bluuebunny/crossref_metadata_2025 huggingface dataset:
Digital universal parent training program to promote positive parenting skills – A randomized waiting-list study
Authors: Mishina K. , Kinnunen M. , Heikkinen A. , Saarinen S. , Hinkka-Yli-Salomäki S. , Sinokki A. , Imberg T. , Sourander A.
Published: September 2022

Introduction

Parent training programs have high potential to promote positive parent-child relationships as well as reach and engage parents to participate. Digitally delivered programs may overcome the barriers associated with face-to-face interventions, such as stigma, logistic challenges and limited resources.

Objectives

To assess the effectiveness and feasibility of digital universal parent training program for families with 3 years-old children, focusing on parenting skills and child´s behavior.

Methods

A non-blinded randomized controlled trial (RCT) with two groups: (I) the intervention group, in which participants receive the parent training and (II) the waiting list group, in which participants are placed on a waiting list to receive the parent training intervention after the first follow-up measurement have been completed. Participants must meet the following inclusion criteria: a) guardians having a child age 3 years, b) participating to annual health checkup in child health clinic, c) at least one of the guardian is able to understand the languages that intervention is provided.

Results

Pilot study with feasibility assessment finished at early 2021. Recruitment of the wider RCT study is currently ongoing. The results from the pilot study and more detailed description about the intervention will be presented.

Conclusions

This study with good national geographical coverage is a unique possibility to evaluate universal parenting program on promoting parenting behaviors associated with the promotion of optimal child emotional development. This study also provides population level information about parenting skills and child´s behavior.

Disclosure

No significant relationships.
New way of Providing Care: the Role of Telemental Health
Authors: Volpe U.
Published: September 2022

Telemental health care can be defined as the delivery of mental health care services at distance, by using information and communication technologies for the exchange of valid information for diagnosis, treatment and prevention of mental illnesses, as well as for research and education in the field of clinical psychiatry. While telemental health care practice was long established in many countries, its development proceeded with some variability worldwide. Over the past months, however, the recent COVID-19 pandemic has abruptly spread telemental health care practice worldwide, mostly to ensure the provision of care and assistance to psychiatric patients in spite of the governmental social contact restrictions. Although the process of rapid implementation has often happened at different rates and with different quality standards, across the various countries and sites, a global increase of the use of digital technologies has been reported. On the other hand, such recent events have also sparked a real paradigm shift in mental health care, significantly expanding the scope of e-mental health, given the recent availability of newer tools of digital psychiatry. In more detail, the use of mobile phones applications, of social media, of immersive reality and of chatbots is now driving psychiatry towards envisioning a more hybrid form of psychiatric practice, which holds the potential to finally overcome the traditional gap between the unmet needs of psychiatric patients and the relative lack of services and resources in mental health care. Here, the research evidence and the most compelling implementation issues in digital psychiatry will be reviewed.

Disclosure

No significant relationships.
Mom2B: a study of perinatal health via smartphone application and machine learning methods
Authors: Bilal A. , Bathula D. , Bränn E. , Fransson E. , Virk J. , Papadopoulos F. , Skalkidou A.
Published: September 2022

Introduction

Peripartum depression (PPD) impacts around 12% of women globally and is a leading cause of maternal mortality. However, there are currently no accurate methods in use to identify women at high risk for depressive symptoms on an individual level. An initial study was done to assess the value of deep learning models to predict perinatal depression from women at six weeks postpartum. Clinical, demographic, and psychometric questionnaire data was obtained from the “Biology, Affect, Stress, Imaging and Cognition during Pregnancy and the Puerperium” (BASIC) cohort, collected from 2009-2018 in Uppsala, Sweden. An ensemble of artificial neural networks and decision trees-based classifiers with majority voting gave the best and balanced results, with nearly 75% accuracy. Predictive variables identified in this study were used to inform the development of the ongoing Swedish Mom2B study.

Objectives

The aim of the Mom2be study is to use digital phenotyping data collected via the Mom2B mobile app to evaluate predictive models of the risk of perinatal depression.

Methods

In the Mom2B app, clinical, sociodemographic and psychometric information is collected through questionnaires, including the Edinburgh Postnatal Depression Scale (EPDS). Audio recordings are recurrently obtained upon prompts, and passive data from smartphone sensors and activity logs, reflecting social-media activity and mobility patterns. Subsequently, we will implement and evaluate advanced machine learning and deep learning models to predict the risk of PPD in the third pregnancy trimester, as well as during the early and late postpartum period, and identify variables with the strongest predictive value.

Results

Analyses are ongoing.

Conclusions

Pending results.

