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Food addiction and impulsivity in adolescents: A cross-sectional survey of 360 cases
- M. Chaabane, D. Ben Touhemi, K. Chiha, W. Kammoun, J. Boudabous, I. Hajkacem, H. Ayadi, K. Khemakhem, Y. Moalla
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- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S732
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Introduction
Impulsive personality Traits have been highly associated with both alcohol abuse and drug addiction, but have been accorded little attention in the context of food addiction.
ObjectivesTo study the relationship between impulsivity and food addiction in school-aged adolescents.
MethodsIt is a cross-sectional, descriptive and analytical survey, conducted in a sample of secondary school students, randomly collected in 6 schools in the region of Sfax during February 2022. A pre established form of 33 questions, including socio- demographic and family information was used. Impulsivity was evaluated by the Barratt Impulsivity Scale (BIS-11; Patton et al., 1995). The BIS is a 30-item questionnaire that measures impulsivity along the following dimensions: cognitive, motor, and non-planning. The validated arabic version was used. *
The 25-item Yale Food Addiction Scale (YFAS), validated in Arabic, was used to assess food addiction in adolescents.
ResultsOur sample consisted of 360 adolescents, with an average age of 16.62 years, being male in 52.2% and with a low to medium socio-economic level in 72.7% of them.
A total of 20% of the adolescents showed a tendency to impulsivity, 23.6% had impulse control disorder.
The food addiction score of our sample ranged from 0 to 56 with an average of 16.37 ± 12.380.
The average food addiction score for adolescents with impulse control disorder was 20.21 ±14.819 while the average food addiction score for adolescents without impulse control disorder was 15.18 ± 11.291.
Food addiction was strongly associated with impulsivity (p < 0.001).In particularly, Non-planning impulsivity was most strongly correlated with food addiction (p < 0.001, r ꞊ 0.252)
ConclusionsImpulsivity, commonly related to addictive substance use behaviors, may be a significant risk factor for food addiction. Early monitoring of impulse control disorder may help to reduce addictive food consumption.
Disclosure of InterestNone Declared
Psychological impact of motor impairment in tow forms of congenital muscular dystrophy
- I. Boujelbene, M. Chaabane, M. Guirat, D. Ben Touhemi, N. Gharbi, M. Yousr, H. Kamoun, I. Ben Ayed
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- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S733
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Introduction
Congenital muscular dystrophies (CMDs) represent a heterogeneous group of early-onset muscle disorders presenting primarily with hypotonia and delayed motor development. Several genes are known to be responsible for CMDs, including the LAMA2 gene, involved in merosin-deficient type 1A (MDC1A), and the FKRP gene involved in muscular dystrophy-dystroglycanopathy type B5 (MDDGB5). These two forms of CMD are autosomal recessive and are each characterized by the presence of a mutation with a founder effect in South Tunisia. Cognitive development associated with the founder mutation in the LAMA2 gene (c.8007delT) is often conserved, whereas in the founder mutation of the FKRP gene (c.1364 C>A), motor impairment is associated with intellectual disability (ID).
ObjectivesTo compare the psychological impact of motor impairment in children presenting these two forms of CMD and their families.
MethodsThe study consisted of a survey of parents of children with a confirmed diagnosis of MDC1A (5 from 3 unrelated families) or MDDGB5 (3 from 3 unrelated families). The correspondent founder mutation was already identified in the homozygous state by targeted sequencing. Participants’ parents completed the Parent Strengths and Difficulties Questionnaire (SDQ), a behavioral screening tool designed for children aged from 2 to 17 years. The SDQ assesses emotional symptoms, behavior problems, hyperactivity, and peer relationships; The SDQ Impact Supplement assesses the impact of all these children’s difficulties on their families.
ResultsThe average age of the children was 4.95±3.92 with two children who were not assessable by the SDQ (age< 2 years). Unlike children with MDC1A, ID has been reported in all children with MDDGB5. The mean SDQ total score for children with MDC1A was 11, whereas the mean score for children with MDDGB5 was 14.875, reflecting greater difficulty for children with MDDGB5. The family impact score was higher in families with children with MDDGB5 than in children with MDC1A (10,5 vs 7), which may be due to the burden of management of the ID associated with the motor impairment. The more pronounced difficulties associated with MDDGB5 are likely to be related to the associated ID. Whereas in MDC1A, the difficulties observed are related to the direct impact of the motor impairment. The presence of cognitive disorders associated with a motor deficit aggravates behavioral adaptation and makes the management of these children more difficult.
