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المجلـة الإلكترونيـة لشبكــة العلـوم النفسيــة مجلة فصلية إلكترونية طبنفسية و علمنفسية محكّمة ملـخـصــــات / SUMMARIES المجلـد السادس - العــدد 24– خريــــــف 2009 ****** |
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الملــف "تجربـة التداعيــات السيكولوجيــة للحــرب و الحصــار . . . لنكونــوا شهـــداء"
- The Factorial Strategy: A New Technique For Selecting the Gifted - Salah eldin Farah Atallah - L'état des lieux des sciences humaines et le bannissement de la psychologie -Abdelkarim Belha
مــصــطــلــحــــات نــفــســيــــة
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ملحــــــــــــق العـــــــــــــــــــدد 24 |
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- الثقافــــة النفسيــــة المتخصصـــــة- المجلـد العشرون – العدد 78 - الثقافــــة النفسيــــة المتخصصـــــة- المجلـد العشرون – العدد 79 - الميثاق الأخلاقـي للمشتغلين بعلـم النفـس- نوفمبر 2007 - مجلـــة الصحـــة النفسيـــة المسلمـــة انطـــبــــــاعـــــــــــــــــــــــــــات
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ملـخـصــــات / SUMMARIES |
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الملــــف "غـــ...ز...ة . . . التداعيــات السيكولوجيــة للحــرب و الحصــار " |
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- مقـــــــــــــــــــــــــــال افتتاحـــــــــــــــــــــــي - عبد العزيز ثابت
- التفريغ الانفعالي و أثره على ردود الفعل النفسيـة للصدمة - عبد العزيز ثابت و اياد السراج
- إستراتيجيـــات التأقلــم لـدى أهالـــي الأطفـال المعاقــين - عبد العزيز ثابت و هند سليمان الملخـــــــــص
- Effect of war on P-a-l-e-s-t-i-n-i-a-n children behavioural and emotional problems- Thabet A.A,Abu Tawahina A., Panos Vostanis Abstract Aim: The aim of this study was to investigate the impact of war on children depression and anxiety, and other mental health problems. Methods: The study was conducted in the entire G-a-z-a S-t-r-i-p two weeks after finishing War on G-a-z-a that lasted for 23 days. The study sample included 374 children aged 6-17 years. Children completed measures of experience of traumatic events (G-a-z-a Traumatic Checklist-War on Gaza), SDQ-self, and SDQ-parents. Results: P-a-l-e-s-t-i-n-i-a-ns children experiences variety of traumatic events: 93.9% hear shelling of the area by artillery, 93.9% hear the sonic sounds of the jetfighters, and 69% left home form more safe place, and 24.5% exposed to burn by bombs. Each child reported 12.80 traumatic events. The study showed that mean traumatic events was 13.8, 33.5% of children reported low traumatic level, 51.2% reported moderate level, and 15.3% reported high level of traumatic events. Using SDQ, the study showed that 59.9% of children rated themselves as having psychiatric morbidity compared to 61.5% by parents' report, 17.4% reported hyperactivity compared to 23.5% by parents' report, 57.2% reported emotional problems compared to 51.9% by parents' report, 72.7% reported conduct problems compared to 82.1% by parents report, 32.9% reported peer relationships compared to 40.6% by parents' report, and 8% reported social problems compared to 13% by parents' report. Total SDQ by self was negatively associated with hearing of arrest of someone or a friend, and positively predicted by witnessing the signs of shelling on the ground and being detained at home during incursion. While total SDQ by parents scores was positively associated with being detained at home during incursion, watching mutilated bodies in TV, and witnessing of own home demolition. Conclusions: This study revealed that children living in area of conflict and war are the main group at risk of developing mental health problems and the international laws to protect the civilians during the conflict and establishing save haven for children and their families to decrease the effect of war on children. Also, we recommend doing more follow-up study of the same sample after 6 months to evaluate the effect of continuous trauma on children mental health problems. More intervention programs such as expressive writing therapy, mind body, school bases crisis intervention, group's intervention, and cognitive behaviour methods should be applied and evaluated for its efficacy in developing better coping strategies with similar traumatic events. Key words: War on Gaza, trauma, SDQ self, SDQ parents.
