Rabaa Jomli

Rabaa Jomli
King's College London | KCL · manouba tunisia

About

83
Publications
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470
Citations
Citations since 2016
51 Research Items
375 Citations
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Introduction
Skills and Expertise

Publications

Publications (83)
Article
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Introduction The era of the paternalisation of the patient is over, gradually giving way to new models, in particular that of “shared medical decision making”, with the aim of responding to the growing desires of the patient and giving priority to his autonomy. Objectives to establish the influence of the new active position of the patient in the...
Article
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Introduction Clozapine use is not deprived of serious complications that can condition treatment strategies, particularly hematological. Recognizing the time it takes for these effects to set, can therefore help to better screen their appearance, improving healthcare. Objectives To study the time of onset of hematological adverse reactions in pati...
Article
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Introduction Bipolar disorder (BD) is a chronic and recurrent illness frequently associated with functional deterioration and treatment challenges. High rates of thyroid dysfunction have been found in patients with BD, compared to the general population. Objectives To illustrate through a case-report the therapeutic challenges of treatment-resista...
Article
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Introduction Approximately 30% of individuals diagnosed with schizophrenia suffer from treatment-resistant or refractory schizophrenia. The gold standard for treatment is clozapine. However, a significant number of patients discontinue clozapine treatment and this carries a poor prognosis. Objectives This study explores patients’ motives for cessa...
Article
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Introduction Suicide is a dramatic suicidality complication and a significant worldwild public health problem. Sixty percent of suicidal deaths are preceded by at least one suicide attempt. Objectives to search and estimate the factors predicting a suicidal recidivism Methods We conducted a retrospective descriptive survey, achieved in psychiatri...
Article
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Introduction Clozapine is widely known as the drug of choice in treating refractory schizophrenia. However, clozapine prescription requires close clinical and biological monitoring to prevent harmful side effects like agranulocytosis, neutropenia and myocarditis. Objectives To show the benefits of lithium carbonate in the clozapine rechallenge of...
Article
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Introduction Suicide attempts in late adolescence deserves special attention. Identifying particularities of suicidal behavior in this age group seems important in order to detect suicidal ideations. Objectives Describe the characteristics of suicide attempts in late adolescence among hospitalized patients. Methods This is a retrospective descrip...
Article
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Introduction Somnambulism or sleepwalking could be explained by dysfunction in the regulation of slow-wave sleep. It may be caused by drugs; in the literature, cases of somnambulism that occurred by olanzapine and lithium have been reported. Objectives Discuss the association between somnambulism and Hydroxyzine. Methods We will discuss the case...
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Introduction Much has been learned about SARS-CoV-2. However, the mechanism of short or long-term neuropsychiatric symptoms remains unclear. several hypotheses, including lack of oxygen caused by lung damage, inflammation affecting brain cells, or Lack of blood flow caused by swelling of the small blood vessels in the brain, have been advanced to e...
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Introduction Suicidal behavior remains an important clinical problem and a major cause of death in youth. Objectives The purpose of this study was to describe the epidemiological and clinical profile of adolescents with suicide attempts. Methods This is a retrospective descriptive study that focused on a population of Tunisian adolescents aged be...
Article
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Introduction The complexity of the feeling of satisfaction makes its measurement complex, in this context our work aims to develop a simple and practical measurement tool to identify problems within the processes of psychiatric care in order to provide corrective interventions. Objectives to validate the psychometric properties of a scale designed...
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Introduction Treatment adherence, is defined as “the extent to which a person’s behavior — taking medication, following a diet, and/or executing lifestyle changes — corresponds with the agreed recommendations from a healthcare provider.” The course of patients with mental health is habitually chronic and based on an indefinite continuation of treat...
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Introduction Schizophrenia (SCZ) is a severe mental disorder that is among the leading causes of disability worldwide. Multiple sclerosis (MS) is a chronic inflammatory neurological disease with a major impact on the quality of life of young adults. Despite the distinct nature of these two disorders, research studies have identified similarities in...
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Introduction The covid-19 pandemic is a difficult global phenomenon that causes a lot of anxiety and uncertainty. This situation has involved reactions of fear. Healthcare professionals are necessarily in contact with patients, but may find themselves torn between the duty to care and the duty to protect themselves and their relatives. Objectives...
