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Factors associated to burn-out among Ibn Sina Hospital public health professionals

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Chtibi H., Mammad K., Alaoui A. M., Mohammed O., Jamila R., Touhami Ahami A. O.
Acta Neuropsychologica
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2024
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vol. 22(1)
95-106
EN
Burn-out or exhaustion syndrome is caused by a prolonged exposure to a chronic professional stress. Public Health Professionals are the most exposed to this kind of risk. The ultimate goal here is to determine the prevalence of the burn-out and search for factors associated with this pathology among those who work in the field of health. Our sample, which is from the Ibn Sina Hospital in Rabat, consists of 150 nurses, 80 doctors, and 40 administrators. A self-questionnaire was employed, the Maslach Burnout Inventory (MBI) as well as a clinical interview. The results of this study show a high degree of burnout. Moreover, 56.66% of participants show a high level of emotional exhaustion, 45.18% suffer from a high level of depression. Meanwhile, the loss of a sense of personal accomplishment is high among 48.51% of those surveyed. The emotional exhaustion observed among people who have worked for a long time ago is associated with the means of transportation used and to the unsuitable hours of work. Depersonalization exists among elderly people and the oldest at work. This study confirms the existence of a high level of burnout among health professionals. Many socio-demographic and socio-professional factors contribute to the increase in the level that people are affected. These factors encourage the promotion of better working life conditions.
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A study into the relationship between anxiety-depression and self-esteem disorder in patients with multiple sclerosis at the Rabat Ibn Sina Hospital, Morocco

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El Harchaoui I., Regragui W., Driss T., Mammad K., Ziri R., Touhami Ahami A. O.
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EN
Multiple Sclerosis (MS) is a chronic inflammatory disease affecting the central nervous system through the destruction of sheaths (myelin), disseminated in space and time. The aim of our work is to study the neurocognitive concept and mood disorders in patients with MS. The study includes in this study 75 cases of MS, collected at the Neurology (B) and Neurogenetics Department of Rabat Ibn Sina Hospital. The study was performed on MS patients using different scales that included: a self-questionnaire (socio-demographic, clinical), Hospital Anxiety and Depression scale (HADS), Rosenberg's Self-Esteem scale (RSE) and Expanded Disability Status Scale (EDSS). The mean age for the onset of the disease was 30-years, with a sex ratio of 3.4. The main clinical signs are: 69.33% and 70.67% of patients had respectively anxious and depressive disorder, which was associated with low self-esteem in 89% of them. The distribution according to the evolutionary forms of MS is 65% Relapsing Remitting (RR), 29% secondary progressive (SP) and 5% Primary Progressive (PP). As for the assessment of disability using EDSS, we note an average 4.07±1.829. That results of our study concord with other studies on the same age category. It confirms the predominance of women. They are followed by the appearance of psychological disorders such as depression anxiety and cognitive disorders. Remitting MS is the most common when compared to other forms. The anxiety and depression score was strongly correlated with the degree of self-esteem and disability.
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Comparison of cognitive profiles in cerebro-vascular accident and traumatic brain injury patients interned at Ignace Deen University Hospital of Guinea-Conakry

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Diallo M. C., N’Go P. K., Mammad K., Ahami H. O. T., Bah A. B., Cisse F. A., Elouardi A., Obayagbona V. O.
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EN
Cognitive and behavioral symptoms can be sequelae of both cerebro-vascular accident (CVA) and traumatic brain injury (TBI). In sub-Saharan African countries, including Guinea, there have been few studies focused on brain injury symptoms and related disorders. The aim of this study was to compare the cognitive status in TBI patients and CVA patients recruited at the Ignace Deen University Hospital, in order to provide better support for cognitive rehabilitation. We studied 25 TBI patients and 25 CVA patients under treatment from August to January 2016, and 25 healthy persons as controls. We used a survey questionnaire to collect data on socioeconomic and demographic features, then administered the Digit Span subtest from the WAIS III battery and the Rey-Osterrieth test (ROCF-A) to assess post-injury cognitive performance. The average age was 29.2 ±13.68 years in the TBI patients, compared to 57.6 ± 11.05 years in CVA patients, and both groups were predominantly male (TBI 88%, CVA 84%). Educational level and occupation did not differ. Cognitive testing revealed significantly greater impairments of memory, visuo-spatial and visuo-constructive functions in the CVA patients. Although the socioeconomic factors and educational level did not differ, we found that our CVA patients show more cognitive disorders. Longitudinal studies with greater sample sizes are required in order to validate the prevalence rates of CVA and TBI in the Guinean general population, as well as predictive factors and cognitive profiles. This could help to elaborate, adapt and prioritize prevention and intervention strategies.
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Alexithymia, suicidal ideation and behaviour in Moroccan psychoactive substance users

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Karjouh K., Azzaoui F.-Z., Ouerchefani R., Semlali W. I., Mammad K., Chtabou G., Boulbaroud S., Ahami A.
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EN
Alexithymia is an emotion regulation problem that may be related to suicidality, especially in patients with SUD. The study aimed at estimating the prevalence of alexithymia in Moroccan psychoactive substances users, and to establish the links between alexithymia and suicidal ideation and behaviors, anxiety and depression in drug-dependent patients. We also aimed to elucidate if alexithymia predicts suicidal thoughts and behaviors in these consumers. The study included 451 consecutively admitted patients with substance use. Consumers were examined with the Toronto alexithymia scale (TAS-20), State and Trait Anxiety Inventory (STAI- Y), Beck Depression Inventory (BDI) and The Columbia-Suicide Severity Rating Scale (C-SSRS). Among substance-dependent individuals, 72.7% was identified as a group with alexithymia. Current age and age at first substance use were lower in the alexithymic group (p<0.01). The mean STAI-Y state and C-SSRS scores were higher in the group with alexithymia (p<0.01). There was a statistically significant difference between the groups in terms of mean scores for anxiety traits (p<0.05) and no significant difference in terms of mean scores for depression. All of the scores correlated significantly with. Addicted patients with alexithymia could be targeted at preventing the onset of suicidal thoughts and behaviour. The present study also evokes that whenever an emotional regulation disorder is observed, the possibility of anxio-depressive symptomatology and suicidality (ideation and behavior) needs to be assessed.
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