Dr. Dina Naoum - Academia.edu (original) (raw)

Papers by Dr. Dina Naoum

Research paper thumbnail of Impulsivity and psychiatric comorbidity as risk factors for suicide attempts in borderline personality disorder

South African Journal of Psychiatry

Background: Addressing the risk of suicidality in borderline personality disorder (BPD) is a cruc... more Background: Addressing the risk of suicidality in borderline personality disorder (BPD) is a crucial issue. The notion that impulsive individuals are more likely to plan for suicide attempts is important for many reasons in both theoretical and clinical decision-making.Aim: The aim of this study was to investigate potential risks of suicidality in BPD and to correlate it to impulsivity.Setting: The study was conducted at the Institute of Psychiatry, Ain Shams University and Al Mashfa Private Hospital.Methods: Ninety-one participants were included in the study: 30 patients were diagnosed as BPD without axis I comorbidities, 31 BPD patients had psychiatric comorbidities and 30 healthy subjects were assessed by using Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II), Suicide Behavior Questionnaire-Revised (SBQ-R), the Arabic version of Barratt’s Impulsiveness Scale-11 (BIS-11) and Global Assessment o...

Research paper thumbnail of Early Treatment with Risperidone for Subsyndromal Delirium after On-pump Cardiac Surgery in the Elderly

Anesthesiology, 2012

Background The aim of this randomized, parallel-arm trial was to study the effect of treating sub... more Background The aim of this randomized, parallel-arm trial was to study the effect of treating subsyndromal delirium with risperidone on the incidence of clinical delirium in elderly patients who underwent on-pump cardiac surgery. Methods One hundred one patients aged 65 yr or older who experienced subsyndromal delirium after on-pump cardiac surgery were randomized using a computer-generated list to receive 0.5 mg risperidone (n = 51) or placebo (n = 50) every 12 h by mouth. Patients were assessed at 8 h by a blinded observer using the Intensive Care Delirium Screening Checklist, and those scoring more than 3 were evaluated by a blinded psychiatrist to confirm delirium. Patients in either group who experienced delirium were treated according to the same algorithm. Initially, risperidone was administered and if symptoms were not controlled, haloperidol was administered. The primary outcome was the proportion of patients who experienced delirium in either group. Results Seven (13.7%) p...

Research paper thumbnail of Risk Factors Associated With Psychiatric Comorbidity in a Sample of Male Egyptian Patients With Substance Use Disorder

Addictive Disorders & Their Treatment, 2019

Background: The co-occurrence of psychiatric and substance use disorder increases the duration of... more Background: The co-occurrence of psychiatric and substance use disorder increases the duration of illness, hospitalization rates, and causes more functional impairment and legal problems, which may increase the burden of illness. Hence, identifying the risk factors of such comorbidity may help in mitigating such problems. Objective: This study examined the risk factors associated with comorbid Axis I and Axis II disorders in a sample of male Egyptian patients with substance abuse. Patients and Methods: A total of 158 male inpatients diagnosed with substance use disorder according to diagnostic and statistical manua-IV diagnostic criteria answered the Structured Clinical Interview for Axis I and Axis II disorders (SCID-I and SCID-II). They were also evaluated by the Addiction Severity Index scale and the Global Assessment of Functioning. Results: An overall 60% were diagnosed with another Axis I or Axis II disorder. An overall 26% of them had psychosis, and 21% had borderline personality disorder. Unemployment, history of child abuse, high cannabis, opioid and tramadol abuse, frequent overdosing, longer hospitalization, aggressive behavior, family dysfunction, and occupational and legal problems were significantly more in patients with comorbidity. Moreover, 62% of them had severe problems on the Addiction Severity Index scale. The predictive risk factors for comorbidity were familial problems, aggressive symptoms, cluster B personality traits, past history of psychiatric disorders, longer time of hospitalization, and lower Global Assessment of Functioning scores. Conclusions: Identifying the risk factors for psychiatric comorbidity in patients with substance dependence highlights the importance of developing a dual diagnosis service to meet the needs of this population.

