bluuebunny/crossref_metadata_2025 huggingface dataset:
P01-97 - Mania Induced by Mefloquine Prophylaxis: Case Description and Literature Review
Authors: Yelmo S. , Morera-Fumero A. , Renshaw A. , Henry M. , Gracia R.
Published: June 2010

Objectives

Mefloquine is being used as malaria prevention by Plasmodium Falciparum in chloroquine-resistant zones. We describe a woman who developed a manic episode with psychotic symptoms during mefloquine treatment.

Methods and results

A 26-year-old Spanish woman had been working in Mali for the last six months and had started antimalarial prevention with mefloquine. In Mali, the clinical picture had a sudden debut and she related: excessive happiness, incapacity to sleep, and megalomania (she believed to have special powers and to be the mother of all the children). She was admitted in a hospital in Mali for seven days and received treatment with haloperidol and chlorpromazine. Then, she was repatriated to Spain without treatment and she continued suffering the same symptoms. After 15 days, she went to our hospital and she was admitted. Treatment started with risperidone (up to 6 mg/day) and clonazepam (up to 1.5 mg/day). At admission Young Mania Rating Scale (YMRS) was 25 points. Physical examination and complementary tests were normal, and was orientated as a manic episode with psychotic symptoms secondary to mefloquine. She had a quick symptomatic improvement (after 7 days of treatment YMRS was 5 points) and was discharged after 15 days.

Conclusion

Mefloquine more frequent adverse neuropsychiatric effects are: dizziness, vivid dreams and insomnia. Others are confusion, and auditory hallucinations. Side effects are dose dependent. Psychotic symptoms are frequently auto-limited when mefloquine is suppressed but treatment with atypical antipsychotics is often needed. MDR1/ABCB1 polymorphisms may play a role in neuropsychiatric side effects
P01-115 - Analysis & Follow up Study of 120 Teen Agers Those were Presented with Examination Phobia in a Clinic in India
Authors: Acharya A.
Published: June 2010

Introduction

Phobias & fearfulness shortly before examination are a common presenting feature in a section of teen aged students, ausing a stress in their own aswellas in their anxious parents. On a longitudinal evaluation of such 120 cases in a remote district clinic in the age group of 15-23 with a median age of 18 years will show their varied underlying morbidity ultimately.

Objectives

Is it a normal phenomenon or much sressed those may shows some psychological disorders is ascertained here.

Aims

Here is a search for their such varient stress prior to examination & an attempt to identify their etiology so that some remedy is seen.

Methods

120 cases in those age group who complained of phobia 1-90 days before exam in the rural clinic in Midnapore 126k.m away from capital city of Kolkata & stayed for a follow up for 24 months were analysed. They constite 72 female & 48 males. They were followed up at 2 monthly interval & their pshychological assesment was done by psychologist. Their final diagonosis at the end of 2 year were tabulised asper criteria of ICD-10.

Results

Mild mental retardation & lower side IQ< 80 were found in majority of cases (Apprxm.25%).Acute anxiety disorder was next (15%), followed by generalised anxiety disorders (10%),obsessive compulsive disorder is also revealed in about 5% cases, more in females. Other less common disorders were depressive disorders, conduct & personality disorders, & other bevavioral disorders. No pshycotic ilness like schizophrenia was revealed.

Conclusions

Anxiety Disorders in varient & obscured form may be a common presenting feature of teenagers as examination phobia in first & may yields to therapy with family.
P01-116 - A Critical Review of 30 Social Phobia Cases or Social Anxiety Disorder's Recorded in a Rural Indian Clinic in 2009
Authors: Acharya A.
Published: June 2010

Introduction

Fear or phobia is an old & basic instincts that may be as old as mankind. Fear is cenrtal feature in numerous mental disorders like Schizophrenia, delusional disorder, depression, anxiety disorders and as the only distressing symptom in phobic anxiety disorder.

Objectives

Anatomical or physiological pathways of fear transmission also involves circuit that is primitive part of brain including amylgdolia, hippocampus, rhinenochephalon & papez circuit. In social phobia persistent & distressing anticipatory fears in the scenario where there is a chance of several strangers, or an imaginatory scrutiny by others in performnance/in appearance is so intense that the person avoid such situation or dreaded in enfronting such situations.

Aims

This study is a clinical review of such cases seen very recently, & look into the patterns of their presentation.

Methods

30 cases those were diagonosed as social phobia as per diagnostic criteria of DSM-4TR & were seen in a district clinic 126k.m far from capitol town of Kolkata during the period 1st Jan-31stoct09 are taken here for consideration. 18 males & 12 females, all in the age group of 18-42 with a median average of 25 years, were recorded. There were Panic state mimcking distress to majority of patients who were present into gathering unknown to them or in some sort of performance like public delivery of speach on some subjects, or sing or even in imaginatory situation where scope of escape was not feasible.

Results

Reliefs were partialy achived in 3 weeks of pharmacotherapy using clonazepam, SSRI/Paroxitine/Sertaline/fluvoxamine or TCA's clomipramine & behavior therapy.

Conclusions

An arena of further study.
P01-117 - “Death Anxiety” in Special and General Ward's Nurses
Authors: Aghajani M. , Valiai S.
Published: June 2010

Background & aim

The thought of death can be frightening and cause anxiety. Death anxiety is a mankind experience, some profession such nursing face with it routinely and communication with dying patients is major problem of nurses that insufficient preparation to deal constructively with the process of dying and death effect on nurses productivity and patients outcomes. Aim of this preliminary study was compare of death anxiety in special and general ward's nurses.

