MyMedR

Severity of Kratom (Mitragyna speciosa Korth.) Psychological Withdrawal Symptoms

Singh D, Narayanan S, Müller CP, Swogger MT, Rahim AA, Leong Bin Abdullah MFI, et al.

J Psychoactive Drugs, 2018 08 28;50(5):445-450.

PMID: 30152738 DOI: 10.1080/02791072.2018.1511879

Kratom leaves (Mitragyna speciosa Korth.) are traditionally used in Southeast Asia for their medicinal value. Self-report studies suggest that cessation from chronic kratom tea consumption (freshly brewed kratom tea) was associated with unpleasant psychological symptoms. This study sought to assess the severity of anxiety and depression during kratom cessation. Regular kratom users (N = 150) were recruited from the northern state of Penang (Malaysia) for this retrospective study. The Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) scales were used to assess the severity of the symptoms of anxiety and depression. Most respondents (70%) experienced symptoms of mild anxiety, while 81% experienced symptoms of mild depression during kratom cessation. Those who consumed higher quantities of kratom tea daily (≥4 glasses) had higher odds of reporting longer duration of kratom use history (OR = 4.8, 95% CI 2.3 -10.1, p

Matched MeSH terms: Psychiatric Status Rating Scales

Hypoactive sexual desire among depressed female patients treated with selective serotonin reuptake inhibitors: a comparison between escitalopram and fluoxetine

Sidi H, Asmidar D, Hod R, Jaafar NR, Guan NC

Int J Psychiatry Clin Pract, 2012 Mar;16(1):41-7.

PMID: 22122658 DOI: 10.3109/13651501.2011.617457

To determine the risk of hypoactive sexual desire (HSD) in depressed female patients treated with selective serotonin reuptake inhibitors, comparing escitalopram and fluoxetine. The associated factors were also examined.

Matched MeSH terms: Psychiatric Status Rating Scales

Female sexual dysfunction in patients treated with antidepressant-comparison between escitalopram and fluoxetine

Sidi H, Asmidar D, Hod R, Guan NC

J Sex Med, 2012 May;9(5):1392-9.

PMID: 21477024 DOI: 10.1111/j.1743-6109.2011.02256.x

Selective serotonin reuptake inhibitor is one of the most widely used antidepressant and commonly associated with female sexual dysfunction (FSD).

Matched MeSH terms: Psychiatric Status Rating Scales

Comparable efficacy and safety of 8 weeks treatment with agomelatine 25-50mg or fluoxetine 20-40mg in Asian out-patients with major depressive disorder

Shu L, Sulaiman AH, Huang YS, Fones Soon Leng C, Crutel VS, Kim YS

Asian J Psychiatr, 2014 Apr;8:26-32.

PMID: 24655622 DOI: 10.1016/j.ajp.2013.09.009

OBJECTIVE: This randomized, double-blind study evaluates the efficacy and tolerability of agomelatine, using fluoxetine as an active comparator, in Asian patients suffering from moderate to severe major depressive disorder (MDD).
METHOD: Patients were randomly assigned to receive either agomelatine (25-50mg/day, n=314) or fluoxetine (20-40mg/day, n=314) during an 8-week treatment period. The main outcome measure was the change in Hamilton Depression Rating Scale 17 items (HAM-D17) scores. Secondary efficacy criteria included scores on Clinical Global Impression Severity of illness (CGI-S) and Improvement of illness (CGI-I), patient sleeping improvement using the self-rating Leeds Sleep Evaluation Questionnaire (LSEQ) and anxiety using the Hamilton Anxiety Rating Scale (HAM-A) scores. Tolerability and safety evaluations were based on emergent adverse events.
RESULTS: Agomelatine and fluoxetine exert a comparable antidepressant efficacy in the Asian population. Mean changes over 8 weeks were clinically relevant and similar in both groups (-14.8±7.3 and -15.0±8.1 on HAM-D17 scale in agomelatine and fluoxetine groups, respectively). The between-group difference reached statistical significance on non-inferiority test (p=0.015). Clinically relevant decreases in CGI-S and CGI-I scores were observed over the treatment period in both groups. The two treatments were equally effective on the symptoms of both anxiety and sleep. The good tolerability profile and safety of both doses of agomelatine was confirmed in the Asian population.
CONCLUSIONS: Agomelatine and fluoxetine are equally effective in the treatment of MDD-associated symptoms in Asian depressed patients.
KEYWORDS: Agomelatine; Antidepressant; Asian population; Fluoxetine
Study site in Malaysia: Psychiatric clinic, University Malaya Medical Centre (UMMC), Kuala Lumpur, Malaysia

Matched MeSH terms: Psychiatric Status Rating Scales

Fulltext Psychological stress among undergraduate medical students

Sherina MS, Rampal L, Kaneson N

Med J Malaysia, 2004 Jun;59(2):207-11.

