The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association最新文献_第9页

Intercorrelation of symptom dimensions in patients with schizophrenia 精神分裂症患者症状维度的相互关系

The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association Pub Date : 2019-09-01 DOI: 10.4103/ejpsy.ejpsy_24_19

Nesrin Elsaadouni, Haitham O. Elboraie, S. Rabei, Ahmed Elboraie

引用次数: 0

Effect of adult attention-deficit hyperactivity on disability and quality of life of bipolar patients 成人注意缺陷多动对双相情感障碍患者残疾和生活质量的影响

The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association Pub Date : 2019-09-01 DOI: 10.4103/ejpsy.ejpsy_30_19

A. Fouad, Heba A. Fouad, S. Amin

{"title":"Effect of adult attention-deficit hyperactivity on disability and quality of life of bipolar patients","authors":"A. Fouad, Heba A. Fouad, S. Amin","doi":"10.4103/ejpsy.ejpsy_30_19","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_30_19","url":null,"abstract":"Background Attention-deficit hyperactivity disorder (ADHD) is a common psychiatric disease, usually first diagnosed during childhood or adolescence. A significant portion (∼50–65%) of ADHD symptoms persist into adulthood. Adult ADHD and bipolar disorder (BD) are common comorbid psychiatric conditions. Comorbidity between BD and adult ADHD has been reported in both ADHD and BD cases. Aim To determine the effect of comorbid adult ADHD on disability and quality of life of patients with bipolar disorder. Patients and methods This is a cross-sectional study that was done at the Psychiatric Department in the Zagazig University Hospitals, Sharkia Governorate, Egypt, during the period from May to November, 2017. One hundred and two euthymic patients with Diagnostic and statistical manual of mental disorders, 4th ed. − text revision diagnosis of BD I were selected by simple random probability sampling from the patients with bipolar disorder who came for follow-up and to receive their medications from psychiatric outpatient clinic. Results The mean age of the participants ranged from 18 to 40 years, and 51% were female. Patients with bipolar disorder with adult ADHD had more disability in work, social life, and family life than patients with pure bipolar disorder. Moreover, patients with bipolar disorder without adult ADHD had significant better quality of life in all domains as reflected by higher scores in WHO quality-of-life scale than patients with adult ADHD. Conclusion Adult ADHD is a frequent comorbid disorder in patients with BD. Adult ADHD comorbidity negatively affects functioning and quality of life of patients with BD.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"155 - 161"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42441486","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}

引用次数: 0

Schizophrenia symptom dimensions in correlation to patients’ demographic and clinical characteristics 精神分裂症症状维度与患者人口学及临床特征的相关性

The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association Pub Date : 2019-09-01 DOI: 10.4103/ejpsy.ejpsy_23_19

S. Rabei, Haitham O. Elboraie, Nesrin Elsaadouni, Mohamed Elhadidy

引用次数: 2

Psychiatric aspects of children who witness domestic violence 目睹家庭暴力的儿童的精神方面

The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association Pub Date : 2019-09-01 DOI: 10.4103/ejpsy.ejpsy_31_19

Zeinab Gomma, Elsayed Saleh, Yomna Rizk, Dalia Asfour

{"title":"Psychiatric aspects of children who witness domestic violence","authors":"Zeinab Gomma, Elsayed Saleh, Yomna Rizk, Dalia Asfour","doi":"10.4103/ejpsy.ejpsy_31_19","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_31_19","url":null,"abstract":"Background The presence of domestic violence witnessed by children leads to development of different mental disorders of childhood. Objectives This study was aimed to assess the prevalence of psychiatric disorders in children who witness domestic violence. Patients and methods A community-based case–control study was designed to assess the prevalence of psychiatric disorder in children who witness domestic violence of both sexes aged 6–18 years old with different socioeconomic classes. Tools of measurement used in the current study were Hurt, Insulted, Threatened with Harm and Screamed tool; socioeconomic scale by El-Gilany; symptoms check list (SCL-90); and Structured Clinical Interview for DSM-IV Childhood Diagnoses for child’s interview. Results The most common disorders among children witness domestic violence is conduct disorder (15%), major depressive disorder (10%), and attention-deficit hyperactive disorder (8.3%). Children who are not affected among studied families (cases) represented 33.3%. There was a statistically significant difference among cases that witness domestic violence and controls who did not witness it regarding additional signs, loss of appetite, insomniac problems, death ideas, aggressive symptom, and reactive sensitivity symptoms reported as well as global stress indices measured by SCL-90. The most common reason for domestic violence was the financial reasons. Fathers are more responsible for most of the violence incidents. Conclusions Ignoring of suffering and the long duration spent with domestic violent atmosphere without seeking help increase the risk for psychiatric disorder in those children. So legal empowerment and aid projects are essential in raising awareness to influence cultural change and put an end to domestic violence.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"162 - 169"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43062852","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}

引用次数: 2

Predictors and prevalence of bipolar disorders in patients with a major depressive disorder 重度抑郁症患者双相情感障碍的预测因素和患病率

