4 results
Schizophrenic with childhood trauma: characterization of a Tunisian sample
- A. Syrine, F. Rim, B. Olfa, G. Imen, S. Najeh, O. Sana, M. B. Manel, Z. Lobna, C. Nada, B. T. Jihen, M. Mohamed
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S1040
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Introduction
Schizophrenia is a neurodevelopmental process affecting approximately 1% of the population. Multiple studies have found that Childhood trauma is an important risk factor in the emergence and clinical course of schizophrenia.
ObjectivesThe purpose of this study was to assess the characteristics of schizophrenic inpatients with childhood trauma among a tunisian sample.
MethodsStabilized inpatients with schizophrenia at the Psychiatry C department at University Hospital in Sfax were involved in our study. Sociodemographic and clinical data of patients were collected from medical records.
We used Childhood Trauma Questionnaire-Short Form (CTQ-SF) to evaluate the occurrence of childhood maltreatment.
ResultsWe recruited 33 patients, all men with a mean age of 35 years and 4 months (SD=9.44 years).
They were married in 6.1% and 24.2% of patients had regular work.
The mean age of onset of the disorder was 24.42(3.25).The level of poor psychotropic medication adherence was 72.7%.
According to CTQ-SF, 78.8% of patients had experienced child trauma with a mean score of 35.67 (SD =8.61).
A rate of 39.4% reported having experienced one child trauma, while 60.6% reported having experienced more than one.
We found high rates of emotional neglect (87.8%) while emotional and physical abuse during childhood were experienced by 39.4%, and 6% respectively and physical neglect were found in 30.3% of cases.
Patients with more than one childhood trauma were found to have an earlier onset of psychosis (p=0.004)
The occurrence of childhood trauma was not associated with the socio-demographic characteristics of the respondents or the clinical features of the disease.
ConclusionsThe results point toward childhood emotional neglect being of specific importance to schizophrenia, which may be an area for future prevention and clinical attention.
Disclosure of InterestNone Declared
BORDERLINE PERSONALITY DISORDER: ATTITUDES OF PSYCHIATRY AND FAMILY MEDICINE RESIDENTS
- B. Olfa, O. Sana, A. Syrine, F. Rim, S. Najeh, G. Imen, C. Nada, B. T. Jihen, Z. Lobna, M. B. Manel, M. Mohamed
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S965
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Introduction
Patients with Borderline Personality Disorder (BPD) require a significant amount of time and effort on the part of general practitioners and psychiatrists, resulting in longer visits and complex medical records, with a poor resolution of both physical and mental symptoms.
These patients are likely to express feelings of anger and violence, compared to other patients which makes it difficult to deal with them.
ObjectivesTo determine attitudes toward patients with BPD among psychiatry and family medicine residents in Tunisia. To understand in addition the challenges that these professionals encounter in their everyday practice
MethodsAn online anonymous questionnaires was distributed through social networks to psychiatry residents and family medicine resident.
The attitudes of health professionals towards people with BPD was used to assess clinicians’ attitudes towards people with BPD.
ResultsThirty three clinicians were in the study. A high proportion of respondents (81.8%) were females .The age of the participants ranged from 25 to 34 years, with an average age of 28 years and 3 months (SD = 2.23).In our study 34% reported that they often see patients with borderline personality .The half of the participants (51.5%) reported a feeling being on guard when meeting borderlines while 36.4% were empathetic and neutral. The feeling of anger and frustration was reported with 12.1 % of the participants.
The most frequent cause of these feelings was the difficulty of taking care of patients with BPD.
The majority of the participants (51.5%) reported avoiding working with them. However, only 39.4% reported asking a colleague to replace them in their follow-up.
The results of Attitudes of health professionals towards people with BPD Scale indicate that clinicians generally present a positive attitude towards patient BPD with a mean score 94.94(SD=18.60)
ConclusionsWorking with patients with BPD can be challenging. Professionals’ attitude can create obstacles to effective communication and successful treatment.
Therefore, all clinicians should receive more specific training to be able to deal with this condition.