Material & methods

This study was cross-sectional and 387 nurses (155 from general & 232 from special wards) in census method were recruited from Shariati Hospital of TUMS. Demographic information and Death anxiety (Templer's Death Anxiety Scale) were measured by self-report questionnaire then information analyzed by SPSS.

Results

Results show significant difference between mean score of Death anxiety in special (8/262/1) and general (8/302/4) ward's nurses and was correlated with some variables such as marriage (p=0/046), organizational situation (p=0/001) and the ward which nurses now worked (p=0/02). But has not significantly correlated with age, sex, shift, care of end stage patients, partnership in CPR and etc.

Conclusion

Death anxiety effect physical and emotional aspects of nurse's life and so effect process of caring present by them. Results show death anxiety was higher in special ward nurses and they faced more than general ward nurses to dying and death so they need special attention to death anxiety and investigation causes of it, development of institutional support to enable nurses to provide good quality care for patients.
P01-118 - Religiosity Correlates Significantly with Paranormal Beliefs and Magical Ideation in Patients with Anxiety Disorders
Authors: Agorastos A. , Muhtz C. , Kellner M. , Jellinek L. , Moritz S.
Published: June 2010

Introduction

Religiosity and spirituality are transcultural parameter of human experience with a complex, multidimensional construct. However, research shows religious commitment and practices being not only important for the personal beliefs, but also for physical and mental health. Findings suggest also other personal beliefs, such as magical ideation and paranormal beliefs similarly influencing psychiatric disorders and mental health. However, these factors are far more multidimensional than once thought.

Objectives

The objective of the study is the investigation of the relation of religiosity/spirituality, magical ideation and paranormal beliefs in anxiety disorders and the specification of potential differences in beliefs between OCD and other anxiety disorders.

Methods

Unselected patients with OCD and other anxiety disorders as core diagnosis have been equally assessed within the first week after admission with self-rating tests including the Brief Multidimensional Measure of Religiosity/Spirituality (BMMRS), Magical Ideation Scale (MIS) and Revised Paranormal Beliefs Scale (RPBS).

Results

80 patients have been recruited and classified in three groups: OCD, other anxiety disorders and healthy control group. All groups reached in average not significantly deviating RPBS, MIS and BMMRS total scores. However, the three personal belief scales did show an interesting relation to each other. RPBS score correlated significantly with BMMRS (r = .34, p < .01) and with MIS score (r = .56, p < .01), while MIS total scores have shown a significant relationship with almost every subscale of the BMMRS.

Conclusion

This study verifies a significant positive correlation between paranormal beliefs, overall religiosity and magical ideation.
P01-119 - Onychophagia in Children and Adults
Authors: Almalmi M.
Published: June 2010

Background

There are many explanations as to why some people bite their fingernails. Anxiety, stress, genetics, boredom, acquired behavior and self-esteem have all been identified as potential causes. Nail biting can be anything from a bad habit to an outward symptom of a medical or emotional disorder. Nail biting is often a common reaction to stress. A child or even an adult uses nail biting as a coping mechanism to relieve pent-up emotions. The severity differs according the psychological cause is.

Objective

To identify the pattern of eating nails disorders in children and adults.

Patients and methods

25 males patients 6-25 years old presented with shortining, non lusturing and onychoirregularity and nail deformities. Nail scraping for yeasts and fungi was negative.

Results

The clinical data and invistigations showed the nails of those patients were eated and bitted by thier teeth.

Conclusion

Many chlidren and adults had onychophagia in thier nails. Anxiety, stress, genetics, boredom, acquired behavior and self-esteem have all been identified as potential causes.
P01-120 - Comparing the Prevalence of Anxiety and Depression between Two Wards of Internal medicine and A & E (2005-2006)
Authors: Amanat N. , Behnam B. , Ghorbani R. , Imani A. , Khankeh H.R.
Published: June 2010

Objectives

Psychological disorder such as anxiety and depression have been related to increased mortality in both healthy individuals and medical patients. This study has been done for evaluation of prevalence of anxiety and depression and comparison with a control group (A&E's patients 1.

Materials & methods

We checked three hundred patients of internal medicine and A&E (as a control group) department. They have chosen by a Purposive accessible sampling method. The psychopathological profile was assessed using the SCL-90 questionnaire by Iranian version. Data have been computed and analyzed by SPSS V.17 and we used Student t test for parametric variables and Mann-Whitney for the analysis of nonparametric variables and Linear regression was used to identify the impact of independent variables. The results have been considered significant when the two tailed p-value was less than 0.05.

Results

In internal ward 69.3% and A&E department 42% of patient have had depression (OR= 3.5; 95% CI, 1.9 to 6.5). Anxiety were observed in 50.7% of internal medicine patients and 12% of A&E's patients (OR= 1.94; 95% CI, 5.1 to 23.7).

Conclusion

Prevalence of the depression and anxiety in internal ward patients was significantly higher in compare to A&E's patients. Therefore, it's necessary to consider these patients in order to diagnosing for the early treatment.
P01-129 - A Comparative Study on the Prevalence of Fatigue among Students with Trait-state Anxiety in India and Iran
Authors: Didehdar Ardebil M. , Fekri Y. , Hasani Goleyakh M. , Moradzadeh M.
Published: June 2010

Objective

The aim of the study was to seek the prevalence of fatigue among students with trait-state anxiety in India and Iran which Ardebil of Iran and Aligarh of India was selected. The cases’ quantity was compared and the causes of their differences were studied.

