bluuebunny/crossref_metadata_2025 huggingface dataset:
Film or mirror? The exploration of narratives during the road from recognition to recovery of addictive disorders
Authors: Krupa M. , Kiss E. , Kapornai K.
Published: September 2022

Introduction

The examination of the cinematic metanarrative provides many possibilities for recovery-oriented addiction consultation. The key to efficiency can be the approach of the recipient’s point of view and attitude, with which the client can interpret his own traumas and life story retrospectively.

Objectives

Our aim is to show that the recognition, the turning points, the acknowledgement and the recovery from addiction can be described as a model in the deep structure of recovery stories. Can narrative research explore more deeply the main stages of recovery andidentity shaping, with the possible use of the film’s narrative technique?

Methods

12 recovering addicts were interviewed who have been clean for at least 4 years. Interviews covered the years spent as addicts and the path to recovery using the method of deductive metanarrative analysis.

Results

Based on the results of the analysis, elements of the film narrative could be found together major psychoanalysis concepts and literary theory models in the semi-structured interviews. Emotion control dysregulation all appear in the stories. Together these can be traced to a summary narrative and a historical line. Furthermore, the addicted person as a hero, the compulsion to repeat and its spookiness, and the role of the helpers also appear in the retrospective narratives without exception.

Conclusions

The well-structured, coherent recovery stories help the recoverer to reconstruct their self, to make the behavioral change permanent, thus reducing the chances of relapse. The film narrative and toolkit provide an opportunity based on similarities with the narrator’s framework, which can strengthen the recovering identity.

Disclosure

No significant relationships.
Mindfulness based relapse prevention (MBRP, Marlatt) in a naturalistic setting for patients with substance use disorder (SUD)
Authors: Veeser J. , Hanak C. , Rogiers A. , Devos M. , Page N.
Published: September 2022

Introduction

MBRP has become an established treatment in the field of addiction, but implementing the program in an outpatient setting remains a challenge.

Objectives

We investigated the feasibility of MBRP in an naturalistic outpatient setting and the effect of mindfulness on underlying factors of addiction.

Methods

All patients treated between 2015 and 2019 in the MBRP program at Brugmann University Hospital and Addiction Center Enaden were eligible to participate. Patients were asked to fill in a questionnaire about underlying factors of SUD in the domains of pleasure, emotion regulation, stress, relationship with others and relationship with oneself as well as the effect of the completed training on these factors.

Results

Of the 147(74 F) recruited patients; 32 patients completed the questionnaire. The study population differed in terms of substance (mainly alcohol but also cocaine, cannabis, heroine) as well in their aims towards the substance (reduce, stop or maintaining abstinence). Participation of at least 4 of the 8 sessions was 63 % and overall satisfaction of patients was high. We found a positive effect of mindfulness on all of the underlying factors for SUD. Underlying factors of SUD, as well as the effect of mindfulness on these factors showed strong individual variation. The most frequently observed negative effect was acute craving; 1 patient became acute suicidal.

Conclusions

MBRP is feasible and has a clinical relevant impact on underlying factors of SUD. Negative effects were also observed and should be carefully monitored.

Disclosure

No significant relationships.
Psychosocial contributors to Internet and social media addiction among adult women
Authors: Rachubińska K. , Cybulska A. , Szkup M. , Schneider-Matyka D. , Grochans E.
Published: September 2022

Introduction

When speaking of behavioral addictions (especially to the Internet and social media), it is emphasized that it is not the environment that is the main contributor to addiction, but rather certain behaviors and personality traits.

Objectives

The aim of this study was to assess the level of Internet and social media addiction on the example of Facebook with regard to psychological and social factors.

Methods

This survey-based study involved a group of women representing the female population in the West Pomeranian Voivodeship, Poland (N = 556). Research instruments were a self-developed questionnaire concerning sociodemographic data, the De Jong Gierveld Loneliness Scale, the Beck Depression Inventory, the Internet Addiction Test, and the Bergen Facebook Addiction Scale.

Results

Age, depressive symptoms, loneliness were the variable contributing to Internet and Facebook addiction among the studied. Available studies confirm the results of their own research.Employed n = 496Unemployed n = 60pBDI4.0(1.0 – 10.0)6.5 (1.5 – 12.5)0.20DJGLS34.1 ± 3.733.0 ± 5.00.09IAT32.0 (24.0 – 44.0)24.5 (20.0 – 32.0)< 0.001BFAS8.0 (6.0 – 12.0)6.0 (6.0 – 7.5)< 0.001

Conclusions

Depressive symptoms and dependence on the Internet and Facebook were more common among single women. In the employed women, we only observed higher levels of Internet and Facebook addiction. The level of dependence on the Internet and Facebook was higher among younger women. Loneliness correlated with Internet and Facebook addiction, and more severe depressive symptoms entailed higher levels of Internet and Facebook addiction.

Disclosure

No significant relationships.
Perception of addictions and religiosity in medical students
Authors: Ellouze A.S. , Maalej M. , Feki R. , Gassara I. , Smaoui N. , Omri S. , Zouari L. , Maalej M. , Charfi N. , Ben Thabet J.
Published: September 2022

Introduction

Religiosity is among the factors that determine the doctor’s relationship with his addict patient and the empathy he should have.