- Comorbidity of Depression and Anxiety in P-a-l-e-s-t-i-n-i-a-n Children Victims of War on G-a-z-a - Thabet A.A,Abu Tawahina A., Eyad El Sarraj, Panos Vostanis Abstract Aim: The aim of this study was to investigate the impact of war on children with depression and anxiety. Methods: The study was conducted in the entire G-a-z-a S-t-r-i-p two weeks after the end of the War on G-a-z-a that lasted for 23 days. The study sample included 374 children aged 6 to 17 years. Children completed measures of experience of traumatic events (G-a-z-a Traumatic Checklist-War on Gaza), Birleson Depression Inventory, and Child Revised Manifest Anxiety Scale. Results: P-a-l-e-s-t-i-n-i-a-n children experienced a variety of traumatic events: 93.9% heard shelling of the area by artillery, 93.9% heard the sonic sounds of the jetfighters, 69% left home for a safer place, and 24.5% were exposed to burn by bombs. Each child reported 12.80 traumatic events. The study showed that mea traumatic events was 13.8: 33.5% of children reported low traumatic level, 51.2% reported moderate level, and 15.3% reported high level of traumatic events. No gender differences in depression scores, and no statistical association between total trauma and depression scores. However, total depression scores were positively predicted by being forced to leave home under threat of war and being threatened with shooting, while physical injury due to bombardment of their home negatively predicted depression. Mean anxiety score was 11.05. No gender differences were found in the level of anxiety. Total anxiety scores were negatively associated with shooting by bullets, rockets, or bombs, witnessing a friend’s home be demolished and witnessing one’s own home demolished, while witnessing the killing of friend was positively correlated with anxiety. The results showed that 237 of children had no anxiety or depression (63.5%), 95 children had either depression or anxiety (25.5%), and 41 children had comorbidity of depression and anxiety (11%). Conclusions: This study revealed that children living in areas of conflict and war are the main group at risk of developing depression and anxiety, and the international laws must protect the civilians during the conflict, establishing save havens for children and their families to decrease the effect of war on children. Also, we recommended doing more follow-up studies of the same sample after 6 months to evaluate the effect of continuous trauma on children’s mental health problems. More intervention programs such as expressive writing therapy, mind body, school basis crisis intervention, group's intervention, and cognitive behaviour methods should be applied and evaluated for its efficacy in developing better coping strategies with similar traumatic events.
- Effectiveness of school-based debriefing sessions for P-a-l-e-s-t-i-n-i-a-n children affected by war and trauma - Thabet A.A,Abu Tawahina A., Eyad El Sarraj, Panos Vostanis
Abstract Background: There are no psychosocial interventions to address children psychosocial needs among P-a-l-e-s-t-i-n-i-a-n children area of war and conflict. Aim : To evaluate the school-based debriefing sessions for children living in a zone of ongoing war conflict. Method : A randomly selected sample of 240 children aged 10-16 years who were affected by the current conflict in the G-a-z-a S-t-r-i-p were interviewed about their war experiences and reactions to the violence before and after participating in the 2-week intervention in schools for 8 session. Results : Children themselves reported decrease in all mental health problems after the intervention. However parents disagreed with their children and reported no change in behavioural and emotional problems of their children after the intervention Conclusion: Our findings that using school based counseling setting in time of war and trauma could improve children mental health if they report their feelings themselves and not their parents. This highlight the need for more long acting and new methods of intervention for children living in area of war and conflict such as cognitive behaviour therapy and social skills training to enable children cope with trauma and stress.
