A. Elmissiry, F. Abuzahra, M. Elmissiry, E. Shorub, Reem Hashim, D. Mahmoud
{"title":"Association of angiotensin-converting enzyme gene polymorphism and clinical characteristics in Egyptian patients with major depressive disorder","authors":"A. Elmissiry, F. Abuzahra, M. Elmissiry, E. Shorub, Reem Hashim, D. Mahmoud","doi":"10.4103/ejpsy.ejpsy_49_20","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_49_20","url":null,"abstract":"Objectives Depression is one of the leading causes of disability and suicide worldwide. It has strong genetic etiopathogenesis, especially that related to angiotensin-converting enzyme (ACE) gene polymorphism. Therefore, this research tackled the relation between genetic variants of ACE polymorphism and symptomatology profile of major depression. Patients and methods A total of 42 patients diagnosed with depression matched with 39 controls underwent Structured Clinical Interview for the DSM-IV Axis I diagnosis clinician version, Structured Clinical Interview for the DSM-IV Axis I diagnosis-nonpatient edition, Hamilton Depression Rating Scale, real-time PCR for genotyping, and serum cortisol level assay. Results ACE I/D gene polymorphism was significantly higher in patients with major depression (45.2%) compared with the control group (25.6%). Patients with I/D polymorphism showed longer duration of illness; greater severity; higher number of episodes and rate of hospitalization; higher tendency to be prescribed serotonin/norepinephrine reuptake inhibitors and to receive electroconvulsive therapy; higher scores of core depressive symptoms, such as guilt feeling, inability to work, and suicidal ideation; and higher serum cortisol level than the other genotype groups. Conclusion Our findings support the notion that ACE I/D polymorphism affects major depression severity and symptomatology imprint.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"42 1","pages":"84 - 92"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49594582","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}
M. Shahin, M. Samie, Sandra W. Elseesy, Nehal Mostafa, K. Meshreky, D. Ayoub
{"title":"The effect of COVID-19 pandemic on the mental wellbeing and coping strategies of health care providers in Kasr Al-Ainy Hospital","authors":"M. Shahin, M. Samie, Sandra W. Elseesy, Nehal Mostafa, K. Meshreky, D. Ayoub","doi":"10.4103/ejpsy.ejpsy_39_20","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_39_20","url":null,"abstract":"Objective The pandemic of coronavirus 2019 (COVID-19) in Egypt has represented a distinctive threat in terms of psychological distress for health care providers. The first studies on the effect of the COVID pandemic on health care professionals were developed in China, but with the spread of the pandemic, other countries started to conduct studies analyzing the psychological response of health care workers to the pandemic. This study aims to investigate the mental well-being in terms of depression and anxiety, coping strategies, along with quality of life (QoL) among health care providers working in Kasr Al-Ainy Hospital during the COVID-19 outbreak. Patients and methods Self-administered questionnaires were distributed online through Google forms to health care providers (N=108) working in Kasr Al-Ainy Hospital from beginning of June to end of August 2020. The questionnaires measured depression, anxiety, coping strategies, QoL, and COVID-19 exposure among Egyptian health care providers. Results Overall, ∼40% of health care providers in our study were directly involved in the management of patients infected with COVID-19. They showed higher mean Beck Depression and Beck Anxiety Inventories total scores. Participants perceived their current mental health to be worse during the COVID-19 pandemic as compared with before the outbreak. Conclusions Both immediate-term and long-term psychiatric services for health care workers in Kasr Al-Ainy Hospital should be implemented to re-establish psychological well-being and enhance QoL and resilience for them during times of severe distress.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"42 1","pages":"93 - 99"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47997750","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}
M. Nasreldin, N. Madbouly, S. El-khashab, Ibrahim Sehsah, M. Ghallab, M. Moneer, Hend E. Habiba, Mohamed Eldin, S. El-Makawi