ConclusionsIn the absence of a comparable study in the literature, the present is conducting future studies on the behavioral profile of children with CMD to obtain a better understanding of their difficulties in everyday life and to develop interventions adapted to their families
Disclosure of InterestNone Declared
Postnatal hospitalization and self-esteem in mothers
- K. Chiha, K. Khemakhem, C. Regaieg, D. Ben Touhemi, H. Ayadi, N. Hmida, A. Gargouri, Y. Moalla
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- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S723
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Introduction
Hospitalization in neonatology constitutes a narcissistic wound for the mother. This mother-baby separation disturbs the maternal identity and generates a strong feeling of failure and guilt.
ObjectivesTo assess self-esteem in mothers of babies hospitalised during the postnatal period in the neonatal unit and to identify risk factors associated with the persistence of low self-esteem 3 months after discharge.
MethodsThis was a longitudinal, descriptive and analytical study conducted between April and September 2021. The sample consisted of mothers of babies hospitalized in the neonatology department of Sfax-Tunisia for a period ranging from 5 to 15 days. Socio-demographic data were collected using a pre-established form. Self-esteem was assessed during the baby’s hospitalisation and 3 months after discharge, using the Rosenberg self-esteem scale, with 10 items, validated in Arabic.
ResultsThe sample consisted of 86 mothers with a mean age of 32.17 years.
Low to very low self-esteem was found in mothers in 81.20% of cases when their babies were hospitalised and in 68.40% of cases 3 months after discharge.
Some factors were significantly related to the persistence of low self-esteem in mothers after 3 months of their babies’ hospitalisation, such as a low educational level of the mother (p=0.017), an unattended pregnancy (p=0.034), the occurrence of a post-partum complication (p=0.043) and the absence of the first smile in the baby at the age of 3 months (p=0.008).
ConclusionsThis study shows a high prevalence of low self-esteem in mothers following hospitalization of their babies in the postnatal period. The concomitance with several socio-clinical factors contributes to the persistence of this low level of self-esteem in these mothers.
Appropriate early and multidisciplinary care helps to rebuild strong self-esteem in the young mother so that she can overcome her psychological difficulties and build a solid foundation for the mother-baby bond.
Disclosure of InterestNone Declared
Maternal stress and postnatal hospitalization of the baby
- K. Chiha, K. Khemakhem, C. Regaieg, D. Ben Touhemi, H. Ayadi, N. Hmida, A. Gargouri, Y. Moalla
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- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, pp. S722-S723
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Introduction
Postnatal hospitalisation is an extremely traumatic event for both mother and baby. Such a situation reflects a psychological dysfunction with a risk of developing a post-traumatic stress disorder.
ObjectivesTo study the level of stress in mothers of babies hospitalised during the postnatal period in the neonatal unit and to identify the risk factors associated with the persistence of high levels of stress 3 months after discharge.
MethodsThis was a longitudinal, descriptive and analytical study conducted between April and September 2021. The sample consisted of mothers of babies hospitalized in the neonatology department of Sfax-Tunisia for a period ranging from 5 to 15 days. Socio-demographic data were collected using a pre-designed form. The level of stress was assessed using the 22-item “Impact of Event Scale-Revised” (IES-R), validated in Arabic.
ResultsThe sample consisted of 86 mothers with a mean age of 32.17 years.
Severe stress symptoms were found in 77.90% of the mothers during their babies’ hospitalisation. They persisted in 8.90% of the young mothers 3 months after discharge from hospital.
Certain factors were significantly associated with the persistence of a high level of stress in mothers 3 months after the discharge of their babies, such as the occurrence of postpartum complications (p=0.012), the absence of visits to the baby’s intensive care unit (p=0.047) and a living environment with a single parent (p=0.034).
ConclusionsThe present study shows that the level of stress is quite high among mothers of babies hospitalised in neonatology during the postnatal period and that this symptomatology can last for months after discharge.
Prevention and reduction of stress induced by postnatal hospitalisation through parental guidance and psychological support for mothers strengthens interactions and the mother-baby bond.
