was associated with cognitive and psychological impairment, and this was not restricted to cases with neuro-BD.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"24 - 30"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70724051","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}
H. Dessoki, A. Moussa, Hisham Salah, Yasmeen A Noor
{"title":"Assessment of sexual dysfunction in females with systemic lupus erythematosus","authors":"H. Dessoki, A. Moussa, Hisham Salah, Yasmeen A Noor","doi":"10.4103/ejpsy.ejpsy_6_18","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_6_18","url":null,"abstract":"Introduction Sexual dysfunctions are common sexual health problems affecting a substantial proportion of females with systemic lupus erythematosus (SLE). Objective This study aimed at the evaluation of female sexual dysfunction in patients with SLE. Materials and methods A total of 50 females with SLE and 50 matched healthy female volunteers were assessed using the Arabic version of Female Sexual Function Index. Married and sexually active females during the past 6 months with established diagnosis of SLE were recruited from the Rheumatology Clinic, Beni-Suef University hospital during the period from March to August 2017. All data were statistically analyzed using the IBM statistical package for the social sciences version 20. Results The study showed that 60% of females with SLE and 16% of healthy controls reported abnormal sexual function according to the FSFI total scores, with a statistically significant differences in-between (P=0.00). Conclusion Female sexual dysfunction is a common problem among patients with SLE.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70724806","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}
A. Hashem, Hashem Mohamed Nasreldin, M. Gomaa, O. Khalaf, A. Ismail
{"title":"White matter hyperintensities in elderly patients with late-onset and early-onset depression: a comparative study","authors":"A. Hashem, Hashem Mohamed Nasreldin, M. Gomaa, O. Khalaf, A. Ismail","doi":"10.4103/ejpsy.ejpsy_19_18","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_19_18","url":null,"abstract":"Background Depression in late life is associated with subtle irreversible cognitive impairment, subtle structural brain damage, and a high frequency of white matter and other lesions, on visualization with MRI. Objectives The objective of this article is to explore the role of white matter hyperintensities (WMH) in elderly patients with depression. A total of 80 elderly patients with depression were recruited from the Geriatric Outpatient Clinic of Psychiatry and Addiction Prevention Hospital, Kasr Al-Ainy, Cairo University. They were divided into two groups according to the age of onset of depression: late-onset group [late-onset depression (LOD)] and early-onset group (early-onset depression). Patients and methods This was a hospital-based, cross-sectional, comparative study with consecutive referral. The patients were subjected to MRI of the brain to assess WMH using modified Fazekas score, Hamilton depression rating scale, and Addenbrooke’s cognitive examination revised. Results The mean total score of modified Fazekas score is significantly higher in the LOD group than in the early-onset depression group, and the periventricular WMH are significantly higher in the LOD. Conclusion WMH are more associated with LOD in elderly patients.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"17 - 23"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70723610","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}
H. El sheikh, Hisham El Sayed, S. E. El Bakry, Asmaa A. El Hamed
{"title":"Sleep patterns among bipolar disorder patients","authors":"H. El sheikh, Hisham El Sayed, S. E. El Bakry, Asmaa A. El Hamed","doi":"10.4103/ejpsy.ejpsy_8_18","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_8_18","url":null,"abstract":"Background Bipolar disorder (BD) is a lifelong, potentially treatable psychiatric disorder with substantial morbidity and mortality. Sleep is a very important factor for the quality of life, risk for relapse, affective functioning, cognitive functioning, impulsivity, and general health. It is important to note that a bidirectional relationship likely exists between sleep disturbance and mood disorders, as symptoms of mood disorders may disrupt sleep, and disrupted sleep can increase symptoms of mood disorders. Moreover, the sources of inflammation and immune activation, which play a role in depression, may contribute to the inflammatory burden in patients with mania. Aim The aim of this study was to study the nature of sleep disturbance in bipolar patients and to detect the correlation between the severity of BD and sleep disturbance. Patients and methods In this case–control study, fifty BD patients (28 male patients and 22 female patients) and 20 age-matched controls were recruited for this study. Structured Clinical Interview for DSM-IV Axis I Disorders for diagnosis of BD; Beck Depression Inventory-II and Young Mania Rating Scale (YMRS) were used to assess the severity of BD. Assessment of sleep pattern was carried out by Pittsburgh Sleep Quality Index (PSQI), and C-reactive protein (CRP) was measured. Results In the current study, with regard to Beck scores before medication, there were inverse relations with YMRS and PSQI. These relations become direct after medication. As regards YMRS scores before medication, there was an inverse relation with Beck, direct relations with PSQI, which did not show any change after medication, except for sleep disturbance, which become an inverse relation. As regards PSQI’s total scores before medication, it showed an inverse relation with Beck, direct relations with YMRS and the relation with Beck scores became direct after medication. As regards CRP levels, there was a significant difference between cases before and after medication and significant difference between the case and control groups. Conclusion PSQI is a cheap valid test that can be used in Egypt to report sleep profile and abnormalities, to follow-up the patients and prevent relapse. Hence, bipolar patients with depressive symptoms improved and responded better on treatment, with better improvement in sleep profile than patients with manic symptoms. Moreover, a definite correlation between sleep disturbance and CRP levels could not be concluded.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"5 - 16"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70724720","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":"Defense style and dissociative phenomena in patients with borderline personality disorder","authors":"M. Abdelhameed, M. Seddik, N. Abdel-Fadeel","doi":"10.4103/ejpsy.ejpsy_35_18","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_35_18","url":null,"abstract":"Introduction Patients with borderline personality disorder (BPD) are unique and diverse in their pathology, defense style, and clinical presentations. Many of these patients have other personality disorders as well. They tend to display a wide range of other psychiatric disorders, including dissociative phenomena and experiences. Patients and methods A total of 60 female patients were diagnosed with BPD using the Diagnostic and Statistical Manual of Mental Disorders, IV ed. Structured Clinical Interview for DSM-IV Axis II Personality Disorders. Severity of illness and emotional and behavioral aspects of patients were assessed using Borderline Evaluation of Severity over Time. Defense style of patients was assessed using the Defense Style Questionnaire. Dissociative phenomena were studied using the Dissociative Experience Scale (DES). Results The most commonly used defenses by the study patients were undoing, idealization, somatization, and splitting. Patients with absent criteria 4 (impulsivity) and 7 (feeling of emptiness) of BPD significantly displayed more mature defenses, whereas patients having criterion 9 (paranoid ideation and severe dissociation) of BPD significantly displayed neurotic type of defenses. Mature defenses were significantly negatively correlated with the absorption and depersonalization factors of DES. Neurotic defenses were significantly correlated with the total score of DES, absorption, and depersonalization factors. Immature defenses were significantly correlated only with the depersonalization factor of DES. Conclusion Patients with BPD have a specific pattern of defense style that might be linked to their specific illness criteria. Displaying certain phenomena of dissociation might be related to the particular pattern of the dominant defense mechanisms in these patients.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"41 - 47"},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70723872","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}