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Introduction Patients treated for chronic mental disorders and who receive atypical antipsychotics are in most cases at risk of gaining weight, the excess of which is complicated in the long term by metabolic syndrome (MS). The management of these patients is effective if it includes Therapeutic Education. Objectives Describe the therapeutic educa...
Article
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Introduction Clozapine is highly effective in patients with treatment-resistant schizophrenia but, to ensure optimal clinical response it is important to optimize its use and this depends on adequate pharmacological monitoring. Objectives Evaluate the therapeutic response rate according to clozapine plasma concentration. Methods It was a cross-se...
Article
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Introduction COVID19 pandemic had an important emotional and psychological impact due to the higher rates of boredom, fear, stress, anxiety, depression, etc. (Brooks et al., 2020). Cases of suicide during the COVID-19 pandemic are increasingly reported. According to an Indian study, the main cause of suicide was fear or anticipation of COVID-19 inf...
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Introduction In the literature, some studies consider psychiatric patients to be vulnerable to COVID-19, in contrast to other studies that find them rather protected. Objectives To determine the impact of the COVID 19 pandemic on patients undergoing psychiatric care. Methods This is a descriptive and cross-sectional study that took place in the p...
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Introduction Mixed states in mood disorders present significant clinical and prognostic challenges. Although the DSM-5 has broadened diagnostic criteria for mixed states with the development of the ‘mixed features’ specifier and its application to unipolar depressive disorders, some mixed episodes might still be overlooked. Objectives to evaluate...
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Introduction A delusion of pregnancy is defined as a fixed false belief that one is pregnant in the absence of any evidence to support the pregnant state. Different mechanisms have been advanced to explain this phenomenon. Objectives Herein, we present a case of hyperprolactinemia with delusion of pregnancy during the use of Amisulpride. Methods...
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Introduction In Tunisia, the Ministry of Health launched an awareness campaign in television spots and different social media platforms and started the vaccination campaign on the 13 March 2021 aiming to have vaccinated half of the Tunisian population by the end of 2021. However, to date, on July 31, 2021, only 1,104,286 people are completely vacci...
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Introduction The direct and indirect effects of the COVID-19 pandemic on the mental health of the population have become a concern in the field of research in psychiatry. First psychotic episodes following infection with SARS cov2 have been reported. Objectives Through a clinical case, we will illustrate the association of psychiatric symptoms wit...
Article
Background The clinical spectrum of stiff-person syndrome (SPS) encompasses a wide range of signs including psychiatric symptoms (PS). Our objective was to provide an overview of the spectrum of PS in SPS through a systematic literature search and two illustrative case reports. Methods We reported two anti-GAD-positive SPS cases that presented wit...
Preprint
Background: Studies about two most used and validated instruments for the early detection of BD, the 32 - item Hypomania Checklist (HCL - 32) and the Mood Disorder Questionnaire (MDQ)screeners, in non-Western countries are scarce. This study aimed to explore the reliability, factor structure, and criterion validity of the Arabic versions in a sampl...
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Introduction The general confinement in Tunisia in the covid-19 pandemic is a new event for the Tunisian society with economic, social and psychological repercussions. Objectives To evaluate the behavior of Tunisians during the general confinement of 2020. Methods descriptive and analytical study through a questionnaire sent online under the mode...
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Introduction BipolarDisorders (BD) are regarded as a multidimensionaldiseaseinvolvingbothpsychological and physicaldeterminants. Althoughmood dimension andthymicinstability areconsidered as the « core » aspect of bipolardisorders, itis crucial to note thatsomaticproblemsfrequentlyoccur in BD,deeplyworsening the prognosis. Objectives Herewedescribe...
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Introduction While the links between cyclothymia and creativity are well documented, the experts have tried to determine whether temperament would influence the major choices of life such as career. Objectives The study aims mainly to evaluate the temperaments of a sample of Tunisian students, and to look for the possible correlations between the...
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Introduction The outbreak of the Covid-19 epidemic in Tunisia has led a total confinement startingfrom March 23rd, 2020. Remote interventions of psychiatrists and psychologists have been set up to help tunisiancitizens. The requestsconcerned panic attacks, acute stress disorder, sleepdisorders and relapse of some patients followed for mooddisorders...
