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de Filippis R, El Hayek S, Shalbafan M. Editorial: Community series in mental-health-related stigma and discrimination: prevention, role, and management strategies, volume II. Front Psychiatry 2024; 15:1384836. [PMID: 38476611 PMCID: PMC10928929 DOI: 10.3389/fpsyt.2024.1384836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/10/2024] [Accepted: 02/12/2024] [Indexed: 03/14/2024] Open
Affiliation(s)
- Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehabilitation in Dubai, Dubai, United Arab Emirates
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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2
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El Halabi S, Fish E, Boroon M, de Filippis R, El Hayek S, Larnaout A, Ori D, Pinto da Costa M, Ramalho R, Ransing R, Raza F, Shalbafan M. The role of arts in moderating mental health-related stigma: views of early career psychiatrists and trainees from different parts of the world. Front Psychiatry 2024; 15:1293142. [PMID: 38445091 PMCID: PMC10912178 DOI: 10.3389/fpsyt.2024.1293142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/12/2023] [Accepted: 01/29/2024] [Indexed: 03/07/2024] Open
Affiliation(s)
- Sarah El Halabi
- Westchester Medical Center Psychiatry Department, Valhalla, NY, United States
| | - Ely Fish
- Westchester Medical Center Psychiatry Department, Valhalla, NY, United States
| | - Mahsa Boroon
- Department of Psychiatry, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehabilitation in Dubai, Dubai, United Arab Emirates
| | - Amine Larnaout
- Department of Psychiatry, Razi Hospital, Faculty of Medicine, University of Tunis, El Manar, Tunisia
| | - Dorottya Ori
- Institute of Behavioral Sciences, Semmelweis University, Budapest, Hungary
- Department of Mental Health, Heim Pal National Pediatric Institute, Budapest, Hungary
| | - Mariana Pinto da Costa
- Institute of Psychiatry, Psychology and Neuroscience, King’s College London, London, United Kingdom
| | - Rodrigo Ramalho
- Department of Social and Community Health, University of Auckland, Auckland, New Zealand
| | - Ramdas Ransing
- Department of Psychiatry, Clinical Neurosciences and Addiction Medicine, All India Institute of Medical Sciences, Guwahati, Assam, India
| | - Fajar Raza
- Westchester Medical Center Psychiatry Department, Valhalla, NY, United States
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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El Hayek S, Lasebikan V, Noroozi A. Editorial: Alcohol and drug use in low- and middle-income countries. Front Psychiatry 2024; 15:1381726. [PMID: 38439788 PMCID: PMC10910032 DOI: 10.3389/fpsyt.2024.1381726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/04/2024] [Accepted: 02/09/2024] [Indexed: 03/06/2024] Open
Affiliation(s)
- Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehabilitation in Dubai, Dubai, United Arab Emirates
| | | | - Alireza Noroozi
- Iranian National Center for Addiction Studies (INCAS), Tehran University of Medical Sciences (TUMS), Tehran, Iran
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4
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El Hayek S, Foad W, de Filippis R, Ghosh A, Koukach N, Mahgoub Mohammed Khier A, Pant SB, Padilla V, Ramalho R, Tolba H, Shalbafan M. Stigma toward substance use disorders: a multinational perspective and call for action. Front Psychiatry 2024; 15:1295818. [PMID: 38362033 PMCID: PMC10867215 DOI: 10.3389/fpsyt.2024.1295818] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/17/2023] [Accepted: 01/18/2024] [Indexed: 02/17/2024] Open
Affiliation(s)
- Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehabilitation in Dubai, Dubai, United Arab Emirates
| | - Wael Foad
- Medical Department, Erada Center for Treatment and Rehabilitation in Dubai, Dubai, United Arab Emirates
| | - Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Abhishek Ghosh
- Postgraduate Institute of Medical Education and Research, Chandigarh, India
| | - Nadine Koukach
- Medical Department, Erada Center for Treatment and Rehabilitation in Dubai, Dubai, United Arab Emirates
| | | | - Sagun Ballav Pant
- Department of Psychiatry, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal
| | - Vanessa Padilla
- Department of Psychiatry and Behavioral Sciences, University of Miami, Miami, FL, United States
| | - Rodrigo Ramalho
- Department of Social and Community Health, University of Auckland, Auckland, New Zealand
| | - Hossameldin Tolba
- Medical Department, Erada Center for Treatment and Rehabilitation in Dubai, Dubai, United Arab Emirates
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute (PHRI), Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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5
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Hassan W, El Hayek S, de Filippis R, Eid M, Hassan S, Shalbafan M. Variations in obsessive compulsive disorder symptomatology across cultural dimensions. Front Psychiatry 2024; 15:1329748. [PMID: 38322140 PMCID: PMC10844379 DOI: 10.3389/fpsyt.2024.1329748] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2023] [Accepted: 01/09/2024] [Indexed: 02/08/2024] Open
Affiliation(s)
- Wassim Hassan
- College of Medicine, University of Illinois, Chicago, IL, United States
| | - Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehabilitation in Dubai, Dubai, United Arab Emirates
| | - Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Mario Eid
- Department of Psychiatry, Lebanese American University, Beirut, Lebanon
| | - Sarah Hassan
- The Chicago School of Professional Psychology, Chicago, IL, United States
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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6
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Kamalzadeh L, de Filippis R, El Hayek S, Heidari Mokarar M, Jatchavala C, Koh EBY, Larnaout A, Noor IM, Ojeahere MI, Orsolini L, Pinto da Costa M, Ransing R, Sattari MA, Shalbafan M. Impact of stigma on the placement of mental health facilities: insights from early career psychiatrists worldwide. Front Psychiatry 2023; 14:1307277. [PMID: 38193134 PMCID: PMC10773878 DOI: 10.3389/fpsyt.2023.1307277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 11/08/2023] [Indexed: 01/10/2024] Open
Affiliation(s)
- Leila Kamalzadeh
- Geriatric Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehabilitation in Dubai, Dubai, United Arab Emirates
| | - Mohsen Heidari Mokarar
- Department of Psychiatry, Imam Hossein Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Chonnakarn Jatchavala
- Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
| | - Eugene Boon Yau Koh
- Department of Psychiatry, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia, Serdang, Selangor, Malaysia
| | - Amine Larnaout
- Faculty of Medicine, University of Tunis El Manar, Tunis, Tunisia
- Department of Psychiatry D, Razi Hospital, Tunis, Tunisia
| | - Isa Multazam Noor
- Department of Psychiatry, Faculty of Medicine, YARSI University, Jakarta, Indonesia
- Child and Adolescent Mental Health Unit, Dr Soeharto Heerdjan Teaching Mental Hospital, Jakarta, Indonesia
| | | | - Laura Orsolini
- Unit of Clinical Psychiatry, Department of Neurosciences/Department of Experimental and Clinical Neurosciences (DIMSC), Polytechnic University of Marche, Ancona, Italy
| | - Mariana Pinto da Costa
- Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
- Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal
| | - Ramdas Ransing
- Department of Psychiatry, Addiction Medicine, and Clinical Neurosciences, All India Institute of Medical Sciences, Guwahati, Assam, India
| | - Mohammad Amin Sattari
- Department of Psychiatry, Imam Hossein Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute (PHRI), Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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7
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Pokharel A, Philip S, Khound M, El Hayek S, de Filippis R, Ransing R, Heidari Mokarar M, Orooji M, Shalbafan M. Mental illness stigma among perinatal women in low- and middle-income countries: early career psychiatrists' perspective. Front Psychiatry 2023; 14:1283715. [PMID: 38116385 PMCID: PMC10728647 DOI: 10.3389/fpsyt.2023.1283715] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/26/2023] [Accepted: 11/10/2023] [Indexed: 12/21/2023] Open
Affiliation(s)
- Arpana Pokharel
- Department of Psychiatry, Clinical Neurosciences, and Addiction Medicine, All India Institute of Medical Sciences, Guwahati, India
- Department of Psychiatry, Devdaha Medical College, Butwal, Nepal
| | - Sharad Philip
- Department of Psychiatry, Clinical Neurosciences, and Addiction Medicine, All India Institute of Medical Sciences, Guwahati, India
| | - Murchana Khound
- Department of Pediatrics, All India Institute of Medical Sciences, Guwahati, India
| | - Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehabilitation in Dubai, Dubai, United Arab Emirates
| | - Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Ramdas Ransing
- Department of Psychiatry, Clinical Neurosciences, and Addiction Medicine, All India Institute of Medical Sciences, Guwahati, India
- Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand
| | - Mohsen Heidari Mokarar
- Department of Psychiatry, Imam Hossein Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Maryam Orooji
- Department of Psychiatry, Imam Hossein Hospital, School of Medicine, Alborz University of Medical Sciences, Karaj, Iran
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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de Filippis R, Kamalzadeh L, Adiukwu FN, Aroui C, Ramalho R, El Halabi S, El Hayek S, Gashi Bytyçi D, Larnaout A, Orsolini L, Ransing R, Pinto da Costa M, Shalbafan M. Mental health-related stigma in movies: A call for action to the cinema industry. Int J Soc Psychiatry 2023; 69:1296-1298. [PMID: 36738089 DOI: 10.1177/00207640231152210] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Affiliation(s)
- Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Italy
| | - Leila Kamalzadeh
- Geriatric Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | | | | | - Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, The University of Auckland, New Zealand
| | - Sarah El Halabi
- Westchester Medical Center Department of Psychiatry, Valhalla, NY, USA
| | - Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehab, Dubai, UAE
| | - Drita Gashi Bytyçi
- Mental Health Center Prizren, Hospital and University Clinical Service of Kosovo, Prizren, Kosovo
| | - Amine Larnaout
- Razi Hospital, Faculty of Medicine of Tunis, El Manar University, Tunis, Tunisia
| | - Laura Orsolini
- Unit of Clinical Psychiatry, Department of Neurosciences/DIMSC, Polytechnic University of Marche, Ancona, Italy
| | - Ramdas Ransing
- Department of Psychiatry, All India Institute of Medical Sciences, Guwahati, Assam, India
| | | | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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9
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El Hayek S, de Filippis R, Shalbafan M. Editorial: Community series in mental illness, culture, and society: dealing with the COVID-19 pandemic, volume VII. Front Psychiatry 2023; 14:1247118. [PMID: 37502815 PMCID: PMC10369349 DOI: 10.3389/fpsyt.2023.1247118] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/25/2023] [Accepted: 06/26/2023] [Indexed: 07/29/2023] Open
Affiliation(s)
- Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehab in Dubai, Dubai, United Arab Emirates
| | - Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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10
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El Hayek S, Mubashir A, Arafat SMY. Editorial: Current trends and challenges in the assessment of suicidal behavior: a psychometric approach. Front Psychiatry 2023; 14:1243062. [PMID: 37496687 PMCID: PMC10367546 DOI: 10.3389/fpsyt.2023.1243062] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/20/2023] [Accepted: 07/03/2023] [Indexed: 07/28/2023] Open
Affiliation(s)
- Samer El Hayek
- Department of Medical, Erada Center for Treatment and Rehab in Dubai, Dubai, United Arab Emirates
| | - Anila Mubashir
- Department of Applied Psychology, National University of Modern Languages, Rawalpindi, Pakistan
| | - S. M. Yasir Arafat
- Department of Psychiatry, Enam Medical College and Hospital, Dhaka, Bangladesh
