2, December 2018
here to view this journal in pdf format
is the second issue this year with papers from Muscat, Egypt,
Turkey and Scotland.
the two papers from Egypt the author dealt with depression
issues. In the first paper the author assessed the prevalence
and predictors of depression among the elderly residing in
residential homes in Delta District (Dakahlia, Damietta and
El-Gharbia governorates). It was a cross-sectional descriptive
study included the 110 institutionalized elderly in all residential
homes in Delta District. Data collection tools included a
structured interview questionnaire for personal data, Geriatric
Depression Scale short form (GDS-15), Berlin Social Support
Scale (BSSS) and Katz and Akpom Activity of daily living scale
(ADL). The findings of the study indicate that the prevalence
of depression in the study population (n=110) was 60 %, of
which 19.1 % had severe depression. Prevalence of depression
was found to be significantly higher among those with impairment
in ADL(P? 0.000), socially isolated (P? 0.000), loneliness
(P? 0.000), lack of support system, dissatisfied with ageing
process (P? 0.000) and not practices religious activity regularly
(P? 0.000). The findings suggest that depression is highly
prevalent among the institutionalized elderly. In addition
to, loneliness, impairment in ADL, lack of social interaction
and support system, dissatisfaction with ageing process, lack
of social and spiritual activities are associated with experience
of depression among the elderly residing in residential homes.
The second paper assess the effect of family psycho-education
intervention on depressive symptoms in patients with depression
in conjunction with their antidepressants medication. The
study was carried out on 95 patients at the inpatient and
outpatient Psychiatric department Mansoura University Hospital,
Egypt. Pre-tests and post-tests (n = 95), and 3-months after
intervention were eighty eight (n = 88). The findings of the
study indicate that the performance of the ADL, depressive
symptoms improved after implementation of family intervention.
The author concluded that ADL, and depressive symptoms in
patients with depression improved after implementation of
family intervention in conjunction with antidepressant drugs.
This conclusion leads to accept the hypothesis of the study
that family intervention along with antidepressants drugs
that improve the depressive symptoms among the depressed patients.
A et al; presented a a case from Muscat who had developed
catatonic features for the first time in late perinatal period.
Her presentation was accompanied by new onset hypertension
and proteinuria. This case highlights the importance of careful
monitoring during prenatal period of women with psychotic
mental illness and the necessity and importance of communication
between psychiatry and other medical specialties as well as
the unique medical and psychiatric complications they face.
Confounding factors such as mutism and a psychotic appearance
may further complicate the clinical picture in such cases.
The authors stressed that Preeclampsia and eclampsia can have
neuropsychiatric manifestations due to acute brain injury
which has been well recognized. There is developing evidence
for association between preeclampsia / eclampsia and mental
health problems. Psychiatric disorders and preeclampsia /
eclampsia are commonly seen clinical problems during pregnancy,
and untreated cases can have serious outcomes.
Helvaci,M.R et al; tried to understand whether or not there
are some significant relationships between irritable bowel
syndrome (IBS) and parameters of the metabolic syndrome. The
study included 331 patients with the IBS and 334 control cases.
The mean age of the IBS patients was 41.8 years. Interestingly,
65.2% of the IBS patients were female. Prevalence of smoking
was significantly higher in patients with the IBS (37.7% versus
20.6%, p<0.001). Mean values of body mass index were similar
in both groups (27.6 versus 27.7 kg/m2, p>0.05). As an
important component of the metabolic syndrome, prevalence
of white coat hypertension was significantly lower among the
IBS patients (26.5% versus 31.7%, p<0.05). The authors
concluded that IBS may be a low-grade inflammatory process
being initiated with infections, inflammations, psychological
disturbances-like stresses, and eventually terminated with
dysfunctions of the gastrointestinal and genitourinary tracts,
and many other systems of the body. Although there may be
a direct relationship between IBS and smoking, there may be
some inverse relationships between IBS and parameters of the
metabolic syndrome with some unknown mechanisms yet.
W., looked at caring for those who care for others concentrating
on Arabic culture who care for demented patients. She discussed
the predicted estimates for dementia prevalence with population
trends for ageing across the Arab states. As some states show
rapid population ageing, the priority is to embrace research
methods and the practical application of care implementation
for people. This should be approached through communities
and national strategies in ways that only Arab tradition finds
suitable. To this end those influencing health and social
policy must plan resources and training to offer the maximum
support. This will require education to be responsive and
sensitive in the training of professionals as well as across
primary, secondary and tertiary levels of health services.
It is essential that these training initiatives include a
focus upon the creation of multidisciplinary teams both in
appropriate settings with home-based services at the centre.
Such needs and developments represent huge challenges to national
and community-based health services across Arab states. Whilst
many Middle Eastern countries have incorporated international
influences and agencies to coordinate care, it should not
be assumed that future care needs will be implanted with external
or international ambitions for health and social care provision.
The response should utilise only, where appropriate, international
input where it benefits the region and as an overarching priority
structure its own culturally embedded community dementia care
and family carer support.