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Fulltext A confirmatory factor analysis study on the medical student stressor questionnaire among Malaysian medical students

Muhamad Saiful Bahri Yusoff

Education in Medicine Journal, 2011;3(1):44-53.
MyJurnal

Objective: To determine the construct validity, convergent validity, construct reliability and internal consistency of the Medical Student Stressor Questionnaire (MSSQ) among first-year medical students in Malaysia. Methods: A multicenter cross-sectional study was done on 375 medical students of four medical schools in Malaysia. The confirmatory factor analysis and reliability analysis were applied to measure construct validity, construct reliability and internal consistency of the MSSQ. These analyses were done using Predictive Analytics SoftWare (PASW) version 18 and Analysis of Moment Structure (AMOS) version 19. The Composite Reliability and Average Variance Extracted of the final constructs were calculated manually to determine construct reliability and convergent validity. Results: A total of 359 (95.7%) medical students responded to this study. The confirmatory factor analysis showed the six factor model with 20 items had a good fit with the latent constructs (X2 (df) = 258.02 (155), p < 0.001, RMR = 0.055, GFI = 0.933, AGFI = 0.910, NFI = 0.931, RFI = 0.916, IFI = 0.971, TLI = 0.965, CFI = 0.971, RMSEA = 0.043). The Cronbach’s alpha value of the MSSQ was 0.92. The Cronbach’s alpha values of the six constructs were more than 0.7. Composite Reliability and Average Variance Extracted values of the six constructs were more than 0.6 and 0.5 respectively indicating good construct reliability and adequate convergent validity. Conclusion: This study suggested that the six factor model with 20 items of the MSSQ had a good fit and shown good psychometric values. It is a valid and reliability measurement to identify stressors among medical students across institutions in Malaysia.

Matched MeSH terms: Psychotherapy
Fulltext A review of depression research in Malaysia

Ng CG

Med J Malaysia, 2014 Aug;69 Suppl A:42-5.
PMID: 25417950 MyJurnal

Depression is a debilitating illness and has become a leading cause of morbidity globally. We aim to summarise the evidence available in regard to the prevalence, type of assessment tools used and treatment options for depression in Malaysia. Two hundred and forty seven articles related to depression were found in a search through a database dedicated to indexing all original data relevant to medicine published in Malaysia between the years 2000-2013. Fifty seven articles were selected and reviewed on the basis of clinical relevance and future research implications. Findings were summarised, categorised and presented according to prevalence of depression, depression in women, depression in clinical condition, assessment tools, and treatment of depression. The prevalence of depression in Malaysia was estimated to be between 8 and 12%. The figures were higher among women of low socio-economic background or those with comorbid medical condition. The common assessment tools used in Malaysia include Beck Depression Inventory (BDI), Depression, Anxiety and Stress Scale (DASS), Patient Health Questionnaire 9 (PHQ-9) and Hospital Anxiety and Depression Scale (HADS). They were translated into the Malay language and their psychometric properties were established. Both pharmacological treatment and psychotherapy were commonly used in Malaysia, and were highly recommended in local clinical practice guidelines. There are discrepancies in the reported rates of depression in Malaysia and this needs to be addressed. There were lack of studies looking into the depression among subgroups in Malaysia especially in the male population. There were several instruments available for assessment of depression in Malaysia but their suitability for the local setting need further research. Both pharmacotherapy and psychotherapy were recommended in the local treatment guideline in Malaysia. With the emergence of generic medication, we need to compare their clinical efficacy and tolerability with original products.

Matched MeSH terms: Psychotherapy
Fulltext A review on assessment and treatment for depression in malaysia

Mukhtar F, Oei TP

Depress Res Treat, 2011;2011:123642.
PMID: 21804939 DOI: 10.1155/2011/123642

This paper aimed to review the literature on depression that focused on its assessment and treatment in Malaysia. PsycINFO, Medline, local journals were searched, and 18 published articles were included in this paper. Results indicate that research on depression in Malaysia, particularly validation studies and psychotherapy research, was weak and fragmented, with minimal empirical evidence available. Pharmacotherapy still dominated the treatment for depression, and, in terms of psychotherapy, Cognitive Behavioural Therapy (CBT) was recently practiced, but only a few studies have reported on the treatment efficacy of CBT. Major limitations of studies were noted, and, consequently, the problems that are associated with the implementation and future direction of clinical and research on depression in Malaysia were discussed. In short, the contribution of empirical research on the assessment and treatment for depression remained inconsistent and fragmented and urgently in need of further empirical investigation.

