bluuebunny/crossref_metadata_2025 huggingface dataset:
P01-286 - Transgender Sexual Behaviors in a Health Care
Authors: Iglesias Hernández M.I. , Ruiz Peña M. , Guerrero Díaz M. , Macías Sánchez M. , Bergero Miguel T. , Parres Gutiérrez C. , Meléndez García C. , Cano Oncala G. , Asiain Vierge S.
Published: June 2010

Introduction

Sexuality is a crucial area of human life. A proper examination to assess and detect problems in this field, it seems imperative to intervene when transsexual patients. Therefore accurately known, the sexual practices of these patients, allows us to work directly on possible alterations in the functioning of sexual life during the therapeutic process.

Objetives

Describe patterns of sexual behavior in patients diagnosed with transsexualism

Scope

Gender and Identity Disorder Unit (GIDU)

Subject

Selected by consecutive sampling, 200 transsexuals treated at GIDU Malaga, aged between 20 and 40 years and who agreed to participate in the study. Comprising 142 transgender male-to-woman (MtW) and 58 women-to-man (WtM).

Methods

Was conducted through a heterocompleted questionnaire that included questions about sexuality, personality traits and demographic characteristics. These were filled in the consultation and were anonymous.

Results

11.6% of MtW transsexuals have never had sex. 26.8% of the MtW and 29% of WtM are more than 3 months without masturbating. 54.1% of the MtW avoid having sex due to the rejection of his genitals, lack of sexual desire and previous traumatic experience. Transgender respondents had secondary education, stable jobs and they were single.

Conclusions

It is vital that we explore the sex lives of transsexual patients. This information must be integrated in a systematic and rigorous evaluation process. According to the results presented, the hyposexuality would be the most significant feature that describes sexuality for this population.
P01-290 - Depression and Quality of Life of Patients with Epilepsy in Malaysia
Authors: Mohamed S. , Gill J.S. , Tan C.T.
Published: June 2010

Objective

To determine the prevalence of depression and quality of life in patients with epilepsy, and its associated risk factors.

Methods

This was a cross sectional study where 120 patients with epilepsy and 60 controls who were the patients’ sibling, were recruited. Socio-demographic data (age, sex, race, marital status, education level and employment status) and clinical variables (age at onset, duration and type of seizure, seizure recency, type of antiepileptic drug used, family history of epilepsy and depression) were recorded. Both patients and the control subjects were given the “Hospital Anxiety and Depression Scale” and “Mini International Neuropsychiatric Interview” to screen and diagnose for depression respectively. The Quality of Life Inventory of Epilepsy (QOLIE-31) was used to assess quality of life.

Results

The prevalence of depression in patients with epilepsy was higher than in controls (9.2% as compared to 3.3%), though it was not statistically significant. There were also no significant differences between the depressed and non depressed patients in terms of socio-demographic and clinical variables. However, patients with younger onset of epilepsy were more likely to report depressive symptoms on HADS (p = 0.02). Patients with epilepsy who were depressed also had poorer quality life as compared to those without depression: p< 0.001.

Conclusion

Patients with epilepsy had higher rates of depression as compared to controls. Furthermore they had significantly poorer quality of life as compared to those without depression. Therefore, epileptic patients should be regularly screened for depression to prevent unnecessary suffering and poorer quality of life.
P01-292 - Treatment Seeking Behaviour Among Cases Reported for Psychiatric Consultation with Co-morbid Infertility
Authors: Afridi M.I. , Iman N. , Khan H.
Published: June 2010

Objective

To assess treatment-seeking behaviour in psychiatric patients with co-morbid infertility.

METHODology: This hospital-based prospective study was conducted on out-patients, consulted at NMI (Neuro-spinal & medical Institute), Karachi.All consecutive and consenting cases were interviewed using a semi-structured proforma. Results were tabulated and analyzed through SPSS Version 11.0. Fisher Exact test/Chi-square test were used to compare variables.

Results

One hundred five cases (62.85% Men and 37.14% Women) that fulfilled the criteria of infertility were evaluated. More than half (51.42%) of the cases had sought alternative type of treatment including treatment from Faith Healers (19.04%), Hakeems (Eastern/Indigenous Practitioners=18.09%) and Homoeopathics(14.28%). The rest of the cases had history of multiple consultations with Allopathic medical practitioners.

Conclusion

The impact of Infertility is serious especially in the east making a person vulnerable to seek help from the various available source of treatment particularly traditional/ alternative mode.
P01-295 - Psychiatric Disorder as Clinical Presentation of Primary Sjögren's Syndrome
Authors: Pelizza L. , Welsch B. , Bonacini F. , Losi R. , Ferrari A.
Published: June 2010

Background

Sjögren's syndrome (SS) is a common medical condition which may produce psychiatric disturbances. Psychoactive medications treat psychiatric symptoms, but leave the underlying process unaffected.

Aims

To emphasize that psychiatric disorders in primary SS constitute an indisputable clinical reality that each practitioner must be able to recognize and treat.

Method

A systematic review on psychiatric manifestations of SS and two case-reports of mental disorder as clinical presentation of primary SS.

Discussion

Psychiatric manifestations in primary SS are common and can occur not only during its course, but also at onset of the autoimmune syndrome. A better adapted prescription of corticosteroids and/or immunosuppressive agents (together with specific psychotropic traetments) can induce to a rapid relief of psychiatric dysfunction.

