bluuebunny/crossref_metadata_2025_split huggingface dataset:
Frontal meningioma and bipolar disorder: Etiopathogenic link or co-morbidity? A case report
Authors: Chaari I. , Ben Ammar H. , Nefzi R. , Mhedhbi N. , Khelifa E. , Aissa A. , El Hechmi Z. 
Published: June 2017

IntroductionFrontal meningiomas are benign brain tumours known for their late onset. They may be presented by only psychiatric symptoms. Thus, the diagnosis at early stages can be missed or overlooked until the tumour causes neurological deficit.Case reportWe report the case of a 61-year-old man, receiving a treatment and a follow-up for bipolar disorder for 11 years. He has history of 3 major depressive episodes, 2 suicide attempts and a manic episode. The symptoms were initially well controlled by medication. Since 6 months, the patient started to experience atypical symptoms: he had presented disinhibited and aggressive behaviour, psychomotor instability, pyromania and self-neglect. The patient did not respond to treatment despite repeated adjustments. A frontal syndrome was suspected. Cerebral CT scan revealed an unexpected mass measuring 6.8 cm × 5.6 cm at the right frontal area, suggestive of a giant meningioma (Fig 1).ConclusionsGenerally, once diagnosed, psychiatric disorders are rarely revised. Consequently, “silent” tumours such as frontal meningiomas can be overlooked. Neuroimaging should be considered in case of new-onset psychiatric symptoms, atypical or change in clinical presentation.Disclosure of interestThe authors have not supplied their declaration of competing interest.
CADASIL case report: Psychiatric symptoms as first manifestation of a neurological process
Authors: De Uribe-viloria N. , De Lera Alfonso M. , Gomez Garcia M. , De Lorenzo Calzon M. , Alonso Sanchez A. , Red Gallego H. De La , Medina Ojeda G. , Ladron De Cegama F. De Uribe 
Published: June 2017

IntroductionCADASIL (Cerebral Autosomal-Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy), the most common form of hereditary stroke disorder, is characterized by headaches, transient ischemic attacks and psychiatric symptoms which include mood changes, behaviour disorders and variable levels of dementia.Objectives and aimsTo emphasize the necessity of discarding somatic and neurological processes before a psychiatric diagnosis is reached.MethodsWe present a case initially followed in psychiatry and derived to neurology, and compare it with articles no older than ten years, found in a bibliographic search in Medline (PubMed), fitting the next keywords: CADASIL, autosomal dominant encephalopathy, psychiatric symptoms.ResultsThe most frequent manifestation of CADASIL is the early age onset of cerebrovascular ischemic attacks, nonetheless, a fair percentage of patients debut with insidious psychiatric symptoms, especially mood changes, behavioural disorders and even mutism. Independently of the age of onset, these symptoms are present at some point of the illness in most cases.ConclusionsPsychiatric symptoms can be found in a vast number of somatic and neurological disorders, even being the first manifestation of such processes. This challenges diagnosis, and given than the line between brain and mind is blurred and not always clear, cooperation among different specialities is of utmost importance in order to correctly treat the illness as a whole, and not just the sum of the parts.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Psychiatric picture of encephalitis: Stigmatisation of psychiatric patient
Authors: Hrnjica A. , Pekic I. Lokmic. , Bise S. , Kurtovic B. 
Published: June 2017

