Community Mental Health
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- ItemWork Stress and Coping Strategies among mental Health workers in Gaza Governorates(Al-Quds University, 2011-01-05) Mohammed Ali El-Hasanny; محمد علي الحسنيThis study “Work Stress and Coping Strategies among the Health Care Workers in Gaza Governorates” aimed to determine the level of work stress and the mechanism of adaptation among those working in the field of mental health. The study sample consisted of 254 mental health workers who represented all those working in the governmental institutions, namely the Palestinian Ministry of Health and Education in Gaza governorates. The sample population consisted of psychiatrists, psychologists, nurses, social workers, and educational counselors. The researcher used two main tools to achieve the goal and objectives of the study; the first was self-administered questionnaire (prepared by the researcher) to measure the work stress. And the second was Ways of Coping Scale measure to test the Coping Strategies of the participants. For the analysis of the data, the researcher employed the descriptive statistics, the t-test and the one-way ANOVA statistical analyses. The results revealed that the mean of work stress reached to (94.02) among the study population. The most common ways of coping strategies used to face the work stress were re-interpretation with mean (28.61), ability to resolve problem (18.57) problem escaping strategy with (11.20). The results showed statistically significant differences in the levels of work pressure among the study population. Those differences can be attributed to some demographic variables such as gender, rank at birth in the family, level of education, place of work and type of work. Significant differences in the coping mechanism have been observed among the study population due to the following variables: gender, age, and place of residence, level of education, place of work, years of experience and the type of work. In addition the results indicated that there is a statistically significant correlation between the method of coping strategies and the level of psychological stress of the participants. The study comes up with some key recommendations in light of the findings.
- ItemQuality of Life and Mental Health of Martyrs' wives After The Cast Lead Operation Against Gaza(Al-quds University, 2011-07-02) Emad Barham Al-Rekeb; عماد برهام الرقبThe aim of this study is to examine the quality of life (QOL) and mental health of martyrs' wives after CLO. The sample of this study consisted of 199 martyrs' wives (empirical group) and 100 regular women (control group). The study used the Quality of Life scale, Aaron Beck Depression Inventory, Taylor Anxiety scale and Davidson PTSD check list. To analyze data, the researcher used frequencies, means, standard deviation, percentage, Pearson correlation test, t-test, ANOVA test and Post hoc Scheffe test. The results of the study showed that QOL among martyrs' wives was lower than women in the control group (m = 84.00 ± 12.35 and 86.81 ± 11.26 respectively). Martyrs' wives who were 40 years and younger have a better QOL compared to older women, martyrs' wives who were married for 16 years and more have a lower QOL compared to those who were married for less years. Martyrs' wives who have less number of children have a higher QOL compared to those who have more children, martyrs' wives who have university education have a higher QOL compared to those who have secondary school education, martyrs' wives who were working / employed have a better QOL compared to those who were not working. There were no significant differences in QOL related to type of housing and monthly income. Regarding mental health, martyrs' wives had a higher level of depression compared to women in control group (m = 23.08 ± 10.13 and 18.49 ± 8.99 respectively), higher anxiety (M = 27.95 ± 5.73 and 29.29 ± 5.97 respectively) and higher PTSD (m = 31.76 ± 10.33 and 26.37 ± 9.37 respectively). There were no significant differences in depression, anxiety and PTSD among martyrs' wives and women in the control group related to age, marry years, number of children, income. Martyrs' wives who live with their family in the same house have a higher level of anxiety and PTSD compared to those who live in an independent house or live with their husband family. Martyrs' wives who are not working / employed have a higher level of depression. There was significant negative relationship between QOL and mental health among martyrs' wives, which mean that as depression, anxiety and PTSD levels increase, level of QOL decrease. In conclusion, the results revealed that martyrs' wives have a lower level of QOL and a higher level of depression, anxiety and PTSD compared to other women.
- ItemImpact of parenting styles on emotional and behavioral problems of preschool children in Gaza governorates.(Al-Quds University, 2011-08-02) Hani Mohammed Al Hanafi; هاني محمد الحنفيThe aim of this study is to investigate the Parenting Styles (PS) and its relations to emotional and behavioral problems in preschool children. Descriptive analytical type of study has been adopted to explore parenting styles (PS) used in the five governorates of Gaza Strip, with 91% Responding Rate, of total preschool children, N=24911, were registered in 251 Kinder Garten (KGs) in Gaza Strip, among the total of 361 preschool children’s parents succeeded to complete two questionnaires, Parental Authority Questionnaire (PAQ) which measure the parenting style used by the parent who competed the questionnaires. The second is the Strengths and Difficulties Questionnaires (SDQ) which measure the five areas representing emotional and behavioral problems that have been impacted by (PS). The study outcomes indicated that: highest mean scores goes for authoritative parenting followed by permissive and authoritarian. Children gender does not have relation with emotional and behavioral problems of the pre school children as reported by parents. Parents reported both emotional and behavioral