Community Mental Health

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Depression,Emotional intelligence, and social intelligence among Battered women in Gaza Strip
(Al-Quds University, 2020-06-06) Maysoon Ahmad Khader Shaltoot; ميسون أحمد خضر شلتوت
This study aimed at identifying the nature of the relationship between social intelligence, emotional intelligence and depression among battered women across the governorates of Gaza. The sample targeted 385 women exposed to violence from the governorate of Gaza who frequently visit CBOs, and some governmental institutions. The researcher adopted analytical descriptive approach through which the social intelligence scale of (Al-Taye et al., 2009), emotional intelligence scale of (Munich & Ali, 2011), Beck Depression scale, personal information questionnaire prepared by the researcher were used. The study revealed the following results: 1. The levels of social intelligence among battered women across the governorates of Gaza are considered high according to the study, as most of the sample, at 69.6%, had a high level of social intelligence. 2. The levels of emotional intelligence among battered women across the governorates of Gaza are considered high according to the study, as most of the sample, at 65.7%, had a high level of emotional intelligence. 3. The levels of depression are considered severe as 35.3% of the study sample suffer from severe depression. 4. There is not a significant statistical relationship at α = 0.05 between social intelligence, and depression among bettered women in the governorates of Gaza. 5. There is an inverse significant statistical relationship at α = 0.05 between emotional intelligence and depression among bettered women in the governorates of Gaza. 6. There is a positive significant statistical relationship at level α = 0.05 between social intelligence and emotional intelligence among battered women in the governorates of Gaza. 7. There were statistical significant differences in the average emotional intelligence of battered women in Gaza governorates due to the following variables (marital status, educational level, economic level, source of violence, frequency of violence, forms of violence), while there were no significant statistical differences in average Emotional intelligence among battered women in Gaza governorates which is attributed to: (1) period of violence, and exposure to violence variables, (2) differences in emotional intelligence in the following variables (marital status, educational level, economic level, source of violence, frequency of violence, forms of violence) were among: 2.1) married and unmarried women in favor of unmarried women, and 2.2) women with a university educational level and women with preparatory and secondary educational level, 2.3) women with average and low economical levels in favor to women with average economical level, 2.4)Women whose source of violence comes from the brother and women whose source of violence comes from different sources in favor of women with source of violence from the brother, 2.5) Women who experience violence daily and those who are subject to violence several times a week in favor to women who are subject to violence several times per week, 2.6) Women who are exposed to psychological violence and those who are exposed to different forms of violence, in favor to women who are exposed to psychological forms of violence. 8. While there were no significant statistical differences in the average depression among battered women in the governorates of Gaza due to the following variables (marital status, educational level, economic level, period of violence, exposure to violence), there were significant statistical differences in the average depression of battered women in the governorates of Gaza, attributed to (source of violence, frequency of violence, forms of violence) among women who are: 9.1) subject to ك violence from the husband and those who are subject to violence from the brother and others, in favor to women who are subject to violence from the husband. 9.2) Women who experience violence daily and several times a week on the one hand and between women who experience violence multiple times a month and less than that on the other hand, in favor of women who are subject to violence daily and several times a week. (9.2) Women who are subject to psychological and economic violence at one hand, and who are subject to physical, verbal, and to all or more forms of violence on the other hand, in favor of women who are subject to physical, verbal, and to all or more forms of violence. 9. Depression could be predicted through Emotional intelligence. 10. Depression couldn’t be predicted through social intelligence, among battered women in Gaza governorates. In light of the above results, the researcher recommends that it’s necessary to identify counselling programs to reduce the severity of depression among abused women, expanding the points of services for abused women by increasing the number of institutions sponsoring this group of society, and providing them with a safe place in addition to the need to provide psychological counselling programs through the phone, which will contribute to providing services to marginalized violenced women in the community while they are in their homes. Moreover, it’s recommended to develop abilities and skills of violenced women in aspects related to how to deal with family problems and ways to face psychological stress within the family. It also recommended introducing some educational curriculum programs for males and females students about the family and the Sharia foundations upon which they are built, especially at the secondary and university levels, which will contribute to achieving the psychological integrity of the family. Likewise, it’s necessary to activate the media and visual media in particular, by allocating programs directed to the Palestinian family on a daily or weekly basis, the aim of which is to enhance social and psychological security for all family members, provided by a group of social and psychological experts, religious scholars and judges. The researcher also recommends working to adopt constitutional laws that stipulate penalties for anyone who engages in violence and laws to support and advocate for women's rights. Key words: Depression, Emotional intillegence, Social intelligence, Violenced women
Effect of Group Play Therapy on Reducing Anxiety among Palestinian Children with Cancer
(Al-Quds University, 2020-06-13) Khaled Yousef Abdalghani Melad; خالد يوسف عبدالغني ميلاد
This study aimed to investigate the effect of group play therapy program in reducing anxiety among Palestinian children with cancer. According to the purpose of the study, the researcher implemented group play therapy program based on cognitive behavioral theory (Coping Cat Program) with a group of 10 children with cancer aged 9-12 years in Gaza strip, suffering from anxiety, which is a significant psychological sequel of cancer. The sampling process was convenient in which 20 children diagnosed with cancer and have anxiety were selected and randomly assigned into intervention and control group (10 children in each group). The intervention group received 12 group play therapy session twice a week and were followed up after 1 month. The analysis used to measure the effectiveness was through the paired samples t- test to evaluate the difference between the mean of pre and post levels of anxiety among children in the intervention group. Results show that there is a significant difference between the mean of pre and post levels of anxiety, where the mean is reduced from 20.60 scores in the pre level of anxiety to 12.50 scores in the post level of anxiety, with an effect size by using the Cohen's d=10.97, which indicates a very large effect of the intervention. Furthermore, there is a significant difference between the mean of pre and follow up levels of anxiety at 0.05 level of significance, where the mean is reduced from 20.60 scores in the pre level of anxiety to 12.50 scores in the follow up level of anxiety, and the effect size by using the Cohen's d=6.787, indicates a very large effect of the intervention.
