bluuebunny/crossref_metadata_2025 huggingface dataset:
P01-241 - The epidemiologic and demographic study of nocturia in children of Ardabil, Iran
Authors: Rezaei Ghalechi E. , Sadeghi Movahhed F.
Published: June 2010

Objective

This recent demographic and epidemiologic study includes the prevalence of nocturia among the primary school children in Ardabil, Nocturia causes irretrievable damages in children's mentality and may have results such as being shy, offensive and lying on children.

Methods

In this study, about 500 students were determined but regarding to different cultural issues. questionnaires were distributed among the students in clustery ways which were answered by the parents of the students. Information and statistics were analyzed by using SPSS software out of 640 filled papers.

Results

The prevalence of nocturia among the children in Ardabil is 17/18% which 7/49% were girls and 9/68% were boys. 83/5% of them had the primary nocturia and 15/6% the secondary one. The most prevalence was in age-groups between 8 to 10 with 41/8%. 60/6% of them nocturia were the first or second one in the family. 31/2% of them had precedent of using horrible movies.23/1%coming a newborn baby.20/4%had the precedent of snoring at nights and a stuff feeling during sleep. 18/2%had inadequate physically growth. 13/8% had the prevalence of UTI, 13/1% the mothers employed, 7/5% had constipation, 3/7% spinal trauma, 2/7% congenital kidney diseases and 0/9% had

Myelic problem.

Discussion

The goal of this study is finding the number of children having nocturia in Ardabil in primitive age groups regarding the separation of girls and boys and looking into the reasons that cause nocturia in order to find effective strategies against the problem.
P01-257 - Selective Mutism: Comparing Case Reports of two 6-year-old Children
Authors: Tsitsi P. , Roboti P. , Voura N. , Papanikolaou K. , Gerodimou M. , Angelidis G.F.
Published: June 2010

Objective

Selective mutism is a psychiatric disorder characterized by consistent failure to speak in specific social situations despite speaking in other occasions.

Aim

To demonstrate different therapeutic approaches: Cognitive Behavioral Therapy (CBT)/ CBT besides medication.

Methods/material

The material used comes from the archives of the Child/Adolescent Clinic of the Community Mental Health Center (CMHC) of Katerini, Greece.

Discussion/results

Two six-year-old children visited the Child/Adolescent Clinic of the CMHC of Katerini. They both presented reluctance to speak at school while interaction in other activities varied between them. Although they were both initially treated with CBT, the severity of symptoms in one case led to the administration of Fluoxetine in addition to CBT. Fluoxetine was initiated at 4 mg/day and gradually titrated to 20 mg/day. Two years later, both cases show clear improvement. The first one treated only with CBT has begun to speak at school, mainly when asked to do so, and appears more willing and comfortable among strangers. The second one shows signs of progress especially after the initiation of Fluoxetine. The patient interacts with strangers, speaks to children out of school and appears in better mood. Despite the progress, she still mutes at school.

Conclusion

In accordance with other international references, this presentation shows that cases of Selective Mutism respond to variant therapeutic approaches. Although CBT can be proved quite effective, Fluoxetine can be used to provide extra benefit.
P01-260 - Population-based Comparison of Specialized and Community Based ADHD Service Rates: Evidence for a New Delivery Model
Authors: Wilkes C.
Published: June 2010

Introduction

Population-based analysis of regional and provincial data has permitted identification of areas for modeling innovative service delivery paradigms. Attention Deficit and Hyperactivity Disorder (ADHD) serves as an example. Within the same catchment region, comparing tertiary service utilization with provincial ADHD rates, we have identified a potential service gap. Potential to improve capacity based on a fiscally neutral model is discussed.

Method

Annual data collected in the regional child and adolescent mental health program information system from 2002-2009 was used to describe characteristics of those referred with a provisional diagnosis of ADHD. Regional population-based utilization rates were compared to the region-adjusted provincial rates of ADHD.

Results

As is typical, receiving a provisionally diagnosis of ADHD was significantly associated with longer wait for service and length of stay, being male and younger, greater comorbidity (e.g., conduct disorder), more behavioral problems and more problems at school. About half of the referrals came from community-based primary care physicians. Many children are diagnosed with ADHD by community physicians and relatively few receive specialized treatment.

Conclusions

Analysis of population-based service rates identify potentially large knowledge gap. Within this gap, the quality of service and fidelity to evidence-based practice in community-based treatment of ADHD are unknown. Community-based primary care practitioners have little specialized mental health training and may require support in delivering evidence-based care. To this end, we describe a model to address the identified service gap for ADHD.
P01-262 - Abnormal temperament in patients with morbid obesity seeking surgical treatment
Authors: Amann B. , Mergl R. , Perugi G. , El-Gjamal N. , Padberg F. , Torrent C. , Laakmann G.
Published: June 2010

Objectives

Obesity and its related disorders are growing epidemic across the world. As some forms of abnormal temperament are considered as subtype of the soft bipolar spectrum, we aimed to evaluate abnormal temperaments in morbid obese patients.

