bluuebunny/crossref_metadata_2025 huggingface dataset:
P02-299 - Alexithymia in Diabetes Type2
Authors: Damak R. , Mnif L. , Masmoudi J. , Halwani N. , Mnif F. , Baati I. , Jaoua A.
Published: June 2010

Objectives

In our study, we compared the prevalence of alexithymia in diabetic patients with non-diabetic controls and investigated the relationship between Alexithymia and glycaemic control in diabetes.

Methods

In this cross-sectional study, TAS-20 scores of 100 diabetic patients and 50 non-diabetic controls were compared.

A structured questionnaire was used to collect socio-demographic data to describe the participants and aspects of their diabetes.

Results

Prevalence of Alexithymia was not significantly higher than in the control (45% Vs 40%;p=0.56).

The diabetic study population was predominantly female (71%) and married (73%).

The average age in diabetic population: 56.21 years (ET=10.58); starting age: 46.8 years; average duration of diabetes: 9.41 years.

Alexithymic diabetic patients have more traumatic events (93.3% Vs 78.2%; p=0.035), especially such as the death of a parent (73.3% Vs 50.9%; p=0.022), than non-alexithymic counterparts. Factors such as comorbidities and presence of diabetic complications were not significantly associated with TAS-20.

Alexithymic diabetic patients were under a worse glycaemic control compared to their non-alexithymic counterparts (84.4% Vs 65.5%; p=0.031).

Conclusion

The high prevalence of alexithymia among diabetic individuals is an indicator of its importance in the approach to diabetic patients. The presence of alexithymia seems to be related to glycaemic control and might be of value in terms of risk stratification of the individual diabetic patient for developing diabetic complications.
P02-301 - Cognitive and Psycopathological Dimentions of Eating Disorders
Authors: Erzegovesi S. , Galimberti E. , Ricceri A. , Fadda E. , Catenazzi U. , Bellodi L.
Published: June 2010

Objectives

Several studies have examined the neuropsychological functioning in patients with Eating Disorders (ED) suggesting that they could be related to an impairment in several areas. We investigate such cognitive functions especially decision making and visual-spatial memory in an independent sample of patients suffering from ED and to evaluate possible differences between patients suffering from Anorexia Nervosa (AN) and Bulimia Nervosa (BN) as well as between ED subjects and healthy controls.

Methods

Trial Making Test (TMT), Iowa Gambling Task (IGT) and Gambling Task (GT) were administered to 15 AN patients 12 BN patients and 19 healthy subjects.

Results

We observed that 80% of AN and the 75% of BN subjects performed poorly in the IGT compared to the healthy subjects (36,8%). Similarly, ED patients committed more mistakes and employed more time to complete TMT compared to healthy controls. However, no significant difference was found between ED groups and healthy subjects with respect to GT. Further, no significant difference was observed between AN and BN subjects with respect to IGT and GT.

Conclusion

Our results suggested that patients with ED could have a significant deficit in visual-spatial attention. As a consequence they need more time to complete the task and make more mistakes. Furthermore ED patient had a deficit in decision making tasks as well. This could reflect deficits in planning long term strategies to approach problems, possibly leading to improper behaviors for the control of their weight.
P02-307 - Somatoform Disorders Problem in Somatic Health Care System in Ukraine
Authors: Kudinova E.
Published: June 2010

At the present stage of a society development in Ukraine among based medical care problems the special priority has been provided the problem of somatoform vegetative disorders. A prevalence somatization clinical disturbances at patients with frustration various nosologic accessories and necessity of development of clinical criteria of differential diagnostics with somatic diseases were the precondition for studying this area. On the basis of complex study 727 patients of city policlinic and hospital are conducted determination of structure and prevalence of somatoform disorders in ambulatory-policlinic practice in the conditions of industrial center. Clinic-epidemiological and clinic-statistical research allowed to define the structure of somatoform disorders in ambulatory-policlinic practice. Organ neuroses with cardiorespiratory functional violations make 10%, organ neuroses with functional violations of gastrointestinal system 5,7%, organ neuroses with functional violations of the urinal system 12,2%. Set personality psychological, social-psychological and social constituents of somatoform disorders. On that ground has been developed complex level differentiated system of medical- psychological and psychotherapy correction of somatoform disorders with the 75% higt efficasy.
P02-312 - Influence of Anxiety and Depression on Oxidative Status in Plastic Surgery
Authors: Marcoci D. , Chirita A.L. , Benea S.
Published: June 2010

Background

The psychological care of patients before and after surgical intervention is a component of quality of life. We observed that anxiety and/or depression frequently appears at surgical patients and, also, in their relatives. If psychological symptoms are correlated to the biological status of the surgical patients, for their relatives emotional stress is linked to patient's somatic and psychological status.

Objectives

To highlight the role of emotional stress associated to anesthetic surgical stress for the increase of the defense reaction of the organism.

Method

37 patients and 10 relatives completed the Hamilton Scales for Depression and Anxiety. Relatives also answered an open questionnaire to explore the perceived impact of plastic surgery on their own lives.

Results

Patients’ relatives reported more troubling and life-altering experiences than the patients and scores for anxiety were higher.