Physicians’ Compliance with the Palestinian Essential Drug List in Primary Health Care in Gaza Strip
(Al-Quds University, 2010-10-10) Rasha Mohamed Fattouh; رشا محمد فتوح
The presence of Essential Drugs List is considered very important component in any national drug policy, and its implementation helps in rationalization of drug use. The Palestinian EDL, was developed on March 1st 2000, and since then, there wasn’t any evaluation for its implementation and use, which is widely considered the most important step after its development. This study aims to evaluate the compliance of the Gaza Strip physicians with the Palestinian EDL in the governmental PHC clinics, and assesses the physician knowledge, attitudes, and prescribing practices regarding the essential drugs. The study was conducted in all the governmental PHC clinics in the Gaza Strip. A descriptive cross sectional design using triangulation of data was utilized. The sample included all the PHC physicians who were working in the governmental PHC clinics in the five governorates of Gaza Strip, who completed self administered questionnaire. Additionally, a retrospective multistage sample consists of 1656 prescriptions, 36 prescriptions from each of the 46 clinics were taken and examined in reference to the study indicators. The response rate was 87.68% and the study showed that, only 2.8% of the respondents were involved in the preparation of the EDL, 34.4% of the respondents attended training courses on EDL, 67.4% of the respondents reported currently using the EDL, and 51.2% of the respondents faced many problems in using the EDL. More importantly, the study showed that, the average number of drugs prescribed per each prescription was 1.92; the percentage of drugs prescribed from the EDL was 97.85 %, the percentage of drugs prescribed by generic names was 5.47%, the availability of a copy of PNF in the surveyed clinics was 28.3%, and the availability of key drugs was 82.6%. The study concluded that, there are a number of problems regarding the physicians compliance with the EDL, and considering the study results, the researcher provided some recommendations such as, provision of training, strengthening monitoring, evaluation and follow up, updating of the first EDL and promoting the lines of communications between policy makers and physicians.
Post Traumatic Stress Disorder and Depression Disorder among Children Victims of Burns in Gaza Governorates: Comparative Study
(Al-Quds University, 2022-01-05) Mohammed Abed Abu Mughaiseeb; محمد عبد ابو مغيصيب
Burn injury in children is a traumatic experience to them and to their families. The aim of the study is to examine the prevalence post traumatic disorder and depression in children burns victims compared to a control group in Gaza Strip governorates, the population consisted of total 67 children with burn who were referred to two rehabilitation clinics for MSF in Gaza Strip and 126 control cases. From the total sample, 37 of children with burn were boys (55%) and 30 were girls (45 %), while 63 of control group were boys (51%) and 62 were girls (49%). The age ranged from 3- 14 years with a mean age of 5 years. Results: The study showed that the most common cause of burn was hot fluids- hot water, hot tea, and hot oil, while the least common cause was burn contacts with plastic mateiral, according to degrees of burn, 9 % had first degree burn, 76.1 % had second degree, and 9 % had second and third degree, and 6 % had third degree. The most affected body areas were lower extremities (37 %), trucks and neck (25 %), upper extremities (25 %), face and neck (6 %) each. For psychopathology of burn children, the most common post-traumatic stress symptoms reported by children 7 years and above were: unable to recall the traumatic events of burn events 61%, upset by some things which reminded him/her of burn events 56 % and avoiding things or situations which remind him of events 56 %. For post-traumatic stress disorder, 7% of children reported no symptoms, 27% reported one cluster of symptoms, 33% reported partial, and 33% reported full criteria of PTSD. For preschool age children 13.5% reported no PTSD, 27 % reported one cluster of symptoms, 36.5 % reported partial criteria (2 cluster symptoms), and 23% reported full criteria of PTSD. In comparing depression between children with burn and control group, the most common depression symptoms rated by mothers of burned children aged 3-6 years injured were: 96% needs support in activities, 96% feeling rejected,96% needs reassurance, 92% anxious and worried and ,92% moody , grouchy and irritable. Depression symptoms in those 7 years and above 47% do not have lot of energy, 35% do not look forward, 29% do not like to go out and 29% feel like running away. This study showed clearly a marked load of psychological symptoms in children