‫العيادات‬ ‫مرضى‬ ‫في‬ ‫اجلنسي‬ ‫الوظيفي‬ ‫اخللل‬ ‫انتشار‬ ‫لقياس‬ ‫األهداف:‬ ‫الباروكستني‬ ‫أو‬ ‫بالفلوكستني‬ ‫عوجلوا‬ ‫الذين‬ ‫النفسية‬ ‫لألمراض‬ ‫اخلارجية‬ ‫امليرتازابني.‬ ‫أو‬ ‫الفينالفاكسني‬ ‫أو‬ ‫جامعة‬ ‫مستشفى‬ ‫في‬ ‫رجعي‬ ‫بأثر‬ ‫مقطعية‬ ‫دراسة‬ ‫أجريت‬ ‫املنهجية:‬ ‫سن‬ ‫فوق‬ ‫املرضى‬ ‫جميع‬ ‫دعينا‬ ‫عمان.‬ ، ‫مسقط‬ ‫قابوس،‬ ‫السلطان‬ ‫النفسية‬ ‫العيادة‬ ‫حضروا‬ ‫الذين‬ ‫الدراسة،‬ ‫في‬ ‫للمشاركة‬ ‫عام‬ 18 ‫أو‬ ‫فينالفاكسني‬ ، ‫باروكستني‬ ‫فلوكستني،‬ ‫من‬ ‫كال‬ ‫واستخدموا‬ ‫لتوثيق‬ ‫البيانات‬ ‫جلمع‬ ‫ورقة‬ ‫تصميم‬ ‫مت‬ ‫املؤشرات.‬ ‫ملختلف‬ ‫ميرتازابني‬ ‫وجرعة‬ ‫ونوع‬ ‫النفسي‬ ‫والتشخيص‬ ‫للمرضى‬ ‫الدميوغرافية‬ ‫اخلصائص‬ ‫اجلانبية‬ ‫اآلثار‬ ‫من‬ ‫جزء‬ ‫استخدام‬ ‫مت‬ ‫لالكتئاب.‬ ‫املضاد‬ ‫العالج‬ ‫ومدة‬ ‫وظيفي‬ ‫خلل‬ ‫وجود‬ ‫لتقييم‬ TSES‫لـ‬ ‫اجلانبي‬ ‫التأثير‬ ‫مقياس‬ ‫من‬ ‫اجلنسية‬ ‫جنسي.‬ ‫أنثى:‬ ،51% ‫(ذكر:‬ ‫مريضا‬ 137 ‫على‬ ‫الدراسة‬ ‫اشتملت‬ ‫النتائج:‬ ‫(املدى:‬ ‫ا‬ ً ‫عام‬ 38 ‫للمشاركني‬ ‫العمر‬ ‫متوسط‬ ‫كان‬ ‫الدراسة.‬ ‫في‬ )49% ‫على‬ ‫االكتئاب‬ ‫مضادات‬ ‫لكل‬ ‫املرضى‬ ‫عدد‬ ‫وكان‬ ‫ا).‬ ً ‫عام‬ 19-72 ، ‫ا)‬ ‫مريضً‬ 36( ‫فلوكستني‬ ، ‫ا)‬ ‫مريضً‬ 52( ‫باروكستني‬ ‫التالي:‬ ‫النحو‬ ‫متوسط‬ ‫وكان‬ ‫ا).‬ ‫مريضً‬ 17( ‫وفينالفاكسني‬ ‫ا)‬ ‫مريضً‬ 36( ‫ميرتازابني‬ ‫انتشار‬ ‫معدل‬ ‫كان‬ ‫سنوات.‬ 17 ‫االكتئاب‬ ‫مضادات‬ ‫استخدام‬ ‫مدة‬ ‫االكتئاب‬ ‫مضادات‬ ‫أكثر‬ ‫هو‬ ‫الباروكستني‬ ‫كان‬ .39% ‫اجلنسي‬ ‫العجز‬ ‫انخفاض‬ ‫بسبب‬ ً ‫خاصة‬ ‫اجلنسي‬ ‫الوظيفي‬ ‫باالختالل‬ ‫املرتبطة‬ ‫ا‬ ً ‫شيوع‬ ‫املقابل،‬ ‫في‬ .)34.4%( ‫القذف‬ ‫وتأخر‬ )59.6%( ‫اجلنسية‬ ‫الرغبة‬ ‫اختالل‬ ‫تسبب‬ ‫التي‬ ‫االكتئاب‬ ‫مضادات‬ ‫بني‬ ‫األقل‬ ‫هو‬ ‫امليرتازابني‬ ‫كان‬ ‫جنسي.‬ ‫وظيفي‬ ‫مبضادات‬ ‫عوجلوا‬ ‫الذين‬ ‫املرضى‬ ‫بني‬ ‫شائع‬ ‫اجلنسي‬ ‫اخللل‬ ‫إن‬ ‫اخلالصة:‬ ‫االنتقائية‬ ‫السيروتونني‬ ‫امتصاص‬ ‫مثبطات‬ ‫وخاصة‬ ‫االكتئاب‬ ‫في‬ ‫املبكرة‬ ‫اجلانبية‬ ‫اآلثار‬ ‫هذه‬ ‫معاجلة‬ ‫تؤدي‬ ‫أن‬ ‫ميكن‬ .)SSRIs( ‫االنتكاسات‬ ‫ومنع‬ ‫للعالج‬ ‫االمتثال‬ ‫حتسني‬ ‫إلى‬ ‫العالج‬ Objectives:To measure the prevalence of sexual dysfunction in psychiatric outpatients treated with fluoxetine, paroxetine, venlafaxine or mirtazapine.Methods: This is a retrospective cross-sectional study conducted in Sultan Qaboos University Hospital, Original ArticlesMuscat, Oman. All patients above 18 years of age, attending psychiatric clinic and taking fluoxetine, paroxetiene, venlafaxine or mirtazapine for various indications were invited to participate in the study. A data collection sheet was designed to document the patients' demographic features, psychiatric diagnosis, type, dose and duration of antidepressant treatment. Sexual side effects' part of Toronto Side Effect Scale )TSES( was used to assess the presence of sexual dysfunction.Results: A total of 137 patients )Male: 51%, Female: 49%( were included in the study. The mean age for the participants was 38 years )range: 19-72 years(.The number of patients for each antidepressant was as follows: paroxetine )52 patients(, fluoxetine )36(, mirtazapine )36 patients( and venlafaxine )17 patients(. The average duration of the antidepressant use was 3.9 years. The overall prevalence of sexual dysfunction was 39%. Paroxetine was...