Methods

Using a short version of the Temperament Evaluation of Memphis, Pisa, Paris and San Diego, we investigated abnormal depressive, cyclothymic, hyperthymic, irritable or anxious temperament in 213 patients with morbid obesity compared to a control group of 90 patients admitted prior to transplantation. Additionally, the Beck-Depression Inventory (BDI) and the Self-Report Manic Inventory (SRMI) were applied to assess the current mood states.

Results

The obese group showed statistically significant more psychiatric comorbidities compared to the control group. Abnormal temperaments were significantly more often observed in patients with morbid obesity rather than in controls. Cyclothymic, irritable and anxious temperaments showed specificity to obesity. Obese patients had significantly higher scores in BDI, while no difference for SRMI scores was registered among the whole groups. All temperaments were positively correlated with BDI and SRMI in the obese group.

Conclusions

Our results need replication but indicate an affective overlap in form of abnormal temperament and depressive symptoms in obese patients, whereas mood swings should be evaluated and early mood stabilization considered for patients with significant weight gain to prevent obesity or to reduce already existing overweight. Studies of mood stabilizers and prospective observations would shed further insight on this complex interface of a major clinical and public health issue.
P01-263 - Consultative psychiatry in emergency service
Authors: Arcenegui Calvo A. , de la Vega D.C. , Gutierrez Vázquez J.
Published: June 2010

Objectives

Description of the patients initially attended by the medical area at Emergencies service that later required psychiatric assessment.

Methods

Retrospective review of the clinical histories of the previous three months (July to September) using Hospital Ramon Cajal's history software. Data were analyzed using the SPSS software 15.0 version.

Results

55 patients were assessed, 25 male and 30 females, with an average age of 34 years old. Many of the patients were frequent users of our Emergencies service: almost half of the patients (45%) had already come between 2 and 5 times, and only 11 of them (20%) had never been there before. 74% of these patients were already receiving psychiatric care in their ambulatories.

The most frequent cause of consulting were suicidal attempts (50’9%) and drug abuse (18’2%). Up to 56’4% needed to continue been attended by a psychiatry ambulatory, 20% required hospitalization at the psychiatric unit and only 5’5% of the patients did not need any psychiatric care.

Conclusions

The medical area in our Emergency Service is well trained in recognizing psychiatric symptons, that is the reason why around 95% of the patients of our study needed psychiatric treatment.

Sucidial attempt is the typical case in which it is necessary a close collaboration between different medical areas that work in the Emergency service.
P01-275 - Depression in Diabetics-a Serious Comorbidity
Authors: Hussain A. , Shah H. , Zarger H. , Margoob M. , Wani Z. , Qureshi W. , Laway B.
Published: June 2010

Objective

Diabetes mellitus is a syndrome with disordered metabolism and inappropriate hyperglycaemia due to either the deficiency of insulin secretion or to a combination of insulin resistance and inadequate insulin secretion to compensate. Depressive disorders have been found to occur at increased prevalence rates among patients with Type 1 and Type 2 Diabetes Mellitus 9. Depression has the additional importance in diabetes because of its association with poor compliance with diabetic treatment, poor glycemic control and an increased risk of micro and macro vascular complications. An accurate estimate of depression prevalence is needed to keep and gauge the potential impact of depression management in patients with co-morbid diabetes 22. Better recognition and better treatment of depression are important in themselves but they could also improve medical outcome by substantial portion in patients of diabetes

Methods

Total of 527 cases of Diabetes were screened for major depressive disorder (MDD) by using DSMIV based criteria system. Montgomeny Asberg Depression rating scale (MADRS) and Clinical Global Impression (Severity) (CGI) scale to access severity.

Conclusion

:

1.

Major depressive disorder is inordinately high among the sample of adult diabetic patients occurring at the rates of 2 - 6 times greater than those observed in general population.

2.

Majority of patients with diabetes who have major depressive disorder have depression of moderate severity and not just mild depressive symptomatology.

3.

The presence of major depressive disorder is significantly associated with poorer glycemic control.
P01-277 - Evaluation of Efficacy of Fluoxetine in the Management of Major Depression and Arthritis in Patients Suffering from Rheumatoid Arthritis
Authors: Jain A. , Bhadauria D.
Published: June 2010

Objective

Patients with chronic pain suffer dramatic reductions in physical, psychological, and social well being, and their health related quality of life is lower. Anxiety and depressive disorders occur in 20%-25% of patients with rheumatoid arthritis.

The effectiveness of antidepressants for the treatment of major depression is well documented; however, the analgesic properties of this class of medication are under-appreciated.

This study aims to prove magnitude of association between RA and Depression along with independent effect of Fluoxetine on depression and arthritis.

Method

100 socio-demographically matched woman attending a rheumatology clinic with a diagnosis of rheumatoid arthritis as defined by American Rheumatism Association criteria, were approached for the study along with homogenous group of controls. HADS, MADRS and CGI were applied. Both the groups were treated with anti RA drugs along with added antidepressant in depressed RA group.

Results

Strong association between RA and depression was established. Treatment out come of RA was better and earlier in the depressed RA patients who were given antidepressant than non-depressed RA.

