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Vancappel A, Raysseguier C, Coillot H, Jansen E, Bouyer C, Mangolini A, Barbe PG, Debout-Courtault C, Pierre-le Seac'h M, Kazour F, Courtois R, El-Hage W. Development and validation of the Symptomatic Transdiagnostic Test (S2T). Encephale 2024; 50:32-39. [PMID: 36641268 DOI: 10.1016/j.encep.2022.11.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/16/2022] [Revised: 11/19/2022] [Accepted: 11/22/2022] [Indexed: 01/13/2023]
Abstract
INTRODUCTION The categorical approach in psychiatry has received many criticisms. Modern research tends to develop a transdiagnostic approach. However, transdiagnostic works lack an overall understanding and focus mainly on anxiety and depression. The aim of the present study was to develop an easy to use tool to evaluate multiple dimensions opening the way for further research in the transdiagnostic approach. This will allow researchers to quickly assess the efficacy of psychotherapeutic interventions on multiple psychopathological dimensions. METHOD First, we identified the main symptoms of psychopathology in a sample of mental healthcare workers. Second, we developed the Symptomatic Transdiagnostic Test (S2T) to assess the main symptoms of psychopathology. Third, we evaluated its psychometric properties (exploratory and confirmatory factor analysis, internal consistency) in three non-clinical samples and one clinical sample. RESULTS The 66-item S2T included eleven factors referring to: i) negative thoughts and mood; ii) psycho-traumatic and maladaptive symptoms; iii) addiction symptoms; iv) disturbed eating behavior; v) disturbed perception and behavior; vi) panic and agoraphobia; vii) emotional lability; viii) dejection; ix) neurodevelopmental manifestations; x) anxiety and xi) psychic hyperactivity. We found a high internal consistency for the general scale (α=0.96) and the subscales. We found a good concurrent validity. As expected, we found higher levels of symptoms within the clinical population as compared to the non-clinical samples, except for addiction symptoms and disrupted eating behavior. We found negative associations between the symptomatic dimensions and psychological skills. CONCLUSION The S2T is a relevant tool for clinicians and researchers to assess the psychopathological profile. The main psychopathological symptoms are negatively related to the psychological skills.
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Affiliation(s)
- A Vancappel
- Pôle de psychiatrie-addictologie, CHRU de Tours, Tours, France; Département de psychologie, EE 1901 Qualipsy, qualité de vie et santé psychologique, université de Tours, Tours, France; Inserm, UMR 1253, iBrain, université de Tours, Tours, France.
| | - C Raysseguier
- Pôle de psychiatrie-addictologie, CHRU de Tours, Tours, France
| | - H Coillot
- Département de psychologie, EE 1901 Qualipsy, qualité de vie et santé psychologique, université de Tours, Tours, France
| | - E Jansen
- Pôle de psychiatrie-addictologie, CHRU de Tours, Tours, France
| | - C Bouyer
- Pôle cardiovasculaire et métabolique, CHU de Cayenne, Cayenne, France
| | - A Mangolini
- Pôle de psychiatrie-addictologie, CHRU de Tours, Tours, France
| | - P G Barbe
- Pôle de psychiatrie-addictologie, CHRU de Tours, Tours, France
| | | | | | - F Kazour
- Pôle de psychiatrie-addictologie, CHRU de Tours, Tours, France; Inserm, UMR 1253, iBrain, université de Tours, Tours, France
| | - R Courtois
- Pôle de psychiatrie-addictologie, CHRU de Tours, Tours, France; Département de psychologie, EE 1901 Qualipsy, qualité de vie et santé psychologique, université de Tours, Tours, France
| | - W El-Hage
- Pôle de psychiatrie-addictologie, CHRU de Tours, Tours, France; Inserm, UMR 1253, iBrain, université de Tours, Tours, France
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Hamieh F, Hallit S, Haddad C, Obeid S, Kazour F. Correlates of severity in a clinical staging model of schizophrenia: a cross-sectional study among 158 subjects. BMC Psychiatry 2023; 23:648. [PMID: 37667266 PMCID: PMC10478431 DOI: 10.1186/s12888-023-05144-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Accepted: 08/26/2023] [Indexed: 09/06/2023] Open
Abstract
BACKGROUND Clinical staging has been widely used to predict and optimize the treatment of medical disorders. Different models have been proposed to map the development, progression, and extension of psychiatric disorders over time, mainly for schizophrenia. The primary objective of this study was to classify patients with psychosis according to the McGorry staging model and compare factors between the different stages. METHODS This was a cross-sectional study, collecting data from 158 patients hospitalized for schizophrenia/psychosis. The survey included the Mini International Neuropsychiatric Interview (MINI), Positive and Negative Symptom Scale (PANSS), Montgomery-Asberg Depression Rating Scale (MADRS), Yong Mania Rating Scale (YMRS), Clinical Global Impression (CGI) scale, and the McGorry staging model. RESULTS Patients have been classified into three clinical stages: relapse of psychotic disorder (43%), multiple relapses (47.5%), and persistent and severe illness (9.5%). A higher mean duration of hospitalization, psychotic symptoms (PANSS total scale and subscales), chlorpromazine equivalent dose, and number of antipsychotic treatments were found among participants in Stage 4 as compared to the other groups. However, a significantly higher mean GAF scale was found among participants in stage 3b as compared to the other groups. CONCLUSION Each stage in the McGorry staging model of schizophrenia is associated with well-defined clinical presentations, which help decide the appropriate treatment. Using such models in psychiatry can improve the diagnostic process and potential therapeutic interventions for patients suffering from mental disorders.
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Affiliation(s)
- Fatima Hamieh
- Faculty of Sciences, Lebanese University, Fanar, Lebanon
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.
- Applied Science Research Center, Applied Science Private University, Amman, Jordan.
| | - Chadia Haddad
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
- Institut National de Santé Publique, d'Épidémiologie Clinique et de Toxicologie-Liban (INSPECT-LB), Beirut, Lebanon
- School of Health Sciences, Modern University for Business and Science, Beirut, Lebanon
- School of Medicine, Lebanese American University, Byblos, Lebanon
| | - Sahar Obeid
- Social and Education Sciences Department, School of Arts and Sciences, Lebanese American University, Jbeil, Lebanon
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Akiki G, Richa S, Kazour F. Medical and recreational cannabis: A cross-sectional survey assessing a sample of physicians' attitudes, knowledge and experience in a university hospital in Lebanon. Encephale 2023; 49:130-137. [PMID: 35016798 DOI: 10.1016/j.encep.2021.10.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Revised: 10/03/2021] [Accepted: 10/11/2021] [Indexed: 11/23/2022]
Abstract
CONTEXT A law legalizing the farming of medical cannabis for the international market was passed in Lebanese parliament in April 2020. Thus, this makes Lebanon the first Arab country to legalize medical cannabis, a law which can hold potential public health consequences. The advocates of legalization of medical cannabis in society and in the media influence the public opinion. A community of Lebanese physicians was the first to be asked about this subject. OBJECTIVE This study aims to assess a sample of physicians' opinions, knowledge and experiences with medical and non-medical cannabis. METHOD All physicians of every speciality working at the Hôtel Dieu de France-Beirut hospital (450) received by email a 33-question-online survey in French between November 2020 and December 2020. The survey was designed based on similar studies published outside of Lebanon. RESULTS Eighty-five Lebanese physicians responded to the survey and 80% of them supported the decriminalization of medical cannabis in Lebanon. But only 16% reported knowing the indications of medical cannabis, and only 24% stated that they have adequate knowledge of its secondary effects. Eighty-eight percent of them felt that they might be more comfortable discussing the option of medical cannabis if they had formal education on the subject. CONCLUSION Even though the majority of the sample who participated in this study seemed to approve the use of medical cannabis, they lacked the knowledge and confidence to do it. Therefore, this study highlights the need of physician training in the subject of medical cannabis. Future well-conducted university studies will produce evidence-based-guidelines for medical cannabis indications and side effects.
