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Publisher: Medknow Publishers   (Total: 356 journals)

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Showing 1 - 200 of 356 Journals sorted alphabetically
Advanced Arab Academy of Audio-Vestibulogy J.     Open Access  
Advances in Human Biology     Open Access  
African J. for Infertility and Assisted Conception     Open Access  
African J. of Business Ethics     Open Access   (Followers: 7)
African J. of Medical and Health Sciences     Open Access  
African J. of Paediatric Surgery     Open Access   (Followers: 7, SJR: 0.269, h-index: 10)
African J. of Trauma     Open Access  
Ain-Shams J. of Anaesthesiology     Open Access   (Followers: 3)
Al-Azhar Assiut Medical J.     Open Access  
Al-Basar Intl. J. of Ophthalmology     Open Access  
Ancient Science of Life     Open Access   (Followers: 6)
Anesthesia : Essays and Researches     Open Access   (Followers: 7)
Annals of African Medicine     Open Access   (Followers: 1, SJR: 0.331, h-index: 15)
Annals of Bioanthropology     Open Access   (Followers: 2)
Annals of Cardiac Anaesthesia     Open Access   (Followers: 12, SJR: 0.408, h-index: 15)
Annals of Indian Academy of Neurology     Open Access   (Followers: 3, SJR: 0.308, h-index: 14)
Annals of Maxillofacial Surgery     Open Access   (Followers: 6)
Annals of Medical and Health Sciences Research     Open Access   (Followers: 7)
Annals of Nigerian Medicine     Open Access   (Followers: 1)
Annals of Pediatric Cardiology     Open Access   (Followers: 5, SJR: 0.441, h-index: 10)
Annals of Saudi Medicine     Open Access   (SJR: 0.24, h-index: 29)
Annals of Thoracic Medicine     Open Access   (Followers: 4, SJR: 0.388, h-index: 19)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15, SJR: 0.148, h-index: 5)
APOS Trends in Orthodontics     Open Access   (Followers: 1)
Arab J. of Interventional Radiology     Open Access  
Archives of Intl. Surgery     Open Access   (Followers: 9)
Archives of Medicine and Health Sciences     Open Access   (Followers: 2)
Archives of Pharmacy Practice     Open Access   (Followers: 4)
Asia Pacific J. of Clinical Trials : Nervous System Diseases     Open Access  
Asia-Pacific J. of Oncology Nursing     Open Access   (Followers: 3)
Asian J. of Andrology     Open Access   (Followers: 1, SJR: 0.879, h-index: 49)
Asian J. of Neurosurgery     Open Access   (Followers: 2)
Asian J. of Oncology     Open Access   (Followers: 1)
Asian J. of Transfusion Science     Open Access   (Followers: 1, SJR: 0.362, h-index: 10)
Astrocyte     Open Access  
Avicenna J. of Medicine     Open Access   (Followers: 1)
AYU : An international quarterly journal of research in Ayurveda     Open Access   (Followers: 6)
Benha Medical J.     Open Access  
BLDE University J. of Health Sciences     Open Access  
Brain Circulation     Open Access   (Followers: 1)
Bulletin of Faculty of Physical Therapy     Open Access  
Cancer Translational Medicine     Open Access   (Followers: 1)
CHRISMED J. of Health and Research     Open Access  
Clinical Dermatology Review     Open Access  
Clinical Trials in Degenerative Diseases     Open Access  
Clinical Trials in Orthopedic Disorders     Open Access  
Community Acquired Infection     Open Access  
Conservation and Society     Open Access   (Followers: 10, SJR: 0.82, h-index: 12)
Contemporary Clinical Dentistry     Open Access   (Followers: 4)
Current Medical Issues     Open Access  
CytoJ.     Open Access   (Followers: 2, SJR: 0.339, h-index: 19)
Delta J. of Ophthalmology     Open Access  
Dental Hypotheses     Open Access   (Followers: 3, SJR: 0.131, h-index: 4)
Dental Research J.     Open Access   (Followers: 9)
Dentistry and Medical Research     Open Access  
Digital Medicine     Open Access  
Drug Development and Therapeutics     Open Access  
Education for Health     Open Access   (Followers: 4, SJR: 0.205, h-index: 22)
Egyptian J. of Bronchology     Open Access  
Egyptian J. of Cardiothoracic Anesthesia     Open Access  
Egyptian J. of Cataract and Refractive Surgery     Open Access   (Followers: 1)
Egyptian J. of Dermatology and Venerology     Open Access  
Egyptian J. of Haematology     Open Access  
Egyptian J. of Internal Medicine     Open Access  
Egyptian J. of Neurology, Psychiatry and Neurosurgery     Open Access   (Followers: 1, SJR: 0.121, h-index: 3)
Egyptian J. of Obesity, Diabetes and Endocrinology     Open Access  
Egyptian J. of Otolaryngology     Open Access  
Egyptian J. of Psychiatry     Open Access   (Followers: 2)
Egyptian J. of Surgery     Open Access   (Followers: 1)
Egyptian Orthopaedic J.     Open Access  
