Introduction: Psychotherapy is a form of treatment intervention targeting problematical human behaviour, emotion, and cognition using various psychological techniques and approaches. In Malaysia, the application of psychotherapy in ameliorating criminality among forensic populations is developing and evidence shows that some therapies like Cognitive-Behavioural Therapy and Reality Therapy have been practiced in many correctional institutions. Objective: This paper aims to review the role of psychotherapy for help in correctional settings as a means to ameliorate criminal behaviour and reduce recidivism rates. Method: An archival research was utilised, where articles and books regardless of the year of publication from different countries, including Malaysia were examined. Several keywords were used for the purpose of retrieval of related articles. Results and Discussion: Three different approaches of psychotherapies, i.e. Behavioural Therapy, Cognitive Therapy and Cognitive-Behavioural Therapy and their principles and effectiveness in rehabilitating the forensic populations were elaborated in this review. The principle behind the effectiveness of the psychotherapy was different, and this influences the choice of treatment that should be used in dealing with the forensic populations. Conclusion: Â Forensic populations have rights to obtain treatment, and the choice of therapy has to be relevant within the context of cost-effectiveness to ensure optimum effectiveness in ameliorating criminal tendencies. Â

Objective: Autism Spectrum Disorder (ASD) is a complex neurological developmental disorder that could be diagnosed early usually before the age of 3 years and the diagnosis is the most important determining factor for the treatment of ASD. The aim of present work is to design and implement a Handheld Expert System (HES) based on Diagnostic and Statistical Manual of Mental Disorder, fifth edition (DSM-V) for the diagnosis and severity assessment of ASD. The hand-held device was trained by artificial neural network to correctly diagnosis ASD and identifies its severity level. Methods: The learning of HES for ASD diagnosis was performed by a back propagation neural network algorithm with data set created based on DSM-V. The ability of Artificial Intelligence (AI) based HES was measured in terms of epochs, training/testing data, and statistical stability on the basis of accuracy, losses, mean squared error, and execution time to validate the performance of the system. The HES was designed to consume less training/testing time with more efficient and accurate AI approach. The stability of HES was validated for the data set of 40 ASD and Typically Developed (TD) subjects (20 ASD and 20 TD). Results: The implementation of HES for diagnosis of 40 subjects (20 ASD and 20 TD) based on the proposed expert system has provided 100% accuracy in reference with DSM-V. The results were also validated by statistical analysis. Conclusion: Since AI based HES for diagnosis of ASD and determination of its severity provided accurate results in reference to DSM-V criteria, the possibility of the use of proposed HES for diagnosis of ASD is very high.

Objective: The objective of this study to assess the comparative effectiveness of exposure and response prevention (GERP) and cognitive-behaviour therapy (GCBT) in a group of Iranian patients with obsessive-compulsive disorder (OCD) and comorbid depression symptoms (CDS). Methods: Ninety OCD patients were selected (both genders, married or unmarried and ages from 18-65 years) using a non-probability sampling (availability sampling) procedure. The respondents subsequently sampled via cluster randomization into three equal groups: a control group (n = 30) that did not receive any treatment intervention during the study and two other groups who received 12 weeks of psychotherapy in the form of GERP (n=30) or GCBT (n=30). This study obtained the required data through a clinical interview with all participants based on the diagnostic and statistical manual of mental disorders text revision (DSM-IV-TR). The statistical analysis was performed using analysis of variance (ANOVA), Bonferroni correction and Pearson correlations. Result: We found that GCBT and GERP are effective treatments for alleviating OCD symptoms among patients. The results demonstrated that OCD scores were significantly reduced among participants after receiving GCBT and GERP treatments, with mean (standard deviation, SD) changes of 0.829 (0.287) and 0.970 (0.258), respectively. The study measured CDS through the Persian-language version of the Beck Depression Inventory-II (BDI-II-PERSIAN). The study further found a significant correlation between OCD and CDS. The findings suggested that GCBT and GERP improved comorbid depression symptoms (CDS) significantly with mean (SD) changes of 13.57 (3.92) and 12.85 (4.50) respectively. Conclusion: GCBT and GERP separately produced equivalent improvements for OCD and CDS.