Disclosure of InterestNone Declared
Familial Autism Spectrum Disorder : A clinical study from South Tunisia
- I. Boujelben, M. Chaabane, I. Ben ayed, D. Ben Touhemi, N. Gharbi, M. Guirat, I. HajKacem, H. Ayadi, H. Kamoun, Y. Moalla
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- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, pp. S390-S391
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Introduction
Autism Spectrum Disorder (ASD) is a multifactorial neurodevelopmental disorder, with both contribution of genetic and non-genetic factors. A collaboration of de novo mutations and prenatal with postnatal environmental factors are likely to play a role. ASD can be syndromic or non-syndromic. The etiology of non-syndromic ASD is still relatively undefined due to its genetic heterogeneity. Contrary to non-syndromic ASD, syndromic ASD is often associated with chromosomal abnormalities or monogenic alterations. Familial cases of ASD support the strong genetic component of ASD.
ObjectivesTo collect clinical arguments supporting a genetic cause of autism spectrum disorder.
MethodsWe present a clinical study of familial cases of ASD. The families were recruited as part of a collaborative project between the department of Medical Genetic and the department of Child Psychiatry in Hedi Chaker Hospital, Sfax, Tunisia. The clinical and paraclinical data were collected retrospectively.
ResultsOur study included 11 unrelated families from southern Tunisia, each with two ASD children, among them four couples of twins. Most families (80%) are consanguineous belonging to a middle socioeconomic class. None of the parents suffered from psychiatric disorder and a familial history of autism was reported in one family. Perinatal history, including advanced maternal or paternal age, fetal suffering and/or gestational problems, was found in 35% of cases.
The average age was 9.89 ± 3.787 (3 to 17 years) with a balanced sex-ratio.
ASD was syndromic in seven out of 11 families: facial dysmorphism in half of cases (6/11 families) and/or another comorbidity in 25% of cases (celiac disease, congenital heart disease or idiopathic hydrocephaly). ASD was associated with other(s) neurodevelopmental disorder(s) in all children. Most of cases (14/22) had delayed psychomotor development and all of them had intellectual disability with various degrees. Epilepsy was identified in three cases belonging to unrelated families. Other behavioral problem was identified in 65% of cases.
When the autism spectrum disorder is syndromic and/or associated with other(s) neurodevelopmental(s) disorder(s), this points more towards a genetic origin.
ConclusionsOur study highlights the interest of clinical investigations to determine genetic risk factors of ASD. The identification of a genetic cause in familial cases would contribute not only to better understand the pathological processes of ASD but also to provide an appropriate genetic counseling.
Disclosure of InterestNone Declared
Internet gambling disorder in adolescents: Prevalence and associated factors; A cross-sectional study of 360 cases
- M. Chaabane, D. Ben Touhemi, K. Chiha, W. Kammoun, J. Boudabous, I. Hajkacem, H. Ayadi, K. Khemakhem, Y. Moalla
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, pp. S732-S733
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Introduction
Gambling disorders have increased over time due to the easy availability of online games.
ObjectivesThe purpose of this study is to determine the prevalence of internet gambling disorder in an adolescent population and to identify associated factors.
MethodsIt was a cross-sectional, descriptive and analytical study, conducted among a sample of high school students, randomly collected in 6 schools in the region of Sfax during the month of February 2022. A pre-established form of 33 questions, including socio-demographic and family information was used.
The Arabic version of the Internet Gaming Disorder-20 (IGD-20) questionnaire was used to assess online gaming activity. It is a 20-item questionnaire on a five-point Likert scale ranging from 1 to 5 (strongly disagree to strongly agree). A respondent’s score was obtained by aggregating the 20 items. The higher the score, the more severe the gambling disorder. The cut-off score for the IGD-20 is 70. A score below 50 indicates occasional use; a score between 50 and 70 indicates problematic use; and a score above 70 indicates an online gambling disorder.
ResultsWe collected 360 adolescents, 52.2% of whom were male. The mean age of our patients was 16.62 years.
A total of 4.7% of the adolescents had an online gambling disorder, 26.9% had problematic use, while 68.3% were occasional users.
The analytical study revealed that online video game addiction was associated with male gender (p ꞊0.003), the presence of relationship problems with parents (p ꞊0.000), and low academic achievement (p ꞊0.000).