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de Filippis R, El Hayek S, Shalbafan M. Editorial: Community series in mental illness, culture, and society: dealing with the COVID-19 pandemic, volume VI. Front Psychiatry 2023; 14:1233633. [PMID: 37426094 PMCID: PMC10325651 DOI: 10.3389/fpsyt.2023.1233633] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/02/2023] [Accepted: 06/06/2023] [Indexed: 07/11/2023] Open
Affiliation(s)
- Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehab in Dubai, Dubai, United Arab Emirates
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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12
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El Hayek S, de Filippis R, Shalbafan M. Editorial: Community series in mental illness, culture, and society: dealing with the COVID-19 pandemic: volume V. Front Psychiatry 2023; 14:1205905. [PMID: 37234218 PMCID: PMC10207939 DOI: 10.3389/fpsyt.2023.1205905] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/14/2023] [Accepted: 04/17/2023] [Indexed: 05/27/2023] Open
Affiliation(s)
- Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehab in Dubai, Dubai, United Arab Emirates
| | - Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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El Husseiny J, Farran SH, El Sheikh WG, Yehya Y, El Hayek S, El Husseiny H, Hneiny L, Shahjouei S, Sabra M, Kobeissy F. Posttraumatic stress disorder among the Lebanese population and Syrian refugees: A systematic review. Psychol Trauma 2023; 15:2023-39976-001. [PMID: 36689379 DOI: 10.1037/tra0001409] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/24/2023]
Abstract
INTRODUCTION Posttraumatic stress disorder (PTSD) is a severe and disabling condition that can lead to functional impairment and decreased productivity. The purpose of this systematic review was to compile and evaluate existing research on PTSD in Lebanon and among Syrian refugees. METHOD We searched the databases OVID Medline, EMBASE, and PsycINFO for articles that used validated tools to report the screening or diagnosis of PTSD among our population of interest. RESULTS We included 102 articles out of a total of 10,367 screened manuscripts. We identified 24 studies discussing PTSD in the Lebanese population and 78 among Syrian refugees. A total of 90 studies described the epidemiological characteristics of PTSD while 12 assessed different treatment options. There was no significant difference in PTSD rates between males and females. We also identified several risks and protective factors for developing PTSD. The former included female gender, marriage, older age, and exposure to war. CONCLUSION PTSD among Lebanese individuals and Syrian refugees is multifactorial in nature, but commonly involves war-related events. There is a significant evidence gap regarding intervention strategies in this population group. Targeted, multidisciplinary, and holistic interventions are required. (PsycInfo Database Record (c) 2023 APA, all rights reserved).
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Affiliation(s)
| | | | | | - Yara Yehya
- Department of Biochemistry and Molecular Genetics
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Bizri M, Ibrahim N, El Hayek S, Saliba A, Ehlers SL, Ostroff JS, Maalouf F, Taher A. Challenges in implementing psycho-oncology services in Arab low- and middle-income countries: Lessons learned from Lebanon. Psychooncology 2023; 32:174-178. [PMID: 35861229 DOI: 10.1002/pon.6004] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2022] [Revised: 06/24/2022] [Accepted: 07/12/2022] [Indexed: 01/14/2023]
Affiliation(s)
- Maya Bizri
- Department of Psychiatry, American University of Beirut Medical Centre, Beirut, Lebanon
| | - Nour Ibrahim
- Department of Psychiatry, American University of Beirut Medical Centre, Beirut, Lebanon
| | - Samer El Hayek
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Antoine Saliba
- Division of Medical Oncology, Mayo Clinic, Rochester, Minnesota, USA.,Division of Hematology, Mayo Clinic, Rochester, Minnesota, USA
| | - Shawna L Ehlers
- Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA
| | - Jamie S Ostroff
- Department of Psychiatry & Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, New York, USA
| | - Fadi Maalouf
- Department of Psychiatry, American University of Beirut Medical Centre, Beirut, Lebanon
| | - Ali Taher
- Division of Hematology and Oncology, Department of Internal Medicine, American University of Beirut Medical Centre, Beirut, Lebanon
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de Filippis R, El Hayek S, Shalbafan M. Editorial: Community series in mental illness, culture, and society: Dealing with the COVID-19 pandemic - Volume IV. Front Psychiatry 2023; 14:1181772. [PMID: 37032936 PMCID: PMC10073721 DOI: 10.3389/fpsyt.2023.1181772] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 03/08/2023] [Indexed: 04/11/2023] Open
Affiliation(s)
- Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehab in Dubai, Dubai, United Arab Emirates
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
- *Correspondence: Mohammadreza Shalbafan
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Elotla SF, Fouad AM, Mohamed SF, Joudeh AI, Mostafa M, Hayek SE, Shah J, Ahmed HAS. Association between diabetes-related distress and glycemic control in primary care patients with Type 2 diabetes during the coronavirus disease 2019 (COVID-19) pandemic in Egypt. J Family Community Med 2023; 30:42-50. [PMID: 36843865 PMCID: PMC9954422 DOI: 10.4103/jfcm.jfcm_238_22] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2022] [Revised: 09/19/2022] [Accepted: 10/17/2022] [Indexed: 02/28/2023] Open
Abstract
BACKGROUND Diabetes-related distress and glycemic control are of a particular concern to primary care physicians because of the impact of the coronavirus disease 2019 pandemic on diabetic patients' lifestyle, psychological well-being and healthcare access. Our aim was to evaluate the relationship between diabetes-related distress and glycemic control in diabetic patients with Type 2 diabetes mellitus (T2DM) in primary care settings during the pandemic. MATERIALS AND METHODS This cross-sectional study was conducted at primary healthcare clinics in a rural area in Egypt among 430 patients with T2DM during the period from September 2020 to June 2021. All patients were interviewed for their sociodemographic, lifestyle, and clinical characteristics. Diabetes-related distress was measured by the problem areas in the diabetes scale (PAID), where a total score of ≥40 indicated a severe diabetes-related distress. The most recent glycosylated hemoglobin (HbA1c) measurements were used to indicate the glycemic control. Quantile regression model (0.50 quantile) was used to perform the multivariate analysis to identify significant factors associated with HbA1c level. RESULTS Most of the participants had a suboptimal glycemic control (92.3%), while 13.3% had severe diabetes-related distress. HbA1c level was significantly and positively correlated with the total PAID score and all its sub-domains. Multivariate quantile regression revealed that obesity, multi-morbidity, and severe diabetes-related distress were the only significant determinants of the HbA1c median level. Obese patients had significantly higher median HbA1c compared to patients who were not obese (coefficient = 0.25, P < 0.001). Patients with two or more comorbidities (i.e., multimorbidity) had a significantly higher median HbA1c than patients with single or no chronic comorbidities (coefficient = 0.41, P < 0.001). Severe diabetes-related distress was significantly associated with higher median HbA1c compared to nonsevere diabetes-related distress (coefficient = 0.20, P = 0.018). CONCLUSION Diabetes-related distress had a significant association with HbA1c level. Family physicians should implement multifaceted programs to optimize diabetes control and reduce any associated distress.
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Affiliation(s)
- Sally F. Elotla
- Department of Public Health, Occupational and Environmental Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Ahmed M. Fouad
- Department of Public Health, Occupational and Environmental Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Samar F. Mohamed
- Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Anwar I. Joudeh
- Department of Internal Medicine, Hamad Medical Corporation, Doha, Qatar
- Department of Internal Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
| | - Mona Mostafa
- Department of Internal Medicine, Faculty of Medicine, University of Jordan, Amman, Jordan
| | - Samer El Hayek
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Jackson Health System, Miami, Florida, USA
| | - Jaffer Shah
- Department of Public Health, New York State Department of Health, NY, USA
| | - Hazem A. S. Ahmed
- Department of Family Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt
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Shalbafan M, El Hayek S, de Filippis R. Editorial: Mental-health-related stigma and discrimination: Prevention, role, and management strategies. Front Psychiatry 2023; 14:1136995. [PMID: 36761871 PMCID: PMC9903064 DOI: 10.3389/fpsyt.2023.1136995] [Citation(s) in RCA: 4] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/03/2023] [Accepted: 01/04/2023] [Indexed: 01/25/2023] Open
Affiliation(s)
- Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute (PHRI), Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehab in Dubai, Dubai, United Arab Emirates
| | - Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
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18
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de Filippis R, Shalbafan M, El Hayek S. Editorial: Community series in mental illness, culture, and society: Dealing with the COVID-19 pandemic - Volume III. Front Psychiatry 2023; 14:1145115. [PMID: 36815194 PMCID: PMC9939816 DOI: 10.3389/fpsyt.2023.1145115] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2023] [Accepted: 01/18/2023] [Indexed: 02/09/2023] Open
Affiliation(s)
- Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehab in Dubai, Dubai, United Arab Emirates
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Geagea L, Ghanimé PM, El Hayek S, Kobeissy F, Tamim H, Elbejjani M, Talih F. Assessing cognitive behavioral therapy for insomnia in individuals with cannabis use disorder utilizing actigraphy and serum biomarkers: A pilot study. Sleep Med 2022; 100:434-441. [PMID: 36244318 DOI: 10.1016/j.sleep.2022.09.017] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/21/2022] [Revised: 07/11/2022] [Accepted: 09/20/2022] [Indexed: 11/06/2022]
Abstract
OBJECTIVE/BACKGROUND This pilot study aims to assess the effect of Cognitive Behavioral Therapy for insomnia (CBTi) in individuals with cannabis use disorder and insomnia. It also aims to investigate the effect of CBTi on levels of serum inflammatory markers in relation to insomnia symptoms. METHODS/PATIENTS Individuals with cannabis use disorder and insomnia symptoms were recruited over 18 months. Data collected included demographics, self-reported sleep parameters, and cannabis use. Blood samples were drawn to measure IL-2, IL-6, CRP, and cortisol. Participants completed the Insomnia Severity Index questionnaire (ISI) and the Patient Health Questionnaire-4 (PHQ-4), and they were provided with an actigraphy (wrist) device for 1 week before CBTi and a subsequent week after completing the 4 CBTi sessions. RESULTS Nineteen participants were enrolled in the study. The mean ISI score decreased from moderately severe insomnia at baseline to no clinically significant insomnia after CBTi with a sustained decrease at 3- and 6-months follow-up. Actigraphy showed a significant decrease in sleep onset latency (SOL) after CBTi. Three months after CBTi, 80% of participants reported a decrease in their cannabis use. There was also a significant and sustained decrease in mean PHQ-4 scores after CBTi. Although only trending towards significance, the levels of three out of four biomarkers (IL-2, IL-6, CRP) were decreased 6 months after CBTi. CONCLUSIONS CBTi is effective as a short- and long-term treatment of insomnia and comorbid anxiety/depression in individuals who regularly use cannabis. A potential added benefit is a reduction in cannabis consumption and inflammatory serum biomarkers.