Objectives

To verify whether future doctors are aware of the addictogenic power of certain substances and certain behaviors and to study their perception of different addictions according to religiosity.

Methods

This was a cross-sectional study with interns and externs of the Sfax medical faculty, in November 2016, via an anonymous questionnaire.

Results

141 students were included and 98,6% declared to be believers. The average age was 23 years. The sex ratio was 0.38. Alcoholism was the addiction most considered as a sin (87.9%), smoking 51.8%, hookah 45.4%, cannabis 78%, gambling 77.3%, internet addiction 16.3%, video game addiction 15.6%, work addiction 8.5%, and exercise addiction 5.7%. Female gender was more often correlated with perceived alcoholism, cannabis addiction, and gambling as sins (p = 0.002; p <0.001 and p = 0.043, respectively). Gambling was significantly more condemned by the participants who fasted (p <0.001). Prayer was significantly correlated with religious disapproval of addictions to tobacco, hookah, alcohol, cannabis and gambling (respectively p <0.001, p = 0.001, p <0.001 , p <0.001, p <0.001). Smoking, hookah and alcohol were significantly more perceived as sins by veiled women (respectively p = 0.011, p = 0.002, p = 0.040).

Conclusions

According to our study, most medical students have a religiously hostile attitude to many addictions. Improving medical training in addictology would allow them to adopt the necessary empathic attitude, without being judgmental.

Disclosure

No significant relationships.
Some factors affecting on the severity of Acute Psychoses in Alcohol Withdrawal
Authors: Kuzminov V.
Published: September 2022

Introduction

Alcohol withdrawal delirium is severe complication of alcohol withdrawal leading to high mortality. Early identification of severe course of psychosis and complications threatening the patient’s life is the most important problem in the treatment of these patients.

Objectives

Under supervision were 690 men, dependent on alcohol, in the state of withdrawal with acute psychotic disorder (primary hospitalization in the framework of this study); the average age - (39,9 ± 3,4 years), the average age of alcohol abuse - (9,7 ± 1, 1 years). The patients were examined in a dynamics after a re-hospitalization after 5-7 years. This allowed us to verify the differential diagnostic approach to acute psychotic disorders in a state of abandonment, to investigate the impact of chronic acute psychotic disorders on the course of alcohol dependence, including the formation of deficits.

Methods

clinical, clinical and psychopathological, methods of quantified scales and mathematical statistics.

Results

There were estimated factors influencing the severity of alcohol withdrawal with delirium: total amount of alcohol consumed per week, drunken alcoholics, persistent alcohol abuse, social disadaptation, cognitive impairment, psychological disorders, reducing the quality of alcohol consumed, food pattern characterized total calorie mostly due to alcohol, life trajectory, severe or chronic somatic diseases, rate of progression of alcohol dependence.

Conclusions

The severity of acute psychotic disorder in the state of alcohol withdrawal mostly depended situational factors such as the number of days of severe drinking before a psychotic disorder, the pattern of nutrition, the quality and quantity of alcohol consumed, the presence of acute somatic diseases.

Disclosure

No significant relationships.
Quetiapine Addiction: A Case Report
Authors: Chaara A. , Sabir M. , El Omari F.
Published: September 2022

Introduction

Quetiapine has been the subject of case reports documenting its abuse. In Morocco, no study has been done showing the prevalence of this misuse. The methods of administration are diverse: oral or nasal, injection, inhalation, consumption with cannabis (smoked) or alcohol, combination with other drugs. The abuse is associated in 75% of cases with another product.

Objectives

The objective of this work is to describe the management of quetiapine dependence, through a clinical vignette.

Methods

Through a clinical vignette, and by reviewing the literature, we will describe the management of quetiapine addiction.

Results

Treatment consists of reducing the consumption of this substance until stopping. When possible, it is recommended to change this antipsychotic to another with low abuse potential and low antihistamine properties such as haloperidol, risperidone or aripiprazole. If, however, this solution was inapplicable, then limit the quantity of tablets by prescribing smaller amounts of antipsychotics and increase the frequency of visits.

Cope and relieve:

Sometimes other medicines can be used to relieve potential withdrawal symptoms, including benzodiazepines or hypnotics to manage insomnia.

Warnings :

Ideally, the drug should be reduced gradually with a gradual and planned decrease in the dose taken over the months.

There should also be periodic evaluations.

Long term treatment:

Management must be biopsychosocial.

Treating comorbidities is a fundamental step in preventing relapse.

Conclusions

It is a “prescription” use disorder! Each prescription should be carefully weighed and time bound. It seems important to be vigilant with regard to the dosages administered and the treatment regimens offered to the patients.

Disclosure

No significant relationships.
Opioid withdrawal delirium without convulsions: A Rare Case report
Authors: Singh D.S. , Paul S.
Published: September 2022

Introduction

Opioid withdrawal symptoms classically include severe muscle cramps, bone aches, autonomic symptoms, anxiety. Patients seldom have other complications like delirium and convulsions unless they have comorbid medical illnesses.

Objectives

We hereby report a case of opioid withdrawal delirium.

