bluuebunny/crossref_metadata_2025_split huggingface dataset:
Psychological and physical impact of violence in psychiatric nurses
Authors: Fattah Moghaddam L. , Memari A. , Bamdad M. 
Published: June 2017

IntroductionViolence in therapeutic centers, especially psychiatric wards is much higher than other units. In healthcare provider groups, nurses are at high risk of patient's aggression in the workplace.AimsThe aim of this study is to evaluate the effect of violence on the health of nurses in Razi Hospital in Tehran, Iran.MethodIn this cross-sectional study a total of 312 nurses working in psychiatric hospitals completed a GHQ28 questionnaire.ResultsThe results demonstrated that there is a statistical significant correlation between violence of patients (including physical violence and disrespect) to physical symptoms, anxiety and sleep disorder in nurses (P < 0.05). Also, increased frequency of disrespect by family of patient correlated to higher physical symptoms, anxiety, and sleep disorder in nurses. However, there was not any significant correlation between symptoms of depression, social function with aggressive patients.ConclusionPatients and their relative's violence affect the health of nurses. Therefore, it is necessary the therapeutic interventions for the prevention of physical and mental diseases in nurses and decreased desire to leave the organization.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Asenapine in the treatment of trichotillomania with comorbid bipolar disorder: A case report
Authors: Francis B. , Jambunathan S.T. , Gill J.S. 
Published: June 2017

Trichotillomania has been found to be associated with mood disorders, particularly bipolar disorder. Trichotillomania has shared similarities with bipolar disorder by virtue of phenomenology, co-morbidity, and psychopharmacologic observations. In the past, trichotillomania with comorbid bipolar disorder was treated with lithium and sodium valproate. There has been little, if any, literature on using asenapine to augment treatment in patients with trichotillomania with comorbid bipolar disorder. A patient presented with hair-pulling episodes for a year, resulting in bald scalp patches. She had no mood symptoms prior to this. She developed low mood, anhedonia, poor sleep and poor appetite subsequently as she could not stop pulling her hair. She was started on escitalopram 10 mg daily for he depressive symptoms. Three years later, she developed hypomanic symptoms such as irritability and spending sprees. Her hair pulling behaviour worsened at this time. At this point, a diagnosis of bipolar disorder type 2 was considered and she was started on lithium 300 mg daily. Her escitalopram was discontinued. As her mood was still labile 10 months later, asenapine was added to augment lithium in the treatment of the bipolar disorder. With asenapine, her hair pulling frequency started to decrease rapidly. Asenapine was increased to 10 mg daily and her hair pulling ceased. Her mood also stabilized and she no longer had erratic periods of mood lability. In conclusion, asenapine augmentation of lithium has potential to be used in patients who have trichotillomania with comorbid bipolar disorder due to its unique receptor profile.Disclosure of interestThe authors have not supplied their declaration of competing interest.
“Dangerous relationships”: Family dynamics among members with severe mental illness. about a case
Authors: Santillan G. Hernande. , Ballesteros E. Martin 
Published: June 2017

A 51-year-old woman from a Mediterranean location with a history of a brother diagnosed with schizophrenia, moved thirty years ago, away from her family of origin, when marrying a man suffering from severe untreated OCD, who in turn, has two brothers, both with OCD, and a nephew with OCD. She says that her husband is very unsociable, spends most of the day at work and comes home at night to clean for a long time until he does not see lint on the floor or a crumb on the table literally. They have a fifteen-year-old son, with needy materials, very attached to the mother and very little to the father. The patient consults, motivated by a former sister-in-law and a friend, because they have noticed deterioration in their self-care and tendency to isolation, which the patient explains because in the last year she has noticed exacerbation of the comments by her neighbours and even unknown people that tell her “look how dirty, your husband has to come after work to clean your house, and makes noise.” The companions are also concerned that the child has had school and social problems and admits hearing the same as his mother. Now, What possible diagnoses do we propose in this patient: Folie a deux, delusional disorder, paraphrenia, other? (Figure 1)Disclosure of interestThe authors have not supplied their declaration of competing interest.
Needs assessment of people with severe mental illnesses and their families in Azerbaijan
Authors: Ismayilova J. 
Published: June 2017