Conclusions

The generalization of our results is still limited by the small number of participants in this study. However, it seems that psychological needs of relatives are equal or greater than that of the patients. Scores on Hamilton Anxiety Scale don’t seem correlated to Total Antioxidant Response (TAR), but are influenced by diet; for this reason, it is useful to add synthetic exogenous antioxidants (not only natural ones) to the diet of anxious surgical patients.
P02-313 - Cognitive-Behavioral Treatment of Hypochondria
Authors: Markovic O. , Becir K.
Published: June 2010

Hypochondria belongs to a group of somatic-formed deseases. It is actively characterized by somatic difficulties for which no organic cause was found. This desease often appears between the twenties and thirties and can not be related to the race, socioeconomic status or the level of education.

The traditional approach to the hypochondria is based on the process of reasurring the patient, making him believe that there is nothing wrong with him. This often leads toward the opposite effect.

On the other side, KBT approach offers the treatment that includes few steps: behavioral evaluation, education, self-motivation, cognitive intervention, behavioral experiments, working with ruminations, working with the patients’ continual need for being understood, their need to repeat medical researches, changing wrong assumptions, preventing relapse.

CBT approach also emphasises understanding of the difficulties, offers alternative solutions, helps patients become more correct.
P02-315 - Somatic Symptoms Amongst Individuals also Reporting Whiplash: A Norwegian Population-Based Study (HUSK)
Authors: Myrtveit S.M. , Skogen J.C. , Mykletun A.
Published: June 2010

Objectives

Whiplash associated disorder (WAD) is a common, yet poorly understood condition. It has both been considered a chronic pain disorder, due to injury in neck, and a functional somatic syndrome. Based on the hypothesis that chronic WAD lies closer to functional somatic syndromes than to organic pain disorders, we compared the reported level of symptoms associated to somatization (including among others, abdominal pain, nausea, chest pain, breathlessness, skin discoloring and headache) of persons reporting WAD and persons not reporting WAD.

Methods

Data from the population based Hordaland Health Study (HUSK) in Norway 1997-99 (n = 18.581) were used. In this study, 489 participants reporting whiplash also answered questions on symptoms linked to somatic syndromes. These questions were also answered by 13.490 participants without whiplash. Comparing these two groups, independent t-tests were employed for a range of somatic symptoms. Subsequently, a linear regression model was used, enabling adjustment for possible confounding factors, including gender, anxiety, depression, education, poor sleep, benefit recipiency, physical activity, alcohol consumption, smoking, somatic diagnoses and marital status.

Results

The WAD group reported a significantly higher prevalence of all the reported somatic symptoms (all p< 0.01), compared to the control group (mean difference in somatization tendency 0.6 SD). Adjustment for covariates, only marginally reduced the association between whiplash and somatic symptoms.

Conclusion

Our results indicate an association between WAD and somatic symptoms, supporting the notion that WAD should be considered a functional somatic syndrome.
P02-316 - Somatization -Diagnostic Dilemma
Authors: Pavešić Radonja A. , Grahovac T. , Rončević Grežeta I.
Published: June 2010

Introduction

Somatization (Greek, soma = body) is a disorder in which the psychological and emotional problems are expressed in physical symptoms. People prone to somatization tend to complain about the pain within the multiple organic systems although it cannot be find any organic cause.

Objectives

Somatization as a separate diagnostic entity exists in the Somatoform disorder, but it occurs in a number of other psychopathological entities, such as mood disorders, panic disorder (in the attack), generalized anxiety disorder, delusions in schizophrenia, dependence on psychoactive substances, etc. Also, some personality disorders are more related to the expression of somatization. There is usually referred Histrionic, borderline, antisocial personality disorder etc.

Aims

Because of possible multiple access to somatization as a symptom of psychopathological entity, the case of patient who expressed somatization was selected for presentation. Focus was on the course of hospitalization and differential diagnostic dilemmas with which we encountered in the diagnostic procedure according to DSM-IV.

Methods

Psychiatric interview, mental status, EEG, Psychological Testing, SCID I DSM-IV.

Results and conclusion

According to the used methods it was selected -Unspecific Somatoform disorder- as solution to the dilemma in our case.
P02-320 - Chronic Fatigue Syndrome: An Effectiveness Study of a Brief Mindfulness-Based Cognitive Treatment Program
Authors: Stubhaug B. , Kvale G. ,   Frihamnsenteret Clinical Research Center of Psychological Medicine
Published: June 2010

Patients (n=70) fulfilling criteria for Chronic Fatigue Syndrome (CFS) were offered a brief (4 days) group treatment program based on education, stress reduction through mindfulness training, cognitive-oriented therapy focusing on coping abilities, and physical activity with body awareness. Patients were referred from GPs and medical specialist centras to a specialist CFS clinic, recruited consecutively, participated in groups of 8, in an open naturalistic study.