subjected to burn trauma (Anxiety, Depression and PTSD) compared to normal control. الحروق في الاطفال هي اصابة خطرة لهم ولعائلتهم , والغرض من هده الدراسة هو لفحص الاعراض ما بعد الصدمة وانتشارها وكدلك اعراض الاكتئاب في هؤلاء الاطفال ضحايا الحروق مقارنة مع عينة ضابطة في محافظات قطاع غزة. العينة التي تم دراستها تتكون من 67 طفل لديهم حروق تم متابعتهم في عيادتي تأهيل الحروق التابعة لأطباء بلا حدود في قطاع غزة, وكذلك 126 عينة ضابطة. وكانت النتيجة ان 37 من الاطفال ضحايا الحروق كانوا ذكورا اي بنسبة 19.2 % و 30 كانوا اناث اي 15.5%. وان 64 من العينة الضابطة كانوا ذكورا (33.3 %) و 62 كانوا اناث (32.1%) و كانت الاعمار بين 3-14 سنة بمتوسط 5 متوسط سنة. بينت الدراسة ان معظم حالات الحرق عند الاطفال كانت نتيجة السوائل الساخنة مثل الشاي الساخن، والزيوت الساخنة، واقل مسبب للحرق هو المواد البلاستيكية. اما بالنسبة لدرجات الحرق فكان 9 % من الدرجة الاولى و 76 % من الدرجة الثانية و 9 % درجة ثانية وثالثة و 6 % من الدرجة الثالثة. وان اكثر الاماكن في الجسم اصابة بالحرق الاطراف السفلى 37 % و الجسم العلوي 25 % , واليدين 25 % والوجه والرقبة 6% لكل منهما. اما بخصوص الاعراض النفسية في الاطفال ضحايا الحروق, فالأكثر انتشارا هي اعراض ما بعد الصدمة في الأطفال 7 سنوات واكثر, حيث 61.1% كانوا غير قادرين على تدكر الحادث بالضبط و 55.6% كانوا يعانون من بعض الاعراض التي تذكرهم بالحادث و 55.6% كانوا يتجنبوا الاشياء والمواقع التي تذكرهم بحادث الحرق. اما بخصوص متلازمة ما بعد الصدمة فهناك 6.7% من الاطفال ليس لديهم اعراض و 26.7 % كانوا يعانون من مجموعة من الاعراض و 33.3% كان لديهم اعراض ما بعد الصدمة ولكن لم تصل الى درجة المعايير الكاملة لتشخيص مرض ما بعد الصدمة,اما الاطفال الدين كانوا يعانون من المعايير الكاملة لما بعد الصدمة فشكلوا 33.3%. اما بخصوص الاطفال ما قبل المدرسة اي من 3-6 سنوات , 13.5% ليس لديهم اعراض ما بعد الصدمة و .26.9% كان لديهم بعض الاعراض و 36.5% م كان لديهم اعراض غير مكتملة المعايير التشخيصية و 23.1% كان لديه كامل المعايير لمرض ما بعد الصدمة. اما في ما يخص الاكتئاب في الاطفال المصابين بالحرق مقارنة مع العينة الضابطة, فان اكثر الاعراض شيوعا للاكتئاب حسب ما تم دكره من قبل الامهات للأطفال من 3-6 سنوات فكانت: (يحتاج الطفل الى المساندة في نشاطاته, يشعر انه منبوذ وغير محبوب , يحتاج الى تطمين وتهدئة, قلق مطرب, وسريع الغضب ومتقلب المزاج). اما الاكتئاب في الاطفال دوي 7 سنوات واكثر ف 47.1% يعانوا من الكسل وقلة الطاقة, و 35.3% ليس لديهم نظرة مستقبلية , 29.4% يحب العزلة ولا يريد الخروج, 29.4 % لديهم احساس بالهرب. وكان متوسط نتائج الاعرض الاكتئابية في الاطفال المصابين بالحرق 70 ( الانحراف المعياري = 8.8), اما العينة الضابطة فكان المتوسط 38.74 ( (الانحراف المعياري = 17.7) و هدا يدل ان هناك فرق مهم جدا في انتشار الاكتئاب في اطفال ضحايا الحرق والعينة الضابطة ( درجة الاهمية t=12.01 p=0.001)). وهده الدراسة تثبت بشكل واضح ان الاعراض النفسية في الاطفال الدين تعرضوا الى اصابة الحروق ( الاكتئاب , القلق , واعراض ما بعد الاصابة) كثيرة وحاسمة مقارنة بالأطفال من العينة الضابطة. و هد الدراسة تعطينا معلومات مهمه عن مدى انتشار الاعراض النفسية في الاطفال ضحايا الحروق في قطاع غزة والدين تم الكشف عليهم في عيادات اطباء بلا حدود . وهدا ينسجم مع الدراسات التي اجريت في هدا المجال وتؤكد ان الاعراض النفسية المرضية هي في الحقيقة عالية في اطفالنا الاعزاء ضحايا اصابات الحروق, مما يستوجب على القائمين في المراكز الصحية التيقظ والكشف عنها, اضافة الى الاصابة العضوية وهذا يحسن عملية التاهيل والشفاء و جودة الحياة لضحايا الحرق. الحروق في الاطفال هي اصابة خطرة لهم ولعائلتهم , والغرض من هده الدراسة هو لفحص الاعراض ما بعد الصدمة وانتشارها وكدلك اعراض الاكتئاب في هؤلاء الاطفال ضحايا الحروق مقارنة مع عينة ضابطة في محافظات قطاع غزة. العينة التي تم دراستها تتكون من 67 طفل لديهم حروق تم متابعتهم في عيادتي تأهيل الحروق التابعة لأطباء بلا حدود في قطاع غزة, وكذلك 126 عينة ضابطة. وكانت النتيجة ان 37 من الاطفال ضحايا الحروق كانوا ذكورا اي بنسبة 19.2 % و 30 كانوا اناث اي 15.5%. وان 64 من العينة الضابطة كانوا ذكورا (33.3 %) و 62 كانوا اناث (32.1%) و كانت الاعمار بين 3-14 سنة بمتوسط 5 متوسط سنة. بينت الدراسة ان معظم حالات الحرق عند الاطفال كانت نتيجة السوائل الساخنة مثل الشاي الساخن، والزيوت الساخنة، واقل مسبب للحرق هو المواد البلاستيكية. اما بالنسبة لدرجات الحرق فكان 9 % من الدرجة الاولى و 76 % من الدرجة الثانية و 9 % درجة ثانية وثالثة و 6 % من الدرجة الثالثة. وان اكثر الاماكن في الجسم اصابة بالحرق الاطراف السفلى 37 % و الجسم العلوي 25 % , واليدين 25 % والوجه والرقبة 6% لكل منهما. اما بخصوص الاعراض النفسية في الاطفال ضحايا الحروق, فالأكثر انتشارا هي اعراض ما بعد الصدمة في الأطفال 7 سنوات واكثر, حيث 61.1% كانوا غير قادرين على تدكر الحادث بالضبط و 55.6% كانوا يعانون من بعض الاعراض التي تذكرهم بالحادث و 55.6% كانوا يتجنبوا الاشياء والمواقع التي تذكرهم بحادث الحرق. اما بخصوص متلازمة ما بعد الصدمة فهناك 6.7% من الاطفال ليس لديهم اعراض و 26.7 % كانوا يعانون من مجموعة من الاعراض و 33.3% كان لديهم اعراض ما بعد الصدمة ولكن لم تصل الى درجة المعايير الكاملة لتشخيص مرض ما بعد الصدمة,اما الاطفال الدين كانوا يعانون من المعايير الكاملة لما بعد الصدمة فشكلوا 33.3%. اما بخصوص الاطفال ما قبل المدرسة اي من 3-6 سنوات , 13.5% ليس لديهم اعراض ما بعد الصدمة و .26.9% كان لديهم بعض