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Khoury B, Rafeh M, Bou Dargham Z. Traditional healing for physical and mental problems in the Arab region: past and current practices. BJPsych Int 2024; 21:44-46. [PMID: 38693954 PMCID: PMC11035961 DOI: 10.1192/bji.2024.3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/05/2023] [Revised: 12/22/2023] [Accepted: 01/18/2024] [Indexed: 05/03/2024] Open
Abstract
Exploring traditional healing practices in the Arab world unveils a diverse range of methods deeply rooted in ancient beliefs. Traditional healing practices encompass natural remedies, spiritual rituals and physical treatments. These historical practices persist today, reflecting their enduring relevance in Arab culture and their influence on healthcare approaches. Factors such as accessibility to traditional healing services, a lack of affordable medical treatment, cultural familiarity and a strong belief in the efficacy of traditional healing methods in treating mental problems contribute to their continued use. However, potential challenges arise when an exclusive reliance on traditional methods might hinder access to critical medical interventions. Thus, the need for further documentation and research into these deeply ingrained healing traditions is emphasised. Some research has focused on integrating these traditional approaches with the modern medical system, recognising their combined value in healthcare. This balanced approach holds the potential to bridge the gap between culturally informed traditional practices and contemporary medical treatments.
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Affiliation(s)
- Brigitte Khoury
- Professor, Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Mira Rafeh
- Intern, Department of Psychiatry, American University of Beirut, Beirut, Lebanon
| | - Zeina Bou Dargham
- Intern, Department of Psychiatry, American University of Beirut, Beirut, Lebanon
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Al Shelali M, Alibrahim H, Alomar N, Pandi-Perumal SR, Seeman MV, Jahrami H. The Good, the Bad, and the Ugly of Faith Healers and Psychiatric Illnesses: A Systematic Review of the Literature in the Arab World. JOURNAL OF RELIGION AND HEALTH 2024; 63:857-876. [PMID: 37626227 DOI: 10.1007/s10943-023-01898-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 08/09/2023] [Indexed: 08/27/2023]
Abstract
Faith healing is a traditional healing method involving spiritual and faith-based practices performed by a religious medicine man referred to here as a faith healer. The practice of faith healing is widespread in the Arab World for treating a range of mental disorders. This research aims to review the literature concerned with faith healing practice in the Muslim Arab population. Based on the results of the review, there are seven distinct aspects of faith healing. These include the characteristics of persons who visit faith healers, the rate of visits, the symptoms for which visits are made, the treatment methods, the general stigma and prevalent attitudes toward mental disorders in the Arab world, and the perceived effectiveness of faith healing as applied to mental disorders. The results of the review show that many patients with mental disorders, as a first resort, prefer to seek the help of faith healers (or other non-professional trusted counselors) rather than approach mental health services. This is due to several factors: the misconceptions around causes of mental illness in Arab traditions and culture and the stigma associated with mental illness. As an overall determination derived from the literature, Arabs remain highly reliant on faith healers as helpful resources for dealing with mental health problems. In conclusion, the recommendation to public health authorities is to consider including faith healers in the support system for mental health and cease viewing them as barriers to optimal care.
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Affiliation(s)
- Musab Al Shelali
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
| | - Hussain Alibrahim
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
| | - Nadia Alomar
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain
| | - Seithikurippu R Pandi-Perumal
- Division of Research and Development, Lovely Professional University, Phagwara, Punjab, 144411, India
- Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, Tamil Nadu, India
| | - Mary V Seeman
- Department of Psychiatry, University of Toronto, Toronto, ON, Canada
| | - Haitham Jahrami
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.
- Psychiatric Hospital, Government Hospitals, Manama, Bahrain.
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Metwally AS, Atallah IA, Almutairi IK, Alzand MS, Alqabli MS. The Prevalent Use of Complementary and Alternative Medicine Among Patients With Chronic Disease in the Al-Madinah Population of Saudi Arabia. Cureus 2023; 15:e51130. [PMID: 38149067 PMCID: PMC10751177 DOI: 10.7759/cureus.51130] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/26/2023] [Indexed: 12/28/2023] Open
Abstract
BACKGROUND Global interest in complementary and alternative medicine (CAM) has recently risen, particularly in Saudi Arabia, and the use of CAM is gaining popularity as a healthcare option. OBJECTIVES This study aims to assess the prevalence of CAM use among patients with chronic diseases and identify the reasons for resorting to CAM in Al-Madinah, Saudi Arabia. METHODS A cross-sectional study was conducted in Al-Madinah City. Data for analysis were derived from 416 participants with chronic diseases. The data were collected using a valid, structured online questionnaire that was designed to extract socio-demographic data as well as data on the predominant use of herps, hijama (cupping), acupuncture, and other specific CAM applications. The collected data were analyzed using appropriate statistical methods. RESULTS Of the 416 participants, 164 (39.4%) were men, and 96.9% were Saudi citizens. Approximately one-third of the studied participants had diabetes (34.1%), while 29.3%, 25.2%, 15.1%, and 12.3% had hypertension, obesity, asthma, and gastrointestinal tract disease, respectively. The prevalence of herb and natural supplement use was 89.2%. The most commonly used herbs and natural supplements were ginger (55.5%), honey and its derivatives (53.4%), cinnamon (45.4%), and frankincense (33.4%). Of the studied participants, 36.1% and 6.5% reported undergoing cupping and acupuncture, respectively. No statistically significant differences were found between the use of herbs and acupuncture or any of the studied factors. Further, the use of acupuncture exhibited no significant differences. However, the use of cupping displayed statistically significant differences in age, sex, and income among the participants. CONCLUSION The prevalence of CAM use among patients with chronic diseases in Al-Madinah is high. It appears to play an essential role in health care, particularly in treating patients with chronic diseases in this population. Therefore, promoting research in the field of CAM is warranted.
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Affiliation(s)
- Ahmed S Metwally
- Family and Community Medicine, Taibah University, Medina, SAU
- Family and Community Medicine, Suez Canal University, Ismailia, EGY
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Ahmed GEM, Ahmed EYM, Ahmed AE, Hemmeda L, Birier AB, Abdelgadir T, Hassan HMA, Alfadul ESA, Bakr M, Sadig E. Prevalence and reasons to seek traditional healing methods among residents of two localities in North Kordofan State, Sudan 2022: A cross-sectional study. Health Sci Rep 2023; 6:e1487. [PMID: 37621385 PMCID: PMC10444970 DOI: 10.1002/hsr2.1487] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2023] [Revised: 07/22/2023] [Accepted: 07/27/2023] [Indexed: 08/26/2023] Open
Abstract
Background and Aims Traditional medicines are one of Africa's primary response mechanisms to medical emergencies, while, in other communities, all healthcare decisions are based on indigenous traditions and beliefs. For millions of individuals who reside in rural areas throughout low- and middle-income nations, those healers serve as their only primary healthcare practitioners. This study intends to examine the availability, preferences, and practices of traditional medicine seeking among the Sudanese of North Kordofan state. Method A descriptive cross-sectional study was carried out in two conveniently chosen localities in North Kordofan state, namely Barrah, and Shaikan. A structured questionnaire with three sections-sociodemographic, attitudes, and forms of traditional medical practices-was used for face-to-face interviews with the residents. The frequency (n) and percentage (%) of categorical data are presented. The Chi-square and Fischer exact tests were performed to determine characteristics related to traditional medicine practice and the preferred type of medicine among participants; a p value of.05 was considered significant. Results A total of 302 residents took part in the study, with the 15-30 age group constituting the majority. The majority of participants (89.1%) used traditional medicine, and the majority of them (92.4%) learned about it from their families. The major type of traditional medicine (60.3%) used was a medical herbs-herb practitioner. Cultural influences (57%) and the effectiveness of traditional medicines (48.3%) were the most common reasons for seeking those medicines. Conclusion Most participants seek traditional medicine, with traditional herbs and holy recitation commonly used. Affordability, therapeutic effectiveness, and cultural and religious influence were reasons for preferring traditional medicine.
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Affiliation(s)
| | | | | | - Lina Hemmeda
- Faculty of MedicineUniversity of KhartoumKhartoumSudan
| | | | | | | | | | - Musab Bakr
- Faculty of MedicineUniversity of KhartoumKhartoumSudan
| | - Ethar Sadig
- Faculty of MedicineUniversity of KhartoumKhartoumSudan
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Cross-cultural comparison of mental illness stigma and help-seeking attitudes: a multinational population-based study from 16 Arab countries and 10,036 individuals. Soc Psychiatry Psychiatr Epidemiol 2022; 58:641-656. [PMID: 36583767 DOI: 10.1007/s00127-022-02403-x] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2022] [Accepted: 12/12/2022] [Indexed: 12/31/2022]
Abstract
BACKGROUND There is evidence that culture deeply affects beliefs about mental illnesses' causes, treatment, and help-seeking. We aimed to explore and compare knowledge, attitudes toward mental illness and help-seeking, causal attributions, and help-seeking recommendations for mental illnesses across various Arab countries and investigate factors related to attitudes toward help-seeking. METHODS We carried out a multinational cross-sectional study using online self-administered surveys in the Arabic language from June to November 2021 across 16 Arab countries among participants from the general public. RESULTS More than one in four individuals exhibited stigmatizing attitudes towards mental illness (26.5%), had poor knowledge (31.7%), and hold negative attitudes toward help-seeking (28.0%). ANOVA tests revealed a significant difference between countries regarding attitudes (F = 194.8, p < .001), knowledge (F = 88.7, p < .001), and help-seeking attitudes (F = 32.4, p < .001). Three multivariate regression analysis models were performed for overall sample, as well as Palestinian and Sudanese samples that displayed the lowest and highest ATSPPH-SF scores, respectively. In the overall sample, being female, older, having higher knowledge and more positive attitudes toward mental illness, and endorsing biomedical and psychosocial causations were associated with more favorable help-seeking attitudes; whereas having a family psychiatric history and endorsing religious/supernatural causations were associated with more negative help-seeking attitudes. The same results have been found in the Palestinian sample, while only stigma dimensions helped predict help-seeking attitudes in Sudanese participants. CONCLUSION Interventions aiming at improving help-seeking attitudes and behaviors and promoting early access to care need to be culturally tailored, and congruent with public beliefs about mental illnesses and their causations.