Conclusions

Psychiatrists should keep in mind that primary SS is a potential cause of mental disorders when examining patients with multiple somatic complaints and psychiatric symptoms.
P01-316 - Ethnicity and its Influence on Psychiatric Treatment in a Newly Established Greek Inpatient Unit
Authors: Apostolopoulos A. , Mandrapilia A. , Papadopoulou A. , Konstantinidou D. , Rizos E. , Douzenis A. , Lykouras L.
Published: June 2010

Objectives

Ethnicity may influence treatment decisions and treatment quality in mental disorders. There have been suggestions of institutional racism in mental health services.

Methods

In this study we aimed to compare treatment quality between two groups: Greeks and immigrants and prove whether in our clinic, ethnicity is a significantly restricting factor of treatment quality. This study was conducted with all in-patients of Second Psychiatric Clinic University of Athens at Attikon Hospital between April and December 2008.

Results

A total of 101 in-patients aged 16-56 years old, were studed. There were 73 Greeks and 18 immigrants. The diagnoses were schizofrenia:36(49,31%) for Greeks and 10(55,55%) for immigrants, and mood disorders:37(50,68%) for Greeks and 8(44,44%) for immigrants. We considered that treatment quality is composed of factors such as: days of hospitalization, number of psychiatric medicines used before-during and after hospitalization, doses of: conventional and atypical antipsychotics, SSRI'S, SNRI'S, and mood stabilizers used before-during and after hospitalization.

Conclusion

In this study ethnicity was not significantly associated with rates of polypharmacy during and after admition. There was a reduction of medication prescribed after admission in both groups. Immigrants had longer inpatient stays than Greek patients. We saw similar rates of antipsychotics used in both groups, but Greeks were more likely to take mood stabilizers and SSRI'S-SNRI'S. There were also higher rates of atypical antipsychotics than antipsychotics used in both groups.
P01-318 - Prevalence and Treatment of the Postpartum Depression: the Impact of Cultural Factors
Authors: Bassi M.
Published: June 2010

Postnatal depression affects about 10% -20% of women after childbirth (Miller 2002).The duration of the postnatal depression could be six months or more in 25% -50% of cases (Beck 2002). The prevalence was mainly established from studies in western developed countries. In the studies carried out in Asian countries it has been found a much wider range of prevalence, from 1% to about 20% (Leung, 2002). Some researchers have found that the low prevalence of postnatal depression in some countries may be due to some protection factors from the local culture (Fitch 2002, Harkness 1987, Miller 2002). The research on the impact of cultural factors on the onset of postnatal depression therefore presents a wide range of conclusions. We want explore the link between culture, risk factors and postnatal depression: this issue appears to be one of the future goals of research in the field, given the important role that culture can play in people's lives (Cox 1999; Kirmayer 1989, Lazarus & Folkman 1984; Raphael -Leff 1991). The results of some studies carried out in several countries around the world have shown that the prevalence of postnatal depression is relatively similar across different cultures and different types of ethnic communities (Cox 1999; Danach et al. 2002; Ghubash & Abu-Saleh, 1997). On the other hand, some studies have shown that in the cultures with a strong social support for new mothers, the prevalence of postnatal depression is lower (Fitch 2002; Miller 2002).
P01-327 - New Dimensionsin Assessing and Treating Traumatic Stress: a Meta-analysis of Historical and Recent Contributions to the Field
Authors: French L.-A. , Nikolic-Novakovic L.
Published: June 2010

Objectives

New dimensions of traumatic stress have surfaced since the inclusion of the PTSD classification in The Diagnostic and Statistical Manual of Mental Disorders-Third Edition (DSM-III) with its main focus on Vietnam Veterans. New Dimensions of traumatic stress entered the clinical/cultural equation with new populations, both military and civilian, subjected to massive disasters (hurricanes, floods, terrorist's attacks…) as well as those exposed to the potential of violence. The nearly four-year siege of Sarajevo and the constant fear of improvised explosive devices and suicide bombers among troops in Iraq and Afghanistan add another dimenstion of traumatic stress that falls outside the usually accepted “combat exposure” measure for a PTSD diagnosis. Our objective was to evaluate the scientific and clinical literature to see what assessment and treatment modalities are being employed to address this broader definition of traumatic stress.

Methods

We conducted a comprehensive review of journal articles and books published in English and the Slavic languages, the vast majority published within the past decade.

Results

The search comprised of over 300 hits, mostly journal articles.

Conclusions

Assessment tools have been expanded to include co-morbid clinical and health diagnoses as well as pre-morbid factors. Related clinical diagnoses include major depression and panic attacks while health concerns run the range of immune deficiency disorders as those associated with traumatic brain injuries. Psychopharmacology inroads seem to focus on Serotonin agonists while cognitive-behavioral approaches dominate the psychotherapies. Targeted populations include coalition troops (male & female) and those involved in the Bosnian and Kosovo conflicts.
P01-331 - Limit of Blood Alcohol Concentration: a Major Problem to Solve in Nigeria
Authors: Osain Welcome M. , Alekseevich Pereverzev V.
Published: June 2010