Needs assessment of people with severe mental health problems and their family members provides important information necessary for developing effective interventions at both population and individual level. The study aimed to determine various needs perceived by patients with SMI and their family members, as well as to find out possible relations between the needs and socio-demographic and clinical variables. Similarly the study was intended to evaluate family burden and users’ satisfaction with services.Fifty dyads of a patient and family members applying for outpatient services were participated in the study. Sociodemographic questionnaire, Brief Psychiatric Rating Scale, Camberwell assessment of needs, involvement evaluation questionnaire and verona service satisfaction scale were used as assessment tools.The most unmet needs reported by people with SMI and their relatives were psychological distress, social activities and welfare benefits. The study showed significant burden in families caring for people with SMI, which correlated with their views about patients’ needs and had a negative impact on the psychological well-being. Evaluation of satisfaction with services pointed out the gap between provided and desired services reported by patients and their relatives. Most of study participants wished to have sheltered work, or receive help in finding employment.The study results suggest that in order to achieve better outcomes, services for persons with SMI should be developed in accordance with patients’ most prominent needs. With this regard needs assessment should become an integral part of routine clinical practice. The results may be used for mental health service planning, development and evaluation.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Internet addiction in adolescents and staying at a dormitory: A controlled study
Authors: Kıvrak Y. , Kıvrak İ.C. 
Published: June 2017

IntroductionInternet addiction can have important consequences in adolescents. Many adolescents have to live apart from their families for their education during high school. Some of these students stay in dormitories. Despite the many studies on Internet addiction, none of them clarify the Internet addiction status and quality of life of dormitory residents.AimsOur aim in this study was to determine the internet addiction scores of dormitory residents and evaluate whether a difference was present with students who lived at home.MethodsThe subject group consisted of randomly chosen dormitory students. The control group consisted of another randomly chosen student at the same class who was staying at home. The sociodemographic data forms the pediatric quality of life inventory (PedsQL), children's depression inventory (CDI) and internet addiction test (IAT) were administered.ResultsWe found lower Internet addiction scores and total psychosocial scores in dormitory students compared to students who lived at home. There was no difference between the groups regarding depression score, physical health total score and quality of life total score.ConclusionsOur results indicate that dormitory students suffer less from Internet addiction than those staying at home while the quality of life is similar. Staying at a dormitory may be protective against and therapeutic for Internet addiction without decreasing the quality of life and missing school for internet addict adolescents as it makes it more difficult for them to access the internet.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Results of the Implementation of a Spanish Computerized Guideline for Depression in Primary Care
Authors: Vidal D. Palao , Cavero M. , Monreal J.A. , Bonet J.M. , Moreno M.D. , -Solà V. Peréz 
Published: June 2017

A new computerized CPG for Major Depression (e-CPG-MD) was integrated in electronic medical records of primary care in a 7 million population in Catalonia (Spain). An integrated design allows precise access in each patient visit, improving diagnosis, treatment and follow-up. It facilitates an evaluation of suicide risk in depressed patients.ObjectiveTo evaluate the effects of a multifactor process of implementation of the e-CPG MD, analyzing its use and the key clinical outcomes.MethodsA cluster randomized clinical trial was performed in 10 primary care centers (PCC) in Barcelona. In five of ten centers a multifaceted implementation process of the e-CPG-MD was developed during 6 month. The others five PCCs received only an usual diffusion. The multifaceted process includes an establishment of local implementation teams, an interactive training program, regular feedback audits, educational outreach visits and periodic reminders.ResultsAt six month, a greater proportion of new MD patients from active PCCs were included in the e- CPG-DEP (4.1% + 3.1% vs. 52.7% + 7.3%, p < 0.001); the incidence of MD diagnostics of Major Depression increased significantly (rate quotient = 1.56, p < 0.001) and the proportion of cases with moderate and severe MD too (13.6% vs 41.1%, p = 0.002).ConclusionsA multifaceted implementation method of an e-CPG-MD increased significantly its uses, the registered incidence of MD and improved the capacity of recognizing severity. Further analysis is necessary in order to determine the impact on clinical outcomes.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Effectiveness of the structural approach components on the marital quality, and problem solving of couples
Authors: Nafian Dehkord M. , Kimiaee S.A. , Zandipour T. , Hassanabadi H. 
Published: June 2017

The aim of this research is investigating the effect of training structural-systematic approach components on marital quality and problem solving of couples. General plan of research is a quasi-experimental with pre-post test and control group. Statistic population includes all clients of psychology and counselling clinic of Ferdowsi Mashhad University couples with marital conflicts and issue in problem solving in 2014. Sample size includes 10 couples in each control and examination group. Examination group has received 10 couple-therapy structural-systematic group meetings. Research tools were two questionnaires; revised marital quality scale and family problem solving (2010). To analyse data ANCOVA method has been used. For analysing data SPSS software has been used. Results have indicated that structural-systematic approach results in significance increment of marital quality and couple problem solving in comparison to control group. It can be said that structural-systematic approach may has a significant effect on family structure having a systematic and comprehensive approach and tries to solve happened problems and defects changing family structure. It is hoped that can progress in couple-therapy and family therapy using this approach.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Antipsychotic-induced hyperprolactinemia
Authors: Khouadja S. , Soussia R. Ben , Bouallagui A. , Marrag I. , Younes S. , Nasr M. 
Published: June 2017

