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The Egyptian Journal of Psychiatry
Vol. 20, N° 1, January (1997) |
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CONTENTS / SOMMAIRE |
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§
Social Psychiatry: (Part II) / by
Mahmoud Sami AbdelGawad §
Insight and Judgement in Psychiatric
Practice / by Y.T. Rakhawy §
Comorbidity of Somatoform Disorders / by Hanaa
Soliman §
The Suez Canal University Neurodevelopmental Scale (SCUNDS)
for Assessment of Infant and Children From 0-36 Months / by
M.H. El-Defrawi, Salma EL-Ghandour, A. Atef and Sonia G. El-Sharkawy
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Journal Abstracts q
Thesis Review |
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q SUMMARY / RESUMES |
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§
Social Psychiatry: (Part II) / by Mahmoud Sami AbdelGawad
§
Insight and Judgement in Psychiatric Practice / by Y.T. Rakhawy
§
The Concept of Schizophrenogenic Parents in Hebephrenic
Schizophrenia / by El-Sayed A. Gad, Ehsan M. Fahmy, V.S. Mikhael and N.M.
Rashed
ABSTRACT:
The literature is contradictory
regarding the parents of schizophrenics. This study is a trial to discuss the
concept of schizophrenogenic parents in cases of hebephrenic type and their
impact on different sex patients. From Benha hospital for mental health and
Benha University hospital, fifty cases of hebephrenic schizophrenia, thirty
cases of schizophrenia other types than hebephrenic, thirty cases of
generalized anxiety disorder and
thirty persons (volunteers) without psychiatric disorders (working at the
same hospitals were selected according to inclusive criteria. Parents of all
types were followed up over the period from 1992 till the end of 1994 in
regular individual as well as family meetings. A semi-structured interview
was performed and MMPI was applied to all parents. Comparison between results
of the four groups as well as between results of male and female cases of
hebephrenic schizophrenia proved some important findings. The study
emphasized the important role of parents in unfolding the psychotic process
in schizophrenia. The study proved that same sex parent has more important
role in determining psychopathology. Personality of parents, parental
interaction and parent-child relationship may determine the symptoms of
schizophrenia and so its type. The authors recommended studying siblings also
as parents represent only one aspect of family dynamics and considering
genetic factors also in further study to determine what is inherited
genetically and what is acquired (socially inherited) during upbringing of
schizophrenic patient.
RESUME.
Le Concept
des parents Schizophrénogeniques chez les Malades Schizophrènes du
type
hébéphrénique.
La littérature sur les parents
de schizophrènes est contradictoire.
Cette étude a essayé de
discuter le concept de parents schizophrenogéniques en cas d’hebephrenie et
leur impact sur les malades des sexes différents. A l’hôpital psychiatrique
et l’hôpital universitaire de Banha, 50 cas de schizophrénie du type
hébéphrénique, 50 cas de schizophrénie d’autres types, 30 cas d’anxiété
générale et 30 volontaires sans maladie psychiatrique ont été choisis.
Leurs parents ont été
suivis depuis 1992 jusqu’à la fin de 1994. Une interview semi-structuré et
l’examen de MMPI ont été conduits. Cette étude a souligné le rôle important
de parents dans la dévaluation du processus psychotique. Le parent du même
sexe joue un rôle plus important dans la formation de psychopathologie. La personnalité
des parents, leurs interactions, et le rapport entre les parents et leur
élever déterminent les symptômes et, par conséquent, le type de
schizophrénie. Les auteurs recommandent d’étudier aussi les frères et sœurs
des malades et de considérer les facteurs génétiques pour déterminer ce qui
est hérité et ce qui est acquis pendant le processus d’élever le malade
schizophrène. §
Role of Traditional (Religious) Healing in Primary Psychiatric Care
in Sharkia / by H.M. El-Amin and A.R.
Ahmed Refat
ABSTRACT:
This work was conducted with
the aim of studying the role of traditional (religious) healing in primary
care of psychiatric disorders in Sharkia.