الاعراض و 36.5% م كان لديهم اعراض غير مكتملة المعايير التشخيصية و 23.1% كان لديه كامل المعايير لمرض ما بعد الصدمة. اما في ما يخص الاكتئاب في الاطفال المصابين بالحرق مقارنة مع العينة الضابطة, فان اكثر الاعراض شيوعا للاكتئاب حسب ما تم دكره من قبل الامهات للأطفال من 3-6 سنوات فكانت: (يحتاج الطفل الى المساندة في نشاطاته, يشعر انه منبوذ وغير محبوب , يحتاج الى تطمين وتهدئة, قلق مطرب, وسريع الغضب ومتقلب المزاج). اما الاكتئاب في الاطفال دوي 7 سنوات واكثر ف 47.1% يعانوا من الكسل وقلة الطاقة, و 35.3% ليس لديهم نظرة مستقبلية , 29.4% يحب العزلة ولا يريد الخروج, 29.4 % لديهم احساس بالهرب. وكان متوسط نتائج الاعرض الاكتئابية في الاطفال المصابين بالحرق 70 ( الانحراف المعياري = 8.8), اما العينة الضابطة فكان المتوسط 38.74 ( (الانحراف المعياري = 17.7) و هدا يدل ان هناك فرق مهم جدا في انتشار الاكتئاب في اطفال ضحايا الحرق والعينة الضابطة ( درجة الاهمية t=12.01 p=0.001)). وهده الدراسة تثبت بشكل واضح ان الاعراض النفسية في الاطفال الدين تعرضوا الى اصابة الحروق ( الاكتئاب , القلق , واعراض ما بعد الاصابة) كثيرة وحاسمة مقارنة بالأطفال من العينة الضابطة. و هد الدراسة تعطينا معلومات مهمه عن مدى انتشار الاعراض النفسية في الاطفال ضحايا الحروق في قطاع غزة والدين تم الكشف عليهم في عيادات اطباء بلا حدود . وهدا ينسجم مع الدراسات التي اجريت في هدا المجال وتؤكد ان الاعراض النفسية المرضية هي في الحقيقة عالية في اطفالنا الاعزاء ضحايا اصابات الحروق, مما يستوجب على القائمين في المراكز الصحية التيقظ والكشف عنها, اضافة الى الاصابة العضوية وهذا يحسن عملية التاهيل والشفاء و جودة الحياة لضحايا الحرق.
Post Traumatic Stress Disorder and Resilience among Palestinian Adolescents in the Gaza Strip
(Al-Quds University, 2022-01-05) Issa Mahmoud Mohammad Al ibwaini; عيسى محمود العبويني
This study aimed to investigate posttraumatic stress disorder and resilience among adolescents in the Gaza Strip, especially after 51 day war on Gaza Strip. Descriptive analytic, cross sectional design was used. By using four applied tools as follow: socio-demographic characteristic questionnaire, Gaza traumatic events checklist, PTSD Scale for DSM-IV, and resilience scale for adolescents. The sample consisted of 408 students (209 boys and 199 girls) from the five governorates of Gaza Strip aged from 13-18 years old with mean age=15.49. The result showed that the total mean of traumatic experiences was 10.91 (sever experiences), and there was relationship between trauma and sex, boys statistically significantly reported severe traumatic events than girls. The result showed that the mean total scores of PTSD was 29.52, mean re-experiencing symptoms was 9.95, mean avoidance was 10.37, and mean arousal was 9.21. The results showed that 20.1% of adolescents showed no PTSD, 31.1% showed at least one criteria of PTSD (B or C or D), 29.7% showed partial PTSD, and 19.1% of adolescents showed full criteria of PTSD. The results showed that there were statistically significant differences in total PTSD, avoidance, and arousal symptoms according to place of residence in favor of adolescents from middle area. The study demonstrated that the mean of total resilience was 82.15, Personal skills 14.01, peer component 5.68, social skills 10.75, physical relationship with caregiver 5.19, psychological relationship with caregiver 15.51, spiritual beliefs 9.36, culture 14.87, and educational items 6.79. The results showed that boys expressed more social skills factors than girls, with no statistically significant differences in other factors according to sex. The results showed statistically significant differences in personal skills, peer component, and psychological relationship with caregiver scores according to place of residence in favor of adolescents from North Gaza. The results showed statistically significant differences in personal skills according to monthly income in favor of adolescents from families with monthly income from 2001 to 3000 NIS, and showed statistically significant differences in social skills in favor of adolescents from families with monthly income more than 3000 NIS. The results showed statistically significant differences in peer component, social skills according to number of siblings in favor of adolescents had 4 and less siblings, and showed statistically significant differences in psychological relationship with caregiver in favor of adolescents had 5 to 7 siblings. The results showed that there was significant correlation between total traumatic events reported by adolescents and total PTSD (r = 0.418), re-experiencing (r = 0.399), avoidance (r = 0.366), and arousal (r = 0.315). The results showed that total number of experienced traumatic events was negatively associated with personal skills (r = - 0.119) and peer component (r = - 0.099). While PTSD was negatively associated with total resilience (r = - 0.122), personal skills (r = - 0.136), social skills (r = - 0.125) and psychological relationship with caregiver (r = -0.134).