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Introduction Criminality has become of increasing concern in the practice of psychiatry. However, violence among elderly psychiatric patients is an underestimated and understudied phenomenon. Objectives The aim of the study is to identify differences in the socio-demographic, clinical and criminological profiles between elderly criminals under tre...
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The coronavirus disease 2019 (COVID-19) pandemic created a situation of general distress. Although the focus has been initially more on the physical health during the pandemic, mental health concerns linked to the lockdown have quickly risen. This study aims to assess the effect of the COVID-19-related lockdown on Tunisian women’s mental health and...
Article
Background: Depression is a major burden for the health-care system worldwide. It is important to use standardized and easily applicable tools for large-scale population screening to improve the early detection of depression. The PHQ-9 has been recommended as the best available screening and case-finding instrument based on its brevity and ability...
Article
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Suicide is a public health problem affecting majority of patients with psychiatric diseases, including bipolar disorder (BD). The purpose of this study was to estimate the prevalence of suicide attempts (SAs) and to identify different factors associated with it in a population of patients with bipolar disorder type I (BD I). We conducted a cross-se...
Article
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Background The Mood Disorder Questionnaire (MDQ) is a frequently used screening tool for the early detection of Bipolar Disorder (BD), which is often unrecognized or misdiagnosed at its onset. In this study, data from Tunisia has been used to evaluate the psychometric properties of the Arabic MDQ. Methods The sample included 151 patients with a cu...
Article
Background: Stigmatization of patients with mental illness is a worldwide phenomenon which can jeopardize help seeking and treatment adherence and contribute to low self-esteem and quality of life. Aim: To assess stigmatization as perceived and experienced by patients with severe mental illness in Tunisia. Methods: This is a cross-sectional de...
Chapter
This chapter provides an overview of the current situation and the challenges Tunisia faces in the field of dementia care. Tunisia is a country in full demographic transition, witnessing an ageing of its population and an increase in dementia incidence and prevalence. There is growing awareness that the healthcare system needs to be better oriented...
Article
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Vaginismus in one of the most frequent causes of non-consummation of marriage, and of infertility, in Arab-Muslim societies. Cognitive behavioural therapy (CBT) proved to be effective, but it is important to consider the cultural context of the patient attending CBT for vaginismus. The aim of our study was therefore to draw attention to the belief...
Article
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Purpose: There is disregard in the scientific literature for the evaluation of psychiatric in-patient care as rated directly by patients. In this context, we aimed to explore satisfaction of people treated in mental health in-patient facilities. The project was a part of the Young Psychiatrist Program by the Association for the Improvement of Ment...
Article
Introduction Depression is a major burden for the health-care system worldwide. Objective To identify prevalence and severity of depression in Tunisian general population and define socoiodemographic characteristics of screened positive to depression participants. Method We undertook a cross-sectional and descriptive study. A total of 134 partici...
Article
Introduction Mental patients generally internalize some of the negative conceptions about how most people view them: they might be considered incompetent or untrustworthy or believe that people would not want to hire, or marry someone with mental illness. A lot of research on stigma has been conducted in western countries; however, little is still...
Article
Introduction A large number of foreign travellers and expatriates visits or lives in Tunisia. Objectives To explore socio-demographic, clinical and therapeutic characteristics of European patients admitted to psychiatric care in Tunisia. Methods This is a retrospective, descriptive study on all European patients admitted to Razi psychiatric unive...
Article
Introduction Psychiatric disorders frequently occur in patients with temporal lobe epilepsy (TLE) (70%). This combination further reduces the quality of life of patients as diagnosis is difficult and therapeutic opportunities are often missed. Objectives The aim of this case study is to show the possible association between TLE and psychiatric sem...
Article
Introduction The PHQ-9 has been recommended as the best available screening and case-finding instrument for primary care based on its brevity, and ability to inform the clinicians on both depression severity and diagnostic criteria. Objective Our study evaluated the reliability and the validity of the Tunisian version of the PHQ-9 in detecting maj...
