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El-Sayed MM, Hawash MM, Khedr MA, Hafez SA, Salem ESAEHES, Khaled AMS, Amin SM, El-Ashry AM. Golden steps: A nursing approach for vitality, agility, and rumination in geriatric clients with depressive disorders through mindful walking. Arch Psychiatr Nurs 2024; 51:212-221. [PMID: 39034080 DOI: 10.1016/j.apnu.2024.07.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2024] [Revised: 05/28/2024] [Accepted: 07/02/2024] [Indexed: 07/23/2024]
Abstract
BACKGROUND Depression is a prevalent issue among older adults and can significantly impact their overall quality of life. While traditional treatments may not always be sufficient or suitable for all individuals, the potential of alternative interventions, such as mindful walking, offers a ray of hope. This study aimed to evaluate the impact of mindful walking on rumination, agility, vitality, and mindfulness in geriatric patients with depressive disorders. METHOD A prospective quasi-experimental design was employed with a purposive sample of 35 clients in the intervention group and 33 in the control group. This study utilized the Ruminative Responses Scale - Short Form (RRS-SF) and Five Facet Mindfulness Questionnaire (FFMQ) to measure the primary outcome. The Timed Up and Go Test (TUG) and State-Level Version of the Subjective Vitality Scale (SVS) were used to measure the secondary outcomes. RESULTS Mindful walking significantly affected vitality, mindfulness, and rumination, with effect sizes (ղ2 = 0.168, 0.137, and 0.127), respectively. On the other hand, the intervention had a less significant effect on agility, with an effect size (ղ2 = 0.047). CONCLUSION This study revealed that geriatric clients with depressive disorders showed more significant improvements in vitality, followed by improvement in rumination and agility. Integrating mindful walking as a part of care plans for those clients would promote their physical activity and mental well-being.
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Affiliation(s)
- Mona Metwally El-Sayed
- Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
| | - Manal Mohammed Hawash
- Gerontological Nursing Department, Faculty of Nursing, Alexandria University, Egypt; Department of Public Health, College of Applied Medical Sciences, King Khalid University, Abha, Saudi Arabia.
| | - Mahmoud Abdelwahab Khedr
- Department of Nursing, College of Applied Medical Sciences, Hafr Albatin University, Hafr Albatin, Saudi Arabia; Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
| | - Sarah Ali Hafez
- Gerontological Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
| | | | - Asmaa Mohammed Saad Khaled
- Community Health Nursing, Faculty of Nursing, University of Alexandria, Egypt, College of Applied Medical Sciences, Shaqra University, Saudi Arabia.
| | - Shaimaa Mohamed Amin
- Community Health Nursing, Faculty of Nursing, Damanhur University, Damanhour, Egypt
| | - Ayman Mohamed El-Ashry
- Psychiatric and Mental Health Nursing Department, Faculty of Nursing, Alexandria University, Egypt.
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Okasha T, Mostafa BM, Ibrahim I, Abdelgawad AA, Lloyd CE, Sartorius N, Elkholy H. Comorbidity of depression and type 2 diabetes in Egypt results from the International Prevalence and Treatment of Diabetes and Depression (INTERPRET-DD) study. Int J Soc Psychiatry 2024; 70:730-738. [PMID: 38366940 DOI: 10.1177/00207640241228431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/19/2024]
Abstract
BACKGROUND Diabetes mellitus and depression are serious common diseases, and the number of people with both conditions is rising steadily. Depression in people with diabetes mellitus results in poorer prognosis through different mechanisms. On the other hand, the presence of diabetes in individuals with depression increases functional impairment that is associated with depression. AIMS The study aimed to assess the prevalence and factors associated with depression among adults with type 2 diabetes mellitus attending a diabetes clinic in Cairo, Egypt. METHODS A cross-sectional study was conducted among adult patients with diabetes type 2 attending a diabetes clinic in the endocrinology department in Ain Shams University Teaching Hospital, Cairo, Egypt. Data were collected through face-to-face interviews by trained psychiatrists and from patients' records. RESULTS The prevalence of depression among diabetic patients was 21.8% (95% CI [15.6%, 29.1%]). Depression was more common among younger age groups and those with a higher level of education. There was no significant difference between those with lifetime depression compared to those without depression regarding physical health complications. CONCLUSIONS The prevalence of depression among patients with type 2 diabetes is high. Given the impact of co-morbid diabetes and depression, diabetic patients should be routinely screened for the latter condition.