Prevalence and risk factors of postpartum depression in Gaza Strip Palestine
(Al-Quds University, 2002-10-01) Aysheh Mohamed Samro; عائشة محمد سمارو
Prevalence of Mental Health Problems among Cerebral Palsy Children from Age 6-12 Years in Gaza Strip
(Al-Quds University, 2010-07-07) Salah Ahmad Saleh; صلاح أحمد صالح
This study aimed to estimate the prevalence of mental health problems among cerebral palsy children aged 6-12 years old. A cross sectional method was chosen registered children aged 6-12 years-old at the physiotherapy clinics in the Gaza Strip. A systematic random sample of 219 children suffering from cerebral palsy were selected and their parents were interviewed using the Achenbach child behavior checklist (CBCL), also teacher report form (TRF) was used for physiotherapist. The results indicated that, the prevalence of mental health problems rated by parents was (37%). While, the prevalence of mental health problems rated by therapist was (44.7%). Boys had higher mean than girls regarding aggressive behavior rated by parents, whereas, interaction was observed between boys and girls regarding total problems, withdrawn problems, attention problems and aggressive behavior by therapist. Boys had more mental health problems as rated by both parents and therapist checklists. A correlation was observed between boys and girls regarding aggressive behavior rated by parents. Whereas, a correlation was observed between boys and girls regarding total problems, withdrawn problems, attention problems and aggressive behavior by therapist. Also , the results revealed a statistical significant differences between children mental health problems rated by parents. namely anxious depressed, attention problems, delinquent problems and aggressive behavior and gender in favor to boys. Additionally, total problems, withdrawn problems, delinquent problems, aggressive behavior and externalizing problems rated by therapist were statistically significant with age. Furthermore, the results indicated a significant statistical differences between place of residency and total problems, internalizing problems and externalizing problems rated by therapist, that’s in favor to the children who reside in village. While, a significant statistical differences was observed between place of residency and total problems and internalizing problems rated by parents, that’s in favor to the children who reside in village. However, interaction was observed between household monthly income and total problems and internalizing problems rated by therapist, in favor monthly income less than 300$ per month. Total problems, internalizing and externalizing problems were significantly associated with types of cerebral palsy when rated by therapist. Whereas, internalizing and externalizing problems were significantly associated with types of cerebral palsy when rated by parents. Despite certain limitations, although few sociodemographic differences in CBCL and TRF were found, a longitudinal prospective studies on child behavior is recommended.
The Prevalence of Self-Destructive Behavior and its Relationship to Attachment Styles among Young Palestinian Adults in the Governorates of Bethlehem and Hebron
(Al-Quds University, 2021-12-20) Amanda Mohammad Mousa Manasra; أماندا محمد موسى مناصرة
. هدفت هذه الدراسة إلى التعرف إلى مدى انتشار السلوك المدمر للذات وعلاقته بأنماط التعلق (الآمن، الرافض، المتناقض، وغير المنظم) لدى الشباب الفلسطينيين في محافظتي بيت لحم والخليل، والتحقق من الإختلافات في مستوى السلوك المدمر للذات تبعاً لمتغيرات الدراسة )العمر، الجنس، مستوى التعليم، حالة العمل، الوضع الزواجي، منطقة السكن، مكان السكن، الوضع الزواجي للأهل، التعرض المؤخر للعنف أو حدث صادم، الدين، التدين. إستخدمت الدراسة مزيجا من طريقة العينة المتاحة وكرة الثلج لإختيار (412) مشارك ومشاركة عبر الإنترنت، وتم جمع البيانات من خلال تطبيق مقياس أنماط التعلق (ASQ) ومقياس على شكل لائحة معيارية تم تطويره من قبل الباحثة لقياس السلوك المدمر للذات بعد التأكد من