A country often referred to as the giant of Africa up till now lacks a legal limit of blood alcohol concentration (BAC). South Africa and Zimbabwe are the few African countries that have determined their BAC level. On the average in Nigerian roads approximately 50% of accidents are related to alcohol use. This problem is largely due to the inadequate, as well as absence of regulatory guidelines on blood alcohol concentration. For decades, the problem of deciding the limit to which blood alcohol concentration must not be exceeded to avoid legal offence has been a major issue in this country. There is evidence that lowering the permitted limit of which BAC must not be exceeded to avoid legal offences to a great extent reduces the risk of alcohol involvements. The Road Traffic Act, Federal, Highway Act, and the Federal Road Safety, Commission Decree which are legislations that presently apply to Federal highways does not state the specific legal limit of intoxication. Most countries have set their BAC limit at 0.2-.8 mg/ml level. As a result of the high rate alcohol associated accidents in Nigeria, and to prevent human right abuse, it is of urgency to determine a BAC legal limit. Nigerian scientists, the Federal Road Safety Commission must step up research activities, awareness programs/campaign to reduce various incidences of illegal alcohol intoxication.
P01-338 - An Abridged DSM-IV Cultural Formulation of a Psychiatric Case
Authors: Caballero L. , Pelaez C. , Drozdowsky E.
Published: June 2010

Background

The DSM-IV Cultural Formulation (CF) is the most important method of cultural assessment, but has not been sufficiently developed.

Based on a case, a proposal is being done here of an Abridged CF trying to:

1

Identify the main cultural factors.

2

Link this abridged CF to the general clinical formulation.

3

Show the effectiveness in arrive at a differential diagnosis and garner patients’ adherence

Clinical vignette

: A Moroccan 23 year-old woman was admitted in a Psychiatric Service and diagnosed of a manic episode and harmful consumption of drugs and at the discharge she quickly relapsed.

The incorporation of an Abridged CF on her second admission was crucial in building a better therapeutic relationship. There were different explanatory models acting in the case:

a)

her family thought that she was “bewitched” or that the cause were “drugs”;

b)

the clinicians’ explanatory model was that of biological predisposition to mania, triggered by her drug intake and other vulnerability factors.

This procedure made it possible to reformulate her psychiatric condition and to associate therapeutic goals to the aims of her and her family. It clearly promote a more favourable course and outcome.

Conclusions

A valid abridged CF could foster its broader use in clinical psychiatry, whereas a mandatory full CF runs the risk of being underuse and it would impoverish psychiatric practice and limit the acceptation of psychiatry as a universal brand of medicine.
P01-339 - Assessment of Spirituality History Taking in Mental Health
Authors: Raffi A. , Hussein N.
Published: June 2010

Introduction

Spirituality is recognized as a key facet of a person's sense of self and wellbeing. In the UK 73% of psychiatrists reported no religious affiliation compared to 38% of their patients. 92% of psychiatrists in Britain believed that religion & mental illness were connected & religious issues should be addressed in treatment.

Aims

Audit Spirituality Assessments conducted in new cases admitted to hospital and new cases seen in clinic over a 3 month period(July-September 2009) in adult/elderly services.

Methods

Demographic data was collected from electronic patient records and casenotes/clinic assessment letters were reviewed for evidence of taking a spiritual history. Guidance for how to take a spiritual history was sought from Royal College of Psychiatry guidelines and recently published journal article (Advances in Psychiatric Treatment.May 2007;13:212-219). Evidence of a brief screening of spirituality, followed by a more detailed assessment were recorded.

Results

75 cases were reviewed of which 39 were male and 36 female. There was an even distribution of age within the sample over 7 decades from age 20 to age 90. Of the 75 cases, only 2 (2.7%) had a brief assessment of their spirituality whilst the larger majority (97.3%) had no assessment. No detailed assessment of spirituality history was conducted.

Conclusions

The results indicate that assessment of spirituality is very poorly conducted in this sample and there is need for development. Recommendations from the audit include facilitation of further training in religion and spirituality history taking and for such training to be encompassed within induction training of junior doctors.
P01-340 - Acculturation, Acculturative Stress and Psychosocial Well-being in the Hospitalized Immigrant Patient
Authors: Revollo H.-W. , Qureshi A. , Collazos F. , Ramos M.D.M. , Martinena P. , Casas M.
Published: June 2010

Objectives

There is no direct relationship between migration and mental health, certain risk (e.g. acculturative stress) and protective factors of psychosocial well-being are inversely related with psychopathology. Acculturation strategies have been found to be related to psychopathology however this relationship has been minimaly examined with psychosocial well-being. The objectives of this study are to examine the relationship between acculturative stress, acculturation, and psychosocial well-being.

Methods

The sample consists of 150 immigrant inpatients hospitalized in tertiary care between 18 and 65 years of age. Acculturative stress, acculturation, social adaptation, anxiety and depression, as well as sociodemogrpahic and attitudinal items were evaluated.

Results

With general health situation controlled, the study found a negative relationship between acculturative stress and psychosocial well-being, as well as between the marginalization acculturation strategy and psychosocial well-being. A relationship was found between acculturation strategies and acculturative stress. There is no positive relationship between the integration acculturation strategy and psychosocial well-being, although the majority of the study participants preferred integration, followed by assimilation. The latter is associated with lower levels of acculturative stress and higher psychosocial well-being. Separation, on the other hand, is associated with lower levels of anxiety and depression, and with a higher quality of life.