Egyptian Pharmaceutical J.     Open Access  
Egyptian Retina J.     Open Access  
Egyptian Rheumatology and Rehabilitation     Open Access  
Endodontology     Open Access  
Endoscopic Ultrasound     Open Access   (SJR: 0.473, h-index: 8)
Environmental Disease     Open Access  
European J. of Dentistry     Open Access   (Followers: 2, SJR: 0.496, h-index: 11)
European J. of General Dentistry     Open Access   (Followers: 1)
European J. of Prosthodontics     Open Access   (Followers: 2)
European J. of Psychology and Educational Studies     Open Access   (Followers: 6)
Fertility Science and Research     Open Access  
Formosan J. of Surgery     Open Access   (SJR: 0.107, h-index: 5)
Genome Integrity     Open Access   (Followers: 4, SJR: 1.227, h-index: 12)
Global J. of Transfusion Medicine     Open Access  
Heart India     Open Access  
Heart Views     Open Access  
Hepatitis B Annual     Open Access   (Followers: 3)
IJS Short Reports     Open Access  
Indian Anaesthetists Forum     Open Access  
Indian Dermatology Online J.     Open Access   (Followers: 2)
Indian J. of Allergy, Asthma and Immunology     Open Access   (Followers: 1)
Indian J. of Anaesthesia     Open Access   (Followers: 7, SJR: 0.302, h-index: 13)
Indian J. of Burns     Open Access   (Followers: 1)
Indian J. of Cancer     Open Access   (SJR: 0.318, h-index: 26)
Indian J. of Cerebral Palsy     Open Access  
Indian J. of Community Medicine     Open Access   (Followers: 2, SJR: 0.618, h-index: 16)
Indian J. of Critical Care Medicine     Open Access   (Followers: 1, SJR: 0.307, h-index: 16)
Indian J. of Dental Research     Open Access   (Followers: 4, SJR: 0.243, h-index: 24)
Indian J. of Dental Sciences     Open Access  
Indian J. of Dentistry     Open Access   (Followers: 1)
Indian J. of Dermatology     Open Access   (Followers: 2, SJR: 0.448, h-index: 16)
Indian J. of Dermatology, Venereology and Leprology     Open Access   (Followers: 2, SJR: 0.563, h-index: 29)
Indian J. of Dermatopathology and Diagnostic Dermatology     Open Access  
Indian J. of Drugs in Dermatology     Open Access  
Indian J. of Endocrinology and Metabolism     Open Access   (Followers: 4)
Indian J. of Health Sciences     Open Access   (Followers: 1)
Indian J. of Medical and Paediatric Oncology     Open Access   (SJR: 0.292, h-index: 9)
Indian J. of Medical Microbiology     Open Access   (Followers: 1, SJR: 0.53, h-index: 34)
Indian J. of Medical Research     Open Access   (Followers: 4, SJR: 0.716, h-index: 60)
Indian J. of Medical Sciences     Open Access   (Followers: 2, SJR: 0.207, h-index: 31)
Indian J. of Multidisciplinary Dentistry     Open Access   (Followers: 1)
Indian J. of Nephrology     Open Access   (Followers: 1, SJR: 0.233, h-index: 12)
Indian J. of Nuclear Medicine     Open Access   (Followers: 2, SJR: 0.213, h-index: 5)
Indian J. of Occupational and Environmental Medicine     Open Access   (Followers: 4, SJR: 0.203, h-index: 13)
Indian J. of Ophthalmology     Open Access   (Followers: 4, SJR: 0.536, h-index: 34)
Indian J. of Oral Health and Research     Open Access  
Indian J. of Oral Sciences     Open Access   (Followers: 1)
Indian J. of Orthopaedics     Open Access   (Followers: 9, SJR: 0.393, h-index: 15)
Indian J. of Otology     Open Access   (Followers: 1, SJR: 0.218, h-index: 5)
Indian J. of Paediatric Dermatology     Open Access   (Followers: 1)
Indian J. of Pain     Open Access   (Followers: 1)
Indian J. of Palliative Care     Open Access   (Followers: 5, SJR: 0.35, h-index: 12)
Indian J. of Pathology and Microbiology     Open Access   (Followers: 1, SJR: 0.285, h-index: 22)
Indian J. of Pharmacology     Open Access   (SJR: 0.347, h-index: 44)
Indian J. of Plastic Surgery     Open Access   (Followers: 12, SJR: 0.303, h-index: 13)
Indian J. of Psychiatry     Open Access   (Followers: 3, SJR: 0.496, h-index: 15)
Indian J. of Psychological Medicine     Open Access   (Followers: 1, SJR: 0.344, h-index: 9)
Indian J. of Public Health     Open Access   (Followers: 1, SJR: 0.444, h-index: 17)
Indian J. of Radiology and Imaging     Open Access   (Followers: 4, SJR: 0.253, h-index: 14)
Indian J. of Research in Homoeopathy     Open Access  
Indian J. of Rheumatology     Open Access   (SJR: 0.169, h-index: 7)
Indian J. of Sexually Transmitted Diseases and AIDS     Open Access   (Followers: 2, SJR: 0.313, h-index: 9)
Indian J. of Social Psychiatry     Open Access   (Followers: 2)
Indian J. of Urology     Open Access   (Followers: 3, SJR: 0.366, h-index: 16)
Indian J. of Vascular and Endovascular Surgery     Open Access   (Followers: 2)