Outcome measures were assessed pre and post (1 week and 3 months post) treatment, through self-report questionnaires. There was a significant decrease on all symptom scales (Fatigues Scale), significant increase in level of functioning (SF-36) and changes in illness perception (Illness Perception Questionnaire) towards more coping and less impairment. The treatment program seems to be an effective model for improving symptoms and impairment in CFS. The results indicate that CFS can be treated effectively and that the prognosis is far less gloomy than often expected. The attitude among professionals and public towards treatment and prognosis of CFS should be challenged.
P02-324 - Obsessive Symptoms and Traits in a Sample of Spanish Outpatients with Anorexia and Bulimia Nervosa
Authors: Ramos-Ríos R. , Tajes-Alonso M. , Martínez-Gómez P. , Gastañaduy-Tilve M.J. , González-Lado I. , Martínez-Formoso S. , Arrojo-Romero M.
Published: June 2010

Objectives

Nowadays several authors defend the existence of an obsessive-compulsive (OC) spectrum in which eating disorders (ED), especially anorexia nervosa, would be include. We investigated the presence of OC symptoms in bulimic and anorexic patients and its relationships with personality traits.

Method

The Maudsley Obsessive Compulsive Questionnaire (MOCQ) and the revised version of the Temperament and Character Inventory (TCI-R) were administered to patients and healthy controls.

Results

Patients show higher scores than controls in the global punctuation of de MOCQ, and in the checking and doubt subscales. Cases also score higher in harm avoidance (dimension associated with personality disorders of cluster C) and in its subscale anticipatory worry. No differences were found between patients subgroups.

 Restricting Anorexia Nervosa (RAN, n = 21)Binging-Purging Anorexia Nervosa (BPAN, n = 29)Bulimia Nervosa (BN, n = 34)Control (C, n = 52)p MOCQ11.912.611.87.8<0.001RAN, BPAN, BN > CChecking subscale (MOCQ)33.93.41.7<0.001BPAN, BN > CCleanness (MOCQ)3.83.83.93.20.36n. s.Slowness (MOCQ)3.22.82.82.80.64n. sDoubt (MOCQ)3.843.721.4<0.001RAN, BPAN, BN > CHarm avoidance (TCI-R)116.1118.4116.7104.50.005BPAN, BN > CAnticipatory worry vs optimism (TCI-R)39.238.238.431.9<0.001RAN, BPAN, BN > C

[Results]

Conclusions

Patients present more OC behaviours in comparison with healthy population but measures of obsessivity do not differ between the types of ED. Traits of personality characteristically associated to cluster C and to anxiety disorders seem to be also common features. These results do not support a separated classification of RAN into the OC spectrum.
P02-325 - Personality Types A/B and D, Cholesterol and Homocystein in Major Depression Compared to PTSD with and Without Depression
Authors: Topić R. , Aukst-Margetić B. , Ćima A. , Štimac Z. , Jakovljević M.
Published: June 2010

Background

Major depression and post-traumatic stress disorder (PTSD) are commonly associated with coronary heart disease (CHD) as well as hyperhomocysteinemia and hypercholesterolemia. Personality types A and D are claimed to be risk factors for CHD.

Aim

To evaluate relations between risky personality types, cholesterol and homocystein serum levels in patients with major depression compared to PTSD patients with and without depression.

Subjects and methods

Personality types A and D, cholesterol and homocysteine level were assessed in 40 patients with major depression and 40 male PTSD patients with and without depression.

Results

Hypercholesterolemia and hyperhomocysteinemia were found more frequently in patients with major depression and PTSD patients with depression than in PTSD without depression. Personality type D (tendency to experience negative emotions and social inhibition) was more frequent among PTSD patients compared to patients with depression, while there was no difference in personality A type (competitiveness, time urgency, aggressiveness and hostility) distribution.

Conclusion

Hypercholesterolemia and hyperhomocysteinemia may be useful clinical markers related to specific treatment options in patients with major depression as well as in PTSD patients.
P02-330 - Treatment of Anorexia Nervosa and Obsessive Personality Disorder with Third-Generation Therapies: A Case Study
Authors: Martín-Murcia F. , Langer A. , Cangas A.
Published: June 2010

Objectives

We present a case study of Anorexia Nervosa and Obsessive Personality Disorder as an argument to describe the main therapeutic interventions used framed in so-called third-generation therapies.

Method

The sessions were recorded on videotape by independent observers. Both the particularities of the therapeutic relationship (based on functional analytic psychotherapy) and contextual strategies used (based on acceptance and commitment therapy) were analyzed.

Results

During the therapy, several changes where observed. Among them: Better social behavior, congruence between vital values and vital actions, resolution of the eating disorder, greater openness to experience and decrease of obsessive thoughts.

Conclusion

The changes that were observed during the therapeutic process will be associated with specific interventions resulting from the contextual-functional approach.
P02-332 - Dynamic Psychiatry - A Group-Dynamic Oriented Psychiatry
Authors: Burbiel I.
Published: June 2010

The group- dynamic view of any human development and change, both of the individual as well as of a group, is one central premise of Günter Ammon's Dynamic Psychiatry. This understanding postulates that any human being- from birth on- experiences consciously and unconsciously innumerable contacts, expectations, desires, conflicts and interactions in many different groups. Those experiences are substantially moulding a person and his/her personality with its intellectual, psychological, and physical dimensions, including the processes of brain development.

The earliest, internalized group- dynamic experiences in particular are having a determining influence in shaping significantly a person's later life. Such archaic group- dynamic traumata, which often lead to pathological developments, are then acted out through an obsessive-compulsive disorder.

This is the starting point for a variety of different psychotherapeutic interventions with the intention to initiate processes of recovery through emotional correcting inter-human experiences and psycho-dynamic working on internalised conflicts.

