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Stip E, Al Mugaddam F, Abdel Aziz K, Amiri L, Javaid SF, Arnone D, Almheiri E, Al Helali A, Oulhaj A, Statsenko Y, Ljubisavljevic MR, Wanigaratne S, Lungu O, Karpauskaite D, Aksionova V, Subbarayan A, Bangalore RP, Mancini-Marie A. Cross-cultural differences through subjective cognition: illustration in translatology with the SSTIC-E in the UAE. Front Psychol 2024; 15:1125990. [PMID: 38515979 PMCID: PMC10956416 DOI: 10.3389/fpsyg.2024.1125990] [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: 12/16/2022] [Accepted: 01/11/2024] [Indexed: 03/23/2024] Open
Abstract
The development of appropriate and valid multicultural and multilingual instruments research is necessary due to a growing multicultural and multilingual society in the 21st century. We explored the use of a cognitive scale related to subjective complaints, focusing on the first step: a cross-cultural and semantic validation. This study presents the translation and cross-validation process of the "Subjective Scale to Investigate Cognition in Schizophrenia" (SSTICS) for the United Arab Emirates (UAE) region via different languages used in Dubaï/Abu Dhabi. This scale measures cognitive complaints and has been validated with psychosis and used in 20 clinical trials worldwide. It evaluates areas of the illness related to self-awareness focusing on memory dysfunction and deficits of attention, language, and praxis. We described the method of cross-cultural validation, with back-translation, semantic steps, and societal contexts. The use of the Subjective Scale to Investigate Cognition in Emirates (SSTIC-E) was explored with different samples of UAE Arabic-speaking subjects. First, a pilot sample mean SSTICS total score was 16.5 (SD:16.9); (p < 0.001). The SSTIC-E was then administered to 126 patients and 84 healthy control participants. The healthy group has a lower mean score of 22.55 (SD = 12.04) vs. 34.06 (SD = 15.19). The method was extended to nine other languages, namely, Pakistani/Urdu, Hindi, Marathi, Lithuanian, Serbian, German, Romanian, Sinhala, and Russian. The scales are provided in the article. The overall aim of the translation process should be to stay close to the original version of the instrument so that it is meaningful and easily understood by the target language population. However, for construct validity, some items must be adapted at the time of translation to ensure that the questioned cognitive domain is respected. For example, cooking, an executive function, does not have the same occurrence for an Emirati male, or remembering a prime minister's name, semantic memory, requires an electoral system to appoint the leader of a country. Translation methods and processes present many challenges but applying relevant and creative strategies to reduce errors is essential to achieve semantic validation. This study aims to measure personally experienced knowledge or attitudes; such language effects can be a thorny problem.
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Affiliation(s)
- Emmanuel Stip
- Department of Psychiatry, Montreal University, Centre Hospitalier Universitaire de l’Université de Montreal, Instititut Universitaire en Santé mentale de Montréal, Montreal, QC, Canada
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Fadwa Al Mugaddam
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Karim Abdel Aziz
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Leena Amiri
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Syed Fahad Javaid
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Danilo Arnone
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
- Department of Psychiatry, University of Ottawa, Ottawa, Canada
- Department of Mental Health, The Ottawa Hospital, Ottawa, Canada
- Centre for Affective Disorders, Psychological Medicine, King’s College London, London, United Kingdom
| | - Eisa Almheiri
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Abdulla Al Helali
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | | | - Yauhen Statsenko
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Milos R. Ljubisavljevic
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Shamil Wanigaratne
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | | | | | | | - Aravinthan Subbarayan
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Ravi Pralhad Bangalore
- Department of Psychiatry, College of Medicine and Health Science, United Arab Emirates University, Al-Ain, United Arab Emirates
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Abdel Aziz K, Sajwani HS, Galadari M, Al-Ammari A, AlHassani J, Al-Nuaimi N, Elhassan Elamin M, Aly El-Gabry D. Psychiatric disorders in inpatient Ethiopian migrant workers in the United Arab Emirates. Transcult Psychiatry 2023; 60:997-1004. [PMID: 37753634 DOI: 10.1177/13634615231200855] [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: 09/28/2023]
Abstract
Migrant workers have higher rates of mental health problems than non-migrant workers, with Ethiopian migrant workers in the United Arab Emirates appearing to be overrepresented in the psychiatric inpatient population compared with their numbers in the general population. We sought to investigate the pattern of psychiatric inpatient admissions in Ethiopian migrant workers over a 10-year period (2011-2020) in order to highlight demographic and clinical characteristics, and to investigate factors predicting the length of hospital stay. We reported the mean and frequency of demographic and clinical data of Ethiopian psychiatric inpatients at one of the largest governmental hospitals in eastern Abu Dhabi between 2011 and 2020, and investigated factors predicting length of stay in hospital using linear regression. Our results show that Ethiopian expatriates made up 7.9% of all admissions over a 10-year period, had a mean length of hospital stay of almost 20 days, with 98.1% of them being female, 92.8% being domestic workers, 90.1% having a language barrier, 57.4% being single and 55.5.% having one or more recent stressors prior to admission. The most common diagnoses were acute stress reaction (31.6%), psychosis (29.3%), bipolar disorder (14.8%) and adjustment disorder (11.0%). Work-related stress, termination of employment and several clinical factors significantly predicted length of stay in hospital.