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Affiliation(s)
- Luna Geagea
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Pia Maria Ghanimé
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Samer El Hayek
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Jackson Health System, Miami, Florida, United States
| | - Firas Kobeissy
- Department of Biochemistry and Molecular Genetics, American University of Beirut, Beirut, Lebanon
| | - Hani Tamim
- Clinical Research Institute and Department of Internal Medicine, American University of Beirut, Lebanon
| | - Martine Elbejjani
- Clinical Research Institute and Department of Internal Medicine, American University of Beirut, Lebanon
| | - Farid Talih
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon.
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20
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Ghossoub E, Hayek SE, Trad K, Maalouf FT, Tamim H. Association between Cannabis Use Disorder and Self- and Other-Directed Aggression. J Am Acad Psychiatry Law 2022; 50:590-599. [PMID: 36180127 DOI: 10.29158/jaapl.220002-21] [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] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
Cannabis is the most widely used drug worldwide. Data about the association of cannabis use with aggression is heterogeneous. The objective of the current study was to assess the nature of the association between cannabis use disorder (CUD) and self-directed, other-directed, and combined aggression. We used data from the National Survey on Drug Use and Health across 2008 to -2014, with a pooled sample of 270,227 adult respondents. We used regression models to estimate the odds ratios (ORs) for those having CUD perpetrating each form of aggression compared with no aggression and other-directed compared with self-directed aggression. CUD was associated with significantly increased odds of committing other-directed (adjusted OR [aOR] = 1.42, 95 percent CI = 1.26-1.60) and combined aggression (aOR = 2.11, 95 percent CI = 1.36-3.26) compared with no aggression. CUD was associated with a nonstatistically significant risk of other-directed compared with self-directed aggression (aOR = 1.29, 95 percent CI = .97-1.69). In those 18 to 25 years old, CUD was significantly associated with an increased differential risk of other-directed versus self-directed aggression (aOR = 1.29, 95 percent CI = 1.03-1.62). Cannabis use disorder seems to increase the risk of other-directed aggression compared with self-directed aggression, especially among youths.
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Affiliation(s)
- Elias Ghossoub
- Dr. Ghossoub is Assistant Professor of Clinical Psychiatry, Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Dr. Hayek is Addiction Psychiatry Fellow at the University of Miami Jackson Health System, Miami, FL. Mr. Trad is a Medical Student, Lebanese American University, Byblos, Lebanon. Dr. Maalouf is Associate Professor of Clinical Psychiatry and Chairperson, Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Dr. Tamim is Professor, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon.
| | - Samer El Hayek
- Dr. Ghossoub is Assistant Professor of Clinical Psychiatry, Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Dr. Hayek is Addiction Psychiatry Fellow at the University of Miami Jackson Health System, Miami, FL. Mr. Trad is a Medical Student, Lebanese American University, Byblos, Lebanon. Dr. Maalouf is Associate Professor of Clinical Psychiatry and Chairperson, Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Dr. Tamim is Professor, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon
| | - Khalid Trad
- Dr. Ghossoub is Assistant Professor of Clinical Psychiatry, Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Dr. Hayek is Addiction Psychiatry Fellow at the University of Miami Jackson Health System, Miami, FL. Mr. Trad is a Medical Student, Lebanese American University, Byblos, Lebanon. Dr. Maalouf is Associate Professor of Clinical Psychiatry and Chairperson, Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Dr. Tamim is Professor, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon
| | - Fadi T Maalouf
- Dr. Ghossoub is Assistant Professor of Clinical Psychiatry, Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Dr. Hayek is Addiction Psychiatry Fellow at the University of Miami Jackson Health System, Miami, FL. Mr. Trad is a Medical Student, Lebanese American University, Byblos, Lebanon. Dr. Maalouf is Associate Professor of Clinical Psychiatry and Chairperson, Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Dr. Tamim is Professor, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon
| | - Hani Tamim
- Dr. Ghossoub is Assistant Professor of Clinical Psychiatry, Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Dr. Hayek is Addiction Psychiatry Fellow at the University of Miami Jackson Health System, Miami, FL. Mr. Trad is a Medical Student, Lebanese American University, Byblos, Lebanon. Dr. Maalouf is Associate Professor of Clinical Psychiatry and Chairperson, Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Dr. Tamim is Professor, Department of Internal Medicine, American University of Beirut, Beirut, Lebanon
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21
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El Hayek S, Cherro M, El Harake N, Ghossoub E. Self-immolation in the Arab world: A systematic review. Burns 2022; 49:757-769. [PMID: 37129972 DOI: 10.1016/j.burns.2022.10.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Revised: 09/26/2022] [Accepted: 10/14/2022] [Indexed: 11/16/2022]
Abstract
Self-immolation is the act of setting fire to oneself. Recent spikes in self-immolation events have been noticed in the Arab world, specifically in the aftermath of the Arab Spring in 2011. We aimed to examine the literature assessing the characteristics and patterns of suicide by self-immolation in the Arab world. We registered our systematic review in Prospero. We searched PubMed, Medline, PsycInfo, Embase, and Scopus databases from inception until 9 July 2022, along with other sources, following the PRISMA 2020 guidelines. We collected relevant articles tackling suicide by self-immolation in the Arab world via title and abstract screening followed by full-text screening. We then conducted a narrative synthesis of the results. Out of 326 records from databases and 17 additional records identified through other sources, 31 articles (27 quantitative and 4 qualitative) were included. The studies came from Iraq (n = 16), Tunisia (n = 6), Kingdom of Saudi Arabia (n = 3), Jordan (n = 2), Libya (n = 2), Bahrain (n = 1), and Egypt (n = 1). The quantitative studies had a sample size ranging from 22 to 600 self-inflicted burn victims. Studies showed that self-immolators were mostly married women with low educational level and low socioeconomic status. Self-immolation was more likely to happen at home, usually following marital conflicts. Kerosene was the accelerant used the most. Depression was the most comorbid mental health diagnosis. Studies highlighted that self-immolation was being increasignly used as a form of protest. Self-immolation is not uncommon in the Arab world. Specific interventions directed at the population at risk are warranted.
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Affiliation(s)
- Samer El Hayek
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, FL, USA
| | - Michele Cherro
- Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon
| | - Nadia El Harake
- Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon
| | - Elias Ghossoub
- Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon.
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22
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Hayek SE, Kassir G, Cherro M, Mourad M, Soueidy M, Zrour C, Khoury B. Mental Health of LGBTQ Individuals Who are Arab or of an Arab Descent: A Systematic Review. J Homosex 2022:1-23. [PMID: 35499284 DOI: 10.1080/00918369.2022.2060624] [Citation(s) in RCA: 2] [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] [Indexed: 06/14/2023]
Abstract
Lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals are at a higher risk of mental illness when compared to their heterosexual and cisgender counterparts. Most research emanates from Western countries, with a paucity of studies in the Arab world. We systematically reviewed studies assessing the mental health of LGBTQ individuals who live in the Arab world or are of Arab descent. Of 261 articles, seven were eligible for analysis. Depression was the most common psychiatric disorder. Suicidal ideations and attempts were frequent in trans women. Post-traumatic stress disorder was also common, with the majority of precipitating traumatic events being related to sexual orientation and/or gender identity. Societal and familial stressors in the Arab culture are major contributors to the increased vulnerability of the LGBTQ community to mental health challenges. Further research is of utmost need while taking into consideration the Arab socio-cultural context.
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Affiliation(s)
- Samer El Hayek
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Jackson Health System, Miami, Florida, USA
| | - Ghida Kassir
- Department of Psychiatry, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Michele Cherro
- Department of Psychiatry, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Marc Mourad
- Department of Psychiatry, Hotel-Dieu de France, Saint-Joseph University, Beirut, Lebanon
| | - Marianne Soueidy
- Department of Psychiatry and Clinical Psychology, Saint George Hospital University Medical Center, Balamand School of Medicine, Beirut, Lebanon
| | - Carmen Zrour
- Department of Psychiatry, Faculty of Medical Sciences, Lebanese University, Hadath, Lebanon
| | - Brigitte Khoury
- Department of Psychiatry, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
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Abstract
The Beirut port explosion on August 4, 2020, traumatized the Lebanese population. It also revealed a lack of disaster mental health preparedness in a country subject to significant political, economic, and security challenges. The Trauma Assessment and Support Clinic at the American University of Beirut Medical Center was one of many initiatives set up nationally as a dedicated emergency benevolent service. The authors recommend anticipating the psychiatric consequences of such rare events at a professional and systemic level. The experiences of clinicians and the challenges faced in Lebanon can guide the improvement of disaster mental health care on a global level.