Against the background of more than forty years of clinical in- and out-patient experience with empirical validation of treatment results, the author's objective is to discuss the importance of such a group-dynamic oriented Dynamic Psychiatry for the treatment of severe mental illnesses.

The aim is furthermore, to demonstrate the contribution Dynamic Psychiatry can provide to a spectrum of various and diverse psychiatric approaches.
P02-336 - Mindfulness Based Cognitive Therapy for Major Depression: A Systematic Review and Meta-Analysis
Authors: Chiesa A. , Serretti A.
Published: June 2010

Objective

Mindfulness based Cognitive Therapy (MBCT) is a standardized meditation program which has been proposed as a therapeutic option for the prevention of relapses in patients suffering from major depression (MD). The aim of the present review and meta-analysis is to provide an estimate of the efficacy of MBCT for MD patients.

Methods

A literature search was undertaken using MEDLINE, ISI web of knowledge, the Cochrane database, Google scholar and references of retrieved articles. Controlled studies investigating the efficacy of MBCT for MD were entered in the Cochrane Collaboration Review Manager Software (RevMan version 5.0).

Results

Reviewed data showed that MBCT in adjunct to usual care was significantly better than usual care alone for reducing MD relpases in patients with 3 or more past episodes of MD. MBCT plus gradual discontinuation of maintenance antidepressants was similar to continuation of antidepressants alone with respect to relapse prevention. The augmentation of MBCT could be useful for patients with current residual symptoms of depression as well.

Conclusions

Current studies showed preliminary evidence about the efficacy of MBCT for patients with 3 or more past episodes of depression and for currently depressed patients with residual symptoms. However, methodological shortcomings of reviewed studies including small sample size, frequent lack of replications and the absence of studies comparing MBCT to control groups designed to distinguish specific from non specific effects of meditation imply the necessity for further research.
P02-340 - The Effects of Psychodrama on Depression and Mental State Among Women with Chronic Mental Disorder
Authors: Ebrahimi Belil F.
Published: June 2010

Introduction

At resent 3desaides management of chronic mental disorders at psychiatric health association tobe high attention.

Purpose of study

Determining effect of psychodrama on depression among women with chronic mental disorder.

Methods

This study was a quasi-experimental study that done in RAZI comprehensive psychiatric center. Community of this research consists of chronic mental patients bedridden at RAZI comprehensive psychiatric center that among them 30 women with chronic mental disease possess entrains criterions selected and with randomized permuted blokes´ allocation to two control and intervention groups. Then them depression examined with beck depression inventory (BDI). Then 12sessions hours long of psychodrama, 2ice per week, 6 weeks for intervention group enactment but control group received routine treatments. When the program ended depression of ills reexamined whit study instrument and analyzed with independent T test, paired T test kolmogroph smernophand Leven and covariance analyzes tests.

Results

Main of depression before and after intervention at control group was not significant but at Intervention group was significant (P=0.000).

At two groups after Intervention depression differences revolve significant (P=0.000). Comparison between main of depression after psychodrama even after modification of age and before intervention depression effect by covariance analyzes at two groups showed significant deferens.

Conclusion

Psychodrama leads to decrease of depression at intervention group.
P02-341 - Teaching of Problem Solving as a Component of Fairy-Tale Cognitive Behavioral Therapy (FCBT)
Authors: Iosebadze T.
Published: June 2010

1.

Teaching of problem solving constitutes a structural component of my Fairy-tale Cognitive Behavioral Therapy (FCBT) model. I believe that fairy-tales have tremendous potentialities to learn how to solve our problems.

2.

In my model of problem analysis of fairy-tale the following aspects are accentuated:

1)

in reading a fairy-tale you should draw your attention to problems and ways of their solving presented in the fairy-tale;

2)

you should reflect upon what other ways of problem solving may be used in the case;

3)

what mistakes have been made and what successful means of problem solving the characters of the fairy-tale used;

4)

what has led to the origin of the problem and how it could be avoided;

5)

what factors influence the problem solving positively or negatively;

6)

what is needed to solve the problem;

7)

what resources are needed for the characters of the fairy-tale to solve the problem; do they have these resources and do they use them rightly and effectively;

8)

peculiarities of the thinking of the characters;

9)

to what systemic consequences may these or those ways of problem solving have led;

10)

what strategies of problem solving are used in the fairy-tale and perhaps it is better to use other ones;

11)

what the fairy-tale teaches us;

12)

drawing a parallel between situations in the fairy-tale and life situations of the patients; etc.

3.

A fragment of my group psychotherapy session at which the problem analysis was conducted will be presented at the Congress.
P02-344 - Clinical Investigation by the Psychoanalytic Method in a Case of Child Sexual Abuse
Authors: Jacintho A.C.d.Á. , Pereira M.E.C. ,   Laboratory of Fundamental Psychopathology, UNICAMP
Published: June 2010

Objective

To discuss the use of the psychoanalytic method in clinical research and treatment in cases of child sexual abuse, through the account of assistance to a 9 year old female victim of incest.

Method

Session-report of the child.