Method

1000 students of Medical Azad university of Iran branch of Ardebil and 1500 students of Medical University of Aligarh branch of India were selected by stratified sampling method and Spillberger Anxiety trait-state Questionnaire along with Croup Fatigue Questionnaire were used. When anxious subjects were known, the subject's fatigue was analyzed. Descriptive and t-test statistics were used to analyze the data.

Results

Results showed anxiety level in students of Iran is higher than India. Trait anxiety is more than state anxiety in Iran students but both trait and state anxiety in India students are lower than Iran although fatigue is more prevalent in India anxious students. In both countries fatigue prevalence in students who had state anxiety were higher than students who had trait anxiety.

Discussion

According to the results of this study and the other studies fatigue in anxious people is more than normal people. The reason of High prevalence of trait anxiety in students of west part of country, high prevalence of fatigue in anxious students of north part of the country, and other differences and similarities which have been concluded in this study, is due to cultural, political and environmental factors that have been elaborated in the full text of the study.
P01-130 - Alexithymia and Suicide Risk among Patients with Obsessive-compulsive Disorder
Authors: De Berardis D. , Serroni N. , Ranalli C. , Campanella D. , Moschetta F.S. , Carano A. , Caltabiano M. , Olivieri L. , Salerno R.M. , Martinotti G. , Janiri L. , Di Giannantonio M.
Published: June 2010

Objective

The aim of our study was to evaluate the relationships between alexithymia and suicidal ideation in a sample of adult outpatients with obsessive-compulsive disorder (OCD).

Methods

A sample of 90 adult outpatients with DSM-IV diagnosis of OCD were tested with tested with the Yale-Brown Obsessive Compulsive Scale, Toronto Alexithymia Scale (TAS-20), Scale for Suicide Ideation (SSI) and Montgomery-Asberg Depression Rating Scale (MADRS).

Results

35 subjects were categorized as alexithymics and showed earlier onset, longer duration of illness and more likelihood to have a chronic course than nonalexithymics; they also scored higher on the MADRS and SSI. Results of a linear regression showed that chronic OCD course together with Difficulty in Identifying Feelings dimension of TAS-20 and higher MADRS scores were significantly associated with higher scores on the SSI.

Conclusions

Suicidal ideation is frequent among adult outpatients with OCD and is strongly related to the presence of alexithymia and depressive symptoms. Implications are discussed.
P01-131 - Quality of Life in Bosnian Army Veterans Suffering from Chronic Posttraumatic Stress Disorder
Authors: Dzubur Kulenovic A. , Kucukalic A. , Malec D. , Suljic E. , Bravo Mehmedbasic A.
Published: June 2010

Objectives

Assess possible differences in quality of life assessment between the group of veterans who meet the criteria for the diagnosis of chronic PTSD and the group of veterans who do not meet the criteria for the diagnosis of chronic PTSD. Compare and analyze possible differences between the two groups in socio-demographic characteristics.

Subjects and methods

The subjects were 100 adult men, veterans with combat exposure who met the inclusion criteria for the study and agreed to sign the informed consent. The subjects were divided in two groups, each comprising of 50 subjects. Experimental group consisted of 50 veterans with combat exposure who meet the criteria for the diagnosis of chronic PTSD according to ICD-10. Control group consisted of 50 veterans with combat exposure who do not meet the criteria for the diagnosis of chronic PTSD. The subjects were assessed with the following standardized psychometric instruments: MMSE, MINI, IES-90 R, MANSA; Life Stressor List and a socio-demographic questionnaire:

Results

The subjects with PTSD assessed satisfaction with all components of the quality of life significantly lower than the subjects from the non-PTSD group. Yet, the scores assessing the satisfaction with family life, although lower than in the non-PTSD group, were relatively high in the PTSD group (4,76 ± 1,3).

Conclusions

The results indicate the importance of factors of both PTSD diagnosis and the posttraumatic environment on the subjective perception of the quality of life for the subjects in this study.
P01-149 - Investigation of Relation between Assertiveness and Anxiety in Midwifery & Nursing Students
Authors: Aghajani M. , Taghavi T.
Published: June 2010

Objective

High level of assertiveness and low anxiety are important factors that caused suitable communication and increase of intellectual abilities, abstract thought, power & autonomy and personal well-being in of nursing and midwifery students. Only few studies have been done this issue. The objective of this study was to determine relation between Assertiveness & Anxiety in Midwifery & Nursing students.

Methods

This was a correlational and cross-sectional study. 173 nursing (68 male & 105 female) were recruited respectively in census & rational method and 77 midwifery students were recruited in census method. The data were collected using a self report tool included “personal information form”, “Trait Spilberger Anxiety” and “Assertion Inventory (AI) of Gambrill & Richey”. The data were analyzed using descriptive and inferential statistical methods.

Results

Results show that more than half of nursing and midwifery students (59/5%, 59/7%) have moderate assertiveness. Also 43.3 & 36.4 percent them have moderate & high levels of anxiety. Pearson correlation test revealed that assertiveness and anxiety in nursing (r= -0/51, p< 0/001) and midwifery (r=-0/449, p< 0/001) students were negative and significant correlated.Some variables have significant difference with assertiveness and anxiety of students.