صدقهما وثباتهما، وذلك ضمن المنهجية الوصفية الترابطية. أظهرت نتائج الدراسة أن مستوى السلوك المدمر للذات جاء بدرجة متوسطة (44.9%)، وأن أكثر محاور السلوك المدمر للذات إنتشارا كان "الفشل في الرعاية الذاتية الروتينية أو الأولية" (M=1.74)، ثم "إشكاليات التنظيم الذاتي" (M=1.53)، ثم "السلوكيات الجنسية والعاطفية الإجتماعية" (M=1.21)، ثم "السلوكيات الخطيرة، المثيرة، المتحدية، والجنائية" (M=1.09)، ثم "إستخدام المواد وسلوكيات ذات علاقة بالإدمان" (M=0.85)، ونهاية "إيذاء الذات المباشر والسلوك الإنتحاري" (M=0.77). وفيما يتعلق بمتغيرات الدراسة، وجدت النتائج أن هناك فروق ذات دلالة في مستوى السلوك المدمر للذات تبعا للجنس، ومستوى التعليم، والوضع الزواجي للأهل، والتعرض المؤخر للعنف أو حدث صادم، والدين، والتدين فقط. كما وأن النتائج أشارت إلى أن الفروق في متغير الجنس بين "أنثى" و"ذكر" كانت لصالح "ذكر"، وفي متغير مستوى التعليم بين "الدبلوم" و"البكالورويس" لصالح "الدبلوم"، وفي متغير الوضع الزواجي للأهل بين "أحد الوالدين متوفيين / كلا الوالدين متوفيين" و"متزوجين" لصالح "أحد الوالدين متوفيين / كلا الوالدين متوفيين"، وفي متغير "التعرض المؤخر للعنف أو حدث صادم" بين "نعم" و"لا" لصالح "نعم"، وفي متغير الدين بين "مسيحي" و"مسلم" لصالح "مسيحي" وبين "غير ذلك" و"مسلم" لصالح "غير ذلك"، ونهاية في متغير التدين بين "غير متدين" و"متدين جدا" لصالح "غير متدين". وأما حول أنماط التعلق، أشارت النتائج لكون أكثر الأنماط شيوعيا نمط التعلق الرافض ، ثم النمط غير المنظم، ثم النمط الآمن، ونهاية النمط المتناقض. ولم تجد النتائج علاقة ذات دلالة بين السلوك المدمر للذات ونمط التعلق الآمن، بينما وجدت علاقة طردية ذات دلالة بين السلوك المدمر للذات وكل من نمط التعلق الرافض، والنمط غير المنظم، والنمط المتناقض. وأشار التحليل الإضافي للنتائج أن هناك علاقة ذات دلالة بين نمط التعلق الآمن مع محاور السلوك المدمر للذات "الفشل في الرعاية الذاتية الروتينية أو الأولية" و"إشكاليات التنظيم الذاتي"، وبين نمط التعلق غير المنظم ومحاور السلوك المدمر للذات "الفشل في الرعاية الذاتية الروتينية أو الأولية" و"السلوكيات الجنسية والعاطفية الإجتماعية" و"السلوكيات الخطيرة، المثيرة، المتحدية، والجنائية"، وبين كلا النمطين الرافض والمتناقض وكافة محاور السلوك المدمر للذات.
Psychological Stress and Coping Strategies among Parents of Children with Autism in Gaza Strip
(Al-Quds University, 2016-02-01) Wesam Amin Ayyad; وسام أمين عياد
هدفت هذه الدراسة الى اختبار مدى الضغوط النفسية وطرق التأقلم لدى أهالي أطفال التوحد في قطاع غزة وعلاقة المتغيرات الديموغرافية بمدى شدة الضغوط وتحديد استراتيجيات التأقلم للتغلب على مشكلة الطفل التوحدي. وقد تمت هذه الدراسة باستخدام كل من البحث الكيفي والكمي للحصول على النتائج المطلوبة. العينة كانت من 178 مشارك (أب أو أم) لأطفال شخصوا بالتوحد ومسجلين في مراكز التأهيل النفسي في قطاع غزة حيث تم اختيار جميع العينة المسجلة والتي تبلغ 200 طفل حسب إحصائية مراكز الطب النفسي. استخدمت الباحثة اداتين هما مقياس الضغوط النفسية للسرطاوي والشخص (1998) ومقياس كارفر المعدل 28 فقرة والمترجم بواسطة أ.د. عبد العزيز موسى ثابت لاستراتيجيات التأقلم (1997) كما واعدت الباحثة أسئلة للمقابلة الشخصية. النتائج أظهرت انه لا يوجد فرق في مستوى الضغوط النفسية لدى أهالي الطفل التوحدي وعلاقتها بالمتغيرات الديموغرافية لأهالي الطفل التوحدي عند مستوى دلالة 0.05 وكذلك أظهرت الدراسة عدم وجود فرق بين المتغيرات الديموغرافية لدى أهالي الطفل التوحدي وطرق التأقلم كان الخوف على مستقبل الطفل يتصدر المرتبة الأولى ثم مشكلة الطفل في المرتبة الثانية والمرتبة الثالثة كانت عدم القدرة على تحمل أعباء الطفل والمرتبة الرابعة كانت المشكلات الاسرية والمرتبة الخامسة كانت مشكلات الأداء الاستقلالي للطفل ثم يليها في المرتبة ما قبل الأخيرة الاعراض النفسية والعضوية وفي المرتبة الأخيرة مشاعر اليأس والإحباط . بينما استراتيجيات التأقلم. وجد ان التركيز على المشكلة في المرتبة الأولى وطرق التدين والانكار في المرتبة الثانية والتكيف الإيجابي في المرتبة الثالثة والتكيف عن طريق التجنب الإيجابي في المرتبة الرابعة. من ناحية أخرى أظهرت نتائج المقابلة الشخصية ان معظم الضغوط لدى الأهالي تتضمن مستقبل الطفل، عدم القدرة على النطق، السلوكيات السيئة، مشاكل كيفية تناول الطعام والنظافة الشخصية اثناء الحمام كما ويستخدم الأهالي طرق واستراتيجيات التكيف المعتادة مثل تجنب المشكلة ووجود حلول لها والتكيف الإيجابي والتكيف الديني ولكن بدرجات متفاوتة.