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Affiliation(s)
- G Akiki
- Faculty of Medicine, Saint Joseph University, Beirut, Lebanon; Hôtel Dieu de France Hospital, Beirut, Lebanon
| | - S Richa
- Faculty of Medicine, Saint Joseph University, Beirut, Lebanon; Hôtel Dieu de France Hospital, Beirut, Lebanon
| | - F Kazour
- Faculty of Medicine, Saint Joseph University, Beirut, Lebanon; Hôtel Dieu de France Hospital, Beirut, Lebanon; CHRU de Tours, avenue de la République, 37170 Chambray-lès-Tours, France.
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Kazour F, Atanasova B, Mourad M, El Hachem C, Desmidt T, Richa S, El-Hage W. Mania associated olfactory dysfunction: A comparison between bipolar subjects in mania and remission. J Psychiatr Res 2022; 156:330-338. [PMID: 36323136 DOI: 10.1016/j.jpsychires.2022.10.038] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/03/2022] [Revised: 10/07/2022] [Accepted: 10/17/2022] [Indexed: 11/06/2022]
Abstract
OBJECTIVES The aim of this study was to assess the olfactory functions of patients with bipolar disorder in manic phase and to compare them to those of bipolar subjects in remission and healthy controls. METHODS We recruited 96 participants divided in 3 groups: bipolar mania (MB), euthymic bipolar in remission (EB) and healthy controls (HC). All participants underwent an assessment of their olfactory functions using the Sniffin' sticks threshold and identification tests. Odors' pleasantness, intensity, familiarity and emotion were assessed. All participants were screened for the presence of psychiatric disorder through the MINI questionnaire. Clinical evaluation explored dimensions of mania, depression, anxiety respectively through YMRS, MADRS and STAI scales. Anhedonia was explored through the Chapman physical and social anhedonia questionnaire. RESULTS Patients in mania had deficits in identifying positive smells compared to bipolar subjects in remission and to healthy controls (MB < EB < HC; p < 0.001). Hedonic (MB < EB = HC; p < 0.001) and emotional (MB < EB = HC; p < 0.001) ratings of positive smells were lower in patients in manic phase compared to remitted subjects or controls. Mania was associated to higher emotion rating of negative smells compared to remitted subjects and controls (MB > EB = HC; p < 0.001). There was no difference between the 3 groups in the ratings of intensity and familiarity of smells, as well as in the olfactory threshold testing. The 3 groups showed no difference in the identification of negative smells. CONCLUSIONS Patients in manic episodes showed deficits in identifying positive odors. They evaluated these smells as less pleasant and less emotional compared to remitted bipolar subjects and healthy controls. These olfactory dysfunctions may constitute potential indicators of manic state. The persistence of olfactory dysfunction in remission phase (deficit in the olfactory identification of positive odors compared to healthy controls) may constitute a potential trait indicator of bipolarity.
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Affiliation(s)
- Francois Kazour
- UMR 1253, iBrain, Université de Tours, INSERM, Tours, France; Clinique Psychiatrique Universitaire, CHU de Tours, Tours, France; Department of Psychiatry, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon.
| | | | - Marc Mourad
- Department of Psychiatry, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Charline El Hachem
- Department of Psychiatry, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Thomas Desmidt
- UMR 1253, iBrain, Université de Tours, INSERM, Tours, France; Clinique Psychiatrique Universitaire, CHU de Tours, Tours, France
| | - Sami Richa
- Department of Psychiatry, Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Wissam El-Hage
- UMR 1253, iBrain, Université de Tours, INSERM, Tours, France; Clinique Psychiatrique Universitaire, CHU de Tours, Tours, France
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Dib JE, Yaacoub HE, Ikdais WH, Atallah E, Merheb TJ, Ajaltouni J, Akkari M, Mourad M, Nasr ME, Hachem D, Kazour F, Tahan F, Haddad G, Azar J, Zoghbi M, Haddad C, Hallit S, Adams CE. Rapid tranquillisation in a psychiatric emergency hospital in Lebanon: TREC-Lebanon - a pragmatic randomised controlled trial of intramuscular haloperidol and promethazine v. intramuscular haloperidol, promethazine and chlorpromazine. Psychol Med 2022; 52:2751-2759. [PMID: 33402230 DOI: 10.1017/s0033291720004869] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Abstract
BACKGROUND Agitated patients constitute 10% of all emergency psychiatric treatment. Management guidelines, the preferred treatment of clinicians differ in opinion and practice. In Lebanon, the use of the triple therapy haloperidol plus promethazine plus chlorpromazine (HPC) is frequently used but no studies involving this combination exists. METHOD A pragmatic randomised open trial (September 2018-July 2019) in the Lebanese Psychiatric Hospital of the Cross in Beirut Lebanon involving 100 people requiring urgent intramuscular sedation due to aggressive behaviour were given intramuscular chlorpromazine 100 mg plus haloperidol 5 mg plus promethazine 25 mg (HPC) or intramuscular haloperidol 5 mg plus promethazine 25 mg. RESULTS Primary outcome data were available for 94 (94%) people. People allocated to the haloperidol plus promethazine (HP) group showed no clear difference at 20 min compared with patients allocated to the HPC group [relative risk (RR) 0.84, 95% confidence interval (CI) 0.47-1.50]. CONCLUSIONS Neither intervention consistently impacted the outcome of 'calm', or 'asleep' and had no discernible effect on the use of restraints, use of additional drugs or recurrence. If clinicians are faced with uncertainty on which of the two intervention combinations to use, the simpler HP is much more widely tested and the addition of chlorpromazine adds no clear benefit with a risk of additional adverse effects.