Methods

A 20-year-old man with dependence for opiods and nicotine was admitted after compete history and mental status and physical examination, last intake for both substances 2 days back. There was no history of fever, head injury, siezures and other substance use. All investigations done were normal and urine drug screen was negative for other substances. Treatment was started with clonidine and quetiapine for sleep and Nsaids on prn basis. After 2 days there was hallucinatory behaviour, agitation, fleeting episodes of recognising family members, hearing voices and decreased sleep observed. Patient required sedation with 10 mg of lorazepam and haloperidol before he went to sleep.Later on lorazepam 8 mg in divided doses and clonidine was tapered off gradually and patient as discharged on naltrexone 50mg.

Results

In our case we could not find any other reason for delirium.These complications are rare feature of delirium, parker et all reported 5 such cases. One of limitations was we didnt do blood alcohol levels which could have ruled out alcohol use.

Conclusions

This case is unique in terms of presenting with delirium without convulsions after 4 days of abstinence. No associated comorbidities, organic causes, and other substance use in dependence pattern or recently used. Use of a street variety (mixed with impurities) could be a risk factor for delirium in our patient.Psychiatrist need to be aware of complication.

Disclosure

No significant relationships.
“Might relapse today” - The categorization of discussions in the r/benzorecovery subreddit
Authors: Friberg Von Sydow R.
Published: September 2022

Introduction

The social media platform Reddit is a contemporary context where we have an opportunity to identify problems experienced by people regarding different aspects of life. The platform is virtually anonymous which might make users discuss their problems more freely. Reddit is divided in subreddits where different subjects are discussed and the discussions are controlled by creators and moderators. I have identified a quite active subreddit targeted towards recovering addicts of benzodiazepines; r/benzorecovery.

Objectives

* To analyze strategies of recovery in user narrative * To identify techniques commonly used and the how they are described * To construct metadata in order to assess how frequent the discussion of a different techniques are

Methods

Technically, what is done in this study, is adding mark-up metadata to different discussion. A rudimentary form of analysis suitable with a larger digital corpus where content metadata is added (Gilliland Swetland 2000). The metadata is constructed through a hermeneutical method in which the researcher analyses the subreddit.

Results

Answering question like: Example: DIY-tapering; different ways to limit drug use by using less. 1) how common are discussion of taperings in relation to other subjects? 2) Is tapering commonly discussed together with other subjects and techniques?

Conclusions

Using a method of categorization and metadata mark-up we could gain a good understanding of the problems among recovering benzodiazepine addicts. We will also have the possibility to identify concepts that addicts themselves discuss and relate these to professional concepts thus creating better possibilities of communication between professionals and clients.

Disclosure

No significant relationships.
Gambling disorder and suicidal behavior : A case report :
Authors: Abassi B. , Khelifa E. , Maatouk O. , Ben Aissa S. , Bouguerraa I. , Mnif L.
Published: September 2022

Introduction

Gambling disorder involves repeated problematic gambling behavior that causes significant problems or distress. It is also called gambling addiction or compulsive gambling.

In Tunisia, a muslum country, gambling is prohibited and casinos are non-existent or only for tourists with foreign currency. Lately, with the spread of casinos online and sites of sports betting, gambling’s become problematic in Tunisia. People accumulated huge debts with feelings of shame and guilt leading to suicidal attempts.

Objectives

Studying the link between gambling disorder and suicidal attempts and comparing the different preventive measures proposed for online gambling.

Methods

a case of a patient with gambling disorder that was hospitalized in a psychiatric hospital for a suicidal attempt by stabbing himself and a review of a literature.

Results

Mr R.A was a 42-year-old man with no family nor personal psychiatric history. He has no history of a particular substance use disorder. He was married and a father of two children and has a regular job.

A year ago, he stated gambling on internet sites using his phone cell and, in several months, he lost a lot of money and accumulated debts.

Lately he committed two attempts of suicide. The first one was by swallowing rat poison. The second one was a month later, by stabbing himself with a knife that caused evisceration and required surgery then an hospitalization in a psychiatric unit.

Conclusions

There’s evidence that GD and SB are associated, although there’s disagreement about the nature of this association. Adequate preventive measures should be considered by governments

Disclosure

No significant relationships.
Comorbidities in children with Internet Addiction Disorder (IAD)
Authors: Nadiradze T. , Bakhtadze S. , Khachapuridze N.
Published: September 2022

Introduction

Internet addiction disorder (IAD) is characterized by an individual’s inability to control his/her Internet use, which may result in marked distress and functional impairment. Systematic reviews show that excessive screen-time is negatively associated with well-being and positively associated with reduced quality of life in young people. There is growing evidence that IAD is related to comorbidities such as depression but relatively little is known about fatigue in adolescents with IAD.

Objectives

Accumulating evidence suggests that fatigue is a central component of IAD. Depression is also related to IAD. However, there is a lack of evidence regarding whether there is a strong correlation between the severity of IAD and the rate of depression. Our objectives were to describe depression and fatigue in adolescents diagnosed with IAD.

Methods

Study included 94 participants with IAD and 88 controls, all aged 12–17 years. Depression was assessed by the Beck Depression Inventory Scale (Georgian version), and fatigue by the Pediatric Quality of Life Initiative (Georgian version) multidimensional fatigue scale.