- Effect of trauma on school performance among school-aged children in G-a-z-a S-t-r-i-p - El Majdalawy, A. K , Abdel Aziz Mousa Thabet, Panos Vostanis
ABSTRACT Background: We examined the relationship between psychic trauma and school performance among preparatory school children in G-a-z-a S-t-r-i-p. Methods: A cross-sectional study was carried out at eight governmental and United Nations Relief and Work Agency (UNRWA) Preparatory School in G-a-z-a S-t-r-i-p. Data was collected through indirect method using a structural interviewed questionnaire and reviewing school records . trauma was classified to three levels mild, moderate and severe according to G-a-z-a Traumatic Chick list , if child have 0-4 traumatic events consider mild trauma ,5-10 items consider as moderate trauma ,more than 10 items consider as severe trauma ,the most traumatic events was watching martyrs and injured people on TV , which rated 96.9%of study sample .After that the researcher study the prevalence of post traumatic stress disorder which was71.2% among the study sample developed PTSD . School performance was assessed by getting scores in Math, Arabic language , and total average in the first half of scholastic year Concentration , attention and participation in class activities . Results: The study showed that 19.7% of children reported mild trauma, 72.4% of them reported moderate trauma, and 7.9% reported severe trauma. Also, 71.2% of the study sample developed post traumatic stress disorder. A significant association between trauma, PTSD and low school performance was observed. Conclusion: there is a positive association between trauma, PTSD and school performance, this association was demonstrated through lower means of scores in Math, Arabic language and total average of children after the Intifada events than before it. Key words: Children, Trauma, PTSD, Low school performance,
- Effectiveness of Student Mediation Program to decrease behavioural and emotional problems in P-a-l-e-s-t-i-n-i-a-n children affected by war and trauma in the G-a-z-a S-t-r-i-p - Thabet A.A,Abu Tawahina A., Eyad El Sarraj, Panos Vostanis
Abstract Background: There are few psychosocial interventions programs to address children psychosocial needs among P-a-l-e-s-t-i-n-i-a-n children area of war and conflict. Aim : The aim of the study was to evaluate the effectiveness of student mediation program in improving mental health status of P-a-l-e-s-t-i-n-i-a-n children in the G-a-z-a S-t-r-i-p. Method : Participants of the study were 304 schoolchildren aged 6-16 (Mean age = 10.62 years) from grades one tenth from three schools selected randomly from schools registration lists provided by the Ministry of Education. From each school, classes were randomly assigned to the prevention. Pre-test and assessment scales (Sociodemographic scale and G-a-z-a Child Mental Health Scale) were applied to children one week before starting the student mediation sessions on Sep 2007 by 8 psychologists and psychiatric nurses working the field of children victims of trauma and war and at the end of scholastic year on May 2008. Results : According to children report, the results showed that there was statistically significant decrease in total scores of child mental health and hyperactivity symptoms after student school mediation program. According to parents, the results showed that there was statistically significant decrease in obsessive and overanxious symptoms after student mediation program. Conclusion : Our findings that using student mediation program in time of war and trauma could improve children mental health. This highlight the need for more long acting and new methods of intervention for children living in area of war and conflict such as cognitive behaviour therapy and social skills training to enable children cope with trauma and stress. Key words: Children, Trauma, student mediation, behavioural and emotional problems
- The impact of siege on prevalence of depression and anxiety disorder among universities students in G-a-z-a governorates - Ismail Ibrahim Lubbad - Abdel Aziz Mousa Thabet Abstract Aim: The study aimed to examine the impact of the siege on the mental health (anxiety and depression) of universities students in G-a-z-a S-t-r-i-p. Subjects: The sample consisted of 392 students from the four universities in G-a-z-a S-t-r-i-p by representative sample of 183 males and 209 females. The researcher used analytical descriptive design to represent the entire population of the study. Instruments: The researcher used modified questionnaires and scales to achieve the goal of the study such as socioeconomic questionnaire prepared by the researcher; Siege Checklist by (GCMHP); Taylor Manifestation Anxiety Scale (TMAS); and Beck Depression Inventory (BDI-2). Results: The results showed that 166 (42.3%) had moderate anxiety, and 62 (15.8%) of had severe anxiety. While 146 (37.2%), had moderate depression, and 12 (3.1%) of them