Results

The girl, abused by her father, shows up in her introspective first hour of play, refusing to address the abuse. Draws three hearts by writing down their names. In the first, writes her name inside the heart and the name of the mother. Under the second, she writes the name of her stepfather whom she calls “father”. Under the third “mother” and writes her name. Delivers to the design analyst and cries, saying she wants her father, calling the name of her stepfather. Later assembles a puzzle of Noah's Ark. She says that God sent Noah to build the ark to bring an animal of each species. The analyst wonders whether it would be a couple of animals. She curtly replied no.

Conclusions

Through the session hour, we observed the injuries produced by emotional abuse, and the child's need to seek a trusted father figure, represented in the drawing of her stepfather. Because of the loss of confidence, the analyst is an element of persecution for the child, and the “analytic couple” still cannot be formed. Note the importance of understanding the symbolic communication expressed in the play, which highlighted situations of psychic damage and the need to repair the damaged parts of the self.
P02-345 - Psychodynamic Dijagnostic Manuel (PDM) in Clinical Practice-Case Report
Authors: Kecojevic-Miljevic S.
Published: June 2010

Psychodynamic diagnostic manual(PDM) was created by collaborative work of organizations in the field of mental health and an international authorial group, with the aim of supplementing currently valid diagnostic systems ICD-10 and DSM-IV-TR and improving the quality of diagnostics and therapy of mental disorders. PDM is based on traditional psychoanalytical and psychodynamic concepts of mental disorders genesis,currently valid diagnostic systems, new insights in the area of neurosciences, as well as on the evaluation of outcomes of different therapeutic approaches. The purpose of this paper is the usage of the useful guide in clinical practice with the aim of diagnosing mental disorder in the case of the described patient from the point of view of three axis diagnostic system offered by PDM, with reference to indication of a type of psychoanalytical psychotherapeutic approach applied in her tretman.The multiaxis diagnostic system of PDM has been used in the metodology of this paper. Based on this reserch we conclude that the described patient suffers from somatising personality disorder, also possesses the level of mental functioning with moderate to higher degree of limitation, and symptomatically demonstrates somatiform disorder from the class of gastriointestinal system dysfunction, and anxious disorder from a class of phobia.The mind-set of the patient, a chronic somatiser, and a limited level of her mental functions wich suggests the inclination to a borderline level of personalitz organisation indicate and adduce plausible grounds for using suppportive-expressive psychoanalztical psychotherapeutic approach in the treatment of the patient.
P02-350 - Universality of Interpersonal Psychotherapy (IPT) Problem Areas in Thai Depressed Patients
Authors: Lueboonthavatchai P. , Thavichachart N.
Published: June 2010

Objectives

Many studies showed the efficacy of interpersonal psychotherapy (IPT) on depression; however, there were limited studies concerning the universality of the IPT problem areas in different countries. This study identified whether the interpersonal triggers of depression defined in the manual were present in Thai depressed patients.

Methods

Thai Hamilton Rating Scale for Depression (Thai HRSD) and Thai Interpersonal Questionnaire were used to assess the 90 depressed and 90 non-depressed subjects in King Chulalongkorn Memorial Hospital, during July 2007 - January 2008. The association between interpersonal problem areas / sociodemographic variables and depressive disorder were analyzed by chi-square test. The logistic regression was performed to identify the predictors of depressive disorder.

Results

Most of subjects were young and middle-aged females, living in Bangkok. All four interpersonal problem areas (grief, interpersonal role disputes, role transitions, and interpersonal deficits) were increased in the depressed as compared to the non-depressed subjects as well as in sociodemographic variables (low education, unemployment, low income, and having a physical illness). Logistic regression showed that all interpersonal problem areas still remained the significant predictors of depression. (grief: adjusted OR = 6.01, 95%CI = 1.93 - 18.69, p < 0.01; interpersonal role disputes: adjusted OR = 6.01, 95%CI = 2.18 - 16.52, p < 0.01; role transitions: adjusted OR = 26.30, 95%CI = 7.84 - 88.25, p < 0.01; and interpersonal deficits: adjusted OR = 2.92, 95%CI = 1.12 - 7.60, p < 0.05)

Conclusions

All four interpersonal problem areas are applicable to Thai depressed patients.
P02-351 - Psychoeducative Model and Network Model in Work with Young Schizophrenic Patients and Their Families
Authors: Marijanac B.
Published: June 2010

Introduction

Systemic family therapy as psychosocial intervention is focused on family on the whole.It is considered that multidimensional approach is the most appropriate way of treatment.

Methods

We described psychoeducative working model in work with families with young schizophrenic member, aged 20-30years. We worked simultaneusly and paralelly with five families each, total 15 families, in form of network seances lasting 1,5 to 2 hours, during period of three months.Data were obtained through interview and unstandardized test questionnaires - beginning and evaluation one.

Results

We got expected results, meaning that complete disfunctionality of actual organisation was confirmed. The feelings of helplesness, shame, guilt, uncertain future and anxiety prevails. Identified patient is central point, he/she occupies the top of hierarchy scale. Families have diffuse internal subsystem borders, rigidity of outer borders, and many alliances, triangles and coalitions.In communication there is no directivnes, and there is a presence of paradox, avoiding, denial, and emotional exchange varied from network to extremely distant.