Conclusions

None of the acculturation strategies demonstrates a clear advantage in relation to psychosocial well-being, however, marginalization appears to be the least adaptive. It may be useful to revise the notion of what constitutes the most adaptive acculturation strategy for an individual, taking into account his or her psychosocial well-being.
P01-346 - A Case Report: the Dramatic Effects of Galantamine in a Patient with Early-onset Alzheimer's Disease
Authors: Agius M. , Dev H. , Zaman R.
Published: June 2010

Background

A 51 year old former mid-wife presented with a 2 year history of increasing forgetfulness, with significant impairment to her daily function.

She was diagnosed with non-familial early-onset Alzheimer's Disease (AD) and started on 8mg b.d. of Galantamine.

Methods

We gathered patient notes, consultant, collateral and personal accounts.Outpatient consultations were used to monitor Mrs LF's global, functional and behavioral progress. These were supplemented with the mini mental state examination (MMSE) which served as an objective test for her cognitive impairment, and a guide for her response to treatment.

Results

The patient showed a marked improvement in MMSE from 23 (four months after the commencement of treatment in June 2004) to 29 (in September 2008). The MMSE has remained at 29 until the last consultation in September 2009. The patient accounts of social dysfunction due to her memory impairment pre-treatment highlights her gradual but significant recovery with Galantamine, to the point of being able to return to independent living arrangements and recently entering into a new relationship.

Discussion and conclusion

The case raises interesting questions as to whether EOAD should be considered distinct to traditional AD, given the greater than expected response to Galantamine. The details of this single case, also lend themselves to supporting a reconsideration of the NICE guidelines for when treatment can be started, which would require further research. Such research may benefit from a long-term database in which data regarding MMSE scores of patients treated with Galantamine is serially recorded.
P01-353 - Use of Antipsychotic Medication in Older People with Dementia. An Inpatient Dementia Ward Audit
Authors: George M.K. , Pervez A. , Yahia A.O.
Published: June 2010

Introduction

80% of people with dementia experience one or more recurrent or persistent symptoms such as hallucinations, delusions, aggression, agitation, shouting, screaming, repetitive actions, sleep disturbance or wandering behaviour during the course of their illness (Ballard et al, 1995).

These are collectively known as the behavioural and psychological symptoms of dementia.

The clinical management may include both psychosocial and pharmacological measures such as the prescription of medication, including antipsychotics.

Currently no drug is licensed for treatment of these symptoms in the UK and so clinicians need to be mindful of the fact that off label prescribing increases their professional liability in the event of an adverse event.

Studies suggest that between 54% and 88% of antipsychotic use in residential homes may be inappropriate (McGrath & Jackson, 1996).

Aims & objetives

To identify the current antipsychotics prescribing practice for behavioural and psychological symptoms in dementia and its compliance with the NICE guidelines.

Methods

A retrospective review of 50 case notes of the patients diagnosed with dementia after Nov 2006 was carried out.

Results & conclusions

Majority of the patients were male and were in the age group of 70-80 years.Alzheimer's Dementia followed by mixed dementia & vascular dementia were the main diagnosis. The main antipsychotic prescribed was Quetiapine, closely followed by Haloperidol & Promazine.The study showed that the prescription of antipsychotics was appropriate and all patients have their target symptoms recorded. However documentation of risk benefits analysis and discussion with patient and family about risk's and side effects were lacking.
P01-355 - Elderly Chronic Mental ill Patients in Community Residence Units
Authors: Iliopoulou L. , Fotiadou A. , Koutras V.
Published: June 2010

Objectives

The study intends to present the problems of elderly patients living in community residences, and the difficulties of staff and other residents. Solutions are also suggested.

Methods

Within the attempt of dwindling big psychiatric hospitals in Greece, and removing social and professional exclusion of patients, long-term supportive living units were established in 2001 by the General Hospital of Ioannina. Eleven patients were selected from the Psychiatric Hospital of Corfu, according to their functionality, medication compliance, and ability to take care of themselves. During the eight years of the unit's operation, four patients were forwarded in a supported flat where living is more independent. However, five psychotic patients, aged over 65, displayed new physical health problems, and deterioration of preexisting problems (epilepsy, chronic respiratory disease, kidney cancer). New disorders included hypertension, metabolic syndrome, hurt diseases, etc. The patient who suffered from respiratory disease died, an epileptic returned to the psychiatric hostel after 3 years in the protected flat, and the patient with the kidney cancer moved in a unit with more staff support.

Results

Difficulties faced by elderly influenced hostel's operation and younger patients, and preoccupied stuff, depriving time from creative activities with patients. Furthermore, residents’ strain for physical health problems increased.

Conclusions

To secure regular operation of supported living units, a network of complementary units is necessary, which will forward to high supported units elderly patients who face serious health problems, or are not up to the everyday activities of the unit they live in.
P01-363 - Drug Treatment of Mild Cognitive Impairment
Authors: Martínez de Velasco Soriano R. , Benítez Cerezo E. , Erausquin Sierra C. , Gobernado Ferrando I. , De la Serna De Pedro I.
Published: June 2010

Introduction

Dementia is an acquired syndrome of organic nature, characterized by permanent impairment of memory and other intellectual functions, often associated with psychological and behavioral symptoms without impairment of consciousness. There are psychopathological manifestations.There are different subtypes of dementia. To determine a mild cognitive impairment, the average score of Minimental scale test must be between 21 and 26.