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Affiliation(s)
- Tarek Okasha
- Neurology and Psychiatry Department, Faculty of Medicine, Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt
| | - Bassem Murad Mostafa
- Internal Medicine and Endocrinology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
| | - Islam Ibrahim
- Neurology and Psychiatry Department, Faculty of Medicine, Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt
| | - Ahmed Adel Abdelgawad
- Neurology and Psychiatry Department, Faculty of Medicine, Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt
| | - Cathy E Lloyd
- Faculty of Wellbeing Education and Language Studies, The Open University, Milton Keynes, UK
| | - Norman Sartorius
- Association for the Improvement of Mental Health Programmes, Geneva, Switzerland
| | - Hussien Elkholy
- Neurology and Psychiatry Department, Faculty of Medicine, Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt
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El-Sayed MM, Taha SM, Abd-Elhay ES, Sonbol HM, Amin SM, Hawash MM. Cluttered spaces, strained bonds: Examining the correlation between hoarding symptoms and social functioning among long-term care facilities older adult residents. Geriatr Nurs 2024; 57:23-30. [PMID: 38493597 DOI: 10.1016/j.gerinurse.2024.03.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2024] [Revised: 02/22/2024] [Accepted: 03/07/2024] [Indexed: 03/19/2024]
Abstract
BACKGROUND Symptoms of hoarding, such as the inability to part with possessions, leading to significant clutter, are commonly observed among residents in long-term care facilities in Egypt. This behavior significantly impacts their social interactions and functioning. Therefore, this study examined the relationship between hoarding symptoms and social functioning among older adult residents in long-term care facilities. METHODS The study employed a cross-sectional survey on a purposive sample of 300 older adults. TOOLS Saving Inventory-Revised and Functional Idiographic Assessment Template-Questionnaire-Short Form were used. RESULTS The findings revealed a significant positive correlation between hoarding symptoms and social functioning (r = 0.682, p < 0.000). A linear regression analysis supported this correlation, establishing hoarding symptoms as a significant predictor of social functioning (adjusted R2 = 0.32). CONCLUSION The current study highlighted that a significant proportion of long-term care older adult residents displayed moderate hoarding symptoms and compromised social functioning. A noticeable positive association was observed between hoarding symptoms and social functioning. These results underscore the potential impact of hoarding symptoms on various aspects of social functioning. Given these findings, long-term care nurses should comprehend the various facets of compulsive hoarding behavior and devise effective strategies for assessment and intervention. Establishing support groups within these facilities could provide a platform for these residents to share their experiences and coping strategies. This could reduce interpersonal conflicts and argumentativeness and foster emotional expression and intimacy.
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Moustafa SA, Deif R, Gaballah N, Salama M. Cognitive Impairment and Non-Communicable Diseases in Egypt's Aging Population: Insights and Implications from the 2021-2022 Pilot of "A Longitudinal Study of Egyptian Healthy Aging" "AL-SEHA". INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2024; 21:151. [PMID: 38397642 PMCID: PMC10888087 DOI: 10.3390/ijerph21020151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/29/2023] [Revised: 12/12/2023] [Accepted: 12/29/2023] [Indexed: 02/25/2024]
Abstract
As the global population ages, the prevalence of cognitive impairment among older individuals has been steadily rising. Like many countries, Egypt is grappling with the challenges an aging demographic poses. The global network of longitudinal aging studies, modeled after the US Health and Retirement Study (HRS), includes over 40 countries but lacks representation from the Arab/North African region. The proposed 'A Longitudinal Study of Egyptian Healthy Aging' (AL-SEHA) will address this gap by providing data on aging in Egypt, the largest Arab/North African country, shedding light on the intricate relationship between cognitive impairment and non-communicable diseases (NCDs) in Egypt's aging population between 2021 and 2022. This study took place in five governments in Egypt and recruited 299 participants from a population of 50+. The results of the study are from the pilot stage of the original longitudinal study (AL-SEHA).