Conclusion

Based on responses from our evaluation questionnaire, we concluded that implementation of this type of work is necesarry. Our clients accepted it, as it leads to improvement of everyday life, induce self-respect and sense of ones own efficiacy. Family members became supportive network to each other in specific conditions. Instead of network of professionals, the network of people with similar hard expirience and their own ways of help in family crisis situations was formed.
P02-353 - Therapeutic Writing in Psychiatry and Psychotherapy
Authors: Noertemann M. , Friedrich O. , Wiethuechter B. , Rommel T.
Published: June 2010

Objective

Therapeutic Writing ist not yet commonly used in Psychiatry and Psychotherapy although it seems to be a promising supportive and well accepted therapeutic tool. Over the last years we have implemented group therapy for Therapeutic Writing at four psychiatric clinics.

Exclusion criteria were insufficiant knowledge of language, illiteracy or insufficiant ability to participate in therapeutic groups. We treated in-patients in a secure environment, on general psychiatric wards and in a day-clinic setting from adolescence to seniority mainly with Schizophrenia, Depression, Bipolar Disorders, Personality Disorders, Anxiety Disorders,and Eating Disorders.

This poster outlines our theoretical framework as well as practical aspects of implementing Therapeutic Writing as a group therapy in a psychiatric/psychotherapeutic setting.
P02-354 - Psychotherapy Effectiveness Research: Changes in Social Support in the Course of Intensive Group Psychotherapy
Authors: Mielimaka M. , Rutkowski K. , Sobanski J. , Murzyn-Bialas A. , Muldner-Nieckowski L.
Published: June 2010

Objectives

To evaluate the changes in perceived social support in patients treated due to neurotic and personality disorders with intensive group psychotherapy.

Methods

An analysis of structural and functional social support and personality descriptors evaluated at the beginning and at the end of intensive group psychotherapy has been performed in the group of 60 patients. Social support has been evaluated in terms of informative, emotional and instrumental aspects with the use of Berlin Social Support Scales and in terms of the structure and functional properties with the use of Bizoń’s method of social network and social support assessment. Personality descriptors have been obtained using Neurotic Personality Inventory KON-2006 and NEO-PI-R.

Results

Results of this research support previous findings that successful psychotherapy (in terms of favorable changes in personality descriptors) alters the perceived structure and function of social support. Less populated social support networks become more effectively utilized. Individual members of the networks become perceived as providing social support in a wider range of functional properties. Moreover an overall increase in patients’ satisfaction with available social support has been observed.

Conclusions

Promising results of this study, that support previous findings, show the need for further research on the subject matter. Further analysis of relationship between changes in limited personality traits and particular aspects of social support will provide additional valuable data.
P02-359 - Principles of Organisation of the Psychotherapeutic Care in Ukraine
Authors: Mykhaylov B.
Published: June 2010

The psychotherapeutic care in Ukraine is carried out in structure specialized psychiatric, psychoneurological and somatic hospitals and polyclinics of public health services. The basic organizational unit of the psychotherapeutic care is the cabinet of psychotherapy, which aggregate number on 1.01.2009 year was 223, from them in a psychiatric network 134 (61 %) in somatic - 89 (that makes about 39 %). The psychotherapeutic care is carried out within the limits of medical and psychological model. Thus since 1997 the speciality medical psychology and a post of the doctor-psychologist is entered. From now on in a medical network medical psychologists with medical (85 person) and psychological (315 person) base aducation in parallel work. The general deficiency of the staff is made nearby by 600 person. The basic problem are defficiency posts of psychotherapists in specialized and somatic networks according to operating specifications. The general deficiency of physical persons makes 1000 persons. The psychotherapeutic network requires immediate expansion, especially in somatic treatment-and-prophylactic hospitals and polyclinics. The staff could be taken from psychiatrists after reduction psychiatric beds which would pass a training for a new profession on corresponding faculties and chairs of psychotherapy of postgraduate education organizations.
P02-363 - Changes in Cognitive Functioning During Group Psychodynamic Psychotherapy with Young Psychotic Patients
Authors: Restek Petrović B. , Bogović A. , Silić A. , Mihanović M. , Grah M. , Kezić S.
Published: June 2010

Objectives

Cognitive impairment is considered to be one of the central features of schizophrenia and it has been so since original descriptions of illness by Kraepelin and Bleuler. Deficits are already present at the first-episode of illness. Some researches conclude that deficits do not change over time, while others suggest that deficits can be reduced. The objective of this research is comparison of cognitive functions of psychotic patients who participated group psychotherapy with those ho did not.

Method

In this paper, by means of Revised Beta Examination (measure of non-verbal intellectual ability) we observe changes in cognitive functioning of 29 psychotic patients who participated in the psychodynamic group psychotherapy within the Early Interventions Program and compare their cognitive achievements with results of matched 32 psychotic patients who received “treatment as usual”. Answers were analyzed qualitatively and quantitatively.

Results

Improvement in cognitive functions was observed in both investigated and control group, but improvement in patients who are participants of long-term psychodynamic group psychotherapy was better than in the group of patients who were not treated in that manner with statistical significance.