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Cucchi A. Integrating Cognitive Behavioural and Islamic Principles in Psychology and Psychotherapy: A Narrative Review. JOURNAL OF RELIGION AND HEALTH 2022; 61:4849-4870. [PMID: 35589995 PMCID: PMC9119255 DOI: 10.1007/s10943-022-01576-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Accepted: 04/24/2022] [Indexed: 06/15/2023]
Abstract
Standardisation of knowledge has become a by-product of globalisation, and western-based models are often seen as the ultimate answer to expertise and development. In light of this, some professionals have debated the feasibility of employing cognitive behavioural therapy (CBT) with Muslim communities. Debates have focused on CBT's secular roots and its compatibility with a world where Islam permeates most aspects of life. This article highlights some of the theoretical dilemmas of integration and suggests ways to bridge the existing gap between secular and Islamic literature and avoid alienating those individuals who might feel uncomfortable with secular CBT teachings.
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Child health advocacy in Saudi Arabia: Traditional medicine as a model. J Taibah Univ Med Sci 2022; 18:1-8. [DOI: 10.1016/j.jtumed.2022.07.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Revised: 06/01/2022] [Accepted: 07/03/2022] [Indexed: 11/19/2022] Open
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Buran-Omar AP, Alaban AG. Integrating Al-Hijamah into Healthcare System in Saudi Arabia: Hospital Staff's Perception, Possible Use, and Acceptability. Complement Med Res 2022; 29:228-234. [PMID: 35134806 DOI: 10.1159/000522469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2021] [Accepted: 02/06/2022] [Indexed: 11/19/2022]
Abstract
INTRODUCTION Al-Hijamah must be integrated into the conventional healthcare system in Saudi Arabia to respond to the unmet needs in modern medicine. This quantitative, cross-sectional study explores hospital staff's perception, possible use, and acceptability of Al-Hijamah as an alternative medicine for their patients. MATERIALS AND METHODS 359 physicians and nurses were randomly selected as respondents across ten government hospitals in Saudi Arabia. The awareness and acceptability of Al-Hijamah were determined using proportion estimation. Logistic regression was applied to determine the associations among the hospital staff's awareness and acceptability of its integration into the healthcare services. RESULTS Majority (75%) of the hospital staff exhibited a high level of knowledge regarding Al-Hijamah and a high level of acceptance (72%) on incorporating Al-Hijamah into their practice. Hospital staff with high level of knowledge were 3.5 times more likely to incorporate AL-Hijamah in their practice (p <0.000). Moreover, all 13 integration concepts have a positive acceptance rate (50% and above), showing a high degree of acceptance among hospital staff. CONCLUSION This study paves the way for the modification of current policies in the practice of complementary and alternative medicine in Saudi Arabia and suggests areas where the present healthcare system may be failing to meet patients' holistic care needs.
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AlSalman S, AlHussaini MA, Khandekar RB, Edward DP. The Proportion of Complementary and Alternative Medicine Utilization Among Saudi Population for Eye Care: Cross-Sectional Study. Cureus 2021; 13:e13109. [PMID: 33728129 PMCID: PMC7935158 DOI: 10.7759/cureus.13109] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Purpose To estimate the prevalence, determinants and perceived benefit of complementary and alternative medicine (CAM) use for ophthalmic purposes among the Saudi population. Methods A cross-sectional study was carried out in 2019 targeting visitors of King Khaled Eye Specialist Hospital (KKESH), Riyadh, Saudi Arabia. The survey had 18 questions in Arabic regarding the use of CAM for eye ailments. The magnitude was associated to the demographic and eye-related factors. Results We interviewed 999 participants. The prevalence of CAM usage was 21.9% (95% confidence interval 19.3; 24.5). Castor oil (49.3%), antimony (khohl alethmed) (40.6%), chamomile (19.6%), and green tea leaves (11.4%) were the most common medications used. Other traditional eye treatments included eye vitamins, faith healing (prayer, reciting Quran, Zamzam water), cautery, cupping, and acupuncture. Conclusions One in five Saudi eye patients used CAM. The factors governing this health behavior should be studied to change this practice pattern.
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Affiliation(s)
- Salma AlSalman
- Ophthalmology, King Khaled Eye Specialist Hospital, Riyadh, SAU
| | | | - Rajiv B Khandekar
- Ophthalmology, King Khalid Eye Specialist Hospital, Riyadh, SAU.,Ophthalmology, Faculty of Medicine, University of British Columbia, Vancouver, CAN
| | - Deepak P Edward
- Ophthalmology and Visual Sciences, University of Illinois College of Medicine, Chicago, USA
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Alazmi AS, Alhamad J. Attitudes and practices of complementary and alternative medicine among patients attending primary care center in Saudi Arabia: A prospective cross-sectional study. J Family Med Prim Care 2021; 9:5177-5182. [PMID: 33409184 PMCID: PMC7773103 DOI: 10.4103/jfmpc.jfmpc_871_20] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2020] [Revised: 06/14/2020] [Accepted: 08/31/2020] [Indexed: 11/04/2022] Open
Abstract
Introduction and objectives Estimated complementary and alternative medicine (CAM) usage in Saudi Arabia is 70%. The Saudi Food and Drug Authority, National Center for Complementary and Alternative Medicine (NCCAM) regulates the license-based practices of various CAM modalities including procedures, herbs, and devices. As an aid to help primary care physicians for understanding CAM practices among general population, this study aimed to explore the prevalence of CAM along with its most common modality, and to understand attitude and practices among patients attending primary care center in Riyadh (Saudi Arabia). Methods A prospective cross-sectional study was conducted among 403 literate patients aged more than 18 years, coming to the primary care center for regular check-up from 1st April 2019 to 1st April 2020 Saudi Arabia. Data was collected using self-administered questionnaire. Results Around 44.5% participants had practiced one method of alternative medicine in their life. Majority of participants who attended primary care centers belonged to the age group of 18-39 years (71.1%). The most common used method of alternative medicine was honey healing. More than half of the study participants had heard about the CAM from their family and friends. Nearly 45.7% had stated that the CAM cannot be used without consulting a medical professional. Nearly 3/4th population used it for treating up to 3 ailments. Conclusion Use of alternative medicine was found to be prevalent in Riyadh. Family and friends were recognized as gatekeepers for propagating information about CAM usage in the society. Primary healthcare physicians need to be trained on prevalent practices of CAM to understand the societal needs.
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Affiliation(s)
- Amal S Alazmi
- Family Medicine Center, Security Forces Hospital, Riyadh, Saudi Arabia
| | - Jamal Alhamad
- Family Medicine Center, Security Forces Hospital, Riyadh, Saudi Arabia
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Alyoussef A. Survey of use of herbal and home remedies for hair and scalp among women in North West Saudi Arabia. Dermatol Reports 2020; 12:8651. [PMID: 33408832 PMCID: PMC7772763 DOI: 10.4081/dr.2020.8651] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/04/2020] [Accepted: 09/08/2020] [Indexed: 01/14/2023] Open
Abstract
Herbal products and home remedies, especially those used as cosmetics, are widely used worldwide. Therefore, we conducted this study to discover the pattern of use of remedies in treating hair and scalp disorders in Tabuk, North West area of Saudi Arabia. A survey about use of herbal products and home remedies was prepared to evaluate their in hair and scalp. The questionnaire was distributed to 149 female hairdressers, hair products sellers and traditional healers as well as female customers in these places. We found about forty-one plants and eleven home remedies used for hair and scalp in Tabuk area. The most widely used plants were Henna (15.01%), coconut (10.22%) and olive (8.14%). They were widely used in hair damage (32.01%), hair endings (21.95%) and hair loss (21.94%). In parallel, the most widely used home remedies were yogurt (32.42%), eggs (26.91%) and honey (23.85%). They were widely used in hair damage (45.57%), hair endings (26.91%) and hair loss (19.88%). There were no differences between participants in the pattern of use of remedies regarding their education level of age group. In conclusion, many natural herbal medicine and home remedies are still in use in North West region of Saudi Arabia for hair and scalp. There is a great shortage in medical sources of information. Finally, many of used remedies lacks important scientific information about their usage and safety.
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Affiliation(s)
- Abdullah Alyoussef
- Department of Internal Medicine (Dermatology), Faculty of Medicine, University of Tabuk, Saudi Arabia
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Al-Rumayyan A, Alqarni H, Almanna BS, Althonayan N, Alhalafi M, Alomary N. Utilization of Complementary Medicine by Pediatric Neurology Patients and Their Families in Saudi Arabia. Cureus 2020; 12:e7960. [PMID: 32523818 PMCID: PMC7273452 DOI: 10.7759/cureus.7960] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Introduction Complementary medicine (CM) consumption is a common practice worldwide. The objective of this study is to find the prevalence of parents visiting the neurology clinic who utilize CM to treat their children. Methods This is a cross-sectional study that was done at King Abdullah Specialized Children Hospital (KASCH), Riyadh, Saudi Arabia between 2018 and 2019. By using a self-administered questionnaire, data were collected to recognize the prevalence of using CM and to identify the commonest type or method. Results A total of 352 parents were given the questionnaire. The prevalence of CM usage among participant was 42%, the most common type of CM was Quran recitation at 66%, followed by herbal medicine at 30% and cautery at 26%. Conclusion Almost half of the parents who visited the neurology clinic at KASCH have used complementary medicine for their children, and nearly three-quarters of the parents who never used CM have thought about using it. Therefore, CM is common in the Saudi Arabian culture.