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Affiliation(s)
- Sara A. Moustafa
- Institute of Global Health and Human Ecology, The American University, New Cairo 11835, Egypt; (R.D.); (M.S.)
| | - Reem Deif
- Institute of Global Health and Human Ecology, The American University, New Cairo 11835, Egypt; (R.D.); (M.S.)
| | - Nada Gaballah
- Computer Science and Engineering Department, The American University, New Cairo 11835, Egypt;
| | - Mohamed Salama
- Institute of Global Health and Human Ecology, The American University, New Cairo 11835, Egypt; (R.D.); (M.S.)
- Toxicology Department, Faculty of Medicine, Mansoura University, Dakahlia 35516, Egypt
- Atlantic Senior Fellow of Equity in Brain Health at the Global Brain Health Institute (GBHI), Trinity College Dublin, D02 PN40 Dublin, Ireland
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Hawash MM, AlHazmi AH, El-Sayed MM, Mushfiq S, El-Ashry AM, Ahmed HA, Abd-Elrahman SI, Kamel WW, Hafez SA. Emotional eating behaviors in later life: Identifying key factors for healthy aging. Geriatr Nurs 2024; 55:152-160. [PMID: 37995607 DOI: 10.1016/j.gerinurse.2023.11.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2023] [Revised: 11/12/2023] [Accepted: 11/14/2023] [Indexed: 11/25/2023]
Abstract
BACKGROUND Pathological, physiological, and psychosocial factors could influence the eating behaviors of older adults in Egypt. Nurses and other healthcare professionals should understand this complex interaction to effectively address their nutritional issues. This study aimed to identify the predictors of emotional eating behaviors among older adults. METHODS The study followed a cross-sectional survey. A probability sampling technique was used to select the participants. Data was collected using the Emotional Eating Questionnaire and Perceived Stress Scales. RESULTS 98 % of the respondents were identified as moderate or severe emotional eaters. The study found a significant positive correlation between perceived stress and emotional eating behaviors (r = .436; p = .000). Multivariate analysis revealed that perceived stress, age, gender, marital status, and body mass index (BMI) have a significant positive relationship with emotional eating behaviors (p < .001), accounting for 39.3 % of the variation. CONCLUSION Emotional eating is common among older adults and is influenced by factors such as age, gender, marital status, BMI, and perceived stress. Nurses can use these findings to develop nutritional plans to promote healthy eating habits of this population.