ConclusionsWe draw attention to the necessary debate between sensible and problematic use of new technologies and the need for longitudinal prevention in schools.
Disclosure of InterestNone Declared
The psychological impact on parents of children with pyridoxine-dependent epilepsy
- I. Boujelbene, M. Chaabane, M. Guirat, D. Ben Touhemi, S. Guidara, Y. Moalla, H. Kamoun, I. Ben Ayed
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- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S733
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Introduction
Pyridoxine-dependent epilepsy (PDE) is a rare autosomal recessive disease usually associated with neonatal seizures that are sensitive to pyridoxine (vitamin B6). This disease can have a significant impact on family functioning, with significant psychological distress in parents. Post-traumatic stress disorder (PTSD), depression, and anxiety are the most common psychiatric outcomes in parents of children with PDE.
ObjectivesTo investigate the prevalence of significant symptoms of depression, anxiety, and stress in parents of children with PDE.
MethodsThe study consisted of a survey of parents accompanying their children diagnosed with PDE. The diagnosis was already confirmed by objectifying a homozygous or a compound heterozygous mutation in the ALDH7A1 gene in all siblings with heterozygous carrier parents. The Impact of Event Scale-Revised (IES-R) was used to assess parental post-traumatic stress, and the Hospital Anxiety and Depression Scale was used to screen for parental depression and anxiety.
ResultsOur study included eight unrelated families with one infant presenting a confirmed PDE disease. The average age of the children with epilepsy was 4.18 years (8 months to 12 years) with equal representation of both sexes.
Half of parents surveyed had depressive symptoms and about two thirds reported anxious symptomatology. These troubles are mainly related to the uncertain prognosis of the disease, even with vitamin B6 supplementation, and the high risk of recurrence in siblings, which led some parents to not have other children. A higher anxiety scores was reported in parents who claimed to have difficulties in providing the necessary vitamin supplements to their affected children on a regular basis. PTSD was diagnosed in three parents: most parents reported difficulties in dealing with stress, specifically in relation to the unpredictability of seizures and the unavailability of medical care for their child, which taxed their financial resources and made it difficult for them to perform their roles effectively.
Besides, being an autosomal recessive transmission disease, the notion of responsibility/guilt was not reported by either parent, and both parents are equally involved in the care of their child.
ConclusionsA significant proportion of children’s parents with pyridoxine-dependent epilepsy are suffering from depression, anxiety, and post-traumatic stress. A deeper understanding of the clinical expressions of these troubles could help practitioners to develop prevention and intervention strategies for these parents.
Disclosure of InterestNone Declared
Cyber gaming addiction and impulsivity in adolescents
- K. Chiha, K. Khemakhem, M. Chaabane, D. Ben Touhemi, W. Kammoun, J. Boudabous, I. HadjKacem, H. Ayadi, Y. Moalla
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- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S511
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Introduction
The relationship between cyber video game addiction and impulsivity is controversial. Some studies have shown a significant link, others have found no association between the two behaviours.
ObjectivesTo study impulsivity in adolescents with problematic use of internet video games.
MethodsThis was a cross-sectional, descriptive and analytical study, conducted among a sample of adolescents randomly collected in 6 schools in the region of Sfax-Tunisia, during the month of February 2022. The rate of addiction to video games was assessed by the 20-item “Internet Gaming Disorder-20” (IGD-20) scale and impulsivity by the 30-item “Barratt Impulsivity Scale” (BIS-11). Both scales are validated in Arabic.
ResultsThe study involved 360 secondary school students, with a mean age of 16.62 +/- 0.822 years. The sex ratio was 1.09.
A gaming addiction was found in 4.7% of cases.
Similarly, impulse control disorder was noted in 23.6% of adolescents.
Problematic internet game use was significantly related to motor impulsivity (p=0.025).
There was no significant association between cyber video game addiction and cognitive or non-planning impulsivity.
ConclusionsAccording to the results, impulsiveness is a factor to consider for understanding the development of addiction to internet video games. Thus, impulsiveness should be taken into account to explain problematic gaming behaviour as well as to design preventive and treatment interventions.