Conclusion

All chronic pain conditions warrant psychiatric evaluation to unmask the associated psychiatric disorders as treatment of psychiatric disorders prove to expedite the recovery of physical symptoms as well, thus improving productive life span of an individual with chronic painful conditions.
P01-278 - Analysis of correlation between intensity of anxiety, depression and cognitive functions - before and after coronary artery bypass surgery
Authors: Krysta K. , Woznica A. , Krzych L. , Pawlak A. , Skarysz J. , Eysmontt Z. , Krupka-Matuszczyk I. , Bochenek A. , Cisowski M. , Janas-Kozik M.
Published: June 2010

Objective

In patients undergoing coronary-artery bypass surgery (CABG) the presence of cognitive functions deficits is frequently observed. This procedure is also associated with a danger of appearance of depression and anxiety. As the above symptoms may coexist, the purpose of this study was to observe the presence of depression and anxiety symptoms before and after the operation, and their impact on the cognitive functioning of operated patients.

Methods

It included 50 subjects in whom the intensity of depression was assessed with the use of the Beck Scale (BDI), and the anxiety as state and trait was assessed with the use of STAI scale on 1 day before the operation and on 5-7 days after the operation. At the some time cognitive functions were assessed with the use of Vienna Test System (VTS).

Results

The change of intensity of anxiety and depression and most of the analysed cognitive functions, except learning ability, was statistically significant. However the correlation of depressive and anxiety symptoms with the cognitive deficits achieved the level of significance only with the reference to attention disorders.

Conclusion

The achieved results show a considerable independence of the cognitive functions examination from the present emotional state in examined patients.
P01-279 - Hypersexuality Following Traumatic Brain Injury (TBI) and Neurosurgery: Case Analysis With Literature Review
Authors: Kaufman K. , Gallagher T. , Schneider J. , Tobia A.
Published: June 2010

Introduction

Hypersexuality is an uncommon behavioral complication associated with traumatic brain injury (TBI) involving lesions to frontal basal, temporal, or diencephalic structures. Experimental brain injury in animals has produced hypersexual behaviors; however, there is comparative paucity of knowledge in humans. TBI with hypersexuality offers insights into neurological basis of aberrant sexual behaviors as well as potential treatments. This case report describes social/sexual disinhibition in a patient following neurosurgery for self-inflicted TBI.

Method

Case analysis with literature review.

Results

32-year-old male was admitted with TBI following an unsuccessful suicide attempt, self-inflicted nail gun injury to the occiput. CT scan revealed 6.5cm nail that had entered the skull in right occiput, right parasagittal location with nail head right of vein of Galen, coursing through splenium of corpus callosum, right thalamus-hypothalamus-midbrain, with its tip at the suprasellar cistern. Occipital craniotomy with retrieval of foreign body was performed eleven days after admission. From post-operative day eight through twenty-seven, patient made inappropriate sexual comments to female medical student: asking her out repetitively, describing her physical appearance, enquiring about her suitors, and requesting her to call him upon his discharge. Prior psychiatric history was pertinent for major depression and social anxiety (especially women) with psychotropic noncompliance. During admission, patient was diagnosed with recurrent major depression, social anxiety by history, and impulse control disorder nos. On sertraline titrated to 100mg qhs, depression resolved with increased control over newly acquired sexual/social disinhibition noted.

Conclusion

TBI can lead to social disinhibition and hypersexuality. Sertraline may be a beneficial treatment.
P01-280 - Depression, anxiety and vital exhaustion are associated in outpatients with bronchial asthma
Authors: Kostaras T. , Moussas G. , Tselebis A. , Bratis D. , Christodoulaki A. , Kleftogianni D. , Gouma P. , Anagnostopoulou M. , Moulou A. , Karkanias A.
Published: June 2010

Objectives

Many studies have attempted to delineate the positive relationship between anxiety and depressive symptomatology in outpatients with bronchial asthma. However, do not exist reports on the relation between the depression, anxiety and vital exhaustion in these patients.

Aim of the study is to investigate the levels and the associations between anxiety, depression and vital exhaustion in outpatients with bronchial asthma.

Methods

The study was performed in one of the largest hospitals of chest diseases in Greece. Forty (14 men και 26 women) outpatients with bronchial asthma participated in the study. Using the BDI (Beck Depression Inventory), the STAI (Spielberger Anxiety Trait Inventory) and the Maastricht Questionnaire (MQ) we assessed depression, anxiety and vital exhaustion, respectively. Age and duration of the disease were also recorded.

Results

Means of age and of duration of the disease were 43.22±13.05 and 9.24±6.01 years, respectively. The mean STAI score was 42.47±9.9, mean BDI score was 14,16±7,54, and the mean MQ score was 21.02±11.05. Percentages of 29% and 60% of the sample were presented with significant anxiety and depressive symptoms, respectively. No correlation was observed between the demographics (age and duration of disease) and the STAI's and MQ's scores. In contrary, a positive correlation was observed between the levels of depression, anxiety and vital exhaustion (pearson correlation p< 0.001).

Conclusions

The study confirms the coexistence of the depressive symptomatology with anxiety and vital exhaustion in outpatients with bronchial asthma. Therefore, this comorbidity should be taken into account in order to develop specific supportive psychological interventions.
P01-284 - Cognitive Impairments in Refractory Hypertension
Authors: Lougon M. , Verri V. , Rangel Tura B. , Cordovil Oliveira I.L. , Mazzaronne R.
Published: June 2010

Objective

The main purpose of this study is to measure the prevalence of cognitive impairments among hypertensive outpatients in the Hypertension Department of Cardiology National Institute.

