Browsing by Author "Gabriel, Adel A.R."
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- ItemOpen AccessExamining the Psychometric Properties of the Antidepressant Adherence Scale (AAS) in the Context of an Interventional Psychoeducational Study(ScieMedCentral Annals of Pyschiatry and Mental Health, 2015-12-29) Gabriel, Adel A.R.Abstract Objectives: The main two objectives of the study are to assess the efficacy of a systematic patient-centered psychoeducation on adherence to antidepressants, and to examine the psychometric properties of the Antidepressant Adherence Scale (AAS), with emphasis on predictive validity. Method: 70 consenting patients with confirmed diagnosis of major depression were randomly assigned to an intervention group (n = 40) who received systematic psychoeducation for depression, and to a standard care group (n = 30) who received standard care. The intervention group received systematic education consisting of (1) Reading material, “depression manual”, (2) Individual or groups educational sessions. The primary clinical outcome measures included the Antidepressant Adherence Scale. Other instruments used to monitor clinical outcomes included; the Clinician and Self Rated Quick Inventories of Depressive Symptomatology (QIDS-C and QIDS-SR). Results: Forgetfulness was the commonest omission reported followed by carelessness, stopping when feeling better, and stopping when feeling worse. The total number of omissions in the four AAS domains were less among the intervention group (p < .001) than in the standard care group, at 4, 8, and 12 weeks. At 12 weeks there was significant (p< .01) reduction in the QIDS-CR and the QIDS-SR scores in both the intervention and standard care group. However the intervention patients were less symptomatic than the standard care group. The total omission scores correlated with the severity scores of QIDS-SR and QIDSCR among the intervention group. Conclusion: There was an evidence for predictive and construct validity of the AAS, and the systematic education may lead to improved adherence to antidepressants and reduction in clinical symptoms of depression.
- ItemOpen AccessGabapentin adjunctive to risperidone or olanzapine in partially responsive schizophrenia: an open-label pilot study(Dove Medical Press, 2010-10) Gabriel, Adel A.R.
- ItemOpen AccessPerceptions and Attitudes towards Involuntary Hospital Admissions of Psychiatric Patient(Jacobs Journal of Psychiatry and Behavioral Science, 2016-06-14) Gabriel, Adel A.R.Introduction: Involuntary admissions to acute psychiatric units are one of the most ethically challenging practices in Psychiatry. However, published literature falls back in examining this area that touches patient’s rights and freedom. Objectives: To examine patients’, physicians’ and relatives’ attitudes towards involuntary hospitalization. Method: Authors searched PubMed and Medline for articles published in the last 15 years (between January 1999 and January 2014); choosing English-language articles of studies based on samples drawn from inpatients admitted on an involuntary basis. Results: Out of a total of (198) published papers in refereed journals, there were (n=36) articles, including four reviews and thirty three original research papers which met the inclusion criteria for our review. All (n=36) papers examined patients’, relatives’, and professionals’ attitudes towards involuntary admission and perception of coercion. Of the total publications, there were (n=12) research articles which solely examined patients’ perception of coercion. The “European multi-site research project on coercion in psychiatry” (EUNOMIA) research project has provided extensive evidence for the current status on patients’ attitudes towards involuntary hospitalization and coercion. Significant proportions of patients regarded that involuntary admission as justified. However, attitudes towards coercion appeared to be more complex, and patients’ attitudes varied between studies. In a number of studies, the diagnosis was the main predictor of the admission status. Conclusion: There is evidence that the majority of patients who initially perceived that they did not need hospitalization revised their belief after hospital discharge and reported that they had needed hospital treatment.
- ItemOpen AccessSerotonin Reuptake Inhibitor and Fluvoxamine-Induced Severe Hyponatremia in a 49-Year-Old Man(Hindawi Publishing Corporation, 2009-08) Gabriel, Adel A.R.