Disclosure of InterestNone Declared
Food addiction behaviour and family relationship : about 360 cases
- K. Chiha, K. Khemakhem, M. Chaabane, D. Ben Touhemi, J. Boudabous, W. Kammoun, I. HadjKacem, H. Ayadi, Y. Moalla
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- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, p. S511
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Introduction
For several years, strong theoretical and clinical links have been established between intra-family relationships and eating disorders.
ObjectivesTo study intra-family relationships in adolescent with food addictive behaviour.
MethodsThis was a cross-sectional, descriptive and analytical study conducted among a sample of adolescents randomly collected in 6 schools in the region of Sfax-Tunisia, during the month of February 2022. The food addiction symptomatology was assessed by the “Dimensional Yale Food Addiction Scale version 2.0 For Children” (dYFAS-C 2.0) and the family attitude was studied by the “Brief Family Relationship Scale” (BFRS) which evaluates three dimensions: cohesion, expressiveness and conflict, each having a separate score. Both scales are validated in Arabic.
ResultsThe study involved 360 high school students, with a mean age of 16.62 +/- 0.822 years. The sex ratio was 1.09.
The total score for food addiction symptomatology in our sample ranged from 0 to 56 with an average of 16.37 +/- 12.380.
Of the three dimensions of the quality of intra-family relationships studied, conflict had the highest mean score: 25.29+/-9.027.
A high food dependence score was significantly related to these three dimensions of the intrafamily relationship: lack of conflict (p=0.044), cohesion (p=0.011) and expressiveness (p=0.005) presence.
ConclusionsThe present study shows that the symptomatology of food addiction is influenced by the quality of the intra-family relationship.
Enhanced perception of the family environment and involvement of the family in possible care can help to prevent the onset of eating disorders and to plan an appropriate intervention.
Disclosure of InterestNone Declared
Stress and self-esteem in young high school students
- K. Chiha, D. Ben Touhemi, M. Chaabane, J. Boudabous, W. Kammoun, I. HadjKacem, H. Ayadi, K. Khemakhem, Y. Moalla
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- Journal:
- European Psychiatry / Volume 66 / Issue S1 / March 2023
- Published online by Cambridge University Press:
- 19 July 2023, pp. S511-S512
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Introduction
The course of adolescence is marked by feelings of insecurity, vulnerability and can be accompanied by the emergence of several mental health problems.
Having a good self-esteem brings many benefits such as security, well-being and a strong sense of confidence. Low self-esteem is often accompanied by psychological distress such as stress.
ObjectivesTo assess the level of stress and self-esteem in young high school students and to identify the risk factors associated with low self-esteem in these adolescents.
MethodsThis was a cross-sectional, descriptive and analytical study conducted among a sample of adolescents randomly collected in 6 schools in the region of Sfax-Tunisia, during the month of February 2022. The level of stress was assessed using the Lovibond Depression Anxiety Stress Scale (DASS-21) and self-esteem by the Rosenberg Self-Esteem Scale, both scales are validated in Arabic.
ResultsWe collected 396 adolescents. The mean age was 16.65+/-0.897 years and the sex ratio was 0.82.
Of these adolescents, 102 had stress symptoms according to the DASS-21 scale, i.e. 26% of the sample. Stress was severe to extremely severe in 37.2% of cases.
Low to very low self-esteem was found in 65.7% of cases compared to 14.7% with high self-esteem.
In addition to the association with high levels of stress in these adolescents (p=0.002), low self-esteem was associated with other psycho-social factors such as intra-family relationship problems (p=0.014), a history of repeating a year (p=0.026), low to average school performance (p=0.027) and behavioural problems in the school environment (p=0.032).
ConclusionsThese results suggest that the association of stress with certain psycho-social factors helps the deterioration of self-esteem in adolescents and vice versa.
Having high self-esteem may protect the individual from psychological vulnerabilities such as stress and help him/her to cope with them.
Disclosure of InterestNone Declared
Perceived stress among physician parents during COVID-19 pandemic
- N. Regaieg, D. Ben Touhemi, A. Fayala, J. Boudabous, W. Kammoun, K. Khemakhem, I. Hadj Kacem, H. Ayadi, Y. Moalla
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- European Psychiatry / Volume 65 / Issue S1 / June 2022
- Published online by Cambridge University Press:
- 01 September 2022, pp. S485-S486
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Introduction
Stress among physician parents is still poorly studied, especially during the SARS-COV-2 pandemic.