Disclosure

No significant relationships.
Impact of the COVID-19 Pandemic on General Hospital Physicians Work and Mental Health: An International Cross Sectional Study
Authors: Telles Correia D. , Novais F. , Mattei G.
Published: September 2022

COVID-19 pandemic had an important impact in mental health across all countries and populations. However, health care professionals, particularly those in the front line have been subjected to increased levels of stress, workload, deterioration of work environment and working conditions while potentially being afraid of contracting the infection themselves or infecting love ones due to the higher risk of contagion when dealing with infected patients. Some studies have stressed out this impact showing increased levels of burnout, depression, hopelessness, stress and post-traumatic stress in all physicians however, the impact of the pandemic may have been different depending on the specialty. We intended to study the impact of COVID-19 pandemic for doctors working at general hospitals and liaison psychiatrists dealing with COVID-19 patients in Europe. We developed and applied online questionnaires to physicians working at general hospitals and psychiatrists working at liaison services, in different European countries (Portugal, Italy, Belgium, Greece, Poland, Croatia), in order to determine what were their working conditions and it they reported mental health symptoms during the pandemic. This questionnaire included demographic data, questions about working conditions when dealing with general and COVID patients and the Hospital Anxiety and Depression scale (HADS). It was distributed thought email and social media platforms used by doctors. This work has been approved by each local Ethics committee and all participants signed an informed consent.

Disclosure

No significant relationships.
Neuroleptic Malignant Syndrome: A case report and a literature review
Authors: De Juan Viladegut O. , Bioque M. , Ilzarbe L. , Andreu Gracia H. , Bueno Sanya L. , Olivier Mayorga L.
Published: September 2022

Introduction

Neuroleptic malignant syndrome (NMS) may be a life-threatening neurologic crisis primarily emerging as an idiosyncratic reaction to antipsychotic agent use, and characterized by a particular clinical syndrome of mental status alter, rigidity, fever and dysautonomia. Mortality results straightforwardly from the dysautonomic manifestations of the disease and from systemic complications.

Objectives

To describe an unusual clinical case in order to determine the management regarding medication and electroconvulsive therapy (ECT), and provide an overview of NMS for the general practitioner with the most up-to-date information on etiology, workup, and management.

Methods

We report a case involving a 55-year-old man with paranoid schizophrenia disorder who presented with hyperthermia, hemodynamic instability, miosis, muscular rigidity, urinary incontinence, catatonic signs and mutism after combining several antipsychotics at the same time: long-acting injectable form of paliperidone, aripiprazol and haloperidol.

Results

Guidelines for specific medical treatments in NMS are based upon case reports and clinical experience. Generally used agents are dantrolene, bromocriptine, and amantadine. A conceivable approach is to start with benzodiazepines along with dantrolene in moderate or severe cases, followed by the addition of bromocriptine or amantadine. ECT is generally reserved for patients not responding to other treatments.

Conclusions

NMS is an uncommon adverse drug reaction, with a multifactor pathophysiology and manifestation. Early diagnosis and interruption of antipsychotic therapy is the first-line treatment, followed by supportive care and pharmacotherapy. ECT is an effective treatment when supportive treatment together with pharmacotherapy fails. It could be considered first line in severe life-threatening situations. It is advisable to consider maintenance ECT due to the high risk of relapse.

Disclosure

No significant relationships.
Mental health in medical, dental and pharmacist students: a cross-sectional study
Authors: Frajerman A. , Chaumette B. , Krebs M.-O. , Morvan Y.
Published: September 2022

Introduction

Health student’s mental health is considered a public health issue that dramatically increased with COVID 19’s pandemic. However, very few studies assessed the prevalence of mental health in medical, pharmacist, and dental students.

Objectives

Our goal was to assess mental health in health students from the same university one year after pandemic’s beginning and look at for associated factors.

Methods

An online survey was realized in Paris university which has the 3 specialties (medicine, pharmacy, and dental). We used the Hospitalization Anxiety and Depression scale, Composite International Diagnostic Interview - Short Form questionnaire, Maslach Burnout Inventory (with 2 versions (Student survey and Human Services Survey). We also asked for 12 months of suicidal ideation, humiliation, sexual harassment, and sexual aggression. We did multivariable logistic regression analyses to identify Major Depressive Episode (MDE) associated factors.

Results

We included 1925 students: 95 dental, 233 pharmacists, 541 medical preclinic, 587 medical clinic and 469 residents. Overall prevalence of 7-
days anxiety symptoms, 7-
days depressive symptoms, 12-month MDE, 12-month suicidal ideation, humiliation, sexual harassment and sexual aggression were 55%, 23%, 26%, 19%, 19%, 22% and 6% respectively. There were significative differences between groups for anxiety and depressive symptoms and MDE (p<0.001 for all). Associated factors to MDE in multivariable logistic regression were humiliation (OR=1.71, IC95[1.28-2.28]), sexual harassment (OR=1.60, IC95[1.19-2.16]), sexual abuse (OR=1.65, IC95[1.04-2.60])) and moderate (OR=1.49, IC95[1.17-1.90]) or important (OR=2.32, IC95[1.68-3.20]) subjective financial difficulties.

Conclusions

Health student’s prevalence of psychiatric symptoms is significant, but it seems possible to intervene on several risk factors.

