Hysteria has been historically linked primarily to women; however, its importance in men has recently gained attention. This is why we found it interesting to study male hysteria. Therefore, understanding psychopathological theories offers a valuable framework for highlighting its clinical characteristics.

Describe the main psychopathological theories of male hysteria and its key clinical specifications referring to the theories.

We conducted a narrative literature review of articles and thesis published between 2009 and 2022, using databases such as PubMed, Google Scholar, and HAS (Haute Autorité de Santé) with predefined keywords such as “men”, “hysteria”, “masculine” and “conversion”. This review culminated in a narrative synthesis that aims a cohesive discussion integrating key findings from the literature.

The bibliography first distinguished between two pairs in order to define masculine hysteria: Anatomical (male/female) and psychological (feminine/masculine), highlighting that masculine hysteria can occur in both men and women. Therefore, a male may identify with either masculine hysteria or feminine hysteria, the latter of which can be related to male homosexuality.

Research indicates that masculine hysteria is associated with theories of sexual identity conflict, which involve the repression of feminine traits and fears of castration. Additionally, cultural norms often restrict men’s emotional expression, favoring strength over vulnerability, along with personal, relational, and environmental influences.

Clinical observations suggest that masculine hysteria typically presents with physical symptoms and dramatic expressions. The type and intensity of these symptoms may vary based on different early life experiences.

Referring to literature, the specific clinical signs leading to a diagnosis of men hysteria seem to be difficult to identify and not well developed. We also concluded that hysteria is too much related to lived gender rather than anatomical gender.

None Declared

The use of anxiolytics is a complex phenomenon, increasingly affecting the student population. Inappropriate use of this type of treatment can lead to abuse and even dependence.

To study the prevalence of dependence on anxiolytics, particularly benzodiazepines BZD in this population and to identify its associated factors.

This was a cross-sectional descriptive study carried out among students from Gabes institute of nursing sciences, for a period of two months(March to May 2024).

Data were collected using an online anonymous questionnaire from Google form that we distributed via Messenger social network.

We used the Benzodiazepine Attachment Cognitive Scale (BACS) to study BZD dependence.

A score ≥ 6 enables to differentiate between dependent and non-dependent patients.

We collected data from 135 students. Our sample included only 33 students.

The mean age of our population was 21.30 ±1.51 years and the sex ratio (M/F) was 0.65.

Consumption of psychoactive substances (PAS) was reported by 21 students (63.63%): tobacco by 21.2%, coffee by 12.2% and alcohol by 12.2%.

All students reported having taken benzodiazepines BZD.

In our study, 13 students (39.4%)reported having used BZDs 1 or 2 times in their lives (for experimental purposes). Daily use of BZDs was not reported.

The mean score of the ECAB scale was 6.93, with extremes of[3-10].

According to our results, dependence on BZD was clearly predominant, found in 28 students (84.8%). No correlation was found between the socio-demographic characteristics and the presence of anxiolytic dependence.

BZD dependence (assessed by the ECAB scale) was correlated with coffee consumption (p=0.03), unlike for other substances (tobacco, alcohol, cannabis).

The study highlighted the high level of dependence on anxiolytics, particularly BZD and identified individuals who were at higher risk. Specific interventions were necessary to deal with the problem of addiction.

None Declared

Chronic obstructive pulmonary disease (COPD) is an under-diagnosed disease. Screening for this disease, assessing quality of life and combating smoking are key factors in the overall management of this pathology.

Our study aims to assess the effect of COPD on quality of life in smoking electrical technicians and their motivation to quit smoking.

We conducted a descriptive, analytical, cross-sectional survey to assess the impact of COPD on quality of life among smoking electrical technicians and their motivation to quit smoking. A questionnaire was administered during a COPD screening day. Smoking cessation motivation was assessed using the Richmond questionnaire. COPD screening was carried out using COPD screening self-questionnaire from the French National Authority for Health. The COPD Assessment Test (CAT) was used to determine the presence and severity of respiratory symptoms.

Our population comprised 24 male smokers. Motivation to quit smoking was low in half of the participants. Eleven participants (45.8%) were identified as being “at risk” of developing COPD. Cough, sputum and chest tightness were more frequent in participants at risk of developing COPD than in those not at risk, with a significant difference. The mean CAT score in participants at risk of developing COPD was 12.2 ± 9.7. The impact on quality of life in participants at risk of developing COPD was low and moderate to high in 45.5% and 54.6% of participants respectively. Bivariate analysis showed that motivation to quit smoking was not correlated with either the COPD self-screening score or participants’ quality of life.