Results

Adolescents with severe IAD are 5.63 times more likely to show symptoms of moderate or severe depression than children with mild or moderate Internet addiction. Those with severe IAD showed 6.62 times more cognitive fatigue, 7.81 times higher sleep/rest fatigue and 11.11 times higher general fatigue than children with mild and moderate Internet addiction.

Conclusions

IAD can lead to depression and fatigue, which can affect adolescent’s psychological and social well-being. Mechanisms for prevention and ongoing support are needed for adolescents and their families.

Disclosure

No significant relationships.
Overlap between substance and behavioural addictions: substance abuse in patients with pathological gambling
Authors: Cunha E Costa N. , Cruz S. , Sobreira G.
Published: September 2022

Introduction

Pathological gambling consists of a persistent and maladaptive pattern of gambling behavior, that often leads to significant adverse psychosocial and financial outcomes. It is currently classified as an “Impulse Disorder” on ICD-10 but the DSM-5 moved this diagnosis from “Impulse-Control Disorders” to “Substance-Related and Addictive Disorders” section[1]. Behavioral addictions, especially pathological gambling, share many features with substance dependences, namely clinical findings and behavioural patterns, comorbidity with psychiatric disorders, genetic factors and family history, neurobiology, natural history and response to treatment[2].

Objectives

To study the impact of substance abuse in patients with pathological gambling.

Methods

Literary review, using PubMed database search, regarding substance abuse and pathological gambling.

Results

57,5% of individuals with pathological gambling also present with some form of substance use[3].There was also a large percentage of patients presenting with nicotine dependence (60,1%) and a fourfold increase in the risk of developing an alcohol use disorder[3]. Individuals with substance use disorders also show a threefold risk of developing pathological gambling and substance use appears to negatively influence gambling behaviours in this population. Gambling habits in adolescents have been linked to an increased risk of current and lifetime drug use of multiple substances[4]. Other psychiatric comorbidities were also frequent in this population: 37.9% of patients presented with mood disorders and 37.4% with anxiety disorders[3].

Conclusions

There is a significant clinical and neurobiological overlap between substance use disorders and pathological gambling. Individuals with pathological gambling have a high prevalence of substance use disorders and an increased lifetime risk of substance use, which negatively influences gambling behavior.

Disclosure

No significant relationships.
Neuropsychological performance in alcohol use disorder: a Portuguese study
Authors: Faria I. , Silva C. , Sola F. , Ramos K.
Published: September 2022

Introduction

Alcohol consumption has devastating psychosocial and health consequences, with effects on cognitive functions. Recent studies have highlighted that patients with diagnosis of alcohol dependence syndrome have cognitive deficits in executive function, visuospatial ability, attention, procedural memory, verbal fluency and processing speed.

Objectives

The aim of this study is to characterize the sociodemographic and clinical patterns of the study sample and the cognitive deterioration severity and type.

Methods

A retrospective observational study was conducted with patients who had alcohol use disorder diagnosis at Dual Pathology Outpatient and Inpatient Unity, Psychiatry Department, at Coimbra Hospital and University Center, Portugal. Patients were admitted from 1/1/2016 and 30/09/2021, and submitted at neuropsychological structured evaluation. From the initial sample, major neurocognitive disorder, intellectual development disorder, cerebrovascular accident, traumatic brain injury and neurosurgery were excluded.

Results

The results show significant cognitive impairment in executive function, memory, verbal fluency and visuospatial ability.

Conclusions

Our results support the hypothesis of widespread impairment resulting from alcohol consumption. Cognitive impairment can limit the psychotherapeutic intervention, the adherence to pharmacological therapy and abstinence maintenance. The sheer presence of alcohol use disorder should encourage a neuropsychological evaluation. Further studies are needed in this area to prevent and outline an early intervention.

Disclosure

No significant relationships.
Association between Mood Disorders, Problematic Internet Use and Online Gambling Addiction: A Systematic Review
Authors: Marimón Muñoz E. , Miranda Ruiz E. , Stoppa Montserrat A.
Published: September 2022

Introduction

New technologies have become widespread in the last decades, becoming an essential tool for today’s population. However, due to the increase in its use, multiple problems have surfaced at a psychopathological level.

Objectives

The main goal of this study is to review, in an updated manner, the existing bibliography on the problematic use of the Internet and online gambling in the adult population and its relationship with Mood Disorders, exploring beyond Major Depressive Disorders so as to include Bipolar Disorders.

Methods

A search was carried out in Medline, Tripdatabase and in the Virtual Health Library. We use the terms “Bipolar Disorder”, “Mood Disorders”; “Depressive disorders”; “Comorbidity”; “Problematic Internet use” and “Internet Gaming disorder”. Narrowing the search to the last 4 years and obtaining a total of 14 articles, of which only 10 were included after a thorough review.

Results

A significant association was found between internet addiction in its different forms (Smartphone, Social Networks, Internet in general and IGD and MDD. A neuroanatomical correlation between Internet Gaming Disorder and Major Depressive Disorder was also established. A heterogeneity of criteria for addiction evaluation was observed. However, little information was found regarding the association between the addictive disorders and Bipolar Disorder.