problems, hyperactivity, and conduct problems of the children more frequently among those who have family members "1-3" but family number did not have a significant relation with the type of parenting style practiced by parents. Middle area has significant relation with emotional, peer relation, conduct, and with prosocial, Family income doesn’t show significant relation with emotional and behavioral problems. Authoritative style was found to be of significant value, when tested against conduct and peer relation problems. Secondary education level which represents(42.7%) of the study sample, has got significant relation with prosocial behavior, and basic level (13.0%) has a significant relation with conduct problems. But basic level has got a significant relation with authoritarian style.Parents age has no significant relation with preschoolers behavioral problems. Un expectedly, Family income doesn’t show any significant impact on emotional and behavioral items included in SDQ, according to the study.The study, by the end, has found correlation between authoritative style and both: peer relations problems and conduct problems of the preschoolers and with socio-demographic variables. Table of content
- Itemمدى انتشار الاضطرابات السيكوسوماتية لدى المرضى المراجعين لمراكز الرعاية الأولية في محافظات غزة(Al-Quds University, 2010-06-12) على حسن مصطفى البحري; Ali Hassan Mustafa Al-Bahriتناولت الدراسة الحالية قضية ذات أهمية بالغة في مجال الصحة النفسية، حيث إنها شغلت ولا تزال تشغل الباحثين منذ عدة عقود مضت، ونظراً لأهمية هذه القضية في المجتمع الفلسطيني، قام الباحث بالتطرق لدراسة الاضطرابات السيكوسوماتية لدى المرضى المراجعين لمراكز الرعاية الأولية في محافظات قطاع غزة، وقد هدفت هذه الدراسة إلى معرفة مدى انتشار الاضطرابات السيكوسوماتية لدى المرضى المراجعين لمراكز الرعاية الأولية في عيادات وزارة الصحة الفلسطينية في قطاع غزة؛ حيث اشتملت الدراسة على عينة حجمها (480) مفحوصاً، شكل الذكور في العينة نسبة 50.9% ، في حين شكلن الإناث نسبة 49.1% من العينة، وتراوحت أعمارهم بين 18 إلى 50 سنة، حيث إن العينة غطت جميع محافظات قطاع غزة. وأسفرت نتائج الدراسة بأن الوزن النسبي لانتشار الاضطرابات السيكوسوماتية بلغت 28.6 لدى افراد العينة؛ حيث لوحظ أن الذكور لديهم اضطرابات سيكوسوماتية أكثر من الإناث، وكذلك لوحظ أن الأفراد الأكبر سنا أيضا لديهم اضطرابات سيكوسوماتية أكثر من الأفراد الأصغر منهم سناً. أما بالنسبة للوضع الاجتماعي، فقد تبين أن النساء الأرامل لديهن اضطرابات سيكوسوماتية أكثر من المتزوجات وغير المتزوجات، كما تبين أن المراجعين الذين يسكنون في المدن لديهم اضطرابات سيكوسوماتية أكثر من المراجعين الذين يسكنون في القرى والمخيمات . وبناءً على نتائج هذه الدراسة فإن الباحث ينصح بما يلى: • الاهتمام بالخدمات النفسية للمراجعين لمراكز الرعاية الأولية في قطاع غزة. • إصدار نشرات توعية للمراجعين لمراكز الرعاية الأولية في قطاع غزة بهدف التخفيف من الاضطرابات السيكوسوماتية. • العمل على تدريب العاملين في مراكز الرعاية الأولية على أساليب الاستقبال للمراجعين و التعامل معهم و تقديم يد العون لهم و تقبلهم وجدانياً. • العمل على زيادة الثقة بالنفس، و القدرة على التحكم الذاتي لدى المراجعين لمراكز الرعاية الأولية؛ بهدف مواجهة الضغوط النفسية و التكيف مع الوضع الاجتماعي و الاقتصادي من خلال برامج التوعية الدورية في العيادات المختلفة.
- Itemمدى انتشار اضطراب الحركة الزائدة وتشتت الانتباه لدى الاطفال وعلاقته بتدني التحصيل الدراسي(Al-Quds University, 2010-01-19) آسيا حسين كبير; Asia Hussain KabirThe study was designed to identify the prevalence of Attention Deficit Hyperactivity Disorder ADHD among the UNRWA schools children , and to recognized its types and to examine its relation to low academic achievement of the study simple sample. Moreover, it was designed to verify the differences of ADHD according to the demographic, social and economic factors of the sample including: gender, academic achievement, classroom, place of residence, number of the family, the placement in the family, parents education, parents job and the family monthly income. The sample consisted of a simple random sample of 490 students from the fifth, sixth, eight and ninth grades at the UNRWA schools in Gaza strip, in both elementary and preparatory levels, and from both of sexes (283 males and 207 females). This study selected two categories of students: the first one was composed of students that had succeeded in all their subjects, the second was composed of students that whether had failed in Arabic or Mathematics, or both of them. The researcher used the following tools in this study: A list of demographic factors, and ADHD scale according to the teachers' and parents' estimations, then the data were collected and analyzed by the suitable statistic methods using SPSS program. The findings indicated that teachers’ and parents’ estimations about subtypes among failed students sample was as following: (ADHD-C):23.5% - 21.0%, (ADHD-I):35.1%-26.5%, (ADHD-H):26.1%-23.9% respectively. Estimation among successful students sample was as following: (ADHD-C): 3.1% -1.8%, (ADHD-I): 8.1%-4.6%, (ADHD-H): 4.9%-5-9% respectively. The prevalence of (ADHD-C) among male and female was 5 to 1 respectively, and that about quarter of the children had the (ADHD-C). and the prevalence of (ADHD-I was 2 to 1 respectively. The prevalence of (ADHD-H) was more than 3 to 1 for male and female respectively. The results revealed statistical significant differences, in all the ADHD subtypes, according to sex, academic achievement, classroom, type of residence and number of family members. These differences were for males, for groups of failed students, for the eighth and ninth level grade, for students living in camps and for students living with big families. Moreover, the results showed significant statistically differences in all ADHD dimensions and its total score according to the factors of the parents-relatives relationship, parents’ education, parents’ job and the factors of parents’ monthly income. Those differences were for a group of students whose parents are cousins, for students whose parents were not educated or had a low level of education, for students whose fathers were simple workers or unemployed, and whose mothers were housewives, and for students whose families had low monthly incomes