Matched MeSH terms: Psychotherapy
An Analysis of the World Health Organization Disability Assessment Schedule 2.0 Measurement Model Using Partial Least Squares-Structural Equation Modeling

Tabet SM, Lambie GW, Jahani S, Rasoolimanesh SM

Assessment, 2020 12;27(8):1731-1747.
PMID: 30873844 DOI: 10.1177/1073191119834653

The researchers examined the factor structure and model specifications of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) with confirmatory tetrad analysis (CTA) using partial least squares-structural equation modeling (PLS-SEM) with a sample of adult clients (N = 298) receiving individual therapy at a university-based counseling research center. The CTA and PLS-SEM results identified the formative nature of the WHODAS 2.0 subscale scores, supporting an alternative measurement model of the WHODAS 2.0 scores as a second-order formative-formative model.

Matched MeSH terms: Psychotherapy
An Integrative Approach to Treatment-Resistant Obsessive-Compulsive Disorder

Woon LS, Kanapathy A, Zakaria H, Alfonso CA

Psychodyn Psychiatry, 2017;45(2):237-257.
PMID: 28590207 DOI: 10.1521/pdps.2017.45.2.237

Obsessive-compulsive disorder (OCD) is a debilitating psychiatric disorder that often runs a chronic unremitting course. Treatment outcomes can be unsatisfactory despite the availability of various somatic and psychological therapies. Psychodynamic psychotherapy in combination with cognitive behavioral therapy (CBT) with exposure and response prevention (ERP) could help patients with treatment-resistant OCD achieve better outcomes. An integrative approach can help patients gain insight, strengthen the therapeutic alliance, improve treatment adherence, and provide symptomatic relief when other treatments seem insufficient or have failed. We describe the treatment process of a person with treatment-resistant OCD who received pharmacotherapy, concurrent CBT/ERP, and a brief course of psychodynamic psychotherapy. Case formulations from cognitive behavioral and psychodynamic perspectives are presented. The authors discuss the advantages of doing a psychodynamic assessment and formulation in treatment refractory cases and the wisdom of integrating psychotherapy interventions for OCD, as well as the unique clinical features of cases that warrant a multimodal treatment approach.

Matched MeSH terms: Psychotherapy, Psychodynamic/methods*
An exploratory study of the effectiveness of group narrative therapy on the school behavior of girls with attention-deficit/hyperactivity symptoms

Looyeh MY, Kamali K, Shafieian R

Arch Psychiatr Nurs, 2012 Oct;26(5):404-10.
PMID: 22999036 DOI: 10.1016/j.apnu.2012.01.001

This study explored the effectiveness of group narrative therapy for improving the school behavior of a small sample of girls with attention-deficit/hyperactivity disorder (ADHD). Fourteen clinics referred 9- to 11-year-old girls with a clinical diagnosis of ADHD were randomly assigned to treatment and wait-list control groups. Posttreatment ratings by teachers showed that narrative therapy had a significant effect on reducing ADHD symptoms 1 week after completion of treatment and sustained after 30 days.

Matched MeSH terms: Psychotherapy, Group/methods*
Fulltext Anxiety and depression in children with epilepsy

Lai, Choo Ong

Neurology Asia, 2013;18(11):39-41.
MyJurnal

Children with epilepsy are at increased risk of behavioral problems and psychiatric disorders compared with the general population and those with other chronic illnesses. Depression and anxiety disorders are the most common and require further attention because they carry the risk of reduced quality of life and have far reaching consequences in later life. The wide range of prevalence quoted in the literature reflects methodologic differences. Risk factors are often multifactorial and include illness severity, coexisting morbidity, and psychosocial factors. Diagnosis remains a challenge, as the presentation is heterogenous and age related. This is complicated by epilepsy issues and associated comorbidity that hamper the use of standardized assessment tools. Multimodal treatment involving psychotherapy and antidepressant therapy currently represents the best approach. The mental health needs of these children are largely unmet; increased awareness and better research are required to determine best practices.