Methods

A sample of 90 consecutive hypertensive outpatients was evaluated from the cohort of 217 hypertensive patients population in treatment. They were assessed by the same PhD psychiatrist using the Mini Mental State Examination.

Methods

Prospective study of a sample of 90 consecutive hypertensive outpatients was evaluated from the cohort of 217 hypertensive patients population in treatment. They were assessed by the same psychiatrist, using the Mini Mental State Examination (MMSE).

Results

The main question, proposed by this study, if arterial hypertension causes cognitive impairment, has a negative answer, for it was observed that for each mercury millimeter increased in the Diastolic Blood Pressure (DBP), occurs a downfall of only 0.02 in the MMSE, but when adjusted according to the age of subjects, the association among DBP and the MMSE score disappears. Statistical analysis included the t test of Student or Mann-Whitney, qui-square test or Fisher's exact test and linear regression.

Conclusions

This study did not show any causal correlation between hypertension and cognitive impairment. According to numberless articles, the MMEE instrument demonstrated in this study, great bias associated with illiteracy and formal education.
P01-289 - Use of the PHQ-9 as a Screening Tool for Post-stroke Depression
Authors: Ulhaq S. , Symeon C. , Agius M.
Published: June 2010

Introduction

Following a previous audit conducted at Bedford Hospital we found no formal screening tool for depression was used in post-stroke patients. The prevalence of depression in the sample of 63 patients was 28%. We recommended the implementation of the PHQ-9 questionnaire as a screening tool for depression in these patients.

Objectives/Aims

To assess the effectiveness of the PHQ-9 as a screening tool for depression in stroke patients. To review whether implementing this screening tool has increased the prevalence of depression within this patient population.

Method

All patients admitted to the stroke ward in Bedford Hospital between 10/09/09 and 13/12/09 were included in the audit. Patients were screened two weeks after admission. Exclusion criteria were met if patients lacked mental capacity to be screened; the patient declined or was discharged or deceased within 2 weeks.

Results

Of 83 patients admitted, 18 (23%) were screened. Of these, 10 patients (53%) scored 5 or above, indicative of depression. One patient scored 10 indicative of moderate depression, and one patient scored 19 indicative of severe depression.

Conclusion

The PHQ-9 questionnaire is useful as it clearly increased the prevalence of post-stroke depression. However noticeably there are a significant proportion of patients who could not be screened using this tool as it is a self report assessment. This includes those who lack capacity or have communicative difficulties as is common after a stroke.
P01-291 - Prevalence of Differnt Somatoform Disorders in Psychiatric Consultations of a General Hospital: a 10-year Study in Farabi Hospital
Authors: Shakeri J. , Rahimnia M. , Ebrahimzadeh M. , Abdoli N. , Kalantary S. , Naseri S.
Published: June 2010

Aim

To find the prevalence of different Somatoform Disorders (SDs) in psychiatric consultations to inpatients and outpatients of Farabi General Hospital(Kermanshah-Iran) in 10 years (from 1994 to 2004) and to define their demographic variables.

Methods

Any patient, who received an SD diagnosis by the consultants, was further assessed, using a two-phase design, for DSM-IV SD criteria.

Results

A total of 801 patients fulfilled diagnostic criteria for a DSM-IV SD. Among these 493(61.5%) had Conversion Disorder, 127(15.9%) Somatization Disorder, 117(14.6%) Hypochondriasis, 41(5.1%) a Body Dysmorphic Disorder and 23(2.9%) a Pain Disorder).Most of the patients were young, female, married and not educated more than primary school.

Conclusion

Somatoform Disorders are common in psychiatric consultations of General Hospitals. Internists, surgeons and other specialists need to be aware of these disorders.
P01-298 - Effects of Written Emotional Expression on General Health of Patients with Multiple Sclerosis
Authors: Ranjbar F. , Herizchi S. , Talebi M. , Pourafkary N.
Published: June 2010

Introduction and objectives

Multiple Sclerosis (MS) is an acquired chronic neurological disorder. Studies have shown that prevalence of MS is more in some areas of Iran like as Azarbaijan(Tabriz) and Isfahan. General health problems are prevalent in MS patients. Written Emotional Expression (WEE) is one of the cost-effective self helpers' methods that its efficacy has been studied on mental health, but this method has never been studied on MS patients in Iran.

Aims

Aim of this study was to evaluate efficacy of WEE on general health of MS patients.

Methods

With experimental study, 40 (8 male, 32 female) MS patients who had completed informed written consent and filled General Health Questionnaire (GHQ-28) were asked to write their negative feeling for 30 minutes daily for 4 consecutive days. After 15 days they filled GHQ again. Finally the Statistical analysis was done.

Results

After intervention of Written Emotional Expression, general health score in patients with multiple sclerosis decreased significantly. (p< 0.01)

Conclusions

Written Emotional Expression may be effective on general health of multiple sclerosis patients.
P01-300 - The study on Anxiety Disorders in Implantable Cardioverter Defibrillator (ICD) Patients
Authors: Ranjbar F. , Akbarzadeh F. , Ghaemian N.
Published: June 2010

Introduction and objectives

Sudden cardiac death (SCD) is responsible for 300,000 deaths annually. The use of ICD has improved survival rates following SCD episodes. However ICD may causes anxiety in patients. ICD shock is suspected as cause of enhanced anxiety.