COPD impairs the quality of life of workers at the electricity and gas company. Training sessions on breathing and anti-smoking actions in the electricity and gas company must be directed towards smoking employees by ensuring comprehensive management will serve to prevent the onset of COPD.

None Declared

Chronic obstructive pulmonary disease (COPD) is a common and under-diagnosed disease. Screening for this disease and assessing smoking behaviour are essential to tobacco control measures.

Our study aims to screen for smoking and COPD among employees of an electricity and gas company.

We conducted a descriptive, analytical, cross-sectional survey to screen for smoking and COPD among employees of an electricity and gas company. The survey was carried out during a COPD screening day, using a two-part questionnaire. Nicotine dependence was assessed using the Fagerström test. COPD screening was carried out using a COPD screening self-questionnaire from the French National Authority for Health.

Our population comprised 28 male participants. Active smoking was reported by 87.7% of participants. Nicotine dependence assessed by the Fagerström test was moderate to high in 54.7% of smokers. We found that 11 participants (39.2%), were identified as being “at risk” of developing COPD. Bivariate analysis showed that the COPD self-screening questionnaire score was associated with smoking and nicotine dependence.

COPD and smoking among workers are prevalent in the electricity and gas company. Through this awareness-raising day, an action plan had prioritized anti-smoking programs directed at smoking employees to ensure their comprehensive care and prevent the onset of COPD.

None Declared

Children and adolescents are a fairly vulnerable population for diabetes.

Caregivers of children and adolescents with diabetes were most involved in their care.

Measuring the burden endured by caregivers is a good indicator of the negative repercussions on caregivers when caring for their loved ones.

• - Determine the level of burden among family caregivers of children and adolescents with diabetes.

• - Identify factors associated with a high level of burden.

The study was conducted at the University Hospital of Gabès, in the pediatrics and internal medicine departments, as well as in outpatient clinics with caregivers of children and adolescents during the period from March 2024 to May 2024.

We collected sociodemographic and clinical data for each caregiver and child or adolescent followed for diabetes.

We used :

Burden scale (Zarit): explores the psychological, physical and social impact of patient care on the caregiver. The higher the score, the greater the burden. A score above 61 means a severe burden.

The study included 32 caregivers. The mean age was 35.55 years with extremes of 22 and 55 years and the sex ratio (M/F) was 0.6.

Workload was shared equally by 66% of caregivers (65.7%; n=21). The majority of the sample (62.5%) did not seem to have experienced family conflicts related to the caregiver’s role.

Among the participants, the majority, 78.1% (n=25), presented symptoms of psychological distress. A high level of stress was perceived by 43.7% of caregivers and satisfaction was noted by 34.4%.

A mean burden score was 35.59 (SD =15.37) with extremes from 8 to 59. We reported that 40.6% of caregivers presented a moderate to severe burden and 34.4% presented a light to moderate burden.

According to our results, heavy burden was statistically more common among caregivers with unequal workload sharing (p=0.006) and family conflict (p=0.01).

We found a statistically significant correlation between burden and symptoms of psychological distress (p=0.001), daily stress level (p=0.001) and overall satisfaction (p=0.001).

Our study shows that the burden endured by caregivers of diabetic children and adolescents represents a real issue in the care of these patients.

Several factors seem to be inherent to the disease, the caregiver and the social context.

For this reason, it is imperative to develop specific support programs for family caregivers of diabetic children and adolescents. These programs should include interventions to reduce burden.

None Declared

Diabetes is a real public health problem. Some people seem to be more vulnerable to this pathology, especially children and teenagers. To ensure their loved one’s well-being, caregivers can also develop coping strategies.

• - Assessing caregivers’ resilience of children and adolescents with diabetes.

• - Identify factors associated with a high level of resilience.

The study was conducted at the University Hospital of Gabès, in the pediatrics and internal medicine departments, as well as in outpatient clinics with caregivers of children and adolescents during the period from March 2024 to May 2024.

The sociodemographic and clinical characteristics of caregivers of children and adolescents have been collected using a pre-established form.

