Research Article
Psychological Distress Among General Medicine Students at the Faculty of Health Sciences of Brazzaville
Issue:
Volume 13, Issue 4, December 2025
Pages:
122-127
Received:
24 September 2025
Accepted:
5 October 2025
Published:
22 November 2025
DOI:
10.11648/j.ajpn.20251304.11
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Abstract: Introduction: Psychological distress (PD) refers to a unique and uncomfortable emotional state experienced by an individual in response to a specific stressor. Objective: To assess psychological distress among general medicine students (GMS) at the Faculty of Health Sciences (FSSA) of Marien NGOUABI University in Brazzaville. Patients and methods: This was a cross-sectional analytical study. It was carried out over a period of 4 months at the FSSA. It focused on GMSs from the first to the seventh year of medicine who consented to participate in the study (653). The variables studied were sociodemographic, academic, related to lifestyle and the medical educational environment, related to psychological distress and related to the need for psychological help and stress management. Results: The prevalence of psychological distress among medical students was 63.4%. The average age of medical students was 21.5±2.8 years and the sex ratio was 0.6 in favor of women. Regular physical activity concerned 22.05% of GMSs and sleep duration was insufficient for 92.04% of them. The overall perception of the educational environment was satisfactory for 62.9% of EMGs and poor for 9.3% of them. The need for psychological help concerned 63.1%. Conclusion: The high prevalence of psychological distress among GMSs at the Faculty of Health Sciences in Brazzaville represents a real public health problem. Awareness-raising in this area appears to be necessary, and reforms would be important.
Abstract: Introduction: Psychological distress (PD) refers to a unique and uncomfortable emotional state experienced by an individual in response to a specific stressor. Objective: To assess psychological distress among general medicine students (GMS) at the Faculty of Health Sciences (FSSA) of Marien NGOUABI University in Brazzaville. Patients and methods: ...
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Case Report
Exploring Psychiatric Heterogeneity in Compulsive Sexual Behaviour Disorder
Issue:
Volume 13, Issue 4, December 2025
Pages:
128-131
Received:
11 October 2025
Accepted:
22 October 2025
Published:
26 November 2025
DOI:
10.11648/j.ajpn.20251304.12
Downloads:
Views:
Abstract: Compulsive Sexual Behaviour Disorder (CSBD), newly recognized in ICD-11, is characterized by a persistent inability to control intense sexual impulses, leading to repetitive behaviours that cause significant distress or impairment. Previously misclassified as “sex addiction,” CSBD is now understood as an impulse-control disorder, with emerging evidence challenging addiction-based models and emphasizing emotional dysregulation and psychiatric comorbidities as key factors. Such factors play a pivotal role in informing our assessment and tailoring the therapeutic approach. This case series presents three adult males diagnosed with Compulsive Sexual Behavior Disorder (CSBD), each exhibiting distinct clinical profiles and comorbidities. Case 1 involved a 45-year-old with coronary artery disease, seizure disorder, and a history suggestive of conduct disorder, who presented with hypersexuality and moderate depressive symptoms; remission was achieved with sertraline (150 mg) over 14 weeks. Case 2 described a 25-year-old factory worker experiencing distress due to escalating sexual urges post-marriage; he responded well to fluoxetine (60 mg) and six sessions of cognitive behavioral therapy within 8 weeks. Case 3 featured a 55-year-old with schizophrenia and longstanding paraphilic interests, who achieved remission following inpatient treatment with long-acting antipsychotics and fluoxetine (60 mg) over 18 weeks. These cases highlight CSBD’s diverse manifestations and underscore the importance of nuanced diagnosis and individualized treatment with a significant role for the medication class SSRIs. Recognizing CSBD as distinct from addiction reshapes clinical perspectives and informs more effective interventions.
Abstract: Compulsive Sexual Behaviour Disorder (CSBD), newly recognized in ICD-11, is characterized by a persistent inability to control intense sexual impulses, leading to repetitive behaviours that cause significant distress or impairment. Previously misclassified as “sex addiction,” CSBD is now understood as an impulse-control disorder, with emerging evid...
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Mpandzou Ghislain Armel