ObjectivesTo describe the stress of being both a doctor and a parent during COVID-19 epidemic.
MethodsIt was a cross-sectional, descriptive and analytical study, carried out on google drive in March 2021, and relating to 93 Tunisian medical parents. We used a questionnaire containing the parents’ personal and professional data as well as the perceived stress scale (PSS10).
ResultsThe majority of parents (94.7%) were women. The average age was 34.43 years old. The average age of marriage was 29.6 years for men and 25.4 years for women. The majority of parents (89.4%) had one or two children and 70.2% were satisfied with their relationship with their children. On another side, 71.3% of doctors had to provide on duty services in the hospital, with 44.1% providing 3-4 on-calls per month, while 69% were providing on duty services in the COVID units. The average PSS score was 22.6. The distribution of scores indicated medium and high stress level in respectively 84.9% and 14% of parents. Furthermore, the PSS score was negatively correlated with the marriage age (p = 0.046, r = -0.2). On the other hand, no association was observed with the children number nor with the satisfaction of the relationship with his child.
ConclusionsIt follows from our study that stress among physician parents is at a fairly high level. Managing this stress during a pandemic is not easy and requires the activation of several defense mechanisms.
DisclosureNo significant relationships.
Depressive disorders among physician parents in times of COVID-19 pandemic
- N. Regaieg, D. Ben Touhemi, A. Fayala, J. Boudabous, W. Kammoun, K. Khemakhem, I. Hadj Kacem, H. Ayadi, Y. Moalla
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- European Psychiatry / Volume 65 / Issue S1 / June 2022
- Published online by Cambridge University Press:
- 01 September 2022, pp. S552-S553
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Introduction
Studies have shown that physicians manifest a clear duty to work. For parents, reconciling work with parenthood is not easy and can even lead to depression.
ObjectivesTo determine the prevalence and the factors for depression in Tunisian physician parents.
MethodsThis was a descriptive and analytical cross-sectional study of 93 Tunisian physician parents, conducted on google drive in March 2021, including a questionnaire containing the parents’ personal and professional data and the Beck Depression Inventory (BDI).
ResultsIn our study, the sex ratio (M/F) was 0.05. The average age was 34.43 years old. Almost three-quarters of doctors (71.3%) were providing on duty services in the hospital while 69% were providing at least one call per month in COVID units. The average BDI score was 6.16. According to the BDI score, 60.9% of participants had depression. The BDI score was correlated with several types of dissatisfaction: dissatisfaction with the relationship with his child (p = 0.002), time devoted to the partner (0.001), time devoted to the child (p = 0.004), child’s educational style (p <0.001), time spent on leisure or personal activities (p <0.001), child’s academic performance (p = 0.001) and child’s behavior (p <0.001). Furthermore, the BDI score was associated with postponing having a child for career reasons (p = 0.038) and thinking that his career is slowed down by parenthood (p <0.001).
ConclusionsDepression’s rate among physician parents appears to be significant. It’s associated with a feeling of guilt and dissatisfaction, hence the necessity of an early detection and management.
DisclosureNo significant relationships.
Quality of Life, Anxiety and Depression in Patients with Cancer
- W. Abbes, I. Feki, D. Ben Touhèmi, I. Ayedi, I. Baati, J. Masmoudi, M. Frikha, A. Jaoua
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- European Psychiatry / Volume 30 / Issue S1 / March 2015
- Published online by Cambridge University Press:
- 15 April 2020, p. 1
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Introduction
Revealing a diagnosis of cancer generates various psychological responses such as anxiety and depression which deteriorate the quality of life (QOL) of this patient.
ObjectivesAssess the level of both anxiety and depression in patients with cancer; assess the impact of their disease on their physical and mental QOL.
AimsDeduct the risk factors of anxiety, depression and bad QOL.
MethodsOur study is transversal. It is conducted on patients hospitalized in the department of Carcinology CHU Habib Bourguiba in Sfax (Tunisia). The screening tool for anxiety and depression was HADS scale and the assessment of QOL was performed using the SF-36
ResultsWe identified 50 patients. Concerning their psychological state, the one-quarter (23.9%) had a doubtful anxious state and the one-third (32.6%) had a certain anxious state. The depression was doubtful in 13% of cases and certain in 39.1%. The deterioration of QOL was significant (84.8%). The averages of both the physical score (PCS) and the mental score (MCS) was respectively 41.61% and 33.67%.