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Affiliation(s)
- Bernadette Medawar
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Kathleen M. Pike, Ph.D., Matías Irarrázaval, M.D., M.P.H., and Lola Kola, Ph.D., are editors of this column
| | - Olivia Shabb
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Kathleen M. Pike, Ph.D., Matías Irarrázaval, M.D., M.P.H., and Lola Kola, Ph.D., are editors of this column
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Kathleen M. Pike, Ph.D., Matías Irarrázaval, M.D., M.P.H., and Lola Kola, Ph.D., are editors of this column
| | - Joumana Ammar
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Kathleen M. Pike, Ph.D., Matías Irarrázaval, M.D., M.P.H., and Lola Kola, Ph.D., are editors of this column
| | - Saydeh Hammouche
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Kathleen M. Pike, Ph.D., Matías Irarrázaval, M.D., M.P.H., and Lola Kola, Ph.D., are editors of this column
| | - Joseph El Khoury
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon. Kathleen M. Pike, Ph.D., Matías Irarrázaval, M.D., M.P.H., and Lola Kola, Ph.D., are editors of this column
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24
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El Hayek S, de Filippis R, Shalbafan M. Editorial: Community series in mental illness, culture, and society: Dealing with the COVID-19 pandemic-Volume II. Front Psychiatry 2022; 13:1092845. [PMID: 36506444 PMCID: PMC9730871 DOI: 10.3389/fpsyt.2022.1092845] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2022] [Accepted: 11/09/2022] [Indexed: 11/25/2022] Open
Affiliation(s)
- Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehab, Dubai, United Arab Emirates
| | - Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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25
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Kassir G, El Hayek S, Charara R, Cherro M, Itani H, El Khoury J. Predictors of admission to an assertive outreach service for psychosis in Lebanon. PLOS Glob Public Health 2022; 2:e0001428. [PMID: 36962861 PMCID: PMC10021548 DOI: 10.1371/journal.pgph.0001428] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Accepted: 12/04/2022] [Indexed: 12/29/2022]
Abstract
Schizophrenia is a chronic, debilitating mental illness that contributes significantly to the global burden of disease. Assertive outreach treatment for patients with schizophrenia and psychotic disorders has been implemented to improve treatment adherence and outcomes. The suitability of this model of care outside the western context has not been fully established. We describe the characteristics of 45 patients enrolled in the Psychosis Recovery Outreach Program (PROP), a program developed at a leading psychiatric facility in Lebanon. We collected twelve-month data for patients and used logistic regression models to identify predictor variables for enrollment in the service compared to those receiving standard treatment. Patients were mostly males (77.8%), younger than 39 years (80%), of college or higher education (68.2%), and diagnosed with schizophrenia (46.7%) or schizoaffective disorder (48.9%). About one-quarter (22.7%) had a comorbid cannabis use disorder. A majority received more than one oral antipsychotic (75.6%) while half (51.1%) were maintained on a long-acting injectable (LAI) antipsychotic. The following variables were significant predictors of enrollment in PROP: having a comorbid cannabis use disorder (OR 2.83 [1.25 - 6.37]), being prescribed a LAI antipsychotic (OR 9.99 [4.93-20.24]) or more than one oral antipsychotic (OR 4.57 [2.22-9.39]), visiting the emergency department more than once (OR 8.7 [2.64-28.68]), and admission to the psychiatry unit (OR 13.91 [3.17-60.94]). In addition, those following up in PROP were younger and less likely to be in the oldest age group (over 54 years) [OR 0.11 (0.01-0.93)], less likely to be females (OR 0.39 [0.18-0.81]), and less likely to be diagnosed with "other psychotic disorder" as compared to schizophrenia (OR 0.14 [0.03 - 0.62]). Our findings highlight that the assertive outreach model of care is applicable to its target population in the context of psychiatric care in Lebanon, namely young individuals with psychosis, higher comorbidities and a severe course of illness.
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Affiliation(s)
- Ghida Kassir
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Samer El Hayek
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, Florida, United States of America
| | - Raghid Charara
- Center for Behavioral Health, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, United States of America
| | - Michele Cherro
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Hala Itani
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Joseph El Khoury
- Department of Psychiatry and Behavioral Health, American Hospital Dubai, Dubai, United Arab Emirates
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26
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de Filippis R, El Hayek S, Shalbafan M. Editorial: Mental illness, culture, and society: Dealing with the COVID-19 pandemic. Front Psychiatry 2022; 13:1073768. [PMID: 36405906 PMCID: PMC9674302 DOI: 10.3389/fpsyt.2022.1073768] [Citation(s) in RCA: 11] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/18/2022] [Accepted: 10/25/2022] [Indexed: 11/06/2022] Open
Affiliation(s)
- Renato de Filippis
- Psychiatry Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Catanzaro, Italy
| | - Samer El Hayek
- Medical Department, Erada Center for Treatment and Rehab, Dubai, United Arab Emirates
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Psychosocial Health Research Institute, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
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27
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El Hayek S, Cherro M, El Alayli A, El Hayek R, Ghossoub E. Stigma Towards Mental Illness at an Academic Tertiary Care Center in Lebanon. Acad Psychiatry 2021; 45:725-732. [PMID: 34286455 PMCID: PMC8294272 DOI: 10.1007/s40596-021-01511-1] [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] [Subscribe] [Scholar Register] [Received: 03/05/2021] [Accepted: 07/07/2021] [Indexed: 06/13/2023]
Abstract
OBJECTIVE Individuals with mental illness may fall victim to stigma. In this cross-sectional study, the authors aimed to explore correlates of stigma towards mental health in a Lebanese private university and its associated tertiary medical center. METHODS The authors surveyed students, staff, and faculty at the American University of Beirut and its associated medical center. They assessed stigmatizing behaviors via the Reported and Intended Behavior Scale (RIBS), perceived stigma via the Perceived Devaluation and Discrimination Scale (PDDS), and attitudes towards collaborating with mental health professionals via the Doctors' Attitudes toward Collaborative Care for Mental Health (DACC-MH). RESULTS A total of 270 participants (response rate of 18%) provided their responses. The mean scores on the RIBS and PDDS were 15.26 ± 4.75 and 32.25 ± 2.70, respectively. Participants who had higher scores on RIBS were more likely to be younger than 25 years of age (OR=1.869; p=0.026), to have a history of mental illness (OR=2.657; p=0.003), and to interact with individuals with a psychiatric disorder (OR=2.287; p=0.028). CONCLUSIONS Results show a mixed pattern of stigmatizing behaviors and perceptions towards mental illness. This highlights the need for mental health awareness campaigns and interventions in the country.
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28
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El Hayek S, Kassir G, Zalzale H, Gonzalez-Diaz JM, Bizri M. Emerging Psychiatric Themes in Post-COVID-19 Patients on a Psychiatry Consultation-liaison Service. Psychiatr Q 2021; 92:1785-1796. [PMID: 34463904 PMCID: PMC8405712 DOI: 10.1007/s11126-021-09944-5] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 08/22/2021] [Indexed: 01/19/2023]
Abstract
The need for consultation-liaison psychiatry on COVID-19 wards has substantially increased since the start of the pandemic. In this cross-sectional study, we aimed to summarize the characteristics of patients admitted to the post-COVID-19 ward of the American University of Beirut Medical Center who received a psychiatric consultation. We collected relevant sociodemographic and medical data, information about past psychiatric history, psychiatry consultation details, hospital course, and disposition outcome. We also conducted chi-square and binary logistic regression analyses to assess the association between the different variables and disposition outcome. A total of 52 patients (mean age 57.33 years; equal gender distribution) were seen by the psychiatry consult-liaison team. Most had medical comorbidities and 21.2% required intubation. The most prevalent psychiatric diagnoses were delirium (30.8%), major depressive episode (15.4%), and other anxiety disorder (15.4%). Pharmacological management was implemented in 90.4% of cases and mainly included second-generation antipsychotics (36.5%). Non-pharmacological interventions consisted of those related to delirium and therapy for anxiety. Only intubation was significantly associated with disposition outcome (p = 0.004). This study highlights the various psychiatric themes emerging during the acute and post-acute periods of hospitalization for COVID-19. Hospitalized individuals recovering from the infection should be diligently screened and referred to the psychiatry consultation-liaison team to ensure the implementation of appropriate interventions.
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Affiliation(s)
- Samer El Hayek
- Department of Psychiatry and Behavioral Sciences, University of Miami Miller School of Medicine, Miami, Florida, USA
| | - Ghida Kassir
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Hussein Zalzale
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Jairo M Gonzalez-Diaz
- UR Center for Mental Health - CERSAME, School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia
- Clínica Nuestra Señora de La Paz, Bogota, Colombia
- Barcelona Clínic Schizophrenia Unit, Neurosciences Institute, Barcelona University, Barcelona, Spain
| | - Maya Bizri
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon.
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Abstract
Older adults are increasingly engaging in unhealthy substance use. Owing to aging and comorbid medical conditions, older adults are at increased risk of adverse effects from alcohol, tobacco, and illicit drug use. Preventative measures, regular screening, and appropriate intervention can protect older adults from the negative outcomes of substance use and potentially improve their quality of life. This article reviews the latest trends of substance use in older adults, impact on health, and the best practice approaches for the clinical assessment of substance use disorders in this age group.
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Affiliation(s)
- Samer El Hayek
- Department of Psychiatry, American University of Beirut, P.O. Box: 11-0236, Riad El-Solh 1107 2020, Beirut, Lebanon. https://twitter.com/samerelhayek
| | - Luna Geagea
- Department of Psychiatry, American University of Beirut, P.O. Box: 11-0236, Riad El-Solh 1107 2020, Beirut, Lebanon
| | | | - Tamara Kadi
- American University of Beirut, Beirut, Lebanon
| | - Farid Talih
- Department of Psychiatry, American University of Beirut, P.O. Box: 11-0236, Riad El-Solh 1107 2020, Beirut, Lebanon.
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30
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Kobeissy FH, Shakkour Z, Hayek SE, Mohamed W, Gold MS, Wang KKW. Correction to: Elevation of Pro‑inflammatory and Anti‑inflammatory Cytokines in Rat Serum after Acute Methamphetamine Treatment and Traumatic Brain Injury. J Mol Neurosci 2021; 72:169. [PMID: 34743263 DOI: 10.1007/s12031-021-01931-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/11/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Firas H Kobeissy
- Department of Biochemistry and Molecular Genetics, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
- Program for Neurotrauma, Neuroproteomics, and Biomarkers Research, Gainesville, FL, USA
- Department of Emergency Medicine, University of Florida, Gainesville, FL, USA
| | - Zaynab Shakkour
- Department of Biochemistry and Molecular Genetics, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Wael Mohamed
- Clinical Pharmacology Department, Menoufia Medical School, Menoufia University, Al Minufya, Egypt
- Basic Medical Science Department, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
| | - Mark S Gold
- Washington University School of Medicine, Department of Psychiatry, and National Council, Washington University in St. Louis, Institute for Public Health, St. Louis, MO, USA
| | - Kevin K W Wang
- Program for Neurotrauma, Neuroproteomics, and Biomarkers Research, Gainesville, FL, USA.
- Department of Emergency Medicine, University of Florida, Gainesville, FL, USA.