PMID: 15559171 MyJurnal

The aim of this study was to determine the prevalence of psychological stress among medical students and to identify its symptoms and association with depression. A cross-sectional study design was used. Three-hundred and ninety-six medical students at a university in Malaysia were included in the study. Tools similar to the General Health Questionnaire (GHQ-12) and Beck Depression Inventory (BDI) were used to screen for psychological stress and depression, respectively. 41.9% of the medical students were found to have psychological stress, which was significantly associated with depression (chi2=4.636, df=1, p<0.05). Psychological stress is common among medical students and is associated with depression.

Matched MeSH terms: Psychiatric Status Rating Scales

Fulltext The prevalence of depression among the elderly in Sepang, Selangor

Sherina MS, Rampal L, Mustaqim A

Med J Malaysia, 2004 Mar;59(1):45-9.

PMID: 15535335 MyJurnal

Objective: To determine the prevalence of depression among the elderly and to identify its associated factors.
Methods: A cross sectional study design was used. Stratified proportionate cluster sampling method was used to select the respondents. A 30 item Geriatric Depression Scale questionnaire was used as a screening instrument.
Results: 7.6% of the elderly were found to have depression. Only employment status was found to be significantly associated with depression.
Discussion: The prevalence of depression in the elderly was 7.6%. Primary Care providers need to be vigilant when treating elderly patients as depression is commonly found in this age group .
Study site: Nine villages in Mukim Sepang, Sepang District, Selangor, Malaysia
Device, Questionnaire & Scale: Geriatric Depression Scale (GDS-30)

Matched MeSH terms: Psychiatric Status Rating Scales

Fulltext Kesejahteraan psikologi, kemurungan dan sokongan sosial di kalangan mangsa rogol

Shazli Ezzat Ghazali, Ponnusamy, S., Normah Che Din, Nik Farideh Yousef Mohd Khan

Jurnal Sains Kesihatan Malaysia, 2006;4(1):99-106.

MyJurnal

Tujuan kajian ini adalah untuk mengenal pasti perkaitan antara tahap kemurungan, kesihatan mental, kesan sokongan sosial dan kesejahteraan psikologi di kalangan mangsa rogol dengan aspek demografik. Subjek kajian seramai 30 wanita telah dipilih dari Pusat Perlindungan dan Pemulihan Wanita, di Batu Caves, Selangor. Kaedah ujian yang digunakan terdiri daripada Beck Depression Inventory, General Health Questionnaire-28, Provision Social Relation dan soalan demografik. Soalan diedarkan di kalangan mangsa diikuti dengan penerangan ringkas ke atas kaedah ujian. Analisis data menunjukkan terdapat perbezaan yang signifikan di antara faktor umur dan kesejahteraan psikologi mangsa (p = 0.004). Selain itu, kemurungan didapati mempengaruhi secara signifikan ke atas kesihatan mental (R' = 0.60, [F (1, 27) = 40.312, p < 0.0011). Kajian inijuga mendapati hubungan yang positif antara kesihatan mental dan kemurungan (r = 0.77). Ini bermaksud semakin tinggi kemurungan yang dialami mangsa, semakin tinggi kesan ke atas kesihatan mentalnya.

Matched MeSH terms: Psychiatric Status Rating Scales

Fulltext The Psychometric Properties of the Center for Epidemiological Studies Depression Scale (CES-D) for Iranian Cancer Patients

Sharif Nia H, Rezapour M, Allen KA, Pahlevan Sharif S, Jafari A, Torkmandi H, et al.

Asian Pac J Cancer Prev, 2019 09 01;20(9):2803-2809.