IntroductionAs antipsychotic agents are increasingly used, many patients are at risk for antipsychotic-induced hyperprolactinemia.Aims of the studyEstimate the prevalence of hyperprolactinemia in patients treated by a single antipsychotic and identify the risk factors for its occurrence.MethodsThis is a prospective study carried out at the psychiatric department of psychiatry of university hospital of Mahdia during 24 months. We have included all patients with a follow up and treated by single antipsychotic for at least 12 weeks. A pituitary MRI has been requested for patients with a prolactin level higher than 100 ng/ml.ResultsWe have collected 92 patients. Hyperprolactinemia was found in 34.8% of patients among which 7.6% have had prolactin level greater than 150 ng/ml. Pituitary MRI have revealed 2 cases of macro-adenoma. The decrease of the antipsychotic doses has significantly improved prolactin levels. The switch of antipsychotic with another less inducing hyperprolactnimea has significantly decreased prolactin levels. 7 factors were correlated significantly to hyperprolactinemia: sex (female), substance use, presence of side effects, combination of psychotropic drugs, atypical antipsychotics, type of antipsychotic: Haloperidol and amisulpride, antipsychotic dose greater than 1000 mg Chlorpromazine equivalent.ConclusionHyperprolactinemia must be carefully identified, through a pre-therapeutic assessment and monitoring of patients.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Clinical profile of patients hospitalized for delirium
Authors: Smaoui F. , Frikha M. , Bouchhima I. , Hdiji O. , Farhat N. , Kacem H. Haj , Dammak M. , Mhiri C. 
Published: June 2017

IntroductionDelirium is a common clinical syndrome characterized by acute disruption of all cognitive and behavioural functions.Objectives– Draw up an epidemiological and clinical profile of patients hospitalised for delirium;– Assess different pathologies involved.MethodsWe conducted a retrospective and descriptive study, in the neurology department at Habib Bourguiba university hospital, Sfax, Tunisia, at the period from 2009 to 2013. We included 52 patients hospitalised for delirium. Socio-demographic and clinical data were collected from patient files.ResultsThe mean age was 66.5 years. The majority (73.1%) were elderly patients (> = 60 years). Sex-ratio (M/F) was 1.73. It was the first episode in 96.2%.Medical histories were cardiovascular in 55.8%, endocrinal in 25%, neurological in 11.5% and psychiatric in 13.5%. The beginning of the signs was brutal in 55.8% of cases. The reported symptoms were: disorientation in time and space (76.9%) and behaviour disturbance (63.5%), memory disorder (23.1%), headaches (26.9%) and hallucinations (17.3%). Organic etiologies were noted in 75% of cases: vascular 42.30%, metabolic 11.50%, infectious 11.5%, tumoral 3.9% and iatrogenic 3.8%. Delirium grafted on dementia was retained in 5.8% of cases.ConclusionDelirium is associated with increased mortality. Its prevention is essential and requires recognition of risk situations.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Cross-national Trainee Collaboration-The EFPT Research Experience in Psychiatry
Authors: Tomori S. , Mogren T. , Asztalos M. , Sampognia G. , Borovcanin M. , Erzin G. , Veiera J. , Tipa R. , Gurcan A. , Naughton S. ,   E.F.O.P.T. EFPT
Published: June 2017

IntroductionThe interest for academic background and investigational activities are essential in psychiatry. Several European-wide, early career psychiatrists-driven studies have been carried out completely independently, leading to high quality publications, where all the co-authors are junior researchers.ObjectivesTo further elaborate the European federation of psychiatric trainees (EFPT) platform of promoting the experience of collaborative work and research lead by psychiatric trainees in different countries all over Europe.MethodsA review of EFPT collaborative trainee-led research initiatives since the beginning with the focus on published articles and their impact on psychiatric community in Europe.ResultsMain topics of trainee research are related to postgraduate psychiatric training schemes in Europe raising awareness on enhancing and harmonizing standards of psychiatric education and training across Europe. Other research topics are related to treatment strategies while being a psychiatric in Europe, to migration and “brain drain” phenomenon of psychiatric trainees in Europe, to access to information in psychiatric training.ConclusionsInternational cooperation's in research should be promoted since the training. Joining professional associations provides opportunities for participating in research activities and establishing networks with other colleagues. Collaboration between psychiatric trainees ensures a more effective use of individual talents and a quick way of accessing and transferring new knowledge and research expertise. Moreover it provides a supportive framework for multi-center research.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Shame & Guilt: Definitions, Antecedents and Structure of Experience
Authors: Oyebode F. 
Published: June 2017

