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                              | From 
                                the Editor |   
                              |  
 | Editorial A. Abyad (Chief Editor)
 |  
 
                             
                              |   | Original Contribution  Lean processes mapping of diabetic patient 
                                  flow in primary healthcare centres in Kuwait 
                                  highlights opportunities for fewer patient visits[Abstract]
 [pdf]
 Hisham Kelendar, Muhammad Faisal, Mohammed A 
                                  Mohammed
 DOI: 10.5742MEWFM.2020.93814
 
 The Survey of primary care physicians about 
                                  their comprehension of HBA1C , and their understanding 
                                  of the common medical conditions that can affect 
                                  the accuracy of HBA1C
 [Abstract]
 [pdf]
 Husam Al Saudi , Fazila Khattak
 DOI: 10.5742MEWFM.2020.93815
  Prevalence of Type 2 Diabetes in a Rural 
                                  Population of AbuNakhla, Doha, Qatar[Abstract]
 [pdf]
 Mir Saad Hussain , Nusrat Nizamani
 DOI: 10.5742MEWFM.2020.93816
  Get Acquainted with the Secret "Its 
                                  Duration And Not The Type Of Contact That Matters 
                                  In COVID-19"[Abstract]
 [pdf]
 Hamzullah Khan, Mian Mohammad Naveed, Ghazan 
                                  Khan, Mohammad Zahid Khan, Abu Zar, Fazli Bari
 DOI: 10.5742MEWFM.2020.93817
 The most desired values of high density 
                                  lipoproteins in the metabolic syndromePopulation and Community 
                                Studies[Abstract]
 [pdf]
 Mehmet Rami Helvaci, Abdulrazak Abyad, Lesley 
                                  Pocock
 DOI: 10.5742MEWFM.2020.93818
 
 Effects of Touch and Massage Care in Advanced 
                                  Alzheimer Patient: A Pilot Case Report[Abstract]
 [pdf]
 Emi Miki
 DOI: 10.5742MEWFM.2020.93819
  Do tourists suffer from depression and 
                                  anxiety disorders?[Abstract]
 [pdf]
 Yahia Mater AlKhaldi
 DOI: 10.5742MEWFM.2020.93820
  Identifying depression symptoms among general 
                                  population living in conflict zone In Jammu 
                                  And Kashmir[Abstract]
 [pdf]
 Anood Tariq Wani, Tafazzul Hyder Zaidi
 DOI: 10.5742MEWFM.2020.93821
  Knowledge, Attitude and Practice of Stethoscope 
                                  Disinfection Among Health Care Providers in 
                                  KarachiReviews[Abstract]
 [pdf]
 Kanwal Jamal, Muhammad Waqaruddin Sheroze, Syed 
                                  Tafazzul Hyder Zaidi, Rabisa Batool,
 DOI: 10.5742MEWFM.2020.93822
 
 
 World Perspective of Divorce in Selected Countries: 
                                A Sociological Appraisal
 [Abstract]
 [pdf]
 Mohammad Taghi Sheykhi
 DOI: 10.5742MEWFM.2020.93823
  Parkinson's Disease: An update on Pathophysiology, 
                                  Epidemiology, Diagnosis and Management. Part 
                                  2 : Etiology and Pathophysiology[Abstract]
 [pdf]
 Abdulrazak Abyad
 DOI: 10.5742MEWFM.2020.93824
 
 Case Study Anti-TNF-a drug-induced 
                                  lupus: A Case Report[Abstract]
 [pdf]
 Abdulaziz Saad Alshahrani
 DOI: 10.5742MEWFM.2020.93825
 |  
                             
                              | Chief 
                                  Editor -Abdulrazak 
                                  Abyad 
                                  MD, MPH, MBA, AGSF, AFCHSE
 .........................................................
 Editorial 
                                  Office -Abyad Medical Center & Middle East Longevity 
                                  Institute
 Azmi Street, Abdo Center,
 PO BOX 618
 Tripoli, Lebanon
 Phone: (961) 6-443684
 Fax:     (961) 6-443685
 Email: 
                                  aabyad@cyberia.net.lb
 .........................................................
 Publisher 
                                  - Lesley 
                                  Pocock
 medi+WORLD International
 AUSTRALIA
 Email: 
                                  lesleypocock@mediworld.com.au
 .........................................................
 Editorial 
                                  Enquiries - abyad@cyberia.net.lb
 .........................................................
 Advertising 
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 .........................................................
 While all 
                                  efforts have been made to ensure the accuracy 
                                  of the information in this journal, opinions 
                                  expressed are those of the authors and do not 
                                  necessarily reflect the views of The Publishers, 
                                  Editor or the Editorial Board. The publishers, 
                                  Editor and Editorial Board cannot be held responsible 
                                  for errors or any consequences arising from 
                                  the use of information contained in this journal; 
                                  or the views and opinions expressed. Publication 
                                  of any advertisements does not constitute any 
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                                  of this journal are copyright. Apart from any 
                                  fair dealing for purposes of private study, 
                                  research, criticism or review, as permitted 
                                  under the Australian Copyright Act, no part 
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                                  permission of the publisher. |  |  | 
                       