Conclusions

The correlation between the behavioral addiction forms previously mentioned and bipolar disorder must be further studied. There is a clear association between internet addiction and major depressive disorder. The established neuroanatomical correlation promotes the study of the applicability of brain stimulation techniques as a potential treatment for this type of pathology.

Disclosure

No significant relationships.
Impact of interpersonal relationships and acquired capability for suicide on suicide attempts: An observational study
Authors: Shim S.H. , Yang J.C. , Hahn S.W. , Kim J.S. , Yoon S.H.
Published: September 2022

Introduction

The Interpersonal-Psychological Theory of Suicide (IPTS) specifically predicts that acquired capability, perceived burdensomeness, and low belongingness are collectively necessary and sufficient proximal causes of serious suicidal behavior. Although the interpersonal theory of suicide is clinically reliable, most previous studies have been conducted on clinical groups including suicidal ideators with no suicide attempters or including only a few suicide attempters

Objectives

This study aims to investigate interpersonal needs and acquired capability for suicide through questionnaire surveys following suicide attempts in people admitted to hospitals for medical treatment.

Methods

A total of 344 participants (200 depressed patients with attempted suicide, 144 depressed patients with suicidal ideation) were enrolled for this study. Depression, anxiety, emotional regulation, interpersonal needs, and acquired capability for suicide were evaluated. A model with pathways from emotional regulation difficulties and interpersonal needs to suicide attempts was proposed. Participants were divided into two groups according to the presence of suicide attempts or suicidal ideation.

Results

Acquired capability for suicide mediated the path from depression to suicide attempts. In the path model, difficulties in emotional regulation and interpersonal needs predicted depression significantly. Although depression itself was not significantly related to acquired capability for suicide, depression was significantly related to acquired capability for suicide in suicide attempter group.

Conclusions

Interventions with two factors affecting suicide attempts will clarify the suicide risk and contribute to finding risk factors. It will also help reduce suicide rates through interventions in the processes leading to suicide attempts by identifying variables to predict the attempts through the path to suicide attempts.

Disclosure

No significant relationships.
The association between self-esteem and suicidal risk: a meta-analysis
Authors: Lippo F. , Madeddu F. , Fornaro M. , Calati R.
Published: September 2022

Introduction

Background: Existing evidence poses low self-esteem as a risk factor for both suicidal ideation (SI) and suicide attempts (SAs) in the general population.

Objectives

The present study assesses the relationship between self-esteem level and SI/SA, considering across the lifespan. Two separate meta-analyses, one for SI and the other for SA are herein reported since they substantially overlap in terms of eligibility procedures and search strategies.

Methods

Eligible studies documented at least one suicidal, and a non-suicidal group. Data were analyzed using the Cochrane Collaboration Review Manager Software (RevMan, version 5.4.1) under the random-effects models. Values were standardized owing to the anticipated heterogeneity of self-esteem rating tools. Sensitivity analyses were performed to control for heterogeneity.

Results

Out of 3,310 initial hits, 24 studies were deemed eligible for inclusion. The meta-analyses showed that individuals with lower levels of self-esteem, compared to those with higher levels, were more likely to endorse both SI and SA. SI reached a standardized mean difference of -0.43 (CI: -0.81, -0.05), while SA reduced by -0.89 (CI: -1.02, -0.76), overall. Limitations: The herein presented results rely on standardized mean differences rather than odds of either SI or SA since the original studies failed to systematically fetch rates of the events.

Conclusions

Lower levels of self-esteem represent a risk factor for both SI and SA across the lifespan. Forthcoming studies should systematically account for multiple moderators to allow meta-analytic synthesis including sub-group and meta-regression analyses assuming high-heterogeneity would still be concerned.

Disclosure

No significant relationships.
The role of the dark triad and the experience of violence in the creation and dissemination of self-destructive online content by adolescents and youth
Authors: Soldatova G. , Lyukhina S.
Published: September 2022

Introduction

Research in recent years has raised an important question about the role of the Internet in the self-injurious and suicidal behavior of adolescents and youth.

Objectives

The aim of this work is to study the role of the experience of violence in real life and the dark triad in the creation and dissemination of self-destructive content among adolescents and youth.

Methods

827 Russian students aged 15-25 (59% female) сompleted the questionnaire and the “Dirty Dozen” (Kornilova, et al., 2015).

Results

Two-thirds of respondents have seen self-harm (72%) and suicidal (66%) content. Every seventh respondent (14%) is at risk, because he creates, approves with likes or disseminates self-destructive content among peers. Respondents at risk are more likely to have experienced physical (χ2=9.8, p<0.01), psychological (χ2=4.36, p<0.05) and sexualized (χ2=7.44, p<0.01) violence. Respondents who have a higher machiavellianism are more likely to approve (F=17.96, p=0.00) and disseminate (F=6.07, p<0.05) self-destructive content, less often using the «report» (F=4.06, p<0.05). Adolescents who have a higher psychopathic are more likely to create (F=7.34, p<0.01), disseminate (F=23.27, p=0.00) and approve (F=23.92, p=0.00) it.

Conclusions

Self-destructive online content is seen by most teens and youth, and every seventh creates, approves and distributes it among peers, being a victim of violence in real life and having potential tendencies towards self-harm or suicidal behavior. Teens and youth with higher machiavellianism and psychopathy can create and disseminate self-destructive content due to their own psychological problems, but also potentially involve others. Research was supported by the Russian Foundation for Fundamental Research, project 20-013-00857.