Conclusions

Psychiatric hospital “Sveti Ivan” offers an extensive outpatient Early Intervention Program for psychotic patients in the critical period of their illness - up to five years from onset. The program includes psychoeducation workshops for the patients and their family members together, group psychodynamic psychotherapy for the patients and group psychotherapy for the family members. Our results indicate better effectiveness of Program when compared to “treatment as usual”.
P02-364 - Efficacy of Ultra-brief Cognitive-Behavioural Therapy in Depressed Inpatients
Authors: Rieu J. , Bui E. , Birmes P. , Schmitt L.
Published: June 2010

Objectives

Few studies have suggested the efficacy of cognitive-behavioural therapy (CBT) in inpatients suffering from major depressive disorder (MDD). The present study aims at examining the efficacy of Ultra-brief CBT (UCBT) in depressed inpatients.

Methods

Twenty-two patients (age>18) admitted to the psychiatric ward of Toulouse University Hospital for MDD were randomised to receive for two weeks either UCBT (n=11) or treatment as usual (TAU) (n=11). UCBT consisted in 6 sessions of CBT while TAU consisted in supportive sessions. Both types of sessions were performed by psychiatric residents. Both groups also received pharmacological and institutional cares. Primary outcome was depressive symptoms assessed by the Beck Depression Inventory (BDI-II) and the Hamilton Depressive Rating Scale (HDRS) before and after treatment (2 weeks).

Results

There were no differences between the groups on any baseline variables. Mean age was 48.4 (SD=12.7) and 36.4% (n=8) were of male gender. Mean baseline HDRS scores were 23.3(SD=6.3) and 19.3(SD=3.9) and BDI scores were 36.7(SD=12) and 36.1(SD=7.5) for the UCBT and TAU groups respectively. At the end of treatment, mean HDRS scores were 12.3(SD=10.1) and 14.4(SD=7.8) and BDI scores were 18.8(SD=16.8) and 20.6(SD=11.4) for the CBT and TAU groups respectively. Both groups displayed a significant decrease on HDRS and BDI scores (all p< 0.05). An analyse of variance showed an interaction time by group in favour of the UCBT group on HDRS score (F=6.66; p=0.018).

Conclusion

Our results suggest that UCBT might be more efficacious than supportive therapy in depressed inpatients.
P02-367 - Towards A New Theoretical Framework for Cognitive-Behavioral Therapy (CBT)
Authors: Varga S.
Published: June 2010

Cognitive-Behavioural Model (CBT) has become something like the predominant paradigm in psychotherapy. When examining national recommendations (fx UK), there is little doubt that CBT is promoted as the therapy of choice and the preferred first line treatment for depression, eating disorders, panic disorder and obsessive-compulsive disorder.

The main aim of my talk is to revise the theoretical foundations of CBT. I will proceed in three steps. First, I will argue that CBT is in part based on misleading philosophical assumptions. These are:

(1)

Emotional experiences and feelings are caused by beliefs

(2)

Beliefs involve representational states

Second, drawing on new developments in the philosophy and neuroscience of emotions, I will attempt to construct a new and more coherent theoretical framework for CBT and work out some of the practical consequences.
P03-105 - Lack of Association Between Cognitive Changes in the First Episode Psychotic Patients and Schizophrenics
Authors: Pešić D. , Janĉić D. , Peruniĉić I. , Mandić-Maravić V. , Kostić M. , Marjanović S. , Leĉić-Toševski D.
Published: June 2010

Objectives

Various studies have demonstrated that psychotic patients have poor performance on the Wisconsin Card Sorting Test (WCST), which serves as an indicator of the dorsolateral prefrontal cortex executive functioning. The aim of our study was to compare cognitive performance of patients suffering from chronic psychosis with the first episode patients.

Method

Our sample consisted of chronic schizophrenic and schizoaffective patients in worsening phase, the first episode patients and corresponding healthy controls. All patients were tested by WCST in the second week after the hospitalization, were treated with SGA, and had PANSS score above 60.

Results

The performance of the psychotic patients was equal to the performance of healthy controls in all variables of the WCST, except the average non-perseverative responses (NPR) (p=0.01). NPR score indicates a state rather than shift in a cognitive set, so we performed the analysis of the given working memory test per diagnosis of the patients. The results showed lack of significant difference in the WCST performance between schizophrenic, schizoaffective and healthy subjects, whereas the first episode patients performed significantly worse then controls in the following variables: categories, perseverative errors and conceptualization level (p< 0.05).

Conclusions

Our findings showed difference in cognitive functioning between first episode patients and chronic psychotic patients. Better cognitive performance of chronic psychotic patients could be explained by potentially beneficial effects of the SGA pharmacotherapy to the cognitive status. However, this finding may be also limited by its association with age and relatively modest PANSS scores.
P03-109 - Postpartum Psycosis
Authors: Ramos A. , Cintra P. , Lobo R.
Published: June 2010

Ever since Hippocrates that it is acknowledged that post-partum represents a period of vulnerability for a number of psychiatric conditions in women, including postpartum psychosis.

In this poster, following a discussion of a clinical case of postpartum psychosis, we make a revision of the issue, with historical background, discussion of classification and nosologic status within international classification systems, epidemiology, risk factors, clinical presentation, treatment and prognosis.

The method used consisted in revision of literature, research of scientific articles on medline, consultation of gynecology clinical file and inpatient obstetrics and psychiatry clinical files.