were had sever depression. The results indicated that there were positive significant correlation between siege, anxiety and depression among the universities students. In addition, found that a significant difference in siege and depression according to sex of the study sample in favor of males. While the result found no significant differences in anxiety according to sex of the study sample. There were a significant difference in total siege and anxiety according to the type of university of Al Aqsa, Al Quds Open and Al Azhar universities. Conclusion :The siege has several dangerous effects on social, political, economical, educational, as well as psychological impacts. The siege limits the entrance of medical equipments and instruments, drugs and medication, goods, and all life basics. Furthermore, the limited resources in G-a-z-a S-t-r-i-p due to siege created socio-economical gap in all life walks. The P-a-l-e-s-t-i-n-i-a-n people suffer from poverty, low income, and high prices for every thing they want to achieve. The dramatically changes that occurred due to siege were severe and unbearable in short time which deteriorated all aspects of life inside G-a-z-a S-t-r-i-p. Also, the universities students were considered the most significant group among P-a-l-e-s-t-i-n-i-a-n people who complain of several limitations and shortages due to siege that affected these groups. These groups represent the highest cluster among P-a-l-e-s-t-i-n-i-a-n people whom suffer of a great anxiety and depression and other mental health problems as a result of confirmed siege on G-a-z-a S-t-r-i-p. Key words: Siege of Gaza, University Students, anxiety, depression.
- Effectiveness of school based psychodrama in improving mental health of P-a-l-e-s-t-i-n-i-a-n Adolescents - Thabet A.A,Abu Tawahina A., Eyad El Sarraj, Panos Vostanis Abstract Background: There are few psychosocial interventions programs to address adolescent's psychosocial needs among P-a-l-e-s-t-i-n-i-a-n adolescents area of war and conflict. Aim : The aim of the study was to evaluate the effectiveness of school based psychodrama program in improving mental health status of P-a-l-e-s-t-i-n-i-a-n children in the G-a-z-a S-t-r-i-p. Method : Participants of the study were 84 school adolescents aged 12-17 (Mean age = 13.7 years) from grades one tenth from three schools selected randomly from schools registration lists provided by the Ministry of Education. From each school, classes were randomly assigned to the prevention. Pre-test and assessment scales (Sociodemographic scale and G-a-z-a Child Mental Health Scale) were applied to children one week before starting the psychodrama sessions on April and May 2008 by 6 psychologists and psychiatric nurses working the field of children victims of trauma and war and at the end of scholastic year on May 2008. Results: According to adolescents report, the results showed that there was statistically significant decrease in total scores of child mental health problems and hyperactivity symptoms after psychodrama program. According to parents, the results showed that there was statistically significant decrease in obsessive and overanxious symptoms after student the intervention program. However, teachers did not report improvement in most of adolescent's mental health problems. Conclusion: Our findings showed that psychodrama program in time of war and conflict was effective and improved adolescents' mental health. However, there were discrepancies between the adolescents, parents, and teachers reports of improvement in mental health problems. Parents and adolescents agreed that the program improved the adolescent's mental health. However, teachers said no effect. This highlighted the need for increasing the number of psychodrama sessions and time between each session. Also, other factors could be studied instead of only studying the mental health such as resilience and social skills. Key words: Adolescents, Psychodrama, Mental health, G-a-z-a S-t-r-i-p
- Outcome Measure in a Child and Adolescent Mental Health Service in GCMHP Clinics - Thabet A.A,Abu Tawahina A., Eyad El Sarraj, Panos Vostanis
Abstract Objective: to examine the usefulness of the Strengths and Difficulties Questionnaire (SDQ) as an outcome measure for children referred to G-a-z-a Community mental Health Program Clinics Methods: This was a prospective study of new attendees to G-a-z-a Community Mental Health Centers (N = 54). Questionnaires were completed by parents at initial attendance and after approximately 1 month. Results: At 1-month follow up, positive change was detected on the SDQ There was a significant reduction in the ‘total difficulties’ score as rated by parents. Furthermore, there were lowered levels of perceived difficulties and burden on the SDQ impact supplement, and a decrease in the overall impact score. Conclusion: The SDQ is a useful outcome measure. Key words: Child, adolescent, SDQ, parents, outcome.