Conclusions

In regard to relation between assertiveness and anxiety and effect on mental health, educational & occupational functions of students, it is need to specific attention of educators to this point. Also interventions is need for increase of students knowledge of interpersonal skills specially increasing assertiveness and decreasing anxiety.
P01-150 - Does Topiramate Adjunction have any Effect on Obsessions and Compulsions in Patient with Obsessive Compulsive Disorder?
Authors: Mowla A.
Published: June 2010

Objective

Many patients with Obsessive Compulsive Disorder (OCD) fail to respond to specific serotonin reuptake inhibitor (SSRI) medications. Glutaminergic dysfunction has been shown to be related to the pathophysiology of OCD. Topiramate is a novel anti-epileptic drug that inhibits glutaminergic action. The aim of this study is to survey the effects of topiramate on obsessions and compulsions of patients with OCD.

Method

This trial has been designed as an 8-week randomized, placebo-controlled, double-blind study. Eighty four patients suffering from OCD were randomly allocated in to one of the treatment group: fluoxetine plus topiramate or fluoxetine plus placebo. Efficacy measures comprised assessment of obsessions and compulsions and global functioning.

Results

Both groups demonstrated significant improvement in their clinical condition (P< .000) but the group taking topiramate adjunctive compared to the other group had more decrease in Yale-Brown Obsessive Compulsive Scale (P< .001) and better Clinical Global Improvement (P< .002).

Conclusion

Our study indicates that topiramate can enhance the effect of SSRIs in treatment of OCD patients and can be considered as an appropriate adjunctive agent. However, it should be noted that our study is preliminary and larger double blind studies are needed to confirm these results.
P01-159 - Influence of the Mild TBI on the Chronic Course of the Posttraumatic Stress Disorder
Authors: Simonovic M. , Radisavljević M. , Milenković T. , Grbeša G.
Published: June 2010

Objective

Long-term follow-up of the patients suffering of combat-related traumatic stress revealed that co-occurence of Posttraumatic Stress Disorder (PTSD) and Mild Traumatic Brain Injuries (TBI) proved to be “the rule rather then exception”.

The aim of the paper was to determine the possible influence of the mild TBI on the severity and on the duration of the PTSD.

Method

Totaly 60 patients suffering of PTSD were assessed and divided in two groups: with mild TBI and without the history of head trauma. The presence and the severity of the PTSD and TBI were assesed using following instruments: The Clinician-Administrated PTSD Scale for DSM-IV (CAPS-DX) and Glasgow Coma Scale, respectively.The differences between groups were evaluated using Student t test

Results obtained showed that two groups differed significantly on the following items of the CAPS score: total severity, severity of the D cluster, functional deficits, and duration of symptoms.

Conclusion

Mild TBI might influence on the clinical course and severity of the PTSD, by diminishing the capacity to employ cognitive resources that would normally be engaged in problem-solving and regulationg emotions after trauma and leaving the individual more helpless and susceptible to persistent trauma related psychopathology.
P01-171 - Medical and Social Consequences of Child Abuse
Authors: Badmaeva V.
Published: June 2010

Child abuse and neglect are a cause of psychological problems which may have further negative influence on the future life of children. Alongside with symptoms of deprivation, disorders of mental development and affective sphere and vegetal dysfunction such children can display disinhibition of instincts with sadistic propensities and form a personality without positive social attitudes, aspiration for delinquent behavior.

Aim of the research

To study the role of child abuse in genesis of criminal and aggressive behavior in adolescents.

Material and methods

650 adolescents that underwent forensic psychiatric evaluation in the Serbsky Centre were examined by complex clinical psychopathological, pathopsychological and instrumentally diagnostic methods. The average age of patients was 16.7 years old.

Results and discussions

The research has revealed that 60.5% adolescents have committed aggressive and violent crimes (murder, sexual assault), 86% adolescents of the sample were brought to trial for murder and grave bodily injuries that resulted in death of the victims, 12% have committed sexual crimes. Examination of the micro social factors showed that 80% of the adolescents were brought up in disadvantaged families under conditions of emotional deprivation, 55% of them were physically abused and 30% of them were victims of sexual abuse.

Conclusion

Our research proves that a factors of “learning of violence” at home play a great role in aggressive behavior formation in children and adolescents. Continuous chain of violence and abuse that a child suffers at home leads to abnormal personal development, distortion of socialization and formation of delinquent behavior.
P01-177 - Peritraumatic Reactions and Post-traumatic Stress Symptoms in School-aged Children Victims of Road Traffic Accident
Authors: Bui E. , Brunet A. , Allenou C. , Raynaud J.-P. , Claudet I. , Fries F. , Cahuzac J.-P. , Grandjean H. , Schmitt L. , Birmes P.
Published: June 2010

Objective

It remains unknown whether peritraumatic reactions predict PTSD symptoms in younger populations. To prospectively investigated the power of self-reported peritraumatic distress and dissociation to predict the development of PTSD symptoms at 1-month in school-aged children.

Methods

A sample of 103 school-aged children (8-15 years old) admitted to an Emergency Department after a road traffic accident were consecutively enrolled. Peritraumatic distress was assessed using the Peritraumatic Distress Inventory (range 0-52) and peritraumatic dissociation was assessed using the Peritraumatic Dissociative Experiences Questionnaire (PDEQ) (range 10-50). PTSD symptoms were measured at 1-month by both the child version of the clinician-administered PTSD Scale (CAPS-CA) (range: 0-136) and the Child Post-traumatic Stress Reaction Index (CPTS-RI) (range 0-80).