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Affiliation(s)
- Manal Mohammed Hawash
- Dept. of Public Health, College of Applied Medical Sciences, Khamis Mushayt, King Khalid University, KSA, Saudi Arabia; Assistant Professor of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egyp
| | - Amani Hamad AlHazmi
- Dept. of Public Health, College of Applied Medical Sciences, Khamis Mushayt, King Khalid University, KSA, Saudi Arabia
| | - Mona Metwally El-Sayed
- Assistant Professor of Psychiatric and Mental Health Nursing, Alexandria University, Egypt
| | - Sakeena Mushfiq
- Dept. of Public Health, College of Applied Medical Sciences, Khamis Mushayt, King Khalid University, KSA, Saudi Arabia
| | | | - Hala Awad Ahmed
- Dept. of Public Health, College of Applied Medical Sciences, Khamis Mushayt, King Khalid University, KSA, Saudi Arabia
| | | | - Wagida Wafik Kamel
- Dept. of Public Health, College of Applied Medical Sciences, Khamis Mushayt, King Khalid University, KSA, Saudi Arabia
| | - Sarah Ali Hafez
- Assistant Professor of Gerontological Nursing, Faculty of Nursing, Alexandria University, Egyp
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Fakhari A, Herizchi S, Sadeghi-Bazargani H, Amiri S, Noorazar SG, Mirzajanzade M, Barzegar H, Farahbakhsh M, Azizi H. Prevalence of psychiatric disorders in the aging population in the northeastern of Iran. MIDDLE EAST CURRENT PSYCHIATRY 2023. [DOI: 10.1186/s43045-023-00287-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/18/2023] Open
Abstract
Abstract
Background
The prevalence of psychiatric disorders by demographic characteristics in elderly people is poorly understood, at least in the northwest of Iran. We aimed to estimate the prevalence of various psychiatric disorders in the elderly population in East Azerbaijan Province, Tabriz. A total of 1000 aging people were randomly selected from the general population. Data were collected using valid structured instruments and face-to-face interviews by trained psychologists. The Structured Clinical Interview for DSM-IV-TR (SCID-IV) and Abbreviated Mental Test Questionnaire were used. Chi-square (χ2) test was used for categorized variables, and an independent T-test was carried out for quantitative variables.
Results
Overall, 38.5% of the elderly had at least one mental disorder (47.2% women, 27.3% men). The prevalence of major depressive disorder (MDD) and any anxiety disorders was 16.6% (22.4% female and 9.3% male) and 16.7% (23.1% female and 8.6% male), respectively. Likewise, the overall prevalence of any depressive symptoms, post-traumatic stress disorder (PTSD), general anxiety disorder (GAD), obsessive-compulsive disorder (OCD), and panic disorders were 21.6%, 7%, 5.3%, and 5.9%, respectively. The prevalence of any mental disorder in the first, second, and third quartiles of the socio-economic level was 54.3%, 37%, and 17.8%, respectively. The prevalence of any mental disorders among the marginalized and the non-marginalized population is 55.3 and 31.5%, respectively.
Conclusions
We found 38.5% (47.2% women, 27.3% men) of the elderly people had any mental disorders, and 21.6% of them had any depressive disorders. The prevalence of mental disorders in elders was almost like adults and middle-aged people in this study. However, the prevalence of mental disorders was higher than in marginalized population and low socio-economic status.
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Abdelnaby R, Amer SA, Mekky J, Mohamed K, Dardeer K, Hassan W, Alafandi B, Elsayed M. Brain Chip Implant: Public’s knowledge, Attitude, and Determinants. A Multi-Country Study, 2021. Open Access Maced J Med Sci 2022. [DOI: 10.3889/oamjms.2022.9982] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/15/2022] Open
Abstract
Background: In August 2020, a brain chip was announced as implantation in the human brain targeted to boost brain activity without significant side effects.
The aim of this work was to examine the level of knowledge, awareness, and public concerns about the use of brain chip implants.
Methods: An online cross-sectional survey targeted 326 adults from more than five countries in the Middle East and North Africa during the period from May 2021 to July 2021. The data was collected through a validated self-administrated questionnaire composed of five sections. The collected data were coded and analyzed using suitable tests and methods.
Results: According to our results, 54.6% of the study participants mentioned that they had heard about the Brain Chip Implant; while only 6.1% stated that they knew its importance. The most common reported indication for the Brain Chip Implant was improving memory, followed by treatment of epilepsy and improving mental function. Brain Chip Implant safety seemed to be the most common public concern, as most of the participants were hesitant about using it and had concerns regarding its safety.
Conclusion: Medical personnel seems to be the most concerned about the use of the brain chip implant. Safety measures, confidentiality, and security procedures, respectively, are the major issues that might limit the broad use of the brain chip implant.