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Kobeissy FH, Shakkour Z, Hayek SE, Mohamed W, Gold MS, Wang KKW. Elevation of Pro-inflammatory and Anti-inflammatory Cytokines in Rat Serum after Acute Methamphetamine Treatment and Traumatic Brain Injury. J Mol Neurosci 2021; 72:158-168. [PMID: 34542809 DOI: 10.1007/s12031-021-01886-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 04/29/2021] [Accepted: 07/05/2021] [Indexed: 11/24/2022]
Abstract
The use of methamphetamine (METH) is a growing worldwide epidemic that bears grave societal implications. METH is known to exert its neurotoxic effects on the dopaminergic and serotonergic systems of the brain. In addition to this classical studied mechanism of damage, findings from our laboratory and others have shown that acute METH treatment and mechanical injury, i.e. traumatic brain injury (TBI), share common cell injury mechanism(s). Since neuro-inflammation is a signature event in TBI, we hypothesize that certain cytokine levels might also be altered in rat brain exposed to an acute METH insult. In this study, using a cytokine antibody array chip, we evaluated the serum levels of 19 cytokines in rats 24 h after exposure to a 40 mg/kg acute regimen of METH. Data were compared to rats subjected to experimental TBI using the controlled cortical impact (CCI) injury model and saline controls. Sandwich ELISA method was used to further validate some of the findings obtained from the antibody cytokine array. We confirmed that three major inflammatory-linked cytokines (IL-1β, IL-6, and IL-10) were elevated in the METH and TBI groups compared to the saline group. Such finding suggests the involvement of an inflammatory process in these brain insults, indicating that METH use is, in fact, a stressor to the immune system where systemic involvement of an altered cytokine profile may play a major role in mediating chemical brain injury after METH use.
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Affiliation(s)
- Firas H Kobeissy
- Department of Biochemistry and Molecular Genetics, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.,Program for Neurotrauma, Neuroproteomics, and Biomarkers Research, Gainesville, FL, USA.,Department of Emergency Medicine, University of Florida, Gainesville, FL, USA
| | - Zaynab Shakkour
- Department of Biochemistry and Molecular Genetics, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Wael Mohamed
- Clinical Pharmacology Department, Menoufia Medical School, Menoufia University, Al Minufya, Egypt.,Basic medical science department, Kulliyyah of Medicine, International Islamic University Malaysia, Kuantan, Pahang, Malaysia
| | - Mark S Gold
- Washington University School of Medicine, Department of Psychiatry, and National Council, Washington University in St. Louis, Institute for Public Health, St. Louis, MO, USA
| | - Kevin K W Wang
- Program for Neurotrauma, Neuroproteomics, and Biomarkers Research, Gainesville, FL, USA. .,Department of Emergency Medicine, University of Florida, Gainesville, FL, USA.
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El Hayek S, Dakroub A, Beaini H, Salem H, Saliba AN, Ehlers SL, Bizri M, Taher A. Psycho-oncology in the Arab world: The time is now. Psychooncology 2021; 31:148-151. [PMID: 34390087 DOI: 10.1002/pon.5778] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Revised: 07/17/2021] [Accepted: 07/26/2021] [Indexed: 01/06/2023]
Affiliation(s)
| | - Ali Dakroub
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Hadi Beaini
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Hiba Salem
- Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon
| | - Antoine N Saliba
- Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon.,Division of Hematology, Mayo Clinic, Rochester, Minnesota, USA
| | - Shawna L Ehlers
- Department of Psychiatry and Psychology, Mayo Clinic, Rochester, Minnesota, USA
| | - Maya Bizri
- Department of Psychiatry, American University of Beirut Medical Center, Beirut, Lebanon
| | - Ali Taher
- Division of Hematology and Oncology, Department of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon
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Kassir G, El Hayek S, Zalzale H, Orsolini L, Bizri M. Psychological distress experienced by self-quarantined undergraduate university students in Lebanon during the COVID-19 outbreak. Int J Psychiatry Clin Pract 2021; 25:172-179. [PMID: 33775208 DOI: 10.1080/13651501.2021.1900872] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [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] [Indexed: 01/06/2023]
Abstract
INTRODUCTION Quarantine, although essential during contagious outbreaks, has been correlated with poor psychological outcomes in the general population. Such outcomes include low mood, suicide, and post-traumatic stress symptoms. Studies have mostly looked at the mental health of general citizens, healthcare workers, or infected survivors, with limited research targeting university students. This study aimed to understand the psychological distress experienced by self-quarantined undergraduate university students in Lebanon during the COVID-19 outbreak. METHODS Undergraduate students enrolled at the American University of Beirut were invited to participate in a 47-item online questionnaire. 73 participants completed the questionnaire. Demographic data, data about COVID-19 exposure, stressors during quarantine, understanding the rationale, compliance, and difficulties associated with quarantine, and levels of psychological distress were analysed. RESULTS 75.3% of the participants were considered as having a high risk of developing acute stress. Undergoing quarantine for more than 14 days, having a chronic medical illness, inadequate access to supplies, and fear of infection were all significantly associated with an increased risk of acute stress. CONCLUSION Despite being a necessary preventive measure during infectious disease outbreaks, quarantine can be associated with negative psychological effects, particularly in undergraduate students. Providing preventive and effective interventions is of utmost necessity.KEY POINTSDuring COVID-19, three-quarter of students had high risk for acute stress.Females had higher odds of high-risk acute stress compared to males.Having a chronic medical condition was associated with high risk acute stress.Long quarantine and lack of supplies were associated with high risk acute stress.Providing interventions to protect the mental health of students is necessary.
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Affiliation(s)
- Ghida Kassir
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Hussein Zalzale
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Laura Orsolini
- Unit of Clinical Psychiatry, Department of Neurosciences/DIMC, School of Medicine and Surgery, Polytechnic University of Marche, Ancona, Italy.,Psychopharmacology Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
| | - Maya Bizri
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
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Abstract
Lebanon, a small middle-income nation in western Asia, has been crippled by decades of political turmoil and armed conflict. A "quadruple crisis" hit the country over the past years, starting with the protracted humanitarian Syrian refugee crisis, followed by a severe socioeconomic collapse, the global COVID-19 pandemic, and lastly the Beirut port catastrophic blast. With the exposure to repetitive traumatic events and associated organic brain injury, the Lebanese population has become at a higher risk of addiction, among other psychiatric comorbidities. With the scarce statistics about the topic and limited addiction services in the country, collaborative local efforts and international help are urgently needed to fight the upcoming substance use epidemic. Raising awareness, providing adequate training, and securing resources for the management of both addiction and trauma are of utmost importance.
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Affiliation(s)
- Maya Bizri
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Hadi Beaini
- Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Firas Kobeissy
- Program for Neurotrauma, Neuroproteomics, and Biomarkers Research, Department of Emergency Medicine, University of Florida, Gainesville, Florida, USA.,Faculty of Medicine, Department of Biochemistry and Molecular Genetics, American University of Beirut, Beirut, Lebanon
| | - Farid Talih
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
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Roche GC, Fung P, Ransing R, Noor IM, Shalbafan M, El Hayek S, Koh EBY, Gupta AK, Kudva KG. The state of psychiatric research in the Asia Pacific region. Asia Pac Psychiatry 2021; 13:e12432. [PMID: 33145988 DOI: 10.1111/appy.12432] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [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: 10/10/2020] [Accepted: 10/10/2020] [Indexed: 12/18/2022]
Abstract
INTRODUCTION This study aims to review recent scientific publications and research output in the field of psychiatry, from a series of countries in the Asia-Pacific region (Australia, India, Indonesia, Iran, Lebanon, Malaysia, and Nepal), with a view to identify themes and similarities across regions, as well as to examine the barriers and challenges in mental health research faced by countries in the region. METHODS Seven psychiatrists from seven countries reviewed recent published and ongoing research in psychiatry in their respective nations, with respect to themes, as well as any barriers or challenges faced by mental health researchers. RESULTS While the seven nations included in this review vary in terms of research capabilities and economic development level, they share many similarities both in terms of research direction, and with regards to challenges faced. Limitations in the form of sociocultural differences from the West, and a lack of funding were some of the barriers identified. DISCUSSION Mental health research in the region has been progressing well. However, more varied research in the form of qualitative or economic studies are lacking, as are multi-center studies. The similar issues that nations face with regards to research could perhaps benefit from collaborative efforts and initiatives for the furtherance of research in the region.
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Affiliation(s)
- Glen Cedric Roche
- Department of Psychological Medicine, Changi General Hospital, Singapore
| | - Paul Fung
- Paramatta Mission, Parramatta, New South Wales, Australia.,Health Education and Training Institute Higher Education, North Paramatta, New South Wales, Australia
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, Maharashtra, India
| | - Isa Multazam Noor
- Department of Psychiatry, Dr. Soeharto Heerdjan Mental Hospital, Jakarta, Indonesia
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Eugene Boon Yau Koh
- Department of Psychiatry, Faculty of Medicine & Health Sciences, Universiti Putra Malaysia, Serdang, Malaysia
| | | | - Kundadak Ganesh Kudva
- Early Psychosis Intervention Programme and East Region, Institute of Mental Health, Singapore
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Bizri M, Kassir G, Tamim H, Kobeissy F, Hayek SE. Psychological distress experienced by physicians and nurses at a tertiary care center in Lebanon during the COVID-19 outbreak. J Health Psychol 2021; 27:1288-1300. [PMID: 33567926 PMCID: PMC7879044 DOI: 10.1177/1359105321991630] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/16/2023] Open
Abstract
The COVID-19 outbreak has had a significant mental health toll on healthcare workers in Lebanon. We examined pandemic-related psychological distress among healthcare workers in a tertiary care medical center. One hundred and fifty participants completed an online questionnaire. About half showed a high risk of acute distress (58.7%) on the GHQ-28, while most (89.3%) scored low/moderate stress on the PSS-10. The IES-R revealed concern for post-traumatic stress in one-third of participants, significantly in nurses (p = 0.008) and those living with vulnerable individuals (p = 0.030). Mental health history did not increase the risk. Our findings highlight the need for early targeted interventions during the pandemic.