Aims

The aim of present study was to evaluate the prevalence of anxiety disorders in patients with ICD.

Methods

In a case- control study with random sampling of 57 patients with ICD (at least 6 month after ICD implantation) they were compared with 57 patients without ICD as control group. In this study the SADS questionnaire and DSM- IV structured interview were used. The relation of gender, age, marital status and shock with anxiety was determined. The analysis was done using descriptive and qualitative statistics.

Results

Frequency of anxiety disorders in ICD patients was 47.4%. 19.3% panic disorder, 47.4% GAD, 12.3% phobia and 5.3% OCD. PTSD was not seen in ICD patients in this study. There was a significant difference in frequency of anxiety disorders between ICD patients and control group (P= 0.001). The most frequent disorders in patients with ICD were GAD. The incidence of anxiety disorders in patients with and without ICD discharge was 84% and 18% respectively. Anxiety disorder was significantly related to the ICD discharge (P< 0.0001).

Conclusions

Among the anxiety disorders GAD was observed to be the most frequent in the patients with ICD discharge rather than patients without ICD.
P01-304 - “Pegasus Project ” Improve the Management of the Depression in Primary Care Setting
Authors: Russo A. , Pirone S. , Passione N. , Fiore F.
Published: June 2010

The gol of the project is improve the management of depression in the primary care setting. In first time we meet the primary care physicians for a consensus conference on depression, clinical case and the treatment recommendations in the primary care setting. In second time we sent the guidelines to all contracted primary care physicians and specialists via the practitioner newsletter. The guidelines were developed in conjunction with the SIMG (società Italiana di Medicina Generale), and the S.I.P. (Società Italiana di Psichiatria) and Department of Mental Health. The guidelines included treatment of major depressive disorder. In the third time the health plan continues to periodically update the guidelines and provide them to all practitioners.
P01-317 - Opposition to the Jewish Rite of Circumcision in Modern Israeli Society as Expression of Motherhood and Feminism
Authors: Bankirer Y. , Abramovich Y. , Gooldin S. , Kotler M.
Published: June 2010

Objective

Up until recently, Jewish circumcision was a taboo Jewish rite, with the upmost importance to Jewish identity. Lately, voices began to rise in Israel that questions the rite. It is a growing community of parents that did not circumcise their sons, and stood oppose to the status quo of circumcision.

We will examine Jewish circumcision in non religious society in Israel through the voices of mothers who did not circumcise their sons.

Method

Qualitative constructivist research based on depth interviews of mothers who did not circumcise their sons and cross cultural literature review.

Results

In most cases the mother initiated an emotional decision not to circumcise. The characteristics of these women were atheist, older than usual, very educated, Most of which grew up with high expectations to be successful financially and professionally, but chose to live a more “homey” lives with their main goal children upbringing.

Conclusions

We have found that the opposition to Jewish circumcision in Israel is a statement that goes against the devaluation of the primary dyad between a mother and her child. It is not an isolated event but a part of a broader conceptual believes that emphasizes more “feminine” values such as motherhood, breastfeeding, nature and ecology, as opposed to “muscular” values as culture, ritual ceremonies, financial wealth and militarism. The social change that is represented by the opposition to Jewish circumcision is a part of the individualism of society which emphasizes the importance of the processes within the family unit.
P01-320 - How Patient-doctor Relationships are Effective and What do Patients Expect from Their Psychiatrists?
Authors: Bener A. , Ghuloum S.
Published: June 2010

Objective

The main aim of this study was to determine the level of patient doctor relationship (PDRQ) and assess further the mental health needs of patients attending psychiatry department.

Design

A cross sectional study.

Setting: Psychiatry Department of the Hamad Medical Corporation.

Subjects : A total of 1300 adult patients were approached and 1054 (81.1%) expressed their consent.

Method

The main outcome measures of the study were 13-item patient doctor relationship questionnaire (PDRQ) score and other 11 items assessing what patients need from psychiatrists.

Results

The mean age of the studied psychiatry patients was 38.6±13.4 years with a male female ratio; 1:1. There was a significant difference observed in terms of educational level, occupation, monthly house hold income, number of rooms and number of people living in a house (p< 0.001). Overall satisfaction level of Qatari and other Arab patients with psychiatrists was high because most of the items of the questionnaire were rated above 3.8. The psychiatry patients were very happy with the dedication (4.0±1.0) and availability of psychiatrists (4.0±1.1) for consultation. The three issues most important for the Qatari and other Arab patients were that the doctor should talk about their condition (63.5%), talks about the treatment options (65.9%) for final decision and provide symptomatic relief (62.4%).

Conclusions

The study findings revealed that patient satisfaction in psychiatry hospital care was good and the overall satisfaction level of patients with psychiatrists was high, especially for the dedication and the availability of psychiatrists.
P01-322 - Cultural Variations in the Presentation of Depression of Migrated Turkish Women in the Netherlands
Authors: Borra R.
Published: June 2010

Objectives

The research ‘Depressive Turkish women in the Rijnmond Region’ was started to explore and describe the idiom of distress of the Turkish migrated women and to clarify diagnostic problems concerning their depressive disorder.