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Depression in Public Servants of Upper Egypt: Gender-specific Prevalence and Determining Factors. JOURNAL OF PREVENTION 2022; 43:623-638. [PMID: 35687258 PMCID: PMC9186271 DOI: 10.1007/s10935-022-00690-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Accepted: 05/23/2022] [Indexed: 11/01/2022]
Abstract
Mental health disorders, including depression, cause more than half of worldwide disabilities. We aimed to estimate the prevalence of depression and determine its associated factors among Egyptian public servants. We collected data from 3134 subjects (1619 females and 1515 males) via a self-administered questionnaire, including the Center of Epidemiological Studies-Depression (CES-D) scale, medical history, sociodemographic, familial, occupational, and behavioral characteristics of the recruited Egyptian Public servants. We used logistic and linear regression models to assess the determinants of depression. The prevalence of depression was 43.5% (52.9% in females and 33.4% in males) among public servants. The past history of depression was a significant determining factor of depression; adjusted odds ratio (aOR): 95% confidence interval (CI) was 2.58 (1.87, 3.57) in females and 3.28 (2.20, 4.87) in males. Other determinants were daily working hours: aOR = 1.11 (1.02, 1.19) and high job demands: aOR = 2.19 (1.40–3.41) in males, and the high job control in females: aOR = 0.51 (0.36, 0.73). With the past history of depression, job demands, job control, family structure, education level, and working status of the spouse predicted 41% of the total variance in the CES-D score in females; R2 = 0.41; whereas job demands, family structure, job hours per day predicted 40% of in males; R2 = 0.40. In conclusion, the determinants of depression varied by gender. Governmental interventions aiming to improve the work environment (job demands, control, and working hours) and individual responsibilities to improve the living arrangement and education level could help to curb the emerging risk of depression.
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Anbesaw T, Fekadu B. Depression and associated factors among older adults in Bahir Dar city administration, Northwest Ethiopia, 2020: Cross-sectional study. PLoS One 2022; 17:e0273345. [PMID: 35998120 PMCID: PMC9397869 DOI: 10.1371/journal.pone.0273345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2021] [Accepted: 08/05/2022] [Indexed: 11/22/2022] Open
Abstract
Background Depression is the most common psychiatric condition among older adults, and it goes unnoticed by individuals themselves and is under-diagnosed by clinicians due to the misconception that these are normal parts of aging. However, the problem is not properly addressed in Ethiopia. This study aimed to determine the prevalence and associated factors of depression among the older adults in Bahir Dar city. Methods A community-based cross-sectional survey was conducted among 423 older adults in Bahir Dar city. A simple random sampling technique was used to select the study participants. Depression was assessed using a 15-item Geriatric Depression Scale (GDS). A multivariable logistic regression analysis was used to explore the potential determinants of depression among the participants. Results The prevalence of depression among older adults was found to be 57.9% (95% CI: 53.2–62.6). This study showed that educational status with grades 5-8th (AOR: 5.72, 95% CI: 2.87–11.34), and 9-12th grade (AOR: 3.44, 95% CI: 1.59–7.41), income <2004 ETB (AOR = 1.89, 95% CI: 1.16–3.07), cognitive impairments (AOR: 3.54, 95% CI: 2.16–5.81), family history of mental illness (AOR:3.06, 95% CI: 1.03–9.04), and poor quality of life (AOR: 2.78, 95% CI: 1.74–4.46) were significantly associated with depression. Conclusion The prevalence of depression among older adults was found to be huge. Having low educational status, low monthly income, cognitive impairments, family history of mental illness, and poor quality of life were associated with depression. Therefore, raising community awareness of mental health, increasing social participation, providing supportive counseling and routine screening of depressive symptoms are essential in combating depression among Bahir-Dar city older adults.