{"title":"Depression, anxiety, and quality of life in patients undergoing hemodialysis and renal transplantation","authors":"M. Nasreldin, N. Madbouly, S. El-khashab, Ibrahim Sehsah, M. Ghallab, M. Moneer, Hend E. Habiba, Mohamed Eldin, S. El-Makawi","doi":"10.4103/ejpsy.ejpsy_45_20","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_45_20","url":null,"abstract":"Background End-stage renal disease (ESRD) is a severe and debilitating disease. Insignificant data exist on depression, anxiety, quality of life (QoL), and life satisfaction in patients on hemodialysis (HD) in comparison with patients with renal transplantation (RT). Aim The aim of this study was to compare the presence and severity of depression and accompanying anxiety symptoms between HD patients and RT recipients and to correlate both depression and anxiety with the QoL and life satisfaction affection in both groups of patients. Patients and methods A comparative cross-sectional study was conducted on 64 patients with ESRD who were recruited consecutively from the nephrology outpatient clinic of Kasr Al Ainy, Cairo University Hospitals, over a period of 1 year. Patients were applied the Physical, Cognitive, Affective, Social, Economic and Ego Questionnaire to assess QoL, Beck Depression Inventory to assess depression, Middlesex Hospital Questionnaire to assess anxiety, and Life Satisfaction Scale for life satisfaction. Results The study results showed that depression, anxiety, and somatization in the HD group showed significant higher scores than the RT group. Patients on HD were significantly less satisfied with their life and showed lower scores on the physical domain, whereas patients with RT had significant lower scores on the economic domain of QoL. Life satisfaction and most domains of QoL were negatively correlated with depression, anxiety, and somatization in the HD group. Conclusion Depression accompanied with a variety of anxiety symptoms constituted determinants of poor QoL in the setting of ESRD and consequently, less life satisfaction. HD patients showed higher levels of depression, anxiety, and somatization along with poorer QoL and less life satisfaction than patients with RT.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"42 1","pages":"69 - 77"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42040048","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}
M. Hassan, M. Abdelhameed, Salwa Taha, M. Abdelhafeez
{"title":"The association of anxiety and depressive disorders with substance use disorders: frequency and relationship with substance use severity","authors":"M. Hassan, M. Abdelhameed, Salwa Taha, M. Abdelhafeez","doi":"10.4103/ejpsy.ejpsy_8_20","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_8_20","url":null,"abstract":"Background Substance use disorders (SUDs) are a common and potentially serious form of mental illness. Common associated mental illnesses include depressive and anxiety disorders. Objectives To examine the frequency of comorbidity and the degree of severity of depressive and anxiety disorders with SUDs in a sample of upper Egyptian patients. Patients and methods A total of 103 patients with SUDs were recruited. There were 95 males and eight females, with an age of 27.5±6.2, and two-thirds (67%) of them came from urban areas. They were subjected to complete substance use history, urine analysis screen for substances of abuse, Hamilton rating scales for anxiety and depression, and the Addiction Severity Index (ASI). Results Overall, 41 (39.8%) patients began using substances before the age of 18 years, and 79 (76.7%) patients used more than one substance. Moreover, 74 (71.9%) patients had moderate or severe anxiety, whereas 78 (75.7%) patients had moderate or severe depression. Anxiety scores were positively and significantly correlated with three of the seven domains of ASI in addition to the duration of substance use, whereas depression scores were positively and significantly correlated with six of the ASI domains. Patients using polysubstances scored significantly higher than those using a single substance on anxiety and depressive scores. Conclusions Anxiety and depressive disorders are frequently diagnosed in patients with SUDs. Increased severity of both types of disorders is associated with increased parameters of substance use severity. Using more than one substance increases the likelihood of having more severe anxiety and depressive illness.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"42 1","pages":"1 - 8"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49032974","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":"Psychiatric disorders and psychosocial problems among immigrant students","authors":"Youmna Sabri, M. Borham","doi":"10.4103/ejpsy.ejpsy_31_18","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_31_18","url":null,"abstract":"Background Migration is associated with stress that may result in adverse physical and psychological health problems. It involves three phases. Each stage has its own risks, challenges, and difficulties. Mansoura University has a large number of foreign students from different nationalities who come to study in various scientific fields. Aim The aim of this study was to assess the presence of a group of various psychiatric disorders and psychosocial problems among a sample of immigrant students in Mansoura University and to compare them with a control group of Egyptian students. Moreover, this study aimed to identify factors related to migration (premigration, migration and postmigration stages) that may affect mental health