Psychological Well-Being and Depression Symptoms Among Emergency Departments’ Medical Staff of Gaza Governmental Hospitals
(Al-Quds University, 2021-01-16) Osama Mohammed Hammad Abdou; اسامة محمد حماد عبدو
The psychological well-being of emergency medical staff working in general hospitals is a public health concern locally and internationally. Emergency departments in Gaza serve in a complex context with an overstressed health system that was weakened through the repetitive rounds of violence for the last 15 years. Socio-cultural attitudes towards emergency medical services in Gaza general hospitals continue to be a source of overload and pressure upon emergency medical teams who are expected to resume their roles with high quality continuously despite the severe shortages in tools, equipment, technical support, and human resources. This study, therefore, aimed to determine the level of psychological well-being and depressive symptoms among emergency medical staff in Gaza General Hospitals. Methodology: The design of this study is mixed-method and was conducted among emergency medical staff at governmental hospitals in Gaza using the Beck Depression Inventory (BDI) and Warwick Psychological Well-being Scale (WPWS). Besides, three focus group interviews were conducted among emergency medical staff from 3 major hospitals representing North, Middle, and South Governorates in the Gaza Strip. Results: A total of 202 emergency medical staff participated in the study and filled the study questionnaires. 54.5% of the participants reported high psychological well-being, 43% indicated moderate psychological well-being. More than two-thirds (72.3%) of study participants indicated not having depressive symptoms, 18.3% had mild depressive symptoms, 7.4% had moderate depressive symptoms and 2% had severe depression, added to that, 0.5% of participants had moderate depressive symptoms and Low Psychological well-being. Study results also found a statistically significant inverse relationship between psychological well-being and depressive symptoms, where an increase by 1 point on the psychological well-being scale leads to a decrease of 0.5 in depressive symptoms. Demographic variables including gender, age, academic degrees, place of residence, duty station, and years of experience were not found statistically significant in our sample for psychological well-being. For the qualitative part, most staff indicated that they feel good about their mental well-being and feel that they have the skills to cope with stressful working conditions as they have accumulated experience throughout their years of work, however, they reported high stress levels in their work environment in the emergency departments. Conclusion: Emergency medical staff working at Gaza Governmental Hospitals screened showed high levels of psychological well-being and low depressive symptoms, despite lacking governmental preventive actions to ensure good psychological health among emergency medical staff. Besides, urgent action should be taken by public health decision-makers towards the design and promotion of specialized mental health and psychosocial support services targeting those 10% of emergency medical staff who showed moderate-severe degrees of depressive symptoms. Keywords: Psychological Well-being; Depression Symptoms, medical staff, emergency department, Gaza strip
the relationship between psychological gardiness and mental health among mothers of children with down syndrome
(Al-Quds University, 2005-08-04) Radwan Abdul rahman Abu - Rukba; رضوان عبد الرحمن ابو رقبة
the relationship between war trauma and mental health problems among secondary sch
(Al-Quds University, 2015-11-09) Hana a Ahmed Qeshta; هناء محمد قشطة
The Relationship between Stressors, War Trauma, Anxiety, and Depression in Patients with Cancer in Gaza Strip
(Al-Quds University, 2015-01-07) Reema Awni Bseiso; ريما عوني بسيسو
The study aimed to investigate the relationship between stressors due to siege, war trauma, anxiety and depression among cancer patients in Gaza strip. The study sample consisted of 380 cancer patients (128 male and 252 female). The researcher used descriptive –analytical design to describe the study variables using; Gaza Scale for Socio-demographic status ; Gaza Stressful Situations Checklist:; Beck Depression Inventory Short form 13 item, translated into Arabic by Thabet; Hamilton Anxiety Scale . The finding revealed that, the most common reported stressors due to siege were : 92.9% said prices are sharply increased due to closure, 90.3% said they feel that they are in big prison , 85.5% their work affected so much due to cut-off of electricity and shortage of gas (85.5%). The most common traumatic experiences reported by patients were: hearing shelling of the area by artillery (100%), hearing the loud voice of drones (99.9%), and watching mutilated bodies in TV (97.6 %). The results showed that 9.3% males and 9.5% females have mild traumatic events; 44.5% male and 56.7% females have moderate traumatic events; 46.2% males and 33.8% females have severe traumatic events. The study showed that the most common depression symptoms were: discouraged about the future (52.9%) and feel sadness (46.6%), while the least common depression symptom was thoughts of killing self (13.7%). The study showed that the commonly reported anxiety symptoms among cancer patients were; being tense and restless (61.3%), had insomnia (56.3%), had cardiovascular symptoms (51.1%), and worried (50%). The results showed that 10.8% of males had no anxiety, 8.2% had mild to moderate, and 14.7% had moderate to severe anxiety.