196
patients who were attending to a famous sheikh in Sharkia for religious
healing were examined. This study covered a period of 3 months, the first
month for new patients and the other two for follow up cases of the majority
of patients were young age groups, illliterate or low educated, females more
than males. Among all patients, there was a large number of psychiatric
patients, because social and religious beliefs have a powerful influence
which is stronger than civilization and till now there are inadequate
psychiatric services and people fear from stigma of mental illness.
On the other hand, religious
healers may improve some psychiatric disorders such as dissociation &
conversion disorders, adjustment disorders and sexual disorders in males methods
used by these healers appear to be related to suggestibility and some sort of
cognitive therapy.
RESUME.
Rôle
de la Guérison Traditionnelle (Guérison Religieuse) dans le soin Psychiatrique Primaire au Sharkia.
Le but
de ce travail est d’étudier le rôle de la guérison traditionnelle (Guérison Religieuse)
dans le soin primaire des désordres Psychiatrique au Sharkia.
On a
examiné 196 patients qui ont été allé chez un Cheikh bien connu au Sharkia
pour la guérison religieuse. Cette étude a été terminée en 3 mois. La majorité des patients sont
des jeunes femmes qui sont illettrées. On a trouvé aussi que la guérison
religieuse peut aider quelques patients psychiatrique (par exemple : Ceux de
la dissociation, et des désordres sexuels). §
Psychosocial Study of Children with Attention
Deficit Hyperactivity Disorder / by M. Mubarak and G.Shamah
ABSTRACT:
Twenty children with ADHD
compared with 15 control cases « matched by age and sex » were studied clinically
by semistructured interview of the children and their parents and
psychometrically using WISC and Conners scale.
The aim was
: a) to find out the role of psychosocial factor in the pathogenesis of such
disorder
b) the relation of severity of symptoms to age and I.Q.. This may help
in proper care and prevention of such cases.
The results
showed that : Complicated delivery, delayed milestones, low level of parent’s
education and occupation, broken home, family hostory of ADHD are
statistically more common in patients than control cases. On the other hand, medical illnesses
and accidents, birth order, type of parent’s job (except if mother is working semi skilled or non
skilled job), and home troubles are statistically not significant between
patients and control cases.
Correlating the severity of
symptoms ; as measured by Conners scale, with IQ and age showed that :
neither the age of the child nor his level of intelligence correlated
significantly with the total score of Conners scale. On the other hand : age
showed significant negative correlation, and IQ showed significant positive
correlation with subitem (6) of Conners scale « inattention and easily
distracted ».
Conclusion : In the view of this study we can conclude that complicated delivery, delayed
milestones, low level of parent’s education and occupation, broken home, and
family history of ADHD are risk factors that should be considered in prevention
programs of ADHD. Although the symptom of « inattention and easy
distractibility » is more severe in young children but its positive
correlation with IQ should be confirmed by future studies.
RESUME.
Une Etude Psychosociale des Enfants avec les Troubles
de l’attention et Hyperactivité.
On
a étudié 20 enfants avec les troubles de l’attention et Hyperactivité et 15
enfants a contrôlé. L’évaluation a compris une interview semi-structuré des
enfants et leur parents on a utilisé l’examen de WISC et l’échelle de
Conners.
Le
but était a) de trouver le rôle
du facteur psychosocial dans la
pathogènes,
b) de trouver les liens entre la sévérité de symptômes et l’âge et
l’IQ, pour améliorer le soin et la préventions ces troubles.
On a trouvé
que l’accouchement complexe l’histoire des troubles dans la famille, le
niveau base l’éducation de parents et de leur travail sont plus démontrés
chez les malades que chez le groupe de contrôle.
La
corrélation entre l’âge et le niveau de IQ et les résultat totals de
l’échelle de Connors n’était pas significative. Cependant, on a trouvé une
corrélation négative entre l’âge et une corrélation positive entre l’IQ et
point 6 de cette échelle (inattention et être facilement distrait.