of immigrant students. Participants and methods In this study, data were collected from 135 college students who completed the Adolescent Psychopathology Scale − applicable up to 19 years old − which evaluates the presence and severity of symptoms of psychological disorders and distress: the English version for immigrant students and the Arabic version for the Egyptian students. Moreover, an additional paper was added to the sheet introduced to the immigrant students to obtain data about their migration process. Results In our study, nonrefugee immigrants (education is the purpose of migration) had a lower risk of having psychiatric disorders or psychosocial problems than the compared group (the Egyptian students). Conclusion Nonrefugee immigrants are likely to differ from other immigrants on the basis of educational and economic status, linguistic capacity, migration experiences, being in groups and exposure to adversity and trauma through premigration, migration, and postmigration stages, which undoubtedly play a protective role for them against psychiatric and psychosocial problems.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"42 1","pages":"16 - 22"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44179285","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":"Erratum: Prevalence of obsessive compulsive spectrum disorder in patients seeking dermatological consultation","authors":"","doi":"10.4103/ejpsy.ejpsy_9_21","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_9_21","url":null,"abstract":"","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"42 1","pages":"57 - 57"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49091910","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":"Internet abuse in children and adolescents during COVID-19 pandemic in Egypt","authors":"H. Abou el Wafa, M. Ashry, J. Mekky, H. Elweshahi","doi":"10.4103/ejpsy.ejpsy_43_20","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_43_20","url":null,"abstract":"Intro duction Internet addiction among children and adolescents is a serious issue they face and can present with an array of negative consequences. The lockdown owing to COVID-19 pandemic has increased the possibility of this type of addiction. Aim To investigate the prevalence of internet abuse among Egyptian children and adolescents during COVID-19 pandemic and to explore factors associated with internet abuse. Patients and methods An online cross-sectional survey was carried out among school children and adolescents (aged 6–18) at Alexandria, Egypt, using the online SurveyMonkey platform. The survey questionnaire included data about demographic characteristics, lifestyle practices, and internet use during and before the pandemic in addition to the translated Young’s Internet Addiction Test. Results The questionnaire was completed by 580 children and adolescents. During the period of COVID-19 pandemic and according to Young’s Internet Addiction Test, only 14.66% of participants were considered as average internet users, the majority (74.65%) were problematic users, and 10.69% were classified as internet addicts. Lack of regular exercises during the period of pandemic was significantly higher among internet addicts as compared with average and problematic users (P=0.018). Lack of good parent–child relationship and lack of supervision from the side of the parents on their children and adolescents were significantly associated with higher probability of internet addiction or being a problematic user (P=0.001 and 0.002, respectively). Older children and adolescents were at a higher risk for internet addiction. Conclusion Special attention should be given to the pattern of internet use among children and adolescents. Parents should be encouraged to control internet use among children and adolescents through encouraging physical activity, lifestyle modification, offering alternatives, intermittent supervision, strengthening the relation with them, and providing support.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"42 1","pages":"36 - 42"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43231872","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":"Relation between executive function and academic achievement among children diagnosed with attention deficit and hyperactivity disorder","authors":"A. Hamza, Soha El Latif Ghobashy, H. Abou el Wafa","doi":"10.4103/ejpsy.ejpsy_36_20","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_36_20","url":null,"abstract":"Background In spite of decades of progress in understanding attention-deficit hyperactivity disorder (ADHD) as a disorder of executive functions (EFs), there have been no significant number of studies exploring this executive dysfunction’s effects on a child’s daily life, more specifically the academic achievement domain, and it was long hypothesized that EFs affect child school performance and learning ability. Therefore, the identification of early, modifiable predictors of achievement