Disclosure

No significant relationships.
General principles of pharmacotherapy selection in elderly patients for different comorbidities
Authors: Stuhec M.
Published: September 2022

According to the data, more than 50% of elderly patients with mental disorders have at least one comorbidity and are treated with multiple medications (e.g. 5 or more medications), which can lead to problems in medication selection and medically unnecessary polypharmacy (i.e., irrational polypharmacy). On the other hand, there are still many untreated patients, which can lead to severe disturbances and an excess death rate. Due to frequent comorbidities and treatments in the elderly, medication-related problems are very frequent. Drug-drug interactions (DDIs) between somatic medications and psychotropics often occur in this population. These patients are also excluded from many clinical trials and consequently, this age group is underrepresented in clinical guidelines, which leads to a lack of evidence-based medicine supported results useful for daily practice. In this context, prudent medication selection is a key step in pharmacotherapy selection. There are some tools available that can help in clinical practice, including different medication lists (e.g., Beers criteria, STOPP/START, and guidelines) and pharmacological recommendations.

The participants will learn about general recommendations on medication selection in this population, focusing on general principles on somatic comorbidities treatment, supported by evidence-based data and real clinical pharmacological tools useful for daily practice.

Disclosure

No significant relationships.
Determinants of burnout in the service of gynecology Mahdia: about 122 cases
Authors: Faouel N. , Ben Soussia R. , Haboub F. , Kacem M. , Bouali W. , Haj Mohamed A. , Zarrouk L.
Published: September 2022

Introduction

The Burnout syndrome occurs preferentially in individuals subjected to intense stress conditions. The nursing staff in Obstetrics Gynecology is an example of this.

Objectives

To assess the prevalence of Burnout and its determinants in the obstetrics gynecology service - Mahdia.

Methods

We conducted an analytical cross-sectional study carried out with the medical and paramedical staff of the gynecology-obstetrics department of the Taher Sfar Mahdia hospital during a period of 3 months.We used a pre-established self-questionnaire containing 2 parts: a part exploring the socio-demographic data of the population and a psychometric part evaluating Burnt out using the “Maslach Burnout” scale inventory ”.

Results

Our sample consisted of 122 medical and paramedical personnel.The sex ratio was 4.3 (99/23), the mean age was 30.5 with values ranging from 25 to 55 years.Of the participants, 59 (48.3%) were single .Nine (7.4%) of the participants were smokers and 2 (1.6%) consumed alcohol.The majority of the population (96.7%) did not have a psychiatric history, 88 (80.3%) reported an organ history.A high level of burnout was noted in 64.8% of our population with 14.8% severe burnout. The presence of burnout was significantly associated with the consumption of psychoactive substances (p = 0.05) and professional rank (p = 0.04) .Nurses, residents and senior doctors werethose most at risk of developing burnout. It was also significantly related to the absence of other professional activities such as research (p = 0.05) and training continuing medical care (p = 0.05).

Conclusions

Psychological intervention strategies with these suffering health promoters would be desirable.

Disclosure

No significant relationships.
The field of psychiatry is in crisis. The case for causal modelling in observational data as a supplement to psychiatric epidemiology and clinical trials
Authors: Mykletun A.
Published: September 2022

Introduction

The field of psychiatry is in a crisis. Developments in pharmacology and psychotherapy, reforms in services, increased spending and reduced treatment-gap have not substantially improved prognosis for patients in psychiatry. Mental disorder remains lethal short-term and disabling long term. In comparison, prognosis has improved dramatically in oncology and cardiology. Controversies in psychiatry are causing variation in clinical practice between hospitals, even within single-provider health systems. There is, for example, variation in rates of ADHD, use of coercive measures, and medication (type of drugs, dose and duration of medication). Current empirical methods are incapable of solving the major controversies in psychiatry. Epidemiology struggles with residual confounding, bias and reverse causality. Randomized controlled trials are expensive and time-consuming. Ethics may also be a barrier for clinical studies investigating variation in clinical practice. From a health management point of view, variation in clinical services within a single-provider system is usually indicative of variation in quality. However, the variability in service delivery caused by these controversies creates a lottery-like situation for the individual patient, who is generally unaware of the crisis in psychiatry, and blinded to the ongoing lottery.

Objectives

We will present a third empirical approach beyond randomized controlled trials and epidemiology which may help solve the crisis.

Methods

A systematic review of preference-based instrument variable analyses.

Results

We identified relevant high quality 185 studies, though almost none in mental health.

Conclusions

Causal modelling in observational data has potential as a third paradigm beyond RCTs and epidemiology, and may help solve the crisis in psychiatry.