Methods

By means of a qualitative explorative research, first in a pilot of ten Turkish women, afterwards 20 Turkish women the presentation and the depressive complaints were investigated with the help of a bi-lingual diagnostic interview, Turkish-Dutch. The interview was developed in cooperation with Turkish psychiatrists/doctors.

Results

Results will be discussed in the presentation. They clearly show that, at the first sight the idiom of distress is characterized by a range of somatic complaints. Clinicians who are insufficiently sensitive to cultural differences may not realize that these complaints may indicate a depressive disorder. Complaints of anxiety and agitation are just as frequent as the depressive complaints. To express their inner feelings the women use specific Turkish idiom.

Conclusions

According to ICD such cases should be classified as depressive disorders as well as generalized anxiety disorders. Because the range of complaints is so varied, these disordersmay be under-diagnosed in Turkish women.The diagnostic interview proved to be a very reliable instrument in diagnosing depressive-anxiety disorders in Turkish women. It will be translated in German, English and Turkish.
P01-323 - Mental Health Resilience and Vulnerability Factors in Turkish Female Migrants and German Controls
Authors: Bromand Z. , Rapp M.A. , Aichberger M. , Schouler-Ocak M. , Heredia A. , Temur-Erman S. , Yesil R. , Heinz A.
Published: June 2010

The aim of the main study is to examine the influence of risk factors and protecting factors that help elicit or alleviate mental health issues. An epidemiological cross-sectional data collection approach will be employed for this purpose, and the main outcome variable will be mental health as assessed with the General Health Questionnaire. We will recruit 340 German women and 340 Turkish migrant women. Constructs such as general self-efficacy, social support and extraversion depict protective factors and constructs such as social strain and neuroticism are considered as risk factors in this regard. Furthermore, the coherence between various acculturation patterns will be explored in order to be able to examine the presence of psychiatric symptoms more precisely.

We will present the first results of the pilot study by 50 Turkish migrant women to review the reliability and validity of the used instruments and to evaluate the hypotheses and experimental design.
P01-324 - Temporality and Depression in Old Age
Authors: Coelho C. , Bastos C.
Published: June 2010

Two fundamental aspects of cultural intuititive conceptions of time's passage - cyclic and continuous temporality - are here related to medical therapy and psychopathology, in a critical view of depression in old age as a modern construct. Although inspired by anthropological perspectives this paper is based on daily clinical experience and on a phenomenological attitude. In predominantly cyclical cultural perceptions of time the process of ageing is part of an eternal movement, and families perpetuate themselves in their descendants, in their traditions, in land ties or in the practice of familiar crafts or skills. Cultural transformations that give rise to more directional approaches of time's passage tend to implement individual roles more and more in social history. The more difficult the change from fatalist, repetitive, eternal cycling traditional Weltanschauungen to individualizing, bureaucratizing, planning and successive ones, the larger the chances of an unsuccessful old age and medicalisation of this failure.
P01-342 - Suicide in Musicians in the Last Forty Years: a Creative Mind Condition or a Psychopathologic Expression?
Authors: Serrano Carton M.M. , Serrano Carton C. , Serrano Vazquez M.
Published: June 2010

Introduction

The frecuency on attempts or completed suicide between musicians is elevated. Diverse explanations have been adduced, not only the comorbid substance abuse and the high incidence of depression, but also the bohemian style of life and the effects of music and poetry of their songs on their psychological state.

Methodology

The biographies and artistic productions of 30 musicians who died by suicide since 1968 are reviewed, in order to analyze several aspects like suicide methods and the relation with demographic and psychopathologic variables.

Results

Suicide methods more used were the traumatic ones being the hanging the most frecuent, although if we analyze the sample according the gender there is predominance in overdose toxic method. About 85% had psychiatric antecedents or were in treatment when died. There is substance abuse in more of 50% of the cases like alcohol in the first place and others drugs. The 33% of the sample had an affective disorder. The average age of the consumption of the suicide was in youth (in their thirties).

Conclusions

The risk of dying by suicide in youth is elevated in the musicians. Even though there are an amount of studies, there are any definitely data that had confirmed the link between creative or artistic process and mental illness or suicide.

Suicide is always the result of psychopathology, even though there could be a few exceptions.

Substance abuse and psychiatric comorbidity are associated factors with the suicide risk in this group, in special alcohol and affective disorders respectively.
P01-345 - Patterns of Dementia with Lewy Bodies Encountered in a City Mental Hospital in India
Authors: Acharya A.
Published: June 2010

Introduction

Dementia cases account for about1.2-2.8% of total OPD case attended in Calcutta Pavlov Hospital.Retrospectively it was evident on scrutiny of the records of the year2005-2009.Profiles of Dementia cases those attended between the periods 1.4.08-31.3.09 were analysed, with special regard to DLB type dementia, which resembles much with Alzheimer's dementia but with pakinsonian features, visual hallucination, fluctuating cognative function, h/o falls,syncope, transient loss of concsiousness.

Objectives

Clinical evaluation of dementia with lewy bodies among the dementia patients and asses a probable % of DLB dementia in our situation obviousely without an autopsy verification.