can help guide efforts to improve the long-term success of many children and adolescents and to develop individualized educational strategies aimed at assisting children who struggle academically. Patients and methods This study examined different EF domains in a sample (N=100) of drug-naïve children aged 6–13 and having ADHD using the Barkley Deficits In Executive Functioning Scale-Children and Adolescents (BDEFS-CA). Moreover, all children were subjected to structured psychiatric interview as well as intelligence quotient testing and Conners’ parent rating scale. Relations between complex EF and academic achievement were examined. Results Academic performance was highly correlated with intelligence quotient, whereas there is no significant difference between different subtypes of ADHD and EFs. The correlation between Conners’ scale score signifying ADHD symptoms severity and academic achievement was insignificant. Finally, self-motivation EFs showed the highest significant correlation, suggesting a domain-general relation between complex EF and academic achievement. Conclusion Self-motivation is the main EF correlated with academic achievement in children with ADHD, and developing individualized educational programs for those children will improve scholastic achievement.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"42 1","pages":"23 - 28"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48690965","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}
Shiamaa Eldesokey, Z. Gomaa, Yomna M Sabri, A. El-Gilany, M. Elwasify
{"title":"Smartphone addiction among medical students in mansoura university","authors":"Shiamaa Eldesokey, Z. Gomaa, Yomna M Sabri, A. El-Gilany, M. Elwasify","doi":"10.4103/ejpsy.ejpsy_47_20","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_47_20","url":null,"abstract":"Background In the past few years, there has been a growing attention to smartphone addictions. Various studies conducted within the past decade have analyzed the harmful effects of smartphone overuse on university students including medical students. Objective This cross-sectional study on 780 students estimated the prevalence of smartphone addiction and its associated factors in medical students of Mansoura University, Egypt. Patients and methods A self-administered questionnaire was completed to gather data about Problematic Use of Mobile Phones scale, sociodemographic characteristics, Depression Anxiety Stress Scale 21, Insomnia Severity Index, and feeling of loneliness (UCLA) questionnaire. Results The overall prevalence of smartphone addiction was 53.6%. The significant independent predictors of smartphone addiction are studying less than or equal to 4 h [adjusted odds ratio (AOR)=1.6], mild/moderate and severe/extreme severe depression (AOR=2.5 and 3.4, respectively), and severe/extreme severe stress (AOR=2.1). Conclusion Smartphone addiction is common among medical students and closely related to psychological problems.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"42 1","pages":"50 - 56"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41833657","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":"Sleep and emotional disturbances among the health workers during the COVID-19 pandemic in Egypt","authors":"H. Elweshahi, J. Mekky, Heba Elwafa, M. Ashry","doi":"10.4103/ejpsy.ejpsy_42_20","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_42_20","url":null,"abstract":"Background The COVID-19 pandemic is a major health crisis facing the health system. Such widespread pandemics are associated with adverse mental health consequences, especially on the medical team. Aims This study aims to screen for emotional disturbances, sleep change, and stigma among Egyptian health care workers (HCWs) during the COVID-19 pandemic. Patients and methods A cross-sectional survey was conducted that included 621 HCWs in lower Egypt using an online questionnaire that included data about demographic characteristics, medical history, and lifestyle practices of participants. Hamilton anxiety and depression rating scales and insomnia severity index were used. The prevalence of anxiety among studied HCWs was 62%, and more than a half (57.6%) had a form of sleeping disorder. Regarding depression, 41.1% were mildly depressed, 7.6% moderately depressed, and only five of them were severely depressed. Results Multivariate logistic regression analysis showed that females, history of psychiatric illness, sense of stigma, affection of close relative or friend, and lack of exercise practicing were significantly associated with higher prevalence of anxiety and depression. Conclusion Supporting mental health of HCWs should be considered in updating the Egyptian response plan to COVID-19 epidemic and on planning response of future events.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"42 1","pages":"29 - 35"},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47565338","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}