Objective: To test the hypothesis that drinking alcohol even at a low level is associated with low-to-moderate health-related quality of life (HRQoL), compared to abstainers. Methods: A nested case-control study was conducted in Songkhla province, Thailand. The adult respondents (15+years) with low-to-moderate HRQoL scores (EQ-5D index  £ 0.8, n = 108) were assigned to be a case group and those with high HRQoL (EQ-5D index > 0.8, n = 443) a control group. The average alcohol consumption was estimated by the beverage-specific quantity-frequency (BSQF) questionnaire. Multivariate logistic regression models were used to evaluate the association between low-moderate HRQoL and drinking behavior. The model was adjusted for socio-demographic variables. Results: Compared with lifetime abstention, light drinking (0.1-7 drinks/week) was significantly associated with low-moderate HRQoL (Odds ratio, OR=3.16, 95%confidence interval, CI, 1.08-9.20); however, no significant associations were found for moderate to heavy drinking (OR = 3.55; 95% CI, 0.49-25.49) or past 12-month abstinence (OR = 0.86; 95% CI, 0.45-1.63).Furthermore, significantly associated modifiable factors for low-moderate HRQoL were being unemployed (OR=5.82, 95% CI, 2.21-15.32), regular smokers ( ³1 time/week) (OR = 5.26; 95% CI, 1.65-16.77) and former smoking (OR = 3.92; 95% CI, 1.50-10.20). By contrast, the low-moderate HRQoL were significantly less likely for having a junior (OR = 0.10; 95% CI, 0.02-0.42) or senior high school education (OR = 0.21; 95% CI, 0.05-0.82), compared with being illiterate. Conclusion:The finding indicates that alcohol drinking at a low level was associated with a reduced HRQoL compared with lifetime abstinence.

Objective: Depression during pregnancy and post-partum is more prevalent in low-middle-income countries (LIMCs). The studies are scarce in these countries, especially in South-East Asia region. The aim of our study was to identify determinants of depression among post-partum mothers. Methods: This cross-sectional study was conducted in 2016 among 347 subjects living in three areas in Jakarta and Bogor city, Indonesia. A mother who gave birth within 4 to 16 weeks was included in this study. The perinatal depression (PND) and its determinant were assessed using a structured questionnaire and Edinburgh Postnatal Depression Scale (EPDS). Logistic regression with the level of significance of <0.05 were employed to measure the association between variables. Result: PND proportion was lower in suburb's area compared to the urban. Mothers who perceived their health status as poor health were more likely to develop PND compared to those who felt that their health is on the prime level (Odds ratio, OR= 3.81, 95 % confidence interval [CI] = 1.7 -8.22, p=0.001). Psychological violence was also strongly correlated to PND. PND had a strong association to mother’s perception of her own health. Conclusion: PND has strong association with mother’s perceived health condition. This result supported previous studies, which suggest that physical health affects depression.

Objective: The purpose of this study was to determine the level of psychosocial burden and its associated risk factors among women with abnormal Pap smear and post colposcopy. Methods: A cross-sectional study was conducted employing universal sampling of 218 respondents with abnormal Pap smear and post colposcopy. They fulfilled the specific inclusion and exclusion criteria. Three tertiary hospitals in the East Coast of Malaysia were participated. Self-administration of validated Malay-version Psychosocial Effect of Abnormal Pap smear Questionnaire was used to assess the psychosocial burden. The General Health Questionnaire-12 (GHQ-12) was applied to assess the general health factor. Data was analyzed using IBM-SPSS of version 22. Results: The results showed that respondents with an abnormal Pap smear and post-colposcopy women (43.1%) demonstrated a high level of psychosocial burden. The significant risk factor of psychosocial burden was living in an urban and semi-urban area of residence (p = <0.001) and distress condition (p = <0.001) respectively. Conclusions: A substantial number of women with abnormal Pap smear results were experiencing psychosocial burden. Women with an abnormal Pap-smear who were living in the urban and semi-urban and distressed were more likely to experience a higher psychosocial burden.