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Affiliation(s)
- Joseph E Dib
- Division of Psychiatry & Applied Psychology, Institute of Mental Health, School of Medicine, University of Nottingham, Nottingham, Nottinghamshire, NG1 1NU, UK
| | - Hiba Edward Yaacoub
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Werner Henry Ikdais
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Faculty of Medicine and MedicalSciences, Holy Spirit University of Kaslik (USEK), Beirut, Lebanon
| | - Elie Atallah
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Faculty of Medical Sciences, Lebanese University of Beirut, Beirut, Lebanon
| | - Tony Jean Merheb
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Jean Ajaltouni
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Division of Psychiatry, School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Myriam Akkari
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
| | - Marc Mourad
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Faculty of Medicine, St Joseph's University, Beirut, Lebanon
| | - Maria Elias Nasr
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Faculty of Medical Sciences, Lebanese University of Beirut, Beirut, Lebanon
| | - Dory Hachem
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
| | - Francois Kazour
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Faculty of Medical Sciences, Lebanese University of Beirut, Beirut, Lebanon
- Faculty of Medicine, St Joseph's University, Beirut, Lebanon
- Department of Psychology, Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Beirut, Lebanon
- INSERM U930, équipe 4 "Troubles affectifs", Université François-Rabelais de Tours, Tours, France
| | - Fouad Tahan
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
| | - Georges Haddad
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Jocelyn Azar
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- School of Medicine, Lebanese American University, Beirut, Lebanon
- Faculty of Medical Sciences, Lebanese University of Beirut, Beirut, Lebanon
| | - Marouan Zoghbi
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Faculty of Medicine, St Joseph's University, Beirut, Lebanon
| | - Chadia Haddad
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
| | - Souheil Hallit
- Faculty of Medicine and MedicalSciences, Holy Spirit University of Kaslik (USEK), Beirut, Lebanon
- INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon
| | - Clive E Adams
- Institute of Mental Health, University of Nottingham, Nottingham, Nottinghamshire, UK
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Mourad M, Kazour F, Sleilaty G, Bou Khalil R, El Hage W, Richa S, Sabbagh C. Positive and negative correlates of suicidal ideations and behaviors in the emergency department of a university hospital in Beirut: A cross-sectional comparative study. Encephale 2022; 49:248-253. [DOI: 10.1016/j.encep.2021.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2021] [Revised: 11/04/2021] [Accepted: 11/23/2021] [Indexed: 11/26/2022]
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Abstract
OBJECTIVES To evaluate the prevalence of suicidality among the psychiatric inpatients community in Lebanon, and to elucidate the effect of religiosity and spirituality on suicidal thoughts or behaviours. METHODS A total sample of 159 patient consecutively admitted to a psychiatric hospital was interviewed. The Ask Suicide-screening Questionnaire (ASQ) was used to assess suicidal risk; the Mature Religiosity Scale (MRS) and the Spirituality Index for Well Being (SIWB) scales were used to assess religiosity and spirituality. RESULTS We found that 45.6% of the participants screened positively on the ASQ, including 37.5% with acute suicidal ideation. A backward logistic regression, taking the negative/positive screening ASQ as the dependent variable, showed that a positive family history of suicide and depression were significantly associated with higher positive suicidal screening, whereas higher spirituality was significantly associated with lower positive suicidal screening. When forcing the mature religiosity scale as an independent variable, the results remained the same. CONCLUSION Spiritual well-being might be considered an important factor to explore among psychiatric patients. Psychiatric inpatients have a high risk for suicide; the challenge remains for clinicians to identify upon admission patients that are most likely to die from suicide.Key pointsA positive family history of suicide and depression was significantly associated with higher suicidality.Higher spirituality, but not religiosity, was significantly associated with lower suicidality.Spiritual well-being might be considered an important factor to explore among psychiatric patients.The challenge remains for clinicians to identify patients that are most likely to die from suicide upon admission.
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Affiliation(s)
- Maha Kassem
- Faculty of Sciences, Lebanese University, Fanar, Lebanon
| | - Chadia Haddad
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Univ. Limoges, UMR 1094, Neuroépidémiologie Tropicale, Institut d'Epidémiologie et de Neurologie Tropicale, GEIST, Limoges, France
| | - Souheil Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,INSPECT-LB, Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon
| | - Francois Kazour
- Faculty of Sciences, Lebanese University, Fanar, Lebanon.,Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
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Kassem M, Haddad C, Daccache C, Hayek C, Hallit S, Kazour F. Factors associated with overweight and obesity in Lebanese male patients with schizophrenia. Perspect Psychiatr Care 2021; 57:1347-1355. [PMID: 33244768 DOI: 10.1111/ppc.12697] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Revised: 10/29/2020] [Accepted: 11/17/2020] [Indexed: 11/28/2022] Open
Abstract
PURPOSE To assess the influence of lifestyle factors, antipsychotic medications, and psychosis symptoms on obesity in a group of male patients with schizophrenia in Lebanon. DESIGN/METHODS A cross-sectional study conducted between May and July 2018 enrolling 149 male patients with chronic schizophrenia. RESULTS We found that 59.1% of the patients were obese/overweight. Older age and higher negative and total positive and negative syndrome scale scores were significantly associated with lower body mass index values. PRACTICE IMPLICATIONS This study shed light on some factors associated with obesity in male patients with schizophrenia, which may be targeted for the prevention and management of obesity. Some interventions were proposed such as focusing on patients' physical health, psychiatric treatment, and maintaining a healthy diet and a healthy lifestyle.
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Affiliation(s)
- Maha Kassem
- Faculty of Sciences, Lebanese University, Fanar, Lebanon
| | - Chadia Haddad
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Institute of Epidemiology and Tropical Neurology, INSERM, University of Limoges, CHU Esquirol, IRD, U1094 Tropical Neuroepidemiology, GEIST, Limoges, France
| | | | - Claire Hayek
- Faculty of Pharmacy, Lebanese University, Hadat, Lebanon
| | - Souheil Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,INSPECT-LB:, Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie-Liban, Beirut, Lebanon
| | - Francois Kazour
- Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
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Haddad C, Obeid S, Ghanem L, Kazour F, Chok A, Azar J, Hallit S, Tahan F. Association of insomnia with mania in Lebanese patients with bipolar disorder. Encephale 2021; 47:314-318. [PMID: 33541713 DOI: 10.1016/j.encep.2020.09.008] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2019] [Revised: 09/17/2020] [Accepted: 09/28/2020] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To assess: (1) the association between insomnia experienced at admission, sociodemographic and other patients' characteristics and mania; and (2) the variation of insomnia and mania before and after treatment in bipolar patients with manic episodes (type I). METHODS Sixty-two patients were interviewed shortly after their admission to the hospital (after 3 to 5 days). The current symptoms experienced by the patients were assessed upon admission and again at discharge from the hospital. RESULTS A poorer quality of sleep (higher PSQI scores) (Beta=0.590) was significantly associated with higher mania, whereas the intake of SSRIs (Beta=-5.952) and TCAs (Beta=-8.181) was significantly associated with lower mania. Furthermore, highly significant reductions were reported in the PSQI scores (4.96 vs. 2.75, P<0.001), ISI scores (8.30 vs. 3.45, P<0.001) and YMRS scores (8.60 vs. 3.06, P<0.001) between admission to and discharge from the hospital. CONCLUSION Insomnia in patients with bipolar disorder type I is associated with mania, with a significant reduction of sleep problems seen during a period of approximately 20 days of hospitalization. Further longitudinal studies are needed to confirm the validity of our results and identify the causes. In the meantime, this research recommends a strategy to improve sleeplessness experienced during inter-episode phases may be helpful in preventing manic episodes in BD.
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Affiliation(s)
- C Haddad
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon; Inserm, IRD, U1094 Tropical Neuroepidemiology, Institute of Epidemiology and Tropical Neurology, GEIST, centre hospitalier Esquirol, University Limoges, Limoges, France
| | - S Obeid
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon; INSPECT-LB: Institut national de santé publique, épidemiologie clinique et toxicologie-Liban, Beirut, Lebanon; Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - L Ghanem
- Faculty of Sciences, Lebanese University, Beirut, Lebanon
| | - F Kazour
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon; Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon; Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon; Faculty of Medicine, Lebanese American University, Byblos, Lebanon
| | - A Chok
- Faculty of Sciences, Lebanese University, Beirut, Lebanon
| | - J Azar
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon; INSPECT-LB: Institut national de santé publique, épidemiologie clinique et toxicologie-Liban, Beirut, Lebanon; Faculty of Medicine, Lebanese American University, Byblos, Lebanon
| | - S Hallit
- INSPECT-LB: Institut national de santé publique, épidemiologie clinique et toxicologie-Liban, Beirut, Lebanon; Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.
| | - F Tahan
- Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon; Faculty of Sciences, Lebanese University, Beirut, Lebanon.