Disclosure

No significant relationships.
Improving quality of life with nutritional supplementation in Schizophrenia: A literature review
Authors: Hassan N. , Dumlao N. , Tran K. , Zamiri A.
Published: September 2022

Introduction

Schizophrenia is a chronic and severe mental health disorder, affecting 20 million people worldwide. Diet is a social determinant of health and is among one of the modifiable prognostic factors for schizophrenics. Previous research in nutritional psychiatry has shown that a balanced and healthy diet in this patient population has the potential to improve cognition, decrease positive and negative symptoms of the disease, and improve the overall metabolic profile.1,3

Objectives

To understand the evidence on the role that nutritional supplements play in improving quality of life in Schizophrenia by improving cognitive symptoms and decrease mortality by decreasing chances of metabolic syndrome and CVD. Demonstrate how certain supplements can improve cognitive symptoms, and decrease positive and negative symptoms in schizophrenics

Methods

PubMed was used to search for articles within the past 10 years

Results

A total of 29 articles were initially generated, of which only 5 fit the search criteria. Each specific search produced more articles, and after carefully reading each, a total of 14 articles was determined to fit the criteria. All, but two articles included PANSS score assessment. The studies on vitamin D, cycloserine and omega 3’s produced conflicting

Conclusions

Supplementation of vitamin D, Konjac powder, D-cycloserine, sarcosine, and omega 3’s have the potential to improve symptomatology and enhance the quality of life of schizophrenics. D-serine and sodium benzoate have not been shown to be effective adjunctive treatments in schizophrenia. Due to a limited number of studies for each, more research is indicated to truly determine the public health significance.

Disclosure

No significant relationships.
Internet addiction in light of social connectedness and connectedness to nature
Authors: Gawrych M.
Published: September 2022

Introduction

The Internet increasingly influences the lives of people in pandemic times. Although there are many positives, there are also risks related to excessive use and addiction. Internet addiction subject has been explored worldwide.

Objectives

The aim of this pilot study was to analyze the relationships between social connectedenss, connectedness to nature and the occurrence of Internet addiction.

Methods

The data were collected from a group of 200 young adults. A cross-sectional observational study using an online questionnaire was conducted via social media. The semi-structured online questionnaire covered the following areas: (1) general sociodemografic data; (2) Internet usage, measured by Generalized and Problematic Internet Use Scale (GPIUS2) (Caplan, 2002), Internet Gaming Disorder Scale–Short-Form (IGDS-SF9) (Pontes & Griffiths, 2015), the Bergen Facebook Addiction Scale (BFAS) (Andreassen et al., 2012); (3) nature conectedness, measured by the Connectedness to Nature Scale (CNS) (Mayer, Frantz, 2004); (4) social connectedness, measured by the Social Connectedness Scale Revised (SCS) (Lee et al., 2001); (4) psychological impact and mental health, measured by Depression, Anxiety, Stress Scale (DASS-21) and (5) psychological features, such as coping strategies (Mini-COPE, Carver et al.,1989) and personality traits (TIPI -Gosling, Rentfrow, Swann Jr., 2003)

Results

The detailed results and key findings will be presented during the congress.

Conclusions

As the research of the desribed area is insufficient so far, this pilot study may provide a significant contribution to the knowledge on new aspects of internet addictions’ mechanisms. Moreover, it is predicted that our result may have scientific influence on both research in connectedness and eco-psychology.

Disclosure

No significant relationships.
Psychological model of hierarchical classification for body regulation practices
Authors: Nikolaev E. , Petunova S.
Published: September 2022

Introduction

Body image dissatisfaction entails an activity, which is nothing else but an attempt for deliberate regulation of their body. It has different kinds and manifestations. Most researchers focus on such body regulation practices as weight control, muscles build-up, or cosmetic surgery.

Objectives

Our goal is to work out a psychological hierarchical model of body regulation practices aimed at abating a person’s dissatisfaction with their body image.

Methods

Using a method of agglomerative hierarchical clustering, we carried out a multivariate classification of 122 respondents’ answers to the Body Regulation Practices Survey (E. Nikolaev), which allows establishing the frequency of the respondents’ use of each of the 11 variants of body regulation practices offered in the survey.

Results

Based on the results of 11 variables of a dendrogram, we established two data arrays, combining correspondingly 4 and 7 versions of body regulation practices. The first array comprises two pairs of clusters – physiological practices and weight control, as well as practices of personality and spiritual development. We identified it as “developmental body regulation practices”. The second array includes two paired clusters – aesthetic medicine and body modifications; image making and hetero-aggressive practices. Merging with the four practices mentioned above on a higher level of the hierarchy are auto-aggressive and inertial practices. We identified this array as “compensatory – non-adaptive body regulation practices”.

Conclusions

The devised model can become the basis for further advanced research in the area of body regulation in cases of dissatisfaction with body image.

Disclosure

No significant relationships.
the impact of shared medical decision making on patient satisfaction in psychiatry
Authors: Razki K. , Zgueb Y. , Aissa A. , Ouali U. , Jomli R.
Published: September 2022

Introduction

The era of the paternalisation of the patient is over, gradually giving way to new models, in particular that of “shared medical decision making”, with the aim of responding to the growing desires of the patient and giving priority to his autonomy.

Objectives

to establish the influence of the new active position of the patient in the therapeutic process on the satisfaction of the psychiatric patient.

