Background: Rhinoplasty is one of the most common cosmetic surgeries performed on the face; seeking this operation can be influenced by socio-cultural factors, personality factors, and psychiatric morbidity. The purpose of this study is to identify the prevalence and profile of psychiatric morbidities that would present among those individuals seeking rhinoplasty and to recognize the importance of preoperative psychiatric assessment. Results: 50.8% of the study sample fulfilled the DSM-IV criteria for Axis I and Axis II psychiatric disorders. The most prevalent diagnosis among the whole group was mixed personality disorder (15.2%) followed by body dysmorphic disorder (10.2%), borderline personality disorder (6.8%), and then anxiety disorders (5%). Data revealed that female non-married subjects who were performed with a previous cosmetic operation suffered significantly from psychiatric morbidity. Subjects with psychiatric morbidity showed significant (P, 0.000) higher scores in MBSRQ health orientation and weight preoccupation than their non-psychiatric counterparts. Conclusion: This study demonstrated a high prevalence of psychiatry morbidity in individuals requesting rhinoplasty. It seems important to screen individuals for mental health problems preoperatively to detect crucial psychiatric problems; thus, we can avoid subsequent risk for both individuals and cosmetic surgeons.
Background: Poor quality of life has been reported after renal transplantation. So, we aimed to identify the quality of life and its demographic and clinical correlates among Egyptian renal transplant recipients. A cross-sectional observational study of 230 post-renal transplantation recipients (PRTRs) who were recruited from Ain Shams University Specialized Hospital and Nasser Institute nephrology clinics. All cases were subjected to a designed questionnaire for PRTRs, the semi-structured questionnaire for renal transplant recipients and the Arabic version of the World Health Organization Quality of Life Questionnaire (WHOQOL-100). Results: All the PRTRs had unsatisfactory social quality of life (QoL) while 97.8% had unsatisfactory overall QoL; moreover, 92.6% were not satisfied as regards environmental and independence QoL. Psychological dissatisfaction was met in 75.7% of all subjects, whereas the least dissatisfaction rate was the spiritual QoL (15.2%). Younger age groups were the most who complained of unsatisfactory quality of life in all domains except the spiritual QoL. All domains of QoL were found not statistically associated with gender, marital status, or social class. Subjects who received higher education had better psychological and independence QoL. The overall QoL and physical QoL were found to be correlated only with age. The psychological and independence QoL were positively correlated with age, sex, educational level, and occupation while the environmental QL was found to be positively correlated with occupation. Conclusion: The prevalence of unsatisfactory quality of life is quite high among PRTRs. Our findings pointed to the need of recognizing quality of life among renal transplant recipients, and we suggest that mental health professionals should be included in the multidisciplinary team.
Background: Overlapping relationships among migraine, epilepsy and major depression have been identified in both cross-sectional case-control and prospective studies. Clinical and neurophysiological examination of such comorbidity can illuminate shared pathophysiology, and can have profound implications for diagnosis, prognosis, and treatment.
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