Results

Mean(SD) participants’ age was 11.7(2.2) and 53.4% (n=55) of them were of male gender. At baseline, mean PDI and PDEQ scores were 21.4 (SD=7.8) and 19.2 (SD=10.2), respectively. At 1-month, mean self-reported (CPTS-RI) and interviewer-based (CAPS-CA) PTSD symptom scores were 23.2 (SD=12.1) and 19 (SD=16.9), respectively. According to the CAPS-CA, 5 children (4.9%) suffered from full PTSD. Bivariate analyses demonstrated a significant association between peritraumatic variables (PDI and PDEQ) and both CAPS-CA and CPTS-RI (r=0.22-0.57; all p< 0.05). However, in a multivariate analysis, PDI was the only significant predictor of acute PTSD symptoms (Beta=0.33, p< 0.05).

Conclusion

As has been found in adults, peritraumatic distress is a robust predictor of who will develop PTSD symptoms among school-aged children.
P01-181 - Anthropometric Paramethers in Males with Eating Disorder
Authors: Calero-Fernández R. , García-Murillo L. , Martín M.J. , Costarelli V. , Peláez C. , Picazo J. , Fernández L. , Caballero-Martínez L. , Graell-Berna M.
Published: June 2010

Background

Most of the studies about Eating Disorders in adolescents have been typically focused on females, only to conclude that the approach should be similar in males. It has been stimated that 5-10% of patients with Anorexia Nervosa are males. Later age of onset and higher prevalence of premorbid overweight are considered among the main differences with female patients.

Objectives

Analysis of the anthropometric variables of a sample of males with diagnosis of Restrictive Eating Disorder.

Methods

Naturalistic, Descriptive and Retrospective study

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Sample: 22 male adolescents

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Inclusion criteria: males with Restrictive Eating Disorder diagnosis (according to DSM-IV criteria) admitted to an Eating Disorder ward during 2007 and 2008

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“ad hoc” questionnaire (15 items)

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Analysis: PASW statistics 18

Results

Age range: 7-14years (medium age=14,79±2,50years).11 patients (50%) were older than 16 years-old

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Medium BMI (Body Mass Index) at the beginning of the admission was 17,79kg/m2.

medium weight loss: 13,5±7,02kg/m2 (corresponding to a reduction of 22,24±7,52% of the previous weight)

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Medium speed of weight loss: 0,92±1,1kg/54

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BMI at discharge: 18,69 ±3,43 kg/m2

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19/22 patients (86%) had a premorbid history of overweight

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Binge eating: 8 patients (36,4%)

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Purgative behaviour: 10 patients (45%)

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Laxatives use: 4 patients (18%)

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Intense physical exercise: 21 patients (95,5%)

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Average duration of current restrictive episode: 13,7 months

Conclusions

In the studied sample we observed:

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High prevalence of premobid overweight

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Very high frequency of compulsive exercise

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Drastic weight loss and loss of a very high percentage of the previous weight, in short periods of time, reaching very low BMI.
P01-192 - Executive Function in Routine Childhood ADHD Assessment
Authors: Dineen P. , Fitzgerald M.
Published: June 2010

Aims

To determine the metacognitive deficits and behavioural and emotional regulation deficits among a group of children undergoing treatment for ADHD and to compare these with the hyperactivity/inattentive and behavioural assessments which contributed to the diagnosis.

Methods

Children and adolescents referred for ADHD assessment to a community Child & Adolescent Mental Health Service were assessed using clinical assessment, SNAP-IV, FTF and BRIEF rating scales. Comorbidities were assessed using clinical assessment and screened using the FTF. Clinical assessment included interview of parents, relatives and relevant school supervisors. The BRIEF scale was used to advise on specific executive function difficulties.

Results

A total of 25 children and adolescents had complete assessments as part of routine clinical practice. There were particular groups which demonstrated elevated behavioural regulation difficulties; in the group with higher metacognition scores, groups were identified that had higher initiation and working memory deficits, higher planning and organisational deficits, or a mixture of all 5 items being elevated.

Conclusion

It is advantageous to complete an executive function assessment as part of ADHD assessment in clinical practice as it allows more detailed management advice to be given to teachers and support/special needs teachers and parents. It may also demonstrate successful patient-specific indicators of treatment response and outcome measures among those children who have high ADHD-related executive function deficits but whose core ADHD Hyperactive/Impulsive symptoms remain highly rated.
P01-206 - Does Autism Index Identify Children with Autism and Severe Intellectual Disabilities?
Authors: Glumbic N.
Published: June 2010

Background

It is well known that between two thirds and three fourths of children with autism also have intellectual disability. Some of these children were not diagnosed as to have autism due to diagnostic overshadowing between autism and severe forms of intellectual disability.

Objective

The objective of this research was to determine the capability of autism index (AI) to correctly identify individuals who have been already diagnosed as having autism.

Method

The sample consisted of 64 participants with moderate, severe and profound intellectual disabilities who have been previously determined to meet DSM-IV-TR criteria for autism spectrum disorder. Autism index was derived by Gilliam Autism Rating Scale (GARS-2).