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Affiliation(s)
| | | | | | - Firas Kobeissy
- American University of Beirut, Lebanon.,University of Florida, USA
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Vadivel R, Shoib S, El Halabi S, El Hayek S, Essam L, Gashi Bytyçi D, Karaliuniene R, Schuh Teixeira AL, Nagendrappa S, Ramalho R, Ransing R, Pereira-Sanchez V, Jatchavala C, Adiukwu FN, Kudva Kundadak G. Mental health in the post-COVID-19 era: challenges and the way forward. Gen Psychiatr 2021; 34:e100424. [PMID: 33644689 PMCID: PMC7875255 DOI: 10.1136/gpsych-2020-100424] [Citation(s) in RCA: 32] [Impact Index Per Article: 10.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/10/2020] [Revised: 11/23/2020] [Accepted: 12/23/2020] [Indexed: 12/16/2022] Open
Affiliation(s)
- Ramyadarshni Vadivel
- Department of Mental Health and Addictions, Waikato District Health Board, Hamilton, New Zealand
| | - Sheikh Shoib
- Department of Psychiatry, Jawahar Lal Nehru Memorial Hospital, Rainawari, Srinagar, Jammu and Kashmir, India
| | - Sarah El Halabi
- Department of Narrative Medicine, Columbia University, New York, New York, USA
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Lamiaà Essam
- El Demerdash Teaching Hospital, Ain Shams University, Cairo, Egypt
| | - Drita Gashi Bytyçi
- Hospital and University Clinical Service of Kosovo, Community-Based Mental Health Center and House for Integration, Prizren, Kosovo
| | - Ruta Karaliuniene
- Medical Faculty Carl Gustav Carus, Technical University Dresden, Dresden, Germany
- Clinic for Psychiatry and Psychotherapy, Elblandklinikum Radebeul, Academic Hospital Technical University, Dresden, Germany
| | - Andre Luiz Schuh Teixeira
- Department of Psychiatry and Legal Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
| | - Sachin Nagendrappa
- National Institute of Mental Health and Neuro Sciences, Bangalore, Karnataka, India
| | - Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, Maharashtra, India
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York University, New York, New York, USA
| | - Chonnakarn Jatchavala
- Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
| | - Frances Nkechi Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria
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38
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Kahil K, Cheaito MA, El Hayek R, Nofal M, El Halabi S, Kudva KG, Pereira-Sanchez V, El Hayek S. Suicide during COVID-19 and other major international respiratory outbreaks: A systematic review. Asian J Psychiatr 2021; 56:102509. [PMID: 33418284 PMCID: PMC7764387 DOI: 10.1016/j.ajp.2020.102509] [Citation(s) in RCA: 25] [Impact Index Per Article: 8.3] [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] [Received: 04/26/2020] [Revised: 10/22/2020] [Accepted: 12/08/2020] [Indexed: 12/01/2022]
Abstract
Coronavirus disease 2019 (COVID-19) was recently declared a pandemic by the WHO. This outbreak threatens not only physical health but also has significant repercussions on mental health. In recent world history, major infectious outbreaks were associated with severe mental health sequelae, including suicide. In this study, we systematically review the literature on suicidal outcomes during major international respiratory outbreaks, including COVID-19. We reviewed descriptive and analytic articles addressing suicide during major international respiratory outbreaks. We searched PubMed, Medline, Embase, Scopus, and PsycInfo databases and then utilized an independent method for study selection by a pair of reviewers. Two reviewers completed data abstraction and conducted a narrative summary of the findings. Our search generated 2,153 articles. Nine studies (three descriptive, five analytical, and one with mixed methodology) were eligible. The included studies were heterogeneous, divergent in methods, and with a low degree of evidence. Deducing an association between pandemics, suicide, and suicide-related outcomes remains thus poorly supported. Future research with better methodological characteristics, the use of longitudinal studies, and a focus on suicide as the primary outcome would allow for an in-depth understanding and formulation of the scope of this problem.
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Affiliation(s)
- Karine Kahil
- Department of Psychiatry, American University of Beirut, Riad El Solh, Beirut, 1107 2020, Lebanon
| | - Mohamad Ali Cheaito
- Department of Emergency Medicine, American University of Beirut, Riad El Solh, Beirut, 1107 2020, Lebanon
| | - Rawad El Hayek
- Faculty of Medicine, American University of Beirut, Riad El Solh, Beirut, 1107 2020, Lebanon
| | - Marwa Nofal
- Helwan Mental Health Hospital, Extension of Mansour St., Behind Kbretaj Helwan Club, Helwan, 25562198, Cairo, Egypt
| | - Sarah El Halabi
- Columbia University Program in Narrative Medicine, Columbia University, New York, NY, 10033, USA
| | - Kundadak Ganesh Kudva
- Early Psychosis Intervention Programme and East Region, Institute of Mental Health, 10 Buangkok View, Buangkok Green, Medical Park, 539747, Singapore
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, One Park Avenue, New York, NY, 10016, USA
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Riad El Solh, Beirut, 1107 2020, Lebanon.
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Mondello S, Kobeissy FH, Mechref Y, Zhao J, El Hayek S, Zibara K, Moresco M, Plazzi G, Cosentino FII, Ferri R. Searching for Novel Candidate Biomarkers of RLS in Blood by Proteomic Analysis. Nat Sci Sleep 2021; 13:873-883. [PMID: 34234594 PMCID: PMC8243594 DOI: 10.2147/nss.s311801] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Accepted: 05/28/2021] [Indexed: 01/03/2023] Open
Abstract
PURPOSE We performed comparative proteomic analyses of blood of patients with RLS and healthy individuals aiming to identify potential biomarker and therapeutic target candidate for RLS. PATIENTS AND METHODS Blood serum samples from 12 patients with a clinical diagnosis of RLS (8 females and 4 males, with a mean age of 68.52 years) and 10 healthy controls (5 females and 5 males, with a mean age of 67.61 years) underwent proteomic profiling by liquid chromatography coupled with tandem mass spectrometry. Pathway analysis incorporating protein-protein interaction networks was carried out to identify pathological processes linked to the differentially expressed proteins. RESULTS We quantified 272 proteins in patients with RLS and healthy controls, of which 243 were shared. Five proteins - apolipoprotein C-II, leucine-rich alpha-2-glycoprotein 1, FLJ92374, extracellular matrix protein 1, and FLJ93143 - were substantially increased in RLS patients, whereas nine proteins - vitamin D-binding protein, FLJ78071, alpha-1-antitrypsin, CD5 antigen-like, haptoglobin, fibrinogen alpha chain, complement factor H-related protein 1, platelet factor 4, and plasma protease C1 inhibitor - were decreased. Bioinformatics analyses revealed that these proteins were linked to 1) inflammatory and immune response, and complement activation, 2) brain-related development, cell aging, and memory disorders, 3) pregnancy and associated complications, 4) myocardial infarction, and 5) reactive oxygen species generation and subsequent diabetes mellitus. CONCLUSION Our findings shed light on the multifactorial nature of RLS and identified a set of circulating proteins that may have clinical importance as biomarkers and therapeutic targets.
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Affiliation(s)
- Stefania Mondello
- Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
| | - Firas H Kobeissy
- Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - Yehia Mechref
- Faculty of Medicine, American University of Beirut Medical Center, Beirut, Lebanon
| | - Jingfu Zhao
- Department of Chemistry and Biochemistry, Texas Tech University, Lubbock, TX, 79409, USA
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Kazem Zibara
- Department of Biology, Faculty of Sciences-I, PRASE, DSST, Lebanese University, Beirut, Lebanon
| | - Monica Moresco
- Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.,IRCCS Istituto delle Scienze Neurologiche di Bologna, Bologna, Italy
| | - Giuseppe Plazzi
- Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy
| | | | - Raffaele Ferri
- Sleep Research Centre, Oasi Research Institute - IRCCS, Troina, Italy
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Ramalho R, Adiukwu F, Gashi Bytyçi D, El Hayek S, Gonzalez-Diaz JM, Larnaout A, Orsolini L, Pereira-Sanchez V, Pinto da Costa M, Ransing R, Shalbafan M, Syarif Z, Grandinetti P. Alcohol and Tobacco Use During the COVID-19 Pandemic. A Call for Local Actions for Global Impact. Front Psychiatry 2021; 12:634254. [PMID: 33679487 PMCID: PMC7930812 DOI: 10.3389/fpsyt.2021.634254] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/27/2020] [Accepted: 01/19/2021] [Indexed: 01/07/2023] Open
Affiliation(s)
- Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand
| | - Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | - Drita Gashi Bytyçi
- Community Based Mental Health Center and House for Integration Prizren, Hospital and University Clinical Service of Kosovo, Prizren, Kosovo
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Jairo M Gonzalez-Diaz
- CERSAME, School of Medicine and Health Sciences, Universidad del Rosario - Clínica Nuestra Señora de la Paz, Bogotá, Colombia
| | - Amine Larnaout
- Department of Psychiatry, Faculty of Medicine of Tunis, Razi Hospital, Tunis El Manar University, Tunis, Tunisia
| | - Laura Orsolini
- Unit of Clinical Psychiatry, Department of Neurosciences/DIMSC, Polytechnic University of Marche, Ancona, Italy
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, United States
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, Queen Mary University of London, London, United Kingdom.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.,Hospital de Magalhães Lemos, Porto, Portugal
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walalwalkar Rural Medical College, Kasarwadi, India
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Zulvia Syarif
- Department of Psychiatry, Tarakan General Hospital, Jakarta, Indonesia
| | - Paolo Grandinetti
- Addictions Services (SerD), Department of Territorial Assistance, ASL Teramo, Teramo, Italy
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41
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El Hayek S, Bizri M. Beirut blast and mental health in Lebanon: Finding ways out. Asian J Psychiatr 2020; 54:102458. [PMID: 33271737 DOI: 10.1016/j.ajp.2020.102458] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2020] [Revised: 10/13/2020] [Accepted: 10/20/2020] [Indexed: 10/23/2022]
Affiliation(s)
- Samer El Hayek
- Department of Psychiatry, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Maya Bizri
- Department of Psychiatry, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
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42
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Hashmi N, Ullah I, El Hayek S, Shakoor N. The impact of the COVID-19 pandemic on mental health and service delivery during pregnancy: Role of telepsychiatry. Asian J Psychiatr 2020; 54:102461. [PMID: 33271738 DOI: 10.1016/j.ajp.2020.102461] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 10/10/2020] [Accepted: 10/20/2020] [Indexed: 11/19/2022]
Affiliation(s)
- Nida Hashmi
- Karachi Medical and Dental College, Karachi, Pakistan
| | - Irfan Ullah
- Kabir Medical College, Gandhara University, Peshawar, Pakistan
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon.