BackgroundPsychiatric symptoms/disorders in brain diseases are not specific and may have the same clinical presentations as functional psychiatric disorders, so they can compromise early diagnosing of disease.ObjectiveThis paper's objective is to show (negative) influence of stigma in a diagnostic process of patients with predominantly psychiatric symptoms in their clinical pictures.Materials and methodsThe subject is a 46 year-old female patient with no history of psychiatric disease. Her symptoms includes: confusion, disorientation, perseveration, visual and auditory hallucination, lack of motivation, inability to understand questions, developed following a 10-day long period of febricity. During the outpatient care, she has been examined by a neurologist, a specialist of urgent and internal medicine, and a psychiatrist. As the CT scan made in that stage was interpreted as normal, the patient was hospitalised in a psychiatric hospital. She was treated both with typical and atypical antipsychotics but no therapeutic effects have been reached. Thinking of organic etiology, advanced diagnostics have been made (MR, LP). MR scan showed lesion that is a characteristic for herpetic meningitis, which is also confirmed with positive serological tests.ConclusionIn patients with a sudden onset of psychiatric symptoms, patients with unexpected changes in mental status or suddenly developed headaches, as in the therapy- resistant psychiatric disorders, it is important to keep in mind the possibility of the coexistence of brain disease. Removing the stigma from psychiatric patients is important in order to be able to give every patient the chance of getting the correct diagnose on time.Disclosure of interestThe authors have not supplied their declaration of competing interest.
The investigation of nurses’ sociotropic-autonomic personality features levels in the context of emotional habitus
Authors: Malak Akgun B. 
Published: June 2017

IntroductionResearchers who plan to debate the nursing practice habits and nurses’ professional-individual self and identity can study out nurse habitus. Habitus affects how the nurses understand care needs of patients. Also, sociotropy-autonomy is important for both the personal and professional development of nurses. According to researchers, professional criteria are autonomy, commitment to the profession and unity consciousness.ObjectivesThe study was designed to investigate of nurses’ sociotropic-autonomic personality features levels in the context of emotional habitus.MethodsInformation form, sociotropy-autonomy scale were applied to 10 nurses. Also, semi-structured thorough individual interviews were made with them.ResultsSeven nurses have voluntarily chosen their profession and the others are not. Nurses’ sociotropy levels were 59.2 ± 22. Sixteen and autonomy levels were 83.9 ± 22.41. According to the results of the MWU test (U = .0 P < .05), anxiety about disapproval of eight undergraduate nurse (MR = 4.5) is lower than two graduated from health school nurse (MR = 9.5). Five nurses stated that nursing is appropriate for their personal character. Six nurses stated that nursing influenced the positive development of personal character. With content analysis, similarities and differences between nursing identity and social identity, optimal behaviour in expressing feelings of nurses and emotional habitus themes were reached.ConclusionsNurse habitus is developed by both of individual and structural factors which are complex and diversity. So, it affects nurses’ career and motivation to provide services. That the researcher assesses them from this aspect affects positively the quality of care.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Association between child asthma control and maternal mental health in Alagoas, Brazil
Authors: Miranda C. , Costa A.D. , Dos Santos L.M. , Coelho J.A.P.M. , Medeiros M.L. 
Published: June 2017

IntroductionMaternal mental health is very important to manage children with chronic health problems.ObjectiveTo evaluate the role of maternal common mental disorders (CMD) in the control of asthma in children by taking the maternal stressful life events (SLE) into account.AimsTo improve the management of childhood asthma by using a psychosocial approach.MethodsCross-sectional study involving mother-asthmatic child dyads assisted in paediatric pulmonology outpatient clinics. To characterize maternal CMD, the Self-report questionnaire (SRQ–20) with cut-off 7/8 was used. The global initiative for asthma control (GINA) questionnaire was used to define controlled and uncontrolled patients. The SLE questionnaire was also used.ResultsTable 1 suggests association between uncontrolled asthma with asthma severity and SLE, and a borderline association between uncontrolled asthma and maternal CMD. Table 2 indicates that, considering all independent variables simultaneously, asthma severity is the only variable statistically significant. It is also possible that with a larger sample size, maternal CMD and SLE would also become statistically significant.ConclusionsThe frequency of uncontrolled asthma is associated with asthma severity and tended to be higher in children whose mothers had CMD and were exposed to SLE.Disclosure of interestThe authors have not supplied their declaration of competing interest.Table 1Crude odd ratios (OR) for the association between asthma control in children, and selected variables (n = 272).Table 2Simultaneous effect of maternal CMD and selected risk factors on asthma control through logistic regression (n = 272).
Interventions for reducing fear of childbirth: A systematic review and meta-analysis of clinical trials
Authors: MoghaddamHossein V. , Nazarzadeh M. , Jahanfar S. 
Published: June 2017

