Making Psychiatric Sense of Sand: A Case of Delusional Disorder in Saudi Arabia

Qureshi, Naseem Akhtar; Al-Habeeb, Tariq A.; Al-Ghamdy, Yasser S.

doi:10.1177/1363461504043568

Cited by 8 publications

(5 citation statements)

References 34 publications

(38 reference statements)

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“…However, (Qureshi & Al-Habeeb, 2000) recorded that amphetamine use disorders are the most common drug of use among patients admitted to hospitals in Saudi Arabia.…”

Section: Discussionmentioning

confidence: 99%

Pattern of Substance Use and Suicide Probability in Poly-Drug Users

Baalash

Othman

Osman³

2023

IJSSR

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Objective: The aim of this study is to examine the prevalence of suicidal thoughts and suicidal probability among sample of patients with poly-substance use disorder, and to examine the relation between pattern of drug use and suicidal thoughts. Study design: cross sectional case control study. Place and duration of study: Inpatient words of psychiatric and surgery departments of Tanta General, and University hospitals, Egypt, from May 2015 to June 2019. Methodology: Participants were 220 subjects, aged 18-45 years. We reviewed 110 individuals who fulfilled the DSM-5 criteria of substance use disorder for three or more substances, and their data were compared with that collected from 110 control persons. Results: Suicidal cases are highly present among patients with poly-substance use disorder 25.45%. Most of suicidal cases started using illicit substances under effect of peer pressure. Tramadol and cannabis dominated the list of used substances (94.55%), (62.73%) respectively. A statistically significant association with suicidality was found with longer duration of substance use (p<0.001), using cannabis (p=0.014), alcohol (p<0.001) and volatile (p=0.02), using substances while alone (p<0.05), and positive history of accidental overdose (p<0.05). Suicidal cases showed significant higher scores (P <0.0001) of suicide probability scale and subscales. Conclusion: This study demonstrated that abusing certain substances for long duration while being alone, in addition to history of overdose may trigger suicidal thoughts in patients with poly-substance use disorder, and that suicide probability is common consequences of poly-substance abuse.

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“…However, (Qureshi & Al-Habeeb, 2000) recorded that amphetamine use disorders are the most common drug of use among patients admitted to hospitals in Saudi Arabia.…”

Section: Discussionmentioning

confidence: 99%

Pattern of Substance Use and Suicide Probability in Poly-Drug Users

Baalash

Othman

Osman³

2023

IJSSR

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“…Delusional parasitosis can be a shared psychotic disorder, as approximately 5%-15% of patients with delusional infestations share symptoms with other people, such as close relatives, partners, and family members [5,6]. Delusional parasitosis is a psychiatric disorder, classified as organic hallucinosis [7], affects women over 50, and occurs more frequently in people in lower socioeconomic levels [8,9]. In such cases, antipsychotic medication is required [7].…”

Section: Discussionmentioning

confidence: 99%

Delusional Parasitosis in a School Teacher Living in a Rural Area: Parasitological Approach

Merad¹,

Belkacemi²,

Medjber³

et al. 2022

Cureus

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Delusional parasitosis is a psychotic illness. Patients often present to dermatologists with scars that are selfinflicted because they attempt to extract the "parasites". We report a 58 -year-old female with an eightmonth history of a crawling sensation on her skin and constant generalized itching, which she believed to be caused by insects and worms crawling across her skin. Examination revealed self-inflicted scratches at various stages of healing, which were limited to body parts within easy reach. The patient visited many physicians; it seems that she mutilated in an attempt to remove the offending organisms. She also presented skin scrapings and debris to her doctors, claiming that they contained worms and insects. Light pressure on the lesions did not produce any extrusion of macroparasites, and no parasites such as helminths and insect larvae (myiasis), were observed during microscopy. Thin smear scrapings were stained and examined to rule out parasitic diseases such as leishmaniasis and mycosis; however, no evidence of parasites was found. Our patient was administered with amisulpride 100 mg twice a day, which resulted in the complete remission of delusions after five weeks. The skin lesions were managed with clobetasol propionate ointment. A careful clinical examination combined with parasitological tests can be decisive in diagnosing delusional parasitosis, especially for patients from rural areas.

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“…A review of the current evidence on cannabis and psychopathology indicates that there is a clinically significant association between cannabis use disorders and various mental disorders [42 ]. There have been numerous studies on phenomenology, including PTSD among Mexicans [43] and in a post-earthquake scenario [44 ], antepartum and postpartum depression among Maltese women [45], on alexithymia [46 ], depression and anxiety in post-myocardial infarction patients [47], long-term outcome of bulimia nervosa [48], sleep disorder in children with attention deficit/ hyperactivity disorder [49], somatic delusion [50 ], extra pyramidal symptoms in untreated patients of schizophrenia [51], behavioral and psychological symptoms in dementia [52] and the persistence of PTSD symptomatology at the end of 10 years of a conflict situation [53 ].…”

Section: Studies Of Psychiatric Phenomenologymentioning

confidence: 99%

Is it possible to carry out high-quality epidemiological research in psychiatry with limited resources?

Lakshminarayana

2005

Current Opinion in Psychiatry

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It is possible to carry out high quality epidemiological research in developing countries. Such research has provided new insights into the distribution, causation, course and outcome of mental disorders. There is need for greater attention to the development of epidemiological assessment tools to suit local conditions. Specific centers/institutions developing long-term research interests on specific subjects would be valuable for future efforts. There is also need to widen the conditions to be studied.

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Making Psychiatric Sense of Sand: A Case of Delusional Disorder in Saudi Arabia

Cited by 8 publications

References 34 publications

Pattern of Substance Use and Suicide Probability in Poly-Drug Users

Pattern of Substance Use and Suicide Probability in Poly-Drug Users

Delusional Parasitosis in a School Teacher Living in a Rural Area: Parasitological Approach

Is it possible to carry out high-quality epidemiological research in psychiatry with limited resources?

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