Papers by Usama M. M Youssef
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Background Depression is common in women, childhood sexual abuse and its related stigma in our cu... more Background Depression is common in women, childhood sexual abuse and its related stigma in our culture are expected to increase the severity of depression, and it may be a strong risk factor for the presence of suicidal ideations in women. This study aimed to look at the relationship of childhood history of sexual abuse and its related stigma to depression and suicidal ideations in depressed women. Methods A consecutive sample of 160 depressed women was enrolled in this study. The structured clinical interview for DSM-5 was used to diagnose depression, and the Beck Depression Inventory, second edition was used to quantify its severity. The Scale for Suicidal Ideations was used to evaluate suicidal ideations, and history taking was used to assess previous suicidal attempts. The history of childhood sexual abuse was evaluated using a self-report questionnaire, the questions of this questionnaire were derived from the National Population Survey, and a Canadian survey of sexual abuse an...
Copyright © 2013 Doaa Mohammed Youssef et al. This is an open access article distributed under th... more Copyright © 2013 Doaa Mohammed Youssef et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction.The objective of this work was to define the frequency and severity of steroid related behavioral side effects in children with steroid sensitive idiopathic nephrotic syndrome (SSNS) during Treatment for relapse. Methods. 30 pediatric patients with steroid sensitive nephrotic syndrome were studied; known as SSNS at complete remission or low dose of Prednisolone and have relapse on follow up. All children in this study were subjected to full history taking, thorough clinical examination, assessment socioeconomic standard, and assessment of pediatric quality of life, a battery of psychometric tests included pediatric anxiety,
Zagazig University Medical Journal, 2020
Addictive Disorders & Their Treatment, 2018
Tramadol dependence is a public health problem in Egypt. We aimed to determine the sociodemograph... more Tramadol dependence is a public health problem in Egypt. We aimed to determine the sociodemographic and clinical characteristics of tramadol abuse among Egyptians, the frequency and degrees of insomnia among tramadol abusers, and the relationship between the associated insomnia with sociodemographic and clinical characteristics. Included in this study were 400 subjects (mean age, 30.72±9.61 y) who were tramadol dependent. The subjects were assessed using Structured Clinical Interviewing using DSM-IV (SCID-I), Severity of Dependence Scale (SDS), and Insomnia Severity Index. We found that the mean age at onset of tramadol intake was 21.57±6.71years, and the dose of tramadol/day was 1550.6±438.8 mg; the duration of tramadol dependence was 6.29±4.35 years, and score of SDS was 10.19±2.55. There were 4 main causes of tramadol abuse: premature ejaculation/erectile dysfunction, particularly in male individuals, novelty seeking, escape from troubles, and peer pressure. In total, 69% of subjects had insomnia with a mean score of Insomnia Severity Index of 16.3±3.7. In multiple regression analysis for subjects with insomnia, the variables that were found to be significantly associated with insomnia were as follows: age at onset, dose and duration of tramadol dependence, and SDS scores. To conclude, insomnia is common in subjects suffering from tramadol dependence and is associated with dose, duration, and severity of tramadol dependence.
Egyptian Journal of Psychiatry, 2017
Background It has been recently shown that electroencephalogram (EEG) paroxysmal abnormalities ar... more Background It has been recently shown that electroencephalogram (EEG) paroxysmal abnormalities are frequently recorded in patients with autism despite the absence of seizures. Objective On the basis of the increasing evidence of EEG abnormalities in autism, the aim of this study was to detect the EEG abnormalities in relation to the degree of severity of autism. Patients and methods EEG was measured in 40 autistic children aged 2–12 years, in comparison with 40 typically developing matched children. The severity of autism was assessed using the Childhood Autism Rating Scale. Results We found that 50% of the autistic children had abnormal EEG findings. There was a statistically significant relation between the EEG abnormalities and the severity of autism. Moreover, there was a statistically significant relation between the site of the wave abnormalities and the severity of autism. Conclusion Our study suggests that the use of neurological investigative techniques such as EEG be considered routinely during the evaluation of autistic children.