Clinical evidence

It has been shown that patients with cognitive impairment have a decreased activity of acetylcholine and increased activity of glutamate. Therefore there is a decline in cognitive ability with significant memory impairment and increased aurousal. There is an impairment of cognitive function to perceive, process and use information, which contributes, along with the intelligence, plan and solve problems, learn from the experience, plan tasks and predict results.

Hypothesis

For this postulate two fundamental ways in the treatment by use of cholinesterase inhibitors using memantine that blocks NMDA receptors.

Conclusions

However in mild cognitive impairment there is no evidence that these treatments improve patient outcome. Therefore we start treatment with cholinesterase inhibitors when Minimental score between 14 and 24. We'll use cholinesterase inhibitors in combination with memantine when the Minimental score between 10 and 14. We will use only memantine when the score between 3-14. It has been shown that only 30% of mild cognitive impairment progress to dementia. It is important to consider the use of these treatments because it is'nt shown a clear benefit in mild cognitive impairment and have side effects.
P01-364 - A Pet Therapy Intervention on Elderly Inpatients: an Epidemiological Study
Authors: Moretti F. , Bernabei V. , Marchetti L. , Bonafede R. , Forlani C. , De Ronchi D. , Atti A.R.
Published: June 2010

Objectives

The aim of the present study is to evaluate the effects of Pet Therapy intervention on cognitive function, mood and perceived quality of life on elderly subjects (mean age 84.7 years; 95.2% women) living in a nursing home.

Methods

Participants were 21 subjects affected by mental illness including dementia, depression and psychosis (diagnosis based on the International Statistical Classification of Disease - ICD-10). The Mini-Mental State Examination (MMSE) and the 15-items Geriatric Depression Scale (GDS) were administered to ten persons (pet-group) and eleven subjects (control-group) together with a self-perceived quality of life questionnaire. The pet-group underwent a dog-assisted educational intervention lasting 90 minutes, once a week for six weeks. MMSE and GDS mean scores were compared between and within groups by Student's t-test.

Results

The mean age ± standard deviation of the overall sample was 84.7±9.9 years. Mean schooling level was 4.0±3.4 years. Dementia was the most frequent diagnosis (47.6%), followed by psychosis (33.3%) and depression (19.0%). Both pet-group and control-group improved on GDS and MMSE. Within the pet-group, GDS symptoms decreased by 50% (from 5.9 to 2.7, p=0.013), whereas mean MMSE score increased by 4.5 (p=0.060). The between group comparison showed positive effect of Pet intervention on GDS (p=0.070). Furthermore, most of the participants reported an improvement of their perceived quality of life.

Conclusions

According to the most recent literature, our findings suggest that Pet Therapy program can be efficient in improving depressive symptoms and cognitive function in residents of long-term care facilities with mental illness.
P01-366 - Psychiatric Syndromes and Disorders in Older Population
Authors: Arandjelovic D. , Misic P. , Serafimovic S. , Petrovic M.
Published: June 2010

Involution old age limit is related to general health, cultural and economic living conditions.

Two stages of old age are currently recognized: early old age (65 to 75 years) and over 75 years - late old age period.

Old age period is the third life cycle period in which aging of the brain and eventual pathological changes with respective organic psychopathological onsets are finalized.

In many countries, number of the population over 65 years of age increases. The same applies for our country.

Term of psychic disorders includes miscellaneous psychic conditions, pathologic in terms of symptom intensity, personality and social behavior changes, and reflects on social life of the ill individual and its family.

Psychiatric syndromes and disorders in older population Rogina divides into two groups:

-

disorders of emotional reacting and behavior, without manifestations of other organic brain or physical disorders and

-

alternations caused by primary brain pathology, clinically presented as organic brain psycho-syndrome with different intensity and different pathogenesis etymology (cardiovascular, cerebro-vascular, neoplastic, metabolic, etc.)

A combination of physical illness and mental disorder is the most common cause of the first hospitalization in older age.
P01-371 - Shorter Time Until Nursing Home Admission in Lewy Body Dementias as Compared to Alzheimer's Dementia
Authors: Rongve A. , Nilsen O.B. , Ballard C. , Aarsland D.
Published: June 2010

Background

Time until nursing home admission (NHA) in different types of dementia is not known. Few studies in Alzheimer's disease (AD) have been reported previously and focused on demographic, socioeconomic, behavioral and psychiatric symptoms as predictors for NHA.

Method

We use data from the Norwegian DEMVEST-cohort to calculate time until NHA applying Kaplan-Meier survival analysis comparing the Lewy body dementias (LBD) (Dementia with Lewy Bodies (DLB) and Parkinson's Disease Dementia (PDD)) to non-LBD patients. Associated factors were studied with a Cox proportional hazard model.

Results

190 cases with the same degree of mild dementia at baseline were followed for on average 880 ± 397 days 95% CI (823, 937), 56 (29.5%) individuals were placed in a nursing home during follow up and mean time until institutionalization was 1204 days 95% CI(1130, 1279) for all included, 987 days 95% CI (823, 1151) for LBD patients and 1263 days 95% CI (1184, 1342) for non-LBD patients. p=0.007 (Log-Rank test) Chi-square= 7.330 df=1. Mean time until NHA for DLB patients is 985days 95%CI (801, 1169) and for AD patients 1264days 95% CI (1180, 1347) p=0.013 (Log-Rank test) Chi square=6.194 df=1

After controlling for age and duration at baseline we find that having a LBD diagnosis (DLB or PDD) increases the risk for nursing home placement during follow-up, hazard ratio =1.9 95%CI (1.1, 3.4) p= 0.030.