Matched MeSH terms: Psychotherapy
Application of the European quality indicators for psychosocial dementia care in long-term care facilities in the Asia-Pacific region: a pilot study

Jeon YH, Chien WT, Ha JY, Ibrahim R, Kirley B, Tan LL, et al.

Aging Ment Health, 2018 10;22(10):1279-1286.
PMID: 28714742 DOI: 10.1080/13607863.2017.1351521

OBJECTIVES: An Asia-Pacific regional collaboration group conducted its first multi-country research project to determine whether or not European quality indicators (QIs) for psychosocial care in dementia could be implemented as a valid tool in residential aged care across seven Asia-Pacific sites (Australia, Hong Kong Special Administrative Region, Mainland China, Malaysia, Singapore, South Korea, and Thailand).
METHOD: Following the European QI protocol, auditing and data extraction of medical records of consenting residents with dementia were conducted by trained auditors with relevant health care backgrounds. Detailed field notes by the auditors were also obtained to describe the characteristics of the participating care facilities, as well as key issues and challenges encountered, for each of the 12 QIs.
RESULTS: Sixteen residential care facilities in the seven Asia-Pacific sites participated in this study. Data from 275 residents' records revealed each of the 12 Qis' endorsement varied widely within and between the study sites (0%-100%). Quality of the medical records, family and cultural differences, definitions and scoring of certain indicators, and time-consuming nature of the QI administration were main concerns for implementation.
CONCLUSION: Several items in the European QIs in the current format were deemed problematic when used to measure the quality of psychosocial care in the residential aged care settings in participating Asia-Pacific countries. We propose refinements of the European QIs for the Asian-Pacific context, taking into account multiple factors identified in this study. Our findings provide crucial insights for future research and implementation of psychosocial dementia care QIs in this region.

Matched MeSH terms: Psychotherapy/standards*
Fulltext Bridging exhibitionism and internet pornography: is there a link?

Lee SC, Sidi H, Zakaria H, Loo JL, Yahaya R

Malaysian Journal of Medicine and Health Sciences, 2018;14(3):51-53.
MyJurnal

Exhibitionism is a distressing condition which may have a link with the increasing availability and usage of online sexual activities (OSA). We highlight a 42-year-old man who presented with a constant craving for OSA to achieve his sexual satisfaction which included exposing his genitalia to virtual partners, unsuspected strangers, and colleagues in public areas. His sexual behaviours were further reinforced by an online video chatting with genitalia exposure, which ended commonly with an exchange of masturbatory acts. He denied any problem with his erection and able to achieve orgasm via common sexual acts. There was no past psychiatric history nor family history of mental disorder. He volunteered to seek psychiatric help and subsequently given a psycho education on his illness and how to cope with the distress associated with his sexual acts. He was scheduled for an intensive psychotherapy to instil insight and hope to deal with his sexual difficulties.

Matched MeSH terms: Psychotherapy
Brief psychotherapy with children

Ying DL

Med J Malaysia, 1976 Jun;30(4):279-84.
PMID: 979728
Matched MeSH terms: Psychotherapy, Brief/methods*
Communication problems with psychiatric patients in the multilingual society of Sarawak

Schmidt KE

Psychiatry, 1965 Aug;28:229-33.
PMID: 14318932 DOI: 10.1080/00332747.1965.11023430
Matched MeSH terms: Psychotherapy*
Complementary treatment of drug addicts in Malaysia

Razali SM

Trop Doct, 2000 Apr;30(2):105-6.
PMID: 10842562 DOI: 10.1177/004947550003000218
Matched MeSH terms: Psychotherapy, Group
Fulltext Conquering pedaphobia: a case study of counselling interventions

Aina Razlin Mohammad Roose

Journal of Cognitive Sciences & Human Development, 2015;1(1):63-73.
MyJurnal

This paper presents a case study of a 22-year-old female client who came for counselling sessions for the purpose of overcoming her pedaphobia. Symptoms, such as, dizziness, nausea, arousal, sweating palm and body shaking were noticed to be visible not only by the presence of a real child, but also by pictures, stories and imaginations of infants. Systematic desensitization technique, a form of Exposure Therapy, was applied to treat the client. It involved relaxation and breathing techniques, and supported by the application of live modelling guided participation. Along with the interventions, Rational Emotive Behaviour Therapy techniques were also applied, such as, thought recording, irrational thoughts identification and disputation, Rational Emotive Imagery (REI), coping self-statement, and forceful self-statement. By the end of the therapy, the client reported to have experienced a decline in the occurrences of symptoms and demonstrated the ability to overcome her phobia.
Cross-cultural psychotherapy: the Malaysian experience. An open system model