Disclosure

Research was supported by the Russian Foundation for Fundamental Research, project 20-013-00857.
Family history of mood disorder weakens the association between personality traits and suicidality in depressed patients
Authors: Kibitov A. , Nikolishin A. , Neznanov N. , Mazo G. , Kibitov A.
Published: September 2022

Introduction

Depression is associated with a high risk of suicidal thoughts (ST) and behaviour (SB). Suicidality and depression have partially shared genetic underpinnings and family history of mood disorders (FH) can reflect genetic impact on specific features of depression. Thus, in depressed patients, FH may affect suicidality and its associations with other risk factors, such as personality traits.

Objectives

We conducted a cross-sectional study to test the impact of FH on the association between suicidality and personality traits in depressed patients.

Methods

200 depression in- and outpatients (64% (n=128) women, mean age (M(SD):36,21(15,09)) were enrolled. 28% (n=56) reported FH (“FH+” cohort), other patients comprised the “FH-” cohort. Columbia-Suicide Severity Rating Scale (C-SSRS) was used to assess ST and SB during the most suicidal period of life. Personality traits were assessed by Cloninger Temperament and Character Inventory (TCI-125). Information about FH and history of suicide attempts (SA) was obtained during the clinical interview.

Results

Personality traits and suicidality characteristics (ST, SB, SA) did not differ between FH+ and FH- patients. In FH+, no differences in TCI-125 scores between suicide attempters and non-attempters were found, while in FH-, attempters had higher scores of TCI-125 “Novelty seeking” (p=0.002) and “Self-transcendence” (p=0.031) subscales. Multiple correlations between ST, SB and TCI-125 subscales were found only in FH-, In FH+, only one correlation (between ST and TCI-125 “Persistence” subscale (r=-0.288, p=0.038) was found.

Conclusions

Our results showed a weakened association between personality traits and suicidality in depressed patients with FH of mood disorders, although more data on larger samples are needed.

Disclosure

The study was supported by RSF grant # 20-15-00132
Structuring of specialized treatment applied to people with suicidea ttemptin an academic psychiatric service in Rio de Janeiro city
Authors: Jaber J.
Published: September 2022

Introduction

Description of a specialized treatment program for people attempting suicide in an academic health service focused on psychiatry and drug addiction in the city of Rio de Janeiro.

Objectives

Describe actions developed to treat suicidal behavior.

Methods

Based on a survey of the prevalence of suicidal behavior in the Brazilian population over a lifetime, reaching a total of 12,000 cases per year of the Brazilian population, this academic service of psychiatry and drug addiction established the following actions for hospitalized patients: 24-hour surveillance, reduced access to methods of committing suicide (forks and knives removal, shoelaces and ropes removal), strengthening the GVV (Life Valuation Group), strengthening the Cognitive Behavior Therapy application groups, conducting group dynamics, lectures, art therapy and physical activities.

Results

Of 370 patients admitted to this service from January 1st, 2019 to September 1st, 2019, 137 had suicidal behavior and only 2 died.

Conclusions

Of these two cases, one abandoned treatment and the other occurred during the treatment period.

Disclosure

No significant relationships.
Suicide and Related Factors in Parkinson’s Disease
Authors: Çakar G. , Duman B. , Akbostancı C. , Kumbasar H.
Published: September 2022

Introduction

Parkinson’s disease(PD) is a progressive, neurodegenerative nervous system disease.Psychiatric symptoms are common in PD,it is important to consider the suicide risk of these patients.

Objectives

The aim of this study is to investigate the risk of suicide in PD with a case control study and to determine the factors that may be associated.

Methods

126 Parkinson’s patients and 117 age,gender matched healthy controls were included.Montreal Cognitive Assessment Scale(MoCA),Suicide Probability Scale(SPS),Beck Hopelessness Scale(BHS),Apathy Rating Scale(AES) and Multidimensional Scale of Perceived Social Support(MSPSS) were completed by participants.The PD group completed Parkinson’s Disease Quality of Life Questionnaire(PDQ-39) and data on disease duration,Movement Disorders Society-Unified Parkinson’s Disease Rating Scale(MDS-UPDRS),levodopa-equivalent daily doses(LEDD) were obtained.Hamilton Anxiety Rating Scale(HAM-A) and Hamilton Depression Rating Scale(HAM-D) were administered to all participants.

Results

SPS total scores were significantly lower and total scores of HAM-A,HAM-D and MSPSS were found to be significantly higher in the PD group.There was no significant difference between the two groups in terms of BHS total scores.In PD group a linear relationship was found between SPS total scores and BHS,PDQ39, HAM-A and HAM-D and an inverse relationship with AES.In the regression analysis,it was concluded that a one-unit increase in BHS total scores increased the probability of suicide by 17.1%.

Conclusions

It is seen that SPS scores in patients are lower than controls and observed that SPS is correlated with hopelessness,depression,anxiety and quality of life.Although the possibility of suicide is found to be low in PD,this risk increases in patients with untreated depression and anxiety.Therefore,psychiatric evaluation may be recommended in these patients.