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Affiliation(s)
- Ahmed Al-Rumayyan
- Neurology, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Hamoud Alqarni
- Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Bader S Almanna
- Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Naif Althonayan
- Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Mohammed Alhalafi
- Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
| | - Nawaf Alomary
- Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU
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Cucchi A, Liuzza MT, Saleem ZA, Al Hemiary NJ. A Study on the Effectiveness of Cognitive Behavioural Therapy for Obsessive Compulsive Behaviour in Iraq: Lessons for Cross-cultural Practice. Int J Cogn Ther 2020. [DOI: 10.1007/s41811-019-00065-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Alsharif FH, Mazanec SR. The use of complementary and alternative medicine among women with breast cancer in Saudi Arabia. Appl Nurs Res 2019; 48:75-80. [PMID: 31266612 DOI: 10.1016/j.apnr.2019.05.019] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2018] [Revised: 05/13/2019] [Accepted: 05/27/2019] [Indexed: 12/27/2022]
Abstract
PURPOSE The purpose of the study was to explore the frequency of use of complementary and alternative medicine (CAM) therapies among women with breast cancer in Saudi Arabia. DESIGN A descriptive cross-sectional study design was used with face-to-face interviews using a structured questionnaire. SAMPLE A convenient sample of 85 Saudi women with breast cancer who were undergoing cancer treatment was recruited from the Oncology Department of King Faisal Hospital, Jeddah, Kingdom of Saudi Arabia. METHODS Using structured questionnaire "Use of Complementary Therapies Survey," consisted of diet and nutritional supplements, stress-reducing therapies, and other traditional treatments. RESULT Participants were predominantly married (76.5%), resided in an urban area (83.5%), unemployed (62%), and about half reported no income (49.4%). The mean age was 48 years. All participants reported using at least three or more CAM therapies (mean = 21.15, SD = 8.85) since their diagnosis. There were significant correlations between other CAM use and time since diagnosis (rs = -0.33, p < .05). The highest usage of dietary and nutritional supplements occurred with honey, olive oil, antioxidants, Fennel flower seeds, and ginger. The highest stress reducing CAM techniques included reading the Holy Qur'ãn, and praying. For other traditional CAM therapies, positive thinking and relaxation techniques were the most frequent methods reported by women. Other CAM treatments involved ZamZam water and listening to music. CONCLUSIONS The use of complementary therapies among Saudi women with breast cancer is highly prevalent, with a predominance of interventions of religious background, indicating the strong influence of religion on peoples' lives, especially when people are faced with a life-threatening illness. The results of this study will guide future studies examining the efficacy of CAM on symptom management in Saudi Arabian women with breast cancer and other types of cancer.
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Affiliation(s)
| | - Susan R Mazanec
- Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, OH, United States of America
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Aboushanab T, Khalil M, Al Ahmari Y. The present state of complementary medicine regulation in Saudi Arabia. JOURNAL OF INTEGRATIVE MEDICINE-JIM 2019; 17:147-149. [DOI: 10.1016/j.joim.2019.03.010] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2019] [Accepted: 02/25/2019] [Indexed: 01/07/2023]
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Khalil MKM, El-Olemy AT, Aboushanab TS, AlMudaiheem A, Hussein AA, AlSanad S. Posttraining Knowledge Retention among Licensed Cupping Providers in Saudi Arabia. Complement Med Res 2019; 26:329-335. [PMID: 30943523 DOI: 10.1159/000497357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2018] [Accepted: 01/29/2019] [Indexed: 11/19/2022]
Abstract
BACKGROUND One of the licensing requirements for cupping providers in Saudi Arabia is to attend a compulsory training course that lasts 5 days for non-physicians and 4 days for physicians, irrespective of any previous experience in cupping therapy. The course is conducted by the National Center of Complementary and Alternative Medicine (NCCAM/MOH). As a part of course auditing, the current study aimed to evaluate knowledge retention among licensed cupping providers 1-3 years after passing the official cupping course. METHODS Licensed cupping providers were invited to attend a continuing medical education activity. Sixty-two attended the continuing medical education activity. Before the event, participants were asked to answer 35 multiple-choice questions taken from the same data bank as the pretest and posttest of the course. The test scores were linked and compared with the pre- and posttest of the training course. RESULTS A paired t test showed significant differences between the pre- and posttest knowledge scores (mean difference: 224.6 ± 86, p = 0.0001) and between the posttest and follow-up knowledge scores (mean difference: -115.26 ± 103.9, p = 0.0001). The follow-up score was still significantly higher than the pretest score, with a mean difference of 112 (95% CI: 83.66-140.34, p = 0.0001). There was no significant effect of category (physician vs. non-physician) on knowledge retention after controlling for the postcourse score. Gender, the total duration of experience, and total years of experience in cupping did not affect knowledge score retention between the physicians and the non-physicians. CONCLUSION The official cupping training course of the NCCAM/MOH achieved reasonable knowledge retention. To achieve long-term knowledge retention, refresher training/courses and continuous professional development will be required.
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Affiliation(s)
- Mohamed K M Khalil
- National Center of Complementary and Alternative Medicine, Ministry of Health, Riyadh, Saudi Arabia
| | - Ahmed T El-Olemy
- National Center of Complementary and Alternative Medicine, Ministry of Health, Riyadh, Saudi Arabia, .,Public Health and Community Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt,
| | - Tamer Shaban Aboushanab
- National Center of Complementary and Alternative Medicine, Ministry of Health, Riyadh, Saudi Arabia
| | - Abdullah AlMudaiheem
- National Center of Complementary and Alternative Medicine, Ministry of Health, Riyadh, Saudi Arabia
| | - Asim Abdelmoneim Hussein
- National Center of Complementary and Alternative Medicine, Ministry of Health, Riyadh, Saudi Arabia
| | - Saud AlSanad
- National Center of Complementary and Alternative Medicine, Ministry of Health, Riyadh, Saudi Arabia.,College of Pharmacy, Al Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia
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Alosaimi FD, AlAteeq DA, Bin Hussain SI, Alhenaki RS, Bin Salamah AA, AlModihesh NA. Public Awareness, Beliefs, And Attitudes Toward Bipolar Disorder In Saudi Arabia. Neuropsychiatr Dis Treat 2019; 15:2809-2818. [PMID: 31579220 PMCID: PMC6773966 DOI: 10.2147/ndt.s209037] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/17/2019] [Accepted: 09/16/2019] [Indexed: 11/23/2022] Open
Abstract
OBJECTIVES To examine public's knowledge, beliefs, and attitudes toward bipolar disorder (BP) in Saudi Arabia (SA). METHODS A cross-sectional survey was performed in 2016 in Riyadh, SA. The survey included sociodemographic characteristics and BP awareness scale. RESULTS Of 416 participants, 49.5% had prior knowledge of BP, mainly from internet and social media, and 57% considered it to be common in SA. About half believed BP is caused by a neurophysiological or neurochemical imbalance and that it can be treated with psychiatric medications. Supernatural causes, weak faith, and weakness of character were considered causes of BP by 55%, 48%, and 40% of participants, respectively. Recreational activities and head bandaging by traditional therapists were considered viable treatment options by 55% and 41% of participants, respectively. Students and healthcare professionals scored significantly higher on awareness scale. Regarding attitude, a majority believed that persons with BP can work effectively (86%), have to pull themselves together to get over it (47%), and consider it a shame to mention that someone in a family is affected by BP (32%). Regarding relationships, 22% were not willing to maintain a friendship and 39.3% were not willing to marry someone with BP. CONCLUSIONS This study revealed suboptimal public awareness towards BP in SA. It identified several misconceptions and negative attitudes toward patients with BP. Further studies are needed to investigate potential public interventions to improve literacy of BP.
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Affiliation(s)
- Fahad D Alosaimi
- Department of Psychiatry, King Saud University, Riyadh, Saudi Arabia
| | - Deemah A AlAteeq
- College of Medicine, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Sarah I Bin Hussain
- Department of Family Medicine and Polyclinics, King Faisal Specialist Hospital and Research Centre, Riyadh, Saudi Arabia
| | - Riham S Alhenaki
- Department of Pediatrics, King Abdullah Specialized Children's Hospital, KAMC, MNGHA, Riyadh, Saudi Arabia
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Al-Hashel JY, Ahmed SF, Alshawaf FJ, Alroughani R. Use of traditional medicine for primary headache disorders in Kuwait. J Headache Pain 2018; 19:118. [PMID: 30514208 PMCID: PMC6755714 DOI: 10.1186/s10194-018-0950-3] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2018] [Accepted: 11/21/2018] [Indexed: 01/03/2023] Open
Abstract
BACKGROUND Traditional Medicine (TM) is widely accepted to be used for the treatment headache disorders in Kuwait however, researches remain poorly documented. We aimed to study the frequency of TM use and its impact in the primary headache patients. METHODS This is a cross sectional self-reported efficacy study, which was conducted in Headache clinic in Kuwait throughout 6 months. Patients who were diagnosed with primary headache disorders of both genders aged from 18 to 65 years were included. Self-reported questionnaires were distributed to patients who used TM in the previous year. It included demographic, and characteristics of headache (headache frequency, duration, number of analgesic used in days per month and severity of headache). TM queried included blood cupping (Hijama), head banding, herbal medicine (sabkha), and diet modification. It assessed characters of headache before and 3 months after the final TM session. Independent sample t test, paired sample t test and Chi-square test were used to compare between different values. P < 0.05 is considered significant. RESULTS A total of 279 patients were included. The mean age is 40.32 ± 11.75 years; females represented 79.6% of the cohort. Most patients (n = 195; 69.9%) reported the use of TM before presentation to headache clinic, mainly Hijama (47.3%). Cultural / religious beliefs were the cause of seeking TM in 51.3% versus 10% used it due to ineffective medical treatment and 8.6% used it because of intolerance of medical treatment. Patients used TM were older at the onset of headache (24.24 ± 10.67 versus 20.38 ± 8.47; p < 0.003), and had longer headache disease duration (19.26 ± 13.13 versus 16.12 ± 11.39; p < 0.044). All patients with chronic headache (100%) and most of episodic migraine patients (90.4%) sought TM while only (31.5%) of Tension type headache sought TM; p < 0.047. Patients who sought TM had more frequent episodes of headache, longer duration of attacks and higher number of days of analgesic-usage respectively over last 3 months before presentation to our side (9.66 ± 7.39 versus 4.14 ± 2.72; p < 0.001), (41.23 ± 27.76 versus 32.19 ± 23.29; p <. 0009), (8.23 + 7.70 versus 3.18 ± 3.06; p < 0.001). At 3 months after the final TM session, there was no significant reduction of frequency of headache days per month (9.19 ± 7.33 versus 8.99 ± 7.59; p < 0.50), days of analgesic use per month (7.45 ± 7.43 versus 6.77 ± 6.93; p < 0.09) and duration of headache (41.23 ± 27.76 versus 41.59 ± 27.69; p < 0.78). However, there was a significant reduction of the severity of headache (p < 0.02). Few patients (17.9%) reported adverse events with TM. Most of TM cohorts were not satisfied after receiving this type of medicine. CONCLUSION TM was widely used in Kuwait for primary headache. Patients sought TM before seeking physician because they found them more congruent with their own cultural and religious beliefs. Health care professionals involved in the management of headache should be aware of this and monitor potential benefits or adverse events of TM. The usage of TM was not effective in reducing headache attacks and severity.