PMID: 31554380 DOI: 10.31557/APJCP.2019.20.9.2803

Objectives: The Center for Epidemiologic Studies Depression Scale (CES-D) was specifically created to assess
depression in cancer patients. However, to date, the CES-D has not been validated in Farsi. Therefore, this study aimed to
assess the psychometric properties of the CES-D in Iranian cancer patients. Methods: During a three-month period
(October to December, 2015), a total of 380 cancer patients completed a Farsi version of the CES-D. The construct
validity of the scale was evaluated by exploratory factor analysis. Reliability was assessed using Cronbach’s alpha
and McDonald Omega. All of the statistical procedure were run by SPSS 22 (SPSS Inc., Chicago, IL, USA). Results:
The construct validity of the CES-D determined three factors (somatic affect, negative affect, and positive affect),
which explained 65.60% of the total variance. The internal consistency was greater than 0.70. Conclusion: Findings
revealed that the Farsi version of the CES-D has acceptable validity and reliability, which can be used to measure
depression in Iranian cancer patients.

Matched MeSH terms: Psychiatric Status Rating Scales

Fulltext Prevalence and factors associated with irritable bowel syndrome among medical students in a Malaysian private university: a cross sectional study

Seger S, Nasharuddin NNB, Fernandez SL, Yunus SRBM, Shun NTM, Agarwal P, et al.

Pan Afr Med J, 2020;37:151.

PMID: 33425184 DOI: 10.11604/pamj.2020.37.151.21716

Introduction: irritable bowel syndrome (IBS) is one of the most common functional gastrointestinal disorder. The medical programme is among the most challenging and stressful undergraduate programmes which may predispose to higher rates of IBS. This study sought to determine the prevalence of undiagnosed IBS and the factors associated with IBS among medical students in a Malaysian private university.

Methods: a cross sectional study was conducted among the medical students from semester 6 to semester 9 (year 3, year 4 and year 5) of a Malaysian private university. The questionnaire consisted of 2 main sections. Section A was on demographic data and section B consisted of the Hospital Anxiety and Depression Scale (HADS), the Pittsburgh Sleep Quality Index (PSQI) and the Rome IV Questionnaire for IBS. Association between the factors gathered and IBS was assessed using the Chi-Square test. Variables with a p-value of less than 0.2 in the univariate analysis were entered into a multivariate analysis model.

Results: number of students who responded were 190 (56.3%) were females, 66.3% were Chinese and 37.9% were from semester 9. Twenty-eight (14.7%) students had symptoms consistent with a diagnosis of IBS. Depression was found to be significantly associated with IBS (adjusted OR: 4.749, CI: 1.809-12.470).

Conclusion: this study suggests that IBS is common among Malaysian medical students. There was a significant association between IBS and depression.

Matched MeSH terms: Psychiatric Status Rating Scales

Specificity of Schneider's first rank symptoms for schizophrenia in Malay patients

Salleh MR

Psychopathology, 1992;25(4):199-203.

PMID: 1492143

The frequency of Schneider's first rank symptoms (FRS) was studied in 221 Malay patients with functional psychosis. The prevalence of FRS in schizophrenia was 26.7%. The most common symptoms were voice arguing, passivity phenomena and somatic passivity. In the absence of organic brain dysfunction, the specificity of FRS for schizophrenia was 87.8%, and their positive predictive value was 90.6%. These findings indicate that although FRS is not pathognomonic of schizophrenia, their presence should be regarded as strongly suggestive of schizophrenia in the absence of organic etiology. FRS do not however occur with sufficient frequency to have potential diagnostic in schizophrenia.

Matched MeSH terms: Psychiatric Status Rating Scales

Systematic review and critical appraisal of child abuse measurement instruments

Saini SM, Hoffmann CR, Pantelis C, Everall IP, Bousman CA

Psychiatry Res, 2019 02;272:106-113.