On peut
déduire que :
1)
l’accouchement complexe, l’histoire des troubles dans la famille, le niveau
bas de l’éducation des parents et de leur travail sont des facteurs de
risque qui doivent être
considérés dans la prévention ;
2) la
corrélation entre le symptôme d’être facilement distrait et l’IQ doit être
confirmer par des recherche futures. §
Maternal-Child Relationship and Psychosocial Development of
Thalassaemic Children / by U.R. El-Safy, Eman R. El-Safy, Mervat A. Hisham
and Azza A.M. Khalil
ABSTRACT:
This study was carried out to
detect the emotional status of mothers of thalassaemic children, as well as
the maternal –children relationship and their effects on the psychosocial
development of the children. The study includes fifty children with B
thalassaemia major, their ages ranged from three to nine years and duration
of illness ranged from one to eight years with their mothers attending
Hematology and Oncology Unit of Pediatrics Department, Zagazing University
Hospital. Fifty five healthy school children of the same ages and their
mothers were chosen as controls. All mothers of the patients and controls
were subjected to Middle sex Hospital Questionnaire. Normal and diseased
children were subjected to full history general medical examination, including
assessment of physical development and full laboratory investigations.
Psychometric assessment of
healthy and patient groups included parental acceptance-rejection scale and
Boyed developmental scale for assessment of psychosocial development. Our
results showed that the mothers of thalassaemic children had a higher scores
of anxiety (10%), phobia (10%), obsession (38%), hypochondrisis (18%) and
depression (24%), than mothers of normal children who presented with anxiety
(0%), phobia (9%), obsession (3%), hypochondrisis (11%) and depression (15%).
The mean of the acceptance (Warmness) of the mothers toward healthy children
was greater than the acceptance of mothers toward patients with significant
difference.
It was
reported that whereas depressive symptoms became manifested, the mother
warmnes toward their children decreased. We noticed that as the symptoms of
psychiatric illness became manifested of the mothers, their degree of
rejection toward their children increased, but without significant difference
except for anxious mothers and their diseased children and anxious and
depressed mothers and their healthy children showed significant difference.
As regard physical development of patients, 50% were of normal height and
weight, 34% suffered from stunted growth and 16% with stunted and wasted
growth. As regard psychosocial development, 60% were well and 40% were less
psychosocially developed and there was positive relation between acceptance
of mothers toward their diseased children and their psychosocial development.
RESUME. Le
Rapport enfant-maternel et le développement psychosocial chez les enfants
avec Thalassaemie.
Cette
étude était de découvrir la condition émotive des mères qui ont des enfants
souffrants de thalassaemie, le rapport enfant maternel, et leur impact sur le
développement psychosocial de ces enfants.
On a
étudié 50 enfants avec B-thalassaemie majeure (l’âge: 3-9 ans). La durée de
maladie était 1-8 ans. Les malades et leurs mères vont a l’hôpital universitaire
de Zagazing, le département d’oncologie et hématologie. Toutes les mères et
le groupe de contrôle ont fini le questionnaire de Middle sex. L’évaluation
des enfants malades et normal a compris un examen clinique et laboratoire.
L’évaluation psychométrique a compris l’échelle d’acceptation –rejet
de parents et l’échelle Boyed de développement.
Les
résultats ont démontré que les mères des enfants malades (groupe 1) ont plus
d’anxiété (10%), de la phobie (10%), de l’obsession (38%), de l’hypochondrie
(18%) et de la dépression (24%) que les mères du groupe de contrôle (groupe
2), le niveau de l’acceptation est plus haut chez les mères groupe 2 que chez
le groupe 1.
La
psychopathologie était associée significativement avec le rejet.
Le
développement physique était normal chez 50% de malades, cependant que 34%
ont souffert du délai de développement et 16% de la consomption et délai. 40%
avait un délai de développement psychologique.
L’acceptation des mères était associée avec le développement
psychosocial. §
Clinical and Psychometric Study of Cognitive
Functions in Epilepsy of Primary Origin / by A. El-Behary, M.N. Tarhan and W.
Hassan
ABSTRACT:
This study was conducted on 40 patients suffering from
idiopathie epilepsy, 20 control sujects and 25 non-epileptic siblings of the
studied epileptic patients. The subjects were chosen from both sexes, their
ages ranging from 15-35 years. Half of the patients were already receiving anti-epileptic treatment and the other half were untreated.
The patients were submitted to clinical evaluation and EEG studying.