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Affiliation(s)
- Jasem Y Al-Hashel
- Department of Neurology, Ibn Sina Hospital, P.O. Box 25427, Safat, 13115, Kuwait City, Kuwait. .,Department of Medicine, Faculty of Medicine, Health Sciences Centre, Kuwait University, Kuwait City, Kuwait.
| | - Samar Farouk Ahmed
- Department of Neurology, Ibn Sina Hospital, P.O. Box 25427, Safat, 13115, Kuwait City, Kuwait.,Department of Neurology and Psychiatry, Al-Minia University, Minia, Egypt
| | | | - Raed Alroughani
- Division of Neurology, Amiri Hospital, P.O. Box 1661, Qurtoba, 73767, Kuwait City, Kuwait
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Khalil MK, Al-Eidi S, Al-Qaed M, AlSanad S. Cupping therapy in Saudi Arabia: from control to integration. Integr Med Res 2018; 7:214-218. [PMID: 30271709 PMCID: PMC6160619 DOI: 10.1016/j.imr.2018.05.002] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2018] [Revised: 05/08/2018] [Accepted: 05/10/2018] [Indexed: 01/14/2023] Open
Abstract
Cupping therapy or Hijamah is a leading traditional practice after spiritual healings and herbal medicine in Saudi Arabia. Wet cupping is by far the most common type of cupping therapy. Hijamah in Saudi Arabia and other Muslim countries is a model of religious influences, interconnectivity, and cross-cultural influences between different civilizations. Accordingly, differentiating the cupping practiced in Saudi Arabia, and other Muslims societies from that practiced in other countries like China, by Korea only by the technique or cupping sites is an underestimation of the differences. In Saudi Arabia, the profile or characteristics of cupping therapy user is distinct from the profile of other traditional medicine users by being more educated, with higher job rank and not affected by nationality or gender. After an era of unregulated practice, cupping therapy is currently regulated and monitored by the National Center for Complementary and Alternative Medicine in the Ministry of Health (NCCAM/MOH) of Saudi Arabia. Regulations and licensing include practitioners, practice place, and cupping equipment. After regulation, cupping is mainly offered by the private sector and paid directly by the client as insurance does not cover it. In the private sector, licensed cupping service is usually provided as a parallel and not an integrated service. However, there are few models of integrated cupping clinic in universities, academic institutions, and governmental hospitals. Further health system research is needed to develop more models of integrated cupping service pending for the healthcare transformation which is going on in Saudi Arabia.
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Affiliation(s)
- Mohamed K.M. Khalil
- National Center for Complementary and Alternative Medicine – Ministry of Health, Riyadh, Saudi Arabia
| | - Sulaiman Al-Eidi
- National Center for Complementary and Alternative Medicine – Ministry of Health, Riyadh, Saudi Arabia
| | - Meshary Al-Qaed
- National Center for Complementary and Alternative Medicine – Ministry of Health, Riyadh, Saudi Arabia
| | - Saud AlSanad
- National Center for Complementary and Alternative Medicine – Ministry of Health, Riyadh, Saudi Arabia
- College of Medicine, Al Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia
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20
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Al-Harthy M, List T, Ohrbach R, Michelotti A. Cross-cultural differences in types and beliefs about treatment in women with temporomandibular disorder pain. J Oral Rehabil 2018; 45:659-668. [DOI: 10.1111/joor.12683] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2018] [Revised: 06/17/2018] [Accepted: 06/30/2018] [Indexed: 11/27/2022]
Affiliation(s)
- Mohammad Al-Harthy
- Department of Oral Basic and Clinical Sciences; Faculty of Dentistry; Umm Al-Qura University; Makkah Saudi Arabia
- Department of Orofacial Pain and Jaw Function; Faculty of Odontology; Malmo University; Malmö Sweden
- Scandinavian Center for Orofacial Neurosciences (SCON); Malmö Sweden
| | - Thomas List
- Department of Orofacial Pain and Jaw Function; Faculty of Odontology; Malmo University; Malmö Sweden
- Scandinavian Center for Orofacial Neurosciences (SCON); Malmö Sweden
- Department of Rehabilitation Medicine; Skane University Hospital; Lund Sweden
| | - Richard Ohrbach
- Department of Oral Diagnostic Sciences; University at Buffalo; Buffalo New York
| | - Ambra Michelotti
- Department of Orthodontics and Temporomandibular disorders; University of Naples Federico II; Naples Italy
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21
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Albabtain H, Alwhaibi M, Alburaikan K, Asiri Y. Quality of life and complementary and alternative medicine use among women with breast cancer. Saudi Pharm J 2018; 26:416-421. [PMID: 29556133 PMCID: PMC5856939 DOI: 10.1016/j.jsps.2017.12.020] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Accepted: 12/31/2017] [Indexed: 12/31/2022] Open
Abstract
Background Complementary and Alternative Medication (CAM) is commonly used among women with breast cancer to improve their quality of life (QoL). However, few studies examine the prevalence of CAM and its’ relation to the patients’ QoL among women with breast cancer. Methods A cross-sectional study was conducted among 95 women with breast cancer at a tertiary hospital in Saudi Arabia. The outcome measure of interest was the QoL. The correlation was used to assess the association between CAM use and QoL. Bivariate and multivariate analyses were used to examine the factors that affect the use of CAM. The data was analysed using Statistical Package for the Social Sciences (SPSS) version 24.0. Results CAM use was reported by 81.1% of the study participants. The most commonly used CAM therapy was spiritual therapy 70.5%, followed by honey 36.8%, olive oil 24.2% and 23.2% herbal therapy. We found that those who were undergoing cancer treatment had a significantly higher percentage of CAM usage as compared to those not undergoing cancer therapy (72.6% vs. 8.4%, P=0.008). With regards to QoL, there was a statistically significant difference between CAM users and non-CAM users in global health status (73.2% vs. 64.8%, P = 0.049). Conclusions CAM therapy was commonly used among women in our study sample which was correlated with higher overall global QoL. As CAM is widely used, health care providers may need to discuss the use of CAM with breast cancer women and be up to date on the benefits and risk of CAM use through well-equipped training programs and workshops.
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Affiliation(s)
- Hadeel Albabtain
- Clinical Pharmacy Master Candidate, College of Pharmacy, King Saud University, P.O. Box 55069, Riyadh 11534, Saudi Arabia
| | - Monira Alwhaibi
- College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | | | - Yousif Asiri
- College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
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22
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Alrowais NA, Alyousefi NA. The prevalence extent of Complementary and Alternative Medicine (CAM) use among Saudis. Saudi Pharm J 2017; 25:306-318. [PMID: 28344484 PMCID: PMC5357106 DOI: 10.1016/j.jsps.2016.09.009] [Citation(s) in RCA: 68] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2016] [Accepted: 09/25/2016] [Indexed: 01/04/2023] Open
Abstract
Introduction: There is worldwide interest in the use of CAM. Studying CAM in Saudi population is important as it will reflect the influence of psychosocial, cultural and religious factors on health beliefs and behaviors. The objective of this study was to present an updated review on the use of CAM practices in Saudi Arabia including commonly used types, common conditions for which it has been used and who uses CAM. Methods: This review used data from national surveys conducted in Saudi Arabia and published between 2000 and 2015. The literature search was performed considering standards adopted such as Moose guidelines for observational studies. Two authors independently reviewed each article. The search yielded 73 articles, and a total of 36 articles were included. Further careful data extraction was carried out by two independents reviewers. Results: Most of the reviewed studies were cross-sectional in design and were published between 2014 and 2015, and mostly in Riyadh region. Substantial difference in the findings for the patterns of CAM use was revealed. The most commonly employed practice was of spiritual type such as prayer and reciting Quran alone or on water. Other types include herbs (8-76%), honey (14-73%) and dietary products (6-82%). Cupping (Alhijamah) was least used (4-45%). Acupuncture was more practiced among professionals. Conclusion: The utilization of CAM is widely practiced in Saudi Arabia. There is need for efforts to promote research in the field of CAM to address each practice individually. Population surveys should be encouraged supported by mass media to raise knowledge and awareness about the practice of different CAM modalities. The national center of CAM should play a major role in these efforts.