We used :

The resilience scale (CD-RISC) is designed to measure resilience, defined as the ability to cope with traumatic events. The higher the score, the greater the resilience.

Our sample included 32 caregivers. The mean age was 35.55 years with extremes of 22 and 55 years and the sex ratio (M/F) was 0.6.

Among the participants, the majority, 78.1% (n=25), presented symptoms of psychological distress. A high level of stress was perceived by 43.7% of caregivers and satisfaction was noted by 34.4%.

The mean resilience score was 59.06 (SD =10.45) with extremes of 39 and 81.

We found a significant correlation between a high level of resilience and symptoms of psychological distress (p=0.003), the level of daily stress (p=0.03) and the level of overall satisfaction (p=0.043).

Our study showed that a high level of resilience is linked to several factors.

Interventions targeting stress related to social events should be integrated to increase the caregivers’resilience.

None Declared

Access to university marks a crucial stage in the lives of young adults. This transition can generate high levels of stress and anxiety, influencing their mental and emotional well-being.

To overcome these challenges, some students may resort to the increasingly common use of psychotropic drugs, particularly anxiolytics, to ease their distress.

To determine the relationship between anxiolytic dependence, anxiety and depression in students.

This was a cross-sectional, descriptive and analytical study conducted on Gabes institute of nursing sciences, for a period of two months(March to May 2024).

We used:

• - Benzodiazepine Attachment Cognitive Scale (BACS) : to study BZD dependence.

  A score above 6 indicates dependance to BZD.

• - Hospital and anxiety depression scale (HAD): to assess the severity of anxiety and depressive symptoms. Seven questions relate to anxiety (total A) and seven to depression (total D), giving two scores (maximum score for each = 21).

The sample comprised 33 students. The mean age of our population was 21.30 ±1.51 years and the sex ratio (M/F) was 0.65.

The mean score of the ECAB scale was 6.93, with extremes of [3-10].

According to our results, dependence on BZDs was clearly predominant, found in 28 students (84.8%).

According to the HAD scale, 82% of students showed anxiety symptoms and 24.2% were depressed.

According to our study, we found that BZD dependence in students was strongly correlated with anxiety with p=0.007.

Similarly, we found that those dependent on BZDs were more likely to develop depressive symptoms compared with non-dependents, with a significant difference (p=0.04).

Our findings suggest that the greater the dependence on anxiolytics, the greater the risk of developing anxiety and depressive symptoms.

None Declared

Epilepsy is a common disease that is mostly treated with antiepileptic drugs (AEDs). The sexual dysfunction (SD) side effects related to the use of AEDs have not received sufficient attention.

The aims of this study were to assess the prevalence of SD and to study the role played by the AEDs among patients with epilepsy.

A cross-sectional and analytic study was conducted from September to December 2023, among patients with epilepsy follow up in the neurology outpatients of the University Hospital in Gabes (Tunisia), received AEDs, married for at least six months and sexually active. We collected the therapeutics data including type and number of prescribed AEDs and medication adherence, using pre-established form. SD was measured using the Arizona Sexual Experience Scale (ASEX) questionnaire.

Forty-five patients were enrolled (68.9% male and 31.1% female). The average age was 46.76 years (SD=12.39). The majority of patients had a low socio-economic status (64.4%). Carbamazepine and phenobarbital were the most commonly AEDs prescribed (57.8% and 53.3% respectively), especially as monotherapy (62.3%). Poor medication adherence was observed in 13 patients (28.9%). The frequency of SD among patients, based on ASEX questionnaire, was 44.4%. The factors associated with SD included carbamazepine and phenobarbital prescription (p=0.036 and p=0.045 respectively), double or multiple drug therapies (p=0.006) and poor medication adherence (p=0.033).

SD is very common in patients with epilepsy. This seems to be related to AEDs such as using of carbamazepine and phenobarbital, polytherapy and poor medication adherence.

None Declared

Pregnancy,postpartum and breastfeeding is a very challenging period in the women’s life. Many shared false beliefs and perceptions about this period can influence a pregnant woman’s sexual life and couple.

to explore sexual satisfaction, misconceptions and beliefs about sexuality during pregnancy and postpartum in women.