Industrial Psychiatry J.     Open Access   (Followers: 2)
Intl. J. of Academic Medicine     Open Access  
Intl. J. of Advanced Medical and Health Research     Open Access  
Intl. J. of Applied and Basic Medical Research     Open Access  
Intl. J. of Clinical and Experimental Physiology     Open Access   (Followers: 1)
Intl. J. of Critical Illness and Injury Science     Open Access  
Intl. J. of Educational and Psychological Researches     Open Access   (Followers: 2)
Intl. J. of Environmental Health Engineering     Open Access   (Followers: 1)
Intl. J. of Forensic Odontology     Open Access   (Followers: 1)
Intl. J. of Green Pharmacy     Open Access   (Followers: 4, SJR: 0.229, h-index: 13)
Intl. J. of Health & Allied Sciences     Open Access   (Followers: 1)
Intl. J. of Health System and Disaster Management     Open Access   (Followers: 2)
Intl. J. of Heart Rhythm     Open Access  
Intl. J. of Medicine and Public Health     Open Access   (Followers: 7)
Intl. J. of Mycobacteriology     Open Access   (SJR: 0.239, h-index: 4)
Intl. J. of Noncommunicable Diseases     Open Access  
Intl. J. of Nutrition, Pharmacology, Neurological Diseases     Open Access   (Followers: 4)
Intl. J. of Oral Health Sciences     Open Access   (Followers: 1)
Intl. J. of Orthodontic Rehabilitation     Open Access  
Intl. J. of Pedodontic Rehabilitation     Open Access  
Intl. J. of Pharmaceutical Investigation     Open Access   (Followers: 1)
Intl. J. of Preventive Medicine     Open Access   (Followers: 1, SJR: 0.523, h-index: 15)
Intl. J. of Shoulder Surgery     Open Access   (Followers: 6, SJR: 0.611, h-index: 9)
Intl. J. of Trichology     Open Access   (SJR: 0.37, h-index: 10)
Intl. J. of Yoga     Open Access   (Followers: 15)
Intl. J. of Yoga : Philosophy, Psychology and Parapsychology     Open Access   (Followers: 6)
Iranian J. of Nursing and Midwifery Research     Open Access   (Followers: 2)
Iraqi J. of Hematology     Open Access  
J. of Academy of Medical Sciences     Open Access  
J. of Advanced Pharmaceutical Technology & Research     Open Access   (Followers: 4, SJR: 0.427, h-index: 15)
J. of Anaesthesiology Clinical Pharmacology     Open Access   (Followers: 8, SJR: 0.416, h-index: 14)
J. of Applied Hematology     Open Access  
J. of Association of Chest Physicians     Open Access   (Followers: 2)
J. of Basic and Clinical Reproductive Sciences     Open Access   (Followers: 1)
J. of Cancer Research and Therapeutics     Open Access   (Followers: 4, SJR: 0.359, h-index: 21)
J. of Carcinogenesis     Open Access   (Followers: 1, SJR: 1.152, h-index: 26)
J. of Cardiothoracic Trauma     Open Access  
J. of Cardiovascular Disease Research     Open Access   (Followers: 3, SJR: 0.351, h-index: 13)
J. of Cardiovascular Echography     Open Access   (SJR: 0.134, h-index: 2)
J. of Cleft Lip Palate and Craniofacial Anomalies     Open Access   (Followers: 2)
J. of Clinical and Preventive Cardiology     Open Access  
J. of Clinical Imaging Science     Open Access   (Followers: 1, SJR: 0.277, h-index: 8)
J. of Clinical Neonatology     Open Access   (Followers: 1)
J. of Clinical Ophthalmology and Research     Open Access   (Followers: 1)
J. of Clinical Sciences     Open Access  
J. of Conservative Dentistry     Open Access   (Followers: 4, SJR: 0.532, h-index: 10)
J. of Craniovertebral Junction and Spine     Open Access   (Followers: 4, SJR: 0.199, h-index: 9)
J. of Current Medical Research and Practice     Open Access  
J. of Current Research in Scientific Medicine     Open Access  
J. of Cutaneous and Aesthetic Surgery     Open Access   (Followers: 1)
J. of Cytology     Open Access   (Followers: 1, SJR: 0.274, h-index: 9)
J. of Dental and Allied Sciences     Open Access   (Followers: 1)
J. of Dental Implants     Open Access   (Followers: 7)
J. of Dental Lasers     Open Access   (Followers: 2)
J. of Dental Research and Review     Open Access   (Followers: 1)
J. of Digestive Endoscopy     Open Access   (Followers: 3)
J. of Dr. NTR University of Health Sciences     Open Access  
J. of Earth, Environment and Health Sciences     Open Access   (Followers: 1)
J. of Education and Ethics in Dentistry     Open Access   (Followers: 5)
J. of Education and Health Promotion     Open Access   (Followers: 5)
J. of Emergencies, Trauma and Shock     Open Access   (Followers: 8, SJR: 0.353, h-index: 14)
J. of Engineering and Technology     Open Access   (Followers: 6)
J. of Experimental and Clinical Anatomy     Open Access   (Followers: 2)
J. of Family and Community Medicine     Open Access  
J. of Family Medicine and Primary Care     Open Access   (Followers: 8)