Results

It was revealed that AI was very high in 39 (60.9%) participants meaning that they were very likely to have autism according to GARS-2. In addition, probability of autism in 18 (28.1%) participants was labeled as “possibly”. AI failed to detect 7 children with autism spectrum disorders.

Conclusion

Sensitivity of AI is quite acceptable (88.9%) providing all children with scores higher than 69 (possibly and very likely as having autism) are considered to have autism spectrum disorder.
P01-207 - Obsessive Compulsive Disorder- a Defence from a Possible Psychosis
Authors: Grahovac T. , Graovac M. , Knez R. , Butković- Anđelić L. , Grković J.
Published: June 2010

Introduction

Obsessive compulsive disorder is a separate diagnostic entity, but it occurs in a number of other psychopathological entities.

Objectives

We will present 22-years old adolescent. Early psychomotoric development was ordinary. Because of father's insisting, and against his own will, the patient has intensively played tennis since the age of six until his seventeenth. He was achieving good results but the father was constantly objecting that he is not showing enough fight spirit. When he was seventeen, after verbal conflict with father, he broke his racket and he stopped playing tennis.His father continued to play tennis and “everything is infected with earth from tennis court”. He hasn’t achieved emotional relationship, social contacts with peers are insufficient. At the age of twenty he has looked for psychiatric help, in order to get acknowledgment that he needs “peace for study” which he couldn’t get from his parents because he has constantly needed to clean.

Aim

Of this case report is to show obsessive compulsive actions as a defense from psychotic decompensation.

Methods

Psychiatric interview, mental status examination, psychological testing, EEG.

Results

In the April, 2008 he has been hospitalized because his mental condition was worse due to suicidality. In clinical picture compulsions were dominant (throughout the nights he was cleaning the house, he has given away all the cloths in orange color, he has even “get rid of” his hamster because it was orange). He was tense, elevated mood, outdistanced and erotized.

Conclusion

Obsessive compulsive actions helped our patient to delay psychotic decompensation.
P01-211 - The Intellectual Development of the Persons Exposed in Utero: 10-years Follow-up Investigation
Authors: Igumnov S.
Published: June 2010

Purpose

Prospective investigation of the intellectual development at the age of 6-7 years till age 15-16 years among persons exposed in utero following the Chernobyl accident.

Material and methods

250 persons from Belarus exposed in utero following the Chernobyl accident and a control group of 250 persons from non- and slightly contaminated regions. Рsychological examinations were performed among persons of both groups at the age 6-7 years, 11-12 years, and 16 years as well as dosimetrical analysis.

Results

Mean antenatal internal dose to thyroid gland arising from the intake of 131I among persons of exposed group is 390±550 mGy (maximal dose - 4100 mGy), in control group - 35±65 mGy. Mean antenatal external dose among persons of exposed group is 10±13 mGy. At the age of 6-7 years the persons in the exposed group had a mean Full Scale IQ lower than the control group (89.6±10.2 vs 92.1±10.5, P=0.007). At the age of 11-12 years there was no statistically significant difference between the two groups (94.3±10.4 vs 95.8±10.9, P=0.117). Positive dynamics of intellectual development in persons of both groups has been observed up to age of 16 years (98.7±10.2 и 99.5 ± 10.5, P=0.171).

Conclusions

No statistically significant correlation was found in exposed group between individual thyroid dose as well as individual antenatal external dose and IQ at the different ages.
P01-212 - Stressors and depression in children
Authors: Inoko K. , Aoki T. , Miyashita M. , Kodaira K. , Osawa M.
Published: June 2010

Objectives

Studies suggest that psychosocial events (stressors) may play a role in the precipitation of the episodes of Depression. Some individuals become upset by one episode. Others do not feel stress. Such trait affects their feelings.

Methods

Subjects are 108 children. They are 6-13 years old. The subjects completed the Center for Epidemiologic Studies Depression Scale (CES-D) Japanese-version. They also completed “the Depressive Trait Questionnaire”. It consists of the descriptions of 12 events. Subjects were asked how they concerned themselves about each event, if the events occurred. Subjects marked as follows; 0: not at all, 1: a little, 2: deeply and 3: overly.

Results

108 children completed the Center for Epidemiologic Studies Depression Scale (CES-D); mean score: 8.56, standard deviation: 8.87. The scores of CES-D of these children ranged from 0 to 54. Children whose CES-D were 16 and more were supposed to be with depression. Factor analysis was performed on the 12 item scores of “the Depressive Trait Questionnaire”. The items which loaded Factor 1 represent anxiety for interpersonal relationship. The items which loaded Factor 2 and Factor 3 represent the image of loss and the emotion of anger respectively. Using logistic regression analysis, Anxiety subscale was significantly associated with depression (odds ratio 1.48, 95% confidence interval 1.17-1.87).

Conclusions

Among children to age 13, high subscale score of Anxiety may increase odds of depression. Anxiety may lead children to depression. It is needed to help children deal with anxiety for interpersonal relationship.
P01-213 - A Girl with Semantic-pragmatic Language Disorder
Authors: Inoko K. , Aoki T. , Kodaira K. , Osawa M.
Published: June 2010

Objective

To report a 9-year-old girl with semantic-pragmatic language disorder.

Method

Clinical manifestations and neuropsychological findings of the girl are presented.