The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association Pub Date : 2019-09-01 DOI: 10.4103/ejpsy.ejpsy_22_19

Reda Ismail, Hala T. Mohamed, Rania A. Hamed, Sherif Helal

{"title":"Predictors and prevalence of bipolar disorders in patients with a major depressive disorder","authors":"Reda Ismail, Hala T. Mohamed, Rania A. Hamed, Sherif Helal","doi":"10.4103/ejpsy.ejpsy_22_19","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_22_19","url":null,"abstract":"Introduction Onset of bipolar disorder (BD) involves a major depressive episode (MDE) in approximately half of type-I (BD-I) patients and three-quarters of those diagnosed with type-II (BD-II). Aim To detect the soft signs and the predictors of BD in patients with a MDE. Participants and methods A sample of 500 patients was solicited fulfilling the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) diagnostic criteria for a current MDE. Patients were given the HCL-32-R2 questionnaire to assess the presence of manic/hypomanic symptoms; those scoring less than 14 were considered bipolar. We also examined whether demographics, psychiatric history, clinical characteristics, and the incidence of comorbid conditions differed significantly between patients with BD and unipolar disorder. Results A number of factors were highly predictive of bipolarity, including age at illness onset, family history of bipolarity, seasonality, mixed state, manic switch, mood irritability, and mood reactivity. Of the comorbidities examined, thyroid disorders, cardiovascular disorders, generalized anxiety disorder, presence of psychotic features, and borderline personality disorder occurred at a higher rate in patients with BDs than in those with unipolar disorders. Conclusion A number of factors in the patient’s psychiatric history as well as clinical aspects of the episode itself may signal an increased likelihood of bipolarity.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"127 - 136"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48721158","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}

引用次数: 0

Pattern of referral to a consultation-liaison psychiatry service in an Egyptian cancer center 转诊到埃及癌症中心咨询联络精神病学服务的模式

The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association Pub Date : 2019-05-01 DOI: 10.4103/ejpsy.ejpsy_19_19

Mahmoud El Batrawi, M. Gaber, S. Mekheimar, S. Alsirafy

{"title":"Pattern of referral to a consultation-liaison psychiatry service in an Egyptian cancer center","authors":"Mahmoud El Batrawi, M. Gaber, S. Mekheimar, S. Alsirafy","doi":"10.4103/ejpsy.ejpsy_19_19","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_19_19","url":null,"abstract":"Aim/Objective/Background Integration of consultation-liaison(C-L) psychiatry services in palliative care units in oncology departments is very limited in Egypt. A new dedicated C-L psychiatry service was recently established within the premises of the palliative care clinic in Kasr al Ainy Center for Clinical Oncology and Nuclear Medicine (NEMROCK), Cairo, Egypt. The aim of this study was to examine the characteristics, diagnoses and follow up of patients referred to this new service in a year period. Methods The clinical and psychiatric characteristics of all consecutive oncology patients (n=44) referred to this new C-L psychiatric service in a year period were examined. Psychiatric diagnosis was made according to the Diagnostic and Statistical Manual of Psychiatric Disorders, 5th edition (DSM 5). Results A total number of 44 patients (12 males and 32 females) were referred to the C-L clinic during the study period. Half of the patients had breast cancer.The other half was a diverse group involving different sites. In the advanced stage of cancer, males were significantly more represented than the females. As regards psychiatric diagnosis, the most common category was adjustment disorder (22 patients) followed by major depression (11 patients). Six of the patients had non-psychiatric distress, two had a primary psychotic disorder, two had substance related disorder and one had a major cognitive disorder. Causes of suffering in the non-psychiatric distressed group included lack of adequate medical information, physical concerns, existential concerns and family concerns. Most patients received psychotropic medication. Conclusions The scope and severity of psychiatric morbidity and distress detected in the referred oncology patients reflects the need to integrate C-L psychiatric services within psycho-oncological and palliative care clinics.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"123 - 126"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43125795","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}

引用次数: 0

Effect of zinc supplementation in zinc-deficient children with attention-deficit hyperactivity disorder 补锌对缺锌儿童注意缺陷多动障碍的影响

The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association Pub Date : 2019-05-01 DOI: 10.4103/ejpsy.ejpsy_10_19

Azza El-Bakry, A. El Safty, A. Abdou, O. Amin, D. Ayoub, Dina Afifi

{"title":"Effect of zinc supplementation in zinc-deficient 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_10_19","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_10_19","url":null,"abstract":"Background Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder increasing in prevalence. Although there is limited evidence to support treating ADHD with mineral supplements, research does exist showing that patients with ADHD may have reduced levels of zinc, ferritin, and magnesium. These nutrients have important roles in neurologic function, including involvement in neurotransmitter synthesis. In spite of the good response of many patients with ADHD to stimulant drugs, a substantial percent do not respond to or develop significant side effects from stimulants. For this reason, zinc treatment has been considered to show positive results on various symptoms in ADHD patients with zinc deficiency. Objectives The aim of this study is to elucidate the effect of zinc supplementation on ADHD symptoms in zinc-deficient ADHD children. Patients and methods Thirty zinc-deficient children diagnosed with ADHD and on a fixed dose of methylphenidate were enrolled in this study. They were assigned to zinc supplementation (30 mg/day) as gluconate in an open-label follow-up trial for 10 weeks. Results There was a statistically significant difference among zinc-deficient ADHD children before and after zinc supplementation on all working memory index subtest scores and all Conner’s subscale scores. This result points to the effect of zinc supplementation on ADHD symptom domains.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"86 - 94"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43538604","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}