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Journal Cover Egyptian Journal of Psychiatry
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  This is an Open Access Journal Open Access journal
   ISSN (Print) 1110-1105 - ISSN (Online) 2090-2425
   Published by Medknow Publishers Homepage  [356 journals]
  • Sleep problems among adolescents: is there a relation with deliberate
           self-harm and aggression?

    • Authors: Youmna Sabri
      Pages: 1 - 7
      Abstract: Youmna Sabri
      Egyptian Journal of Psychiatry 2017 38(1):1-7
      BackgroundAdequate sleep during adolescence is important for healthy development and proper daytime functioning. Sleep problems are commonly reported in adolescents, with an estimated prevalence between 17 and 45%. Besides, adolescence period is usually associated with various behavioral problems such as aggression and self-harm.AimsThe aim of this study was to evaluate sleep habits and the presence of sleep problems in an Egyptian adolescent sample. Moreover, this study aimed to examine the presence of a relationship between sleep problems and the development of aggression and self-harm among those adolescents.Patients and methodsA total of 117 adolescents in the preparatory stage participated in this study. Three self-report questionnaires were used, Child and Adolescent Sleep Checklist, the Deliberate Self-Harm Inventory, and the Aggression Scale, for students for assessment of sleep problems, deliberate self-harm (DSH), and aggression, respectively, among those adolescents.ResultsA total of 117 adolescents, 51 (43.6%) male and 66 (56.4%) female, participated in this study; their mean age was 13.85±0.81 years. Bedtime problems and daytime problems are more common among adolescents, with higher scores (8.10±3.99 and 6.56±3.61, respectively). Of those, 36 (30.8%) adolescents had a score of 18 or more, and so they were considered to have sleep problems. The participated adolescents had score ranging from 3 to 38 in the Aggression Scale, with a mean±SD of 12.36±8.32. A total of 24 (20.5%) adolescents had engaged in self-harm according to the Deliberate Self-Harm Inventory. Moreover, a significant positive correlation (P<0.001) was found between sleep problems and both DSH and aggressive behaviors among those adolescents.ConclusionBedtime problems and daytime problems were common among the participated adolescents. Moreover, DSH and aggressive behaviors were reported. This study provides evidence that there is a strong relationship between sleep problems and both DSH and aggressive behaviors among those adolescents. Early detection, diagnosis, and treatment of sleep problems and promoting sleep hygiene will, undoubtedly, improve adolescents’ daily functioning and will have good impact on controlling these annoying behavioral problems.
      Citation: Egyptian Journal of Psychiatry 2017 38(1):1-7
      PubDate: Wed,22 Feb 2017
      DOI: 10.4103/1110-1105.200713
      Issue No: Vol. 38, No. 1 (2017)
       