- Effectiveness of Psychoeducation Program on coping and Mental Health of P-a-l-e-s-t-i-n-i-a-n women in the G-a-z-a S-t-r-i-p- Thabet, S.S -BA, M.P.H - Abdel Aziz Mousa Thabet, MD, PhD Abstract Aim: The aim of the study was to investigate the effectiveness of psychoeducation program on mental health and coping strategies of P-a-l-e-s-t-i-n-i-a-ns women affected by War on G-a-z-a . Methodology: Subjects: The study sample consisted of 176 women from three areas in the G-a-z-a S-t-r-i-p from total number of 180 women with response rate of 97.7%. The age of women ranged from 18-65 years with mean age 40.42 years. Those women were investigated before starting the intervention and 6 months after the intervention program by the same instruments. Instruments: We used self-reported questionnaire including demographic questionnaire, General Health Questionnaire (GHQ-28), and Ways of Coping scale which was applied before starting the program and after 6 months. Results: The study showed mean GHQ-28 scores (mental health problems) decreased from 17.15 to 11.99, somatisation scores mean decreased from the first assessment 5.31 to 3.61 in the second assessment, social dysfunction mean scores decreased from 3.79 to 2.29, depression scores decrease from 3.64 to 2.48, mean anxiety in the first assessment was 4.56 compared to 3.77 in the second assessment, but it did not reached significantly statistically differences. The results showed that mental health problems rated by GHQ and all subscales were significantly decreased after the intervention, while, anxiety decreased but it did not reached a significant level. The results showed that there were significant differences in the following ways of coping: mean of total coping increased from 125.15 to 127, problems solving mean scores increase from 16.85 in the first assessment to 17.76, reinterpretation. However, no statistically significant differences in scores of other coping strategies after intervention. Conclusion: This study showed that P-a-l-e-s-t-i-n-i-a-n women experienced variety of traumatic events ranged from exposure to shooting, shelling of their homes, witnessing killing of close relatives, being detained at their homes and prevent from leaving their homes, internal displacement, home and land destruction, and losing their homes. Those traumatic events increased women suffering and agony and lead to anxiety, depression, somatic and social dysfunctional symptoms. However, those women were continued to take care of their children and family in spite of devastating effect of war by using reinterpretation, self control, and wishful thinking. Those findings highlight the need for establishing community mental health centers to help such women in their area with well designed programs of individual, group, and family therapy. Also there are needs for more psychoeducation for women and their husband on mental health issues and reactions to trauma and ways of dealing of feelings of hopelessness and helplessness by creating new small projects which may improve their families’ socioeconomic situation and increased women self-esteem and self confidence. Also psychosocial programs must be established targeting children and husbands. Also new programs for helping women in developing better coping skills must be established with leaders from the same group who may teach the other women. Community women group should be established and extensive training of the group to be responsible of developing other women in the society. Key word: War on Gaza, Effectiveness, counseling, psychoeducation, women mental Health, coping strategies
- Coping of P-a-l-e-s-t-i-n-i-a-n women with trauma and loss due to War on G-a-z-a - Thabet, S.S -BA, M.P.H - Abdel Aziz Mousa Thabet, MD, PhD Abstract Aim: The aim of the study was to investigate the effect of trauma including loss of home due to demolition and beloved one on P-a-l-e-s-t-i-n-i-a-ns women mental health and coping strategies. Methodology: Subjects: The study sample consisted of 176 women from total number of 180 women with response rate of 97.7%. The age of women ranged from 18-65 with mean age 40.42 years. Instruments: The study used self-reported questionnaire including Demographic questionnaire, General Health Questionnaire (GHQ-28), and Ways of coping Results: The study showed that 68% of the women said that they feel worse to very worse in their general health. 