Kinzie JD

Am J Psychother, 1972 Apr;26(2):220-31.
PMID: 5024276
Matched MeSH terms: Psychotherapy*
Fulltext Development of cognitive therapy group intervention (ctgi) on resilience among adolescents

Nasir, Len, Amalia, Madihie, Salmah, Mohamad Yusoff

Journal of Cognitive Sciences & Human Development, 2020;6(2):27-36.
MyJurnal

The purpose of this paper is to evaluate the validity and reliability of Cognitive Therapy Group Intervention (CTGI) which focuses on the elements of resilience among adolescents with behavioural problems. It is developed based on Cognitive Theory (comment: it’d be more sufficient if you can mention whose theory) and Sidek Module Development Model and consists of eight interventions. Cognitive Therapy Intervention (CTI) manuscripts and a five-item questionnaires were distributed to five content experts to determine the intervention’s validity. The findings reported the validity index of 0.87. The target group were thirty-two adolescents chosen to measure the reliability of each intervention by evaluating the objectives in each intervention session. As a result, a reliability index of 0.85 was obtained. From these two indexes, it is proven that the Cognitive Therapy Group Intervention (CTGI) possesses high validity and good reliability and is ready to be put to use. This implies that, counselling interventions in schools are required in working with adolescents with at risk behaviours.

Matched MeSH terms: Psychotherapy, Group
Digital life storybooks for people with dementia living in care homes: an evaluation

Subramaniam P, Woods B

Clin Interv Aging, 2016;11:1263-1276.
PMID: 27698556

There is increasing interest in using information and communication technology to help older adults with dementia to engage in reminiscence work. Now, the feasibility of such approaches is beginning to be established. The purpose of this study was to establish an evidence-base for the acceptability and efficacy of using multimedia digital life storybooks with people with dementia in care homes, in comparison with conventional life storybooks, taking into account the perspectives of people with dementia, their relatives, and care staff.

Matched MeSH terms: Psychotherapy/methods
Do the physical and environment PETTLEP elements predict sport imagery ability?

Anuar N, Williams SE, Cumming J

Eur J Sport Sci, 2017 Nov;17(10):1319-1327.
PMID: 28950801 DOI: 10.1080/17461391.2017.1377290

The present study aimed to examine whether physical and environment elements of PETTLEP imagery relate to the ability to image five types of sport imagery (i.e. skill, strategy, goal, affect and mastery). Two hundred and ninety participants (152 males, 148 females; Mage = 20.24 years, SD = 4.36) from various sports completed the Sport Imagery Ability Questionnaire (SIAQ), and a set of items designed specifically for the study to assess how frequently participants incorporate physical (e.g. 'I make small movements or gestures during the imagery') and environment (e.g. 'I image in the real training/competition environment') elements of PETTLEP imagery. Structural equation modelling tested a hypothesised model in which imagery priming (i.e. the best fitting physical and environment elements) significantly and positively predicted imagery ability of the different imagery types (skill, β = 0.38; strategy, β = 0.23; goal, β = 0.21; affect, β = 0.25; mastery, β = 0.22). The model was a good fit to the data: χ2(174) = 263.87, p

Matched MeSH terms: Imagery (Psychotherapy)*
EEG feature fusion for motor imagery: A new robust framework towards stroke patients rehabilitation

Al-Qazzaz NK, Alyasseri ZAA, Abdulkareem KH, Ali NS, Al-Mhiqani MN, Guger C

Comput Biol Med, 2021 10;137:104799.
PMID: 34478922 DOI: 10.1016/j.compbiomed.2021.104799