  • Anxiety, depression, and quality of life in patients with knee
           osteoarthritis before and after knee joint replacement

    • Authors: Amr S Shalaby, Amr S El-Sayed
      Pages: 8 - 12
      Abstract: Amr S Shalaby, Amr S El-Sayed
      Egyptian Journal of Psychiatry 2017 38(1):8-12
      AimThe aim of this study was to investigate the psychological status and quality of life in a group of knee arthritis patients before and after knee joint replacement.Patients and methodsA total of 26 knee osteoarthritis patients, eight women and 18 men with a mean age of 59.7±6.37 years, and 20 healthy controls, 10 women and 10 men with a mean age of 55.8±6.78 years, completed Hospital Anxiety and Depression Scale (HADS), and Short-Form 36 Health Survey (SF-36), in addition to a demographic sheet. Three months after knee joint replacement, patients refilled the same questionnaires.ResultsBefore knee replacement, patients’ HADS scores were 10.48±3.20 and 9.60±3.41 for anxiety and depression, respectively, and except for mental health domain all other SF-36 domain scores were less than 50. After knee replacement, HADS scores became 2.36±1.52 and 4.72±1.27, and the scores of the eight domains of SF-36 became more than 50. In comparison with controls, patients showed, before knee replacement, significantly lower scores on the eight domains of SF-36, and significantly higher HADS scores. After knee replacement and except for role limitation due to emotional health and vitality SF-36 domains, patients’ scores on other domains were still significantly lower than those of controls. In spite of being within normal range, patients’ depression scores were still higher than those of controls.ConclusionPsychological status and health-related quality of life improved significantly in osteoarthritis patients 3 months after total knee replacement (TKN. The role of psychological status on patient functioning and quality of life was evident, and their improvements after surgery were parallel.
      Citation: Egyptian Journal of Psychiatry 2017 38(1):8-12
      PubDate: Wed,22 Feb 2017
      DOI: 10.4103/1110-1105.200714
      Issue No: Vol. 38, No. 1 (2017)
       
  • Behavioral and psychological characteristics of patients with different
           types of dementia in Mansoura, Egypt