Research paper thumbnail of Impulsivity and psychiatric comorbidity as risk factors for suicide attempts in borderline personality disorder

South African Journal of Psychiatry

Background: Addressing the risk of suicidality in borderline personality disorder (BPD) is a cruc... more Background: Addressing the risk of suicidality in borderline personality disorder (BPD) is a crucial issue. The notion that impulsive individuals are more likely to plan for suicide attempts is important for many reasons in both theoretical and clinical decision-making.Aim: The aim of this study was to investigate potential risks of suicidality in BPD and to correlate it to impulsivity.Setting: The study was conducted at the Institute of Psychiatry, Ain Shams University and Al Mashfa Private Hospital.Methods: Ninety-one participants were included in the study: 30 patients were diagnosed as BPD without axis I comorbidities, 31 BPD patients had psychiatric comorbidities and 30 healthy subjects were assessed by using Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I), Structured Clinical Interview for DSM-IV Axis II Disorders (SCID-II), Suicide Behavior Questionnaire-Revised (SBQ-R), the Arabic version of Barratt’s Impulsiveness Scale-11 (BIS-11) and Global Assessment o...

Research paper thumbnail of Early Treatment with Risperidone for Subsyndromal Delirium after On-pump Cardiac Surgery in the Elderly

Anesthesiology, 2012

Background The aim of this randomized, parallel-arm trial was to study the effect of treating sub... more Background The aim of this randomized, parallel-arm trial was to study the effect of treating subsyndromal delirium with risperidone on the incidence of clinical delirium in elderly patients who underwent on-pump cardiac surgery. Methods One hundred one patients aged 65 yr or older who experienced subsyndromal delirium after on-pump cardiac surgery were randomized using a computer-generated list to receive 0.5 mg risperidone (n = 51) or placebo (n = 50) every 12 h by mouth. Patients were assessed at 8 h by a blinded observer using the Intensive Care Delirium Screening Checklist, and those scoring more than 3 were evaluated by a blinded psychiatrist to confirm delirium. Patients in either group who experienced delirium were treated according to the same algorithm. Initially, risperidone was administered and if symptoms were not controlled, haloperidol was administered. The primary outcome was the proportion of patients who experienced delirium in either group. Results Seven (13.7%) p...

Research paper thumbnail of Risk Factors Associated With Psychiatric Comorbidity in a Sample of Male Egyptian Patients With Substance Use Disorder

Addictive Disorders & Their Treatment, 2019

Background: The co-occurrence of psychiatric and substance use disorder increases the duration of... more Background: The co-occurrence of psychiatric and substance use disorder increases the duration of illness, hospitalization rates, and causes more functional impairment and legal problems, which may increase the burden of illness. Hence, identifying the risk factors of such comorbidity may help in mitigating such problems. Objective: This study examined the risk factors associated with comorbid Axis I and Axis II disorders in a sample of male Egyptian patients with substance abuse. Patients and Methods: A total of 158 male inpatients diagnosed with substance use disorder according to diagnostic and statistical manua-IV diagnostic criteria answered the Structured Clinical Interview for Axis I and Axis II disorders (SCID-I and SCID-II). They were also evaluated by the Addiction Severity Index scale and the Global Assessment of Functioning. Results: An overall 60% were diagnosed with another Axis I or Axis II disorder. An overall 26% of them had psychosis, and 21% had borderline personality disorder. Unemployment, history of child abuse, high cannabis, opioid and tramadol abuse, frequent overdosing, longer hospitalization, aggressive behavior, family dysfunction, and occupational and legal problems were significantly more in patients with comorbidity. Moreover, 62% of them had severe problems on the Addiction Severity Index scale. The predictive risk factors for comorbidity were familial problems, aggressive symptoms, cluster B personality traits, past history of psychiatric disorders, longer time of hospitalization, and lower Global Assessment of Functioning scores. Conclusions: Identifying the risk factors for psychiatric comorbidity in patients with substance dependence highlights the importance of developing a dual diagnosis service to meet the needs of this population.