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THE ARAB JOURNAL OF PSYCHIATRY

Vol. 5, N° 1, May (1994)

 E.mail: takriti@nol.com.jo

 

 

q        CONTENTS / SOMMAIRE /  فهرس الموضوعات

 

q       Resarch Papers             

§          "Culture and Resarch Instruments" The performance of Eating   Attitude Test Questionnaire in the Arab Culture /  M.Nasser

§          Identification of the Pychosocial Stressors in Chronic Hemodialysis  Patients  / M. EL-lozi , T.F.E. Ahmad

§          Characteristics of Spermidine Oxidase from Sera of Schizophrenic and Normal Subjects / N.M. AI-Saffar , K. A. Flayeh

§          Child Behaviour and Family Stress the Possible Risk Factors in    Accidental Poisoning  /  A. A. Jawadi , W. F. AI-Chetachi

§          Depression in Primary Health Care /  0. E. F. El-Rufaie , G. H. Absood

§          Pattern of Psychiatric Disorders Among Elderly Patients (>50 yrs.) Attending Psychiatric Outpatient Clinics at the Buraidah, AI-QASSIM SAUDI ARABIA  / N. A. Clureshi   I. S. Hegazi

   

q       Short Report             

§          Routine Use of Hypnotics in A Psychiatric Hospital / F. AI-Nasheet , M. K. AI-Haddad & V. S. Mathur

   

q       Book Review          

§          Neuroleptic Malignant Syndrome (Clinical Approach) Gerard Addonizio and Virginia L. Susman   Mosby year Book , Inc. St Louis , Mo 63146 , 1991  / Reviewed by N. A. Oureshi           

q       Journal News           

§          Neuropsychiatry in Maghreb and Andalusia / S. Ammar

 

q       SUMMARY / RESUMES / ملخصات 

 

q       Resarch Papers              

§         "Culture and Resarch Instruments" The performance of Eating   Attitude Test Questionnaire in the Arab Culture /  M.Nasser

ABSTRACT :  The paper assesses the cross-cultural validity of the eating attitude test questionnaire in the Arabic culture. The Author reports her findings from two studies conducted on Arab female students  where the EAT was the main screening instrument for eating morbidity in this culture. The EAT performed reasonably well in this population with high degree of sensitivity and specificity. The paper discusses as well the results of a confirmatory factor analysis of the EAT carried out by the author on a sample of Egyptian school girls. The analysis yielded three factor structure in conformity with the factor structure reported by the authors of the questionnaire themselves. The dieting factor attracted the highest reliability but doubts  were raised in connection to the bulimia factor. The results offered some support for the continued use of the EAT in future eating disorders research in this part of the world, particularly for some aspects of eating pathology, namely dieting and concerns about weight and shape.   

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§         Identification of the Pychosocial Stressors in Chronic Hemodialysis  Patients  / M. EL-lozi , T.F.E. Ahmad

ABSTRACT : Hemodialysis patients (HDP) are threatened by many sources of stress from the internal and external environment. These stresses affect their ability to cope with their illness, work, social life and therefore aggravate the patient's physical and psychological condition. This study is aimed at identifying the major sources of stress experienced by HDP in Jordan. Furthermore, it will examine the differences between male and female patients in their rating of stress severity. Ninety HDPs who received treatment at the Hemodialysis unit at the King Hussein Medical Centre were using the Hemodialysis Stress Scale which was developed to fulfill the purpose of this study. The scale consists of 30 items that rate different stresses associated with hemodialysis. A factor analysis was performed using a principle component analysis. This resulted in three factor solutions that explained 50% of the total variance. The item loadings in the (HDP) revealed a coherent theme, with factors reflecting psychological, physical and social stress. In addition a stability coefficient was established using the Test-Retest method. Results showed that female patients suffer from psychological stress significantly more frequently than male patients. But no differences were found between male and female patients when rating the severity of physical and social stresses. This study suggests some methods which may help HDP to cope more effectively with stress.