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Haddad C, Darwich MJ, Obeid S, Sacre H, Zakhour M, Kazour F, Nabout R, Hallit S, Tahan FE. Factors associated with anxiety disorders among patients with substance use disorders in Lebanon: Results of a cross-sectional study. Perspect Psychiatr Care 2020; 56:745-752. [PMID: 31793708 DOI: 10.1111/ppc.12462] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/18/2019] [Accepted: 11/23/2019] [Indexed: 11/29/2022] Open
Abstract
OBJECTIVES Estimate the rate of anxiety disorders (AD) and associated factors among patients with substance use disorder (SUD) in Lebanon. METHODS A cross-sectional study, conducted between April and September 2017, enrolled 57 inpatients with SUD. RESULTS The rate of AD in patients with SUD was 61.4%. The university level of education compared to the primary level of education (ORa = 0.221) was significantly associated with lower anxiety among patients with SUD. Being sexually abused and having a family history of depression tended to significance. PRACTICAL IMPLICATIONS AD is widespread in Lebanon and high rates of anxiety in patients with SUD were found, warranting the implementation of strategic interventions and establishing national policies and legislation for mental health services to provide optimal care.
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Affiliation(s)
- Chadia Haddad
- Departments of Research, Psychiatry and Psychology, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | | | - Sahar Obeid
- Departments of Research, Psychiatry and Psychology, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon
| | - Hala Sacre
- INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon.,Drug Information Center, Order of Pharmacists of Lebanon, Beirut, Lebanon
| | - Maha Zakhour
- Faculty of Sciences, Lebanese University, Fanar, Lebanon
| | - Francois Kazour
- Departments of Research, Psychiatry and Psychology, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Sciences, Lebanese University, Fanar, Lebanon.,Faculty of Arts and Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,INSERM U930, équipe 4 "Troubles affectifs", Université François-Rabelais de Tours, Tours, France.,Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Rita Nabout
- Faculty of Sciences, Lebanese University, Fanar, Lebanon
| | - Souheil Hallit
- INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon.,Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - Fouad E Tahan
- Departments of Research, Psychiatry and Psychology, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Sciences, Lebanese University, Fanar, Lebanon
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11
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Richa S, Khoury R, JRouhayem J, Chammay R, Kazour F, Bou Khalil R, Kheir W, Choueifaty D, Kouba-Hreich E, Gerbaka B, Adib S. Estimating the prevalence of autism spectrum disorder in Lebanon. Encephale 2020; 46:414-419. [PMID: 32928536 DOI: 10.1016/j.encep.2020.05.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2019] [Revised: 04/29/2020] [Accepted: 05/16/2020] [Indexed: 11/15/2022]
Abstract
This cross-sectional survey examines the prevalence rate of Autism spectrum disorder (ASD) in 818 children (16-48 months) across all Lebanese regions. Screening was done using the revised form of the Modified-Checklist for Autism in Toddlers. Based on the total score of items failed, children were classified into 3 categories of ASD risk (low, moderate and high). Phone calls follow-up interviews and clinical assessments for diagnosis ascertainment were conducted. Given the caregivers' reluctance to participate, the prevalence rate was estimated between 49 and 513 per 10,000 with a male predominance. Our prevalence estimation, even under restrictive assumptions, is higher than elsewhere in the Arab region. Anti- stigma interventions adapted to the socio-cultural context are needed prior to future research in the field.
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Affiliation(s)
- S Richa
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon.
| | - R Khoury
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | - J JRouhayem
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | - R Chammay
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | - F Kazour
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | - R Bou Khalil
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | - W Kheir
- Ministry of public health, Lebanon
| | - D Choueifaty
- Department of Nursing, Saint-Joseph University, Beirut, Lebanon
| | - E Kouba-Hreich
- Department of Nursing, Saint-Joseph University, Beirut, Lebanon
| | - B Gerbaka
- Department of Pediatrics, Saint-Joseph University, Beirut, Lebanon
| | - S Adib
- Department of Epidemiology, American University of Beirut, Beirut, Lebanon
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12
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Kazour F, Obeid S, Hallit S. Sexual desire and emotional reactivity in chronically hospitalized Lebanese patients with schizophrenia. Perspect Psychiatr Care 2020; 56:502-507. [PMID: 31750549 DOI: 10.1111/ppc.12455] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2019] [Revised: 11/11/2019] [Accepted: 11/15/2019] [Indexed: 11/26/2022] Open
Abstract
PURPOSE To study the level of emotional reactivity of Lebanese patients with schizophrenia who have a high level of sexual desire. DESIGN/METHODS It is a cross-sectional study, enrolling 30 men and 30 women, between April and June 2017. The sexual behavior questionnaire (SBQ) was used to explore the desire, sexual arousal, orgasm, ejaculation, pleasure, and satisfaction with sexuality. FINDINGS A significantly higher mean emotional score, higher cognitive functioning score, higher motivation score, higher motor deficit score, higher sensory perception score, higher SBQ score, and higher emotional reactivity were found in patients who masturbate compared with those who did not. PRACTICE IMPLICATIONS All these improvements in patients who masturbate might be associated with better social relations, which might improve patient integration in society. KEY POINTS Sustained sexual activity of patients with schizophrenia is associated with improved emotional and cognitive functioning. The same applies to higher levels of motivation, motor skills, and sensoriality. Sustained sexual activity of patients who have schizophrenia would indicate a better prognosis of schizophrenia.
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Affiliation(s)
- Francois Kazour
- Departments of Psychiatry, Psychology and Research, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Arts and Science, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon.,INSERM U930, François Rabelais University, Tours, France
| | - Sahar Obeid
- Departments of Psychiatry, Psychology and Research, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Arts and Science, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon
| | - Souheil Hallit
- INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon.,Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
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13
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Yaacoub H, Haddad C, Dib T, Zoghbi M, Assaad S, Obeid S, Sacre H, Hallit S, Kazour F. Posttraumatic stress disorders and depression among male inpatient adults involved in the Lebanese war. Perspect Psychiatr Care 2020; 56:263-269. [PMID: 31318076 DOI: 10.1111/ppc.12421] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/15/2019] [Revised: 06/10/2019] [Accepted: 07/05/2019] [Indexed: 11/29/2022] Open
Abstract
PURPOSE to evaluate factors associated with posttraumatic stress disorder (PTSD) and depression in a sample of hospitalized Lebanese adult males who directly or indirectly were involved in armed conflicts. DESIGN Cross-sectional. METHODS Seventy-seven hospitalized males were enrolled between June and December 2016. The Hamilton Anxiety and Depression Scale and the Mini International Neuropsychiatric Interview were used to assess anxiety, depression, and PTSD. RESULTS Participation in war (adjusted odds ratio [ORa] = 6.35) and depression (ORa = 1.08) were associated with higher PTSD, whereas age (ORa = 0.94) and substance use (ORa = 0.19) were associated with lower PTSD. Anxiety (β = .87), substance use (β = 6.27) and PTSD (β = 8.78; P = .008) were associated with higher depression. PRACTICE IMPLICATIONS People who experienced war conflicts (directly or indirectly) are more prone to suffer from mental health disorders.