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43
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El Hayek S, Nofal M, Abdelrahman D, Adra A, Al Harthi M, Al Shamli S, AlNuaimi N, Bensid L, Cheaito MA, Emberish AM, Larnaout A, Radwan A, Slaih M, Kobeissy F, Bizri M. Telepsychiatry in the Arab World: A Viewpoint Before and During COVID-19. Neuropsychiatr Dis Treat 2020; 16:2805-2815. [PMID: 33239877 PMCID: PMC7682595 DOI: 10.2147/ndt.s277224] [Citation(s) in RCA: 16] [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] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/17/2020] [Accepted: 11/05/2020] [Indexed: 12/15/2022] Open
Abstract
PURPOSE Telepsychiatry, a subset of telemedicine, has been increasingly studied to meet the growing demands for psychiatric care. The utility of telepsychiatry is relevant now more than ever as the world endures the COVID-19 global pandemic. This paper describes the prior state and the changes that the COVID-19 outbreak brought to telepsychiatry in a selected group of Arab countries of the Middle East and North Africa (MENA) region. PATIENTS AND METHODS We invited twelve early-career psychiatrists from different Arab nations to share information related to telepsychiatry in their respective countries before and during the COVID-19 pandemic. The information was collected using a semi-structured guide. This was complemented by a search for relevant articles in five search engines using terms such as "COVID-19," "telepsychiatry," and "Arab world". RESULTS Before the pandemic, digital mental health services were provided in several Arab countries, mainly through hotlines and messaging services. The COVID-19 pandemic has marked a major shift in digital psychiatric services in the Arab MENA world, through the transformation of many clinics and some hospitals into digital mental health systems. Many non-governmental organizations also started remote initiatives for psychological support and psychiatric counseling. Three main barriers of patient-related, healthcare-related, and system-related hurdles of using telepsychiatry emanated from the analysis. CONCLUSION The use of digital mental health services varies between different Arab countries. Even though some nations have laws that regulate the provision of such services, most struggle with multifactorial barriers. As affordable and attainable solutions cannot only rely on training and recruiting more psychiatrists, telepsychiatry would help meet the exceeding demands in the Arab world, particularly after the COVID-19 outbreak.
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Affiliation(s)
- Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | | | | | - Ali Adra
- Department of Psychiatry, Damascus University, Damascus, Syria
| | - Mansour Al Harthi
- Department of Psychiatry, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia
| | - Siham Al Shamli
- Oman Medical Specialty Board, Psychiatry Program, Muscat, Sultanet of Oman
| | - Nawaf AlNuaimi
- Psychiatric Department, Al Ain Hospital, Abu Dhabi, United Arab Emirates
| | - Lynda Bensid
- Department a, University of Algiers, Drid Hocine Hospital Specialized in Psychiatry, Algiers, Algeria
| | - Mohamad Ali Cheaito
- Department of Emergency Medicine, American University of Beirut, Beirut, Lebanon
| | | | - Amine Larnaout
- Psychiatry Department D, Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Ahmed Radwan
- Mental Health Service, Hamad Medical Corporation, Doha, Qatar
| | - Mohammad Slaih
- National Center for Mental Health, Ministry of Health, Amman, Jordan
| | - Firas Kobeissy
- Department of Biochemistry and Molecular Genetics, Faculty of Medicine, American University of Beirut, Beirut, Lebanon
| | - Maya Bizri
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
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Adiukwu F, Bytyçi DG, Hayek SE, Gonzalez-Diaz JM, Larnaout A, Grandinetti P, Nofal M, Pereira-Sanchez V, Ransing R, Shalbafan M, Soler-Vidal J, Syarif Z, Teixeira ALS, da Costa MP, Ramalho R, Orsolini L. Global Perspective and Ways to Combat Stigma Associated with COVID-19. Indian J Psychol Med 2020; 42:569-574. [PMID: 33354085 PMCID: PMC7735248 DOI: 10.1177/0253717620964932] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/20/2020] [Indexed: 12/12/2022] Open
Affiliation(s)
- Frances Adiukwu
- Dept. Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria
| | - Drita Gashi Bytyçi
- Mental Health Center Prizren, Hospital and University Clinical Service of Kosovo, Prizren, Kosovo
| | - Samer El Hayek
- Dept. Psychiatry, American University of Beirut, Riad El Solh, Beirut, Lebanon
| | - Jairo M Gonzalez-Diaz
- CERSAME, School of Medicine and Health Sciences, Universidad del Rosario - Clinica Neustra Senora de la Paz, Bogota, Colombia
| | - Amine Larnaout
- Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Manouba, Tunis, Tunisia
| | - Paolo Grandinetti
- Addictions Service, Dept. Territorial Services, ASL Teramo, Teramo, Italy
| | - Marwa Nofal
- Helwan Mental Health Hospital, Helwan, Cairo, Egypt
| | - Victor Pereira-Sanchez
- Dept. Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York City, New York, USA
| | - Ramdas Ransing
- Dept. Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, Maharashtra, India
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Dept. of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran
| | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, Spain
- Hospital Benito Menni, Hermanas Hospitalarias, Sant Boi de Llobregat, Spain
| | - Zulvia Syarif
- Dept. Psychiatry, Tarakan General Hospital, Jakarta, Indonesia
| | - Andre Luiz Schuh Teixeira
- CERSAME, School of Medicine and Health Sciences, Universidad del Rosario - Clinica Neustra Senora de la Paz, Bogota, Colombia
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London, UK
- Institute of Biomedical Sciences Abel Salazar, University of Porto, Portugal
- Hospital de Magalhães Lemos, Porto, Portugal
| | - Rodrigo Ramalho
- Hospital de Magalhães Lemos, Porto, Portugal
- School of Population Health, University of Auckland, Auckland, New Zealand
| | - Laura Orsolini
- Unit of Clinical Psychiatry, Dept. of Neurosciences/DIMSC School of Medicine, Polytechnic University Marche, Ancona, Italy
- Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Hatfield, UK
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45
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Affiliation(s)
- S M Yasir Arafat
- Department of Psychiatry, Enam Medical College and Hospital, Dhaka 1340, Bangladesh.
| | - Sheikh Shoib
- Department of Psychiatry, Jawahar Lal Nehru Memorial Hospital, Srinagar, India
| | - Sujita Kumar Kar
- Department of Psychiatry, King George's Medical University, Lucknow, India
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
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46
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El Hayek S, Cheaito MA, Nofal M, Abdelrahman D, Adra A, Al Shamli S, AlHarthi M, AlNuaimi N, Aroui C, Bensid L, Emberish AM, Larnaout A, Radwan A, Slaih M, Al Sinawi H. Geriatric Mental Health and COVID-19: An Eye-Opener to the Situation of the Arab Countries in the Middle East and North Africa Region. Am J Geriatr Psychiatry 2020; 28:1058-1069. [PMID: 32425474 PMCID: PMC7233242 DOI: 10.1016/j.jagp.2020.05.009] [Citation(s) in RCA: 22] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/09/2020] [Revised: 04/30/2020] [Accepted: 05/05/2020] [Indexed: 01/10/2023]
Abstract
While the detrimental ramifications of the COVID-19 outbreak on the mental wellbeing of the general public continue to unravel, older adults seem to be at high risk. As the geriatric population continues to grow in the Middle East and North Africa (MENA) region, it is essential to explore the influence of this outbreak on geriatric mental health, a topic often neglected. In this review, we depict the status of geriatric psychiatry in the Arab countries of the MENA region, exploring the variations from one nation to another. While some have a null exposure to the field, resources and expertise in other countries range from very limited to extensive. Furthermore, we highlight the measures implemented in the Arab region to address mental health during the COVID-19 outbreak; these tend to be insufficient when targeting the geriatric population. Finally, we provide short- and long-term recommendations to stakeholders that aim at enhancing the mental healthcare of older adults in the Arab countries of the MENA region, particularly during this pandemic.
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Affiliation(s)
- Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon.
| | - Mohamad Ali Cheaito
- Department of Emergency Medicine, American University of Beirut, Beirut, Lebanon
| | | | | | - Ali Adra
- Department of Psychiatry, Damascus University, Damascus, Syria
| | | | - Mansour AlHarthi
- Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia
| | | | - Chaimaa Aroui
- Ibn Rushd Psychiatry University Center, Casablanca, Morocco
| | - Lynda Bensid
- University of Algiers, Drid Hocine Hospital specialized in Psychiatry, Department A, Algiers, Algeria
| | | | - Amine Larnaout
- Razi Hospital, Faculty of medicine of Tunis, Tunis El Manar University, Cite Romana, Tunis, Tunisia
| | - Ahmed Radwan
- Hamad Medical Corporation, Mental Health Service, Doha, Qatar
| | - Mohammad Slaih
- National Center for Mental Health, Ministry of Health, Jordan
| | - Hamed Al Sinawi
- Department of Behavioural Medicine, Sultan Qaboos University, Muscat, Oman
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47
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Ramalho R, Adiukwu F, Gashi Bytyçi D, El Hayek S, Gonzalez-Diaz JM, Larnaout A, Grandinetti P, Kundadak GK, Nofal M, Pereira-Sanchez V, Pinto da Costa M, Ransing R, Schuh Teixeira AL, Shalbafan M, Soler-Vidal J, Syarif Z, Orsolini L. Telepsychiatry and healthcare access inequities during the COVID-19 pandemic. Asian J Psychiatr 2020; 53:102234. [PMID: 32585636 PMCID: PMC7296313 DOI: 10.1016/j.ajp.2020.102234] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/05/2020] [Revised: 06/12/2020] [Accepted: 06/13/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand.
| | - Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
| | - Drita Gashi Bytyçi
- Hospital and University Clinical Service of Kosovo, Community Based Mental Health Center and House for Integration, Prizren, Kosovo
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Jairo M Gonzalez-Diaz
- CERSAME School of Medicine and Health Sciences, Universidad del Rosario - Clínica Nuestra Señora de la Paz, Bogota, Colombia
| | - Amine Larnaout
- Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Paolo Grandinetti
- Addictions Service, Department of Territorial Services, Italian National Health System, ASL Teramo, Italy
| | | | | | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London, UK; Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal; Hospital de Magalhães Lemos, Porto, Portugal
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walalwalkar Rural Medical College, Maharashtra, India
| | - Andre Luiz Schuh Teixeira
- Department of Childhood and Adolescent Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil
| | | | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, Spain; Hospital Benito Menni CASM, Hermanas Hospitalarias, Sant Boi de Llobregat, Spain; University of Barcelona, Barcelona, Spain
| | - Zulvia Syarif
- Department of Psychiatry, Tarakan General Hospital, Jakarta, Indonesia
| | - Laura Orsolini
- Department of Clinical Neurosciences/DIMSC, School of Medicine, Unit of Clinical Psychiatry, Polytechnic University of Marche, Ancona, Italy
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48
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Ransing R, Ramalho R, de Filippis R, Ojeahere MI, Karaliuniene R, Orsolini L, Pinto da Costa M, Ullah I, Grandinetti P, Gashi Bytyçi D, Grigo O, Mhamunkar A, El Hayek S, Essam L, Larnaout A, Shalbafan M, Nofal M, Soler-Vidal J, Pereira-Sanchez V, Adiukwu F. Infectious disease outbreak related stigma and discrimination during the COVID-19 pandemic: Drivers, facilitators, manifestations, and outcomes across the world. Brain Behav Immun 2020; 89:555-558. [PMID: 32731007 PMCID: PMC7384410 DOI: 10.1016/j.bbi.2020.07.033] [Citation(s) in RCA: 77] [Impact Index Per Article: 19.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2020] [Revised: 07/22/2020] [Accepted: 07/22/2020] [Indexed: 10/28/2022] Open
Affiliation(s)
- Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri 415606, Maharashtra, India.