    • Authors: Hanan Elsayed, Ibtihal M. A. Ibrahim, Mohammad Abu-Hegazy, Mostafa Amr
      Pages: 13 - 18
      Abstract: Hanan Elsayed, Ibtihal M. A. Ibrahim, Mohammad Abu-Hegazy, Mostafa Amr
      Egyptian Journal of Psychiatry 2017 38(1):13-18
      ObjectiveThis study aimed to describe the behavioral and psychological symptoms of patients with different types of dementia and to correlate these symptoms to demographic and clinical variables of dementia such as age, sex, and score of cognitive assessment scales.Patients and methodsThis study was carried out on 73 patients with dementia. Patients were classified into three groups: patients with Alzheimer dementia, patients with vascular dementia, and patients with mixed dementia. Cognitive evaluation of the three groups was performed by the Mini Mental State Examination and Clock Drawing Test. The neuropsychiatric inventory was used to assess behavioral and psychological symptoms. Daily activities were assessed using Activities of Daily Living and The Lawton Instrumental Activities of Daily Living.ResultsApathy depression, and sleep disturbances were most prevalent in Alzheimer dementia, whereas depression, anxiety, and apathy were most prevalent in vascular dementia and in the miscellaneous group. There was a highly statistical difference between the three groups as regards depression and anxiety (P≤0.0001). Duration of illness correlated negatively with the scores of Mini Mental State Examination (P<0.001), Clock Drawing Test (P<0.001), Activity of the Daily Living (P<0.001), and the Lawton Instrumental Activities of Daily Living scores (P=0.003). Severity of the symptoms was higher in the miscellaneous group of dementia and lower in the Alzheimer group (P<0.001).ConclusionApathy, depression, anxiety, and sleep disturbances were the most prevalent psychiatric symptoms. The severity of the symptoms was lower in the Alzheimer group and worse in the miscellaneous group. There was a positive correlation between the cognitive function and the functionality of those patients.
      Citation: Egyptian Journal of Psychiatry 2017 38(1):13-18
      PubDate: Wed,22 Feb 2017
      DOI: 10.4103/1110-1105.200715
      Issue No: Vol. 38, No. 1 (2017)
       
  • Assessment of personality traits in a sample of opioid-dependent patients
           in comparison with nondependent men

    • Authors: Sally Mohamed
      Pages: 19 - 26
      Abstract: Sally Mohamed
      Egyptian Journal of Psychiatry 2017 38(1):19-26
      BackgroundDrug-taking behavior and drug dependence is a multifactorial disorder. Of them, specific gene or an early established trait may act as a predisposing factor. Different environmental factors may act as precipitating and perpetuating factors, whereas individual temperament, personality, and constitutional characteristics act as the vulnerability factors. These vulnerability factors act as the causal determinants of whether or not the predispositions are expressed. Thus, personality is a very important determining factor of drug involvement.Aim of the workThe aim of this study was to compare the personality profile of synthetic opioid-dependent male patients with the personality profile of non-substance-dependent male participants.Patients and methodsGroups I and II were selected consecutively and were recruited from Kasr El-Aini Hospital as well as private hospitals in greater Cairo during the period from November 2012 to March 2013. Group I included 30 substance-dependent male patients and group II included 30 non-substance-dependent male participants who were subjected to personality assessment schedule; the addiction severity index was applied only to group I.ResultsThe sociodemographic findings of the study found that 80.0% of patients in group I were not working due to substance dependence and only 20% were working, whereas in group II 90% of participants were working and only 10% were not working. An overall 66.7% of patients in group I were divorced and only 26.7% were married, whereas in group II one was divorced and 86.7% were married. As regards the personality test, 73.3% of patients in group I had severe degree of the sociopathic trait, 20% has sociopathic trait difficulty, and only 6.6% did not have sociopathic trait.ConclusionOur study showed the effect of opioid dependence in changing behavior and personality traits, emphasizing that diverse maladaptive personality traits and these negative traits are the familial risk factors for substance use disorders. They act as a predisposing vulnerability and predict the onset or age of expression of substance-related problems and tendency to relapse. Impulsive–aggressive personality traits in childhood and adolescence predict early onset of substance abuse.
      Citation: Egyptian Journal of Psychiatry 2017 38(1):19-26
      PubDate: Wed,22 Feb 2017
      DOI: 10.4103/1110-1105.200716
      Issue No: Vol. 38, No. 1 (2017)
       
  • Longitudinal effect of depression on glycemic control in patients with
           type 2 diabetes: a 3-year prospective study