Psychometric testing was carried out to all subjects. The untreated patients
were tested twice, before and after one month of antiepileptic drug
administration by either carbamazepine (CBZ) or sodium valproate (VPA), as
monotherapy. Blood samples were taken from patients at VPA in both treated
and untreated patients after drug administration. The battery of psychometric
tests used in the study included Wechsler Memory Scale (WMS), test of
similarities, visual retention test (Benton test A and C), complex key test
and maze test. The study showed impairment in cognitive functions in both
treated and untreated epileptic patients. CBZ administration for one month in
a dose of 15 mg/kg/day led to impairment of attention, concentration and
spatial scanning. VPA administration for one month in a dose of 30 mg/kg/day
led to impairment of memory, attention, concentration and spatial scanning.
Patients with earlier age of
onset of epilepsy showed more deterioration of memory than those with later
age onset. Patients with higher frequency of fits have more deterioration of
memory and abstract thinking than those with lower frequency. Patients with
mixed seizures had more deterioration of memory than those with generalized
or partial seizures.
RESUME.
Une
Etude Clinique-Psychométrique de Fonctions Cognitives chez Les Malades
d’Epilepsie d’origine Première.
On a
évalué 40 malades d’épilepsie idiopathique, et un groupe de contrôle (20
individus normales et 25 de leurs frères et sœurs non-épileptique). L’âge
était 12-35 ans. 20 malades n’ont jamais pris de médicaments (groupe 1) et
l’autre 20 (groupe 2) prenaient des médicaments antiépileptiques.
L’évaluation était clinique et éléctroencéphalographique. Les malades de groupe 1 ont été évalues
avant et après un mois de commencer la thérapie (Carcamazepine CBZ, ou
Valproate VPA, comme monothérapie). L’évaluation psychométrique a
compris l’échelle de la mémoire
de Wechsler, un examen de similarités, L’examen Benton (A,C) et L’examen de
labyrinthe. On a trouvé que les fonctions cognitives sont détériorées chez
les deux groupes de malades. Un mois de thérapie avec CBZ a conduit a la
détérioration de l’attention, la concentration et du balayage dans
l’espace. VPA a conduit a la
détérioration de la mémoire, l’attention, la concentration et du balayage
dans l’espace. Un début tôt était associé a plus de détérioration de la
mémoire. La fréquence de crises était associée a une détérioration de la
mémoire et de la pensée abstraite. §
The Arabic Version of Defense Style
Questionnaire-40. II- Defense Style in Major Depressive Disorder / by Hanaa Soliman
ABSTRACT:
The aim of this work was to
investigate whether patients with major depressive disorder use a defense style different from that of normal
subjects. 28 patients with major depressive disorder and 27 age and sex
matched normal subjects completed the Arabic version of DSQ-40.
The results showed that
patients tend to use less mature defenses (anticopation, suppression, humor
& sublimation) than normal subjects, while they use more immature
defenses (projection, passive aggression, devaluation, autistic fantasy and
somatization). Reaction formation, a neurotic defense, was also higher in the
depressive group. The significance of the findings to the psychopathology of
depression, especially in terms of cognitive theories, and the implications
for psychotherapy are considered.
Investigating
defense style related to other axis-I diagnosis and its correlation with
symptom patterns was recommended.
RESUME.
La
Version Arabe de l’échelle de Mécanismes de défense (DSQ-40) II- Le style de
défense chez les malades avec la dépression.
Le but
de cette recherche était d’étudier le style de défense chez les malades avec
la dépression. On a étudié 28 malades pendant l’épisode de dépression et 27
personnes normales du même âge et sexe. Ils ont rempli la version Arabe de
DSQ-40.
Les
résultats ont montré que les malades utilisent moins de défenses murs
(l’anticipation, la suppression, la sublimation et l’humeur) et plus de
défenses non-murs (la projection, l’agression passive, la fantasme autistique
et la somatisation) que le groupe de contrôla. La défense formation de la
réaction, un mécanisme neurotique, est aussi utilisée beaucoup par les
malades.