引用次数: 3

Impulsivity, suicidality, and emotional dysregulation in women having borderline personality disorder with and without substance dependence 伴有或不伴有物质依赖的边缘型人格障碍妇女的冲动、自杀和情绪失调

The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association Pub Date : 2019-05-01 DOI: 10.4103/ejpsy.ejpsy_16_18

S. Magd, M. Rakhawy, Rania Mamdouh, Somaya H. Shaheen

引用次数: 5

The association between personality, coping, and depression in patients with chronic pain 慢性疼痛患者的人格、应对和抑郁之间的关系

The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association Pub Date : 2019-05-01 DOI: 10.4103/ejpsy.ejpsy_12_19

R. Deif, K. Ellis

{"title":"The association between personality, coping, and depression in patients with chronic pain","authors":"R. Deif, K. Ellis","doi":"10.4103/ejpsy.ejpsy_12_19","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_12_19","url":null,"abstract":"Background As a rising concern in the medical and mental health fields, this study aims to examine predictors of depressive symptoms in a sample of Egyptian patients with chronic pain in terms of coping styles and personality traits. Patients with chronic pain are believed to experience different stressors, which include, but are not limited to, pain, disability, reduced productivity, and financial difficulties. Such factors, in addition to various psychosocial factors, constitute the disease burden of chronic pain. Objective This study examines the degree to which coping styles and personality traits can influence the disease outcome in terms of comorbid depressive symptoms. Patients and methods A total of 98 (50 patients with fibromyalgia and 48 patients with rheumatoid arthritis) patients were interviewed and were assessed in terms of their coping styles, personality profile, and severity of depressive symptoms. Results Findings show a high prevalence of depressive symptoms and suggest passive coping, high neuroticism, low extraversion, unmarried status, and more years of education to be moderate predictors of the severity of chronic pain. Conclusion Conclusion Findings of this study shed light on the significance of the psychological aspects of chronic pain conditions and may help in designing liaison interventions for the management of secondary and comorbid depressive symptoms.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"104 - 113"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42166161","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}

引用次数: 0

Auditory P300 and neuropsychological cognitive functioning assessment of patients with chronic hepatitis B and C infection 慢性乙型和丙型肝炎感染患者听觉P300和神经心理认知功能评估

The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association Pub Date : 2019-05-01 DOI: 10.4103/ejpsy.ejpsy_6_19

T. Desoky, H. Baddary, M. Moneim, Ahmed Ali

{"title":"Auditory P300 and neuropsychological cognitive functioning assessment of patients with chronic hepatitis B and C infection","authors":"T. Desoky, H. Baddary, M. Moneim, Ahmed Ali","doi":"10.4103/ejpsy.ejpsy_6_19","DOIUrl":"https://doi.org/10.4103/ejpsy.ejpsy_6_19","url":null,"abstract":"Background A growing body of interest was addressed to the concept of minimal rather than overt hepatic encephalopathy as a subclinical manifestation in chronic hepatitis B- and C-infected patients with normal liver function. This study aims to neuropsychologically and neurophysiologically assess those patients for minimal cognitive impairment and its correlates. Patients and methods Thorough neuropsychological evaluation including Wechsler Memory Scale-Revised, Wisconsin Card Sorting Test, Trail Making Test, Montreal Cognitive Assessment Test, and Beck Depression Inventory (BDI), and neurophysiological (P300-evoked potential) assessment were conducted on untreated blood donors with hepatitis C virus (n=24) and hepatitis B virus (n=16) infection and 40 healthy controls. Results All tools of assessment showed a significant difference between cases and controls that suggests higher incidence of depression and cognitive dysfunction among hepatitis patients with no difference between B and C types of infection apart from BDI, which showed higher scores (more depressive features) among hepatitis C rather than B. Among variables such as patient age, BMI, BDI, and viral load titer, only BDI showed a significant positive correlation with such impairments. Conclusion Neuropsychological- and neurophysiological-based evidence of cognitive impairment was proved to be significantly present among cases with chronic hepatitis B and C infection. The value of such evaluation in the management plan of such group of patients needs further future studies.","PeriodicalId":76626,"journal":{"name":"The Egyptian journal of psychiatry : official journal of the Egyptian Psychiatric Association","volume":"40 1","pages":"114 - 122"},"PeriodicalIF":0.0,"publicationDate":"2019-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46345744","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}

引用次数: 0