    • Authors: Hesham Abuhegzy, Heba Elkeshishi, Noha Saleh, Khaled Sherra, Ali Ismail, Ahmed Kamel, Khaled Abd El Azim, Dalia Khalil
      Pages: 27 - 34
      Abstract: Hesham Abuhegzy, Heba Elkeshishi, Noha Saleh, Khaled Sherra, Ali Ismail, Ahmed Kamel, Khaled Abd El Azim, Dalia Khalil
      Egyptian Journal of Psychiatry 2017 38(1):27-34
      ObjectivesThe aim of this study was to examine the longitudinal effect of depression on glycemic control in a sample of patients with type 2 diabetes.Patients and methodsPatients were recruited from the diabetes clinic in Saudi Airlines Medical Centre, Jeddah; the baseline study community consisted from 172 patients with type 2 diabetes. They were assessed for depression using Beck Depression Inventory-II and a diagnostic interview and for diabetic control using HbA1c. We created a person–period dataset for each patient to cover 6-month intervals up to 3 years. We used the generalized estimation equation (GEE) for the analysis of longitudinal data. HbA1c was the response variable, whereas depression and time were the main covariates. Variables were included in GEE models based on clinical importance and preliminary analysis. Other variables included as covariates were sex, education, duration of diabetes, comorbidity, and Low-density Lipoprotein (LDL). All statistical analyses used an α-value of 0.05 as the level of significance and were performed using SPSS software version 21.ResultsUnadjusted HbA1c means were significantly higher in depressed as against nondepressed individuals at all time points. Adjusted HbA1c means in the final GEE model were significantly higher in depressed as against nondepressed individuals. In all adjusted models, depression was a significant predictor of glycemic control, whether it was measured as the Beck Depression Inventory score (estimate=0.049, P=0.002) or diagnoses of major depressive disorder (estimate=2.038, P=0.000) or other depressive disorders (estimate=1.245, P=0.000).ConclusionThis study on a clinical sample of type 2 diabetic patients demonstrates that there is a significant longitudinal relationship between depression and glycemic control and that depression is associated with a persistently higher HbA1c over time.
      Citation: Egyptian Journal of Psychiatry 2017 38(1):27-34
      PubDate: Wed,22 Feb 2017
      DOI: 10.4103/1110-1105.200718
      Issue No: Vol. 38, No. 1 (2017)
       
  • An observational study of the characteristics of different substance-use
           disorder subtypes combined with adult attention deficit hyperactivity
           disorder

    • Authors: Khaled S Sherra, Dalia M Khalil, Ahmed M El Melegy
      Pages: 35 - 40
      Abstract: Khaled S Sherra, Dalia M Khalil, Ahmed M El Melegy
      Egyptian Journal of Psychiatry 2017 38(1):35-40
      AimThe aim of this study was to examine the characteristics and intensity of the association between various subtypes of substance-use disorders (SUD) with adult attention deficit hyperactivity disorder (ADHD) and compare this with the progression of substance use in those without ADHD.Participants and methodsThe study was conducted at the Psychiatric Department, Mansoura University Hospital. Both inpatients and outpatients who screened positive for any one of the substances such as alcohol, opioids, amphetamine, or cannabis were approached to enter the study. Out of these, patients who gave informed consent, satisfied the inclusion and exclusion criteria, and met the DSM-IV-TR diagnosis for SUD for dependence or abuse entered the study and completed the patient intake form. A total of 100 such consecutive patients were screened for symptoms of adult ADHD by administering the first six questions of part A of the Arabic version of the adult ADHD self-report scale-VI.I (ASRS-VI.I) symptom checklist. Only the first six questions that are found to be the most predictive of symptoms were included for screening. Patients who answered positive for four or more questions were further interviewed using the Diagnostic Interview of Adult ADHD to make a diagnosis of adult ADHD in these patients. A total of 97 patients completed all parts of study questionnaire. The patients were divided and grouped depending on the type of substance abused, alcohol, opioid, cannabis, amphetamine, or polysubstance, and whether or not they had comorbid adult ADHD. The results obtained were statistically analyzed using SPSS software.ResultsThe prevalence and course of SUD combined with adult ADHD differed depending on the primary substance of abuse. Cannabis and alcohol users had a higher percentage of adult ADHD (36.4 and 33.3%, respectively) compared with other drug users. Cannabis had the earliest age of onset of SUD at 15 years of age. Cannabis and amphetamine had a prolonged duration of abuse: 14.87 and 14.7 years, respectively. Similarly, they had a greater number of hospitalizations (3.82 and 3.88 times, respectively) and an increased duration of stay in the hospital (166.67 and 110 days, respectively) as compared with other drugs. Polysubstance, cannabis, and amphetamine abusers had more relapses: 3.27, 3.36, and 3.38 times, respectively.ConclusionThe percentage of ADHD differs among different subgroups of SUD depending on the primary substance of abuse. Cannabis and amphetamine have a higher comorbidity, an earlier age of onset, and a more protracted course of SUD in ADHD patients compared with other drugs.
      Citation: Egyptian Journal of Psychiatry 2017 38(1):35-40
      PubDate: Wed,22 Feb 2017
      DOI: 10.4103/1110-1105.200717
      Issue No: Vol. 38, No. 1 (2017)
       