PMID: 30580133 DOI: 10.1016/j.psychres.2018.12.068

Child abuse is a major public health concern and a strong predictor of adult psychopathology. However, a consensus on how best to measure child abuse is not evident. This review aimed to critically appraise the methodological quality and measurement properties of published child abuse measures, examined the strength of evidence of these instruments for research use using the COnsensus-based Standards for the selection of health Measurement InstrumeNts (COSMIN) checklist and determined which measures were capable of providing information on the developmental timing of abuse. Systematic search of electronic databases identified 52 eligible instruments from 2095 studies. Only 15% (n = 8) of the instruments had strong to moderate levels of evidence for three or more of the nine COSMIN criteria. No instrument had adequate levels of evidence for all criteria, and no criteria were met by all instruments. Our results indicate there is no single instrument that is superior to all others across settings and populations. The availability of measures capable of capturing the effects of child abuse on brain development and associated behavioral phenotypes are limited. Refined instruments with a focus on capturing abuse events during development are warranted in addition to further evaluation of the psychometric properties of these instruments.

Matched MeSH terms: Psychiatric Status Rating Scales/standards*

Fulltext Mania secondary to hyponatremia in elderly patient: a case report

Saifuddin, T.M., Harun, N.A.

Malaysian Journal of Psychiatry, 2017;26(2):0-0.

MyJurnal

Manic symptoms secondary to hyponatremia is rare or might be underreported.
Awareness of this phenomenon is important for therapeutic
considerations of patients. We present a case of late onset mania in an elderly
gentleman who was previously diagnosed to have Major Depressive Disorder.
His manic symptoms improved without medication after sodium level was
corrected.

Matched MeSH terms: Psychiatric Status Rating Scales

Fulltext The Mediator Role of Aggression in the Relationship between Marital Stress and Depression among Patients with Coronary Artery Disease

Saeidi M, Zakiei A, Komasi S

Malays J Med Sci, 2019 Jul;26(4):94-100.

PMID: 31496898 DOI: 10.21315/mjms2019.26.4.11

Background: Depression is one of the most important consequences of cardiovascular diseases (CVDs), and to control and treat it, it is necessary to identify its direct and indirect triggers and underlying factors. Therefore, the current study aims to evaluate and investigate the mediator role of aggression in the relationship between marital stress and depression.

Methods: The sample of current cross-sectional study includes 212 patients with coronary artery disease (CAD) in Iran evaluated from Jan to Jun 2017. The required data were gathered using Beck's Depression Inventory (BDI) questionnaire, Buss and Perry's Aggression Questionnaire (BPAQ), and Hudson's Marital Satisfaction Index (HMSI). The data were analysed using Pearson's correlation coefficient and structural equation modeling (SEM) using SPSS20 and AMOS software.

Results: The mean age of participants (68.4% male) was 58.5 ± 8.9. The results show that there is a significant positive relationship between all the variables (P < 0.05). The results of the model show that marital stress cannot directly predict depression (P = 0.586). However, through aggression, marital stress can significantly predict 18% of the variance of depression (P < 0.001).

Conclusions: Not directly, but indirectly through aggression, marital stress can significantly predict increased depression among patients with CAD. The physiological and psychological pathways of the findings can be discussed.

Matched MeSH terms: Psychiatric Status Rating Scales

Rating the quality of the family environment in different cultures

Rey JM, Peng R, Morales-Blanquez C, Widyawati I, Peralta V, Walter G

J Am Acad Child Adolesc Psychiatry, 2000 Sep;39(9):1168-74.

PMID: 10986814 DOI: 10.1097/00004583-200009000-00017

OBJECTIVE:
To examine the extent to which clinicians from different cultures agree when rating the quality of a child's family environment and the effect of country, language, and training factors on these ratings.

METHOD:
Eighty-seven health professionals from Malaysia, Spain, Australia, Indonesia, the United States, Denmark, and Singapore rated 7 case vignettes using the Global Family Environment Scale. Half (54%) were psychiatrists. One quarter (26%) performed the ratings after attending a training session, the rest (n = 64, 74%) after reading a training manual.

RESULTS:
Overall, interrater agreement (intraclass r) was 0.84 (95% confidence interval: 0.68-0.96). There were no significant differences in agreement according to country, language, training, or professional group, although there were country differences in the ratings given to 2 vignettes. The majority of raters found the description of the anchor points (86%), training manual (95%), and case vignettes (97%) clear.

CONCLUSIONS:
Clinicians from different cultures seem to be able to make global ratings of the quality of the family environment that are reliable and consistent when using case vignettes. This can be achieved with little training. Global ratings of the quality of the family environment may be a useful tool in mental health research and clinical work.

