MD, MMed (Psych)
School of Medical Sciences, USM
Kota Bharu, Kelantan | Malaysia
Main Specialties: Psychiatry
Additional Specialties: Psychiatry
52PubMed Central Citations
Hum Exp Toxicol 2017 Dec 23;36(12):1315-1325. Epub 2017 Jan 23.
1 Department of Physiology, School of Medical Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia.
Int Med J. 2017;24(5):375-378
Introduction: The internet has revolutionized the information age. There has been growing concern regarding internet addiction, despite its benefits. Personality trait such as neuroticism has been linked with internet addiction. Objective: The aim of the present study was to determine the prevalence of internet addiction and its association with personality traits among college students. Methods: College students age 18-24 who were doing an attachment in a government hospital were recruited into the study. Internet addiction was assessed using the internet addiction test (IAT), whilst personality traits by using the cross cultural Malay language 40-item Zuckerman-Kuhlman personality questionnaire (ZKPQ-M-40-CC) Results: The prevalence of internet addiction was 31.8%, with moderate and severe use of internet at 30.7% and 1.1%, respectively. Based on multiple logistic regression analysis, the impulsive sensation seeking and neuroticism-anxiety traits were found to be significantly associated with internet addiction. Conclusions: The prevalence of internet addiction is comparable to other studies conducted in Malaysia. Personality traits impulsive sensation seeking and neuroticism-anxiety emerged as significant associated factors with internet addiction. Further study to understand the role of personality traits in the development of internet addiction is recommended.
Int Med J. 2017;24(4):314-316
Background: Although the dominant current viewpoint of insight is related to clinical insight, cognitive insight has been gaining popularity since the introduction of Beck Cognitive Insight Scale (BCIS) in 2004. Therefore, an easy and reliable assessment tool of cognitive insight is needed to complement the assessment of clinical insight to improve the psychiatric services and outcomes. Objectives: This study aimed to validate the Malay Beck Cognitive Insight Scale (BCIS-M). Methods: The BCIS was translated into Malay language with good face and content validity. It was administered to 75 patients with schizophrenia in psychiatric outpatient clinic, Hospital Universiti Sains Malaysia (HUSM) in April 2014. Results: The BCIS-M showed good psychometric property. The internal consistency (Cronbach alpha) for self-certainty and self-reflectiveness in this study were 0.609 and 0.699, respectively. Conclusion: The BCIS-M is a valid and reliable tool for assessment of cognitive insight in local Malaysian population.
Int Med J. 2017;24(1):21-23
Objective: This study aimed to identify the predictors of good response in Methadone Maintenance Therapy (MMT) defined as retention and negative urine for opiate for 6 month after the enrollment. Methods: Across-sectional study from October 2007 to March 2008 was conducted on injecting drug users (IDUs) in the MMT programme at the Psychiatric Clinic, Hospital Raja Perempuan Zainab II (HRPZ II). Results: A total of 150 patients were studied. Good treatment response in MMT was seen in 55% of these patients. The only predictor of good treatment response in multivariate analyses was number of counseling sessions. For every increase in counseling sessions, a person has 1.2 times the chance of having a good outcome (Cl 1.049-1.349, p-value 0.007). Educational level, occupation, marital status, age and maintenance dose were not significantly associated with response in MMT Conclusion: Frequent attendance at counseling sessions was found to have a positive influence in the good treatment response in methadone therapy. Hence, it is an important component in the treatment of patients in MMT programme.
Int Med J. 2017;24(1):18-20
Objectives: To study the insight in offenders with schizophrenia and its relationship of psychopathology and cognitive function. Methods: Seventy consecutive offenders with schizophrenia (aged 18-65) admitted to Hospital Bahagia Ulu Kinta within a six-month period were studied. Subjects' insight, psychopathology and cognitive function were assessed using the Insight and Treatment Attitude Questionnaire (ITAQ), Positive and Negative Syndrome Scale (PANSS), and Mini Mental State Examination (MMSE) respectively. Results: High PANSS positive scores were significantly associated with unsoundness of mind (p = 0.011). Low ITAQ and MMSE scores were significantly associated with PANSS total, negative and general scores. Conclusion: Positive symptoms were significantly associated with unsoundness of mind. Poor insight and cognitive function were significantly associated with negative symptoms as well as general and global psychopathology. This study however, failed to find significant insight-unsoundness of mind or insight-cognitive function relationships.
Int Med J. 2016;23(6):624-625
Objective: A 21-year-old man who presented with a 17-month history of unremitting anxiety associated with panic attacks was studied. Result: The anxiety with panic attacks did not abate with escitalopram 15 mg nocte and alprazolam 0.5 mg tds. At month 3, the patient reported low mood and unexplained sexual arousal in addition to the unremitting anxiety symptoms. His condition fairly improved with addition of quetiapine. At month 17, transition to psychotic disorder occurred when the patient experienced hallucinations for the first time. Quetiapine was increased to 500 mg nocte and the anxiety symptoms improved tremendously before he relapsed 6 months later due to poor compliance. Conclusion: Unremitting anxiety with depression can be a dominant feature during the schizophrenia prodrome. Atypical antipsychotic quetiapine is an interesting treatment option due to its status as approved adjunctive treatment for major depressive disorder and promising efficacy for generalized anxiety disorder.