                        | 
                             
                              | June 2020 - Volume 
                                18, Issue 6 |  |   
                        | 
                             
                              | Do tourists 
                                  suffer from depression and anxiety disorders? 
                                 Abdullah D. AlKhathami (1)
 Yahia Mater. AlKhaldi (2)
 Jaafer Yazeed Gazwani (3)
 Metrek Ali AlMetrek (4)
 Saeed Doos AlMontashri (5)
 Ali Abdulmana Awadh (6)
 Meteb Aaeed Albraik (5)
 Ibrahim Madini Alamri (7)
 Eman G. Alayad (8)
 Atheer Eed Alotaibi (9)
 Feras Mubarak Alqahtani (10)
 (1) Postgraduate Program of Family Medicine, 
                                  Western Province , KSA(2) Joint program of family medicine-Abha, KSA
 (3) Postgraduate Program of Family Medicine, 
                                  Khamis Mushyet, KSA
 (4) Department of Health Promotion, General 
                                  directorate of Health affairs, Aseer, KSA
 (5) Abha Health Sector, General directorate 
                                  of Health affairs, Aseer, KSA
 (6) Department of Public health, General directorate 
                                  of Health affairs, Aseer, KSA
 (7) UmSarar Primary health care center, General 
                                  directorate of Health affairs, Aseer, KSA
 (8) Department of neurosurgery, Aseer central 
                                  hospital, KSA
 (9) Department of Emergency Medicine, Aseer 
                                  central hospital, KSA
 (10) College of medicine, King Khalid university
 Corresponding author:Dr. Yahia Mater AlKhaldi
 Joint Program of Family Medicine ,Abha, KSA
 Tel: 966504746668
 Email: yahiammh@hotmail.com
 Received: April 2020; Accepted: May 2020; Published: 
                                  June 1, 2020. Citation: Abdullah D. AlKhathami 
                                  et al. Do tourists suffer from depression and 
                                  anxiety disorders?. World Family Medicine. 2020; 
                                  18(6): 44-49 DOI: 10.5742MEWFM.2020.93820  
 
                                   
                                    | Abstract Objective: To explore the prevalence 
                                        of depression and anxiety among tourists 
                                        in Aseer region, KSA.
 Method: This 
                                        is a cross-sectional study conducted during 
                                        summer 2017 in Abha city, KSA. A quantitative 
                                        questionnaire was distributed to a sample 
                                        of 504 participants who attended Summer 
                                        recreational activities. The questionnaire 
                                        included demographic data and screening 
                                        questions for depression (PHQ-9) and Generalized 
                                        Anxiety Disorder (GAD-7). Data entry and 
                                        analysis were done using SPSS version 
                                        25. 
 Results: The mean age of the participants 
                                        was 31±12.5 years; women represented 
                                        56%, and 53% were married. less than two-thirds 
                                        (61%) complained of physical symptoms, 
                                        i.e. chronic headache (14%), chronic joint 
                                        pain (12%), IBS (10%), and chronic back 
                                        pain (9%). More than half of participants 
                                        reported that they visited the PHCC at 
                                        least once in the past few months.
 More than two-thirds 
                                        had depression (68.9%), (59.5%) have GAD, 
                                        while both disorders affect ( 28.4%). 
                                        Mild depression affects (30.4%), moderate 
                                        depression (19.8%), while severe depression 
                                        was reported among (18.7%). Regarding 
                                        GAD, mild anxiety affected (33.3%), moderate 
                                        anxiety (17.3%), and severe anxiety was 
                                        reported among (8.9%).
 Moderate to severe depression was 38.5%. 
                                        Women were more affected (44%) than men 
                                        (31.4%) with a significant difference 
                                        (p-value = 0.004). Moderate to severe 
                                        anxiety was more in women (30.3%) compared 
                                        to men (20.9%) with a significant difference 
                                        (p-value = 0.018). Age groups did not 
                                        show significant association with depression 
                                        or anxiety.
 
 Conclusion and recommendations: This 
                                        study revealed the high prevalence rates 
                                        of depression and anxiety among tourists. 
                                        Most of them complained of physical symptoms, 
                                        and it could be the cause of frequent 
                                        health care centres visits. Therefore, 
                                        depression and anxiety need to be considered 
                                        in all health care providing levels. Empowering 
                                        primary mental health care in PHC centres 
                                        is crucial for providing effective health 
                                        care for the population.
 Key words: 
                                        Depression, Anxiety, PHQ-9, GAD-7, Tourists, 
                                        Saudi Arabia  |     
 
 
 
 
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