AJP-Vol. 10, No. 1, May (1999)

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THE ARAB JOURNAL OF PSYCHIATRY Vol. 10, No. 1, May (1999) E.mail: takriti@nol.com.jo

q CONTENTS / SOMMAIRE / فهرس الموضوعات
q Editorial Letter q Review Article § Dual Diagnosis of Mental Illness and Substance Misuse / M. T Aboit-Saleh q Education § Towards A Problem-Oriented Model of Multi-Disciplinary Post Graduate Educational Programme in Addictive Behavior / G. Hussein Rassool. Adenckan Oyefeso &- A. Hamid Ghodse q Papers § The Structure of the Hamilton Depression Rating Scale (HDRS-17 - A Confirmatory Factor Analysis / Yousreya Amin. Tewfik Daradkeh. Emad Hamdi, Mohammad Abou-Saleh § Beck Anxiety lnventory Symptom Comparisons Between Students In Lebanon and Canada / Ihsan AI-Issa, Donald Bakal, and Tak Fung § Behavioural Problems in School Children in the United Arab Emirates: Cross-informant Variance / Rafia Ghubash, Valsamma Eapen § An Empirical Evaluation of Family Functioning as Perceived by Different Members of Nuclear Families in the United Arab Emirates: Short Title: Family Functioning in Arab Families / Harith S. Swadi, Tomas J. Stewart § Somatised Mental Disorder Among Primary Care Arab Patients. Possible Determinants / Omer E.F. El-Rufaie, Mohamed S.O. Abuzeid, Abdulbari Bener, Moza M.A. AI-Sabosy q Book Review q Newsletter q Obituaries
q SUMMARY / RESUMES / ملخصات
q Editorial Letter q Review Article § Dual Diagnosis of Mental Illness and Substance Misuse / M. T Aboit-Saleh q Education § Towards A Problem-Oriented Model of Multi-Disciplinary Post Graduate Educational Programme in Addictive Behavior / G. Hussein Rassool. Adenckan Oyefeso &- A. Hamid Ghodse *ABSTRACT :* Substance misuse and addictive behavior are universal problems affecting not only the individual but also the family or other significant others. There is an urgent need to promote competence among professionals involved in the prevention, health promotion and management of substance missuses. In response to the World Health Organization and governmental resolutions and recommendations in education and training programs initiatives, a model of an educational strategy in matching service provision needs has been developed. This paper discusses the development and application of a problem-oriented model of multiprofessional education and training program in substance misuse and addictive behavior in the United Kingdom. Return in high q Papers § The Structure of the Hamilton Depression Rating Scale (HDRS-17 - A Confirmatory Factor Analysis / Yousreya Amin. Tewfik Daradkeh. Emad Hamdi, Mohammad Abou-Saleh *ABSTRACT :* One hundred patients fulfilling the ICD-10 criteria for depression were rated on the Hamilton Depression Rating Scale. The first 17 items of the scale were subjected to principal component analysis with varimax rotation. Five factor solutions were sought corresponding to 6-factor model, 5-factor model, 4-factor model, 3-factor model and 2-factor model. These factor models were then subjected to confirmatory factor analysis utilizing the structural equation models (path analysis) in order to evaluate the goodness of fit of the yielded models. The 4-factor, 3-factor and 2-factor models appear to be the most appropriate models of the latent structure of the HDRS-17. The findings suggest that the scale is multidimensional with at least two subclass measuring the severity of the melancholic and nonmelancholic depressions respectively. Return in high § Beck Anxiety lnventory Symptom Comparisons Between Students In Lebanon and Canada / Ihsan AI-Issa, Donald Bakal, and Tak Fung *ABSTRACT :* The Beck Anxiety Inventory (BAY) was administered to students at the American University of Beirut (AUB), Lebanon and at the University of Calgary., Canada. The students were separated into male and female subgroups and comparisons were made on the basis of total symptom scores as well as subscale scores reflecting neurophysiological, subjective, panic and autonomic symptoms. On all comparisons, Lebanese students obtained significantly higher scores than the Canadian students. One-way ANOVA tests across the subscales indicated that the Lebanese female students consistently received the highest symptom scores. Symptoms which differentiated the Lebanese students from the Canadian students in descending order of significance, were feeling hot, unable to relax, terrified, dizzy and lightheaded and difficulty breathing. Return in high § Behavioural Problems in School Children in the United Arab Emirates: Cross-informant Variance / Rafia Ghubash, Valsamma Eapen *ABSTRACT :* Parents reports and teachers reports about children's behavior were recorded using Rutter's Behaviour Scale for Parents and Rutter's Behaviour Scale for Teachers in 100 school children in Sharjah. United Arab Emirates. In this study, correlation between both informants scores for individual items ranged from 62 (tears on arrival at school/ refuse) to 10 (stomach ache/vomiting) and for problem categories ranged from 18 (emotional problems) to 36 (conduct problems) suffusing a lack of congruence among these two sources. It was also found that agreement between parents and teachers was better for conduct than for emotional problems. Our findings indicate the need for crossinformant assessment in behavioral research in children. Return in high § An Empirical Evaluation of Family Functioning as Perceived by Different Members of Nuclear Families in the United Arab Emirates: Short Title: Family Functioning in Arab Families / Harith S. Swadi, Tomas J. Stewart *ABSTRACT :* Several descriptive studies investigated family dynamics and relationships in Gulf Arab cultures. We aimed to revisit this area with an empirical and quantitative investigation. For that purpose we used the Family APGAR to evaluate the perceptions of fathers, mothers, teenage sons and teenage daughters in 44 families in the United Arab Emirates. Other than between sons and daughters, our results showed little agreement between those family members on their perceptions of family functioning. Cluster analysis identified three groups of different patterns of perceptions which seem to be related to the age of the parents suggesting generation differences. The findings are discussed in the light of previous research. Return in high § Somatised Mental Disorder Among Primary Care Arab Patients. Possible Determinants / Omer E.F. El-Rufaie, Mohamed S.O. Abuzeid, Abdulbari Bener, Moza M.A. AI-Sabosy *ABSTRACT :* This is the second report of this study. The aims of this part were to investigate the possible determinants for somatising or psychologising mental disorder among a sample of primary health care (PHC) Arab Patients. The first stage of the methodology was conducted by general practitioners (Gps), using the Arabic version of the 12-item General Health Questionnaire (GHQ-12). The second stage was carried out by a psychiatrist using the Clinical Interview Schedule (CIS) followed by detailed inquiry schedule. Specific operational criteria were used to identify somatized mental disorder (SMD) and psychologist mental disorder (PMD) among the identified psychiatric cases. The variables tested as possible determinants included childhood physical illness; childhood adverse experiences; adulthood physical illness; family history of physical illness; family history of psychiatric disorder; dissatisfaction with either marital, family life, work or social life and finally stressful life events within 12 months before the onset of the presenting symptoms. Only the last variable proved to be significantly more among SMD than PMD patients. Return in high q Book Review q Newsletter q Obituaries
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