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Affiliation(s)
- Tamrat Anbesaw
- Department of Psychiatry, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
- * E-mail:
| | - Betelhem Fekadu
- Department of Psychiatry, College of Medicine and Health Science, Wollo University, Dessie, Ethiopia
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Krishnan A, Odejimi O, Bertram I, Chukowry PS, Tadros G. A systematic review of interventions aiming to improve newly-qualified doctors' wellbeing in the United Kingdom. BMC Psychol 2022; 10:161. [PMID: 35754046 PMCID: PMC9235154 DOI: 10.1186/s40359-022-00868-8] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 05/09/2022] [Indexed: 11/30/2022] Open
Abstract
Background Newly-qualified doctors in the United Kingdom experience a great deal of stress and have poor wellbeing when compared to more senior counterparts. A number of interventions have been put in place to boost healthcare professionals’ wellbeing, but little is known about interventions aimed to improve the wellbeing of newly-qualified doctors in the United Kingdom. This study aims to systematically review current evidence of interventions which improved the wellbeing of newly-qualified junior doctors in the United Kingdom. Methods Five key electronic databases were searched. Subsequently, reference scanning and citation search was performed. Studies were included if they were conducted from the commencement of the Foundation Programme in 2004, until 2019. In addition, studies had to be performed on junior doctors: working in the United Kingdom and within their first five years post-qualification and have a quantitative outcome. Studies which did not meet these criteria were excluded. Quality was assessed using the modified Newcastle-Ottawa scale. Bias was not formally assessed using a standardised tool. Results Seven papers met the inclusion criteria and identified three main types of interventions: mentorship, mindfulness and clinical preparation interventions. The majority of included studies reported a positive result from the performed intervention, suggesting these to be beneficial in improving junior doctor wellbeing, and thereby reducing anxiety and stress levels. However, most of the studies used small sample sizes. Conclusions This review reveals that there is dearth of evidence on the effectiveness of intervention to improve the wellbeing of newly-qualified doctors in the United Kingdom. Most of the identified interventions focused on relieving stress and anxiety inherent within newly-qualified doctors’ training programmes. However, wellbeing interventions need to take into cognisance all the factors which impact on wellbeing, particularly job-related factors. We recommend that future researchers implement large-scale holistic interventions using appropriate research methods. Systematic review registration: PROSPERO CRD42019127341. Supplementary Information The online version contains supplementary material available at 10.1186/s40359-022-00868-8.
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Affiliation(s)
- Aditya Krishnan
- Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.
| | - Opeyemi Odejimi
- Psychiatric Liaison Team, Birmingham and Solihull Mental Health Foundation Trust, Birmingham, UK
| | | | - Priyamvada Sneha Chukowry
- Birmingham Heartlands Hospital, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
| | - George Tadros
- Aston Medical School, Aston University, Birmingham, UK
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Abdel-Wahab M, Okasha T, Shaheen M, Nasr M, Molokheya T, Omar AE, Rabie MA, Samy V, Hamed H, Ali M. Clinical Guidelines of the Egyptian Psychiatric Association for the Management of Treatment-Resistant Unipolar Depression in Egypt. Front Psychiatry 2022; 13:797150. [PMID: 35370819 PMCID: PMC8964405 DOI: 10.3389/fpsyt.2022.797150] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/26/2021] [Accepted: 02/04/2022] [Indexed: 11/13/2022] Open
Abstract
BACKGROUND Major depressive disorder (MDD) is a public health burden that creates a strain not only on individuals, but also on the economy. Treatment-resistant depression in the course of major depressive disorder represents a clinically challenging condition that is defined as insufficient response to two or more antidepressant trails with antidepressants of the same or different classes that were administered at adequate daily doses for at least 4 weeks. OBJECTIVE/HYPOTHESIS To develop a treatment guideline for Treatment Resistant Depression (TRD). METHODOLOGY Experts in the field gathered and reviewed the available evidence about the subject. Then, a series of meetings were held to create recommendations that can be utilized by Egyptian psychiatrists. RESULTS The guidelines provide recommendations in various clinical settings. It evaluates different situations, such as patients at risk of resistance, those with resistance and recommends strategies to resolve the clinical case. CONCLUSION The consensus guidelines will improve the outcomes of patients, as they provide recommendations across various domains that are of concern for the practicing psychiatrist.