Conclusion

We find that a LBD diagnosis significantly shortens time until NHP controlling for age and duration at baseline compared to non-LBD patients.
P01-386 - Alpha Rhythm Frequency in Diagnostic of Alzheimer Disease
Authors: Dokukina V. , Misiuk N. , Dakukina T.
Published: June 2010

Objectives

Digital EEG pattern specific for Alzheimer disease has not studied yet.

Methods

Resting EEG (16 channels) was recorded by the use of “Brainscan” system in 150 persons: 50 healthy 20-55 year old volunteers, 50 healthy 55-75 year old volunteers, 50 patients with mild Alzheimer. Alpha rhythm frequency was checked after Furie's reversal transformation in periodmetric analysis for single “pure” alpha rhythm (8-13.5 Hz).

Results

Significant distinction between a healthy subjects and Alzheimer patients has proved to be changed spatial - frequency alpha rhythm structure. High-frequency alpha rhythm is dominant in the occipital zone and low - in the frontal one of healthy subjects. Alzheimer patients show the opposite relationship. This phenomenon named the “inversion” can be revealed only by mean of digital EEG, visually - no, because the difference between frontal and occipital mean frequency may be less than 0.01 Hz.

The inversion discovered in 90% of Alzheimer patients, while among healthy persons of 20-55 years - in 2%, among healthy persons elder 55 - 7%.

CT investigation has not revealed any occipital or frontal lobe pathology. Therefore alpha inversion is stipulated by violations of thalamic rhythm generator's function. Inversion mean EEG quality decline and determined by disharmony between thalamic and anterior alpha generators.

Conclusion

For Alzheimer disease inversion may be considered as diagnostic sign revealing organic brain damage. Future studies should evaluate it's clinical usefulness in early differential diagnosis, disease staging and therapy monitoring.
P02-12 - Gender and Diagnostic Profiles of Life Events Among Patients Consecutively Admitted to a General Hospital After Attempted Suicide
Authors: Nrugham L. , Mehlum L.
Published: June 2010

Objective

To examine associations between gender and diagnostic profiles of life events among patients admitted to a general hospital after attempted suicide.

Materials and methods

Participants (n = 86) were patients consecutively admitted to a general hospital emergency care unit over the inclusion period of 26 months after an act of attempted suicide. They were interviewed within 2 days using the EPSIS protocol, the MINI and SCID-II interviews and a range of scales measuring life events (Brugha's scale) and alcohol abuse (AUDIT). Logistic regression was used in data analyses. Results are given in Odds Ratios with 95% Confidence Intervals.

Results

Men reported more unemployment, [23.5(2.8-197.6)], loss of work, [4.7(1.2-17.3)], serious economic problems, [2.7(1.1-6.8)], problems with police and presented in court, [8.6(2.2-30.3)]. Major depression (MD) was associated with the separation from spouse due to interpersonal conflict [3.6(1.1-11.7)], however, when adjusted for gender, it tended towards significance only in men and was non-significant for women. Comorbidity of MD with anxiety disorders, alcohol abuse or borderline personality disorders were not associated with any specific life event.

Conclusions

Irrespective of diagnostic profile, life events related to legal problems and loss of job/work and marriage were significant for men who were admitted to a general hospital after a suicide attempt, irrespective of diagnostic profile.
P02-14 - Anxiety as a Core Symptom of Acute Stress Reaction in Disaster Suffered Persons
Authors: Nasrullaev F. , Portnova A.
Published: June 2010

Acute stress reaction (ASR) is remarkable for variability displays in which basis of main symptom of ASR -- anxiety.

Aim

Revealing of clinical features of anxiety in victims of disaster for definition of the treatment and forecast.

Methods

Clinical, psychological testing, statistical. Clinical features of anxiety are investigated at 471 victims of disaster -- were staying in hostages (women -- of 68,4%, men -- of 31,6%) in the age of 18-60 years. Diagnostics of ASR was carried out according to diagnostic criteria МКБ-10.

Results

Clinical variants of anxiety are allocated within the framework of ASR with: vegetative symptoms - 34,2%; asthenia - 52 (11,0%); emotional instability - 9,5%; somatoform symptoms - 8,7%; phobia - 11,3%; depressive symptoms - 17,0%; apathy - 3,1%); the others - 8,1%. On behavioural features with: hyperknezia - 60,9%; hypoknezia - 22,7%; mixed condition -- 16,3%. On current: undulant - 59,9%; constant - 30,8%; attack - 9,3%. After 1 year of dynamics of a mental condition has revealed formation of PTSD at 40,1% of injured, adjustment disorder at 24,2% anxiety disorder - at 18,7%, at 17,0% - recovery.

Conclusion

The least favorable forecast was marked at hostages with prevalence of somatoform symptoms (р≤0,001), emotional instability (р≤0,001) and apathy (р≤0,05). Favorable forecast -- at persons with vegetative (р≤0,05) and depressive symptoms (р≤0,05).
P02-19 - Patterns of Patiens Attending in 2 Rural Indian Clinics in One Day
Authors: Acharya A.
Published: June 2010

Introduction

Psychiatric morbidity of a community could be assesed by a community survey as to the incidence & prevalance of different disorders in a particuler period. A more scientific approach is for a cohort study for a long period of a geographic population.

