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Browsing 2 0 0 3 by Author "Abumadini, Mahdi"
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Item Can a short-term training course improve the primary-care physicians' attitudes toward mental health problems?(2003) Al-Khathami, Abdallah; Sheikh, Abdel Rahim; Mangoud, Abdallah; Abumadini, Mahdi; Main, MohammedObjective:To measure changes in the attitude of Primary Health Care (PHC) physicians towards mental illnesses after a short-term training course. In addition, to ascertain if this change would persist 6 months after the training course. Method:This is an intervention type study. Out of 296 PHC physicians working in Eastern Saudi Arabia, 191 were randomly selected and divided randomly into two groups. The Study groups were tested for pre and post exposure (immediate and 6months later), to the psychiatric training course. The Control group was not involved in the intervention. The course was run over a 4-day period in June 1999. A 26-item self-administered questionnaire to assess the PHC physicians' attitudes was used. Results:The study group consisted of 45 trainees, 24 (53%) of whom were men. The control group, 121 out of 166 physicians, responded to the questionnaire, with an 83% response rate, men forming 49%. The data analysis indicated a significant improvement in the PHC physicians' attitude after the course (P<0.0001). Six months later, as compared with their immediate post-test, the positive attitudes persisted within the study group (p-value=0.274). Multiple regressions indicated that the duration of undergraduate psychiatric training was the only contributor factor. Conclusion:This training course resulted in a positive change in the trainees' attitudes. Besides, it showed that the undergraduate psychiatric training had a favourable effect on the PHC physicians' attitude. Therefore, there should be frequent mental health training programs for PHC physicians. Moreover, physicians who spent longer period in undergraduate psychiatric training should be given the priority to work in PHC settings.Item Depressive disorders in psychiatric outpatient clinic attendees in Eastern Saudi Arabia(2003) Abumadini, MahdiBackground: Depressive disorders are common in Psychiatry Outpatient Clinics. Patients: All new patients attending the Psychiatry Clinics at King Fahd Hospital of the University (KFHU), in the Eastern Province were included in the study. Aim: To investigate the frequency and pattern of depressive disorders among Psychiatric Out-patients attendees in the KFHU. Methods: A semi-structured psychiatric interview and clinical mental state examination were used in the assessment of all consecutive new patients attending the clinic during the study period. The Psychiatric diagnoses were made according to the 10 th Edition of International Classification of Mental and Behavioral Disorders (ICD-10). Results: The frequency of depressive disorders was 19.3%. The majority of the patients were between 20-49 years of age and females predominated in the ratio of 1.7:1. Almost 70% were formally unemployed (including 66 housewives). Depressive disorder of the moderate nature was the commonest. Conclusion: Depressive disorders are common in Psychiatry outpatients. The socio-demographic characteristics of depressive disorder in the Kingdom of Saudi Arabia are similar to those abroad in many respects.