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Affiliation(s)
- Karim Abdel Aziz
- Department of Psychiatry, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Hawraa Sameer Sajwani
- Behavioural Sciences Pavilion, Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates
| | - Mohammed Galadari
- Behavioural Science Institute, Al-Ain Hospital, Al-Ain, United Arab Emirates
| | - Abeer Al-Ammari
- Behavioural Science Institute, Al-Ain Hospital, Al-Ain, United Arab Emirates
| | - Jameilah AlHassani
- Behavioural Science Institute, Al-Ain Hospital, Al-Ain, United Arab Emirates
| | - Nawwaf Al-Nuaimi
- Behavioural Science Institute, Al-Ain Hospital, Al-Ain, United Arab Emirates
| | | | - Dina Aly El-Gabry
- Okasha Institute of Psychiatry, Neuropsychiatry Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt
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Adel S, Abdel Aziz K, El Tabei D, Mahfouz NA, El-Gabry DA. Patterns and factors associated with consulting traditional healers on the care pathway of psychiatric patients in the United Arab Emirates. Int J Soc Psychiatry 2023; 69:1202-1212. [PMID: 36803107 DOI: 10.1177/00207640231154824] [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: 02/20/2023]
Abstract
BACKGROUND Despite the availability of mental health services in the United Arab Emirates (UAE), reluctance in seeking a mental health professional is widely prevalent. In many countries, psychiatric patients consult Traditional Healers (THs) prior to seeing mental health professionals. Data from the UAE on the pattern of consulting THs is limited. AIMS To investigate patterns and factors for visiting THs in psychiatric patients in Abu Dhabi, the capital of UAE. METHOD We conducted a cross-sectional study of patients attending the adult psychiatry clinic, Maudsley Health, Abu Dhabi. We assessed 214 patients for the pattern and possible factors for contact with THs on their pathway to psychiatric care. RESULTS There were 58 males and 156 females. Most (43.5%) had a depressive disorder. Prior to consulting a mental health professional, 28% had seen a TH, of whom 36.7% had only one visit and 60% had seen only one TH. Advice from a friend or family member was the commonest reason for consulting THs (81.7%). Envy was the commonest explanation given by THs for symptoms (26.7%). Female gender and having a high school education or less significantly predicted contact with THs. CONCLUSIONS Almost a third of our sample consulted THs prior to seeking psychiatric care. Closer collaboration with THs could help bridge the gap with psychiatrists to avoid delays in patients accessing psychiatric care, however caution is needed to mitigate the possible negative effects of such a collaboration.
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Affiliation(s)
- Shaden Adel
- Department of Psychiatry and Addiction, Faculty of Medicine, Cairo University, Giza, Egypt
- Maudsley Health, Abu Dhabi, United Arab Emirates
| | - Karim Abdel Aziz
- Department of Psychiatry, College of Medicine and Health Sciences, United Arab Emirates University, Al-Ain, United Arab Emirates
| | - Dina El Tabei
- Department of Psychiatry and Addiction, Faculty of Medicine, Cairo University, Giza, Egypt
- Maudsley Health, Abu Dhabi, United Arab Emirates
| | - Noha Adel Mahfouz
- Department of Psychiatry and Addiction, Faculty of Medicine, Cairo University, Giza, Egypt
| | - Dina Aly El-Gabry
- Neuropsychiatry Department, Faculty of Medicine, Okasha Institute of Psychiatry, Ain Shams University, Cairo, Egypt
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Abdulla A, Webb HC, Mahmmod Y, Dalky HF. Beliefs and Attitudes of Health Care Professionals Toward Mental Health Services Users’ Rights: A Cross-Sectional Study from the United Arab Emirates. J Multidiscip Healthc 2022; 15:2177-2188. [PMID: 36196232 PMCID: PMC9527001 DOI: 10.2147/jmdh.s379041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/18/2022] [Accepted: 09/01/2022] [Indexed: 11/23/2022] Open
Abstract
Purpose Patients and Methods Results Conclusion
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Affiliation(s)
- Ayesha Abdulla
- Vice President of Academic Affairs, Higher Colleges of Technology, Dubai, United Arab Emirates
| | - Heather C Webb
- Faculty of Business, Higher Colleges of Technology, Dubai, United Arab Emirates
- Correspondence: Heather C Webb, Higher Colleges of Technology, PO Box 15825, Dubai, United Arab Emirates, Tel +971563688746, Email
| | - Yasser Mahmmod
- Faculty of Health Sciences, Higher Colleges of Technology, Al Ain, United Arab Emirates
| | - Heyam F Dalky
- RN Faculty of Nursing Jordan University of Science & Technology, Irbid, Jordan
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