Aims In this lecture I will define and distinguish between shame and guilt. I will then discuss the potential causes of shame and guilt and how these emotions manifest in behavioral and phenomenal terms. I will conclude by introducing a classification that deals with the varieties and nature of the pathologies of shame and guilt that are evident in clinical practice. I will rely on concepts developed by Karl Jaspers, Hans Jonas and Bernhard Schlink. In doing this I will be exploring the role of moral and juridical principles upon the experience of shame and guilt including the place of the imperatives of responsibility upon the experience of shame and guilt. I will argue further that shame and guilt are as important as other secondary emotions such as envy and jealousy but are not as examined and studied in clinical practice. I will make a case for the centrality of these emotions to an understanding of and response to particular clinical conditions in daily practice.MethodsN/A.ResultsN/A.ConclusionsShame and Guilt are both important emotions that are central to our understanding of and response to particular conditions in daily practice. Their antecedents and structure provide a basis for distinguishing between them.Disclosure of interestThe author has not supplied his declaration of competing interest.
Depression Among Chronic Pain Patients
Authors: Berrahal I. , Ayadi B. , Haddad M. 
Published: June 2017

IntroductionPatients with chronic pain are more likely to develop depression, which is associated with decreased function, poorer treatment response and poor quality of life.ObjectiveThis study aimed to determine the prevalence of depression in patients with chronic pain.MethodsThis descriptive cross-sectional study was conducted among clinically diagnosed chronic pain patients from the pain management ward of La Rabta hospital in Tunisia over a period of six months.Sociodemographic and clinical data were obtained from patients’ interviews and medical records.The Beck depression inventory (BDI) was used for screening depression diagnoses and the Visual analogue scale (VAS) to assess the severity of pain.ResultsThe sample included 102 patients with a mean age of 46.4 ± 10.4 years. The majority of the patients were females (72.5%, n = 74), married (83.3%, n = 85) and being employed (58.8%, n = 60). The prevalence of depression was (40.1%, n = 41). The mean duration of pain was 3.6 ± 1.5 years. The severity of pain was mild in 28 cases (19.3%), moderate in 36 cases (31.3%) and severe in 38 cases (49.4%). Depression was significantly associated with the duration of pain (P < 0.01). A positive correlation was observed between pain severity assessed by VAS and BDI (r = 0.521, P = 001). Depression was significantly associated with the duration of pain (P < 0.01).ConclusionsDepression is frequent in patients who suffer from chronic pain and it was significantly associated with the duration and the severity of pain. Antidepressants and psychological therapies can be effective and should be delivered as part of a multidisciplinary pain management plan.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Study of the Interactions Between Magnesium, Ketamine and Morphine on Acute Nociception in Rats
Authors: Vujovic K. Savic , Vujovic A. , Vuckovic S. , Medic B. , Prostran M. 
Published: June 2017

ObjectivesStudy is aimed at evaluating the effects of ketamine and magnesium sulphate on acute nociceptive pain in rats and examination whether magnesium sulfate added to ketamine or morphine-ketamine combination produces higher level of analgesia.MethodsAnalgesic activity was assessed by tail-immersion test in male Wistar rats (200–250 g).ResultsMagnesium sulfate (2.5–60 mg/kg, s.c.) and ketamine (2.5-30 mg/kg, i.p.) given alone did not produce any effect on antinociception. However, there is a synergistic interaction between ketamine (2.5, 5 and 10 mg/kg) and magnesium sulfate (5 mg/kg). Both ketamine and magnesium sulfate, as well as their combination potentiated the antinociceptive effect of morphine (2.6 mg/kg, i.p.).ConclusionThis study revealed potentiation of ketamine and morphine-ketamine combination by magnesium sulphate in tail-immersion test in rats with higher activity when ketamine is given before magnesium sulfate. It is first time to demonstrate the synergistic interaction between magnesium sulphate and ketamine in lowering body temperature and in antinociception with statistical confirmation.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Client Versus Patient – The Clinical. Economical, Moral, Legal and Other Implications of a Choice
Authors: Latecki B. 
Published: June 2017

The presentation discusses the overt and hidden meaning of the terms between “patient” or “client” regarding persons undergoing psychotherapy and implications of using these terms. Some historical and recent opinions and points of view are presented. As the outcome of the discussion, it is concluded that to weigh pros and cons and to decide on which name would be more appropriate, one must resort to taking into consideration the definitions of therapy, suffering, and healing. It is suggested that the criterium should be the level and nature of suffering experienced by the “taker” and the level and nature of care performed by the “giver” (provider). The relations between both parties are also discussed in terms of existential phenomenology–as opposed to dualistic approach – and holism versus atomism. It is the intention of the author to deliver some practical and not only theoretical contribution to clinical practice.Disclosure of interestThe author has not supplied his/her declaration of competing interest.