Hospitalizations in psychiatry during the month of Ramadan: A study at the Tunisian mental health hospital

Ammar, H. Ben; Massoued, R. Ben; Hamadi, Asma Ben; Khelifa, Emira; Hakiri, Abir; Hechmi, Z. El

doi:10.1177/0020764020988888

Cited by 6 publications

(5 citation statements)

References 16 publications

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“…Second, the number of psychiatry hospitalizations during Ramadan was compared to the other months of the lunar year. 82 A cross-sectional and retrospective study was conducted at a psychiatric hospital in Tunisia over five lunar years (1434-1438). A substantial decrease in hospitalizations during Ramadan was observed each year, followed by a constant increase during the following month.…”

Section: Impact Of Rf On Mental Well-beingmentioning

confidence: 99%

Ramadan Fasting in Health and Disease in 2021: A Narrative Review

Hassan-Beck

Hafidh

Badi³

et al. 2022

Ibnosina Journal of Medicine and Biomedical Sciences

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Introduction: The literature on the health aspects of Ramadan fasting (RF) is widely spread in many journals. Materials and Methods: This is a narrative review of data obtained from the PubMed database (National Library of Medicine, Bethesda, Maryland, United States). We used the search term “Ramadan fasting,” and relevant records were examined. The publications are narrated thematically. Results: The publications spanned fundamental, clinical, professional, cultural, and advocacy facets. The publications crossed conventional disciplinary lines and geographical locations and appeared in journals with different access systems. The contents are presented under the themes that emerged depending on the retrieved literature. This year basic coverage included changes in physiology and nutrition during Ramadan. However, the clinical issues included a wide range of topics. These included the impact of RF on nonalcoholic fatty liver disease and adjustments needed in endocrine replacement therapy for hypothyroidism and adrenal insufficiency. Coverage also included chronic kidney disease. The impact on maternal health, fetal well-being, and long-term effects of RF exposures were addressed in several studies. Studies in cardiovascular medicine focused on blood pressure and cardiovascular risk factors. Sports medicine and athletes' well-being received somewhat prominent coverage. The impact on renal function, particularly in patients with chronic kidney disease, was investigated by a few authors. Several groups addressed the eyes' structure and function, neurological conditions, especially headache disorders, and hematological and oncological conditions. Finally, the impact of RF on several aspects of mental health and well-being was addressed by various groups. Conclusions: Health aspects of RF received a sustained academic interest with a broad spectrum in 2021. This narration provides an overview of the year's scholarly health-related literature on various aspects of health and disease. It should help researchers and clinicians catch up quickly with the health concerns during Ramadan.

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Section: Impact Of Rf On Mental Well-beingmentioning

confidence: 99%

Ramadan Fasting in Health and Disease in 2021: A Narrative Review

Hassan-Beck

Hafidh

Badi³

et al. 2022

Ibnosina Journal of Medicine and Biomedical Sciences

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“…The number of hospitalizations in psychiatry during Ramadan was studied in a cross-sectional and retrospective study in Tunis over five lunar years. 61 A significant decrease in hospitalizations during Ramadan was observed each year, followed by a constant increase during the following month. Ramadan was the only lunar month with a consistently below-average number of admissions.…”

Section: Resultsmentioning

confidence: 93%

Review of the Literature on Ramadan Fasting and Health in 2022

Hafidh

Khan

Shaikh

et al. 2023

Ibnosina Journal of Medicine and Biomedical Sciences

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Objectives The literature on health and disease during Ramadan fasting (RF) is widely spread in many journals making it not readily accessible to those interested in the subject. Here, we provide an overview of the research on the interplay of RF with various aspects of well-being published in 2022. Materials and Methods A narrative, nonsystematic review of the international literature from a single major medical online database, PubMed, in one calendar year (2022) was conducted. The search term “Ramadan fasting” was used to retrieve the appropriate records. The relevant literature with substantial data-based content was presented in a concise thematic account, excluding those concerned with diabetes. Results Themes that emerged from the review included the pathophysiology of metabolic changes during RF, nutritional aspects including body composition and energy metabolism, cardiovascular disease and risk factors, renal function and structure, endocrinology (mainly thyroid), neurological disorders, mental health, pregnancy and fetal life, and infections (including COVID). Some miscellaneous clinical themes were identified, such as patients' and professional perspectives. Conclusions In 2022, the medical interest in RF was again widely spread across specialties. Cardiovascular disease and risk factors attract the most interest in terms of original articles and professional guidelines. We hope with this review to present a concise summary of the scholarly work on the subject in this year.

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“…There is no literature focusing directly on perceptions and behaviors related to fasting during Ramadan in patients with BD. However, some studies explained how the familial gatherings during periods of religious rituals might offer a greater acceptance and integration of these patients within their family and society ( 39 , 40 ).…”

Section: Discussionmentioning

confidence: 99%

“To fast or not to fast?” Ramadan and religiosity through the eyes of people with bipolar disorder: an exploratory study

Mejri,

Ouali,

Gronholm

et al. 2023

Front. Psychiatry

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BackgroundThe month of Ramadan, due to its changes in social rhythms, can seriously affect the course of bipolar disorder (BD). Therefore, psychiatrists sometimes find it necessary to discourage Ramadan practices, especially fasting, although taking part in this practice can give a sense of belonging and accomplishment to patients. Research on this subject is limited.AimThe aim of the present work was to explore: (i) religious practices with special attention to Ramadan before and after the onset of BD, (ii) the perceptions and behaviors related to not fasting during Ramadan in patients with BD and their families’ attitudes, (iii) religiosity and self-stigmatization and their relationships with religious practices, and (iv) the doctor-patient relationship around fasting.MethodsWe conducted a retrospective, cross-sectional and descriptive study in clinically stabilized patients with BD in a public mental hospital and in a private psychiatric practice in Tunis, Tunisia. Socio-demographic and clinical data, as well as data related to general religious practices and Ramadan practices were collected using a self-established questionnaire. We assessed (i) religiosity of the patients with the Duke University Religion Index and (ii) self-stigma using the Internalized Stigma of Mental Illness scale.ResultsOur sample consisted of 118 patients of whom 65.3% were fasting regularly before BD onset. More than half had stopped this practice following BD onset. Of the patients who did not fast, 16% felt guilty about this and 4.9% reported receiving negative remarks from their surroundings. High self-stigma scores were observed in 11% of the patients. Self-stigma was associated significantly with negative perception of not fasting, negative remarks regarding not fasting and taking both meals at regular times during Ramadan. The decision whether to fast or not was taken without seeking medical advice in 71.2% of the sample, and 16.9% of the sample reported that their psychiatrist had spontaneously approached the issue of Ramadan fasting.ConclusionReligiosity and more specifically the practice of Ramadan remains an important point that should be considered when treating patients with psychiatric problems. It seems necessary that healthcare professionals should integrate the positive and the negative side of fasting into their reflections. Our results remain exploratory and encourage further work on the subject.

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Hospitalizations in psychiatry during the month of Ramadan: A study at the Tunisian mental health hospital

Cited by 6 publications

References 16 publications

Ramadan Fasting in Health and Disease in 2021: A Narrative Review

Ramadan Fasting in Health and Disease in 2021: A Narrative Review

Review of the Literature on Ramadan Fasting and Health in 2022

“To fast or not to fast?” Ramadan and religiosity through the eyes of people with bipolar disorder: an exploratory study

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