Inter-generational Conflict and Psychiatric Symptoms

El‐Islam, M. Fakhr; Abu-Dagga, Sanaa I.; Malasi, T. H.; Moussa, M. A. A.

doi:10.1192/bjp.149.3.300

Cited by 19 publications

(12 citation statements)

References 26 publications

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“…age) and the conservative nature of the Kuwaiti society (i.e. living with family) [32] . Judging by the GAF and BPRS-18 scores, despite the available social supports and psychotropic drug treatment, our patients had significantly severer psychosocial impairment [56] .…”

Section: Discussionmentioning

confidence: 99%

“…Based on the available literature, it is difficult to speculate on the reasons why the Kuwaiti expression of psychopathology was less similar to those from developing countries. This is because the special qualities of psychoses in particular cultures have usually been interpreted against the background of traditional psychopathological and anthropological theories concerning the psychodynamics and the influence of differing social and personal conflictual themes [32,62] . Hence, in comparisons of schizophrenia psychopathology between India and the Western world (Wales and USA) [63,64] , it was noted that the differing clinical presentations may be due to discrepancies in demographic features rather than cultural factors and that these differences support a multifactorial etiology.…”

Section: Comparison Of Symptom Profile With the International Datamentioning

confidence: 99%

“…By modeling our study on the EPSILON, we hoped to generate data for crosscultural comparison, for nations (i.e. Kuwait versus the 5 western European countries as a block) that are known to differ markedly [32] . Crosscultural comparisons have the potentials to uncover the social factors that affect the course of schizophrenia by specifying the links between cultural characteristics and psychopathology, especially when assessment is within the context of institutional factors, such as indices of quality of care [33,34] .…”

Section: Introductionmentioning

confidence: 99%

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Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Zahid

Ohaeri²

2010

Psychopathology

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Background: The heterogeneity of schizophrenia psychopathology has led to a search for symptom clusters that could be related to broad features of the disease. The objectives of the study were to: (1) highlight the pattern of symptoms among Kuwaiti subjects with schizophrenia, using the ICD-10 symptom checklist; (2) assess the factor structure of the Brief Psychiatric Rating Scale 18 (BPRS-18) and BPRS-24, and (3) evaluate the relationship of the resulting factors with sociodemographic characteristics, age at onset of illness, family history of mental illness, objective indicators of quality of life, self-esteem, affect balance, family caregiver burden, patient’s perceptions of service satisfaction and needs for care. Method: Consecutive outpatients in stable condition were assessed with the BPRS and ICD-10 symptom checklist, as well as measures of quality of life, needs for care, service satisfaction and family caregiver burden. Results: There were 130 patients (66.1% men, mean age = 36.8 years, age at onset of illness = 24.2 years, duration of illness = 12.9 years). Of the ICD-10 symptoms, the commonest positive symptoms were hallucinations (58.5%) and delusions (72%). Catatonic symptoms were rare (2.9%). About a quarter of the subjects experienced 4 of the negative symptoms. In exploratory factor analysis, we broadly replicated the known syndromes for BPRS-24 (disorganization, positive, activation, manic, negative and depression) and BPRS-18 (negative, positive, activation and affect). In regression analyses, the variables independently associated with psychopathology were family income, negative affect, self-esteem, duration of illness, age, lack of money for enjoyment, met needs for care and caregiver tension. The negative syndrome had more significant associations with the variables investigated than the positive syndrome. Psychopathological scores were separable from indices of psychological well-being. Conclusion: In this first study of schizophrenia psychopathology from the Arab world, the clinical manifestations were similar to the data from the developed countries. The persistence of psychotic symptoms despite freely available antipsychotic treatment and the impact on caregiver burden call for attention to the perennial issue of treatment resistance and underscore the need for continued interaction with family members after the acute inpatient phase of treatment, in order to address the impact of symptoms.

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Section: Discussionmentioning

confidence: 99%

Section: Comparison Of Symptom Profile With the International Datamentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Schizophrenia Psychopathology in a Kuwaiti Arab Sample

Zahid

Ohaeri²

2010

Psychopathology

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“…all patients completed the self-rating screening in instrument GHQ-28 which is a scaled version of the General Health Questionnaire [13]. It has been trans lated into Arabic and proved to be useful in detecting psychiatric symptoms in less-articulate patients [14]. Patients were also asked to describe how they per ceived the nature and seriousness of their illness and whether or not they were given adequate information at the center.…”

Section: Methodsmentioning

confidence: 99%

Affective Reactions to Breast Cancer Diagnosis among Arab Women

Fido

Omar

Al‐Fayez

1992

Med Principles Pract

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The psychiatric profiles of 40 women with early breast cancer (experimental sample) and a control sample of 40 women with other medical conditions (medical sample) were examined over a 6-month period. The breast cancer patients had a significantly higher affective reaction than patients with other medical conditions. They were also considerably less likely to have received adequate information about their illness. The underlying sociocultural factors are discussed. Means to promote communication between physicians and cancer sufferers are suggested. The need for an oncology liaison psychiatric service is emphasized.

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“…Intergenerational conflict, i.e. parent-child conflict, has been extensively studied in Western countries, but has only recently received attention in Arab communities (El-Islam 1983;El-Islam et al 1986). lnterparental conflict, on the other hand, has been very little investigated in nonpatient samples.…”

mentioning

confidence: 99%