Background Most documented cases of menstrual psychosis have been from Euro-American populations with reports from cross-cultural populations being only a few. A primary aim was to determine whether the cyclical/episodic nature of menstrual psychosis among case series observed at a tertiary care unit in Oman fulfills the diagnostic criteria of the International Classification of Diseases (ICD-10) and diverge into Brockington’s sub-types (World Psychiatry. 2005;4(1):9–17). Related aims were to solicit measures of psychometric functioning of those with menstrual psychosis and associated idioms of distress. Methods A series of consecutive patients seeking psychiatric consultation from January 2016 to December 2017 were screened via structured interview—Composite-International Diagnostic Interview (CIDI) and Brockington’s sub-types. The identified patients (n = 4) also underwent psychometric evaluation including examination of affective functioning, intellectual capacity and neuropsychological functioning (i.e.attention and concentration, learning and remembering, executive function, processing speed and speech and language). The analysis of outcome measures was via an idiographic approach. Results The spectrum of distress among people with menstrual psychosis does not fit existing psychiatric nosology. Evaluations revealed that a majority of the participants displayed something akin to morbid phenomena relating to manic and psychotic symptoms. In the parlance of traditional Omani society, this would be termed “spirit possession”. In terms of classification by timing within the menstrual cycle as expounded by Brockington, the present case series in Oman fulfilled the definition of catamenial psychosis and paramenstrual psychosis. With regard to psychometric function, all participants performed adequately on indices of intellectual functioning but appeared to have impairments in neuropsychological functioning, including the dimensions of processing speed, episodic memory, and executive functioning. Within the given society, the periodicity of mind alteration has been attributed to spirit possession. Conclusions This is one of the first case series of its kind in the country elucidating whether the manifestation of menstrual psychosis among individuals in Oman fulfills the subtypes postulated by Brockington. The present case series suggests that menstrual psychosis is marked with neuropsychological impairments that were previously observed in other phasic manic episodes or brief psychotic disorders.

Objective: This study examined the sociodemographic and clinical characteristics of individuals who attended the emergency department of a tertiary care center in Muscat, Oman following a suicide attempt. Methods: A retrospective study (N=154) was conducted between January 2015 and June 2018. Information that was collected included sociodemographic variables (age, nationality, sex, marital status, and occupation), risk (medical comorbidities, psychiatric history, substance misuse, alcohol misuse, and previous history of suicide attempts), and precipitating factors, as well as the chosen methods for the suicide attempts. Results: In all, 83.1% of the sample were Omanis, and women constituted 69.5%. The mean age of the sample was 27 years; 30% were students, 42% were unemployed, and 40.9% had a history of psychiatric disorders. Family conflict, suffering from chronic illness, and having social problems were the most common precipitating factors for the suicide attempt. The most common method used in the suicide attempt was drug overdose (48.1%), mainly involving paracetamol (acetaminophen) (40%). Significant gender differences emerged in precipitating factors, history of substance misuse, and methods of suicide. Conclusions: The data from this study are consistent with international trends that suggest that women and younger age groups are the most vulnerable to suicide attempts. Although in its infancy, the type of research presented here could lay the groundwork for preventive interventions and programs.