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Affiliation(s)
- Norah A. Alrowais
- Department of Family and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
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23
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Elaobda Y, Abu-Hamad M, Treister-Goltzman Y, Peleg R. Traditional Cautery for Medical Treatment Among the Bedouins of Southern Israel. J Immigr Minor Health 2017; 18:34-41. [PMID: 25651883 DOI: 10.1007/s10903-015-0166-4] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Traditional cautery for the cure of disease is an ancient and widespread mode of treatment in various cultures and is a central modality among Israeli Bedouins. To date the use of this treatment has not been assessed systematically. A personal interview was conducted among Muslim Bedouin patients who came to clinics in the Negev region in southern Israel. There were 250 participants including 128 women (51.2 %). The mean age was 45.16 ± 16.2 (range 18-86). Eighty nine (35.7 %) of the participants declared that they had personally undergone curative cautery therapy in the past. Two hundred and five (82 %) were familiar with this mode of therapy. Two thirds of those who underwent the treatment in the past said that it helped them a great deal and another 19 % said that it helped them somewhat. More men underwent the therapy than women (P = 0.034), believed in its effectiveness (P = 0.013), and declared that they were prepared to use it again in the future (P < 0.0001). Elderly patients, over the age of 61, used this therapy more than younger ones (P = 0.001). The majority of the Bedouin population in the Negev is familiar with cautery and a significant part of the population has personally undergone this therapy and believes that it is effective.
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Affiliation(s)
- Y Elaobda
- Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105, Beer-Sheva, Southern District, Israel.,Clalit Health Services, Beer-Sheva, Southern District, Israel
| | - M Abu-Hamad
- Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105, Beer-Sheva, Southern District, Israel.,Clalit Health Services, Beer-Sheva, Southern District, Israel
| | - Y Treister-Goltzman
- Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105, Beer-Sheva, Southern District, Israel. .,Clalit Health Services, Beer-Sheva, Southern District, Israel.
| | - R Peleg
- Department of Family Medicine and Siaal Research Center for Family Practice and Primary Care, Faculty of Health Sciences, Ben-Gurion University of the Negev, POB 653, 84105, Beer-Sheva, Southern District, Israel.,Clalit Health Services, Beer-Sheva, Southern District, Israel
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24
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Al-Hashem A. Health Education in Saudi Arabia: Historical overview. Sultan Qaboos Univ Med J 2016; 16:e286-92. [PMID: 27606106 DOI: 10.18295/squmj.2016.16.03.004] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2015] [Revised: 02/27/2016] [Accepted: 03/13/2016] [Indexed: 11/16/2022] Open
Abstract
This article provides a historical overview of the evolution of health education in Saudi Arabia. It outlines milestones in the development of the health education profession and traces the roles of various health sectors and their achievements in the health education field. Additionally, this review seeks to describe the status of health education professionals in Saudi Arabia.
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Affiliation(s)
- Anwar Al-Hashem
- Department of Health Education, King Saud Medical City, Riyadh, Saudi Arabia, E-mail:
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25
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Al-Darmaki F, Thomas J, Yaaqeib S. Mental Health Beliefs Amongst Emirati Female College Students. Community Ment Health J 2016; 52:233-8. [PMID: 26286081 DOI: 10.1007/s10597-015-9918-9] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2015] [Accepted: 08/10/2015] [Indexed: 11/28/2022]
Abstract
Recent epidemiological data from Arabian Gulf nations suggest that mental health problems such as depression and anxiety have a relatively high prevalence, particularly amongst women. However, despite the widespread morbidity, treatment seeking for mental health problems is low. Mental health beliefs amongst female Emirati college students were explored. A questionnaire exploring perceptions about the causes, consequences and best forms of intervention for mental health problems was administered to 70 participants. Data revealed that social and environmental factors were given the most weight in terms of etiology. Social stigma was the most frequently identified barrier to help seeking. Religious practices were commonly reported as an approach to cope with mental health problems and to maintain good psychological health. Most participants reported willingness to seek help from a healthcare professional. Results are discussed in terms of their implications for improving the quality and accessibility of mental health services in the gulf region.
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Al Mansour MA, Al-Bedah AMN, AlRukban MO, Elsubai IS, Mohamed EY, El Olemy AT, Khalil AAH, Khalil MKM, Alqaed MS, Almudaiheem A, Mahmoud WS, Medani KA, Qureshi NA. Medical students' knowledge, attitude, and practice of complementary and alternative medicine: a pre-and post-exposure survey in Majmaah University, Saudi Arabia. ADVANCES IN MEDICAL EDUCATION AND PRACTICE 2015; 6:407-20. [PMID: 26082671 PMCID: PMC4461096 DOI: 10.2147/amep.s82306] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/11/2023]
Abstract
BACKGROUND Evidently, complementary and alternative medicine (CAM) is a recognized medical practice that efficiently uses multiple treatment therapies and techniques in the prevention and management of a variety of human disorders. Many medical schools have integrated CAM curriculum in medical education system worldwide. Research in knowledge, attitude, and practice (KAP) of diverse health professionals exposed to CAM courses is important from many perspectives including improvement in KAP and teaching skills of faculty, together with capacity building and curriculum development. OBJECTIVE AND SETTING This pre- and post-design cross-sectional study aimed to assess CAM-KAP of two intakes of medical students in Majmaah University, Saudi Arabia. METHODS The second-year medical students of the first (year 2012-2013) and second (year 2013-2014) intake (n=26 and 39, respectively) were selected for this study. A reliable, 16-item self-administered questionnaire was distributed among all the students for answering before and after the 48-hour CAM course. The data were analyzed using appropriate statistical test of significance. RESULTS Medical students' knowledge and attitude toward CAM significantly improved across some subitems of CAM questionnaire with a positive trend in the rest of its items including their views on CAM practices. CONCLUSION CAM course tends to have a positive impact on KAP of medical students. The preliminary results of this study call for further research with a larger sample in academic settings across the nation.
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Affiliation(s)
| | - Abdullah MN Al-Bedah
- National Center of Complementary and Alternative Medicine, Ministry of Health, Saudi Arabia
| | - Mohammed Othman AlRukban
- Department of Family Medicine and Community Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Ibrahim S Elsubai
- National Center of Complementary and Alternative Medicine, Ministry of Health, Saudi Arabia
| | - Elsadiq Yousif Mohamed
- Department of Community Medicine and Public Health, College of Medicine, Majmaah University, Al Majma’ah, Saudi Arabia
| | - Ahmed Tawfik El Olemy
- National Center of Complementary and Alternative Medicine, Ministry of Health, Saudi Arabia
| | - Asim AH Khalil
- National Center of Complementary and Alternative Medicine, Ministry of Health, Saudi Arabia
| | - Mohamed KM Khalil
- National Center of Complementary and Alternative Medicine, Ministry of Health, Saudi Arabia
| | - Meshari Saleh Alqaed
- National Center of Complementary and Alternative Medicine, Ministry of Health, Saudi Arabia
| | - Abdullah Almudaiheem
- National Center of Complementary and Alternative Medicine, Ministry of Health, Saudi Arabia
| | - Waqas Sami Mahmoud
- Department of Community Medicine and Public Health, College of Medicine, Majmaah University, Al Majma’ah, Saudi Arabia
| | - Khalid Altohami Medani
- Department of Community Medicine and Public Health, College of Medicine, Majmaah University, Al Majma’ah, Saudi Arabia
| | - Naseem Akhtar Qureshi
- National Center of Complementary and Alternative Medicine, Ministry of Health, Saudi Arabia
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27
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AlGhamdi KM, Khurrum H, Al-Natour SH, Alghamdi W, Mubki T, Alzolibani A, Hafez DMY, AlDraibi M. Use of Complementary and Alternative Medicine Among Dermatology Outpatients: Results From a National Survey. J Cutan Med Surg 2015; 19:570-9. [PMID: 25926622 DOI: 10.1177/1203475415584867] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Little is known about the prevalence and practice of complementary and alternative medicine (CAM) among dermatology patients in the Arab world. The aim of this study was to determine knowledge and attitudes about CAM, prevalence of its use, reasons for its use, and types of CAM used in dermatology patients in Saudi Arabia. METHODS This was a national survey of various regions of Saudi Arabia. In this cross-sectional study, dermatology outpatients were interviewed using a questionnaire. Sociodemographic characteristics, acceptability, utilization pattern, and reasons for CAM use were elicited. Dermatology life quality index (DLQI) was obtained. RESULTS Overall, 1901 patients returned complete questionnaires out of 2500 distributed (76% response rate). Of these, 808 (40%) were CAM users, and the majority were woman (55.1%), with a mean age of 31.6±12 years. Most were literate (71.2%) and just over half were married (51.9%). Patients with acute skin diseases were found to be more likely to use CAM (P=.027). The mean DLQI score was higher (worse quality of life) among CAM users than among nonusers (P=.002). The results showed that 315 of 801 (40%) and 250 of 601 (30%) CAM users agreed that CAM methods are safer and more effective than modern medicine, respectively, and 83% will continue to use CAM in future. The most commonly used CAM modalities were vitamins, prayers, natural products, and herbs. Responses indicated that 379 of 803 (47.2%) CAM users did not consult their doctor before using CAM, and 219 of 743 (30%) did not obtain sufficient answers regarding CAM use from their dermatologists. CONCLUSIONS There is a significant use of CAM among dermatology outpatients in Saudi Arabia. In view of the common belief that CAM has fewer side effects than conventional medicine, dermatologists need to increase their awareness of CAM.
