Background: Ramadan fasting (RF) is a form of intermittent fasting that generally improves body composition and related metabolic profiles. Whether RF exacerbates depressive symptomatology in individuals diagnosed with major depressive disorder (MDD) is undetermined. Methods: 100 men, who lived in Bahrain and were between the ages of 18 and 64 years with an established diagnosis of MDD, participated in this 4-week study. Based on preference, participants were assigned to a fasting group (FG, n = 50) and a non-fasting group (NFG, n = 50). The FG engaged in fasting from 03:40 to 18:10 (dawn and dusk timings). Changes in depressive symptoms, body mass, body composition, and components of metabolic syndrome were measured. Results: There were no significant changes in depressive symptoms within the FG vs. NFG after controlling for baseline covariates: mean difference 0.49 (SE = 0.63), p = 0.43. No adverse effects were reported in either group. The FG experienced significant reductions in body mass, 1.87 kg, p = 0.001; body mass index, 0.69 kg/m2, p = 0.001; body fat, 0.87%, p = 0.001; body surface area, 0.03 m2, p = 0.001; and lean mass, 0.77 kg, p = 0.001. Conclusions: RF did not negatively affect depressive symptoms and improved body composition, suggesting short-term intermittent fasting may be a safe dietary practice for adult males with MDD.

Impact du trouble de déficit de l'attention avec hyperactivité chez l'enfant : fonctionnement général et persistance des symptômesRÉSUMÉ De nombreux adolescents affectés par le trouble de déficit de l'attention avec hyperactivité (TDAH) montrent des comportements antisociaux et des faibles résultats scolaires. Ces problèmes n'ont pas été validés dans la Région de la Méditerranée orientale de l'Organisation mondiale de la Santé. L'objectif de la présente étude était d'évaluer le fonctionnement général et le comportement des enfants passés à l'adolescence 10 ans après le diagnostic initial du TDAH. Les parents ont été interrogés au moyen d'un questionnaire structuré, de la version abrégée du questionnaire de Conners et de l'échelle d'évaluation globale du fonctionnement de l'enfant. Près de la moitié de l'échantillon avait des faibles résultats scolaires et 36 % n'avaient pas d'amis. Un quart des cas étaient des fumeurs, un d'entre eux avait admis l'usage de substances psychoactives et un autre avait fait une tentative de suicide. Un tiers de l'échantillon avait continué d'avoir des symptômes du TDAH. Les adolescents affectés par le TDAH avaient les mêmes performances scolaires et les mêmes relations avec les pairs que dans les rapports publiés. Par contre, ils avaient des représentations différentes en ce qui concerne la consommation de drogues, le suicide ainsi que d'autres comportements impulsifs. Une étude de suivi menée à l'âge adulte à l'aide d'un groupe témoin a été recommandée. The objective of this study was to assess the global functioning and behaviour of children with ADHD growing into adolescence 10 years after initial diagnosis. Parents were interviewed using a structured questionnaire, Conner's Short Version Test and the Children's Global Assessment Scale. Nearly half of our sample had low academic achievement and 36% had no friends. A quarter of the cases were smokers, one admitted abusing drugs and one had attempted suicide. One third of the sample continued to have ADHD symptoms. Adolescents with ADHD had similar school performance and peer relationships to those reported previously, but differences with regard to drug use, suicide and other impulsive behaviour. A follow-up study into adult life using a control group is recommended. ‫األعراض‬ ‫واستمرار‬ ‫العام‬ ‫األداء‬

Understanding psychiatric inpatients’ experiences is important to establish a culture of patient-centric care and promote trust in healthcare. This study aimed to evaluate nine dimensions of patients’ experiences and investigate their association with patient satisfaction, revisit intention, and positive word-of-mouth (WoM) recommendation. Cross-sectional questionnaire data from five years of surveying (2016–2020) in the main psychiatric hospital in Bahrain were statistically analyzed, involving 763 psychiatric inpatients with an overall 65.6 ± 17.2 length of stay (days). The findings show that across the five years 2016–2020, the overall reported satisfaction was “very high” (4.75 ± 0.44) with no significant differences between these five years (F [4, 758] = 0.66, p = 0.620). The experience of confidentiality received the highest rating (4.72 ± 0.45). The experiences of ease of access, hospitality quality, and quality of responsiveness to one's needs significantly correlated with revisit intention ( p ˂ 0.05). Patients with high satisfaction had greater potential for revisit intention (r [761] = 0.08, p = 0.027), which was associated with WoM recommendation (r [761] = 0.08, p = 0.033). Overall, men were less likely than women to experience convenient access to psychiatric wards. The findings of the Random Forest algorithm indicate the tendency of female patients with short-term stays to demonstrate lower satisfaction rates, and thus innovative approaches are needed when managing these groups’ psychiatric problems.

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