International Journal of Sexual Health
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery
Background Epilepsy is one of the most frequent and serious brain disorders. The nature of the di... more Background Epilepsy is one of the most frequent and serious brain disorders. The nature of the disorder and the unpredictability of seizures usually puts patients in a state of apprehension and anticipation, which creates a continuous condition of anxiety. COVID-19 pandemic has created a state of generalized anxiety all over the world. It is expected that patients with epilepsy (PWE) will suffer from more anxiety during the pandemic. This cross-sectional study was applied on 290 PWE. Data were collected by personal interview with each patient using GAD-7 scale for diagnosing anxiety and assessing its severity. We aimed to assess the prevalence of anxiety and to assess its risk factors in PWE during COVID-19 pandemic. Results We found that 52.4% of PWE suffered from anxiety. Not working, low financial status, fear of infection and death by COVID-19, fear of job loss, had job changes during pandemic, increased seizures rate during pandemic, increased ER visits, and lack of drug adhere...
Middle East Current Psychiatry, 2022
Background Epilepsy is one of the commonest and most serious neurological conditions. It is frequ... more Background Epilepsy is one of the commonest and most serious neurological conditions. It is frequently associated with one or more medical or psychiatric comorbidities. Depression is one of the most common comorbidities. Patients with epilepsy (PWE) are expected to suffer from a high level of depression during the COVID-19 pandemic. This cross-sectional study was applied to 290 PWE. Data was collected by personal interviews with each patient using the Patient Health Questionnaire 9 (PHQ 9) scale for the diagnosis of depression and assessing its severity. We aimed to assess the prevalence and the risk factors of depression in PWE during the COVID-19 pandemic. Results We found that 70.3% of PWE suffered from depression. Low financial status, refractory seizures, fear of infection and death by COVID-19, had close relatives died by COVID-19, had a sleep disturbance, a decreased family support, increased seizure rate during the pandemic, increased ER visits during the pandemic, lack of d...
Egyptian Journal of Psychiatry, 2018
Introduction Premenstrual dysphoric disorder (PMDD) is a severe and disabling form of premenstrua... more Introduction Premenstrual dysphoric disorder (PMDD) is a severe and disabling form of premenstrual syndrome affecting 3–8% of menstruating women. The relationship between PMDD and psychiatric disorders is still unclear. Aim The aim of this study was to assess the prevalence and symptoms of PMDD in a sample of psychiatric patients. Patients and methods A sample of psychiatric outpatients and inpatients who attended for treatment was clinically diagnosed according to Diagnostic and Statistical Manual of Mental Disorders-5 by clinical interview and by applying the premenstrual symptoms screening tool for diagnosis of PMDD. Results The prevalence of PMDD among cases and controls was 40.5 and 7.6%, respectively. PMDD was most prevalent among depressed patients (96.4%) followed by those with bipolar diseases (38.5%) and was less frequent among anxiety and psychotic patients (4.5 and 1.8%, respectively). Conclusion PMDD is highly related to psychiatric disorders especially depression and bipolar disorder.
Background: Nonverbal communication plays a vital role in determining the success or failure of p... more Background: Nonverbal communication plays a vital role in determining the success or failure of people in their ordinary life and professional careers. In a classroom, successful educator- student communication has a critical effect on teaching proficiency and student learning. Aim of the study: to assess the effect of body language among assistants teaching staff on students' achievement. Subjects and Methods: Research design: Cross –sectional descriptive research design .Setting: the Faculty of Nursing, Zagazig University. Subjects: included a simple random composed of 330 students. Tools of data collection: Three tools were used for data collection: questionnaire to collect data about socio-demographic characteristics, nonverbal communication scale, and a student achievement scale. Results: present study showed that more than half of the studied sample reported that body language skills were inadequate among staff and about half of the studied sample had low achievement score...
Background Comorbidity of bipolar disorder (BD) in obsessive–compulsive disorder (OCD) patients i... more Background Comorbidity of bipolar disorder (BD) in obsessive–compulsive disorder (OCD) patients is a relevant phenomenon and has significant effect on expression of symptom, treatment, and complications of the disorder. Objective The aim of this study was to find the frequency of BP in patients with OCD, determine the effect of BP occurrence on the clinical characteristics of OCD, and compare between OCD patients with and those without BP. Patients and methods Sixty individuals with OCD diagnosed according to the Diagnostic and statistical manual for mental disorders, 5th ed., were subjected to screening using the Obsessive–Compulsive Symptoms Scale, the Yale–Brown Obsessive–Compulsive Scale, the Hamilton Depression Rating Scale, and Mood Disorder Questionnaire. Results Fifteen percent of the OCD patients included in the study had additional lifetime diagnosis of BD. There was a statistically significant relation between comorbidity and episodic course of OCD, previous psychiatric h...
