Introduction: Posttraumatic stress disorder (PTSD) is a mental health condition which develops following exposure to life-threatening events. This cross-sectional study was conducted among adult patients from all walks of life who had injuries related to motor vehicle accidents to determine the cut-off point of the Malay Posttraumatic Stress Disorder Checklist For DSM-5 (MPCLC-5) for its use as a screening tool for PTSD in the Malaysian population. Methods: Using convenient sampling method, 204 subjects who fulfilled the inclusion criteria were recruited and they were given the 17 item self-rated MPCLC-5 to fill up. Subsequently, trained personnel administered the gold standard Clinician Administered PTSD Scale for DSM 5 (CAPS-5). ROC curve analysis was done to determine appropriate cut-off point for the MPCLC-5. Results: Cut off point of 42/43 would yield the most preferable sensitivity and specificity for MPCLC-5 when compared to CAPS-5 (Sensitivity: 67.56% (95%CI 55.68% to 78.00%); Specificity : 80% (95% CI 72.08% to 86.50%) ). Conclusion: The easy to administer MPCLC-5 is suitable for screening of PTSD among local patients with a proposed cut off point of 42/43.
Objective: The aim of this paper is to examine medical students’ views on the usefulness of a community project as a venue to train professionalism. Methods:Medical students at Cyberjaya University College of Medical Sciences (CUCMS) were surveyed following psychiatry community projects organized during year 4 undergraduate attachments in psychiatry. Results: A total of 176 students returned the survey forms. A majority of medical students thought that the psychiatry community project promotes teamwork and leadership skills. About a quarter thought that it helped foster their communication ability and encouraged them to be more reflective in their daily lives. These findings were translated into the potential of the community project to train “collaborative” and “managerial” affective domain learning outcomes of the university. Conclusions: The findings indicate that psychiatry community project or similar programmes may be useful tools to train several elements of medical professionalism. Future research however should utilise specific measurements to confirm this finding.
Introduction: Psychological consequences of traumatic events are often overlooked by both medical professionals and patients themselves. Post-traumatic stress disorder (PTSD) is the most serious condition in the spectrum of trau- ma- and stressor-related disorders. Left untreated, it may result in physical and mental illnesses as well as social and occupational dysfunction. In the Malaysian Muslim population, stigma against mental illnesses frequently deter in- dividuals suffering from psychological trauma from presenting to mental health services. These people prefer the use of spiritual and religious healing approaches to manage their post-traumatic stress symptoms. The objective of this study was to describe the Islamic cognitive restructuring techniques employed by motor vehicle accident victims for post-traumatic stress. Methods: An exploratory qualitative study involving 9 Muslim motor vehicle accidents victims was conducted from May to September 2015. Subjects were interviewed in-depth using semi-structured interview schedules. These interviews were recorded, transcribed verbatim and analysed with the aid of Atlas.ti software. Re- sults: Psychological intervention such as cognitive restructuring is an effective technique to overcome post-traumatic stress. In this study, our subjects employ cognitive restructuring techniques with predominantly Islamic content. Al- most half of the subjects believe that God will not create hardship but some good will come out of it. Other subjects approach cognitive restructuring by being thankful for the small tests of hardships and compared their situation with others of worse fate. Conclusion: Islamic cognitive restructuring is a useful technique to manage posttraumatic stress symptoms. Further research is needed to determine the effectiveness of this approach.
Introduction: Posttraumatic stress disorder (PTSD) commonly occur following exposure to traumatic events. Since its formal introduction into the Diagnostic and Statistical Manual of Mental Disorders 3rd Edition (DSM-III) in 1980, it has seen a few changes to its criteria. Currently in DSM-5, major changes was made and tools such as the PTSD Checklist for DSM-5 (PCL-5) were developed to reflect those changes. Tools to screen and diagnose PTSD is invalu- able to properly manage the condition, but to date no measure, in keeping with the DSM-5, has been produced for the Malaysian population. The objective was to translate the PCL-5 into Malay and validate it for use in the Malaysian population. Methods: The PCL-5 was translated according to guidelines. A convenient sample of subject were re- cruited from those attending the Orthopaedic Ward and Outpatient Departments due to injuries from motor vehicle accidents (MVA). Subjects completed the Malay PCL-5 (MPCL-5) on the day of recruitment and were then inter- viewed using the Clinician Administered PTSD Scale for DSM-5 (CAPS-5). Two weeks later they were followed-up to again complete the MPCL-5. Results: 204 subjects participated in the study. The MPCL-5 was found to have good face, content and construct validity. It also demonstrated strong internal consistency (Cronbach’s Alpha = .89) and inter-rater reliability (r = .81). Conclusion: The MPCL-5 is a valid and reliable measure for PTSD to be used in the Malaysian population.
There are a number of validated questionnaires available for the screening of Post-Traumatic Stress Disorder (PTSD), and the PTSD Checklist for Civilians is one of them. However, none was translated into the Malay Language and validated for use in the Malaysian population. The aim of this study is to translate and validate the Malay PTSD Checklist for Civilians (MPCL-C). Methods: The PCL-C was translated into the Malay Language and back-translated. The reliability and validity of the MPCL-C were then determined by administering them to those who presented at the emergency department for motor vehicle accident at least one month before. Results: The MPCL-C has good face and content validity. In terms of reliability, it is also good, with Chronbach’s alpha values of 0.90, 0.77, 0.75 and 0.74 for the full scale, re-experiencing, avoidance and arousal domains respectively. Conclusions: The MPCL-C is a valid and reliable instrument to screen for PTSD in motor vehicle accident victims for the studied population.