IntroductionFear of childbirth (FOC) is a problematic mental health issue during pregnancy and postpartum period. It is essential to identify the most effective approaches to reduce the problem.ObjectiveUsing meta-analyses, we aimed to examine the most effective intervention for reduction of FOC.MethodWe searched the Cochran central register of controlled trials, PubMed, Embase and PsycINFO databases since inception till January 2016 without any language restriction. The reference lists of all included studies were checked for additional published reports and citations of unpublished research. We included randomised control trials and quasi-randomised control trials comparing interventions for treatment of FOC. Two review authors independently assessed trial quality and extracted data. The standardized mean differences (SMD) were pooled using random and fixed effect model. The heterogeneity was determined using the Cochran's test and I2 index and was further explored in meta-regression model and subgroup analyses. Egger's regression and funnel plot were used for assessing publication bias.ResultsTen studies totalling 3984 participants were included from two quasi-experimental and eight randomised clinical trials. Eight studies investigated education and two studies investigated hypnosis-based intervention. The pooled SMD of FOC for the education intervention and hypnosis group in comparison with control group were -0.46 (95% CI-0.73 to -0.19) and -0.22 (95% CI-0.34 to -0.10), respectively.ConclusionInterventions were effective on reducing FOC; however educational interventions reduced FOC twice as high as hypnosis. This result highlights the roll of antenatal education in enhancing childbirth expectations and experiences to enhance maternal and neonatal well-being.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Procrastination as a Personal Factor in Young Patients with Mental Disorders
Authors: Zvereva M. 
Published: June 2017

IntroductionMany of contemporary studies of procrastination were conducted with healthy students. Only a few investigators analyzed procrastination's connection with personal features (self-esteem), socio-psychological parameters (aggression, well-being). Researchers do not consider procrastination as a personal factor in patients with different mental disorders. Most of procrastination's researches are related to affective spectrum disorders (depression), often found in the student's environment.ObjectivesMale and female students (aged 18–25). Normal group–61. Experimental group - 54 patients of psychiatric clinic, divided to diagnosis: schizophrenia F20.01, bipolar disorder F31 and personality disorder F60.AimsStudy of procrastination combined with personal characteristics (self-esteem, aggression) on young people: normal and with endogenous pathology.MethodsProcrastination assessment scale-students (PASS) by L.J. Solomon, E.D. Rothblum; Rosenzweig Picture Frustration Test; E. Wagner's The Hand Test; Warwick-Edinburgh Mental Well-being Scale; Rosenberg Self-Esteem Scale; Self-esteem by Dembo-Rubinstein. Multiple linear regressions were used as method of data assessment.ResultsAssessment of obtained data allowed to distinguish some different models of connections parameters of PASS and other tests. These models differ in comparing groups. Healthy students: multidimensional model of communication procrastination and personality parameters harmoniously combined personal and socio-psychological parameters. Schizophrenia: fewer models, mostly one-dimensional structure (identified only communication based on personal parameters). Bipolar disorder: one or two dimensional model (include mainly characteristics of aggression and self-rated health). Personality disorders: some mono and multi-dimensional models, their structure and content are very close to normative sample.ConclusionsProcrastination is consider as common phenomenon at young people.Connections PASS and personal features differ according to disease.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Treatment of Pain: Results of a Behavioral Intervention
Authors: Palomo Monge M. , Calvo Mauri J.F. , Alcocer Lanza M.F. 
Published: June 2017