1 Prof. of Community Health Nursing, Faculty of Nursing, Zagazig University, Shaibet an Nakareyah... more 1 Prof. of Community Health Nursing, Faculty of Nursing, Zagazig University, Shaibet an Nakareyah, Markaz ElZakazik, Ash Sharqia Governorate 44519, Egypt 2 Demonstrator, Psychiatric & Mental Health Nursing, Faculty of Nursing, Zagazig University, Shaibet an Nakareyah, Markaz El-Zakazik, Ash Sharqia Governorate 44519, Egypt 3 Assistant prof. of Psychiatry Medicine, Faculty of Medicine, Zagazig University, Shaibet an Nakareyah, Markaz ElZakazik, Ash Sharqia Governorate 44519, Egypt 4 Lecturer of Psychiatric & Mental Health Nursing, Faculty of Nursing, Zagazig University, Shaibet an Nakareyah, Markaz El-Zakazik, Ash Sharqia Governorate 44519, Egypt
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 2021
Background Stigma has been noticed towards patients with COVID-19 in several regions of the world... more Background Stigma has been noticed towards patients with COVID-19 in several regions of the world. This social discrimination has contributed to delay in diagnosis and treatment. Also, it may increase the suffering of the patients leading to poor outcome of the illness. Stigma can be assessed with the use of a valid and reliable instrument developed and adapted to our culture. Our objective was to analyze the psychometric properties of COVID-19 Infection Stigma Scale (CISS) for measuring the social stigma among patients with COVID-19 in Egypt. A cross-sectional study that included 182 COVID-19 patients was carried out. The reliability, the convergent validity, and the external and internal consistency of the scale were measured. Factor analysis was used to exclude the weak items. Results The mean of the COVID-19 Infection Stigma Scale scores was 34.97±10.35 which was higher than 50% of the score. Absence of the floor and ceiling effects was observed. Cronbach’s alpha coefficient for...
The Egyptian Journal of Neurology, Psychiatry and Neurosurgery, 2021
Background Health care workers caring for patients with COVID-19 pandemic are prone to extraordin... more Background Health care workers caring for patients with COVID-19 pandemic are prone to extraordinary stressors and psychological problems. The aim of this study was to estimate the prevalence and risk factors of major depressive disorder among health care providers who are caring for patients with COVID-19. Methods Two hundred-seventy of health care workers were screened for depressive symptoms by DASS-21 Questionnaire. Only 152 of the participants accepted to be interviewed using SCID-I for diagnosis of major depressive disorder. Results According to DASS-21, 28.1% of HCWs had mild-to-moderate depressive symptoms, and 64.8% with severe symptoms. Of 152 who were interviewed using SCID-I, 74.3% were diagnosed with major depression disorder. Young age, decreased sleep hours, female sex, past history of a psychiatric disease, fear of COVID-19 infection for themselves or their relatives, and fear of death with COVID-19 for themselves or their relatives were significant predictors for ma...
Objective In December 2019, the novel coronavirus (COVID-19) infection was first reported in Wuha... more Objective In December 2019, the novel coronavirus (COVID-19) infection was first reported in Wuhan city, China, which had rapidly spread as a global pandemic. This infection was commonly presented by respiratory and /or gastrointestinal symptoms. However, it is still unclear whether COVID-19 infection could be associated with central nervous system (CNS) damage which would result in development of neuropsychiatric symptoms. Method A total of five cases of suddenly emerged manic episodes during the pandemic of COVID-19 were extensively described. We presented the symptoms and described the diagnosis, clinical course, and treatment of each case. Results All patients had positive findings of ribonucleic acid (RNA) tests for COVID-19 in specimens of their sputum. The patients later developed manic symptoms during and after the recovering period of their illness. Conclusions The case series of newly emerged manic symptoms associated with COVID-19 infection highlights the essential need f...