It was a cross-sectional study established over a period of 3 months from the June 1st, 2023 to August 31, 2023. This study focused on a population of pregnant postpartum and breastfeeding women recruited from outpatient consultations and inpatient of the obstetric gynecology department at the university hospital of Gabes, Tunisia. We used a pre-established sheet exploring socio-demographic data, medical and gyneco-obstetric history, informations concerning the marital relationship and the woman’s sexual activity and eight questions (yes or no / choosing an option) to explore the beliefs and perceptions about sexuality during pregnancy and postpartum. We administered the validated Arabic version of the Arizona Sexual Experiences Scale (ASEX) to assess sexual functioning.

Fifty-eight women were included. The average age was 35.6±5.5 years, they had a university level in 40% and they were unemployed in 74.2%. They were from an urban origin in 75%. They were pregnant in the first, second and third trimester in (15.6%, 15.6% and 25% respectively). They were in postpartum in 43.8% of cases with a cesarean delivery in 73.3% and breastfeeding in 56%. All women reported being on good terms with their spouses and satisfied with their sexuality. The usual frequency of sexual relations (SR) was (1/day: 22.6%, 1/week: 74.2%, 1/month: 3.2%). Only 3.4% masturbated and 5.17% had sexual fantasies. Among women, 55.1% believed that RS is not allowed in the first trimester, and 67.8% believed that it can harm the baby. Only 25% of women believed that RS is permitted throughout pregnancy. 58.1% believed that RS in the third trimester could induce early delivery, and 30% believed that it could harm the baby. They all believed that post-partum SR is only authorized after 40 days. Among the sample 22.6% believed that SR is not allowed during breastfeeding, and that it can harm the baby in 13% of cases. The mean ASEX score was 13 ± 4.3 and 47% had sexual dysfunction. Regarding the frenquency of SR, 25% reported wanting to reduce the frequency, 3.4% wanting to increase the frequency and 71.6% were neutral.

A better understanding of the misconceptions and beliefs about sexuality during pregnancy and the post-partum period is needed to reduce restriction imposed on sexual activity during a normal pregnancy and to enhance marital harmony and the sexual life of the couple.

None Declared

Pregnancy and breast-feeding represents a period of psychological maturation for the woman who becomes a mother, a period of significant changes in women’s lives that affects their sexuality and intimacy.

To investigate the quality of sexual function in pregnant, postpartum and breastfeeding women.

It was a cross-sectional study established over a period of 3 months from the June 1st, 2023 to August 31, 2023. This study focused on a population of pregnant, postpartum and breastfeeding women recruited from outpatient consultations and inpatient of the obstetric gynecology department at the university hospital of Gabes. We used a pre-established sheet exploring socio-demographic data, medical and gyneco-obstetric history and informations concerning the marital relationship and the woman’s sexual activity. We administered the validated Arabic version of the Arizona Sexual Experiences Scale (ASEX) to assess sexual functioning.

Fifty-eight women were included. The average age was 35.6±5.5 years, they had a university level in 40%, secondary in 37.5%, and they were unemployed in 74.2%. From an urban origin in 75%. They were pregnant in the first, second and third trimester in (15.6%, 15.6% and 25% respectively). They were in postpartum in 43.8% of cases with a cesarean delivery in 73.3% and breastfeeding in 56%. All women reported being on good terms with their spouses and satisfied with their sexuality. The usual frequency of sexual relations (SR) was (1/day: 22.6%, 1/week: 74.2%, 1/month: 3.2%) and 25% reported wanting to reduce the frequency. Only 3.44% masturbated and 5.17% had sexual fantasies. The mean ASEX score was 13 ± 4.3 and 47%of the sample had sexual dysfunction. We found a significant association between the sexual dysfunction and the trimester of pregnancy (p=0.045).Highest score of sexual dysfunction during the first and third trimester compared to the second one (68.9%, 77.6% and 22.4% repectively). The areas of sexual dysfunction were difficulty reaching orgasm (81%), impaired sexual desire (65.5%), insufficient lubrication (60.3%), arousal (55.1%) and pain on penetration (50%).

We found that sexual function is problematic among women during pregnancy especially in the first and third trimester also in postpartum and breastfeeding period. So what factors are associated with this sexual dysfunction?

None Declared

Pregnancy and postpartum is an important life event associated with profound physiognomic and psychosocial changes affecting the female body in all its physiological, psychic and affective reality. It might influence the sexual function in expectant mothers.