Article
Introduction Schizophrenia is a disabling, chronic psychiatric disorder that has far-reaching consequences for both patients and their relatives. Management of schizophrenia involves family support and care. In this context, burden of care is a concept related to caregivers and family's members of patients assuming responsibility for these patients...
Article
Introduction Addiction is often underdiagnosed in bipolar disorder (BD), although it is frequent and known to complicate its clinical course. Objectives The aim of our study was to study socio-demographic and clinical factors associated with addiction in BD patients. Methods This is a retrospective, cross-sectional, descriptive and comparative st...
Article
Introduction Tardive syndromes (TS) resulting from prolonged exposure to dopamine receptor blocking agents are frequent. Clozapine is considered to have a low risk of causing new onset TS and accounts therefore as an interesting option in patients with invalidating TS. Objectives Our study aims to describe clozapine indications in patients experie...
Article
Introduction Akathisia is probably the most common and one of the most distressing of the movement disorders associated with antipsychotic drugs. Little is known about its prevalence and its risk factors in real-world psychotic and bipolar patients to date. Objectives The main objective of this study was to determine the prevalence of akathisia an...
Article
Introduction Akathisia is commonly known for its objective components such as rocking while standing or sitting and lifting feet. However, little is known about its psychiatric impact that can even lead to suicidal attempts. Objectives The aim of this study is to investigate the main psychiatric symptoms associated with akathisia in a Tunisian sam...
Article
Introduction: Depression is considered a global public health problem especially in the developed countries, where depression is the leading cause of morbidity. Objectives: To determine the point prevalence and the severity of depression in primary health care, to define the profile of patients suffering from depression and consulting in primary...
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Introduction: The experience of psychosis or related treatment can be conceptualized as a traumatic event, which might lead to posttraumatic stress disorder (PTSD) or PTSD syndrome (which is defined as the presence of PTSD symptoms irrespective of the DSM-IV criterion A definition of a traumatic event as an actual or threatened harm). Few studies...
Article
La qualité de vie d’une personne handicapée dépend certainement du degré d’incapacité, mais les facteurs environnementaux, sociaux et économiques jouent un rôle fondamental indépendamment de la sévérité du handicap. Le but de ce travail est de déterminer les différents paramètres objectifs qui interviennent sur la qualité de vie auprès d’un échanti...
Article
Background Mortality in patients in psychiatric hospitals is reported to be two to three times as high as in the general population. In Tunisia, we do not have any figures on mortality and causes of death in psychiatric inpatients. Aim The aim of our study was to assess the mortality rate in a psychiatric hospital in comparison to the mortality ra...
Article
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Mortality in patients in psychiatric hospitals is reported to be two to three times as high as in the general population. In Tunisia, we do not have any figures on mortality and causes of death in psychiatric inpatients.
Article
Introduction: We describe the case of an adult man aged 49, without personal antecedents, or family psychiatric history, treated for bipolar disorder since 1995 and stabilised in the last 8 years by valproic acid, who presented in January 2010 an acute drug-induced pancreatitis. Drug-induced pancreatitis has been described since 1955. It may be in...
Article
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BACKGROUND: Depression is the third leading contributor to the worldwide burden of disease. We assessed the nature and severity of experienced and anticipated discrimination reported by adults with major depressive disorder worldwide. Moreover, we investigated whether experienced discrimination is related to clinical history, provision of health ca...
Article
Introduction We describe the case of an adult man aged 49, without personal antecedents, or family psychiatric history, treated for bipolar disorder since 1995 and stabilised in the last 8 years by valproic acid, who presented in January 2010 an acute drug-induced pancreatitis. Drug-induced pancreatitis has been described since 1955. It may be indu...
Article
The concept of treatment-resistant schizophrenia can be understood in two ways:1)as the persistence of schizophrenic symptoms in a patient taking a medication supposed to be efficient or2)as inefficiency of treatments available for certain forms of schizophrenia such as the early-onset form.Objective To study the relationship between early onset of...
Article
Background: In Tunisia, with the remarkable progress in health, life expectancy has significantly increased these last decades. Indeed, in 2004, 9.3% of the population was aged over 60, and this rate is predicted to reach 17% in 2029 and about 29% by 2050. In the elderly, chronic subdural hematoma (HSDC) may be caused by even minimal trauma or occ...