Disclosure

No significant relationships.
Associated factors of repeated suicidal behavior
Authors: Charaa O. , Aissa A. , Sayari N. , Yosra Z. , Meddouri S. , Ouali U. , Jomli R.
Published: September 2022

Introduction

Suicide is a dramatic suicidality complication and a significant worldwild public health problem. Sixty percent of suicidal deaths are preceded by at least one suicide attempt.

Objectives

to search and estimate the factors predicting a suicidal recidivism

Methods

We conducted a retrospective descriptive survey, achieved in psychiatric departement A of Razi hospital on 60 patients hospitalized during a period of 10 years (from January 2010 to December 2019) and have committed at least a suicide attempt. Data collected from medical folders in order to explore sociodemographic and clinical characteristics of the patients.

Results

The mean age of the sample was 30 years. A high prevalence of female was objectified. There were a low level of education for 53%, most of patients (55%) were unemployed and came from urban area. Among our patients, 39% attempted suicide for a one time. 61% of patients attempted suicide for several times. The main risk factors related to recidivism of suicidal behavior were unemployment, family history of psychiatric disorders and family instability.

Conclusions

The analysis of these results justifies preventive actions in order to face the increase of suicidal recidivism by searching for these associated factors. Therefore, a multidisciplinary intervention approach is required.

Disclosure

No significant relationships.
Pharmacogenetic markers to predict safety of antipsychotics in adolescents experiencing acute psychotic episodes
Authors: Ivashchenko D. , Akmalova K. , Grishina E. , Shevchenko Y. , Sychev D.
Published: September 2022

Introduction

There are relatively fewer pharmacogenetic studies of antipsychotics in adolescents than in adult patients. The development of personalized pharmacotherapy is promising.

Objectives

Identify the most significant pharmacogenetic predictors of antipsychotic safety in adolescents experiencing acute psychotic episodes

Methods

The study included 101 adolescents diagnosed with acute polymorphic psychotic disorder at the time of admission (F23.0-9 according to ICD-10). All patients were taking an antipsychotic as their main treatment for 14 days. Children’s Global Assessment Scale (CGAS), Positive and Negative Symptoms Scale
(PANSS), Clinical Global Impression Severity (CGI-S) and Improvement (CGI-I), UKU Side Effects Rating Scale (UKU SERS), Sympson-Angus Scale (SAS), Barnes Akathisia rating scale (BARS) were used. All study participants underwent pharmacogenetic testing of pharmacokinetic and pharmacodynamic factors.

Results

CYP2D6 “intermediate” metabolism increased the risk of developing an adverse reaction by a trend of significance (OR=2.616 (95% CI 0.950-7.203); p=0.063). Carriage of HTR2A rs6313 was associated with a lower score on the UKU SERS “Other Symptoms” subscale (Beta=(-0.289); p=0.003) and an objective score on the BARS akathisia severity scale (Beta=(-0.217); p=0.029). DRD3 rs324026 carriers had a lower BARS akathisia scale score (Beta=(-0.349); p=0.004); DRD3 rs6280 carriers had a lower SAS extrapyramidal symptom severity scale score (Beta=(-0.351); p=0.003). Carriers of ANKS1B rs7968606 were associated with a higher SAS scale score (Beta=0.237; p=0.017).

Conclusions

We proposed that genotyping of CYP2D6*4, *10, DRD3 rs324026 (C allele), DRD3 rs6280 (C allele), HTR2A rs6313 (TT genotype) and ANKS1B rs7968606 (T allele) will predict the high risk of intolerance to antipsychotics in adolescents with acute psychotic episodes.

Disclosure

No significant relationships.
Psychiatry training goes virtual: the experience of the first online edition of the EPA Research Summer School
Authors: De Filippis R. , Almeida D. , Cikrikcili U. , Di Lodovico L. , Filip M. , Fusar-Poli L. , Gürcan A. , Gurrea Salas D. , Mieze K. , Mijaljica G. , Noël C. , Nwaubani P. , Pantic M. , Pérez Longás B.I. , Pushko A. , Román-Jarrín A.A. , Santos M. , Silagadze K. , Sorokin M. , Tapoi C. , Hanon C. , Hoertel N. , Raballo A. , Sartorius N. , Pinto Da Costa M.
Published: September 2022

Introduction

The European Psychiatric Association (EPA) Summer School allows psychiatric trainees and early career psychiatrists (ECPs) from all over Europe to meet, network, and learn together. After the 2020 edition being cancelled due to COVID-19, the 10th edition in 2021 focused for the first time on research and was conducted remotely.

Objectives

To provide an overview and feedback about the first Virtual EPA Research Summer School as a new way to encourage international networking during COVID-19.

Methods

The School was organized by the EPA Secretary for Education, and 4 Faculty members. It started with a “breaking the ice session” one week before and then a two-days meeting on 23-24 September 2021 using an online video-platform. This was preceded by all the 21 participants (from 18 different countries) recording a short 4-minute video presentation, which was uploaded and shared with other participants and Faculty.

Results

Participants were divided on a voluntary basis into three working groups: 1) “Drug repurposing: overcoming challenges in pharmacoepidemiology” 2) “Psychopathological research in psychiatry”; 3) “How to conduct a cross-sectional survey?”. The Summer School program was composed of plenary sessions with lectures by the Faculty members, discussion sessions, and working groups time. At the end, each group presented a summary of the work done to the rest of the participants.