To investigate the relationship between the body satisfaction and perception and the sexual function among pregnant and postpartum women.

It was a cross-sectional study established over a period of 3 months from the June 1st, 2023 to August 31, 2023. This study focused on a population of pregnant and postpartum women recruited from outpatient consultations and inpatient of the obstetric gynecology department at the university hospital of Gabes. We used a pre-established sheet exploring socio-demographic data, medical and gyneco-obstetric history, the body mass index (BMI) and informations concerning the marital relationship and the woman’s sexual activity. We administered the validated Arabic version of the Arizona Sexual Experiences Scale (ASEX) to assess sexual functioning and we used the body satisfaction and global self-perception questionnaire (QSCPGS) to explore the body satisfaction and perception.

Fifty-eight women were included. The average age was 35.6±5.5 years; they were from an urban origin in 75%. They were pregnant in the first, second and third trimester in (15.6%, 15.6% and 25% respectively). They were in postpartum in 43.8% of cases with a cesarean delivery in 73.3% and breastfeeding in 56%. All women reported being on good terms with their spouses and satisfied with their sexuality. The usual frequency of sexual relations was (1/day: 22.6%, 1/week: 74.2%, 1/month: 3.2%) and 25% reported wanting to reduce the frequency. The mean ASEX score was 13 ± 4.3 and 47% of the sample had sexual dysfunction. For the total score of the QSCPGS, we observe a mean value of 33 ±28.3, which means that our sample has a good level of positive body satisfaction and self-perception. The mean value of the “body satisfaction” factor is higher (23.7 ± 10.4) than the mean value of the “self-perception” factor (11.4 ± 14.3). The mean value of BMI was 28.74 ± 4.4 wich means an overweigh. We found a significant association between the “body satisfaction” factor and the sexual dysfunction (p=0.03), insufficient lubrication (p=0.01) and difficulty reaching orgasm (p=0.001).

We found that body and physical changes among pregnant and postpartum women can negatively affects their body perception and it might deteriorate its global sexual function. Further researches are recommended to study other potential factors affecting sexual function during this period.

None Declared

Attention deficit hyperactivity disorder (ADHD) is a neurobehavioral disorder witch assumed to be a disorder of childhoood but recently has been shown to persist into adulthood. As in children, core features of adult ADHD include inattention, impulsivity, and/or hyperactivity.Despite growing interest in adult ADHD, little is known about its prevalence or correlates.

We aimed to estimate the prevalence of ADHD in adult outpatient psychiatric care at the university hospital of Gabes (southern Tunisia) and to explore its association with addictive disorders.

We conducted a cross-sectional, descriptive, and analytical observation study,in the outpatient psychiatry department of the Gabes university hospital, during the period ranging from 1/1/2023 to 30/06/2023. We used an anonymous pre-established information sheet exploring the socio-demographic, clinical, therapeutic data of the patients, lifestyle habits and substance use, the DSM-5 to classify diagnoses, CGI-S to rate the severity of overall mental illness, Fagerström test to assess the nicotine dependence, Adult ADHD Self-Report Scale (ASRS) in its validated Arabic version to screen ADHD and the Diagnostic Interview for ADHD in Adults (DIVA) to confirm the ADHD diagnosis. Data entry and analysis were performed using Statistical Package for Social Sciences (SPSS) version 21.0.

The response rate in our study was around 64.5%, 205 patients were included.The mean age of the patients was 48years ±14.9, the male/female ratio was 1.The estimated prevalence of adult ADHD according to the DIVA was 5.9% (male/female ratio=1/2). At the uni-variate study, significant associations were found between ADHD and the age category (p=0), the marital status (OR=0.14; CI [0.03- 0.55], p=0.003), theFagestrom score (p=0.01), cannabis consumption (OR=19; CI [1.8-201], p=0.018), psychotropic drugs consumption (OR=39; CI[3-196], p=0.02), self-harm behavior (OR=6.9, CI[1.9-26], p=0.01), excessive use of internet and screens (OR=38, CI[7-179],p=0). At the multivariate study, two determining factors were found: cannabis consumption(OR=8 [1- 58]; p=0.031), and the excessive use of internet and screens (OR=25 [4-144]; p=0).

Regarding our findings and the important prevalence of the adult ADHD,more efforts are needed to increase the detection and treatment of this disorder, in order to set up an early intervention before major impairments and complications become irreversible.