| | - Rodrigo Ramalho
- Department of Social and Community Health, School of Population Health, University of Auckland, Auckland, New Zealand
| | - Renato de Filippis
- Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro 88100, Italy
| | | | - Ruta Karaliuniene
- Faculty of Medicine, Carl Gustav Carus, Technical University Dresden, Dresden, Germany
| | - Laura Orsolini
- Department of Clinical Neurosciences/DIMSC, School of Medicine, Unit of Clinical Psychiatry, Polytechnic University of Marche, Ancona 60126, Italy,Psychopharmacology, Drug Misuse and Novel Psychoactive Substances Research Unit, School of Life and Medical Sciences, University of Hertfordshire, Herts AL109AB, UK
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, WHO Collaborating Centre for Mental Health Services Development, Queen Mary University of London, London E138SP, UK,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal,Hospital de Magalhães Lemos, Porto, Portugal
| | - Irfan Ullah
- Kabir Medical College,Gandhara Univeristy, Peshawar, Pakistan
| | - Paolo Grandinetti
- Addictions Services (SerD), Department of Territorial Assistance, ASL Teramo, Teramo, Italy
| | - Drita Gashi Bytyçi
- Hospital and University Clinical Service of Kosovo, Community Based Mental Health Center and House for Integration, Prizren, Kosovo
| | - Omityah Grigo
- Department of Psychiatry, MMU Medical College, Kumarhatti, Solan 173229, Himachal Pradesh, India
| | - Aman Mhamunkar
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri 415606, Maharashtra, India
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Bliss Street, PO Box: 11-0236, Riad El Solh, Beirut 1107 2020, Lebanon
| | - Lamiaà Essam
- EIDemerdash Teaching Hospital, Ain Shams University, Egypt
| | - Amine Larnaout
- Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunis 1068, Tunisia
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Iran University of Medical Sciences, Tehran 1449614535, Iran
| | - Marwa Nofal
- Helwan Mental Health Hospital, Extension of Mansour St., behind Kbretaj Helwan Club, Helwan, 25562198 Cairo, Egypt
| | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona 08830, Spain,Hospital Benito Menni CASM, Hermanas Hospitalarias, Sant Boi de Llobregat, Barcelona 08035, Spain,Medicine and Traslational Research Doctorate Programme, University of Barcelona, Barcelona, Spain
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, One Park Avenue, New York, NY 10016, USA
| | - Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, East West Road, Alakahia, PMB 6173, Port Harcourt, Nigeria
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49
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Adiukwu F, Orsolini L, Gashi Bytyçi D, El Hayek S, Gonzalez-Diaz JM, Larnaout A, Grandinetti P, Nofal M, Pereira-Sanchez V, Pinto da Costa M, Ransing R, Schuh Teixeira AL, Shalbafan M, Soler-Vidal J, Syarif Z, Kudva Kundadak G, Ramalho RD. COVID-19 mental health care toolkit: an international collaborative effort by Early Career Psychiatrists section. Gen Psychiatr 2020; 33:e100270. [PMID: 33083691 PMCID: PMC7513668 DOI: 10.1136/gpsych-2020-100270] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/12/2020] [Revised: 07/15/2020] [Accepted: 08/17/2020] [Indexed: 12/12/2022] Open
Abstract
The collaborative effort of an international research team from the Early Career Psychiatrists section of the World Psychiatry Association has brought about an easy-to-use, quick and stepwise mental health care toolkit for the identification and appropriate referral of those in need of mental health care during the pandemic. This simple guide can be applied in the general outpatient setting and is catered for all healthcare professionals, regardless of their expertise within the mental health field with minimal training. It is our hope that by incorporating this toolkit into our daily clinical care during the pandemic for high-risk patients and patients with non-specific complaints, we will be able to bridge the mental health gap present in our society.
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Affiliation(s)
- Frances Adiukwu
- Department of Neuropsychiatry, University of Port Harcourt Teaching Hospital, Choba, Rivers, Nigeria
| | - Laura Orsolini
- Department of Clinical Neurosciences/DIMSC, School of Medicine, Polytechnic University of Marche, Ancona, Marche, Italy
| | - Drita Gashi Bytyçi
- Mental Health Center Prizren, Hospital and University Clinical Service of Kosovo, Prizren, Kosovo
| | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Jairo M Gonzalez-Diaz
- CERSAME, School of Medicine and Health Sciences, Universidad del Rosario-Clinica Nuestra Senora de la Paz, Bogota, Colombia
| | - Amine Larnaout
- Psychiatry Department D, Razi Hospital, faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | - Paolo Grandinetti
- Addictions Service (SerD), Department of Territorial Assistance, ASL Teramo, Teramo, Italy
| | | | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, New York, USA
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry (WHO Collaborating Centre for Mental Health Services Development), Queen Mary University of London, London, UK.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.,Hospital de Magalhaes Lemos, Porto, Portugal
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Sawarde, Ratnagiri, India
| | - Andre Luiz Schuh Teixeira
- Department of Childhood and Adolescent Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil
| | - Mohammadreza Shalbafan
- Mental Health Research Center, Department of Psychiatry, School of Medicine, Iran University of Medical Sciences, Tehran, Iran (the Islamic Republic of)
| | - Joan Soler-Vidal
- Fidmag Research Foundation, Hermanas Hospitalarias, Barcelona, Spain
| | - Zulvia Syarif
- Department of Psychiatry, Tarakan General Hospital, Jakarta, Indonesia
| | | | - Rodrigo D Ramalho
- Department of Social and Community Health, School of Populatin Health, University of Auckland, Auckland, New Zealand
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50
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Ojeahere MI, de Filippis R, Ransing R, Karaliuniene R, Ullah I, Bytyçi DG, Abbass Z, Kilic O, Nahidi M, Hayatudeen N, Nagendrappa S, Shoib S, Jatchavala C, Larnaout A, Maiti T, Ogunnubi OP, El Hayek S, Bizri M, Schuh Teixeira AL, Pereira-Sanchez V, Pinto da Costa M. Management of psychiatric conditions and delirium during the COVID-19 pandemic across continents: lessons learned and recommendations. Brain Behav Immun Health 2020; 9:100147. [PMID: 32984854 PMCID: PMC7501517 DOI: 10.1016/j.bbih.2020.100147] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [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: 08/17/2020] [Revised: 09/13/2020] [Accepted: 09/14/2020] [Indexed: 02/02/2023] Open
Abstract
Background With the uncertainties of COVID-19, people infected with coronavirus present with diverse psychiatric presentations. Some institutions have had to manage their patients with existing protocols, others have had to create them. In this article we aimed to report the challenges and good practices in the management of psychiatric conditions and delirium coexisting with COVID-19 across continents. Methods Early Career Psychiatrists (ECPs) from across five continents were approached to share their experiences on the management of psychiatric conditions in patients with COVID-19 during the current pandemic. Results We collected information about the experiences from sixteen countries. Commonalities were similar psychiatric presentations and poor preparedness across countries. Differences were varying adjustments made in the management of psychiatric conditions coexisting with COVID-19 and different innovations. Good practices which can be adopted by other countries are novel approaches such as telepsychiatry, proactive consultation-liaison units and enhanced community services targeted at circumventing challenges faced when providing mental health services. Conclusions These findings highlight the need for global preparedness in the mental health sector during outbreaks of infectious diseases, and the need for concerted efforts targeted at global and locally sensitive adaptation of existing protocols and the development of new guidelines for the management of psychiatric conditions for the present pandemic and subsequent occurrences. ECPs provided their perspective on the management of psychiatric conditions in patients with COVID-19. We found commonalities and differences in the management of psychiatric conditions coexisting with COVID-19. There are shared similarities and differences, likewise modifications in pre-existing protocols for management of delirium. A common factor is the need to adapt guidelines and protocols for the management of psychiatric conditions.
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Affiliation(s)
- Margaret Isioma Ojeahere
- Department of Psychiatry, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.,Noetic Minders Health Services, Jos, Plateau State, Nigeria
| | - Renato de Filippis
- Psychiatric Unit, Department of Health Sciences, University Magna Graecia of Catanzaro, Viale Europa, Catanzaro, 88100, Italy
| | - Ramdas Ransing
- Department of Psychiatry, BKL Walawalkar Rural Medical College, Ratnagiri, 415606, Maharashtra, India
| | - Ruta Karaliuniene
- Carl Gustav Carus University Hospital, Technical University Dresden, Germany
| | - Irfan Ullah
- Kabir Medical College, Gandhara University, Peshawar, Pakistan.,Undergraduate Research Organization, Dhaka, Bangladesh.,Naseer Teaching Hospital, Peshawar, Pakistan
| | - Drita Gashi Bytyçi
- Hospital and University Clinical Service of Kosovo, Mental Health Center Prizren, Republic of Kosovo
| | | | - Ozge Kilic
- Department of Psychiatry, Koç University Hospital, Turkey
| | - Mahsa Nahidi
- Psychiatry and Behavioral Sciences Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
| | - Nafisatu Hayatudeen
- Medical Services Unit, Federal Neuropsychiatric Hospital, Opposite Shagari Lowcost, Barnawa, Kaduna, Nigeria
| | - Sachin Nagendrappa
- National Institute of Mental Health and Neurosciences, Bengaluru-29, India
| | - Sheikh Shoib
- Department of Psychiatry, Jawahar Lal Nehru Memorial Hospital (JLNMH), Srinagar, Jammu and Kashmir, India
| | - Chonnakarn Jatchavala
- Department of Psychiatry, Faculty of Medicine, Prince of Songkla University, Thailand
| | - Amine Larnaout
- Department of Psychiatry D, Razi Hospital, Faculty of Medicine of Tunis, Tunis El Manar University, Tunisia
| | - Tanay Maiti
- All India Institute of Medical Science, Bhubaneswar, India
| | | | - Samer El Hayek
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Maya Bizri
- Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Andre Luiz Schuh Teixeira
- Department of Psychiatry and Legal Medicine, Universidade Federal Do Rio Grande Do Sul, Porto Alegre, Brazil
| | - Victor Pereira-Sanchez
- Department of Child and Adolescent Psychiatry, NYU Grossman School of Medicine, New York, NY, USA
| | - Mariana Pinto da Costa
- Unit for Social and Community Psychiatry, Queen Mary University of London, London, UK.,Institute of Biomedical Sciences Abel Salazar, University of Porto, Porto, Portugal.,Hospital de Magalhães Lemos, Porto, Portugal
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