Conclusions

Although the remote format limits social interactions during the Summer School, overall participants’ high satisfaction and productivity indicate that not only online formats, but also the topic of research might be covered in future editions.

Disclosure

No significant relationships.
Local Attitudes towards Postgraduate Psychiatry Training: A Maltese Perspective
Authors: Camilleri E. , Grech B.
Published: September 2022

Introduction

The updated programme for postgraduate psychiatry training in Malta was implemented in 2017. The trainees’ perspective was identified as an important and untapped resource in implementing positive change.

Objectives

1. Identification of lacunae within the training programme 2. Acquire ideas regarding new initiatives 3. Identify what is particularly good. 4. Present a comprehensive report to the relevant stakeholders 5. Use of findings to work on concrete changes, with re-audit in 1 year.

Methods

Data from a national online survey of 12 Maltese Psychiatric Trainees from a total of 19 (63%% response rate) were examined. Both qualitative and quantitative data was gathered by making use of Likert scales as well as open ended questions. Various areas were surveyed, including 1. Ease of accessibility and quality of Clinical Supervision & Educational Supervision 2. Lectures and Teaching Seminars 3. After hours Duties 4. Psychotherapy Module 5. Preparation for MRCpsych Examinations

Results

A noticeable difficulty in accessing clinical supervision (66%), the lack of research presentation opportunities (75%), as well as difficulties in the psychotherapy module (66.7%) were noted.

Conclusions

All results were collated into a six-page report. This report was presented to both the Maltese Postgraduate Training Committee as well as the Executive committee of the Maltese Association of Psychiatry and the Chairman of the Psychiatry Department. Various suggestions were flagged for Implementation including: 1. Rotation specific teaching 2. Restructure of the Psychotherapy module including training 3. Annual Research Day 4. Complex Case Discussions Follow up plans include reaudit in one year following the implemented changes.

Disclosure

No significant relationships.
The undergraduate nursing students’ encountering experience with recovery patients as educators
Authors: Gao R.-Y. , Lin E.C.-L.
Published: September 2022

Introduction

Nursing students’ attitudes towards mental illness will affect their perception about caring patients with mental illness and their willingness to work in the field of mental health. Evidence supported that contact with recovery patients can change people’s perception of mental illness.

Objectives

The study aims to explore the undergraduate nursing students’ encountering experience with recovery patients as educators.

Methods

A qualitative study using purposive sampling was conducted with undergraduate nursing students in southern Taiwan. Content analysis was used to identify the students’ experience as encountering with the recovery patient as an educator.

Results

As recovery patients participated in class, sharing their recovery journey and learning with students to produce a recovery story, it provided recovery patients and students an equal and mutually beneficial partnership. Four main themes about undergraduate nursing students’ attitudes were identified as. (1)Changing the mindset to patients with mental illness — We are human beings. There’s not much difference between us. (2)Turning positive attitudes towards patients with mental illness — We can compose a better life together! (3)Closing the distance between students and patients with mental illness — I am willing to be close to you. (4)Reflecting and growing in self-understanding and values — I am recovered, too.

Conclusions

This study found that the strategy of recovery patients as educators can improve future nurses’ attitudes towards mental illness, help them deeply learn about patient’ recovery journey. It might beneficial to help students developing their competency in patient-centered care. Future study could examine the effect of the recovery patients as educators.

Disclosure

No significant relationships.
Perceptions reported by residents in psychiatry on oral health problems in their patients with severe mental disorders: a qualitative study at a Brazilian university specialized psychiatric service
Authors: Guerra L. , Turato E. , Bastos R. , Gondinho B. , Silva F. , Cavalcante J.
Published: September 2022

Introduction

There is a greater prevalence of oral problems in patients suffering from severe mental illness than in the general population. The psychiatrist use to be, naturally, a health professional with great clinical influence over these patients. Do young psychiatrists in training include oral evaluations on their patients? How does this doctor perceive oral health care in the context of follow-up of people with chronic mental disorders?

Objectives

To interpret the meanings of the practice or not, regarding oral health guidelines, as reported by residents in psychiatry working in care and follow-up services to patients with severe disorders at a public university.

Methods

Clinical-qualitative design. Semi-directed interviews with open-ended questions in-depth carried out with six participants. Sample closed by saturation information criterion. Residents see their patients at the General Hospital of the State University of Campinas. Interview material, audio-recorded and transcribed in full, was treated by Clinical-Qualitative Content Analysis, using concepts of theoretical framework from Medical Psychology. Interviewer was a female professor of dentistry.

Results

From the discussion, two categories of analysis were selected for this presentation. (1) medical practice obeys the natural logic of construction of paradigmatic areas: historically, dentistry has created a care model with independence from medicine; (2) dentist is not called to participate in “collusion of anonymity”. This is an expression construct by the psychoanalyst Balint to describe the taking of relevant clinical decisions, without no professional assume the responsibility for these.

Conclusions

These meanings may guide changes in professional conduct as well as in the curriculum of medical training programs.

Disclosure

No significant relationships.