None Declared

Detecting warning signs of suicide attempts is a particular difficult task. However, people who plan to commit suicide almost always announce it to someone in some way.

Aims of this study were to describe signs preceding the suicide attempt in a group of suicidal persons and its links with suicidal recurrence.

It was a retrospective study that included all the patients who attempted suicide during the period from May 1st, 2009 to September 25th, 2020 and who were referred to the psychiatry department of the regional hospital of Gabes. Sociodemographic and clinical data as well as suicidal attempts characteristics were assessed.

278 patients were included (female=78.1%), with mean age of 26. The common suicidal attempt method was intentional drug intoxication (67.8%). At least, one clinical manifestation was reported by 75.2% of suicide patients. The most common signs were the tendency to isolation (47.1%), a change in character or behavior (46.6%), thoughts of death (29.6%), anxiety or agitation (24.8%) and recent worsening of the pre-existing psychiatric symptoms (24.3%). Suicidal recurrence affected 24.8% of patients. It was correlated to the presence of a mental disorder (p<10-3), the presence of reflections on death (p=0.02), the onset of a state of anxiety or agitation (p<10-3), recent worsening of pre-existing psychiatric symptoms (p = 0.001) and verbal expression of suicidal thoughts (p<10-3).

The pre-suicidal syndrome is frequently heralded by changes in the patient’s character or behavior. Some suicidal warning signs are associated with the risk of suicidal recurrence.

No significant relationships.

COVID19 outbreak had affected physical and mental health of individuals. Different adverse health behaviors had worsened and eating disorders had evolved. Health care workers were not spared.

To screen binge eating disorder among health care workers of regional hospital of Gabes (south of Tunisia) and its associated factors.

We conducted a cross-sectional, descriptive and analytical study, from April 19, 2020, to May 5, 2020 on 289 in Gabes regional Hospital. All healthcare workers were included (n=620). Workers who were on sick leave during the study were excluded. During this period, the total confirmed cases of COVID-19 exceeded 900 cases in Tunisia and around 20 cases in Gabes. We used a self-administered anonymous questionnaire containing sociodemographic and clinical data. DSM-5 diagnostic criteria were used to assess Binge-Eating Disorder.

Of the 289 responding participants, 85 were physicians (29%), 166 nurses (57.4%), 8 ambulance drivers (2.8%) and 30 health-related administrators (10.3%). A total of 100 participants (34.6%) were frontline health care workers directly engaged in diagnosing, treating or caring for patients with coronavirus disease. Nine percent of participants experienced binge eating disorder during the outbreak. Binge eating disorders were associated to past psychiatric history of eating disorder (p=0.001), social isolation (p=0.001), increased consumption of tea and coffee (p=0.02) and the fact of being a frontline care giver (p=0.009).

Binge eating disorders are usually associated with health problems: obesity and consequently severe form of coronavirus disease. Screening those disorders is important to alleviate its physical impact.

Nowadays, suicide is a global public health problem thus detection of risk factors more specifically individual factors can be used as a method for prevention and intervention.

The aims of our study were to assess the incidence of suicidal recurrence and its individual associated factors.

A retrospective descriptive and analytical study was undertaken including all patients consulting for the first time at Gabes psychiatry department (in southern Tunisia) from the 4th March 2009 to the 25th September 2020 for suicidal attempt. Sociodemographic and clinical data as well as suicidal attempts’ characteristics were assessed. The statistical analysis was executed on the software SPSS (20th edition).

278 patients were collected including 217 female. The mean age was 26. Suicidal patients were unmarried (75.9%), childless (79.1%) and unemployed (47.5%). The common suicidal attempt method was voluntary drug intoxication (67.8%). Interference of individual factors was reported in 77% of cases, especially difficulties to cope with stress (46.4%), followed by low self-esteem (36.5%), personal psychiatric history (17.3%), personal medical history (8.3%) and alcohol or drug abuse (6.1%). A suicidal re-attempt was notedin 24.9 % of cases. Recurrence was associated with the female gender (72.4%), difficulties to cope with stress (<10-3) and low self-esteem (p=0.012).

After the first suicidal attempt, it’s crucial to identify the individual factors that seems to have an influence on subsequent suicidal behaviour in order to ensure a proper treatment.