La
signification des résultats pour
comprendre la psychopathologie de la dépression est proposée. §
The Arabic Version of Multidimensional Fatigue Inventory:
Reliability, Validity and Findings in Three Groups / by Wafaa E. Haggag and
Hanaa Soliman
ABSTRACT:
The high prevalence of fatigue
and its negative effect on well being have made it an important research
variable in the field of psychiatry as well as in many other domains.
In this work,
results on the reliability and validity of the Arabic version of
Multidimensional Fatigue Inventory (MFI) are reported. Three groups with
different degrees of expected fatigue participated in the study : 110
subjects from normal population, 41 patients with renal faillure and 49
junior physicians in their residency training. They completed the MFI and the
GHQ.
Assessment of
reliability included correlation coefficients and Cronbach’s alpha for
internal consistency and split – half reliability studies. Construct validity
was estimated through comparison between groups and discriminant function
analysis. Gender differences in the expression of fatigue were considered.
The results
showed that 22% of general population group, 24% of medical residents and 88%
of renal failure patients suffered from a high degree of fatigue. The results
suggest that the internal consistency and split – half reliability of the MFI
are high. Its validity, as
assessed by group differences and sensitivity to differentiate different
groups was also high.
Gender plays
a role in the fatigue expression in the general population, as women
expressed more general and physical fatigue.
RESUME.
La version arabe
de l’inventaire multi dimensionnel de fatigue : la stabilité validité et les
résultats chez trois groupes.
La
puissante extension de la fatigue et de ses effets négatifs fait un parmi les
plus importants sujet de recherche dans le domaine de psychiatrie ainsi que
dans plusieurs domaines.
Il
s’agit dans cette étude, des résultats de stabilité et de validité de la
version arabe de l’inventaire multidim émotionnel de fatigue (IMF), chez
trois groupes dont le degré prévu de fatigue est diffèrent : 110 personnes
normales, 41 patient d’échec rénal et 49 jeunes médecins résidents ayant
terminé le IMF et le SSG.
L’évaluation de la stabilité a inclut les coefficients de corrélation
et l’alpha de cronbach pour la consistante internelle et les études dans la
demi validité.
La
validité a été estimé d’après une comparaison entre les groupes et alpha de
cronbach pour la consistance internelle et les études de la demi validité.
La validité a
été estimée d’après une comparaison entre les groupes et analyse
discriminante de la fondation.
Les résultats
ont montré que 22% du groupe normale, 24% de médecins résident et 88% de
patients d’échec rénal souffrent d’un degrés très élevé de la fatigue comme
ils ont montré un haut degré de la stabilité et de validité.
Le sexe
semble jouer un rôle dans l’expressions de la fatigue les femmes (celles du
groupe normale) souffrent physiquement d’un haut degré de fatigue. §
Using Brain Mapping in Comparative Study Between Demented Patients,
Normal Elderly Subjects and Normal Young Subjects / by M.M. El-Maghraby, H.M.
El-Amin, Eman R. El-Safy and M.G. Abdel-Ghany
ABSTRACT:
The main aim of the this study
is to evaluate the effect of normal aging process in brain mapping as well as
brain mapping changes in demented patients. This study was conducted on three
groups ; Group I comprised 10 demented patients aged above 65 years. Group II
comprised 10 normal elderly
subjects aged above 60 years and Group III comprised of 10 young normal
subjects aged between 25-30 years patient and control groups were subjected
to : 1-Full psychiatric history taking including DSM-IV-criteria for
diagnosis of dementia and mental state examination. 2-Full medical and
neurological examination . 3- Minimental state examination (MMSE). 4- Brain
electrical activity mapping. The research revealed the following results ; A – Normal elderly subjects
versus young normal subjects : - According to absolute power ; there is
significant diffuse decrease in delta and theta bands, increase in alpha band
in frontal, central and temporal regions and a decrease in alpha band in
parietal and occipital regions and diffuse increase in Beta band among normal
elderly subjects. According to interhemispheric coherence ; there is a
significant decrease in all activities in all regions among normal elderly
subjects. B – demented patients versus normal elderly subjects : - According to absolute power ; there
is significant diffuse increase in both delta and theta bands and diffuse
decrease in both alpha and beta activities among demented patients. –
According to interhemispheric ; there is significant hypocoherence in delta
in all regions, in theta region in frontal central and temporal regions, and
in alpha and beta coherence in frontal and central regions.