From our research, we emphasize that postpartum psychosis is accountable for a small fraction of psychiatric morbidity in post-partum, occurring more frequently in primiparas, and women with similar psychiatric antecedents. Even thought there may be different clinical presentations, affective symptoms, state of conscience fluctuations and mood congruent delusions are typical. Several studies suggest that most cases are associated to bipolar disease.

Postpartum psychosis is a medical emergence. Fast identification and evaluation are crucial to implement multidisciplinary obstetrics and psychiatric care, involving family and providing adequate social support.
P03-111 - Influence of Psychodynamic Group Oriented Psychotherapy on Quality of Life in Patients with Psychotic Disorders
Authors: Restek Petrović B. , Orešković-Krezler N. , Bogović A. , Mihanović M. , Grah M. , Mayer N.
Published: June 2010

Objectives

Group psychotherapy along with psychopharmacological therapy and sociotherapy is an important and frequently applied therapeutic method. Numerous studies indicate that group psychotherapy affects the functioning in patients with psychotic disorders in terms of improving the cognitive, emotional and social functioning and generally contributes to a better quality of life (Kanas, 1996).

The aim of this study was to assess the impact of psychodynamic oriented group psychotherapy on the quality of life in patients with psychotic disorders and to compare the obtained results with the results of patients with psychotic disorders who did not participate in psychodynamic group psychotherapy.

Method

Patients included in this study have completed psychotherapy group five years ago and were in regular outpatient treatment together with regular application of medication therapy. The applied method was Quality of Life Scale (Krizmanić, Kolesarić). Answers were analyzed qualitatively and quantitatively.

Results

The quality of life in the group of patients who completed long-term psychodynamic group psychotherapy was better than in the group of patients who were not treated in that manner, although there are no statistically significant differences. The most important differences were in the area of intimacy, professional occupation and in the area of family relations.

Conclusion

It can be concluded that long-term psychodynamic group psychotherapy has a positive influence on quality of life of patients with psychotic disorders.
P03-112 - Gender Differences in Brief Psychotic Disorder
Authors: Rodríguez R. , Roca A. , Ramos I. , Pujol C. , Piñeiro B.
Published: June 2010

Introduction

Brief Psychotic Disorder (BPD) is a disease characterized by sudden onset of psychotic symptoms. This disturbance lasts at least 1 day but less than 1 month, and the subject fully recovered premorbid level. In the literature there are few data on its prevalence, established between 4-10% of all psychotic disorders. Although a female preponderance has been postuled, gender differences have not been well studied. Therefore, the aim of the present study is to examined sex differences in brief psychotic disorder.

Method

We conducted a retrospective study to estimate the gender differences in an inpatient psychiatric sample. This sample (n=39) included acute patients admitted in a psychiatry ward with diagnosis of brief psychotic disorder. The clinical and socio-demographic characteristics were analysed for males and females separately.

Results

Of a total of 39 patients with BPD, 74.4% were women (n = 29) and 25.6% male (n = 10). Mean age at diagnosis was 33 +/- 8.65 years. Of the clinical variables studied, none was significantly different between male and female. Men had a higher consumption of alcohol (p< 0’05); there were no differences in axis II. Males had more psychiatric family history (70% vs 48.3%), although not statistically significant. Women had more frequent family history of mood disorders and men of psychotic disorders (p < 0.05).

Conclusion

We found higher prevalence of BPD in women. Males had more family history (mostly psychotic) and more toxic dependence. Further studies are needed with larger samples to determine the existence of sex differences.
P03-115 - High Incidence of Hyperprolactinemia in Polish Patients with the First Episode of Schizophrenia Participating in EUFEST Study
Authors: Rybakowski J. , Formanowicz J. , Olajossy M. , Jarema M.
Published: June 2010

Objective

The aim of the study was an analysis of prolactin concentration in the course of antipsychotic treatment in Polish patients participating in EUFEST study.

Methods

Seventy-eight patients with the first episode of schizophrenia were studied, randomly allocated to the treatment with low dose haloperidol (n=23), amisulpride (n=21), olanzapine (n=22), quetiapine (n=11) or ziprasidone (n=1), for the period of 12 months. Prolactin concentration was assessed at baseline and after 6 and 12 months of treatment. Hyperprolactinemia was defined as prolactin concentration >18 ng/ml in males and >25 ng/ml in females.

Results

At baseline, the mean prolactin concentration was 56,5 ng/ml and hyperprolactinemia was observed in 86% of patients, slightly more than in the whole EUFEST group (71%). Prolactin concentration was similar in drug-naïve as in non-drug-naïve patients. After 6 month of treatment, hyperprolactinemia was found in 67% of patients, lowest in haloperidol (29%) and highest in amisulpride group (93%). After 12 months, hyperprolactinemia was observed in 56% of patients, lowest in quetiapine (36%) and highest in amisulpride group (80%).

Conclusion

Hyperprolactinemia was found in a majority of patients with the first episode of schizophrenia, including drug-naïve patients. In the course of one-year antipsychotic treatment, in patients receiving amisulpride, the hyperprolactinemia has been maintained at the initial high level while in remaining groups, a reduction by about 50% of the number of patients having hypeprolactinemia at baseline was observed. We suggest that an abnormality of stress system, could contribute to hyperprolactinemia independent of antipsychotic treatment in the first episode schizophrenic patients.