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Affiliation(s)
- Khalid M AlGhamdi
- Dermatology Department, College of Medicine, King Saud University, Riyadh, Saudi Arabia Vitiligo Research Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Huma Khurrum
- Vitiligo Research Chair, College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | | | - Waleed Alghamdi
- Department of Dermatology, Security Forces Hospital Riyadh, Saudi Arabia
| | - Thamer Mubki
- Department of Dermatology, College of Medicine, Al-Imam University, Riyadh, Saudi Arabia
| | | | | | - Mohammed AlDraibi
- Department of Dermatology, King Fahd Armed Forces Hospital, Jeddah, Saudi Arabia
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Mohammad Y, Al-Ahmari A, Al-Dashash F, Al-Hussain F, Al-Masnour F, Masoud A, Jradi H. Pattern of traditional medicine use by adult Saudi patients with neurological disorders. Altern Ther Health Med 2015; 15:102. [PMID: 25887047 PMCID: PMC4387768 DOI: 10.1186/s12906-015-0623-6] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2013] [Accepted: 03/17/2015] [Indexed: 11/24/2022]
Abstract
Background Traditional medicine (TM) has been established as a two-edged sword. On one edge numerous forms of TM have been proven safe and effective, while on the other edge various modes of TM have been shown to be futile and potentially dangerous. Resorting to TM, especially for chronic diseases, is common world-wide and includes Saudi Arabia. Most neurological diseases are chronic. No data is available on the utilization of TM among patients with neurological disorders. We conducted this study to assess for the prevalence, pattern, perception and triggers for TM use by the adult Saudi patients with neurological disorders. Methods A survey written in Arabic and comprised of 15 questions was used to collect data on the practice of TM among the neurology patients of King Saud University Ambulatory Clinic. The questions in the survey pertain mainly to the frequency of TM practice, its form and the patient’s opinion of this practice. The data was collected through a face to face interview by three medical students who were instructed on the survey questions prior to the launch of the study. Results 292 patients completed the survey (35.9% males and 64.0% females). 67% (n = 196) of the sample used TM. Cupping or what is commonly known as “hojamah” was the most prevalent method (45.4%) followed by herbs, skin cauterization and the Reciting of the Holy Quran (42.3%, 33.7% and 20.4% respectively). The prevalence of TM use did not differ across gender (chi-sq = 2.02; p-value = 0.15), level of education (chi-sq = 4.02; p-value = 0.40), health status (chi-sq = 2.29; p-value = 0.68), age groups (chi-sq = 5.12; p-value = 0.16), or perception toward TM (chi-sq = 2.67; p-value = 0.26) in this population. Conclusion The practice of TM is common among the neurology patients of Saudi Arabia. Cupping, herbs, and skin cauterization, which can be harmful when wrongly employed, are frequently utilized in this patient population. Measures and policies to endorse the appropriate use of TM by Saudi society must be implemented promptly. Electronic supplementary material The online version of this article (doi:10.1186/s12906-015-0623-6) contains supplementary material, which is available to authorized users.
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29
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Alosaimi FD, Alshehri Y, Alfraih I, Alghamdi A, Aldahash S, Alkhuzayem H, Al-Beeshi H. Psychosocial correlates of using faith healing services in Riyadh, Saudi Arabia: a comparative cross-sectional study. Int J Ment Health Syst 2015; 9:8. [PMID: 25685187 PMCID: PMC4328536 DOI: 10.1186/1752-4458-9-8] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/15/2014] [Accepted: 01/24/2015] [Indexed: 11/30/2022] Open
Abstract
BACKGROUND In this study, we compared the prevalence of psychiatric disorders and the characteristics of those who either use or do not use faith healers (FHs) services. We also assessed the independent factors of study subjects associated with using FHs. METHODS This cross-sectional study compared those who use FHs (n = 383) with a control group of those who do not use them (i.e., shopping mall visitors, n = 424) using a survey of sociodemographic characteristics and a validated Arabic version of the Mini International Neuropsychiatric Interview (MINI 6.0). RESULTS Participants who ranked higher among FH users included males, people who were either married, divorced, or widowed, those with less education, and those with lower income. They were more likely to report past medical and psychiatric history. Those with diagnosable psychiatric disorders were more likely to visit FHs, especially if the diagnosis was of psychotic and bipolar disorders. The prevalence of psychiatric disorders was higher among FH users, and depressive and anxiety disorders were the most prevalent. CONCLUSIONS The study showed that having past psychiatric history and a current psychiatric disorder are risk factors for using FHs. Also, a high percentage of FH users had a diagnosable psychiatric disorder. Further research should assess how to facilitate their access to the mental health system.
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Affiliation(s)
- Fahad D Alosaimi
- />Department of Psychiatry, King Saud University, P.O. Box 7805, Riyadh, 11472 Kingdom of Saudi Arabia
| | - Youssef Alshehri
- />Department of Psychiatry, Prince Sultan Medical Military City, Riyadh, Saudi Arabia
| | - Ibrahim Alfraih
- />Psychiatry Resident, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
| | - Ayedh Alghamdi
- />Psychiatry Resident, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
| | - Saleh Aldahash
- />Psychiatry Resident, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
| | - Haifa Alkhuzayem
- />Psychiatry Resident, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
| | - Haneen Al-Beeshi
- />Psychiatry Resident, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
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Abstract
Purpose
– The purpose of this paper is to examine sex differences in mental health service usage among upper-middle, lower-middle, and low-income countries (LICs).
Design/methodology/approach
– Data from 62 low- and middle-income countries (LAMICs) were collected with the World Health Organization – Assessment Instrument for Mental Health Systems (WHO-AIMS). Sex differences in mental health service utilization were assessed by comparing the proportion female in the general population with the proportion female treated for mental illness in five different types of mental health facility.
Findings
– Two-sided t-tests for significance (a=0.05) revealed a significant difference between the proportion female in the population and the proportion treated in inpatient facilities (community-based and mental hospitals) in LICs. There was also a trend toward decreased use of outpatient facilities by women in LICs (p=0.08). Lower-middle and upper-middle income countries showed no differences. In day treatment facilities for the entire sample, there was a significant difference between the proportion female in the population and the proportion treated female (weighted mean difference overall=0.10, p=0.035).
Research limitations/implications
– The authors found significantly reduced utilization of mental health services by women in LICs in community-based inpatient facilities and mental hospitals and a trend toward decreased use in outpatient facilities. Future studies investigating the factors contributing to the lower utilization of services by women in LICs are essential.
Originality/value
– This study presents the first comprehensive study of mental health service usage by sex in 62 LAMICs.
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Alosaimi FD, Alshehri Y, Alfraih I, Alghamdi A, Aldahash S, Alkhuzayem H, Albeeeshi H. The prevalence of psychiatric disorders among visitors to faith healers in Saudi Arabia. Pak J Med Sci 2014; 30:1077-82. [PMID: 25225530 PMCID: PMC4163236 DOI: 10.12669/pjms.305.5434] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2014] [Revised: 06/02/2014] [Accepted: 06/05/2014] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVE We investigated the prevalence of psychiatric disorders among visitors to Faith Healers (FHs) in Riyadh, Saudi Arabia. We also studied the sociodemographic profiles for these visitors, in addition to their past psychiatric history, reason(s) for seeking FH help, and past and current treatment experience with FHs. METHODS We conducted a cross-sectional study among the visitors (n=321) to a number of faith healing settings in Riyadh, Saudi Arabia using a specially designed questionnaire and validated Arabic version of The Mini International Neuropsychiatric Interview. RESULTS Most of the participants were young adults (35.1±10.8 years) and males with intermediate and secondary levels of education who had not sought medical help prior to their visits. A high proportion of the FH visitors have diagnosable mental illnesses. Depressive and anxiety disorders were the most prevalent among the study participants; few visitors were affected by psychotic or bipolar disorders. CONCLUSIONS The present study provides insight for understanding the type of patients with psychiatric disorders who visit Faith Healers.(FHs). The study highlights the tendency of psychiatric patients in Saudi Arabia to visit FHs, which could reflect the importance of further studies to clarify the impact of FHs on the management of those patients.
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Affiliation(s)
- Fahad D Alosaimi
- Fahad D. Alosaimi, MD, Assistant Professor, King Saud University, Riyadh, Saudi Arabia
| | - Youssef Alshehri
- Youssef Alshehri MD, Senior Registrar, Prince Sultan Medical Military City, Riyadh, Saudi Arabia
| | - Ibrahim Alfraih
- Ibrahim Alfraih, Psychiatry Resident, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
| | - Ayedh Alghamdi
- Ayedh Alghamdi, Psychiatry Resident, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
| | - Saleh Aldahash
- Saleh Aldahash, Psychiatry Resident, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
| | - Haifa Alkhuzayem
- Haifa Alkhuzayem, Psychiatry Resident, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
| | - Haneen Albeeeshi
- Haneen Albeeeshi, Psychiatry Resident, Saudi Commission for Health Specialties, Riyadh, Saudi Arabia
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Alosaimi FD, Al-Sultan OA, Alghamdi QA, Almohaimeed IK, Alqannas SI. Gender-specific differences in depression and anxiety symptoms and help-seeking behavior among gastroenterology patients in Riyadh, Saudi Arabia. NEUROSCIENCES (RIYADH, SAUDI ARABIA) 2014; 19:203-9. [PMID: 24983282 PMCID: PMC4727654] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
OBJECTIVE To evaluate the gender-specific difference in the prevalence of depression and anxiety and the help-seeking behavior among gastroenterology outpatients. METHODS A cross-sectional study was carried out in gastroenterology clinics in 4 hospitals in Riyadh, Saudi Arabia between February and September 2013. A self-administrated questionnaire was developed and administered to patients. The Patient Health Questionnaire (PHQ-9) and Generalized Anxiety Disorder (GAD-7) questionnaires were used to identify depression and anxiety. RESULTS A total of 438 patients completed the study questionnaire; 135 (31%) females, and 303 (69%) males. Compared with males, females had more depression symptoms (44% versus 32%, p=0.012), anxiety symptoms (34% versus 24%, p=0.036), anxiety-associated difficulty (65% versus 52%, p=0.012), but similar suicidal thoughts (14% versus 11%, p=0.347). Females had similar gastrointestinal complaints but longer duration of symptoms. In both females and males, the most common first interventions were using medications (63% versus 69%), and undergoing endoscopy (19% versus 15%), while very few patients initially used herbs or Islamic incantation `Roquia` (7% versus 8%). Compared with males, females were more likely to subsequently seek help at private clinics (23% versus 14%, p=0.014), or with a Quran therapist (11% versus 5%, p=0.012). CONCLUSION There are clear gender-specific differences in depression and anxiety symptoms and associated perceived difficulty, but modest differences in help-seeking behavior. Female patients at the gastroenterology clinic may deserve more psychological attention to diagnose depression and anxiety and to alleviate their impact.