60.7% said they felt ill more than usual, 75% said that had difficulty in staying asleep, 71.1% had headache, 84.8% felt constantly under strain, 86.1% were getting edgy and bad tempered, 70.2% getting scared or panicky for no good reason, 87.4% found everything getting on top of them, 75.7% been feeling nervous and strung-up all the time. 51.5% said they had been satisfied with the way they have carried out their tasks. Using the previous cut-off point of the GHQ-28 (4/5), the result showed that 91.1% of women were rated as psychiatric morbidity cases and need further investigation, while 8.9% were not. Women used different ways of coping. The most common ways of coping items used by women were : I wished that stressful situation finished quickly (73.7%), I tried to forget the stressful events (52.9%), I wished there miracle had happened (52.3%), I know what to do so I increased my efforts to cope with the situation (50.9%), I promised myself that things will be better next time (48.9%), and I asked advice from people I respect (48%). While the least common ways of coping items were: I slept more hours than usual (11.5%) and I realized that I make problem for myself (9.7%). The study showed that mean ways of coping scores was 125.25, mean reinterpretation was 27.04, mean self control was 20.75, mean wishful thinking was 20.38, mean problem solving was 16.83, mean affiliation was 14.79, mean accountability was 13.85, and mean trouble and escape was 11.18. Conclusion: This study showed that P-a-l-e-s-t-i-n-i-a-n women experienced variety of traumatic events ranged from exposure to shooting, shelling of their homes, witnessing killing of close relatives, being detained at their homes and prevent from leaving their homes, internal displacement, home and land destruction, and losing their homes. Those traumatic events increased women suffering and agony and lead to anxiety, depression, somatic and social dysfunctional symptoms. However, those women were continued to take care of their children and family in spite of devastating effect of war by using rreinterpretation, self control, and wishful thinking. Those findings highlight the need for establishing community mental health centers with such women in their area with well designed programs of individual, group, and family therapy. Also there are needs for more psycho education for women and their husband on mental health issues and reactions to trauma and ways of dealing of feelings of hopelessness and helplessness by creating new small projects which may improve their families’ socioeconomic situation and increased women self-esteem and self confidence. Also psychosocial programs must be established targeting children and husbands. Also new programs for helping women in developing better coping skills must be established. Key word: War on Gaza, Women mental Health, coping strategies
- Coping with stress and siege in P-a-l-e-s-t-i-n-i-a-n families in the G-a-z-a S-t-r-i-p (Cohort study III) - Thabet, A, A, -Abu Tawahina, A, -El Sarraj, E, MD -Panos Vostanis
Abstract Aim: The aim of the study was to investigate the ways of coping in P-a-l-e-s-t-i-n-i-a-n families exposed to siege and stress and mediating effect of coping on mental health problems. Methods: Previously selected sample of 184 households from the Cohort study II were selected from the entire G-a-z-a S-t-r-i-p. The age ranged from 18 to 64 years with mean age was 41.53 years. The subjects were interviewed using self administrated questionnaire which include sociodemographic scale, Family Coping Oriented Family Coping scale, and John Hopkins Checklist. The data collection was carried our on October and November 2008. Results : The results showed that the most common impact of siege of G-a-z-a items were: prices are sharply increased (90.8%), I feel I am in a big prison (88.5%), I can not find things I need in the market (91.70%), I was not able to get specific medicine for me or for one of the family member due to shortage of fuel and absence of transportation (73.4%), and I was not able to get specific medicine for me or for one of the family member due to shortage of physicians and nurses (62.58). Each participants reported from 2-20 items of siege with mean siege scores of 10.83 (SD = 4.07). The results showed that people with monthly income less than 350 US $ were more affected by siege that the other groups. The most common psychological problems were: Crying easily (21.7%), difficulty falling asleep (16.8%), worrying too much (16.3%), headaches (15.2%), and feeling tense (15.2%). The results showed than mean HSCL was 53.82, mean anxiety subscale scores was 21.70, and mean depression subscale scores was 32.11 (SD = 8.59), 139 of participants (75.5%) rated as psychiatric cases and 45 were not cases (24.5%). People