Aims

Here a study of probable DLB dementia status in the dementia population.

Methods

22 dementia cases were recorded in the 2008-2009 period.12 females &10 male dementia case, age ranging from 66-79 with a median age of 71.5years,were analysed.20 cases were confirmed by CTScan only, and 16 cases those were lacking vasculer cause were subjected to MRI Scan.

Results

Among the dementia cases Alzhiemers Disease type accounts for 10 cases (< 50%), followed by mixed vas. & Alzh. in 5 case,and then Vasculer dementia in 4 cases, rest 3 (>1.4%) were found clinically to be as DLB cases.

DLB cases were 2 in female & 1 in male, all inthe category of 70-77 years age group.They were presented with gradual decline of cognition, with brady kinesia, & rigidity and in 1 male case with tremmors with attentional deficit. MRI shows more atrophy in midbrain &tegmentum areas.

Conclusions

With more diagnostic advent DLB dementia % may rise in future.
P01-347 - Neuropsychological Performance in Patients with Amnestic Mild Cognitive Impairment Using the Cambridge Neuropsychological Test automated battery
Authors: Alichniewicz K.K. , Brunner F. , Klünemann H.H. , Greenlee M.W.
Published: June 2010

Objectives

In patients diagnosed with amnestic mild cognitive impairment (aMCI) cognitive functions are also affected in addition to memory. The aim of the present study was to characterize these cognitive impairments in detail.

Methods

So far 35 patients with aMCI and 26 matched controls were investigated using following subtests of the Cambridge Neuropsychological Test Automated Battery (CANTAB): Delayed Matching to Sample, Spatial Recognition Memory, Spatial Working Memory, Rapid Visual Processing, and Stockings of Cambridge. Additionally, we used Corsi Block Tapping from the Wechsler Memory Scale Revised to examine spatial working memory and spatial attention.

Results

The aMCI group performed significantly worse than the control group in Delayed Matching to Sample, Spatial Working Memory, Rapid Visual Processing, Stockings of Cambridge, and Corsi Block Tapping backwards.

Conclusions

In summary, patients with aMCI demonstrate reduced skills in visual memory, spatial planning, spatial working memory, and sustained attention compared to healthy subjects. Furthermore, this suggests that CANTAB may be a tool for diagnosis of the cognitive status of aMCI patients.
P01-358 - Autobiographical Life Review Therapy Approach for the Stroke Patients and Caregivers: a Lifespan Autobiographical Intervention Method
Authors: Lee S.B.
Published: June 2010

Objective

To explore autobiographical life review therapy as a therapeutic intervention in enhancing the stroke patients’ and caregivers’ state hope, life satisfaction, life mastery level as well as in reducing their loneliness.

Methods

20 Korean-American aged stroke patients (mean age=73.6) and 20 female Korean-American caregivers (wives) (mean age=67.5) were selected for autobiographical life review therapy. 20 male stroke patients out of 46 stroke patients were screened, by using the Hastean-Reitan Neuropsychological Test battery. During pretreatment testing sessions, the subjects completed state hope scale, life satisfaction scale, life mastery scale, and loneliness scale. At the end of total 10 sessions of autobiographical life review therapy interventions, the subjects completed these scales again. Pretreatment and posttreatment assessments of the selected scales were administered for both the stroke patients and their caregivers.

Results

Between pretreatment and posttreatment, there were significant increases in the subjects’ assessments of state hope (male: p< .01 and female: p< .001), life satisfaction (male: p< .01 and female: p< .01) and of life mastery (male: p< .05 and female: p< .01) as well as significant reduction of their loneliness scale (male: p< .001 and female: p< .01).

Conclusion

The research results demonstrated the effectiveness of autobiographical life therapy interventions as an aid in improving the stroke patients’ and caregivers’ quality of life.
P01-362 - Dress Induced by Anti-epileptic Drugs in the Elderly Population: Delay in Recognition
Authors: Schut A.A. , Halink D.A. , Oude Voshaar R.C. , Marijnissen R.M.
Published: June 2010

Background

In the eldery population anti-epileptic drugs (AED) are used in epilepsy, neuralgiform pain, psychiatric disorders and behavioral problems in dementia. The prevalence of AED- treatment in the community is 1%; among nursing home residents 10%. A complex of adverse effects, known as Drug Reaction Eosinophilia and Systemic Symptoms (DRESS), is associated with several drugs, in particular AED. The incidence of DRESS syndrome is estimated between 1 in 1000 and 1 in 10000. DRESS syndrome has a high mortality rate (around 10%), primarily due to doctor's delay in recognition.

Case reports

As AED-induced DRESS syndrome is rarely described in elderly patients, we describe two with dementia-related behavioural problems, treated with carbamazepine. Both patients developed severe rash, eosinophilia and fever after three weeks of administration. Patient 1 also developed anemia, diarrhoea and delirium; Patient 2 suffered from a severe edema of arms and face. Initially the clinical presentation of inflammatory and hypersensitivity symptoms was attributed to several diseases and/or medication other than carbamazepine. After recognition of DRESS by carbamazepine and stopping this drug, both patients fully recovered.