RESUME.
Une
étude Comparative entre les
patients en démence, les personnes âgées et les jeunes en utilisant le «
Brain Mapping ».
Les but de cette étude est d’évaluer les changements du « Brain
Mapping » dans les patients en démence et les ages normaux. On a étudié 3
groupes :
Groupe
I : 10 patients en démence de
l’age > 65 ans, Groupe II : 10 personnes normales > 60 ans et Groupe
III : 10 personnes de l’âge de 25 a 30 ans. Le groupe de patients et le groupe témoin ont été examiné
par : (1) Une histoire
psychiatrique et une diagnose
selon le DSM-IV ».
(2)
Une examination médicale et neurologique
(3) M.M.SE
(4) « Brain
Mapping »
Les
résultats des 3 groupes ont été discutés dans cette étude. §
Social Competencies, Behavioral, Psychological and Cognitive Correlates
in Children with Nocturnal Enuresis / by M. Hassib El-Defrawi, Salma
El-Gandour Amin, A.E. Zeitoun and H.A. Ragab
ABSTRACT:
One hundred and ten school age
children (110), with DSM-IV diagnostic criteria of Nocturnal Enuresis (NE),
were randomly selected from those seeking treatment from pediatric,
psychiatry and urology clinics in Suez Canal University Teaching Hospital and
were compared to a sex and age matched control group (n=110) as regard their
social competencies, behavioral problems, cognitive and psychological
caracteristics as well as their school performance and achievement.
Instruments used included: Conners Rating Scale, Child Behavior Checklist
(CBCL), Goodenough test, Token Test for Children, Johns Hopkins Depression
Scale, and their mid-year test scores in academic subjects including Arabic
language, arithmatic and other subjects. Results revealed that NE was
significantly associated with being described by their parents as hyperactive,
socially with drawn, uncommunicative and depressed. Furthermore, children
with NE were reported to be less socially competent than the nonerutic
control group. Moreover, NE children were significantly more likely to perform poorly on
cognitive tasks of nonverbal intellectual maturation and functional language
ability and to obtain significantly lower scores in Arabic language and
arithmatic subjects than nonenuretic children.
The results suggest that NE should be considered as a risk factor for
comorbid psychiatric and developmental difficulties and those children with
NE deserve to receive a comprehensive and integrated neuropsychological &
behavioural assessment. The implications of our findings are discussed.
RESUME.
Corrélation
Psychologique, Béhavioriste, Cognitive et Sociale chez les Enfants Souffrants
de l’énurésie Nocturne
On a
choisis au hasard 110 enfants a
l’âge de l’école diagnoses selon le « DSM-IV » comme ayant une
Enurésie Nocturne. Cette échantillon a été choisie de la clinique
psychiatrique, urologique et pédiatrique de l’université du Canal El Suez, et
a été comparé avec un groupe témoin de même âge et sexe (110) concernant
leurs problèmes béhavioristes, leurs caractères psychologiques et cognitives,
leurs compétences sociales, et aussi leurs réalisations a l’école. Les
résultats ont démontré que l’énurésie nocturne doit être considéré comme un
facteur de risque pour avoir d’autres difficultés psychiatriques et
developmentalles chez ces enfants. §
Comorbidity of Somatoform
Disorders / by Hanaa Soliman
ABSTRACT:
All patients presenting to the
out- patient psychiatric clinic of El- Minia University hospital over a 4
month- period were screened for somatoform disorders (SDs). 92 Subjects (55 females &
37 males, mean age-35.7) fulfilled criteria for SDs (ICD-10). The main diagnosis was undifferentiated
somatoform disorder (UDS) (76.6%),
followed by somatization disorder (SD) (9.5%), persistent somatoform pain
disorder PD (8.7%), hypochondriacal disorder (5.4%). The most frequent symptom was headache,
followed by pains in the different body parts, autonomic manifestations, abdominal symptoms, conversion
symptoms. A semistructured interview (SCAN) was used to assess psychiatric
comorbidity. A concurrent psychiatric diagnosis was established in 85.9% of
patients; the common- est
diagnosis was current depressive episode (58.7); followed by anxiety disorders in 36.9%; mixed
anxiety-depression disorder (6.5%). More than one comorbid diagnosis was the case in 16.5% of the
cases.