live in cities reported mental health problems less than those live in villages and camps. Also, the results showed that people with monthly income less than 350 US $ showed more mental health problems than the other two groups were more affected by siege that the other groups. The study showed the most common coping strategies used were: having faith in God (85.9%) sharing our difficulties with relatives (83.7%), seeking encouragement and support from friends (83.2%), facing the problems "head-on" and trying to get a solution right away (82.1%), seeking information and advice from persons in other families who have faced the same or similar problems (81.5%), seeking advice from relatives (grandparents, etc.) (80.4%), participating in mosque activities (79.9%), and attending religious meetings (79.3%). The total scores of FCOPE ranged from 71 to 131 (Mean = 106.21), reframing (Mean = 29.35), seeking spiritual support (Mean = 16.08), mobilizing family support (14.76), passive appraisal (Mean = 10.74). The results showed that the total HSCL scores were positively associated with the following siege items: I sold some of my furniture and wife gold, social visits are less than before due to shortage of money due to unemployment, I stopped smoking and using Nargela due to shortage of money, and negatively with the following items: I went to Zaka organizations and other organizations to get the food, I can not find things I need in the market. Conclusion: The present study shows that P-a-l-e-s-t-i-n-i-a-n families are victims of stress and trauma and showed high level of depression and anxiety. However, coping strategies usually used perceived social support have direct effect on families member’ outcomes. The reliance on spiritual coping and reframing could be useful for these families to face their difficulties even if we observe adjustment problems. Results also point out to the necessity of elaborating intervention models which include an active participation of significant others. Key word: Family coping, siege, stress, mental health, G-a-z-a S-t-r-i-p
- Siege of Gaza, quality of life P-a-l-e-s-t-i-n-i-a-n children in the G-a-z-a S-t-r-i-p- Thabet A.A,Abu Tawahina A., Eyad El Sarraj, Panos Vostanis Abstract Aim: The aim of the study was to investigate the effect of siege on P-a-l-e-s-t-i-n-i-a-n children and adolescents locus of control and wellbeing. Method: The sample consisted of 164 P-a-l-e-s-t-i-n-i-a-n children and adolescents tested in the G-a-z-a S-t-r-i-p in November and December 2008. The age of children ranged from 8-18 years with mean age 14.69 years. Instruments: Child and adolescents were interviewed by the following: Sociodemographic scale, G-a-z-a Siege Checklist-children- form, and Kidscreen-52 HRQoL questionnaire. Results: The results showed that the most common items of siege of G-a-z-a items were: learning problems due to shortage of electricity and teachers unable to come to schools (82.6%), I feel I am in a big prison (79.9%), I quitted purchased daily needs because prices are very high (79.3%), I was not able to go to school due to shortage of fuel and absence of transportation (75%), I cannot find some of the necessary things for study such as books and stationary (68.5%). The children reported from 1-19 siege items with mean =9.07. The study showed that mean children physical well being was 11.03, psychological well being mean was 13.77, moods and emotions mean was 12.53, self perception mean was 7.28, autonomy mean was 9.56 , parent relations and home life 14.75, financial resources mean was 5.45, peers and social support mean was 12.63, school environment mean was 13.79, and social acceptance (Bullying) mean was 2.26. The results showed that the total siege scores was positively predicted by general mood, self perception and negatively predicted by financial resources. Conclusion: This study is one of few studies done to evaluate the impact of siege on P-a-l-e-s-t-i-n-i-a-n children quality of life. The findings that children depend on parent relations and home life, psychological well being, and school environment to overcome the adversities effect of siege. This highlight the need to involve parents in education programs to increase their awareness of children well-being and psychological needs in time of war and siege. Also, involving the teachers in well organized courses in the field of child mental health, psychological well-being, coping with stress and siege. Also improving the school environment atmosphere and relationship between students in schools may improve psychological and physical well-being of children. Key words: Siege, quality of life, children, G-a-z-a S-t-r-i-p