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Affiliation(s)
- Momtaz Abdel-Wahab
- Department of Psychiatry, Kasr El-Aini Medical School, Cairo University, Giza, Egypt
| | - Tarek Okasha
- Okasha Institute of Psychiatry, Medical School, Ain Shams University, Cairo, Egypt
| | - Mostafa Shaheen
- Department of Psychiatry, Kasr El-Aini Medical School, Cairo University, Cairo, Egypt
| | - Mohamed Nasr
- Department of Psychiatry, Kasr El-Aini Medical School, Cairo University, Cairo, Egypt
| | - Tarek Molokheya
- Department of Psychiatry, Alexandria Medical School, Alexandria University, Alexandria, Egypt
| | - Abd ElNasser Omar
- Department of Psychiatry, Ain Shams Medical School, Ain Shams University, Cairo, Egypt
| | - Menan A Rabie
- Department of Psychiatry, Ain Shams Medical School, Ain Shams University, Cairo, Egypt
| | - Victor Samy
- Department of Psychiatry, Banha Medical School, Banha University, Benha, Egypt
| | - Hany Hamed
- Department of Psychiatry, Beni-Suef Medical School, Beni-Suef University, Beni-Suef, Egypt
| | - Mohamed Ali
- Faculty of Pharmacy, German University of Cairo, Cairo, Egypt
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Salama A, Mahmoud HAA, Kandeil MA, Khalaf MM. Neuroprotective role of camphor against ciprofloxacin induced depression in rats: modulation of Nrf-2 and TLR4. Immunopharmacol Immunotoxicol 2021; 43:309-318. [PMID: 34032546 DOI: 10.1080/08923973.2021.1905658] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
BACKGROUND Depression affects people feeling to be anxious, worried, and restless. They also lose interest in activities, concentrating and appetite, they finally may attempt suicide. Depression is the second chronic disease, as a source of the global burden of disease, after heart disease. Its prevalence elevated seven times during the COVID-19. AIM The current study was designed to evaluate camphor neuroprotective role against rats' ciprofloxacin-induced depression. MATERIALS AND METHODS Depression was induced by administration of ciprofloxacin (50 mg/kg; orally) for 21 days. Wister albino male rats were divided into five groups. Group I (normal control): rats were given normal saline. Group II: rats received camphor (10 mg/kg; i.p.) for 21 days. Group III (depression control): rats received ciprofloxacin only. Groups IV and V: rats received camphor (5 and 10 mg/kg; i.p.) for 21 days concurrent with ciprofloxacin. Behavior tests as forced swimming test, activity cage, and rotarod were estimated. Oxidative stress and antioxidant biomarkers as malondialdehyde (MDA), nitric oxide (NO), catalase, and nuclear factor erythroid 2-related factor 2 (Nrf-2) besides inflammatory biomarkers as Toll-like receptor 4 (TLR4) and tumor necrosis factor alpha (TNF-α) as well as neurotransmitters were determined. Finally, histopathological examination was done. RESULTS Camphor increased catalase and Nrf-2 activities, decreased NO, MDA, TNF-α, TLR4 serum levels, and elevating brain contents of serotonin, dopamine, gamma-amino butyric acid (GABA) and P190-RHO GTP protein with normal neuronal cells of the frontal cortex. CONCLUSION Camphor has neuroprotective effect via modulation of Nrf-2 and TLR4 against ciprofloxacin-induced depression in rats.
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Affiliation(s)
- Abeer Salama
- Department of Pharmacology, National Research Centre, Cairo, Egypt
| | | | - Mohamed Ahmed Kandeil
- Department of Biochemistry, Faculty of Veterinary medicine, Beni-Suef University, Beni Suef, Egypt
| | - Marwa Mahmoud Khalaf
- Department of Pharmacology & Toxicology, Faculty of Pharmacy, Beni-Suef University, Beni Suef, Egypt
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