Stroke is the second foremost cause of death worldwide and is one of the most common causes of disability. Several approaches have been proposed to manage stroke patient rehabilitation such as robotic devices and virtual reality systems, and researchers have found that the brain-computer interfaces (BCI) approaches can provide better results. Therefore, the most challenging tasks with BCI applications involve identifying the best technique(s) that can reveal the neuron stimulus information from the patients' brains and extracting the most effective features from these signals as well. Accordingly, the main novelty of this paper is twofold: propose a new feature fusion method for motor imagery (MI)-based BCI and develop an automatic MI framework to detect the changes pre- and post-rehabilitation. This study investigated the electroencephalography (EEG) dataset from post-stroke patients with upper extremity hemiparesis. All patients performed 25 MI-based BCI sessions with follow up assessment visits to examine the functional changes before and after EEG neurorehabilitation. In the first stage, conventional filters and automatic independent component analysis with wavelet transform (AICA-WT) denoising technique were used. Next, attributes from time, entropy and frequency domains were computed, and the effective features were combined into time-entropy-frequency (TEF) attributes. Consequently, the AICA-WT and the TEF fusion set were utilised to develop an AICA-WT-TEF framework. Then, support vector machine (SVM), k-nearest neighbours (kNN) and random forest (RF) classification technique were tested for MI-based BCI rehabilitation. The proposed AICA-WT-TEF framework with RF classifier achieves the best results compared with other classifiers. Finally, the proposed framework and feature fusion set achieve a significant performance in terms of accuracy measures compared to the state-of-the-art. Therefore, the proposed methods could be crucial for improving the process of automatic MI rehabilitation and are recommended for implementation in real-time applications.
Effect of guided imagery on depression in male inmates

Endeh Nurgiwiati, Mamat Rahmat

Sains Malaysiana, 2015;44:1467-1471.

The study was a Quasi experimental two group pre-and post- experimental design. It involved 32 samples at both experimental and control groups. This research was conducted to examine the effect of Guided Imagery on depression among male inmates. Subjects in the experimental group were asked to practice Guided Imagery in group for 10 sessions three times a week over 4 weeks of treatment period. Subjects from the control group participated in daily activities. Due to ethical consideration, following the completion of this study, however, the subjects in the control group were given Guided Imagery exercises as to reduce their depression signs and symptoms. The data were collected from the prisoners at Correctional Institution Sukamiskin Bandung Indonesia, from August to September 2014. Guided Imagery demonstrated a statistically significant reduction in depression (p=0.041) on the experimental group compared with the control group. Guided Imagery is a powerful, simple and economic intervention to reduce depression symptoms. The study found that the experimental group experience less depression than the control group. This study can be applied to other correctional institutions to reduce depression among prison inmates. Further studies are recommended to explore the effectiveness of guided imagery on depression among male inmates.
Fulltext Effectiveness of Health-Led Cognitive Behavioral-Based Group Therapy on Pain, Functional Disability and Psychological Outcomes among Knee Osteoarthritis Patients in Malaysia

Foo CN, Arumugam M, Lekhraj R, Lye MS, Mohd-Sidik S, Jamil Osman Z

Int J Environ Res Public Health, 2020 08 26;17(17).
PMID: 32858791 DOI: 10.3390/ijerph17176179

BACKGROUND: Psychosocial interventions for patients with osteoarthritis (OA) of the knee to reduce pain and improve physical and psychological functioning are still lacking in Malaysia.
METHODS: A parallel-group unblinded randomized controlled trial involving 300 patients was conducted in two hospital orthopedics clinics in Malaysia. Patients were randomly assigned to receive cognitive behavioral-based group therapy (n = 150) or no further intervention (n = 150). The primary outcome was the change from baseline in knee pain as determined by the Knee injury and Osteoarthritis Outcome Score (KOOS) at 6 months. The data collected were analyzed by covariate-adjusted mixed design repeated measures analysis of variance. All analyses were performed under the terms of intention-to-treat.
RESULTS: At 6 months, mean change from baseline in the KOOS knee pain score was 0.6 points (95% CI -1.73 to 2.94) in the control group and 8.9 points (95% CI 6.62 to 11.23) (denoting less knee pain intensity) in the intervention group (significant treatment effect p < 0.0001). Patients treated with such an approach also experienced significant improvement in functional ability when performing activities of daily living and had improved ability to cope with depression, anxiety and pain catastrophizing.
CONCLUSION: The intervention module delivered by healthcare professionals had a sustained effect on knee OA pain and functionality over 6 months, thereby leading to an overall improvement in psychological well-being, thus benefitting most of the Malaysian knee OA patients.

Matched MeSH terms: Psychotherapy, Group/methods*

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