- Psychiatric Disorders Among Children Attending Children Cancer Department in G-a-z-a S-t-r-i-p - Mansour, Mona, A, BA, MCMH , Abdel Aziz Mousa Thabet, Panos Vostanis
Abstract Aim: The main goal of this study was to clarify the prevalence of psychiatric disorders among cancer children attending pediatric hospital in the age group from 6-12 years in the oncology department of El-Nasser Hospital. Method: The study sample consisted of 50 children, 92% of them had Leukemia compared to a control sample of 52 children treated in the hospital for other medical reasons rather than cancer and had no previous mental health disorder or mental retardation. These psychiatric disorders include anxiety, depression and post traumatic stress disorder. Data was collected by using questionnaire consisted of a number of scales and divided into four parts, the first part contains the demographic data, the second part contains child post traumatic stress disorder scale CPTSD, the third part contains Children Depression Inventory scale CDI, and the fourth part contains Revised Children Manifest Anxiety Scale RCMAS and all these scales were applied on the study sample. Results: The study showed that most of cancer children 38% live in refugee camps, while 30% of them live in city and 32 % live in the village. The results of the study show that 56% of cancer children compared by 11.54% of the children in the control group had anxiety disorder, and 64% of cancer children compared with 27% of the children in the control group had moderate to severe depression and 58% of the cancer children compared to 19.2% of the control group had PTSD. The children diagnosed with cancer had more statistically significant differences in anxiety depression PTSD than other control group. There were no statistically significant difference in the type of residence for anxiety and PTSD variables, but depression was highly rate in children with cancer who live in the city than in village and camps. and there no were statistically significant differences between cancer children and children in the control group in the number of siblings. According to gender, both males and females are affected by psychiatric disorders. The study also shows that the children of cancer live in low socio-economic status as social income than those in the control group. This study can be generalized for other cancer children in G-a-z-a S-t-r-i-p. The researcher recommended that educational, recreational and psychological programs would be developed to decrease the suffering of cancer children and their families. This can be achieved by integrated mental health team from psychiatrists, psychiatric nurse's, psychologists, and social workers to establish individual psychotherapy, group therapy, social programs to cooperative with patients in hospital or home and Prepare education program for family to increase knowledge to support the children with cancer and their families. The researcher also recommended conducting longitudinal study to follow up the psychiatric disorders for children with cancer and their families.
دراســـــــــــات فــــي الملــــــــف § الأطفــال والكــوارث: دليــل الأطبـاء للرعايــة الأوليــة - مصطفــــــى شكيــــــب
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§ الجوانـب النفسيــة الاجتماعيـة لل-ص-ــراع العربـي الإ-سر-ائي-لـي1- قـــــدري حفنــــــــي
§ ممارســــــات الإحتــــلال مـــن منظــــورعلـــــم النفــــس- محمـــــود ابـورحــــاب
§ العــلاج المعرفـي السلوكي لاضطــراب الكــرب البعـدي للصدمـة - مصطفــــــى شكيــــــب المواضيع: – بعض أسس النظرية المعرفية السلوكية – النظريات المعرفية السلوكية لاضطراب الكرب البعدي الصدمة – أهم تدخلات العلاج المعرفي السلوكي •التعرض العلاجي •العلاج المعرفي استخدام العلاج المعرفي السلوكي لتشجيع التغير السلوكي
§ هــــذه هــــي غـــ...ز...ة . . .شهــــــادة طبيــــب نفســــي- عبـد الرحيــم الريفــي إذن .. هــذه هـــي غـــ...ز...ة .. هذه هي شوارعها .. وحاراتها.. وأحياؤها .. ومبانيها .. هذه هي سماؤها .. هذا هو شجرها .. وحجرها .. وترابها .. شبابها .. وشيوخها .. وأطفالها .. ونساؤها .. هــذه هـــي غـــ...ز...ة .. صداع الصهاينة .. واختلاف الحكام .. وعجز الشعوب .. هــذه هـــي غـــ...ز...ة .. التي استعصت على التدجين .. منذ أن حَلُم ( رابين ) بإغراقها في البحر ذات كآبة .. إلى أن خرج ( شارون ) منها مهزوماً ذات انكسار .. لم يتغير شيئ ..
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للإطلاع علـــى الأعداد السابقـــة |
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Document Code PJ.0181 |
APNeJ23 |
ترميز
المستند PJ.0181 |
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