Int Med J. 2016;23(5):472-475
Background: Studies have demonstrated that children of parents with schizophrenia have low self-esteem. However, only scant data exist for the local population. Objectives: The objective of this study was to evaluate self-esteem of Malay children of parents with schizophrenia and to determine the associated socio-demographic and clinical factors. Methods: A total of 118 children of parents with schizophrenia who attended Hospital Universiti Sains Malaysia (HUSM) between May-September 2012 participated in the study. The children's self-esteem was measured using the Malay version of Rosenberg self-esteem scale (RSES). Patient's psychopathology and level of functioning were measured using the positive and negative syndrome scale (PANSS) and global assessment of functioning (GAF), respectively. Results: The RSES mean score was 23.86 ± 5.31 and low self-esteem (RSES score < 20) was reported by 32.2% subjects. In multivariate analysis, the independent factors associated with low self-esteem were girls (OR 6.29), poor academic achievement (OR 5.49), school attendance/ stopped schooling (OR 9.43), awareness of parental mental illness (OR 5.12) and parent was divorced/widow/separated (OR 3.56). Psychopathology and level of functioning of parents were not significantly associated with self-esteem of the children. Conclusion: Malay children, particularly girls, of parents with schizophrenia had low self-esteem. Children with school problems and whose parents divorced/separated also had low self-esteem.
Int Med J. 2016;23(4):324-327
Background: Previous study noted severe impairment of social well-being, compared to other area of QoL in HIV patients, suggesting the role of moral and religious values concerning HIV infection. Objectives: The objective of this study was to evaluate the level and correlates of HIV-related stigma experienced by the patients. Methods: A total of 100 consenting Malay Muslim HIV patients attending the infectious disease out-patient clinic, Hospital Raja Perempuan Zainab II from July 2012 to February 2013 were recruited for study. Results: (1) Stigma among HIV patients attending out-patient clinic was high, particularly disclosure concerns; (2) Female HIV patients had significantly higher disclosure concerns compared to male HIV patients; (3) Among the studied variables, only disclosure was independently associated with total stigma. Conclusion: HIV-related stigma was high and significantly correlated with disclosure of HIV status among Malay Muslim HIV patients. Further studies are warranted to determine additional factors, such as culture and religiosity, which may influence the stigma.
Int Med J. 2016;23(3):219-221
Background: Living in a multiracial country undergoing rapid modernization with strong influence of Western media, exposed the Malaysian adolescents to conflicting gender role messages leading to potential gender role conflict. Objectives: This study aimed to validate the Malay Gender Role Conflict Scale for Adolescents (GRCS-AM). Methods: The GRCS-A was translated into Malay language and administered to 91 secondary school students in Kubang Kerian in July 2012. Results: The internal consistency coefficients of each subscale and the total scale were good with restricted affection between men 0.58; restricted emotionality 0.65; conflict between work, school, and family 0.64; need for success and achievement 0.62; and total scale 0.76. Conclusion: The GRCS-AM is a valid and reliable tool for assessment of gender role conflict in Malaysian adolescent population.
EXCLI J 2015 7;14:801-8. Epub 2015 Jul 7.
Department of Physiology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Malaysia.
Conf Proc IEEE Eng Med Biol Soc 2013 ;2013:2060-3
Med J Malaysia 2014 Feb;69(1):33-4
Universiti Sains Malaysia, Psychiatry, School of Medical Sciences, Kampus Kesihatan USM, Kubang Kerian, Kelantan 16150, Malaysia.
Malays J Med Sci 2013 Mar;20(2):35-40
Department of Physiology, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan.
Malays J Med Sci 2004 Jan;11(1):86-9
Department of Psychological Medicine, Universiti Malaya.
Int Med J. 2017;24(1):24-26
Objectives: The Quality Of Life Scale (QLS) is an English version of semi-structured interview that assesses quality of life (QOL) among patients with schizophrenia. The aim of this study was to translate and validate the QLS into Malay version for more widespread use in clinical practice. Methods: This study was conducted on 30 schizophrenia patients attending Hospital Raja Perempuan Zainab II (HRPZ II) and Hospital Universiti Sains Malaysia (HUSM). The QLS was translated into Malay language using forward and backward translation method. The final Malay version of the QLS was tested for the content validity by two experienced psychiatrists. Its face validity was tested on 10 Malay patients with schizophrenia. The internal consistency analysis was performed by measuring Cronbach's alpha in all four domains of QLS Results: The Malay version QLS was found to have good content and face validity. It also displayed good internal consistency with Cronbach's alpha of between 0.87 and 0.93. Conclusion: The Malay version QLS is a good tool to be used in future research to assess quality of life of patients with schizophrenia.