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Affiliation(s)
- Fahad D. Alosaimi
- From the Department of Psychiatry, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia,Address correspondence and reprint request to: Dr. Fahad D. Alosaimi, Psychiatrist & Psychosomatic Medicine Consultant, Psychiatry Department #55, King Khalid University Hospital, King Saud University, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia. Tel. +966 (11) 4671226. Fax. +966 (11) 4672571. E-mail:
| | - Omar A. Al-Sultan
- From the Department of Psychiatry, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Qusay A. Alghamdi
- From the Department of Psychiatry, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Ibrahim K. Almohaimeed
- From the Department of Psychiatry, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia
| | - Sulaiman I. Alqannas
- From the Department of Psychiatry, King Khalid University Hospital, King Saud University, Riyadh, Kingdom of Saudi Arabia
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Allam S, Moharam M, Alarfaj G. Assessing Patients' Preference for Integrating Herbal Medicine Within Primary Care Services in Saudi Arabia. J Evid Based Complementary Altern Med 2014; 19:205-210. [PMID: 24760433 DOI: 10.1177/2156587214531486] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND Family physician advice and follow-up may be important to reduce the negative aspects of locally marketed herbal remedies and improve the patient outcome. There is a lack of studies assessing the preference of Saudi patients for the integration of herbal medicine into primary care services. OBJECTIVES To examine the knowledge, attitudes, and practice of Saudi patients toward herbal medicine and its integration into primary care services. METHODS A cross-sectional study was conducted between February and March 2013 among adult patients attending the family medicine clinics at a primary care center in Riyadh, Saudi Arabia. A self-administered questionnaire (27 items) was developed and administered to all patients. RESULTS A total of 240 patients were included in the current analysis. The average age was 33.5 ± 9.9 years, and 61% of the patients were women. Approximately 60% of the patients were aware of herbal medicine use and its possible side effects. More than 85% of the patients believed that herbal containers should be labeled with safety information. Approximately 71% of the patients had a favorable attitude toward integrated services. Approximately 65% of the patients used herbal remedies for themselves, and 42% used them for their children. Preference for integrated services was significantly associated with female sex, better knowledge, positive attitudes toward safety and regulations, and higher level of practice. CONCLUSIONS A good knowledge and a very favorable attitude toward integrating herbal medicine into primary care services were found among a group of patients attending a primary care center in Saudi Arabia.
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Affiliation(s)
- Safaa Allam
- 1 Family Medicine Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Maha Moharam
- 1 Family Medicine Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
| | - Gada Alarfaj
- 1 Family Medicine Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
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Awad A, Al-Shaye D. Public awareness, patterns of use and attitudes toward natural health products in Kuwait: a cross-sectional survey. BMC COMPLEMENTARY AND ALTERNATIVE MEDICINE 2014; 14:105. [PMID: 24646341 PMCID: PMC3999934 DOI: 10.1186/1472-6882-14-105] [Citation(s) in RCA: 45] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 07/20/2013] [Accepted: 03/12/2014] [Indexed: 01/23/2023]
Abstract
BACKGROUND There has been a global rise in the use of natural health products (NHPs). Proper regulation of NHPs is pivotal to ensure good quality control standards, enhance consumers' safety and facilitate their integration into modern healthcare systems. There is scarcity of published data on the prevalence of NHPs usage among the general Kuwaiti population. Hence, this study was designed to determine awareness, patterns of use, general attitude and information requirements about NHPs among the public in Kuwait. METHODS A descriptive cross-sectional survey was performed using a pretested self-administered questionnaire on a sample of 1300 Kuwaiti individuals, selected from six governorates in Kuwait using a multistage stratified clustered sampling. Descriptive and multivariate logistic regression analysis were used in data analysis. RESULTS The response rate was 90.2%. NHPs were thought to be herbal remedies by most of participants (63.5%), followed by vitamins/minerals (40.5%), traditional medicines (21.1%), probiotics (14.9%), amino acids and essential fatty acids (7.2%), and homeopathic medicines (5.6%). NHPs usage was reported by 71.4% (95% CI: 68.8-74.0%) of respondents, and mostly associated with females (OR: 1.90; 95% CI: 1.44-2.51). Herbal remedies were the most commonly used (41.3%; 95% CI: 38.5-44.2%). The most common reasons for using NHPs were to promote and maintain health and to prevent illness and build immune system. Family members and/or friends and mass media were the main sources for providing information about NHPs. About 18% of consumers have experienced a side effect due to using a NHP. Attitudes toward NHPs were generally positive; with more than 75% of participants believing that the Ministry of Health in Kuwait should regulate the claims made by the manufacturers of NHPs and it is important to talk to a medical doctor or a pharmacist prior to using NHPs. Most of the respondents showed increased interest to acquire knowledge about different types of information related to NHPs. CONCLUSIONS The prevalence of use of NHPs among Kuwaiti population is high. The present findings have major public health policy implications for Kuwait. Therefore, there is an apparent need to establish effective health education programs and implement better and more regulated NHPs use policies in Kuwait.
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Affiliation(s)
- Abdelmoneim Awad
- Department of Pharmacy Practice, Faculty of Pharmacy, Kuwait University, Kuwait City, Kuwait
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Use of complementary and alternative medicine for children: a parents' perspective. Complement Ther Med 2013; 21:496-500. [PMID: 24050586 DOI: 10.1016/j.ctim.2013.06.007] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2013] [Revised: 06/05/2013] [Accepted: 06/19/2013] [Indexed: 11/24/2022] Open
Abstract
OBJECTIVES The present study aims to detect the frequency and types of complementary and alternative medicine (CAM) therapies used for children and to explore parental motivating factors for using CAM for their children in Riyadh, Saudi Arabia. PARTICIPANTS AND METHODS This is a cross-sectional study that involved 462 families selected through a multistage cluster-sampling technique covering Riyadh region, Saudi Arabia. The sample was selected from 40 clusters, distributed proportionally according to the size of the population in the catchment area of primary health care centres (PHCCs). A structured questionnaire that contains items fulfilling the research objectives was used to collect data by research assistants. RESULTS The study included 926 parents, comprising 351 fathers and 575 mothers; 37.3% of them reported the use of CAM for their children including reciting the Quran, honey and Ferula asafoetida (26.1%, 21.5% and 18.8%, respectively). CAM was used six times higher for children of parents using CAM for themselves than children of parents who did not use CAM themselves (odds ratio (OR)=6.03, 3.9-9.37). Multivariate logistic regression showed that parental use of CAM (OR=3.0, 2.2-4.0), keeping CAM remedies at home (OR=2.3, 1.8-3.1), perceived success of CAM in practice (OR=1.8, 1.3-2.4) and preference of use of natural materials (OR=1.7, 1.2-2.5) were independent predictors of use of CAM for children. CONCLUSIONS In this study, around one-third of the parents used CAM for their children. Quran (Muslims' holy book) was the most common CAM type used for children. Parents' use of CAM for themselves is the most important predictor of its use for children. An in-depth study to investigate CAM use for specific diseases in children is recommended.
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Sorketti EA, Zainal NZ, Habil MH. The treatment outcome of psychotic disorders by traditional healers in central Sudan. Int J Soc Psychiatry 2013; 59:365-76. [PMID: 22433242 DOI: 10.1177/0020764012437651] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Alternative and traditional healing methods are common and popular in Sudan, particularly for treating people with mental disorders, but little information is available about the outcome of theses traditional healing approaches. OBJECTIVES To study the outcome of treating patients with psychotic disorders by traditional healers, and to understand the type of services, interventions procedures and treatments methods used by traditional healers to manage patients with psychotic disorders. METHOD A prospective follow-up quantitative study of a cohort of inpatients with psychotic disorders was carried out from admission until discharge. Subjects were people with psychotic disorders undergoing treatment in traditional healer centres in central Sudan. The Mini International Neuropsychiatric Interview (MINI) was used to diagnose the psychotic disorders and the Positive and Negative Syndrome Scale (PANSS) was used to assess the severity of psychotic symptoms on admission and discharge from the traditional healer centre. RESULTS We interviewed 129 inpatients with psychotic disorders on admission and discharge from the traditional healers centres. There was a significant reduction in the PANSS score (p = .0001) after a mean period of stay of 4.5 months. The mean for the overall PANSS score was 118.36 on admission and 69.36 on discharge. CONCLUSION Although traditional-healing approaches produce a significant improvement in the signs and symptoms of psychotic disorders measured on the PANSS, they need to be further investigated, assessed and studied.