Zagazig University Medical Journal, 2019
Background: Pregnant women are at increased risk for suicidal ideation and behaviors (SIB) compar... more Background: Pregnant women are at increased risk for suicidal ideation and behaviors (SIB) compared to the general population. To our knowledge, this is the first study in Egypt discussing the prevalence and risk factors of suicide among pregnant women. The study aimed to estimate the frequency of suicide and suicidal ideation and identify the socio-demographic and clinical determinants of suicide and suicidal ideation among pregnant women at Zagagzig University Hospitals. Methods: A sample of 167 pregnant women received prenatal care at Obstetrics and Gynecology Outpatient clinic, Zagazig University hospitals. A simple questionnaire was structured for all participants to collect data on socio-demographic data, clinical and obstetric history & exposure interpersonal violence. The psychometric assessment was done which included: Beck Suicidal Ideation Scale (BSS), Zagazig Depression Scale (ZDS), and Hamilton Anxiety Rating Scale (HAM-A). Results: The prevalence of current suicidal risk (CSR) among pregnant women was 22.2%, this value could be subdivided into suicidal ideation of 20.4% and suicidal attempt of 1.8 %.Women who had anxiety/ depression or had exposed to current partner aggressiveness were significantly more likely to have had current suicide risk (CSR). Conclusion: Pregnant women at the greatest risk for current suicide risk (CSR) were those who were depressed/anxious or had experienced some form of current partner aggressiveness. With the high prevalence of these conditions, attention should be given to the establishment of adequate mental health treatment programs for pregnant women.
International journal of psychiatry in medicine, Jan 24, 2015
The aim of the study was to estimate the prevalence and associated correlates of major depressive... more The aim of the study was to estimate the prevalence and associated correlates of major depressive disorder and generalized anxiety disorder in hepatitis C virus patients before and after treatment and to investigate the relationship between major depressive disorder and generalized anxiety disorder and treatment response. A total of 116 consecutive hepatitis C virus patients from hepatitis C virus treatment center in Zagazig city, Egypt, were included in the study and divided into treated group (N = 58) and untreated group (N = 58). All hepatitis C virus patients were screened for major depressive disorder and generalized anxiety disorder using hospital anxiety and depression scale, and those who screened positive were interviewed to confirm the diagnosis of major depressive disorder and generalized anxiety disorder using DSM-IV-TR diagnostic criteria. These measures were done at baseline and after 12 weeks of treatment or observation. At baseline, 3.5% and 12.1% of hepatitis C viru...
The American journal of drug and alcohol abuse, Jan 10, 2015
Tramadol abuse liability is underestimated and the evidence of abuse and dependence is emerging. ... more Tramadol abuse liability is underestimated and the evidence of abuse and dependence is emerging. It has many health and social consequences especially in adolescents. Tramadol abuse has not been well studied in Egypt. The aim of this study was to estimate the prevalence and associated correlates of tramadol use and abuse among school students in Egypt. A total of 204 students, aged 13-18 years, from six schools in Zagazig, Egypt, were screened for tramadol use using The Drug Use Disorders Identification Test and a urine screen for tramadol. The prevalence of tramadol use was 8.8% among school students and the average age at onset of tramadol use was 16.5 ± 1.1. Some 83% of the users were using tramadol alone while the rest (17%) were using a combination of tramadol, alcohol, and cannabis. Two-thirds of these students started with tramadol as the first drug after the onset of tobacco smoking. Over one third of tramadol users had drug-related problems and 6% had dependence. There was ...
Egyptian Journal of Psychiatry, 2014
Objectives The aim of this study was to determine neuropsychological cognitive dysfunctions in ps... more Objectives The aim of this study was to determine neuropsychological cognitive dysfunctions in psychotic bipolar disorders and compare the results with a control group. Participants and methods The sample included two groups: group I included 20 psychotic bipolar patients recruited from psychiatric outpatient clinics of Zagazig University Hospitals. Group II included 20 participants selected randomly from Zagazig University Hospitals visitors. Patients were subjected to a semistructured psychiatric interview using the DSM-IV criteria for psychotic bipolar diagnosis, detection of mania by Young mania rating scale for the study group, and detection of neuropsychological cognitive function, where executive functions were assessed using the Wisconsin card sorting tests and memory was assessed using the Wechsler memory scale. Results The results of the current study indicated a highly significant difference between psychotic bipolar patients and the control group in executive functions, logic memory, digit span forward, digit span backward, associative learning, and total memory, and a reversible highly significant correlation between the number of hospitalizations and cognitive functions in psychotic bipolar patients for block design. Conclusion The current study concluded that neuropsychological cognitive dysfunctions are highly prevalent in psychotic bipolar disorders and it is strongly inter-related with sociodemographic and clinical characteristics.
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Papers by Usama M. M Youssef