Sleep disorders are the most common health problem among the health care staff, mainly those who perform night shifts.

To assess the prevalence of sleep disorders among health care workers in emergency department and to determine its associated factors.

It was a cross-sectional study, including health care workers assigned to emergency ward and intensive care unit of Hedi Chaker and Habib Bourguiba hospitals in Sfax and regional hospital of Kebili, during the first six months of 2017. We used an anonymous and confidential self-administered questionnaire. We used hospital anxiety and depression scale (HAD) to assess anxiety and depression. Sleep quality was assessed by the Pittsburgh Sleep Quality Index and day time sleepiness by the Epworth Sleepiness Scale.

240 nurses were included. Mean age was 37 years-old, 59.2% were female and 64.2% were married and 79.2% assured night shifts. The prevalence of sleep disorders was 70.4%. Sleep difficulties were significantly correlated with anxiety (p=0.001) and depression (p=0.02). In multivariate study, sleep disorders were related to the absence of leisure activity (OR=0.42 [0.19-0.94]; p=0.035) and anxiety (OR=3 [1.4-6.1]; p=0.002). 40.8% of nurses experienced drowsiness. Sleepiness was significantly correlated with the absence of leisure activities (p=0.04) and with psychiatric family history (p=0.02). In the multivariate study, sleep disorders were correlated with female gender (OR=0.43 [0.19-0.9]; p=0.042) and with no leisure activity (OR=2.6 [1.2-5.6]; p=0.01).

Sleep disorders were common among emergency nurses, in order of that; working conditions should be improved to provide less stressful conditions for nurses.

No significant relationships.

Vaginismus is the most common reason for unconsummated marriages in Tunisia.

To describe the socio-demographic profile and to explore the clinical and cultural aspects of sexual functioning of women with vaginismus.

It was a cross-sectional study established over a period of 3 months from the November 1st, 2019 to January 31st, 2020. This study focused on a population of women with vaginismus recruited from outpatient consultations of the hospital’s gynecology and psychiatry departments at the regional hospital of Gabes. We used a pre-established sheet exploring socio-demographic data, medical and gyneco-obstetric history and informations concerning the partner, the marital relationship and the woman’s sexual activity.

35 women were included. They had a mean age of 30 years, jobless (54.5%) and with a secondary or university education (91.1%). The mean duration of marriage was 2.4 years. Partner had mean age of 36 and suffering from sexual dysfunction (21.3%). Among women, 12.5% had been sexually abused, 51.6% had suffered “Tasfih”, 70% had attended discussions about painful defloration. Vaginismus was primary in 85.7% and total in 50% of the cases. About the received thoughts of the women, 40% thought that vaginismus requires medical treatment, 13 of them (40%) thought that the disorder could be resolved spontaneously and 20% believed in a story of witchcraft. 85% consulted a physician and 24.2% a traditional therapist.

Vaginismus seems to be influenced by psychological and sociocultural factors so that a good psychoeducation of brides could reduce the incidence of this sexual disorder.

No significant relationships.

People followed at the department of psychiatry have a high prevalence of somatic pathologies that are generally not taken optimal care of in time, which implies excess mortality rate among these patients.

To study somatic comorbidities in patients followed at the department of psychiatry of the regional hospital of Gabes (Tunisia).

We conducted a retrospective, descriptive and analytical study carried out on a clinical population who consult for the first time at the psychiatry department at the Gabes regional hospital during the period from January 1st, 2010 to December 31, 2013. Sociodemographic, clinical and therapeutic data of the patients were assessed. Data were analysed using the software SPSS (20th edition).

The number of patients consulting for the first time at the psychiatry department during the study’s period was 1601 patients, with a mean age of 34 years and a sex ratio (M / F) of 0.96. Among these patients, 399 (24.9%) had somatic comorbidity. The most common somatic comorbidity was arterial hypertension (8.1% of patients, n=129 patients). Diabetes mellitus was ranked second with 99 patients (6.2%). The analytical study showed that depressive disorders were significantly more frequent in patients with hypertension (p<0.001), diabetes mellitus (p<0.001) and asthma (p=0.026).

Somatic comorbidities were frequent in patients followed by the department of psychiatry. Paying attention to somatic comorbidities must be part of the evaluation of these patients in order to coordinate effectively with the somatic doctors.