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Affiliation(s)
- Ehab Ali Sorketti
- Department of Psychological Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
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Jazieh AR, Al Sudairy R, Abulkhair O, Alaskar A, Al Safi F, Sheblaq N, Young S, Issa M, Tamim H. Use of complementary and alternative medicine by patients with cancer in Saudi Arabia. J Altern Complement Med 2012; 18:1045-9. [PMID: 22906212 DOI: 10.1089/acm.2011.0266] [Citation(s) in RCA: 64] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND The use of complementary and alternative medicine (CAM) is common among patients with cancer. However, the issue is not well-studied among the Saudi patient population. Our study aimed at determining the patterns of CAM use among patients with cancer in Saudi Arabia. METHODS A cross-sectional study using interview-administered questionnaire was conducted in patients with cancer in the Oncology Department of King Abdulaziz Medical City for National Guards, Riyadh, Kingdom of Saudi Arabia. Patients were asked about CAM use including dietary supplement (DS) and non-DS remedies. Univariate and multivariate analyses were conducted to identify predicting factors for CAM use. RESULTS A total of 453 adult patients were enrolled in the study, with a median age of 53.5 years (14.7-94.6), and the ratio of females to males was 271/182 (59.8%/40.2%). Of those, 410 patients (90.5%) used some type of CAM remedy. Non-DS remedies were used by 399 patients (88%) and were mainly of a religious nature including reciting the Quran (74.8%), prayer (16%), supplication (13%), and others (3.7%). However, 386 patients (85.2%) used DS including: Zamzam water (59.8%), honey (54.3%), black seed (35.1%), water with the Quran recited over it (29.8%), and other remedies. The majority of patients (90%) used CAM as a cancer treatment and the rest used it for various reasons, such as symptom control or supportive treatment. Only 18% of the patients discussed CAM use with their physicians, compared to 68% discussing it with religious clergypeople (Sheikhs).The univariate analysis revealed that only female gender is a predictor of CAM use, which remained significant in a multivariate analysis, in addition to current employment. CONCLUSIONS The use of complementary therapies among Saudi patients with cancer is highly prevalent, with a predominance of interventions of religious background, indicating the strong influence of religion on peoples' lives, especially when people are faced with life-threatening illnesses.
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Affiliation(s)
- Abdul Rahman Jazieh
- King Saud bin Abdulaziz University for Health Sciences, and King Abdullah International Medical Research Center, National Guard Health Affairs Riyadh, Kingdom of Saudi Arabia.
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Abu-Qamar MZ, Wilson A. Qualitative content analysis of complementary topical therapies used to manage diabetic foot in Jordan. AFRICAN JOURNAL OF TRADITIONAL, COMPLEMENTARY, AND ALTERNATIVE MEDICINES : AJTCAM 2012; 9:440-8. [PMID: 23983379 PMCID: PMC3746670 DOI: 10.4314/ajtcam.v9i3.21] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
In order to alleviate diabetic foot problems, patients sometimes seek complementary therapies outside the professional context. This paper describes the use of complementary remedies as a topical treatment for diabetic foot ulcers among Jordanians. Qualitative content analysis was used to analyse written responses of 68 patients with diabetes who have used complementary therapies to treat diabetic foot problems. These 68 persons represented a subgroup of the study population surveyed using a questionnaire, to the effect of investigating diabetic foot treatments provided in Jordan. Informants were recruited from eight healthcare facilities established in the southern part of Jordan plus from one hospital established in the Jordanian capital. The study was approved by the Boards of Ethics of the participating healthcare facilities. Content analysis yielded the category "Complementary Therapies Used", which included a range of household items (olive oil, sesame oil, honey, and vinegar), and also some indigenous Jordanian herbs (Wormwood, Myrrh, Caper, and Henna among others). The remedies were used either as a monotherapy or as mixtures, to the common goal of treating diabetic foot problems. Other interventions like Al-cowy were also sought from traditional healers. Educational campaigns are required to increase the awareness of patients and their families on possible hazards of unwise complementary therapy use. The decisions on the use of such therapies should be made in agreement with the attending healthcare professionals.
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Affiliation(s)
- Ma'en Zaid Abu-Qamar
- Department of Adult Health Nursing, Faculty of Nursing, Mu'tah University, Mu'tah, Jordan.
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Al-Sharbati Z, Hallas C, Al-Zadjali H, Al-Sharbati M. Sociodemographic and Clinical Characteristics of Patients attending Psychotherapy in a Tertiary Care Hospital in Oman. Sultan Qaboos Univ Med J 2012; 12:25-32. [PMID: 22375255 DOI: 10.12816/0003084] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/19/2011] [Revised: 09/06/2011] [Accepted: 11/02/2011] [Indexed: 11/27/2022] Open
Abstract
OBJECTIVES There is significant evidence that psychotherapy is a pivotal treatment for persons diagnosed with Axis I clinical psychiatric conditions; however, a psychotherapy service has only recently been established in the Omani health care system. This study aimed to investigate the sociodemographic and clinical characteristics of attendees at a psychotherapy clinic at a tertiary care hospital. METHODS An analysis was carried out of 133 new referrals to the Psychotherapy Service at Sultan Qaboos University Hospital, a tertiary care hospital. RESULTS The majority of referrals were females (59%), aged 18-34 years, employed (38%), had ≤12 years of formal education (51%), and were single (54%). A total of 43% were treated for anxiety disorders (including obsessive compulsive disorder), while 22% were treated for depression. A total of 65% were prescribed psychotropic medications. The utilisation of the Psychotherapy Service and its user characteristics are discussed within the context of a culturally diverse Omani community which has unique personal belief systems such as in supernatural powers (Jinn), contemptuous envy (Hassad), evil eye (Ain) and sorcery (Sihr) which are often used to explain the aetiology of mental illness and influence personal decisions on utilising medical and psychological treatments. CONCLUSION Despite the low number of referrals to the Psychotherapy Service, there is reason to believe that psychotherapy would be an essential tool to come to grips with the increasing number of mental disorders in Oman.
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Affiliation(s)
- Zena Al-Sharbati
- Department of Behavioural Medicine, Sultan Qaboos University Hospital, Sultan Qaboos University, Muscat, Oman
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Awad AI, Al-Ajmi S, Waheedi MA. Knowledge, perceptions and attitudes toward complementary and alternative therapies among Kuwaiti medical and pharmacy students. Med Princ Pract 2012; 21:350-4. [PMID: 22377503 DOI: 10.1159/000336216] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/30/2011] [Accepted: 12/12/2011] [Indexed: 11/19/2022] Open
Abstract
OBJECTIVE To determine the knowledge, perceived effectiveness and harmfulness of complementary and alternative medicine (CAM) modalities, general attitude and the need for education in the use of CAM therapies among medical and pharmacy students. METHODS A descriptive and cross-sectional study was performed using a pre-tested questionnaire on a randomly selected sample of 250 students in Faculties of Medicine and Pharmacy, Kuwait University. Descriptive and logistic regression analyses were used in data analysis. RESULTS The response rate was 88.4%. CAM usage was reported by 122 (55.2%) of students, and mostly associated with females (OR 4.4, 95% CI 1.7-11.3). Herbal products were the most commonly used (83, 37.6%). Knowledge about 11 CAM modalities was generally poor, even among the respondents who claimed to know them most. The knowledge about herbal products was significantly better among 58 pharmacy students (49.2%) than 32 medical students (31.4%) (OR 2.0, 95% CI 1.1-3.6). Massage, herbal products and prayer/Qur'an reciting were perceived as being the most effective, while cauterization as the most harmful. Attitude toward CAM was positive, with 176 (79.7%) believing that CAM includes ideas and methods from which conventional medicine could benefit. Lack of trained professionals and lack of scientific evidence were the most perceived barriers for CAM implementation. 198 (89.6%) admitted the importance of knowledge about CAM for them as future healthcare practitioners. CONCLUSION The students acknowledged the need to be well educated about CAM to better advise their patients in the future.
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Affiliation(s)
- A I Awad
- Department of Pharmacy Practice, Faculty of Pharmacy, Kuwait University, Jabriya, Kuwait
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Bakhotmah BA, Alzahrani HA. Self-reported use of complementary and alternative medicine (CAM) products in topical treatment of diabetic foot disorders by diabetic patients in Jeddah, Western Saudi Arabia. BMC Res Notes 2010; 3:254. [PMID: 20925956 PMCID: PMC2958887 DOI: 10.1186/1756-0500-3-254] [Citation(s) in RCA: 36] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/26/2010] [Accepted: 10/06/2010] [Indexed: 11/10/2022] Open
Abstract
Background There is little published on current Saudi diabetic patients' practices when they are exposed to foot disorders such as open wound, ulcer, and skin cracks. These factors are usually influenced by local culture and communities beliefs. The aim of the current study was to identify the pattern of patients' use of CAM products in dealing with diabetic foot disorders topically in a group of diabetic patients. Findings A Cross-sectional descriptive study of a representative cohort of diabetic patients living in Jeddah, Saudi Arabia was designed. A pre-designed questionnaire to identify local diabetics' practices in dealing topically with foot disorders including open wound, chronic ulcer, and skin cracks was designed. Questionnaire was administered by a group of trained nutrition female students to diabetics face to face living in their neighborhood. A total of 1634 Saudi diabetics were interviewed. Foot disorders occurred in approximately two thirds of the respondents 1006 (61.6%). Out of the 1006 patients who had foot disorders, 653 reported trying some sort of treatment as 307 patients (47.1%) used conventional topical medical treatment alone, 142 (21.7%) used CAM products alone, and 204 (31.2%) used both treatments. The most commonly used CAM product by the patients was Honey (56.6%) followed by Commiphora Molmol (Myrrh) in (37.4%) and Nigellia Sativa (Black seed) in (35.1%). The least to be used was Lawsonia inermis (Henna) in (12.1%). Ten common natural preparations used topically to treat diabetic foot disorders were also identified. Conclusions The use of CAM products in topical treatment of diabetic foot disorders is fairly common among Saudi diabetic patients. Honey headed the list as a solo topical preparation or in combination with other herbs namely black seeds and myrrh. The efficacy of the most common products needs further research.
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Affiliation(s)
- Balkees A Bakhotmah
- Mohammad Hussein Al-Amoudi Chair for Diabetic Foot Research", Vice Dean for Clinical Affairs, Department of Surgery, College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
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