The total number of somatic symptoms was highest in somatization
disorder and least in pain
disorder, with undifferentiated somatoform and hypochondriacal disorder
occupying an intermediate position. The number of somatic symptoms was
highest in mixed anxiety depression disorder and least in patients with no comorbid diagnosis. lt was also
higher in moderate than in mild depressive episode, and in panic than in generalized anxiety
disorder.
Depressed mood was correlated with pain symptoms, while anxiety
correlated with autonomic manifestations. Three factors of somatic symptoms.
conversion, GIT & pain were identified.
The
results are discussed in the light of the current debate concerning
comorbidity as well as the validity of the somatoform disorder category.
RESUME.
Les Troubles Psychiatriques
Associés aux Disorders
Somatoformes
On a recherché les
troubles somatoformes chez les malades à la clinique universitaire de
Les résultats
ont montré que les symptomes somatiques les plus fréquents étaient mal de
tête, douleur, des manifestation autonomiques et de la conversion.
Les
désordres psychiatriques confirmés par l'interview présents dans 85.99'o des cas; les diagnostic les
plus fréquents étaient un épisode de dépression (58.7'7%), trouble de
l'anxiété (36.99%). Plus qu’une diagnose psychiatrique associée étaient
present chez 16.5% des cas.
On a trouvé
qu'il y a une corrélation entre la dépression et les symptômes de douleur,
tandis que l’anxiété a été associées aux manifestations autonomiques.
Les
résultats mettent en doute l’indépendance nosologique des troubles
somatoformes. §
Panic Disorder: Electroencephalographic and Echocardiographic Study /
by A. Mubarak, A. El Dod and N. Shaaban
ABSTRACT:
Twenty five patients diagnosed
as panic disorder according to DSM-IV criteria and 10 healthy subjects matched
by age and sex with patients as control were studied using surface electrode EEG and two dimensional
echocardiogram.
The aim
was to detect any significant cerebral dysrythmia from one hand and or any
evidence of mitral valve prolapse on the other hand. This may help in understanding the relationship of
panic disorder to cerebral or cardiac pathophysiology. The results of this
study showed that: Abnormal FEG in 52% of patients and 30% of control
(p<0.05). This abnormality was ether generalized cerebral dysrythmia; 12%
inpatinets and 20% in control (P>0.05), 50% of the focal dysrythmia came from right temporal
lobe. Definite signs of MVP was found In 12% of patients and 10% of control while
in 8% of patients and 10% of control
the signs are only suggestive of MVP (P>0.05).
Conclusion:
Although cerebral dysrythmia was not significantly different in patient than control their
propoderence in right temporal lobe warrant special attention to their relationship to the emotional and/ or
cognitive component of panic
disorder, this could be a future large scale study. The presumed special relationship between MVP
and panic disorder is not supported by our study.
RESUME.
Le
Désordre de panique: une étude électro-encephalographique et
échocardiographique
On a examine 25 patients diagnoses comme “désordre de panique” “selon
le” “DSM-IV” et 10 personnes normales par l’échocardiogramme et le EEG. Les
but était de détecter le moindre de dyrythmie cérébral significatif, ou l’évidence
de prolapsus mistral. Les résultats ont montrés que: 52% de patients et 30%
du groupe témoin MVP ont un EEG abnormal a été comfismé 12% de patients et
10% du groupe témoin. §
The Suez Canal University Neurodevelopmental Scale (SCUNDS) for
Assessment of Infant and Children From 0-36 Months / by
M.H.
El-Defrawi, Salma EL-Ghandour, A. Atef and Sonia G. El-Sharkawy
q
Journal Abstracts
q
Thesis Review |
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| Document Code PJ.0104 |
ÊÑãíÒ ÇáãÓÊäÏ PJ.0104 |
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