اتجاهات طلبة العلوم الطبية في الجامعات الفلسطينية نحو المرض النفسي والمرضى النفسيين
(AL-Quds University, 2009-08-06) منذر فتحي موسى الطيطي; Monther Fathi Mousa AlTeeti; وائل ابو حسن; تيسير عبد الله; عبد عساف
اثر تطبيق برنامج ارشاد جماعي في تخفيف الاعراض النفسية لدى النساء المعنفات مراجعات المراكز الارشادية في محافظة الخليل
(AL-Quds University, 2010-06-14) جميلة محمد طه دودين; Jamila Mohammad Taha Doudin; نبيل عبد الهادي; الدكتور تيسير عبد الله; الدكتور زياد بركات
This study aimed to recognize the effect of the "Group Counseling Program" and “Psychological Pressure Eliminating Program" on women under violence in Hebron. The target group of this study consists of women under violence who visit the Psychological and Social Legal Counseling Centers in Hebron. The counseling program was applied in cooperation with the Women's Center for Legal and Social Counseling in Hebron. The study mainly contains (45) cases. They were selected by organizations that are working in the field of social and legal counseling in Hebron. The majority of the women refused to participate due to their special personal circumstances. The study's sample contains (22) women. The participants were divided into two main groups: the experimental group and the regulator group and each one contains (11) women. The quasi-experimental approach was used in this study, The purposive sample was chosen as a sample for this studyThe counseling program contained thirteen meetings designed by Manasra (2006) under the name of "Psychological Pressure Eliminating Program". This program was carried out in two and half months for an average of two-hour meeting weekly. The following strategies were used in the meetings: modeling, relaxation, discussion, dialogue, psycho-education, 8 and homework. In addition, the 90 and the self-confidence scales for Sydney Croger were used as instruments t in the pre and post test. The results of the statistical analysis show that there are significant statistical differences between the average of the experimental group and the regulator group at the indication level of (α ≤ 0.05) on the posterior testing according to the 90 scale. This means that the counseling programwhich was used for the present study reduces the level of the women's psychological symptoms on the experimental group. According to the 90 scale, these symptoms are depression, anxiety, phobia, obsessive compulsive disorder, psychosomatic disorder, aggression, interpersonal sensitivity, and extra diminution. The indication level of (0.00) and this level is considered statistically significant. In addition, the results show that there aren't any significant statistical differences between the average of the experimental group and the regulator group at the indication level of (α ≤ 0.05) on the posterior testing according to Sydney Croger's self-confidence scale. This proves that the applied counseling program doesn't affect the level of the women's self-confidence and that because the indication level was (0.12) it is not statically significant. The study's results, the researcher recommends that it is necessary to adopt the groups guiding method in order to help as many women as possible. She recommends also developing such programs and testing them to identify their effect on the women who are under violence.
اساليب التكيف النفسي عند طلبة كليات المجتمع المتوسطة ففي منطقة رام الله
(AL-Quds University, 2010-06-16) ايمن محمد ابراهيم لبد; Ayman Mohammed Ibraheem Lubbad; نجاح الخطيب; احمد جبر; يوسف عواد
استراتيجيات مواجهة الضغوط النفسية وعلاقتها بالتنظيم الانفعالي لدى مقدمي خدمات الاسعاف والطوارىء في قطاع غزة
(Al-Quds University, 2020-06-06) ABDALLAH G. M. SALEM; عبدالله غسان محمد سالم
The complete census method respondents are paramedics in Gaza Strip where the purpose of this survey was to assess the relationship of coping strategies between psychological distress and emotional regulation among paramedics. To reach the goal of the survey; the researcher conducted analytical descriptive approach by forming 12 questions and to verify these questions; the sample frame consists of 283 male paramedics who are working in Ministry of Health and Palestinian Red Crescent where only 219 out of 283 responded (77.3%). The researcher used Coping strategies Scale and Emotional Regulation Scale. The most Significant findings: statistically, there is a significant relationship between coping strategies with psychological distress and emotional regulation styles among the paramedics. The results revealed 43.8% paramedics were targeted shooting (injured). The results showed there is no significant statistical differences in the dimensions of coping strategies except (confusion and escape dimension) related to age variable who are less than 30-year-old and who have less than 5 years of experience. In one hand, the survey revealed there is no significant statistical differences in the job title variable; except (confusion and escape, Affiliation, positive reappraisal dimension's) for paramedics. In addition to there is no significant statistical differences in number of family's member variable, except (self- control), for who has none. On other hand to the contrary, there are no statistical differences in the dimensions of coping strategies and other variables: Marital Status, Monthly Income, residence, and injured). Finally, there is no significant differences in all of emotional regulation dimensions attributed to demographical variables; the researcher recommends to conduct intensive long term studies for paramedics, to have manual about coping strategies of psychological stress and to conduct training and rehabilitation for paramedics who are less than 30-year-old and have less than 5 years experiences to enhance their resilience.
اضطراب ما بعد الصدمة الناتج عن صدمة الحرب والدعم الاجتماعي والأسري بين المراهقين في قطاع غزة
(AL-Quds University, 1970-01-01) نيفين أحمد موسى الشيخ; Neveen Ahmed Mousa El Sheikh; عبدالعزيز ثابت; Bassam Abu Hamad; Osama Hamdona
الاثار النفسية والاجتماعية المترتبة على مرض الصرع
(AL-Quds University, 2004-06-10) سلام زهير شكري المصري; Salam Zuhair Shukri Al-Masri; فيصل الزعنون; د.احمد فهيم جبر; د.حازم عاشور
الاضطراب الناتج عن اجهاد ما بعد الصدمة النفسية لدى العائلات التي فقدت احد اعضائها شهيد او سجين او التي دمرت بيوتها بواسطة الجيش الاسرائيلي
(AL-Quds University, 2003-05-10) جميلة خليل ابراهيم مغالسة; Jamileh Khaleel Ibraheem Maghalseh; احمد فهيم جبر; تيسير عبد الله; محمد شاهين

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