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Affiliation(s)
- Hiba Yaacoub
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | - Chadia Haddad
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | - Tania Dib
- Faculty of Sciences, Lebanese University, Beirut, Lebanon
| | - Marouan Zoghbi
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
| | - Shafika Assaad
- Faculty of Sciences, Lebanese University, Beirut, Lebanon
| | - Sahar Obeid
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Philosophy and Human Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,Faculty of Pedagogy, Lebanese University, Beirut, Lebanon
| | - Hala Sacre
- INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon.,Drug Information Center, Order of Pharmacists of Lebanon, Beirut, Lebanon
| | - Souheil Hallit
- INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon.,Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - Francois Kazour
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Philosophy and Human Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,Faculty of Pedagogy, Lebanese University, Beirut, Lebanon.,INSERM U930, équipe 4 "Troubles Affectifs", Université François-Rabelais de Tours, Parc de Grandmont, Tours, France
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14
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Syam H, Venables E, Sousse B, Severy N, Saavedra L, Kazour F. "With every passing day I feel like a candle, melting little by little." experiences of long-term displacement amongst Syrian refugees in Shatila, Lebanon. Confl Health 2019; 13:45. [PMID: 31624496 PMCID: PMC6785930 DOI: 10.1186/s13031-019-0228-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2018] [Accepted: 09/02/2019] [Indexed: 11/25/2022] Open
Abstract
Background Long term displacement and exposure to challenging living conditions can influence family dynamics; gender roles; violence at home and in the community and mental well-being. This qualitative study explores these issues as perceived by Syrian refugees who have been living in Shatila, a Palestinian camp in South Beirut, Lebanon, for at least 2 years. Methods Twenty eight in-depth interviews with men and women were conducted between February and June 2018. Women were recipients of mental health services, and men were recruited from the local community. Interviews were conducted in Arabic, translated, transcribed, coded and analysed using thematic content analysis. Results Our results show patterns of harsh living conditions similar to those described earlier in the course of the Syrian refugee crisis. Lack of infrastructure, overcrowding, cramped rooms and violence were all reported. Participants also described a lack of social support, discrimination and harassment within the host community, as well as limited social support networks within their own Syrian refugee community. Family dynamics were affected by the increased responsibilities on men, women and children; with additional economic and employment demands on men, women assuming the roles of ‘mother and father’ and children having to work and contribute to the household. Participants discussed several types of violence, including parental violence against children and violence in the community. Violence against women was also reported. Reported mental health issues included depression, anxiety, sadness, frustration, hopelessness, self-neglect and a loss of sense of self and self-worth. Some participants expressed a wish to die. Conclusions This study describes experiences of changing gender roles, family dynamics, violence and mental health after long-term displacement in in Shatila camp, South Beirut as perceived by Syrian refugees. A lack of safety and security coupled with economic hardship rendered refugees even more susceptible to exploitation and harassment. Parental violence was the most commonly reported type of domestic violence.
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Affiliation(s)
- Hanadi Syam
- Médecins Sans Frontières -Belgium, Mission in Lebanon, Ayoub Bldg Bloc A, 6th Floor, Furn Al-Hayek Str Achrafieh, Beirut, Lebanon
| | - Emilie Venables
- Médecins Sans Frontières, Luxembourg Operational Research Unit (LuxOR), Operational Centre Brussels, Luxembourg City, Luxembourg.,3Division of Social and Behavioral Sciences, School of Public Health and Family Medicine, University of Cape Town, Cape Town, South Africa
| | - Bernard Sousse
- Médecins Sans Frontières -Belgium, Mission in Lebanon, Ayoub Bldg Bloc A, 6th Floor, Furn Al-Hayek Str Achrafieh, Beirut, Lebanon
| | - Nathalie Severy
- 4Médecins Sans Frontières, Medical Department, Operational Center Brussels, Brussels, Belgium
| | - Luz Saavedra
- Médecins Sans Frontières -Belgium, Mission in Lebanon, Ayoub Bldg Bloc A, 6th Floor, Furn Al-Hayek Str Achrafieh, Beirut, Lebanon
| | - Francois Kazour
- 5Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon.,Psychiatric Hospital of the Cross, JalEddib, Lebanon
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15
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Fattouh N, Hallit S, Salameh P, Choueiry G, Kazour F, Hallit R. Prevalence and factors affecting the level of depression, anxiety, and stress in hospitalized patients with a chronic disease. Perspect Psychiatr Care 2019; 55:592-599. [PMID: 30825393 DOI: 10.1111/ppc.12369] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/27/2018] [Revised: 02/15/2019] [Accepted: 02/17/2019] [Indexed: 01/13/2023] Open
Abstract
PURPOSE To report the prevalence of psychological/mental disorders and determine the factors associated with them in hospitalized patients with chronic diseases. DESIGN AND METHODS This was as cross-sectional study. One hundred and fifty patients were randomly selected from one hospital having at least one chronic disease. FINDINGS The rate of depression, anxiety, and stress in our sample were 21.3%, 61.3%, and 48.7%, respectively. Benign prostate hypertrophy, dysthyroidism, avoidance of thoughts and feelings as a coping mechanism, and a longer hospital stay were associated with higher depression. Hypertension, female gender, and a higher education level were associated with higher anxiety. Female gender and a longer stay in hospital were predictors of stress. PRACTICE IMPLICATIONS Hospitalized patients with chronic illnesses have high levels of psychological distress, showing the importance of getting psychological counseling in these settings.
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Affiliation(s)
- Nour Fattouh
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - Souheil Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon
| | - Pascale Salameh
- INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon.,Faculty of Pharmacy, Lebanese University, Hadat, Lebanon.,Faculty of Medicine, Lebanese University, Hadat, Lebanon
| | - Georges Choueiry
- Faculty of Pharmacy, Lebanese University, Hadat, Lebanon.,Department of Epidemiology & Biostatistics, Faculty of Public Health, Lebanese University, Fanar, Lebanon
| | - Francois Kazour
- Faculty of Philosophy and Human Sciences, Holy Spirit University, Kaslik, Lebanon.,Faculty of Sciences, Lebanese University, Fanar, Lebanon.,Department of Psychiatry, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,INSERM U930, équipe 4 "Troubles affectifs", Université François-Rabelais de Tours, Parc de Grandmont, Tours, France.,Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Rabih Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
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16
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Dib JE, Adams CE, Ikdais WH, Atallah E, Yaacoub HE, Merheb TJ, Kazour F, Tahan F, Haddad G, Zoghbi M, Azar J, Haddad C, Hallit S. Study protocol for a randomised controlled trial of haloperidol plus promethazine plus chlorpromazine versus haloperidol plus promethazine for rapid tranquilisation for agitated psychiatric patients in the emergency setting (TREC-Lebanon). F1000Res 2019; 8:1442. [PMID: 32528650 PMCID: PMC7262571 DOI: 10.12688/f1000research.19933.1] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/01/2019] [Indexed: 01/10/2023] Open
Abstract
Background: Agitated and aggressive behaviours are common in the psychiatric setting and rapid tranquilisation is sometimes unavoidable. A survey of Lebanese practice has shown that an intramuscular haloperidol, promethazine and chlorpromazine combination is a preferred form of treatment but there are no randomised trials of this triple therapy. Methods: This is a pragmatic randomised trial. Setting - the psychiatric wards of the Psychiatric Hospital of the Cross, Jal Eddib, Lebanon. Participants - any adult patient in the hospital who displays an aggressive episode for whom rapid tranquilisation is unavoidable, who has not been randomised before, for whom there are no known contraindications. Randomisation - stratified (by ward) randomisation and concealed in closed opaque envelope by independent parties. Procedure - if the clinical situation arises requiring rapid tranquilisation, medical residents overseeing the patient will open a TREC-Lebanon envelope in which will be notification of which group of treatments should be preferred [Haloperidol + Promethazine + Chlorpromazine (HPC) or Haloperidol + Promethazine (HP)], along with forms for primary, secondary and serious adverse effects. Treatment is not given blindly. Outcome - primary outcome is calm or tranquil at 20 minutes post intervention. Secondary outcomes are calm/tranquil at 40, 60 and 120 minutes post intervention, asleep, adverse effects, use of straitjacket and leaving the ward. Follow-up will be up to two weeks post randomisation. Discussion: Findings from this study will compare the HPC versus HP combination used in Lebanon's psychiatry emergency routine practice. Trial registration: ClinicalTrials.gov NCT03639558. Registration date, August 21, 2018.