Methods

This is a descriptive cross-sectional study that took place over a period of 5 months from April 2019 to August 2019 in two university hospital psychiatry departments of Razi Hospital in Tunisia . The questionnaire was administered outside any period of hospitalisation, in order to increase the reliability of responses. We used a pre-established form including socio-demographic data, clinical data concerning the patient’s mental disorder followed by a patient satisfaction questionnaire regarding the quality of care received in a psychiatric setting.

Results

The patients interviewed in our study reported a good level of satisfaction (67.5%) with their involvement in the therapeutic process. However, 45.5% of the patients expressed dissatisfaction with the information provided to them by their doctor about their mental health status. The majority of the subjects surveyed expressed satisfaction with the quality of the interviews conducted during hospitalisation (71%) and with the time spent with the doctor (67%).

Conclusions

Despite the fact that providing information to patients with mental health problems is a key element of patient satisfaction, not enough doctors actually include it in their daily practice.

Disclosure

No significant relationships.
Hospitalization time is associated with weight gain in forensic mental health patients
Authors: Pedersen A.L. , Gildberg F. , Hjorth P. , Højlund M. , Andersen K.
Published: September 2022

Introduction

Previous studies have found substantial weight gains in forensic mental health patients (FMHP) during hospitalisation. However, previous studies have not compared in- and outpatients, thus the weight change could be a general change over time. Research on the association between proportional hospitalization time (PHT) and weight change is lacking.

Objectives

To investigate the association between time hospitalized and weight change among FMHP.

Methods

Retrospective cohort study including FMHP with schizophrenia or bipolar disorder treated in the Region of Southern Denmark between 01jan2016 and 06apr2020. Patient characteristics and data on body weight was extracted from electronic medical records. The association between PHT and weight change per year was analyzed using linear regression. PHT was determined between each measurement as the total number of days hospitalized divided by the total number of days. Analyses were adjusted for gender, age, smoking, and antipsychotic medication.

Results

The cohort included 328 FMHP, of which 91% were diagnosed with schizophrenia. PHT had a significant positive dose-response association with weight change, with an estimated difference of +4.0 kg/year for FMHP who were hospitalized 100% of the time, compared to FMHP who were exclusively treated as outpatients. The associations were different for FMHP belonging to different categories of BMI at baseline (test for interaction; p=0.006). Underweight hospitalized FMHP had the largest difference in weight gain compared to FMHP treated outside hospitals (+18.0 kg/year, p=0.006), and the difference was smallest in obese FMHP (+2.3 kg/year, p=0.21).

Conclusions

PHT was positively associated with weight change among FMHP.

Disclosure

No significant relationships.
Forensic psychiatry in Pakistan: Where next following the Supreme Court judgement
Authors: Hassan T.
Published: September 2022

Introduction

No statutory mental health services exist for justice-involved individuals in Pakistan. The lack of expertise in forensic psychiatry serves to deny individuals with mental illness the critical support needed for mental healthcare and adequate court dispositions with serious unintended consequences including capital punishment for those who could otherwise be deemed treatment and not punishment worthy. A landmark judgement by the Supreme Court of Pakistan in February 2021 criticized the lack of forensic psychiatry expertise in Pakistan and directing the development of forensic mental health services and forensic psychiatry training in Pakistan.

Objectives

The key objectives are: 1. Understanding the timeline of how justice invloved individuals are manged by psychiatric services 2. The importance of the Supreme Court of Pakistan Judgement in affecting change 3. Highlights on how Queen’s University will enhance forensic psychiatry in Pakistan

Methods

A literature review and personal networking facilitated the collection of important data in how justice invloved individuals are supported in Pakistan. The author has published and presented to Pakistani psychiatrists and the Pakistani judiciary on this topic. Queen’s University is aiming to implement a 3-year plan to develop an online curriculum and certificate course to help train the trainers.

Results

In the Pakistan’s most populous province, Punjab, prevalence rates for psychotic illnesses (3.7%), major depression (10%), and personality disorders (65%) among men with higher rates for psychotic disorders (4.0%) and major depression (12%) among women.

Conclusions

In conclusion there is a dire need to develop forensic psychiatry in Pakistan and other low/middle income countries.

Disclosure

No significant relationships.
Examination of the psychometric properties of the FORensic oUtcome Measure (FORUM): a new outcome measure for forensic mental health services
Authors: Ryland H. , Cook J. , Fitzpatrick R. , Fazel S.
Published: September 2022

Introduction

Forensic mental health services provide care to people in secure psychiatric hospitals and specialised community teams. Measuring outcomes is important to ensure such services perform optimally, however existing measures are not sufficiently comprehensive and are rarely patient reported.

Objectives

To examine a novel instrument for measuring outcomes in forensic mental health services, the FORensic oUtsome Measure (FORUM), which consists of a complementary patient reported questionnaire (FORUM-P) and clinician reported questionnaire (FORUM-C).

Methods

Inpatients at a forensic psychiatric service based in a regional healthcare organization in the UK completed the FORUM-P, while members of their clinical teams completed the FORUM-C. Patients and clinicians also provided feedback on the questionnaires.