Objectives

Another simpler way to get a ready hand account of approximate prevelance&incidence of disorders could be viewed by analysing a clinics attendance patterns of psychiatric patients.Ofcourse it focuces on the tip of an iceberg.

Aims

A quick sample survey of prevelance & incidence of disorders those are being brought in that particuler day.

Methods

Here is analysis of this authors 105 cases, those were examined & treated in 2 rural clinics of a district Midnapore those are even 75 k.ms & 60 k.ms from the capitol city of Calcutta.72 cases in one clinic in morning session lasting from 6a.m-1-15 p.m & 33 cases in afternoon session in another clinic from 2.30p.m-6.30 p.m on 15th of november 2009 on a sunday.

Results

Age group range varies from 5 years-78 years with a maximum no. in the age group of 21-55years range.Affective disorders predominately,depressive disorder inBPMD,MDD,Anxiety disorders, schizophrenia,Hypomanic psase in BPMD &Behavioral disorders associated with Mental retardation/low intilligence &other mental retardation,Hysteria,Senile dementia Of alzhiemers,vasculer &mixed are most diagnostic presentation.Students & youth with tension headache associated with anxiety disorders were in sizable number.Women patients in depression were mostly presented with pain in lower extremeties.

Conclusion

105 patients visited in one winter sunday with depressive patients in top is concluded.
P02-24 - Prevalence of Child and Adolescent Psychiatric Disorders in Santiago, Chile: a Community Epidemiological Study
Authors: Vicente B. , de la Barra F. , Saldivia S. , Rioseco P. , Melipillan R.
Published: June 2010

Objectives

To determine the prevalence of DSM-IV psychiatric disorders in a representative sample of children and adolescents living in Santiago, Chile, as part of a national sample.

Method

subjects from 4 to 18 years of age were selected in an aleatory stratified multistage fashion. As part of a national sample, 10 counties in Santiago were selected, then blocks, homes and the child or adolescent to be interviewed. Psychology graduate students applied the Spanish computer version of DISC-IV, as well as a questionnaire on family risk factors, socioeconomic index and service use.

Results

a sample of 792 children and adolescents was evaluated, obtaining 76.7% of participation. Using the most stringent impairment algorithm, the prevalence for any psychiatric disorders was 25.4%, being 20.7% in boys and 30.3% in girls, mainly explained by anxious and affective disorders. Prevalence was higher in the 4-11 years of age than in the 12-18 (31.9% and 18.2% respectively). This difference was mainly accounted for by disruptive disorders. Prevalence of anxious disorders was the highest, but less associated with impairment, while most of the children and adolescents with affective disorders were impaired.

Conclusions

prevalence of psychiatric disorders in Santiago is high in this age group, and this study will be used for improving mental health services.
P02-28 - More addict Because Parkinsonian?
Authors: de Chazeron I. , Durif F. , Chereau-Boudet I. , Perriot J. , Ouchchane L. , Llorca P.-M.
Published: June 2010

Objectives

Evidence has been accumulating for association between PD and addiction in case report, retrospective and epidemiological study but generally focused on only one substance/behaviour and without taking any comparison group. The central question is PD patients are they prone to addictive behaviours more than general population do?

Methods

A cross-sectional, self questionnaire-based study was undertaken. The self-report (AUDIT, Fagerström, TDAS, SOGS…) explored addictions with substance (alcohol, tobacco…) or without (gambling, sex) in PD patients and healthy controls, mood disorders were also evaluated.

Results

After screening full filed questionnaire and appropriate age- and sex-matched controls, we obtained 115 patients and controls. Dopamine dysregulation syndrome (DDS) is described in the total PD patients population (n=139).

We found a higher prevalence of smokers and positive for harmful drinking or alcohol dependence in the control group than in PD patients (2.6% smokers, 6.4% for alcohol). There is more over no significant differences between the two groups concerning gamblers prevalence. Pathologic hypersexuality prevalence is 1.8% in PD group (no case in controls) and 11.5% for DDS. Anxiety disorders in PD patients with DDS are more frequent than in PD patients without and 3 patients develop another addiction besides DDS.

Conclusions

Compared with general population and against all expectations HS and PG prevalence seems not to differ. However, the DDS seems to be a frequent syndrome which draws our attention to better screen this problem, especially taking into account the fact that anxiety appears to be closely link to it.
P02-31 - Prescription of Antidepressants in the Land of the Happiness: Associate Variables
Authors: Madueño A. , Ruiz M. , Péculo J.A. , Rodriguez F. , Fuentes J.M. , de Lara L. ,   Andalusian Health Mental Working Group, Spain
Published: June 2010

Introduction

In Andalucia (Spain), exist a high prescription of antidepressants, joined to an elevated variability in the choice of it.

Objetives

To describe associated variables with the prescription of antidepressants in Andalucia. To determinate percentage of depresive disorder in antidepressants users.

Study design

Observational, descriptive

Study scope

Primary Health Care, with Health Centers of Andalusian Community participating.

Subjects od the study

Patients older than 18 years old, users of antidepressants. The inclusion in the study will require informed consent by the patient.