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Affiliation(s)
- Joseph E. Dib
- Institute of Mental Health, University of Nottingham, Nottingham, Nottinghamshire, NG1 1NU, UK
| | - Clive E. Adams
- Institution of Mental Health, University of Nottingham, Nottingham, Nottinghamshire, UK
| | - Werner Henry Ikdais
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Beirut, Lebanon
| | - Elie Atallah
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Faculty of Sciences, Lebanese University of Beirut, Beirut, Lebanon
| | - Hiba Edward Yaacoub
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Tony Jean Merheb
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Francois Kazour
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Faculty of Sciences, Lebanese University of Beirut, Beirut, Lebanon
- Department of Psychology, Holy Spirit University of Kaslik, Beirut, Lebanon
- Faculty of Medicine, St Joseph's University, Beirut, Lebanon
- INSERM U930, équipe 4 “Troubles affectifs”, Université François-Rabelais de Tours, Tours, France
| | - Fouad Tahan
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
| | - Georges Haddad
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Marouan Zoghbi
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Faculty of Medicine, St Joseph's University, Beirut, Lebanon
| | - Jocelyn Azar
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
- Faculty of Sciences, Lebanese University of Beirut, Beirut, Lebanon
- School of Medicine, Lebanese American University, Beirut, Lebanon
| | - Chadia Haddad
- Psychiatric Hospital of the Cross, Deir Salib, Jal l Dib, Lebanon
| | - Souheil Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Beirut, Lebanon
- INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon
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17
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Choueiry G, Fattouh N, Hallit R, Kazour F, Hallit S, Salameh P. Nutritional Status of Lebanese Hospitalized Patients With Chronic Disease: A Cross-Sectional Study. Hosp Pharm 2019; 56:102-108. [PMID: 33790485 DOI: 10.1177/0018578719867664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Background: In a hospitalized setting, malnutrition is known to increase patient's mortality and lower the quality of life; therefore, it is essential to detect such cases and intervene at the earliest possible. The goal of this study is to estimate the rate of malnutrition in hospitalized Lebanese patients, explore its association with different factors, and create a simple tool to detect patients at high risk of malnutrition. Methods: One hundred and fifty Lebanese hospitalized patients, suffering at least from one chronic disease, were randomly chosen from Centre Hospitalier Universitaire Notre Dame de Secours (CHU-NDS) hospital. The Mini Nutritional Assessment (MNA) score was used to assess nutritional status. Results: A total of 34.7% of patients in our sample were at risk of malnutrition and 9.3% were malnourished. A higher risk of malnutrition was found in patients with a low body mass index, who were physically inactive or admitted to the hospital more than once in the past 6 months. The nutritional status was not associated with certain chronic diseases more than others. We designed a simple decision tree model based only on 3 questions to detect patients at high risk of malnutrition/malnourished. This tool has a sensitivity of 62% and a specificity of 77%. Conclusion: The prevalence found in our study was comparable with previous data. However, factors associated with poor nutritional status were somewhat different. Further studies are needed to validate our screening tool and to examine the effect of specific diseases on malnutrition on a larger scale.
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Affiliation(s)
- Georges Choueiry
- Faculty of Pharmacy Lebanese University, Hadath, Lebanon.,Department of Epidemiology & Biostatistics, Faculty of Public Health Lebanese University, Fanar, Lebanon
| | - Nour Fattouh
- Faculty of Medicine and Medical Sciences Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - Rabih Hallit
- Faculty of Medicine and Medical Sciences Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
| | - Francois Kazour
- Faculty of Philosophy and Human Sciences, Holy Spirit University, (USEK), Jounieh, Lebanon.,Faculty of Sciences, Lebanese University, Fanar, Lebanon.,Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,INSERM U930, équipe 4 "Troubles affectifs", Université François-Rabelais de Tours, Tours, France.,Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
| | - Souheil Hallit
- Faculty of Medicine and Medical Sciences Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon
| | - Pascale Salameh
- Faculty of Pharmacy Lebanese University, Hadath, Lebanon.,INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon.,Faculty of Medicine, Lebanese University, Hadat, Lebanon
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18
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Yehya Y, Haddad C, Obeid S, Tahan F, Nabout R, Hallit S, Kazour F. Affective temperaments in Lebanese people with substance use disorder. Perspect Psychiatr Care 2019; 55:478-485. [PMID: 30561045 DOI: 10.1111/ppc.12346] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2018] [Revised: 11/20/2018] [Accepted: 11/25/2018] [Indexed: 12/23/2022] Open
Abstract
PURPOSE To examine these temperaments among patients with substance use disorder (SUD) in the Lebanese population. DESIGN Case-control. METHODS Fifty-seven controls and 57 patients with SUD were enrolled between April and September 2017. RESULTS A significantly higher mean of depressive, irritable, and anxious temperaments was found in addicted patients as compared with the nonaddicts. However, the results of the multivariate analysis showed that anxious, hyperthymic, irritable temperaments would significantly increase the odds of addiction in participants (ORa = 25.20, 1.057, 1.168, 1.241, and 1.275). Cyclothymic temperament would significantly decrease the odds of addiction in participants (ORa = 0.817). Furthermore, suicidality was associated with depressive, anxious, and irritable temperaments. PRACTICE IMPLICATIONS Hyperthymic, irritable, and anxious temperaments were the main temperaments found in patients with SUD in Lebanon.
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Affiliation(s)
- Yara Yehya
- Department of Neurosciences, Faculty of Sciences, Lebanese University, Fanar, Lebanon
| | - Chadia Haddad
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | - Sahar Obeid
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Philosophy and Human Sciences, Holy Spirit University, Kaslik, Lebanon.,Faculty of Pedagogy, Lebanese University, Beirut, Lebanon
| | - Fouad Tahan
- Department of Neurosciences, Faculty of Sciences, Lebanese University, Fanar, Lebanon.,Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | - Rita Nabout
- Department of Neurosciences, Faculty of Sciences, Lebanese University, Fanar, Lebanon
| | - Souheil Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon.,INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon
| | - Francois Kazour
- Department of Neurosciences, Faculty of Sciences, Lebanese University, Fanar, Lebanon.,Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.,Faculty of Philosophy and Human Sciences, Holy Spirit University, Kaslik, Lebanon.,INSERM U930, équipe 4 "Troubles affectifs," Université François-Rabelais de Tours, Parc de Grandmont, Tours, France.,Faculty of Medicine, Saint Joseph University, Beirut, Lebanon
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19
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Yaacoub H, Hallit S, Haddad C, Zoghbi M, Dib T, Kazour F. Association of War and Other Factors with Substance Use in a Lebanese Male Sample. Journal of Drug Issues 2018. [DOI: 10.1177/0022042618807765] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Lebanon has been a conflict zone for a long period of time, with no sufficient data associating war to substance use disorder (SUD). The aim of this study was to assess factors associated with substance use among Lebanese patients who were exposed to war, either by participating in or witnessing it. A cross-sectional study, performed between June and December 2016, included 77 males. Thirty-five patients were taking substances, 22 of them had participated in war, 34 of them were member of an official organization, and 100% were males. No significant difference was found between war participation and SUD ( p = .611) either with the subtype of substances. This study showed that depression was associated with a higher substance use in persons exposed to war. Health care professionals should communicate more with patients to decrease substance use and decrease the risk factors associated with it.