Disclosure of InterestNone Declared
Characteristics of patient with borderline personality disorder in a sample of Tunisian out patient
- O. Sana, S. Ajmi, B. Olfa, S. Najeh, F. Rim, G. Imen, C. Nada, B. T. Jihen, Z. Lobna, M. Mohamed, M. B. Manel
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S972
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Introduction
Borderline personality disorder (BPD) is a real source of suffering for people affected and for those around them.
ObjectivesThe aim of this study was to describe the socio-demographic and clinical characteristics of out patients with BPD consulting the psychiatry department of Hedi Chaker hospital in sfax tunisia during the period between January 2022 and October 2022.
MethodsIt was a descriptive study. The population study consisted of patients diagnosed with BPD (DSM 5) consulting the psychiatry department of the hospital Hédi Chaker of Sfax tunisia during the period from January 2022 to October 2022.
Sociodemographic and clinical data were collected using a predefined form.
All statistical analyses were performed using the SPSS software package v 18.
ResultsAmong 700 adult patients referred to the psychiatric unit of hedi chaker hospital in sfax from january 2022 to october 2022, 35 patients (5%) were identified as meeting the criteria for BPD.
The average age was about 35 years, 54.3% of the patients were men. They were married in 40% of cases.Only 31.4% of the patients had a regular job.
The presence of a family psychiatric illness was noted in 48.5% of cases and 20% had a childhood psychiatric follow-up .
The rates of sexual abuse, physical abuse, psychological abuse and neglect were 17.1%, 65.7% and 68.6% respectively.
In our sample,48.6% of the patients had attempted suicide and 60% of them had committed self-harm.
The most common means of attempted suicide was phlebotomy.No prior thoughts of suicide were mentioned, all suicide attempts were impulsive. Negative feelings and family conflicts motivated the suicide attempt (37.5% ,56.25%).
Comorbid psychiatric disorder was mentioned in 54.3% and The most frequent comorbid psychiatric disorders was depression (20%).
Pharmacotherapie was used in 88.6% of cases.
ConclusionsThe results emphasize on the comorbidities with mainly depressive episodes and a high proportion of suicide attempts and self-harm. Moreover, this study confirms the impact of family conflicts and abuse in the development of this disorder
Disclosure of InterestNone Declared
Impulsivity and cannabis use disorder among tunisian sample
- B. Olfa, S. Rim, O. Reehab, A. Syrine, Z. Abdelmajid, C. Farah, M. Rim, F. Ines, M. Jawaher
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S658
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Introduction
In the past few years, there has been a considerable amount of evidence that cannabis use can cause structural and functional brain abnormalities.Structural imaging studies of cannabis users have revealed reduced prefrontal cortex volumes and white matter damage that may be involved with impulsivity.Objectives: To Determine the level of dependence on cannabis among cannabis users consulting the detoxification center of Sfax, Tunisia To assess in addition the impact of cannabis on impulsivity and motor control.
MethodsThis is a cross-sectional, descriptive and analytical study that was conducted over a period of 13 months between September 15, 2020 and October 1, 2021 among cannabis users consulting the detoxification center of Sfax, Tunisia.A short form of the Barratt Impulsiveness Scale (the BIS-15) and a Cannabis Abuse Screening Test (CAST) were used to assess impulsivity and to determine cannabis abuse.Results: Thirty Eight cannabis users agreed to participate in this study. The distribution of CAST scores showed that 36 users (94.7%) had problematic cannabis use at the time of the study. The mean BIS 15 score was 38.2. In our sample, The level of impulsivity was highest in people with a high level of cannabis dependence. A higher level of impulsivity was found in younger subjects. However, a greater level of impulsivity was found in subjects with a lower socio-economic level. Concerning employment status, unemployment was significantly correlated with a higher level of impulsivity.
ConclusionsImpulsivity is often associated with a variety of problematic behaviors such as aggressive behavior, smoking, drug abuse, pathological gambling or compulsive buying.
A higher frequency of cannabis use and earlier age of onset use have been shown to be associated with the highest rates of impulsivity.
Therefore, cannabis addiction represents a real public health problem, both because of the serious complications and heavy repercussions that it causes.
Disclosure of InterestNone Declared