IntroductionChronic pain and its estimate in general population varies widely depending on the area and population studied. It is concluded that exerts effects on both physical and mental health, either in the patient or his family, in addition to its social cost to influence activities of daily living, employment and economic welfare of a significant proportion of the general population, constituting one of the main reasons for medical consultation.AimHypothesis: The painful perception is an operant behaviour. Subjects Six subjects (S): 5 females and 1 male, aged between 56 and 72 years Diagnosis ICD-10: R52.2 chronic pain of neuropathic origin. Material soundproof booth with audiometer Maico MA52.Methods designExperimental single case.Independent variable: behaviour modification treatment by differential molding using auditory stimulation as discriminative stimulus. Dependent variable: pain perception scale of 0-100%. Analysiscomparisons using non-parametric test, significance at P < 0.05.ResultsTable 1.M (Media), SD (Standard deviation)ConclusionsSix replications of behavioural experiment were performed. All show statistical significance. Generalization occurs in 83%. The hypothesis is confirmed and effectiveness of the treatment protocol was concluded; however the line of work should continue.Table 1Start sessionEnd sessionMSDMSDS165.4226.746.4119.91S252.0823.6027.0821.36S390.5310.4963.9126.16S452.4917.8823.5315.00S571.0114.4415.389.93S635.7125.5910.4420,12Signs test (start/end)U Mann-Whitney (base line/daily life)ZP <ZP <S1−2.041.0412−3.537.0004S2−2.598.0094−3.031.0024S3−3.015.0026−0.014.9885S4−3.175.0015−3.315.0009S5−3.328.0009−2.951.0032S6−2.214.0269–4.609.0001Disclosure of interestThe authors have not supplied their declaration of competing interest.
Low Compliance to Pharmacological Treatment of Severe Chronic Illness: Passive Suicide Ideation in Borderline Personality Disorder?
Authors: Bonea M. , Miclutia I. 
Published: June 2017

IntroductionThe core features of Borderline Personality Disorder (BPD), such as deliberate self-harm, suicide attempts and demandingness in interpersonal relationships persist with age, even though impulsivity decreases. Impairing progressive disease combined with affective instability and chronic feelings of emptiness can lead to a desire for death.ObjectivesTo present a case of BPD with severe chronic endocrine pathology and liver cirrhosis who refused to take his treatment as prescribed.MethodsA case report is presented and discussed.ResultsWe report the case of a 61-year-old man with BPD and liver cirrhosis, complex endocrine pathology (pituitary adenoma, diabetes insipidus and primary hypothyroidism), type 2 diabetes mellitus with insulin therapy, essential hypertension and alcohol use disorder. He had a history of 5 suicide attempts caused by marked feelings of rejection and emptiness and a pattern of unstable relationships and lack of commitment, thus his marriage lasted only 2 years. He idealized and was extremely familiar with his clinician and displayed marked affective instability (dysphoria, periods of anger and despair, affective ambivalence towards his parents and recurrent depressive symptoms). Because of his liver disease, the psychotropic medication was ceased by his physician. The patient refused to follow the rest of his treatment plan and diet as prescribed, resulting in the deterioration of his somatic status. The patient denied an active suicidal ideation, but did not explain his non-compliance.ConclusionThe impairment from BPD and the risk of suicide persist even in older age affecting the outcome of co-morbid somatic conditions.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Multidisciplinary Approach to Several Mental Disorders: Clinical Case
Authors: Castrillo P. , Guijarro R. , Cerviño M. 
Published: June 2017

The research evidence supports multidisciplinary treatment covers the different needs that appear in people with mental health problems, especially with long-term mental health disorders. The aim is to emphasize the importance of integrated treatment. It means to share therapeutic targets among different professionals. We propose that not only the therapeutical relationship between patient and psychiatry is important, but also a collaborative approach among different professionals. This is a descriptive study of a case of personality disorder and an individualized treatment carried out by different professionals from a multidisciplinary point of view. Combined pharmacological treatment, group and individual psychotherapy, and other therapeutic spaces are discussed in the present study as an alternative to individual therapy sessions. She has recovered her social and labour activity 14 years later from her first contact with mental health. Coordination and communication among clinical professionals would help us to improve quality of treatment.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Psyche in Historical Context: Identity and Existence in Captain Ahab and King Lear
Authors: Egloff G. 
Published: June 2017