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Affiliation(s)
- Hiba Yaacoub
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | - Souheil Hallit
- Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
- INSPECT-LB: Institut National de Santé Publique, Epidémiologie Clinique et Toxicologie – Liban, Beirut, Lebanon
| | - Chadia Haddad
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
| | - Marouan Zoghbi
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
- Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
| | - Tania Dib
- Faculty of Sciences, Lebanese University, Fanar, Lebanon
| | - Francois Kazour
- Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
- Faculty of Medicine, Saint-Joseph University, Beirut, Lebanon
- Faculty of Sciences, Lebanese University, Fanar, Lebanon
- Inserm U930, équipe 4 Troubles affectifs , Université François-Rabelais de Tours, Parc de Grandmont, 37200 Tours, France
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20
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Kazour F, Richa S, Desmidt T, Lemaire M, Atanasova B, El Hage W. Olfactory and gustatory functions in bipolar disorders: A systematic review. Neurosci Biobehav Rev 2017; 80:69-79. [DOI: 10.1016/j.neubiorev.2017.05.009] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2017] [Accepted: 05/09/2017] [Indexed: 01/01/2023]
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Rothärmel M, Poirier MF, Levacon G, Kazour F, Bleher S, Gastal D, Lazareth S, Lebain P, Olari M, Oukebdane R, Rengade CE, Themines J, Abbar M, Dollfus S, Gassiot A, Haouzir S, Januel D, Millet B, Olié JP, Stamatiadis L, Terra JL, Bénichou J, Campion D, Guillin O. [Association between the violence in the community and the aggressive behaviors of psychotics during their hospitalizations]. Encephale 2017. [PMID: 28641816 DOI: 10.1016/j.encep.2017.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
BACKGROUND Violence is a common issue in psychiatry and has multiple determiners. The aim of this study is to assess the psychotic inpatients' violence in association with the violence of the neighborhood from which the patients are drawn and to estimate the impact of this environmental factor with regard to other factors. METHOD A prospective multicenter study was led in nine French cities. Eligible patients were psychotic involuntary patients hospitalized in the cities' psychiatric wards. During their treatments, any kind of aggressive behavior by the patients has been reported by the Overt Aggression Scale (OAS). RESULTS From June 2010 to May 2011, 95 patients have been included. Seventy-nine per cent of the patients were violent during their hospitalizations. In a bivariate analysis, inpatient violence was significantly associated with different factors: male gender, patient violence history, substance abuse, manic or mixed disorder, the symptoms severity measured by the BPRS, the insight degree and the city crime rate. In a multivariate analysis, the only significant factors associated with the patients' violence were substance abuse, the symptoms severity and the crime rates from the different patients' cities. CONCLUSION These results suggest that violence within the psychotic patients' neighborhood could represent a risk of violence during their treatments.
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Affiliation(s)
- M Rothärmel
- Service hospitalo-universitaire, centre hospitalier du Rouvray, 4, rue Paul-Eluard, 76300 Sotteville-lès-Rouen, France.
| | - M-F Poirier
- Service hospitalo-universitaire de santé mentale et de thérapeutique, centre hospitalier Saint-Anne, 75014 Paris, France
| | - G Levacon
- Service hospitalo-universitaire, centre hospitalier du Rouvray, 4, rue Paul-Eluard, 76300 Sotteville-lès-Rouen, France
| | - F Kazour
- Service de psychiatrie, faculté de médecine, Beyrouth, Liban
| | - S Bleher
- Service hospitalo-universitaire, centre hospitalier Guillaume-Régnier, 35703 Rennes, France
| | - D Gastal
- Unité de recherche clinique 93G03, établissement public de santé de Ville Evrard, 93330 Neuilly-sur-Marne, France
| | - S Lazareth
- Service de psychiatrie A1, centre hospitalo-universitaire de Nîmes, 30900 Nîmes, France
| | - P Lebain
- Service hospitalo-universitaire, centre Esquirol, centre hospitalo-universitaire de Caen, 14003 Caen, France
| | - M Olari
- Service hospitalo-universitaire, centre hospitalier du Rouvray, 4, rue Paul-Eluard, 76300 Sotteville-lès-Rouen, France
| | - R Oukebdane
- Service de psychiatrie 93G01, établissement public de santé de Ville Evrard, 93200 Saint-Denis, France
| | - C-E Rengade
- Service de psychiatrie 69G012, centre hospitalier du Vinatier, 69500 Bron, France
| | - J Themines
- Unité intersectoriel de psychiatrie, centre hospitalier Sainte-Marie, 12032 Rodez, France
| | - M Abbar
- Service de psychiatrie A1, centre hospitalo-universitaire de Nîmes, 30900 Nîmes, France
| | - S Dollfus
- Service hospitalo-universitaire, centre Esquirol, centre hospitalo-universitaire de Caen, 14003 Caen, France
| | - A Gassiot
- Unité intersectoriel de psychiatrie, centre hospitalier Sainte-Marie, 12032 Rodez, France
| | - S Haouzir
- Service hospitalo-universitaire, centre hospitalier du Rouvray, 4, rue Paul-Eluard, 76300 Sotteville-lès-Rouen, France
| | - D Januel
- Unité de recherche clinique 93G03, établissement public de santé de Ville Evrard, 93330 Neuilly-sur-Marne, France
| | - B Millet
- Service hospitalo-universitaire, centre hospitalier Guillaume-Régnier, 35703 Rennes, France
| | - J-P Olié
- Service hospitalo-universitaire de santé mentale et de thérapeutique, centre hospitalier Saint-Anne, 75014 Paris, France
| | - L Stamatiadis
- Service de psychiatrie 93G01, établissement public de santé de Ville Evrard, 93200 Saint-Denis, France
| | - J-L Terra
- Service de psychiatrie 69G012, centre hospitalier du Vinatier, 69500 Bron, France
| | - J Bénichou
- Unité de biostatistiques et de méthodologie, centre hospitalo-universitaire de Rouen, 76000 Rouen, France
| | - D Campion
- Service hospitalo-universitaire, centre hospitalier du Rouvray, 4, rue Paul-Eluard, 76300 Sotteville-lès-Rouen, France; Unité U1079, université de Rouen, 76000 Rouen, France
| | - O Guillin
- Service hospitalo-universitaire, centre hospitalier du Rouvray, 4, rue Paul-Eluard, 76300 Sotteville-lès-Rouen, France; Unité U1079, université de Rouen, 76000 Rouen, France
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Kazour F, Zahreddine NR, Maragel MG, Almustafa MA, Soufia M, Haddad R, Richa S. Post-traumatic stress disorder in a sample of Syrian refugees in Lebanon. Compr Psychiatry 2017; 72:41-47. [PMID: 27732907 DOI: 10.1016/j.comppsych.2016.09.007] [Citation(s) in RCA: 134] [Impact Index Per Article: 19.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2016] [Revised: 09/15/2016] [Accepted: 09/20/2016] [Indexed: 11/30/2022] Open
Abstract
INTRODUCTION Lebanon is the main hosting country for the Syrian crisis, with more than one million Syrian refugees. The objective of this study was to determine the prevalence of post-traumatic stress disorder (PTSD), and identify its possible predictors, in a sample of Syrian refugees living in camps in Lebanon. METHOD We conducted a household survey on Syrian refugees between 18 and 65years old in 6 camps of the Central Bekaa region, using the Mini International Neuropsychiatric Interview (M.I.N.I.) as a diagnostic tool. RESULTS Among the 452 respondents, we found a lifetime prevalence of PTSD of 35.4%, and a point prevalence of 27.2%. The lifetime prevalence of SUD was 1.99% and the point prevalence 0.66%. Multivariate logistic regression could not identify any predictor of current PTSD among a list of demographic variables, but identified the Syrian hometown as a significant predictor of lifetime PTSD (p=.013), with refugees from Aleppo having significantly more PTSD than those coming from Homs (adjusted OR 2.14, 95% CI [1.28, 3.56], p=.004). DISCUSSION PTSD was a real mental health issue in our sample of adult Syrian refugees in Central Bekaa camps, unlike SUD.
