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Abstract
The term neurosis encompasses a broad range of disorders of various signs and symptoms. (Sadock and Sadock, 2004)
Neurotic disorders are thought to be caused by an unconscious conflict that generates anxiety; symptoms develop when an individual’s defenses can not cope adequately with this anxiety. (Toy and Klamen, 2007)
In Egyptian studies the life-time prevalence of anxiety (neurotic) disorders was found to be 15.3%. It was found that the most prevalent neurotic disorder is specific phobia, followed by panic disorder without agoraphobia, GAD, social phobia, panic disorder with agoraphobia, OCD, posttraumatic stress disorder PTSD, and finally agoraphobia without history of panic. (Mahfouz et al, 2003)
This work was done to make use of the Egyptian studies on neurotic disorders to identify the missing points in Egyptian researches to overcome the defects in the future. So that work aimed at:
Systematically reviewing & appraising the available Egyptian studies on Neurotic disorders.
Generation of recommendations for further studies.
Providing a summary of clinical M.S.c thesis& M.D, thesis on Neurotic disorders done in Ain-Shams University, Psychiatry Department (these will be included as an Appendix).
In order to fulfill that aim several databases were explored in the period from March to June 2007 to collect Egyptian studies on neurotic disorders. The databases searched were library of faculty of medicine Ain Shams University, library of faculty of medicine Al-Azhar University, library of faculty of medicine Cairo University, Egyptian journal of psychiatry, and current psychiatry.
Of a total of 70 studies collected OCD was the most frequently studied disorder (24 studies), followed by studies on neurotic disorders (23 studies), then studies on Somatoform disorders (7 studies), phobic anxiety disorders and dissociative disorders (5 studies each), panic disorder (4 studies) and PTSD and neurasthenia were the least disorders to be studied (one study each).
After collection of the available Egyptian studies on neurotic disorders they were classified according to the ICD-10 to the several disorders and a literature review was done. In that review the disorders were organized in their order in the ICD-10. The available data about each disorder were categorized into data related to epidemiology, etiology, clinical description, management, and outcome as far as possible.
Critical appraisal of the Egyptian studies on neurotic disorders included in the systematic review was done.
The conclusion: although the great effort spent in the Egyptian research it was noticed that it lacks coordination to offer complimentary data about the profiles of different neurotic disorders. Further effort is needed to collect the available research to construct a national data base that will help in planning for the future research according to the needs of the community.