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§         Characteristics of Spermidine Oxidase from Sera of Schizophrenic and Normal Subjects / N.M. AI-Saffar , K. A. Flayeh

ABSTRACT :  Spermidine (spd) oxidase was initially purified from sera of schizophrenic and normal subjects by anion exchange chromatography. This purified the spd oxidase 105 and 128 folds, relative to the crude sera of schizophrenics and normals respectively. The specific activities of purified spd oxidase were 231,3 and 135,2 nkat/mg protein, for schizophrenic and normal respectively. Spermidine oxidase activity was found to be linearly proportional to the amount of protein up to 900mg and with time of reaction up to about 50 sec. The enzyme showed a maximum activity at PH 4,5 for both schizophrenic and normal subjects.Spermidine oxidase was found to be highly activated by Ca++, ospexin and to a lesser extent, by Al+++ and folic acid. While the activity of this enzyme  was found to be inhibited highly by pyrazole, antipyrine, iodoacetamide, glutathione and Inderal

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§         Child Behaviour and Family Stress the Possible Risk Factors in    Accidental Poisoning  /  A. A. Jawadi , W. F. AI-Chetachi

ABSTRACT :  The present study has aimed to examine the association between the occurrence of accidental poisoning incidents and any family stress including the child's behavior as expected risk factors. To attempt to accomplish any possible risks, 375 incidents of accidental poisoning in children of less than five years of age were compared with 375 controls, who were selected according to the method of paired sampling with individual matching both cases and controls were drawn from the two pediatric hospitals in Mosul city during the period of 1st. October 1991-31 st.March 1992.

This study demonstrates that males were more predominant than females in both cases and controls. The estimation of the probability value and odds ratio suggested that a presence of behavior disorders in the affected child may possibly be regarded as a risk factor in the occurrence of accidental poisoning. Also families suffering from stress factors were significantly higher among accidental poisoning cases than among controls. The results obtained are highly valuable in monitoring a program aimed at creating a prevention strategy.  

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§         Depression in Primary Health Care /  0. E. F. El-Rufaie , G. H. Absood

ABSTRACT : This study is part of a comprehensive project investigating psychiatric morbidity and relevant psychiatric instruments at a primary health care setting in Al Ain, United Arab Emirates (U.A.E.) The aim was to investigate the group of depressive disorders identified from within the identified cases of minor psychiatric morbidity in the studied primary health care sample. Depressive disorders constituted 70% of the total identified minor psychiatric morbidity. Out of all identified cases 55%  were suffering from neurotic depression, 1,7% endogenous depression and 13% from anxiety-depressive states. Females outnumbered males in all types of depressive disorders. 

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§         Pattern of Psychiatric Disorders Among Elderly Patients (>50 yrs.) Attending Psychiatric Outpatient Clinics at the Buraidah, AI-QASSIM SAUDI ARABIA  / N. A. Clureshi   I. S. Hegazi

ABSTRACT : 200 psychiatric outpatients over 50 years of age were recruited for studying patterns of psychiatric disorders by using multiple psychiatric rating scales. It was revealed that family type, occupation and social class were significantly correlated with some clusters of mental disorders. Both sexes unexpectedly equally utilized the mental health services, 49,5% of patients had different psychopathologies with an onset of below 50 years of age, and finally 48% of probands showed physical comorbidity. In addition to the discussion of findings and limitations of this study, some clinical implications were highlighted and certain recommendations were also suggested.

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q       Short Report             

§         Routine Use of Hypnotics in A Psychiatric Hospital / F. AI-Nasheet , M. K. AI-Haddad & V. S. Mathur

ABSTRACT : In a retrospective survey on the use of a hypnotic in cases admitted to the acute ward of the psychiatric Hospital-Bahrain, it was found that only 9 out of a total of 144 cases were administered such a drug. The study included all admissions during  the period 15th July 1990 till 15th October 1990.

In all cases the drug used was Nitrazepam 5 mg tablet. Out of a total of 12 attending doctors only 3 prescribed prn hypnotic (Nitrazepam). Eight patients were given the drug on the initiative of the nurses and one requested himself. 

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q       Book Review          

§         Neuroleptic Malignant Syndrome (Clinical Approach) Gerard Addonizio and Virginia L. Susman   Mosby year Book , Inc. St Louis , Mo 63146 , 1991  / Reviewed by N. A. Oureshi    

      

q       Journal News           

§         Neuropsychiatry in Maghreb and Andalusia / S. Ammar

ABSTRACT : The Arabic Islamic civilization started in the middle of old civilizations, with great emphasis on scientific inheritage and philosophy, many Moslem scientists got interested in the mind, spirit and psychology, specially in the western part of the Islamic empire. The humanitarian attitude is a central point in Islam, and that was clearly applied on psychiatric patients and the facilities provided to them, which became the good example for Europe. The paper presents the work of some physicians who were eminent in the field in that part of the Islamic world.

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