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Affiliation(s)
- Francois Kazour
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon; Psychiatric Hospital of the Cross, JalEddib, Lebanon.
| | | | - Michel G Maragel
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | | | | | - Ramzi Haddad
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
| | - Sami Richa
- Department of Psychiatry, Saint-Joseph University, Beirut, Lebanon
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Abdel-Ahad P, Kazour F. Non-Antidepressant Pharmacological Treatment of Obsessive Compulsive Disorder: A Comprehensive Review. ACTA ACUST UNITED AC 2015; 10:97-111. [DOI: 10.2174/15748847113089990060] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2012] [Revised: 12/17/2012] [Accepted: 01/17/2013] [Indexed: 11/22/2022]
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Obeid S, Kazour F, Kazour G. [Living environment and activation of early maladaptive schemas specific to the elderly: Comparative study among 80 individuals]. Encephale 2015; 41 Suppl 1:S29-36. [PMID: 25862313 DOI: 10.1016/j.encep.2015.01.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2012] [Accepted: 07/29/2013] [Indexed: 10/23/2022]
Abstract
INTRODUCTION Early maladaptive schemas described by Young may be identified in the elderly. They represent models and themes of emotions, memories, thoughts and bodily sensations experienced by the individual. This study aims to evaluate the activation of early maladaptive thoughts in the elderly depending on their living environment. METHODS The Young Schema Questionnaire--short form--was administered to 80 elderly individuals (40 living in a nursing home, and 40 in their own home with at least one person). The studied schemas that were most relevant to the elderly were the maladaptive schemas of abandonment, emotional deprivation, mistrust, exclusion, dependency, vulnerability and emotional overcontrol. The Mini-Mental State Examination (MMSE) and the Geriatric Depression Scale were administered to eliminate dementia or depression among individuals. RESULTS Individuals living in a nursing home, compared to their controls had increased activation of schemas of emotional deprivation (22.5% vs. 7.5%), abandonment (15% vs. 0%), mistrust (32.5% vs. 2.5%), exclusion (7.5% vs. 0%), and emotional overcontrol (25% vs. 2.5%). The activation of maladaptive schemas was significantly elevated in nursing homes for those 5 schemas, while there was no difference in activation between the 2 groups concerning the schemas of dependency and vulnerability. DISCUSSION The activation of early maladaptive schemas of emotional deprivation, abandonment, mistrust, exclusion, and emotional overcontrol is higher in individuals living in nursing homes compared to a control group of individuals living in their homes with at least one companion. This schema activation may be related to a lack of emotional and family support in the elderly.
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Affiliation(s)
- S Obeid
- Hôpital psychiatrique de la Croix, BP 60096, Jal-Eddib, Liban; Département de psychologie, faculté de philosophie et des sciences humaines, université Saint-Esprit de Kaslik, Jounieh, Liban
| | - F Kazour
- Hôpital psychiatrique de la Croix, BP 60096, Jal-Eddib, Liban; Département de psychiatrie, faculté de médecine, université Saint-Joseph, Beyrouth, Liban.
| | - G Kazour
- Hôpital psychiatrique de la Croix, BP 60096, Jal-Eddib, Liban; Département de psychologie, faculté des lettres-Section 2, université libanaise, Fanar, Liban
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Abstract
OBJECTIVE The authors conducted an epidemiological study in Lebanon to estimate ADHD prevalence in school-age population. METHOD They selected 1,000 children aged between 6 and 10 years, admitted in several schools in Lebanon. In each district, they randomly chose five schools, and in each school two classes. From each class, 10 children were included randomly in the population of the study. For each child, an ADHD-Rating Scale-IV School version was filled by a main teacher. The Home version was filled by the child's parents. RESULTS The prevalence of ADHD Inattentive subtype was 3 per 1,000, Hyperactive-Impulsive subtype 12 per 1,000, and ADHD Combined subtype 17 per 1,000. ADHD was significantly more prevalent in boys than in girls. CONCLUSION This is the first epidemiological study to be conducted in Lebanon to estimate the prevalence of ADHD among children.
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Affiliation(s)
- Sam Richa
- 1Faculty of Medicine of Saint-Joseph Universitiy of Beirut
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Macaron G, Fahed M, Matar D, Bou-Khalil R, Kazour F, Nehme-Chlela D, Richa S. Anxiety, depression and suicidal ideation in Lebanese patients undergoing hemodialysis. Community Ment Health J 2014; 50:235-8. [PMID: 24337520 DOI: 10.1007/s10597-013-9669-4] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/16/2012] [Accepted: 11/30/2013] [Indexed: 11/28/2022]
Abstract
Anxiety, depression and suicidal thoughts are highly prevalent comorbidities of end-stage-renal-disease (ESRD). There are no studies in Lebanon on the prevalence of these symptoms in Lebanese end-stage-renal-disease patients. Moreover, the association between ESRD on one hand, and anxiety, depression and suicidal ideation on the other has never been established in Lebanon. Groups of patients at a high-risk of development of these symptoms are not determined. The Hospital Anxiety and Depression Score and M.I.N.I (module C) were used to measure the prevalence of anxiety, depression and suicidal ideation in 51 patients from the dialysis center of Hotel-Dieu de France Hospital in Lebanon. In our sample, 45% of included patients suffered from symptoms of anxiety and 50% presented symptoms of depression.The prevalence of suicidal ideation as detected by the M.I.N.I. is at 37%. No patients presented with a high risk of suicide. There was a statistically significant correlation between the existence of organic comorbidities and the presence of symptoms of depression and suicidal ideation. As for anxiety, the association was marginally significant. The results obtained by our study are consistent with those found in studies performed in other societies. The profile of depression- and suicidal ideation-prone patients has been determined. It consists of patients with at least one medical comorbidity to the ESRD. This, in turn, should lead to increased awareness and better treatment of these psychiatric ailments, considering their impact on morbidity and mortality in ESRD.
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Affiliation(s)
- Gabrielle Macaron
- Department of Psychiatry, Faculty of Medicine, Hôtel-Dieu de France Hospital, Saint-Joseph University, Beirut, Lebanon
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Moaouad J, Kazour F, Haddad R, Rouhayem J, Chammai R, Richa S. La dépendance chimique et comportementale chez les étudiants en médecine. Étude comparative chez une population d’étudiants libanais. Encephale 2012. [DOI: 10.1016/j.encep.2011.12.010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Kazour F, Rouhayem J, Chammay R, Haddad R, Haddad G, Laqueille X, Richa S. Cannabis et trouble bipolaire : recherche d’une association à partir d’une revue de la littérature. Annales Médico-psychologiques, revue psychiatrique 2011. [DOI: 10.1016/j.amp.2009.12.022] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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