Results

Sixty-two patients participated with a mean age of 41.0 years (standard deviation 11.3). For internal consistency, Cronbach’s alpha for the FORUM-P was 0.87 (95% confidence interval (CI) 0.80-0.93) and for the FORUM-C was 0.93 (95% CI 0.91-0.96). For test-retest reliability the weighted kappa for the FORUM-P was 0.44 (95% CI 0.24-0.63) and for the FORUM-C was 0.78 (95% CI 0.73-0.85). For interrater reliability of the FORUM-C the Spearman correlation coefficient was 0.47 (95% CI 0.18-0.69). The FORUM-P received an average rating of 4.0 out of 5 for comprehensiveness, 4.6 for ease of use and 3.9 for relevance, while the FORUM-C received 4.1 for comprehensiveness, 4.5 for ease of use and 4.3 for relevance.

Conclusions

Outcome measures in forensic mental health can be developed with good measures of reliability and validity, and can be introduced into services to monitor patient progress.

Disclosure

No significant relationships.
Implementation of Traffic Light System on food sold at Brockfield House Medium secure unit to help improve healthy food options
Authors: Agunwamba N. , Ho D. , Duffy M.
Published: September 2022

Introduction

Public Health England published a report in 2017 on Obesity in Secure Mental Health units. A key finding was that not only is obesity and overweight more prevalenr in the population detained within mental health secure units (reported rates of up to 80%) than in the general population (around 60%), patients appear to be more at risk of weight gain when they are detained.

Objectives

1.To implement a traffic light system on food and confectionaries sold at the shop at a Medium secure hospital. 2. Provide healthier food options at the shop by using traffic light system as a visual aid 3. To achieve weight reduction and promote healthy life style choices in patients admitted to our medium secure Forensic unit

Methods

1.Buying a new till system which is able to quantify what type of food is sold 2.Labelling food sold using traffic light system 3. Calculate the types of food sold following a three- month period after implementation.

Results

/Intended Outcome Traffic light system provides a visual aid to patients in choosing healthier food Patients in our medium secure unit achieve a reduction in their weight Traffic light system can be replicated/ adopted by other secure hospitals

Conclusions

The purpose of this research is to implement a traffic light system on food sold at a shop in our medium secure unit and that this will help improve food choices in the unit.

Disclosure

No significant relationships.
Psychiatric comorbidities of Incarceration in a Patient with Gender Dysphoria: A Case Report
Authors: Gill G. , Zachary M. , Korenis P.
Published: September 2022

Introduction

Mental health remains key comorbidity in the transgender population. There are more grave consequences on mental health if there is long-term incarceration history of a transgender person. 21% of transgender women are incarcerated in their lifetime, compared to <3% of the US general population. Incarcerated, transgender women are typically at risk for verbal, physical, and sexual assault that has been cross-sectionally linked to poor mental health in transgender patients. Childhood traumas and Adverse childhood experiences like sexual abuse may attribute to gender dysphoria as well as the externalizing and internalizing behaviors of the child in later part of life.

Objectives

Better understand Gender Dysphoria and Incarceration.

Methods

A case report and review of the literature.

Results

X is a 56-year-old transgender female, admitted for Major Depressive disorder with Psychotic features, and substance abuse disorder. She was disoriented to person place, or time, believing she was at the “Federal Penitentiary.” She was also selectively mute and socially isolative as well as unable to perform ADL’s. She has an extensive legal history, which started in 1985 when she burglarized a pharmacy store for estrogen. Patient was started on Sertraline, Mirtazapine, and Risperidone. She was still socially withdrawn but was soon oriented to person place, and time and was able to complete her daily tasks.

Conclusions

In this poster we discuss the challenges of managing an acute patient with extensive legal and substance abuse history, while also addressing the features of gender identity disorder and highlighting the difficult path of both the patient and physician in managing these challenges.

Disclosure

No significant relationships.
An approach to identify people with mental illness that can be expected to benefit from integrated community care in Germany
Authors: Meixner F. , Kilian R. , Müller-Stierlin A.
Published: September 2022

Introduction

Although integrated community care programs specifically tailored to patients with severe mental illness (SMI) are available, recent studies show that these programs are not always provided to the population which would benefit the most from it.

Objectives

Aims of this study were the selection of clinical and psychosocial characteristics and the development of a screening algorithm indicating the need for integrated community care services in people with mental disorders.

Methods

Data of an observational longitudinal study including N=511 participants has been used to examine the hypothesized determinants. At baseline, self-reported empowerment has been assessed via the EPAS and psychosocial impairment and perceived needs have been rated by research workers via the HoNOS and the CAN, respectively. Use of integrated community care services was defined as at least four appointments with service providers over six months and has been recorded via the CSSRI twelve to 18 months after baseline. Mixed-effects regression analyses have been performed to test the predictive value of the hypothesized determinants and marginal predictions were used to define cut-offs for the assessment tool.

Results

EPAS, HoNOS and CAN scores each proved to be significant predictors for using integrated community care services. Cut-off scores for each predictor are presented, forming practical assessment guidelines for future studies.

