Background: Poor adherence to treatment is one of the main challenges to symptom control and preventing recurrence in bipolar disorder (BD). Numerous studies have established an association between patients' poor adherence and an increased risk of recurrence, relapse of the symptoms and admission to hospital.
Aim:To study the socio-demographic and clinical factors associated with medication nonadherence in patients with BD who were admitted to the hospital.
Background
Sleep disturbances among medical staff are common serious entities with devastating consequences. Numerous studies have analyzed the effects of residency on the quality of sleep of the medical trainees in various specialties, but only few studies were conducted in Egypt.
Results
One hundred fifty medical residents from various medical and surgical specialties who work in the hospitals of Ain Shams University, Egypt, agreed to participate in our study. Sociodemographic and work-related data were collected by a semi-structured sheet. Sleep quality was assessed by self-administered questionnaire—Pittsburgh Sleep Quality Index (PSQI). According to the PSQI, 96.7% of the residents had poor sleep quality with mean PSQI score of 10.4 ± 2.5. No statistically significant difference was detected among the different specialties. Poorer sleep quality was more frequent among senior residents who spent longer duration in residency. The number of hours of sleep before residency and the number of days off during residency were the main predictors of total PSQI score and determinants of sleep quality
Conclusions
Poor sleep quality is highly prevalent among medical residents and is associated with work-related factors. It is necessary to consider residents’ sleep estate and conduct more analyses to diagnose, treat, and improve their sleep quality.
Background: The link between types and severity of attention deficit hyperactivity disorder (ADHD) symptoms and trait emotional intelligence (TEI) is still underinvestigated, especially in children. We aimed to examine the relationship between TEI and ADHD symptoms in a sample of Egyptian children. Method: The study included 50 children with ADHD, who were compared on the basis of their TEI and contrasted with 25 matched healthy controls. They were subjected to the Arabic version of the following scales: Connors scale 3rd edition, parent rating form, Kiddie-Schedule for affective disorders and Schizophrenia present and Lifetime Version (K-SADS-PL), Stanford Binet intelligence scale, 4th edition and Trait Emotional Intelligence Child form (TEI) and a semistructured clinical data sheet for sociodemographic data. Results: Using TEI scale, the control group was shown to have higher scores in TEI than cases, there was a high significant difference with regards to eight of nine TEI facets together with the TEI global score. Moreover, the control group significantly outperformed ADHD children with mixed and hyperactive subtypes on TEI global score in all facets except for adaptability. Meanwhile, the inattentive group performed significantly poorer than those in the control group on TEI global score, adaptability, emotional expression, self-motivation and emotion regulation facets. Trait Emotional Intelligence was negatively correlated with four of ADHD symptom groups assessed by Connors test, namely; impulsivity, cognitive, social problem, and emotional liability symptoms. However, Impulsivity was negatively correlated with all the domains of TEI except for adaptability and emotional expression. On the other hand, oppositional symptoms did not show a significant correlation with any of the TEI facets. Conclusions: Trait emotional intelligence is highly impaired in children with ADHD and emotional deficits are corner stone features of that disorder, low impulsivity facet of TEI is highly correlated with social problems and poor peer relations.
Key Practitioner Message• Children with ADHD are theorized to have impaired trait emotional intelligence.• No investigations of TEI have been carried out in an ADHD child population, although it has strong implications in childhood.• This study shed some light on the social difficulties that were shown by many children with ADHD, and hopefully identify avenues of potential intervention for schools and parents.
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