  • Early-onset versus late-onset obsessive–compulsive disorder: an
           immunological comparative study

    • Authors: Sahar El Emam Gad, Wafaa Mohamed El Emshaty, Hanan El-sayed Hussein, Osama Ahmed El-Boraie, Mohammed Ali Ezzat El-Hadid
      Pages: 41 - 48
      Abstract: Sahar El Emam Gad, Wafaa Mohamed El Emshaty, Hanan El-sayed Hussein, Osama Ahmed El-Boraie, Mohammed Ali Ezzat El-Hadid
      Egyptian Journal of Psychiatry 2017 38(1):41-48
      ObjectivesThis study was conducted to investigate the possible role of streptococcal infection in obsessive–compulsive disorder (OCD) and to clarify whether the age of onset could affect its clinical presentation and immunological results.Participants and methodsThe study was carried on 96 participants. They were divided into 46 OCD patients with a mean age of 30.76 years and 50 healthy controls with a mean age of 28.94 years. The patients group was subdivided according to the age of onset into the early-onset group include 21 patients with onset age of 18 years or less and the late-onset group include 25 patients with onset age above 18 years. All participants were subjected to psychometric and serological assessments of serum antibasal ganglia autoantibodies (ABGA) and antistreptolysin O titer (ASOT).ResultsRates of ABGA positivity were 26.1% in the OCD group compared with 30% in the control group, with no significant difference (P=0.670). ASOT positivity were 6.5% in the OCD group, whereas none of the controls had positive ASOT (P=0.160). Positivity for ASOT and ABGA was not associated with the age of onset as 95.2 and 71.4% of the early-onset group had positive ASOT and ABGA results against 92 and 76% in the late-onset group, respectively, with no significant differences (P≥0.05) or clinical variables. Positivity for ASOT was not associated with ABGA positivity.ConclusionThe negative results of this study do not exclude the role of autoimmunity in OCD pathogenesis. Further investigations are needed to establish this role.
      Citation: Egyptian Journal of Psychiatry 2017 38(1):41-48
      PubDate: Wed,22 Feb 2017
      DOI: 10.4103/1110-1105.200719
      Issue No: Vol. 38, No. 1 (2017)
       
  • Distress among parents of attention-deficit/hyperactivity-disorder
           children: relationship with children’s symptom severity and
           behavioral disturbances

    • Authors: Mohamed A Abdelhameed, Maha A Hassan, Nashaat A.M. Abdel-Fadeel
      Pages: 49 - 58
      Abstract: Mohamed A Abdelhameed, Maha A Hassan, Nashaat A.M. Abdel-Fadeel
      Egyptian Journal of Psychiatry 2017 38(1):49-58
      BackgroundThe symptoms and behaviors of children with attention-deficit/hyperactivity-disorder (ADHD) impose demands and difficulties on the part of their caring parents that may cause the latter group to suffer psychological stress.Aim and objectiveThe aim of this work was to study the type and severity of symptoms in children with ADHD and their effect on the parents.Patients and methodsThirty-seven children with ADHD who were diagnosed clinically and using the Conners test were studied using the Child Behavior Checklist. The available parent for each child was interviewed and studied with the Symptom Checklist 90 Revised. Two control groups were used for both ADHD children and their parents.ResultsThe mean age of the children with ADHD was 7.1±1.6 years. There were 22 male and 15 female patients. Parents of these children scored high on total and subscales of the Symptom Checklist 90 Revised. The scores were significantly higher than that in the control group on total and some of these subscales, including somatization, interpersonal, depression, paranoid ideation, and hostility domains. Depression and paranoid ideation of ADHD children parents were positively and significantly correlated with most of the subitems of the Conners test of their children. In addition, somatization, depression, and hostility of parents were positively and significantly correlated with most of the subitems of the Child Behavior Checklist of their ADHD children.ConclusionSymptoms, behaviors, and severity of illness of children with ADHD have a great impact on their parents’ psychological state, suffering, and distress.
      Citation: Egyptian Journal of Psychiatry 2017 38(1):49-58
      PubDate: Wed,22 Feb 2017
      DOI: 10.4103/1110-1105.200720
      Issue No: Vol. 38, No. 1 (2017)
       
 
 
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