Conclusions

A screening tool and an algorithm for the identification of mentally ill patients who can be expected to benefit from integrated community mental health care programs is available for the German health care system.

Disclosure

No significant relationships.
Features of different severities of reduced working capacity states as an indicator of the self-regulation in students of different courses
Authors: Abdullaeva M. , Chelak A.
Published: September 2022

Introduction

The relevance of studying of self-regulation styles of young people who face various difficulties at a stage of vocational training has increased in the situation of a pandemic.

Objectives

The purpose of our work is to describe the functional states of students at different stages of education, characterized by different degrees of satisfaction with educational and professional activities and different levels of self-regulation, to substantiate programs of psychological support for students during the formation of their professional identity.

Methods

The sample consisted of 153 students enrolled in 1 and 3 courses in Moscow higher educational institutions. They were asked to fill out a package of methods aimed at diagnosing self-regulation styles (Morosanova, 2020), the severity of states of reduced performance (Leonova, Velichkovskaya, 2002).

Results

Indicators of reduced working capacity among third-year students are statistically significantly higher (p≤0.05) and are in a critical range of severity than among freshmen. Despite a similar level of satisfaction, third-year students demonstrate a whole palette of states of reduced performance, characterized by the experience of monotony of activity with high tension associated with the requirements of the educational situation. The absence of significant differences in the diagnostic indicators of self-regulation obtained in these two groups does not give grounds to assert that the general self-regulation of senior students is higher than that of first-year students.

Conclusions

The data obtained confirm the “painfulness” of the crisis of the “middle” of education and necessarily raise the question of developing a targeted program for mastering the means of conscious self-regulation by students.

Disclosure

No significant relationships.
Inventory of Sources of Stress During Medical Education - Further Validation
Authors: Carneiro M. , Macedo A. , Loureiro E. , Dias M. , Carvalho F. , Telles Correia D. , Novais F. , Barreto Carvalho C. , Cabacos C. , Pereira D. , Vitória P. , Araújo A. , Pereira A.T.
Published: September 2022

Introduction

The Inventory of Academic Sources of Stress in Medical Education (IASSME) evaluates the presence and intensity of the main sources of academic stress for Portuguese Medicine students in five dimensions: Course demands/CD, Human demands/HD, Lifestyle/LS, Academic competition/AC, and Academic adjustment/AA.

Objectives

To further validate the ISSME using Confirmatory Factor Analysis and to analyze[ATP1] the psychometric properties of a new version including additional sources of stress.

Methods

Participants were 666 Portuguese medicine (82.6%) and dentistry (17.4%) students (81.8% girls); they answered an online survey including the ISSME and other validated questionnaires: Maslach Burnout Inventory – Students Survey (MBI-SS) and Depression Anxiety and Stress Scales (DASS).

Results

Confirmatory Factor Analysis showed that the second order model composed of five factors (the original structure by Loureiro et al. 2008), but excluding item 11 (loading=.371), presented good fit indexes (χ2/df=3.274; RMSEA=.0581, p<.001; CFI=.917; TLI=.904, GFI=.919). The Cronbach’s alfas were α=.897 for the total and from α=.669 (F2-HD) to α=.859 (F1-CD) for the dimensions. The expanded version, including two additional items related to lack of interest in medicine/dentistry (F6, α=.543) and two additional COVID-19 stress-related-items (F7, α=.744) also showed acceptable fit indexes (χ2/df=3.513; RMSEA=.061, p<.001; CFI=.88.; TLI=.866, GFI=.892). This new version’s α was of .896. Pearson correlations between ISSME and the other measures were significant (p<.01) and high: >.55 with DASS and >.50 with MBI-SS. Girls presented significantly higher ISSME scores. F6 score was significantly higher in dentistry students.

Conclusions

This further validation study underlines that IASSME presents good validity (construct and convergent) and reliability.

Disclosure

No significant relationships.
A person-centered needs-tailored recovery program for community-dwelling people diagnosed with mental illness
Authors: Liu W.I. , Tai Y.-M. , Hsien W.-L.
Published: September 2022

Introduction

The recovery of community-dwelling people diagnosed with mental illness is positively correlated with having their needs met; however, only a few person-centered services provide solutions that are tailored to the needs of such populations.

Objectives

The aim of this study was to evaluate the effectiveness of a needs-tailored recovery program.

Methods

A double-blind randomized controlled trial was used. In the experimental group, people diagnosed with mental illness received homecare services for six months as part of a new needs-tailored recovery program. The control group received existing community homecare services. Data were collected before and after the intervention (July 2020 to January 2021). The primary outcome was recovery, and secondary outcomes were needs, hope, empowerment, psychotic symptoms, and medication adherence.

Results

The recovery program integrated the evidence-based care elements for community-dwelling people diagnosed with mental illness that we had identified: need satisfaction, hope, empowerment, and medication adherence. In total, 62 participants were included. There were no significant pre-test differences between the two groups in terms of demographic or baseline variables. However, there were significant differences between them in the extent of improvement in recovery, needs, hope, and empowerment, and medication adherence improved significantly but similarly in both groups.