Results

The difficulties have occurred in communication. The difficulties have interfered with peer communication since she was a toddler. She cannot find appropriate words to explain what she would like to do or what she had done. She has made vocabulary errors. It is sometimes to say incorrect grammar. She has had difficulty understanding words. Tasks involving memory (e.g., memorizing writing Kanji or Kanji compounds) has been excellent for her. Japanese children are made to study a lot of kanji. Kanji has a complex shape. Though she can read and write Kanji, she cannot understand the words. Qualitative impairment in social interaction or restricted, repetitive, and stereotyped patterns of behavior had not been found. She has also short attention span. She had been diagnosed with Attention-Deficit/Hyperactivity Disorder the Predominantly Inattentive Type when she was aged 5 years.

The Wechsler Intelligence Scale for Children (WISC-III) was administered to her (FIQ = 103, VIQ = 97 and PIQ = 108). The scores on Illinois Test of Psycholinguistic Abilities Japanese-version were substantially below those obtained from standardized measures of nonverbal intellectual capacity. There was a discrepancy between the abilities of verbal and non-verbal semantic comprehension.

Conclusion

Atomoxetin has been administered to her. Her mother and her teachers understood her manifestations. Using pictures or other concrete examples, she has been educated. Gradually, she became to be interested in the meaning of words.
P01-218 - The Relationship Between Facial Emotion Recognition and Hyperactivity Symptoms in a Mixed Clinical Population of Adolescents
Authors: Gádoros J. , Németh N. , Ricsóy M. , Szádvári A. , Halász J.
Published: June 2010

Objectives

Impaired facial emotion recognition, especially fear were widely described in adolescents with conduct disorder, and some literature data indicate similar changes in adolescents with ADHD. However, to our best knowledge the relationship between emotion recognition, conduct symptoms and hyperactivity measures in a mixed clinical population were not investigated.

Methods

A mixed clinical population of 56 adolescents (19 girls) between age 11-16 (13.4 on average) admitted to the acute department of Vadaskert Child Psychiatry Hospital was taken part in our study. The parental and self-report version of the Strength and Difficulties Questionnaire (SDQ), facial emotion recognition test including six basic emotions (FEEST) and Raven IQ measures were performed.

Results

In the overall population, in 21 cases externalization symptoms, while in 35 cases internalizing symptoms dominated the condition. Fear recognition irrespective to age and IQ were significantly worse in externalizing teens compared to internalizing ones (p< 0.05), while the recognition of other investigated emotions (anger, disgust, happiness, sadness, surprise) did not show significant differences. In the overall population, only fear recognition was significantly related to self reported conduct (R=-0.35, p< 0.01) and hyperactivity problems (R=-0.27, p< 0.05), while overall emotion recognition was related to both self reported hyperactivity (R=-0.33, p< 0.02) and parent reported hyperactivity problems (R=-0.29, p< 0.03).

Conclusions

Our results indicate that hyperactivity symptoms measured by SDQ were specifically related to impairments in fear recognition, and this effect is irrespective from attention problems as no relationship between symptom severity and other emotions were observed.
P01-220 - The psy-med Unit (PMU); a Unique Integrated Approach for Children with Invalidating Therapy Resistant Functional Complaints!
Authors: Knottnerus A.C. , Jagt Y.Q. , Kohnhorst E. , Cohen A.P. , Strijbos M. , Derkx B.H.
Published: June 2010

Objective

PMU, Emma Children's Hospital, AMC Amsterdam, tertiary referral centre for children with invalidating functional complaints (at least two present):

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impact on their social/family life's

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given up their hobbies

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school absenteeism

Complaints; long-lasting (> 3 months) and therapy resistant

PMU-approach:

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integrated approach starting at intake by paediatrician and psychiatrist/psychotherapist; → Explanation; body and mind belong together

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Validation of complaints by full history and thorough physical examination → Complaints are real, no doubt.

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Explanation of complaints by models (stress model, brain-gut axis, sensitisation model)

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Individual treatment (rehabilitation, graded exercise, cognitive behavioural therapy etc.)

Methods

:

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Retrospective observational study (charts) in children with abdominal pain (ap) and headache as primary complaint

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Measuring persistence of complaints/ invalidation level

Results

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66 pt evaluated (42 pt with ap, 24 pt with headache), 43 girls (65.2%) Age at first visit; mean 13.5 yr (range 6-17):

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34 pt finished treatment

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19 pt in treatment

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6 pt one consult planned

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5 pt no follow-up after intake

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2 pt no complaints at moment of intake

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Duration complaints: >2 yrs in 31 pt (47.0%), school absenteeism ≥ 20% in 46 pt (69.7%), 33,3% visited > 5 care providers for complaints.

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16 pt (47.1%) treatment < 6 months

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25 pt (73,5%) lost/minimized complaints, 22 pt (64.7%) no school absenteeism.

Conclusion

PMU-approach; good results for this serious invalidated patient group with therapy resistant functional complaints. Note; relative small group, not yet long term follow-up.
P01-224 - Associations Between Attempted Suicide, Violent Life Events, Depression, Resilience and Suicide by Early Adulthood
Authors: Nrugham L. , Holen A. , Sund A.M.
Published: June 2010

Objectives

Were violent/non-violent traumatic life events and victimization by/witnessing violence associates of attempted suicide among depressed adolescents who were also less resilient at early adulthood?