IntroductionWhat ties Ahab, the notorious captain of the Pequod in Herman Melville's 1851 novel, Moby-Dick, to King Lear, the desperate old regent from William Shakespeare's eponymous play published in 1608, is not only their overabundant quest for meaning, or their obsession with pursuing their targets, but their idiosyncratic experiencing of themselves in their personal realities.AimsCaptain Ahab is put in relation with King Lear, in order to show in what way issues of identity and of existence emerge in the course of their fictional lives. Lear is considered to have had deep influence on Melville the author in creating the character of Ahab. Since, in terms of present-day psychopathology, both fictional characters present with symptoms, their issues when put in historical context can untangle their personal realities.MethodsThrough a close reading of the characters’ behaviour and experiencing in historical context, issues of identity and of existence are elaborated on in order to advance to the psychodramatic substrate.ResultsWhereas at the beginning of the seventeenth century conflicts are newly transposed to characters’ minds instead of surroundings, the nineteenth century still sees Ahab's monomania on the outside. Identity and existence have increasingly been placed in individual psyche, though.ConclusionsA paradigmatic change in personality concept at the turn of the modern epoch enables psychiatry and psychopathology to conceptualize the individual and to derive identity and existence from. Collective identity gives way to personal identity. With that, choice, interpretation, and failing are individualized.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
Relations Between Minkowski and Levinas, a Look Beyond the Phenomenology in the Construction of the Psyche
Authors: Veliz Uribe J. , Ugalde M. , Catrifil P. 
Published: June 2017

IntroductionBoth Minkowski and Levinas introduced in France phenomenological thinking, psychopathology and metaphysics, respectively.ObjectivesIt is in this context that interested raise the similarities and differences in relation to the study of time these authors in their link to the construction of the self (soi-même).AimsBoth authors take up the relevance of temporality in the construction of the psychic, overtaking Husserl's phenomenology, the distinction between thinking and intuition discursive and theoretical thinking and sensitivity.MethodsComparative analysis of the problem of time and its relation to the psyche, Le temps vécu of Minkowski, Autrement qu’être of Levinas.ResultsYou can set a break with Husserl's phenomenology, inspired by the philosophy of Bergson, based on the living back in the studio. At the same time, among the authors reviewed, there is an irreconcilable discrepancy in the notions of activity and passivity in relation to the construction of the self (soi-même).ConclusionsPhenomenology applied to the psychic needs to return to its original inspiration to go beyond a methodological rigid reading, which ends up betraying its spirit, which leads her to forget the living world in its complexity.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Predictors of Post-traumatic Stress Disorder in Military Personnel Deployed to Peacekeeping Missions
Authors: Giorgi S. , Guguahsvili N. , Oniani T. , Kanaldarishvili G. , Lelashvili E. 
Published: June 2017

BackgroundThe following study shows that PTSD, depression and anxiety present actual and urgent problem in military field. These disorders appear to be highly co-morbid that results in much more complicated treatment process and outcome. Service members of Georgian armed forces participate in various international peacekeeping operations on the regular basis, though there are no researches conducted so far to provide evidence for mental health problem prevalence in Georgian deployed military personnel.MethodCollection of the data took place during the period of 2014–2015 years after six months of service members returning from the international peacekeeping mission back to their homes. The sample for this research were represented by 2799 servicemen who actively engaged in ISAF peacekeeping missions. All of them were male, with average age: M = 29.3 (SD = 6.3). The data for the following research were collected using self-administered assessment measures, namely PCL-5 for PTSD screening and PHQ for depression and Anxiety and somatic complaints assessment.ResultsPTSD appeared to be significantly predicted by range/level of anxiety and depression symptom urgency, nevertheless after joint/combine integration of these variables in one regressional equation, just symptoms of depression remained as statistically reliable explanatory factor for the significant percentage of the somatic symptom range variation.ConclusionIt would be wise to recommend mental health care specialists particularly to bear in mind the possibility of co-existing depression and anxiety symptoms in patients with PTSD.Disclosure of interestThe authors have not supplied their declaration of competing interest.