Objective: A quick assessment tool for screening individuals with depression or anxiety is pertinent in mental-health set up. This study aims to validate the K10 and the K6 to screen patients with non-specific psychological distress in a Malaysian population. Methods: Translation of the questionnaire was done from English to Malay. Face validity was conducted on patients, and a pilot study was performed to assess the reliability of the K10 questionnaire. Fieldwork was conducted to determine the reliability and validity of the K10 questionnaire based on convenience sampling of healthy individuals and patients diagnosed with psychiatric illness. Malay version for K10 was administered to healthy participants (group without psychological distress) and patients on psychiatric clinic follow up (psychological distress). Data collection was done between August 2016 and September 2016. Result: A total of 94 subjects were recruited in the study, of which 32 formed the case group. The Cronbach’s alpha coefficients for K10 were 0.837(control) and 0.885 (case), as for K6 were 0.716 (control) and 0.859 (case). The total score of the K10 and the K6 clearly differentiated between the control and case groups (p<0.001). The area under the curve for K10 and K6 were 0.84 with 95% CI (0.81, 0.96) and 0.86 with 95% CI (0.77, 0.94) respectively. For K10, at the optimal cut-off score of 17, the sensitivity and specificity were 84.4% and 75.3% respectively while for K6, at the optimal cut-off score of 11, the sensitivity and specificity were 78.1% and 75.8%, respectively. Conclusion: The Malay version of the K10 and the K6 are reliable and valid to be used for screening patients with non-specific psychological distress in a Malaysian population. Kessler psychological distress scale has minimal items and yet this Kessler psychological distress scales have minimal items and yet are an effective screening tool.

Introduction: Kratom (Mitragyna speciosa Korth) dependence is a common psychiatric complication associated with regular kratom use in Malaysia. Hence, it is important to assess the severity of kratom dependence among regular kratom users. The Kratom Dependence Scale (KDS) was introduced to evaluate the degree of severity of kratom dependence among users. This study aimed to translate the original English version of the KDS into Malay and examine the psychometric properties of the KDS (Malay) among Malaysian kratom users. Methods: Initially, parallel translation and back translation of the original English version of the KDS was performed. The KDS (Malay) then was administered to 20 active Malaysian kratom users to assess face and content validities in a pilot study. Finally, the final version was administered to 150 active kratom users to evaluate its internal consistency (Cronbach’s α), face and content validities, discriminative validity, and construct validity, i.e. via exploratory factor analysis (EFA). Results: The KDS (Malay) Cronbach’s α of 0.94 exhibited excellent internal consistency. It also demonstrated construct validity, as EFA showed that all items of the KDS (Malay) fit into a single domain, similar to the original English version. Discriminative validity was also demonstrated by the KDS (Malay), as it could differentiate kratom dependent users from non-kratom dependent users. Conclusion: The KDS (Malay) has acceptable psychometric properties and is suitable to assess severity of kratom dependence in Malaysian kratom users.

Objective: Smart phones have become an important part of human’s life, including the healthcare population and medical students. However, pathological use of smart phones could lead to smart phones addiction. The aim of this study is to observe a pattern of usage of smart phones among the medical students and staffs in the Faculty of Medicine Universiti Teknologi MARA (UiTM) and screen for smart phone addiction among the respondents. Methods: A cross sectional, quasi-experimental study design involving medical students and staffs in the Faculty of Medicine Universiti Teknologi MARA (UiTM) was employed. A total of 598 respondents was approached to participate, and all consented to this study. Measurements used in the study include a self-developed questionnaire to measure pattern of smart phone usage and Smart phone addiction scale (Malay version). Result: We found that 65.9% of the respondents were heavy users of the smart phone (more than 3 hours daily) and majority of them were using it for social networking. More than half of the respondents (52.2%) were at risk of developing smart phone addiction based on Smart phone Addiction Scale (Malay Version). Conclusion: This study revealed that medical students, and the faculty staffs were heavy users of smart phones, and they were at risk to develop smart phone addiction.

Objective: Electronic cigarettes (e-cigarettes) are increasingly used globally and the implications of their smoking are being debated. The aim of this study is to identify awareness, use and perceptions of e-cigarettes among young smokers and parents of youths in Singapore. Methods: A total of 12 focus group discussions (FGDs) were conducted among youths (aged 15-29 years) who smoke and parents of youths, from diverse social contexts. Participants were recruited using a mix of network and purposive sampling. Youth FGDs were conducted in English language while the parent FGDs were conducted in Chinese and English language. FGDs were audio recorded and transcribed verbatim. The data were analysed using qualitative content analysis. Results: Awareness about e-cigarettes was perceived more among youth as compared to parents in terms of structure, mechanism and use of the device. Parents considered e-cigarettes to be a healthy substitute for conventional smoking. However, youth expressed the failure of e-cigarettes to provide satiety level same as conventional cigarette smoking. Participants endorsed e-cigarettes as a tool for smoking cessation. Conclusion: It was evident from the study that though there was knowledge of e-cigarettes, both parents and youths were ill- informed about them, owing to varied and inconsistent information on e-cigarettes along with its legal implications in Singapore. Future research is required to assess safety and efficacy of e-cigarettes as well as the association of their use with smoking cessation.