Conclusions

Recognition of DRESS syndrome induced by AED is difficult as the condition is rare, symptoms occur 1 to 8 weeks after start of treatment; there may be slow progression and similarity with infections and neoplastic disorders exists. Withdrawal of the offending drug is the primary treatment of the DRESS syndrome and patients relatives must be informed since the incidence of the DRESS syndrome is higher amongst first- degree relatives.
P01-365 - Neurosyphilis. A Case Report
Authors: Mota Pereira J. , Sousa Almeida S. , Carvalho S. , Freitas J. , Paz C. , Encarnação R. , Salgado T.
Published: June 2010

Objectives

To report a clinical case on neurosyphilis.

Methods

Clinical history, neuroimaging and lab investigations, and neuropsychological assessments.

Case presentation

A 66-year-old married man was admitted to an Old Age psychiatric ward presenting with a two-year history of desinhibited behaviour, hetero-aggression and a gradual loss of his ability cope with activities of daily living. His Mini Mental State Examination (MMSE) score was 20/30 on admission. The symptoms described above raised the working diagnosis of a frontotemporal dementia. Computerized axial tomography was normal. Laboratory and additional examinations were performed. Serological tests for syphilis were positive for both the Venereal Disease Research Laboratory test (VDRL) and Treponema pallidum hemaglutination test (TPHA). Cerebrospinal fluid (CSF) revealed a positive VDRL (cytology: 2 erythrocytes/μl, 30 leucocytes/μl with 24 mononuclear cells/ μl). Additional tests including human immunodeficiency virus (HIV) test were negative. Based on these findings the patient was treated for neurosyphilis according to the IUSTI 2008 European Guidelines on the management of Syphilis: Benzyl penicillin 18 million units i.v. daily, as 3 million units every four hours during 21 days. Two months later, he scored 28/30 at the MMSE but showing only slight improvement at the executive function battery.

Conclusion

Neurosyphilis remains a differential diagnosis for a wide variety of psychiatric syndromes, including dementia. However, the incidence of neurosyphilis presenting initially with frontotemporal impairment is unclear. High-risk groups such as patients with neuropsychiatric diseases should be routinely screened with serological tests in order to prevent morbidity and help to eliminate syphilis.
P01-378 - Dementia in a Young Man with Neurosyphilis
Authors: Trandafir M.-S.
Published: June 2010

The paper presents the case of a young patient with a syndrome deteriorativ quickly installed and that does not respond to psychostimulants and psychotropic medication, but quickly responded to high doses of Penicillinum G.

Case report

We present a 43 years old men discharged from an internal medical service where the diagnosis of liver cirrhosis was refuted and confirmed the hepatitis C disease.

Onset is 6 months ago with cognitive deterioration and behavioral problems, confusional episodes, importamte memory disorders. Symptomatology was exacerbated in the last two months.

CT Moderate cerebral atrophy

EEG revealed generalized arrhythmic slow activity;

Laboratory tests : VSH 36-mm/1h,WBC 13.6-10-3/mm 3.

HIV test negative.

VDRL quantitative 1/1- ++++, 1/2- ++++, 1 / 4 ++++, 1 / 8 /++++, 1/16- + + +, 1/32- +

THPA (positive reaction) -dil-1/80;

VDRL in CSF positive + + + +

Results

Patient was treated with a high dose of penicillin G intramuscularly. The clinical symptoms improved significantly in 2 weeks and MMSE increased from12 to 22.

Conclusion

Syphilis and its complications must be still in medical attention. If there is cognitive dysfunction or brain atrophy of unknown cause, neurosyphilis should be considered. Treponema infection should be part of the differential diagnosis of each patient showing cognitive deterioration and behavior disturbances.
P01-380 - Sociodemographical Characteristics in Gerontopsychiatric Inpatients
Authors: Zallo E. , Arnaiz A. , Sarasola A. , Sánchez M. , Enjuto S.
Published: June 2010

Objectives

Epidemiological issues have an special interest among gerontopsychiaty, because of the high prevalence of mental disorders and the increasing average age of the population. According to the National Statistic Institute in Spain, in 2002 almost 7 million of the people were over 65 years old and in 2020 there is expected to be 8 million of elder people. This question associated with the decrease of birthrate, will bring about a rise in the absolut number of elder people with a mental disorder.

Our main objective in this work is to study the sociodemographil profile of inpatients over 60years old in a short stay unit.

Methods

This is a prospective, descriptive study. We have collected sociodemographical and clinical characteristics of people over 60 years old that entered short stay units of two hospitals in Vizcaya, Spain, during one year. Patients with dementia were excluded.

Results

60 patients entered the units. The average age was 71,2 (7,26). Education; illiterate 6,6%; just read and write 46,6%; primary/elementary education 38,3%; secondary education 3,33% and higher education 5%. Marital status: single 10%; married 51,6%; divorced 8,3%; widow/er 30%. Family life: 31,6% alone; 28,33% with a paretner; 21,66% with a partner and some else; 13,33%, with their children with a partner; 3,33% old people's home.Social relationship: 5% without any relation; 25% family and neighbours; 31,6% family, neigbours and frienda; 3,33% people in the old people's home.

Conclusions

It is assumed to be important to know the characteristics of this people to guarantee an optimum assistance.