Variables to measure

Sociodemographics; Familiars and Personals precedents of mental disorders; number and duration of episodes in which it has taken antidepressants; Hamilton anxiety-depression index; Beck‘s depression index; Diagnosis of depressive disorder or another with need of antidepressant treatment; Comorbility ; Origin of the presciption. Variables in relation with the prescriptor will be mesurement.

Sample size

It is calculated by accepting a signification level of 95%, and a percentage of depresive disorder over antidepressants users unknowed (p = q = 50%). A sample size of 770 patients is estimated, including losses.

Results

Determinations will be carried out through descriptive statistics; frequency distribution, dispersion and central tendency measurements. A measurement of possible associations between variables through contrast of hypothesis test will also be calculated. So, Pearson's chi-square test for qualitatives variables and analysis of variance (ANOVA) for quantitatives. The study will be finished studig association between potentials variables existing in antidepressants users and depression diagnosis through model of binary logistic regression.
P02-32 - Profile of Severe Psychiatric Disorders in Mancha Centro Mental Health Area
Authors: Martinez Sanchez A.B. , Rodriguez Pereira C. , Villero Luque S. , Posik S. , Ortega García D.
Published: June 2010

Introduction

Present study shows the socio-demographic and clinical profile of patients with severe mental illness in Mancha Centro health area. Furthermore, it is a descriptive approach to the current state of clinical assistance in the area.

Methods

Socio-demographic and clinical variables were collected in a sample of 55 patients, 37 men and 18 women with severe mental illness, treated at the Mancha Centro Mental Health Centre. Using SPSS.15, analysis of qualitative and quantitative variables was made.

Results

Average age was 39, 25 years +/− 8, 82; 72, 7% lived with their families and 85, 5% had the support of relatives. Main diagnosis were: psychotic disorder (81,2%) with high proportion of schizoaffective disorder; mood disorders (9,1%), personality disorders (5,5%) and OCD (3,6%). In the last two years, 25, 5% was admitted in a medium-stay psychiatric unit, 15% in a short- time stay psychiatric unit and, in the last six months, 4% came to emergency service. Patients with higher number of admissions and emergency consultations were those with schizophrenia and schizoaffective disorder. The average time of follow up was 10 years (+/− 6, 84), every 49, 45 days (+/− 19,1). 80% receive group therapy, 85,5% family intervention and 54,5% cognitive rehabilitation.

Conclusions

We found a profile of young man with significant family support, low number of admissions and emergency consultations. Results could be in relation to: geographical dispersion, emergency access difficulties and protective socio-cultural factors. Better knowledge about needs would allow a better assistance in the future.
P02-35 - Incidence and Correlates of Delirium in a West African Mental Health Clinic
Authors: Ola B. , Crabb J. , Krishnadas R. , Erinfolami R. , Olagunju B.
Published: June 2010

Objective

To determine the incidence of delirium in those patients presenting to a psychiatric clinic in Nigeria and to examine if any demographic or clinical variables were correlated with this diagnosis.

Aims

To determine the incidence and correlates of delirium in patients referred to a psychiatric clinic in Nigeria

Method

A prospective survey design. 264 consecutive new referrals to a psychiatric clinic in Nigeria were assessed for the presence of delirium using a standardised diagnostic scale. Data was analysed for normality and appropriate statistical test employed to examine the relationships between the presence of delirium and demographic and clinical variables.

Results

18.2% of individuals presenting to the mental health clinics had delirium. No demographic variable was significant regarding the presence or absence of delirium. With regards to clinical variables duration of current symptoms, referral source, and the presence of co-morbid physical illness were significantly associated with the presence of delirium. Most delirium was due to infections. Nearly all patients with delirium were prescribed psychotropic medication (95.2%) and most attributed their symptoms to a spiritual cause.

Conclusion(s)

Delirium presents more commonly to psychiatry services in the less developed world compared to the West. Development efforts should focus on recognition and management of delirium to improve outcomes and maximise resources.
P02-36 - Socio-demographic Characteristic of Addict Treated at the Psychiatric Cilinic
Authors: Petrovic D.
Published: June 2010

Introduction

The spread of drug abuse in our country was influenced by many factors, and as the most important are the following social factors caused by changed conditions of life increase in delinquency and deviant behavior, and a new style of life, loss of cultural identity, conflict, feeling of insecurity and helplessness, which can be encouraged and by influential groups in the environment.

The aim of

1. The aim of this work is an indication of socio-demographic characteristics of addicts in our clinic, and view profiles addicts Šumadija district.

Material and methods

We used the following medical documentation:

Ø

history of disease addicts

Ø

protocols examined and treated addicts in this institution from 2002 - 2006. year.

Conclusions

Following some socio-demographic characteristics of drug addicts treated in our clinic, we came to the profile of addicts Šumadija county:

Ø

these are the people in the age of 20 - 30 years

Ø

male

Ø

from the urban environment

Ø

without rešenog marital status

Ø

without the employment relationship

Ø

hospital treated several times, who because of his behavior asocijalnog came into conflict with the law

2. The obtained profile of addicts should provide adequate treatment of this disease and to point out that drug addiction is a medical, but also a sociological problem.

3. Only adequate preventive measures such as teaching in elementary and secondary schools, in the form of various discussions, through the media where they would be included all the relative factors (SO, Red Cross, Center for social work, police, judiciary and others) can give results in the fight against this disease.