Conclusions

Our person-centered recovery program fitted individuals’ needs and improved recovery and related elements for personal recovery among community-dwelling people diagnosed with mental illness. This study increases our understanding of recovery-oriented care to prioritize therapeutic alliance, integrated needs assessment, individualized unique goals, hope, and empowerment.

Disclosure

No significant relationships.
Physical and psychological (in)stability in extreme situations: physics models for understanding health stability
Authors: Baessler F. , Willa R.
Published: September 2022

Introduction

The COVID-19 pandemic has shown how quickly and drastically everyday life can change in extreme situations.

Objectives

To investigate how external factors can affect human health – mentally and physically – and what indicators herald the proximity to a critical upheaval.

Methods

Using theories from theoretical physics and psychology, researchers from Heidelberg University and Karlsruhe Institute of Technology will observe emotional reaction via an ‘infinitesimal stimulus’ (f
) to an image that gives the ‘infinitesimal displacement’ (d). While both the stimulus and the reaction are chosen to be small – and hence keep a person well within their emotional stability – the ratio (d/f
) provides us a quantitative measure of the individual’s susceptibility i.e. reaction sensitivity. Over a six-month phase, we hope to correlate the individual susceptibility with the person’s general emotional state and to define a threshold reaction to indicate a person’s proximity to an emotional instability. Semi-structured interviews of extreme cases give us further insight into correlations between emotional states and susceptibility.

Results

If an increased susceptibility in an individual actually precedes a long-term change in mood, then regular susceptibility measurements can be used, for instance, to detect depression at an early stage. We are particularly curious to observe the extent to which models from physics can be applied to society and the individual.

Conclusions

The final output is to integrate practical implementation aspects into the medical curricula in a transdisciplinary manner. If possible, a formula for understanding health stability should be formulated that would be highly innovative for the medical field.

Disclosure

This study is funded by the Heidelberg Academy for Sciences and Humanities.
Immigration projects among young doctors in Tunisia: Prevalence, destinations and causes
Authors: Ajmi M. , Kahloul M. , Kacem I. , Chouchane A. , Ben Mansour S. , Slama Y. , Hafsia M. , Maoua M. , Mrizak N. , Naija W.
Published: September 2022

Introduction

The shortage of doctors has become a worrying problem in Tunisia. It is influenced by the phenomenon of immigration which remains poorly studied despite its magnitude.

Objectives

To describe the migration intentions of Tunisian young doctors and to identify the associated factors that influence their decisions.

Methods

This is a cross-sectional, analytical survey conducted between January and June 2019. It included all young doctors practicing in academic hospitals of Sousse (Tunisia). Data collection was based on a standardized self-administered questionnaire.

Results

A total of 182 valid questionnaires were collected. The median age was 26.9±2.5 years and the sex-ratio was 0.47. Immigration projects were reported by 38.5% of participants. The main destination was France (36.3%%). The main contributing factors were marital status (p<10-3), resident status (p=0.002), surgical specialty (p<10-3), personal dissatisfaction (p=0.003), underpayment (p<10-3), workload and difficult work conditions (p<10-3), lack of appropriate training (p<10-3), financial crisis and economic instability (p<10-3), lack of a clear strategy for the healthcare system (p=0.005) and the impression by the model of other doctors who left Tunisia (p=0.01).

Conclusions

The rate of migration intentions expressed in this study highlights the emergent need of interventions emanating from the Tunisian health-care system’s problems in order to stop the flow of young doctors towards developed countries in quest of better conditions.

Disclosure

No significant relationships.
Sociodemographic characteristics of immigrants hospitalized for first episode of psychosis
Authors: Kabtni W. , El Kefi H. , Baatout A. , Bencheikh C. , Oumaya A.
Published: September 2022

Introduction

European researchers have observed that psychosis is 3 times more frequent in immigrants than in native-born subjects.

Objectives

our study aims to determine the sociodemographic characteristics of immigrants hospitalized for first episode of psychosis (FEP)

Methods

it’s is a descriptive retrospective study. 21 files were recruited from the psychiatry department archive. Only files of immigrant patients hospitalized, during the period between 2016 to 2021, for FEP and with neither personal nor family medical history of psychosis were included in our study.

Results

A total number of 11 patients was included in our study. The analyse of sociodemographic characteristics revealed that; 62.5% of patients were female. The average age was 31 years. About half of them were dark skinned (particularly African), 25% were divorced, and 75% having university level. The majority of cases, have had a clandestine access to Tunisia, and were either unemployed or doing cleaning tasks with a low economic level and frequent conflicts in their workplaces. The average period between entering Tunisia and the onset of symptoms was 11.375 months.

Conclusions

A comparative study on a larger sample would be beneficial in order to determine the risk factors for psychosis in immigrants and, consequently, leads to effective preventive measures.

Disclosure

No significant relationships.