A bad QOL was correlated with locally-advanced to metastatic stage of cancer (p = 0.043), the time progression of the disease (>6months) (p?? = 0.01), moderate to severe pain (p ??= 0.028), radiotherapy treatment (p = 0.029) and the depression state (p = 0.023).
ConclusionOur study underlines the necessity of screening both depression and anxiety in patients with cancer, in order to improve their QOL.
Evaluation of Preoperative Anxiety
- W. Abbes, I. Feki, M. Boujelbène, M. Frikha, D. Ben touhèmi, I. Baati, J. Masmoudi, A. Karoui, A. Jaoua
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- European Psychiatry / Volume 30 / Issue S1 / March 2015
- Published online by Cambridge University Press:
- 15 April 2020, p. 1
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Introduction
Preoperative anxiety related to either anesthesia or surgery remains for many patients a major subject of concern.
ObjectivesEvaluation of preoperative anxiety in patients undergoing surgery.
MethodsOur study is transversal and analytical. It was conducted among 50 patients admitted to the surgical unit of CHU Habib Bourguiba in Sfax (Tunisia). The screening tool for the preoperative anxiety was the ‘Inventory self-assessment of State-Trait Anxiety” (STAI-Y) and the ‘Amesterdam Preoperative Anxiety and Information Scale” (APAIS).
ResultsUsing the STAI scale reveal a moderate to severe level of anxiety “state” in 26% of cases and a moderate to severe level of anxiety “trait” in 18% of patients. While, by the application of the APAIS scale, preoperative anxiety was detected in 44% of our patients; it was fairly linked to surgery and anesthesia. In our sample, 40% had expressed a means to intense desire for information about anesthesia and surgery. A high score of anxiety was correlated with general anesthesia (p=0.016) and low level of information (p=0.006). A moderate to severe level of anxiety “state” was correlated with low socioeconomic level (p = 0.03), heaviness of the surgery (p = 0.02) and a moderate to severe level of anxiety ‘trait” (p = 0.026).
ConclusionOur study confirms the concerns of patients regarding both anesthesia and the surgery and highlights the problem of lack of preparatory information. Thus, collaboration between the surgeon and the anesthetist during the preparatory stage is indispensable to decrease the level of preoperative anxiety.
Psychosocial Impact of Early Onset Schizophrenia
- I. HADJKACEM, A. BENELBEY, H. AYADI, D. BEN TOUHEMI, L. CHERIF, K.H. KHEMAKHEM, C. SAHNOUN, Y. MOALLA, A. WALHA, F. GHRIBI
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- European Psychiatry / Volume 30 / Issue S1 / March 2015
- Published online by Cambridge University Press:
- 15 April 2020, p. 1
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Introduction
Infant Schizophrenia is a severe developmental disorder affecting most areas of children's adaptive functioning; especially the social field.
The objective of this work was to study the psychosocial implications of early onset schizophrenia.
MethodsWe conducted a descriptive and retrospective survey on 58 children and adolescents who were hospitalized in the child and adolescent psychiatry department of Sfax for schizophrenia according to the DSM-IV TR criteria, during 14 years (from 1 January 2000 to 31 December 2013)
ResultsIn this study, patients frequently showed disruption of family interactions. Indeed, the child's relationship with his parents was marked by the withdrawal in 26% of cases, the dominance in 19% of cases and rejection in 13.7% of cases. For their part, parents demonstrated attitudes of indifference in 29% of cases, hyper protection in 28% of cases and rejection in 24% of cases.
In addition, adjustment difficulties were noted in 63.3% of cases, a tendency of isolation in 43.6% of cases and a conflictual relationship with peers in 27.3% of cases.
Academically, patients had difficulties in school in 62% of cases. It was as type of school decline in 36% of cases, absenteeism in 36% of cases, school disinvestment in 30.5% of cases and grade repetition in 12% of cases.
ConclusionThis study shows that children and adolescents with schizophrenia had family, social and school adjustment difficulties; which joined the literature as to the severity of early onset schizophrenia whose prognosis is often unfavorable.