Method

The present study examined a subset of mainly depressed, age-and-gender matched, adolescents derived from a representative sample of 2464 students (T1, mean age = 13.7 years) followed-up after one year (T2Q) and reassessed 5 years later (T3, n = 252, mean age = 20.0 years, 73% participation), with a questionnaire, including the Connor-Davidson Resilience Scale and K-SADS-PL psychiatric interviews which also tapped traumatic life events.

Results & Conclusion

Logistic regression analyses revealed that attempters were victims, not witnesses of violence; more depressed and less resilient than non-attempters, and that resilience was a moderator of lifetime violent events and attempted suicide, even in the presence of antecedent depression.
P01-231 - Association between finger patterns of digit II and intelligence quotient level in adolescents
Authors: Najafi M.
Published: June 2010

Objective

This study aimed at assessing the putative association between the fingertip patterns of right and left digits II and intellectual functioning.

Methods

The study involves the evaluation of dermatoglyphic patterns on right and left digits II in 342 adolescents (144 talented ones, 102 normal individuals and 96 subjects with learning disabilities) from the Shahrekord city in Iran. Comparisons between the frequencies of fingerprint patterns of each digit were made on the basis of two groups at a time employing Chi-square test.

Findings

The most frequent dermatoglyphic pattern was whorl on both fingers in the 3 groups. An observation of right digit II revealed that the normal adolescents in comparison to the talented ones had a greater number of the whorl patterns (P=0.02), while the latter had more ulnar loops than the former (P=0.09). Group comprising those with learning disabilities had more ulnar loops than the group composed of the normal adolescents (P=0.09), and there was a predominance of radial loops among the talented subjects as opposed to those among the individuals with learning disabilities (P=0.002). There was no significant association in the relative frequencies of different finger patterns on left digit II between the groups (P>0.05).

Conclusion

Our results support an association between some dermatoglyphic patterns observed on right digit II with IQ level in adolescents. Further researches, needless to say, especially employing various quantitative dermatoglyphic indices and larger-sized samples are recommended.
P01-236 - ADHD Symptomatology in bipolar disorder and descendant
Authors: Ortega García M.D. , Martinez Martínez C. , Gómez Martínez R. , Dominguez Martín C. , Salazar Li C. , Rodríguez Carretero G. , Blanco del Valle P. , Agúndez Modino A. , Alonso de la Torre M.A. , Rodríguez Campos A.
Published: June 2010

Objective

Describe Attention Deficit Hyperactive Disorder's (ADHD) prevalence in Bipolar Disorders (BD) and relatives.

Methods

78 admissions for Bipolar Disorder (DSM-IV) in Impatient Psychiatric Unit, in Hospital Clínico Universitario of Valladolid (Spain). Only 36/78 patients participate in study. Demographic, social and clinical information were registered. ADHD symptomatology was evaluated from patient and descendant (Conners short version).

Results

ADHD symptomatology suggestive in childhood/adolescence were detected in 13,9% (5/36). Conners score were negative (below 15) in all case.

ADHD symptomatology suggestive in their children were detected in 6,25% (n=3). Conner score were positive in 2,1%. Family psychiatry history in 72,2% (n=26), affective disorder in 60,52% (n=23). No family history with ADHD diagnosis. Only one case (2,8%) with symptomatology suggestive of ADHD in relatives.

Conclusions

The ADHD prevalence in our sample of BD and relatives weren’t higher than general population.

Bibliography

:

- Frontiers Between Attention Deficit Hyperactivity Disorder and Bipolar Disorder. Cathryn A. Galanter, MDa, Ellen Leibenluft, MD. Child Adolesc Psychiatric Clin N Am 17 (2008) 325-346.

- Co-occurrence of bipolar and attention-deficit hyperactivity disorders in children.

Singh MK, DelBello MP, Kowatch RA, Strakowski SM.Review Article Bipolar Disorders 2006: 8: 710-720
P01-239 - Age dynamics of the effects of early organic brain damage
Authors: Poletskiy V.
Published: June 2010

The problem of is residual-organic alienations traditionally is one of the most actual in modern children's and teenage psychiatry.

Research objective. To study the dynamics of light manifestations of residual-organic mental disorders in prepubertal, pubertal, postpubertatnom and younger.

Material and methods. The study was of relatively-age character - comparison of the clinical picture of mental disorders in different age stages (prepubertal - postpubertatny) and a comparative clinical and psychopathological - comparison of clinically different variants of pathology. Clinical dynamically studied 370 patients (174 male and 196 female). Age began the study 12 ± 3,2, end 25 ± 4,3 years.

Results of the study. The dynamics of residual-organic psihorganicheskogo syndrome in age aspect as follows:

Prepubertal and early puberty: decompensation (27%), unstable compensation (42%) and relatively stable dynamics (31%).

Early and late postpubertatny period: unstable compensation (12%), the dynamic transformation of the syndrome (15%), stable compensation (52%) and regredientnaya Dynamics (21%).

Young age: stable dynamics (18%), unstable compensation (12%), recurrent exacerbation, against a background of stable flow (23%), the dynamic transformation of the syndrome (12%), the dynamics within the framework of another mental disorder (0,75%), dynamics within the somatic (somatoform) disorders (34,25).

It can be concluded that the clinical dynamics of residual psihorganicheskogo syndrome differs in different age periods of life. Its study contributes to the refinement of diagnostic criteria in psychiatry, clarifying the age patterns of mental pathology, refinement of its role as patoplasticheskogo factor determining the nature of the disorder at different stages