Matched MeSH terms: Psychiatric Status Rating Scales

Pain symptoms in Malay patients with major depression

Razali SM, Khalib AQ

Asian J Psychiatr, 2012 Dec;5(4):297-302.

PMID: 23174436 DOI: 10.1016/j.ajp.2012.02.015

There is a strong association between depression and pain, which is influenced by various biological and psychological mechanisms. The objectives of this study were to assess the prevalence and severity of pain symptoms among patients with major depression; and to determine the correlation between pain with clinical variables, neurotic pathology and severity of depression.

Matched MeSH terms: Psychiatric Status Rating Scales

Screening for schizophrenia in initial prodromal phase: Detecting the sub-threshold psychosis

Razali SM, Abidin ZZ, Othman Z, Yassin MA

Asian J Psychiatr, 2015 Aug;16:26-31.

PMID: 26182843 DOI: 10.1016/j.ajp.2015.06.011

The aim of the study is to screen and evaluate the efficacy of the screening tools in detecting subjects with sub-threshold psychosis among asymptomatic individuals at genetic risk, as compared with persons in the general public.

Matched MeSH terms: Psychiatric Status Rating Scales/standards*

Religious--sociocultural psychotherapy in patients with anxiety and depression

Razali SM, Hasanah CI, Aminah K, Subramaniam M

Aust N Z J Psychiatry, 1998 Dec;32(6):867-72.

PMID: 10084352

To show the effectiveness of incorporating religious-sociocultural components in the management of patients with generalised anxiety disorders and major depression who have strong religious and cultural backgrounds as compared with a normal psychotherapeutic approach.

Matched MeSH terms: Psychiatric Status Rating Scales

Case vignette in a community-based study

Razali SM, Hamzah AM

Am J Psychiatry, 1999 Jan;156(1):158.

PMID: 9892319

Matched MeSH terms: Psychiatric Status Rating Scales

Is the Bahasa Malaysia version of the Montreal Cognitive Assessment (MoCA-BM) a better instrument than the Malay version of the Mini Mental State Examination (M-MMSE) in screening for mild cognitive impairment (MCI) in the elderly?

Razali R, Jean-Li L, Jaffar A, Ahmad M, Shah SA, Ibrahim N, et al.

Compr Psychiatry, 2014 Jan;55 Suppl 1:S70-5.

PMID: 24314103 DOI: 10.1016/j.comppsych.2013.04.010

Mild Cognitive Impairment (MCI) is a known precursor to Alzheimer disease, yet there is a lack of validated screening instruments for its detection among the Malaysian elderly.

Matched MeSH terms: Psychiatric Status Rating Scales/standards*; Psychiatric Status Rating Scales/statistics & numerical data

The prevalence and predictors of severe depression among the elderly in Malaysia

Rashid A, Tahir I

J Cross Cult Gerontol, 2015 Mar;30(1):69-85.

PMID: 25349019 DOI: 10.1007/s10823-014-9248-3

The population of Malaysia is relatively young, due to this there is a dearth in research conducted among the elderly especially relating to depression. The aim of this study is to determine the prevalence and the predictors of severe depression among the elderly in Malaysia. A sample of 2005 older adults randomly selected from the Penang State government's list of elderly receiving aid participated in the study. The Geriatric Depression Scale was used to screen for depression. Socio-demographic, social support, disease, functional and other factors were looked at as possible predictor variables. The prevalence of severe depression was 19.2 %. Indians (aOR = 2.0), being married (aOR = 10.5), widowed & divorced (aOR = 5.2), having poor (aOR = 2.7) or moderate social support (aOR = 2.7), having no one (aOR = 2.9), relatives (aOR = 2.3) or religious figures & others (aOR = 1.9) as compared to a spouse as a source of emotional support, feeling extremely lonely (aOR = 3.4), not socially active (aOR = 2.3), cognitively impaired (aOR 2.5), activities limited due to illness or disability (aOR = 1.6) and poor sleep quality (aOR = 3.6) were significant predictor variables. The prevalence of severe depression was high. It is pertinent that older adults, especially those with risk factors identified in this study be screened for depression at every opportunity.
Device, Questionnaire & Scale: Geriatric Depression Scale (GDS-30)

Matched MeSH terms: Psychiatric Status Rating Scales

Displaying publications 41 - 60 of 163 in total